Medical - Diagnostics & Research
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4 / 10Stock Comparison
PRE vs CSTL vs NTRA vs EXAS
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
Medical - Diagnostics & Research
Medical - Diagnostics & Research
PRE vs CSTL vs NTRA vs EXAS — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Diagnostics & Research | Medical - Diagnostics & Research | Medical - Diagnostics & Research | Medical - Diagnostics & Research |
| Market Cap | $242M | $583M | $31.16B | $20.02B |
| Revenue (TTM) | $69M | $340M | $2.31B | $3.25B |
| Net Income (TTM) | $-47M | $-13M | $-208M | $-208M |
| Gross Margin | 47.2% | 48.5% | 64.8% | 69.7% |
| Operating Margin | -62.9% | -8.6% | -13.4% | -6.4% |
| Forward P/E | — | — | — | 582.8x |
| Total Debt | $2M | $37M | $214M | $2.52B |
| Cash & Equiv. | $32M | $117M | $1.08B | $956M |
PRE vs CSTL vs NTRA vs EXAS — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Jul 21 | May 26 | Return |
|---|---|---|---|
| Prenetics Global Li… (PRE) | 100 | 14.1 | -85.9% |
| Castle Biosciences,… (CSTL) | 100 | 27.5 | -72.5% |
| Natera, Inc. (NTRA) | 100 | 191.9 | +91.9% |
| Exact Sciences Corp… (EXAS) | 100 | 95.9 | -4.1% |
Price return only. Dividends and distributions are not included.
Quick Verdict: PRE vs CSTL vs NTRA vs EXAS
Each card shows where this stock fits in a portfolio — not just who wins on paper.
PRE is the #2 pick in this set and the best alternative if growth exposure and sleep-well-at-night is your priority.
- Rev growth 201.7%, EPS growth -14.0%, 3Y rev CAGR 91.5%
- Lower volatility, beta 0.27, Low D/E 1.3%, current ratio 3.01x
- 201.7% revenue growth vs CSTL's 3.7%
- +205.2% vs CSTL's +12.8%
CSTL carries the broadest edge in this set and is the clearest fit for defensive.
- Beta 0.88, current ratio 5.26x
- Better valuation composite
- -3.8% margin vs PRE's -67.4%
- -2.3% ROA vs PRE's -23.7%, ROIC -8.5% vs -20.8%
NTRA is the clearest fit if your priority is long-term compounding.
- 20.9% 10Y total return vs EXAS's 16.7%
EXAS is the clearest fit if your priority is income & stability.
- beta 0.12
- Beta 0.12 vs NTRA's 1.26
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 201.7% revenue growth vs CSTL's 3.7% | |
| Value | Better valuation composite | |
| Quality / Margins | -3.8% margin vs PRE's -67.4% | |
| Stability / Safety | Beta 0.12 vs NTRA's 1.26 | |
| Dividends | Tie | None of these 4 stocks pay a meaningful dividend |
| Momentum (1Y) | +205.2% vs CSTL's +12.8% | |
| Efficiency (ROA) | -2.3% ROA vs PRE's -23.7%, ROIC -8.5% vs -20.8% |
PRE vs CSTL vs NTRA vs EXAS — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
PRE vs CSTL vs NTRA vs EXAS — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
EXAS leads in 3 of 6 categories
CSTL leads 1 • NTRA leads 1 • PRE leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
EXAS leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
EXAS is the larger business by revenue, generating $3.2B annually — 47.0x PRE's $69M. CSTL is the more profitable business, keeping -3.8% of every revenue dollar as net income compared to PRE's -67.4%. On growth, PRE holds the edge at +2.0% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $69M | $340M | $2.3B | $3.2B |
| EBITDAEarnings before interest/tax | -$54M | -$16M | -$310M | -$41M |
| Net IncomeAfter-tax profit | -$47M | -$13M | -$208M | -$208M |
| Free Cash FlowCash after capex | $0 | $5M | $97M | $357M |
| Gross MarginGross profit ÷ Revenue | +47.2% | +48.5% | +64.8% | +69.7% |
| Operating MarginEBIT ÷ Revenue | -62.9% | -8.6% | -13.4% | -6.4% |
| Net MarginNet income ÷ Revenue | -67.4% | -3.8% | -9.0% | -6.4% |
| FCF MarginFCF ÷ Revenue | -23.8% | +1.3% | +4.2% | +11.0% |
| Rev. Growth (YoY)Latest quarter vs prior year | +2.0% | -4.9% | +39.8% | +23.1% |
| EPS Growth (YoY)Latest quarter vs prior year | +36.9% | +45.6% | +185.4% | +90.4% |
Valuation Metrics
CSTL leads this category, winning 3 of 4 comparable metrics.
Valuation Metrics
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $242M | $583M | $31.2B | $20.0B |
| Enterprise ValueMkt cap + debt − cash | $212M | $503M | $30.3B | $21.6B |
| Trailing P/EPrice ÷ TTM EPS | -3.82x | -23.18x | -144.62x | -95.37x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | 582.83x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — |
| EV / EBITDAEnterprise value multiple | — | — | — | — |
| Price / SalesMarket cap ÷ Revenue | 2.62x | 1.69x | 13.51x | 6.16x |
| Price / BookPrice ÷ Book value/share | 1.28x | 1.18x | 17.55x | 8.24x |
| Price / FCFMarket cap ÷ FCF | — | 20.58x | 285.53x | 56.10x |
Profitability & Efficiency
EXAS leads this category, winning 4 of 9 comparable metrics.
Profitability & Efficiency
CSTL delivers a -2.8% return on equity — every $100 of shareholder capital generates $-3 in annual profit, vs $-29 for PRE. PRE carries lower financial leverage with a 0.01x debt-to-equity ratio, signaling a more conservative balance sheet compared to EXAS's 1.05x. On the Piotroski fundamental quality scale (0–9), EXAS scores 7/9 vs CSTL's 3/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -28.9% | -2.8% | -15.3% | -8.7% |
| ROA (TTM)Return on assets | -23.7% | -2.3% | -10.6% | -3.5% |
| ROICReturn on invested capital | -20.8% | -8.5% | -36.1% | -3.6% |
| ROCEReturn on capital employed | -21.2% | -8.6% | -18.3% | -4.0% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 3 | 5 | 7 |
| Debt / EquityFinancial leverage | 0.01x | 0.08x | 0.13x | 1.05x |
| Net DebtTotal debt minus cash | -$30M | -$80M | -$862M | $1.6B |
| Cash & Equiv.Liquid assets | $32M | $117M | $1.1B | $956M |
| Total DebtShort + long-term debt | $2M | $37M | $214M | $2.5B |
| Interest CoverageEBIT ÷ Interest expense | -199.93x | -270.94x | -25.21x | -5.47x |
Total Returns (Dividends Reinvested)
NTRA leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in NTRA five years ago would be worth $21,587 today (with dividends reinvested), compared to $1,393 for PRE. Over the past 12 months, PRE leads with a +205.2% total return vs CSTL's +12.8%. The 3-year compound annual growth rate (CAGR) favors NTRA at 60.6% vs CSTL's -5.3% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | +0.6% | -50.1% | -3.9% | +3.1% |
| 1-Year ReturnPast 12 months | +205.2% | +12.8% | +37.3% | +96.9% |
| 3-Year ReturnCumulative with dividends | +24.5% | -15.0% | +314.0% | +53.0% |
| 5-Year ReturnCumulative with dividends | -86.1% | -68.1% | +115.9% | +0.4% |
| 10-Year ReturnCumulative with dividends | -86.1% | -10.1% | +2089.4% | +1669.1% |
| CAGR (3Y)Annualised 3-year return | +7.6% | -5.3% | +60.6% | +15.2% |
Risk & Volatility
EXAS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
EXAS is the less volatile stock with a 0.12 beta — it tends to amplify market swings less than NTRA's 1.26 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. EXAS currently trades 99.9% from its 52-week high vs CSTL's 43.5% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.27x | 0.88x | 1.26x | 0.12x |
| 52-Week HighHighest price in past year | $23.63 | $44.28 | $256.36 | $104.98 |
| 52-Week LowLowest price in past year | $5.07 | $14.59 | $131.81 | $38.81 |
| % of 52W HighCurrent price vs 52-week peak | +67.2% | +43.5% | +85.7% | +99.9% |
| RSI (14)Momentum oscillator 0–100 | 37.1 | 48.1 | 57.1 | 76.4 |
| Avg Volume (50D)Average daily shares traded | 186K | 363K | 1.3M | 4.2M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: PRE as "Buy", CSTL as "Buy", NTRA as "Buy", EXAS as "Buy". Consensus price targets imply 148.4% upside for CSTL (target: $48) vs -1.6% for EXAS (target: $103).
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $36.00 | $47.80 | $262.50 | $103.18 |
| # AnalystsCovering analysts | 1 | 11 | 27 | 41 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | 0.0% | +0.1% |
EXAS leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). CSTL leads in 1 (Valuation Metrics).
PRE vs CSTL vs NTRA vs EXAS: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is PRE or CSTL or NTRA or EXAS a better buy right now?
For growth investors, Prenetics Global Limited (PRE) is the stronger pick with 201.
7% revenue growth year-over-year, versus 3. 7% for Castle Biosciences, Inc. (CSTL). Analysts rate Prenetics Global Limited (PRE) a "Buy" — based on 1 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — PRE or CSTL or NTRA or EXAS?
Over the past 5 years, Natera, Inc.
(NTRA) delivered a total return of +115. 9%, compared to -86. 1% for Prenetics Global Limited (PRE). Over 10 years, the gap is even starker: NTRA returned +20. 9% versus PRE's -86. 1%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — PRE or CSTL or NTRA or EXAS?
By beta (market sensitivity over 5 years), Exact Sciences Corporation (EXAS) is the lower-risk stock at 0.
12β versus Natera, Inc. 's 1. 26β — meaning NTRA is approximately 943% more volatile than EXAS relative to the S&P 500. On balance sheet safety, Prenetics Global Limited (PRE) carries a lower debt/equity ratio of 1% versus 105% for Exact Sciences Corporation — giving it more financial flexibility in a downturn.
04Which is growing faster — PRE or CSTL or NTRA or EXAS?
By revenue growth (latest reported year), Prenetics Global Limited (PRE) is pulling ahead at 201.
7% versus 3. 7% for Castle Biosciences, Inc. (CSTL). On earnings-per-share growth, the picture is similar: Exact Sciences Corporation grew EPS 80. 3% year-over-year, compared to -233. 9% for Castle Biosciences, Inc.. Over a 3-year CAGR, PRE leads at 91. 5% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — PRE or CSTL or NTRA or EXAS?
Exact Sciences Corporation (EXAS) is the more profitable company, earning -6.
4% net margin versus -63. 1% for Prenetics Global Limited — meaning it keeps -6. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: EXAS leads at -6. 4% versus -40. 5% for PRE. At the gross margin level — before operating expenses — EXAS leads at 69. 7%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Is PRE or CSTL or NTRA or EXAS more undervalued right now?
Analyst consensus price targets imply the most upside for CSTL: 148.
4% to $47. 80.
07Which pays a better dividend — PRE or CSTL or NTRA or EXAS?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
08Is PRE or CSTL or NTRA or EXAS better for a retirement portfolio?
For long-horizon retirement investors, Exact Sciences Corporation (EXAS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
12), +1669% 10Y return). Both have compounded well over 10 years (EXAS: +1669%, NTRA: +20. 9%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
09What are the main differences between PRE and CSTL and NTRA and EXAS?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: PRE is a small-cap high-growth stock; CSTL is a small-cap quality compounder stock; NTRA is a mid-cap high-growth stock; EXAS is a mid-cap high-growth stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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