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Stock Comparison

PRE vs CSTL vs NTRA vs EXAS

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
PRE
Prenetics Global Limited

Medical - Diagnostics & Research

HealthcareNASDAQ • HK
Market Cap$242M
5Y Perf.-85.9%
CSTL
Castle Biosciences, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$583M
5Y Perf.-72.5%
NTRA
Natera, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$31.16B
5Y Perf.+91.9%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.-4.1%

PRE vs CSTL vs NTRA vs EXAS — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
PRE logoPRE
CSTL logoCSTL
NTRA logoNTRA
EXAS logoEXAS
IndustryMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - 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 Margin47.2%48.5%64.8%69.7%
Operating Margin-62.9%-8.6%-13.4%-6.4%
Forward P/E582.8x
Total Debt$2M$37M$214M$2.52B
Cash & Equiv.$32M$117M$1.08B$956M

PRE vs CSTL vs NTRA vs EXASLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

PRE
CSTL
NTRA
EXAS
StockJul 21May 26Return
Prenetics Global Li… (PRE)10014.1-85.9%
Castle Biosciences,… (CSTL)10027.5-72.5%
Natera, Inc. (NTRA)100191.9+91.9%
Exact Sciences Corp… (EXAS)10095.9-4.1%

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.

Bottom line: CSTL leads in 3 of 7 categories, making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Prenetics Global Limited is the stronger pick specifically for growth and revenue expansion and recent price momentum and sentiment. EXAS also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
PRE
Prenetics Global Limited
The Growth Play

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%
Best for: growth exposure and sleep-well-at-night
CSTL
Castle Biosciences, Inc.
The Defensive Pick

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%
Best for: defensive
NTRA
Natera, Inc.
The Long-Run Compounder

NTRA is the clearest fit if your priority is long-term compounding.

  • 20.9% 10Y total return vs EXAS's 16.7%
Best for: long-term compounding
EXAS
Exact Sciences Corporation
The Income Pick

EXAS is the clearest fit if your priority is income & stability.

  • beta 0.12
  • Beta 0.12 vs NTRA's 1.26
Best for: income & stability
See the full category breakdown
CategoryWinnerWhy
GrowthPRE logoPRE201.7% revenue growth vs CSTL's 3.7%
ValueCSTL logoCSTLBetter valuation composite
Quality / MarginsCSTL logoCSTL-3.8% margin vs PRE's -67.4%
Stability / SafetyEXAS logoEXASBeta 0.12 vs NTRA's 1.26
DividendsTieNone of these 4 stocks pay a meaningful dividend
Momentum (1Y)PRE logoPRE+205.2% vs CSTL's +12.8%
Efficiency (ROA)CSTL logoCSTL-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

PREPrenetics Global Limited

Segment breakdown not available.

CSTLCastle Biosciences, Inc.
FY 2025
Dermatologic
100.0%$216M
NTRANatera, Inc.
FY 2025
Product
99.6%$2.3B
Licensing and other
0.4%$10M
EXASExact Sciences Corporation
FY 2025
Screening
77.9%$2.5B
Precision Oncology
22.1%$717M

PRE vs CSTL vs NTRA vs EXAS — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLEXASLAGGINGPRE

Income & Cash Flow (Last 12 Months)

EXAS leads this category, winning 3 of 6 comparable metrics.

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.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…
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%
EXAS leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

CSTL leads this category, winning 3 of 4 comparable metrics.
MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…
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 ÷ Revenue2.62x1.69x13.51x6.16x
Price / BookPrice ÷ Book value/share1.28x1.18x17.55x8.24x
Price / FCFMarket cap ÷ FCF20.58x285.53x56.10x
CSTL leads this category, winning 3 of 4 comparable metrics.

Profitability & Efficiency

EXAS leads this category, winning 4 of 9 comparable metrics.

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.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…
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 0–95357
Debt / EquityFinancial leverage0.01x0.08x0.13x1.05x
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
EXAS leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

NTRA leads this category, winning 4 of 6 comparable metrics.

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.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…
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%
NTRA leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

EXAS leads this category, winning 2 of 2 comparable metrics.

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.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…
Beta (5Y)Sensitivity to S&P 5000.27x0.88x1.26x0.12x
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 0–10037.148.157.176.4
Avg Volume (50D)Average daily shares traded186K363K1.3M4.2M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

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).

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$36.00$47.80$262.50$103.18
# AnalystsCovering analysts1112741
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%+0.1%
Insufficient data to determine a leader in this category.
Key Takeaway

EXAS leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). CSTL leads in 1 (Valuation Metrics).

Best OverallExact Sciences Corporation (EXAS)Leads 3 of 6 categories
Loading custom metrics...

PRE vs CSTL vs NTRA vs EXAS: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is 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.

02

Which 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.

03

Which 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.

04

Which 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.

05

Which 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.

06

Is 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.

07

Which 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.

08

Is 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.

09

What 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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High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 101%
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CSTL

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 29%
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NTRA

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 19%
  • Gross Margin > 38%
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EXAS

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 11%
  • Gross Margin > 41%
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Beat Both

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Revenue Growth>
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(PRE: 202.8% · CSTL: -4.9%)

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