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Stock Comparison

PRE vs CSTL vs NTRA vs EXAS vs LH

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%
LH
Labcorp Holdings Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$21.24B
5Y Perf.+1.4%

PRE vs CSTL vs NTRA vs EXAS vs LH — Key Financials

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

Company Snapshot
PRE logoPRE
CSTL logoCSTL
NTRA logoNTRA
EXAS logoEXAS
LH logoLH
IndustryMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Diagnostics & Research
Market Cap$242M$583M$31.16B$20.02B$21.24B
Revenue (TTM)$69M$340M$2.31B$3.25B$14.14B
Net Income (TTM)$-47M$-13M$-208M$-208M$942M
Gross Margin47.2%48.5%64.8%69.7%27.8%
Operating Margin-62.9%-8.6%-13.4%-6.4%11.0%
Forward P/E582.8x14.5x
Total Debt$2M$37M$214M$2.52B$7.20B
Cash & Equiv.$32M$117M$1.08B$956M$532M

PRE vs CSTL vs NTRA vs EXAS vs LHLong-Term Stock Performance

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

PRE
CSTL
NTRA
EXAS
LH
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%
Labcorp Holdings In… (LH)100101.4+1.4%

Price return only. Dividends and distributions are not included.

Quick Verdict: PRE vs CSTL vs NTRA vs EXAS vs LH

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: LH leads in 4 of 7 categories (5-stock set), 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 LH's +6.1%
Best for: growth exposure and sleep-well-at-night
CSTL
Castle Biosciences, Inc.
The Healthcare Pick

CSTL lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
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 ranks third and is worth considering specifically for income & stability and defensive.

  • beta 0.12
  • Beta 0.12, current ratio 2.43x
  • Beta 0.12 vs NTRA's 1.26
Best for: income & stability and defensive
LH
Labcorp Holdings Inc.
The Value Play

LH carries the broadest edge in this set and is the clearest fit for value and quality.

  • Lower P/E (14.5x vs 582.8x)
  • 6.7% margin vs PRE's -67.4%
  • 1.1% yield; the other 4 pay no meaningful dividend
  • 5.1% ROA vs PRE's -23.7%, ROIC 7.8% vs -20.8%
Best for: value and quality
See the full category breakdown
CategoryWinnerWhy
GrowthPRE logoPRE201.7% revenue growth vs CSTL's 3.7%
ValueLH logoLHLower P/E (14.5x vs 582.8x)
Quality / MarginsLH logoLH6.7% margin vs PRE's -67.4%
Stability / SafetyEXAS logoEXASBeta 0.12 vs NTRA's 1.26
DividendsLH logoLH1.1% yield; the other 4 pay no meaningful dividend
Momentum (1Y)PRE logoPRE+205.2% vs LH's +6.1%
Efficiency (ROA)LH logoLH5.1% ROA vs PRE's -23.7%, ROIC 7.8% vs -20.8%

PRE vs CSTL vs NTRA vs EXAS vs LH — 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
LHLabcorp Holdings Inc.
FY 2025
LabCorp Diagnostics
100.0%$10.9B

PRE vs CSTL vs NTRA vs EXAS vs LH — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLLHLAGGINGCSTL

Income & Cash Flow (Last 12 Months)

Evenly matched — EXAS and LH each lead in 2 of 6 comparable metrics.

LH is the larger business by revenue, generating $14.1B annually — 204.9x PRE's $69M. LH is the more profitable business, keeping 6.7% 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…LH logoLHLabcorp Holdings …
RevenueTrailing 12 months$69M$340M$2.3B$3.2B$14.1B
EBITDAEarnings before interest/tax-$54M-$16M-$310M-$41M$2.2B
Net IncomeAfter-tax profit-$47M-$13M-$208M-$208M$942M
Free Cash FlowCash after capex$0$5M$97M$357M$1.4B
Gross MarginGross profit ÷ Revenue+47.2%+48.5%+64.8%+69.7%+27.8%
Operating MarginEBIT ÷ Revenue-62.9%-8.6%-13.4%-6.4%+11.0%
Net MarginNet income ÷ Revenue-67.4%-3.8%-9.0%-6.4%+6.7%
FCF MarginFCF ÷ Revenue-23.8%+1.3%+4.2%+11.0%+9.8%
Rev. Growth (YoY)Latest quarter vs prior year+2.0%-4.9%+39.8%+23.1%+5.8%
EPS Growth (YoY)Latest quarter vs prior year+36.9%+45.6%+185.4%+90.4%+32.9%
Evenly matched — EXAS and LH each lead in 2 of 6 comparable metrics.

Valuation Metrics

LH leads this category, winning 3 of 5 comparable metrics.
MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…LH logoLHLabcorp Holdings …
Market CapShares × price$242M$583M$31.2B$20.0B$21.2B
Enterprise ValueMkt cap + debt − cash$212M$503M$30.3B$21.6B$27.9B
Trailing P/EPrice ÷ TTM EPS-3.82x-23.18x-144.62x-95.37x24.67x
Forward P/EPrice ÷ next-FY EPS est.582.83x14.45x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple12.70x
Price / SalesMarket cap ÷ Revenue2.62x1.69x13.51x6.16x1.52x
Price / BookPrice ÷ Book value/share1.28x1.18x17.55x8.24x2.50x
Price / FCFMarket cap ÷ FCF20.58x285.53x56.10x17.61x
LH leads this category, winning 3 of 5 comparable metrics.

Profitability & Efficiency

LH leads this category, winning 6 of 9 comparable metrics.

LH delivers a 10.9% return on equity — every $100 of shareholder capital generates $11 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…LH logoLHLabcorp Holdings …
ROE (TTM)Return on equity-28.9%-2.8%-15.3%-8.7%+10.9%
ROA (TTM)Return on assets-23.7%-2.3%-10.6%-3.5%+5.1%
ROICReturn on invested capital-20.8%-8.5%-36.1%-3.6%+7.8%
ROCEReturn on capital employed-21.2%-8.6%-18.3%-4.0%+9.9%
Piotroski ScoreFundamental quality 0–953577
Debt / EquityFinancial leverage0.01x0.08x0.13x1.05x0.83x
Net DebtTotal debt minus cash-$30M-$80M-$862M$1.6B$6.7B
Cash & Equiv.Liquid assets$32M$117M$1.1B$956M$532M
Total DebtShort + long-term debt$2M$37M$214M$2.5B$7.2B
Interest CoverageEBIT ÷ Interest expense-199.93x-270.94x-25.21x-5.47x6.22x
LH leads this category, winning 6 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 LH's +6.1%. 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…LH logoLHLabcorp Holdings …
YTD ReturnYear-to-date+0.6%-50.1%-3.9%+3.1%+2.8%
1-Year ReturnPast 12 months+205.2%+12.8%+37.3%+96.9%+6.1%
3-Year ReturnCumulative with dividends+24.5%-15.0%+314.0%+53.0%+39.4%
5-Year ReturnCumulative with dividends-86.1%-68.1%+115.9%+0.4%+12.6%
10-Year ReturnCumulative with dividends-86.1%-10.1%+2089.4%+1669.1%+150.7%
CAGR (3Y)Annualised 3-year return+7.6%-5.3%+60.6%+15.2%+11.7%
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…LH logoLHLabcorp Holdings …
Beta (5Y)Sensitivity to S&P 5000.27x0.88x1.26x0.12x0.52x
52-Week HighHighest price in past year$23.63$44.28$256.36$104.98$293.72
52-Week LowLowest price in past year$5.07$14.59$131.81$38.81$239.67
% of 52W HighCurrent price vs 52-week peak+67.2%+43.5%+85.7%+99.9%+87.9%
RSI (14)Momentum oscillator 0–10037.148.157.176.440.3
Avg Volume (50D)Average daily shares traded186K363K1.3M4.2M579K
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", LH as "Buy". Consensus price targets imply 148.4% upside for CSTL (target: $48) vs -1.6% for EXAS (target: $103). LH is the only dividend payer here at 1.11% yield — a key consideration for income-focused portfolios.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…LH logoLHLabcorp Holdings …
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$36.00$47.80$262.50$103.18$311.33
# AnalystsCovering analysts111274135
Dividend YieldAnnual dividend ÷ price+1.1%
Dividend StreakConsecutive years of raises0
Dividend / ShareAnnual DPS$2.87
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%+0.1%+2.1%
Insufficient data to determine a leader in this category.
Key Takeaway

LH leads in 2 of 6 categories (Valuation Metrics, Profitability & Efficiency). NTRA leads in 1 (Total Returns). 1 tied.

Best OverallLabcorp Holdings Inc. (LH)Leads 2 of 6 categories
Loading custom metrics...

PRE vs CSTL vs NTRA vs EXAS vs LH: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is PRE or CSTL or NTRA or EXAS or LH 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). Labcorp Holdings Inc. (LH) offers the better valuation at 24. 7x trailing P/E (14. 5x forward), making it the more compelling value choice. 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 has the better valuation — PRE or CSTL or NTRA or EXAS or LH?

On forward P/E, Labcorp Holdings Inc.

is actually cheaper at 14. 5x.

03

Which is the better long-term investment — PRE or CSTL or NTRA or EXAS or LH?

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.

04

Which is safer — PRE or CSTL or NTRA or EXAS or LH?

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.

05

Which is growing faster — PRE or CSTL or NTRA or EXAS or LH?

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.

06

Which has better profit margins — PRE or CSTL or NTRA or EXAS or LH?

Labcorp Holdings Inc.

(LH) is the more profitable company, earning 6. 3% net margin versus -63. 1% for Prenetics Global Limited — meaning it keeps 6. 3% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: LH leads at 10. 9% 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.

07

Is PRE or CSTL or NTRA or EXAS or LH more undervalued right now?

On forward earnings alone, Labcorp Holdings Inc.

(LH) trades at 14. 5x forward P/E versus 582. 8x for Exact Sciences Corporation — 568. 4x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for CSTL: 148. 4% to $47. 80.

08

Which pays a better dividend — PRE or CSTL or NTRA or EXAS or LH?

In this comparison, LH (1.

1% yield) pays a dividend. PRE, CSTL, NTRA, EXAS do not pay a meaningful dividend and should not be held primarily for income.

09

Is PRE or CSTL or NTRA or EXAS or LH 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.

10

What are the main differences between PRE and CSTL and NTRA and EXAS and LH?

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; LH is a mid-cap quality compounder stock. LH pays a dividend while PRE, CSTL, NTRA, EXAS do not, making them suitable for different income and tax situations. 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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Revenue Growth>
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(PRE: 202.8% · CSTL: -4.9%)

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