Medical - Diagnostics & Research
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4 / 10Stock Comparison
PSNL vs TWST vs NTRA vs ILMN
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
Medical - Diagnostics & Research
Medical - Diagnostics & Research
PSNL vs TWST vs NTRA vs ILMN — 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 | $531M | $3.54B | $27.53B | $21.55B |
| Revenue (TTM) | $49M | $409M | $2.50B | $4.39B |
| Net Income (TTM) | $-96M | $-81M | $-226M | $853M |
| Gross Margin | -13.5% | 52.1% | 65.2% | 67.1% |
| Operating Margin | -209.0% | -33.9% | -13.0% | 20.9% |
| Forward P/E | — | — | — | 27.2x |
| Total Debt | $32M | $137M | $214M | $2.55B |
| Cash & Equiv. | $124M | $183M | $1.08B | $1.42B |
PSNL vs TWST vs NTRA vs ILMN — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Personalis, Inc. (PSNL) | 100 | 50.5 | -49.5% |
| Twist Bioscience Co… (TWST) | 100 | 149.8 | +49.8% |
| Natera, Inc. (NTRA) | 100 | 443.0 | +343.0% |
| Illumina, Inc. (ILMN) | 100 | 40.2 | -59.8% |
Price return only. Dividends and distributions are not included.
Quick Verdict: PSNL vs TWST vs NTRA vs ILMN
Each card shows where this stock fits in a portfolio — not just who wins on paper.
PSNL plays a supporting role in this comparison — it may shine differently against other peers.
TWST lags the leaders in this set but could rank higher in a more targeted comparison.
NTRA is the #2 pick in this set and the best alternative if income & stability and growth exposure is your priority.
- beta 1.17
- Rev growth 35.9%, EPS growth 0.7%, 3Y rev CAGR 41.1%
- 18.3% 10Y total return vs TWST's 306.1%
- Lower volatility, beta 1.17, Low D/E 12.5%, current ratio 3.39x
ILMN carries the broadest edge in this set and is the clearest fit for value and quality.
- Better valuation composite
- 19.4% margin vs PSNL's -194.8%
- +78.3% vs PSNL's +15.9%
- 13.4% ROA vs PSNL's -32.9%, ROIC 16.8% vs -40.7%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 35.9% revenue growth vs PSNL's -100.0% | |
| Value | Better valuation composite | |
| Quality / Margins | 19.4% margin vs PSNL's -194.8% | |
| Stability / Safety | Beta 1.17 vs PSNL's 2.65 | |
| Dividends | Tie | None of these 4 stocks pay a meaningful dividend |
| Momentum (1Y) | +78.3% vs PSNL's +15.9% | |
| Efficiency (ROA) | 13.4% ROA vs PSNL's -32.9%, ROIC 16.8% vs -40.7% |
PSNL vs TWST vs NTRA vs ILMN — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
PSNL vs TWST vs NTRA vs ILMN — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ILMN leads in 3 of 6 categories
TWST leads 1 • PSNL leads 0 • NTRA leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
ILMN leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
ILMN is the larger business by revenue, generating $4.4B annually — 89.5x PSNL's $49M. ILMN is the more profitable business, keeping 19.4% of every revenue dollar as net income compared to PSNL's -194.8%. On growth, NTRA holds the edge at +38.8% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $49M | $409M | $2.5B | $4.4B |
| EBITDAEarnings before interest/tax | -$95M | -$115M | -$333M | $1.1B |
| Net IncomeAfter-tax profit | -$96M | -$81M | -$226M | $853M |
| Free Cash FlowCash after capex | -$59M | -$95M | $74M | $989M |
| Gross MarginGross profit ÷ Revenue | -13.5% | +52.1% | +65.2% | +67.1% |
| Operating MarginEBIT ÷ Revenue | -2.1% | -33.9% | -13.0% | +20.9% |
| Net MarginNet income ÷ Revenue | -194.8% | -19.8% | -9.0% | +19.4% |
| FCF MarginFCF ÷ Revenue | -120.3% | -23.2% | +3.0% | +22.5% |
| Rev. Growth (YoY)Latest quarter vs prior year | -100.0% | +19.3% | +38.8% | +4.8% |
| EPS Growth (YoY)Latest quarter vs prior year | -61.1% | -7.6% | -20.0% | +6.1% |
Valuation Metrics
ILMN leads this category, winning 2 of 4 comparable metrics.
Valuation Metrics
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $531M | $3.5B | $27.5B | $21.6B |
| Enterprise ValueMkt cap + debt − cash | $439M | $3.5B | $26.7B | $22.7B |
| Trailing P/EPrice ÷ TTM EPS | -6.57x | -43.73x | -127.79x | 26.03x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | 27.22x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | 6.15x |
| EV / EBITDAEnterprise value multiple | — | — | — | 20.01x |
| Price / SalesMarket cap ÷ Revenue | — | 9.40x | 11.94x | 4.97x |
| Price / BookPrice ÷ Book value/share | 2.04x | 7.19x | 15.51x | 8.13x |
| Price / FCFMarket cap ÷ FCF | — | — | 252.31x | 23.15x |
Profitability & Efficiency
ILMN leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
ILMN delivers a 32.8% return on equity — every $100 of shareholder capital generates $33 in annual profit, vs $-44 for PSNL. PSNL carries lower financial leverage with a 0.12x debt-to-equity ratio, signaling a more conservative balance sheet compared to ILMN's 0.94x. On the Piotroski fundamental quality scale (0–9), ILMN scores 8/9 vs TWST's 4/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -43.5% | -17.5% | -15.1% | +32.8% |
| ROA (TTM)Return on assets | -32.9% | -12.5% | -10.4% | +13.4% |
| ROICReturn on invested capital | -40.7% | -26.9% | -36.1% | +16.8% |
| ROCEReturn on capital employed | -33.0% | -24.9% | -18.3% | +17.6% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 4 | 5 | 8 |
| Debt / EquityFinancial leverage | 0.12x | 0.29x | 0.13x | 0.94x |
| Net DebtTotal debt minus cash | -$92M | -$46M | -$862M | $1.1B |
| Cash & Equiv.Liquid assets | $124M | $183M | $1.1B | $1.4B |
| Total DebtShort + long-term debt | $32M | $137M | $214M | $2.6B |
| Interest CoverageEBIT ÷ Interest expense | -990.79x | — | -34.29x | 12.09x |
Total Returns (Dividends Reinvested)
TWST leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in NTRA five years ago would be worth $21,442 today (with dividends reinvested), compared to $3,067 for PSNL. Over the past 12 months, ILMN leads with a +78.3% total return vs PSNL's +15.9%. The 3-year compound annual growth rate (CAGR) favors TWST at 61.9% vs ILMN's -9.3% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -23.8% | +75.5% | -15.1% | +5.6% |
| 1-Year ReturnPast 12 months | +15.9% | +74.3% | +19.5% | +78.3% |
| 3-Year ReturnCumulative with dividends | +163.4% | +324.3% | +265.8% | -25.4% |
| 5-Year ReturnCumulative with dividends | -69.3% | -41.0% | +114.4% | -61.6% |
| 10-Year ReturnCumulative with dividends | -79.0% | +306.1% | +1834.7% | +3.0% |
| CAGR (3Y)Annualised 3-year return | +38.1% | +61.9% | +54.1% | -9.3% |
Risk & Volatility
Evenly matched — NTRA and ILMN each lead in 1 of 2 comparable metrics.
Risk & Volatility
NTRA is the less volatile stock with a 1.17 beta — it tends to amplify market swings less than PSNL's 2.65 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ILMN currently trades 91.2% from its 52-week high vs PSNL's 52.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.65x | 2.41x | 1.17x | 1.20x |
| 52-Week HighHighest price in past year | $11.50 | $66.00 | $256.36 | $155.53 |
| 52-Week LowLowest price in past year | $3.84 | $23.30 | $131.81 | $75.24 |
| % of 52W HighCurrent price vs 52-week peak | +52.0% | +86.1% | +75.8% | +91.2% |
| RSI (14)Momentum oscillator 0–100 | 46.7 | 54.9 | 59.8 | 59.5 |
| Avg Volume (50D)Average daily shares traded | 1.8M | 1.2M | 1.4M | 1.5M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: PSNL as "Buy", TWST as "Buy", NTRA as "Buy", ILMN as "Buy". Consensus price targets imply 100.7% upside for PSNL (target: $12) vs 3.9% for ILMN (target: $147).
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $12.00 | $60.50 | $265.63 | $147.38 |
| # AnalystsCovering analysts | 12 | 13 | 27 | 50 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +0.0% | 0.0% | +3.4% |
ILMN leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). TWST leads in 1 (Total Returns). 1 tied.
PSNL vs TWST vs NTRA vs ILMN: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is PSNL or TWST or NTRA or ILMN a better buy right now?
For growth investors, Natera, Inc.
(NTRA) is the stronger pick with 35. 9% revenue growth year-over-year, versus -100. 0% for Personalis, Inc. (PSNL). Illumina, Inc. (ILMN) offers the better valuation at 26. 0x trailing P/E (27. 2x forward), making it the more compelling value choice. Analysts rate Personalis, Inc. (PSNL) a "Buy" — based on 12 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 — PSNL or TWST or NTRA or ILMN?
Over the past 5 years, Natera, Inc.
(NTRA) delivered a total return of +114. 4%, compared to -69. 3% for Personalis, Inc. (PSNL). Over 10 years, the gap is even starker: NTRA returned +1835% versus PSNL's -79. 0%. 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 — PSNL or TWST or NTRA or ILMN?
By beta (market sensitivity over 5 years), Natera, Inc.
(NTRA) is the lower-risk stock at 1. 17β versus Personalis, Inc. 's 2. 65β — meaning PSNL is approximately 126% more volatile than NTRA relative to the S&P 500. On balance sheet safety, Personalis, Inc. (PSNL) carries a lower debt/equity ratio of 12% versus 94% for Illumina, Inc. — giving it more financial flexibility in a downturn.
04Which is growing faster — PSNL or TWST or NTRA or ILMN?
By revenue growth (latest reported year), Natera, Inc.
(NTRA) is pulling ahead at 35. 9% versus -100. 0% for Personalis, Inc. (PSNL). On earnings-per-share growth, the picture is similar: Illumina, Inc. grew EPS 170. 9% year-over-year, compared to 0. 7% for Natera, Inc.. Over a 3-year CAGR, NTRA leads at 41. 1% 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 — PSNL or TWST or NTRA or ILMN?
Illumina, Inc.
(ILMN) is the more profitable company, earning 19. 6% net margin versus -194. 8% for Personalis, Inc. — meaning it keeps 19. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ILMN leads at 19. 9% versus -209. 0% for PSNL. At the gross margin level — before operating expenses — ILMN leads at 66. 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 PSNL or TWST or NTRA or ILMN more undervalued right now?
Analyst consensus price targets imply the most upside for PSNL: 100.
7% to $12. 00.
07Which pays a better dividend — PSNL or TWST or NTRA or ILMN?
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 PSNL or TWST or NTRA or ILMN better for a retirement portfolio?
For long-horizon retirement investors, Natera, Inc.
(NTRA) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1. 17), +1835% 10Y return). Personalis, Inc. (PSNL) carries a higher beta of 2. 65 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (NTRA: +1835%, PSNL: -79. 0%), 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 PSNL and TWST and NTRA and ILMN?
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: PSNL is a small-cap quality compounder stock; TWST is a small-cap high-growth stock; NTRA is a mid-cap high-growth stock; ILMN is a mid-cap quality compounder 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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