ADPT vs BLLN vs CAI Stock Comparison

Adaptive Biotechnologies, BillionToOne and Caris Life Sciences Prices as of Nov 5, 2026 Peers: Industry group
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BLLN BillionToOne, Inc.
$112.39 +12.5% 1M
Market cap
$5.31B
P/E
115.6x
Revenue (TTM)
$436.87M
Div. yield
–
Diagnostic Labs Healthcare
4 wins

Head to Head

10 decided of 12

Caris Life Sciences leads on 4 of the 12 questions below (Caris Life Sciences 4, BillionToOne 4, Adaptive Biotechnologies 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionADPTBLLNCAILeader
Larger companyMarket capitalisation $4.49B $5.31B $7.20B CAI
Cheaper on earningsLower P/E, profitable companies only -63.7x 115.6x 74.9x CAI
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 147.9x 236.6x BLLN
Faster revenue growthRevenue growth, trailing twelve months +17.9% +71.9% +61.5% BLLN
More profitableNet margin, trailing twelve months -23.7% 10.5% 9.2% BLLN
Better return on capitalReturn on invested capital — 6.9% 13.7% CAI
Less leveragedLower net debt / EBITDA — -9.1x -2.3x BLLN
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +52.4% — -10.9% ADPT
Better 5-year returnAnnualised price return, 5 years -6.1%/yr — — –
Less volatileAnnualised volatility, 1 year 68.3% 93.3% 73.7% ADPT
Higher overall scoreMean of the five percentile scores vs peers 40/100 57/100 65/100 CAI

Percentile Scorecard

ADPTBLLNCAI

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisADPTBLLNCAI
Valuation 15 #81 of 95 21 #75 of 95 22 #74 of 95
Growth 81 #18 of 88 100 #1 of 88 99 #2 of 88
Profitability 22 #68 of 87 59 #36 of 87 72 #25 of 87
Financial Health 65 #36 of 100 98 #3 of 100 79 #22 of 100
Shareholder Returns 19 #49 of 60 7 #56 of 60 54 #28 of 60
Overall 40 57 65
  • ADPT ranked among 102 companies in Healthcare Providers
  • BLLN ranked among 102 companies in Healthcare Providers
  • CAI ranked among 102 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodADPTBLLNCAISPY
1 month -0.4%+12.5%-5.2% -5.9%
3 months +13.6%+22.6%+30.2% -4.6%
6 months +82.4%+21.0%+31.2% +0.2%
Year to date +65.0%+37.3%-3.5% +7.5%
1 year +52.4%—-10.9% +8.2%
3 years +458.3%—— +68.3%
3 years, per year +77.5%—— +19.0%
5 years -27.2%—— +56.5%
5 years, per year -6.1%—— +9.4%

Risk

MeasureADPTBLLNCAISPY
Volatility, 1Y 68.3%93.3%73.7% 13.6%
Downside volatility, 1Y 64.9%106.1%77.8% 14.2%
Beta vs S&P 500, 1Y 1.541.491.99 1.00
Return / volatility, 1Y 0.77—-0.15 0.60
Max drawdown, 5Y -93.6%-50.8%-63.0% -25.4%
From 52-week high -10.2%-25.1%-28.0% -5.9%
52-week high $29.84$149.97$36.14 $779.14
52-week low $12.41$64.03$14.55 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleADPTBLLNCAI
P/E now vs peer median -61.0xmedian 24.8x 115.6xmedian 24.8x 76.9xmedian 24.8x
P/S now vs peer median 14.6xmedian 1.6x 12.3xmedian 1.6x 7.1xmedian 1.6x
EV/EBITDA now vs peer median -122.1xmedian 15.9x 94.0xmedian 15.9x 42.6xmedian 15.9x
P/FCF now vs peer median -491.8xmedian 20.9x 157.9xmedian 20.9x 258.2xmedian 20.9x
P/B now vs peer median 23.6xmedian 3.3x 9.4xmedian 3.3x 11.7xmedian 3.3x
PEG now vs peer median -1.76median 0.88 —median 0.88 —median 0.88

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsADPTBLLNCAI
Revenue $298.01M $436.87M $1.05B
Gross profit $220.98M $311.95M $724.14M
Operating income -$48.21M $44.69M $139.94M
Net income -$70.73M $49.39M $96.06M
Free cash flow -$8.82M $33.91M $28.91M
R&D $83.18M $66.47M $129.36M
EPS (diluted) $-0.38 $0.86 $0.33
Cash & equivalents $75.62M $561.51M $665.32M
Total debt – $89.00M $393.27M
Shares (diluted) 186.88M 53.73M 295.14M
Enterprise value $3.41B $3.17B $4.01B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricADPTBLLNCAI
P/E -61.0x 115.6x 76.9x
P/FCF -491.8x 157.9x 258.2x
P/Operating cash flow -1,014x 111.7x 89.0x
P/S 14.6x 12.3x 7.1x
P/B 23.6x 9.4x 11.7x
P/Tangible book 23.7x 9.4x 11.7x
EV/EBITDA -122.1x 94.0x 42.6x
EV/EBIT -83.8x 109.2x 50.7x
EV/Revenue 13.6x 11.2x 6.8x
EV/FCF -457.9x 143.9x 245.2x
EV/Operating cash flow -944.4x 101.9x 84.5x
PEG (3Y EPS CAGR) -1.76 – –

Growth

14 metrics
MetricADPTBLLNCAI
Revenue growth (1Y) 17.9% 71.9% 61.5%
Revenue CAGR (3Y) 18.4% – –
Gross profit growth (1Y) 21.7% 88.4% 86.2%
Gross profit CAGR (3Y) 27.3% – –
Operating income growth (1Y) 38.3% 844.7% 274.2%
Operating income CAGR (3Y) 37.3% – –
Net income growth (1Y) 11.1% 593.9% 151.4%
Net income CAGR (3Y) 28.8% – –
EPS growth (1Y) 22.7% 193.7% 114.2%
EPS CAGR (3Y) 34.7% – –
Operating cash flow growth (1Y) 92.9% 794.7% 15,464%
Operating cash flow CAGR (3Y) 70.1% – –
Free cash flow growth (1Y) 86.0% 934.5% 306.4%
Free cash flow CAGR (3Y) 62.8% – –

Profitability

14 metrics
MetricADPTBLLNCAI
Gross margin 74.2% 71.4% 69.1%
EBITDA margin -11.1% 11.9% 15.9%
Operating margin -16.2% 10.2% 13.4%
Pretax margin -15.8% 11.4% 9.3%
Net margin -23.7% 10.5% 9.2%
FCF margin -3.0% 7.8% 2.8%
Operating cash flow margin -1.4% 11.0% 8.0%
Return on equity -42.3% 9.0% 15.6%
Return on assets -10.7% 6.6% 7.7%
Return on invested capital – 6.9% 13.7%
Return on capital employed -8.6% 6.5% 12.9%
Asset turnover 0.5x 0.6x 0.8x
Cash conversion (OCF / net income) 0.1x 1.0x 0.9x
Stock comp / revenue 15.5% 7.0% 6.7%

Financial Health

11 metrics
MetricADPTBLLNCAI
Debt / assets – 11.7% 31.3%
Debt / equity – 0.2x 0.6x
Net debt / EBITDA – -9.1x -2.3x
Debt / FCF – 2.6x 13.6x
Liabilities / assets 73.1% 25.5% 49.1%
Equity / assets 26.9% 74.5% 50.9%
Interest coverage -5.3x 1,655x 3.3x
Current ratio 4.0x 11.2x 6.7x
Quick ratio 3.7x 10.7x 5.7x
Cash ratio 3.0x 9.3x 4.8x
Altman Z-score 3.02 17.88 6.51

Shareholder Returns

7 metrics
MetricADPTBLLNCAI
Dividend yield – – –
Net buyback yield -1.0% -5.7% 0.0%
Shareholder yield -1.0% -5.7% 0.0%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusADPTBLLNCAI
Forward P/E – 147.9xFY2026 236.6xFY2026
EPS, next fiscal year $-0.57FY2026 $0.76FY2026 $0.11FY2026
EPS growth, next FY – +442.9%FY2026 –
EPS growth, the year after – +22.4% +236.4%
Revenue, next fiscal year $284.03MFY2026 $481.76MFY2026 $1.06BFY2026
Revenue growth, next FY +2.5%FY2026 +57.9%FY2026 +30.1%FY2026
Revenue growth, the year after +33.8% +27.1% +21.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersADPTBLLNCAI
Held by institutions 97.2% 32.6% 52.0%
Institutions holding 301 155 246
Change in shares held, QoQ +2.5% +34.7% -6.3%
Institutions buying 160 127 174
Institutions selling 87 13 47
Buyers to sellers 1.84 9.77 3.70

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ADPTBLLNCAI
ADPT 1.00 0.36 0.42
BLLN 0.36 1.00 0.10
CAI 0.42 0.10 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ADPT, BLLN and CAI?

Caris Life Sciences (CAI) is the largest by market capitalisation: Adaptive Biotechnologies (ADPT) $4.49B, BillionToOne (BLLN) $5.31B, Caris Life Sciences (CAI) $7.20B.

Which stock is cheaper, ADPT, BLLN and CAI?

Caris Life Sciences (CAI) trades on the lowest price-to-earnings ratio (Adaptive Biotechnologies (ADPT) -63.7x, BillionToOne (BLLN) 115.6x, Caris Life Sciences (CAI) 74.9x). On next year's consensus earnings, BillionToOne (BLLN) is cheapest (BillionToOne (BLLN) 147.9x, Caris Life Sciences (CAI) 236.6x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

BillionToOne (BLLN) grew revenue fastest over the trailing twelve months: Adaptive Biotechnologies (ADPT) +17.9%, BillionToOne (BLLN) +71.9%, Caris Life Sciences (CAI) +61.5%.

Which company is more profitable?

BillionToOne (BLLN) has the highest net margin (Adaptive Biotechnologies (ADPT) -23.7%, BillionToOne (BLLN) 10.5%, Caris Life Sciences (CAI) 9.2%). On return on invested capital, Caris Life Sciences (CAI) leads (BillionToOne (BLLN) 6.9%, Caris Life Sciences (CAI) 13.7%).

Which stock has performed better?

Over the past year Adaptive Biotechnologies (ADPT) returned the most: Adaptive Biotechnologies (ADPT) +52.4%, Caris Life Sciences (CAI) -10.9%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Adaptive Biotechnologies (ADPT) has been the steadiest (Adaptive Biotechnologies (ADPT) 68.3%, BillionToOne (BLLN) 93.3%, Caris Life Sciences (CAI) 73.7%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ADPT, BLLN and CAI?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Caris Life Sciences (CAI) leads on 4. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.