BLLN vs TEM vs GH Stock Comparison

BillionToOne, Tempus AI and Guardant Health Prices as of Oct 23, 2026 Peers: Industry group
BLLN BillionToOne, Inc.
$107.77 -5.8% 1M
Market cap
$5.16B
P/E
171.7x
Revenue (TTM)
$397.41M
Div. yield
–
Diagnostic Labs Healthcare
4 wins
TEM Tempus AI, Inc.
$67.61 -11.7% 1M -22.3% 1Y
Market cap
$12.10B
P/E
–
Revenue (TTM)
$1.43B
Div. yield
–
Diagnostic Labs Healthcare
GH Guardant Health, Inc.
$169.08 -4.1% 1M +143.8% 1Y
Market cap
$23.05B
P/E
–
Revenue (TTM)
$1.18B
Div. yield
–
Diagnostic Labs Healthcare
3 wins

Head to Head

7 decided of 12

BillionToOne leads on 4 of the 12 questions below (BillionToOne 4, Guardant Health 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBLLNTEMGHLeader
Larger companyMarket capitalisation $5.16B $12.10B $23.05B GH
Cheaper on earningsLower P/E, profitable companies only 171.7x -47.6x -50.8x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS 141.8x — — –
Faster revenue growthRevenue growth, trailing twelve months +90.1% +50.4% +42.7% BLLN
More profitableNet margin, trailing twelve months 7.6% -17.8% -38.3% BLLN
Better return on capitalReturn on invested capital 7.0% -52.0% — BLLN
Less leveragedLower net debt / EBITDA -9.1x — — –
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months — -22.3% +143.8% GH
Better 5-year returnAnnualised price return, 5 years — — +9.1%/yr –
Less volatileAnnualised volatility, 1 year 94.8% 76.5% 57.4% GH
Higher overall scoreMean of the five percentile scores vs peers 56/100 26/100 27/100 BLLN

Percentile Scorecard

BLLNTEMGH

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

AxisBLLNTEMGH
Valuation 20 #75 of 93 9 #85 of 93 17 #77 of 93
Growth 100 #1 of 88 26 #65 of 88 48 #46 of 88
Profitability 59 #36 of 87 11 #78 of 87 7 #81 of 87
Financial Health 96 #5 of 100 57 #44 of 100 50 #51 of 100
Shareholder Returns 7 #52 of 56 – 15 #48 of 56
Overall 56 26 27
  • BLLN ranked among 103 companies in Healthcare Providers
  • TEM ranked among 103 companies in Healthcare Providers
  • GH ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBLLNTEMGHSPY
1 month -5.8%-11.7%-4.1% -1.0%
3 months -14.5%+58.4%+14.8% +2.9%
6 months +27.2%+29.7%+90.2% +6.4%
Year to date +31.7%+14.5%+65.5% +11.4%
1 year —-22.3%+143.8% +13.1%
3 years ——+541.9% +79.4%
3 years, per year ——+85.9% +21.5%
5 years ——+54.6% +67.7%
5 years, per year ——+9.1% +10.9%

Risk

MeasureBLLNTEMGHSPY
Volatility, 1Y 94.8%76.5%57.4% 12.7%
Downside volatility, 1Y 107.8%67.1%48.6% 12.7%
Beta vs S&P 500, 1Y 1.652.551.01 1.00
Return / volatility, 1Y —-0.292.50 1.03
Max drawdown, 5Y -50.8%-59.8%-86.7% -25.4%
From 52-week high -28.1%-26.2%-9.7% -2.5%
52-week high $149.97$91.58$187.22 $779.14
52-week low $64.03$41.55$69.35 $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.

MultipleBLLNTEMGH
P/E now vs peer median 166.4xmedian 25.3x -47.8xmedian 25.3x -49.5xmedian 25.3x
P/S now vs peer median 12.7xmedian 1.6x 8.3xmedian 1.6x 19.1xmedian 1.6x
EV/EBITDA now vs peer median 91.3xmedian 14.6x —median 14.6x -49.9xmedian 14.6x
P/FCF now vs peer median 152.1xmedian 22.7x -45.0xmedian 22.7x -93.8xmedian 22.7x
P/B now vs peer median 9.4xmedian 3.3x 26.6xmedian 3.3x -101.4xmedian 3.3x
PEG now vs peer median —median 0.66 —median 0.66 -4.99median 0.66

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 monthsBLLNTEMGH
Revenue $397.41M $1.43B $1.18B
Gross profit $283.22M $916.19M $769.16M
Operating income $43.30M -$283.03M -$470.26M
Net income $37.71M -$254.43M -$453.44M
Free cash flow $33.18M -$263.22M -$240.72M
R&D $59.21M $196.31M $375.79M
EPS (diluted) $0.55 $-1.39 $-3.41
Cash & equivalents $548.63M $599.61M $1.05B
Total debt $91.03M $608.24M –
Shares (diluted) 54.46M 182.40M 132.87M
Enterprise value $3.38B $9.13B $19.11B

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
MetricBLLNTEMGH
P/E 166.4x -47.8x -49.5x
P/FCF 152.1x -45.0x -93.8x
P/Operating cash flow 111.3x -49.9x -122.0x
P/S 12.7x 8.3x 19.1x
P/B 9.4x 26.6x -101.4x
P/Tangible book 9.4x 89.4x -91.0x
EV/EBITDA 91.3x – -49.9x
EV/EBIT 106.0x -39.0x -45.8x
EV/Revenue 11.5x 7.7x 18.2x
EV/FCF 138.3x -41.9x -89.5x
EV/Operating cash flow 101.2x -46.5x -116.3x
PEG (3Y EPS CAGR) – – -4.99

Growth

14 metrics
MetricBLLNTEMGH
Revenue growth (1Y) 90.1% 50.4% 42.7%
Revenue CAGR (3Y) – – 32.4%
Gross profit growth (1Y) 122.4% 58.5% 47.7%
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) 253.2% -20.6% -2.1%
Operating income CAGR (3Y) – – 4.8%
Net income growth (1Y) 223.2% -27.4% -9.6%
Net income CAGR (3Y) – – 3.7%
EPS growth (1Y) 118.7% -21.1% -2.4%
EPS CAGR (3Y) – – 9.9%
Operating cash flow growth (1Y) – -356.2% 22.4%
Operating cash flow CAGR (3Y) – – 18.1%
Free cash flow growth (1Y) – -278.0% 11.4%
Free cash flow CAGR (3Y) – – 14.4%

Profitability

14 metrics
MetricBLLNTEMGH
Gross margin 71.3% 64.0% 65.0%
EBITDA margin 12.6% – -36.5%
Operating margin 10.9% -19.8% -39.7%
Pretax margin 9.5% -17.6% -38.4%
Net margin 7.6% -17.8% -38.3%
FCF margin 8.3% -18.4% -20.3%
Operating cash flow margin 11.4% -16.6% -15.7%
Return on equity 7.2% -57.3% –
Return on assets 5.3% -11.0% -23.7%
Return on invested capital 7.0% -52.0% –
Return on capital employed 6.6% -15.2% -29.9%
Asset turnover 0.6x 0.6x 0.6x
Cash conversion (OCF / net income) 1.2x 0.9x 0.4x
Stock comp / revenue 6.4% 13.0% 16.2%

Financial Health

11 metrics
MetricBLLNTEMGH
Debt / assets 12.5% – –
Debt / equity 0.2x – –
Net debt / EBITDA -9.1x – –
Debt / FCF 2.7x – –
Liabilities / assets 26.4% 81.2% 111.7%
Equity / assets 73.6% 18.8% -11.7%
Interest coverage 1,056x -5.1x -97.6x
Current ratio 11.7x 3.3x 4.0x
Quick ratio 11.2x 3.1x 3.5x
Cash ratio 9.8x 2.1x 3.1x
Altman Z-score 16.94 2.88 4.44

Shareholder Returns

7 metrics
MetricBLLNTEMGH
Dividend yield – – –
Net buyback yield -6.0% – -1.8%
Shareholder yield -6.0% 0.0% -1.8%
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.

ConsensusBLLNTEMGH
Forward P/E 141.8xFY2026 – –
EPS, next fiscal year $0.76FY2026 $-0.20FY2026 $-3.34FY2026
EPS growth, next FY +442.9%FY2026 – –
EPS growth, the year after +22.4% – –
Revenue, next fiscal year $481.77MFY2026 $1.64BFY2026 $1.42BFY2026
Revenue growth, next FY +57.9%FY2026 +29.0%FY2026 +44.5%FY2026
Revenue growth, the year after +27.1% +24.1% +27.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBLLNTEMGH
Held by institutions 32.6% 61.3% 100.0%
Institutions holding 155 483 594
Change in shares held, QoQ +34.7% +5.0% -2.6%
Institutions buying 127 284 353
Institutions selling 13 118 180
Buyers to sellers 9.77 2.41 1.96

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.

BLLNTEMGH
BLLN 1.00 0.30 0.30
TEM 0.30 1.00 0.46
GH 0.30 0.46 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BLLN, TEM and GH?

Guardant Health (GH) is the largest by market capitalisation: BillionToOne (BLLN) $5.16B, Tempus AI (TEM) $12.10B, Guardant Health (GH) $23.05B.

Which company is growing faster?

BillionToOne (BLLN) grew revenue fastest over the trailing twelve months: BillionToOne (BLLN) +90.1%, Tempus AI (TEM) +50.4%, Guardant Health (GH) +42.7%.

Which company is more profitable?

BillionToOne (BLLN) has the highest net margin (BillionToOne (BLLN) 7.6%, Tempus AI (TEM) -17.8%, Guardant Health (GH) -38.3%). On return on invested capital, BillionToOne (BLLN) leads (BillionToOne (BLLN) 7.0%, Tempus AI (TEM) -52.0%).

Which stock has performed better?

Over the past year Guardant Health (GH) returned the most: Tempus AI (TEM) -22.3%, Guardant Health (GH) +143.8%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Guardant Health (GH) has been the steadiest (BillionToOne (BLLN) 94.8%, Tempus AI (TEM) 76.5%, Guardant Health (GH) 57.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BLLN, TEM and GH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, BillionToOne (BLLN) 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.