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Freenome, Inc.FRNMCompetitor analysis, valuation and peers

United States · USD·Health Care›Medical Specialties

Early cancer-detection company developing blood-based, AI-driven screening tests, starting with colorectal cancer.

≈ An AI-driven, blood-test rival to Exact Sciences' Cologuard
Mkt cap
$1.09B
US dollars, full cap
Free float
71%
of shares outstanding
$/day
$9.70M
20-day average traded
P/B
1.33×
price to book
ROE
-0.9%
delivered
Implied ROE
9.4%
what the price asks
Next earnings
4 days
10 Nov 2026
Close · USD$10.18
1D-2.8%
1W-18.4%
1M-35.6%
3M-12.4%
6Mn/a
YTDn/a
1Yn/a
ATR %10.2%
52w lowhigh41.8% off high

What Freenome does

Early cancer-detection company developing blood-based, AI-driven screening tests, starting with colorectal cancer.

In one line: An AI-driven, blood-test rival to Exact Sciences' Cologuard.

Products and services

  • Preempt CRC (colorectal cancer blood test)
  • Multi-cancer early detection pipeline

Customers

  • Primary care physicians
  • Screening-eligible adults

Where it sits in the supply chain

  • Diagnostics
  • Liquid biopsy / multi-cancer screening
  • Blood-based cancer screening tests

What could go right

  • Colorectal cancer screening compliance gap
  • Blood-test convenience vs colonoscopy/stool tests

What could go wrong

  • Reimbursement/payer coverage uncertainty
  • Competitive liquid-biopsy landscape

Moat: narrow (data, IP / patents). AI/multiomics platform trained on large blood-sample datasets aims to detect early-stage cancer signals.

Headquarters: South San Francisco, California · Founded: 2013 · Employees: 3

Named competitors

Freenome at a glance

Size Freenome (FRNM) is a United States Health Care company (Medical Specialties) with a market value of $1.09B, the 2193rd largest of 3,117 United States companies the cockpit tracks. Shares closed at $10.18 on 6 Nov 2026.

Valuation It trades at 1.33× book value against a peer median of 3.88× (3rd cheapest of 21).

Price implies The share price implies a return on equity of about 9.4%; Freenome delivers -0.9%, so the price asks more than the business earns today.

Next results Next results expected around 10 Nov 2026 (exchange calendar; dates can move).

Freenome financials

Reported figures in USD; fiscal year ends 2025-12-31. TTM = trailing twelve months.
TTMFY2025FY2024
Revenue$0$0$0
Revenue growth———
Gross profit$0$0$0
EBITDA-$4.33M-$2.98M-$494,000
Net income-$762,626$837,468$1.91M
Free cash flow-$907,040-$864,650-$713,260
Capital expenditure$0$0$0
Total debt$0$0$0

Quarterly statements and history in the cockpit →

Freenome competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Fundamentals: return on equity against price-to-book

-40%-20%0%20%50×100×SIBN6523300685IRMD688277300143600055290650300406301101300206IARTATECCBLL301021TNDMPRCTCSTL688656FRNMReturn on equity →Price / book →
A bank or insurer earning more on its equity usually trades at a higher multiple of book; points far above the trend are priced for more. Freenome is the large dot.

Capital: ROE delivered against the ROE the price implies

-50%0%50%100%-50%0%50%100%SIBN6523300685IRMD688277600055290650300406300206CBLL301021TNDMPRCTCSTL688656FRNMROE delivered →ROE the price implies →
Above the diagonal = the price asks for a higher return on equity than the business earns today. Freenome is the large dot.

Freenome competitors and peer comparison

Head to head with its named competitors (FRNM vs GH vs NTRA)
CompanyMarket cap6M returnRevenue growthROEPrice / bookImplied ROE
Freenome FRNM$1.09Bn/an/a-1%1.33×9.4%
Guardant Health GH$20.2B+58%+43%n/an/an/a
Natera NTRA$44.8B+60%+38%-13%24.49×238.1%

How Freenome compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

Freenome against its 20 peers (data as of 6 Nov 2026)
MeasureFRNMPeer medianRank in peer set
1-month return-35.6%+1.2%lowest of 21
Return on equity-0.9%0.3%10th lowest of 21
Price / book1.33×3.88×3rd cheapest of 21
ROE the price implies9.4%26.4%2nd least demanding of 20
ROE delivered-0.9%0.2%10th lowest of 21

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthROEPrice / bookImplied ROEDelivered ROE
Freenome FRNMUnited States$1.09Bn/an/a-1%1.33×9.4%-0.9%
SI-BONE SIBNUnited States$1.09B+98%+14%-8%5.91×32.9%-7.7%
PHC 6523.TJapan$1.09B+36%+3%6%1.01×8.4%6.0%
Amoy Diagnostics 300685.SZChina$1.10B-14%+7%18%3.71×30.1%17.6%
IRadimed IRMDUnited States$1.10B0%+11%23%10.37×69.6%23.4%
Tinavi Medical Technologies 688277.SSChina$1.08B-30%-2%-14%6.15×48.1%-13.6%
INKON Life Technology 300143.SZChina$1.08B-14%+22%3%2.98×25.1%3.4%
Beijing Wandong Medical Technology 600055.SSChina$1.11B-27%-11%-8%1.72×11.9%-7.7%
L&C BIO 290650.KSSouth Korea$1.07B-17%+53%-47%4.04×26.6%-47.0%
Beijing Strong Biotechnologies 300406.SZChina$1.13B+1%-4%7%2.07×13.1%6.6%
Mingyue Optical Lens 301101.SZChina$1.14B+6%+14%12%4.12×24.9%12.4%
Edan Instruments 300206.SZChina$1.05B-19%+14%16%2.99×26.4%16.5%
Integra LifeSciences IARTUnited States$1.04B-4%+1%1%0.98×11.1%1.2%
Alphatec ATECUnited States$1.15B-1%+15%-308%89.96×n/a-308.1%
Ceribell CBLLUnited States$1.03B+32%+31%-52%8.78×57.0%-52.5%
Inno Laser Technology 301021.SZChina$1.16B-18%+17%8%7.21×95.2%7.8%
Tandem Diabetes Care TNDMUnited States$1.18B+9%+4%-48%9.02×91.9%-48.0%
PROCEPT BioRobotics PRCTUnited States$1.18B-19%+23%-30%3.47×24.6%-30.2%
Castle Biosciences CSTLUnited States$993M+64%+3%-4%2.11×17.5%-4.2%
Artivion AORTUnited States$985M-20%+16%-1%2.21×21.5%-0.7%
HOB Biotech 688656.SSChina$972M-22%+6%3%7.56×58.9%3.1%

Questions

Who are Freenome's main competitors?
Named competitors: Exact Sciences (private or unlisted), Guardant Health (GH), Natera (NTRA). The cockpit's measured peer set (industry) also includes SI-BONE (SIBN), PHC (6523.T), Amoy Diagnostics (300685.SZ), IRadimed (IRMD), Tinavi Medical Technologies (688277.SS), INKON Life Technology (300143.SZ).
Is Freenome expensive compared with its peers?
On price / book it trades at 1.33× against a peer median of 3.88×, 3rd cheapest of 21 in its peer set. The share price implies a return on equity of about 9.4%; Freenome delivers -0.9%, so the price asks more than the business earns today.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.