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GRAIL Reports Third Quarter 2025 Financial Results

Key Takeaway: GRAIL, Inc. reported its third quarter 2025 financial results, showcasing a 28% increase in U.S. Galleri revenue to $32.6 million and a 39% rise in Galleri tests sold. Despite a net loss of $89 million, the company maintains a strong cash position exceeding $850 million. GRAIL anticipates submitting a PMA to the FDA in the first quarter of 2026.
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Market Sentiment Analysis

POSITIVE FACTORS

  • Galleri revenue grew 28% year-over-year.
  • 39% increase in Galleri tests sold.
  • Strong cash position of over $850 million.
  • Anticipation of PMA submission to FDA in Q1 2026.

CONCERNS & RISKS

  • Net loss for the quarter was $89 million.
  • Gross loss of $13.7 million reported.
  • High operating expenses totaling $161.5 million.

Full Press Release Details

Q3 U.S. Galleri Revenue Grew28%Year-Over-Year to$32.6 Million
Q3 Galleri Tests Sold Grew 39% Year-Over-Year to More Than 45,000
Galleri PMA Submission to FDA Now Anticipated in Q126
Cash Position of More Than $850 Million Includes Recently Completed Private Placement
MENLO PARK, Calif.,Nov. 12, 2025/PRNewswire/ -- GRAIL, Inc. (Nasdaq:GRAL), a healthcare company whose mission is to detect cancer early when it can be cured, today reported business and financial results for the third quarter of 2025.
Total revenue in the third quarter grew 26% year-over-year to $36.2 million, and Galleri revenue grew 29% year-over-year to $32.8 million. U.S. Galleri revenue was $32.6 million, representing 28% growth year-over-year. Net loss for the quarter was $89.0 million. Gross loss was $13.7 million. Non-GAAP adjusted gross profit was $20.0 million, and non-GAAP adjusted EBITDA was $(71.7) million.1
"We remain very pleased by Galleri's commercial uptake with 39% growth in Galleri test volume in the third quarter. Our teams continue to build awareness of Galleri among providers and patients, and recent data from our registrational PATHFINDER 2 study adds to the evidence base," said Bob Ragusa, Chief Executive Officer at GRAIL. "We have also made key recent strides in opportunities beyond the U.S., led by our strategic collaboration with Samsung to bring Galleri to key Asian markets, as well as Galleri's commercial introduction in Canada. Looking ahead, we anticipate completing our PMA submission for Galleri to the FDA in the first quarter of 2026."
For the three months ended September 30, 2025, as compared to the three months ended September 30, 2024, GRAIL reported:
Recent business highlights include:
Conference Call and WebcastA webcast and conference call will be held today, Nov. 12, 2025, at 1:30 p.m. PT / 4:30 p.m. ET. Individuals interested in listening to the conference call may access it on the investor relations section of GRAIL's website at investors.grail.com.
A replay of the webcast will be available on GRAIL's website for 30 days.
GRAIL Analyst Day 2025 TomorrowGRAIL will host its Analyst Day 2025 tomorrow, Nov. 13, 2025, at the Company's central laboratories in Research Triangle Park, North Carolina beginning at 8:00 a.m. PT / 11:00 a.m. ET.
The live webcast and recorded replay will be available at the investor relations section of GRAIL's website at investors.grail.com and athttps://grail-analyst-day-2025.open-exchange.net/registration.
About GRAILGRAIL, Inc. is a healthcare company whose mission is to detect cancer early, when it can be cured. GRAIL is focused on alleviating the global burden of cancer by using the power of next-generation sequencing, population-scale clinical studies, and state-of-the-art machine learning, software, and automation to detect and identify multiple deadly cancer types in earlier stages. GRAIL's targeted methylation-based platform can support the continuum of care for screening and precision oncology, including multi-cancer early detection in symptomatic patients, risk stratification, minimal residual disease detection, biomarker subtyping, treatment and recurrence monitoring. GRAIL is headquartered in Menlo Park, CA with locations in Washington, D.C., North Carolina, and the United Kingdom. GRAIL's common stock is listed under the ticker symbol "GRAL" on the NASDAQ Stock Exchange.
For more information, visitgrail.com.
About Galleri®The Galleri multi-cancer early detection test is a proactive tool to screen for cancer. With a simple blood draw, the Galleri test can identify DNA shed by cancer cells, which can act as a unique "fingerprint" of cancer, to help screen for some of the deadliest cancers that don't have recommended screening today, such as pancreatic, esophageal, ovarian, liver, and others. The Galleri test can be used to screen for cancer before a person becomes symptomatic, when cancer may be more easily treated and potentially curable. The Galleri test can indicate the origin of the cancer, giving healthcare providers a roadmap of where to explore further. The Galleri test requires a prescription from a licensed healthcare provider and should be used in addition to recommended cancer screenings such as mammography,colonoscopy, prostate-specific antigen (PSA) test, or cervical cancer screening. The Galleri test is recommended for adults with an elevated risk for cancer, such as those aged 50 or older.
For more information, visitgalleri.com.
Laboratory/Test InformationGRAIL's clinical laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and accredited by the College of American Pathologists. The Galleri test was developed, and its performance characteristics were determined by GRAIL. The Galleri test has not been cleared or approved by the U.S. Food and Drug Administration. GRAIL's clinical laboratory is regulated under CLIA to perform high-complexity testing. The Galleri test is intended for clinical purposes.
Non-GAAP DisclosureIn addition to our financial results provided throughout this press release that are determined in accordance with U.S. generally accepted accounting principles ("GAAP"), this press release also includes financial measures that are not calculated in accordance with GAAP. Our non-GAAP financial disclosure includes Adjusted Gross Profit (Loss) and Adjusted EBITDA. We encourage investors to carefully consider our results under GAAP in conjunction with our supplemental non-GAAP information and the reconciliation between these presentations.
Full reconciliation of these non-GAAP measures to the most comparable GAAP measures is set forth in tabular form below.
Forward-Looking StatementsThis press release contains forward-looking statements. In some cases, you can identify these statements by forward-looking words such as "aim," "anticipate," "believe," "continue," "could," "estimate," "expect," "intend," "may," "might," "plan," "potential," "predict," "should," "would," or "will," the negative of these terms, and other comparable terminology. These forward-looking statements, which are subject to risks, uncertainties, and assumptions about us, may include expectations and projections of our future financial performance, future tests or products, patient awareness of our products, technology, clinical studies, safety results, regulatory compliance, potential market opportunity, anticipated growth strategies, restructuring costs, sufficiency of cash on hand to finance our business, cost savings, budgets and strategies, satisfaction of closing conditions and negotiation of definitive agreements in the Samsung collaboration, and growth and anticipated trends in our business.
These statements are only predictions based on our current expectations and projections about future events and trends. There are important factors that could cause our actual results, level of activity, performance, or achievements to differ materially and adversely from those expressed or implied by the forward-looking statements, including those factors and numerous associated risks discussed under the sections entitled "Risk Factors" in our Annual Report on Form 10-K for the period ended December 31, 2024 and in our Quarterly Reports on Form 10-Q for the periods ended March 31, 2025, June 30, 2025 and September 30, 2025. Moreover, we operate in a dynamic and rapidly changing environment. New risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results, level of activity, performance, or achievements to differ materially and adversely from those contained in any forward-looking statements we may make.
Forward-looking statements relate to the future and, accordingly, are subject to inherent uncertainties, risks, and changes in circumstances that are difficult to predict and many of which are outside of our control. Although we believe the expectations and projections expressed or implied by the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance, or achievements. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Except to the extent required by law, we undertake no obligation to update any of these forward-looking statements after the date of this press release to conform our prior statements to actual results or revised expectations or to reflect new information or the occurrence of unanticipated events.
1See "Non-GAAP Disclosure" and the associated reconciliations for important information about our use of non-GAAP measures.
GRAIL, Inc.
Condensed Consolidated Balance Sheets
(unaudited)
(amounts in thousands, except share and per share data)
September 30,2025 December 31,2024
Assets
Current assets:
Cash and cash equivalents $                  126,892 $                  214,234
Short-term marketable securities 413,238 549,236
Accounts receivable, net 16,282 20,312
Supplies 18,390 18,632
Prepaid expenses and other current assets 14,579 17,447
Total current assets 589,381 819,861
Property and equipment, net 56,180 69,061
Operating lease right-of-use assets 56,061 66,373
Restricted cash 6,974 3,349
Intangible assets, net 1,885,140 2,016,890
Other non-current assets 7,295 7,773
Total assets $               2,601,031 $               2,983,307
Liabilities and stockholders' equity
Current liabilities:
Accounts payable $                      3,407 $                      4,844
Accrued liabilities 58,076 57,241
Operating lease liabilities, current portion 14,022 13,260
Other current liabilities 1,928 1,580
Total current liabilities 77,433 76,925
Operating lease liabilities, net of current portion 44,568 54,881
Deferred tax liability, net 236,265 345,860
Other non-current liabilities 2,802 2,236
Total liabilities 361,068 479,902
Preferred stock, par value of $0.001 per share; 50,000,000 sharesauthorized, no shares issued and outstanding as of September 30,2025 and December 31, 2024
Common stock $0.001 par value per share, 1,500,000,000 sharesauthorized, 36,160,998 shares issued and outstanding as ofSeptember 30, 2025, 33,893,409 shares issued and outstanding as ofDecember 31, 2024 36 34
Additional paid-in capital 12,349,976 12,305,250
Accumulated other comprehensive income 2,456 1,451
Accumulated deficit (10,112,505) (9,803,330)
Total stockholders' equity 2,239,963 2,503,405
Total liabilities and stockholders' equity $               2,601,031 $               2,983,307
GRAIL, Inc.
Condensed Consolidated Statements of Operations
(unaudited)
(amounts in thousands, except share and per share data)
Three Months Ended Nine Months Ended
September 30,2025 September 30,2024 September 30,2025 September 30,2024
Revenue:
Screening revenue $            32,807 $            25,374 $            96,319 $            77,076
Development services revenue 3,387 3,278 7,256 10,267
Total revenue 36,194 28,652 103,575 87,343
Costs and operating expenses:
Cost of screening revenue (exclusive ofamortization of intangible assets) 15,910 15,970 52,379 45,481
Cost of development services revenue 544 1,442 2,216 3,499
Cost of revenue — amortization of intangibleassets 33,473 33,473 100,417 100,417
Research and development 48,647 78,231 148,898 274,052
Sales and marketing 25,503 35,625 89,021 123,433
General and administrative 37,408 47,418 120,396 171,745
Goodwill and intangible assets impairment 28,000 1,420,936
Total costs and operating expenses 161,485 212,159 541,327 2,139,563
Loss from operations (125,291) (183,507) (437,752) (2,052,220)
Other income:
Interest income 6,107 11,661 20,695 17,367
Other income (expense), net 466 (561) (929) (514)
Total other income, net 6,573 11,100 19,766 16,853
Loss before income taxes (118,718) (172,407) (417,986) (2,035,367)
Benefit from income taxes 29,741 46,719 108,811 105,428
Net loss $          (88,977) $        (125,688) $        (309,175) $     (1,929,939)
Net loss per share — Basic and Diluted $              (2.46) $              (3.94) $              (8.73) $            (61.61)
Weighted-average shares of common stockused in computing net loss per share: 36,124,256 31,880,054 35,415,266 31,326,117
GRAIL, Inc.
Reconciliation of GAAP to Non-GAAP Financial Measures
(unaudited)
(amounts in thousands)
Three Months Ended Nine Months Ended
September 30,2025 September 30,2024 September 30,2025 September 30,2024
Gross loss(1) $          (13,733) $          (22,233) $      (51,437) $      (62,054)
Amortization of intangible assets 33,473 33,473 100,417 100,417
Stock-based compensation 271 578 1,450 1,522
Adjusted Gross Profit $            20,011 $            11,818 $        50,430 $        39,885
(1) Gross loss is calculated as total revenue less cost of screening revenue (exclusive of amortization of intangible assets), cost of development services revenue and cost of revenue—amortization of intangible assets.
GRAIL, Inc.
Reconciliation of GAAP to Non-GAAP Financial Measures
(unaudited)
(amounts in thousands)
Three Months Ended Nine Months Ended
September 30,2025 September 30,2024 September 30,2025 September 30,2024
Net loss $          (88,977) $        (125,688) $        (309,175) $     (1,929,939)
Adjusted to exclude the following:
Interest income (6,107) (11,661) (20,695) (17,367)
Benefit from income tax expense (29,741) (46,719) (108,811) (105,428)
Amortization of intangible assets(1) 34,583 34,583 103,750 103,750
Depreciation 4,399 4,647 13,686 14,865
Goodwill and intangible impairment(2) 28,000 1,420,936
Illumina/GRAIL merger & divestiturelegal and professional services costs(3) 226 22,158
Stock-based compensation(4) 14,139 17,449 44,518 72,502
Restructuring(5) 19,007 (34) 19,007
Adjusted EBITDA $          (71,704) $        (108,156) $        (248,761) $        (399,516)
(1) Represents amortization of intangible assets, including developed technology and trade names.
(2) Reflects impairment of goodwill and intangible assets recognized as a result of the Acquisition.
(3) Represents legal and professional services costs associated with the Acquisition and corresponding antitrust litigation, including compliance with the hold separate arrangements imposed by the European Commission, and legal and professional services costs associated with the divestiture.
(4) Represents all stock-based compensation recognized on our standalone financial statements for the periods presented.
(5) Represents employee severance, benefits, payroll taxes, and other costs associated with the Restructuring Plan.

Frequently Asked Questions

What was GRAIL's revenue growth in Q3 2025?

GRAIL's revenue grew 26% year-over-year to $36.2 million in Q3 2025.

How many Galleri tests were sold in Q3 2025?

More than 45,000 Galleri tests were sold, marking a 39% increase.

What is GRAIL's cash position as of Q3 2025?

GRAIL reported a cash position of over $850 million.

When does GRAIL plan to submit its PMA to the FDA?

GRAIL anticipates completing its PMA submission in Q1 2026.

Last updated: Nov 12, 2025