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Mar 31

Grail Inc Q1 2025 Earnings Report

Grail Inc reported Q1 2025 results with strong Galleri test growth and narrowed losses.

Key Takeaways

Grail Inc delivered Q1 revenue of $31.8M, driven by Galleri test growth, while reporting a net loss of $106.2M. Adjusted EBITDA improved significantly year-over-year. The company maintains a strong cash position to support operations through 2028.

Galleri test revenue grew 24% YoY to $29.1M with over 37,000 tests completed.

Total revenue reached $31.8M, up 19% YoY.

Net loss narrowed to $106.2M from $218.9M the prior year.

Cash and equivalents totaled $677.9M, providing runway into 2028.

Total Revenue
$31.8M
Previous year: $26.7M
+19.1%
EPS
-$3.1
Previous year: -$7.05
-56.0%
Revenue Growth
19%
0
Adjusted Gross Profit
$14.3M
Previous year: $12M
+18.8%
Adjusted EBITDA
-$98.7M
Previous year: -$152M
-35.0%
Cash and Equivalents
$678M
Previous year: $200M
+239.4%
Total Assets
$2.85B
Previous year: $3.97B
-28.3%

Grail Inc

Grail Inc

Grail Inc Revenue by Segment

Grail Inc Revenue by Geographic Location

Forward Guidance

Grail anticipates continued growth in Galleri test adoption and aims to file premarket approval in 2026 based on NHS-Galleri trial results.

Positive Outlook

  • Strong Galleri adoption with over 37,000 tests completed.
  • Improved adjusted EBITDA and net loss YoY.
  • High PPV, CSO accuracy, and specificity in NHS-Galleri trial.
  • Integration with athenahealth to streamline ordering.
  • Educational initiative with public figures to raise awareness.

Challenges Ahead

  • Continued net and operating losses despite improvements.
  • No reported free cash flow data.
  • Development services revenue declined YoY.
  • Still awaiting final NHS-Galleri trial results (due mid-2026).
  • Galleri test not yet FDA approved.