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Grail Inc (GRAL)
NASDAQ:GRAL
US Market

GRAIL Inc (GRAL) AI Stock Analysis

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GRAL

GRAIL Inc

(NASDAQ:GRAL)

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Outperform 70 (OpenAI - 4o)
Rating:70Outperform
Price Target:
$110.00
▲(31.41% Upside)
GRAIL Inc. demonstrates strong technical momentum and strategic growth initiatives, bolstered by recent financing and partnerships. However, profitability challenges and valuation concerns temper the overall score.
Positive Factors
Revenue Growth
Consistent revenue growth indicates strong demand for GRAIL's products, supporting long-term market expansion and business sustainability.
Strategic Partnerships
The partnership with Samsung enhances GRAIL's market position in Asia, providing financial support and facilitating international expansion.
Financial Stability
The private placement improves liquidity and extends the cash runway, supporting operational needs and strategic initiatives into 2030.
Negative Factors
Profitability Challenges
Persistent negative margins highlight ongoing operational inefficiencies, potentially hindering long-term profitability and growth.
Regulatory Delays
Potential delays in FDA approval could impact product rollout and revenue growth, posing risks to strategic timelines and market entry.
Cash Flow Challenges
Negative cash flow indicates reliance on external financing, which could limit financial flexibility and increase vulnerability to market changes.

GRAIL Inc (GRAL) vs. SPDR S&P 500 ETF (SPY)

GRAIL Inc Business Overview & Revenue Model

Company DescriptionGRAIL Inc (GRAL) is a biotechnology company focused on early cancer detection through advanced genomic technologies. The company specializes in developing multi-cancer early detection (MCED) tests that utilize a proprietary platform to analyze blood samples for indicators of various cancers. GRAIL operates within the healthcare sector, leveraging cutting-edge science to provide innovative solutions aimed at improving patient outcomes and reducing cancer mortality rates.
How the Company Makes MoneyGRAIL generates revenue primarily through the sale of its multi-cancer early detection tests to healthcare providers and institutions. The company's revenue model is driven by a combination of direct sales, partnerships with healthcare systems, and reimbursement strategies that allow patients to access testing through insurance coverage. Additionally, GRAIL may engage in collaborations with pharmaceutical companies for research and development, which can contribute to its earnings. The establishment of strategic partnerships with key players in the healthcare industry further enhances its market reach and potential revenue streams.

GRAIL Inc Earnings Call Summary

Earnings Call Date:Nov 12, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Positive
The earnings call reveals robust revenue growth, significant clinical trial successes, and strategic international expansion, supported by a strong financial position. However, the company continues to face financial losses and potential regulatory delays.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Revenue for Q3 2025 was $36.2 million, up $7.5 million or 26% compared to 2024. Screening revenue increased by 29% and U.S. Gallery revenue was up 28% year-over-year.
Significant Clinical Trial Results
The PATHFINDER II study showed a more than sevenfold increase in overall cancer detection rate, with Gallery's positive predictive value (PPV) at 61.6% and specificity at 99.6%.
Successful Financial Strategy
Completed a $325 million private placement, strengthening the balance sheet. Cash and investments are approximately $850 million, extending the cash runway into 2030.
International Expansion
Announced a strategic collaboration with Samsung to commercialize Gallery in South Korea and potentially other Asian markets.
Operational Efficiency
Non-GAAP adjusted gross profit increased by 60% compared to 2024, with a gross margin of 55% due to improvements in lab efficiency and cost management.
Encouraging SIMPLIFY Study Outcomes
Updated PPV in symptomatic populations increased to 84.2%, with long-term follow-up showing many initially false positives were later diagnosed with cancer.
Negative Updates
Net Loss Reduction
Net loss for Q3 was $89 million, showing an improvement of 29% compared to 2024, but still indicating ongoing financial challenges.
FDA Approval Timeline
The timeline for FDA PMA submission has been tightened to Q1 2026, indicating potential delays in regulatory approval.
Higher Sample Reprocessing Costs
Increased sample reprocessing costs partially offset the decrease in variable costs of Gallery testing.
Company Guidance
During the GRAIL Third Quarter 2025 Earnings Call, management provided guidance featuring several key metrics. GRAIL reported a 39% growth in Gallery test volumes and a 29% increase in revenue for 2025. Overall revenue for the third quarter was $36.2 million, with screening revenue contributing $32.8 million, a 29% increase from the previous year. The company sold over 45,000 Gallery tests in the third quarter, indicating strong demand despite typical seasonal fluctuations. GRAIL also highlighted a positive strategic collaboration with Samsung to expand into Asian markets, alongside a $110 million equity investment from Samsung. Additionally, GRAIL completed a $325 million private placement, enhancing their cash and investment position to approximately $850 million, excluding the Samsung investment. Looking forward, GRAIL updated its cash burn guidance for 2025 to no more than $290 million, a significant improvement from previous figures, with a cash runway extending into 2030. The company is focused on achieving FDA approval for Gallery and pursuing broad reimbursement in 2026, with anticipated clinical and regulatory milestones including the completion of their PMA submission to the FDA in 2026 and full clinical utility results from the NHS Gallery study.

GRAIL Inc Financial Statement Overview

Summary
GRAIL Inc. shows strong revenue growth but faces significant profitability challenges with negative margins. The company maintains financial stability through a strong equity position and low leverage, but cash flow remains a concern due to negative free cash flow and reliance on external financing.
Income Statement
58
Neutral
GRAIL Inc. has shown substantial revenue growth with a 34.89% increase from 2023 to 2024. However, the company continues to operate at a loss with a negative gross profit margin of -62.12% and a net profit margin of -161.42% in 2024. The EBIT and EBITDA margins are also negative, indicating ongoing operational challenges.
Balance Sheet
72
Positive
GRAIL Inc. maintains a strong equity position with an equity ratio of 83.92%. The debt-to-equity ratio is low at 0.03, signifying limited leverage. However, the return on equity is negative due to ongoing losses. The company's high stockholders' equity relative to total assets suggests financial stability but profitability remains a concern.
Cash Flow
65
Positive
The operating cash flow to net income ratio is 0.28, indicating cash flow challenges. Free cash flow has improved slightly, but remains negative at -$582.36 million. The company raised $1.24 billion in financing activities, aiding liquidity but highlighting reliance on external funding.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue141.83M125.59M93.11M55.55M14.61M0.00
Gross Profit-67.41M-78.02M-95.61M-116.45M-100.00M0.00
EBITDA-383.24M-610.17M-638.22M-587.70M-1.21B-308.73M
Net Income-406.24M-2.03B-1.47B-5.40B-1.25B-312.16M
Balance Sheet
Total Assets2.60B2.98B4.56B5.60B9.74B706.30M
Cash, Cash Equivalents and Short-Term Investments540.13M763.47M97.29M241.60M221.16M583.48M
Total Debt58.59M68.14M84.41M96.01M110.56M62.99M
Total Liabilities361.07M479.90M910.74M955.94M307.40M144.46M
Stockholders Equity2.24B2.50B3.65B4.65B9.43B561.84M
Cash Flow
Free Cash Flow-329.83M-582.36M-608.69M-584.17M-758.06M-243.91M
Operating Cash Flow-328.71M-577.16M-595.80M-561.31M-688.13M-232.00M
Investing Cash Flow-394.45M-551.01M-12.89M-22.86M344.81M-12.79M
Financing Cash Flow0.001.24B463.77M604.82M394.74M275.11M

GRAIL Inc Technical Analysis

Technical Analysis Sentiment
Positive
Last Price83.71
Price Trends
50DMA
88.81
Positive
100DMA
65.05
Positive
200DMA
50.45
Positive
Market Momentum
MACD
0.22
Positive
RSI
49.08
Neutral
STOCH
23.32
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For GRAL, the sentiment is Positive. The current price of 83.71 is below the 20-day moving average (MA) of 97.86, below the 50-day MA of 88.81, and above the 200-day MA of 50.45, indicating a neutral trend. The MACD of 0.22 indicates Positive momentum. The RSI at 49.08 is Neutral, neither overbought nor oversold. The STOCH value of 23.32 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for GRAL.

GRAIL Inc Risk Analysis

GRAIL Inc disclosed 76 risk factors in its most recent earnings report. GRAIL Inc reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

GRAIL Inc Peers Comparison

Overall Rating
UnderperformOutperform
Sector (55)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$32.08B-103.13-29.02%38.17%-28.77%
71
Outperform
$20.59B30.8331.20%-2.39%
70
Outperform
$3.55B-8.13-16.83%20.53%82.91%
61
Neutral
$12.90B-31.5430.38%24.17%
55
Neutral
$6.65B3.83-15.92%6.20%10.91%7.18%
55
Neutral
$1.53B-13.99-12.99%10.10%-44.29%
41
Neutral
$610.55M-1.56-72.52%0.21%-233.51%
* General Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
GRAL
GRAIL Inc
94.35
75.63
404.01%
ILMN
Illumina
137.60
2.61
1.93%
MYGN
Myriad Genetics
6.76
-6.89
-50.48%
NEO
NeoGenomics
11.83
-4.70
-28.43%
NTRA
Natera
231.96
69.97
43.19%
GH
Guardant Health
101.34
70.30
226.48%

GRAIL Inc Corporate Events

Private Placements and FinancingRegulatory Filings and Compliance
GRAIL Inc Announces $300M Equity Distribution Agreement
Neutral
Nov 14, 2025

On November 13, 2025, GRAIL, Inc. filed a prospectus supplement with the SEC for the resale of 3,925,767 shares of common stock, which were issued to selling stockholders through a securities purchase agreement dated October 18, 2025. Additionally, on November 14, 2025, GRAIL entered into an Equity Distribution Agreement with Morgan Stanley & Co. LLC and TD Securities (USA) LLC, allowing the company to sell up to $300 million of its common stock through an ‘at the market’ offering. This strategic move is aimed at enhancing the company’s financial flexibility and market positioning.

Private Placements and Financing
GRAIL Inc Secures $325 Million in Private Placement
Positive
Oct 20, 2025

On October 18, 2025, GRAIL, Inc. entered into a Securities Purchase Agreement for a private placement, expected to raise approximately $325 million. The proceeds will support GRAIL’s commercial activities, reimbursement efforts, and general corporate purposes, with the closing expected on October 21, 2025. This financing round includes participation from new and existing institutional investors and is anticipated to fund operations into 2030, excluding a separate $110 million investment from Samsung. The private placement is exempt from registration under the Securities Act, with GRAIL agreeing to file a registration statement for the resale of shares.

Private Placements and FinancingBusiness Operations and Strategy
GRAIL Inc Partners with Samsung for $110M Investment
Positive
Oct 16, 2025

On October 16, 2025, GRAIL, Inc. entered into a stock purchase agreement with Samsung C&T Corporation and Samsung Electronics to issue and sell shares worth $110 million in a private placement. This strategic collaboration aims to commercialize GRAIL’s Galleri multi-cancer early detection test in South Korea, with potential expansion to Japan and Singapore. The agreement includes conditions such as regulatory approvals and the execution of business and strategic collaboration agreements by early 2026. This partnership is expected to strengthen GRAIL’s market position in Asia and provide financial support for its commercialization and reimbursement efforts.

Business Operations and Strategy
GRAIL Inc Signs New Headquarters Lease Agreement
Neutral
Sep 18, 2025

GRAIL, Inc. has entered into a commercial lease agreement for a new corporate headquarters in Sunnyvale, California, covering approximately 75,556 square feet. The lease, starting in October 2026 and ending in September 2037, includes an initial monthly rent of $449,558 with annual increases, and provides options for expansion and renewal.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 09, 2025