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Personalis Inc (PSNL)
NASDAQ:PSNL
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Personalis (PSNL) AI Stock Analysis

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PSNL

Personalis

(NASDAQ:PSNL)

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Neutral 43 (OpenAI - 4o)
Rating:43Neutral
Price Target:
$6.50
▼(-6.20% Downside)
Personalis is facing significant financial and valuation challenges, with declining revenue and profitability issues being the most impactful factors. Technical analysis indicates a bearish trend, though there is potential for a reversal. The earnings call provided some positive insights into clinical adoption and strategic partnerships, but these are overshadowed by financial headwinds.
Positive Factors
Clinical Test Growth
The significant growth in clinical test volumes indicates strong market adoption and positions Personalis well in the expanding precision oncology market.
Strong Financial Position
A robust cash position provides financial stability and flexibility to invest in growth initiatives and navigate potential market challenges.
Partnership Success
Successful partnerships enhance Personalis's market reach and credibility, supporting long-term revenue growth and innovation.
Negative Factors
Revenue Decline
A significant revenue decline indicates challenges in maintaining growth momentum, impacting financial performance and market confidence.
Gross Margin Decrease
Falling gross margins suggest inefficiencies and increased costs, which could pressure profitability and limit reinvestment capacity.
Biopharma Revenue Challenges
Challenges in biopharma revenue highlight dependency on external projects, which can lead to volatility and affect long-term revenue stability.

Personalis (PSNL) vs. SPDR S&P 500 ETF (SPY)

Personalis Business Overview & Revenue Model

Company DescriptionPersonalis, Inc. operates as a cancer genomics company worldwide. The company provides sequencing and data analysis services to support the development of cancer therapies and large-scale genetic research programs. It offers NeXT Platform, which provides data analysis for tumor and its immune microenvironment, from a single limited tissue or plasma sample; ImmunoID Next for tumor profiling from tissue; NeXT Liquid Biopsy for tumor profiling from plasma; NeXT Personal, a liquid biopsy offering for personalized tumor tracking for patients; NeXT Dx Test, a genomic cancer profiling test enabling composite biomarkers for cancer treatment; and NeXT SHERPA and NeXT NEOPS for neoantigen prediction capabilities. The company also provides ACE platform for clinical and therapeutic applications such as neoantigen prediction, biomarker identification, and novel drug target selection. It serves biopharmaceutical customers, universities, non-profits, and government entities. The company has partnership with Mayo Clinic; MapKure, LLC; SpringWorks Therapeutics, Inc.; and Moores Cancer Center. Personalis, Inc. was incorporated in 2011 and is headquartered in Menlo Park, California.
How the Company Makes MoneyPersonalis generates revenue primarily through its genomic sequencing services, which are utilized by pharmaceutical companies, academic institutions, and healthcare providers. The company offers a range of products and services, including whole exome and custom gene panel sequencing, as well as bioinformatics analysis. Key revenue streams include contracts with pharmaceutical companies for companion diagnostics and clinical trials, where Personalis provides genomic insights to support drug development. Additionally, the company has established partnerships with leading cancer centers and research institutions, contributing to its earnings through collaborative research projects and service agreements. Personalis also benefits from reimbursement for its services through health insurance providers, further enhancing its revenue model.

Personalis Earnings Call Summary

Earnings Call Date:Nov 04, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Neutral
The earnings call highlighted strong clinical adoption and strategic partnerships, but also revealed significant revenue and margin challenges. While the company is confident in its clinical and reimbursement advancements, financial performance faced headwinds due to biopharma volatility and revenue declines.
Q3-2025 Updates
Positive Updates
Significant Clinical Test Growth
Delivered 4,388 clinical tests, marking a 26% sequential and 364% year-over-year growth. More than 700 physicians are now ordering NeXT Personal, demonstrating strong clinical adoption.
Strong Financial Position
Personalis ended the third quarter with $150.5 million in cash and short-term investments, maintaining a strong balance sheet with no significant debt.
Partnership and Collaboration Success
The strategic partnership with Tempus exceeded expectations, achieving the primary volume target for the year ahead of schedule. Signed two major prospective clinical trials with biopharma customers.
Advancements in Reimbursement and Clinical Evidence
Submitted three dossiers for coverage with MolDX and confident in targeting two coverage decisions by the end of the year. Presented promising data from AstraZeneca's Phase III studies highlighting the superiority of NeXT Personal.
Negative Updates
Revenue Decline
Total company revenue for the third quarter was $14.5 million, representing a 44% decrease compared to the same period of the prior year.
Biopharma Revenue Challenges
Biopharma revenue decreased by 16% year-over-year due to the conclusion of Moderna's Phase III melanoma trial and delays in sample receipt impacting large projects.
Gross Margin Decrease
Gross margin decreased from 34% to 13.2% year-over-year, primarily due to lower revenue volume and increased clinical test costs ahead of reimbursement.
Guidance Adjustment
Revised full-year revenue guidance to a range of $68 million to $73 million, down from the previous range of $70 million to $80 million, reflecting the impact of biopharma project timing variability.
Company Guidance
In the third quarter of 2025, Personalis reported significant progress in its Win-in-MRD strategy, with clinical test volumes reaching 4,388, marking a 26% sequential and 364% year-over-year growth. The company achieved $14.5 million in revenue, surpassing the high end of its estimates, despite a 44% decrease compared to the previous year due to declines from partners like Natera and VA MVP. Personalis now has over 700 physicians ordering their NeXT Personal test, which boasts the capability of detecting a single fragment of tumor DNA in a million, positioning the company well for a market expected to exceed $20 billion. The guidance for full-year revenue has been adjusted to a range of $68 million to $73 million, reflecting biopharma revenue variability. The company anticipates achieving two Medicare coverage decisions by the end of the year, with ongoing submissions under review by MolDX. Despite these adjustments, Personalis remains focused on clinical adoption and reimbursement efforts, with a strong cash position of $150.5 million to support its strategy.

Personalis Financial Statement Overview

Summary
Personalis faces significant financial challenges, with declining revenue, negative profitability, and cash flow issues. Despite a strong equity position, the company struggles with efficiency and profitability, as reflected in negative margins and ROE. Improvements in revenue growth and operational efficiency are crucial for financial stability and growth.
Income Statement
35
Negative
Personalis has faced declining revenue growth, with a negative growth rate of -13.96% in the TTM period. The company struggles with profitability, as evidenced by negative net profit margins (-135.30%) and EBIT margins (-95.49%). The gross profit margin is low at 7.20%, indicating challenges in covering operating expenses. Overall, the income statement reflects significant financial challenges and declining performance.
Balance Sheet
45
Neutral
The balance sheet shows a moderate debt-to-equity ratio of 0.19, indicating manageable leverage. However, the return on equity is negative at -38.25%, reflecting poor profitability and efficiency in using equity capital. The equity ratio stands at 70.60%, suggesting a strong equity base relative to total assets. Despite a solid equity position, the negative ROE highlights ongoing profitability issues.
Cash Flow
40
Negative
Personalis has a negative operating cash flow, with a coverage ratio of -1.67, indicating insufficient cash generation to cover net income. The free cash flow growth rate is positive at 34.53%, but the free cash flow to net income ratio of 1.09 suggests reliance on external financing. Overall, cash flow challenges persist, with improvements needed in operational cash generation.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue69.10M84.61M73.48M65.05M85.49M78.65M
Gross Profit18.43M26.82M18.21M13.35M31.66M20.11M
EBITDA-65.31M-70.30M-96.81M-104.64M-59.01M-35.46M
Net Income-73.88M-81.28M-108.30M-113.31M-65.23M-41.28M
Balance Sheet
Total Assets242.84M270.27M225.10M292.70M396.53M244.84M
Cash, Cash Equivalents and Short-Term Investments150.51M185.01M114.18M167.66M287.06M203.29M
Total Debt41.87M44.25M47.73M48.65M58.33M10.99M
Total Liabilities71.42M67.31M95.66M74.56M86.23M49.90M
Stockholders Equity171.41M202.96M129.44M218.14M310.30M194.94M
Cash Flow
Free Cash Flow-66.17M-46.75M-67.17M-120.13M-81.91M-45.90M
Operating Cash Flow-60.50M-45.15M-56.26M-70.23M-70.83M-42.65M
Investing Cash Flow-34.37M-35.07M13.10M52.54M-60.07M-65.14M
Financing Cash Flow69.04M114.67M11.03M1.37M169.70M121.27M

Personalis Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price6.93
Price Trends
50DMA
7.33
Negative
100DMA
6.56
Positive
200DMA
5.49
Positive
Market Momentum
MACD
0.09
Positive
RSI
36.90
Neutral
STOCH
8.79
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PSNL, the sentiment is Neutral. The current price of 6.93 is below the 20-day moving average (MA) of 8.99, below the 50-day MA of 7.33, and above the 200-day MA of 5.49, indicating a neutral trend. The MACD of 0.09 indicates Positive momentum. The RSI at 36.90 is Neutral, neither overbought nor oversold. The STOCH value of 8.79 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for PSNL.

Personalis Risk Analysis

Personalis disclosed 72 risk factors in its most recent earnings report. Personalis reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Personalis Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
64
Neutral
$772.00M13.1024.11%14.46%
62
Neutral
$979.28M-2.69%10.15%-295.52%
60
Neutral
$682.89M-4.54%4.31%69.57%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$587.25M-72.52%0.21%-233.51%
43
Neutral
$638.06M-43.69%-21.02%47.74%
41
Neutral
$454.57M-3.72-24.63%-17.37%52.28%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PSNL
Personalis
6.93
2.01
40.85%
LAB
Standard BioTools
1.13
-1.10
-49.33%
MYGN
Myriad Genetics
6.30
-11.01
-63.60%
CDNA
CareDx
15.62
-7.72
-33.08%
FLGT
Fulgent Genetics
26.36
6.32
31.54%
CSTL
Castle Biosciences
33.04
-0.74
-2.19%

Personalis Corporate Events

Personalis Earnings Call: Strategic Gains Amid Revenue Hurdles
Nov 6, 2025

Personalis Earnings Call Highlights Strategic Partnerships Amid Revenue Challenges

Personalis Reports Q3 2025 Financial Results
Nov 5, 2025

Personalis, Inc., based in Fremont, California, is a leader in advanced genomics for precision oncology, focusing on personalized cancer management through innovative testing solutions. In its third-quarter 2025 financial results, Personalis highlighted significant progress in its “Win-in-MRD” strategy, marked by a substantial increase in clinical test deliveries and strong clinical evidence supporting its NeXT Personal platform for cancer monitoring. Key achievements include a 364% year-over-year growth in clinical test volume, the submission for Medicare coverage for lung cancer, and the launch of a new breast cancer utility study in collaboration with Yale Cancer Center.

Personalis Inc. Advances TNBC Treatment with Innovative ctDNA Study
Oct 27, 2025

Personalis Inc. is spearheading a pivotal clinical study titled ‘Breast Cancer-Minimal/Molecular Residual Disease Detection and Therapy Monitoring in Patients with Early Stage TNBC-Phase I (B-STRONGER-I)’. The study aims to evaluate the effectiveness of a circulating tumor DNA (ctDNA) guided test in detecting Molecular Residual Disease (MRD) and its correlation with pathological complete response (pCR) following neoadjuvant chemotherapy (NAC) in patients with stage I-III triple-negative breast cancer (TNBC). This research is significant as it seeks to enhance MRD detection and improve disease outcomes for future TNBC patients.

Business Operations and Strategy
Personalis Secures New VA Contract Task Order
Positive
Aug 22, 2025

On August 19, 2025, Personalis, Inc. announced a new task order under its contract with the U.S. Department of Veterans Affairs for the Million Veteran Program, effective September 30, 2025, valued at up to $13.5 million. This order increases the cumulative value of task orders received by Personalis under its contracts with the VA MVP to approximately $225.0 million, highlighting the company’s significant role in this large-scale genomic research initiative.

The most recent analyst rating on (PSNL) stock is a Hold with a $4.50 price target. To see the full list of analyst forecasts on Personalis stock, see the PSNL Stock Forecast page.

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: Nov 08, 2025