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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 57 (OpenAI - 4o)
Rating:57Neutral
Price Target:
$11.50
▲(7.18% Upside)
Personalis faces significant financial challenges, with declining revenue and negative profitability impacting its financial performance score. Despite these challenges, the stock shows positive technical momentum, which supports a higher score. Valuation remains a concern due to negative earnings, and while the earnings call highlighted strategic progress, financial headwinds persist.
Positive Factors
Medicare Coverage
Medicare coverage for NeXT Personal enhances market access and adoption, potentially driving long-term revenue growth and solidifying Personalis' position in cancer surveillance.
Clinical Test Growth
Strong clinical test growth indicates increasing demand and adoption of Personalis' genomic solutions, supporting future revenue expansion and market penetration.
Strong Financial Position
A robust cash position provides financial stability and flexibility to invest in growth opportunities, R&D, and strategic initiatives, enhancing long-term competitiveness.
Negative Factors
Revenue Decline
Significant revenue decline suggests challenges in maintaining sales momentum and could impact future profitability and investment capacity.
Gross Margin Decrease
Declining gross margins indicate increased costs and pricing pressures, potentially affecting long-term profitability and operational efficiency.
Biopharma Revenue Challenges
Challenges in biopharma revenue highlight dependency on partner projects and could lead to volatility in financial performance, affecting strategic planning.

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

Personalis Business Overview & Revenue Model

Company DescriptionPersonalis, Inc. is a biotechnology company based in the United States that specializes in genomics and precision medicine. The company focuses on providing advanced genomic sequencing services and bioinformatics solutions to aid in cancer research and treatment. Its core products include whole exome sequencing, tumor profiling, and other genomic analysis services aimed at enhancing the understanding of individual genetic profiles for personalized treatment options in oncology.
How the Company Makes MoneyPersonalis generates revenue primarily through its genomic sequencing services, which are offered to pharmaceutical companies, academic institutions, and healthcare providers. Key revenue streams include fees for sequencing services, data analysis, and partnerships with biopharmaceutical companies for precision medicine applications. The company often collaborates with these partners on clinical trials and drug development programs, providing them with valuable genomic insights that can lead to tailored therapies. Additionally, Personalis may receive funding through grants and research contracts, which support its innovation in genomic technologies.

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. While the company maintains a strong equity position, it 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-63.66M-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
Positive
Last Price10.73
Price Trends
50DMA
8.29
Positive
100DMA
6.87
Positive
200DMA
5.75
Positive
Market Momentum
MACD
0.57
Negative
RSI
65.42
Neutral
STOCH
89.35
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PSNL, the sentiment is Positive. The current price of 10.73 is above the 20-day moving average (MA) of 8.67, above the 50-day MA of 8.29, and above the 200-day MA of 5.75, indicating a bullish trend. The MACD of 0.57 indicates Negative momentum. The RSI at 65.42 is Neutral, neither overbought nor oversold. The STOCH value of 89.35 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive 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
77
Outperform
$883.61M14.4124.11%14.46%
60
Neutral
$914.39M-3.80%13.60%74.64%
60
Neutral
$1.17B-2.69%10.15%-295.52%
57
Neutral
$952.87M-43.69%-21.02%47.74%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$454.57M-3.72-24.63%-17.37%52.28%
49
Neutral
$711.22M-72.52%0.21%-233.51%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PSNL
Personalis
10.73
6.83
175.13%
LAB
Standard BioTools
1.50
-0.44
-22.68%
MYGN
Myriad Genetics
7.63
-9.06
-54.28%
CDNA
CareDx
17.87
-7.77
-30.30%
FLGT
Fulgent Genetics
29.58
10.01
51.15%
CSTL
Castle Biosciences
39.95
8.55
27.23%

Personalis Corporate Events

Business Operations and StrategyProduct-Related Announcements
Personalis Gains Medicare Coverage for Cancer Test
Positive
Nov 10, 2025

Personalis has announced that its NeXT Personal® test, designed for post-treatment surveillance of cancer recurrence, has received Medicare coverage for patients with stage II and III breast cancer. The coverage, effective retroactively from October 7, 2025, includes reimbursement rates for the NeXT Personal Dx Breast MRD Recurrence Monitoring Test and the NeXT Personal Single Plasma Test, potentially enhancing the company’s market position in cancer diagnostics.

The most recent analyst rating on (PSNL) stock is a Hold with a $6.50 price target. To see the full list of analyst forecasts on Personalis stock, see the PSNL Stock Forecast page.

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 26, 2025