GRAIL, Inc. (GRAL) FY2025 10-K Annual Report

Filed: Mar 12, 2026
Health Care
Services-Medical LaboratoriesSEC EDGAR

GRAIL, Inc. (GRAL) 10-K annual report for fiscal year 2025, filed with SEC EDGAR on Mar 12, 2026. This page provides AI-powered analysis including business overview, management discussion & analysis (MD&A), risk factors, and key financial data such as revenue, net income, gross margin, operating margin, and return on equity (ROE) extracted from XBRL.

GRAIL, Inc. FY2025 10-K Analysis

Business Overview

  • Core business: Commercial-stage healthcare company focused on multi-cancer early detection (MCED) via Galleri blood-based screening test
  • New emphasis: 2026 PMA submission to FDA based on PATHFINDER 2 and NHS-Galleri Trial data; Medicare coverage pathway established under new federal law
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Management Discussion & Analysis

  • Revenue not explicitly stated; commercial Galleri tests sold: 475,000 through 2025, including 185,000 in 2025
  • Net losses $408.4M (2025) vs $2.0B (2024) vs $1.5B (2023); Adjusted EBITDA $(320.6)M (2025) vs $(483.5)M (2024)
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Risk Factors

  • Regulatory risk from Illumina Supply Agreement royalties commencing December 24, 2026, potentially increasing costs and impacting margins
  • U.S. market concentration with majority Galleri sales domestically, risk from limited broad reimbursement and pricing pressure from discounts and rebates
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GRAIL, Inc. FY2025 Key Financial Metrics
XBRL

Revenue

$147M

+17.2% YoY

Net Income

-$408M

+79.9% YoY

Operating Margin

-382.0%

+136105bp YoY

Net Margin

-277.5%

+133646bp YoY

ROE

-15.8%

+6513bp YoY

Total Assets

$2.9B

-2.1% YoY

EPS (Diluted)

$-11.11

+82.5% YoY

Operating Cash Flow

-$299M

+48.2% YoY

Source: XBRL data from GRAIL, Inc. FY2025 10-K filing on SEC EDGAR. All figures in USD.

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