Workflow
Grail, Inc.(GRAL) - 2025 Q2 - Quarterly Report

Sales and Market Performance - GRAIL has sold over 370,000 Galleri tests to date, including more than 80,000 in the first half of 2025, detecting aggressive cancers at early stages [126]. - Screening revenue for Q2 2025 was $34,379,000, a 22% increase from $28,163,000 in Q2 2024, primarily due to a 29% increase in Galleri sales volume [172]. - Total revenue for the first half of 2025 reached $67,381,000, an 11% increase compared to $58,691,000 in the same period of 2024 [171]. - Screening revenue increased by $11.8 million, or 23%, to $63.5 million for the six months ended June 30, 2025, driven by a 30% increase in Galleri sales volume [188][189]. - Total revenue for the six months ended June 30, 2025, was $67.4 million, an increase of 15% compared to $58.7 million in 2024 [188]. Financial Performance - For the three months ended June 30, 2025, GRAIL incurred a net loss of $114.0 million, compared to a net loss of $1.6 billion for the same period in 2024 [127]. - Adjusted EBITDA for the three months ended June 30, 2025, was $(78.3) million, an improvement from $(139.4) million in the same period of 2024 [127]. - The net loss for Q2 2025 was $113,985,000, a significant reduction from a net loss of $1,585,337,000 in Q2 2024 [171]. - Net loss for the six months ended June 30, 2025, was $220.2 million, a decrease from a net loss of $1.8 billion in 2024 [212]. - The company recorded a benefit from income taxes of $38.9 million for the three months ended June 30, 2025, a decrease of 27% from $53.1 million in 2024, attributed to an increase in the effective tax rate [187]. Operational Changes and Restructuring - The Spin-Off from Illumina on June 24, 2024, resulted in GRAIL becoming an independent public entity with approximately 85.5% of its outstanding common stock distributed to Illumina's shareholders [128]. - GRAIL received a cash contribution of $932.3 million from Illumina in connection with the Spin-Off [130]. - The Restructuring Plan approved on August 9, 2024, included a reduction of approximately 30% in headcount, equating to about 350 full-time employees [134]. - The company has implemented a Restructuring Plan aimed at reducing costs across various departments, including sales and marketing and general and administrative expenses [161][162]. Research and Development - The company expects to reduce research and development expenses over the next three years as it focuses on Galleri and moves some clinical trials into the data follow-up phase [155]. - Research and development expenses decreased by 51% to $46,626,000 in Q2 2025 from $94,196,000 in Q2 2024, mainly due to reductions in compensation and clinical study expenses [175]. - Research and development expenses decreased by $95.6 million, or 49%, to $100.3 million for the six months ended June 30, 2025, primarily due to reductions in compensation and clinical study expenses [192]. Regulatory and Approval Processes - GRAIL plans to submit data from the NHS-Galleri trial and PATHFINDER 2 study for premarket approval to the FDA in the first half of 2026 [139]. - The company plans to submit a PMA application to the FDA in the first half of 2026, which is subject to various risks and factors [150]. Cash Flow and Capital Management - Cash, cash equivalents, and restricted cash totaled $130.8 million as of June 30, 2025, with short-term marketable securities amounting to $475.3 million [213]. - Net cash used in operating activities for the six months ended June 30, 2025, was $171.98 million, compared to $379.09 million in 2024 [217]. - The company expects to continue incurring operating losses over the next several years while investing in research and development [214]. - Future capital requirements will depend on commercialization timing, market acceptance, and reimbursement processes [215]. - The company may seek additional capital through equity or debt financing to support operations and potential acquisitions [216]. Cost Management - Sales and marketing expenses dropped by 30% to $28,539,000 in Q2 2025 from $40,989,000 in Q2 2024, attributed to a decrease in compensation expenses and third-party marketing services [180]. - General and administrative expenses decreased by $29.3 million, or 44%, to $37.9 million for the three months ended June 30, 2025, primarily due to reduced legal and professional services expenses [182]. - The company expects research and development expenses to decrease over the next three years as it reduces investment in product programs beyond Galleri [160]. Market and Investment Risks - The company is exposed to interest rate risk, with a hypothetical 10% relative change in interest rates not expected to materially impact its financial statements due to the low-risk profile of its investments [233]. - The company is subject to foreign exchange risk, primarily with transactions in British pounds, but a hypothetical 10% change in foreign exchange rates would not have a material impact on its financial statements [234].