GRAIL, Inc.
For the period ended Mar 31, 2026. Filed May 7, 2026.
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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Mar 31, 2026 · Filed May 7, 2026
Extracted filing text, with the paragraph anchors used by the comparison.
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Item 1. Financial Statements
CONDENSED CONSOLIDATED BALANCE SHEETS
(amounts in thousands, except share and per share data)
| March 31,2026 | December 31,2025 | |
|---|---|---|
| Assets | ||
| Current assets: | ||
| Cash and cash equivalents | $69,344 | $249,727 |
| Short-term marketable securities | 753,761 | 654,703 |
| Accounts receivable, net | 20,345 | 18,295 |
| Supplies | 17,194 | 16,017 |
| Prepaid expenses and other current assets | 16,703 | 15,107 |
| Total current assets | 877,347 | 953,849 |
| Property and equipment, net | 47,853 | 51,813 |
| Operating lease right-of-use assets | 48,055 | 52,070 |
| Restricted cash | 6,974 | 6,974 |
| Intangible assets, net | 1,815,972 | 1,850,556 |
| Other non-current assets | 7,273 | 6,753 |
| Total assets | $2,803,474 | $2,922,015 |
| Liabilities and stockholders’ equity | ||
| Current liabilities: | ||
| Accounts payable | $4,668 | $2,083 |
| Accrued liabilities | 58,267 | 63,945 |
| Operating lease liabilities, current portion | 9,939 | 11,715 |
| Other current liabilities | 1,835 | 1,927 |
| Total current liabilities | 74,709 | 79,670 |
| Operating lease liabilities, net of current portion | 41,091 | 43,148 |
| Deferred tax liability, net | 184,035 | 218,583 |
| Other non-current liabilities | 2,953 | 2,752 |
| Total liabilities | 302,788 | 344,153 |
| Preferred stock, par value of $0.001 per share; 50,000,000 shares authorized, no shares issued and outstanding as of March 31, 2026 and December 31, 2025 | — | — |
| Common stock $0.001 par value per share, 1,500,000,000 shares authorized as of March 31, 2026 and December 31, 2025 and 41,134,219 and 40,331,360 shares issued and outstanding as of March 31, 2026 and December 31, 2025 | 41 | 40 |
| Additional paid-in capital | 12,803,640 | 12,786,848 |
| Accumulated other comprehensive income | 1,873 | 2,655 |
| Accumulated deficit | (10,304,868) | (10,211,681) |
| Total stockholders’ equity | 2,500,686 | 2,577,862 |
| Total liabilities and stockholders’ equity | $2,803,474 | $2,922,015 |
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(amounts in thousands, except share and per share data)
| Three Months Ended | ||
|---|---|---|
| March 31,2026 | March 31,2025 | |
| Revenue: | ||
| Screening revenue | $39,832 | $29,133 |
| Development services revenue | 953 | 2,704 |
| Total revenue | 40,785 | 31,837 |
| Costs and operating expenses: | ||
| Cost of screening revenue (exclusive of amortization of intangible assets) | 21,244 | 17,123 |
| Cost of development services revenue | 376 | 1,171 |
| Cost of revenue — amortization of intangible assets | 33,472 | 33,472 |
| Research and development | 48,021 | 53,625 |
| Sales and marketing | 30,668 | 34,979 |
| General and administrative | 42,769 | 45,074 |
| Total costs and operating expenses | 176,550 | 185,444 |
| Loss from operations | (135,765) | (153,607) |
| Other income: | ||
| Interest income | 7,986 | 7,779 |
| Other income (expense), net | 256 | (584) |
| Total other income, net | 8,242 | 7,195 |
| Loss before income taxes | (127,523) | (146,412) |
| Benefit from income taxes | 34,336 | 40,199 |
| Net loss | $(93,187) | $(106,213) |
| Net loss per share — Basic and Diluted | $(2.29) | $(3.10) |
| Weighted-average shares of common stock used in computing net loss per share: | 40,640,879 | 34,308,435 |
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(amounts in thousands)
| Three Months Ended | ||
|---|---|---|
| March 31,2026 | March 31,2025 | |
| Net loss | $(93,187) | $(106,213) |
| Other comprehensive income (loss): | ||
| Change in net unrealized loss on marketable securities | (442) | (250) |
| Foreign currency translation adjustment | (340) | 465 |
| Comprehensive loss | $(93,969) | $(105,998) |
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(amounts in thousands, except share data)
| Common Stock | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Shares · Amount · Additional Paid in Capital · AccumulatedOtherComprehensiveIncome/(Loss) · AccumulatedDeficit · Total Stockholders’ Equity | ||||||||||||
| Balance at December 31, 2025 | 40,331,360 | — | $40 | $12,786,848 | $2,655 | $(10,211,681) | $2,577,862 | |||||
| Net loss | — | — | — | — | (93,187) | (93,187) | ||||||
| Stock-based compensation expense | — | — | 16,793 | — | — | 16,793 | ||||||
| Other comprehensive loss | — | — | — | (782) | — | (782) | ||||||
| Release of restricted stock units | 802,859 | 1 | (1) | — | — | — | ||||||
| Balance at March 31, 2026 | 41,134,219 | $— | $41 | $12,803,640 | $1,873 | $(10,304,868) | $2,500,686 | |||||
| Common Stock | ||||||
|---|---|---|---|---|---|---|
| Shares | Amount | Additional Paid in Capital | AccumulatedOtherComprehensiveIncome | AccumulatedDeficit | Total Stockholders’ Equity | |
| Balance as of December 31, 2024 | 33,893,409 | $34 | $12,305,250 | $1,451 | $(9,803,330) | $2,503,405 |
| Net loss | — | — | — | — | (106,213) | (106,213) |
| Stock-based compensation expense | — | — | 16,261 | — | — | 16,261 |
| Other comprehensive income | — | — | — | 215 | — | 215 |
| Release of restricted stock units | 1,403,449 | 1 | (1) | — | — | — |
| Balance as of March 31, 2025 | 35,296,858 | $35 | $12,321,510 | $1,666 | $(9,909,543) | $2,413,668 |
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOW
(amounts in thousands)
| Three Months Ended | ||
|---|---|---|
| March 31,2026 | March 31,2025 | |
| Cash flows from operating activities | ||
| Net loss | $(93,187) | $(106,213) |
| Adjustments to reconcile net loss to net cash used by operating activities: | ||
| Amortization of intangibles assets | 34,584 | 34,584 |
| Depreciation | 4,210 | 4,695 |
| Stock-based compensation expense | 16,793 | 16,211 |
| Deferred income taxes | (34,548) | (40,199) |
| Amortization of discount on marketable securities | (6,565) | (6,375) |
| Credit loss expense | 247 | 273 |
| Other | (384) | 484 |
| Changes in operating assets and liabilities: | ||
| Accounts receivable, net | (2,297) | 730 |
| Supplies | (1,177) | (34) |
| Operating lease right-of-use assets and liabilities, net | 182 | 221 |
| Prepaid expenses and other assets | (2,116) | 2,821 |
| Accounts payable | 2,633 | 895 |
| Accrued and other liabilities | (5,364) | (3,105) |
| Net cash used in operating activities | (86,989) | (95,012) |
| Cash flows from investing activities | ||
| Purchases of property and equipment | (503) | (62) |
| Purchases of marketable securities | (337,835) | (220,527) |
| Proceeds from maturities of marketable securities | 244,900 | 235,200 |
| Net cash (used in) provided by investing activities | (93,438) | 14,611 |
| Effect of exchange rate changes on cash, cash equivalents, and restricted cash | 44 | 62 |
| Net decrease in cash, cash equivalents, and restricted cash | (180,383) | (80,339) |
| Cash, cash equivalents and restricted cash — beginning of period | 256,701 | 217,583 |
| Cash, cash equivalents and restricted cash — end of period | $76,318 | $137,244 |
| Represented by: | ||
| Cash and cash equivalents | $69,344 | $133,895 |
| Restricted cash | 6,974 | 3,349 |
| Total | $76,318 | $137,244 |
| Supplemental cash flow information: | ||
| Property and equipment included in accounts payable and accrued liabilities | $(253) | $(268) |
| Operating cash flows paid for operating leases, net | $(4,430) | $(4,377) |
NOTE 1. ORGANIZATION AND DESCRIPTION OF BUSINESS
GRAIL, Inc. (“GRAIL” or the “Company”), is an innovative commercial-stage healthcare company focused on shifting the paradigm of early cancer detection. The Company’s Galleri blood test is a commercially available screening test for early detection of multiple types of cancer.
GRAIL was previously acquired by Illumina, Inc. (”Illumina”) in August 2021, at which point it became a 100% owned subsidiary of Illumina, and held separate as a part of binding hold separate commitments implemented pursuant to orders issued by the European Commission (the “Acquisition”).
On June 24, 2024, Illumina completed a spin-off (the “Spin-Off”) through the distribution of shares of GRAIL’s common stock to Illumina stockholders. In connection with the Spin-Off, the Company entered into several agreements with Illumina that govern the relationship of the parties following the Spin-Off. After the Spin-Off GRAIL became an independent public entity and GRAIL’s stock began trading on the Nasdaq Stock Exchange under the ticker symbol “GRAL”.
The Company had $69.3 million of cash and cash equivalentsand$753.8 million of short-term marketable securitiesas of March 31, 2026. The Company believes that its existing cash, cash equivalents and short-term marketable securities will be sufficient to meet its working capital and capital expenditure needs for at least the next 12 months, as of the date these condensed consolidated financial statements were filed.
NOTE 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Basis of Presentation and Principles of Consolidation
The accompanying condensed consolidated financial statements and related footnotes have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). In the opinion of management, these condensed consolidated financial statements include all normal recurring adjustments necessary to fairly present the Company’s financial position and results of operations for the interim periods presented. The condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiary, and all intercompany balances and transactions have been eliminated in consolidation. Due to the application of pushdown accounting, the Company’s balance sheet includes intangible assets recognized by Illumina in connection with Illumina’s acquisition of the Company.
The Company’s accounting policies are described in Note 2 — Summary Of Significant Accounting Policies, included in the Company’s Annual Report on Form 10-K (filed on March 12, 2026) for the year ended December 31, 2025 (the “2025 Form 10-K”). There have been no changes to these accounting policies during the three months ended March 31, 2026, except as described below.
Accounts Receivable, Net
Accounts receivable represent unconditional rights to consideration from customers. Accounts receivable are evaluated regularly for collectability and potential credit losses. Allowance for credit losses is estimated based on management’s assessment of historical collection trends and current financial conditions of customers assuming those conditions as of the balance sheet date do not change for the remaining life of the asset, among other factors. These reserves are re-evaluated on a regular basis and adjusted, as needed. Once a receivable is deemed to be uncollectible, the receivable balance is charged against the reserve. As of March 31, 2026, and December 31, 2025, the Company had $3.7 million and $3.6 million of allowance for credit losses.
Concentration of Credit Risk
Financial Instruments
The Company is subject to credit risk from its portfolio of cash, cash equivalents and short-term marketable securities held atthree accredited financial institutions. As of March 31, 2026, the Company had $69.3 million of cash and cash equivalents, and short-term marketable securities of $753.8 million. The Company limits its exposure to credit losses by investing in money market funds and United States (“U.S.”) government treasury securities through U.S. banks with high credit ratings. The Company’s cash consists of deposits held with banks that may at times exceed federally insured limits, however, its exposure to credit risk in the event of default by the financial institution is limited to the extent of amounts recorded on the condensed consolidated balance sheets. The Company performs evaluations of the relative credit standing of these financial institutions to limit the amount of credit exposure. The Company has not experienced any losses in such accounts.
As of March 31, 2026, the Company had no off-balance sheet concentrations of credit risk.
Customers
The Company is subject to credit risk related to its accounts receivable. Accounts receivable primarily arise from testing services performedin the U.S. and are primarily with biopharmaceutical companies, healthcare organizations, employers, digital health platforms, concierge medicine practices, life insurance companies, Centers for Medicare & Medicaid Services, and individuals. The Company does not require collateral. Accounts receivable are recorded net of the allowance for credit losses.
Significant customers are those that represent more than 10% of total revenue or accounts receivable, net for the periods and as of each consolidated balance sheet date presented, respectively.
For the quarter ended March 31, 2026, one customer accounted for 11% of the Company’s revenue. For the quarter ended March 31, 2025, no single customer accounted for 10% or more of the Company’s revenue.
As of March 31, 2026, and December 31, 2025 no single customer accounted for 10% or more of the Company’s account receivable, net.
Suppliers
The Company is subject to a concentration risk for equipment, supplies and reagents that are available from a limited number of sources. The Company sources certain laboratory equipment, supplies and reagents used to perform testing services and research and development from single vendors. Historically, the Company has not experienced significant issues sourcing equipment and supplies needed to perform testing services.
Reclassification
Certain amounts within the segment disclosure in the footnote to the condensed consolidated financial statements for the period ended March 31, 2025 have been conformed to the current period presentation.
Recently Adopted Accounting Pronouncements
In July 2025, the FASB issued ASU No. 2025-05, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets. This update provides entities with a practical expedient related to developing reasonable and supportable forecasts as part of estimating expected credit losses, in which entities may elect to assume that current conditions as of the balance sheet date do not change for the remaining life of the asset. The Company adopted the standard on a prospective basis effective January 1, 2026, and elected the practical expedient. Adoption of this guidance did not have a material impact on the Company’s condensed consolidated financial statements.
Recently Issued Accounting Pronouncements Not Yet Adopted
In November 2024, the FASB issued ASU No. 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures. This update intends to improve financial reporting by requiring disclosure of additional information about specific expense categories. This guidance is effective for annual reporting periods beginning after December 15, 2026 and interim reporting periods beginning after December 15, 2027. Early adoption is permitted and the guidance is to be applied prospectively and may be applied retrospectively. The Company is currently evaluating the impact of this guidance on its consolidated financial statements and related disclosures.
In May 2025, the FASB issued No. ASU 2025-04, Compensation-Stock Compensation (Topic 718) and Revenue from Contracts with Customers (Topic 606). This update address diversity in practice and improves the operability of accounting for share-based consideration granted to customers. The amendments clarify how to distinguish between service and performance conditions for vesting, require entities to estimate forfeitures for all share-based consideration payable to customers, and specifies that variable consideration guidance in ASC 606 does not apply when measuring such awards. This guidance is effective for fiscal years beginning after December 15, 2026, and interim reporting periods within those annual reporting periods, with early adoption permitted. The transition method may be modified retrospective or on a retrospective basis. The Company is currently evaluating the impact of this guidance on its consolidated financial statements and related disclosures.
In September 2025, the FASB issued ASU No. 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. This update removes all references to software development project stages and requires entities to start capitalizing software costs when both of the following occur: (i) management has authorized and committed to funding the software project and (ii) it is probable that the project will be completed and the software will be used to perform the function intended. This guidance is effective for fiscal years beginning after December 15, 2027 and interim reporting periods within those annual reporting periods. Early adoption is permitted. The transition method may be prospective, modified, or retrospective. The Company is currently evaluating the impact of this guidance on its consolidated financial statements and related disclosures.
In December 2025, the FASB issued ASU No. 2025-10 (ASC Topic 832), Accounting for Government Grants Received by Business Entities. This ASU establishes the accounting and presentation for government grants received by a business entity. This guidance is effective for fiscal years beginning after December 15, 2028 and interim reporting periods within those annual reporting periods. Early adoption is permitted. This ASU provides for adoption either on a modified prospective, modified retrospective, or retrospective basis. The Company is currently evaluating the impact of this guidance on its consolidated financial statements and related disclosures.
In December 2025, the FASB issued ASU No. 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements. This update enhances consistency in interim reporting for all entities by clarifying interim disclosure requirements and the form and content of interim financial statements in accordance with GAAP. This guidance is effective for interim reporting periods with annual reporting periods beginning after December 15, 2027. Early adoption is permitted and must be applied either prospectively or retrospectively to any or all prior periods presented in the financial statements. The Company is currently evaluating the impact of this guidance on its consolidated financial statements and related disclosures.
In December 2025, the FASB issued ASU No. 2025-12, Codification Improvements. This update includes a series of technical amendments intended to clarify guidance, correct unintended application issues, and improve consistency and operability across various Topics within the FASB Accounting Standards Codification. This guidance is effective for fiscal years beginning after December 15, 2026 and interim reporting periods within those annual reporting periods. Early adoption is permitted. The Company is currently evaluating the impact of this update on its consolidated financial statements and related disclosures.
NOTE 3. REVENUE
The following table presents the Company’s revenue disaggregated by geographic areas based on the customers’ locations:
| Three Months Ended | ||
|---|---|---|
| (in thousands) | March 31,2026 | March 31,2025 |
| United States | ||
| Screening | $38,726 | $28,704 |
| Development Services | — | 255 |
| International(1) | ||
| Screening | 1,106 | 429 |
| Development Services | 953 | 2,449 |
| Total | $40,785 | $31,837 |
(1)International region includes revenue earned from customers located outside of the United States.
The following table presents the Company’s revenue disaggregated by revenue source:
| Three Months Ended | ||
|---|---|---|
| (in thousands) | March 31,2026 | March 31,2025 |
| Screening | ||
| Commercial | $37,665 | $28,781 |
| Government(1) | 2,167 | 352 |
| Development Services | ||
| Commercial | 953 | 2,704 |
| Total | $40,785 | $31,837 |
(1)Government screening revenue primarily consists of revenue earned as part of our Galleri-Medicare clinical study.
NOTE 4. BALANCE SHEET COMPONENTS
The following tables present financial information of certain condensed consolidated balance sheet components:
| Accounts receivable, net | March 31,2026 | December 31,2025 |
|---|---|---|
| (in thousands) | ||
| Trade accounts receivable, gross | $24,058 | $21,899 |
| Allowance for credit losses | (3,713) | (3,604) |
| Total accounts receivable, net | $20,345 | $18,295 |
| Accrued liabilities | March 31,2026 | December 31,2025 |
|---|---|---|
| (in thousands) | ||
| Accrued compensation expenses | $24,993 | $36,299 |
| Accrued clinical studies and research and development expenses | 17,815 | 15,656 |
| Accrued legal and professional service expenses | 5,449 | 3,650 |
| Accrued other expenses | 10,010 | 8,340 |
| Total accrued liabilities | $58,267 | $63,945 |
Long-lived assets
On February 19, 2026, the Company issued a press release announcing top-line results from its NHS-Galleri trial. Immediately following the release of this information, the Company’s market capitalization decreased materially. This sustained decrease in market capitalization represented a possible impairment indicator that warranted a quantitative impairment analysis of the Company’s long-lived assets.
The Company performed a recoverability test at the asset group level, which was determined to be equivalent to its reporting unit to assess potential impairment of long-lived assets, which consist primarily of intangible assets with finite lives.
The Company performed an undiscounted cash flow analysis to assess whether the expected cash flows generated over the remaining estimated useful life of the primary asset within the asset group are sufficient to recover its carrying value. Significant assumptions underlying the forecasted cash flows include estimates of future revenues, costs, and expenses. These estimates involve a high degree of judgment regarding future events and are based on assumptions that management believes are reasonable. Changes in these estimates or assumptions could materially affect the recoverability assessment.
The results of the recoverability test showed that the estimated undiscounted net cash flows to be generated from the use of the Company’s long-lived assets exceeded its net carrying value. As a result, no write-down of long-lived assets was recognized during the quarter ended March 31, 2026.
NOTE 5. FAIR VALUE MEASUREMENTS, CASH EQUIVALENTS AND MARKETABLE SECURITIES
The following tables represent the fair value hierarchy for the Company’s financial assets measured at fair value on a recurring basis for the periods presented:
| March 31 2026 | ||||
|---|---|---|---|---|
| (in thousands) | Fair Value | Level 1 | Level 2 | Level 3 |
| Financial Assets: | ||||
| Money market funds | $66,552 | $66,552 | $— | $— |
| Total cash equivalents | 66,552 | 66,552 | — | — |
| U.S. government treasury bills | 753,761 | 753,761 | — | — |
| Total short-term marketable securities | 753,761 | 753,761 | — | — |
| Total | $820,313 | $820,313 | $— | $— |
| December 31, 2025 | ||||
|---|---|---|---|---|
| (in thousands) | Fair Value | Level 1 | Level 2 | Level 3 |
| Financial Assets: | ||||
| Money market funds | $63,195 | $63,195 | $— | $— |
| U.S. government treasury bills | 184,041 | 184,041 | — | — |
| Total cash equivalents | 247,236 | 247,236 | — | — |
| U.S. government treasury bills | 654,703 | 654,703 | — | — |
| Total short-term marketable securities | 654,703 | 654,703 | — | — |
| Total | $901,939 | $901,939 | $— | $— |
The following tables summarize the Company’s cash equivalents and marketable securities’ amortized costs, gross unrealized gains, gross unrealized losses, and estimated fair values by significant investment category:
| March 31, 2026 | ||||
|---|---|---|---|---|
| (in thousands) | Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Estimated Fair Value |
| Money market funds | $66,552 | $— | $— | $66,552 |
| U.S. government treasury bills | 753,827 | 17 | (83) | 753,761 |
| Total | $820,379 | $17 | $(83) | $820,313 |
| December 31, 2025 | ||||
|---|---|---|---|---|
| (in thousands) | Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Estimated Fair Value |
| Money market funds | $63,195 | $— | $— | $63,195 |
| U.S. government treasury bills | 838,368 | 376 | — | 838,744 |
| Total | $901,563 | $376 | $— | $901,939 |
All of the Company’s marketable securities had maturities of less than one year.
The Company hadeight securities with a fair value of $404.6 million in an unrealized loss position as of March 31, 2026 andno securities in unrealized loss position as of December 31, 2025. None of the Company’s marketable securities had been in an unrealized loss position for more than one year as of March 31, 2026. It was determined that no credit losses exist as of March 31, 2026 because the change in market value for those securities that were in an unrealized loss position resulted from fluctuating interest rates rather than a deterioration of the credit worthiness of the issuers. The Company does not intend to sell the money market funds and short term investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis.
NOTE 6. LEGAL PROCEEDINGS, COMMITMENTS, AND CONTINGENCIES
The Company is subject to various claims, complaints, regulatory proceedings, and legal actions that arise from time to time in the ordinary course of business.
Federal Securities Class Actions
On November 11, 2023, the first ofthree securities class action complaints was filed against Illumina and certain of its current and former executive officers in the United States District Court for the Southern District of California. The first-filed case is captioned Kangas v. Illumina, Inc. et al., the second-filed case is captioned Roy v. Illumina, Inc. et al., and the third-filed case is captioned Louisiana Sheriffs’ Pension & Relief Fund v. Illumina, Inc. et al. (collectively, the “Actions”). The complaints generally allege, among other things, that defendants made materially false and misleading statements and omitted material facts relating to Illumina’s acquisition of Grail. The complaints seek unspecified damages, interest, fees, and costs. On January 9, 2024, four movants filed motions to consolidate the Actions and to appoint a lead plaintiff (“Lead Plaintiff Motions”). On April 11, 2024, the Court issued an order consolidating the Actions into a single action (captioned in re Illumina, Inc. Securities Litigation No. 23-cv-2082-LL-MMP), and appointed Universal-Investment-Gesellschaft mbH, UI BVK
Kapitalverwaltungsgesellschaft mbH, and ACATIS Investment Kapitalverwaltungsgesellschaft mbH as lead
plaintiffs. (the “Lead Plaintiffs”). On June 21, 2024, the Lead Plaintiffs filed a consolidated amended complaint. The amended complaint alleges that GRAIL, in addition to Illumina, and certain of their respective current and former directors and others violated sections 10(b) and 20(a) of the Securities Exchange Act and SEC Rule 10b-5 in connection with Illumina's acquisition of GRAIL and disclosures concerning the same. GRAIL has an indemnification obligation for certain current and former directors and officers involved in the matter pursuant to indemnification agreements entered into by these individuals and GRAIL. On September 13, 2024 the plaintiffs further amended the complaint. On November 12, 2024, the Company moved to dismiss Lead Plaintiffs’ second amended complaint for failure to state a claim under Sections 10(b) and 20(a) of the Exchange Act. Lead Plaintiffs filed their opposition to the motion to dismiss on December 20, 2024, and the Company filed its reply in support of its motion to dismiss on February 3, 2025. On September 26, 2025, the court granted the motion to dismiss for failure to state a claim with leave to amend, and ordered the plaintiffs to file an amended complaint, if any, by October 27, 2025. On October 27, 2025, the Lead Plaintiffs filed their third amended complaint. On December 11, 2025, the Company filed a motion to dismiss Lead Plaintiffs’ third amended complaint. On February 4, 2026, the Lead Plaintiffs opposed the motion to dismiss, and on March 6, 2026, the Company filed a reply in support of its motion to dismiss. In light of the fact that the lawsuits are in an early stage, the Company cannot predict the ultimate outcome of the suits.
Other Legal Matters
Legal matters include various claims, complaints, and legal actions that arise from time to time. The Company has entered into indemnification agreements with each of its current and former directors, executive officers, and certain other officers, to provide, among other things, for indemnification to the fullest extent permitted by law and our certificate of incorporation and bylaws, and has certain obligations to these individuals, which may give rise to liability for the Company even if the Company is not directly named. The Company has indemnification obligations in respect of the Actions and with respect to other legal matters that may arise, or have arisen, from time to time. There can be no assurance that existing or future legal proceedings arising in the ordinary course of business or otherwise will not have a material adverse effect on the Company’s business, financial position, results of operations, or cash flows.
The Company is involved in various lawsuits and claims arising in the ordinary course of business, including actions with respect to employment matters. In connection with these matters, the Company assesses, on a regular basis, the probability and range of possible loss based on the developments in these matters. A liability is recorded in the consolidated financial statements if it is believed to be probable that a loss has been incurred and the amount of the loss can be reasonably estimated. Since litigation is inherently unpredictable and unfavorable resolutions could occur, assessing contingencies is highly subjective and requires judgments about future events. The Company regularly reviews outstanding legal matters to determine the adequacy of the liabilities accrued and related disclosures. The Company may change its estimates if its assessment of the various factors changes and the amount of ultimate loss may differ from estimates, resulting in a material effect on the Company’s business, financial condition, results of operations, and/or cash flows. As of March 31, 2026, the Company is unable to estimate a range of possible loss in excess of the amounts accrued.
Contingencies
Contingencies primarily correspond to claims arising in the ordinary course of business. If necessary, these contingencies will be accrued, to the extent believed to be reasonably estimable to resolve the matter. The accrued contingency amounts are included in other current liabilities. Should the Company not be able to secure the terms it expects, these estimates may change and will be recognized in the period in which they are identified.
On June 21, 2024, in connection with the Spin-Off, Illumina and the Company entered into the Tax Matters Agreement to govern the respective rights, responsibilities and obligations of Illumina and the Company after the Spin-Off with respect to all tax matters and will include restrictions to preserve the tax-free status of the Distribution. The Tax Matters Agreement included a number of restrictions on the Company to preserve the intended tax treatment of the Spin-Off. Breach of any covenant or representation contained in the Tax Matters Agreement will result in liability to specific separation taxes. As of March 31, 2026, as it was not probable that the Company will breach the agreement, no contingent liability was recorded in connection with the Tax Matters Agreement.
Samsung Stock Purchase Obligations
On October 16, 2025, the Company entered into a stock purchase agreement (the “Samsung SPA”), by and among the Company, Samsung C&T Corporation (“Samsung C&T”), Samsung Electronics Singapore Pte. Ltd. (together with Samsung C&T, the “Samsung Investors”) and Samsung Electronics Co., Ltd. (“Samsung Electronics”), providing for the issuance and sale by the Company to the Samsung Investors in a private placement of an aggregate of 1,570,308 shares of GRAIL’s common stock, at a purchase price of $70.05 per share, upon the terms and conditions set forth in the Samsung SPA, for aggregate gross proceeds of approximately $110.0 million (the “Samsung Investment”). The Samsung Investment is subject to the satisfaction of certain closing conditions set forth in the Samsung Stock Purchase Agreement, including, but not limited to the satisfaction of certain regulatory approvals or clearances, including with respect to the Committee on Foreign Investment in the United States.
The Company is also subject to a number of obligations described in the Samsung Stock Purchase Agreement. The Samsung Stock Purchase Agreement contains customary representations, warranties and agreements by the Company, indemnification obligations of the Company and the Samsung Investors for liabilities under the Securities Act of 1933, as amended (the “Securities Act”), and other obligations of the parties.
NOTE 7. NET LOSS PER SHARE
The following table presents the calculation of the Company’s basic and diluted net loss per share:
| Three Months Ended | ||
|---|---|---|
| (in thousands, except share and per share data) | March 31,2026 | March 31,2025 |
| Numerator | ||
| Net loss | $(93,187) | $(106,213) |
| Denominator | ||
| Weighted average shares of common stock—basic and diluted | 40,640,879 | 34,308,435 |
| Net loss per share | ||
| Basic and Diluted | $(2.29) | $(3.10) |
Since the Company was in a loss position for all periods presented, basic net loss per share is the same as diluted net loss per share, as the inclusion of all potential shares of common stock outstanding would have been anti-dilutive.
The following common stock equivalents were excluded from the calculation of diluted net loss per share for the periods presented as they had an anti-dilutive effect:
| Three Months Ended | ||
|---|---|---|
| March 31,2026 | March 31,2025 | |
| Unvested restricted stock units | 5,651,113 | 6,053,715 |
| Unvested performance options | 104,315 | 104,315 |
| Shares issuable under ESPP | 73,947 | — |
| Unvested performance stock units | 21,001 | — |
| Total | 5,850,376 | 6,158,030 |
NOTE 8. TAXES
For interim financial statement purposes, U.S. GAAP provision (benefit) for taxes related to ordinary income (loss) is determined by applying an estimated annual effective income tax rate against a company’s ordinary income (loss), subject to certain limitations on the benefit of losses. Provision (benefit) for taxes related to items not characterized as ordinary income is recognized as a discrete item when incurred. The estimation of the Company’s income tax provision requires the use of management forecasts and other estimates, application of statutory income tax rates, and an evaluation of valuation allowances. The Company’s estimated annual effective income tax rate may be revised, if necessary, in each interim period.
The worldwide effective income tax rates for the three months ended March 31, 2026 and March 31, 2025 were 26.93% and 27.41%, respectively. The decrease in benefit from income taxes was primarily driven by decrease in the loss before taxes and a lower effective tax rate primarily due to fewer discrete tax items related to stock-based compensation expenses.
The effective tax rate was higher than the 21% U.S. federal statutory rate for the three months ended March 31, 2026, primarily due to state taxes and discrete tax benefits from stock-based compensation.
The Company accounts for uncertain tax positions using a more-likely-than-not threshold for recognizing and
resolving uncertain tax positions. This evaluation is based on factors including, but not limited to, changes in facts
or circumstances, changes in tax law, effectively settled issues under audit, and new audit activity. Interest and
penalties related to unrecognized tax benefits are included within income tax expense. For the three months
ended March 31, 2026, the Company recorded an income tax benefit related to its Federal and California R&D
Credits of $0.7 million and $0.4 million, respectively.
The Company files income tax returns in the U.S. federal jurisdiction and various states. As of the date of
this filing, the Company is not currently under examination by income tax authorities in federal, state, or other
jurisdictions. All tax returns will remain open for examination by the federal and state authorities for three and four
years, respectively, from the date of utilization of any net operating loss or credits.
NOTE 9. SEGMENT INFORMATION
The Company operates and manages its business asone reportable operating segment. The Company's chief operating decision maker (“CODM”) is the chief executive officer. The CODM reviews financial information on an aggregate basis for the purposes of evaluating financial performance and allocating resources based on net income (loss), adjusted gross margin and adjusted EBITDA. Net income (loss) is the measure of segment profit most consistent with U.S. GAAP that is regularly reviewed by the CODM to allocate resources and assess performance. The CODM does not evaluate operating segment performance using asset information.
The following table includes the significant expense categories regularly provided to the CODM when managing the Company’s single reporting segment. A reconciliation to the consolidated net loss for the three months ended March 31, 2026 and March 31, 2025 is included in the table below:
| Three Months Ended | ||
|---|---|---|
| (in thousands) | March 31,2026 | March 31,2025 |
| Revenue: | ||
| Screening revenue | $39,832 | $29,133 |
| Development services revenue | 953 | 2,704 |
| Total revenue | 40,785 | 31,837 |
| Costs and operating expenses: | ||
| Cost of screening revenue (exclusive of amortization of intangible assets) (1) | 21,244 | 17,123 |
| Cost of development services revenue (1) | 376 | 1,171 |
| Compensation | 62,775 | 63,760 |
| Depreciation and intangible assets amortization | 37,222 | 37,679 |
| Stock-based compensation | 16,260 | 15,449 |
| Professional Services | 10,149 | 9,195 |
| Cloud computing and information technology | 6,480 | 6,743 |
| Clinical Studies | 5,944 | 5,922 |
| Facilities | 5,248 | 5,631 |
| Laboratory supplies and research collaborations | 1,420 | 3,667 |
| Other segment expenses(2) | 9,432 | 19,104 |
| Total costs and operating expenses | 176,550 | 185,444 |
| Loss from Operations | (135,765) | (153,607) |
| Other income (expense): | ||
| Interest income | 7,986 | 7,779 |
| Other income (expense), net | 256 | (584) |
| Benefit from income taxes | 34,336 | 40,199 |
| Net Loss | $(93,187) | $(106,213) |
(1) Cost of screening revenue (exclusive of amortization of intangible assets) and cost of development services revenue include stock-based compensation expense of $0.5 million and $0.8 million for the quarter ended March 31, 2026 and 2025.
(2) Other segment expenses primarily includes costs related to contractors and temporary labor, marketing expenses, and legal expenses, partially offset by refundable R&D tax expenses.
NOTE 10. RELATED PARTY TRANSACTIONS
The Company was a subsidiary of Illumina, Inc. between August 19, 2021 to June 23, 2024. Subsequent to the Spin-Off, Illumina retained a 14.5% stake in the Company and was considered a related party. During the fourth quarter of 2025, Illumina reduced its ownership to less than 10%. As a result, Illumina is no longer considered a related party of the Company.
Illumina was both a customer and a major supplier of the Company’s reagents and capital equipment during the relevant periods. Goods and services transactions with Illumina are invoiced and paid when due.
Goods and services transactions with Illumina for the period during which Illumina qualified as a related party of the Company were as follows:
| Three Months Ended | |
|---|---|
| (in thousands) | March 31,2025 |
| Screening revenue | $77 |
| Cost of screening revenue | 1,511 |
| Cost of development services revenue | 163 |
| Operating expenses—Research and development | 1,396 |
In June 2024, the Company entered into an amendment to its Supply and Commercialization Agreement with Illumina (the “Illumina Supply Agreement”). Under the terms of the Illumina Supply Agreement, regardless of whether our products incorporate any Illumina technology, we will be obligated to pay Illumina a 9% royalty, subject to certain reductions and floors, in perpetuity on net sales generated by our products or revenues otherwise generated or received by us, subject to certain exceptions, in the field of oncology. The royalty is subject to anti-stacking provisions that allow royalty payments we make to other third parties to be deducted from the 9% royalty rate, to a floor of 7%. We expect that the royalty payments we will make to Illumina in the foreseeable future will result in a 7% royalty rate. After we have cumulatively paid Illumina royalties totaling $1 billion, the royalty rate will be reduced to 5%, without further adjustment.
Pursuant to the fourth amendment to the Illumina Supply Agreement, the perpetual royalty payment obligation to Illumina is suspended until December 24, 2026 or any earlier change of control of GRAIL, at which time royalty payments to Illumina will resume, without retroactive effect. Any royalty payments that we would have made under the Illumina Supply Agreement during the suspension period are deemed to have been paid for purposes of the cumulative $1 billion in royalty payments required to reduce the royalty rate to 5%.
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.