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Grail (GRAL) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 5, 2026 · Grail (GRAL) Q3 2026 earnings results →

Q3 2026 Revenue up 4% year over year to $37.5M · 276¢ of every $1 of revenue lost · operating margin -385.3%

Grail made $37.5M in Q3 2026 (+4% Y/Y): Screening revenue $37.3M, Development Services $266K. Operating margin -385.3%, net loss $104M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 5, 2026.

Revenue$37.5M
Year over year+4%
Operating margin-385.3%
Net earnings−$104M
Operating cash flow−$74.7M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $37.5M in Q3 2026, up 4% year over year and down 16% from the previous quarter. Screening revenue was the largest line at 99% of revenue. Screening revenue added $4.5M year over year (up 14%), 333% of the total change. Development Services declined 92%.

Operating costs exceeded revenue by $144.6M, an operating margin of -385.3%. Total costs grew 13% against revenue growth of 4%. The fastest-growing cost line was Sales & marketing (+63%). The quarter ended with a net loss of $103.6M, narrower than the previous quarter's $110.2M loss.

Operating cash flow was −$74.7M. Non-cash charges added back $37.4M of depreciation and amortization and $14.1M of share-based compensation. Working capital and other items used $22.6M. Capital expenditures of $4.7M exceeded it, leaving free cash flow of −$79.5M.

Quarterly history

Grail revenue by quarterGrail revenue by quarter$31.8MQ1 2025$35.5MQ2 2025$36.2MQ3 2025$43.6MQ4 2025$40.8MQ1 2026$44.7MQ2 2026$37.5MQ3 2026
Grail net earnings by quarterGrail net earnings by quarter−$106MQ1 2025−$114MQ2 2025−$89.0MQ3 2025−$99.2MQ4 2025−$93.2MQ1 2026−$110MQ2 2026−$104MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 5, 2026$37.5M+4%-385.3%−$104M−$74.7M
Q2 202610-QAug 6, 2026$44.7M+26%-388.9%−$110M−$80.7M
Q1 202610-QMay 7, 2026$40.8M+28%-332.9%−$93.2M−$87.0M
Q4 202510-KMar 12, 2026$43.6M+14%-285.4%−$99.2M−$63.8M
Q3 202510-QNov 13, 2025$36.2M+26%-346.2%−$89.0M−$63.2M
Q2 202510-QAug 13, 2025$35.5M+11%-446.9%−$114M−$77.0M
Q1 202510-QMay 14, 2025$31.8M+19%-482.5%−$106M−$95.0M

Charts

Grail: revenue growth, year over year and quarter over quarterGrail: revenue growth, year over year and quarter over quarterY/YQ/Q+19%Q1 2025+11%+12%Q2 2025+26%+2%Q3 2025+14%+20%Q4 2025+28%-6%Q1 2026+26%+10%Q2 2026+4%-16%Q3 2026
Latest (Q3 2026): Y/Y +4%, Q/Q -16%.
Grail: where the cash came from (+) and went (−), TTM to Q3 2026Grail: where the cash came from (+) and went (−), TTM to Q3 2026Other financing$528MOther investing−$323MOperating cash flow−$306MCash drawn (+) / kept (−)$97.9MShares issued$9.1MCapital spending−$5.8MExchange rates$32K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Grail: profit against cash, quarter by quarterGrail: profit against cash, quarter by quarterNet incomeOperating cash flow−$97.1M−$93.5MQ4 2024−$106M−$95.0MQ1 2025−$114M−$77.0MQ2 2025−$89.0M−$63.2MQ3 2025−$99.2M−$63.8MQ4 2025−$93.2M−$87.0MQ1 2026−$110M−$80.7MQ2 2026−$104M−$74.7MQ3 2026
Latest (Q3 2026): Net income −$104M, Operating cash flow −$74.7M.
Grail: diluted shares by fiscal yearGrail: diluted shares by fiscal year31MFY202331MFY202332MFY202437MFY2025
+18.4% since FY2023: more shares outstanding (issuance, stock pay).
Grail in its industry: growth against margin (22 companies, SIC 8071)Grail in its industry: growth against margin (22 companies, SIC 8071)revenue growth, year over year →↑ operating marginmedian +24%median -3%LHDGXNTRAFTRERDNTGHCAILMRIVCYTCDNABLLNCSTLFLGTCFORPSNLBDSXXGNAMSBGLCSERAACONGRAL (+4%, -100%)
Services-Medical Laboratories; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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Customers and suppliers named in filings

Buys from

About Grail

We are an innovative commercial-stage healthcare company focused on shifting the paradigm in early cancer detection at population scale. We believe screening individuals for many types of cancer with a single test represents a significant opportunity to reduce the global burden of cancer. Our multi-cancer early detection test (“Galleri”) can screen for many types of cancer, accurately predicting the specific organ or tissue type where the cancer signal originated (the “Cancer Signal of Origin”, or “CSO”), with high positive predictive values (“PPV”) and low false positive rates, all from a simple blood draw. Galleri has detected some of the most aggressive cancers in early stages including, among others, endometrial, esophageal, gastrointestinal, head and neck, liver, pancreatic, and rectal cancers.

In its own words, from its 10-K, filed Mar 12, 2026.

Grail against its Services-Medical Laboratories peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +4% against the peers' median +10%. Operating margin: -385.3% against the peers' median 6.3%.

CompanyQuarterRevenueY/YOp. margin
GRAL GrailQ3 2026$37.5M+4%-385.3%
LH Labcorp HoldingsQ3 2026$3.8B+7%10.6%
DGX Quest DiagnosticsQ3 2026$3.1B+10%15.5%
NTRA NateraQ3 2026$794M+34%-8.6%
FTRE Fortrea HoldingsQ3 2026$692M-1%2.2%
RDNT RadNetQ2 2026$623M+25%6.3%
GH Guardant HealthQ3 2026$361M+36%-36.8%
CAI Caris Life SciencesQ3 2026$275M+27%7.0%
LMRI Lumexa Imaging HoldingsQ2 2026$264M+5%8.7%

Source: Grail 10-Q on SEC EDGAR · CIK 1699031 · Services-Medical Laboratories

Guidance and outlook

Grail: what its forward-looking statements are about (10-Q filed 2026-11-05)Grail: what its forward-looking statements are about (10-Q filed 2026-11-05)Other12Demand7Costs5Products4Capital spending3Margins3The economy2Supply chain2
38 statements; tone +0.13 (−1 all cautious, +1 all confident); 1 hedged.
Grail: outlook statements against the filing beforeGrail: outlook statements against the filing beforeConfident11Cautious6

13F: who owns GRAL and who is buying

Largest holders of GRAL (13F)Largest holders of GRAL (13F)Baker Bros. Advisors LP$275MBlackRock$244MArbiter Partners Capital Manageme…$212MVanguard Group$170MState Street$163MPrimecap Management$149MSessa Capital IM, L.P.$139MDeep Track Capital, LP$125MVanguard Capital Management LLC$112MMorgan Stanley$99.8M
Funds' net buying of GRAL by quarter (13F)Funds' net buying of GRAL by quarter (13F)$38.4M2024-09$31.2M2024-12−$66.6M2025-03$87.1M2025-06−$145M2025-09$354M2025-12$212M2026-03$285M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on GRAL

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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