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Grail (GRAL) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 7, 2026

Grail (GRAL) reported revenue of $40.8M for the first quarter 2026 (Q1 2026), +28% from a year earlier and -6% from the quarter before. Operating margin was -332.9%, net loss $93.2M (228.5% of revenue).

Revenue$40.8M
Year over year+28%
Quarter over quarter-6%
Operating margin-332.9%
Net earnings−$93.2M

Grail, Q1 2026: revenue $40.8M (+28% year over year), operating margin -332.9%, net loss $93.2M, operating cash flow −$87.0M. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$40.8M-6%+28%
Operating profit−$136M——
Net earnings−$93.2M——
Operating cash flow−$87.0M——

What changed

Revenue was $40.8M in Q1 2026, up 28% year over year and down 6% from the previous quarter. Screening revenue was the largest line at 98% of revenue. Screening revenue added $10.7M year over year (up 37%), 120% of the total change. Development Services declined 65%.

Operating costs exceeded revenue by $135.8M, an operating margin of -332.9%. Total costs fell 5% while revenue rose 28%. The quarter ended with a net loss of $93.2M, narrower than the previous quarter's $99.2M loss.

Operating cash flow was −$87.0M. Non-cash charges added back $37.7M of depreciation and amortization and $16.8M of share-based compensation. Working capital and other items used $48.3M. Capital expenditures of $503K exceeded it, leaving free cash flow of −$87.5M.

Questions

What was Grail's revenue in the first quarter 2026?

Grail (GRAL) reported revenue of $40.8M for the first quarter 2026 (Q1 2026), +28% from a year earlier and -6% from the quarter before.

Was Grail profitable in the first quarter 2026?

Operating loss was $136M (-332.9% of revenue) and net loss $93.2M.

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Source: Grail 10-Q on SEC EDGAR.