GRAIL Reports Third Quarter 2024 Financial Results

GRALV 11.12.2024

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Drug:Galleri-UNKNOWN Galleri
Date of Upcoming Event:2024-10-01
Name of Upcoming Event:Early Detection of Cancer Conference
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Recent News

  • 01.15.2025 - 43rd Annual J.P. Morgan Healthcare Conference
  • 01.13.2025 - Patient Reported Outcomes for GRAIL's Galleri® Multi-Cancer Early Detection Blood Test Published in Lancet Oncology
  • 12.18.2024 - GRAIL to Present at the 43rd Annual J.P. Morgan Healthcare Conference

Recent Filings

    Galleri Revenue Grew 52% Year-Over-Year to$25.4 Million

    Commercial Galleri Sales Surpassed 250,000 Tests Since Launch

    Cash Balance of$853.6 MillionProvides Runway Into 2028

    MENLO PARK, Calif.,Nov. 12, 2024/PRNewswire/ --GRAIL, Inc.(Nasdaq: GRAL), a healthcare company whose mission is to detect cancer early when it can be cured, today reported business and financial results for the third quarter 2024.

    GRAIL, Inc. is a healthcare company whose mission is to detect cancer early when it can be cured. (PRNewsfoto/GRAIL, Inc.)

    Revenue in the third quarter was$28.7 million, representing 38% growth year over year, and revenue for Galleri was$25.4 million, representing 52% growth year over year. Net loss for the quarter was$(125.7) million, which includes amortization of Illumina acquisition-related intangible items of$34.6 millionand a restructuring charge of$19.0 million. Gross loss was$(22.2) million. Non-GAAP adjusted gross profit was$11.8 millionand non-GAAP adjusted EBITDA was$(108.2) million.1

    "In our first operating quarter as a public company, GRAIL continued to deliverU.S.commercial growth, with more than 250,000 Galleri®tests sold as ofSeptember 30. Over the quarter, we reduced our expense base and continued to advance our mission," saidBob Ragusa, Chief Executive Officer at GRAIL. "We will continue to focus on cost management as we work towards completing our registrational studies to support ourU.S.FDA PMA submission and pursuing broad reimbursement."

    For the three months endedSeptember 30, 2024, as compared to the three months endedOctober 1, 2023, GRAIL reported:

    • Revenue:Total revenue, comprised of screening and development services revenue, was$28.7 million, an increase of$7.9 millionor 38%.
    • Net loss:Net loss was$125.7 million, an improvement of$765.8 millionor 86%.
    • Gross loss:Gross loss was$(22.2) million, an improvement of$4.8 millionor 18%.
    • Adjusted gross profit1:Adjusted gross profit was$11.8 million, an increase of$4.8 millionor 68%.
    • Adjusted EBITDA1:Adjusted EBITDA was$(108.2) million, an improvement of$17.9 millionor 14%.
    • Cash position:Cash and cash equivalents totaled$853.6 millionas ofSeptember 30, 2024.

    Recent business highlights include:

    • Published results of GRAIL's Galleri Multi-Cancer Early Detection Blood Test in prostate cancer in JCO Precision Oncology.The analysis of the study demonstrated that when Galleri detected prostate cancer, most were high-grade and clinically significant, and usually indicated an aggressive disease where additional diagnostic evaluation is necessary. These data, previously shared at AACR in March, build on earlier findings regarding Galleri's preferential detection of aggressive, deadly cancers.
    • Presented early results from REFLECTION real-world experience study of Galleri at the Early Detection ofCancer Conferencein October.This initial analysis included data from sevenUS Department of Veterans Affairs(VA) sites with 180 days of post-test follow-up. The signal detection rate for the veteran cohort was 1.3% and the positive predictive value (PPV) of the test was 42.9%. More than half of the cases were identified at early stages (I-III).

    Conference Call and WebcastA webcast and conference call will be held today, November 12, 2024, at1:30 p.m. PT/4:30 p.m. ET. Individuals interested in listening to the conference call may access it on the investor relations section of GRAIL's website atinvestors.grail.com.

    A replay of the webcast will be available on GRAIL's website for 30 days.

    1See "Non-GAAP Disclosure" and the associated reconciliations for important information about our use of non-GAAP measures.

    About GRAILGRAIL, Inc.is a healthcare company whose mission is to detect cancer early, when it can be cured. GRAIL is focused on alleviating the global burden of cancer by using the power of next-generation sequencing, population-scale clinical studies, and state-of-the-art machine learning, software, and automation to detect and identify multiple deadly cancer types in earlier stages. GRAIL's targeted methylation-based platform can support the continuum of care for screening and precision oncology, including multi-cancer early detection in symptomatic patients, risk stratification, minimal residual disease detection, biomarker subtyping, treatment and recurrence monitoring. GRAIL is headquartered inMenlo Park, CAwith locations inWashington, D.C.,North Carolina, and theUnited Kingdom. GRAIL's common stock is listed under the ticker symbol "GRAL" on theNASDAQ Stock Exchange.

    For more information, visitgrail.com.

    About Galleri®The Galleri multi-cancer early detection test is a proactive tool to screen for cancer. With a simple blood draw, the Galleri test can identify DNA shed by cancer cells, which can act as a unique "fingerprint" of cancer, to help screen for some of the deadliest cancers that don't have recommended screening today, such as pancreatic, esophageal, ovarian, liver, and others.* The Galleri test can be used to screen for cancer before a person becomes symptomatic, when cancer may be more easily treated and potentially curable. The Galleri test can indicate the origin of the cancer, giving healthcare providers a roadmap of where to explore further. The Galleri test requires a prescription from a licensed healthcare provider and should be used in addition to recommended cancer screenings such as mammography, colonoscopy, prostate-specific antigen (PSA) test, or cervical cancer screening. The Galleri test is recommended for adults with an elevated risk for cancer, such as those aged 50 or older.

    For more information, visitgalleri.com.

    * Sensitivity in study participants with – Pancreas cancer: 83.7% overall (61.9% stage I, 60.0% stage II, 85.7% stage III, 95.9% stage IV). Esophagus cancer 85.0% overall (12.5% stage I, 64.7% stage II, 94.7% stage III, 100% stage IV). Ovary cancer: 83.1% overall (50.0% stage I, 80.0% stage II, 87.1% stage III, 94.7% stage IV). Liver/bile duct cancer: 93.5% overall (100% stage I, 70.0% stage II, 100% stage III, 100% stage IV).

    Laboratory/Test InformationGRAIL's clinical laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and accredited by theCollege of American Pathologists. The Galleri test was developed, and its performance characteristics were determined by GRAIL. The Galleri test has not been cleared or approved by theU.S. Food and Drug Administration. GRAIL's clinical laboratory is regulated under CLIA to perform high-complexity testing. The Galleri test is intended for clinical purposes.

    Non-GAAP DisclosureIn addition to our financial results, this press release also includes financial measures that are not calculated in accordance withU.S.generally accepted accounting principles ("GAAP"). Our non-GAAP financial disclosure includes Adjusted Gross Profit (Loss) and Adjusted EBITDA. We encourage investors to carefully consider our results under GAAP in conjunction with our supplemental non-GAAP information and the reconciliation between these presentations.

    • Adjusted Gross Profit/(Loss) is a key performance measure that our management uses to assess our operational performance, as it represents the results of revenues and direct costs, which are key components of our operations. We believe that this non-GAAP financial measure is useful to investors and other interested parties in analyzing our financial performance because it reflects the gross profitability of our operations, and excludes the indirect costs associated with our sales and marketing, product development, general and administrative activities, and depreciation and amortization, and the impact of our financing methods and income taxes.We calculate Adjusted Gross Profit/(Loss) as gross profit/(loss) (as defined below) adjusted to exclude amortization of intangible assets and stock-based compensation allocated to cost of revenue. Adjusted Gross Profit/(Loss) should be viewed as a measure of operating performance that is a supplement to, and not a substitute for, operating income or loss from operations, net earnings or loss and other GAAP measures of income (loss) or profitability. The following table presents a reconciliation of gross loss, the most directly comparable financial measure calculated in accordance with GAAP, to Adjusted Gross Profit.
    • Adjusted EBITDA is a key performance measure that our management uses to assess our financial performance and is also used for internal planning and forecasting purposes. We believe that this non-GAAP financial measure is useful to investors and other interested parties in analyzing our financial performance because it provides a comparable overview of our operations across historical periods. In addition, we believe that providing Adjusted EBITDA, together with a reconciliation of net income (loss) to Adjusted EBITDA, helps investors make comparisons between our company and other companies that may have different capital structures, different tax rates, different operational and ownership histories, and/or different forms of employee compensation.Adjusted EBITDA is used by our management team as an additional measure of our performance for purposes of business decision-making, including managing expenditures. Period-to-period comparisons of Adjusted EBITDA help our management identify additional trends in our financial results that may not be shown solely by period-to-period comparisons of net income or income from operations. Our management recognizes that Adjusted EBITDA has inherent limitations because of the excluded items, and may not be directly comparable to similarly titled metrics used by other companies.Adjusted EBITDA should be viewed as a measure of operating performance that is a supplement to, and not a substitute for, operating income or loss from operations, net earnings or loss and otherU.S.GAAP measures of income (loss). Additionally, it is not intended to be a measure of free cash flow for management's discretionary use, as it does not consider certain cash requirements such as interest and tax payments. Further, our definition of Adjusted EBITDA may differ from similarly titled measures used by other companies and therefore may not be comparable among companies. The following table presents a reconciliation of net loss, the most directly comparable financial measure calculated in accordance withU.S.GAAP, to Adjusted EBITDA on a consolidated basis.

    Full reconciliation of these non-GAAP measures to the most comparable GAAP measures is set forth in tabular form below.

    Forward-Looking StatementsThis press release contains forward-looking statements. In some cases, you can identify these statements by forward-looking words such as "aim," "anticipate," "believe," "continue," "could," "estimate," "expect," "intend," "may," "might," "plan," "potential," "predict," "should," "would," or "will," the negative of these terms, and other comparable terminology. These forward-looking statements, which are subject to risks, uncertainties, and assumptions about us, may include expectations and projections of our future financial performance, future tests or products, technology, clinical studies, regulatory compliance, potential market opportunity, anticipated growth strategies, restructuring costs, sufficiency of cash on hand to finance our business, cost savings, budgets and strategies, restructuring and stock-based compensation costs, impact of the restructuring on our operations and growth and anticipated trends in our business.

    These statements are only predictions based on our current expectations and projections about future events and trends. There are important factors that could cause our actual results, level of activity, performance, or achievements to differ materially and adversely from those expressed or implied by the forward-looking statements, including those factors and numerous associated risks discussed under the section entitled "Risk Factors" in our Quarterly Report on Form 10-Q for the period endedSeptember 30, 2024(the "Form 10-Q"). Moreover, we operate in a dynamic and rapidly changing environment. New risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results, level of activity, performance, or achievements to differ materially and adversely from those contained in any forward-looking statements we may make.

    Forward-looking statements relate to the future and, accordingly, are subject to inherent uncertainties, risks, and changes in circumstances that are difficult to predict and many of which are outside of our control. Although we believe the expectations and projections expressed or implied by the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance, or achievements. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Except to the extent required by law, we undertake no obligation to update any of these forward-looking statements after the date of this press release to conform our prior statements to actual results or revised expectations or to reflect new information or the occurrence of unanticipated events.

    GRAILCondensed Consolidated Balance Sheets

    (in thousands, except for per share data)

    September 30, 2024

    December 31, 2023

    Assets

    (unaudited)

    Current assets:

    Cash and cash equivalents

    $ 853,551

    $ 97,287

    Accounts receivables, net

    15,211

    16,942

    Supplies

    21,213

    21,695

    Prepaid expenses and other current assets

    19,721

    20,141

    Total current assets

    909,696

    156,065

    Property and equipment, net

    73,886

    84,995

    Operating lease right-of-use assets

    70,625

    84,386

    Restricted cash

    3,918

    4,225

    Intangibles assets, net

    2,051,473

    2,687,223

    Goodwill

    —

    888,936

    Other non-current assets

    8,356

    7,984

    Total assets

    $ 3,117,954

    $ 3,913,814

    Liabilities and stockholders'/member's (deficit) equity

    Current liabilities:

    Accounts payable

    $ 7,321

    $ 19,673

    Accrued liabilities

    71,830

    73,806

    Incentive plan liabilities

    —

    54,513

    Operating lease liabilities, current portion

    13,524

    14,809

    Other current liabilities

    1,593

    809

    Total current liabilities

    94,268

    163,610

    Operating lease liabilities, net of current portion

    58,667

    69,598

    Deferred tax liabilities, net

    375,122

    32,921

    Other non-current liabilities

    2,261

    1,498

    Total liabilities

    530,318

    267,627

    Preferred stock, par value of$0.001per share; 50,000,000 sharesauthorized, no shares issued and outstanding as ofSeptember 30, 2024andDecember 31, 2023

    —

    —

    Common stock$0.001par value per share, 1,500,000,000 sharesauthorized, 33,203,744 shares issued and outstanding as of September30, 2024, no shares authorized, issued and outstanding as of December31, 2023

    33

    —

    Additional paid-in capital

    12,291,681

    —

    Member's equity

    —

    11,421,446

    Accumulated other comprehensive income

    2,186

    1,066

    Accumulated deficit

    (9,706,264)

    (7,776,325)

    Total stockholders'/member's equity

    2,587,636

    3,646,187

    Total liabilities and stockholders'/member's equity

    3,117,954

    3,913,814

    GRAILCondensed Consolidated Statements of Operations(Unaudited)

    Three Months Ended

    Nine months ended

    (in thousands except for per share data)

    September 30,2024

    October 1,2023

    September 30,2024

    October 1,2023

    Revenue:

    Screening revenue

    $ 25,374

    $ 16,745

    $ 77,076

    $ 52,344

    Development services revenue

    3,278

    3,977

    10,267

    10,435

    Total revenue

    28,652

    20,722

    87,343

    62,779

    Costs and operating expenses:

    Cost of screening revenue (exclusive of amortization of intangibleassets)

    15,970

    12,829

    45,481

    34,379

    Cost of development services revenue

    1,442

    1,489

    3,499

    4,944

    Cost of revenue — amortization of intangible assets

    33,473

    33,473

    100,417

    100,417

    Research and development

    78,231

    80,076

    274,052

    254,659

    Sales and marketing

    35,625

    36,597

    123,433

    123,169

    General and administrative

    47,418

    50,183

    171,745

    147,534

    Goodwilland intangible impairment

    —

    718,466

    1,420,936

    718,466

    Total costs and operating expenses

    212,159

    933,113

    2,139,563

    1,383,568

    Loss from operations

    (183,507)

    (912,391)

    (2,052,220)

    (1,320,789)

    Other income (expense):

    Interest income

    11,661

    2,529

    17,367

    6,603

    Other expense, net

    561

    196

    514

    421

    Total other income, net

    11,100

    2,333

    16,853

    6,182

    Loss before income taxes

    (172,407)

    (910,058)

    (2,035,367)

    (1,314,607)

    Benefit from income taxes

    46,719

    18,610

    105,428

    36,449

    Net loss

    $ (125,688)

    $ (891,448)

    $ (1,929,939)

    $ (1,278,158)

    Net loss per share — Basic and Diluted

    $ (3.94)

    $ (28.71)

    $ (61.61)

    $ (41.17)

    Weighted average shares of common stock—basic and diluted

    31,880,054

    31,049,148

    31,326,117

    31,049,148

    GRAILCondensed Consolidated Statements of Cash Flows(Unaudited)

    Nine Months Ended

    (in thousands)

    September 30,2024

    October 1,2023

    Net cash used by operating activities

    $ (483,666)

    $ (466,902)

    Net cash used by investing activities

    (4,905)

    (8,992)

    Net cash provided by financing activities

    1,244,300

    377,780

    Effect of exchange rate changes on cash, cash equivalents, and restricted cash

    228

    49

    Net increase (decrease) in cash, cash equivalents, and restricted cash

    $ 755,957

    $ (98,065)

    Cash, cash equivalents and restricted cash — beginning of period

    $ 101,512

    $ 246,128

    Cash, cash equivalents and restricted cash — end of period

    $ 857,469

    $ 148,063

    GRAILReconciliation of GAAP to Non-GAAP Financial Measures(Unaudited)

    Three Months Ended

    Nine Months Ended

    (in thousands)

    September 30,2024

    October 1,2023

    September 30,2024

    October 1,2023

    Gross loss (1)

    $ (22,233)

    $ (27,069)

    $ (62,054)

    $ (76,961)

    Amortization of intangible assets

    33,473

    33,473

    100,417

    100,417

    Stock-based compensation

    578

    625

    1,522

    1,448

    Adjusted Gross Profit

    $ 11,818

    $ 7,029

    $ 39,885

    $ 24,904

    (1)

    Gross profit/(loss) is calculated as total revenue less cost of revenue (exclusive of amortization of intangible assets), cost of revenue—related parties, and cost of revenue—amortization of intangible assets.

    GRAILReconciliation of GAAP to Non-GAAP Financial Measures(Unaudited)

    Three Months Ended

    Nine Months Ended

    (in thousands)

    September 30,2024

    October 1,2023

    September 30,2024

    October 1,2023

    Net loss

    $ (125,688)

    $ (891,448)

    $ (1,929,939)

    $ (1,278,158)

    Adjusted to exclude the following:

    Interest income

    (11,661)

    (2,529)

    (17,367)

    (6,603)

    Benefit from income tax expense

    (46,719)

    (18,610)

    (105,428)

    (36,449)

    Amortization of intangible assets (1)

    34,583

    34,583

    103,750

    103,750

    Depreciation

    4,647

    5,216

    14,865

    15,018

    Goodwilland intangible impairment(2)

    —

    718,466

    1,420,936

    718,466

    Illumina/GRAIL merger & divestiture legaland professional services costs (3)

    226

    2,944

    22,158

    11,198

    Stock-based compensation (4)

    17,449

    25,319

    72,502

    72,383

    Restructuring(5)

    19,007

    —

    19,007

    —

    Adjusted EBITDA

    $ (108,156)

    $ (126,059)

    $ (399,516)

    $ (400,395)

    (1)

    Represents amortization of intangible assets, including developed technology and trade names.

    (2)

    Reflects impairment of the goodwill and intangible assets recognized as a result of Illumina's acquisition of the Company inAugust 2021("the Acquisition").

    (3)

    Represents legal and professional services costs associated with the Acquisition and corresponding antitrust litigation, including compliance with the hold separate arrangements imposed by theEuropean Commission, and legal and professional services costs associated with the divestiture.

    (4)

    Represents all stock-based compensation recognized on our standalone financial statements for the periods presented.

    (5)

    Represents employee severance, benefits, payroll taxes, and other costs associated with the Restructuring Plan.

    CisionView original content to download multimedia:https://www.prnewswire.com/news-releases/grail-reports-third-quarter-2024-financial-results-302303091.html

    SOURCEGRAIL, Inc.

    Corporate Communications, Kristen Davis; Trish Rowland, pr@grail.com; Investor Relations, Alex Dobbin; Alexis Tosti, ir@grail.com

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