NASDAQ$PSNL

Personalis Inc · Q4 2025 earnings

Q4 2025 earnings · · After market close · Investor relations

Briefing

Personalis reported Q4 2025 revenue of $17.3M with a net loss of $(23.8)M, or $(0.26) per share.

Q4 2025 revenue was $17.3 million (+3% YoY) with clinical test volume of 6,183 tests (+41% sequentially). Net loss was $(23.8) million, or $(0.26) per share. Medicare coverage for breast and lung MRD surveillance positions 2026 clinical revenue to grow roughly fivefold per guidance of $78M–$80M total revenue.

  • Q4 revenue $17.3M.
  • Net loss $(23.8)M; EPS $(0.26).
  • Clinical volume 6,183 tests (+41% vs. Q3).
  • FY 2026 revenue guide $78M–$80M.

Headline financials

Total Revenue

$17.3M

Previous: $84.6M-79.6%
EPS (adj)

-$0.26

Previous: -$0.23-13.0%
Net Income

-$23.8M

Previous: -$16.4M-45.0%

Revenue & EPS history

Personalis · Revenue · Quarterly

$17.3M

Q4 2025-79.6%vs Q4 2024
Beat estimate in 13 of 14 quarters(93%)
ActualEstimate

Revenue by segment

Personalis · $18.2M total across 4 segments · Q3 2023

  • Pharma tests and services
    $8M
  • Enterprise sales
    $7.81M
  • Population sequencing
    $2.4M
  • Other
    $38K

Forward guidance

FY 2026 revenue $78M–$80M with ~5x clinical revenue growth expected.

Tailwinds

  • Medicare coverage wins for MRD assays.
  • ~$240M cash supports commercial expansion.

Headwinds

  • Still deeply unprofitable near term.
  • Reimbursement ramp and lab capacity execution.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2025

Historical avgQ4 2025

+1.0%

Avg return

Earnings day

+1.5%

Avg return

5 days after

+1.5%

Avg return

30 days after

59%

16 / 27 earnings

Positive

+19.9%

Q1 2025

Best reaction

-23.4%

Q3 2024

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026-1.2%-0.7%+76.6%
Q4 2025+0.6%-1.1%-29.8%
Q3 2025-12.3%-1.1%+9.5%
Q1 2025+19.9%+27.5%+30.3%
Q4 2024-2.4%+5.9%-14.6%
Q3 2024-23.4%-12.8%-26.4%
Q2 2024+7.2%+34.7%+67.8%
Q1 2024+4.4%-2.5%-14.6%
Q4 2023+3.3%+16.0%-0.7%
Q3 2023+10.4%-3.8%+39.6%
Q2 2023+4.7%+7.9%-17.9%
Q1 2023+4.5%+3.2%-6.4%
Q4 2022-7.2%-5.3%-18.2%
Q3 2022-1.5%-15.3%+4.7%
Q2 2022+10.6%+11.1%-21.4%
Q1 2022-7.2%-24.8%-34.1%
Q4 2021+12.2%+11.0%-14.4%
Q3 2021+2.6%-5.4%-38.9%
Q2 2021+10.2%+4.1%+12.4%
Q1 2021-0.6%-9.9%-4.3%
Q4 2020-11.1%-10.8%-36.3%
Q3 2020+0.1%-0.3%+13.6%
Q2 2020-2.4%-3.7%-4.7%
Q1 2020+4.6%+7.2%+27.6%
Q4 2019+17.5%+27.5%+52.8%
Q3 2019+0.2%-12.7%+0.3%
Q2 2019-15.6%-6.2%-11.6%
Q1 2019
Q4 2018
Q3 2018
Q2 2018
Q1 2018

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