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Side-by-side financial comparison of GRAIL, Inc. (GRAL) and Health Catalyst, Inc. (HCAT). Click either name above to swap in a different company.

Health Catalyst, Inc. is the larger business by last-quarter revenue ($74.7M vs $43.6M, roughly 1.7× GRAIL, Inc.). Health Catalyst, Inc. runs the higher net margin — -121.9% vs -227.5%, a 105.6% gap on every dollar of revenue. On growth, GRAIL, Inc. posted the faster year-over-year revenue change (14.0% vs -6.2%). Health Catalyst, Inc. produced more free cash flow last quarter ($9.6M vs $-63.9M). Over the past eight quarters, GRAIL, Inc.'s revenue compounded faster (27.7% CAGR vs -0.0%).

GRAIL, Inc. is an American biotechnology company based in Menlo Park, California founded in 2015 seeking to develop an early cancer screening test for people who do not have symptoms. As a startup it was a subsidiary of Illumina, which bought it outright in 2021.

Catalyst Pharmaceuticals, Inc. is a biopharmaceutical company based in Coral Gables, Florida, United States. The company develops medicines for rare diseases, including the phosphate salt of amifampridine for the treatment of Lambert–Eaton myasthenic syndrome (LEMS). The drug is referred to under the trade name Firdapse, which was approved by the FDA for approved use in children 6 years and older with LEMS in addition to the prior approval for use in adults with LEMS on November 28, 2018. Fir...

GRAL vs HCAT — Head-to-Head

Bigger by revenue
HCAT
HCAT
1.7× larger
HCAT
$74.7M
$43.6M
GRAL
Growing faster (revenue YoY)
GRAL
GRAL
+20.2% gap
GRAL
14.0%
-6.2%
HCAT
Higher net margin
HCAT
HCAT
105.6% more per $
HCAT
-121.9%
-227.5%
GRAL
More free cash flow
HCAT
HCAT
$73.5M more FCF
HCAT
$9.6M
$-63.9M
GRAL
Faster 2-yr revenue CAGR
GRAL
GRAL
Annualised
GRAL
27.7%
-0.0%
HCAT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
GRAL
GRAL
HCAT
HCAT
Revenue
$43.6M
$74.7M
Net Profit
$-99.2M
$-91.0M
Gross Margin
Operating Margin
-285.4%
-115.3%
Net Margin
-227.5%
-121.9%
Revenue YoY
14.0%
-6.2%
Net Profit YoY
-2.2%
-340.3%
EPS (diluted)
$-2.37
$-1.29

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
GRAL
GRAL
HCAT
HCAT
Q4 25
$43.6M
$74.7M
Q3 25
$36.2M
$76.3M
Q2 25
$35.5M
$80.7M
Q1 25
$31.8M
$79.4M
Q4 24
$38.3M
$79.6M
Q3 24
$28.7M
$76.4M
Q2 24
$32.0M
$75.9M
Q1 24
$26.7M
$74.7M
Net Profit
GRAL
GRAL
HCAT
HCAT
Q4 25
$-99.2M
$-91.0M
Q3 25
$-89.0M
$-22.2M
Q2 25
$-114.0M
$-41.0M
Q1 25
$-106.2M
$-23.7M
Q4 24
$-97.1M
$-20.7M
Q3 24
$-125.7M
$-14.7M
Q2 24
$-1.6B
$-13.5M
Q1 24
$-218.9M
$-20.6M
Gross Margin
GRAL
GRAL
HCAT
HCAT
Q4 25
Q3 25
52.6%
Q2 25
Q1 25
Q4 24
Q3 24
47.5%
Q2 24
Q1 24
Operating Margin
GRAL
GRAL
HCAT
HCAT
Q4 25
-285.4%
-115.3%
Q3 25
-346.2%
-22.9%
Q2 25
-446.9%
-46.0%
Q1 25
-482.5%
-25.4%
Q4 24
-358.0%
-22.0%
Q3 24
-640.5%
-17.9%
Q2 24
-5133.8%
-20.8%
Q1 24
-851.1%
-30.5%
Net Margin
GRAL
GRAL
HCAT
HCAT
Q4 25
-227.5%
-121.9%
Q3 25
-245.8%
-29.1%
Q2 25
-320.7%
-50.8%
Q1 25
-333.6%
-29.9%
Q4 24
-253.8%
-26.0%
Q3 24
-438.7%
-19.3%
Q2 24
-4958.8%
-17.8%
Q1 24
-819.3%
-27.6%
EPS (diluted)
GRAL
GRAL
HCAT
HCAT
Q4 25
$-2.37
$-1.29
Q3 25
$-2.46
$-0.32
Q2 25
$-3.18
$-0.59
Q1 25
$-3.10
$-0.35
Q4 24
$-1.49
$-0.33
Q3 24
$-3.94
$-0.24
Q2 24
$-51.06
$-0.23
Q1 24
$-7.05
$-0.35

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
GRAL
GRAL
HCAT
HCAT
Cash + ST InvestmentsLiquidity on hand
$249.7M
$95.7M
Total DebtLower is stronger
$153.3M
Stockholders' EquityBook value
$2.6B
$245.8M
Total Assets
$2.9B
$502.6M
Debt / EquityLower = less leverage
0.62×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
GRAL
GRAL
HCAT
HCAT
Q4 25
$249.7M
$95.7M
Q3 25
$126.9M
$91.5M
Q2 25
$127.4M
$97.3M
Q1 25
$133.9M
$342.0M
Q4 24
$214.2M
$392.0M
Q3 24
$853.6M
$387.3M
Q2 24
$958.8M
$308.3M
Q1 24
$199.7M
$327.8M
Total Debt
GRAL
GRAL
HCAT
HCAT
Q4 25
$153.3M
Q3 25
$153.1M
Q2 25
$153.0M
Q1 25
$382.9M
Q4 24
$382.4M
Q3 24
$345.0M
Q2 24
Q1 24
Stockholders' Equity
GRAL
GRAL
HCAT
HCAT
Q4 25
$2.6B
$245.8M
Q3 25
$2.2B
$331.9M
Q2 25
$2.3B
$347.5M
Q1 25
$2.4B
$376.8M
Q4 24
$2.5B
$365.2M
Q3 24
$2.6B
$355.0M
Q2 24
$2.7B
$357.0M
Q1 24
$357.2M
Total Assets
GRAL
GRAL
HCAT
HCAT
Q4 25
$2.9B
$502.6M
Q3 25
$2.6B
$587.1M
Q2 25
$2.7B
$616.2M
Q1 25
$2.8B
$891.5M
Q4 24
$3.0B
$858.9M
Q3 24
$3.1B
$813.0M
Q2 24
$3.3B
$691.7M
Q1 24
$695.1M
Debt / Equity
GRAL
GRAL
HCAT
HCAT
Q4 25
0.62×
Q3 25
0.46×
Q2 25
0.44×
Q1 25
1.02×
Q4 24
1.05×
Q3 24
0.97×
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
GRAL
GRAL
HCAT
HCAT
Operating Cash FlowLast quarter
$-63.8M
$9.9M
Free Cash FlowOCF − Capex
$-63.9M
$9.6M
FCF MarginFCF / Revenue
-146.5%
12.9%
Capex IntensityCapex / Revenue
0.2%
0.4%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-299.9M
$-697.0K

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
GRAL
GRAL
HCAT
HCAT
Q4 25
$-63.8M
$9.9M
Q3 25
$-63.2M
$-464.0K
Q2 25
$-77.0M
$-9.0M
Q1 25
$-95.0M
$280.0K
Q4 24
$-3.5M
Q3 24
$-104.6M
$6.2M
Q2 24
$-171.8M
$1.6M
Q1 24
$-207.3M
$10.3M
Free Cash Flow
GRAL
GRAL
HCAT
HCAT
Q4 25
$-63.9M
$9.6M
Q3 25
$-63.6M
$-719.0K
Q2 25
$-77.3M
$-9.2M
Q1 25
$-95.1M
$-390.0K
Q4 24
$-3.9M
Q3 24
$-105.6M
$5.5M
Q2 24
$-173.2M
$1.3M
Q1 24
$-209.8M
$10.1M
FCF Margin
GRAL
GRAL
HCAT
HCAT
Q4 25
-146.5%
12.9%
Q3 25
-175.8%
-0.9%
Q2 25
-217.6%
-11.4%
Q1 25
-298.6%
-0.5%
Q4 24
-4.9%
Q3 24
-368.4%
7.2%
Q2 24
-541.7%
1.7%
Q1 24
-785.3%
13.5%
Capex Intensity
GRAL
GRAL
HCAT
HCAT
Q4 25
0.2%
0.4%
Q3 25
1.1%
0.3%
Q2 25
1.0%
0.3%
Q1 25
0.2%
0.8%
Q4 24
0.5%
Q3 24
3.4%
0.9%
Q2 24
4.3%
0.4%
Q1 24
9.5%
0.3%

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

GRAL
GRAL

Screening Revenue$42.3M97%
Developmental Services Revenue$1.3M3%

HCAT
HCAT

Recurring Technology$51.9M69%
Professional Services$22.8M31%

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