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Side-by-side financial comparison of GRAIL, Inc. (GRAL) and IRONWOOD PHARMACEUTICALS INC (IRWD). Click either name above to swap in a different company.

IRONWOOD PHARMACEUTICALS INC is the larger business by last-quarter revenue ($47.7M vs $43.6M, roughly 1.1× GRAIL, Inc.). IRONWOOD PHARMACEUTICALS INC runs the higher net margin — -4.8% vs -227.5%, a 222.7% gap on every dollar of revenue. On growth, GRAIL, Inc. posted the faster year-over-year revenue change (14.0% vs -47.3%). IRONWOOD PHARMACEUTICALS INC produced more free cash flow last quarter ($74.6M vs $-63.9M). Over the past eight quarters, GRAIL, Inc.'s revenue compounded faster (27.7% CAGR vs -20.2%).

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.

Ironwood Pharmaceuticals, Inc. is a publicly traded pharmaceutical company. It was originally called Microbia, Inc.

GRAL vs IRWD — Head-to-Head

Bigger by revenue
IRWD
IRWD
1.1× larger
IRWD
$47.7M
$43.6M
GRAL
Growing faster (revenue YoY)
GRAL
GRAL
+61.3% gap
GRAL
14.0%
-47.3%
IRWD
Higher net margin
IRWD
IRWD
222.7% more per $
IRWD
-4.8%
-227.5%
GRAL
More free cash flow
IRWD
IRWD
$138.5M more FCF
IRWD
$74.6M
$-63.9M
GRAL
Faster 2-yr revenue CAGR
GRAL
GRAL
Annualised
GRAL
27.7%
-20.2%
IRWD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
GRAL
GRAL
IRWD
IRWD
Revenue
$43.6M
$47.7M
Net Profit
$-99.2M
$-2.3M
Gross Margin
Operating Margin
-285.4%
14.3%
Net Margin
-227.5%
-4.8%
Revenue YoY
14.0%
-47.3%
Net Profit YoY
-2.2%
-200.9%
EPS (diluted)
$-2.37
$0.01

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
IRWD
IRWD
Q4 25
$43.6M
$47.7M
Q3 25
$36.2M
$122.1M
Q2 25
$35.5M
$85.2M
Q1 25
$31.8M
$41.1M
Q4 24
$38.3M
$90.5M
Q3 24
$28.7M
$91.6M
Q2 24
$32.0M
$94.4M
Q1 24
$26.7M
$74.9M
Net Profit
GRAL
GRAL
IRWD
IRWD
Q4 25
$-99.2M
$-2.3M
Q3 25
$-89.0M
$40.1M
Q2 25
$-114.0M
$23.6M
Q1 25
$-106.2M
$-37.4M
Q4 24
$-97.1M
$2.3M
Q3 24
$-125.7M
$3.6M
Q2 24
$-1.6B
$-860.0K
Q1 24
$-218.9M
$-4.2M
Operating Margin
GRAL
GRAL
IRWD
IRWD
Q4 25
-285.4%
14.3%
Q3 25
-346.2%
61.8%
Q2 25
-446.9%
53.2%
Q1 25
-482.5%
-70.7%
Q4 24
-358.0%
34.8%
Q3 24
-640.5%
28.0%
Q2 24
-5133.8%
26.5%
Q1 24
-851.1%
14.7%
Net Margin
GRAL
GRAL
IRWD
IRWD
Q4 25
-227.5%
-4.8%
Q3 25
-245.8%
32.8%
Q2 25
-320.7%
27.7%
Q1 25
-333.6%
-90.9%
Q4 24
-253.8%
2.5%
Q3 24
-438.7%
4.0%
Q2 24
-4958.8%
-0.9%
Q1 24
-819.3%
-5.6%
EPS (diluted)
GRAL
GRAL
IRWD
IRWD
Q4 25
$-2.37
$0.01
Q3 25
$-2.46
$0.23
Q2 25
$-3.18
$0.14
Q1 25
$-3.10
$-0.23
Q4 24
$-1.49
$0.03
Q3 24
$-3.94
$0.02
Q2 24
$-51.06
$-0.01
Q1 24
$-7.05
$-0.03

Balance Sheet & Financial Strength

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

Metric
GRAL
GRAL
IRWD
IRWD
Cash + ST InvestmentsLiquidity on hand
$249.7M
$215.5M
Total DebtLower is stronger
Stockholders' EquityBook value
$2.6B
$-261.8M
Total Assets
$2.9B
$396.9M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
GRAL
GRAL
IRWD
IRWD
Q4 25
$249.7M
$215.5M
Q3 25
$126.9M
$140.4M
Q2 25
$127.4M
$92.9M
Q1 25
$133.9M
$108.5M
Q4 24
$214.2M
$88.6M
Q3 24
$853.6M
$88.2M
Q2 24
$958.8M
$105.5M
Q1 24
$199.7M
$121.5M
Total Debt
GRAL
GRAL
IRWD
IRWD
Q4 25
Q3 25
$199.5M
Q2 25
$199.3M
Q1 25
$199.2M
Q4 24
$199.0M
Q3 24
$198.8M
Q2 24
$198.6M
Q1 24
$398.3M
Stockholders' Equity
GRAL
GRAL
IRWD
IRWD
Q4 25
$2.6B
$-261.8M
Q3 25
$2.2B
$-264.2M
Q2 25
$2.3B
$-308.2M
Q1 25
$2.4B
$-334.1M
Q4 24
$2.5B
$-301.3M
Q3 24
$2.6B
$-311.3M
Q2 24
$2.7B
$-321.7M
Q1 24
$-330.5M
Total Assets
GRAL
GRAL
IRWD
IRWD
Q4 25
$2.9B
$396.9M
Q3 25
$2.6B
$396.1M
Q2 25
$2.7B
$342.9M
Q1 25
$2.8B
$327.2M
Q4 24
$3.0B
$350.9M
Q3 24
$3.1B
$389.5M
Q2 24
$3.3B
$395.6M
Q1 24
$438.8M

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
IRWD
IRWD
Operating Cash FlowLast quarter
$-63.8M
$74.6M
Free Cash FlowOCF − Capex
$-63.9M
$74.6M
FCF MarginFCF / Revenue
-146.5%
156.3%
Capex IntensityCapex / Revenue
0.2%
0.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-299.9M
$127.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
GRAL
GRAL
IRWD
IRWD
Q4 25
$-63.8M
$74.6M
Q3 25
$-63.2M
$47.6M
Q2 25
$-77.0M
$-15.1M
Q1 25
$-95.0M
$20.0M
Q4 24
$15.2M
Q3 24
$-104.6M
$9.9M
Q2 24
$-171.8M
$33.5M
Q1 24
$-207.3M
$45.0M
Free Cash Flow
GRAL
GRAL
IRWD
IRWD
Q4 25
$-63.9M
$74.6M
Q3 25
$-63.6M
$47.6M
Q2 25
$-77.3M
$-15.1M
Q1 25
$-95.1M
$19.9M
Q4 24
Q3 24
$-105.6M
$9.9M
Q2 24
$-173.2M
$33.4M
Q1 24
$-209.8M
$44.9M
FCF Margin
GRAL
GRAL
IRWD
IRWD
Q4 25
-146.5%
156.3%
Q3 25
-175.8%
39.0%
Q2 25
-217.6%
-17.7%
Q1 25
-298.6%
48.4%
Q4 24
Q3 24
-368.4%
10.8%
Q2 24
-541.7%
35.4%
Q1 24
-785.3%
60.0%
Capex Intensity
GRAL
GRAL
IRWD
IRWD
Q4 25
0.2%
0.0%
Q3 25
1.1%
0.0%
Q2 25
1.0%
0.0%
Q1 25
0.2%
0.1%
Q4 24
0.0%
Q3 24
3.4%
0.0%
Q2 24
4.3%
0.1%
Q1 24
9.5%
0.1%
Cash Conversion
GRAL
GRAL
IRWD
IRWD
Q4 25
Q3 25
1.19×
Q2 25
-0.64×
Q1 25
Q4 24
6.74×
Q3 24
2.71×
Q2 24
Q1 24

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%

IRWD
IRWD

Segment breakdown not available.

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