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

GRAIL, Inc. is the larger business by last-quarter revenue ($43.6M vs $19.8M, roughly 2.2× MDxHealth SA).

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.

MDxHealth SA is a global molecular diagnostics company specializing in non-invasive precision oncology tests focused primarily on urological cancers including prostate and bladder cancer. It operates across key markets in North America and Europe, providing clinicians with actionable diagnostic insights to guide personalized treatment decisions, reduce unnecessary invasive procedures, and improve patient care outcomes.

GRAL vs MDXH — Head-to-Head

Bigger by revenue
GRAL
GRAL
2.2× larger
GRAL
$43.6M
$19.8M
MDXH

Income Statement — Q4 FY2025 vs Q1 FY2025

Metric
GRAL
GRAL
MDXH
MDXH
Revenue
$43.6M
$19.8M
Net Profit
$-99.2M
Gross Margin
60.8%
Operating Margin
-285.4%
-33.3%
Net Margin
-227.5%
Revenue YoY
14.0%
Net Profit YoY
-2.2%
EPS (diluted)
$-2.37

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
MDXH
MDXH
Q4 25
$43.6M
Q3 25
$36.2M
Q2 25
$35.5M
Q1 25
$31.8M
$19.8M
Q4 24
$38.3M
Q3 24
$28.7M
Q2 24
$32.0M
Q1 24
$26.7M
$14.7M
Net Profit
GRAL
GRAL
MDXH
MDXH
Q4 25
$-99.2M
Q3 25
$-89.0M
Q2 25
$-114.0M
Q1 25
$-106.2M
Q4 24
$-97.1M
Q3 24
$-125.7M
Q2 24
$-1.6B
Q1 24
$-218.9M
Gross Margin
GRAL
GRAL
MDXH
MDXH
Q4 25
Q3 25
Q2 25
Q1 25
60.8%
Q4 24
Q3 24
Q2 24
Q1 24
59.3%
Operating Margin
GRAL
GRAL
MDXH
MDXH
Q4 25
-285.4%
Q3 25
-346.2%
Q2 25
-446.9%
Q1 25
-482.5%
-33.3%
Q4 24
-358.0%
Q3 24
-640.5%
Q2 24
-5133.8%
Q1 24
-851.1%
-59.3%
Net Margin
GRAL
GRAL
MDXH
MDXH
Q4 25
-227.5%
Q3 25
-245.8%
Q2 25
-320.7%
Q1 25
-333.6%
Q4 24
-253.8%
Q3 24
-438.7%
Q2 24
-4958.8%
Q1 24
-819.3%
EPS (diluted)
GRAL
GRAL
MDXH
MDXH
Q4 25
$-2.37
Q3 25
$-2.46
Q2 25
$-3.18
Q1 25
$-3.10
Q4 24
$-1.49
Q3 24
$-3.94
Q2 24
$-51.06
Q1 24
$-7.05

Balance Sheet & Financial Strength

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

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

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
GRAL
GRAL
MDXH
MDXH
Q4 25
$249.7M
Q3 25
$126.9M
Q2 25
$127.4M
Q1 25
$133.9M
Q4 24
$214.2M
Q3 24
$853.6M
Q2 24
$958.8M
Q1 24
$199.7M
Stockholders' Equity
GRAL
GRAL
MDXH
MDXH
Q4 25
$2.6B
Q3 25
$2.2B
Q2 25
$2.3B
Q1 25
$2.4B
Q4 24
$2.5B
Q3 24
$2.6B
Q2 24
$2.7B
Q1 24
Total Assets
GRAL
GRAL
MDXH
MDXH
Q4 25
$2.9B
Q3 25
$2.6B
Q2 25
$2.7B
Q1 25
$2.8B
Q4 24
$3.0B
Q3 24
$3.1B
Q2 24
$3.3B
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
MDXH
MDXH
Operating Cash FlowLast quarter
$-63.8M
Free Cash FlowOCF − Capex
$-63.9M
FCF MarginFCF / Revenue
-146.5%
Capex IntensityCapex / Revenue
0.2%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-299.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
GRAL
GRAL
MDXH
MDXH
Q4 25
$-63.8M
Q3 25
$-63.2M
Q2 25
$-77.0M
Q1 25
$-95.0M
Q4 24
Q3 24
$-104.6M
Q2 24
$-171.8M
Q1 24
$-207.3M
Free Cash Flow
GRAL
GRAL
MDXH
MDXH
Q4 25
$-63.9M
Q3 25
$-63.6M
Q2 25
$-77.3M
Q1 25
$-95.1M
Q4 24
Q3 24
$-105.6M
Q2 24
$-173.2M
Q1 24
$-209.8M
FCF Margin
GRAL
GRAL
MDXH
MDXH
Q4 25
-146.5%
Q3 25
-175.8%
Q2 25
-217.6%
Q1 25
-298.6%
Q4 24
Q3 24
-368.4%
Q2 24
-541.7%
Q1 24
-785.3%
Capex Intensity
GRAL
GRAL
MDXH
MDXH
Q4 25
0.2%
Q3 25
1.1%
Q2 25
1.0%
Q1 25
0.2%
Q4 24
Q3 24
3.4%
Q2 24
4.3%
Q1 24
9.5%

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%

MDXH
MDXH

Segment breakdown not available.

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