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Side-by-side financial comparison of Personalis, Inc. (PSNL) and Usio, Inc. (USIO). Click either name above to swap in a different company.

Usio, Inc. is the larger business by last-quarter revenue ($22.2M vs $17.3M, roughly 1.3× Personalis, Inc.). Usio, Inc. runs the higher net margin — -6.7% vs -137.3%, a 130.6% gap on every dollar of revenue. On growth, Usio, Inc. posted the faster year-over-year revenue change (8.2% vs 3.2%). Usio, Inc. produced more free cash flow last quarter ($1.1M vs $-22.3M). Over the past eight quarters, Usio, Inc.'s revenue compounded faster (3.0% CAGR vs -5.7%).

Personalis, Inc. is a precision medicine company specializing in advanced oncology genomics solutions. It develops proprietary genomic sequencing and data analytics platforms to support biopharmaceutical partners in immunotherapy development and clinical providers in delivering personalized cancer care, with operations spanning North America, Europe and key Asia-Pacific markets.

Usio, Inc. is an American financial technology company headquartered in San Antonio, Texas. It provides integrated electronic payment services, including ACH processing, credit card and debit card acceptance, payment facilitation for software platforms, prepaid card issuing and a document print and mail operation.

PSNL vs USIO — Head-to-Head

Bigger by revenue
USIO
USIO
1.3× larger
USIO
$22.2M
$17.3M
PSNL
Growing faster (revenue YoY)
USIO
USIO
+4.9% gap
USIO
8.2%
3.2%
PSNL
Higher net margin
USIO
USIO
130.6% more per $
USIO
-6.7%
-137.3%
PSNL
More free cash flow
USIO
USIO
$23.4M more FCF
USIO
$1.1M
$-22.3M
PSNL
Faster 2-yr revenue CAGR
USIO
USIO
Annualised
USIO
3.0%
-5.7%
PSNL

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
PSNL
PSNL
USIO
USIO
Revenue
$17.3M
$22.2M
Net Profit
$-23.8M
$-1.5M
Gross Margin
11.0%
21.9%
Operating Margin
-145.7%
-5.7%
Net Margin
-137.3%
-6.7%
Revenue YoY
3.2%
8.2%
Net Profit YoY
-45.0%
-337.8%
EPS (diluted)
$-0.26
$-0.05

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
PSNL
PSNL
USIO
USIO
Q4 25
$17.3M
$22.2M
Q3 25
$14.5M
$21.2M
Q2 25
$17.2M
$20.0M
Q1 25
$20.6M
$22.0M
Q4 24
$16.8M
$20.6M
Q3 24
$25.7M
$21.3M
Q2 24
$22.6M
$20.1M
Q1 24
$19.5M
$21.0M
Net Profit
PSNL
PSNL
USIO
USIO
Q4 25
$-23.8M
$-1.5M
Q3 25
$-21.7M
$-415.1K
Q2 25
$-20.1M
$-366.7K
Q1 25
$-15.8M
$-235.0K
Q4 24
$-16.4M
$628.9K
Q3 24
$-39.1M
$2.9M
Q2 24
$-12.8M
$75.5K
Q1 24
$-13.0M
$-250.2K
Gross Margin
PSNL
PSNL
USIO
USIO
Q4 25
11.0%
21.9%
Q3 25
13.2%
23.0%
Q2 25
27.6%
25.8%
Q1 25
35.0%
21.9%
Q4 24
27.1%
24.6%
Q3 24
34.0%
23.0%
Q2 24
35.6%
23.9%
Q1 24
28.1%
23.1%
Operating Margin
PSNL
PSNL
USIO
USIO
Q4 25
-145.7%
-5.7%
Q3 25
-160.7%
-2.2%
Q2 25
-126.7%
-2.0%
Q1 25
-85.9%
-1.1%
Q4 24
-107.8%
-2.9%
Q3 24
-55.9%
-1.8%
Q2 24
-74.8%
-1.0%
Q1 24
-96.7%
-1.3%
Net Margin
PSNL
PSNL
USIO
USIO
Q4 25
-137.3%
-6.7%
Q3 25
-149.4%
-2.0%
Q2 25
-116.6%
-1.8%
Q1 25
-76.4%
-1.1%
Q4 24
-97.8%
3.1%
Q3 24
-152.0%
13.4%
Q2 24
-56.7%
0.4%
Q1 24
-66.4%
-1.2%
EPS (diluted)
PSNL
PSNL
USIO
USIO
Q4 25
$-0.26
$-0.05
Q3 25
$-0.24
$-0.02
Q2 25
$-0.23
$-0.01
Q1 25
$-0.18
$-0.01
Q4 24
$-0.23
$0.03
Q3 24
$-0.64
$0.10
Q2 24
$-0.24
$0.00
Q1 24
$-0.26
$-0.01

Balance Sheet & Financial Strength

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

Metric
PSNL
PSNL
USIO
USIO
Cash + ST InvestmentsLiquidity on hand
$240.0M
$7.4M
Total DebtLower is stronger
$1.4M
Stockholders' EquityBook value
$261.2M
$17.9M
Total Assets
$334.2M
$134.9M
Debt / EquityLower = less leverage
0.08×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
PSNL
PSNL
USIO
USIO
Q4 25
$240.0M
$7.4M
Q3 25
$150.5M
$7.7M
Q2 25
$173.2M
$8.1M
Q1 25
$185.7M
$8.7M
Q4 24
$185.0M
$8.1M
Q3 24
$143.7M
$8.4M
Q2 24
$87.0M
$7.2M
Q1 24
$95.4M
$7.1M
Total Debt
PSNL
PSNL
USIO
USIO
Q4 25
$1.4M
Q3 25
$836.7K
Q2 25
$647.1K
Q1 25
$683.3K
Q4 24
$719.4K
Q3 24
$562.9K
Q2 24
$597.2K
Q1 24
$630.9K
Stockholders' Equity
PSNL
PSNL
USIO
USIO
Q4 25
$261.2M
$17.9M
Q3 25
$171.4M
$18.7M
Q2 25
$190.8M
$18.7M
Q1 25
$207.3M
$19.0M
Q4 24
$203.0M
$19.2M
Q3 24
$166.8M
$18.9M
Q2 24
$112.3M
$15.7M
Q1 24
$120.7M
$15.3M
Total Assets
PSNL
PSNL
USIO
USIO
Q4 25
$334.2M
$134.9M
Q3 25
$242.8M
$99.4M
Q2 25
$258.7M
$108.4M
Q1 25
$273.3M
$109.6M
Q4 24
$270.3M
$107.2M
Q3 24
$239.9M
$114.6M
Q2 24
$185.5M
$108.8M
Q1 24
$195.3M
$99.1M
Debt / Equity
PSNL
PSNL
USIO
USIO
Q4 25
0.08×
Q3 25
0.04×
Q2 25
0.03×
Q1 25
0.04×
Q4 24
0.04×
Q3 24
0.03×
Q2 24
0.04×
Q1 24
0.04×

Cash Flow & Capital Efficiency

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

Metric
PSNL
PSNL
USIO
USIO
Operating Cash FlowLast quarter
$-22.2M
$1.5M
Free Cash FlowOCF − Capex
$-22.3M
$1.1M
FCF MarginFCF / Revenue
-128.7%
4.8%
Capex IntensityCapex / Revenue
0.4%
2.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-79.5M
$1.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
PSNL
PSNL
USIO
USIO
Q4 25
$-22.2M
$1.5M
Q3 25
$-21.8M
$303.8K
Q2 25
$-12.9M
$-263.9K
Q1 25
$-18.0M
$1.4M
Q4 24
$-7.8M
$2.9M
Q3 24
$-6.2M
$1.4M
Q2 24
$-10.7M
$369.1K
Q1 24
$-20.4M
$88.7K
Free Cash Flow
PSNL
PSNL
USIO
USIO
Q4 25
$-22.3M
$1.1M
Q3 25
$-23.4M
$85.2K
Q2 25
$-13.2M
$-503.2K
Q1 25
$-20.5M
$1.1M
Q4 24
$-9.0M
$2.7M
Q3 24
$-6.4M
$1.4M
Q2 24
$-10.7M
$246.3K
Q1 24
$-20.5M
$-88.1K
FCF Margin
PSNL
PSNL
USIO
USIO
Q4 25
-128.7%
4.8%
Q3 25
-161.6%
0.4%
Q2 25
-76.9%
-2.5%
Q1 25
-99.4%
4.8%
Q4 24
-53.8%
13.1%
Q3 24
-25.1%
6.4%
Q2 24
-47.6%
1.2%
Q1 24
-105.1%
-0.4%
Capex Intensity
PSNL
PSNL
USIO
USIO
Q4 25
0.4%
2.0%
Q3 25
11.2%
1.0%
Q2 25
1.7%
1.2%
Q1 25
12.2%
1.4%
Q4 24
7.4%
1.0%
Q3 24
1.0%
0.3%
Q2 24
0.0%
0.6%
Q1 24
0.5%
0.8%
Cash Conversion
PSNL
PSNL
USIO
USIO
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
4.61×
Q3 24
0.50×
Q2 24
4.89×
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

PSNL
PSNL

Population Sequencing$11.8M68%
Related Party$5.4M31%

USIO
USIO

Credit Card Revenue$7.7M35%
ACH And Complementary Service Revenue$6.1M28%
Output Solutions$5.4M24%
Prepaid Card Services Revenue$2.6M12%

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