Personalis Q2 2025 Earnings Report

Personalis EPS Results

• Actual EPS: -$0.23
• Consensus EPS: -$0.25
• Beat/Miss: Beat by +$0.02
• One Year Ago EPS: N/A

Personalis Revenue Results

• Actual Revenue: $17.20 million
• Expected Revenue: $20.12 million
• Beat/Miss: Missed by -$2.91 million
• YoY Revenue Growth: N/A

Personalis Announcement Details

• Quarter: Q2 2025
• Date: 8/5/2025
• Time: After Market Closes
• Conference Call Date: Tuesday, August 5, 2025
• Conference Call Time: 5:00PM ET

Personalis (NASDAQ:PSNL) develops and markets advanced cancer genomic tests and analytics primarily in the United States, Europe, and the Asia-Pacific. Its tests and analytics are used by pharmaceutical companies for translational research, biomarker discovery, and development of personalized cancer therapies, as well as advanced tests are used by physicians to detect cancer recurrence, monitor cancer evolution, and uncover insights for therapy selection. The company offers NeXT Personal, a tumor-informed liquid biopsy test for detection of minimal residual disease (MRD) and recurrence in cancer; and ImmunoID NeXT, a tissue-based test that combines whole exome (DNA) and whole transcriptome (RNA) sequencing data with advanced analytics to provide a multi-dimensional view of the tumor and the tumor microenvironment from a single sample. It also provides NeXT Personal Dx, a tumor-informed liquid biopsy test for detection of MRD and recurrence in cancer; and NeXT Dx, a comprehensive tumor profiling test that unlocks the entire exome (DNA) and transcriptome (RNA) with matched tumor-normal analysis. In addition, the company performs whole exome sequencing (WES) of cancer tissue and matched blood samples for diagnostic companies as an input to their products; and whole genome sequencing (WGS) on human samples for research projects, such as population sequencing initiatives, as well as offers sequencing and data analysis services to support population sequencing initiatives. Its customers include pharmaceutical companies, biopharmaceutical companies, diagnostics companies, universities, non-profits, government entities, and patients. The company was incorporated in 2011 and is headquartered in Fremont, California.

Personalis Q2 2025 Earnings Call Transcript

Key Takeaways

• Negative Sentiment: Second quarter revenue was $17.2M, down 24% year-over-year, prompting a full-year guidance reduction to $70–80M due to biopharma project delays.
• Positive Sentiment: Clinical adoption of NextPersonal accelerated with test volume up 59% sequentially to 3,478 results and an ordering base exceeding 600 physicians under the Tempus partnership.
• Positive Sentiment: Management outlined a three-point action plan: convert MRD biopharma pipeline with 300–400% expected growth, sustain 30–40% quarter-over-quarter clinical growth, and secure Medicare coverage for two indications by year-end.
• Neutral Sentiment: Gross margin fell to 27.6% from 35.6% in Q2 due to unreimbursed clinical test costs, but is projected to exceed 50% once broader reimbursement and scale are achieved.
• Positive Sentiment: Personalis ended Q2 with $173.2M in cash and no debt, providing ample runway to fund operations through reimbursement events without immediate capital raises.

Presentation

[Operator]

Ladies and gentlemen, greetings, and welcome to the Personalis second quarter twenty twenty five earnings conference call. At this time, all participants are in the listen only mode. A brief question and answer session will follow the formal presentation. If anyone requires operator assistance during the conference, please signal the operator by pressing star and zero on your telephone keypad. As a reminder, this conference is being recorded.

[Operator]

It is now my pleasure to introduce your host for today, Caroline Corner, Investor Relations. Please go ahead.

[Caroline Corner, Partner - Medical Technology at ICR Healthcare]

Thank you, operator. Welcome to Personalis' second quarter twenty twenty five earnings call. Joining today's call are Chris Hall, Chief Executive Officer and President Erin Toshibana, Chief Financial and Chief Operating Officer and Rich Chen, Chief Medical Officer and EVP, R and D. All statements made on this call that do not relate to matters of historical fact should be considered forward looking statements within the meaning of U. S.

[Caroline Corner, Partner - Medical Technology at ICR Healthcare]

Securities laws. For example, any statements regarding trends and expectations for our financial performance this year and longer term, cash runway and liquidity position, revenue expectations and timing, reimbursement goals, size and booking of orders, products, services, technology, expansion of clinical volume, future publication, the outcome and timing of reimbursement decisions, expectations for our existing and future collaboration activities, cost expectations, market size, and our market opportunity and business outlook. These statements are subject to risks and uncertainties that could cause actual results to differ materially from our current expectations. We encourage you to review our most recent filings with the SEC, including the factors described in our most recent filings. Personalis undertakes no obligation to update these statements, except as required by applicable law.

[Caroline Corner, Partner - Medical Technology at ICR Healthcare]

Our press release with our second quarter twenty twenty five results is available on our website, www.personalis.com, under the Investors section includes additional details about our financial results. Our website also has the latest SEC filings, which we encourage you to review. A recording of today's call will be available on our website by five p. M. Pacific Time today.

[Caroline Corner, Partner - Medical Technology at ICR Healthcare]

With that, I would like to turn the call over to Chris.

[Christopher Hall, CEO, President & Director at Personalis]

Thank you, Caroline. Good afternoon, everyone, and thank you for joining us. Our second quarter was defined by outstanding execution of our winning MRD strategy. The clinical adoption of Next Personal is accelerating dramatically with test volume growing 59% sequentially. We delivered nearly 3,500 clinical results in Q2 and today our base of ordering physicians has expanded to over 600.

[Christopher Hall, CEO, President & Director at Personalis]

Our commercial partner with ship with Tempus is gaining momentum with reps now commercializing NextPersonal across four major indications, breast cancer, lung cancer and colorectal cancer, well as immunotherapy monitoring. We believe we're on a path towards securing Medicare coverage for two indications by the end of this year. For those new to our story, Personalis is at the forefront of the minimal residual disease market or MRD market, which is poised to exceed 20,000,000,000 annually. We believe we are transforming cancer care using a simple blood draw. Our next personal test monitors therapy and detects residual cancer with ultra sensitivity capable of finding just one fragment of tumor DNA in a million.

[Christopher Hall, CEO, President & Director at Personalis]

This allows us to see cancer recurrence months ahead of imaging and positions personalis to capture a significant share of this transformative market opportunity. Turning to our results, we delivered $17,200,000 in revenue for the second quarter. Our performance reflects two distinct stories. First, our core clinical business is exceeding our internal plans and demonstrating momentum. Second, we're actively managing the near term industry wide headwinds in biopharma R and D spending.

[Christopher Hall, CEO, President & Director at Personalis]

Political changes in the healthcare sector and the uncertainty of tariffs have impacted our customers' translational research projects, resulting in revenue from a few significant contracts shifting out of Q2 and an overall weakness the rest of the year. In light of these industry dynamics, we're updating our full year revenue guidance to a range of 70,000,000 to $80,000,000 While this range reflects the current variability in the biopharma project timing, we have a concrete three point action plan to aggressively pursue the high end of this range and expect to finish the gear with maximum momentum. Here are the three key drivers that give us conviction. First, we're converting our deep biopharma pipeline, especially for MRD. While project timelines have shifted and affected translational business, demand for our MRD technology is robust with growing adoption of NeXT Personal for MRD by our biopharma customers.

[Christopher Hall, CEO, President & Director at Personalis]

NeXT Personal gives our customers a tool with ultra sensitivity to measure therapeutic efficacy and we remain on plan to grow this segment by 300% to 400% this year with a meaningful revenue contribution expected in the fourth quarter. Second, we are capitalizing on our clinical momentum. Our clinical business is a growth engine as we continue to project 30% to 40% quarter over quarter growth fueled by exceptional traction with our partner Tempus and our expanding base of ordering physicians. This is a core pillar of our growth story and it is accelerating. Third, we're advancing towards a pivotal reimbursement catalyst.

[Christopher Hall, CEO, President & Director at Personalis]

Achieving Medicare reimbursement in two indications this year remains a top priority and is on track. This is expected to be a major inflection point for the company unlocking a significant revenue stream. So, me be direct. We own the Q2 revenue shortfall. Moving forward, we're pushing hard on the levers we can control to finish the year strong instead of passively waiting for market conditions to change.

[Christopher Hall, CEO, President & Director at Personalis]

Now, let's walk through the pillars of our win in MRD strategy. First is accelerating clinical adoption. Through our partnership with Tempus, we delivered 3,478 tests this quarter, a 59% increase from the first quarter and over 575% growth from last year. This is a direct testament to how our ultra sensitive approach is resonating with clinicians. Our growing base of over 600 physicians confirms that NextPersonal's ultra sensitive results are a key differentiator, giving them greater confidence in their clinical decisions.

[Christopher Hall, CEO, President & Director at Personalis]

This quarter, we expanded our Tempest partnership to include colorectal cancer, a major market where we believe our test ultra sensitivity can address a significant unmet need. Initial feedback is extremely positive and we're moving aggressively to capitalize on the opportunity. In light of this, we're also adding to our own personnel with Salesforce and expect to exit the year with 12 to 15 field professionals on the ground. Second is driving reimbursement through world class evidence. The clinical data validating our approach is nothing short of outstanding.

[Christopher Hall, CEO, President & Director at Personalis]

At ASCO in June, three studies underscored the power of our technology. The PREDICT and Skandari studies demonstrated that NextPersonal can predict patient outcomes in neoadjuvant breast cancer with nearly half of all positive detections found in the ultrasensitive range that our assay unlocks. Furthermore, an important study from AstraZeneca showed our test detecting cervical cancer progression up to sixteen months ahead of imaging. We believe this is the caliber of evidence that doesn't just support clinical practice, it transforms it. Behind the strength of our clinical evidence, we continue to target achieving coverage for at least two indications this year.

[Christopher Hall, CEO, President & Director at Personalis]

We have recently submitted our IO monitoring dossier for Medicare coverage, and so we now have two indications in process for coverage, and the lung cancer dossier is on track. Some aspects of the coverage process are beyond our control, but we continue to be confident that our data meets the bar for coverage. Third is leading with biopharma partners. Our technology gives partners a powerful tool to accelerate clinical trials. While total biopharma revenue of 11,100,000.0 reflects the project delays I mentioned, the underlying growth in our strategic focus area is exceptional.

[Christopher Hall, CEO, President & Director at Personalis]

As I stated, NEXT personal revenue from biopharma is on track for 300 to 400% year over year growth and the new customers noted in our last call remain on track to generate over $5,000,000 each in revenue this year. We project total biopharma revenue will rebound to between 11,000,000 and $13,000,000 in the third quarter. Our expectations are much higher for the fourth quarter, typically the best quarter of the year. In summary, Personalis is executing with precision on our strategy to win an MRD. Our team and our partners are deploying our ultra sensitive technology that we believe can redefine the standard of care for patients with cancer.

[Christopher Hall, CEO, President & Director at Personalis]

I'm proud of the progress that our team has made so far in 2025, and I'm thrilled with the commercial momentum and partnership with Tempest. This is a transformative year for our company, and most importantly, for the patients who benefit from our technology. With that, I will now turn it over to Aaron to review our financial results.

[Aaron Tachibana, CFO & COO at Personalis]

Thank you, Chris. I will discuss our second quarter twenty twenty five results and then cover guidance for the third quarter and the full year. Total company revenue for the second quarter was $17,200,000 representing a 24% decrease compared with $22,600,000 for the same period of the prior year. The decrease in revenue was primarily driven by the expected volume decline of $5,600,000 from Natera and $1,300,000 from Moderna. We continue to expect the Natera business to conclude by the end of the third quarter.

[Aaron Tachibana, CFO & COO at Personalis]

Biopharma revenue was $11,100,000 in the second quarter, representing a 16% decrease compared to $13,200,000 for the same period of the prior year. Most of the biopharma revenue decline was from Moderna as previously mentioned. In addition, Chris discussed the customer project delays that we had in the second quarter. If these projects were not delayed, our biopharma revenue for the second quarter would have increased year over year despite the decline from Moderna. For clinical revenue, we recognized $500,000 of revenue from our NEXT Dx and NEXT Personal Molecular tests compared with $100,000 for the same period of the prior year.

[Aaron Tachibana, CFO & COO at Personalis]

Gross margin was 27.6% in the second quarter compared with 35.6% for the same period of the prior year. The year over year decrease of 8% was primarily due to the lower revenue and unreimbursed clinical test costs. In the second quarter, we saw an impact of approximately 12% to our gross margin from the unreimbursed clinical test costs. Excluding those expenses, gross margin would have been approximately 40 percent. We continue to expect total company margins to expand beyond 50% once we have obtained reimbursement coverage for more than a few indications and we achieve scale.

[Aaron Tachibana, CFO & COO at Personalis]

Operating expenses were $26,600,000 in the second quarter compared with $24,900,000 for the same period of the prior year. Most of the year over year increase was attributed to selling expenses related to our clinical test volume growth. The second quarter R and D expense was $12,400,000 compared with $13,000,000 for the same period of the prior year. And SG and A expense was $14,200,000 compared with $11,900,000 for the same period of the prior year. Net loss for the second quarter was $20,100,000 compared with $12,800,000 for the same period of the prior year.

[Aaron Tachibana, CFO & COO at Personalis]

The prior year's net loss included a $3,000,000 non cash gain related to the warrants issued to Tempus and were outstanding as of the second quarter of the prior year. Excluding the non cash gain, the prior year net loss would have been $15,800,000 for comparative purposes. Now onto the balance sheet. We finished the second quarter with a strong balance sheet with cash and short term investments of $173,200,000 and no debt other than some small equipment loans. The cash usage from operations and capital equipment additions for the second quarter was $13,200,000 We continue to operate cost effectively.

[Aaron Tachibana, CFO & COO at Personalis]

And as mentioned during our last conference call, we expect cash usage for the full year 2025 of approximately $75,000,000 an increase of approximately $30,000,000 compared with the amount used in 2024, primarily due to investment in clinical test volumes in advance of reimbursement, expansion of our clinical evidence for Next Personal by conducting new studies and additions to our clinical sales team. We expect these investments to help drive NextPersonal revenue growth post reimbursement later this year and into 2026. Now I'd like to turn to guidance. For the 2025, we expect total company revenue in the range of $12,000,000 to $14,000,000 Revenue from pharma tests and services and all other customers in the range of 11,000,000 to $13,000,000 and revenue from population sequencing and enterprise customers of approximately 1,000,000 And for the full year of 2025, we revised our guidance and now expect total company revenue in the range of 70,000,000 to $80,000,000 which is reduced from 80,000,000 to 90,000,000 and this lower range encompasses the timing and variability of biopharma projects and sample receipts and Medicare reimbursement coverage for Next Personal. Revenue from pharma tests and services and all other customers in the range of $52,000,000 to $58,000,000 which is reduced from $62,000,000 to $64,000,000 population sequencing plus enterprise customers in the range of $15,000,000 to 16,000,000 revenue from clinical tests reimbursed in the range of 3,000,000 to $6,000,000 which has narrowed from 3,000,000 to $10,000,000 gross margin in the range of 22% to 24%, and our gross margin guidance for the full year is expected to be lower than the 32% for the full year of 2024 due to the impact of investing in clinical test volume ahead of reimbursement.

[Aaron Tachibana, CFO & COO at Personalis]

Net loss of approximately $85,000,000 which includes approximately $20,000,000 of unreimbursed test costs, which has increased from $83,000,000 due to lower revenue. And cash usage of approximately $75,000,000 We look forward to updating you on our progress during the next conference call in a few months. And with that, I will turn the call back over to the operator to begin the Q and A session. Operator?

[Operator]

Thank you. Ladies and gentlemen, we will now begin the question and answer session. If you would like to ask a question, please press star and 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star and 2 if you would like to remove your question from the queue.

[Operator]

For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. Ladies and gentlemen, we will wait for a moment while we poll for questions. The first question comes from Dan Brennan with TD Cowen. Please go ahead.

[Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen]

Great. Thank you. Thanks for the questions. Maybe the first one just on clinical. So I know you said Medicare is on track.

[Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen]

You did lower the top end of the guide from three to ten, three to six. So maybe can you just walk through a little bit of like what was the rationale for that? Are you hearing anything back from Medicare? And then B, as we think about the back half of the year for clinical, like what's kind of assumed for Q3 and Q4 at this point?

[Aaron Tachibana, CFO & COO at Personalis]

So Dan, in terms of the guide, the prior guide, our prior guide, we had a pretty wide range of 3,000,000 to $10,000,000 on the clinical side, primarily due to the number of months we saw before we got to reimbursement. Now that we're in the month of August, or early August here, we thought it'd be prudent to tighten the range or narrow the range. And that's how we come up with the 3,000,000 to $6,000,000 estimate. And what we've modeled in the prior guide is we had a lot of different models that we ran or scenarios that we ran in terms of when reimbursement could occur. So that's how we came up with the wider range.

[Aaron Tachibana, CFO & COO at Personalis]

And net net, you could assume that we did have reimbursement for one indication in the latter part of Q3 and then the second one in Q4. We're still targeting two cancer types for the full year, but in terms of the guide now, it looks more reasonable that we'll get two cancer types in the fourth quarter.

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, so Dan, it's Chris, and we still feel confident about that. We've had good engagement, Palmetto always does a great job evaluating these tests and these technologies, and we've been engaged with them, we feel like even after all that engagement that our evidence will meet the bar that they've established. We've got the IO submitted, which is new news, and we feel like we have a good line of sight to the TRACER X data being published in lung cancer. So it's our expectations, we're gonna have three shots on goal to get two of them done by the end of the year and have enough time to go through a back and forth. We feel like we're in a good position.

[Christopher Hall, CEO, President & Director at Personalis]

You know, it's always tough to nail down the exact final timelines on this stuff, but we feel like we're in a good position.

[Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen]

Okay. And could you speak a little bit to some of the early use cases? You talked about, I know you gave some numbers out in terms of the number of doctors that are using it. Just speak to how is that going? I know it's early, you don't have coverage yet, but how is the number of doctors using it, and where do you find doctors using it specifically?

[Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen]

What types of areas do you think your ultrasensitive test plays a differentiated role?

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, we focus our clinical storytelling into breast cancer, lung cancer, and therapy, and IO therapy monitoring. We've got some great, I didn't walk through an example on this call of a case study, but we've had doctors using it to find recurrence and found that months ahead, sometimes a metastasis, which really reinforces the value of the technology. We've had doctors using it after neoadjuvant to determine what to do next. We've certainly had doctors using it as a part of therapy, and sometimes switching therapy because they haven't been able to get a longitudinal response, and then getting the patient on another drug and seeing a response. And so that's been great.

[Christopher Hall, CEO, President & Director at Personalis]

The key value here is that almost forty percent of our results, of our positive results, continue to be in the ultra sensitive range. And when doctors see that and that sells them over time. And our retention has been phenomenally high. It's probably one of the best products I've ever worked on bringing to market in terms of high early retention, and that ramp has been great. What's happened though recently, and I think this last quarter we added CRC to the call cycle, and so that's been a whole new evolving use case with higher landmark sensitivity and we expanded the Tempus arrangement and we're starting to see some CRC usage and really positive feedback.

[Christopher Hall, CEO, President & Director at Personalis]

So across all four of those indications we think the ultra sensitivity is shining. And then the last piece is obviously gives more confidence to the negative, which is always a good thing when you're sitting across from a patient and you're telling them that it's a good day for them, they don't have any minimal residual disease in their blood that they can measure and having confidence, and that's powerful. So we feel like it's firing across all spots of the clinical flows.

[Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen]

I know there'll be a bunch of questions on pharma. Just kind of one more on the balance sheet. So you have 173,000,000 in cash, I think you burned $13,000,000 can you just remind us of the pathway forward? Like how long does that cash last? I know everyone talked about the gross margin expansion you expect, but you also have the deal with Tempest, which just kind of walk us through a little bit of how we might contemplate your kind of cash flow and any kind of cash flow need you have going forward? Thank you.

[Aaron Tachibana, CFO & COO at Personalis]

Sure, Dan. So we ended the quarter with $173,000,000 in cash. We have a strong balance sheet. We believe we have plenty of cash to get us not only to the other side of reimbursement, but to get us to cash flow breakeven. In terms of having to go raise money, we're not in that position like we were in the past.

[Aaron Tachibana, CFO & COO at Personalis]

So there's no plans contemplated to having to raise money. We still have plenty of cash to be able to invest in studies, invest in growth of volume here, in advance of reimbursement and post reimbursement. And then once we get to the other side of reimbursement, then we're really ramping our test volume. Then we can sit back and look at other investments that may be required to grow even faster and further into the future.

[Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen]

Terrific, thank you.

[Aaron Tachibana, CFO & COO at Personalis]

Thanks, Dan.

[Operator]

Thank you. The next question comes from Mark Massaro from BTIG. Please go ahead.

[Analyst]

Hey, guys. This is Vivian on for Mark. Thanks for taking the questions. So just one on biopharma, is it fair to think about the $10,000,000 reduction as a push out of revenue rather than being canceled outright? So is it fair to think about that being reflected in 2026? And is it correct yes, that the go ahead.

[Christopher Hall, CEO, President & Director at Personalis]

Go ahead. And what was the second part of the question?

[Analyst]

Yes. And then just to clarify, was that push out related to the personalized cancer vaccine deal that you have with Moderna, and if so, just how do you feel like that value prop is resonating more generally?

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, Noah, great. So let's start with the PCV or the INT, individualized neoantigen therapy programs with Moderna. That is on pace and has been sort of a bedrock relationship, and we couldn't be happier with how that's progressed. We had expected that revenue to be down this year, because they had enrolled a significant number of patients in their melanoma trial last year, which fueled the revenue, and this year's lower. But that's what we expected, and we didn't see anything there.

[Christopher Hall, CEO, President & Director at Personalis]

What we've seen in the Q2 was that some of the projects got pushed into Q3 and Q4 and some of the Q3 started to get pushed back and we started to see some softness. That's been in the translational sector. And I think what's happened is these biopharma companies have done layoffs, as they pulled a little tighter on their purse strings, we've seen a slowdown and we've seen a general softness, and we thought it was prudent to take the guy down given what we're seeing and we're starting to see appear inside the sector. It's not surprising to us that it kind of happens in this biopharma segment. But we're still on fire with the MRD product.

[Christopher Hall, CEO, President & Director at Personalis]

I I noted in the prepared remarks that we're still seeing 300 to 400% growth, we've talked about that and we're right at that spot. We don't see any of the MRD projects slipping out of the year. Secondly, we still have the two bigger customers that we've landed this year, north of 5,000,000 in revenue, and they're tracking to do that. And so, the MRD product continues to be exactly where we are, and that's been a real shining light in what we're doing. We haven't, Some of the projects that we expect to go into next year, we haven't seen any losses.

[Christopher Hall, CEO, President & Director at Personalis]

There's always maybe a clinical trial that doesn't work out, that we're doing some tumor profiling work that might get, the plug might get pulled on that, but we haven't seen any significant losses, and certainly not in any meaningful way. So it's always been push outs and sort of a slowness that I think we're seeing, and I think some of the other companies operating in this space have seen too, and that's where we are. But the core asset here with the MRD is performing phenomenally well with that customer, and certainly the clinical customer where we see the nearly 60% quarter over quarter growth.

[Analyst]

Okay, perfect. That was great color. Thanks so much. And then just a follow-up on the MRD front, just on the 3,500 next personal test, could you guys just discuss if you're seeing maybe an increased number of test time points per patient, or is it more so lift in new physician adds? And then just any attachment to call out a next personal to your next DxCGP test as well? Thanks.

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, so we're seeing growth both in the number of physicians, and I think we talked about we've crossed over 600 now we're in, which is just phenomenal given where we are. And we are seeing us go, we're going deeper into those accounts, meaning we're getting more samples per physician, and then we're starting to pull through the subsequent. And that's all been on the bedrock of what's been a phenomenal relationship with Tempest. I mean, we work so well with them and we couldn't be more happy with how that relationship has unfolded, and you're starting to see the success of that really deeply starting to power the numbers and the performance. And so it's happening across all the metrics.

[Christopher Hall, CEO, President & Director at Personalis]

On NextDX, the CGP test, I think we had our highest quarterly revenue this quarter, that's been the CGP NextDX. It's appended onto many of the tests that we do without Tempus. Tempus sells their CGP when it comes through their channel, but when we have our reps, often get the CGP associated with it, and it's been a nice revenue driver, extra revenue driver on those samples. But the core MRD metrics, it's increasing deaths per doctor, increasing number of doctors, phenomenal retention, and then starting to pull through the subsequent. Is that helpful? I think I covered everything.

[Analyst]

Yes. Perfect. Thank you for taking the questions.

[Operator]

Thank you. The next question comes from Thomas Flaten with Lake Street Capital. Please go ahead.

[Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets]

Hey. Good afternoon. I appreciate you guys taking the questions. You know, since now that you've run a a few thousand samples through the system, I'm curious what you guys have seen in terms of turnaround time for the test, you know, from from tissue and blood receipt from the patient's first visit and then to turn around to results. Have you seen any improvement in that?

[Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets]

Has it been helpful to have this early access program to work out kinks, etcetera?

[Christopher Hall, CEO, President & Director at Personalis]

Oh, absolutely. What we've done is we've had a good chunk of our R and D staff really focus this last eighteen months on how do we start to scale this. And our lead times now have fallen dramatically. We think we're at a spot where we're providing whatever they can get in the marketplace from any other vendor, both on the subsequent and the baseline, and we feel like we're in a really good position. We've invested a lot of money and time and effort in scaling this and starting to do it at scale, and haven't missed a beat along the way.

[Christopher Hall, CEO, President & Director at Personalis]

So, that's been, it's sort of hard to quantify that, but I will just note that the market physicians really expect a high level of customer service, and the growth that we are seeing quarter over quarter over quarter is attributed to our ability to execute on the operational front. Because if we were messing this up, and we were going weeks and weeks and weeks and days and days and days and losing samples along the way, we would not see the retention, we would not see the quarterly growth, because you can't solve that problem by growing out of it. So we've been rock solid there, and have improved as we've gone, and you see that in the numbers.

[Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets]

Got it, helpful. And I'm not sure how many ends you have to use to answer this question, but have you detected what kind of cadence physicians are using with repeat testing with patients that might have been kind of early on in the early access program?

[Christopher Hall, CEO, President & Director at Personalis]

I mean, think we're seeing, I think it's a little early to answer that definitively. I mean, we see that the recurrence monitoring is less than the therapy monitoring, The IO therapy, we see more than the recurrence monitoring. That's what we see, but I think it's been, I think it's what we expected, but I think it's a little early into the different use cases and where they are in the clinical flow, and I think we'll have a lot more as the numbers start to get bigger to delve into there.

[Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets]

And then one quick final one. As you guys look to expand your sales team here in the second half of the year, remind us again how you and Tempest are going to kind of co manage customers? Is there exclusivity depending on who the rep is? Can you just explain a little bit more how that works?

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, so I mean the relationship, we're depending on Tempus, and they've powered us, and that's awesome. It really depends on what the doctor and how they want it, and usually it's honestly probably best for the physicians to drive through the Tempest infrastructure. They're set up in EMRs, and that's really important to clinicians. The logistics are often worked out within those institutions by Tempest, and so that allows us to move quicker in a really seamless way and in a way that meets customer needs. And it was one of the driving forces internally here at Personalis to do the Tempus arrangement.

[Christopher Hall, CEO, President & Director at Personalis]

And so I think by and large physicians would, because that infrastructure is in place, be happy to roll it through Tempus, we do whatever is best for the doctor and for their patients. And so that's where it sorts out. As we scale the group, we've always said we'll be scaling it, and that group does a couple things. It supports the relationship where needed, and particularly in big academic medical centers with KOLs. One of the things that I think had made Personalis unique is that we've worked with many of the top people in the world, and we have access to some of the leading sample bio banks to build data, and that sort of really starts to drive clinical usage, and so we put a focus of our sales infrastructure working with those people and those relationships, and so we're investing and continue to invest there.

[Christopher Hall, CEO, President & Director at Personalis]

And then secondarily is as strong as Tempus is, they are not the only cancer company, and so doctors have other implementations set up, so our reps will try to make sure that we close any market gaps and provide coverage to every physician in the community, even if they're not doing business with Tempus. But if it's a Tempus account, it probably will go through the Tempus architecture.

[Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets]

Got it, appreciate the

[Christopher Hall, CEO, President & Director at Personalis]

yeah, we've been really happy with how it's worked, Thomas.

[Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets]

Got it. Thanks again.

[Operator]

Thank you. The next question comes from Yuko Oku with Morgan Stanley. Please go ahead. Yuko, please go ahead with your question and unmute yourself in case if you're on mute.

[Edmund Tu, Equity Research - Life Science Tools & Diagnostics at Morgan Stanley]

Hi. This is Edmund on for Yuko. Can you guys hear me?

[Christopher Hall, CEO, President & Director at Personalis]

Yeah. Thanks.

[Edmund Tu, Equity Research - Life Science Tools & Diagnostics at Morgan Stanley]

Hey. I just wanted to start up in the biopharma end market. I was wondering if you guys provide an update to what you estimate the impact of all these policy headwinds are going to be on your biopharma customers? I think you previously pointed to $3,000,000 $5,000,000 of impact with your pipeline offsetting that. I was wondering if have an updated estimate.

[Aaron Tachibana, CFO & COO at Personalis]

So, Edmund. This is Aaron. So in terms of your question about the biopharma landscape, what's going on in the government front, so in our prepared remarks we did talk about revising our guidance from biopharma down from 62,000,000 to $64,000,000 down to 52,000,000 to $58,000,000 In terms of what we're seeing is on the translational research side of the business, where ImmunoID next is our offering. We are seeing delays of projects and we've seen that occurring from Q2 and Q3. So projects in Q2 and Q3 have shifted to the right.

[Aaron Tachibana, CFO & COO at Personalis]

It's our assumption that these projects are not lost. They're just delayed a little bit. So it's going to take two to four quarters before those get completed and convert to revenue. What's really strong for us right now is the MRD offering, next personal with biopharma. Our funnel continues to grow and expand.

[Aaron Tachibana, CFO & COO at Personalis]

And as Chris said in the prepared remarks, we have two customers that are $5,000,000 each, and we believe we're going to fulfill those this year.

[Edmund Tu, Equity Research - Life Science Tools & Diagnostics at Morgan Stanley]

Gotcha. And then on the competitive landscape, following the recent announcement of the coverage determination for Saga's Pathlight, could you elaborate on how NextPersonal is differentiated? And how are you thinking about balancing your MRD investments between near term margin pressures versus immediate top line benefits upon receiving reimbursement?

[Christopher Hall, CEO, President & Director at Personalis]

I didn't catch the last part of that. Sorry.

[Edmund Tu, Equity Research - Life Science Tools & Diagnostics at Morgan Stanley]

Just how are you thinking about balancing your MRD investments between suffering from near term margin pressures versus seeing more of a top line impact upon reimbursement?

[Christopher Hall, CEO, President & Director at Personalis]

Got it. No, we, I mean, first thing asked is Saugen got reimbursement in breast cancer. I think that's great, I think that's great that another player has gotten it. They were published several months ahead of us, and so our assumption has been always that they had submitted well ahead of us, so they proceeded on probably a similar timeframe. And their data was good, and we feel like we clear the bar, and we feel like we're in a good position, and when we saw that they had gotten coverage in reimbursement, it just gave us confidence that the data that we have is on the right track.

[Christopher Hall, CEO, President & Director at Personalis]

We continue to invest deeply in evidence development, increasingly working with some prospective clinical trials of biopharma, or within the breast cancer space with some of the top thought leaders, and we'll be announcing things along the way. We've had the prospective Be Stronger trial in triple negative breast cancer, where we've been enrolling patients in a prospective way, but we're working with a lot of other top medical institutions. We didn't really focus on it in this call, but the ASCO data was particularly powerful with PREDICT and with Kendari, and gives us an opportunity to expand ultimately the coverage there into the neoadjuvant setting. So those data sets were particularly great, and the PREDICT trial was multi center trial, and the data was again another oral presentation at ASCO. So we continue to invest aggressively there, and we think that that's the right spot to be investing.

[Christopher Hall, CEO, President & Director at Personalis]

I would remind you that the economics of the Tempus arrangement means that we can really get a lot of sales and marketing leverage without having to invest a ton, because we're leveraging their channel and then paying them for market value for the services as we go along. So, it allows us to scale without as much short term investment in the sales and marketing infrastructure to get to the same spot.

[Aaron Tachibana, CFO & COO at Personalis]

I think the other question that Edmund you had was balancing the volume with margins. So what we can say there is, Chris said in his prepared remarks, that our growth targets are 30% to 40. We've been growing at a rate of 50% plus sequentially every quarter. So if you look at the run rate from Q2, with 3,500 tests or so, that's basically a $6,000,000 revenue run rate, assuming full reimbursement, and assuming an average price of let's say $7,000 over four tests, including the first time point, which is more expensive, so $17.50 dollars per test or so, we're not saying exactly what our reimbursed price is going to be, but we're just providing an estimate based upon what the incumbent has today. So if you look at that, that's a $24,000,000 annual revenue run rate in the second quarter.

[Aaron Tachibana, CFO & COO at Personalis]

We're going to continue to grow at a rate of 30% to 40% as we go forward at a minimum. We are balancing the cash burn with this growth trajectory. We're trying to be prudent on the cash side, but we're seeing phenomenal take up from a volume standpoint, and we want to continue to go as fast as we can, primarily because once reimbursement coverage does come in the fourth quarter, it's going to flip to revenue. And we want as high a revenue run rate as we can because we believe that that's going to give the greatest value back to our shareholders. Okay. And so that's kind of how the way we're thinking about it. Our margin guide of 22% to 24 does contemplate these unreimbursed test costs in advance of reimbursement.

[Edmund Tu, Equity Research - Life Science Tools & Diagnostics at Morgan Stanley]

Got it. Thank you for the time and the color, Aaron and Chris.

[Aaron Tachibana, CFO & COO at Personalis]

Thanks, Anthony.

[Christopher Hall, CEO, President & Director at Personalis]

Thanks.

[Operator]

Thank you. The next question comes from Subbu Nambi from Guggenheim. Please go ahead.

[Subbu Nambi, MD - Senior Analyst at Guggenheim Securities]

Hey, guys. Thank you for taking my questions. Can we talk to some of your conversations at ASCO? You touched on this a little in the previous question Q and A. How did that reinforce the approach you guys are taking right now, and what are some of the things you've learned to implement in the second half of this year and beyond?

[Richard Chen, EVP - R&D and Chief Medical Officer at Personalis]

Yeah, hi. Thanks for your question. This is Rich. Yeah, so we had a really great ASCO, as Chris alluded to. And most notably at ASCO we introduced our first neoadjuvant breast cancer data in triple negative breast cancer with two studies predicting Scandari, And what was really terrific about that was that they showed very similar findings, that our test was highly, highly predictive of relapse for patients that have gotten neoadjuvant.

[Richard Chen, EVP - R&D and Chief Medical Officer at Personalis]

And so patients that were positive on our test were highly likely to relapse versus those who were negative. And it actually compared very favorably with the industry standard approach called PAS CR. So that was really an important step, because that's sort of the way people have done it before, and what they showed was our test was highly predictive independent of PAS CR. So what that kind of sets us up to do is really expand our MolDX coverage approach to, you know, you can expect that we'll be submitting for reimbursement for neoadjuvant breast cancer once these studies get published, much in the same way we've been pursuing the other indications.

[Christopher Hall, CEO, President & Director at Personalis]

So the way to think about it is that this year we go for the breast, the lung, and IO, we're working on that. Next year we'll be bringing CRC along and expanding breast cancer as those papers get published.

[Subbu Nambi, MD - Senior Analyst at Guggenheim Securities]

Got it, Chris. Chris, I know it's still early and you guys are still waiting for Medicare reimbursement, but any conversation with pricing at all, or all that will only happen once you have the coverage?

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, it does only happen after we get the coverage, but we've told people to put in their models similar to what's being reimbursed now for the 16 variant exome based testing approach, because we think that that's sort of the floor, and we think that Medicare reimburses ultimately based on the resources applied, and a whole genome approach is more cost intensive approach along with 1,800 variants. So we think there are shots on goal, they go higher, but we've encouraged people to build the models where that's upside. And when we talk about our gross margins being 60% and Tempus sales and marketing percentages being in the 20%, 25% range, etcetera, and the ability to have transformational economics around those kinds of numbers, we do that assuming the current reimbursement in the marketplace.

[Subbu Nambi, MD - Senior Analyst at Guggenheim Securities]

Got it. And then more of a high level question, but the longer reimbursement takes, have you seen any erosion in interest from docs who currently cannot serve due to gating volumes and they choose other competitors who are available? Or is it too early for any of these things to be a factor?

[Christopher Hall, CEO, President & Director at Personalis]

No, we haven't seen any of that. And we've been expanding out the number of doctors and been able to continue to expand. I think at this point it's a rate of how fast we push the gas, rather than just gating people. We still have some physicians on the wait list, but we've been growing out pretty significantly and making sure we take care of people that really, really want access. But we spend a lot of our time both with ourselves and our partner going deeper into accounts and really reinforcing the power of the ultra sensitive range, because that's what's cementing the relationships and that's what's starting the power of the long term success as you go deeper into accounts, because they see the value of our approach.

[Subbu Nambi, MD - Senior Analyst at Guggenheim Securities]

Makes sense. Thank you so much, Chris.

[Christopher Hall, CEO, President & Director at Personalis]

Absolutely. Thanks for being on the call.

[Operator]

Thank you. The next question comes from Mike Matson with Needham and Company. Please go ahead.

[Mike Matson, MD - Senior Equity Research Analyst at Needham & Company]

Yeah. Thanks. You know, so just had a question kind of on the the tempest arrangement. So, you know, let's say that in the third quarter, you were to get the reimbursement for, say, lung cancer. My understanding is that they've just been kind of selling this or I guess pitching it to doctors to use with any kind of cancer essentially.

[Mike Matson, MD - Senior Equity Research Analyst at Needham & Company]

Is there a way that you can sort of incentivize them or tempest can incentivize those reps to focus more on the cancer types where you initially have coverage or in other words to try to ramp the revenue more quickly and reduce the cash burn, I guess, while you're working on the other cancer indication coverage?

[Christopher Hall, CEO, President & Director at Personalis]

Yeah, thanks. That's a great way to great question. So they focus in on the lung cancer, the breast cancer, and immunotherapy monitoring, increasingly the CRC. Almost all of our samples hid within those indications, both that we're getting ourselves and that they're getting. So they're all sort of tied, most of them are tied to those core indications.

[Christopher Hall, CEO, President & Director at Personalis]

We don't receive a lot of samples all over the map, to be quite honest. They kind of fit the core thing. I do think there's an opportunity, let's say we got lung cancer or breast cancer first, I do think there's an opportunity to preferentially focus in on physicians that just treat those types of things, but it's hard to go to physicians and tell them only send us these types of patients per se, because physicians want to be able to offer the technology in a universal way or a sort of consistent way based on what they think is best for their patients. So I don't think we have complete control to pull those levers, but we do have some control to sort of push in the direction of wherever coverage is if there are physicians that have certain spikes. But the way we're looking at it.

[Mike Matson, MD - Senior Equity Research Analyst at Needham & Company]

I understand. And then just, you announced you're gonna pursue the colorectal cancer.

[Christopher Hall, CEO, President & Director at Personalis]

Yep.

[Mike Matson, MD - Senior Equity Research Analyst at Needham & Company]

It's reimbursement eventually. So where do things stand with the data?

[Mike Matson, MD - Senior Equity Research Analyst at Needham & Company]

I mean, the press release cited the victory data, I mean, is that sufficient? And then what are the milestones, I guess, it need to be, I assume it needs to be published or something? And do you need any other studies or data there?

[Christopher Hall, CEO, President & Director at Personalis]

No, absolutely. So that data was phenomenal. We've got great feedback from it. But it's preliminary. It's a prospective study which is different than some of the studies that we worked on which are retrospectively analyzed, prospectively gathered samples, little bit different because you get it all when you do it.

[Christopher Hall, CEO, President & Director at Personalis]

This one, it's going forward. And the investigator hasn't decided to quit the study yet. At some point we will do that and the team investigator will publish it, and then we'll submit that for reimbursement. And that's still TBD in terms of timing.

[Mike Matson, MD - Senior Equity Research Analyst at Needham & Company]

Okay, got it, thanks.

[Operator]

Thank you. The next question comes from Swayam Bhakula with H. C. Wainwright. Please go ahead.

[Swayampakula Ramakanth, Managing Director & Senior Equity Analyst at H.C. Wainwright & Co.]

Thank you. This is RK from H. C. Wainwright. Good afternoon, Chris and Aaron.

[Swayampakula Ramakanth, Managing Director & Senior Equity Analyst at H.C. Wainwright & Co.]

I got on the call a little bit late, I apologize if you're kind of address some of these issues in opening remarks. Just looking at the pharma tests and services revenue and seeing, you know, they did not perform to the level that you were expecting going into the second quarter. And also thinking about the full year after completing one half, it looks like you're not going to at least in your current mind, you're not really thinking about much of a growth from here onwards for the second half compared to first half. What has changed in the pharma business side of things that's not progressing as well as you thought you would? Is this the clinical programs or is this more than that?

[Swayampakula Ramakanth, Managing Director & Senior Equity Analyst at H.C. Wainwright & Co.]

If you can just give us a little bit of color and is this just for this year and once hopefully the market turns around and the funding is better for everybody, should we see that growth?

[Christopher Hall, CEO, President & Director at Personalis]

No, I think that's great. Think we're seeing, so a couple snapshots here to think about. We're seeing phenomenal growth on the MRD side, inside biopharma customers, and that's all on track. And every time we've talked about it, every one of the internal numbers, the 300 to 400% annual growth, the couple new customers that are generating north of $5,000,000 that's all on plan, and we feel like we're performing really well. That's really where we're investing.

[Christopher Hall, CEO, President & Director at Personalis]

The other part of the business, which is the translational research phase, we'll receive a large sample of, a large group of samples, and we will run it through our tumor profiling engine, and the biopharma company will use that data to potentially find new biomarkers to fuel their drug development. That's like more futuristic type of research. That one we felt the slowness. And we expected to pick up as things settle down. That's probably driven by a lot of the questions around how drug development processes go, drug pricing in the current system, and certainly tariffs.

[Christopher Hall, CEO, President & Director at Personalis]

And you're seeing layoffs within some of these companies and just a general slowness relative to some of the earlier stage R and D, and that's what feeling. We think that that's temporary, and we think it'll sort itself out. But I would say that we're still expecting that product to be flattish to a little bit of growth this year. I mean, we're still, it's not that the product's gonna tailspin at all, it's just that we had pipelines earlier in the year that showed that product performing much better than how it's ultimately performing. But year over year I expect it to still be flat to even e counts growth.

[Christopher Hall, CEO, President & Director at Personalis]

But the explosive growth in MRD is on track, and that's what we're seeing. I don't think it's a terribly bit different than what other companies have seen, we thought we would grow through it earlier in the year, but it sort of deepened as the quarter went on and we felt like it was prudent to adjust the guidance given where we are.

[Swayampakula Ramakanth, Managing Director & Senior Equity Analyst at H.C. Wainwright & Co.]

Okay, thanks for that. And the next question is on trying to understand, you know, in terms of the Tempest relationship and also how the reimbursement can provide, you know, a boost to the sales in Q4 if you get at least one, if not two, both of the reimbursements in place. So let's say you get the reimbursement earlier in the quarter, on the fourth quarter. So by the end of the quarter, would you be able to recognize the reimbursement amount or is there some additional paperwork and all that logistics that need to happen that this thing could drag into the first quarter where you can actually really see the benefit of that reimbursement? I'm just trying to understand how the logistics work in terms of really recognizing the revenue based on the reimbursement.

[Aaron Tachibana, CFO & COO at Personalis]

Yeah, so, hi RK, this is Aaron. In terms of some of the mechanics of it, we won't go into a lot of depth or detail here, but what's the most important fact here is that we do get a favorable coverage decision from Medicare. That's what we're after. Assuming we get favorable coverage from Medicare, for two cancer types, our guide is 3,000,000 to $6,000,000 So depending upon the timing, the number of samples, the price, there is some variability between the 3,000,000 and $6,000,000 and that's why we do have a range. But the key here is getting the favorable coverage for Medicare.

[Swayampakula Ramakanth, Managing Director & Senior Equity Analyst at H.C. Wainwright & Co.]

Okay. Thank you. Thanks for taking my questions.

[Aaron Tachibana, CFO & COO at Personalis]

Thanks, Rakesh.

[Operator]

Thank you. Ladies and gentlemen, this concludes the question and answer session and the conference of Personalis. Thank you for your participation. You may now disconnect your lines.

[Caroline Corner, Partner - Medical Technology at ICR Healthcare]

Goodbye.

Participants

Executives

• Christopher Hall, CEO, President & Director
• Aaron Tachibana, CFO & COO
• Richard Chen, EVP - R&D and Chief Medical Officer

Analysts

• Caroline Corner, Partner - Medical Technology at ICR Healthcare
• Daniel Brennan, MD & Senior Equity Research Analyst at TD Cowen
• Analyst
• Thomas Flaten, Senior Research Analyst at Lake Street Capital Markets
• Edmund Tu, Equity Research - Life Science Tools & Diagnostics at Morgan Stanley
• Subbu Nambi, MD - Senior Analyst at Guggenheim Securities
• Mike Matson, MD - Senior Equity Research Analyst at Needham & Company
• Swayampakula Ramakanth, Managing Director & Senior Equity Analyst at H.C. Wainwright & Co.