NGM·Healthcare·$832M·#259 / 520 in Healthcare

PSNL Personalis, Inc.

42SPECULATIVE

CATEGORY BREAKDOWN

GROWTH0
QUALITY18
STABILITY77
VALUATION38
GOVERNANCE68

METRIC BREAKDOWN

Revenue Growth (YoY)

Year-over-year revenue growth rate

-17.7%
0

> 50% strong

Gross Margin

Revenue retained after direct costs

22.7%
30

> 50% strong

Cash Runway

Months of cash at current burn rate

20 months
71

> 24 months ideal

Debt / Equity

Total debt relative to shareholder equity

15.3%
88

< 25% strong

Price / Sales

Market cap relative to trailing revenue

11.9x
38

< 3x strong

Rule of 40

Growth rate plus operating margin

-144
0

> 40 excellent

Insider Ownership

Percentage of shares held by insiders

26.9%
95

> 20% strong

Share Dilution (12M)

Share count increase over last 12 months

+18.5%
15

< 5% ideal

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AI ANALYSIS REPORT

AI-GENERATED

BUSINESS SUMMARY

Personalis, Inc. (PSNL) is a healthcare company trading on NGM with a market capitalization of $832M. The company currently carries a SPECULATIVE rating of 42/100, suggesting a mixed fundamental profile with both strengths and weaknesses. The fundamental profile shows declining revenue at -17.7% year-over-year, paired with moderate gross margins typical for its sector at 22.7%. The balance sheet shows conservative leverage with a manageable debt-to-equity ratio, and the company has moderate cash runway of about 1 year.

VERDICT

PSNL scores 42/100 — a mixed profile with some promising metrics alongside notable weaknesses. This is a higher-risk, higher-reward proposition that depends heavily on execution. This report is based on the latest available financial data and is intended as a starting point for research, not a buy or sell recommendation.

MARKET OPPORTUNITY

In the healthcare sector, cash runway and pipeline progress are critical metrics. Revenue quality depends on whether income comes from product sales, partnerships, or milestones. Personalis, Inc. operates with strong insider ownership of 26.9%, indicating significant skin in the game, which provides a signal about management's confidence in the company's direction. At a market cap of $832M, the company is premium-valued, reflecting high growth expectations at 11.9x P/S. The combination of these factors positions PSNL as a higher-risk position that requires careful due diligence before considering an investment.

REVENUE QUALITY

Revenue growth stands at -17.7% year-over-year, which is below the typical small-cap growth rate. Gross margins of 22.7% are thin and may compress further under competitive pressure. The Rule of 40 score of -144 is well below the benchmark, indicating challenges in both growth and profitability. Cash runway of 20 months is adequate but should be monitored.

COMPETITIVE ADVANTAGE

Evaluating Personalis, Inc.'s competitive position requires looking beyond the numbers. The 26.9% insider ownership is a strong positive signal — when management has significant personal wealth tied to the company, decisions tend to favor long-term value creation over short-term metrics. The margin structure suggests the company operates in a competitive market where differentiation is harder to maintain. The ongoing share dilution is a concern, as it reduces existing shareholders' ownership stake over time. Investors should research the specific sources of competitive advantage — patents, customer switching costs, scale economies, or brand — that could protect margins over time.

GROWTH THESIS

PSNL presents a speculative fundamental profile that requires a specific thesis to justify investment. Key catalysts to watch include: revenue growth trajectory over the next 2-3 quarters, margin expansion or contraction, and any changes in insider buying or selling activity.

KEY RISKS

Execution risk is significant — many small-cap companies in this sector fail to transition from growth to profitability. Ongoing share dilution of 18.5% erodes per-share value and suggests the company relies on equity issuance for operations or compensation. Declining revenue (-17.7% YoY) is a fundamental concern that could signal loss of market share or structural headwinds. Small-cap stocks carry inherently higher risk than large-caps, including limited analyst coverage, lower institutional ownership, and higher sensitivity to market downturns. Always conduct thorough due diligence beyond quantitative metrics.

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Report generated: Mar 26, 2026

SCORE HISTORY

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DATA INFO

Last updated: Mar 11, 2026

Sources: SEC EDGAR, Financial Modeling Prep, Yahoo Finance. Not financial advice.