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Overview of four companies built on DNA/RNA sequencing technologies: 23andMe, Tempus, Helix, and GRAIL.


Company deep dives

23andMe

Founders: Anne Wojcicki, Linda Avey, Paul Cusenza
Founded: 2006
Initial investment: Early Series A (2007) = $9M; later rounds totaled hundreds of millions
Current revenue (recent FY): ≈ $220M range
Main focus: DTC ancestry + health risk reports; large consent-based genetics database monetized via research/pharma partnerships
Future outlook: DTC growth has slowed; under a pharma owner, expect a pivot toward drug discovery/data using the biobank (with strong emphasis on privacy/consent).


Tempus (NASDAQ: TEM)

Founder: Eric Lefkofsky (with early scientific leadership by Kevin White)
Founded: 2015; IPO: 2024
Funding before IPO: $1.3B+ cumulatively
Current revenue (2024): ≈ $690M (Genomics + Data/Services)
Main focus: AI-enabled precision medicine, oncology genomic tests + a clinical data platform (decision support, trial matching, and life-sciences data products)
Future outlook: Strong position if it keeps scaling higher-margin data/software alongside testing, while navigating reimbursement and competition (Foundation Medicine, Guardant, hospital labs).


Helix

Founders: James Lu, Justin Kao, Scott Burke
Founded: 2015 (incubated with Illumina, Warburg Pincus, Sutter Hill)
Initial investment: Greater than $100M at launch; later $200M Series B (2018)
Current revenue: Private company; commonly estimated tens of millions annually
Main focus: Population genomics programs for health systems and states (clinical screening, pharmacogenomics, pathogen surveillance) delivered via an enterprise genomics platform
Future outlook: Growth tied to multi-year B2B contracts and public-health budgets; success depends on embedding genomics in routine care and showing measurable outcomes.


GRAIL

Origin: Spun out of Illumina in 2016 (re-separated from Illumina in 2024)
Early funding: Series A greater than $100M; Series B $1B (2017) Current revenue (2024): ≈ $100M+ Galleri sales in the US
Main focus: Multi-cancer early detection (MCED) via blood (Galleri test) for asymptomatic individuals; advancing clinical evidence and payer coverage
Future outlook: Enormous TAM if MCED earns guideline inclusion + broad reimbursement; near-term growth via employer/self-pay and targeted Medicare pathways while pivotal outcomes data mature.


Side-by-side comparison

Company Founded Founders (lead) Initial Capital (not exhaustive) Recent Revenue Snapshot Core Focus Go-to-Market Key Risks/Levers
23andMe 2006 Anne Wojcicki; Linda Avey; Paul Cusenza ~$9M Series A; later rounds ~$220M (FY2024) DTC kits + research database Consumer + B2B pharma Privacy, demand saturation
Tempus 2015 Eric Lefkofsky $1.3B+ pre-IPO ~$693M (2024) Oncology genomics + AI data platform B2B (providers, pharma) Reimbursement; competition
Helix 2015 James Lu; Justin Kao; Scott Burke >$100M + $200M Series B Tens of millions (est.) Population genomics (health systems, public health) B2B (enterprise) Contract wins, outcomes proof
GRAIL 2016 Illumina spin-out; ARCH, others involved >$100M Series A; $1B Series B ~$100M+ (2024 US) MCED (Galleri) Self-pay + payer pilots Evidence, guidelines, price

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