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Guardant Health (GH)
NASDAQ:GH

Guardant Health (GH) AI Stock Analysis

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GH

Guardant Health

(NASDAQ:GH)

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Neutral 61 (OpenAI - 4o)
Rating:61Neutral
Price Target:
$110.00
▲(13.29% Upside)
Guardant Health's strong technical momentum and positive earnings call insights are offset by financial instability and valuation concerns. Strategic partnerships and recent corporate events provide a supportive backdrop for future growth, but profitability and financial health remain critical areas for improvement.
Positive Factors
Revenue Growth
Strong revenue growth indicates expanding market reach and successful product adoption, supporting long-term business sustainability.
Strategic Partnerships
Strategic partnerships enhance distribution channels and market penetration, potentially increasing revenue and market share.
Product Innovation
FDA approval of Shield as a primary screening option strengthens product portfolio and competitive edge in the diagnostics market.
Negative Factors
Financial Instability
High leverage and negative equity raise concerns about financial stability, limiting flexibility and increasing solvency risks.
Profitability Challenges
Persistent profitability issues indicate challenges in achieving sustainable operations, impacting long-term financial health.
Reimbursement Uncertainty
Reimbursement uncertainties could affect revenue stability and growth, posing risks to financial projections and market confidence.

Guardant Health (GH) vs. SPDR S&P 500 ETF (SPY)

Guardant Health Business Overview & Revenue Model

Company DescriptionGuardant Health (GH) is a precision oncology company that focuses on transforming cancer care through its innovative blood-based genomic tests. The company specializes in liquid biopsy technology, providing diagnostic insights for cancer patients and enabling oncologists to make informed treatment decisions. Guardant Health operates primarily in the healthcare sector, offering products such as Guardant360 and GuardantOMNI, which analyze circulating tumor DNA to detect genetic mutations and inform personalized therapy options.
How the Company Makes MoneyGuardant Health generates revenue primarily through the sale of its genomic testing services. The main revenue stream comes from fees charged for the Guardant360 and GuardantOMNI tests, which are utilized by healthcare providers to guide treatment for cancer patients. Additionally, the company collaborates with pharmaceutical companies in clinical trials to provide genomic insights, which can lead to further revenue through partnerships and agreements. Guardant Health also engages in research and development activities, which may lead to new product offerings and additional revenue opportunities. The company's reimbursement framework, where tests are covered by insurance providers, further supports its financial model by ensuring a broader market access for its services.

Guardant Health Key Performance Indicators (KPIs)

Any
Any
Revenue by Geography
Revenue by Geography
Breaks down revenue across different regions, revealing where the company is strongest and where it may face risk or growth potential due to local economic conditions or market share shifts.
Chart InsightsGuardant Health's revenue growth in the United States has been robust, with a consistent upward trajectory, reflecting strong demand for their oncology and Shield tests. The recent earnings call highlights a 31% year-over-year revenue increase, driven by a 30% rise in oncology test volumes. International revenue, while more volatile, shows a significant uptick in the latest quarter, suggesting expanding global reach. The company’s increased revenue guidance and improved gross margins underscore a positive outlook, though potential ASP adjustments and regulatory uncertainties could pose challenges.
Data provided by:The Fly

Guardant Health Earnings Call Summary

Earnings Call Date:Oct 29, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Positive
Guardant Health demonstrated strong revenue growth and operational achievements in its oncology and Shield testing businesses. Strategic partnerships and improved gross margins further strengthen the company's position. However, increased operating expenses and uncertainties in future reimbursement and guideline inclusion present challenges.
Q3-2025 Updates
Positive Updates
Record Revenue Growth
Guardant Health reported a 39% year-over-year revenue growth, reaching $265 million in Q3 2025 and crossing over $1 billion in annualized revenue for the first time.
Oncology Volume Acceleration
Oncology volumes increased 40% year over year to approximately 74,000 tests, with Guardant360 Liquid delivering its fifth consecutive quarter of accelerating growth.
Biopharma and Data Business Growth
Biopharma and data business revenue increased 18% year over year, with two additional companion diagnostic approvals achieved during the quarter.
Shield Testing Revenue Surge
Shield testing revenue reached $24 million in Q3, driven by 24,000 tests and ASPs close to $900, with strong adherence rates.
Gross Margin Improvement
Non-GAAP gross margin increased to 66% in Q3 2025 from 63% in the prior year period, driven by reductions in Reveal COGS and Shield gross margin improvements.
Positive Free Cash Flow
Excluding the screening business, Guardant Health became cash flow positive one quarter ahead of expectations.
Strategic Partnerships
Announced collaborations with Quest Diagnostics and PathGroup to expand Shield access and accelerate commercial infrastructure build-out.
Negative Updates
Non-GAAP Operating Expenses Increase
Non-GAAP operating expenses increased by 22% year over year to $228.8 million, driven by investments to expand screening commercial infrastructure and sales/marketing for Shield.
Uncertainty in Commercial Reimbursement
There is uncertainty in commercial reimbursement for Shield, particularly with the potential walk-down of ASPs from $900 to $700 by 2028.
Potential Delays in Guideline Inclusion
The inclusion of Shield in the American Cancer Society guidelines is not guaranteed this year, which could delay broader patient access and commercial reimbursement.
Company Guidance
In the recent earnings call for Guardant Health's Q3 2025, the company reported robust performance, with total revenue growing 39% year-over-year to $265.2 million. This growth was driven by a 40% increase in oncology volumes, reaching approximately 74,000 tests, and a 31% rise in oncology revenue to $184.4 million. The biopharma and data segment also performed well, increasing revenue by 18% to $54.7 million, bolstered by two companion diagnostic approvals. Shield, Guardant's screening product, generated $24.1 million in revenue from 24,000 tests, with a strong annual run rate of $100 million in its first year post-FDA approval. The company's non-GAAP gross margin improved to 66%, reflecting cost reductions and enhanced operational efficiencies. Guardant Health also raised its full-year 2025 revenue guidance to a range of $965 million to $970 million, citing strong ongoing demand and strategic initiatives, including new partnerships.

Guardant Health Financial Statement Overview

Summary
Guardant Health faces significant financial challenges, with negative net profit and EBIT margins, high leverage, and negative equity. Despite revenue growth and a strong gross profit margin, the company's financial instability and cash flow issues weigh heavily on its financial health.
Income Statement
45
Neutral
Guardant Health's income statement reveals a mixed performance. The company has shown revenue growth, with a TTM increase of 8.89%. However, profitability remains a significant concern, as evidenced by negative net profit margins (-49.93%) and EBIT margins (-49.43%). The gross profit margin is relatively strong at 62.84%, indicating efficient cost management at the gross level, but the high operating losses suggest challenges in scaling operations profitably.
Balance Sheet
30
Negative
The balance sheet highlights financial instability, with a negative stockholders' equity and a high debt-to-equity ratio of -4.37 in the TTM period, indicating high leverage and potential solvency issues. The return on equity is positive at 2.19%, but this is due to negative equity, which is not a sustainable position. The equity ratio is negative, further underscoring the financial risk.
Cash Flow
40
Negative
Cash flow analysis shows some resilience, with a free cash flow to net income ratio of 1.14, indicating that the company is generating cash relative to its net losses. However, the operating cash flow is negative, and free cash flow growth is slightly negative at -3.49%, reflecting ongoing cash burn and the need for improved cash management.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue902.57M739.02M563.95M449.54M373.65M286.73M
Gross Profit575.46M449.22M336.90M293.21M250.74M194.19M
EBITDA-354.11M-390.12M-433.31M-614.91M-359.62M-225.07M
Net Income-398.79M-436.37M-479.45M-654.59M-405.67M-253.78M
Balance Sheet
Total Assets1.28B1.49B1.79B1.61B2.20B2.27B
Cash, Cash Equivalents and Short-Term Investments580.01M839.98M1.17B1.01B932.75M1.79B
Total Debt1.33B1.34B1.35B1.37B1.37B854.49M
Total Liabilities1.63B1.63B1.63B1.55B1.56B916.19M
Stockholders Equity-354.47M-139.65M158.68M60.18M645.00M1.30B
Cash Flow
Free Cash Flow-262.23M-274.94M-345.46M-386.92M-284.05M-157.99M
Operating Cash Flow-222.90M-239.86M-324.98M-309.46M-209.02M-103.93M
Investing Cash Flow288.39M-261.31M840.25M149.82M-63.16M-617.09M
Financing Cash Flow-63.83M-996.00K477.38M-189.09M-66.82M1.41B

Guardant Health Technical Analysis

Technical Analysis Sentiment
Positive
Last Price97.10
Price Trends
50DMA
91.35
Positive
100DMA
74.90
Positive
200DMA
60.00
Positive
Market Momentum
MACD
1.57
Positive
RSI
51.30
Neutral
STOCH
16.09
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For GH, the sentiment is Positive. The current price of 97.1 is below the 20-day moving average (MA) of 103.89, above the 50-day MA of 91.35, and above the 200-day MA of 60.00, indicating a neutral trend. The MACD of 1.57 indicates Positive momentum. The RSI at 51.30 is Neutral, neither overbought nor oversold. The STOCH value of 16.09 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for GH.

Guardant Health Risk Analysis

Guardant Health disclosed 68 risk factors in its most recent earnings report. Guardant Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Guardant Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
$9.80B24.3911.29%3.36%5.32%336.29%
73
Outperform
$31.19B-98.39-29.02%38.17%-28.77%
70
Outperform
$19.28B-19.07-34.54%14.47%-353.69%
67
Neutral
$10.97B48.393.04%0.29%3.37%-18.80%
67
Neutral
$5.51B-401.57-1.30%11.09%-165.89%
61
Neutral
$12.61B-30.2230.38%24.17%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
GH
Guardant Health
97.10
65.43
206.60%
EXAS
Exact Sciences
101.82
42.42
71.41%
RVTY
Revvity
96.26
-15.98
-14.24%
QGEN
Qiagen
44.96
0.53
1.19%
RDNT
Radnet
76.68
3.98
5.47%
NTRA
Natera
231.96
70.08
43.29%

Guardant Health Corporate Events

Private Placements and FinancingBusiness Operations and Strategy
Guardant Health Completes $402.5M Convertible Notes Offering
Positive
Nov 7, 2025

On November 4, 2025, Guardant Health entered into an underwriting agreement for a public offering of 3,833,332 shares of common stock at $90 per share, raising approximately $327.2 million. The proceeds will be used for general corporate purposes, potentially including repurchasing a portion of the company’s convertible senior notes due 2027. Additionally, on November 7, 2025, Guardant Health completed a private offering of $402.5 million in convertible senior notes due 2033, with proceeds also intended for general corporate purposes. These financial moves are expected to strengthen Guardant Health’s operational capabilities and market positioning.

Business Operations and StrategyFinancial Disclosures
Guardant Health Hosts Investor Day in NYC
Neutral
Sep 25, 2025

Guardant Health, Inc. announced it will host an Investor Day on September 24, 2025, in New York City, featuring presentations from its co-CEOs and executive team to discuss the company’s operations, strategic priorities, and financial outlook. This event is expected to provide stakeholders with valuable insights into the company’s future direction and market positioning.

Executive/Board ChangesBusiness Operations and Strategy
Guardant Health Expands Board, Appoints Alex Azar
Positive
Sep 15, 2025

On September 12, 2025, Guardant Health expanded its Board of Directors to 11 members, appointing Alex M. Azar II, former U.S. Secretary of Health and Human Services, as a Class III director. Azar’s extensive experience in both government and the private sector is expected to provide valuable insights as Guardant Health continues to innovate in precision oncology and expand access to its cancer detection and management technologies.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 09, 2025