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Guardant Health (GH)
NASDAQ:GH
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Guardant Health (GH) AI Stock Analysis

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GH

Guardant Health

(NASDAQ:GH)

Rating:57Neutral
Price Target:
$62.00
▲(1.04% Upside)
Guardant Health's overall stock score is driven by strong technical indicators and a positive earnings call, which highlight significant revenue growth and improved margins. However, financial performance and valuation concerns due to ongoing losses and negative equity weigh down the score.
Positive Factors
Earnings
GH delivered a strong beat across all its clinical products with particular strength in Screening (Shield) and raised its full-year guide again, expecting more than double in screening revenue.
Product Launch
GH is benefiting from the launch of multiple products including its Shield CRC screening blood-based assay, Reveal MRD and G360 Tissue—driving 31% growth in the quarter.
Regulatory Approval
Shield MCED received a Breakthrough Device designation from the FDA, highlighting its potential impact in the diagnostics market.
Negative Factors
Data Release Delay
The perceived delay and no formal timeline for V2 data unveiling is likely to impact investor positioning, especially in the near term.
Market Expectations
The Shield V2 algorithm update showed only a modest improvement in sensitivity, rising to 84% from 83%, which was less than the bullish expectations.
Sensitivity Concerns
The weakness in the stock today is primarily around the company's sensitivity to advanced adenomas (AAs), which came in at 13%, representing no change from its FDA-cleared V1 test.

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

Guardant Health Business Overview & Revenue Model

Company DescriptionGuardant Health, Inc., a precision oncology company, provides blood tests, data sets, and analytics in the United States and internationally. The company offers Guardant360, Guardant360 LDT, Guardant360 CDx, and GuardantOMNI liquid biopsy-based tests for advanced stage cancer; and GuardantINFORM, an in-silico research platform that comprise a clinical-genomic liquid biopsy dataset of advanced cancer patients. It is also developing LUNAR-2 test for the early detection of colorectal cancer in asymptomatic individuals eligible; and GuardantConnect, an integrated software-based solution for clinical and biopharmaceutical customers seeking to connect patients tested with the Guardant360 assay with actionable alterations with potentially relevant clinical trials. In addition, the company offers Guardant Reveal Test for neoadjuvant and adjuvant treatment selection in early-stage cancer patients; Guardant360 tissue genotyping product; and Guardant-19 for use in the detection of the novel coronavirus. Further, it offers development services, including companion diagnostic development and regulatory approval, clinical study setup, monitoring and maintenance, testing development and support, and kits fulfillment related services to biopharmaceutical companies and medical institutions. The company was incorporated in 2011 and is headquartered in Redwood City, California.
How the Company Makes MoneyGuardant Health generates revenue primarily through the sale of its genomic testing services, which are offered to oncologists and healthcare institutions. The company charges for each test performed, with pricing models that may vary based on the specific test and the complexity of the analysis. Additionally, Guardant Health has established partnerships with various pharmaceutical companies for clinical trials, which can provide additional revenue streams through collaborations and service agreements. The growth of precision medicine and the increasing demand for non-invasive cancer testing further bolster the company’s earnings potential, as more healthcare providers adopt these advanced diagnostics in their treatment protocols.

Guardant Health Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Analyzes income from different business units or product lines, highlighting which areas drive growth and profitability, and where strategic focus might be needed.
Chart InsightsGuardant Health's Precision Oncology Testing segment has shown consistent growth, with recent quarters reflecting a strong upward trajectory. This aligns with the earnings call, where a 22% revenue increase was noted, driven by a 30% rise in test volumes, particularly from the Guardant360 Liquid test. Despite the Development Services segment's fluctuations, the company's overall revenue growth and increased guidance underscore a robust strategic focus on expanding oncology and screening capabilities, although potential ASP adjustments and regulatory uncertainties could pose challenges.
Data provided by:Main Street Data

Guardant Health Earnings Call Summary

Earnings Call Date:Jul 30, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Oct 30, 2025
Earnings Call Sentiment Positive
The earnings call reflected a strong quarter for Guardant Health with significant revenue growth, successful product launches, and improved gross margins. Despite some uncertainties regarding the timing of Shield V2 data and Medicare reimbursement processes, the company's strong performance and raised revenue guidance indicate a positive outlook.
Q2-2025 Updates
Positive Updates
Record-Breaking Revenue Growth
Q2 revenue grew 31% year-over-year to $232 million, with strong performance across oncology, screening, and biopharma and data businesses.
Strong Oncology Business Performance
Oncology revenue increased 22% to $159 million, with oncology volumes increasing 30% year-over-year to approximately 64,000 tests.
Significant Growth in Guardant360 Liquid
Guardant360 Liquid saw over 20% year-over-year growth, marking the fourth consecutive quarter of accelerated growth.
Biopharma Business Achievements
Record biopharma business volume and revenue with second quarter revenue growing 28% year-over-year. Signed 2 new companion diagnostic deals in Q2.
Shield Testing Revenue and Development
Delivered $15 million of Shield testing revenue in Q2 from approximately 16,000 tests. Shield received NCCN guideline inclusion and high adherence rates over 90%.
Improved Gross Margins
Non-GAAP gross margin of 66%, a significant improvement from the previous year’s 60%, driven by improved oncology ASPs and increased Shield gross margins.
Positive Adjusted EBITDA Trend
Adjusted EBITDA loss reduced to $51.9 million for Q2 2025, an improvement of $10 million compared to a loss of $61.9 million in Q2 2024.
Raised Full Year 2025 Revenue Guidance
Full year 2025 revenue guidance increased to $915 million to $925 million from the previous range of $880 million to $890 million.
Negative Updates
Delayed Shield V2 Data
No specific timeline for Shield V2 data release, potentially delaying launch past year-end.
Medicare Reimbursement Challenges
Concerns around the process and timing of Medicare reimbursement for new tests, especially in the context of Reveal breast cancer data.
Potential ASP Pressure
Expected ASP for Shield to decrease slightly in the second half of 2025 due to changes in the mix of Medicare and commercial pay tests.
Company Guidance
During the Guardant Health Q2 2025 Earnings Conference Call, management provided updated guidance reflecting strong performance across various business lines. Total revenue for the quarter grew 31% year-over-year to $232.1 million, driven by oncology revenue growth of 22% to $158.7 million and record biopharma and data business revenue of $56 million, an increase of 28%. The company's screening revenue totaled $14.8 million, supported by the Shield testing revenue of $15 million from approximately 16,000 tests. The company raised its full-year 2025 revenue guidance to $915 million to $925 million, reflecting a growth of approximately 24% to 25% compared to 2024. Oncology volume grew 30% year-over-year, with Guardant360 Liquid and Tissue tests showing significant adoption. Shield ASP increased to over $900 in Q2, with Shield non-GAAP gross margin improving to 48%. Non-GAAP gross profit rose 44% year-over-year to $153.8 million, achieving a non-GAAP gross margin of 66%. The company continues to invest in expanding its commercial infrastructure, expecting to surpass 250 sales reps by year-end. Guardant Health aims to reach company-wide cash flow breakeven by 2028, maintaining a focus on reducing cash burn each year.

Guardant Health Financial Statement Overview

Summary
Guardant Health shows strong revenue growth but faces significant financial risks due to persistent operational losses and negative equity. The company needs to improve profitability and stabilize its financial structure.
Income Statement
40
Negative
Guardant Health shows consistent revenue growth, with a significant 48.4% increase in TTM (Trailing-Twelve-Months) revenue compared to the previous year. However, the company struggles with profitability, as evidenced by negative net and EBIT margins over the years. The TTM gross profit margin is strong at 62.8%, but the net profit margin is -49.9%, indicating high operational costs and ongoing losses.
Balance Sheet
30
Negative
The balance sheet shows a concerning negative stockholders' equity of -$305 million, indicating that liabilities exceed assets significantly. The debt-to-equity ratio cannot be calculated due to negative equity, signaling high financial risk. The equity ratio is also negative, reinforcing the financial instability despite a decrease in total debt.
Cash Flow
35
Negative
Operating cash flow remains negative, showing inefficiencies in generating cash from operations. The free cash flow has improved slightly but remains negative. The free cash flow to net income ratio is close to 1, suggesting that cash losses are translating directly to net losses. The company needs to enhance its cash generation capabilities to improve financial health.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue828.85M739.02M563.95M449.54M373.65M286.73M
Gross Profit520.84M449.22M336.90M293.21M250.74M194.19M
EBITDA-368.35M-390.12M-433.31M-614.91M-359.62M-225.07M
Net Income-413.82M-436.37M-479.45M-654.59M-405.67M-253.78M
Balance Sheet
Total Assets1.33B1.49B1.79B1.61B2.20B2.27B
Cash, Cash Equivalents and Short-Term Investments629.14M839.98M1.17B1.01B932.75M1.79B
Total Debt1.33B1.34B1.35B1.37B1.37B854.49M
Total Liabilities1.64B1.63B1.63B1.55B1.56B916.19M
Stockholders Equity-305.48M-139.65M158.68M60.18M645.00M1.30B
Cash Flow
Free Cash Flow-271.73M-274.94M-345.46M-386.92M-284.05M-157.99M
Operating Cash Flow-238.55M-239.86M-324.98M-309.46M-209.02M-103.93M
Investing Cash Flow7.92M-261.31M840.25M149.82M-63.16M-617.09M
Financing Cash Flow-71.05M-996.00K477.38M-189.09M-66.82M1.41B

Guardant Health Technical Analysis

Technical Analysis Sentiment
Positive
Last Price61.36
Price Trends
50DMA
52.58
Positive
100DMA
48.60
Positive
200DMA
44.25
Positive
Market Momentum
MACD
4.00
Negative
RSI
58.10
Neutral
STOCH
64.49
Neutral
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 61.36 is above the 20-day moving average (MA) of 60.26, above the 50-day MA of 52.58, and above the 200-day MA of 44.25, indicating a bullish trend. The MACD of 4.00 indicates Negative momentum. The RSI at 58.10 is Neutral, neither overbought nor oversold. The STOCH value of 64.49 is Neutral, 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
80
Outperform
$13.30B35.7989.38%9.94%25.30%
70
Neutral
$23.24B-24.32%44.38%22.87%
65
Neutral
$4.59B190.925.14%2.40%-40.03%
65
Neutral
$13.61B-97.95%59.84%76.46%
57
Neutral
$8.29B-4584.47%28.74%18.25%
53
Neutral
$8.98B-35.51%12.56%-464.28%
51
Neutral
$7.91B-0.36-41.70%2.23%23.45%-1.86%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
GH
Guardant Health
61.36
37.63
158.58%
EXAS
Exact Sciences
51.41
-7.70
-13.03%
NTRA
Natera
166.56
53.66
47.53%
MEDP
Medpace Holdings
482.34
146.60
43.66%
SHC
Sotera Health
15.50
-0.15
-0.96%
TEM
Tempus AI, Inc. Class A
78.12
27.93
55.65%

Guardant Health Corporate Events

Executive/Board ChangesShareholder Meetings
Guardant Health Elects Board and Approves Auditor
Neutral
Jun 20, 2025

At the annual meeting of stockholders held on June 18, 2025, Guardant Health, Inc. elected all nominees for its board of directors, including Vijaya Gadde, Roberto Mignone, Myrtle Potter, and Musa Tariq. Additionally, the stockholders approved the selection of Deloitte & Touche LLP as the independent registered public accounting firm for 2025 and endorsed the compensation of the company’s named executive officers.

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: Aug 19, 2025