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Guardant Health, Inc. logo

Guardant Health, Inc.

guardanthealth.com

What Do They Do?

Sells blood and tissue tests for cancer screening, recurrence monitoring and treatment selection to patients and clinicians, and provides tests and research data to biopharmaceutical companies.

How Do They Make Money?

Clinical customers, patients and payers pay for oncology and Shield tests, with sales counted when results are reported to physicians. Biopharmaceutical companies pay per test or over testing periods, and for services or when development milestones are reached; the company also earns revenue from technology licenses.

revenue
SegmentShareRevenue
Oncology
Sold outright

70%
Biopharma and data
Mix

21%
Screening
Sold outright
8.1%
Licensing and other
Licensed
0.9%

Who Are Their Customers?

Clinical testing is paid for by commercial and government payers, hospitals, cancer centers, research institutions and patients; some tests are delivered through strategic partner labs. Biopharma companies and research institutes also buy tests and data services, with international lab partners and distributors in the channel.

Do Revenues Turn Into Profits?

No. It lost $416.3M in FY2025.

Operating income, FY2025
−45% of revenue
▼ −1% (Loss) vs FY2024 (−$443.6M, −60%)
Net income, FY2025
−42% of revenue
▼ −5% (Loss) vs FY2024 (−$436.4M, −59%)
Free cash flow, FY2025
−24% of revenue
▼ −15% (Loss) vs FY2024 (−$274.9M, −37%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▲ +44%
vs $232.1M in Q2 FY2025
Net income
▲ +20% (Loss)
vs −$99.9M in Q2 FY2025
Oncology share of revenue vs 68.4% in Q2 FY2025

Growing. Revenue grew 2.6x in 4 years, from $373.7M in FY2021 to $982M in FY2025, about 27% a year.

Shield gains approval The earlier report describes Shield as a launched laboratory-developed test and an investigational platform; the latest report describes it as an FDA-approved blood test for primary colorectal cancer screening that meets Medicare coverage requirements.

Revenue over time
Oncology Biopharma and data Screening Licensing and other
$1B$500M$0

Who Do They Compete With?

Competes with Foundation Medicine, Caris Life Sciences, Tempus AI, NeoGenomics, Exact Sciences, BillionToOne, Quest Diagnostics, Laboratory Corporation of America, Natera, Myriad Genetics, Personalis, GRAIL, Freenome Holdings, Delfi Diagnostics, Illumina, Thermo Fisher Scientific, Pacific Biosciences of California, Ultima Genomics, and Oxford Nanopore Technologies

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