Earnings summary

Guardant Health, Inc. Q4 2025 results

Reported 2026-02-19Full transcript →

Snapshot

Guardant Health, Inc. reported $281M of revenue in Q4 2025, up 39.4% year over year, with diluted EPS of $-1.00 and an operating margin of -43.0%.

Revenue
$281M
YoY growth
+39.4%
Diluted EPS
$-1.00
Operating margin
-43.0%
$281M
Revenue
+39.4%
YoY growth
$-1.00
Diluted EPS
-43.0%
Operating margin
01 Key takeaways

What management said

  • 2025 represents the first full year for Shield IVD, where very meaningful volume and revenue generation exceeds our expectations.
  • We have significantly expanded the commercial team and established impactful strategic partnerships to meet the growing demand for a high-performing, blood-based screening option.
  • Importantly, this execution has directly driven strong financial performance, both accelerating our top-line growth and strengthening our path to profitability.
  • Turning to top-line performance on slide four, we delivered $281 million of revenue in the Q4, representing 39% year-over-year growth, and $982 million of revenue or 33% year-over-year growth for the full year.
  • This exceptional performance reflects continued broad-based growth across our oncology screening and biopharma and data businesses.
  • Taking a closer look at our oncology business in slide five, oncology revenue increased 30% to $190 million, and oncology volumes grew 38% to approximately 79,000 tests in the Q4.
  • Together, these drivers will continue to catalyze very strong growth in our oncology business.
  • Reveal continues to be our fastest-growing product, reflecting growing demand for tissue-free MRD.
  • Turning to slide 9 to take a closer look at our Reveal data pipeline.
  • Shifting gears to our biopharma and data business in slide 11, we delivered another year of strong performance, with revenue growing 18% year-over-year to $210 million in 2025.
  • We are a leader in companion diagnostics, with 25 approvals to date across the U.S., Japan, and Europe, and a robust pipeline of ongoing CDx programs.
  • We delivered $35 million of Shield testing revenue in Q4, driven by approximately 38,000 tests, which was a meaningful step-up compared to 24,000 tests in Q3.
Read the full Q4 2025 transcript
SourcesCompany financials · earnings call Last updated

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