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Guardant Health

GH
23
Medical - Diagnostics & Research · Healthcare
Exchange
NASDAQ
Winston Score
23
Winston is worried
Weak fundamentals across most pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Mixed
Cash Flow
Weak
Stability
Data not available
Valuation
Data not available

Winston Score History

The full picture

Guardant Health is a medical company that makes blood tests to detect and monitor cancer. Instead of a traditional tissue biopsy — which requires surgery — Guardant's tests analyze fragments of tumor DNA floating in a patient's blood, a technique called "liquid biopsy." Its main products include the Guardant360 test for guiding cancer treatment decisions and Shield, a colorectal cancer screening test approved by the FDA in 2024 for average-risk adults.

The company earns revenue by selling these tests to oncologists, hospitals, and health systems, and is working to expand insurance coverage to reach more patients. Guardant operates primarily in the United States, with some international presence, and generated roughly $700 million in annual revenue in recent periods. Its moat comes from proprietary technology, large clinical datasets, and regulatory approvals that are difficult for competitors to replicate quickly. The biggest challenge ahead is convincing insurers to broadly reimburse Shield, since widespread coverage is essential for the test to become commercially viable at scale.

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+44.3% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

-12.5% YoY

YoY Growth Rate

Earnings declining

Insider Activity

4.0%ownership

Flat

Insider ownership roughly steady over the past year

Cash Runway

~4 years

$1.1B cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

$1.1B cash & investments at current burn rate

Revenue accelerating

Guardant Health grew revenue 44% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
65.4%
Premium pricing power — 65.4% gross margin
Profit after running costs
Operating Margin
-38.5%
Losing money on operations — -38.5%
Return on the money invested
ROCE
-8.9%
Weak — -8.9% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
+42.7%
Fast-growing sales (+42.7% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-19.3%
Burning cash (-19.3%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
N/A
Data not available
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
no trend
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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