Guardant Health (GH)

Management Credibility Scorecard · 5 quarters tracked (Q1'25 - Q1'26)
Last updated May 7, 2026 · latest call analyzed
90%
Kept of 31 resolved
28
Kept / Exceeded
3
Missed
3
Still Pending

Grade History

QuarterDisclosure QualityFinancial Quality
Q1'25 →B+B+
Q2'25 →B+A
Q3'25 →B+A-
Q4'25 →B+B
Q1'26 →B+B+

Promise Ledger · All Quarters

MarkedPromiseStatus
Q1'26❌ACS guideline inclusion expected in near future
Still saying 'near term' without timeline progression, suggests delays
missed
Q1'26✅Core business (ex-screening) to be FCF positive in 2026
Already FCF positive in Q3/Q4 2025, confirmed for full year 2026
delivered
Q1'26✅Shield cost per test declining toward $200 at scale
Cost down to $420 from $450, trending toward $200 target
delivered
Q1'26✅Biopharma revenue growth in low double-digit range
17% YoY growth vs 'low double-digit' guidance
exceeded
Q1'26⏳Complete NovaSeq X transition for G360 Liquid during 2026
On track to complete in May 2026 per management
pending
Q1'26✅Shield volume sequential increases every quarter with greater increases in back half
Q4 to Q1 grew from 38K to 44K tests, guidance implies continued sequential growth
delivered
Q4'25✅FDA submission for G360 liquid PMA
Submitted in Q4, tracking for approval in second half 2026
delivered
Q4'25✅Oncology revenue growth of approximately 25%
Delivered 26% growth vs 25% guided
exceeded
Q4'25✅Shield revenue guidance of $71-73M for 2025
Delivered $79.7M, beating high end by $6.7M
exceeded
Q4'25⏳Quest collaboration launch in Q1 2026
Still on track for later in Q1 launch
pending
Q4'25✅Submit additional Reveal data packages to MolDx in Q4
Submitted chemo monitoring package, planning CDK4/6 package after publication
delivered
Q4'25✅Core business (ex-Shield) to reach FCF positive in Q4 2025
Achieved FCF positive one quarter early in Q3, sustained in Q4
exceeded
Q4'25✅Shield volume sequential increases every quarter with greater increases in back half
Q4 delivered 14K sequential increase, stronger than Q3's 8K
delivered
Q3'25✅Reveal breast reimbursement submission to MolDx
Submitted in Q3 as promised
delivered
Q3'25✅Shield MCD broader access 'in the near future'
Launched nationwide clinical data collection initiative in Q3
delivered
Q3'25✅Free cash flow burn $225-235M for full year
Maintained guidance despite higher revenues - showing discipline
delivered
Q3'25✅Non-GAAP gross margin 63-64% for full year
Raised to 64-65% on Shield and Reveal margin improvements
exceeded
Q3'25✅Oncology volume growth greater than 27% for full year
Raised to greater than 30%, ahead of prior expectation
exceeded
Q3'25✅Shield revenue $55-60M for full year 2025
Raised to $71-73M, beating by $13M+ at midpoint
exceeded
Q3'25✅Core business free cash flow positive by Q4 2025
Delivered in Q3, one quarter ahead of schedule
exceeded
Q2'25✅Total revenue range $880M-$890M for 2025
Raised to $915M-$925M, second raise this year
exceeded
Q2'25❌Shield V2 data and potentially launching Shield V2 later this year
Now admits 'maybe delayed a little bit' from year-end timeline
missed
Q2'25✅Reveal breast reimbursement submission expected this year
Submitted to MolDx in Q2 as promised
delivered
Q2'25✅Both R&D and G&A expenses relatively flat vs 2024
Both flat in Q2, confirming operating leverage
delivered
Q2'25✅Shield would be more back-end loaded due to sales rep ramp
Q2 showed acceleration, maintaining H2 weighting in guidance
delivered
Q2'25✅Total oncology volume to grow greater than 25%
Raised to >27% based on Q2 outperformance
exceeded
Q2'25✅Shield revenue guidance $40M-$45M for 2025
Raised to $55M-$60M - delivered on ADLT pricing and volume acceleration
exceeded
Q1'25✅Free cash flow burn reduction in 2025
Guided to $225-235M vs $275M in 2024
delivered
Q1'25⏳Shield MCD data presentation in scientific conference Q2 2025
Data presented at AACR as promised, now moving to NCI Vanguard study
pending
Q1'25✅Major tissue test upgrade in 2025
Launched Guardant360 Tissue with comprehensive multi-omic capabilities
delivered
Q1'25✅Medicare CRC surveillance coverage for Reveal
Received coverage at $1,644 rate, effective January 2025
delivered
Q1'25✅Reveal gross margin positive with surveillance reimbursement
Achieved gross margin positive in Q1, ahead of original timeline
exceeded
Q1'25✅ADLT status for Shield in 2025
Received ADLT status effective April 1, 2025, increasing Medicare rate to $1,495
delivered
Q1'25❌Shield V2 launch by end of 2024
Quietly dropped specific timeline, now says 'potentially launching Shield V2 later this year'
missed
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Promise-kept rate counts resolved promises only (pending excluded).
Grades, kept-promise rates, and flags on this site reflect the author's opinion, applying a stated methodology to statements management made on public earnings calls. Informational and educational purposes only - not investment advice, a recommendation, or an offer to buy or sell any security. Sources believed reliable but not guaranteed; the author may hold positions in the securities discussed.