| --- | --- | |----------------------------------------------|-------| | | | | | | | | | | Transforming cancer care | | | William Blair Growth Conference June 7, 2022 | | Safe Harbor Certain statements in this presentation and the accompanying oral commentary are forward-looking statements within the meaning of federal securities laws. These statements relate to future events or Guardant Health, Inc. (the "Company")'s future results and involve known and unknown risks, uncertainties and other factors that m ...

Q1 2022 earnings Call May 5, 2022 Safe Harbor Certain statements in this presentation and the accompanying oral commentary are forward-looking statements within the meaning of federal securities laws. These statements relate to future events or Guardant Health, Inc. (the "Company")'s future results and involve known and unknown risks, uncertainties and other factors that may cause the actual results, levels of activity, performance or achievements of the Company or its industry to be materially different fr ...

Guardant Health, Inc. (NASDAQ:GH) Q1 2022 Earnings Conference Call May 5, 2022 4:30 PM ET Company Participants Alex Kleban - VP, IR Helmy Eltoukhy - Co-CEO AmirAli Talasaz - Co- CEO Mike Bell - CFO Conference Call Participants Puneet Souda - SVB Securities Dan Arias - Stifel Jack Meehan - Nephron Research Yih-Ming Tu - Morgan Stanley Derik De Bruin - Bank of America Kyle Mikson - Canaccord Mark Massaro - BTIG Max Masucci - Cowen Patrick Donnelly - Citi Julie Qin - JPMorgan David Delahunt - Goldman Sachs Bri ...

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2022 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 _____________________ FORM 10-Q _____________________ (Mark One) Securities registered pursuant to Section 12(b) of the Act: | Title of each class | Trading Symbol(s) | Name of e ...

Financial Performance - Q4 2021 revenue reached $108 million, a 38% year-over-year increase compared to $78 million in Q4 2020 [5, 6] - 2021 annual revenue totaled $374 million [7] compared to $287 million in 2020 [6] - The company anticipates total revenue between $460 million and $470 million for 2022, representing a 24% growth at the midpoint [33] Clinical and Biopharma Growth - Q4 2021 clinical volumes increased by 48% year-over-year [7] - The company has surpassed 100 biopharma partners [5, 12] - Biopharma volume is expected to grow by over 30% in 2022 [33] Product Development and Market Opportunity - The company launched three new products in 2021 [5] - The MRD (Minimal Residual Disease) market presents a $15 billion opportunity [9] - The company is targeting a $20 billion opportunity for CRC (Colorectal Cancer) screening in 2022 and beyond [15] - The multi-cancer screening market represents a $50 billion+ opportunity [30] Global Expansion - The company is building two labs in Europe with partners in Spain and the UK [11] - Guardant360CDx has been submitted for regulatory approval in Japan [11] Cancer Screening Program - ECLIPSE study reached its target enrollment [5, 17] - The company is moving towards multi-cancer opportunity with SHIELD Lung study [29]

Guardant Health, Inc. (NASDAQ:GH) Q4 2021 Earnings Conference Call February 23, 2022 4:30 PM ET Company Participants Carrie Mendivil - Investor Relations Helmy Eltoukhy - Co-Chief Executive Officer AmirAli Talasaz - Co-Chief Executive Officer Mike Bell - Chief Financial Officer Conference Call Participants Tycho Peterson - JPMorgan Brian Weinstein - William Blair Tejas Savant - Morgan Stanley Puneet Souda - SVB Leerink Derik De Bruin - Bank of America Max Masucci - Cowen and Company Jack Meehan - Nephron Re ...

PART I [Business](index=4&type=section&id=Item%201.%20Business) Guardant Health is a precision oncology company providing proprietary blood tests, data sets, and advanced analytics to inform cancer treatment decisions across all stages of the disease - Guardant Health is a precision oncology company focused on conquering cancer through proprietary tests, vast data sets, and advanced analytics, offering products for all stages of the disease, from screening (Guardant SHIELD) to therapy selection in advanced stages (Guardant360) and recurrence monitoring (Guardant Reveal)[19](index=19&type=chunk) - The Guardant Health Oncology Platform is built on five key layers: Technology (digital sequencing), Clinical Utility (over 200 peer-reviewed publications), Regulatory Approval (first FDA-approved comprehensive liquid biopsy), Payer Coverage (including Medicare), and Commercial Adoption (used by 11,000 oncologists)[24](index=24&type=chunk)[25](index=25&type=chunk)[26](index=26&type=chunk)[27](index=27&type=chunk)[28](index=28&type=chunk)[30](index=30&type=chunk) Test Volume Growth (Clinical & Biopharmaceutical) | Customer Type | 2019 | 2020 | 2021 | | :--- | :--- | :--- | :--- | | Clinical Customers | 49,926 | 63,254 | 87,600 | | Biopharmaceutical Customers | 20,643 | 15,983 | 18,600 | [Our Products and Development Program](index=7&type=section&id=Our%20products%20and%20development%20program) The company's product portfolio addresses the full continuum of cancer care, including therapy selection, treatment monitoring, minimal residual disease, and early screening - **Guardant360 CDx** is the market-leading comprehensive liquid biopsy test, approved by the FDA for tumor mutation profiling in solid tumors and as a companion diagnostic for specific NSCLC therapies[35](index=35&type=chunk) - **Guardant Reveal**, launched in February 2021, is a liquid biopsy test for detecting minimal residual disease and monitoring for recurrence in early-stage cancer, initially for Stage II-III colorectal cancer[42](index=42&type=chunk) - **Guardant SHIELD** is an assay in development for cancer screening in asymptomatic individuals, leveraging both genomic and epigenomic signatures to enhance detection of early-stage cancers[49](index=49&type=chunk) - **GuardantINFORM** is a real-world evidence platform launched in 2020, combining de-identified clinical and genomic data from the Guardant360 test to accelerate biopharma research and development[47](index=47&type=chunk)[48](index=48&type=chunk) [Commercialization](index=10&type=section&id=Commercialization) The company's commercial strategy uses a targeted U.S. sales force, international distributors, and a joint venture to drive global adoption of its oncology products - In the U.S., a specialized sales organization targets oncologists and cancer centers, focusing on both **academic institutions and community practices**[50](index=50&type=chunk)[51](index=51&type=chunk) - A joint venture with SoftBank, **Guardant Health AMEA, Inc.**, aims to accelerate commercialization in Asia, the Middle East, and Africa; in December 2021, Guardant360 CDx received regulatory approval in Japan[54](index=54&type=chunk) - In November 2021, the company exercised its call right to purchase all shares held by SoftBank in the Guardant Health AMEA joint venture, with the transaction expected to close by the end of **Q2 2022**[54](index=54&type=chunk) [Payer Coverage and Reimbursement](index=11&type=section&id=Payer%20coverage%20and%20reimbursement) The reimbursement strategy focuses on securing coverage from commercial and government payers by becoming a participating provider and obtaining favorable status like ADLT - The company is actively working to expand contracts with commercial payers as a **"participating provider"** to achieve higher and more stable reimbursement rates, as non-participating provider payments are lower and more variable[57](index=57&type=chunk)[58](index=58&type=chunk)[59](index=59&type=chunk) - Medicare provides limited coverage for the Guardant360 test for qualifying patients with solid tumors; in March 2021, CMS granted **ADLT status** to the Guardant360 CDx test, setting its Medicare reimbursement at the lowest available commercial rate[29](index=29&type=chunk)[66](index=66&type=chunk) - The company is subject to the **Protecting Access to Medicare Act (PAMA)**, which requires reporting of commercial payer rates to CMS to establish Medicare reimbursement rates for clinical laboratory services[64](index=64&type=chunk) [Competition](index=14&type=section&id=Competition) Guardant Health faces competition from diagnostic companies offering genomic profiling services via liquid or tissue biopsies, as well as firms developing tests for MRD and early screening - Primary competition comes from companies offering genomic profiling through either **liquid or tissue-based tests**[76](index=76&type=chunk) - Key liquid biopsy competitors include **Foundation Medicine (Roche)**, Roche Molecular Systems, Inc, **Thermo Fisher Scientific, Inc**, Illumina, Inc, Qiagen N.V, Invitae Corporation, and Sysmex Inostics[77](index=77&type=chunk) - Competitors in minimal residual disease and early screening include **GRAIL, Inc**, **Natera, Inc**, **Exact Sciences Corp**, and Freenome Holdings, Inc[77](index=77&type=chunk) [Government Regulations](index=16&type=section&id=Government%20regulations) The company operates in a highly regulated environment, adhering to CLIA and state laboratory standards, FDA oversight for medical devices, and various healthcare compliance laws - The company's laboratory is certified under the **Clinical Laboratory Improvement Amendments (CLIA)** and accredited by the College of American Pathologists (CAP), and holds licenses in several states, including California and New York[90](index=90&type=chunk)[92](index=92&type=chunk) - Certain tests are marketed as **Laboratory Developed Tests (LDTs)**, which are currently subject to FDA's enforcement discretion; however, potential changes in FDA policy could impose more stringent regulatory requirements[119](index=119&type=chunk)[120](index=120&type=chunk)[242](index=242&type=chunk) - The Guardant360 CDx test is marketed pursuant to an approved **Premarket Approval (PMA)** from the FDA, a rigorous process requiring extensive data to demonstrate safety and effectiveness[107](index=107&type=chunk) - The company is subject to federal and state fraud and abuse laws, including the **Anti-Kickback Statute (AKS)**, the **Stark Law**, and the **False Claims Act (FCA)**, which regulate financial relationships with healthcare providers[150](index=150&type=chunk)[151](index=151&type=chunk)[153](index=153&type=chunk)[154](index=154&type=chunk) [Employees and Human Capital](index=28&type=section&id=Employees%20and%20Human%20Capital) As of December 31, 2021, the company had 1,373 employees and emphasizes a diverse and inclusive workplace, with strong representation of women and minorities Employee Headcount and Diversity (as of Dec 31, 2021) | Metric | Value | | :--- | :--- | | Total Full-Time Employees | 1,373 | | Racially/Ethnically Diverse (Overall) | 56% | | Female (Overall) | 55% | | Racially/Ethnically Diverse (Leadership) | 34% | | Female (Leadership) | 38% | | Female (Independent Directors) | 57% | - The company has implemented supportive measures in response to COVID-19, including free testing, enhanced safety protocols, remote work options, and **unlimited sick leave** for COVID-related needs, without any salary or wage cuts[171](index=171&type=chunk) [Risk Factors](index=30&type=section&id=Item%201A.%20Risk%20Factors) The company faces significant risks from its history of net losses, reliance on key products and suppliers, intense competition, and a complex regulatory environment [Risks Related to Business and Strategy](index=31&type=section&id=Risks%20related%20to%20our%20business%20and%20strategy) The company has a history of significant net losses, depends heavily on a few payers like Medicare, relies on limited suppliers, and faces ongoing disruption from COVID-19 - The company has a history of significant losses, with a **net loss of $384.8 million in 2021** and an **accumulated deficit of $1.0 billion** as of December 31, 2021[177](index=177&type=chunk) - Revenue from patients covered by **Medicare represented approximately 45%** of precision oncology revenue from clinical customers for the year ended December 31, 2021[199](index=199&type=chunk) - The company relies on a limited number of suppliers, including **Illumina as the sole supplier** for sequencers and their maintenance, creating significant supply chain risk[216](index=216&type=chunk) - The **COVID-19 pandemic** has adversely impacted the business by reducing customer access, disrupting the supply chain for critical reagents and equipment, and negatively affecting clinical trial enrollment[219](index=219&type=chunk)[220](index=220&type=chunk) [Risks Related to Highly Regulated Industry](index=42&type=section&id=Risks%20related%20to%20our%20highly%20regulated%20industry) The company faces risks from potential FDA regulation of LDTs, uncertainty in payer reimbursement, and strict compliance requirements for healthcare and data privacy laws - Several key tests are marketed as **Laboratory Developed Tests (LDTs)**; future changes in the FDA's policy of enforcement discretion could subject these tests to more significant regulatory requirements, including premarket approval[242](index=242&type=chunk)[243](index=243&type=chunk) - Commercial success is heavily dependent on obtaining and maintaining **coverage and adequate reimbursement** from third-party payers like Medicare and private insurers, which is a complex and uncertain process[255](index=255&type=chunk) - The company is subject to numerous federal and state healthcare laws, including the **Anti-Kickback Statute (AKS)**, **Stark Law**, and the **False Claims Act (FCA)**; non-compliance could lead to significant penalties[295](index=295&type=chunk)[296](index=296&type=chunk) - The business is subject to extensive data privacy and security laws, such as **HIPAA** in the U.S. and **GDPR** in Europe; failure to comply or a data breach could result in significant liability and reputational harm[315](index=315&type=chunk)[316](index=316&type=chunk)[321](index=321&type=chunk) [Risks Related to Intellectual Property](index=61&type=section&id=Risks%20related%20to%20our%20intellectual%20property) The company's success depends on protecting its intellectual property through patents and trade secrets, which is challenged by an uncertain legal landscape and costly litigation - The company relies on a combination of **patents, trademarks, and trade secrets** to protect its proprietary technologies, but these may not provide adequate protection[331](index=331&type=chunk) - The patent landscape for genomic diagnostic tests is **highly uncertain**, with evolving legal standards that may affect the ability to obtain and enforce patents covering the company's technology[337](index=337&type=chunk) - The company is and may continue to be involved in **costly and time-intensive intellectual property litigation** to enforce its rights or defend against infringement claims[363](index=363&type=chunk)[364](index=364&type=chunk) - The company relies on **in-licensed technology** from third parties; loss of these licenses could limit the ability to commercialize products and may lead to litigation[347](index=347&type=chunk) PART II [Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities](index=80&type=section&id=Item%205.%20Market%20for%20Registrant's%20Common%20Equity%2C%20Related%20Stockholder%20Matters%20and%20Issuer%20Purchases%20of%20Equity%20Securities) The company's common stock trades on Nasdaq under "GH," and it does not anticipate paying cash dividends, retaining earnings for business growth - The company's common stock is traded on the **Nasdaq Global Select Market** under the symbol **"GH"**[426](index=426&type=chunk) - The company has **never declared or paid dividends** and intends to retain all future earnings to finance business operations and expansion[427](index=427&type=chunk) [Management's Discussion and Analysis of Financial Condition and Results of Operations](index=82&type=section&id=Item%207.%20Management's%20Discussion%20and%20Analysis%20of%20Financial%20Condition%20and%20Results%20of%20Operations) In 2021, revenue grew 30% to $373.7 million, but net loss widened to $384.8 million due to sharply higher R&D and sales expenses, while liquidity remains strong at $1.6 billion [Results of Operations](index=88&type=section&id=Results%20of%20operations) In 2021, revenue grew 30% to $373.7 million, but net loss widened to $384.8 million due to a 76% increase in R&D and an 80% increase in sales and marketing expenses Consolidated Statements of Operations (2021 vs 2020) | Account | 2021 (in thousands) | 2020 (in thousands) | Change (%) | | :--- | :--- | :--- | :--- | | **Total Revenue** | **$373,653** | **$286,730** | **30%** | | Precision oncology testing | $304,312 | $236,324 | 29% | | Development services and other | $69,341 | $50,406 | 38% | | **Total costs and operating expenses** | **$784,654** | **$541,680** | **45%** | | Cost of precision oncology testing | $110,396 | $74,769 | 48% | | Research and development expense | $263,221 | $149,862 | 76% | | Sales and marketing expense | $191,881 | $106,513 | 80% | | General and administrative expense | $206,640 | $192,770 | 7% | | **Loss from operations** | **($411,001)** | **($254,950)** | **61%** | | **Net loss** | **($384,770)** | **($246,283)** | **56%** | - The increase in clinical testing revenue was driven by **higher sample volumes** for Guardant360 LDT and CDx tests, and an increased average selling price for the CDx test due to receiving **ADLT status** from Medicare[464](index=464&type=chunk) - The **76% increase in R&D expense** was primarily due to a $49.7 million increase in personnel-related costs, a $32.7 million increase in material costs, and a $21.2 million increase in development consulting fees[472](index=472&type=chunk) [Liquidity and Capital Resources](index=92&type=section&id=Liquidity%20and%20capital%20resources) The company holds $1.6 billion in cash and marketable securities against a $1.0 billion accumulated deficit, with operating cash use increasing to $209.0 million in 2021 - As of December 31, 2021, the company had **$1.6 billion in cash, cash equivalents, and marketable securities** and an accumulated deficit of $1.0 billion[436](index=436&type=chunk)[483](index=483&type=chunk)[484](index=484&type=chunk) Summary of Cash Flows (2021 vs 2020) | Cash Flow Activity | 2021 (in thousands) | 2020 (in thousands) | | :--- | :--- | :--- | | Net cash used in operating activities | ($209,017) | ($103,927) | | Net cash used in investing activities | ($63,155) | ($617,086) | | Net cash (used in) provided by financing activities | ($66,824) | $1,410,307 | - The increase in cash used in operating activities in 2021 was primarily due to a **higher net loss** and a **$44.4 million increase in accounts receivable**[488](index=488&type=chunk) [Financial Statements and Supplementary Data](index=100&type=section&id=Item%208.%20Financial%20Statements%20and%20Supplementary%20Data) The company's audited financial statements show total assets of $2.20 billion, a net loss of $384.8 million for 2021, and a year-end cash balance of $1.6 billion [Consolidated Balance Sheets](index=103&type=section&id=Consolidated%20Balance%20Sheets) As of December 31, 2021, total assets were $2.20 billion, while total liabilities increased to $1.56 billion, primarily due to convertible senior notes Consolidated Balance Sheet Highlights (as of Dec 31) | Account | 2021 (in thousands) | 2020 (in thousands) | | :--- | :--- | :--- | | Cash, cash equivalents, and marketable securities | $1,630,782 | $2,041,477 | | **Total Assets** | **$2,204,499** | **$2,271,781** | | Convertible senior notes, net | $1,134,821 | $806,292 | | **Total Liabilities** | **$1,559,494** | **$916,186** | | Accumulated deficit | ($1,007,825) | ($606,592) | | **Total Stockholders' Equity** | **$645,005** | **$1,298,495** | [Consolidated Statements of Operations](index=105&type=section&id=Consolidated%20Statements%20of%20Operations) For fiscal year 2021, revenues grew 30% to $373.7 million, but a faster rise in operating expenses led to a net loss of $405.7 million, or ($4.00) per share Consolidated Statements of Operations (Years Ended Dec 31) | Account | 2021 (in thousands) | 2020 (in thousands) | 2019 (in thousands) | | :--- | :--- | :--- | :--- | | **Total Revenue** | **$373,653** | **$286,730** | **$214,375** | | **Total costs and operating expenses** | **$784,654** | **$541,680** | **$296,746** | | **Loss from operations** | **($411,001)** | **($254,950)** | **($82,371)** | | **Net loss** | **($384,770)** | **($246,283)** | **($67,851)** | | **Net loss per share, basic and diluted** | **($4.00)** | **($2.60)** | **($0.84)** | [Notes to Consolidated Financial Statements](index=110&type=section&id=Notes%20to%20Consolidated%20Financial%20Statements) The notes detail key accounting policies, the acquisition of the AMEA joint venture, the $1.15 billion convertible notes, legal proceedings, and the company's tax position - In November 2021, the company exercised its call right to purchase all shares held by SoftBank in the **Guardant Health AMEA joint venture**; the minimum purchase price of **$78.0 million** was recorded as a current liability[636](index=636&type=chunk) - In November 2020, the company issued **$1.15 billion in 0% Convertible Senior Notes due 2027**, with an initial conversion price of approximately $139.82 per share[656](index=656&type=chunk)[659](index=659&type=chunk) - In December 2021, the company entered into a **Settlement and License Agreement with Foundation Medicine**, resolving all pending patent litigation worldwide between the parties[682](index=682&type=chunk) - In January 2022, the company received a **Civil Investigative Demand (CID)** from the U.S. Attorney's Office in connection with a False Claims Act investigation regarding billing of government-funded programs[686](index=686&type=chunk) [Controls and Procedures](index=145&type=section&id=Item%209A.%20Controls%20and%20Procedures) Management and the independent auditor both concluded that the company's disclosure controls and internal control over financial reporting were effective as of year-end 2021 - Management concluded that the company's **disclosure controls and procedures were effective** as of December 31, 2021[747](index=747&type=chunk) - Based on the COSO framework, management concluded that the company's **internal control over financial reporting was effective** as of December 31, 2021[748](index=748&type=chunk) - The independent registered public accounting firm issued an **unqualified opinion** on the effectiveness of the company's internal control over financial reporting as of December 31, 2021[755](index=755&type=chunk) PART III [Directors, Executive Officers and Corporate Governance](index=148&type=section&id=Item%2010.%20Directors%2C%20Executive%20Officers%20and%20Corporate%20Governance) Information on directors, executive officers, and corporate governance is incorporated by reference from the company's forthcoming 2022 Proxy Statement - Information regarding directors, executive officers, and corporate governance is **incorporated by reference** from the forthcoming 2022 Proxy Statement[766](index=766&type=chunk) [Executive Compensation](index=148&type=section&id=Item%2011.%20Executive%20Compensation) Information detailing executive compensation is incorporated by reference from the company's forthcoming 2022 Proxy Statement - Information regarding executive compensation is **incorporated by reference** from the forthcoming 2022 Proxy Statement[767](index=767&type=chunk) [Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters](index=148&type=section&id=Item%2012.%20Security%20Ownership%20of%20Certain%20Beneficial%20Owners%20and%20Management%20and%20Related%20Stockholder%20Matters) Information on security ownership by beneficial owners and management is incorporated by reference from the company's forthcoming 2022 Proxy Statement - Information regarding security ownership is **incorporated by reference** from the forthcoming 2022 Proxy Statement[768](index=768&type=chunk) [Certain Relationships and Related Transactions, and Director Independence](index=148&type=section&id=Item%2013.%20Certain%20Relationships%20and%20Related%20Transactions%2C%20and%20Director%20Independence) Information on related party transactions and director independence is incorporated by reference from the company's forthcoming 2022 Proxy Statement - Information regarding related transactions and director independence is **incorporated by reference** from the forthcoming 2022 Proxy Statement[769](index=769&type=chunk) [Principal Accounting Fees and Services](index=148&type=section&id=Item%2014.%20Principal%20Accounting%20Fees%20and%20Services) Information detailing principal accounting fees and services is incorporated by reference from the company's forthcoming 2022 Proxy Statement - Information regarding principal accounting fees and services is **incorporated by reference** from the forthcoming 2022 Proxy Statement[770](index=770&type=chunk) PART IV [Exhibits, Financial Statement Schedules](index=148&type=section&id=Item%2015.%20Exhibits%2C%20Financial%20Statement%20Schedules) This section lists all documents filed with the Form 10-K, including financial statements and material contracts, while omitting inapplicable schedules - This section includes the consolidated financial statements, an index of all exhibits filed with the report, and notes that financial statement schedules have been omitted[771](index=771&type=chunk)[772](index=772&type=chunk)[773](index=773&type=chunk)

Financial Performance & Growth - Guardant Health shows a strong Compound Annual Growth Rate (CAGR) of 59%[9] - The company's revenue increased from $91 million in 2018 to between $360 million and $370 million in 2021[9] - The company has $1.7 billion in cash, cash equivalents, and marketable securities as of September 30, 2021[10] Product Development & Clinical Trials - Guardant Health's ECLIPSE trial has reached its target enrollment[7, 32] - The company initiated the SHIELD lung study and enrolled the first patient[7] - The ORACLE study is evaluating Guardant Reveal to predict cancer recurrence after curative intent treatment, targeting ~1,000 individuals across 11 solid tumor types[7, 21, 22] - A next-generation Guardant SHIELD assay is under development, with a ~30x larger genomic footprint than the original panel[41] Market & Commercial Expansion - The company has partnerships with over 100 biopharma companies[8, 10, 47] - Over 250,000 tests have been ordered, and more than 11,000 oncologists are ordering Guardant Health's tests[7, 10] - The company is expanding internationally, with lab partners in the UK & Spain and regulatory approval being pursued in Japan[7] - The company has secured coverage for over 200 million lives[8] Technology & Innovation - Guardant Health is developing a "Smart Liquid Biopsy" with a nearly 100X larger genomic footprint than Guardant360 CDx, including genomic, epigenomic, and immune signatures, expected in 2022[28] - The company's technology integrates genomic and epigenomic ctDNA signals, increasing sensitivity by 1.3-2.5x[25] - Guardant Health's digital sequencing enables early detection with higher signal-to-noise ratio and lower sequencing cost[29] Screening and MRD Market Opportunity - The Minimal Residual Disease (MRD) market represents a $20B+ Total Addressable Market (TAM)[13, 24] - The therapy selection market is estimated at $6 billion, the MRD market at $10 billion, and the early-stage survivors market at $15 billion[26] - Blood-based screening is preferred by 64% of patients for CRC screening, compared to 36% for colonoscopy, FIT, or Cologuard[37]

Guardant Health, Inc. (NASDAQ:GH) Q3 2021 Earnings Conference Call November 4, 2021 4:30 PM ET Company Participants Carrie Mendivil - Investor Relations Helmy Eltoukhy - Co-Chief Executive Officer AmirAli Talasaz - Co-Chief Executive Officer Mike Bell - Chief Financial Officer Conference Call Participants Puneet Souda - SVB Leerink Brian Weinstein - William Blair Derik De Bruin - Bank of America Jack Meehan - Nephron Matt Sykes - Goldman Sachs Patrick Donnelly - Citi Julia Qin - JPMorgan David Westenberg - ...

For the quarterly period ended September 30, 2021 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 _____________________ FORM 10-Q _____________________ (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission File Number: 001-38683 _____________________ GUARDANT HEALTH, INC. (Exact Name of Registrant as Sp ...