Guardant Health (NasdaqGS:GH) Q4 2025 Earnings call February 19, 2026 04:30 PM ET Speaker15Good afternoon. Thank you for attending the Guardant Health Q4 2025 earnings call. My name is Cameron, and I'll be your moderator for today. All lines will be muted during the presentation portion of the call, with an opportunity for questions and answers at the end. If you would like to ask a question, please press star one on your telephone keypad. I would now like to pass the conference over to your host, Eric Hers ...

JP Morgan Healthcare Conference J anuary 12, 2026 Safe harbor and non-GAAP disclosures 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 i ...

Core Viewpoint - Abbott Laboratories plans to acquire Exact Sciences Corp. for approximately $21 billion, offering $105 per share to shareholders, with the acquisition expected to be completed in the second quarter of the following year [1][5]. Company Performance - Exact Sciences reported $851 million in revenue for the third quarter and has increased its full-year revenue forecast to between $3.22 billion and $3.235 billion, indicating strong financial performance and growth potential [3][5]. - The stock of Exact Sciences is currently trading at $101.29, reflecting a slight decrease of 0.16%, with a market capitalization of approximately $19.19 billion [4]. Market Context - The U.S. market for cancer screening and precision oncology diagnostics is valued at around $60 billion, highlighting significant growth opportunities in this sector [3]. - Following the acquisition announcement, Exact Sciences shares soared by 17%, indicating positive market sentiment [2]. Analyst Insights - Stifel Nicolaus set a price target of $105 for Exact Sciences, aligning with Abbott's acquisition offer, suggesting a potential upside of about 3.66% from the stock's price at the time of the report [2][5].

Shares of Exact Sciences Corp. jumped after Abbott Laboratories announced a deal to acquire the cancer screening test maker for about $21 billion. https://t.co/jOEXGzYsjf ...

Abbott Laboratories agrees to acquire cancer-screening company Exact Sciences in a deal with a total equity value of about $21 billion https://t.co/W9RyRch0aN ...

Core Insights - The company has experienced significant commercial execution over the past year, enhancing connections with large health systems, healthcare providers, and consumers [2] - The recurring revenue model focused on screening is expected to grow, addressing the care gap and ensuring ongoing testing [3] - The Cologuard and Cologuard Plus brands are targeting 50 million individuals in the U.S. who are not current with their screenings, indicating a substantial market opportunity [3] Group 1 - The company is currently performing well, with strong momentum and sustainability in its business trends [2] - There is a focus on deepening relationships with healthcare stakeholders, which is contributing to the company's success [2] - The introduction of Cologuard Plus is seen as a key factor in meeting the needs of a large population that requires screening [3]

Summary of Exact Sciences Conference Call Company Overview - **Company**: Exact Sciences (NasdaqCM:EXAS) - **Industry**: Life Sciences, specifically focused on cancer screening and diagnostics Key Points Business Performance - Exact Sciences has experienced significant commercial execution over the past year, enhancing connectivity with health systems, providers, and consumers [3][4] - The company reported a total growth of **20%** in the third quarter, with screening growth accelerating to **22%** [9] - Free cash generation has tripled compared to the previous year, indicating strong financial health [9] Product Offerings - The Cologuard brand, including the new Cologuard Plus, is addressing the needs of **50 million** people in the U.S. who are not up to date with screening [3] - The precision oncology business is growing at **12%** in the last quarter [4] - CareGap, a relatively new business, has shown significant growth, contributing mid-single digits to top-line growth [10] Sales and Marketing Strategy - The sales force has been expanded to its previous size, focusing on direct sales rather than partnerships with Quest Diagnostics and LabCorp [6] - Each sales representative owns their territory, supported by data and AI tools to optimize outreach [7] - The company plans to increase sales and marketing spend by **$30 million-$40 million** in the fourth quarter [16] Financial Outlook - Exact Sciences expects nearly **50%** profit growth in 2025, with a long-term goal of achieving **20%+** EBITDA margins by 2027 [14] - A cost-out program is in place, targeting **$50 million** in savings this year and **$150 million** next year [14] Market Dynamics - The company is working to secure contracts with the remaining top commercial payers, which represent over **60%** of all lives in the U.S. [18] - Cologuard Plus is expected to replace Cologuard, with a modest price increase of **16%** after 11 years without a price hike [18] Competitive Landscape - Blood-based testing for colon cancer screening is emerging, but performance is currently not as strong as Cologuard or colonoscopy [23] - Exact Sciences plans to launch its CRC blood test in mid-2024, targeting individuals who refuse traditional screening methods [24][28] Future Initiatives - The company is expanding its capabilities with new tests like CancerGuard and Oncodetect, leveraging existing relationships with healthcare providers [31] - Exact Sciences aims to enhance its technology platform to support broader cancer screening initiatives [32] Conclusion - Exact Sciences is positioned for growth with a strong product pipeline, effective sales strategies, and a focus on expanding its market presence in cancer diagnostics. The company is optimistic about future profitability and market share expansion through innovative testing solutions and strategic partnerships.

Core Insights - Exact Sciences reported favorable Q3 results, showing improved operational and financial performance, leading to a stock increase of nearly +4% and over +20% growth in 2025 [1] Group 1: Demand and Revenue Growth - Exact Sciences is experiencing high demand for its non-invasive at-home screening test, Cologuard, which detects colorectal cancer [2] - The launch of CancerGuard, a multi-cancer early detection test, contributed to a 22% year-over-year increase in Screening revenue, reaching $666 million [2] - Overall Q4 sales rose 20% to $850.74 million, surpassing estimates of $810.45 million [2] Group 2: Profitability and Earnings - Exact Sciences posted adjusted EPS of $0.24, exceeding expectations of $0.13 and improving from an adjusted loss of $0.21 per share in Q3 2024 [3] - On a GAAP basis, the net loss narrowed to $19.6 million compared to a loss of $70 million a year ago [3] - Adjusted EBITDA increased by 37% year-over-year to $135 million, with a margin expansion of 200 basis points to 16% [3] Group 3: Cash Flow and Financial Health - Free cash flow surged 69% during Q3 to $190 million, with record operating cash flow of $220 million [4] Group 4: Future Guidance - Exact Sciences raised its full-year fiscal 2025 guidance, expecting annual sales to reach between $3.22 billion and $3.23 billion, reflecting over 16% growth from FY24 sales of $2.76 billion [5] Group 5: Market Sentiment - The combination of record-breaking revenue growth, improved profitability, and the successful launch of a new multi-cancer detection test is fostering bullish sentiment for Exact Sciences stock [7]

Financial Data and Key Metrics Changes - Total revenue grew 20% year-over-year to $851 million, exceeding guidance by $43 million [4][5] - Adjusted EBITDA increased by 37% year-over-year to $135 million, with adjusted EBITDA margins expanding by 200 basis points to 16% [5][6] - Free cash flow for the quarter was $190 million, a 270% increase year-over-year, with year-to-date free cash flow reaching $236 million [6] Business Line Data and Key Metrics Changes - Screening revenue increased 22% year-over-year to $666 million, driven by strong Cologuard performance [5][6] - Precision oncology revenue grew 12% year-over-year to $183 million, supported by Oncotype DX expansion [5][6] Market Data and Key Metrics Changes - Cologuard brand awareness is recognized by over 90% of consumers, contributing to increased adoption among the 55 million Americans not up to date with colorectal cancer screening [8][9] - The company signed contracts with major payers, including Aetna and Highmark, to expand access to Cologuard Plus [9] Company Strategy and Development Direction - The company is focused on expanding access to Cologuard Plus and driving adoption of Cancerguard, a multi-cancer early detection test [4][12] - Plans to sunset the original Cologuard test in favor of Cologuard Plus, which has superior sensitivity and specificity [36] - The company aims to achieve its 2027 financial targets and create long-term value through innovative diagnostics [7][16] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's momentum and operational leverage, indicating a strong position for future growth [7][16] - The company is optimistic about the impact of care gap programs and the potential for increased screening rates [25][46] Other Important Information - The company is investing in direct-to-consumer marketing for Cancerguard, leveraging its established brand [13][40] - The company plans to present data on Oncoguard Liver at an upcoming liver meeting, highlighting its potential for liver cancer surveillance [15] Q&A Session Summary Question: What drove the strong screening performance in Q3? - Management attributed the performance to improved relationships with health systems, targeted messaging, and the introduction of new products [20] Question: What is the outlook for 2026? - Management indicated that guidance for 2026 will be provided in the next earnings call, but they are currently pacing ahead of long-term growth targets [22] Question: How will care gap strength impact margins? - Management noted that while care gap programs have lower gross margins, they are highly accretive to the overall bottom line and expect margins to improve in Q4 [26] Question: What is the strategy for Cancerguard reimbursement? - Management emphasized a long-term approach to securing coverage across Medicare and commercial payers, focusing on the positive impact of screening [29] Question: What are the timelines for Freenome? - Management expects to present data for Freenome V2 at a scientific conference in the coming months [32] Question: How is the Cologuard Plus contributing to growth? - Management indicated that Cologuard Plus is expected to contribute 300-400 basis points to growth in Q4 [44] Question: What is the status of the $150 million cost savings program? - Management reported good progress on the cost savings program, expecting to deliver $150 million in savings by 2026 [54] Question: How will the company manage the launch of CRC blood tests? - Management plans to leverage insights from previous launches to avoid channel conflicts and ensure appropriate patient testing [66]

For the layman ear, which most of us obviously are. How this test works and why you exclude breast cancer and prostate cancer. Sure.And let's talk about the problem. The problem is that cancer is the number one cause of death among people who are under 85. That's 600,000 people a year and 2 million people are diagnosed.So it's is the number one health problem if you look at it through that lens. And today, we're screening for only four types of cancer. And there are 50 types of cancers and subtypes that we ...