Summary of Guardant Health Q3 2025 Conference Call Company Overview - **Company**: Guardant Health (NasdaqGS:GH) - **Industry**: Life Sciences, specifically focused on liquid biopsy and cancer diagnostics Key Highlights from Q3 2025 - **Strong Performance**: Q3 was characterized by strong volumes and positive developments across all product lines, including Guardant 360 Liquid and Guardant 360 Tissue launches [2][3] - **Product Launches**: The quarter marked the first full launch of 11 new smart applications on the Guardant 360 Liquid platform, contributing to significant quarter-over-quarter and year-over-year growth [2] - **Market Reception**: There was notable excitement in the field for the Guardant 360 Tissue test, which includes full DNA, RNA, and methylation analysis [2] Future Growth Drivers - **2026 Outlook**: Anticipated continued momentum in 2026 with new product launches and therapy monitoring capabilities [5] - **Key Catalysts**: Potential approval of chemosestrant from the Serena 6 trial and PMA submission for Guardant 360 Liquid expected to drive growth [5][6] - **Shield Product**: Shield is projected to have a strong year in 2026, with revenues expected to exceed $100 million [7] Market Expansion and Partnerships - **Patient Population**: The company is targeting a $50 million on-screen patient population, indicating significant room for growth [8] - **Partnerships**: Collaborations with Quest Diagnostics and PathGroup are expected to enhance market access and EMR integration, facilitating broader adoption of Shield [9] Adherence and Screening Trends - **Adherence Rates**: Shield-based screening has shown a 95% adherence rate, which is expected to support sustained growth in colorectal cancer (CRC) screening [10] - **Market Potential**: It is estimated that at least 20% of patients will opt for blood-based modalities for CRC screening, indicating a shift in patient preferences [11] Sales Force and Productivity - **Sales Force Expansion**: The sales team has grown from 100 to over 250 representatives, with plans to reach 600-700 by the end of 2026 [13] - **Rep Productivity**: New representatives are becoming productive faster than expected, contributing significantly to growth [15] Regulatory and Guideline Developments - **NCCN Inclusion**: Shield has been included in NCCN guidelines, which is a significant endorsement from oncology experts [17] - **Future Guidelines**: Anticipation of inclusion in American Cancer Society guidelines and monitoring of USPSTF developments [18] Multi-Cancer Detection Initiatives - **Data Collection**: The launch of multi-cancer detection testing is expected to provide valuable data for future research and development [19][20] - **Screening Age Trends**: There is a growing concern about the rising incidence of CRC in younger populations, which may lead to a future reduction in screening age [21] Financial Performance and Cost Management - **Revenue Growth**: Guardant 360 reported over 30% growth with volumes up 40% in Q3 [33] - **Cost of Goods Sold (COGS)**: COGS for Reveal has decreased significantly, with expectations to further reduce costs through increased volume and automation [26][27] ASP and Market Positioning - **Average Selling Price (ASP)**: Current ASP for Guardant 360 is in the $3,000-$3,100 range, with potential for improvement through expanded commercial coverage and new indications [38] - **Medicare Advantage Payments**: Strong Medicare Advantage payments are driving ASP growth for Shield, currently around $900 [40] Conclusion - Guardant Health is positioned for significant growth in the coming years, driven by innovative product launches, strategic partnerships, and a strong sales force. The company is actively addressing market needs and regulatory changes to enhance its competitive position in the cancer diagnostics industry.

Financial Data and Key Metrics Changes - Total revenue for Q3 2025 grew 39% year-over-year to $265.2 million, marking the first time annualized revenue surpassed $1 billion [6][25] - Non-GAAP gross margin improved to 66% in Q3 2025, up from 63% in the prior year, driven by reduced costs [29] - Adjusted EBITDA loss was $45.5 million, an improvement from a loss of $56.2 million in Q3 2024 [30] Business Line Data and Key Metrics Changes - Oncology revenue increased 31% to $184.4 million, with approximately 74,000 tests performed, reflecting a 40% growth in volume [8][25] - Screening revenue from Shield totaled $24.1 million, generated from 24,000 tests, with an average selling price (ASP) of approximately $880 [28] - Biopharma and data revenue grew 18% year-over-year to $54.7 million, supported by two companion diagnostic approvals [27] Market Data and Key Metrics Changes - The screening business is tracking at an annual run rate of approximately $100 million, one year into the commercial launch of the FDA-approved product [6] - Shield tests have shown high adherence rates, with over 90% of ordered cases resulting in completed blood samples [18] Company Strategy and Development Direction - The company aims to expand its commercial infrastructure for Shield, leveraging partnerships with Quest Diagnostics and Path Group to enhance access [19][20] - Continued investment in commercial initiatives and the introduction of new smart applications are expected to drive future growth [14][15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the potential inclusion of Shield in American Cancer Society guidelines, which could enhance commercial coverage [40][41] - The company raised its full-year 2025 revenue guidance to $965-$970 million, reflecting stronger-than-expected performance [31][32] Other Important Information - The company surpassed 1 million cumulative clinical patients tested, highlighting the impact of its tests in clinical practice [7] - The submission of the PMA application to the FDA for Guardant360 Liquid is expected to streamline the product offering and enhance market adoption [11] Q&A Session Summary Question: Can you walk us through the Shield ASP dynamics exiting the year? - Management indicated that the ASP for Shield is currently around $1,495, with expectations for continued strong payment from Medicare Advantage [36][37] Question: Is guideline inclusion by the American Cancer Society a real possibility by year-end? - Management remains optimistic about the potential inclusion and its positive impact on reimbursement rates, although it will take time to translate into payments [40][41] Question: How should we think about 2026 growth for Shield? - Management is confident about long-term growth but refrained from providing specific guidance for 2026 at this time [45][46] Question: Can you provide any KPIs around average testing frequency per physician? - Management reported high adherence rates, with over 90% of ordered Shield tests being completed [80]

Financial Data and Key Metrics Changes - Total revenue for Q3 2025 grew 39% year-over-year to $265.2 million, marking the first time annualized revenue crossed $1 billion [4][23] - Non-GAAP gross margin improved to 66% in Q3 2025, up from 63% in the prior year, driven by reduced costs [25][26] - Adjusted EBITDA loss was $45.5 million, an improvement of $10.7 million compared to a loss of $56.2 million in Q3 2024 [27] Business Line Data and Key Metrics Changes - Oncology revenue increased 31% to $184.4 million, with approximately 74,000 tests performed, reflecting a 40% growth [23][24] - Screening revenue from Shield totaled $24.1 million, generated from 24,000 tests, with an average selling price (ASP) of approximately $880 [25][16] - Biopharma and data revenue grew 18% to $54.7 million, including milestone revenue from two companion diagnostic approvals [24][14] Market Data and Key Metrics Changes - The company surpassed 1 million cumulative clinical patients tested, indicating strong market penetration [5] - Shield tests demonstrated high adherence rates, with over 90% of ordered cases resulting in completed blood samples [17][76] Company Strategy and Development Direction - The company aims to expand its commercial infrastructure for Shield, enhancing access and awareness through partnerships with Quest Diagnostics and Path Group [19][18] - Continued investment in commercial initiatives and the introduction of new applications through the Infinity AI platform are expected to drive future growth [12][11] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ongoing demand for Shield and the potential for inclusion in American Cancer Society guidelines, which could enhance commercial coverage [39][38] - The company raised its full-year 2025 revenue guidance to a range of $965 to $970 million, reflecting strong year-to-date performance [28][29] Other Important Information - The company achieved a significant milestone by becoming cash flow positive one quarter earlier than expected, excluding the screening business [5][27] - The introduction of an ultra-sensitive tissue-informed MRD assay is anticipated to complement existing offerings and drive growth [13] Q&A Session Summary Question: Can you walk us through the Shield ASP dynamics exiting the year? - Management indicated that the ASP for Shield is currently around $900, with expectations for stability in Medicare rates at $1,495 for the next two years [32][34] Question: Is guideline inclusion by the American Cancer Society a real possibility by year-end? - Management remains optimistic about potential inclusion but noted that it would take time to translate into reimbursement [37][38] Question: What should we expect for Shield growth in 2026? - Management refrained from providing specific guidance for 2026 but expressed confidence in long-term growth prospects [42][44] Question: Can you discuss the traction for Reveal and its future growth? - Management highlighted that Reveal is the fastest-growing oncology product, with ongoing studies expected to enhance its market position [50][52] Question: What is the timeline for MCD FDA approval based on Shield's trajectory? - Management stated it is too early to provide a specific timeline for FDA approval but remains optimistic about the data being collected [47][48]

Financial Performance - Total revenue increased to $265.2 million, a 39% increase compared to $191.5 million in Q3 2024 [8, 43] - Oncology revenue grew to $184.4 million, a 31% year-over-year increase from $141.2 million in Q3 2024 [8, 10, 43] - Biopharma & Data revenue reached $54.7 million, an 18% year-over-year increase from $46.5 million in Q3 2024 [8, 28, 43] - Screening revenue was $24.1 million compared to $1.0 million in Q3 2024 [8, 43] - The company is raising revenue guidance for the full year 2025 to $965 million - $970 million, representing approximately 31% year-over-year growth [48] Oncology Business - Oncology volume grew by 40% year-over-year, driven by strong performance across all products [10, 17] - Guardant360 volume growth exceeded 30% year-over-year [17] Screening Business (Shield) - Shield revenue reached $24 million in Q3 2025 [33] - Shield volume increased to 24,000 in Q3 2025 [33] - The company expects 80,000 - 82,000 Shield volume for the full year [48] Biopharma & Data - Two new CDx approvals were obtained in Q3, bringing the total to 23 approvals for Guardant360 CDx [29, 30] Gross Margin - Non-GAAP gross margin increased to 66% in Q3 2025, up from 63% in Q3 2024 [45, 46]

Summary of 3i Group plc Capital Markets Seminar Company Overview - **Company**: 3i Group plc - **Key Focus**: Private Equity investments, particularly in consumer and retail sectors - **Recent Investments**: WaterWipes and OMS Prüfservice - **Recent Disposals**: NPM and Mate Key Points Industry and Market Performance - **Macro Environment**: Both Private Equity and Infrastructure portfolios are performing resiliently despite a subdued macroeconomic environment [3][4] - **Sales Growth**: Year-to-date sales as of September 21, 2025, reached €10.9 billion, an 18% increase compared to the same period last year. Like-for-like sales growth was 6.5% [3] - **Operating EBITDA**: Expected to be approximately €2.295 billion for the 12 months ending September 2025, up 21% from €1.894 billion in September 2024 [3] Recent Investments - **WaterWipes**: Acquired in January 2025 for €145 million. The product is a premium natural wet wipe brand, consisting of 99.9% pure water and a drop of seed extract. Over 50% of revenue comes from the U.S. [18][19] - **OMS Prüfservice**: A testing business for electrical safety equipment, focusing on both portable and fixed equipment. The company has over 700 employees and serves more than 7,000 customers [63][64] Recent Disposals - **NPM Sale**: Sold to Partners Group for €400 million, achieving a 3.2 times money multiple and a 29% IRR. The sale was driven by consistent outperformance and strong interest from various investors [17][63] - **Mate Sale**: Sold for approximately €143 million, representing a 30% uplift from the March valuation, resulting in a 2.7 times multiple of invested capital and a 27% IRR [5][63] Strategic Insights - **Consumer Sector Focus**: Over 80% of the Private Equity portfolio by value is in the consumer sector. The company has invested around €1.7 billion in this sector over the last two years [8][9] - **Investment Thesis**: The strategy for both NPM and WaterWipes is built around four pillars: core business development, U.S. market expansion, online growth, and brand enhancement [12][26] - **Market Trends**: The global premium cat food market is growing at a CAGR of 6%, while the wet wipes market is valued at approximately €13 billion with mid-single-digit growth [11][20] Financial Performance - **WaterWipes Financials**: Achieved net sales of around €200 million in 2024, with a CAGR of over 20% since 2017 [25][26] - **OMS Prüfservice Growth**: The company has shown consistent growth, with revenues increasing by more than 40% from 2016 to 2024 [65] Challenges and Considerations - **U.S. Tariffs Impact**: The U.S. tariffs have introduced some uncertainty, but the businesses are managing the implications within their pricing and cost structures [32][33] - **Exit Strategy**: The decision to exit NPM was based on its distance from reaching the $100 million EBITDA threshold required for long-term holds [34] Additional Insights - **Sustainability Focus**: WaterWipes emphasizes sustainability, being entirely natural and plastic-free, which resonates with consumer preferences [23][24] - **Market Positioning**: Both NPM and WaterWipes are positioned as challenger brands in their respective markets, appealing to globally applicable consumer needs [43][44] This summary encapsulates the key points discussed during the 3i Group plc Capital Markets seminar, highlighting the company's strategic focus, recent financial performance, and market positioning.

Portfolio Performance - Private Equity and Infrastructure portfolios are performing resiliently despite a subdued macroeconomic environment[6] - Royal Sanders continues to perform well, and the broader PE portfolio shows improving momentum[6] - MAIT's sale was announced earlier this month, with total gross proceeds of approximately £143 million, a roughly 30% increase over its valuation on March 31, 2025, resulting in a 2.7x MM and approximately 27% IRR[6] - Action's year-to-date sales (as of September 21, 2025) reached €10.9 billion, which is 18% higher than the same period last year[6] - Action's year-to-date like-for-like (LFL) sales growth is 6.5% (compared to 6.8% at the end of August 2025), driven by transaction growth in all countries[6] - Action's operating EBITDA for the 12 months leading up to the end of P9 2025 is expected to be approximately €2,295 million, a 21% increase from €1,894 million at the end of P9 2024[6] Action Expansion - Action added 207 net new stores year-to-date and is on track to deliver or exceed 370 net new stores in 2025[6] - Action opened 7 stores in Switzerland year-to-date, and its first store in Romania opened on September 24, 2025[6] Investment and Acquisition - On September 24, 2025, 3i entered into an agreement with GIC to purchase a limited partnership interest representing 2.2% of Action equity in exchange for the issue of 19,916,225 new ordinary shares in 3i Group plc[6] - 3i invested approximately €1.7 billion in consumer businesses over the last 2 years[11] - 3i invested £124 million in MPM[18] - 3i invested approximately €145 million in WaterWipes[49] - 3i invested approximately £53 million in MAIT[95] - 3i invested £99 million in OMS[111] MPM Transaction - The total gross proceeds from the MPM transaction are approximately £400 million, with a money multiple of 3.2x and an IRR of 29%[44]

Financial Performance and Growth - Guardant Health expects total revenue to reach approximately $920 million in 2025, representing a 24%-25% year-over-year growth rate[28, 341, 343] - The company projects a total revenue target of approximately $2.2 billion by 2028, indicating a compound annual growth rate (CAGR) of around 34% from 2025 to 2028[346, 366, 368] - Guardant Health anticipates screening revenue to exceed $500 million by 2028[299, 363] - The company aims to achieve free cash flow breakeven by the fourth quarter of 2027[381, 383] Product Development and Innovation - Guardant Health has launched multiple Smart Apps on Guardant360, enhancing its capabilities for therapy selection[30, 163] - The company has completed the transition to the Smart Platform across its portfolio, improving liquid biopsy capabilities[32] - Guardant Health is expanding Shield to include multi-cancer detection, with broad availability expected in October[21, 307] - Reveal, Guardant Health's tissue-free MRD solution, has achieved a greater than 50% reduction in COGS and is targeting an ASP of $1,000 by 2028[32, 185] - Guardant Health is launching Reveal for therapy monitoring in Q4 2025 and plans to increase Reveal clinical data generation by 10x in 2026[200, 390] Market Position and Commercial Strategy - Guardant Health's Shield has demonstrated 99% specificity in real-world studies with over one year of clinical follow-up, and a 41% positive predictive value (PPV) for any solid tumor[119, 127] - The company has established a strategic collaboration with Quest Diagnostics to expand access to Shield, leveraging Quest's national sales team and patient access points[300, 301] - Guardant Health has secured Medicare reimbursement for CRC surveillance, with a reimbursement rate of $1,644 per test[185]

Financial Data and Key Metrics Changes - Q2 revenue grew 31% year over year to $232,100,000, driven by strong performance across oncology, biopharma, and screening businesses [8][28] - Non-GAAP gross profit increased by $47,000,000 or 44% year over year, with a non-GAAP gross margin of 66%, up from 60% in 2024 [35] - Adjusted EBITDA loss improved to $51,900,000 for Q2 2025, compared to a loss of $61,900,000 in Q2 2024 [37] Business Line Data and Key Metrics Changes - Oncology revenue increased 22% to $158,700,000, with volumes growing 30% year over year to approximately 64,000 tests [29][30] - Biopharma revenue reached a record $56,000,000, growing 28% year over year [32] - Shield testing revenue totaled $15,000,000 in Q2, driven by approximately 16,000 tests [20][33] Market Data and Key Metrics Changes - Guardant360 Liquid saw over 20% year-over-year volume growth for the fourth consecutive quarter [30] - Guardant360 tissue achieved an average selling price (ASP) of approximately $2,000, reaching the 2028 target three years ahead of schedule [31] - Shield ASP increased to over $900 in Q2, up from approximately $600 in Q1 [34][54] Company Strategy and Development Direction - The company is focused on expanding its commercial infrastructure, expecting to surpass 250 sales reps by year-end to support growth [21] - Shield is positioned as a multi-cancer detection platform, with ongoing efforts to broaden its impact across various cancer types [25][26] - The company aims to achieve cash flow breakeven by 2028, with a commitment to reducing cash burn each year [41][92] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the oncology business's durable growth, supported by CGP penetration and favorable ASP dynamics [18] - The company raised its full-year 2025 revenue guidance to $915,000,000 to $925,000,000, representing growth of approximately 24% to 25% compared to 2024 [39] - Management remains optimistic about the potential for Shield and its inclusion in national screening guidelines [23][81] Other Important Information - The company is actively working on the Shield V2 program, with ongoing developments and no specific timeline committed for data release [52][86] - The National Comprehensive Cancer Network (NCCN) updated its CRC screening guidelines to include Shield, enhancing its market position [23][24] Q&A Session Summary Question: Did you see any benefit from the New England Journal publication in Q2? - Management noted that the impact from the publication was minimal, with most growth attributed to product market fit and ongoing demand [46] Question: What is driving Shield's impressive growth? - Management highlighted strong demand from physicians, increased sales rep productivity, and the recent NCCN guideline update as key drivers [51][52] Question: Can you provide insights on the growth of Guardant360? - Management indicated broad-based growth, with increased utilization and significant share gains in the market [59][60] Question: What are the next steps for Shield to be marketed as an MSEAD test? - Management confirmed that Shield is operationally ready for patient testing and is not waiting for additional pivotal study readouts [66][67] Question: How confident is management about Reveal Medicare reimbursement? - Management expressed high confidence based on previous experiences and the speed of past approvals [78][80] Question: What is the timeline for Shield V2 data? - Management stated that the program is active, with ongoing work, but no specific timeline for data release was provided [86]

Financial Data and Key Metrics Changes - In Q2 2025, total revenue grew 31% year over year to $232.1 million, driven by strong performance across oncology, biopharma, and screening business lines [6][27][30] - Non-GAAP gross profit increased by $47 million or 44% year over year, with a non-GAAP gross margin of 66%, up from 60% in 2024 [34] - Adjusted EBITDA loss improved to $51.9 million, a $10 million improvement compared to Q2 2024 [36] Business Line Data and Key Metrics Changes - Oncology revenue increased 22% to $158.7 million, with volumes growing 30% year over year to approximately 64,000 tests [28][29] - Biopharma revenue reached a record $56 million, growing 28% year over year [30] - Screening revenue from Shield totaled $14.8 million, driven by approximately 16,000 tests [31] Market Data and Key Metrics Changes - Guardant360 Liquid ASP was in the range of $3,000 to $3,100, while Guardant360 Tissue ASP reached approximately $2,000, achieving the 2028 target three years ahead of schedule [29] - Shield ASP increased to over $900 in Q2, up from approximately $600 in Q1, driven by improved Medicare reimbursement rates [32][52] Company Strategy and Development Direction - The company is focused on expanding its oncology business through product innovation and commercial execution, particularly with Guardant360 Liquid and REVEAL [4][17] - Shield is positioned as a multi-cancer detection platform, with ongoing efforts to broaden its impact across various cancer types [24][25] - The company plans to reinvest incremental gross profit from Shield back into sales and marketing to accelerate commercial infrastructure [33][91] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving cash flow breakeven by 2028, with a commitment to reducing cash burn each year [39][90] - The company raised its full-year 2025 revenue guidance to a range of $915 million to $925 million, reflecting stronger than expected performance [37] - Management highlighted the positive reception of new product features and the potential for significant growth in the liquid biopsy market [45][59] Other Important Information - The company is actively working on the Shield V2 program, with expectations for data release and potential FDA approval by year-end [96][97] - The NCCN updated its CRC screening guidelines to include Shield, which is expected to enhance commercial coverage and patient access [21][21] Q&A Session Summary Question: Did the New England Journal publication benefit Guardant360 Liquid in Q2? - Management noted that while growth was strong, any impact from the publication was minimal, with significant growth expected upon drug approval [42][44] Question: What is driving Shield's impressive growth? - Management attributed the growth to strong market demand, increased sales rep productivity, and the recent NCCN guideline inclusion [47][49] Question: What are the next steps for Shield to be marketed as an MSEAD test? - Management confirmed that Shield is operationally ready for patient testing and is not waiting for additional studies to broaden access [62][64] Question: How confident is management about Reveal Medicare reimbursement? - Management expressed high confidence based on previous experiences with Medicare coverage processes [76][78] Question: What is the timeline for Shield V2 data? - Management indicated that while there may be slight delays, significant work is ongoing, and they are not rushed to meet the timeline [96][97]

Financial Performance - Total revenue for Q2 2025 reached $232.1 million, a 31% increase compared to $177.2 million in Q2 2024[7, 40] - Oncology revenue grew by 22% year-over-year, reaching $158.7 million in Q2 2025, up from $130.3 million in Q2 2024[10, 40] - Biopharma & Data revenue experienced a 28% year-over-year growth, totaling $56 million in Q2 2025 compared to $44 million in Q2 2024[7, 29, 40] - Screening revenue for Q2 2025 was $14.8 million[7, 32, 40] - The company is raising revenue guidance for the full year 2025 to $915 million - $925 million, representing a 24%-25% year-over-year growth[48] Oncology Business - Oncology volume grew by 30% year-over-year[10] - Guardant360 Tissue ASP increased to approximately $2,000, achieving the company's 2028 target ahead of schedule[12] - Reveal identified that 63% of patients with detectable ctDNA experienced recurrence within three years, compared to 15% of those without detectable ctDNA[25] Screening Business - Shield's Q2 2025 revenue reached $15 million[32] - Shield volume in Q2 2025 was 16,000[32] - Shield non-GAAP gross margin improved significantly, reaching 48% in Q1 2025 and 18% in Q4 2024, and 2% in Q2 2025[42]