Guardant Health(GH) - 2024 Q1 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Total revenue grew 31% to $168.5 million in Q1 2024, driven by a 38% increase in precision oncology revenue [64][74] - Non-GAAP gross margin excluding screening improved to 64% in Q1 2024 from 63% in Q1 2023 [42] - Free cash flow for Q1 2024 was negative $37 million, an improvement from negative $82 million in Q1 2023 [125] Business Line Data and Key Metrics Changes - Clinical test volume grew 20% year-over-year, reaching 46,900 tests, with Guardant360 being the primary driver [84][124] - Biopharma revenue increased 40% to $30.5 million, with test volume up 37% [93] - Guardant360 ASP increased to a range of $2,900 to $2,950, reflecting strong commercial reimbursements [10][64] Market Data and Key Metrics Changes - The company reported strong growth in international markets, particularly in Japan and the UK, contributing to overall volume growth [66][124] - The NHS partnership is expected to expand testing to an additional 10,000 lung cancer patients, demonstrating the value of early biomarker identification [67][88] Company Strategy and Development Direction - The company aims to transform the CRC screening paradigm with its Shield blood test, targeting the 50 million unscreened individuals [90][91] - Continued investment in screening, research, and development is planned, with a focus on achieving gross margin positivity for Reveal by 2025 [70][126] - The company is preparing for the FDA advisory committee meeting on May 23, which is a critical milestone for Shield [122] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the upcoming FDA approval for Shield and its potential to capture a significant market share [72][90] - The company anticipates a revenue range of $675 million to $685 million for the full year 2024, representing a growth of approximately 20% to 21% compared to 2023 [6] - Management noted that the improved commercial reimbursement trends are expected to continue, positively impacting ASPs and overall revenue [4][75] Other Important Information - The company has surpassed 500 peer-reviewed publications, highlighting the impact of its technology on patient outcomes [66] - The company is actively managing its cash burn, with a revised guidance for free cash flow in 2024 to be negative $275 million to $285 million, an improvement from 2023 [125][127] Q&A Session Questions and Answers Question: What are the expectations for the FDA advisory committee meeting? - Management is confident and well-prepared for the upcoming advisory committee meeting, viewing it as a significant milestone for Shield [57][122] Question: How does the company differentiate itself in the multi-cancer testing space? - The company emphasizes its first-mover advantage and best-in-class technology, with no credible competitors currently in sight [90][57] Question: What is the outlook for biopharma revenue growth? - The company conservatively forecasts biopharma revenue to grow in the low-teens for the full year 2024, with potential upside depending on market conditions [93][125]

Guardant Health(GH) - 2024 Q1 - Earnings Call Transcript - Reportify