Skip to content
AnalystLens

Guardant Health, Inc. Annual Report, Year Ended Dec 31, 2021

Filing Date
Filed February 24, 2022
Period End
December 31, 2021
Security
GH
In the record · 2018–202610-K810-Q248-K99

GH filed 8 annual reports (10-K), 24 quarterly reports (10-Q) and 99 current reports (8-K) between 2018 and 2026.

  1. Leadership change8-K · Jun ’19Jun ’19
  2. Material agreement8-K · Jan ’21Jan ’21
  3. Auditor change8-K · Apr ’23Apr ’23
  4. Leadership change8-K · Apr ’26Apr ’26

Summary

Summary of the 10-K filed February 24, 2022. Cited figures are marked; the original filing is the authoritative source.

Guardant Health, Inc. (GH) reported a strong increase in total revenue for the year ended December 31, 2021, reaching $373.7 milliona, a 30% increase from the prior year.

This growth was driven primarily by a 29% increase in precision oncology testing revenue, which reached $304.3 millionb, fueled by higher sample volumes and an improved average selling price for certain tests. The company also saw a significant 38% increase in development services and other revenue, primarily from companion diagnostic development services and milestone payments. Despite revenue growth, Guardant Health continued to incur substantial net losses, with a loss of $384.8 million for 2021, compared to $246.3 million in 2020.

This widening loss reflects significant investments in research and development (up 76% to $263.2 millionc) and sales and marketing (up 80% to $191.9 million) to support product development, clinical studies, and commercial expansion. The company ended the year with a substantial cash and cash equivalents and marketable securities balance of approximately $1.6 billion, providing ample runway for ongoing operations and strategic investments.

Key Highlights

  1. Total revenue increased by 30% to $373.7 million in 2021, driven by strong growth in precision oncology testing.
  2. Precision oncology testing revenue grew 29% to $304.3 million, supported by increased sample volumes and higher average selling prices.
  3. Development services and other revenue increased by 38% to $69.3 million, primarily due to companion diagnostic development services and milestone payments.
  4. Significant investments in Research & Development (+76%) and Sales & Marketing (+80%) reflect the company's focus on innovation and market expansion.
  5. Net loss widened to $384.8 million in 2021 from $246.3 million in 2020, primarily due to increased operating expenses.
  6. The company ended 2021 with a robust liquidity position, holding approximately $1.6 billion in cash, cash equivalents, and marketable securities.
  7. Guardant Health launched Guardant Reveal for residual and recurring cancer detection and Guardant360 TissueNext and Guardant360 Response for advanced cancer patients in 2021, expanding its product portfolio.

Financial Statements

FY2021 against FY2020

Line itemFY2021FY2020Change
Revenue$373.65M$286.73M+30.3%
R&D Expenses$263.22M$149.86M+75.6%
Operating Expenses$784.65M$541.68M+44.9%
Operating Income-$411.00M-$254.95M−61.2%
Interest Expense$2.58M$4.77M−45.9%
Net Income-$405.67M-$253.78M−59.8%
EPS (Basic)$-4.00$-2.60−53.8%
EPS (Diluted)$-4.00$-2.60−53.8%
Shares Outstanding (Basic)101.31M97.50M+3.9%
Shares Outstanding (Diluted)101.31M97.50M+3.9%

Frequently Asked Questions

  1. What is Guardant Health's primary business and how does it generate revenue?

    Guardant Health is a precision oncology company focused on developing and commercializing proprietary tests and advanced analytics to help conquer cancer. Its primary revenue streams are from precision oncology testing services provided to clinicians and biopharmaceutical companies, and development services, which include services related to companion diagnostic development and clinical studies for biopharmaceutical partners.

  2. What were the key financial results for Guardant Health in 2021?

    In 2021, Guardant Health reported total revenue of $373.7 million, a 30% increase year-over-year. Precision oncology testing revenue grew 29% to $304.3 million, while development services and other revenue increased 38% to $69.3 million. However, the company incurred a net loss of $384.8 million, reflecting significant investments in R&D and sales & marketing, compared to a net loss of $246.3 million in 2020. Despite the net loss, the company maintained a strong cash position with approximately $1.6 billion in cash, cash equivalents, and marketable securities at year-end.

  3. What are the company's key growth drivers and future strategies?

    Guardant Health's growth is driven by the increasing adoption of its liquid biopsy tests across the cancer care continuum, from advanced stage cancer treatment selection to early detection and recurrence monitoring. Key strategies include expanding clinical utility and reimbursement for its products, strengthening customer relationships with biopharmaceutical companies, and leveraging its Guardant Health Oncology Platform to develop new products, particularly in early cancer detection with its Guardant SHIELD test.

  4. What are the main risks and challenges facing Guardant Health?

    Key risks and challenges include the company's ongoing history of net losses and the need to achieve profitability, potential delays or failures in new product development and commercialization, intense competition within the genomic profiling and liquid biopsy markets, reliance on third-party payers for coverage and reimbursement, and the complex and evolving regulatory landscape for diagnostic tests. The company also faces risks related to supply chain dependencies and potential cybersecurity threats.