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Myriad Genetics Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 23 February 2026: press release. Guidance figures: 2 new, 3 kept. The quarter’s numbers.

Key takeaways

  • Fourth quarter revenue flat, up 4% excluding headwind: Fourth quarter revenue was $209.8 million, against $210.6 million a year earlier. Excluding the previously discussed $8.1 million headwind, revenue grew 4%. Source
  • Full-year revenue down 2%: Full-year 2025 revenue was $824.5 million, down from $837.6 million. Excluding headwinds, full-year revenue grew 2%. Source
  • Mental Health revenue down on coverage loss: Mental Health revenue was $36.6 million, down 10%. Full-year Mental Health revenue was $144.1 million, down 15% from $170.2 million. Source
  • Impairments drove full-year net loss: Full-year impairment charges of $319.4 million, mainly on Mental Health and Women's Health reporting units and asset groups, contributed to the full-year GAAP net loss of $365.9 million. Source
  • Prenatal volume fell 6%: Prenatal volume fell 6% in the fourth quarter, while prenatal revenue held at $44.9 million. Full-year prenatal volume fell 4%. Source
  • Quarterly adjusted free cash flow positive: Capital expenditures and capitalized software totaled $6.0 million in the quarter, leaving adjusted free cash flow of $11.9 million. Full-year adjusted free cash flow was negative $5.3 million. Source
  • Colorectal MRD study reports interim data: Collaborators at National Cancer Center Hospital East reported interim MONSTAR-SCREEN-3 results in January 2026 for Precise MRD, including 100% baseline sensitivity. Source

“We ended 2025 with positive momentum in a number of key areas, including within the Cancer Care Continuum where we drove another quarter of high single-digit volume growth in Hereditary cancer testing year-over-year”

Sam Raha, President and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull year 2026$860 - $880Kept
Revenue SourceFirst quarter 2026$200 - $203 millionNew
Revenue SourceSecond half 2026 versus first half 20262H’26 revenue greater than 1H’26New
Adjusted gross margin SourceFull year 202668% - 69%Kept
Adjusted EBITDA SourceFull year 2026$37 - $49Kept

What changed from last quarter

  • Guidance kept: Management reaffirmed full-year 2026 guidance for revenue, adjusted gross margin and adjusted EBITDA. The ranges match the January 12, 2026 release. Source
  • New guidance: First-quarter 2026 revenue range was not part of the January release and is given in this release. Source
  • New guidance: First-quarter 2026 adjusted EBITDA near breakeven was not part of the January release. Source

Results and growth drivers

  • Fourth quarter revenue flat, up 4% excluding headwind: Fourth quarter revenue was $209.8 million, against $210.6 million a year earlier. Excluding the previously discussed $8.1 million headwind, revenue grew 4%. Source
  • Full-year revenue down 2%: Full-year 2025 revenue was $824.5 million, down from $837.6 million. Excluding headwinds, full-year revenue grew 2%. Source
  • Fourth quarter net loss and adjusted EPS: Fourth quarter GAAP net loss was $7.9 million, or $0.08 per share, against $42.5 million a year earlier. Adjusted EPS was $0.04 and adjusted EBITDA was $14.3 million. Source
  • Test volume up 2% in quarter: Test volume reached 382,000 in the fourth quarter, up 2% from a year earlier. Full-year testing volume was 1,537,000, up 1%. Source
  • Full-year revenue above preliminary range: The January release gave preliminary full-year 2025 revenue of $822 million to $824 million. Reported full-year revenue was $824.5 million.

Segments and revenue by business unit

  • Women's Health revenue rose slightly: Women's Health revenue was $88.5 million, against $87.2 million a year earlier. Prenatal revenue was stable at $44.9 million. Source
  • Oncology revenue rose 2%: Oncology revenue was $84.7 million, against $82.8 million a year earlier. Hereditary cancer and Prolaris revenue in the unit both grew. Source
  • Mental Health revenue down on coverage loss: Mental Health revenue was $36.6 million, down 10%. Full-year Mental Health revenue was $144.1 million, down 15% from $170.2 million. Source

“Prenatal testing has been uneven through 2025 but we continue to make progress and expect growth to reaccelerate in the coming quarters”

Sam Raha, President and CEO

Products and volumes

  • Hereditary cancer revenue up 3%: Hereditary cancer revenue was $96.8 million, up 3%. Oncology hereditary cancer revenue rose 2% on a 9% rise in volume. Source
  • Prolaris revenue grew 16%: Prolaris prostate cancer testing revenue grew 16% in the fourth quarter compared with a year earlier. Source
  • Tumor profiling volume fell after EndoPredict sale: Full-year tumor profiling volume fell 9%, from 53,000 to 48,000, mainly from lower EndoPredict testing after the August 2024 sale of the international EndoPredict business. Source

Costs, margins and pricing

  • Adjusted operating expenses down $7.0 million: Adjusted operating expenses were $139.0 million in the fourth quarter. GAAP operating expenses were $152.5 million, down $37.4 million year-over-year. Source
  • Gross margin held at 70.0%: Fourth quarter gross margin was 70.0%, in line with the third quarter of 2025. Source
  • Impairments drove full-year net loss: Full-year impairment charges of $319.4 million, mainly on Mental Health and Women's Health reporting units and asset groups, contributed to the full-year GAAP net loss of $365.9 million. Source

“We are looking forward to these tests supporting clinical decisions starting in 2026 and being important components of our growth in 2027 and beyond.”

Sam Raha, President and CEO

Demand and volume trends

  • Unaffected hereditary testing grew: Women's Health hereditary cancer revenue and volume for the unaffected population rose 3% and 11%. The company links this to EMR solutions and breast cancer risk programs. Source
  • GeneSight volume up 9%: GeneSight test volume grew 9% in the fourth quarter. Management describes year-over-year volume growth as improving through 2025. Source
  • Prenatal volume fell 6%: Prenatal volume fell 6% in the fourth quarter, while prenatal revenue held at $44.9 million. Full-year prenatal volume fell 4%. Source

Capital, cash and balance sheet

  • Operating cash flow of $10.6 million: Cash flow from operations was $10.6 million in the fourth quarter and $1.8 million for the full year. Adjusted operating cash flow was $17.9 million in the quarter. Source
  • Quarterly adjusted free cash flow positive: Capital expenditures and capitalized software totaled $6.0 million in the quarter, leaving adjusted free cash flow of $11.9 million. Full-year adjusted free cash flow was negative $5.3 million. Source
  • Cash rose to $149.6 million: Cash and cash equivalents were $149.6 million at year-end, against $102.4 million a year earlier. Source
  • Debt rose; financing inflow $64.2 million: Net cash provided by financing activities was $64.2 million for the full year. Long-term debt was $119.9 million at year-end, up from $39.6 million. Source

Pipeline, research and clinical data

  • AI breast risk platform launched: The company launched an integrated AI and genetic risk platform for personalized breast cancer risk assessment, developed with Clairity and MagView. Source
  • Nine research abstracts presented: Nine oncology and MRD research abstracts were shown at the 2025 San Antonio Breast Cancer Symposium. Source
  • Colorectal MRD study reports interim data: Collaborators at National Cancer Center Hospital East reported interim MONSTAR-SCREEN-3 results in January 2026 for Precise MRD, including 100% baseline sensitivity. Source
  • CONNECTOR prenatal study enrolling: Enrollment in the multi-site CONNECTOR study of the FirstGene Multiple Prenatal Screen is progressing. Source

Coming up, as management said on 23 February 2026

  • Precise MRD alpha launch in March: Targeted alpha launch of Precise MRD for breast cancer is expected in March 2026. Source
  • Prolaris AI test full launch in Q2: Full commercial launch of the AI-enabled Prolaris test with PATHOMIQ is expected in the second quarter of 2026. Source
  • FirstGene full launch in second half: Full commercial launch of the FirstGene multiple prenatal screen is expected in the second half of 2026. Source

Figures management reported

FigureReported
Hereditary cancer revenue, Q4 2025 Source$96.8 million
Tumor profiling revenue, Q4 2025 Source$31.5 million
Research and development expense Source$25.5 million in Q4 2025; $106.8 million full year
MONSTAR-SCREEN-3 baseline sensitivity (interim) Source100%

Risks management discussed

  • External: UnitedHealthcare's discontinuation of GeneSight coverage in commercial and managed Medicaid is cited as a headwind of $8.1 million in the fourth quarter. Source
  • Operational: Prenatal volume was affected by transition dynamics after the second-quarter 2025 implementation of a new order management system. Source
  • Financial: Management recorded strategic realignment costs of $2.1 million in the fourth quarter and $12.2 million for the full year, including severance and consulting fees. Source

Earlier plans management reported on

  • Not stated: Management expects the CONNECTOR study to support future commercial launch activities and expanded prenatal capabilities. Source
  • Not stated: The Oncology section gives first half 2026 for the Prolaris AI launch; the CEO section gives the second quarter of 2026. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.