Myriad Genetics (MYGN)

Underperform
Myriad Genetics faces an uphill battle. Its poor sales growth shows demand is soft and its negative returns on capital suggest it destroyed value. StockStory Analyst Team
Adam Hejl, CEO & Founder
Kayode Omotosho, Equity Analyst

2. Summary

Underperform

Why We Think Myriad Genetics Will Underperform

Founded in 1991 as one of the pioneers in translating genetic discoveries into clinical applications, Myriad Genetics (NASDAQ:MYGN) develops genetic tests that assess disease risk, guide treatment decisions, and provide insights across oncology, women's health, and mental health.

  • Negative returns on capital show that some of its growth strategies have backfired, and its shrinking returns suggest its past profit sources are losing steam
  • Negative free cash flow raises questions about the return timeline for its investments
  • Smaller revenue base of $825.3 million means it hasn’t achieved the economies of scale that some industry juggernauts enjoy
Myriad Genetics’s quality doesn’t meet our expectations. We’re redirecting our focus to better businesses.
StockStory Analyst Team

Why There Are Better Opportunities Than Myriad Genetics

At $6.36 per share, Myriad Genetics trades at 216x forward P/E. This valuation is extremely expensive, especially for the weaker revenue growth you get.

We’d rather invest in similarly-priced but higher-quality companies with more reliable earnings growth.

3. Myriad Genetics (MYGN) Research Report: Q3 CY2025 Update

Genetic testing company Myriad Genetics (NASDAQ:MYGN) met Wall Streets revenue expectations in Q3 CY2025, but sales fell by 3.6% year on year to $205.7 million. The company’s outlook for the full year was close to analysts’ estimates with revenue guided to $823 million at the midpoint. Its non-GAAP loss of $0 per share was $0.01 above analysts’ consensus estimates.

Myriad Genetics (MYGN) Q3 CY2025 Highlights:

  • Revenue: $205.7 million vs analyst estimates of $204.8 million (3.6% year-on-year decline, in line)
  • Adjusted EPS: $0 vs analyst estimates of -$0.01 ($0.01 beat)
  • Adjusted EBITDA: $10.3 million vs analyst estimates of $5.57 million (5% margin, 84.8% beat)
  • The company reconfirmed its revenue guidance for the full year of $823 million at the midpoint
  • EBITDA guidance for the full year is $30 million at the midpoint, above analyst estimates of $27.52 million
  • Operating Margin: -11.3%, down from -9.4% in the same quarter last year
  • Free Cash Flow was $14.9 million, up from -$2.8 million in the same quarter last year
  • Market Capitalization: $748.1 million

Company Overview

Founded in 1991 as one of the pioneers in translating genetic discoveries into clinical applications, Myriad Genetics (NASDAQ:MYGN) develops genetic tests that assess disease risk, guide treatment decisions, and provide insights across oncology, women's health, and mental health.

Myriad's testing portfolio spans three key areas where genetic insights can significantly improve patient care. In oncology, the company offers tests like MyRisk, which analyzes 48 genes to assess hereditary cancer risk, and companion diagnostic tests such as BRACAnalysis CDx and MyChoice CDx that help determine which patients might benefit from specific cancer therapies like PARP inhibitors. These tests guide treatment decisions for breast, ovarian, prostate, and other cancers.

In women's health, Myriad provides prenatal screening solutions including the Prequel Prenatal Screen, which uses maternal blood to detect chromosomal disorders in a fetus with a remarkably low failure rate of less than 1 in 1,000 patients. The company's Foresight Carrier Screen helps prospective parents understand their risk of passing on recessive genetic conditions to their children, while SneakPeek offers early gender determination as early as six weeks into pregnancy.

For mental health, Myriad's GeneSight test analyzes how a patient's genetic makeup might affect their response to medications for depression, anxiety, and ADHD. By analyzing DNA from a simple cheek swab, GeneSight provides information about which medications may require dose adjustments or might be more likely to cause side effects for a particular patient.

Myriad generates revenue primarily through its sales force of approximately 500 individuals across dedicated sales channels in the United States, Japan, Germany, and France, with additional global accounts served through indirect channels. The company has evolved its sales approach to include digital marketing, direct-to-patient outreach, and inside sales teams to improve efficiency.

The company's business experiences seasonal patterns, with typically lower volumes in the first quarter due to insurance deductible resets and during summer months, while the fourth quarter often sees increased volumes as patients reach their annual deductibles.

4. Therapeutics

Over the next few years, therapeutic companies, which develop a wide variety of treatments for diseases and disorders, face strong tailwinds from advancements in precision medicine (including the use of AI to improve hit rates) and growing demand for treatments targeting rare diseases. However, headwinds such as rising scrutiny over drug pricing, regulatory unknowns, and competition from larger, more resourced pharmaceutical companies could weigh on growth.

Myriad Genetics competes with several companies across its business segments, including Invitae Corporation, Natera, Inc., Ambry Genetics, Laboratory Corporation of America (LabCorp), and Quest Diagnostics in oncology and women's health testing. In pharmacogenomics, competitors include Genomind, Tempus, and other specialized genetic testing providers.

5. Revenue Scale

Larger companies benefit from economies of scale, where fixed costs like infrastructure, technology, and administration are spread over a higher volume of goods or services, reducing the cost per unit. Scale can also lead to bargaining power with suppliers, greater brand recognition, and more investment firepower. A virtuous cycle can ensue if a scaled company plays its cards right.

With just $825.3 million in revenue over the past 12 months, Myriad Genetics is a small company in an industry where scale matters. This makes it difficult to build trust with customers because healthcare is heavily regulated, complex, and resource-intensive.

6. Revenue Growth

Examining a company’s long-term performance can provide clues about its quality. Even a bad business can shine for one or two quarters, but a top-tier one grows for years. Unfortunately, Myriad Genetics’s 6.7% annualized revenue growth over the last five years was mediocre. This fell short of our benchmark for the healthcare sector and is a rough starting point for our analysis.

Myriad Genetics Quarterly Revenue

Long-term growth is the most important, but within healthcare, a half-decade historical view may miss new innovations or demand cycles. Myriad Genetics’s annualized revenue growth of 6% over the last two years aligns with its five-year trend, suggesting its demand was consistently weak. Myriad Genetics Year-On-Year Revenue Growth

This quarter, Myriad Genetics reported a rather uninspiring 3.6% year-on-year revenue decline to $205.7 million of revenue, in line with Wall Street’s estimates.

Looking ahead, sell-side analysts expect revenue to grow 3.6% over the next 12 months, a slight deceleration versus the last two years. This projection is underwhelming and implies its products and services will face some demand challenges.

7. Adjusted Operating Margin

Myriad Genetics was roughly breakeven when averaging the last five years of quarterly operating profits, lousy for a healthcare business.

On the plus side, Myriad Genetics’s adjusted operating margin rose by 1.9 percentage points over the last five years, as its sales growth gave it operating leverage. This performance was mostly driven by its recent improvements as the company’s margin has increased by 7.7 percentage points on a two-year basis.

Myriad Genetics Trailing 12-Month Operating Margin (Non-GAAP)

In Q3, Myriad Genetics generated an adjusted operating margin profit margin of 2%, down 2.5 percentage points year on year. This contraction shows it was less efficient because its expenses increased relative to its revenue.

8. Earnings Per Share

We track the long-term change in earnings per share (EPS) for the same reason as long-term revenue growth. Compared to revenue, however, EPS highlights whether a company’s growth is profitable.

Myriad Genetics’s full-year EPS flipped from negative to positive over the last five years. This is encouraging and shows it’s at a critical moment in its life.

Myriad Genetics Trailing 12-Month EPS (Non-GAAP)

In Q3, Myriad Genetics reported adjusted EPS of $0, down from $0.06 in the same quarter last year. Despite falling year on year, this print easily cleared analysts’ estimates. Over the next 12 months, Wall Street expects Myriad Genetics’s full-year EPS of $0.05 to grow 34.2%.

9. Cash Is King

Free cash flow isn't a prominently featured metric in company financials and earnings releases, but we think it's telling because it accounts for all operating and capital expenses, making it tough to manipulate. Cash is king.

While Myriad Genetics posted positive free cash flow this quarter, the broader story hasn’t been so clean. Myriad Genetics’s demanding reinvestments have consumed many resources over the last five years, contributing to an average free cash flow margin of negative 10.6%. This means it lit $10.64 of cash on fire for every $100 in revenue.

Taking a step back, we can see that Myriad Genetics’s margin dropped by 1.4 percentage points during that time. It may have ticked higher more recently, but shareholders are likely hoping for its margin to at least revert to its historical level. Almost any movement in the wrong direction is undesirable because it’s already burning cash. If the longer-term trend returns, it could signal it’s becoming a more capital-intensive business.

Myriad Genetics Trailing 12-Month Free Cash Flow Margin

Myriad Genetics’s free cash flow clocked in at $14.9 million in Q3, equivalent to a 7.2% margin. Its cash flow turned positive after being negative in the same quarter last year

10. Return on Invested Capital (ROIC)

EPS and free cash flow tell us whether a company was profitable while growing its revenue. But was it capital-efficient? A company’s ROIC explains this by showing how much operating profit it makes compared to the money it has raised (debt and equity).

Myriad Genetics’s five-year average ROIC was negative 33.2%, meaning management lost money while trying to expand the business. Its returns were among the worst in the healthcare sector.

Myriad Genetics Trailing 12-Month Return On Invested Capital

We like to invest in businesses with high returns, but the trend in a company’s ROIC is what often surprises the market and moves the stock price. Over the last few years, Myriad Genetics’s ROIC has unfortunately decreased significantly. Paired with its already low returns, these declines suggest its profitable growth opportunities are few and far between.

11. Balance Sheet Assessment

Myriad Genetics reported $145.4 million of cash and $212.3 million of debt on its balance sheet in the most recent quarter. As investors in high-quality companies, we primarily focus on two things: 1) that a company’s debt level isn’t too high and 2) that its interest payments are not excessively burdening the business.

Myriad Genetics Net Debt Position

With $34.15 million of EBITDA over the last 12 months, we view Myriad Genetics’s 2.0× net-debt-to-EBITDA ratio as safe. We also see its $1.1 million of annual interest expenses as appropriate. The company’s profits give it plenty of breathing room, allowing it to continue investing in growth initiatives.

12. Key Takeaways from Myriad Genetics’s Q3 Results

It was good to see Myriad Genetics beat analysts’ EPS expectations this quarter. We were also glad its full-year EBITDA guidance exceeded Wall Street’s estimates. On the other hand, its full-year EPS guidance missed. This seems to be weighing on shares, and the stock traded down 5.8% to $7.67 immediately after reporting.

13. Is Now The Time To Buy Myriad Genetics?

Updated: November 13, 2025 at 10:39 PM EST

Before making an investment decision, investors should account for Myriad Genetics’s business fundamentals and valuation in addition to what happened in the latest quarter.

Myriad Genetics falls short of our quality standards. To begin with, its revenue growth was mediocre over the last five years, and analysts expect its demand to deteriorate over the next 12 months. And while its astounding EPS growth over the last five years shows its profits are trickling down to shareholders, the downside is its diminishing returns show management's prior bets haven't worked out. On top of that, its relatively low ROIC suggests management has struggled to find compelling investment opportunities.

Myriad Genetics’s P/E ratio based on the next 12 months is 216x. This multiple tells us a lot of good news is priced in - we think there are better stocks to buy right now.

Wall Street analysts have a consensus one-year price target of $8.29 on the company (compared to the current share price of $6.36).

Although the price target is bullish, readers should exercise caution because analysts tend to be overly optimistic. The firms they work for, often big banks, have relationships with companies that extend into fundraising, M&A advisory, and other rewarding business lines. As a result, they typically hesitate to say bad things for fear they will lose out. We at StockStory do not suffer from such conflicts of interest, so we’ll always tell it like it is.