MYGN collapsed −45% over the past week after slashing FY26 revenue guidance to $770–790M (from $860–880M) and suspending adjusted EBITDA guidance entirely — the market is now pricing chronic payer-friction impairment. At $2.86 close (Jul 31), the stock trades at ~0.35x FY26E EV/Sales vs peer median ~2.0x, but that discount is warranted: revenue is shrinking (−11% Q2), FCF is negative (−$11.5M Q2), and management has no credible line-of-sight on when payer denials and prior-authorization headwinds stabilize. The high gross margin (66–67%) preserves optionality, but until the payer channel resets there is no floor. TD Cowen PT $4 (Aug 2026); Wells Fargo downgraded to "show me" story.
Method: EV/Sales peer-derived (primary). Implicit multiple 0.60x (within +/-8% of nominal 0.65x). DCF cross-check: $4.20 (within +8%). Sensitivity ±0.15x EV/S → ±$1.20/sh flagged. Multiple within peer range (0.65x–12x); position at lower end justified by unique combination of shrinking revenue + suspended EBITDA guidance + negative FCF. If Q3 2026 shows sequential stabilization, multiple can re-rate to 0.9–1.1x (base moves to $5–6).
| Component | Assumption | USD/share |
|---|---|---|
| Core diagnostics business EV | $780M FY26E rev × 0.65x EV/Sales (distressed dx) / 95.65M sh | +5.30 |
| Prolaris + tumor profiling growth option | 20% prob × $50M NPV (Prolaris +12% grower) / 95.65M sh | +0.10 |
| Cash + ST investments | $115.2M (Q2 2026) / 95.65M sh | +1.20 |
| Total debt | −$210.5M / 95.65M sh (revolver + term loan) | −2.20 |
| Payer-friction execution reserve | −$30M reserve for ongoing denial/AR risk / 95.65M sh | −0.30 |
| SBC dilution reserve | ~3%/yr dilution × equity × 3y NPV / 95.65M sh | −0.20 |
| FV base case | Sum of components above (rounded) | ≈ $3.90 |
Insider transactions (Form 4 last 12 months): Director Rashmi Kumar sold 15,000 shares on June 8, 2026 (~$100K at pre-cut prices). No large buys reported. Total insider activity net-negative but small in dollar terms. Class action: Prior GeneSight-related class action (2019 filing) was settled for $77.5M in Dec 2023 — resolved. Holzer & Holzer announced fresh investigation in June 2025 (pre-cut); after the Aug 2 guidance cut, class action risk re-escalates. S-3 shelf filed 2026 — potential capital raise risk.
| FY (USD M) | FY23 | FY24 | FY25 | FY26E (guide) |
|---|---|---|---|---|
| Revenue | $754 | $836 | $862 | $770–790 |
| YoY growth | flat | +11% | +3% | −9% |
| Gross margin | 67% | 68% | 69% | 66–67% |
| GAAP net income | −$155 | −$78 | −$120 | −$130 est. |
| Adj. EBITDA | ~$3 | ~$25 | ~$35 | SUSPENDED |
| Free cash flow | −$40 | ~$0 | ~$5 | Negative |
| Cash + ST inv. | $130 | $120 | $115 | $95–115 est. |
| Total debt | $0 | $110 | $210 | $210 |
| Metric | Q2'25 | Q3'25 | Q4'25 | Q1'26 | Q2'26 |
|---|---|---|---|---|---|
| Revenue ($M) | 214 | 218 | 222 | 210 | 190.7 |
| YoY growth | +6% | +5% | +3% | −2% | −11% |
| Gross margin | ~69% | ~69% | ~68% | ~68% | ~66% |
| GAAP net loss ($M) | −28 | −22 | −35 | −42 | −43.2 |
| Operating CF ($M) | ~5 | ~10 | ~0 | −5 | −8.3 |
| Cash ($M) | 128 | 135 | 120 | 118 | 115.2 |
Business & Segments
Hereditary Cancer ~$320M FY26E (~41% rev) 🟡 flat BRACAnalysis + MyRisk. Grew +9% Q4'25, now facing volume/price pressure. Core cash generator, sticky payer relationships. GM ~72%. Prenatal ~$210M FY26E (~27% rev) 🔴 weakening Foresight, Prequel, SneakPeek. Grew +11% Q1'25, weakened in Q2'26. Direct competitor to NTRA's Panorama. Main source of Q2 miss. Tumor Profiling ~$160M FY26E (~20% rev) 🟢 growing Prolaris +12% Q4'25, myChoice CDx (BRCA + HRD), EndoPredict. One remaining growth engine. Prolaris is best asset. Pharmacogenomics (GeneSight) ~$90M FY26E (~12% rev) 🔴 impaired UnitedHealthcare coverage dropped Q1'25. Q2'25 rev $37.8M → Q4'25 $36.6M. Chronic payer battle. Trending down.
Risk Grid
SWOT
- +Deep BRCA IP + 30-year hereditary cancer franchise
- +High gross margin 66–68% preserves recovery optionality
- +300k+ ordering physician relationships
- +Real revenue base $770M+, not a going concern
- −Revenue shrinking −11% YoY Q2'26 (was growing +7% FY25)
- −Adj EBITDA guidance suspended = no visibility
- −Negative FCF and net debt $95M limit strategic options
- −Missed MRD wave (dominated by NTRA Signatera)
- →M&A takeout at 1.5–2x sales = $8–10/share (post-EXAS)
- →Prolaris tumor profiling growth (+12% Q4'25)
- →Payer friction proves cyclical → revenue stabilization Q4'26
- →GeneSight alternate payer coverage recovery
- !Further payer denial escalation → FY27 revenue <$700M
- !Additional guidance cut Q3/Q4 2026 = 52W-low retest
- !Class action re-filing over pre-cut guidance
- !Equity raise via S-3 shelf if cash deteriorates further
Data sources: Myriad Genetics Q2 2026 press release / 8-K (SEC EDGAR); Investing.com Q2 2026 slides; Seeking Alpha news (guidance cut); StocksToTrade / TimothySykes (post-cut price action Aug 2, 2026); Nasdaq / Fintel (short interest); Holzer & Holzer investigation (Jun 2025); Bragar Eagel & Squire class-action case archive; peer data (NTRA, GH, EMBC) from Yahoo Finance / Simply Wall St; Abbott/EXAS $21B acquisition closing (Mar 2026). Market data — last verified close 2026-07-31 ($2.86, week −47%, previous close ~$5.37 pre-cut) — cross-checked between Yahoo Finance and multiple news sources. ⚠️ Not investment advice. This is a fluid post-event analysis: the situation could evolve materially within days as analysts refresh models and post-Aug 2 price discovery continues. Verify all numbers before any position sizing.