Fulgent Genetics Q2 2025 slides: Revenue up 16% YoY, shares surge 13.5%

Introduction & Market Context

Fulgent Genetics (NASDAQ:FLGT) shares jumped 13.5% in premarket trading to $19.50 following the release of its Q2 2025 investor presentation on August 1, 2025. The genetic testing company reported quarterly revenue of $82 million, representing a 16% year-over-year increase in core revenue, as it continues to expand its presence across multiple healthcare segments.

The company, founded in 2011 and headquartered in El Monte, California, has positioned itself as a premier global technology-based genetic testing company focused on oncology, infectious and rare diseases, and reproductive health. This follows a strong first quarter where Fulgent beat earnings expectations with an EPS of $0.04 compared to the forecasted -$0.08.

Quarterly Performance Highlights

Fulgent reported $82 million in core revenue for Q2 2025, marking a 16% increase year-over-year. The company’s last twelve months (LTM) core revenue reached $302.9 million as of Q2 2025, compared to $265.6 million for Q2 2024 LTM, demonstrating consistent growth trajectory.

As shown in the following financial performance slide, Fulgent’s core revenue has been steadily increasing over the past two years:

However, the company reported negative operating cash flow of $(25) million for the LTM period ending Q2 2025, indicating ongoing investments in growth initiatives and therapeutic development programs.

Strategic Initiatives and Market Positioning

Fulgent has identified substantial market opportunities across multiple segments, including an $80 billion cancer diagnostics market, $18 billion early detection/liquid biopsy market, $8 billion reproductive health market, and $50 billion biopharma services market. The company’s strategic positioning across these segments is illustrated in the following slide:

The company’s platform spans three key divisions: Precision Diagnostics, Anatomic Pathology, and BioPharma Services. This comprehensive approach allows Fulgent to address diverse healthcare needs while leveraging its proprietary technology.

Fulgent’s competitive advantage stems from its proprietary technology platform, which includes engineered genetic biochemistry, data suppression and comparison algorithms, adaptive learning software, and automated reporting. This technological foundation enables the company to offer a broader test menu at a more competitive cost structure.

The company’s test menu is particularly extensive, featuring over 18,400 single-gene tests and more than 900 panels, providing significant flexibility for customized testing solutions. This scalable approach positions Fulgent favorably against competitors who may offer more limited testing options.

Therapeutic Development Pipeline

Beyond diagnostics, Fulgent is advancing several therapeutic programs, with FID-007 showing particularly promising results in clinical trials. The drug candidate has demonstrated a 45% objective response rate (ORR) and 72% disease control rate (DCR) in head and neck cancer patients, with multiple clinical sites now activated and 32 patients dosed in the Phase 2 trial with cetuximab.

The company’s pipeline progress across multiple drug candidates is detailed in the following slide:

The market opportunity for FID-007 is estimated at $1.86 billion in 2025 for head and neck cancer alone, with potential expansion into pancreatic, breast, ampullary, and non-small cell lung cancer indications. This represents a significant growth avenue beyond Fulgent’s core diagnostics business.

Financial Outlook and Guidance

For the full year 2025, Fulgent provided guidance of $320 million in core revenue, representing 14% year-over-year growth. The company expects GAAP EPS of ($2.10) and non-GAAP EPS of ($0.35), reflecting continued investments in growth initiatives and therapeutic development.

The revenue breakdown by segment projects $194 million from Precision Diagnostics, $108 million from Anatomic Pathology, and $18 million from BioPharma Services. Fulgent also expects to maintain a strong cash position of approximately $770 million by the end of 2025.

This guidance appears somewhat conservative given the company’s strong performance in the first half of 2025. In Q1, Fulgent reported revenue of $73.5 million and positive EPS of $0.04, significantly beating analyst expectations. The projected full-year losses suggest increased spending in the latter half of the year, likely related to therapeutic development programs and potential M&A activities.

The company’s balance sheet remains solid, with substantial cash and marketable securities providing flexibility for strategic investments and acquisitions:

Leadership and Execution

Fulgent’s leadership team brings extensive experience from companies including Cogent Systems, City of Hope, and Baylor Genetics. CEO Ming Hsieh, who previously founded and chaired Cogent Systems, leads a team with deep expertise across scientific, operational, and commercial domains.

During the Q1 2025 earnings call, CEO Ming Hsieh noted, "We are pleased with our first quarter results, having shown year over year growth in laboratory service," while Chief Commercial Officer Brandon Perthews highlighted market share gains in precision diagnostics, "especially in the reproductive health arena."

The company’s ability to execute on its growth strategy, including the integration of acquisitions like Inform Diagnostics and CSI Labs, will be crucial for achieving its financial targets and advancing its therapeutic pipeline. With a strong cash position and growing core business, Fulgent appears well-positioned to pursue both organic growth and strategic acquisitions in the coming quarters.

Full presentation:

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