Guardant Health, Inc.
MX ˙ BMV ˙ US40131M1099
SecurityMX:GH / Guardant Health, Inc.
InstitutionCitadel Advisors Llc
ManagerKen Griffin
Latest Disclosed Ownership775,941 shares
Latest Disclosed Value $ 71,673,670
Citadel Advisors Llc ownership in GH / Guardant Health, Inc.

On May 15, 2026 - Citadel Advisors Llc filed a 13F-HR form disclosing ownership of 775,941 shares of Guardant Health, Inc. (MX:GH) valued at $71,673,670 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 564,342 shares of Guardant Health, Inc.. This represents a change in shares of 37.49% during the quarter.

Citadel Advisors Llc has a history of taking positions in derivatives of the underlying security (GH) in the form of stock options. The firm currently holds call options representing 139,000 of underlying shares valued at $12,839,430 USD and put options representing 23,300 of underlying shares valued at $2,152,221 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

MX:GH / Guardant Health, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-15 2026-03-31 13F GUARDANT HEALTH COM 40131M109 775,941 211,599 37.49 71,674 24.34 0.0116
2026-02-17 2025-12-31 13F GUARDANT HEALTH COM 40131M109 564,342 259,822 85.32 57,642 202.96 0.0087
2025-11-14 2025-09-30 13F GUARDANT HEALTH COM 40131M109 304,520 -2,634,033 -89.64 19,026 -87.56 0.0029
2025-08-14 2025-06-30 13F GUARDANT HEALTH COM 40131M109 2,938,553 -658,360 -18.30 152,922 -0.20 0.0266
2025-05-15 2025-03-31 13F GUARDANT HEALTH COM 40131M109 3,596,913 2,115,024 142.72 153,228 238.47 0.0291
2025-02-14 2024-12-31 13F GUARDANT HEALTH COM 40131M109 1,481,889 1,151,488 348.51 45,272 497.32 0.0078
2024-11-14 2024-09-30 13F GUARDANT HEALTH COM 40131M109 330,401 -2,960,496 -89.96 7,579 -92.03 0.0015
2024-08-14 2024-06-30 13F GUARDANT HEALTH COM 40131M109 3,290,897 500,359 17.93 95,041 65.09 0.0192
2024-05-15 2024-03-31 13F GUARDANT HEALTH COM 40131M109 2,790,538 2,762,668 9,912.69 57,569 7,545.15 0.0111
2024-02-14 2023-12-31 13F GUARDANT HEALTH COM 40131M109 27,870 -410,445 -93.64 754 -94.20 0.0002
2023-11-14 2023-09-30 13F GUARDANT HEALTH COM 40131M109 438,315 28,418 6.93 12,992 -11.47 0.0028
2023-08-14 2023-06-30 13F GUARDANT HEALTH COM 40131M109 409,897 142,831 53.48 14,674 134.41 0.0030
2023-05-15 2023-03-31 13F GUARDANT HEALTH COM 40131M109 267,066 -16,572 -5.84 6,260 -18.85 0.0014
2023-02-14 2022-12-31 13F GUARDANT HEALTH COM 40131M109 283,638 -68,214 -19.39 7,715 -59.27 0.0018
2022-11-14 2022-09-30 13F GUARDANT HEALTH COM 40131M109 351,852 216,050 159.09 18,940 245.75 0.0043
2022-08-15 2022-06-30 13F GUARDANT HEALTH COM 40131M109 135,802 -398,623 -74.59 5,478 -84.53 0.0014
2022-05-16 2022-03-31 13F GUARDANT HEALTH COM 40131M109 534,425 14,669 2.82 35,400 -31.90 0.0073
2022-02-14 2021-12-31 13F GUARDANT HEALTH COM 40131M109 519,756 519,756 51,986 0.0106
2022-03-11 2021-09-30 13F/A-1 GUARDANT HEALTH COM 40131M109 0 -166,664 -100.00 0 -100.00
2021-11-15 2021-09-30 13F GUARDANT HEALTH COM 40131M109 0 -166,664 0
2021-08-16 2021-06-30 13F GUARDANT HEALTH COM 40131M109 166,664 -79,867 -32.40 20,698 -45.00 0.0046
2021-05-21 2021-03-31 13F/A-1 GUARDANT HEALTH COM 40131M109 246,531 -38,356 -13.46 37,633 2.50 0.0092
2021-05-17 2021-03-31 13F GUARDANT HEALTH COM 40131M109 246,531 -38,356 37,633 0.0092
2021-02-16 2020-12-31 13F GUARDANT HEALTH COM 40131M109 284,887 44,351 18.44 36,716 36.56 0.0095
2020-11-16 2020-09-30 13F GUARDANT HEALTH COM 40131M109 240,536 178,206 285.91 26,887 431.68 0.0076
2020-08-14 2020-06-30 13F GUARDANT HEALTH Cmn 40131M109 62,330 -64,367 -50.80 5,057 -42.65 0.0018
2020-05-15 2020-03-31 13F GUARDANT HEALTH Cmn 40131M109 126,697 81,876 182.67 8,818 151.80 0.0040
2020-02-14 2019-12-31 13F GUARDANT HEALTH Cmn 40131M109 44,821 -78,024 -63.51 3,502 -55.34 0.0015
2019-11-14 2019-09-30 13F GUARDANT HEALTH Cmn 40131M109 122,845 45,771 59.39 7,841 17.84 0.0037
2019-08-14 2019-06-30 13F GUARDANT HEALTH Cmn 40131M109 77,074 -15,348 -16.61 6,654 -6.14 0.0031
2019-05-15 2019-03-31 13F GUARDANT HEALTH Cmn 40131M109 92,422 92,422 7,089 0.0035
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-15 2026-03-31 13F GUARDANT HEALTH COM Call 139,000 -21.73 12,839 -29.22 n/a n/a n/a
2026-02-17 2025-12-31 13F GUARDANT HEALTH COM Call 177,600 -6.72 18,140 52.49 n/a n/a n/a
2025-11-14 2025-09-30 13F GUARDANT HEALTH COM Call 190,400 48.17 11,896 77.90 n/a n/a n/a
2025-08-14 2025-06-30 13F GUARDANT HEALTH COM Call 128,500 -35.78 6,687 -21.55 n/a n/a n/a
2025-05-15 2025-03-31 13F GUARDANT HEALTH COM Call 200,100 47.35 8,524 105.50 n/a n/a n/a
2025-02-14 2024-12-31 13F GUARDANT HEALTH COM Call 135,800 49.56 4,149 99.23 n/a n/a n/a
2024-11-14 2024-09-30 13F GUARDANT HEALTH COM Call 90,800 37.16 2,083 8.95 n/a n/a n/a
2024-08-14 2024-06-30 13F GUARDANT HEALTH COM Call 66,200 -92.48 1,912 -89.48 n/a n/a n/a
2024-05-15 2024-03-31 13F GUARDANT HEALTH COM Call 880,800 1,145.83 18,171 850.31 n/a n/a n/a
2024-02-14 2023-12-31 13F GUARDANT HEALTH COM Call 70,700 35.70 1,912 23.83 n/a n/a n/a
2023-11-14 2023-09-30 13F GUARDANT HEALTH COM Call 52,100 14.51 1,544 -5.16 n/a n/a n/a
2023-08-14 2023-06-30 13F GUARDANT HEALTH COM Call 45,500 -44.58 1,629 -15.38 n/a n/a n/a
2023-05-15 2023-03-31 13F GUARDANT HEALTH COM Call 82,100 -60.59 1,924 -66.04 n/a n/a n/a
2023-02-14 2022-12-31 13F GUARDANT HEALTH COM Call 208,300 -52.26 5,666 -75.88 n/a n/a n/a
2022-11-14 2022-09-30 13F GUARDANT HEALTH COM Call 436,300 35.96 23,486 81.43 n/a n/a n/a
2022-08-15 2022-06-30 13F GUARDANT HEALTH COM Call 320,900 25.94 12,945 -23.30 n/a n/a n/a
2022-05-16 2022-03-31 13F GUARDANT HEALTH COM Call 254,800 24.54 16,878 -17.52 n/a n/a n/a
2022-02-14 2021-12-31 13F GUARDANT HEALTH COM Call 204,600 34.25 20,464 7.41 n/a n/a n/a
2021-11-15 2021-09-30 13F GUARDANT HEALTH Cmn Call 152,400 59.41 19,052 60.46 n/a n/a n/a
2021-08-16 2021-06-30 13F GUARDANT HEALTH COM Call 95,600 -11.23 11,873 -27.78 n/a n/a n/a
2021-05-21 2021-03-31 13F/A GUARDANT HEALTH COM Call 107,700 25.38 16,440 48.50 n/a n/a n/a
2021-05-17 2021-03-31 13F GUARDANT HEALTH COM Call 107,700 16,440 n/a n/a n/a
2021-02-16 2020-12-31 13F GUARDANT HEALTH COM Call 85,900 -44.22 11,071 -35.69 n/a n/a n/a
2020-11-16 2020-09-30 13F GUARDANT HEALTH COM Call 154,000 151.63 17,214 246.71 n/a n/a n/a
2020-08-14 2020-06-30 13F GUARDANT HEALTH Cmn Call 61,200 -15.24 4,965 -1.19 n/a n/a n/a
2020-05-15 2020-03-31 13F GUARDANT HEALTH Cmn Call 72,200 -11.74 5,025 -21.39 n/a n/a n/a
2020-02-14 2019-12-31 13F GUARDANT HEALTH Cmn Call 81,800 -13.62 6,392 5.74 n/a n/a n/a
2019-11-14 2019-09-30 13F GUARDANT HEALTH Cmn Call 94,700 31.35 6,045 -2.88 n/a n/a n/a
2019-08-14 2019-06-30 13F GUARDANT HEALTH Cmn Call 72,100 212.12 6,224 251.24 n/a n/a n/a
2019-05-15 2019-03-31 13F GUARDANT HEALTH Cmn Call 23,100 1,772 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-15 2026-03-31 13F GUARDANT HEALTH COM Put 23,300 -63.48 2,152 -66.97 n/a n/a n/a
2026-02-17 2025-12-31 13F GUARDANT HEALTH COM Put 63,800 -32.70 6,517 10.01 n/a n/a n/a
2025-11-14 2025-09-30 13F GUARDANT HEALTH COM Put 94,800 -21.65 5,923 -5.92 n/a n/a n/a
2025-08-14 2025-06-30 13F GUARDANT HEALTH COM Put 121,000 101.33 6,297 145.94 n/a n/a n/a
2025-05-15 2025-03-31 13F GUARDANT HEALTH COM Put 60,100 -29.54 2,560 -1.73 n/a n/a n/a
2025-02-14 2024-12-31 13F GUARDANT HEALTH COM Put 85,300 -36.20 2,606 -15.06 n/a n/a n/a
2024-11-14 2024-09-30 13F GUARDANT HEALTH COM Put 133,700 -11.57 3,067 -29.75 n/a n/a n/a
2024-08-14 2024-06-30 13F GUARDANT HEALTH COM Put 151,200 66.52 4,367 133.10 n/a n/a n/a
2024-05-15 2024-03-31 13F GUARDANT HEALTH COM Put 90,800 122.55 1,873 69.81 n/a n/a n/a
2024-02-14 2023-12-31 13F GUARDANT HEALTH COM Put 40,800 -12.07 1,104 -19.78 n/a n/a n/a
2023-11-14 2023-09-30 13F GUARDANT HEALTH COM Put 46,400 -19.30 1,375 -33.19 n/a n/a n/a
2023-08-14 2023-06-30 13F GUARDANT HEALTH COM Put 57,500 -38.50 2,058 -6.07 n/a n/a n/a
2023-05-15 2023-03-31 13F GUARDANT HEALTH COM Put 93,500 -48.91 2,192 -55.98 n/a n/a n/a
2023-02-14 2022-12-31 13F GUARDANT HEALTH COM Put 183,000 -17.46 4,978 -58.30 n/a n/a n/a
2022-11-14 2022-09-30 13F GUARDANT HEALTH COM Put 221,700 275.76 11,934 401.43 n/a n/a n/a
2022-08-15 2022-06-30 13F GUARDANT HEALTH COM Put 59,000 -20.27 2,380 -51.45 n/a n/a n/a
2022-05-16 2022-03-31 13F GUARDANT HEALTH COM Put 74,000 24.79 4,902 -17.35 n/a n/a n/a
2022-02-14 2021-12-31 13F GUARDANT HEALTH COM Put 59,300 157.83 5,931 106.30 n/a n/a n/a
2021-11-15 2021-09-30 13F GUARDANT HEALTH Cmn Put 23,000 -60.95 2,875 -60.70 n/a n/a n/a
2021-08-16 2021-06-30 13F GUARDANT HEALTH COM Put 58,900 -26.47 7,315 -40.17 n/a n/a n/a
2021-05-21 2021-03-31 13F/A GUARDANT HEALTH COM Put 80,100 35.53 12,227 60.52 n/a n/a n/a
2021-05-17 2021-03-31 13F GUARDANT HEALTH COM Put 80,100 12,227 n/a n/a n/a
2021-02-16 2020-12-31 13F GUARDANT HEALTH COM Put 59,100 -38.24 7,617 -28.79 n/a n/a n/a
2020-11-16 2020-09-30 13F GUARDANT HEALTH COM Put 95,700 57.40 10,697 116.85 n/a n/a n/a
2020-08-14 2020-06-30 13F GUARDANT HEALTH Cmn Put 60,800 16.48 4,933 35.78 n/a n/a n/a
2020-05-15 2020-03-31 13F GUARDANT HEALTH Cmn Put 52,200 16.26 3,633 3.56 n/a n/a n/a
2020-02-14 2019-12-31 13F GUARDANT HEALTH Cmn Put 44,900 -25.17 3,508 -8.41 n/a n/a n/a
2019-11-14 2019-09-30 13F GUARDANT HEALTH Cmn Put 60,000 109.79 3,830 55.12 n/a n/a n/a
2019-08-14 2019-06-30 13F GUARDANT HEALTH Cmn Put 28,600 -10.34 2,469 0.90 n/a n/a n/a
2019-05-15 2019-03-31 13F GUARDANT HEALTH Cmn Put 31,900 2,447 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.