cust.co / Compare / OptimizeRx vs Guardant Health

OptimizeRx vs Guardant Health - NRR head-to-head

Side-by-side Net Revenue Retention comparison sourced from SEC filings and earnings releases. Both compete in Healthcare SaaS. Both at Public stage.

Guardant Health leads by +7pp on latest NRR (117% vs 110%).

NRR over time

107%113%119%124%130% FY2023-Q3FY2024-Q2FY-2024FY2025-Q1FY2025-Q3FY2025-Q4FY-2023 NRR OptimizeRx Guardant Health OptimizeRx - FY2023-Q3: 127% OptimizeRx - FY2023-Q4: 121% OptimizeRx - FY2024-Q2: 124% OptimizeRx - FY2024-Q3: 127% OptimizeRx - FY-2024: 121% OptimizeRx - FY2024-Q4: 121% OptimizeRx - FY2025-Q1: 114% OptimizeRx - FY2025-Q2: 121% OptimizeRx - FY2025-Q3: 120% OptimizeRx - FY-2025: 116% OptimizeRx - FY2025-Q4: 116% OptimizeRx - FY2026-Q1: 110% Guardant Health - FY2023-Q4: 117% Guardant Health - FY-2023: 117%

OptimizeRx hit a higher all-time peak (127% in FY2023-Q3).

Stat-by-stat

Metric OptimizeRx Guardant Health
Latest NRR 110% 117%
All-time peak NRR 127% 117%
All-time low NRR 110% 117%
QoQ change -6pp +0pp
YoY change -11pp -
3-year change - -
Disclosures tracked 12 2

Customer cohorts

MetricOptimizeRxGuardant Health
Total customers - 200
Over $100K ARR - 350
Over $1M ARR - 42
Top-10 concentration - 12%
Average ACV $3M -
US revenue mix - 95.2%

Commercial structure

MetricOptimizeRxGuardant Health
Total RPO - $850M
Current RPO (12mo) - $520M
Multi-year contracts - 42%
Avg contract length - 24 mo
Subscription rev mix 30% 88%
New customers added - 450

Post-sales motion

MetricOptimizeRxGuardant Health
CS team size - -
Customers per CSM - -
Pricing model hybrid hybrid
Renewal cadence annual consumption
CSM coverage model account-named account-named
Top customer exec Not Disclosed -

How does your NRR stack up?

Compute yours in 30 seconds. Get a live retention report showing where you stack up, your expansion gap, and which public companies sit closest to your numbers.