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CareDx — Third Quarter 2026 Earnings Summary

  • Financial Performance:

    • Total revenue reached $139 million, a 39% year-over-year increase compared to $100 million in Q3 2025.
    • Testing Services revenue was $119 million, up 65% year-over-year from $72 million, including $12 million in Specialty Oncology revenue.
    • Testing Services volume increased 51% year-over-year to approximately 75,900 tests.
    • Patient and Digital Solutions revenue was $20 million, a 31% year-over-year increase from $15 million.
    • GAAP net income was $19 million, compared to $2 million in Q3 2025; GAAP net income margin was approximately 14% versus 2% in the prior year period.
    • Adjusted EBITDA was $30 million, doubling from $15 million in Q3 2025; Adjusted EBITDA margin was approximately 22% compared to 15% in Q3 2025.
    • Cash flow from operations was $13 million.
    • GAAP operating expenses were $131.3 million, compared to $100.3 million in Q3 2025.
    • Non-GAAP operating expenses were $75.3 million, compared to $57.9 million in Q3 2025.
    • GAAP gross margin was 71%, while Non-GAAP gross margin was 74%.
    • Cash and cash equivalents were $250.5 million as of September 30, 2026, up from $65.4 million as of December 31, 2025.
    • Total assets were $641.5 million as of September 30, 2026, compared to $413.2 million as of December 31, 2025.
  • Guidance and Future Outlook:

    • Full-year 2026 revenue guidance raised to $520 million to $530 million, up from the previous range of $490 million to $500 million.
    • Full-year 2026 Adjusted EBITDA guidance raised to $90 million to $100 million, up from the previous range of $66 million to $78 million.
    • Advanced AlloHeme toward a planned first-quarter 2027 commercial launch.
    • Advanced HistoMap Kidney toward broader commercial availability in 2027, with both programs targeting CLIA readiness before year-end.
  • Business Segments and Product Lines:

    • Specialty Oncology revenue was added following the acquisition of NavDx, contributing $12 million to Testing Services revenue in Q3 2026.
    • CareDx Pharmacy services drove continued growth in Patient and Digital Solutions revenue.
    • Epic Aura adoption continued across the portfolio.
    • More than 5,000 transplant patients registered for the new CareDx patient portal.
    • NavDx migration to the CareDx billing platform was completed.
    • The Lab Products business was divested on June 30, 2026, and is excluded from Q3 2026 results.
  • Market and Competitive Landscape:

    • Molecular information is seeing significant clinical interest for informing patient care decisions across the care journey.
    • New HistoMap data published in Transplantation demonstrates potential to identify clinically meaningful risk beyond conventional pathology.
    • NavDx clinical evidence broadened across multiple contexts of use, including an eight-center study of 332 patients evaluating molecular results during the first three months after treatment.
    • Two independent Phase II studies explored radiation de-escalation for NavDx after surgery and during definitive treatment.
    • KOAR registry data presented demonstrates AlloSure Kidney's potential to identify patients at greater risk of graft loss or declining kidney function when biopsy findings are difficult to interpret.
  • Risks and Challenges:

    • Forward-looking statements are subject to numerous risks and uncertainties, including general economic and market factors, and global economic and marketplace uncertainties.
    • Actual results may differ materially from projections due to factors discussed in filings with the SEC, including the Annual Report on Form 10-K for the fiscal year ended December 31, 2025.
  • Management Commentary and Tone:

    • John Hanna, President and CEO, described the quarter as "another strong quarter of solid execution" with continued growth in Transplant and progress scaling Specialty Oncology.
    • Management highlighted advances across the pipeline and clinical evidence, including in Cell Therapy.
    • The company believes dynamics regarding molecular information and solution adoption create opportunities for continued profitable growth.
  • Other Key Points:

    • Closed the acquisition of Naveris, Inc. on July 1, 2026, for $160 million in cash consideration and up to $100 million in contingent consideration.
    • Completed the divestiture of the Lab Products business on June 30, 2026.
    • GAAP net income per share was $0.37 basic and $0.35 diluted, compared to $0.03 in Q3 2025.
    • Non-GAAP net income was $38.4 million, compared to $14.9 million in Q3 2025.
    • Non-GAAP basic net income per share was $0.74 and diluted was $0.70, compared to $0.28 in Q3 2025.
    • Free cash flow (non-GAAP) was $11.1 million for the quarter, calculated as cash from operations less capital expenditures of $1.6 million.
    • Contingent consideration liability increased to $14.0 million as of September 30, 2026, from $161,000 as of December 31, 2025.
Company
CAREDX INC
Sector
Healthcare
Industry
Diagnostics & Research