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Adaptive Biotechnologies Corp.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 5 May 2026: press release. Guidance figures: 2 raised, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 35% year over year: The company reported revenue of $70.9 million for the quarter, up 35% from the first quarter of 2025. Source
  • Adjusted EBITDA loss narrowed: Adjusted EBITDA, a non-GAAP measure, was a loss of $2.5 million, against a loss of $12.7 million a year earlier. Source
  • MRD revenue up 53%: MRD revenue was $67.1 million, up 53%, and the MRD business contributed 95% of total revenue. Source
  • ClonoSEQ test volume rose 41%: clonoSEQ test volume was 32,595 tests delivered, up 41% from the first quarter of 2025. Source
  • Immune Medicine revenue fell 57%: Immune Medicine revenue was $3.8 million, a 57% decrease from the first quarter of 2025. Source
  • Operating expenses rose 10%: Total operating expenses were $90.1 million, against $82.0 million in the first quarter of 2025, an increase of 10%. Source
  • Cash and securities $237.2 million: Cash, cash equivalents and marketable securities were $237.2 million at March 31, 2026, including $15.3 million held by Digital Biotechnologies, Inc. Source

“We delivered strong first quarter results based on accelerating adoption of MRD across both clinical testing and drug development.”

Chad Robins, chief executive officer and co-founder

Guidance

AreaPeriodFigureAgainst last quarter
MRD revenue Sourcefull year 2026$260 million to $270 millionRaised from $255 million to $265 million
MRD revenue growth implied by guidance Sourcefull year 202622% to 27%Raised
Total operating expenses including cost of revenue Sourcefull year 2026$350 million to $360 millionKept

What changed from last quarter

  • Guidance raised: MRD revenue guidance for full year 2026 was raised to $260 million to $270 million from $255 million to $265 million. Source
  • Guidance kept: Full year 2026 total operating expense guidance, including cost of revenue, is unchanged at $350 million to $360 million. Source

Revenue and net loss

  • Revenue rose 35% year over year: The company reported revenue of $70.9 million for the quarter, up 35% from the first quarter of 2025. Source
  • Growth excluding Genentech was 45%: Excluding Genentech Agreement revenue, which was not recognized in the quarter, revenue rose 45% from the first quarter of 2025. Source
  • Net loss narrowed to $20.0 million: Net loss was $20.0 million, against $29.8 million in the prior-year quarter. Source
  • Adjusted EBITDA loss narrowed: Adjusted EBITDA, a non-GAAP measure, was a loss of $2.5 million, against a loss of $12.7 million a year earlier. Source

MRD business

  • MRD revenue up 53%: MRD revenue was $67.1 million, up 53%, and the MRD business contributed 95% of total revenue. Source
  • ClonoSEQ test volume rose 41%: clonoSEQ test volume was 32,595 tests delivered, up 41% from the first quarter of 2025. Source
  • Regulatory milestone revenue recognized: The company recognized $9.0 million of MRD pharma regulatory milestone revenue, described as the first U.S. primary endpoint milestone. Source
  • MRD segment Adjusted EBITDA turned positive: MRD segment Adjusted EBITDA was $12.1 million, against a loss of $4.1 million in the prior-year quarter. Source

“Our performance reinforces our market leadership position and the differentiated value of our platform.”

Chad Robins, chief executive officer and co-founder

Immune Medicine segment

  • Immune Medicine revenue fell 57%: Immune Medicine revenue was $3.8 million, a 57% decrease from the first quarter of 2025. Source
  • Down 26% excluding Genentech revenue: Excluding revenue from the Genentech Agreement, Immune Medicine revenue decreased 26% from the first quarter of 2025. Source
  • Segment loss larger than a year earlier: Immune Medicine segment Adjusted EBITDA was a loss of $10.4 million, against a loss of $5.1 million in the prior-year quarter. Source
  • Digital Biotechnologies moved out of segment: Expenses related to Digital Biotechnologies, Inc. are no longer included in the Immune Medicine segment. Source

Operating costs

  • Operating expenses rose 10%: Total operating expenses were $90.1 million, against $82.0 million in the first quarter of 2025, an increase of 10%. Source
  • Sales, marketing and G&A increased: Sales and marketing rose to $26.3 million from $23.0 million, and general and administrative rose to $21.0 million from $17.4 million. Source
  • Restructuring and impairment charges recorded: Restructuring expense was $0.6 million and impairment of long-lived assets was $0.3 million, both excluded from Adjusted EBITDA. Share-based compensation was $11.9 million. Source

“With disciplined execution and multiple growth drivers in place, we are well positioned to sustain our growth trajectory and create long-term value.”

Chad Robins, chief executive officer and co-founder

Cash, interest and shareholders

  • Cash and securities $237.2 million: Cash, cash equivalents and marketable securities were $237.2 million at March 31, 2026, including $15.3 million held by Digital Biotechnologies, Inc. Source
  • Shares outstanding rose to 159.7 million: Shares issued and outstanding were 159,697,221 at March 31, 2026, against 153,779,418 at December 31, 2025. Source
  • Revenue interest expense held at $2.9 million: Interest expense from the revenue interest purchase agreement was $2.9 million in both the current and prior-year first quarters. Source
  • Interest and other income declined: Interest and other income, net was $2.1 million, against $2.7 million in the prior-year quarter. Source

Working capital and deferred revenue

  • Current deferred revenue rose: Current portion of deferred revenue was $49.4 million, against $45.2 million at December 31, 2025. Source
  • Receivables and inventory moved: Accounts receivable, net, was $48.3 million, against $50.4 million, and inventory was $11.2 million, against $9.8 million, at December 31, 2025. Source
  • Accrued compensation fell sharply: Accrued compensation and benefits were $6.2 million, against $17.0 million at December 31, 2025. The release does not state the reason. Source

Figures management reported

FigureReported
ClonoSEQ test volume Source32,595 tests delivered, up 41%
MRD pharma regulatory milestone revenue Source$9.0 million, the first U.S. primary endpoint milestone
Research and development expense Source$23.6 million, against $24.2 million

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.