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Natera, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 6 August 2026: press release. Guidance figures: 1 raised, 3 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 37.7% year over year: Total revenues were $752.8 million, up from $546.6 million a year earlier. Management attributed the increase to higher volume and average selling price improvements. Source
  • Tests processed reached 1.04 million: About 1,043,900 tests were processed, up 22.4% from 853,100. Management said it was over one million for a second consecutive quarter. Source
  • Oncology tests rose 57.2%: Oncology tests reached about 296,700, compared with about 188,800 a year earlier. Source
  • Three Signatera regulatory approvals: Management said Signatera achieved three significant regulatory approvals in the last few months. Source
  • Accrual change added 2.7 points: Revenue accrual changes added $52.3 million to revenue, or 2.7% to gross margin, compared with $45.3 million, or 3.3%, in the second quarter of 2025. Source
  • Operating loss narrowed to $75.8M: Loss from operations was $75.8 million, against $110.4 million in the second quarter of 2025. Source
  • Cash balance of $1.09 billion: Cash, cash equivalents and restricted cash totaled $1,091.5 million at June 30, 2026, against $1,076.1 million at December 31, 2025. Source

“We had an exceptional quarter helping patients, with over one million tests processed for the second consecutive quarter and record growth in oncology volumes,”

Steve Chapman, chief executive officer of Natera

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue Source2026 full year$2.85 billion to $2.91 billionRaised from $2.74 billion to $2.82 billion
Gross margin Source2026 full yearapproximately 64% to 66%Kept
Selling, general and administrative costs Source2026 full yearapproximately $1.125 billion to $1.225 billionKept
Research and development costs Source2026 full year$800 million to $900 millionKept

What changed from last quarter

  • Guidance raised: Management raised 2026 annual revenue guidance by $100 million at the midpoint. Source
  • New: Management reported three significant regulatory approvals for Signatera in the last few months. Source
  • New: Management reported that Medicare coverage expanded for Prospera. Source
  • New: Management reported the launch of a major enhancement to the Panorama NIPT. Source

Revenue growth and drivers

  • Revenue rose 37.7% year over year: Total revenues were $752.8 million, up from $546.6 million a year earlier. Management attributed the increase to higher volume and average selling price improvements. Source
  • Gross profit grew with revenue: Gross profit was $485.2 million against $346.6 million a year earlier, giving a gross margin of 64.5% compared with 63.4%. Source
  • First quarter revenue was $696.6 million: Revenue in the first quarter of 2026 was $696.6 million, up 38.8% from the first quarter of 2025, as reported in the prior release.

Test volumes and mix

  • Tests processed reached 1.04 million: About 1,043,900 tests were processed, up 22.4% from 853,100. Management said it was over one million for a second consecutive quarter. Source
  • Oncology tests rose 57.2%: Oncology tests reached about 296,700, compared with about 188,800 a year earlier. Source
  • MRD oncology units rose 34,000: Clinical molecular residual disease oncology units rose 34,000 over the first quarter, which management described as the largest sequential increase to date. Source
  • Tests reported rose 21.2%: Revenue was recognized on about 985,500 tests with results reported to customers, up 21.2% from 812,900 in the prior year quarter. Source

“We also reached several landmark milestones in the last few months: Signatera™ achieved three significant regulatory approvals, Medicare coverage expanded for Prospera™, and we launched a major enhancement to our Panorama™ NIPT.”

Steve Chapman, chief executive officer of Natera

Product and regulatory milestones

  • Three Signatera regulatory approvals: Management said Signatera achieved three significant regulatory approvals in the last few months. Source
  • Prospera Medicare coverage expanded: Management said Medicare coverage expanded for Prospera during the period. Source
  • Panorama NIPT enhancement launched: Management said it launched a major enhancement to the Panorama NIPT. Source

Gross margin and revenue accruals

  • Gross margin rose to 64.5%: Gross margin was 64.5% against 63.4% a year earlier and 64.7% in the first quarter of 2026. Management attributed the higher margin to higher revenues and lower cost of revenues per test. Source
  • Accrual change added 2.7 points: Revenue accrual changes added $52.3 million to revenue, or 2.7% to gross margin, compared with $45.3 million, or 3.3%, in the second quarter of 2025. Source
  • Non-GAAP gross margin up 50 basis points: Excluding revenue true-ups, non-GAAP gross margin improved 50 basis points over the first quarter of 2026, according to the company. Source

Operating expenses and loss

  • Operating expenses rose 21.5%: Total operating expenses were $555.3 million, up from $457.0 million, mainly on headcount growth for new products and higher clinical trial expenses. Source
  • Operating loss narrowed to $75.8M: Loss from operations was $75.8 million, against $110.4 million in the second quarter of 2025. Source
  • Net loss of $0.47 per share: Net loss was $67.0 million, or ($0.47) per diluted share, against ($0.74) a year earlier. Weighted average shares were 143.3 million. Source
  • Acquired intangible amortization recorded: Amortization of acquired intangible assets was $5.7 million. No such amortization was recorded in the second quarter of 2025. Source

Cash, debt and receivables

  • Cash rose $3.6 million in quarter: Cash, cash equivalents and restricted cash increased by about $3.6 million in the second quarter, from $1,087.9 million at March 31, 2026. Source
  • Cash balance of $1.09 billion: Cash, cash equivalents and restricted cash totaled $1,091.5 million at June 30, 2026, against $1,076.1 million at December 31, 2025. Source
  • Debt of $80.3 million on UBS line: Debt was $80.3 million including accrued interest, under a UBS line of credit with a variable rate of 30-day SOFR plus 50 basis points. Source
  • Receivables rose to $422 million: Accounts receivable, net, were $421,968 thousand at June 30, 2026, up from $296,528 thousand at December 31, 2025. Source

Figures management reported

FigureReported
Tests processed (patient volume) Source1,043,900 in Q2 2026, up 22.4% from 853,100
Oncology tests processed Source296,700 in Q2 2026, up 57.2% from 188,800
Tests reported Source985,500 in Q2 2026, up 21.2% from 812,900

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.