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Strata Critical Medical, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 3 March 2026: press release. Guidance figures: 2 raised, 2 new. The quarter’s numbers.

Key takeaways

  • Revenue up 83.5% year-over-year: Quarterly revenue reached $66.8 million against $36.4 million a year earlier, including Clinical revenue from the Keystone acquisition. Source
  • Adjusted EBITDA rose to $7.0 million: Adjusted EBITDA was $7.0 million, or 10.4% of revenue, against $1.1 million a year earlier. Source
  • Keystone legacy customers drove growth: Management said more than 40% of sequential Logistics revenue growth in Q4 came from Keystone's legacy customers. Source
  • Gross margin up 80 basis points: Gross margin was 21.6% against 20.8%, with higher Logistics gross margins and a positive mix effect from Keystone. Source
  • OPO absorbed by existing customer: Management said an OPO absorbed by one of its existing customers in the past quarter created new business for Strata under the new regulations. Source
  • Operating cash flow hit by one-offs: Operating cash flow was $(8.3) million; management attributed the gap to Adjusted EBITDA to $9.6 million of non-recurring items, including a legacy legal settlement. Source
  • Smaller competitors seeking to join: Management said smaller competitors are approaching Strata about joining forces, which it said enhances its acquisition pipeline. Source
  • Silvestry expanded to Chief Medical Officer: Dr. Scott Silvestry assumed an expanded Chief Medical Officer role to oversee consistent clinical excellence across the organization. Source

“We continue to demonstrate our ability to achieve and exceed the ambitious goals we set for ourselves, both for organic growth, which at 35.3% this quarter was significantly ahead of our targets, as well as for our M&A platform”

Will Heyburn, Co-CEO and CFO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull year 2026$260-275 millionRaised from $255-270 million
Adjusted EBITDA SourceFull year 2026$29-33 millionRaised from $28-32 million
Free cash flow before aircraft and engine acquisitions SourceFull year 2026$15-22 millionNew
Adjusted EBITDA growth SourceAverage annualized over the coming yearsat least 30%New

What changed from last quarter

  • Guidance raised: 2026 revenue guidance raised to $260-275 million from $255-270 million; Adjusted EBITDA guidance raised to $29-33 million from $28-32 million. Source
  • New guidance: The November release said 2026 guidance and medium-term targets would be introduced at an investor day. This release gives 2026 figures and a 30% growth rate.
  • New: From the fourth quarter of 2025, the company reports two segments, Logistics and Clinical, and reports segment gross profit. Source
  • New: A $30 million asset-backed credit facility with JP Morgan was closed, to support the M&A pipeline. Source
  • New: Dr. Scott Silvestry took on an expanded role as Chief Medical Officer. Source
  • Ended: The Drulias lawsuit was resolved by a stipulation of settlement in December 2025. Source

Results and growth drivers

  • Revenue up 83.5% year-over-year: Quarterly revenue reached $66.8 million against $36.4 million a year earlier, including Clinical revenue from the Keystone acquisition. Source
  • Logistics organic growth at 35.3%: Logistics revenue, the organic measure excluding Keystone, rose to $49.2 million from $36.4 million a year earlier. Source
  • Adjusted EBITDA rose to $7.0 million: Adjusted EBITDA was $7.0 million, or 10.4% of revenue, against $1.1 million a year earlier. Source
  • Quarterly net loss narrowed: Net loss from continuing operations was $5.4 million, against $7.4 million a year earlier. Source
  • Full-year net loss from continuing operations: The full-year net loss from continuing operations was $20.1 million, against $16.2 million in 2024. Source

Logistics and Clinical segments

  • Logistics gross profit up 39.5%: Logistics gross profit reached $10.6 million, up from $7.6 million a year earlier, measured on organic growth excluding Keystone. Source
  • Clinical revenue after Keystone close: Clinical revenue was $17.6 million, against $2.8 million in Q3 2025, reflecting the Keystone acquisition closing in mid-September 2025. Source
  • Clinical grew on historical basis: On a historical unaudited basis before Keystone, management said Clinical revenue grew in the mid double digits year-over-year and mid single digits quarter-over-quarter. Source

“We are set up for success in the evolving regulatory environment with a customer base over-indexed to high performing transplant centers and Organ Procurement Organizations”

Melissa Tomkiel, Co-CEO and General Counsel

Products and customers

  • Transplant Clinical revenue rose: Transplant Clinical revenue was $7.8 million, against $1.2 million in Q3 2025. Source
  • Other Clinical revenue rose: Other Clinical revenue was $9.8 million, against $1.6 million in Q3 2025. Source
  • New and existing customers drove logistics: Management attributed Logistics growth to new and existing customers and a higher logistics attachment rate for Transplant Clinical cases. Source
  • Keystone legacy customers drove growth: Management said more than 40% of sequential Logistics revenue growth in Q4 came from Keystone's legacy customers. Source

Costs, margins and pricing

  • Gross margin up 80 basis points: Gross margin was 21.6% against 20.8%, with higher Logistics gross margins and a positive mix effect from Keystone. Source
  • Adjusted SG&A fell to 13.4% of revenue: Adjusted SG&A was 13.4% of revenue, against 19.7% a year earlier, per the non-GAAP reconciliation. Source
  • Logistics gross margin up 70 basis points: Logistics gross margin was 21.5% against 20.8%, which management attributed to revenue growth and a margin increase. Source

“New technologies and supportive regulatory frameworks are driving a significant increase in transplant volumes while steadily reducing the number of patients on waitlists.”

Dr. Scott Silvestry, Chief Medical Officer

Demand, customers and regulation

  • OPO absorbed by existing customer: Management said an OPO absorbed by one of its existing customers in the past quarter created new business for Strata under the new regulations. Source
  • Regulations favor medically complex organs: Management described new and proposed regulations as prioritizing efficiency and better use of medically complex organs, particularly DCD organs. Source
  • New customers show growing interest: Management said it sees growing interest from new customers, citing its reputation for recovering and transporting all organ types and its DCD expertise. Source

Capital, cash and financing

  • Cash and short-term investments $61.2 million: The company ended 2025 with $61.2 million in cash and short-term investments. Source
  • Operating cash flow hit by one-offs: Operating cash flow was $(8.3) million; management attributed the gap to Adjusted EBITDA to $9.6 million of non-recurring items, including a legacy legal settlement. Source
  • Free cash flow before aircraft negative: Free cash flow from continuing operations, before aircraft and engine acquisitions, was $(8.7) million in Q4 2025. Source
  • Capital spending on aircraft and vehicles: Capital expenditures were $2.0 million, driven mainly by aircraft maintenance and purchases of ground logistics vehicles. Source
  • $30 million credit facility undrawn: The $30 million facility is undrawn and can be increased to $50 million, subject to certain conditions. Source

Strategy and investment

  • Smaller competitors seeking to join: Management said smaller competitors are approaching Strata about joining forces, which it said enhances its acquisition pipeline. Source
  • Keystone contributing across the organization: Management said the Keystone acquisition continues to contribute across the organization. Source
  • Clinical and network positioning: Management said its clinical excellence, partnership model, regional recovery network and NRP offerings position Strata to advance the transplant community's mission. Source

People and leadership

  • Silvestry expanded to Chief Medical Officer: Dr. Scott Silvestry assumed an expanded Chief Medical Officer role to oversee consistent clinical excellence across the organization. Source
  • Surgical director hired for abdominal recovery: Strata hired a Surgical Director for Abdominal Organ Recovery and key operational staff to expand its organ recovery platform. Source
  • Keystone integration built out functions: Integration costs covered SOX compliance, standalone audited financial statements, an ERP migration and enhancements to Keystone's internal software. Source

Coming up, as management said on 3 March 2026

  • Aircraft to launch in mid-year: The aircraft acquired in early 2026 is expected to support new-geography customer wins, with launch expected mid-year. Source
  • Acquisitions under exclusivity to close: Management said it is working toward closing multiple acquisitions currently under exclusivity, described as actionable at mid-single digit multiples of Adjusted EBITDA. Source

Figures management reported

FigureReported
Fleet Sourceone additional aircraft acquired in early 2026

Risks management discussed

  • Regulatory: Management said legal and regulatory advocacy costs are typically incurred in the ordinary course, and treated the Drulias matter as non-recurring. Source
  • Financial: Management cited variability and low visibility in certain costs, mainly incentive compensation, transaction-related expenses and fair value measurements, as affecting future results. Source

Earlier plans management reported on

  • Ahead: Management said full year 2025 revenue and Adjusted EBITDA exceeded the high end of its guidance range. Source

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.