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Strata Critical Medical, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 4 August 2026: press release. Guidance figures: 2 raised, 2 new, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 60.7% year over year: Revenue reached $72.5 million. Management attributed growth to organic Logistics growth, the Keystone Clinical business acquired in Q3 2025, and Q2 2026 Clinical acquisitions. Source
  • Adjusted EBITDA reached $7.9 million: Adjusted EBITDA was $7.9 million, a 10.9% margin, compared with $6.4 million and a 9.5% margin in Q1 2026. Source
  • Clinical revenue up 22.6% sequentially: Excluding Q2 2026 Clinical acquisitions, Clinical revenue rose 15.1%, with Other Clinical revenue up 6.5%, the company said. Source
  • Logistics margin fell on fuel and mix: Logistics gross margin was 18.4%, down 160 basis points. Management cited the fuel surcharge, fuel costs, customer mix, modestly lower owned fleet profitability and lower ground margins. Source
  • Free cash flow reached $2.9 million: Free cash flow before aircraft and engine acquisitions was $2.9 million. Operating cash flow was $5.7 million and capital expenditures were $2.8 million, mainly aircraft capitalized maintenance. Source
  • Three acquisitions completed year to date: Management said the three acquisitions year to date add more than $6 million of projected annualized Adjusted EBITDA, at targeted mid-single-digit acquisition multiples. Source
  • Net loss from continuing operations widened: Net loss from continuing operations was $(10.5) million, against a $(3.4) million loss a year earlier and $2.4 million of net income in Q1 2026. Source

“Looking forward, we're left with a business that is higher margin and less capital intensive as a result.”

Will Heyburn, Co-CEO and CFO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull year 2026$285-295 millionRaised from $260-275 million
Adjusted EBITDA SourceFull year 2026$33-35 millionRaised from $29-33 million
Free cash flow before aircraft and engine acquisitions SourceFull year 2026$15-22 millionKept
Pro forma revenue SourceFull year 2026, assuming all 2026 acquisitions closed January 1 2026$295-305 millionNew
Pro forma Adjusted EBITDA SourceFull year 2026, assuming all 2026 acquisitions closed January 1 2026$36-38 millionNew

What changed from last quarter

  • Guidance raised: Revenue guidance raised from $260-275 million to $285-295 million. Source
  • Guidance raised: Adjusted EBITDA guidance raised from $29-33 million to $33-35 million. Source
  • Guidance kept: Free cash flow before aircraft and engine acquisitions guidance kept at $15-22 million. Source
  • New guidance: Pro forma 2026 guidance introduced: revenue $295-305 million and Adjusted EBITDA $36-38 million, assuming all 2026 acquisitions closed January 1. Source
  • New: Acquisition of Louisville Perfusion Services completed in early June 2026. Source
  • New: Acquisition of Heart and Lung Transplant National Recovery Program completed in late June 2026. Source

Results and growth drivers

  • Revenue rose 60.7% year over year: Revenue reached $72.5 million. Management attributed growth to organic Logistics growth, the Keystone Clinical business acquired in Q3 2025, and Q2 2026 Clinical acquisitions. Source
  • Adjusted EBITDA reached $7.9 million: Adjusted EBITDA was $7.9 million, a 10.9% margin, compared with $6.4 million and a 9.5% margin in Q1 2026. Source
  • Six-month revenue up 72.6%: Six-month revenue was $139.9 million against $81.1 million a year earlier. Six-month Logistics revenue rose 18.2% to $95.8 million, and Clinical revenue totaled $44.1 million. Source

Segments and clinical growth

  • Logistics revenue grew organically 6.9%: Logistics revenue, the company's organic growth measure, rose to $48.2 million. Logistics gross profit decreased 1.3% to $8.9 million, the company reported. Source
  • Clinical revenue up 22.6% sequentially: Excluding Q2 2026 Clinical acquisitions, Clinical revenue rose 15.1%, with Other Clinical revenue up 6.5%, the company said. Source
  • Transplant Clinical revenue reached $12.5 million: Transplant Clinical revenue was $12.5 million against $9.8 million in Q1 2026, including $0.3 million from acquisitions. Excluding acquisitions it rose 23.8%. Source

“I'm more confident now than ever in our long-term strategy.”

Melissa Tomkiel, Co-CEO and General Counsel

Products and customers

  • Surgical recovery and NRP gain exposure: Management said the company increased its exposure to third-party surgical recovery and NRP, which it described as the fastest growing parts of the transplant ecosystem. Source
  • Ohio Valley perfusion deal dated April: Ohio Valley Perfusion Associates provides perfusion services in Ohio and Pennsylvania. The Q1 release listed it as completed; this release dates completion to late April 2026. Source
  • Local resources lower customer costs: Management said expanded local resources make the service less costly and more reliable for customers. Source

Costs, margins and pricing

  • Gross margin rose on Clinical mix: Gross margin rose 100 basis points to 21.0%, which management attributed mainly to Clinical mix, partly offset by a lower Logistics gross margin. Source
  • Logistics margin fell on fuel and mix: Logistics gross margin was 18.4%, down 160 basis points. Management cited the fuel surcharge, fuel costs, customer mix, modestly lower owned fleet profitability and lower ground margins. Source
  • SG&A fell sequentially: Total SG&A was $14.0 million. Adjusted SG&A was $9.1 million, or 12.6% of revenue, down from $9.2 million and 13.7% in Q1 2026. Source
  • Adjusted EBITDA margin up 140 basis points: Management attributed the 140 basis point rise in Adjusted EBITDA margin to higher Clinical gross margin and mix shift to Clinical, partly offset by lower Logistics gross margin. Source

“Our broader geographic footprint means our clinicians spend more time in operating rooms and less time on airplanes, reducing the bill for customers and maximizing the productivity of our surgeons and perfusionists.”

Melissa Tomkiel, Co-CEO and General Counsel

Demand and volumes

  • Transplant Center volume softened: Management said strength with Organ Procurement Organization customers was offset by softness at Transplant Center customers, which shortened trips and muted revenue. Source
  • Clinical acquisitions added $1.5 million: Clinical acquisitions completed in Q2 2026 contributed $1.5 million of Clinical revenue: $0.3 million in Transplant Clinical and $1.1 million in Other Clinical. Source
  • Records set for revenue and cash flow: Heyburn said Q2 set records for revenue, operating cash flow and free cash flow, citing overall performance and Transplant Clinical results. Source

Capital, cash and shareholder returns

  • Free cash flow reached $2.9 million: Free cash flow before aircraft and engine acquisitions was $2.9 million. Operating cash flow was $5.7 million and capital expenditures were $2.8 million, mainly aircraft capitalized maintenance. Source
  • Working capital absorbed part of EBITDA: Operating cash flow was $2.2 million below Adjusted EBITDA, mainly from a $1.7 million working capital increase tied to timing of expenses. Source
  • Cash and investments ended at $22.8 million: Cash and short-term investments were $22.8 million at June 30, 2026, after $34.8 million of acquisition outflows net of cash acquired in the quarter. Source
  • Other current liabilities rose to $26.3 million: Other current liabilities were $26.3 million at June 30, 2026, against nil at December 31, 2025. Source

Strategy and acquisitions

  • Three acquisitions completed year to date: Management said the three acquisitions year to date add more than $6 million of projected annualized Adjusted EBITDA, at targeted mid-single-digit acquisition multiples. Source
  • Blade brand replaced by Strata: Rebranding costs of $0.2 million in Q2 2026 relate to retiring the Blade brand and introducing Strata. They are excluded from Adjusted SG&A and Adjusted EBITDA. Source
  • M&A integration costs excluded from adjusted results: M&A transaction and integration costs were $0.7 million in Q2 2026, excluded from Adjusted SG&A and Adjusted EBITDA. Source

Net loss and non-cash items

  • Net loss from continuing operations widened: Net loss from continuing operations was $(10.5) million, against a $(3.4) million loss a year earlier and $2.4 million of net income in Q1 2026. Source
  • Accelerated trademark amortization hit results: Amortization of intangible assets was $6.6 million in Q2 2026. Management cited $5.0 million of accelerated trademark amortization tied to brand integration. Source
  • Earn-out revaluation reduced other income: Change in fair value of assets and other liabilities was a $5.5 million loss, and total other non-operating loss was $5.1 million in Q2 2026. Source
  • Keystone earn-out compensation added back: The company excluded $0.3 million of Keystone contingent consideration compensation from Adjusted EBITDA, where part of the seller earnout was allocated to a vendor. Source

Coming up, as management said on 4 August 2026

  • Statline customer relationships transfer: Transfer of Statline customer relationships runs on a rolling basis over the next year, with up to eight new customers that management said could bring incremental clinical or logistics business. Source

Figures management reported

FigureReported
Aircraft fleetapproximately 35 aircraft, including 10 owned (end of Q1 2026)
Fuel costs Sourcenot quantified; cited as a driver of lower Logistics gross margin
Trip distance Sourceshorter, driven by customer mix

Risks management discussed

  • Demand: Softness at Transplant Center customers shortened trip distances and muted Logistics revenue in the quarter. Source
  • External: Higher fuel surcharge and fuel costs reduced the Logistics gross margin, which management cited as a main driver of the 160 basis point decline. Source
  • Financial: Non-cash revaluation of transaction earn-out liabilities moved other non-operating income and affected reported net loss. Source
  • Financial: Management said variability in incentive compensation, transaction expenses and fair value measurements may significantly affect future GAAP results. Source

Earlier plans management reported on

  • Ahead: Heyburn said the clinical services expansion is running well ahead of schedule, citing organic growth and M&A execution in Q2. Source
  • Not stated: In May, management expected cash conversion to improve in coming quarters once remaining Passenger divestiture outflows cleared. This release reports $2.2 million of working capital-related difference in Q2.

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.