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Strata Critical Medical, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 3 November 2026: press release. Guidance figures: 5 kept. The quarter’s numbers.

Key takeaways

  • Revenue grew 50.3% on acquisitions: Total revenue was $74.1 million, up from $49.3 million, driven by Clinical acquisitions partly offset by Logistics. Pro forma revenue rose 8.5%, to $74.1 million from $68.3 million. Source
  • Adjusted EBITDA margin rose to 13.0%: Adjusted EBITDA was $9.6 million, against $4.2 million a year earlier. The company attributed the margin gain to Clinical gross margin and lower Adjusted SG&A as a percentage of revenue, partly offset by Logistics. Source
  • Logistics revenue fell 3.5%: Logistics revenue was $44.9 million, down from $46.5 million a year earlier. Source
  • Clinical revenue reached $29.2 million: Clinical revenue was $29.2 million, up from $2.8 million, reflecting a full quarter of Keystone and three acquisitions closed in Q2 2026. Transplant Clinical was $15.2 million and Other Clinical $14.0 million. Source
  • Free cash flow was a record $8.6 million: Operating cash flow was $9.5 million and free cash flow $8.6 million, which management described as a record for the company. Source
  • Cash to return alongside acquisitions: Heyburn said the company plans to return cash to shareholders through the new buyback program, alongside accelerated acquisitions. Source
  • Pipeline at mid-single-digit multiples: Heyburn said the company has a pipeline of deals priced at mid-single-digit cash flow multiples. Source

“We demonstrated additional market share gains in our clinical business, continued sequential margin improvement, and a reduction in our Adjusted SG&A base quarter-over-quarter”

Melissa Tomkiel, Co-CEO and General Counsel

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Source2026$285-295 millionKept
Adjusted EBITDA Source2026$33-35 millionKept
Free cash flow before aircraft and engine acquisitions Source2026$15-22 millionKept
Pro forma revenue Source2026, assuming all 2026 acquisitions closed January 1, 2026$295-305 millionKept
Pro forma Adjusted EBITDA Source2026, assuming all 2026 acquisitions closed January 1, 2026$36-38 millionKept

What changed from last quarter

  • Guidance kept: The company reiterated all 2026 guidance figures from the second quarter release without change. Source
  • New: The company announced a $20 million share repurchase authorization, to be used alongside its M&A strategy. Source
  • New: The company launched a cardiothoracic surgical locum tenens business line to meet customer demand. Source
  • New: The company received the EBITDA earn-out from the Passenger business sale in the quarter, settled in Joby Aviation stock. Source

Results and growth drivers

  • Revenue grew 50.3% on acquisitions: Total revenue was $74.1 million, up from $49.3 million, driven by Clinical acquisitions partly offset by Logistics. Pro forma revenue rose 8.5%, to $74.1 million from $68.3 million. Source
  • Adjusted EBITDA margin rose to 13.0%: Adjusted EBITDA was $9.6 million, against $4.2 million a year earlier. The company attributed the margin gain to Clinical gross margin and lower Adjusted SG&A as a percentage of revenue, partly offset by Logistics. Source
  • Net loss narrowed from continuing operations: Net loss from continuing operations was $(7.6) million, or (10.3)% of revenue, down $2.0 million from $(9.7) million a year earlier. Operating loss was $(3.8) million. Source
  • Clinical growth lifted sequential revenue: Total revenue rose 2.2% from $72.5 million in Q2 2026. Clinical revenue grew 20.3% sequentially, from acquisitions and modest organic growth. Source

Segments: Logistics and Clinical

  • Logistics revenue fell 3.5%: Logistics revenue was $44.9 million, down from $46.5 million a year earlier. Source
  • Clinical revenue reached $29.2 million: Clinical revenue was $29.2 million, up from $2.8 million, reflecting a full quarter of Keystone and three acquisitions closed in Q2 2026. Transplant Clinical was $15.2 million and Other Clinical $14.0 million. Source
  • Logistics margin rebounded sequentially: Logistics gross margin was 20.8%, down from 21.5% a year earlier mainly on higher fuel surcharge pass-through revenue, and up from 18.4% in Q2 2026. Source

“The underlying driver of our financial performance is simple: better service, architected for efficiency, delivered in partnership with our customers”

Will Heyburn, Co-CEO and CFO

Costs, margins and pricing

  • Clinical margin eased on staffing investment: Clinical gross margin was 25.6%, up from 23.8% a year earlier but down 50 basis points from 26.1% in Q2 2026. Management attributed the sequential decline to investment in staff and training. Source
  • Adjusted SG&A fell sequentially: Adjusted SG&A was $8.9 million, or 12.0% of revenue. It rose $1.5 million year over year on acquisitions and fell $0.2 million from Q2 2026. Source
  • Total SG&A fell as amortization rose: Total SG&A was $15.1 million, or 20.4% of revenue against 32.3% a year earlier. Amortization of intangible assets rose to $5.5 million from $0.4 million. Source

Cash, capital and returns

  • Free cash flow was a record $8.6 million: Operating cash flow was $9.5 million and free cash flow $8.6 million, which management described as a record for the company. Source
  • Cash and investments ended at $41.6 million: The company ended the quarter with $41.6 million in cash and short-term investments. Source
  • Cash to return alongside acquisitions: Heyburn said the company plans to return cash to shareholders through the new buyback program, alongside accelerated acquisitions. Source
  • Further earn-out and holdback possible: Up to $27.5 million more of retention earn-out and indemnity holdback release may be received by Q1 2027. Source

Strategy and acquisitions

  • Pipeline at mid-single-digit multiples: Heyburn said the company has a pipeline of deals priced at mid-single-digit cash flow multiples. Source
  • Focus on margin and cash conversion: The pipeline is focused on deals that will further enhance overall margin and free cash conversion, according to Heyburn. Source
  • Acquisition pace to accelerate: Heyburn said the company is now in a position to accelerate its target pace of acquisitions. Source

Demand and transplant volumes

  • Seasonal transplant volume decline: Logistics revenue fell 6.9% sequentially, toward the high end of management's guidance framework and consistent with seasonal transplant industry volume declines. Source
  • Clinical share gains reported: Tomkiel said the company gained additional market share in its clinical business, with continued sequential margin improvement. Source
  • Shorter donor-recipient distances cut margin: Industry-wide and at Strata, shorter average distances between donor and recipient lowered margins on owned aircraft. Source

Coming up, as management said on 3 November 2026

  • Earn-out and holdback release by Q1 2027: Up to $27.5 million of retention earn-out and indemnity holdback release may be received by Q1 2027. Source
  • Accelerated acquisition pace planned: Management said it is now positioned to accelerate its target pace of acquisitions, using its improved cash generation. Source

Figures management reported

FigureReported
Volumes SourceSeasonal decline in transplant industry volumes; Logistics revenue down 6.9% sequentially
Fuel costs SourceIncrease in fuel surcharge pass-through revenue
Fleet SourceOwned aircraft; lower margins as donor-recipient distances shorten

Risks management discussed

  • Operational: Clinical gross margin declined sequentially as the company invested in staff and training to support future growth. Source
  • External: Higher fuel surcharge pass-through revenue was the main driver of the lower Logistics gross margin percentage against last year. Source
  • Demand: Seasonal declines in transplant industry volumes reduced Logistics revenue sequentially in the quarter. Source
  • Operational: Shorter donor-recipient distances, industry-wide and at Strata, result in lower margins on owned aircraft. Source
  • Financial: Management said the variability of certain costs could have a significant impact on future GAAP results, so Adjusted EBITDA guidance is not reconciled to GAAP. Source

Earlier plans management reported on

  • Ahead: Heyburn said the company is pacing ahead of the medium-term goals set out in the prior year. Source
  • Ahead: Tomkiel said Logistics gross margin returned above the 20% target faster than management anticipated. Source
  • Not stated: The company reiterated its 2026 guidance from the prior release. 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.