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Veracyte, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 25 February 2026: press release. Guidance figures: 1 raised, 2 kept. The quarter’s numbers.

Key takeaways

  • Q4 revenue rose 19%: Total revenue was $140.6 million, up from $118.6 million, and testing revenue rose 21% to $135.8 million, driven by Decipher Prostate and Afirma. Source
  • Full-year revenue rose 16%: Full-year total revenue was $517.1 million and testing revenue was $493.2 million, up 18%. Product revenue was $14.3 million. Source
  • Adjusted EBITDA margin reached 30.1%: Q4 adjusted EBITDA was $42.3 million, 30.1% of revenue, against 22.0% a year earlier. Full-year adjusted EBITDA was $142.5 million, 27.6% of revenue. Source
  • Decipher grew faster than Afirma: Decipher revenue rose 27% to $85.6 million in Q4, and Afirma rose 16% to $47.9 million. Both product lines grew by double digits in the quarter. Source
  • Over 15 ASCO GU abstracts: More than 15 abstracts on Decipher Prostate and Decipher Bladder were announced for the ASCO GU meeting, including Decipher Bladder results from three trials. Source
  • Q4 gross margin rose to 72.5%: Total gross margin was 72.5% against 66.4% a year earlier; non-GAAP gross margin was 75.1% against 69.3%. Full-year total gross margin was 70.1%. Source
  • Q4 operating cash flow was $52.6M: Q4 cash from operations was $52.6 million, an improvement of $28.1 million compared with the same period of 2024. Source
  • Total revenue guidance reiterated: Management reiterated 2026 total revenue guidance, and the testing revenue dollar range was raised by $1 million at each end. Source

“We delivered an exceptional finish to 2025, with strong double-digit growth across both Decipher and Afirma and more than 45,000 patients served with our core testing business in the quarter”

Marc Stapley, Veracyte’s chief executive officer

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue Source202610% to 13% growth, or $570 million to $582 millionKept
Testing revenue (excluding contribution from new tests) Source202614% to 16% growth, or $560 million to $570 millionRaised from 14% to 16% growth, or $559 million to $569 million
Adjusted EBITDA margin Source2026approximately 25%Kept

What changed from last quarter

  • Guidance raised: Testing revenue guidance dollar range was raised by $1 million at each end compared with the January preliminary release. Source

Results and growth drivers

  • Q4 revenue rose 19%: Total revenue was $140.6 million, up from $118.6 million, and testing revenue rose 21% to $135.8 million, driven by Decipher Prostate and Afirma. Source
  • Full-year revenue rose 16%: Full-year total revenue was $517.1 million and testing revenue was $493.2 million, up 18%. Product revenue was $14.3 million. Source
  • Net income rose to $41.1 million: Q4 GAAP net income was 29.3% of revenue, with diluted EPS of $0.51. Full-year GAAP net income was $66.4 million, or $0.82 diluted EPS. Source
  • Adjusted EBITDA margin reached 30.1%: Q4 adjusted EBITDA was $42.3 million, 30.1% of revenue, against 22.0% a year earlier. Full-year adjusted EBITDA was $142.5 million, 27.6% of revenue. Source

Segments and product lines

  • Decipher grew faster than Afirma: Decipher revenue rose 27% to $85.6 million in Q4, and Afirma rose 16% to $47.9 million. Both product lines grew by double digits in the quarter. Source
  • Afirma full-year growth was 9%: Full-year Afirma revenue grew 9% to $172.9 million, while Decipher grew 27% to $310.7 million. Source
  • Q4 volumes rose for both tests: Decipher test volume was about 27,200 in Q4, up 21%. Afirma test volume was about 18,250, up 12%. Source
  • Biopharma revenue fell on SAS: Biopharmaceutical and other revenue was $1.0 million in Q4 against $3.5 million, reflecting the restructuring and liquidation proceedings of Veracyte SAS. Source

“We are achieving this growth while maintaining best-in-class profitability, with more than $50 million of cash generated from operations in the quarter.”

Marc Stapley, Veracyte’s chief executive officer

Products and clinical evidence

  • Over 15 ASCO GU abstracts: More than 15 abstracts on Decipher Prostate and Decipher Bladder were announced for the ASCO GU meeting, including Decipher Bladder results from three trials. Source
  • Afirma samples moved to v2: All Afirma samples were transitioned to the v2 transcriptome, intended to improve testing efficiency and enable more patients to receive a result. Source
  • Clinical evidence investment continues: Management said it continues to invest in clinical evidence that supports the value and utility of its portfolio. Source

Costs and margins

  • Q4 gross margin rose to 72.5%: Total gross margin was 72.5% against 66.4% a year earlier; non-GAAP gross margin was 75.1% against 69.3%. Full-year total gross margin was 70.1%. Source
  • Non-GAAP operating expenses up 12%: Q4 non-GAAP operating expenses were $65.1 million. Full-year non-GAAP operating expenses grew 7% to $244.6 million. Source
  • Full-year GAAP operating expenses: GAAP operating expenses for 2025 were $304.8 million, including items such as amortization and stock-based compensation that non-GAAP results exclude. Source
  • Veracyte SAS restructuring costs: Full-year non-GAAP adjustments included $8.7 million of expenses for the restructuring and liquidation proceedings of Veracyte SAS. Source

“Looking ahead, 2026 will be an exciting year as we launch Prosigna as an LDT and TrueMRD, expanding our reach to more patients across the continuum of care”

Marc Stapley, Veracyte’s chief executive officer

Cash and capital

  • Q4 operating cash flow was $52.6M: Q4 cash from operations was $52.6 million, an improvement of $28.1 million compared with the same period of 2024. Source
  • Full-year operating cash rose: Full-year cash from operations was $136.3 million, an increase of $61.2 million on 2024. Source
  • Year-end cash and investments $412.9M: Cash, cash equivalents and short-term investments totaled $412.9 million at December 31, 2025. Source

2026 guidance

  • Total revenue guidance reiterated: Management reiterated 2026 total revenue guidance, and the testing revenue dollar range was raised by $1 million at each end. Source
  • Testing guidance range moved up: Testing revenue guidance is stated excluding the contribution from new tests, with growth still 14% to 16%. Source
  • Adjusted EBITDA margin about 25%: Management expects 2026 adjusted EBITDA margin of approximately 25%, and states it cannot reconcile that margin to GAAP without unreasonable effort. Source

Coming up, as management said on 25 February 2026

  • TrueMRD MIBC data at ASCO GU: The TrueMRD Muscle-Invasive Bladder Cancer test is included in the HCRN GU 20-444 bladder-sparing trial, with data planned for presentation at ASCO GU. Source

Figures management reported

FigureReported
Testing and total test volume SourceQ4 2025: 45,516 testing tests (48,019 total); full year 2025: 169,714 testing tests (179,528 total)

Risks management discussed

  • Financial: Full-year results include a $20.5 million impairment tied to Veracyte SAS, which is adjusted out of non-GAAP measures. Source
  • Operational: A $6.7 million unrealized loss from the deconsolidation of Veracyte SAS was excluded from non-GAAP results. Source

Earlier plans management reported on

  • Not stated: The January release planned to report audited Q4 and 2025 results on the February earnings call; the February release reported them.
  • Not stated: The January release gave a Q4 total revenue range of $138 million to $140 million; the February release reported $140.6 million.
  • Not stated: The January release expected full-year 2025 adjusted EBITDA margin above 25%; the February release reported 27.6% of revenue.

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.