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CareDx (CDNA)
NASDAQ:CDNA

CareDx (CDNA) AI Stock Analysis

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CDNA

CareDx

(NASDAQ:CDNA)

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Neutral 56 (OpenAI - 5.2)
Rating:56Neutral
Price Target:
$19.00
▲(1.33% Upside)
Action:DowngradedDate:02/26/26
The score is driven primarily by improving cash generation and a conservative balance sheet, plus supportive 2026 growth/margin/EBITDA guidance from the latest earnings call. Offsetting these positives are inconsistent GAAP profitability and weak near-term technical momentum, with limited valuation support due to a negative P/E and no dividend.
Positive Factors
Product & Pipeline Leadership
CareDx is broadening its addressable market and clinical footprint via new tests, EU IVDR certification, and promising Allaheme cell‑therapy surveillance data. These durable product and regulatory advances diversify revenue streams and strengthen its clinical differentiation in transplant diagnostics.
Strong Balance Sheet & Low Leverage
A conservative capital structure with substantial cash and minimal debt provides lasting financial flexibility to fund R&D, commercial expansion, and systems investments. It also supports continued buybacks and absorbs reimbursement shocks without immediate liquidity strain.
Improving Cash Generation & RCM
Material improvement in collections and positive operating/free cash flow demonstrates lasting improvement in working capital management and RCM execution. Steadier cash generation underpins reinvestment capacity and reduces reliance on external financing for growth initiatives.
Negative Factors
Reimbursement & Coverage Risk
Payer actions (draft LCDs and PLA code cuts) pose structural risk to per‑test reimbursement and coverage. Because revenue is fee‑for‑service, persistent or expanded reimbursement reductions could materially erode margins and test economics for transplant diagnostics over multiple quarters.
Inconsistent GAAP Profitability
Volatile GAAP results indicate sensitivity to one‑time items, litigation impacts and reimbursement shifts. This inconsistency complicates long‑term planning, weakens return on equity, and creates uncertainty over whether non‑GAAP improvements are sustainable through operating cycles and regulatory headwinds.
Near‑term Investment & OpEx Pressure
Necessary enterprise system investments increase fixed costs and implementation risk, pressuring near‑term margins and adjusted EBITDA. If integrations take longer or cost more, recurring expense inflation could persistently depress profitability during scaling and limit free cash available for other strategic uses.

CareDx (CDNA) vs. SPDR S&P 500 ETF (SPY)

CareDx Business Overview & Revenue Model

Company DescriptionCareDx, Inc. discovers, develops, and commercializes diagnostic solutions for transplant patients and caregivers worldwide. It provides AlloSure Kidney, a donor-derived cell-free DNA (dd-cfDNA) solution for kidney transplant patients; AlloMap Heart, a gene expression solution for heart transplant patients; AlloSure Heart, a dd-cfDNA solution for heart transplant patients; and AlloSure Lung, a dd-cfDNA solution for lung transplant patients. The company also offers TruSight HLA, a next generation sequencing (NGS) based high resolution typing solution; Olerup SSP, which is used to type human leukocyte antigen (HLA) alleles based on sequence specific primer technology; QTYPE that enables precision in HLA typing; and Ottr, a transplant patient management software. In addition, it provides AlloSeq Tx, a high-resolution HLA typing solution; AlloSeq cfDNA, a surveillance solution to measure dd-cfDNA in blood; AlloSeq HCT, a solution for chimerism testing for stem cell transplant recipients; and XynQAPI transplant quality tracking and waitlist management solutions, as well as AlloCare, a mobile app that offers a patient-centric resource for transplant recipients. The company offers its products directly to customers, as well as through third-party distributors and sub-distributors. It has a license agreement with Illumina, Inc. for the distribution, development, and commercialization of NGS products and technologies; and Cibiltech SAS to commercialize iBox, a software for the predictive analysis of post-transplantation kidney allograft loss. The company was formerly known as XDx, Inc. and changed its name to CareDx, Inc. in March 2014. The company was incorporated in 1998 and is headquartered in South San Francisco, California.
How the Company Makes MoneyCareDx generates revenue primarily through the sale of its diagnostic tests and related services. The company operates on a fee-for-service model, where healthcare providers and institutions pay for each test performed. Key revenue streams include the direct sales of AlloSure and AlloMap tests, as well as ongoing contracts with transplant centers and hospitals that utilize these products for patient monitoring. Additionally, CareDx benefits from partnerships with pharmaceutical companies and research institutions that seek to enhance their understanding of transplant biology and improve patient care. The company also invests in expanding its test menu and capabilities, which can lead to new revenue opportunities as the demand for transplant diagnostics continues to grow.

CareDx Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Shows how the company’s sales break down across its different business lines (for example diagnostics, lab services, and recurring testing or monitoring). That split reveals which parts of the business are driving growth, which produce steadier, subscription-like income, and which are more exposed to reimbursement changes, competition, or single-customer concentration—key for judging future revenue stability and upside potential.
Chart InsightsTesting Services rebounded sharply from a 2023 trough and is again the revenue engine, but recent upside reflects higher revenue-per-test and much better collections rather than a clear transplant-volume boom; CareDx raised 2025 guidance on this operational leverage. Meanwhile Product and Patient & Digital Solutions are the fastest-growing pieces, diversifying revenue and adding higher-margin, innovation-led upside (e.g., HistoMap Kidney, EPIC integrations). Key risk: transplant volumes remain largely flat and IOTA benefits haven’t materialized, so future growth depends on market share, pricing mix, and continued RCM gains.
Data provided by:The Fly

CareDx Earnings Call Summary

Earnings Call Date:Feb 24, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Positive
The call highlighted robust top-line growth, significant improvements in cash collections and RCM execution, sustained gross margins, meaningful product and regulatory progress (including promising cell therapy surveillance data), and a clean balance sheet with active share repurchases. Near-term headwinds include one-time compensation charges, guidance conservatism, reimbursement risk from a draft LCD and a PLA reimbursement reduction, and planned investments (Epic/LIMS) that will pressure near-term EBITDA. Overall, the company presents positive operational momentum and a clear plan to invest for future scaled growth while prudently modeling reimbursement and volume risks into 2026 guidance.
Q4-2025 Updates
Positive Updates
Strong Q4 and FY Revenue Growth
Q4 2025 total revenue of $108.4M, up 25% year-over-year; full year 2025 revenue of $379.8M, up 14% year-over-year.
Testing Volume and Testing Services Momentum
Q4 testing volume ~53,000 tests, up 17% year-over-year; Q4 Testing Services revenue $78.4M (+23% YoY). Full year testing volumes ~200,000, up 14% and Testing Services revenue $274.5M (+10% YoY).
Improved Cash Collection and Receivables Metrics
Full year 2025 cash collections $405.6M, up 32% YoY; Q4 collections $115.8M, up 37% YoY. Accounts receivable reduced by $22.5M year-over-year and DSO improved from 71 to 41 days (42% improvement).
Healthy Gross Margins and Profitability Progress
Q4 non-GAAP gross profit $74.3M (68.5% gross margin). Full year gross margin ~69.3%, consistent year-over-year. Full year 2025 adjusted EBITDA $31.7M, up 14% YoY.
Product and Regulatory Milestones
Launched AlloSure Heart for Pediatrics, Alisure Plus (AI kidney risk model), HistoMAP Kidney tissue-based classifier; launched AlloSeq TX11 and SCOR 7; achieved IVDR certification for AlloSeq TX and QType in Europe.
Compelling Cell Therapy (Allaheme) Clinical Data
ACROBAT results: Allaheme detected relapse a median 41 days earlier, with 85% sensitivity and 92% specificity; positive 6-month result associated with a 12-fold higher relapse risk. CLIA readiness targeted in 2026 with commercial introduction planned for early 2027.
Patient & Digital Solutions and Lab Products Acceleration
Q4 Patient & Digital Solutions revenue $16.8M (+47% YoY); Q4 Lab Products revenue $13.3M (+17% YoY). Full year Patient & Digital Solutions revenue $56.9M (+31% YoY); Lab Products $48.4M (+19% YoY).
Strong Balance Sheet and Share Repurchases
Ended year with $201.4M in cash, cash equivalents, and marketable securities and no debt. Repurchased $88.0M of common stock in 2025 (5.8M shares) and an additional $12.0M in Q4.
Negative Updates
Q4 Adjusted EBITDA Decline and One-Time Compensation Impact
Reported Q4 adjusted EBITDA $6.5M, a 34% decrease YoY. Q4 non-GAAP operating expenses included a $6.7M one-time cash bonus in lieu of equity for non-executives which weighed on EBITDA.
Reimbursement and Coverage Headwinds (LCD & PLA Changes)
Draft MolDX local coverage determination (LCD) for solid organ transplant could reduce revenue; company modeled a midyear half-year 2026 impact of $7.5M (full-year ~ $15M if finalized as drafted). New PLA code effective 1/1/2026 reduced AlloSure Kidney reimbursement ~4% (from $2,841 to $2,753).
Near-Term Revenue per Test Pressure
Management modeled blended revenue per test in the low $1,400s for 2026 (impacted by PLA change and LCD modeling). Q4 reported an average revenue per test of $14.80 (as stated on the call).
Significant Near-Term Investments and Implementation Costs
Planned $10M strategic investment in Epic Enterprise LIMS and integrations (estimated ~$6M recurring, ~$4M implementation) to modernize systems; expected to pressure near-term OpEx and EBITDA while driving long-term benefits.
Guidance Assumes Conservative Volume/Uptake
2026 testing volume guidance of 220k–228k tests (midpoint ~224k, ~12% YoY) reflects cautious assumptions (company not assuming procedure volume growth and treating Epic Aura upside conservatively).
Leadership Transition
CFO Nathan Smith announced his planned transition after Form 10-K filing; Keith Kennedy appointed COO and CFO effective Feb 26—an operational change that may carry transitional risk.
Company Guidance
CareDx's 2026 guidance calls for full‑year revenue of $420M–$444M (midpoint $432M, ~14% YoY), Testing Services revenue of $306M–$326M with testing volumes of 220k–228k tests (midpoint 224k, ~12% YoY) and a blended revenue per test starting near $1,400 in Q1 and averaging in the low $1,400s (mid ≈ $1,410 ± $20); the company models a $15M full‑year negative impact if the draft LCD is finalized but has baked a $7.5M (half‑year) hit into guidance assuming mid‑year finalization. They expect ~$5M of prior‑period collections in 2026 ( ~$3M in Q1, ~$2M thereafter), noted the 1/1/26 PLA cut to AlloSure Kidney from $2,841 to $2,753 (≈4%), and forecast non‑GAAP gross margin of ~69%–71% (mid ~70%). OpEx is expected to average about $68M/quarter ± $1M (≈63% of revenue ±1%), which includes ≈$10M of strategic enterprise system investments (Epic/LIMS), and full‑year adjusted EBITDA is guided to $30M–$45M (includes a $9M annual depreciation add‑back) with Q1 EBITDA expected in the high single digits; the company finished 2025 with ~$201.4M cash and no debt.

CareDx Financial Statement Overview

Summary
Mixed fundamentals: revenue has grown over time and recent operating/free cash flow turned positive, supported by low leverage and a solid equity base. The main drag is earnings volatility (profitability swung from strong in 2024 back to a net loss in 2025) and uncertainty in reported 2025 gross profit/margin in the financial statement data.
Income Statement
45
Neutral
Revenue has expanded over time (2020: $192.2M to 2025: $379.8M), with growth rebounding in 2025 (6.1%) after a small 2024 increase. Profitability, however, is inconsistent: 2024 posted solid net profitability (~15.7% margin) but 2025 returned to a net loss (~-5.6% margin) and negative operating profit. Gross margin was strong in most prior years (~64–67%), but the 2025 gross profit/margin is reported as 0, which creates uncertainty around underlying cost performance for that period.
Balance Sheet
72
Positive
The balance sheet looks relatively conservative with low leverage across the period (debt-to-equity roughly ~0.05–0.13; 2025 at ~0.065) and a sizable equity base ($303.1M in 2025). Total debt is modest ($19.7M in 2025). The key weakness is returns: equity returns have been volatile and often negative (including a very weak 2023), reflecting uneven profitability and reducing the quality of the equity base despite the low debt load.
Cash Flow
63
Positive
Cash generation improved materially in the most recent periods: 2024 and 2025 produced positive operating cash flow ($38.0M and $42.0M) and positive free cash flow ($31.6M and $42.0M), with 2025 free cash flow up 13.3%. Earlier years show instability, including negative operating and free cash flow in 2021–2023. Overall, the business appears capable of generating cash, but the pattern is uneven and sensitive to operating performance swings.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue379.81M333.79M280.32M321.79M296.40M
Gross Profit254.43M224.16M178.32M209.58M199.01M
EBITDA-667.00K-33.99M-84.92M-61.22M-17.84M
Net Income-21.35M52.55M-190.28M-76.61M-30.66M
Balance Sheet
Total Assets413.23M491.05M466.83M542.99M566.62M
Cash, Cash Equivalents and Short-Term Investments177.21M260.65M235.42M293.09M348.49M
Total Debt19.68M28.37M34.22M39.00M21.35M
Total Liabilities110.13M112.62M205.50M112.08M100.75M
Stockholders Equity303.10M378.43M261.33M430.91M465.88M
Cash Flow
Free Cash Flow36.12M31.56M-27.63M-49.57M-39.55M
Operating Cash Flow42.03M38.05M-18.39M-25.24M-19.29M
Investing Cash Flow2.16M-483.00K40.45M-228.50M47.71M
Financing Cash Flow-93.39M-5.61M-29.61M-4.54M185.64M

CareDx Technical Analysis

Technical Analysis Sentiment
Negative
Last Price18.75
Price Trends
50DMA
19.58
Negative
100DMA
18.11
Positive
200DMA
16.82
Positive
Market Momentum
MACD
-0.26
Positive
RSI
45.02
Neutral
STOCH
69.00
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CDNA, the sentiment is Negative. The current price of 18.75 is below the 20-day moving average (MA) of 19.23, below the 50-day MA of 19.58, and above the 200-day MA of 16.82, indicating a neutral trend. The MACD of -0.26 indicates Positive momentum. The RSI at 45.02 is Neutral, neither overbought nor oversold. The STOCH value of 69.00 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CDNA.

CareDx Risk Analysis

CareDx disclosed 66 risk factors in its most recent earnings report. CareDx reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

CareDx Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
60
Neutral
$829.80M-46.67-5.21%10.15%-295.52%
56
Neutral
$960.31M-47.0124.11%14.46%
53
Neutral
$895.65M-8.74-35.02%-21.02%47.74%
52
Neutral
$1.19B-2.79-12.42%10.10%-44.29%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$445.04M-13.36-5.39%13.60%74.64%
48
Neutral
$479.70M-1.57-68.45%0.21%-233.51%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CDNA
CareDx
18.75
-0.15
-0.79%
MYGN
Myriad Genetics
5.13
-5.39
-51.24%
NEO
NeoGenomics
9.13
-1.41
-13.38%
FLGT
Fulgent Genetics
14.25
-3.65
-20.39%
PSNL
Personalis
8.56
4.34
102.84%
CSTL
Castle Biosciences
27.91
7.32
35.55%

CareDx Corporate Events

Business Operations and StrategyExecutive/Board ChangesStock BuybackFinancial Disclosures
CareDx Names New CFO Amid Strong Q4 2025 Results
Positive
Feb 24, 2026

CareDx reported on February 24, 2026 that its board appointed Keith Kennedy as chief financial officer and chief operating officer effective February 26, 2026, also naming him principal financial and accounting officer. Kennedy, a seasoned finance and operations executive with prior leadership roles at PharmaLogic, Veracyte, MCG Capital and GE Capital, has served as CareDx’s COO since September 2024, and his expanded remit consolidates financial and operational oversight following the planned CFO transition.

The company also disclosed that Nathan Smith resigned as chief financial officer for personal reasons effective at the close of business on February 25, 2026, noting his departure was not tied to any dispute over financial reporting. Smith will receive a separation package including a cash payment equal to nine months of base salary, his 2025 bonus, limited COBRA premium reimbursement and partial vesting of restricted stock units, indicating an orderly leadership change aimed at minimizing disruption for investors and employees.

In a separate February 24, 2026 announcement, CareDx reported fourth‑quarter 2025 revenue of $108 million, up 25% year over year, with testing services, patient and digital solutions and product revenue all posting double‑digit growth. Despite a GAAP net loss of $4 million in the quarter and $21 million for the year, the company generated $7 million of adjusted EBITDA in the quarter, $32 million for 2025 and positive operating cash flow, reflecting underlying profitability once prior‑year litigation reversals and non‑cash items are excluded.

For full‑year 2025, revenue rose 14% to $380 million, driven by testing services revenue of $275 million and strong gains in patient, digital and product lines, while non‑GAAP net income reached $32 million and cash, cash equivalents and marketable securities stood at about $201 million after $88 million of share repurchases. Management highlighted steady demand across its transplant testing and digital platforms, pointing to both operational discipline and balance‑sheet strength as the group continues to invest in new diagnostics and workflow integrations.

CareDx also unveiled recent business developments including publication of new clinical data supporting its HeartCare offering, progress with Epic Aura integrations at transplant centers and the launch of the ImmuneScape multiomics platform through collaboration with 10x Genomics. The company further announced pivotal validation data for its AlloHeme test, marking a strategic expansion beyond solid‑organ transplantation into cell therapy and hematologic malignancies that could broaden its addressable market and reinforce its leadership in transplant and organ‑health diagnostics.

The company posted an updated corporate presentation dated February 24, 2026 on its website to reflect its latest financial and operational status. Together with the leadership transition and detailed financial results, these updates underscore CareDx’s effort to communicate its evolving strategy and performance to shareholders, clinicians and other stakeholders in a rapidly developing precision medicine landscape.

The most recent analyst rating on (CDNA) stock is a Buy with a $19.00 price target. To see the full list of analyst forecasts on CareDx stock, see the CDNA Stock Forecast page.

Legal Proceedings
CareDx Wins Preliminary Court Approval for Derivative Settlement
Neutral
Dec 18, 2025

On September 26, 2025, CareDx, Inc. reached an agreement in principle to settle a shareholder derivative lawsuit in the U.S. District Court for the Northern District of California, consolidating claims that current and former directors and officers issued materially false and misleading statements about the company’s testing services and failed in their fiduciary oversight duties. On December 9, 2025, the court granted preliminary approval of the proposed settlement, authorized notice to current CareDx shareholders of record as of September 26, 2025, and scheduled a hearing for June 30, 2026 to consider final approval, a step that, if confirmed, would resolve both the federal derivative action and related Delaware Chancery litigation without any direct compensation process for individual shareholders, while potentially reducing ongoing legal uncertainty stemming from these governance and disclosure disputes.

The most recent analyst rating on (CDNA) stock is a Hold with a $18.00 price target. To see the full list of analyst forecasts on CareDx stock, see the CDNA Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 26, 2026