Strong Q1 Revenue and Volume Growth
Total revenue increased 39% year-over-year to $118.0M in Q1 2026; testing volume rose 17% to 54,900 tests.
Testing Services and Patient/Digital Solutions Expansion
Testing services revenue grew 48% to $91M (average reported $16.60 per test); patient and digital solutions revenue increased 33% to $16M.
Improved Profitability Metrics
Non-GAAP gross margin rose to 73%; adjusted EBITDA was $19M, up over 300% year-over-year; GAAP net income was $3M and GAAP EPS $0.05.
Cash Strength and Collections
Cash collections increased 52% to $121M; ended the quarter with $198M in cash and cash equivalents and no debt; cash flow from operations was $4M for the quarter and $72M over the last four quarters.
Raised Full-Year 2026 Guidance
Revenue guidance raised to $447M–$465M (midpoint $456M, ~20% YoY growth); adjusted EBITDA guidance $43M–$57M (midpoint $50M, ~58% YoY); testing volume guide 224k–229k tests (midpoint 226.5k, ~13% YoY).
Portfolio Optimization — Lab Products Divestiture
Announced definitive agreement to divest Lab Products for $170M upfront (expected net ~$160M after estimated $10M transaction expenses), simplifying focus on testing services and digital/patient solutions; core businesses delivered 48% and 33% revenue growth, respectively, in Q1.
Strategic Acquisition — Navaris
Announced acquisition of Navaris (tumor‑naive TTMV MRD platform): Navaris has performed >130,000 tests, ~2,000 active ordering physicians, ~100 employees, Medicare coverage for ~100M lives, ADLT designation with $1,800 reimbursement/test; estimated 2025 revenue $34M with expected 30%–40%+ growth over the next three years.
Strong Clinical Evidence and Thought Leadership
Navaris supported by 56 peer-reviewed publications; a real-world multicenter study (n=543) showed NPV 98% and PPV 95% for post-treatment MRD surveillance, with median lead time for recurrence detection ~4 months; CareDx data featured in >50 abstracts at ISHLT including 16 oral presentations.
Pipeline and Product Progress
Advancements across key programs: Alaheme cell therapy program data (ACROBAT) presented; AlloSure liver progressing in MAPLE trial with follow-up data collection; HistoMap kidney moving toward launch with a second clinical validation manuscript submitted and CLIA readiness progressing.
Workflow and Integration Momentum
Targeting ~50% of testing volume through Epic-integrated sites by year-end; nine centers live and 16 integrations underway; field support team exceeds 120 members to support center workflows and patient blood collection.