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Natera (NTRA)
NASDAQ:NTRA
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Natera (NTRA) AI Stock Analysis

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NTRA

Natera

(NASDAQ:NTRA)

Rating:70Neutral
Price Target:
$177.00
▲(10.18% Upside)
Natera's overall stock score reflects strong revenue growth and positive earnings call sentiment, driven by significant guidance raises and strategic innovations. Technical indicators show bullish momentum, though valuation challenges persist with a negative P/E ratio. The absence of corporate events and dividend yield limits the score.
Positive Factors
Clinical Trials
The IMvigor011 trial results announced by Natera show statistically significant improvements in clinical outcomes for patients treated with atezolizumab when stratified with Signatera.
Market Position
The strong evidence from the IMvigor011 trial and over 100 publications supports Signatera's dominant position in the MRD assay market.
Revenue Growth
NTRA raised its guidance to 28% revenue growth excluding true-ups, which should give additional comfort to investors despite aggressively expanding into other markets.
Negative Factors
Guideline Update
The expected guideline update by NCCN in 2026 could significantly boost MRD uptake, particularly among community oncologists who treat the majority of cancer patients.
Operating Expenses
Operating expenses were higher than expected, which affected the EBITDA margin.

Natera (NTRA) vs. SPDR S&P 500 ETF (SPY)

Natera Business Overview & Revenue Model

Company DescriptionNatera, Inc. is a leading genetic testing and diagnostics company that specializes in reproductive health, oncology, and organ transplantation. The company provides a range of genetic testing services, including non-invasive prenatal testing (NIPT), carrier screening, and tests for hereditary cancer risk. Natera's core products are designed to empower patients and healthcare providers with critical genetic information to make informed medical decisions.
How the Company Makes MoneyNatera generates revenue primarily through its genetic testing services. The key revenue streams include payments for tests performed in the reproductive health sector, such as NIPT and carrier screening, as well as oncology tests that detect genetic mutations related to cancer. The company also earns revenue from its organ transplantation services, which help assess compatibility between donors and recipients. Natera benefits from partnerships with healthcare providers, laboratories, and insurance companies that facilitate access to its testing services and contribute to patient referrals. Additionally, Natera invests in research and development to expand its test offerings, which can lead to increased revenue opportunities through new product launches and market expansion.

Natera Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: 13.86%|
Next Earnings Date:Nov 05, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue and volume growth, particularly in the oncology segment with Signatera. The company raised its financial guidance significantly and introduced promising new products and AI initiatives. However, flat operating expenses and the exit from the paternity business were noted as areas of concern. Nevertheless, the positive aspects, including strong market performance and strategic innovations, dominate the outlook.
Q2-2025 Updates
Positive Updates
Revenue Growth
Natera achieved $547 million in revenue for Q2 2025, representing a 32% growth over Q2 2024, and 34% growth year-on-year excluding revenue true-ups.
Signatera Performance
Processed 189,000 oncology tests, with nearly 20,000 units of growth compared to Q1 2025, marking a new milestone with strong growth in new patient starts, doubling the previous quarterly record.
Gross Margin Improvement
Gross margin increased to 63.4% compared to approximately 59% in the previous year, with consistent sequential margins due to strong ASPs.
Raised Financial Guidance
Revenue guidance for 2025 increased by $80 million to a range of $2.02 billion to $2.1 billion, with gross margin guidance raised to 61% to 64%.
Launch of Fetal Focus NIPT
Natera launched a new NIPT for inherited conditions that demonstrated 91% sensitivity in detecting affected pregnancies in early clinical trials.
Organ Health and Oncology Data
Positive data from the PEDAL study in organ health and several studies in oncology, including breast and GI cancers, showcasing potential for improved patient management.
AI Initiatives and New Algorithms
Introduction of AI-based discovery and care platforms, including NeoPredict and NeoSelect algorithms, enhancing capabilities for predicting immune therapy responses and identifying neoantigens.
Negative Updates
Operating Expenses Remain Flat
Despite the increased revenue guidance, operating expenses are not expected to increase, indicating a possible cap on short-term investment in scaling operations.
Legacy Business Exit
Exited the legacy paternity business, which historically contributed to volume numbers, indicating a shift away from this segment.
Cost of Goods Sold Increase
Signatera's cost of goods sold increased due to running many exomes for first-time patients, despite overall positive news from volume growth.
Company Guidance
During Natera's 2025 Second Quarter Financial Results Conference Call, the company announced impressive metrics and updates across its operations. Natera reported $547 million in revenue, marking a 32% year-over-year increase, with an even higher growth of 34% excluding revenue true-ups. A notable achievement was the processing of 189,000 oncology tests, translating to a sequential growth of nearly 20,000 units, setting a new company milestone. Gross margin improved to 63.4%, up from approximately 59% the previous year. The company raised its annual revenue guidance to a range of $2.02 billion to $2.1 billion and adjusted its gross margin outlook to between 61% and 64%. Natera also highlighted its launch of Fetal Focus and ongoing advancements in organ health and oncology, such as the PROCEED trial for early cancer detection expected to read out later this fall. Operationally, they maintained their focus on cost management and efficiency, driven by AI initiatives, while keeping operating expenses flat despite revenue growth.

Natera Financial Statement Overview

Summary
Natera demonstrates strong revenue growth and an improving cash flow position, reflecting a robust market presence and effective cash management. However, consistent net losses and negative profit margins highlight challenges in achieving profitability. The balance sheet is solid with a strong equity position and manageable debt levels.
Income Statement
68
Positive
Natera's revenue trajectory shows robust growth with a significant increase from $391 million in 2020 to $1.83 billion in TTM (Trailing-Twelve-Months) 2025. This growth trend is impressive, indicating strong market demand. However, the company has consistently posted negative EBIT and net income, highlighting ongoing challenges in achieving profitability. The gross profit margin has improved, suggesting operational efficiencies, but the net profit margin remains negative, impacting overall profitability.
Balance Sheet
72
Positive
Natera maintains a solid equity base, with stockholders' equity increasing from $486 million in 2020 to $1.24 billion in TTM 2025. The debt-to-equity ratio has improved, reflecting prudent debt management. Additionally, the company has a strong equity ratio, indicative of financial stability. However, the consistent net losses present a risk to long-term equity growth, despite the currently favorable debt levels.
Cash Flow
75
Positive
The company has shown a positive trend in free cash flow, growing from a deficit to a surplus of $85 million in TTM 2025. Operating cash flow has also turned positive, demonstrating improved cash management. The operating cash flow to net income ratio indicates that cash generation is better than accounting earnings, which is a positive sign. However, the history of negative free cash flow ratios could pose potential challenges if not managed carefully.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.96B1.70B1.08B820.22M625.49M391.00M
Gross Profit1.24B1.02B492.74M363.97M307.07M187.38M
EBITDA-211.86M-148.08M-383.28M-507.03M-451.54M-205.95M
Net Income-253.24M-190.43M-434.80M-547.80M-471.72M-229.74M
Balance Sheet
Total Assets1.76B1.66B1.44B1.39B1.24B932.15M
Cash, Cash Equivalents and Short-Term Investments1.02B968.28M878.98M898.39M914.28M737.27M
Total Debt196.13M187.12M441.99M446.22M397.23M281.09M
Total Liabilities510.88M465.31M676.37M688.73M583.18M445.92M
Stockholders Equity1.25B1.20B765.33M705.74M653.30M486.24M
Cash Flow
Free Cash Flow104.56M69.24M-286.15M-479.20M-376.27M-202.12M
Operating Cash Flow186.70M135.66M-246.96M-431.50M-335.24M-182.51M
Investing Cash Flow-9.29M137.62M168.50M330.34M-205.19M-331.46M
Financing Cash Flow25.81M30.20M254.46M482.64M576.19M500.85M

Natera Technical Analysis

Technical Analysis Sentiment
Positive
Last Price160.64
Price Trends
50DMA
154.89
Positive
100DMA
153.40
Positive
200DMA
156.31
Positive
Market Momentum
MACD
3.16
Negative
RSI
61.54
Neutral
STOCH
79.70
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For NTRA, the sentiment is Positive. The current price of 160.64 is above the 20-day moving average (MA) of 147.44, above the 50-day MA of 154.89, and above the 200-day MA of 156.31, indicating a bullish trend. The MACD of 3.16 indicates Negative momentum. The RSI at 61.54 is Neutral, neither overbought nor oversold. The STOCH value of 79.70 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for NTRA.

Natera Risk Analysis

Natera disclosed 53 risk factors in its most recent earnings report. Natera 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

Natera Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
74
Outperform
$10.65B28.7910.81%2.55%5.15%412.41%
70
Neutral
$15.45B12.8768.11%-3.32%
70
Neutral
$20.44B21.8613.65%1.68%12.58%13.00%
70
Neutral
$22.12B-24.32%44.38%22.87%
57
Neutral
$7.42B-4584.47%28.74%18.25%
51
Neutral
$7.77B-0.12-39.07%2.21%22.68%-1.42%
48
Neutral
$8.54B-35.51%12.56%-464.28%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NTRA
Natera
160.64
38.03
31.02%
EXAS
Exact Sciences
47.00
-12.06
-20.42%
ILMN
Illumina
100.80
-28.53
-22.06%
QGEN
Qiagen
49.20
2.73
5.87%
DGX
Quest Diagnostics
184.40
34.47
22.99%
GH
Guardant Health
58.50
30.63
109.90%

Natera Corporate Events

Shareholder MeetingsBusiness Operations and Strategy
Natera Approves Equity Plan Amendment at Annual Meeting
Neutral
Jun 18, 2025

On June 12, 2025, Natera, Inc. held its Annual Meeting of Stockholders, where an amendment to the 2015 Equity Incentive Plan was approved, increasing the shares reserved for issuance by 3.6 million. This decision, along with the election of directors and ratification of Ernst & Young LLP as the accounting firm, reflects Natera’s strategic focus on enhancing its equity structure and governance.

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: Aug 19, 2025