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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)

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Outperform 73 (OpenAI - 4o)
Rating:73Outperform
Price Target:
$266.00
▲(11.23% Upside)
Natera's overall stock score is driven by strong technical momentum and positive earnings call sentiment, highlighting robust revenue growth and strategic expansions. However, ongoing profitability challenges and a negative P/E ratio weigh on the valuation, while the recent acquisition strengthens its market position in precision oncology.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for Natera's products and services, enhancing its market position and supporting long-term expansion.
Strategic Acquisition
The acquisition strengthens Natera's capabilities in MRD testing and expands its IP portfolio, positioning it as a leader in precision oncology.
Gross Margin Improvement
Improved gross margins reflect operational efficiency and cost management, enhancing profitability potential and financial stability.
Negative Factors
Profitability Challenges
Persistent profitability challenges, as indicated by negative ROE, could hinder long-term financial health and investor confidence.
Increased Operating Expenses
Rising operating expenses could pressure margins and affect cash flow, potentially impacting future profitability and growth investments.
Early Cancer Detection Challenges
Uncertainty in commercializing early cancer detection could delay revenue streams and impact strategic goals in oncology expansion.

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

Natera Business Overview & Revenue Model

Company DescriptionNatera, Inc., a diagnostics company, develops and commercializes molecular testing services worldwide. It offers Panorama, a non-invasive prenatal test that screens for chromosomal abnormalities of a fetus with a blood draw from the mother, as well as twin pregnancies for zygosity; Vistara, a single-gene mutations screening test to identify single-gene disorder; Horizon carrier screening to determine carrier status for various genetic diseases; and Spectrum to identify chromosomal anomalies or inherited genetic conditions during an in vitro fertilization cycle. The company also provides Anora miscarriage test products to analyze fetal chromosomes to understand the cause of miscarriage; and non-invasive paternity testing products to determine paternity by gestation using a blood draw from the pregnant mother and alleged father. In addition, it offers Constellation, a cloud-based software product that enables laboratory customers to gain access through the cloud to the company's algorithms and bioinformatics in order to validate and launch tests; Signatera, a circulating tumor DNA technology that screen for a generic set of mutations independent of an individual's tumor; and Prospera used to assess organ transplant rejection. The company offers products through its direct sales force, as well as through a network of approximately 100 laboratory and distribution partners. It has a partnership agreement with BGI Genomics Co., Ltd. to develop, manufacture, and commercialize NGS-based genetic testing assays; and Foundation Medicine, Inc. to develop and commercialize personalized circulating tumor DNA monitoring assays. The company was formerly known as Gene Security Network, Inc. and changed its name to Natera, Inc. in 2012. Natera, Inc. was founded in 2003 and is based in Austin, Texas.
How the Company Makes MoneyNatera generates revenue primarily through the sale of its genetic testing services, which include prenatal testing, carrier screening, and oncology testing. The company operates a business model centered on laboratory services, where it processes samples and provides test results to healthcare providers and patients. Key revenue streams include direct sales of tests, reimbursement from insurance companies, and partnerships with healthcare organizations that enhance its market reach. Natera has also established collaborations with pharmaceutical companies for companion diagnostic testing and clinical trials, contributing to its revenue. The company's focus on expanding its testing portfolio and increasing utilization rates in its core markets plays a significant role in driving growth and earnings.

Natera Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 04, 2026
Earnings Call Sentiment Positive
The earnings call was largely positive, showcasing strong financial performance, significant revenue growth, and successful product expansions. However, the increase in operational expenses and challenges in early cancer detection present areas to watch.
Q3-2025 Updates
Positive Updates
Record Revenue Growth
Natera generated $592 million in revenue, up 35% over Q3 of the previous year, driven by strong growth across the product portfolio and another record for Signatera growth.
Increase in Financial Guidance
The company significantly increased the 2025 financial guidance, raising revenue guidance by $160 million at the midpoint, expecting revenues in the range of $2.18 billion to $2.26 billion.
Strong Gross Margin Performance
Gross margin improved to 64.9%, nearly 1.5 percentage points higher than the previous quarter, driven by better ASPs and COGS efficiencies.
Signatera Growth and Market Expansion
Processed 202,000 clinical MRD tests, with a record of 21,500 additional units, representing 56% year-on-year growth. The company plans to submit 7 new MolDx submissions by year-end, potentially adding $250 million to $300 million in gross profit.
Fetal Focus Product Expansion
Launched a new single-gene NIPT for inherited conditions with plans to expand the panel to cover over 20 genes, receiving positive initial feedback.
Strong Cash Flow and Balance Sheet
The company expects to generate roughly $100 million in free cash flow for the full year, with no permanent debt and a cash balance above $1 billion.
Negative Updates
Increase in Operating Expenses
Operational expenses increased due to one-time expenses totaling around $60 million and a small increase in R&D to support MolDx coverage.
Challenges in Early Cancer Detection
The company is investing heavily in early cancer detection, with a focus on colorectal cancer. Despite promising results, the path to commercial viability remains uncertain.
Company Guidance
During Natera's 2025 Third Quarter Financial Results Conference Call, the company raised its full-year revenue guidance significantly, expecting revenues between $2.18 billion and $2.26 billion, which is a $160 million increase at the midpoint. This revision was driven by a robust 35% year-on-year revenue growth, totaling $592 million for the quarter, and record performance in their Signatera product, with 202,000 clinical MRD tests processed, reflecting a growth of 21,500 units compared to the previous quarter. Natera also increased its gross margin guidance to 62% to 64%, supported by a 64.9% gross margin in Q3, a notable improvement from prior quarters. Operationally, the company anticipates modestly higher operating expenses due to one-time costs totaling approximately $60 million, alongside an uptick in R&D to support expanded MolDx coverage. Natera also raised its free cash flow generation guidance, now expecting to generate roughly $100 million in cash for the full year.

Natera Financial Statement Overview

Summary
Natera demonstrates strong revenue growth and improving gross margins, which are positive indicators of operational efficiency. However, the company continues to face profitability challenges, with negative net income and EBIT margins. The balance sheet shows a favorable debt position, but the negative return on equity highlights ongoing financial performance issues. Cash flow metrics are improving, but the company needs to achieve consistent positive cash flow to strengthen its financial position.
Income Statement
65
Positive
Natera's revenue has shown consistent growth, with a TTM growth rate of 7.76%. Gross profit margins have improved to 63.73% in TTM, indicating strong operational efficiency. However, the company is still facing challenges with profitability, as evidenced by negative net profit and EBIT margins. The net profit margin has slightly worsened to -14.61% in TTM, reflecting ongoing losses.
Balance Sheet
70
Positive
The company's debt-to-equity ratio has improved to 0.15 in TTM, indicating a relatively low level of leverage compared to previous years. However, the return on equity remains negative at -25.07%, highlighting ongoing profitability challenges. The equity ratio is stable, suggesting a solid capital structure.
Cash Flow
60
Neutral
Natera's free cash flow has shown significant growth, with a TTM growth rate of 144.2%. The operating cash flow to net income ratio is 0.44, indicating some improvement in cash generation relative to net losses. However, the company still faces challenges in achieving positive free cash flow to net income ratios consistently.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue2.12B1.70B1.08B820.22M625.49M391.00M
Gross Profit1.35B1.02B492.74M363.97M307.07M187.38M
EBITDA-268.77M-148.08M-383.28M-507.03M-451.54M-205.95M
Net Income-309.19M-190.43M-434.80M-547.80M-471.72M-229.74M
Balance Sheet
Total Assets1.82B1.66B1.44B1.39B1.24B932.15M
Cash, Cash Equivalents and Short-Term Investments1.04B968.28M878.98M898.39M914.28M737.27M
Total Debt184.72M187.12M441.99M446.22M397.23M281.09M
Total Liabilities569.29M465.31M676.37M688.73M583.18M445.92M
Stockholders Equity1.25B1.20B765.33M705.74M653.30M486.24M
Cash Flow
Free Cash Flow93.56M69.24M-286.15M-479.20M-376.27M-202.12M
Operating Cash Flow194.30M135.66M-246.96M-431.50M-335.24M-182.51M
Investing Cash Flow-71.73M137.62M168.50M330.34M-205.19M-331.46M
Financing Cash Flow26.03M30.20M254.46M482.64M576.19M500.85M

Natera Technical Analysis

Technical Analysis Sentiment
Positive
Last Price239.14
Price Trends
50DMA
199.47
Positive
100DMA
178.88
Positive
200DMA
166.43
Positive
Market Momentum
MACD
12.51
Negative
RSI
69.76
Neutral
STOCH
76.40
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 239.14 is above the 20-day moving average (MA) of 225.39, above the 50-day MA of 199.47, and above the 200-day MA of 166.43, indicating a bullish trend. The MACD of 12.51 indicates Negative momentum. The RSI at 69.76 is Neutral, neither overbought nor oversold. The STOCH value of 76.40 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
73
Outperform
$33.75B-29.02%38.17%-28.77%
71
Outperform
$19.71B28.5131.20%-2.39%
70
Outperform
$19.18B-34.54%14.47%-353.69%
61
Neutral
$13.20B30.38%24.17%
57
Neutral
$859.06M-3.80%13.60%74.64%
55
Neutral
$1.54B-12.99%10.10%-44.29%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NTRA
Natera
235.53
69.08
41.50%
EXAS
Exact Sciences
100.96
39.38
63.95%
ILMN
Illumina
132.13
-16.40
-11.04%
NEO
NeoGenomics
11.71
-6.72
-36.46%
FLGT
Fulgent Genetics
27.86
7.63
37.72%
GH
Guardant Health
103.21
67.68
190.49%

Natera Corporate Events

M&A TransactionsBusiness Operations and Strategy
Natera Acquires Foresight Diagnostics for $275 Million
Positive
Dec 5, 2025

On December 4, 2025, Natera, Inc. completed its acquisition of Foresight Diagnostics, a cancer diagnostics company specializing in molecular residual disease detection in B-cell lymphomas. This strategic acquisition, valued at $275 million upfront with potential earnouts, enhances Natera’s capabilities in personalized MRD testing and expands its intellectual property portfolio. The integration of Foresight’s phased variant technology into Natera’s Signatera platform is expected to strengthen test performance across solid tumors and accelerate MRD adoption in lymphoma. This move positions Natera at the forefront of precision oncology, promising improved value for patients, clinicians, and biopharma partners.

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: Dec 09, 2025