Revenue Growth
Total revenue increased 87.4% year-over-year to $67.4M in Q1 2026 (from $35.9M) and was up ~1% sequentially versus Q4 2025; performance was reported as ahead of guidance for both revenue and adjusted EBITDA.
Strong Organic Logistics Growth
Logistics (organic, excluding Keystone) revenue rose 32.4% year-over-year to $47.6M, driven primarily by higher Air revenue from new and existing customers.
Rapid Build-Out of Clinical Business
Clinical revenue (new after Keystone) reached $19.8M in Q1 2026, up 12.7% sequentially vs Q4 2025; Transplant Clinical revenue rose 26.7% sequentially and Other Clinical also increased, reflecting cross-sell wins and new customer onboarding.
Profitability and Margins Improvement Year-over-Year
Gross profit doubled (+100%) to $14.1M versus prior year ($7.1M) and gross margin improved ~140 basis points year-over-year to 21.0% (from 19.6%), aided by the Keystone acquisition mix.
Clinical Margin Strength
Clinical gross profit rose 29.2% sequentially to $5.0M and clinical gross margin improved to 25.0% from 21.8% sequentially as mix shifted toward transplant clinical services.
Cash Generation and Balance Sheet Capacity
Operating cash flow was $3.9M and free cash flow before aircraft/engine acquisitions was $2.1M in Q1; cash and short-term investments totaled $58.8M, with an undrawn $30M ABL (upsizable to $50M) and expected earn-outs (~$45M) providing M&A capacity.
M&A Activity and Pipeline
Closed acquisition of Ohio Valley Perfusion Associates (~$1M purchase, expected to contribute ~$100k adjusted EBITDA for the remainder of 2026) and an active pipeline including several exclusivity deals across logistics, surgical recovery, placement and cardiac perfusion.
Fleet and Geographic Expansion
Acquired 1 aircraft (10 owned aircraft total; dedicated fleet ~35), opened several new aviation bases, grew to ~20 logistics hubs and launched a combined Logistics & Clinical hub in Chicago to serve the Midwest.
Industry Tailwinds and Market Position
Company highlighted increased adoption of NRP (>50% of DCD donors), greater use of third-party surgical recovery, and sequential improvement in deceased donor volumes since Q4 2025—trends that support demand for Strata’s integrated clinical and logistics platform.
Reiterated Full-Year Guidance
Management reiterated 2026 guidance: revenue $260M–$275M, adjusted EBITDA $29M–$33M, and free cash flow before aircraft/engine purchases $15M–$22M, signaling confidence in FY outlook.