Core Insights - Adaptive Biotechnologies reported a quarterly loss of $0.09 per share, outperforming the Zacks Consensus Estimate of a loss of $0.19, and showing improvement from a loss of $0.23 per share a year ago, resulting in an earnings surprise of +52.63% [1] - The company achieved revenues of $71.68 million for the quarter ended December 2025, which was slightly below the Zacks Consensus Estimate by 0.44%, but represented a significant increase from $47.46 million in the same quarter last year [2] - The stock has gained approximately 6.5% since the beginning of the year, outperforming the S&P 500's gain of 0.5% [3] Earnings Outlook - The earnings outlook for Adaptive Biotechnologies is mixed, with the current consensus EPS estimate for the upcoming quarter at -$0.17 on revenues of $61.01 million, and for the current fiscal year at -$0.59 on revenues of $266.15 million [7] - The company's Zacks Rank is currently 3 (Hold), indicating expected performance in line with the market in the near future [6] Industry Context - The Medical - Biomedical and Genetics industry, to which Adaptive Biotechnologies belongs, is currently ranked in the top 37% of over 250 Zacks industries, suggesting a favorable outlook compared to lower-ranked industries [8] - Another company in the same industry, Guardant Health, is expected to report a quarterly loss of $0.42 per share, reflecting a year-over-year change of +32.3%, with revenues anticipated to be $279.96 million, up 38.7% from the previous year [9][10]

Financial Data and Key Metrics Changes - Total company revenue for Q4 2025 was $71.7 million, representing a 63% year-over-year increase, while full-year revenue was $277 million, reflecting a 55% growth compared to the previous year [20][21] - Adjusted EBITDA for Q4 was $4.1 million, a significant improvement from a loss of $16.4 million in the same quarter last year, and for the full year, adjusted EBITDA was $12.2 million compared to a loss of $80.4 million in 2024 [21][22] - The net loss for Q4 was $13.6 million, and for the full year, it was $59.5 million [22] Business Line Data and Key Metrics Changes - In the MRD business, full-year revenue grew 46% year-over-year, with clinical testing revenue increasing 64% for the full year and 59% in Q4 [5][8] - clonoSEQ test volume reached 30,038 tests in Q4, up 43% year-over-year, with blood-based testing accounting for 47% of tests, an increase from 41% a year ago [8][9] - Immune medicine revenue was $9.8 million in Q4, up from $3.8 million a year ago, primarily driven by data licensing agreements with Pfizer [23] Market Data and Key Metrics Changes - The MRD pharma business saw a revenue growth of 20% year-over-year, with multiple myeloma accounting for roughly 70% of sequencing revenue [12] - The average ASP in the U.S. for clonoSEQ tests was $1,307, up 17% year-over-year, and the company expects to reach an average of $1,400 per test in 2026 [10][11] Company Strategy and Development Direction - The company aims to continue driving top-line growth while expanding margins, focusing on MRD revenue growth and profitability [14][27] - In immune medicine, the strategy includes advancing TCR antigen datasets and AI/ML modeling work, with a target net cash burn of $15-$20 million [19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving strong sequential growth in Q1 2026 despite potential weather-related impacts on sample arrival [32] - The company anticipates clonoSEQ test volumes to grow by more than 30% year-over-year in 2026, supported by a shift towards blood-based testing and deeper community penetration [15][16] Other Important Information - The company ended the year with a strong cash balance of $227 million, excluding cash held by digital biotechnologies [24] - The MRD business is expected to generate between $255-$265 million in revenue for 2026, with a focus on maintaining disciplined spending and achieving positive adjusted EBITDA [25][26] Q&A Session Summary Question: Discussion on clonoSEQ volume trends and seasonality - Management noted that Q4 results indicate strong growth and that Q1 typically experiences some seasonality due to holidays and weather, but they remain confident in their guidance for the year [30][32] Question: Penetration rates in DLBCL and competition - Management highlighted that while DLBCL penetration is currently low, they are focusing on data generation, guideline advancements, and deepening pharma relationships to drive growth [34][36] Question: Competitor's flow cytometry assay and pricing - Management emphasized that their clonoSEQ assay is more sensitive than competitors' offerings, which positions them favorably in the market [41][43] Question: ASP pacing and payer negotiations - Management indicated that ASP growth is expected to be linear, with ongoing negotiations with key payers that could impact overall pricing [44][60] Question: EBITDA guidance for 2026 - Management clarified that they expect to achieve positive adjusted EBITDA by the end of Q4 2026, with MRD business already positive [48][49] Question: Community and blood-based testing growth assumptions - Management expressed confidence in the potential for further growth in both community and blood-based testing, with ongoing investments to drive these areas [50][52] Question: Monetization of immune medicine data - Management discussed the potential for additional data licensing deals and the value of their proprietary dataset in immunology applications [74][75]

Financial Data and Key Metrics Changes - Total company revenue for Q4 2025 was $71.7 million, representing a 63% year-over-year increase, while full-year revenue was $277 million, reflecting a 55% growth compared to the previous year [20][21] - Adjusted EBITDA for Q4 was $4.1 million, a significant improvement from a loss of $16.4 million in the same quarter last year, and for the full year, adjusted EBITDA was $12.2 million compared to a loss of $80.4 million in 2024 [21][22] - The net loss for Q4 was $13.6 million, and for the full year, it was $59.5 million [22] Business Line Data and Key Metrics Changes - In the MRD business, full-year revenue grew 46% year-over-year, with clinical testing revenue increasing 64% for the full year and 59% in Q4 [5][8] - clonoSEQ test volume reached 30,038 tests in Q4, up 43% year-over-year, with blood-based testing accounting for 47% of total tests [8][9] - Immune Medicine revenue was $9.8 million in Q4, up from $3.8 million a year ago, primarily driven by data licensing agreements with Pfizer [22][23] Market Data and Key Metrics Changes - The MRD pharma business saw a revenue growth of 20% year-over-year, with multiple myeloma accounting for roughly 70% of sequencing revenue [12] - The average ASP in the U.S. for clonoSEQ tests was $1,307, up 17% year-over-year, and the company expects to reach approximately $1,400 per test in 2026 [10][11] Company Strategy and Development Direction - The company aims to continue driving top-line growth while expanding margins, focusing on MRD revenue growth and profitability [14][27] - In 2026, the company expects clonoSEQ test volumes to grow by more than 30% year-over-year, with a significant shift towards blood-based testing [15][16] - The Immune Medicine business is focusing on generating large-scale proprietary immune receptor data and monetizing this data through partnerships [18][19] Management Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving positive adjusted EBITDA and free cash flow by the end of 2026, with a focus on disciplined spending and operational efficiency [26] - The company is optimistic about the momentum in MRD and the potential for continued growth in the Immune Medicine sector [27] Other Important Information - The company ended the year with a strong cash position of $227 million, providing flexibility for future investments [22][24] - The company plans to maintain a disciplined capital allocation strategy, with a target net cash burn of $15 million to $20 million for the Immune Medicine business in 2026 [19] Q&A Session Summary Question: Discussion on clonoSEQ volume trends and seasonality - Management acknowledged Q4's strong results and noted that Q1 typically experiences some seasonality due to holidays and weather, but they remain confident in achieving strong sequential growth in Q1 [30][32] Question: Penetration rates in DLBCL and competition - Management highlighted the importance of data generation, guideline advancements, and deepening penetration with pharma to increase market share in DLBCL, where current penetration is low [34][36] Question: Competitive flow cytometry assay and pricing - Management emphasized that flow-based methods are inherently less sensitive than clonoSEQ, which maintains a significant advantage in sensitivity for myeloma testing [40][42] Question: ASP pacing and payer negotiations - Management indicated that ASP growth is expected to be linear, with ongoing negotiations with key payers that could impact ASP realization [43][44] Question: EBITDA guidance for 2026 - Management clarified that they expect to achieve positive adjusted EBITDA by the end of Q4 2026, with MRD expected to contribute positively [46][47] Question: Community and blood-based testing growth assumptions - Management expressed confidence in the potential for further growth in blood-based testing and community penetration, with ongoing investments to drive these areas [50][51] Question: Monetization of the Immune Medicine data - Management discussed the potential for additional data licensing deals and the value of their proprietary dataset in various immunology applications [72][73]

Financial Data and Key Metrics Changes - Total company revenue for Q4 2025 was $71.7 million, representing a 63% year-over-year increase, while full-year revenue was $277 million, reflecting a 55% growth compared to the previous year [19][20] - Adjusted EBITDA for Q4 was $4.1 million, a significant improvement from a loss of $16.4 million in the same quarter last year, and for the full year, adjusted EBITDA was $12.2 million compared to a loss of $80.4 million in 2024 [19][20] - The net loss for Q4 was $13.6 million, and for the full year, it was $59.5 million [20] Business Line Data and Key Metrics Changes - In the MRD business, revenue grew 54% year-over-year in Q4, with clinical and pharma contributions of 67% and 33%, respectively [20] - clonoSEQ test volume increased by 43% year-over-year, reaching 30,038 tests in Q4 [20] - Immune medicine revenue was $9.8 million in Q4, up from $3.8 million a year ago, primarily driven by data licensing agreements with Pfizer [21] Market Data and Key Metrics Changes - The MRD pharma business saw a revenue growth of 20% year-over-year, with multiple myeloma accounting for approximately 70% of sequencing revenue [11] - The average ASP in the U.S. for clonoSEQ tests was $1,307, up 17% year-over-year, and the company expects to increase it to approximately $1,400 per test in 2026 [10][24] Company Strategy and Development Direction - The company aims to continue driving top-line growth while expanding margins, focusing on MRD revenue growth and profitability [12][15] - In immune medicine, the strategy includes advancing TCR antigen datasets and AI/ML modeling work, with a target net cash burn of $15-$20 million [18] - The company plans to leverage its large-scale proprietary data for monetization through licensing deals, particularly in immunology applications [17][75] Management Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving strong sequential growth in Q1 2026 despite potential weather-related impacts on sample arrival [31] - The company anticipates continued growth in clonoSEQ test volumes, with expectations of over 30% year-over-year growth supported by blood-based testing and deeper community penetration [13][14] - Management highlighted the importance of maintaining a strong cash position, ending 2025 with $227 million in cash, cash equivalents, and marketable securities [23] Other Important Information - The company achieved a 68% reduction in cash burn, indicating improved operational efficiency [6] - The MRD business is expected to generate between $255-$265 million in revenue for 2026, with a focus on expanding market presence and leveraging existing infrastructure [24] Q&A Session Summary Question: Can you discuss the sequential step up in clonoSEQ volume and any seasonality? - Management noted that Q4 results demonstrated strong growth and that Q1 typically experiences some seasonality due to holidays and weather, but they remain confident in achieving strong growth in Q1 [30][31] Question: How should we think about penetration rates in DLBCL? - Management indicated that they are applying lessons learned from multiple myeloma to increase penetration in DLBCL, focusing on data generation and expanding commercial payer coverage [32][34] Question: Thoughts on a competitor's flow cytometry assay? - Management emphasized that flow-based methods are inherently less sensitive than clonoSEQ, which maintains a significant advantage in sensitivity for MRD assessment [40][42] Question: Can you elaborate on the EBITDA guidance for 2026? - Management clarified that they expect to achieve positive adjusted EBITDA by the end of Q4 2026, with MRD already contributing positively [46][48] Question: What are the expectations for ASP growth in 2026? - Management indicated that ASP growth is expected to be linear, with ongoing negotiations with key payers influencing the final rates [58][60]

Fourth Quarter and FY 2025 Earnings Conference Call © Copyright Adaptive Biotechnologies 2026. Safe Harbor This presentation has been prepared by Adaptive Biotechnologies Corporation ("we," "us," "our," "Adaptive" or the "Company") and is made for informational purposes only. The information set forth herein does not purport to be complete or to contain all relevant information. Statements contained herein are made as of the date of this presentation unless stated otherwise. This presentation shall not cons ...

Core Insights - Adaptive Biotechnologies reported strong financial performance in 2025, achieving 46% revenue growth and profitability in its Minimal Residual Disease (MRD) business [2][10] - The company is well-positioned for continued growth in 2026, with a focus on disciplined capital allocation and expanding margins [2] Financial Performance - Fourth quarter 2025 revenue reached $71.7 million, a 51% increase year-over-year; excluding Genentech Agreement revenue, the increase was 63% [4][10] - MRD revenue for Q4 2025 was $61.9 million, up 54% from Q4 2024; Immune Medicine revenue was $9.8 million, a 34% increase [4][10] - For the full year 2025, total revenue was $277.0 million, a 55% increase from 2024; MRD revenue was $212.3 million (46% increase), and Immune Medicine revenue was $64.6 million (93% increase) [10][12] Operating Expenses and Profitability - Operating expenses for Q4 2025 were $84.5 million, a 4% increase from the previous year; for the full year, operating expenses decreased by 2% to $334.1 million [5][11] - The net loss for Q4 2025 was $13.6 million, significantly reduced from $33.7 million in Q4 2024; for the full year, the net loss was $59.5 million, down from $159.6 million in 2024 [6][12] - Adjusted EBITDA for Q4 2025 was $4.1 million, a turnaround from a loss of $16.4 million in Q4 2024; for the full year, Adjusted EBITDA was $12.2 million compared to a loss of $80.4 million in 2024 [7][13] Business Segments and Developments - The MRD business achieved positive Adjusted EBITDA and cash flow, contributing 86% of Q4 revenue and 77% of full-year revenue [9][10] - The clonoSEQ test volume increased by 43% in Q4 2025, with 30,038 tests delivered, and a total of 105,587 tests for the year, up 39% [10] - The company signed two non-exclusive immune receptor data licensing agreements with Pfizer Inc. and received expanded Medicare coverage for clonoSEQ [9][10] 2026 Financial Guidance - The company expects MRD revenue for 2026 to be between $255 million and $265 million, with total operating expenses projected between $350 million and $360 million [14]

Core Insights - Adaptive Biotechnologies Corporation will report its financial results for Q4 and full year 2025 on February 5, 2026, after market close [1] - A conference call will follow the financial results announcement, starting at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time [1] Company Overview - Adaptive Biotechnologies is a commercial-stage biotechnology company focused on utilizing the adaptive immune system for disease diagnosis and treatment [3] - The company aims to decode the adaptive immune system's genetics to enhance its diagnostic and therapeutic capabilities [3] - Its proprietary immune medicine platform is designed to partner with biopharmaceutical companies and develop clinical diagnostics in two segments: Minimal Residual Disease (MRD) and Immune Medicine [3] - The company’s products and clinical pipeline target diseases such as cancer and autoimmune disorders, with a goal of creating personalized immune-driven clinical products [3]

Group 1 - The article discusses the importance of enabling Javascript and cookies in browsers to prevent access issues [1] - It highlights that users with ad-blockers may face restrictions when trying to access content [1]

Company Overview - Adaptive was founded 16 years ago at the Fred Hutchinson Cancer Research Institute by the Robins brothers and has been public since 2019 [3] - The company currently employs approximately 620 people and has generated over $275 million in revenue [3] - Adaptive holds a strong cash position with around $227 million available [3] Business Model and Vision - The company operates on the premise that understanding the genetic source code of the adaptive immune system, specifically T cells and B cells, can significantly enhance disease diagnosis and comprehension [4]

Summary of Adaptive Biotechnologies FY Conference Call Company Overview - **Company**: Adaptive Biotechnologies (NasdaqGS:ADPT) - **Founded**: 16 years ago at Fred Hutchinson Cancer Research Institute - **Employees**: Approximately 620 - **Revenue**: Over $275 million - **Cash Position**: Approximately $227 million [2][2] Core Business Segments Minimal Residual Disease (MRD) Business - **Market Size**: Global addressable market of approximately $5.5 billion, with a U.S. clinical testing market of roughly $1.8 billion [4][4] - **Growth Opportunity**: Potential to increase testing frequency from 2.5 to 3.5 tests per patient per year, expanding the U.S. market by approximately $700 million [4][4] - **Technology**: clonoSEQ test measures MRD with high sensitivity and specificity, detecting one cancer cell in every million healthy cells [6][6] - **Regulatory Approval**: clonoSEQ is the only FDA-cleared MRD assay in lymphoid malignancies [6][6] - **Financial Performance**: Achieved positive adjusted EBITDA in 2025, with revenue surpassing $200 million and a 34% cumulative average growth rate from 2021 to 2025 [8][9] Immune Medicine (IM) Business - **Focus**: Understanding T-cell receptor interactions with antigens to drive insights across various diseases [26][26] - **Data Generation**: Mapped over 5 million T-cell receptors to antigens, generating biological insights for autoimmune diseases [27][27] - **Partnerships**: Recent agreements with Pfizer for data licensing and target discovery in rheumatoid arthritis [28][28] Key Financial Metrics - **Revenue Growth**: Clinical revenue grew at a 53% CAGR, with gross margins improving significantly due to lab efficiencies [9][9] - **Testing Volume**: Clinical volumes grew at a 44% CAGR since 2021, with over 100,000 patients tested using clonoSEQ [10][10] - **Average Selling Price (ASP)**: Reached approximately $1,310 in 2025, with a target of $1,700-$1,800 by 2029 [19][20] Growth Drivers Clinical Testing - **Volume Growth Factors**: Blood-based testing, community presence, clinical guideline inclusion, ongoing data generation, and EMR integration [11][11] - **Community Testing**: Expected to grow from 30% to over 35% of clonoSEQ testing [12][12] - **Guideline Updates**: Significant updates in 2025, elevating MRD to a clinical decision-making tool [13][14] Biopharma Partnerships - **MRD Pharma Portfolio**: Anchored in multiple myeloma, with 70% of sequencing revenue from this indication [22][22] - **Diversification**: Tripled bookings in CLL in 2025, with ongoing pipeline development [22][22] Future Outlook - **2026 Expectations**: - Clinical testing volume expected to grow by more than 30% year-over-year [25][25] - ASP projected at approximately $1,400 [25][25] - Continued improvement in sequencing gross margins, targeting over 70% [25][25] - **Cash Burn**: Expected to decrease to between $15 million and $20 million while investing in data generation [30][30] Competitive Landscape - **Market Position**: Adaptive maintains a strong competitive moat in MRD testing, particularly in DLBCL, where it has seen significant growth [41][41][42] - **Emerging Competition**: Natera's acquisition of Foresight Diagnostics highlights the nascent market for NGS MRD testing, but Adaptive's established reimbursement and technology position it favorably [41][41] Conclusion - **Key Takeaways**: - Strengthening leadership in MRD testing for blood cancers - Advancing immune receptor data platform - Expectation of positive adjusted EBITDA and free cash flow for the entire company in 2026 [31][31]