Adaptive Biotechnologies
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Adaptive Biotechnologies (ADPT) investor relations material

Adaptive Biotechnologies Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary29 Jul, 2026

Executive summary

  • Achieved strong Q2 2026 results with revenue of $71.6M, up 22%–30% year-over-year, driven by robust MRD performance and strategic actions to unlock shareholder value.

  • MRD business delivered one of its strongest quarters, with revenue (excluding milestones) up 49% year-over-year and clinical testing volume up 43%.

  • Announced and advanced the separation of MRD and Immune Medicine businesses, with Morgan Stanley retained as advisor and preferred path expected by year-end.

  • Completed a $340M–$345M zero-coupon convertible note offering, retiring the OrbiMed agreement, repurchasing shares, and increasing financial flexibility.

  • Leadership transition: Chief Scientific Officer moved to a consulting role to support MRD R&D and business separation.

Financial highlights

  • Q2 2026 revenue was $71.6M, up 22%–30% year-over-year; MRD revenue reached $66.2M, up 33%, and Immune Medicine revenue was $5.4M, down 40%.

  • Sequencing gross margin rose to 72% from 64% a year ago, driven by lower assay costs and operating leverage.

  • Adjusted EBITDA for MRD was $9.1M, up from $1.9M a year ago; total company adjusted EBITDA loss was $0.7M, improved from $7.2M loss year-over-year.

  • Net loss for Q2 was $39.9M, including $26.4M in debt extinguishment and interest expense; net loss per share was $(0.25).

  • Cash, cash equivalents, and marketable securities totaled $371.7M as of June 30, 2026.

Outlook and guidance

  • Raised full-year 2026 MRD revenue guidance to $268M–$278M, up from prior $260M–$270M.

  • Clinical volume growth guidance increased to 38%–40% year-over-year.

  • Operating expense guidance narrowed to $350M–$355M.

  • On track to achieve positive adjusted EBITDA and free cash flow for the entire company by end of 2026.

  • Existing cash expected to fund operations for at least the next 12 months.

Rationale for separating the business units
Impact of OrbiMed settlement on Q2 net loss
Immune Medicine growth excluding Genentech
Explain the Harrell Data Corp trial agreement
Drivers for 15% sequential myeloma growth
Active pharma studies using MRD as an endpoint
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