Adaptive Biotechnologies
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Adaptive Biotechnologies (ADPT) investor relations material

Adaptive Biotechnologies Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary4 Nov, 2026

Executive summary

  • Q3 revenue was $83.9M, down 11% YoY as lower Immune Medicine revenue after the Genentech agreement ended offset MRD growth; excluding prior-year Genentech revenue, total revenue rose 39%.

  • Adjusted EBITDA was positive $14.3M, GAAP net income was $2.8M, and free cash flow was $7.7M; MRD revenue grew 44% excluding milestones.

  • Delivered 39,587 clonoSEQ tests, up 46% YoY, and raised FY2026 MRD revenue guidance; NCCN guidance and a new myeloma cure definition support greater MRD testing demand.

Financial highlights

  • Total revenue was $83.9M; MRD revenue was $72.6M, up 28% reported and 44% excluding $6.5M of prior-year Q3 milestones.

  • Operating expenses, including cost of revenue, were $84.4M, up 1% YoY; operating loss was $0.5M versus operating income of $10.3M.

  • Net income was $2.8M versus $9.5M; attributable net income was $2.9M versus $9.5M. Nine-month attributable net loss was $56.9M versus $45.9M, including a $23.7M extinguishment loss.

  • Cash, cash equivalents and marketable securities totaled $400.2M, including $13.8M held by Digital Biotechnologies; excluding those funds, the balance was $386.4M.

Outlook and guidance

  • FY2026 MRD revenue guidance rose to $276M–$286M from $268M–$278M; midpoint implies 32% YoY growth, or 41% excluding milestones.

  • Guidance includes $9M of MRD milestone revenue, all recognized in Q1; no further milestone revenue is assumed for the rest of 2026.

  • FY2026 clinical volume growth is expected at ~42%, versus prior guidance of 38%–40%; operating expenses, including cost of revenue, are expected at ~$350M.

  • FY2026 pharma sequencing revenue growth is expected at ~25% excluding milestones; no Q4 milestone revenue is currently visible, and timing remains difficult to predict.

  • Full-year ASP is expected at ~$1,400 per test; the longer-term target remains $1,700–$1,800, with timing and maintenance bundle size uncertain.

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Jefferies Global Healthcare Conference18 Nov, 2026
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Frequently asked questions

Adaptive Biotechnologies Corporation operates as a commercial-stage biotechnology company. It provides immunosequencing and immunodiagnostic solutions. Furthermore the company offers research and development, and customer-focused services primarily to academic, government, pharmaceutical, biotechnology, hospital/clinical laboratories, and other companies in the United States and internationally. It operates in two segments, Adaptive Diagnostics and Adaptive Therapeutics. The company's immune system platform analyzes and interprets T cell and B cell receptor sequencing data.