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Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings call presents mixed signals. Positive aspects include strong revenue growth and improved gross margins. However, the lack of a shareholder return plan and increased operating expenses due to litigation and marketing investments are concerning. The Q&A reveals optimism about surveillance volumes and testing protocols but uncertainty about regulatory timing. With no clear guidance change and no market cap data, the prediction is neutral due to balanced positive and negative factors.
Total Revenue $84,700,000, up 18% year over year.
Testing Services Revenue $61,900,000, up 15% year over year.
Adjusted Testing Services Revenue $63,000,000, up 26% year over year, excluding $1,100,000 in write-off for aged receivables.
Patient and Digital Solutions Revenue $12,000,000, up 24% year over year.
Products Revenue $10,800,000, up 26% year over year.
Adjusted EBITDA $4,600,000, compared to an adjusted EBITDA loss of $1,900,000 in Q1 2024.
Non-GAAP Gross Margin 68.5%, up 150 basis points year over year.
Testing Services Gross Margin 76.7%, compared to 76.1% in the same quarter a year ago.
Patient and Digital Solutions Gross Margin 38.6%, compared to 34.3% in Q1 2024.
Products Gross Margin 54.3%, compared to 46.4% in Q1 2024.
Cash Balance $231,000,000, with no debt, up $15,000,000 from $216,000,000 at the end of Q1 2024.
Cash Used in Operating Activities $26,600,000, driven by a reduction in accrued compensation of $24,000,000 primarily associated with annual bonus payout.
AlloSure Heart: Launched as the only test validated for pediatric heart transplant patients under age seven.
AlloSure Kidney: Expanded indications for simultaneous pancreas kidney transplant patients.
New Covered Lives: Added 3,500,000 new covered lives for AlloMap Heart and 15,500,000 for AlloSure testing.
CPT Code for AlloSure: Issued a new CPT code for AlloSure effective 04/01/2025, converting six payer contracts to the new code.
Testing Services Revenue: Reported $61,900,000 in testing services revenue, up 15% year over year.
Cash Position: Ended the quarter with $231,000,000 in cash and no debt.
Operational Efficiencies: Initiated integration with Epic Aura to streamline ordering of testing services.
Market Access Strategy: Executed against market access strategy by expanding medical policy coverage and payer networks.
New Chief Product Officer: Appointed Jen Foley to lead product strategy and development efforts.
Regulatory Issues: The company is anticipating potential changes in Medicare coverage, which could impact their business. They are actively working on studies and publications to support the coverage of their testing services.
Competitive Pressures: CareDx acknowledges competition in the transplant testing market, particularly from companies like OncoCyte and Vitagraph. However, they believe their established market position and superior technology mitigate the impact of new entrants.
Supply Chain Challenges: The company noted a minor impact from recent tariff announcements, estimating less than a million annual impact on their lab products cost of goods, indicating potential supply chain challenges.
Economic Factors: The company is closely monitoring economic conditions that could affect their business, particularly in relation to the overall growth of the transplant market, which they expect to grow at a compounded annual rate of 5%.
Litigation Costs: CareDx has reached an agreement to resolve a securities class action litigation for $20,250,000, with an out-of-pocket expense of approximately $5,400,000, which could impact their financial position.
Operational Expenses: The company has seen an increase in operating expenses due to investments in sales and marketing, which could affect profitability if not managed effectively.
Testing Services Growth: CareDx reported its seventh consecutive quarter of sequential testing volume growth, with testing services revenue of $61,900,000, up 15% year over year.
Expanded Indications for AlloSure: Launched two expanded indications for AlloSure: AlloSure Heart for pediatric heart transplant patients and AlloSure Kidney for simultaneous pancreas kidney transplant patients.
Market Access Strategy: Executed against market access strategy by publishing evidence, expanding medical policy coverage, and adding new covered lives for AlloMap Heart and AlloSure testing.
Epic Integration Initiative: Initiated a significant project to integrate Epic Aura, aiming for seamless ordering of testing services by the end of the year.
New Product Development: Added Jen Foley as Chief Product Officer to lead product strategy and development efforts, particularly in hematology.
2025 Revenue Guidance: Reiterating 2025 revenue guidance of $365,000,000 to $375,000,000, with an adjusted EBITDA gain of between $29,000,000 and $33,000,000.
Long Range Plan: Long range plan to achieve $500,000,000 in revenue and 20% adjusted EBITDA by 2027.
Testing Volume Growth Expectations: Expecting mid-teens year-over-year growth in test volumes and an ASP of approximately $1,360 per test for the full year.
Operating Expenses Projection: Expecting operating expenses to be approximately $235,000,000 for the full year 2025.
Adjusted EBITDA Expectations: Expecting adjusted EBITDA gain for the full year 2025 to be between $29,000,000 and $33,000,000.
Shareholder Return Plan: CareDx has not announced any specific share buyback program or dividend program during this earnings call.
The earnings call presents a mixed outlook. Positive aspects include the decline in uranium production costs and strong margins, but these are offset by uncertainties in project timelines and vague management responses. The Q&A reveals concerns about strategic decisions and lack of clarity on partnerships. While the convertible note offering boosts liquidity, the lack of acceleration in key projects and unclear guidance tempers enthusiasm. Without a market cap, the overall sentiment remains neutral, anticipating limited stock movement.
The earnings call summary reflects a positive outlook with strong financial metrics, optimistic guidance, and strategic initiatives like EPIC integration. Despite some uncertainties, such as the LCD policy impact and transplant volume trends, the company's growth in test volumes, ASP stability, and revenue cycle management victories are encouraging. The Q&A section reinforced confidence in ASP and volume growth, with analysts generally responding positively to management's explanations. The potential $15 million headwind is a reimbursement issue rather than a utilization change, mitigating concerns. Overall, the sentiment is positive, suggesting a 2% to 8% stock price increase.
CareDx has demonstrated strong financial performance with a 14% YoY revenue increase and improved EBITDA. The share repurchase plan and positive cash flow are favorable. However, regulatory risks and revenue recognition issues pose challenges. The market reaction is likely positive due to operational efficiencies, testing volume growth, and strategic initiatives, despite uncertainties in regulatory changes.
The earnings call presents mixed signals. Positive aspects include strong revenue growth and improved gross margins. However, the lack of a shareholder return plan and increased operating expenses due to litigation and marketing investments are concerning. The Q&A reveals optimism about surveillance volumes and testing protocols but uncertainty about regulatory timing. With no clear guidance change and no market cap data, the prediction is neutral due to balanced positive and negative factors.
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