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Adaptive Biotechnologies Reports Second Quarter 2026 Financial Results

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Adaptive Biotechnologies (Nasdaq: ADPT) reported second quarter 2026 revenue of $71.6 million, up 22% year over year (30% excluding the Genentech Agreement). Minimal Residual Disease (MRD) revenue rose 33% to $66.2 million and represented 92% of total revenue, supported by a 43% increase in clonoSEQ test volume to 36,111 tests.

Immune Medicine revenue declined 40% to $5.4 million, but increased 8% excluding Genentech-related revenue. Net loss was $39.9 million, or $16.2 million excluding the loss on extinguishment of the OrbiMed revenue interest liability, while Adjusted EBITDA loss narrowed to $0.7 million from $7.2 million. The company completed a $345 million zero-coupon convertible senior notes offering, repaid the OrbiMed Purchase Agreement, ended the quarter with $371.7 million in cash, cash equivalents and marketable securities, and announced plans to separate its MRD and Immune Medicine businesses. Full-year 2026 MRD revenue guidance was raised to $268–$278 million, and total operating expense guidance was updated to $350–$355 million.

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Positive

  • Total revenue $71.6M, up 22% YoY; 30% excluding Genentech
  • MRD revenue $66.2M, up 33% YoY; 92% of total revenue
  • clonoSEQ test volume 36,111 in Q2 2026, up 43% YoY
  • Adjusted EBITDA loss improved to $0.7M from $7.2M YoY
  • MRD segment Adjusted EBITDA $9.1M vs. $1.9M prior year
  • Cash, cash equivalents and marketable securities $371.7M at June 30, 2026
  • $345M zero-coupon convertible senior notes issued, increasing financial flexibility
  • Raised 2026 MRD revenue guidance to $268–$278M (26%–31% implied growth)

Negative

  • Net loss $39.9M vs. $25.6M prior-year quarter
  • Immune Medicine revenue down 40% YoY to $5.4M
  • Immune Medicine Adjusted EBITDA loss widened to $6.3M from $5.7M
  • Total operating expenses increased 4% YoY to $87.3M
  • Loss on revenue interest liability extinguishment $23.7M recorded in Q2 2026
  • Shareholders’ equity declined to $150.7M from $225.0M at year-end 2025

News Explained

The completed financing replaced the revenue interest liability shown at December 31, 2025 with convertible senior notes at June 30, 2026; the release does not state conversion terms or the number of shares the notes could produce, so their ownership effect cannot be established.

Market Context

An earnings reaction of -4.25% followed Q4 and full-year 2025 results in the tag-specific record. Th...
Analysis

An earnings reaction of -4.25% followed Q4 and full-year 2025 results in the tag-specific record. That mixed precedent frames the current growth and guidance update alongside reported losses, with Net Selling worth monitoring.

Key Figures

Q2 Revenue: $71.6 million MRD Revenue: $66.2 million clonoSEQ Test Volume: 36,111 tests; up 43% +5 more
8 metrics
Q2 Revenue $71.6 million Second quarter of 2026; up 22% year over year
MRD Revenue $66.2 million Second quarter of 2026; up 33% year over year
clonoSEQ Test Volume 36,111 tests; up 43% Second quarter of 2026 versus the second quarter of 2025
Convertible Notes Offering $345 million Completed zero-coupon convertible senior notes offering
Net Loss $39.9 million Second quarter of 2026
Adjusted EBITDA Loss of $0.7 million Second quarter of 2026; compared with a loss of $7.2 million prior year
Cash and Securities $371.7 million As of June 30, 2026
MRD Revenue Guidance $268 million to $278 million Full-year 2026; annual growth of 26% to 31%

Previous Earnings Reports

5 past events · Latest: May 05 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 05 First-quarter earnings Positive +4.7% MRD growth, raised guidance, and improving adjusted EBITDA accompanied quarterly results.
Feb 05 Full-year earnings Positive -4.3% MRD growth, positive segment profitability, and expanded coverage accompanied annual results.
Jan 12 Preliminary earnings Positive +15.9% Preliminary revenue growth and MRD performance preceded audited annual results.
Nov 05 Third-quarter earnings Positive -11.5% MRD growth, segment profitability, and raised guidance accompanied third-quarter results.
Aug 05 Second-quarter earnings Positive +5.8% Revenue growth, MRD profitability, and improved cash-burn guidance accompanied quarterly results.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-specific earnings reactions were mixed, with three positive alignments and two divergences across the five prior events.

Key Terms

mrd, adjusted ebitda, zero-coupon convertible senior notes
3 terms
mrd medical
"The MRD business, which contributed 92% of revenue"
MRD stands for minimal residual disease, the tiny number of cancer cells that can remain in the body after treatment and that may not show up on routine scans. Detecting MRD is like finding a few seeds left in a garden after clearing: it helps doctors predict the chance of relapse and measure how effective a therapy is, which investors watch because MRD results can influence clinical trial success, regulatory decisions, and a drug’s market potential.
adjusted ebitda financial
"Adjusted EBITDA (non-GAAP) was a loss of $0.7 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
zero-coupon convertible senior notes financial
"Completed a $345 million zero-coupon convertible senior notes offering"
Debt securities issued at a deep discount that pay no periodic interest, carry seniority in the capital structure, and can be converted into the issuer’s common shares under predefined terms. Like buying an IOU for less than face value that later can be swapped for stock, they change a company’s mix of debt and equity, affect repayment priority for creditors, and introduce potential share dilution and cash-flow implications for investors.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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SEATTLE, July 29, 2026 (GLOBE NEWSWIRE) -- Adaptive Biotechnologies Corporation (“Adaptive Biotechnologies”) (Nasdaq: ADPT), a commercial stage biotechnology company that aims to translate the genetics of the adaptive immune system into clinical products to diagnose and treat disease, today reported financial results for the quarter ended June 30, 2026.

“We delivered an exceptional second quarter, driven by expanding growth and profitability in MRD, including both our clinical and biopharma businesses,” said Chad Robins, chief executive officer and co-founder of Adaptive Biotechnologies. “The combination of our operating performance, fortified balance sheet and plan to separate the Immune Medicine business enhances our ability to create long-term value for our shareholders.”

Recent Highlights

  • Revenue for the second quarter of 2026 was $71.6 million. The MRD business, which contributed 92% of revenue, grew 33% versus the second quarter of 2025.
  • clonoSEQ® test volume in the second quarter of 2026 increased 43% to 36,111 tests delivered versus the second quarter of 2025.
  • Completed a $345 million zero-coupon convertible senior notes offering, repaid the OrbiMed Purchase Agreement, and increased financial flexibility to support strategic priorities.
  • The company announced plans to pursue a separation of its MRD and Immune Medicine businesses.
  • Harlan Robins is transitioning roles at Adaptive from Chief Scientific Officer to a strategic consultant focused on key MRD R&D initiatives and the separation of the Immune Medicine business.
  • Raising full year 2026 MRD revenue guidance to a new range of $268 million to $278 million, implying annual growth of 26% to 31%.

Second Quarter 2026 Financial Results

Revenue was $71.6 million for the quarter ended June 30, 2026, representing a 22% increase from the second quarter in the prior year. Excluding revenue recognized under the Genentech Agreement, which did not generate revenue in the quarter ended June 30, 2026, revenue for the current quarter increased 30% from the second quarter in the prior year. MRD revenue was $66.2 million for the quarter, representing a 33% increase from the second quarter in the prior year. Immune Medicine revenue was $5.4 million for the quarter, representing a 40% decrease from the second quarter in the prior year. Excluding revenue generated from the Genentech Agreement, Immune Medicine revenue for the quarter ended June 30, 2026 increased 8% from the second quarter in the prior year.

Operating expenses for the second quarter of 2026 were $87.3 million, compared to $83.9 million in the second quarter of the prior year, representing an increase of 4%.

Interest and other income, net was $2.3 million for the second quarter of 2026, compared to $2.4 million in the second quarter of the prior year. Interest expense was $2.7 million for the second quarter of 2026, compared to $2.9 million in the second quarter of the prior year.

Net loss was $39.9 million for the second quarter of 2026, compared to $25.6 million for the same period in 2025. Excluding the loss recognized on the settlement of the OrbiMed Purchase Agreement, net loss was $16.2 million for the second quarter of 2026. Excluding revenue generated from the Genentech Agreement, net loss was $29.5 million for the second quarter of 2025.

Adjusted EBITDA (non-GAAP) was a loss of $0.7 million for the second quarter of 2026, compared to a loss of $7.2 million for the second quarter of the prior year. Excluding revenue generated from the Genentech Agreement, Adjusted EBITDA was a loss of $11.1 million for the second quarter of 2025.

Cash, cash equivalents and marketable securities was $371.7 million as of June 30, 2026, inclusive of $15.1 million of cash and cash equivalents held by Digital Biotechnologies, Inc.

2026 Updated Financial Guidance

Adaptive Biotechnologies expects full year revenue for the MRD business to be between $268 million and $278 million, updated from the previous range between $260 million and $270 million. No revenue guidance is provided for the Immune Medicine business.

We expect full year total company operating expenses, including cost of revenue, to be between $350 million and $355 million, updated from the previous range between $350 million and $360 million.

Management will provide further details on the outlook during the conference call.

Webcast and Conference Call Information

Adaptive Biotechnologies will host a conference call to discuss its second quarter 2026 financial results after market close on Wednesday, July 29, 2026 at 4:30 PM Eastern Time. The conference call can be accessed at http://investors.adaptivebiotech.com. The webcast will be archived and available for replay at least 90 days after the event.

About Adaptive Biotechnologies

Adaptive Biotechnologies (“we” or “our”) is a commercial-stage biotechnology company focused on harnessing the inherent biology of the adaptive immune system to transform the diagnosis and treatment of disease. We believe the adaptive immune system is nature’s most finely tuned diagnostic and therapeutic for most diseases, but the inability to decode it has prevented the medical community from fully leveraging its capabilities. Our proprietary immune medicine platform reveals and translates the massive genetics of the adaptive immune system with scale, precision and speed. We apply our platform to partner with biopharmaceutical companies, inform drug development, and develop clinical diagnostics across our two business segments: Minimal Residual Disease (MRD) and Immune Medicine. Our commercial products and clinical pipeline enable the diagnosis, monitoring, and treatment of diseases such as cancer and autoimmune disorders. Our goal is to develop and commercialize immune-driven clinical products tailored to each individual patient.

Forward-Looking Statements

This press release contains forward-looking statements that are based on management’s beliefs and assumptions and on information currently available to management. All statements contained in this release other than statements of historical fact are forward-looking statements, including statements regarding our ability to develop, commercialize and achieve market acceptance of our current and planned products and services, our research and development efforts and other matters regarding our business strategies, use of capital, results of operations and financial position and plans and objectives for future operations.

In some cases, you can identify forward-looking statements by the words “may,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “ongoing” or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. These statements involve risks, uncertainties and other factors that may cause actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. These risks, uncertainties and other factors are described under "Risk Factors," "Management's Discussion and Analysis of Financial Condition and Results of Operations" and elsewhere in the documents we file with the Securities and Exchange Commission from time to time. We caution you that forward-looking statements are based on a combination of facts and factors currently known by us and our projections of the future, about which we cannot be certain. As a result, the forward-looking statements may not prove to be accurate. The forward-looking statements in this press release represent our views as of the date hereof. We undertake no obligation to update any forward-looking statements for any reason, except as required by law.

Use of Non-GAAP Financial Measure

To supplement our unaudited condensed consolidated statements of operations and unaudited condensed consolidated balance sheets, which are prepared in conformity with generally accepted accounting principles in the United States of America (“GAAP”), this press release also includes references to Adjusted EBITDA, which is a non-GAAP financial measure that we define as net loss attributable to Adaptive Biotechnologies Corporation adjusted for interest and other income, net, interest expense, income tax (expense) benefit, depreciation and amortization expense, impairment costs for long-lived assets, restructuring expense, share-based compensation expense and revenue interest liability extinguishment loss. We define our segment Adjusted EBITDA in the same way to the extent the net loss attributable to Adaptive Biotechnologies Corporation and adjustments are allocable to each segment. We have provided reconciliations of net loss attributable to Adaptive Biotechnologies Corporation, the most directly comparable GAAP financial measure, to Adjusted EBITDA at the end of this press release.

Management uses Adjusted EBITDA, including segment Adjusted EBITDA, to evaluate the financial performance of our business and segments and to evaluate the effectiveness of our strategies. We present these figures because we believe it is frequently used by analysts, investors and other interested parties to evaluate companies in our industry and it facilitates comparisons on a consistent basis across reporting periods. Further, we believe it is helpful in highlighting trends in our operating results because it excludes items that are not indicative of our core operating performance.

Adjusted EBITDA, including segment Adjusted EBITDA, has limitations as an analytical tool and you should not consider it in isolation or as a substitute for analysis of our results as reported under GAAP. We may in the future incur expenses similar to the adjustments we make. In particular, we expect to incur meaningful share-based compensation expense in the future. Other limitations include that Adjusted EBITDA, including segment Adjusted EBITDA, does not reflect:

  • all expenditures or future requirements for capital expenditures or contractual commitments;
  • changes in our working capital needs;
  • interest income and interest expense, which is an ongoing element of our costs to operate;
  • income tax (expense) benefit, which may be a necessary element of our costs and ability to operate;
  • the costs of replacing the assets being depreciated and amortized, which will often have to be replaced in the future;
  • the noncash component of employee compensation expense;
  • long-lived assets impairment costs; and
  • the impact of earnings or charges resulting from matters we consider not to be reflective, on a recurring basis, of our ongoing operations, such as our restructuring activities, reductions in workforce and our revenue interest liability extinguishment loss.

In addition, Adjusted EBITDA, including segment Adjusted EBITDA, may not be comparable to similarly titled measures used by other companies in our industry or across different industries.

ADAPTIVE INVESTORS
Karina Calzadilla, Vice President, Investor Relations and FP&A
201-396-1687
investors@adaptivebiotech.com

ADAPTIVE MEDIA
Erica Jones, Associate Corporate Communications Director
206-279-2423
media@adaptivebiotech.com

 
Adaptive Biotechnologies
Condensed Consolidated Statements of Operations
(in thousands, except share and per share amounts)
(unaudited)
 
  Three Months Ended June 30,  Six Months Ended June 30, 
  2026  2025  2026  2025 
Revenue $71,553  $58,879  $142,427  $111,322 
Operating expenses            
Cost of revenue  20,165   17,999   38,873   34,978 
Research and development  19,153   24,134   42,776   48,337 
Sales and marketing  26,414   23,573   52,760   46,620 
General and administrative  21,168   17,786   42,152   35,185 
Amortization of intangible assets  423   423   842   842 
Total operating expenses  87,323   83,915   177,403   165,962 
Loss from operations  (15,770)  (25,036)  (34,976)  (54,640)
Interest and other income, net  2,256   2,391   4,336   5,070 
Interest expense  (2,694)  (2,948)  (5,583)  (5,853)
Loss on revenue interest liability extinguishment  (23,733)     (23,733)   
Net loss  (39,941)  (25,593)  (59,956)  (55,423)
Add: Net loss (income) attributable to noncontrolling interest  153   (21)  135   (43)
Net loss attributable to Adaptive Biotechnologies Corporation $(39,788) $(25,614) $(59,821) $(55,466)
Net loss per share attributable to Adaptive Biotechnologies Corporation common shareholders, basic and diluted $(0.25) $(0.17) $(0.38) $(0.37)
Weighted-average shares used in computing net loss per share attributable to Adaptive Biotechnologies Corporation common shareholders, basic and diluted  159,855,257   152,082,284   157,700,126   150,646,632 


Adaptive Biotechnologies
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
 
  June 30, 2026  December 31, 2025 
  (unaudited)    
Assets      
Current assets      
Cash and cash equivalents $169,873  $70,495 
Short-term marketable securities (amortized cost of $174,510 and $156,246, respectively)  174,382   156,485 
Accounts receivable, net  49,513   50,365 
Inventory  10,497   9,820 
Prepaid expenses and other current assets  16,298   13,020 
Total current assets  420,563   300,185 
Long-term assets      
Property and equipment, net  29,451   34,107 
Operating lease right-of-use assets  39,122   40,616 
Long-term marketable securities (amortized cost of $27,564 and $13,220, respectively)  27,480   13,234 
Restricted cash  2,728   2,689 
Intangible assets, net  884   1,726 
Goodwill  118,972   118,972 
Other assets  1,478   1,207 
Total assets $640,678  $512,736 
Liabilities and shareholders’ equity      
Current liabilities      
Accounts payable $5,241  $6,467 
Accrued liabilities  10,651   7,700 
Accrued compensation and benefits  9,742   16,992 
Current portion of operating lease liabilities  8,823   8,920 
Current portion of deferred revenue  53,255   45,194 
Current portion of revenue interest liability, net     4,642 
Total current liabilities  87,712   89,915 
Long-term liabilities      
Operating lease liabilities, less current portion  66,800   70,228 
Deferred revenue, less current portion  608   1,006 
Revenue interest liability, net, less current portion     126,566 
Convertible senior notes, net  334,876    
Other long-term liabilities  20   20 
Total liabilities  490,016   287,735 
Commitments and contingencies      
Shareholders’ equity      
Preferred stock: $0.0001 par value, 10,000,000 shares authorized at June 30, 2026 and December 31, 2025; no shares issued and outstanding at June 30, 2026 and December 31, 2025      
Common stock: $0.0001 par value, 340,000,000 shares authorized at June 30, 2026 and December 31, 2025; 159,059,622 and 153,779,418 shares issued and outstanding at June 30, 2026 and December 31, 2025, respectively  16   15 
Additional paid-in capital  1,566,254   1,581,848 
Accumulated other comprehensive (loss) gain  (212)  253 
Accumulated deficit  (1,423,144)  (1,363,323)
Total Adaptive Biotechnologies Corporation shareholders’ equity  142,914   218,793 
Noncontrolling interest  7,748   6,208 
Total shareholders’ equity  150,662   225,001 
Total liabilities and shareholders’ equity $640,678  $512,736 


Adjusted EBITDA

The following is a reconciliation of net loss attributable to Adaptive Biotechnologies Corporation, the most directly comparable GAAP financial measure, to Adjusted EBITDA for the periods presented (in thousands, unaudited):

  Three Months Ended June 30,  Six Months Ended June 30, 
  2026  2025  2026  2025 
Net loss attributable to Adaptive Biotechnologies Corporation $(39,788) $(25,614) $(59,821) $(55,466)
Interest and other income, net  (2,256)  (2,391)  (4,336)  (5,070)
Interest expense  2,694   2,948   5,583   5,853 
Depreciation and amortization expense  3,695   4,502   7,532   9,233 
Impairment of long-lived assets        347    
Restructuring expense  77      720    
Share-based compensation expense  11,119   13,359   23,047   25,506 
Loss on revenue interest liability extinguishment  23,733      23,733    
Adjusted EBITDA $(726) $(7,196) $(3,195) $(19,944)


Segment Information (Including Segment Adjusted EBITDA)

The following sets forth segment information for the periods presented (in thousands, unaudited):

  Three Months Ended June 30,  Six Months Ended June 30, 
  2026  2025  2026  2025 
MRD:            
Revenue $66,168  $49,938  $133,261  $93,659 
Adjusted EBITDA  9,116   1,912   21,254   (2,199)
Reconciliation of Net Income (Loss) to Adjusted EBITDA:            
Net income (loss) $382  $(7,180) $3,744  $(19,418)
Depreciation and amortization expense  2,409   2,455   4,790   5,118 
Impairment of long-lived assets            
Restructuring expense  77      325    
Share-based compensation expense  6,248   6,637   12,395   12,101 
Adjusted EBITDA $9,116  $1,912  $21,254  $(2,199)
             
Immune Medicine(1):            
Revenue $5,385  $8,941  $9,166  $17,663 
Adjusted EBITDA  (6,269)  (5,721)  (16,629)  (10,827)
Reconciliation of Net Loss to Adjusted EBITDA:            
Net loss $(10,055) $(11,770) $(25,984) $(22,689)
Depreciation and amortization expense  826   1,585   1,831   3,208 
Impairment of long-lived assets        347    
Restructuring expense        395    
Share-based compensation expense  2,960   4,464   6,782   8,654 
Adjusted EBITDA $(6,269) $(5,721) $(16,629) $(10,827)

(1) Expenses related to Digital Biotechnologies, Inc. are no longer included in the Immune Medicine segment.


FAQ

How did Adaptive Biotechnologies (ADPT) perform financially in Q2 2026?

Adaptive Biotechnologies reported Q2 2026 revenue of $71.6 million, a 22% year-over-year increase. According to the company, MRD drove most of the performance, while net loss was $39.9 million and Adjusted EBITDA loss narrowed to $0.7 million compared with the prior year.

What were Adaptive Biotechnologies’ MRD segment results in Q2 2026 (ADPT)?

In Q2 2026, Adaptive’s MRD revenue was $66.2 million, up 33% year over year and 92% of total revenue. According to the company, clonoSEQ test volume increased 43% to 36,111 tests, and MRD segment Adjusted EBITDA improved to $9.1 million from $1.9 million.

Why did Adaptive Biotechnologies’ Immune Medicine revenue decline in Q2 2026?

Immune Medicine revenue fell 40% year over year to $5.4 million in Q2 2026. According to Adaptive Biotechnologies, when excluding revenue from the Genentech Agreement, Immune Medicine revenue actually increased 8% versus the prior-year quarter, highlighting the impact of that agreement’s prior contribution.

What guidance did Adaptive Biotechnologies (ADPT) provide for 2026 MRD revenue and expenses?

Adaptive Biotechnologies raised 2026 MRD revenue guidance to $268–$278 million, up from $260–$270 million. According to the company, full-year total operating expenses, including cost of revenue, are now expected between $350 million and $355 million, slightly tightening the prior $350–$360 million range.

How strong is Adaptive Biotechnologies’ balance sheet after Q2 2026?

As of June 30, 2026, Adaptive held $371.7 million in cash, cash equivalents and marketable securities. According to the company, it completed a $345 million zero-coupon convertible senior notes offering and repaid the OrbiMed revenue interest liability, increasing overall financial flexibility to fund strategic priorities.

What strategic changes did Adaptive Biotechnologies announce regarding its MRD and Immune Medicine businesses?

Adaptive Biotechnologies announced plans to pursue a separation of its MRD and Immune Medicine businesses. According to the company, this planned separation, alongside operational performance and a stronger balance sheet, is intended to enhance its ability to create long-term shareholder value, though specific transaction details were not provided.

How did net loss and Adjusted EBITDA trend for Adaptive Biotechnologies in Q2 2026?

Net loss in Q2 2026 was $39.9 million, including a $23.7 million loss on extinguishment of a revenue interest liability. According to Adaptive Biotechnologies, net loss excluding that item was $16.2 million, and Adjusted EBITDA loss improved to $0.7 million from $7.2 million a year earlier.