Question · Q4 2025
Dan Leonard asked about the opportunity surrounding higher sensitivity for Signatera, specifically regarding Signatera Genome and the phased variant product, and how to frame the context of this opportunity. He also inquired how Natera is able to keep SG&A flat in 2026 while growing revenue at a pro forma clip of 26%, and what factors are making the sales force more efficient.
Answer
Steve Chapman (CEO, Natera) highlighted the phased variant approach's ability to achieve detection below one part per 10 million in LOD studies, calling it 'incredibly strong performance.' He mentioned that the Genome-based offering will be versioned to include phased and structural variants, creating 'gold-plated MRD offerings' alongside the highly published Exome product, which positions Natera competitively. Michael Brophy (CFO, Natera) explained that the company invested heavily in building out commercial teams, particularly in oncology, in 2025. These teams are now 'ready to go' and positioned to drive significantly more top-line growth, demonstrating operating leverage in the business by growing to profitability through investment rather than cuts.
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