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Natera (NTRA) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Diagnostics & Research
C
AverageMetricSide Score: 41/100
ProfitabilityProfit0/30
GrowthGrowth15/25
Balance SheetBalance17/25
Cash QualityCash9/20
Price & Volume
Market Cap $39.52B

Natera, Inc., a diagnostics company, engages in the development and commercialization of molecular testing services worldwide. It offers Signatera, a personalized ctDNA blood test for MRD assessment, early recurrence monitoring, and evaluation of treatment response in patients previously diagnosed with cancer; Latitude, a blood-based MRD test for colorectal cancer; Altera, a tissue based comprehensive genomic profiling test; and Empower, a hereditary cancer screening test. The company also provides Panorama, a non-invasive prenatal test; Horizon, a carrier screening test; Fetal Focus, a single-gene NIPT, or sgNIPT, that screens for 21 single-gene inherited conditions; and Vistara, a single-gene NIPT, which screens for 25 single-gene conditions. In addition, it offers Anora, which tests and analyzes miscarriage tissue from women who have experienced one or more pregnancy losses; Empower, a hereditary cancer screening test; Prospera, a test to assess active rejection in patients who have undergone solid organ transplantation; Renasight, a kidney gene panel test; and Constellation software, a cloud-based distribution model. Further, the company provides NateraCore, a platform to support the patient and provider experience; phlebotomy services; and EMR integration services. The company serves independent laboratories, national and regional reference laboratories, medical centers and physician practices for its screening tests, research laboratories, and pharmaceutical companies through its direct sales force and laboratory distribution partners, as well as Constellation licensees under its cloud-based distribution model. It has a partnership agreement with BGI Genomics Co., Ltd. to develop, manufacture, and commercialize NGS-based genetic testing assays for clinical and commercial use. The company has a collaboration with Diakonos Oncology Corp. to assess molecular response in patients with refractory melanoma. The company was formerly known as Gene Security Network, LLC and changed its name to Natera, Inc. in January 2012. Natera, Inc. was founded in 2003 and is headquartered in Austin, Texas.

Moat Signals

Competitive analysis based on 44 quarters of fundamental data

Pricing Power

Weak Moat

Operating margins are under pressure, averaging -12.8%. The business may lack pricing power or face rising costs.'

Competitive Advantage

Weak Moat

ROE is low or negative, suggesting limited competitive advantage or capital allocation challenges.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~83.8% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 44 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

FCF consistently trails net income (avg -0.2x) — earnings may be inflated by non-cash items or aggressive accounting.

Leverage Risk

Healthy

Limited debt-to-equity data available.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Red Flag

Shares outstanding increased 15.2% — significant dilution, likely from stock compensation or capital raises.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$2.50B
36.6%
Q. Revenue
$696.64M
TTM EBITDA
$-257.06M
44.5%
TTM Op. Income
$-324.25M
42.7%
Q. Op. Income
$-93.52M
TTM Net Income
$-226.31M
19.3%
Q. Net Income
$-85.09M
EPS
$-0.6
Shares Out.
$141.50M
5.0%
$2.50B in TTM revenue grew 36.6% YoY, reaching $696.64M last quarter. TTM EBITDA of $-257.06M and TTM operating income of $-324.25M shows growth is flowing through. However, net income is negative at $226.31M — growth is not yet reaching the bottom line. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
-11.3%
Op. Margin
-13.4%
14.9%
Net Margin
-12.2%
8.4%
Op. margin of -13.4% is up 2.4% YoY — cost efficiency is improving. Net margin at -12.2%.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
15.8x
P/B Ratio
22.3x
P/S of 15.8x and P/B of 22.3x. A high P/S suggests growth expectations are priced in.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$2.61B
Cash
$1.09B
Long-Term Debt
N/A
Book Value
$1.77B
D/E Ratio
N/A
Debt/EBITDA
N/A

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$40.17M
Free Cash Flow
$18.03M
20.3%
FCF Margin
0.7%
FCF / Net Income
-0.2
FCF of $18.03M on $40.17M in operating cash flow. The FCF / Net Income ratio of -0.1x shows cash consumption — the business is not yet self-funding.

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