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Precipio (PRPO) Q2 FY26 earnings call: guidance and Q&A

Earnings call· Jun 2026 (Q2 FY26)· Health Care· Aug 17, 2026

Source: earnings call transcript

Executive summary

Precipio, Inc. Q2 FY26 — Record Revenue Surpassing $7M and Return to Positive Adjusted EBITDA

Precipio delivered record financial results as commercial traction across diagnostic products reinforced its self-funding laboratory flywheel model. Expanding distributor relationships and pipeline conversion drove double-digit top-line growth, inflecting cash generation and adjusted EBITDA without external dilutive financing.

Highlights

4
  • Total quarterly revenue surpassed $7M for the first time in company history, up ~22% YoY from $5.7M in Q2 2025 and up from ~$6.7M in Q1 2026

  • Product division revenue reached a record ~$900K, up 35% QoQ from ~$660K and 21% above the prior record of ~$750K set in Q4 2025

  • Returned to positive adjusted EBITDA of ~$400K, reflecting a ~$600K sequential swing from negative $200K in Q1 2026

  • Generated ~$700K in operating cash flow (~10% of revenue) and grew cash balance by ~$500K organically to >$3M with no capital raising

Concerns

2
  • Quarter-to-quarter product shipment timing variability

  • Distributor operational and incentive complexity

Guidance & targets

CategoryTargetConfidence
Second half 2026 revenue trajectory
continued revenue growth
high materiality
High
Product revenue growth
continued expansion of customer base and reach
medium materiality
High
Commercial pipeline conversion
moving accounts from pipeline to active with corresponding revenue
medium materiality
Medium
Operating leverage and cash conversion
continued translation of revenue growth into adjusted EBITDA and cash flow
medium materiality
Medium

Segment performance

SegmentRevenueYoYQoQMargin
Pathology
Pathology services increased modestly from $6.0M in Q1 2026 to $6.1M in Q2 2026, continuing its role of generating stable recurring revenue and serving as the clinical testbed for product R&D.
Prior-quarter revenue: approximately $6.0M
$6.1M—1.7%—
Products
Products revenue grew 35% sequentially from $660K in Q1 and surpassed its prior record of $750K set in Q4 2025 by 21%, benefiting from resolved shipping delays from late March into April.
Growth vs previous record: 21%Prior record revenue: approximately $750K (Q4 2025)Prior-quarter revenue: approximately $660K (Q1 2026)New distributor reps added: approximately 10New qualified customer leads: over 25Customer meetings completed or scheduled: over 30
$900K—35%—

Product announcements

ProductTypeDetails
Rapid AML Assayupdate

Deals & partnerships

Thermo Fisher Scientific Diagnostic product distribution partnership

Distribution partnership covering the target clinical laboratory market; commercial team is working on tailored engagement strategies.

McKesson Diagnostic product distribution partnership

Distribution partnership providing nationwide laboratory market reach.

Medline Diagnostic product distribution partnership

Distribution agreement covering targeted clinical laboratory customer accounts.

Cardinal Health Diagnostic product distribution partnership

Distribution agreement providing comprehensive clinical laboratory channel coverage.

Risks & headwinds

Quarter-to-quarter product shipment timing variability Ongoing

Shipment moved from late March to early April previously impacted Q1 product revenue

Mitigation:Expanding commercial pipeline and diversifying customer accounts across four national distributors to smooth order patterns

Distributor operational and incentive complexity Ongoing across 2026

Navigating four large organizations (Thermo Fisher, McKesson, Medline, Cardinal Health)

Mitigation:Commercial sales team tailoring engagement recipes, sales structures, and incentive models for each individual distributor

What to watch in Q3 FY26

Commercial Pipeline Conversion to Active Accounts

H2 2026
Current Over 25 qualified leads and >30 meetings
Target Conversion of pipeline accounts into active recurring revenue

Why it matters

Validates whether new commercial reps and distributor relationships translate to sustained product top-line acceleration.

In the second half of the year, I expect to see a start of moving those accounts from pipeline to active with corresponding revenue making significant contributions to our growth.

Find out whether PRPO delivers this. Inve re-checks your case every morning.

Q&A highlights

What drove the unusually high trading volume of approximately 800,000 shares over a 2-day period during the preceding month?

Management noted a lack of direct visibility into the specific trading origin, attributing the volume increase to heightened investor visibility from IR activities and conference participation, as well as algorithmic computer trading.

“I think we're starting to see the fruits of some of the more IR activities that we're doing, participating in investment conferences. We had a great event at the MicroCap Conference in Vegas in -- when was this in June, I think.”

asked by Adam Hutt · answered by Ilan Danieli

2 min read 5 chapters

Detailed narrative

Quarterly Performance and Financial Inflection

Precipio achieved record quarterly consolidated revenue exceeding $7M in Q2 2026, advancing ~22% YoY from $5.7M in Q2 2025 and sequentially from approximately $6.7M in Q1 2026. The company reached an inflection in profitability, posting approximately $400,000 in adjusted EBITDA compared to negative $200,000 in Q1 2026. This $600,000 sequential turnaround was primarily driven by a top-line revenue increase of approximately $300,000 and a reduction in stock-based compensation expense of approximately $200,000. Cash from operations reached approximately $700,000, representing 10% of revenue, which increased cash balances by roughly $500,000 to over $3M without external financing.

Diagnostic Flywheel Model and Competitive Moat

Management detailed the strategic advantage of its diagnostic operating flywheel connecting clinical services to proprietary products. The company's clinical laboratory directly identifies diagnostic workflow, economic, and technical bottlenecks in cancer evaluation. Precipio invents, develops, and clinically validates proprietary solutions within its internal lab operations before commercializing them to external diagnostic laboratories. This approach ensures products meet real-world clinical and reimbursement hurdles and expands Precipio's addressable market without requiring additional physical laboratory buildouts.

Rapid AML Assay Clinical and Commercial Position

The acute myeloid leukemia (AML) rapid assay was highlighted as a core example of the company's innovation strategy. While conventional molecular laboratory turnaround times for AML range between 10 and 14 days, Precipio's assay delivers actionable molecular results within one day. This rapid turnaround addresses critical clinical urgency where AML patients are at risk of mortality within 48 hours. The company receives several weekly patient AML samples internally and is pursuing domestic and international sales alongside planned marketing collaborations and clinical studies.

Product Commercialization and Distributor Channel Strategy

Product business momentum accelerated as Q2 revenue expanded 35% sequentially to approximately $900,000, surpassing the previous record of $750,000 set in Q4 2025 by 21%. Commercial expansion was supported by adding approximately 10 new distributor representatives across partnerships with Thermo Fisher, McKesson, Medline, and Cardinal Health. The commercial team identified more than 25 new qualified customer accounts and conducted over 30 customer meetings in Q2, with management anticipating active account conversion during the second half of 2026.

Pathology Services Operations and Organic Growth

The Pathology division generated approximately $6.1M in revenue in Q2 2026, expanding modestly from $6.0M in Q1 2026. Management reiterated that while corporate resources are heavily targeted at scaling the higher-margin product division, pathology services remain foundational to generating steady recurring revenue and providing the clinical validation engine for R&D. Pathology operations are expected to continue steady organic growth through the remainder of the fiscal year.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.