Financial Data and Key Metrics Changes - Net revenue for Q1 2025 was $38,000 compared to nil in Q1 2024 [20] - Total operating expenses for Q1 2025 were $9.3 million, slightly up from $9.1 million in the same period last year [20] - Research and development expenses decreased by approximately 9% to $3.3 million due to lower clinical study costs [20] - Selling, general and administrative expenses increased to $5.9 million from $5.4 million year-over-year [21] - Net loss for the quarter was $8.2 million, relatively flat compared to $8.1 million for the same period last year [21] - As of March 31, 2025, the company had cash and equivalents of approximately $114.2 million [21] Business Line Data and Key Metrics Changes - The company is focusing on expanding its commercial presence by adding 5 to 10 full-time employees (FTEs) to enhance its sales force in targeted states [24][25] - The company is ramping up Medicaid plan pilots in states with high rates of premature births [6][10] Market Data and Key Metrics Changes - The company is targeting states with higher premature birth rates than the national average, particularly focusing on Medicaid as a key payer [6][10] - Approximately 43% of all births in the U.S. are paid for by Medicaid, highlighting the importance of this payer in the company's strategy [6] Company Strategy and Development Direction - The company aims to transition from clinical evidence development to commercial growth, with a focus on reimbursement strategies involving commercial insurers, employers, and Medicaid [6][10] - The commercial roadmap includes a geographically focused ecosystem playbook, starting with targeted states and expanding based on success [6][10] - The company plans to build awareness through localized campaigns and partnerships with organizations that reach expectant mothers [12][13] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the potential for the PRIME study results to generate commercial momentum and influence physician adoption of the preterm test [15][19] - The company recognizes the urgency of addressing rising maternal mortality rates and believes its preterm test can contribute to better health outcomes [16][17] - Management anticipates 2025 will be a pivotal year for commercialization and building a movement for improved maternal care [19][49] Other Important Information - The company is preparing for the publication of the PRIME study results in a peer-reviewed journal, which is expected to enhance its market position [5][19] - The ACOG bulletin update emphasizes risk stratification in prenatal care, aligning with the company's preterm test strategy [30][31] Q&A Session Summary Question: Can you discuss the strategic headcount investments? - The company plans to expand its commercial presence by 5 to 10 FTEs and will monitor progress in targeted states before further expansion [24][25] Question: Any updates on the PRIME study publication? - The company has passed the next milestone in engagement with the target journal but does not have a precise publication date yet [26][27] Question: What was the ACOG bulletin update? - The ACOG bulletin shifted towards tailoring care based on risk stratification, which aligns with the company's preterm test strategy [30][31] Question: How often does ACOG update guidelines? - ACOG updates bulletins every 24 to 48 months, with the relevant bulletin last updated in August 2021 [35] Question: What are the potential outcomes with Medicaid engagement? - The company is excited about Medicaid engagement and is focusing on states that prioritize solutions for preterm birth [41][42]