Financial Data and Key Metrics Changes - Total revenue for the first quarter was $18 million, representing a 21% increase year over year [24] - Lung diagnostic testing revenue was $16.3 million, with a 18% growth in revenue and 16% growth in test volumes [24] - Gross margin improved to 79.4%, up from 78.6% in the prior year [25] - Net loss for the quarter was $11.1 million, an 18% improvement year over year [26] - Adjusted EBITDA loss was $6.2 million, an 11% improvement year over year [26] Business Line Data and Key Metrics Changes - Lung diagnostics revenue grew 18%, marking the sixteenth consecutive quarter of over 15% year-over-year growth [6] - Development services revenue was $1.7 million, a 61% increase over the previous year [24] - The pipeline for development services ended the quarter with $10.9 million under contract, a 21% increase year over year [25] Market Data and Key Metrics Changes - The company is focusing on expanding its presence in the primary care market, which is critical for lung nodule management [8][11] - Digital ordering capabilities increased by 58% over the last year, with customer retention for digital users being 40% higher [10] Company Strategy and Development Direction - The company aims to achieve positive adjusted EBITDA by the fourth quarter of 2025 while focusing on revenue growth and operational efficiencies [5][28] - A shift to a territory-based sales approach has been implemented to enhance market access and patient identification [11][13] - The company is exploring the integration of AI and radiomics into its diagnostic offerings to improve clinical workflows [14][15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving revenue growth despite current hiring delays and operational challenges [28][47] - The company anticipates an acceleration of growth in the second half of 2025 as the sales team expands [27] - Management highlighted the importance of maintaining operational efficiencies and cost control to reach profitability [26][82] Other Important Information - The company has been recognized as a top workplace for the second consecutive year, reflecting its strong team culture [30] - A research and development day is planned for the fall to provide further insights into the company's pipeline and progress [22] Q&A Session Summary Question: Can you elaborate on the sales force changes and hiring challenges? - Management noted that the shift from pulmonology to primary care required a different hiring profile, which took longer than anticipated [34][35] Question: What is the outlook for Q2 and the rest of the year? - The company expects to have 70 to 75 sales reps in Q2, with plans to increase to 95 by Q4 [41] Question: How are primary care physicians responding to the technology? - Early feedback indicates that primary care physicians are recognizing the value of the diagnostic tests, with a focus on identifying high-risk patients [44][66] Question: What is the impact of the $10 million loan on capital needs? - The additional capital provides more flexibility and confidence in achieving breakeven, supporting both commercial expansion and pipeline activities [47][48] Question: How does the sales force configuration affect territory management? - The company is strategically assigning sales reps based on test volumes and geographic considerations to maximize market access [96]

Financial Data and Key Metrics Changes - Total revenue for 2024 was $71.3 million, representing a 45% year-over-year growth [6][23] - Gross margins increased to 78% for the year, up from 73% in 2023 [7][25] - Adjusted EBITDA loss improved by 32% year-over-year, indicating progress towards profitability [7][28] - Net loss for Q4 2024 was $8.3 million, a 10% improvement compared to Q4 2023 [28] Business Line Data and Key Metrics Changes - Lung diagnostic testing revenue for Q4 2024 was $17.2 million, a 34% increase in revenue and test volume compared to Q4 2023 [24] - Full-year lung diagnostic testing revenues reached $64.7 million, reflecting a 43% growth [24] - Diagnostic development services revenue grew by 72% in Q4 and 70% for the full year [24] Market Data and Key Metrics Changes - The company reported a 40% growth in test volume for lung diagnostic testing in 2024 [9][24] - Approximately 49% of lung nodule patients have their first imaging workup conducted by primary care providers, indicating a significant market opportunity [11] Company Strategy and Development Direction - The company aims to expand its sales force by adding approximately six sales teammates per quarter in 2025, increasing from 71 to 95 teammates [13][31] - A new clinical study, Clarify, was launched to collect patient outcomes and clinical information, expected to provide valuable data in 2025 [14][17] - The company plans to maintain strong gross margins in the mid to upper seventies while achieving adjusted EBITDA profitability in the second half of 2025 [22][25] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in transforming patient care through personalized diagnostics, particularly in lung disease [7][31] - The company anticipates significant growth in 2025 driven by lung diagnostic testing and diagnostic development services [22][32] - Management highlighted the importance of addressing the unmet medical need in lung disease, with a focus on early diagnosis and treatment [8][31] Other Important Information - The company ended Q4 2024 with $26.2 million in unrestricted cash and cash equivalents [29] - A pilot program in 2024 demonstrated the effectiveness of expanding referral networks to primary care providers [12][41] Q&A Session Summary Question: Can you provide insights on revenue guidance between test business and biopharma business? - Management expects biopharma services to contribute about 8-9% of total revenue, with the majority coming from lung diagnostic services [39] Question: What are the drivers for adjusted EBITDA profitability? - Revenue growth combined with tight control on expenses will help achieve adjusted EBITDA breakeven in the second half of 2025 [40] Question: Can you elaborate on the pilot program's findings? - The pilot showed that primary care physicians were accessible and recognized the utility of the tests, leading to better patient management [42][45] Question: What is the status of the product pipeline? - No new tests will be launched in 2025, but updates on existing partnerships and studies will be provided throughout the year [54] Question: How will updates in lung cancer screening guidelines affect the company? - Management believes that any improvements in screening will significantly expand the addressable market for their services [62][66] Question: What is the expected cash burn for the year? - Management anticipates cash burn to increase in Q1 but expects to reach cash flow breakeven with existing cash on hand [106][110]