Financial Data and Key Metrics Changes - The company reported Q1 revenue growth of 22%, reaching $24.3 million compared to $19.8 million in Q1 2024, marking the sixteenth consecutive quarter of 20% or greater revenue growth [5][14][15] - Gross profit increased by 29% to $15.5 million, with gross margins rising to 63.8% from 60.8% in Q1 2024 [15][16] - The operating loss decreased by 31% to $4.6 million, while the net loss increased by 8% to $9.2 million, primarily due to non-cash fair value adjustments [16][16] Business Line Data and Key Metrics Changes - Tissue-based test volume grew by 41%, with approximately 12,600 tests conducted in Q1, representing a 41% increase year-over-year [6][10] - Liquid-based tests saw nearly 12,000 tests, an increase of 9% compared to the prior year [6] Market Data and Key Metrics Changes - The tissue-based segment accounted for 85% of Q1 revenue, driven by the growing diagnostic value of the Confirm test among urology customers [7][10] - The market opportunity for the Confirm test is estimated at $500 million, with a rising prostate cancer rate of 5% to 10% annually [10][80] Company Strategy and Development Direction - The company aims for 20% or greater revenue growth in 2025 and beyond, with a focus on operational discipline and commercial execution [5][13] - The strategy includes leveraging existing sales channels without expanding the sales organization, which has allowed for sustained revenue growth [19][19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving positive adjusted EBITDA in Q2 2025, supported by flat operating expenses and continued revenue growth [16][67] - The company is focused on maintaining its leadership position in the high-growth urology diagnostics market, emphasizing the importance of its sales team and operational excellence [20][20] Other Important Information - Cash and cash equivalents as of March 31, 2025, were $65.7 million, with a pro forma cash balance of $37.7 million after an earnout payment [16] - The company has not seen a material impact from recent tariff developments on its financial operations [16] Q&A Session Summary Question: What factors are driving the growth in pathology adoption? - Management noted that the understanding of biopsy limitations has improved, leading to greater acceptance of the Confirm test among pathologists [24][26] Question: What are customers saying about the reasons for market share gains? - Customers appreciate the consultative approach of the sales team and the unique value proposition of the Confirm and GPS tests [28][30] Question: How did weather impact Q1 performance? - Management indicated that weather did not materially affect Q1 performance and expects continued execution in Q2 [36] Question: Can you comment on the growth of the GPS and Confirm tests? - Management reported balanced growth between GPS and Confirm, with both tests seeing increased adoption among urology customers [38][39] Question: What is the company's approach to M&A? - The company is open to growth opportunities but remains disciplined in its approach, focusing on derisking potential acquisitions [44][75] Question: How is the company performing in large urology practices? - Management indicated broad penetration within large urology practices, emphasizing the importance of service levels and differentiation [90][92]

Financial Data and Key Metrics Changes - The company reported Q1 revenue growth of 22%, increasing to $24.3 million from $19.8 million in the prior year [13][14] - Gross profit for the quarter was $15.5 million, a 29% increase compared to $12.1 million in Q1 2024, with gross margins rising to 63.8% from 60.8% [14] - The operating loss decreased by 31% to $4.6 million, while the net loss increased by 8% to $9.2 million, primarily due to non-cash fair value adjustments [14][15] - Adjusted EBITDA improved by 71% to negative $1.3 million compared to negative $4.5 million in Q1 2024, with expectations for positive adjusted EBITDA in Q2 2025 [14][15] Business Line Data and Key Metrics Changes - Tissue-based test volume grew by 41%, with approximately 12,600 tests conducted in Q1, representing a 41% increase year-over-year [5][6] - Liquid-based tests saw volumes of almost 12,000, an increase of 9% over the prior year [5] - Tissue-based tests accounted for 85% of Q1 revenue, highlighting their significance in the company's portfolio [6] Market Data and Key Metrics Changes - The market opportunity for the Confirm test is estimated at $500 million, with a growing rate of prostate cancer expected to rise by 5% to 10% annually [8][9] - The company is positioned as a leader in precision diagnostics for prostate cancer, with a focus on expanding its market share in the urology sector [11][19] Company Strategy and Development Direction - The company aims for 20% or greater revenue growth in 2025 and beyond, having achieved 16 consecutive quarters of such growth [4][12] - The strategy includes leveraging existing sales channels without significant expansion, focusing on operational discipline and commercial execution [17][18] - The company is exploring growth opportunities, including potential M&A, while maintaining a disciplined approach to risk management [42][73] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving revenue guidance of $108 million to $110 million for 2025, with a focus on sustaining growth and operational efficiency [12][66] - The company has not seen significant impacts from recent tariff developments and expects continued strong performance in Q2 [15][66] - Management emphasized the importance of maintaining a high-quality sales force and strong relationships with urologists and pathologists to drive growth [19][90] Other Important Information - The company made a $28 million earnout payment to Exact Sciences, impacting its cash balance but still maintaining a strong liquidity position with $65.7 million in cash and equivalents [15] - The company is committed to providing value to all stakeholders, including patients, customers, payers, and shareholders [19] Q&A Session Summary Question: What factors are driving the recent growth in tissue tests? - Management noted that pathology's understanding of the limitations of biopsies has improved, leading to greater adoption of the Confirm test [22][23] Question: What are customers saying about the reasons for market share gains? - Customers appreciate the consultative approach of the sales team and the unique value proposition of the tests, particularly the benefits of avoiding repeat biopsies [26][28] Question: How did weather impact Q1 performance? - Management indicated that weather did not materially affect Q1 performance and expects continued execution in Q2 [34][35] Question: What is the outlook for M&A opportunities? - The company is open to both M&A and partnerships but remains disciplined in evaluating opportunities, particularly in the urology space [42][73] Question: How is the company addressing pricing and gross margin? - Management is focused on maintaining or improving average selling prices while also reducing costs through operational efficiencies [56][58] Question: What is the penetration rate among urologists? - Management indicated broad penetration among urologists, with a focus on building strong relationships and demonstrating the value of their tests [88][90]

Financial Data and Key Metrics Changes - The company reported a 28% revenue growth for Q4 2024, reaching $24.7 million compared to $19.4 million in Q4 2023 [16] - Gross profit for Q4 2024 was $15.5 million, a 22% increase from $12.7 million in Q4 2023, with gross margins at 62.7% [17] - The operating loss decreased by 27% to $4.6 million, while the net loss decreased by 36% to $6.8 million [18][19] - Adjusted EBITDA improved by 68% to negative $1.4 million from negative $4.4 million in Q4 2023 [20] Business Line Data and Key Metrics Changes - Total billable volume for Q4 was approximately 24,000 tests, a 26% increase [8] - Tissue-based tests, including Confirm mdx and GPS, saw a 50% increase year-over-year, totaling almost 12,000 tests in Q4 [9] - Liquid-based tests, including Select mdx, Resolve mdx, and Germline, exceeded 12,000 tests, marking a 10% increase year-over-year [9] Market Data and Key Metrics Changes - The urology diagnostic market is expected to grow at an annual rate of 5% to 10% due to factors such as increasing prostate cancer rates and an aging population [25] - The company is positioned uniquely in the market, providing clinically actionable results after initial biopsy, which is expected to drive further growth [11] Company Strategy and Development Direction - The company aims to achieve a revenue guidance of $108 million to $110 million for 2025, maintaining a goal of 20% revenue growth [14] - The focus remains on execution and leveraging existing sales channels without expanding the sales organization [12][24] - The company emphasizes building a trusted brand in the urology market through high-quality service and customer support [26] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving positive adjusted EBITDA in the first half of 2025 [20][84] - The company is optimistic about the adoption of its tests and the overall growth trajectory, despite challenges in the diagnostic pathway for patients [12][66] - Management noted that the NCCN guidelines created confusion but did not negatively impact growth, as evidenced by accelerating test volumes [44] Other Important Information - Cash and cash equivalents as of December 31, 2024, were $46.8 million, with plans to strengthen the balance sheet through a pending draw from the OrbiMed debt facility [21] - The company has a structured plan for the Germline test, expecting it to contribute to growth in 2025, albeit conservatively [31] Q&A Session Summary Question: Contribution of Germline to 2025 growth - Management is confident that Germline will contribute to growth in 2025, following a conservative approach similar to the Resolve test [31] Question: Outlook on gross margins - Management does not provide specific guidance on gross margins but expects them to remain in the mid-60s for the next few quarters [34] Question: OpEx outlook and adjusted EBITDA - Management indicated that the growth strategy remains unchanged, with no significant changes in OpEx expected as the business begins to fund itself [40][41] Question: Impact of NCCN guidelines on business - Management noted that the NCCN guidelines created confusion but did not negatively impact growth, with strong channel checks supporting their position [44] Question: Test menu breadth and new additions - Management believes the current test menu is sufficient to meet growth objectives, with no immediate plans for new test additions in 2025 [51][54] Question: Impact of Medicare reimbursement on commercial coverage - Management reported solid growth across the test menu, with expectations for continued expansion of coverage with commercial and private payers [57] Question: Timing of Exact Sciences earn-out payments - The earn-out payments to Exact Sciences are expected to occur in Q2 each year for 2025, 2026, and 2027 [88]