Financial Data and Key Metrics Changes - Total revenue for Q2 2025 was $18.3 million, representing a year-over-year growth of 16% compared to $15.8 million in Q2 2024 [35] - Cash burn decreased to $8.7 million in Q2 2025, a 35% year-over-year improvement [42] - Adjusted gross margin improved to 74.4%, up 120 basis points from 73.2% in Q2 2024 [38] Business Line Data and Key Metrics Changes - Revenue excluding biopharma grew 20% year-over-year in Q2 2025, while overall revenue growth was 16% due to modest headwinds from biopharma [19][20] - HemOnc analysis grew 19% year-over-year in Q2 2025, indicating strong performance in hematology testing [21] - Liquid biopsy revenue increased by approximately 900% year-over-year, with 50 customers now using the MSK Access application [72] Market Data and Key Metrics Changes - In North America, revenue excluding biopharma grew more than 19% year-over-year in Q2 2025 [9] - Asia Pacific saw almost 100% year-over-year revenue growth, with significant new business momentum [27] - EMEA growth remained solid, particularly in the UK, which saw over 50% year-over-year volume growth [20] Company Strategy and Development Direction - The company is focused on expanding its customer base, having signed a record 35 new customers in Q2 2025, bringing the total to 63 new customers for the year [8][22] - A major new multi-year partnership with AstraZeneca was announced, focusing on AI-driven predictive models for breast cancer treatment [13][34] - The company aims to optimize cloud compute and storage costs while expanding gross margins beyond 2024 levels [45] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth trajectory, with strong forward-looking indicators such as new business bookings and a robust pipeline [44][48] - The company anticipates that Q4 will be the strongest quarter seasonally, reaffirming full-year revenue guidance of $72 million to $76 million [44] - Management remains focused on achieving adjusted EBITDA breakeven by 2026 and positive adjusted EBITDA by 2027 [42] Other Important Information - The company reported a net dollar retention rate of 107% for the quarter, indicating strong performance in Europe and North America [37] - Total operating expenses for Q2 2025 were $30.8 million, a 19% year-over-year increase primarily due to higher sales and marketing expenses [39][40] - The company has drawn $35 million in debt financing to strengthen its cash position, finishing the quarter with cash and cash equivalents of $94.8 million [43] Q&A Session Summary Question: Can you provide additional details on the AstraZeneca partnership milestones? - Management confirmed that the AstraZeneca deal includes a series of deliverables over several quarters, with confidence in achieving the full value of the contract [52][55] Question: What is the competitive landscape for rare disease applications outside the US? - Management noted that they are seeing strong growth in rare inherited disorders, with a 20% year-over-year increase, and emphasized their competitive positioning in this area [58][61] Question: What prompted the decision to draw the $35 million revolver? - The decision was made to strengthen the cash position in light of accelerating growth across clinical and pharma sides [67][70] Question: What are the adoption trends for MSK Access in the US? - Management reported that liquid biopsy is gaining clinical relevance, with 11 new customers signed for MSK Access in Q2, bringing the total to 50 [72][73] Question: Can you provide insights on the size and structure of the AstraZeneca contract? - Management indicated that the contract includes a mix of base payments and milestone payments, with confidence in recognizing the full value [94][95]

Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $17.8 million, up from $15.8 million in Q1 2024, representing a year-over-year growth of 13% [31] - On a constant currency basis, revenue growth was 15%, with foreign exchange headwinds negatively impacting reported revenue by approximately $0.4 million [31] - Adjusted EBITDA loss improved by 24% year-over-year to $9.8 million in Q1 2025 [35] - Adjusted gross margin reached a record high of 75.7%, up from 70.6% in Q1 2024 [33] Business Line Data and Key Metrics Changes - Core genomic customers increased to 490 as of March 31, 2025, up from 463 in the prior year [31] - The company implemented 33 new customers in Q1 2025, compared to an average of 23 per quarter in 2024 [8][47] - Hematology-oncology (HemOnc) volumes grew 34% year-over-year in Q1 2025, with over 180 HemOnc customers globally [20] Market Data and Key Metrics Changes - Revenue and analysis volume from U.S. core genomic customers grew over 30% year-over-year [9] - UK analysis volume grew over 60% year-over-year, with UK revenue up approximately 80% [19] - In Asia Pacific, North America and Asia Pacific outperformed with 3240% year-over-year volume growth [18] Company Strategy and Development Direction - The company aims to capitalize on new customer signings by expediting implementation times and expanding across those accounts [8] - Focus areas for growth in 2025 include the U.S. market, new applications like MSK Access and MSK Impact, and partnerships with biopharma [10][11] - The company is positioned to leverage its scalable cloud-based platform to support medical innovations and expand its offerings in liquid biopsy and solid tumor applications [14] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the long-term growth potential, citing a strong start to 2025 and a solid pipeline of new business [43] - The company reaffirmed its full-year revenue guidance for 2025 of $70 million to $76 million, representing 10% to 17% growth [37] - Management noted that while Q1 results were strong, they expect the year to be back half weighted due to new business coming online [37][93] Other Important Information - The company finished Q1 2025 with cash and cash equivalents of approximately $68.5 million, with access to an additional $35 million through a financing line [36][88] - Total cash burn improved to $11.7 million in Q1 2025, down from $19.5 million in the prior year [36] Q&A Session Summary Question: Actions taken to accelerate implementation times - Management highlighted that they implemented 33 new customers in Q1 2025, up from an average of 23 in 2024, due to scaling up team capabilities and creating tooling and automation to speed up processes [47][49] Question: Average contract value increase and enterprise sales - Management confirmed that 58% of customers are using two or more applications, indicating room for expansion. The increase in average contract value is attributed to more complex solutions and enterprise-level sales [53][55] Question: Sustainability of gross margins above 75% - Management acknowledged that while Q1 gross margins were higher than expected due to a favorable mix, they anticipate continued year-over-year improvement but not at the same level in subsequent quarters [62][63] Question: Biopharma side opportunities and guidance - Management indicated that while they expect the biopharma segment to be flat in 2025, they are seeing good momentum and opportunities in the pipeline, particularly in companion diagnostics [68] Question: Impact of macro environment on capital investments - Management noted that while there is a trend of constraints on capital investments, their model operates on an OpEx basis, which may present opportunities for growth as labs seek to avoid large capital expenditures [71][73]

Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $17.8 million, up from $15.8 million in Q1 2024, representing a year-over-year growth of 13% [32] - On a constant currency basis, revenue growth was 15%, with foreign exchange headwinds negatively impacting reported revenue by approximately $0.4 million [32] - Adjusted EBITDA loss improved by 24% year-over-year, reaching $9.8 million in Q1 2025 compared to $12.9 million in Q1 2024 [36] - Adjusted gross margin reached a record high of 75.7%, up from 70.6% in the prior year [34] Business Line Data and Key Metrics Changes - Core genomic customers increased to 490 as of March 31, 2025, up from 463 in the prior year [32] - The company implemented 33 new customers in Q1 2025, compared to an average of 23 per quarter in 2024 [8][32] - Hematology-oncology (HemOnc) volumes grew 34% year-over-year in Q1 2025, with over 180 HemOnc customers globally [21] Market Data and Key Metrics Changes - Revenue and analysis volume from U.S. core genomic customers grew over 30% year-over-year [9] - UK analysis volume grew over 60% year-over-year, with UK revenue up approximately 80% [20] - North America and Asia Pacific outperformed with 3240% year-over-year volume growth respectively [19] Company Strategy and Development Direction - The company aims to capitalize on new customer signings by expediting implementation times and expanding across those accounts over time [8] - Focus areas for growth in 2025 include the U.S. market, new applications like MSK Access and MSK Impact, and partnerships with biopharma [9][11] - The company is positioned to leverage its scalable cloud-based platform to support medical innovations and drive future growth [15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the long-term growth potential, citing the increasing demand for data-driven medicine and the company's unique AI capabilities [44] - The company reaffirmed its full-year revenue guidance for 2025 of $70 million to $76 million, representing 10% to 17% growth [38] - Management noted that while Q1 results were strong, they expect the year to be back-half weighted due to the timing of new business coming online [38][94] Other Important Information - The company finished Q1 2025 with approximately $68.5 million in cash and cash equivalents, plus access to an additional $35 million in capital [37] - The company is focused on maintaining operational efficiencies while continuing to invest in high ROI projects [36] Q&A Session Summary Question: Actions taken to accelerate implementation times - Management highlighted that they have scaled up team capabilities, created tooling and automation, and increased headcount in wet lab and field application scientists to speed up the implementation process [48][50] Question: Average contract value increase and enterprise sales - Management confirmed that 58% of customers are using two or more applications, indicating room for expansion. They noted that enterprise sales involve signing for a majority of applications, which is driving the increase in average contract value [55][56] Question: Sustainability of gross margins above 75% - Management acknowledged that while Q1 gross margins were higher than expected due to a favorable mix, they still anticipate year-over-year improvements in gross margins moving forward [66] Question: Biopharma side opportunities and guidance - Management indicated that while they expect the biopharma segment to be flat in 2025, they are seeing good momentum and opportunities in the pipeline, particularly in companion diagnostics and sponsored testing [70] Question: Balance sheet sufficiency for adjusted EBITDA breakeven target - Management confirmed that with over $100 million in available liquidity, they are well-positioned to reach their adjusted EBITDA breakeven target by 2027 [90]