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Absci (NasdaqGS:ABSI) FY Conference Transcript
2025-11-10 16:00
Summary of Absci's Healthcare Innovation Conference Call Company Overview - **Company**: Absci - **Industry**: Biopharmaceuticals, specifically focusing on generative AI drug creation and antibody development - **Key Personnel**: Sean McClain (CEO), Zach Johansson (CFO and CBO) [1][2] Core Technology and Strategy - Absci originally focused on protein-protein interactions and has evolved to utilize generative AI for drug creation, particularly antibodies [3][4] - The company aims to target hard-to-drug biological targets, such as GPCRs and ion channels, leveraging their technology to create first-in-class and best-in-class assets [5] Lead Programs ABS-201 - **Target**: Prolactin receptor - **Indications**: - Androgenic alopecia (common baldness affecting 80 million Americans) - Endometriosis (to be discussed in future updates) [6][7] - **Mechanism**: Blocking the prolactin receptor can transition hair follicles from a catagen state (apoptosis) to an active growth state, showing superior efficacy compared to minoxidil in preclinical studies [6][10] - **Clinical Timeline**: - First participant dosing expected in December 2023 - Proof of concept readout anticipated in the second half of 2024 [6][13] Market Opportunity - The hair regrowth market is seen as a significant opportunity, with patients willing to pay out of pocket for effective treatments [7][10] - Current treatments like minoxidil and finasteride have limitations, including side effects and lack of condition modification [10][11] - The proposed treatment could provide long-lasting results with just two to three injections, potentially offering benefits for up to three years [11][17] Competitive Landscape - The hair regrowth market has seen little innovation, primarily dominated by finasteride and minoxidil [10] - Absci's approach is condition-modifying, which could differentiate it from existing treatments [11] - The company plans to engage both physicians and direct-to-consumer strategies for commercialization [17][18] Financial Position - As of Q2, Absci had approximately $117.5 million in cash and equivalents, with an additional $64 million raised in July 2023 [42][43] - The current financial runway extends into the first half of 2028, allowing for the advancement of multiple programs [42] Upcoming Catalysts - Key upcoming events include: - Large pharma partnership announcement in the near term - Entry into the clinic with ABS-201 in December 2023 - Interim readout on the alopecia trial in the second half of 2024 [44] Additional Insights - The company is exploring other indications and potential partnerships, particularly in inflammatory bowel disease (IBD) [31][32] - There is a focus on safety and efficacy, with ongoing discussions about the mechanism of action and potential side effects of blocking the prolactin receptor [23][24] Conclusion Absci is positioned to make significant advancements in the biopharmaceutical industry with its innovative approach to drug development, particularly in the hair regrowth market. The upcoming clinical trials and potential partnerships could enhance its market presence and financial stability.
Starwood Property Trust(STWD) - 2025 Q3 - Earnings Call Transcript
2025-11-10 16:00
Financial Data and Key Metrics Changes - The company reported distributable earnings (DE) of $1.49 per share and GAAP net income of $0.19 per share, with lower GAAP earnings impacted by $0.04 of depreciation and $0.03 of dilution from new acquisitions [5][6] - Total assets reached a record $29.9 billion at quarter-end, reflecting a strong diversification across business lines [6][12] - The company ended the quarter with $2.2 billion of total liquidity and maintained a stable debt-to-undepreciated equity ratio of 2.5 times [12][13] Business Line Data and Key Metrics Changes - Commercial and residential lending contributed $159 million of DE, with commercial lending originating $1.4 billion of loans [6][10] - The property segment, including the new net lease platform, reported DE of $28 million, with the acquisition of Fundamental Income Properties contributing $10 million of DE for the partial quarter [8][9] - Infrastructure lending saw a record commitment of $791 million, maintaining a steady portfolio balance of $3.1 billion [11][12] Market Data and Key Metrics Changes - The company noted improving stability in credit market performance, with expectations for rates to fall into the low 3% range by late 2026 [14][15] - The U.S. office exposure decreased to 8% of total assets, down from 9% in the previous quarter [17] - The multifamily market is experiencing a bifurcated recovery, with significant variations in rent growth across different cities [49][50] Company Strategy and Development Direction - The company aims to leverage its diversified business model to maintain flexibility and durability in various market conditions [15][20] - The acquisition of Fundamental is seen as a strategic move to enhance long-term growth, despite short-term dilution [24][25] - The focus remains on scaling the new net lease business and enhancing recurring cash flow through long-term leases [20][21] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, anticipating a normalization of earnings as new investments are deployed [5][35] - The company expects to navigate through current challenges and emerge with stronger fundamentals by 2026 [28][29] - Management highlighted the importance of maintaining a fortress balance sheet to capitalize on future opportunities [30][31] Other Important Information - The company executed $3.9 billion of capital markets transactions, including term loan repricings and high-yield issuances, which improved the average corporate debt maturity to 3.8 years [13] - The company is investing in technology and artificial intelligence to enhance operational efficiency and decision-making [22] Q&A Session Summary Question: Near-term DE expectations and dividend coverage - Management indicated that earnings are expected to ramp up steadily, with a focus on deploying capital effectively [34][35] Question: Credit migration and reserve building - Management noted that while some loans have been downgraded, they do not expect significant losses and are closely monitoring the situation [36][38] Question: REO and non-accruals resolution timeline - A three-year plan is in place to resolve REO and non-accruals, with expectations for a steady cadence of dispositions [41] Question: Multifamily market outlook - Management expressed cautious optimism for the multifamily sector, anticipating a drop in supply and potential rent increases in 2026 [49][50] Question: Competition and market dynamics - Management acknowledged increased competition in the market but emphasized their strong origination pipeline and ability to maintain trend returns [59][64]
Capital Senior Living(SNDA) - 2025 Q3 - Earnings Call Presentation
2025-11-10 16:00
Merger & Acquisition - Sonida and CNL Healthcare Properties (CHP) announced a definitive merger agreement to create a \$3 billion pure-play senior housing company[15] - The merger is expected to close in late Q1 or early Q2 of 2026[15] - The combined company will be the 8th largest U S senior housing owner with approximately 14,700 owned units[17, 24] - The merger is expected to be immediately accretive to Normalized FFO per share, with annual corporate synergies of approximately \$16 to \$20 million[17] Portfolio & Occupancy - Total portfolio includes 97 communities[37] - Total portfolio includes 9,342 units across 20 states[37] - Same-store community portfolio includes 55 consolidated communities[12, 42] - October 31 spot occupancy for same-store communities reached 89%[13] - Q3 2025 weighted average occupancy for same-store communities was 87 7%, a 60 bps increase year-over-year[13, 40] Financial Performance - Q3 2025 RevPOR for same-store communities was \$4,353[13] - Q3 2025 Community NOI margin for same-store communities was 27 3%[13] - Q3 2025 same-store community revenue increased 5 4% year-over-year[57] - Q3 2025 same-store community NOI increased 2 5% year-over-year[40]
Beasley Broadcast(BBGI) - 2025 Q3 - Earnings Call Presentation
2025-11-10 16:00
Company Overview - Beasley Media Group's future will be driven by operational efficiency in its core business and expansion of its digital capabilities[12] - The company operates in 12 US markets[13] - Beasley campaigns deliver 30%+ higher intent to purchase when combining radio and digital[20] Revenue Performance - Audio revenue reached $38 million in Q3 2025[22] - Digital revenue reached $129 million in Q3 2025[23] - Digital revenue accounted for 25% of total net revenue in Q3 2025[24] - Same-station digital revenue grew by 285% year-over-year in Q3 2025[24] - Local advertisers make up 79% of the company's revenue[26] Financial Metrics - Total net revenue was $51 million in Q3 2025[48] - Capital expenditures (CAPEX) amounted to $22 million in Q3 2025[48] - Station Operating Income (SOI) was $49 million in Q3 2025[48] - Adjusted EBITDA was $39 million in Q3 2025[48] - Cash and cash equivalents totaled $143 million[48]
Bkv Corporation(BKV) - 2025 Q3 - Earnings Call Transcript
2025-11-10 16:00
Financial Data and Key Metrics Changes - BKV reported a net income of $76.9 million for Q3 2025, or $0.90 per diluted share, with adjusted earnings of $0.50 per diluted share [24] - Combined adjusted EBITDA contributable to BKV, including the proportionate share of the Power JV adjusted EBITDA, was $91.8 million, representing a 50% increase from Q3 2024 [25] - Accrued capital expenditures totaled $79.6 million for the quarter, 6% below the midpoint of guidance [25] Business Line Data and Key Metrics Changes - The upstream business delivered a 9% year-over-year production growth, with volumes up 2% sequentially [12] - The power business's adjusted EBITDA was $20.4 million, with gross Power JV EBITDA at $40.9 million [24] - The carbon capture business is on track to achieve an injection rate of 1 million tons per annum by year-end 2027 [8][20] Market Data and Key Metrics Changes - Power prices averaged $46.29 per megawatt hour during the quarter, with natural gas costs averaging $2.87 per MMBTU, resulting in an average spark spread of $25.82 compared to $20.82 a year ago [24] - Texas continues to experience unprecedented load growth driven by AI data centers and industrial expansion [5][6] Company Strategy and Development Direction - The acquisition of a majority stake in the Power JV is seen as a critical step to advancing BKV's closed-loop strategy, enhancing growth flexibility [5][22] - The company aims to consolidate results and align strategy to create long-term value through controlling the Power JV [5][6] - BKV's closed-loop strategy combines gas, power, and carbon capture, positioning the company uniquely in the energy market [10] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the power business, citing strong fundamentals in the ERCOT market and ongoing discussions with hyperscalers and data centers [5][6] - The company anticipates strong free cash flow generation in 2026, driven by both upstream and power businesses [50][51] - Management highlighted the positive impact of Texas's Senate Bill 6 on streamlining interconnection processes and enhancing grid reliability [35][36] Other Important Information - BKV successfully closed the Bedrock acquisition, expanding its operational footprint in the Fort Worth Basin [9][10] - The company issued $500 million of 7.5% senior notes, marking a significant milestone in its capital market strategy [26] Q&A Session Summary Question: How will gaining control of the power unit change conversations with hyperscalers? - Management indicated that controlling the JV allows for seamless integration of energy solutions, enhancing discussions with hyperscalers and data centers [32] Question: How might SB6 impact conversations with hyperscalers? - Management noted that SB6 aims to streamline interconnection requests, which could positively impact discussions with hyperscalers and data centers [34][36] Question: Will the current market dynamics ease further consolidation in the Barnett? - Management agreed that current multiples and their position in the Barnett allow for continued accretive transactions [40][42] Question: How does the company plan to manage capital allocation across its closed-loop strategy? - Management highlighted significant free cash flow generation and flexibility in capital allocation for growth opportunities [49][50] Question: Are there additional projects in the works for CO2 sequestration? - Management confirmed that there are several projects in the pipeline that could contribute to exceeding the 1 million tons per year target by 2027 [53][55]
Howard Hughes (HHH) - 2025 Q3 - Earnings Call Transcript
2025-11-10 16:00
Financial Data and Key Metrics Changes - The company reported a record quarter with EBT of $205 million in the MPC segment, driven by strong land sales in Summerlin [4] - Full-year EBT guidance has been raised to $450 million, up $20 million from prior guidance, indicating a strong performance [9] - Operating assets NOI grew 5% year-over-year to $68 million, with office NOI up 7% and retail NOI up 9% [6][10] Business Line Data and Key Metrics Changes - The MPC segment achieved record land sales, selling 319 acres at an average of $795,000 per acre, with a significant bulk sale at a 75% margin [4] - Multifamily NOI grew 2%, with the stabilized multifamily portfolio now 96% leased [6] - The company reached a new record with $1.4 billion in condo pre-sales, with Malia and Alima towers at Ward Village being 57% pre-sold [6][10] Market Data and Key Metrics Changes - Despite national trends indicating slower home sales, the company reported strong results in its communities, countering broader market headlines [5] - The stabilized retail portfolio remains above 90% leased, indicating strong demand in retail spaces [6] Company Strategy and Development Direction - The company is focused on transforming into a diversified holding company, with significant progress in acquiring an insurance company [12] - Cash flows generated from real estate will be reinvested into value-creating developments, enhancing future cash flows and net asset value [11][20] - The company aims to maintain a competitive edge through limited competition and a self-funding model [5][10] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving record-high residential land sales and pricing by year-end [5] - The company anticipates that 2025 will be another record-breaking year, although not every year will replicate this performance [9] - Management emphasized the importance of quality of life and community connectivity in driving demand for their developments [55] Other Important Information - The company has refinanced $114 million of near-term maturities, reducing 2025 maturities to $76 million [9] - The company is maintaining G&A guidance between $76 million and $86 million, with a midpoint of $81 million [10] Q&A Session Summary Question: Regarding super pad sales and their trade-off - Management explained that the recent super pad sale was a unique situation that generated significant cash flow, and future transactions will likely be at higher prices per acre [15][16] Question: Impact of the insurance company acquisition on capital - Management indicated that the acquisition will consume available cash but is expected to create significant value and flexibility for future investments [17][20] Question: Status of condo pre-sales and future projects - Management expressed satisfaction with the 57% pre-sale rate and discussed ongoing evaluations for future condo projects in The Woodlands and Summerlin [24][36] Question: Pricing trends for the Ritz-Carlton Residences - Management noted that prices have increased by approximately $350-$400 per square foot compared to initial sales, reflecting strong demand [38][39] Question: Outlook for MPC land sales in 2026 - Management stated it is too early to provide guidance for 2026 land sales, emphasizing a cautious approach based on current market conditions [52][53]
Tower Semiconductor(TSEM) - 2025 Q3 - Earnings Call Transcript
2025-11-10 16:00
Financial Data and Key Metrics Changes - For Q3 2025, the company reported revenue of $396 million, reflecting a year-over-year increase of 7% and a quarter-over-quarter increase of 6% [20] - Net profit for the quarter was $54 million, which is 15% higher compared to the net profit of $47 million in Q2 2025 [20] - Earnings per share were $0.48 basic and $0.47 diluted, compared to $0.42 basic and $0.41 diluted in the previous quarter [20] Business Line Data and Key Metrics Changes - The RF infrastructure business grew significantly, contributing $107 million or 27% of corporate revenue in Q3 2025, up from $67 million or 18% in Q3 2024 [5][6] - Silicon photonics revenue reached $52 million in Q3 2025, representing approximately 70% growth compared to Q3 2024 [6] - Power management accounted for 17% of corporate revenue, with a year-over-year growth of 15% [14] Market Data and Key Metrics Changes - The demand for silicon photonics is driven by a strong ramp in 1.6T products, alongside robust demand for 400G and 800G solutions [6][8] - The company anticipates silicon photonics revenue to exceed $220 million in 2025, up from $105 million in 2024, with a Q4 2025 annualized revenue run rate exceeding $320 million [18][19] Company Strategy and Development Direction - The company is focusing on expanding its silicon photonics and silicon germanium capabilities, with a total investment plan of $650 million for capacity growth and next-generation capabilities [24] - The strategy includes deep partnerships with industry leaders to drive innovation and growth in high-demand markets [6][18] - The company is also targeting the growing market of data center power, with advancements in power management technologies [14][15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's position, highlighting strong customer demand and the successful ramp-up of manufacturing capabilities [4][5] - The company is optimistic about achieving record revenue in Q4 2025, with guidance set at $440 million, plus/minus 5% [4] - Management emphasized the importance of maintaining strong customer relationships and not taking advantage of tight supply conditions for pricing [28][33] Other Important Information - The company extended the Newport Beach Fab lease by up to 3.5 years to accommodate growing demand for silicon photonics and CIG [21] - The company is in advanced stages of qualifications in multiple fabs, with expectations for significant revenue contributions from new technologies starting in Q4 2025 [7][17] Q&A Session Summary Question: Clarification on incremental $300 million investment - The CFO confirmed that the additional $300 million investment is included in the long-term revenue expectations, potentially accelerating the timeline to achieve targets [26] Question: Applications driving growth in RF infrastructure - The CEO highlighted the demand for high volumes of 400G and 800G products, particularly in data center buildouts [27] Question: Competitors in silicon photonics and pricing strategy - Management acknowledged strong demand but emphasized a collaborative approach with customers, avoiding opportunistic pricing [28][29] Question: Future capacity and utilization expectations - The company expects to achieve full utilization of increased silicon photonics capacity by the first half of 2026, with significant revenue contributions anticipated thereafter [39] Question: Long-term growth and partnerships in 300mm capacity - The CEO indicated a focus on organic growth rather than partnerships for expanding 300mm capacity, with plans to discuss further in future calls [49]
Perma-Fix Environmental Services(PESI) - 2025 Q3 - Earnings Call Transcript
2025-11-10 16:00
Financial Data and Key Metrics Changes - Revenue for Q3 2025 was reported at $16.5 million, a slight decrease from $16.8 million in the same period last year, while gross profit more than doubled to $2.6 million from $1.3 million a year ago [5] - Gross margin expanded to 14.6% from 7.9%, driven by higher waste volumes and a favorable mix within treatment operations, despite increased fixed costs [5] - EBITDA showed meaningful improvement compared to the prior quarter, reflecting stronger throughput and execution discipline [5] Business Line Data and Key Metrics Changes - The treatment segment revenue increased by 45% year over year to $13.1 million, up from $9.1 million in Q3 2024, with gross margin improving to 17.3% from 4.5% [6] - Waste sales totaled $14.6 million, a 74% increase from $8.4 million in the same period last year [6] - Treatment backlog ended the quarter at $15.4 million, up from $7.9 million a year ago, indicating strong visibility into future revenue [6] Market Data and Key Metrics Changes - International waste shipments are on schedule and expected to continue into the first half of 2026, contributing to backlog stability and revenue diversity [7] - The Department of Energy's Direct Feed Low-Activity Waste facility initiated hot commissioning, marking a significant milestone in environmental cleanup efforts [7][8] Company Strategy and Development Direction - The company is positioned as a critical commercial link in the DOE's waste treatment chain, which is expected to provide long-term recurring revenue as the DOE's cleanup mission advances [8] - The PFAS destruction initiative is advancing technically and commercially, with the first-generation Perma-Fast system achieving complete destruction of PFAS compounds at a cost advantage to incineration [9] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's operational progress and margin expansion, highlighting the importance of automation and digital scheduling in improving productivity [6] - The company is prepared to meet DOE throughput requirements while maintaining excellent safety performance, indicating a strong operational foundation for future growth [8] Other Important Information - The company completed a union transition that improved labor stability and increased hiring efficiency, allowing for multi-shift operations [8] Q&A Session Summary - No specific questions or answers were provided in the available content, indicating that the Q&A session details are not included in the provided excerpts.
Ranger Energy Services(RNGR) - 2025 Q3 - Earnings Call Transcript
2025-11-10 16:00
Financial Data and Key Metrics Changes - Ranger reported revenue of $128.9 million for Q3 2025, a decrease of 16% from $153 million in Q3 2024 and down 8% from $140.6 million in Q2 2025 [17][12] - Net income was $1.2 million, or $0.05 per diluted share, compared to $8.7 million, or $0.39 per diluted share in Q3 2024, and $7.3 million, or $0.32 per diluted share in Q2 2025 [17][12] - Adjusted EBITDA for the quarter was $16.8 million, representing a 13% margin [17][12] Business Line Data and Key Metrics Changes - High-spec rig segment generated $80.9 million in revenue, down from $86.7 million in the prior year and $86.3 million in the prior quarter, with adjusted EBITDA of $15.7 million [18][12] - Prospecting Solutions and Ancillary Services delivered $30.8 million in revenue, down from $36 million in the prior year and $32.2 million in the prior quarter, with adjusted EBITDA of $5.5 million [19][12] - Wireline Services reported $17.2 million in revenue, with an operating loss of $4.2 million and adjusted EBITDA of $400,000 [19][12] Market Data and Key Metrics Changes - The company experienced declines in completion-focused areas and in some northern districts due to commodity price pressures leading to activity declines [11][12] - The combination of completion activity declines and reduced plug and abandonment activity due to depressed commodity prices has pressured the ancillary segment [13][12] Company Strategy and Development Direction - The acquisition of American Well Services for approximately $90.5 million is expected to enhance Ranger's position as the largest well servicing provider in the lower 48 and expand its market share in the Permian Basin [4][6] - Ranger anticipates realizing approximately $4 million in annual cost and revenue synergies post-integration [7][16] - The ECHO hybrid electric rig program is positioned as a significant innovation in the workover rig space, with strong customer interest and expected contracts in the coming quarters [10][11] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism for 2026, expecting to generate over $100 million in adjusted EBITDA for the first time in the company's history [14][12] - The company has maintained strong cash flows and has been active in share repurchases, indicating a disciplined capital allocation strategy [22][20] - Management noted that the integration of AWS is already in motion and is expected to be completed efficiently by Q3 2026 [9][24] Other Important Information - Ranger's total liquidity as of September 30, 2025, was $116.7 million, consisting of $71.5 million of capacity on the revolving credit facility and $45.2 million of cash on hand [20][22] - Capital expenditures year-to-date totaled $19.1 million, down from $28.7 million in the prior year period [22] Q&A Session Summary Question: Geographic footprint of AWS - AWS operates exclusively in the Permian Basin [28] Question: Revenue comparison of tubing rentals and inspection - Approximately 55% of AWS's revenue overlaps with Ranger, while 45% consists of unique service lines [29] Question: Status of ECHO rigs - Two ECHO rigs have been delivered, with one expected to begin work on live wells shortly [30] Question: Customer base for American Well Services - AWS has a customer base similar to Ranger's, with some new relationships that could provide growth opportunities [34] Question: Adoption of ECHO rigs - ECHO rigs are currently additive, with expectations that they may eventually replace existing rigs over time [36] Question: Expected number of ECHO rigs built in 2026 - Management indicated an expectation of over 10 ECHO rigs being built in 2026 [38]
McKesson (NYSE:MCK) 2025 Conference Transcript
2025-11-10 15:32
Summary of McKesson's 2025 Conference Call Company Overview - **Company**: McKesson Corporation (NYSE: MCK) - **Event**: UBS Healthcare Conference - **Date**: November 10, 2025 Key Points Industry Insights - **North American Pharmaceutical Business**: McKesson has resegmented its business to provide clarity on strategies, separating specialty oncology from the North American Pharmaceutical segment, which includes the US Pharma and Canadian distribution businesses [3][5][6] - **Market Trends**: The company has observed consistent growth in utilization, driven by demographic trends and innovations in drug development and distribution [7][9] - **Specialty Drugs**: There is a notable shift towards specialty drugs, which are becoming a larger part of the business mix, contributing to improved margins [9][10] Financial Performance - **Operating Expense Leverage**: Over the past five years, McKesson has improved its operating expense leverage by over 1,000 basis points, attributed to investments in automation and technology [17][18] - **Revenue Growth**: The adjusted EPS guidance for the year is between $38.35 and $38.85, representing a growth of 16%-18%, or 18%-20% when excluding prior year gains [63] Strategic Initiatives - **Automation and AI**: McKesson is investing in automation and AI to enhance operational efficiency, with a new distribution center in Ohio being 90% automated [16][18] - **Oncology and Specialty Services**: The company is focused on expanding its oncology services and exploring opportunities in other specialties, particularly in high drug spend areas like retina and ophthalmology [35][44] Pricing and Market Dynamics - **Generic Pricing**: The pricing environment for generics has been stable, with month-to-month variations not significantly impacting long-term strategies [21][22] - **Impact of Legislation**: McKesson does not foresee direct impacts from recent legislative changes regarding drug pricing, as they continue to negotiate fair value for their services [24][25] Future Opportunities - **Clinical Trials and Research**: McKesson sees potential in expanding clinical trial access and management through its Sarah Cannon Research Institute joint venture, which could enhance its oncology platform [33][34] - **New Therapeutic Areas**: The company is exploring opportunities in other therapeutic areas with high innovation and drug spend, beyond oncology and ophthalmology [44][45] Operational Considerations - **Working Capital Management**: McKesson is focused on efficient working capital management, ensuring that fixed fees for services remain unaffected by fluctuations in drug prices [28][29] - **GPO and MSO Dynamics**: The Group Purchasing Organization (GPO) services a wide range of providers, and the company is looking to grow beyond drug distribution into additional service offerings [49] Conclusion - McKesson is strategically positioned to leverage its capabilities in the North American pharmaceutical market, focusing on specialty drugs, operational efficiency through automation, and expanding its oncology services while navigating the evolving regulatory landscape. The company anticipates continued growth and opportunities in high drug spend areas, supported by its investments in technology and clinical services.