Strong Revenue Growth and Upbeat 2026 Guidance
Total revenue of $28.8M in Q4 (+41% YoY) and $88.5M for fiscal 2025 (+24% YoY). 2026 guidance of $106M–$112M (midpoint = ~23% growth vs. 2025).
Lung Diagnostics Momentum
Lung diagnostics revenue of $25.1M in Q4 (+46% YoY) and $79.2M FY (+22% YoY). Core organic lung revenue (excluding >1-year-old claims) was $24.1M in Q4 (+40% YoY). Test volumes were 18,000 in Q4 (+23% YoY) and 62,600 for the year (+15% YoY). Primary care-originated tests were 12% of Nodify orders (Q4) and grew 67% YoY; pulmonology volumes grew 26%.
Industry-Leading Gross Margins and Workflow Gains
Gross margin of 83% in Q4 and 81% for fiscal 2025, representing improvements of 400 bps and 300 bps respectively vs. prior year. Management expects margins near 80% through 2026 driven by volume mix, higher ASP and lower cost per test from workflow optimization.
First Ever Positive Adjusted EBITDA Quarter
Adjusted EBITDA of +$0.53M in Q4 (first positive quarter; +113% vs. Q4 2024). Fiscal 2025 adjusted EBITDA loss improved to -$17.5M (21% improvement YoY). Q4 net loss was -$4.0M (improved 52% YoY); FY net loss -$35.3M (improved 18% YoY).
Commercial Expansion and Salesforce Buildout
Expanded field team to 97 active sales representatives in Q4 (average 65 in Q1). Company plans to add ~6 reps per quarter (~24 for 2026) to drive penetration; historical ramp shows reps cover their costs in ~3 months.
Partnerships, Pipeline and Evidence Generation
Announced development partnerships with Thermo Fisher Scientific and Bio‑Rad Laboratories. Pipeline includes MRD combining proteomics and tumor‑informed genomics, VeriStrat expansions (immunotherapy selection, prostate), ESR1 genomic test, and AI‑based digital diagnostics. Multiple real‑world and economic data presentations and publications (AMP and collaborators) support adoption.
Stronger Liquidity Position (Pro Forma)
Unrestricted cash of $19.0M at quarter end (up 14% vs. Q3), $2.3M ATM proceeds in quarter and subsequent $14.7M ATM raise. Pro forma cash and cash equivalents reported at $33.7M; amended senior secured term loan extended to November 2028 providing additional flexibility.