Strong Q1 Revenue and Raised Full-Year Guidance
Revenue of $83.7 million in Q1 2026. Company raised 2026 revenue guidance to $345 million–$355 million (from $340 million–$350 million), representing high‑teens to low‑20s growth in 2026 over 2025 on an excl. DecisionDx‑SCC and ID Genetics basis.
Robust Core Test Volume Growth
Core test report volumes grew 36% year‑over‑year in Q1 2026. Excluding DecisionDx‑SCC and ID Genetics revenue, Company-reported revenue growth for 2026 is approximately 42% vs 2025.
DecisionDx‑Melanoma Momentum
Delivered 10,021 DecisionDx‑Melanoma test reports in Q1 (16% YoY growth). March 2026 was an all‑time record month. Company expects mid‑ to high‑single digit volume growth for full‑year 2026 and is progressing an FDA submission in 2026 (following prior Breakthrough designation).
TissueCypher Rapid Expansion
TissueCypher test reports rose to 11,745 in Q1 2026 from 7,432 in Q1 2025, a 58% YoY increase. March (and April commentary) were record months. Company expects to add a similar number of tests in 2026 as in 2025, implying ~50% YoY growth for the full year.
Early Traction for Advanced ADTx
Advanced ADTx (limited launch) received ~650 orders in Q1 2026. Prospective multicenter validation published in the Journal of the American Academy of Dermatology shows the test stratifies patients more likely to respond faster and better to JAK inhibitors vs TH2 biologics. Company expects reimbursement clarity by end of Q3 2026 and potential material revenue contribution in 2027–2028 under traditional reimbursement scenarios.
Improved Profitability Trends and Margins (GAAP Context)
Reported gross margin of 72.8% in Q1 2026 vs 49.2% in Q1 2025 (Q1 2025 included a one‑time accelerated amortization of ~$20.1M). Adjusted EBITDA improved to negative $5.1M from negative $13.0M YoY. Net loss narrowed to $14.5M vs $25.8M YoY; diluted loss per share improved to $0.49 vs $0.90.
Healthy Cash Position and M&A Optionality
As of 03/31/2026, cash, cash equivalents, and marketable securities totaled $261.7M. Management reiterated openness to M&A for strategic fits while not feeling compelled to transact.