High LeverageA debt-heavy capital structure materially reduces financial flexibility and raises refinancing and interest-rate sensitivity. Over the next 2–6 months this amplifies execution risk and constrains capital allocation if revenue or cash-flow ramps disappoint or legal costs materialize.
Persisting Net LossesDespite EBITDA improvement, GAAP losses persist and retained losses limit equity rebuild. Continued negative net income may pressure reserves and capital planning, possibly necessitating careful cost control or external financing if margin progress stalls over the medium term.
Regulatory & Coverage UncertaintyOutstanding FDA, DOJ, and payer-policy risks can produce lasting reimbursement or product-access constraints. Changes to LCD language or regulatory outcomes could structurally alter market eligibility and utilization patterns, affecting volumes and long-term revenue visibility.