Strong Q4 Test Volume Growth
EsoGuard test volume in Q4 was 3,664 tests, exceeding the company's 2,500–3,000 target range and representing a ~29% increase versus the prior period; management indicated this may represent a new, higher run rate driven by improved field productivity and targeting.
Revenue and Billable Value
Recognized revenue for Q4 was $1,500,000 (≈17% of the quarter's billable value), and the quarter had a billable value of approximately $9,000,000, with recognized revenue up ~24% versus the comparable prior period.
VA Federal Supply Schedule Contract
Awarded a U.S. Department of Veterans Affairs FSS contract for EsoGuard, with pricing aligned to the Medicare rate ($938), giving access to a network of 170 VA medical centers and ~9,000,000 enrolled veterans—positioned as a major commercial opportunity.
Large Real-World Study Validating Product
Published positive data (manuscript in peer-review) from the largest reported real-world esophageal precancer testing experience (~12,000 HET BRICK patients): EsoCheck technical success 95%, 95% of procedures completed in under two minutes, and 100% safety—supporting scalability and payer discussions.
Progress with Major Payers and LBMs
Notable commercial progress: UnitedHealthcare included EsoGuard as an appropriate indicator for EGD within endoscopy guidelines (credentialing initiated), positive engagements with Cigna/Anthem/BCBSA, and an upcoming announcement of the company's first LBM positive coverage policy.
Improved Non-GAAP Per-Share Results
Non-GAAP net loss per share improved materially year-over-year: $0.10 in Q4 and $0.43 for the full year, noted as roughly half the prior year rate—reflecting operating leverage despite investments.
Cash Position and Discipline
Cash at year-end was $34.7 million and management emphasized disciplined reallocation of existing commercial resources (no headcount expansion) while preparing to scale once reimbursement clarity is achieved.