Top-line Revenue Growth
Total Q1 revenue of $186.7M, up 11% year-over-year, exceeding guidance; clinical revenue $171.2M, up 14% year-over-year.
Strong NGS Performance and Mix Shift
NGS revenue grew 26% year-over-year, driven by 16% volume growth and higher AUP; NGS now represents ~1/3 of clinical revenue and is scaling 3–4x faster than core clinical business.
Improved Profitability Metrics
Adjusted EBITDA of $9M, up 27% year-over-year; adjusted EBITDA margin expanded ~60 basis points year-over-year.
AUP and Volume Momentum
Average unit price (AUP) increased 8% year-over-year and volumes grew 6% year-over-year; same-store revenue $167.9M, up 12% driven by +3% volumes and +9% AUP.
Product and Reimbursement Catalysts
Full clinical launch of RaDaR ST (detection down to 1 ppm) and MolDX reimbursement for PanTracer Liquid (approval in March), with PanTracer LBx expected to contribute mid-single-digit millions in revenue.
Early Adoption Signals for RaDaR ST
~29% of prior RaDaR 1.0 customers have ordered RaDaR ST since launch; 34% of RaDaR ST orders included additional NEO tests; all results delivered faster than published turnaround times.
Raised 2026 Revenue Guidance
Full-year 2026 revenue guidance increased to $797M–$803M (from $793M–$801M); quarterly cadence guidance tightened to ~9% YoY growth in Q2, 9–10% in Q3 and >10% in Q4.
Cash Flow and Liquidity Improvement
Cash used in operations improved to $8.1M in Q1 (from ~$25.3M YoY); ending cash balance $146M and management expects free cash flow positive for the year.
Commercial and Operational Investments
Plan to add ~25 sales resources by Q3 to support RaDaR ST and PanTracer adoption; Pathline acquisition strengthened Northeast presence (growing at 1.5x national average); ~330 interfaces developed including Epic Aura to drive adoption.
Pipeline and R&D Progress
Targeted R&D investments in whole genome sequencing and next-generation MRD platform (data generation expected next year, potential launch as early as 2028); expansion of nonclinical offerings (AML flow panel, IHC markers).