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NEOGENOMICS INC — Call Transcript 2026
Mar 10, 2026
I cover life science tools and diagnostics here at Leerink Partners, and it's my pleasure to be hosting the NeoGenomics team. Thanks for making the time and coming here. Tony Zook as CEO. Abhishek Jain CFO, and Warren Stone joining as COO, and Kendra is in the audience. Hi, Puneet to have you guys here. Thank you for having us. Not too far from the home. Yeah. Yeah. Not too far from the home base. This is close to home for us. Maybe just to, you know, kick off, you know, I would love to, Tony, first, I would love to hear from you. First year as a CEO, number of learnings, but really, you know, obviously you knew the company from board level. Maybe just give us, you know, top one or two underappreciated learnings that you didn't see before and now you have. Maybe what are you proud of? Maybe what you would have done differently, you know, in the early days? Yeah, yeah. Great question. I think I guess if I were to step back and say, you know, what would you have loved to have been able to turn the clock back a bit? Mm-hmm. I would probably say, Puneet, if we could have turned the clock back a few years, and I would say even from the Board Chair and then migrating into the role, the whole profitability balance. Mm-hmm I think at times has potentially hamstrung Neo just a bit, right? Because we were almost equally focused on revenue and profitability. Mm-hmm. I think there are opportunities that we could have invested in maybe just a little bit sooner, that could have driven additional growth. I say that because I'm even more confident now that I'm seeing the results. For example, in the past, I would say that there was not a tremendous alignment between the commercial and the R&D groups relative to product ideation, product development, having consistency across the enterprise. That has taken drastic steps forward in the last, you know, 12-18 months. The teams are working extremely well, and you're starting to see the proof of the pudding beginning to work its way through the system, right? You saw, you know, PanTracer, you know, PanTracer HRD, PanTracer Tissue, now PanTracer Pro, you know, liquid biopsy, RaDaR ST beginning to flow. There's more of a cadence now, excuse me, and a rhythm to what's starting to work its way through the R&D pipeline as an organization. I think there is an opportunity that something that we are doing even better than I envisioned we would be doing it at these early days. Mm-hmm. Had we invested even a bit earlier, we may have had the advantage of some of these products even sooner. I think the second area that I'm very proud to see, our operations team have done some amazing things, and I respected it. I don't think I truly appreciated it, because so much of it is done on just pure horsepower, right? We've seen these ever-increasing volumes, and yet the people in Warren's shop have improved turnaround time profiles and all the other key metrics within ops look extremely promising, right? I again see there's untapped potential there if we aren't just effective, but efficient. Mm-hmm. I think that's an underappreciated asset that we have as an organization. Then the final piece I would say is we have actually a very good and growing talent base. Some of the new talent that's been coming on board over the last 12-18 months has been really strong, embracing new ideas, bringing new ways of thinking into the company. Those would probably be the areas that I would highlight. Got it. Yeah. Abhishek, I know it's been just a couple of weeks for you. I'd love to hear your philosophy, as you were thinking about this role. No, absolutely, Puneet. First of all, great to meet with you, and I look forward to working with you, Puneet. It's been week six with NeoGenomics, and if I talk about my philosophy starting from the guidance, I think I always would want to have a very high degree of confidence to be able to meet the numbers that we are putting up there, and if things were to pan out the way we are anticipating, then hopefully beat the expectations. So a high degree of confidence as far as the guidance is concerned. But I don't like to be too conservative, and be in that like, okay, that you'll be beating every single time with a long shot. Okay. The second piece is profitable growth. In my mind, growth stays the most important value driver for a company right now. Then I say profitable because this is the balance between, okay, of the incremental dollars, how much money do you really need to invest back into the business to continue to kind of drive the growth in the further years, and then how much of that incremental dollars you need to drop to the bottom line to expand your margins. Profitable growth becomes extremely important to me. Third and final piece is around the capital allocation and the cost management. How do we stay prudent in terms of managing our expenses, especially around the G&A side of the house? How do we drive the leverage, and how do we kind of use the benefits of the automation to be able to drive the efficiencies within the organization? I think those are the three things that I would call out on the philosophy. That's great. Let me switch gears and I wanted to talk a little bit about the guidance and unpack that a bit. I mean. Mm-hmm You're expecting 9%-10% growth. You've talked about ASP benefits through the year as you retire some of the, you know, low-value maybe Pathline tests. There was a contract, and a low-value contract. Maybe we'll touch on that as well. Mm-hmm. I think AUP was a significant discussion in the quarter, and I just wanted to maybe if you could take a minute and help clarify as to, you know, the puts and takes there, for the AUP through the year, especially in the first half. Mm-hmm. How do we. You know, this is. There's a large jump from 1Q to 2Q there. Maybe just walk us through what's happening there. Absolutely. Would you like me to kick it off on the volume piece? Yeah you can finish it off with AUP and then the resulting impact? Absolutely. Please. Yeah. Is that fair? If you step back, Puneet, as you had mentioned, we had talked last year about two contracts. Mm-hmm That were relatively high volume but low in value. If you remember, that caused that first sequential decline in AUP that caused some concern that we then had to monitor closely through the course of the year. Mm-hmm. It's one of those contracts, right? It was with a reference lab. Just to put it in context, it was high volume, so it was almost 3%-4% of our volume, right? But the AUP that we were generating from this one test was just about $200. Mm-hmm. You know, when you enter these types of contracts, it's always with the belief that, okay, you know, we're gonna show what we can do, but we wanna move up the value chain and be able to secure some higher value business as well, and we just couldn't get to that same point with this customer, right? You're looking at a world where you have, yes, high volume, but this low AUP that inevitably is just going to be a downward price spiral. When you looked at the resource that we were using internally for this, it just didn't make good business sense for us. We had made the conscious decision that, well, no, we had to exit this, right? When you then ripple that through, there was an impact, a sequential decline in volume in Q4. We would anticipate the remainder or the bulk of the remainder of that contract coming through again in Q1, so a sequential decline in volume in Q1. Mm-hmm. we would get back to sequential growth starting in Q2. In fact, Q2 volume should be flat year-over-year, sequentially up from Q1, and then up again in Q3 and Q4. it's working through one contract with one reference lab, with one modality. It wasn't across modalities or across a broad customer base. Mm-hmm. That'll just give you context for how does that affect AUP and how did that affect the guide. Yeah. That's helpful. No, absolutely. I'll let you take over now. No, thanks, Tony, for setting the context here from the strategy standpoint. Now from the guidance standpoint, what happened, Puneet, last year in 2025, we basically drove the clinical revenue by 15%. 12% came from volumes, and 3% came from AUP. Now, in that result, the breakdown between the volume and the AUP, we had two factors going on. The first factor was Pathline, and the second factor was this one contract, right? Mm-hmm. This time, actually, what we did just before this fireside chat, we have updated our presentation on our investor relations website, and we have added one slide there that basically provides more color on this dynamic. The point there is that, okay, if we were to kind of remove the impact of the Pathline and this one contract- Mm-hmm Our volume growth for the overall business is going to be in the mid-single-digit. It has not changed year-over-year. It has been very similar to what we have seen in the prior years and is going to be very similar in 2026. Exactly the same on the AUP as well. If we were to take out the dynamic of this high-volume, low-value contract and Pathline, we would be growing our AUP in the mid-single-digit. That's what we did in 2025, and that's exactly what we're anticipating in 2026. Now, maybe if you were to see it from a slightly different angle, Q4 2025, our AUP growth was 5% year-over-year. Now, if you look at Q1, Q2, and Q3 of 2025, we have been growing about two to three points. We increased it to 5% AUP growth in Q4 because we started to flush out the high volume, low value contract. That basically gave us two points. Mm-hmm. We have not completely done with that contract because we are gonna further flesh out in Q1 the remaining portions of that contract. That 5% can easily become the high single digit from that standpoint, right? Mm-hmm. That gives us the confidence that, okay, the way we have provided the guidance on the AUP, we will be able to kind of meet the expectations because, number one, the underlying business is exactly the same, excluding this one contract, and number two, the Q4 2025 results are the proof point as to that higher AUP as we kind of exit from this one contract. Got it. That's very helpful context because I think that's. It's raising a number of questions just looking at the cadence, so thanks for clarifying. Maybe- Just one comment. Yeah, please. You said the Q1 to Q2. Yeah. That is the Pathline washing out. Yeah Pathline annualizes at the end of this quarter. That's right. Yeah. Going to Q2, there was a headwind on AUP. Mm-hmm. That headwind washes out into Q2, so that's why you sort of see this spike again as well. Okay It's another dynamic to just keep in mind from an AUP point of view. Just on the AUP front, obviously historically that was driven more by NGS addition, more higher value tests coming in, and that's lifting the AUP line. Now, with this elevated number, I just wanna make sure how should we think about this longer term? Is this something that you expect will remain stable or, you know, should we expect an uptick from this? I would definitely feel that we will continue to see the impact as we kind of launch our RaDaR ST testing. Mm-hmm ... number one, because we may not be getting all the coverage from the private payer, so that could be a little bit of a headwind on the AUP. Mm-hmm. For the outer years, I would definitely feel the AUP will be a tailwind for multiple years to come. Got it. Yeah. The reason for that is that two-thirds of our portfolio is our direct client base. Mm-hmm. On that particular portion of our business, we're able to kind of implement the price increases every year. That is a pure play pricing increase that you can actually get the benefit. The second piece on the AUP growth is the mix, as you were calling out. At the same time, as we kind of get these private payers to pay us, as we start to look into 2027, 2028, that will be all accretion to not only the growth margin expansion, but this will be all accretive to the bottom line. I see the pricing increase to be a multiyear kind of a process where our RCM initiatives and our pricing increases and then move to the higher value tests, they will be actually driving the AUP growth. I think the other aspect and which is why we wanted to create more visibility into it, Puneet, was around the NGS growth rates. Yes. You know, when you look at it in totality, right? Our NGS volume represents, you know, 9%-10% of our volume. It's about a third of our revenue, right? It has been growing at, you know, 22%-23%, and we don't anticipate seeing that slow down in 2026. That's also going to be a contributor to this ongoing growth. Yeah. A number of questions there. I mean, on the NGS front, maybe this is for you, Warren. Yeah. In terms of, you look at the market space today in tumor profiling, you know, a company like Foundation's been there for a long time, then Caris and others have come in, obviously reference labs. Other reference labs are also Mm-hmm providing tissue testing. There's a leading CGP liquid provider as well. Just given the nature of the competitive landscape of the market, you know, how should we think about the NGS growth that just Tony referenced to? How is that something that you believe is sustained? I recognize you guys are really strong in the community setting- Yeah is that sustainable? Because obviously these competitors have larger sales forces today than ever before. Yeah. That's a great question, and I think, a few points I'll touch on. First of all, exclusively focused in the community. Yeah That's our target space. Even within that community, we focus heavily on prioritizing customers and deciling physicians. Really trying to be more surgical in terms of where we invest the time of our salespeople, because as you said, we've got a smaller sales team, but let's use them as productive as we can. Those are sort of the philosophies that we drive. I think two additional points I'd like to make is there is NGS on the heme side of things is one of the areas where we're differentiated. A number of the companies you just mentioned don't have an offering there, and four out of 10 patients walking into a community practice are going to have heme cancer. These physicians have a need on the NGS side of things from the heme perspective. We're in the door. We've got a seat at that table already, not just with NGS Heme, but other products at Heme that they may find valuable, like COMPASS, as an example. We use that position in the community then to expand. Mm-hmm. You remember our commercial strategy, protect, expand, acquire, so protect existing customers, but expand within existing customers. This is exactly the expansion. Provide a great experience around our Heme NGS and other portfolio, and use that as a mechanism to expand into other areas. This is where the PanTracer Tissue comes into play, PanTracer liquid comes into play. We find through the good experience and the benefits of having a holistic portfolio, which is often supported through an integrated bi-directional interface, actually pulls through additional volume. You know, a great use case we showcased this before is we launched PanTracer Tissue in March of 2023, so we're actually pretty much three years ago. Mm-hmm. In the first year, we generated some volume. We doubled that volume the next year, and we just about doubled it again the year thereafter. That's a demonstration of our ability to pull through volume in the community, and we think it's a great proxy as people start to think about PanTracer liquid as another product that we're bringing to market. All right. I think the only add to that is. You're right, you know, the other competitors do have larger sales forces, so we are still under-indexed there. The value that our incremental investments have been giving us in sales force have become more and more evident, right? I think this is one of the areas where behind the scenes, we've put a lot of work into place on launch excellence and sales force excellence initiatives. You know, we are seeing now, we saw this 14% growth in the number of physicians using five or more Neo tests. You know, we're now up to about 40% of practicing physicians and oncologists using five or more Neo tests. It almost mirrors the growth with these investments that we have continued to make. Mm-hmm with the field force. I agree that our competitors are strong and we may be under indexed, but it's creating real value for us. If anything, there's probably opportunity for us to further penetrate and go after the remaining 60%. Because once people start getting accustomed to working with Neo, they seem to enjoy the experience, and they're staying with us. Can I actually just put one more plug in there? Yeah. One of the things that I'm particularly proud of, which I think is a proof statement as well, is we measure NPS score every year. We do it twice a year, typically first half of the year, second half of the year. I'll be the first one to acknowledge that three years ago, our NPS scores were good, but they were actually poor in the oncology setting in the community. We've actively taken that feedback and looked to improve. In December of 2025, so three months ago, we did our NPS survey. It's run independently by a third-party company. About 1,400 people responded to that. About 50% of those 1,400 were- Mm Community oncologists, identifying as community oncologists. For the first time ever in my history, and it's only three years, so the first time since I've been at Neo, the NPS score of oncologist outstripped the NPS score of a pathologist. An oncologist came in at 80.1 or 80.2. An incredibly high score, and it's a demonstration of the things we've been doing behind the scenes to create a better experience for these community oncologists across the continuum of care. That's why we believe that we've managed to get a 14% growth rate in new physicians dealing with Neo with five tests or more in 2025. That's great. Just on that point, I mean, where do you stand with the overall sales force on the oncology side, and the plans for expansion and how are you thinking about the overall, you know, OPEX spend on that too? Yeah. I come back to this, probably one of the things maybe Tony was alluding to at the beginning. This is one of the areas where I think trying to balance profitability as well as and growth is being maybe at odds with each other in certain places, 'cause I personally, I'm also in charge of sales, would have loved a bigger sales team. We have also taken a very methodical approach around investing in our sales team, and we've always done it ahead of the launch of new products or the new indications. We invested in new sales people towards the very end of 2024 into 2025. We had a PanTracer liquid coming out. And that took us to roughly 140 people. The breakdown there is about. It's not quite 50-50, it's 60-40. 60% are what we call territory business managers. They're targeting hospitals and the pathology business. The OSSs is the 40% today, targeting community oncology. As we've rolled into 2026 and launched RaDaR ST, head and neck HPV negative cancers has a new core point to us, which is the ENT, and we've invested in a small sales team there, roughly 10 people, dedicated towards the ENT and for RaDaR ST head and neck HPV negative. That's an additional OSS team. Then in anticipation of approval of two additional indications for RaDaR ST that we've submitted, we anticipate those approvals to take place in the latter part of the year. We're gonna be investing in another sort of 25 or so oncology sales specialists in the third quarter. Again, ahead of those approvals, so that we're up and running when they are approved. That again will take us to roughly 165, and for the first time you'll see a higher index towards the Oncology Sales Specialists versus our Territory Business Managers. Interesting. Abhishek, anything on the OPEX side, I mean, as you think about this ramp? On the OpEx, the way I'm kind of thinking, Puneet, is that, okay, we need to provide sufficient investments within our sales organization, which as Tony was saying, is that under-indexed as compared to some of our competition. We need to make sure that we have enough boots on the ground to be able to kind of gain the market share. At the same time, we're gonna stay extremely prudent as to how do we ramp that sales force. That will definitely be a kind of. We will be watchful there. Overall, on the operating expense, I think from the philosophy standpoint, like making some rightful investments to be able to drive the growth, that will be the priority. Number two, a little bit in the R&D so that we can drive the payer reimbursement of the coverage, so that can again assist our top line growth. The third area of investment would be the LIMS or some of the IT infrastructure, because we have not spent or invested the amount that we should have, like, a few years ago, so that we could actually start to use the benefit of the automation, not only in our lab, but across the organization. Those will be the three areas of investments, and everything else is going to be flattish or lower as we kind of look forward from here. Any thoughts on Adjusted EBITDA in terms of? Mm-hmm. Adjusted EBITDA margins were, I believe, flat in 2024, 2025. Though I think they were still at 6%. You know, how should we think, investors think about Adjusted EBITDA improvement given the context of the amount? You know, I mean, obviously a number of things that you wanna push on with the investments and on the sales force side. Yeah. Yeah. No. It's going to be a balance, Puneet, because in 2026, our guidance basically assumes about 100 basis points expansion in the Adjusted EBITDA from 6%-7%. Mm-hmm. We are actually growing Adjusted EBITDA by about, like, 29% at the midpoint of our guide. We have been very thoughtful in terms of making sure that we stay prudent in terms of making the investment in the rightful areas, and then dropping the part of the incremental dollar to the bottom line. Having said that, my sense is 2026 is still a year where we are making more investments. As we kind of look into 2027, 2028, once these newer products basically start to become a little bit more mature, you will start to see a lot more expansion on the Adjusted EBITDA line. Just given the, you know, knowing the cadence of, you know, getting the reps and expanding on new products. Mm-hmm. getting the penetration, can you maybe just sort of give us a glimpse into when you start to see maybe potentially a significant ramp in volumes as a result of these investments? We've done these sort of serial increases in sales team members sort of every- Mm-hmm. I don't know, eight to 12 months, we've really focused on onboarding and time to productivity and trying to get better and better. It's not. It does depend a little on the profile of the person we recruit. Is this the prior territory of theirs, and do they have relationships? Are they coming directly out of community oncology setting or they may be a pharma rep? You know, there's different dynamics, but we typically see it somewhere between the six to eight month range. It's in that sort of range. Some of the growth that we're obviously seeing in the first half of this year can be contributed towards the sales reps we hired in back end of 2024, early 2025 that are now in stride. We're definitely gonna benefit from that, and as I said, we'll have some additional sales reps coming on board early in Q3 as well. I wanna touch briefly on PanTracer liquid and as well as RaDaR. On the PanTracer, you now have a full suite of PanTracer, both liquid, solid and liquid. Maybe just remind us conversations on MolDX side and then, you know, in terms of what's the traction for the liquid side? Yeah. Yeah. On the conversations with MolDX, and then Warren can take on the traction side. They've been ongoing. They've been good conversations in my opinion. What we have seen across the landscape, it's taken about 12 months for new products, so about four cycles through MolDX. We're not quite at that point yet. We would be at that point in early April. What I would tell you is that through the cycles, the number of questions that have come back to us have become fewer and fewer. We've not been asked to do any kind of additional wet work or anything like that. It's provide additional information or data around a specific point or two, which we have happily provided. We still are fairly confident and optimistic that right around that 12-month window, we should be hearing something. The guidance was a different story. You know, Mm-hmm. We just wanted to exercise prudence. That's why we only put it in the second half with limited revenue because then it would represent- Yeah opportunity for us. We're still relatively confident. Again, no additional wet work, nothing out of the ordinary from our perspective. I think in terms of uptake, we've been very pleased with the uptake. Uptake across two elements for me. The first one is how much absolute PanTracer liquid is being requisitioned. We've seen a healthy uptick sort of month-over-month or quarter-over-quarter since we launched right at the end of July of 2025. We're obviously incurring those costs to result those tests right now, but we're not actually receiving reimbursement based on what Tony had said. Mm. We're building a really good funnel of business at this particular point and quite a nice geographical dispersion as well in terms of where this business is coming from around the country. Mm. The other area which I've been particularly pleased with is just the overall increase in the category, our PanTracer family portfolio. Again, PanTracer Tissue, PanTracer Tissue + HRD, PanTracer Liquid, and our PanTracer Pro. You know, as we launched liquid, we saw an inflection point in terms of the growth of the category overall, driven by liquid and solid tumor. We've just, we've also now recently launched PanTracer Pro, and we've seen exactly the same thing again. We see these inflection points. Both the individual test, but the actual category both doing really nicely. Got it. Okay. On the RaDaR side, if I could switch to that in the few minutes we have here. Maybe just remind us, I mean, maybe how many oncologists were or oncologists that were using RaDaR 1.0 or before, are those the ones that are suitable funnel for ordering this test? Maybe just, I know it's been a couple of weeks since the launch, so, wondering if you can give a sense of what kind of traction are you getting from oncologists. Certainly. Go ahead. Go ahead. I'm sorry. Certainly prior users of RaDaR were, and is a subset of our targeting because when we launched RaDaR in 2023, it was more we're in sort of an EAP program and it was very much a PanTracer pan-cancer type approach. Mm. We've taken those users who are still sending us time points today for many of their patients, that they're still sending us time points. We have relationships. Those that are in indication have absolutely been targets for us. They head and neck HPV negative and the subset of breast. We've gone after them and we've had one of the prior physicians actually already requisition a new RaDaR ST. In terms of uptake, it's been a little over a week. We have had multiple orders coming in already. I'll give one example in a moment, but what has been incredibly helpful for us is access to the community oncologists has significantly increased, 'cause we've got something new to talk about, something that's relevant. Again, it adds to our solution from a continuum of care perspective. Access is up. We've seen dinner programs, lunch and learns. These are all sort of pre-indications of what's likely to come. First tests already in the lab, which is really encouraging. One thing I want to call out in two of the tests that have already arrived in the lab, the requisition wasn't only for RaDaR ST, it was for RaDaR ST, PanTracer Tissue, and some auxiliary tests. These were. I've actually reached out to one of the physicians myself to find out like, "Tell me why you did that," just for my own insight. It's really around this particular physician, A, appreciates the value of our portfolio, but was very concerned about tissue preservation and recognized that they wanted to do multiple testing, not just MRD. They wanted to get the CGP insights as well as some particular auxiliary insights. They were concerned that they would exhaust the tissue. By sending it to one lab that could do everything was their solution here. That's why this particular physician sent that to us. We have two such examples already. Demonstration of the value of a breadth of portfolio. Yeah, sort of the one-stop shop that Yeah -you always talked about. On the just maybe last one, on the competition front, on the MRD side, obviously a number of companies are talking about their scale, the presence in the market. Obviously, you have a strong presence in the community setting. Yeah. Is there any reason why you can't, you know, do with MRD what you did with NGS in that market? You came later in the market with NGS. You're similar, in a similar way you're coming in a bit later, but again, not as late as even NGS, you know? Yeah. Yeah, how do you know, how should one think about the penetration of RaDaR or the uptake, growth overall? I think we're thinking about it in exactly the same way. I think your comment that we actually, with RaDaR ST, we're nowhere near as late as maybe what we were with Yeah ...with our PanTracer Tissue, if you think to Foundation Medicine as an example. Yeah. We've done a lot of work since then around improving our experience that I touched on, a lot of the tools we need to be successful. We certainly believe that what we've done with PanTracer Tissue is a great proxy to think about how we can penetrate the market with RaDaR ST, and we'd like to do better than that as well. Yeah. Well, that's all the time we have. Fabulous. Thanks for your comments, guys. Thanks for having us. Okay. Thank you. Yeah. Many thanks. Thank you very much. We appreciate it. Yeah.
Speaker 2: I cover life science tools and diagnostics here at Leerink Partners, and it's my pleasure to be hosting the NeoGenomics team. Thanks for making the time and coming here. Tony Zook as CEO. Abhishek Jain CFO, and Warren Stone joining as COO, and Kendra is in the audience. I cover life science tools and diagnostics here at Leerink Partners, and it's my pleasure to be hosting the NeoGenomics team. i cover life science tools and diagnostics here at leerink partners and it's my pleasure to be hosting the neogenomics team Thanks for making the time and coming here. thanks for making the time and coming here Tony Zook as CEO. tony zook as ceo Abhishek Jain CFO, and Warren Stone joining as COO, and Kendra is in the audience. abhishek jain cfo and warren stone joining as coo and kendra is in the audience
Speaker 3: Hi, Puneet Hi, Puneet hi puneet
Speaker 2: to have you guys here. to have you guys here. to have you guys here
Speaker 3: Thank you for having us. Thank you for having us. thank you for having us
Speaker 2: Not too far from the home. Yeah. Not too far from the home. not too far from the home Yeah. yeah
Speaker 3: Yeah. Yeah. yeah
Speaker 2: Not too far from the home base. Not too far from the home base. not too far from the home base
Speaker 3: This is close to home for us. This is close to home for us. this is close to home for us
Speaker 2: Maybe just to, you know, kick off, you know, I would love to, Tony, first, I would love to hear from you. First year as a CEO, number of learnings, but really, you know, obviously you knew the company from board level. Maybe just give us, you know, top one or two underappreciated learnings that you didn't see before and now you have. Maybe what are you proud of? Maybe what you would have done differently, you know, in the early days? Maybe just to, you know, kick off, you know, I would love to, Tony, first, I would love to hear from you. maybe just to you know kick off you know i would love to tony first i would love to hear from you First year as a CEO, number of learnings, but really, you know, obviously you knew the company from board level. first year as a ceo number of learnings but really you know obviously you knew the company from board level Maybe just give us, you know, top one or two underappreciated learnings that you didn't see before and now you have. maybe just give us you know top one or two underappreciated learnings that you didn't see before and now you have Maybe what are you proud of? maybe what are you proud of Maybe what you would have done differently, you know, in the early days? maybe what you would have done differently you know in the early days
Speaker 3: Yeah, yeah. Great question. I think I guess if I were to step back and say, you know, what would you have loved to have been able to turn the clock back a bit? Yeah, yeah. yeah yeah Great question. great question I think I guess if I were to step back and say, you know, what would you have loved to have been able to turn the clock back a bit? i think i guess if i were to step back and say you know what would you have loved to have been able to turn the clock back a bit
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: I would probably say, Puneet, if we could have turned the clock back a few years, and I would say even from the Board Chair and then migrating into the role, the whole profitability balance. I would probably say, Puneet, if we could have turned the clock back a few years, and I would say even from the Board Chair and then migrating into the role, the whole profitability balance. i would probably say puneet if we could have turned the clock back a few years and i would say even from the board chair and then migrating into the role the whole profitability balance
Speaker 2: Mm-hmm Mm-hmm mm-hmm
Speaker 3: I think at times has potentially hamstrung Neo just a bit, right? Because we were almost equally focused on revenue and profitability. I think at times has potentially hamstrung Neo just a bit, right? i think at times has potentially hamstrung neo just a bit right Because we were almost equally focused on revenue and profitability. because we were almost equally focused on revenue and profitability
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: I think there are opportunities that we could have invested in maybe just a little bit sooner, that could have driven additional growth. I say that because I'm even more confident now that I'm seeing the results. For example, in the past, I would say that there was not a tremendous alignment between the commercial and the R&D groups relative to product ideation, product development, having consistency across the enterprise. That has taken drastic steps forward in the last, you know, 12-18 months. The teams are working extremely well, and you're starting to see the proof of the pudding beginning to work its way through the system, right? You saw, you know, PanTracer, you know, PanTracer HRD, PanTracer Tissue, now PanTracer Pro, you know, liquid biopsy, RaDaR ST beginning to flow. I think there are opportunities that we could have invested in maybe just a little bit sooner, that could have driven additional growth. i think there are opportunities that we could have invested in maybe just a little bit sooner that could have driven additional growth I say that because I'm even more confident now that I'm seeing the results. i say that because i'm even more confident now that i'm seeing the results For example, in the past, I would say that there was not a tremendous alignment between the commercial and the R&D groups relative to product ideation, product development, having consistency across the enterprise. for example in the past i would say that there was not a tremendous alignment between the commercial and the r&d groups relative to product ideation product development having consistency across the enterprise That has taken drastic steps forward in the last, you know, 12-18 months. that has taken drastic steps forward in the last you know 12-18 months The teams are working extremely well, and you're starting to see the proof of the pudding beginning to work its way through the system, right? the teams are working extremely well and you're starting to see the proof of the pudding beginning to work its way through the system right You saw, you know, PanTracer, you know, PanTracer HRD, PanTracer Tissue, now PanTracer Pro, you know, liquid biopsy, RaDaR ST beginning to flow. you saw you know pantracer you know pantracer hrd pantracer tissue now pantracer pro you know liquid biopsy radar st beginning to flow There's more of a cadence now, excuse me, and a rhythm to what's starting to work its way through the R&D pipeline as an organization. I think there is an opportunity that something that we are doing even better than I envisioned we would be doing it at these early days. There's more of a cadence now, excuse me, and a rhythm to what's starting to work its way through the R&D pipeline as an organization. there's more of a cadence now excuse me and a rhythm to what's starting to work its way through the r&d pipeline as an organization I think there is an opportunity that something that we are doing even better than I envisioned we would be doing it at these early days. i think there is an opportunity that something that we are doing even better than i envisioned we would be doing it at these early days
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: Had we invested even a bit earlier, we may have had the advantage of some of these products even sooner. I think the second area that I'm very proud to see, our operations team have done some amazing things, and I respected it. I don't think I truly appreciated it, because so much of it is done on just pure horsepower, right? We've seen these ever-increasing volumes, and yet the people in Warren's shop have improved turnaround time profiles and all the other key metrics within ops look extremely promising, right? I again see there's untapped potential there if we aren't just effective, but efficient. Had we invested even a bit earlier, we may have had the advantage of some of these products even sooner. had we invested even a bit earlier we may have had the advantage of some of these products even sooner I think the second area that I'm very proud to see, our operations team have done some amazing things, and I respected it. i think the second area that i'm very proud to see our operations team have done some amazing things and i respected it I don't think I truly appreciated it, because so much of it is done on just pure horsepower, right? i don't think i truly appreciated it because so much of it is done on just pure horsepower right We've seen these ever-increasing volumes, and yet the people in Warren's shop have improved turnaround time profiles and all the other key metrics within ops look extremely promising, right? we've seen these ever-increasing volumes and yet the people in warren's shop have improved turnaround time profiles and all the other key metrics within ops look extremely promising right I again see there's untapped potential there if we aren't just effective, but efficient. i again see there's untapped potential there if we aren't just effective but efficient
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: I think that's an underappreciated asset that we have as an organization. Then the final piece I would say is we have actually a very good and growing talent base. Some of the new talent that's been coming on board over the last 12-18 months has been really strong, embracing new ideas, bringing new ways of thinking into the company. Those would probably be the areas that I would highlight. I think that's an underappreciated asset that we have as an organization. i think that's an underappreciated asset that we have as an organization Then the final piece I would say is we have actually a very good and growing talent base. then the final piece i would say is we have actually a very good and growing talent base Some of the new talent that's been coming on board over the last 12-18 months has been really strong, embracing new ideas, bringing new ways of thinking into the company. some of the new talent that's been coming on board over the last 12-18 months has been really strong embracing new ideas bringing new ways of thinking into the company Those would probably be the areas that I would highlight. those would probably be the areas that i would highlight
Speaker 2: Got it. Got it. got it
Speaker 3: Yeah. Yeah. yeah
Speaker 2: Abhishek, I know it's been just a couple of weeks for you. I'd love to hear your philosophy, as you were thinking about this role. Abhishek, I know it's been just a couple of weeks for you. abhishek i know it's been just a couple of weeks for you I'd love to hear your philosophy, as you were thinking about this role. i'd love to hear your philosophy as you were thinking about this role
Speaker 1: No, absolutely, Puneet. First of all, great to meet with you, and I look forward to working with you, Puneet. It's been week six with NeoGenomics, and if I talk about my philosophy starting from the guidance, I think I always would want to have a very high degree of confidence to be able to meet the numbers that we are putting up there, and if things were to pan out the way we are anticipating, then hopefully beat the expectations. So a high degree of confidence as far as the guidance is concerned. But I don't like to be too conservative, and be in that like, okay, that you'll be beating every single time with a long shot. No, absolutely, Puneet. no absolutely puneet First of all, great to meet with you, and I look forward to working with you, Puneet. first of all great to meet with you and i look forward to working with you puneet It's been week six with NeoGenomics, and if I talk about my philosophy starting from the guidance, I think I always would want to have a very high degree of confidence to be able to meet the numbers that we are putting up there, and if things were to pan out the way we are anticipating, then hopefully beat the expectations. it's been week six with neogenomics and if i talk about my philosophy starting from the guidance i think i always would want to have a very high degree of confidence to be able to meet the numbers that we are putting up there and if things were to pan out the way we are anticipating then hopefully beat the expectations So a high degree of confidence as far as the guidance is concerned. so a high degree of confidence as far as the guidance is concerned But I don't like to be too conservative, and be in that like, okay, that you'll be beating every single time with a long shot. but i don't like to be too conservative and be in that like okay that you'll be beating every single time with a long shot
Speaker 2: Okay. Okay. okay
Speaker 1: The second piece is profitable growth. In my mind, growth stays the most important value driver for a company right now. Then I say profitable because this is the balance between, okay, of the incremental dollars, how much money do you really need to invest back into the business to continue to kind of drive the growth in the further years, and then how much of that incremental dollars you need to drop to the bottom line to expand your margins. Profitable growth becomes extremely important to me. Third and final piece is around the capital allocation and the cost management. How do we stay prudent in terms of managing our expenses, especially around the G&A side of the house? The second piece is profitable growth. the second piece is profitable growth In my mind, growth stays the most important value driver for a company right now. in my mind growth stays the most important value driver for a company right now Then I say profitable because this is the balance between, okay, of the incremental dollars, how much money do you really need to invest back into the business to continue to kind of drive the growth in the further years, and then how much of that incremental dollars you need to drop to the bottom line to expand your margins. then i say profitable because this is the balance between okay of the incremental dollars how much money do you really need to invest back into the business to continue to kind of drive the growth in the further years and then how much of that incremental dollars you need to drop to the bottom line to expand your margins Profitable growth becomes extremely important to me. profitable growth becomes extremely important to me Third and final piece is around the capital allocation and the cost management. third and final piece is around the capital allocation and the cost management How do we stay prudent in terms of managing our expenses, especially around the G&A side of the house? how do we stay prudent in terms of managing our expenses especially around the g&a side of the house How do we drive the leverage, and how do we kind of use the benefits of the automation to be able to drive the efficiencies within the organization? I think those are the three things that I would call out on the philosophy. How do we drive the leverage, and how do we kind of use the benefits of the automation to be able to drive the efficiencies within the organization? how do we drive the leverage and how do we kind of use the benefits of the automation to be able to drive the efficiencies within the organization I think those are the three things that I would call out on the philosophy. i think those are the three things that i would call out on the philosophy
Speaker 2: That's great. Let me switch gears and I wanted to talk a little bit about the guidance and unpack that a bit. I mean. That's great. that's great Let me switch gears and I wanted to talk a little bit about the guidance and unpack that a bit. let me switch gears and i wanted to talk a little bit about the guidance and unpack that a bit I mean. i mean
Speaker 1: Mm-hmm Mm-hmm mm-hmm
Speaker 2: You're expecting 9%-10% growth. You've talked about ASP benefits through the year as you retire some of the, you know, low-value maybe Pathline tests. There was a contract, and a low-value contract. Maybe we'll touch on that as well. You're expecting 9%-10% growth. you're expecting 9%-10% growth You've talked about ASP benefits through the year as you retire some of the, you know, low-value maybe Pathline tests. you've talked about asp benefits through the year as you retire some of the you know low-value maybe pathline tests There was a contract, and a low-value contract. there was a contract and a low-value contract Maybe we'll touch on that as well. maybe we'll touch on that as well
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 2: I think AUP was a significant discussion in the quarter, and I just wanted to maybe if you could take a minute and help clarify as to, you know, the puts and takes there, for the AUP through the year, especially in the first half. I think AUP was a significant discussion in the quarter, and I just wanted to maybe if you could take a minute and help clarify as to, you know, the puts and takes there, for the AUP through the year, especially in the first half. i think aup was a significant discussion in the quarter and i just wanted to maybe if you could take a minute and help clarify as to you know the puts and takes there for the aup through the year especially in the first half
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 2: How do we. You know, this is. There's a large jump from 1Q to 2Q there. Maybe just walk us through what's happening there. How do we. how do we You know, this is. you know this is There's a large jump from 1 Q to 2 Q there. there's a large jump from 1 q to 2 q there Maybe just walk us through what's happening there. maybe just walk us through what's happening there
Speaker 1: Absolutely. Absolutely. absolutely
Speaker 3: Would you like me to kick it off on the volume piece? Would you like me to kick it off on the volume piece? would you like me to kick it off on the volume piece
Speaker 2: Yeah Yeah yeah
Speaker 3: you can finish it off with AUP and then the resulting impact? you can finish it off with AUP and then the resulting impact? you can finish it off with aup and then the resulting impact
Speaker 2: Absolutely. Please. Yeah. Absolutely. absolutely please Please. absolutely please Yeah. absolutely please yeah
Speaker 3: Is that fair? If you step back, Puneet, as you had mentioned, we had talked last year about two contracts. Is that fair? is that fair If you step back, Puneet, as you had mentioned, we had talked last year about two contracts. if you step back puneet as you had mentioned we had talked last year about two contracts
Speaker 1: Mm-hmm Mm-hmm mm-hmm
Speaker 3: That were relatively high volume but low in value. If you remember, that caused that first sequential decline in AUP that caused some concern that we then had to monitor closely through the course of the year. That were relatively high volume but low in value. that were relatively high volume but low in value If you remember, that caused that first sequential decline in AUP that caused some concern that we then had to monitor closely through the course of the year. if you remember that caused that first sequential decline in aup that caused some concern that we then had to monitor closely through the course of the year
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: It's one of those contracts, right? It was with a reference lab. Just to put it in context, it was high volume, so it was almost 3%-4% of our volume, right? But the AUP that we were generating from this one test was just about $200. It's one of those contracts, right? it's one of those contracts right It was with a reference lab. it was with a reference lab Just to put it in context, it was high volume, so it was almost 3%-4% of our volume, right? just to put it in context it was high volume so it was almost 3%-4% of our volume right But the AUP that we were generating from this one test was just about $200. but the aup that we were generating from this one test was just about $200
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: You know, when you enter these types of contracts, it's always with the belief that, okay, you know, we're gonna show what we can do, but we wanna move up the value chain and be able to secure some higher value business as well, and we just couldn't get to that same point with this customer, right? You're looking at a world where you have, yes, high volume, but this low AUP that inevitably is just going to be a downward price spiral. When you looked at the resource that we were using internally for this, it just didn't make good business sense for us. We had made the conscious decision that, well, no, we had to exit this, right? When you then ripple that through, there was an impact, a sequential decline in volume in Q4. You know, when you enter these types of contracts, it's always with the belief that, okay, you know, we're gonna show what we can do, but we wanna move up the value chain and be able to secure some higher value business as well, and we just couldn't get to that same point with this customer, right? you know when you enter these types of contracts it's always with the belief that okay you know we're gonna show what we can do but we wanna move up the value chain and be able to secure some higher value business as well and we just couldn't get to that same point with this customer right You're looking at a world where you have, yes, high volume, but this low AUP that inevitably is just going to be a downward price spiral. you're looking at a world where you have yes high volume but this low aup that inevitably is just going to be a downward price spiral When you looked at the resource that we were using internally for this, it just didn't make good business sense for us. when you looked at the resource that we were using internally for this it just didn't make good business sense for us We had made the conscious decision that, well, no, we had to exit this, right? we had made the conscious decision that well no we had to exit this right When you then ripple that through, there was an impact, a sequential decline in volume in Q4. when you then ripple that through there was an impact a sequential decline in volume in q4 We would anticipate the remainder or the bulk of the remainder of that contract coming through again in Q1, so a sequential decline in volume in Q1. We would anticipate the remainder or the bulk of the remainder of that contract coming through again in Q1, so a sequential decline in volume in Q1. we would anticipate the remainder or the bulk of the remainder of that contract coming through again in q1 so a sequential decline in volume in q1
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: we would get back to sequential growth starting in Q2. In fact, Q2 volume should be flat year-over-year, sequentially up from Q1, and then up again in Q3 and Q4. it's working through one contract with one reference lab, with one modality. It wasn't across modalities or across a broad customer base. we would get back to sequential growth starting in Q2. we would get back to sequential growth starting in q2 In fact, Q2 volume should be flat year-over-year, sequentially up from Q1, and then up again in Q3 and Q4. it's working through one contract with one reference lab, with one modality. in fact q2 volume should be flat year-over-year sequentially up from q1 and then up again in q3 and q4 it's working through one contract with one reference lab with one modality It wasn't across modalities or across a broad customer base. it wasn't across modalities or across a broad customer base
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: That'll just give you context for how does that affect AUP and how did that affect the guide. That'll just give you context for how does that affect AUP and how did that affect the guide. that'll just give you context for how does that affect aup and how did that affect the guide
Speaker 1: Yeah. Yeah. yeah
Speaker 3: That's helpful. That's helpful. that's helpful
Speaker 1: No, absolutely. No, absolutely. no absolutely
Speaker 3: I'll let you take over now. I'll let you take over now. i'll let you take over now
Speaker 1: No, thanks, Tony, for setting the context here from the strategy standpoint. Now from the guidance standpoint, what happened, Puneet, last year in 2025, we basically drove the clinical revenue by 15%. 12% came from volumes, and 3% came from AUP. Now, in that result, the breakdown between the volume and the AUP, we had two factors going on. The first factor was Pathline, and the second factor was this one contract, right? No, thanks, Tony, for setting the context here from the strategy standpoint. no thanks tony for setting the context here from the strategy standpoint Now from the guidance standpoint, what happened, Puneet, last year in 2025, we basically drove the clinical revenue by 15%. 12% came from volumes, and 3% came from AUP. now from the guidance standpoint what happened puneet last year in 2025 we basically drove the clinical revenue by 15% 12% came from volumes and 3% came from aup Now, in that result, the breakdown between the volume and the AUP, we had two factors going on. now in that result the breakdown between the volume and the aup we had two factors going on The first factor was Pathline, and the second factor was this one contract, right? the first factor was pathline and the second factor was this one contract right
Speaker 3: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: This time, actually, what we did just before this fireside chat, we have updated our presentation on our investor relations website, and we have added one slide there that basically provides more color on this dynamic. The point there is that, okay, if we were to kind of remove the impact of the Pathline and this one contract- This time, actually, what we did just before this fireside chat, we have updated our presentation on our investor relations website, and we have added one slide there that basically provides more color on this dynamic. this time actually what we did just before this fireside chat we have updated our presentation on our investor relations website and we have added one slide there that basically provides more color on this dynamic The point there is that, okay, if we were to kind of remove the impact of the Pathline and this one contract- the point there is that okay if we were to kind of remove the impact of the pathline and this one contract-
Speaker 3: Mm-hmm Mm-hmm mm-hmm
Speaker 1: Our volume growth for the overall business is going to be in the mid-single-digit. It has not changed year-over-year. It has been very similar to what we have seen in the prior years and is going to be very similar in 2026. Exactly the same on the AUP as well. If we were to take out the dynamic of this high-volume, low-value contract and Pathline, we would be growing our AUP in the mid-single-digit. That's what we did in 2025, and that's exactly what we're anticipating in 2026. Now, maybe if you were to see it from a slightly different angle, Q4 2025, our AUP growth was 5% year-over-year. Now, if you look at Q1, Q2, and Q3 of 2025, we have been growing about two to three points. Our volume growth for the overall business is going to be in the mid-single-digit. our volume growth for the overall business is going to be in the mid-single-digit It has not changed year-over-year. it has not changed year-over-year It has been very similar to what we have seen in the prior years and is going to be very similar in 2026. it has been very similar to what we have seen in the prior years and is going to be very similar in 2026 Exactly the same on the AUP as well. exactly the same on the aup as well If we were to take out the dynamic of this high-volume, low-value contract and Pathline, we would be growing our AUP in the mid-single-digit. if we were to take out the dynamic of this high-volume low-value contract and pathline we would be growing our aup in the mid-single-digit That's what we did in 2025, and that's exactly what we're anticipating in 2026. that's what we did in 2025 and that's exactly what we're anticipating in 2026 Now, maybe if you were to see it from a slightly different angle, Q4 2025, our AUP growth was 5% year-over-year. now maybe if you were to see it from a slightly different angle q4 2025 our aup growth was 5% year-over-year Now, if you look at Q1, Q2, and Q3 of 2025, we have been growing about two to three points. now if you look at q1 q2 and q3 of 2025 we have been growing about two to three points We increased it to 5% AUP growth in Q4 because we started to flush out the high volume, low value contract. That basically gave us two points. We increased it to 5% AUP growth in Q4 because we started to flush out the high volume, low value contract. we increased it to 5% aup growth in q4 because we started to flush out the high volume low value contract That basically gave us two points. that basically gave us two points
Speaker 3: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: We have not completely done with that contract because we are gonna further flesh out in Q1 the remaining portions of that contract. That 5% can easily become the high single digit from that standpoint, right? We have not completely done with that contract because we are gonna further flesh out in Q1 the remaining portions of that contract. we have not completely done with that contract because we are gonna further flesh out in q1 the remaining portions of that contract That 5% can easily become the high single digit from that standpoint, right? that 5% can easily become the high single digit from that standpoint right
Speaker 3: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: That gives us the confidence that, okay, the way we have provided the guidance on the AUP, we will be able to kind of meet the expectations because, number one, the underlying business is exactly the same, excluding this one contract, and number two, the Q4 2025 results are the proof point as to that higher AUP as we kind of exit from this one contract. That gives us the confidence that, okay, the way we have provided the guidance on the AUP, we will be able to kind of meet the expectations because, number one, the underlying business is exactly the same, excluding this one contract, and number two, the Q4 2025 results are the proof point as to that higher AUP as we kind of exit from this one contract. that gives us the confidence that okay the way we have provided the guidance on the aup we will be able to kind of meet the expectations because number one the underlying business is exactly the same excluding this one contract and number two the q4 2025 results are the proof point as to that higher aup as we kind of exit from this one contract
Speaker 2: Got it. That's very helpful context because I think that's. It's raising a number of questions just looking at the cadence, so thanks for clarifying. Maybe- Got it. got it That's very helpful context because I think that's. that's very helpful context because i think that's It's raising a number of questions just looking at the cadence, so thanks for clarifying. it's raising a number of questions just looking at the cadence so thanks for clarifying Maybe- maybe-
Speaker 1: Just one comment. Just one comment. just one comment
Speaker 2: Yeah, please. Yeah, please. yeah please
Speaker 1: You said the Q1 to Q2. You said the Q1 to Q2. you said the q1 to q2
Speaker 2: Yeah. Yeah. yeah
Speaker 1: That is the Pathline washing out. That is the Pathline washing out. that is the pathline washing out
Speaker 3: Yeah Yeah yeah
Speaker 1: Pathline annualizes at the end of this quarter. Pathline annualizes at the end of this quarter. pathline annualizes at the end of this quarter
Speaker 3: That's right. Yeah. That's right. that's right Yeah. yeah
Speaker 1: Going to Q2, there was a headwind on AUP. Going to Q2, there was a headwind on AUP. going to q2 there was a headwind on aup
Speaker 3: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: That headwind washes out into Q2, so that's why you sort of see this spike again as well. That headwind washes out into Q2, so that's why you sort of see this spike again as well. that headwind washes out into q2 so that's why you sort of see this spike again as well
Speaker 3: Okay Okay okay
Speaker 1: It's another dynamic to just keep in mind from an AUP point of view. It's another dynamic to just keep in mind from an AUP point of view. it's another dynamic to just keep in mind from an aup point of view
Speaker 3: Just on the AUP front, obviously historically that was driven more by NGS addition, more higher value tests coming in, and that's lifting the AUP line. Now, with this elevated number, I just wanna make sure how should we think about this longer term? Is this something that you expect will remain stable or, you know, should we expect an uptick from this? Just on the AUP front, obviously historically that was driven more by NGS addition, more higher value tests coming in, and that's lifting the AUP line. just on the aup front obviously historically that was driven more by ngs addition more higher value tests coming in and that's lifting the aup line Now, with this elevated number, I just wanna make sure how should we think about this longer term? now with this elevated number i just wanna make sure how should we think about this longer term Is this something that you expect will remain stable or, you know, should we expect an uptick from this? is this something that you expect will remain stable or you know should we expect an uptick from this
Speaker 1: I would definitely feel that we will continue to see the impact as we kind of launch our RaDaR ST testing. I would definitely feel that we will continue to see the impact as we kind of launch our RaDaR ST testing. i would definitely feel that we will continue to see the impact as we kind of launch our radar st testing
Speaker 3: Mm-hmm Mm-hmm mm-hmm
Speaker 1: ... number one, because we may not be getting all the coverage from the private payer, so that could be a little bit of a headwind on the AUP. ... number one, because we may not be getting all the coverage from the private payer, so that could be a little bit of a headwind on the AUP. number one because we may not be getting all the coverage from the private payer so that could be a little bit of a headwind on the aup
Speaker 3: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: For the outer years, I would definitely feel the AUP will be a tailwind for multiple years to come. For the outer years, I would definitely feel the AUP will be a tailwind for multiple years to come. for the outer years i would definitely feel the aup will be a tailwind for multiple years to come
Speaker 3: Got it. Yeah. Got it. got it Yeah. yeah
Speaker 1: The reason for that is that two-thirds of our portfolio is our direct client base. The reason for that is that two-thirds of our portfolio is our direct client base. the reason for that is that two-thirds of our portfolio is our direct client base
Speaker 3: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: On that particular portion of our business, we're able to kind of implement the price increases every year. That is a pure play pricing increase that you can actually get the benefit. The second piece on the AUP growth is the mix, as you were calling out. At the same time, as we kind of get these private payers to pay us, as we start to look into 2027, 2028, that will be all accretion to not only the growth margin expansion, but this will be all accretive to the bottom line. I see the pricing increase to be a multiyear kind of a process where our RCM initiatives and our pricing increases and then move to the higher value tests, they will be actually driving the AUP growth. On that particular portion of our business, we're able to kind of implement the price increases every year. on that particular portion of our business we're able to kind of implement the price increases every year That is a pure play pricing increase that you can actually get the benefit. that is a pure play pricing increase that you can actually get the benefit The second piece on the AUP growth is the mix, as you were calling out. the second piece on the aup growth is the mix as you were calling out At the same time, as we kind of get these private payers to pay us, as we start to look into 2027, 2028, that will be all accretion to not only the growth margin expansion, but this will be all accretive to the bottom line. at the same time as we kind of get these private payers to pay us as we start to look into 2027 2028 that will be all accretion to not only the growth margin expansion but this will be all accretive to the bottom line I see the pricing increase to be a multiyear kind of a process where our RCM initiatives and our pricing increases and then move to the higher value tests, they will be actually driving the AUP growth. i see the pricing increase to be a multiyear kind of a process where our rcm initiatives and our pricing increases and then move to the higher value tests they will be actually driving the aup growth
Speaker 3: I think the other aspect and which is why we wanted to create more visibility into it, Puneet, was around the NGS growth rates. I think the other aspect and which is why we wanted to create more visibility into it, Puneet, was around the NGS growth rates. i think the other aspect and which is why we wanted to create more visibility into it puneet was around the ngs growth rates
Speaker 4: Yes. Yes. yes
Speaker 3: You know, when you look at it in totality, right? Our NGS volume represents, you know, 9%-10% of our volume. It's about a third of our revenue, right? It has been growing at, you know, 22%-23%, and we don't anticipate seeing that slow down in 2026. That's also going to be a contributor to this ongoing growth. You know, when you look at it in totality, right? you know when you look at it in totality right Our NGS volume represents, you know, 9%-10% of our volume. our ngs volume represents you know 9%-10% of our volume It's about a third of our revenue, right? it's about a third of our revenue right It has been growing at, you know, 22%-23%, and we don't anticipate seeing that slow down in 2026. it has been growing at you know 22%-23% and we don't anticipate seeing that slow down in 2026 That's also going to be a contributor to this ongoing growth. that's also going to be a contributor to this ongoing growth
Speaker 4: Yeah. Yeah. yeah
Speaker 2: A number of questions there. I mean, on the NGS front, maybe this is for you, Warren. A number of questions there. a number of questions there I mean, on the NGS front, maybe this is for you, Warren. i mean on the ngs front maybe this is for you warren
Speaker 4: Yeah. Yeah. yeah
Speaker 2: In terms of, you look at the market space today in tumor profiling, you know, a company like Foundation's been there for a long time, then Caris and others have come in, obviously reference labs. Other reference labs are also In terms of, you look at the market space today in tumor profiling, you know, a company like Foundation's been there for a long time, then Caris and others have come in, obviously reference labs. in terms of you look at the market space today in tumor profiling you know a company like foundation's been there for a long time then caris and others have come in obviously reference labs Other reference labs are also other reference labs are also
Speaker 4: Mm-hmm Mm-hmm mm-hmm
Speaker 2: providing tissue testing. There's a leading CGP liquid provider as well. Just given the nature of the competitive landscape of the market, you know, how should we think about the NGS growth that just Tony referenced to? How is that something that you believe is sustained? I recognize you guys are really strong in the community setting- providing tissue testing. providing tissue testing There's a leading CGP liquid provider as well. there's a leading cgp liquid provider as well Just given the nature of the competitive landscape of the market, you know, how should we think about the NGS growth that just Tony referenced to? just given the nature of the competitive landscape of the market you know how should we think about the ngs growth that just tony referenced to How is that something that you believe is sustained? how is that something that you believe is sustained I recognize you guys are really strong in the community setting- i recognize you guys are really strong in the community setting-
Speaker 4: Yeah Yeah yeah
Speaker 2: is that sustainable? Because obviously these competitors have larger sales forces today than ever before. is that sustainable? is that sustainable Because obviously these competitors have larger sales forces today than ever before. because obviously these competitors have larger sales forces today than ever before
Speaker 4: Yeah. That's a great question, and I think, a few points I'll touch on. First of all, exclusively focused in the community. Yeah. yeah That's a great question, and I think, a few points I'll touch on. that's a great question and i think a few points i'll touch on First of all, exclusively focused in the community. first of all exclusively focused in the community
Speaker 2: Yeah Yeah yeah
Speaker 4: That's our target space. Even within that community, we focus heavily on prioritizing customers and deciling physicians. Really trying to be more surgical in terms of where we invest the time of our salespeople, because as you said, we've got a smaller sales team, but let's use them as productive as we can. Those are sort of the philosophies that we drive. I think two additional points I'd like to make is there is NGS on the heme side of things is one of the areas where we're differentiated. A number of the companies you just mentioned don't have an offering there, and four out of 10 patients walking into a community practice are going to have heme cancer. These physicians have a need on the NGS side of things from the heme perspective. That's our target space. that's our target space Even within that community, we focus heavily on prioritizing customers and deciling physicians. even within that community we focus heavily on prioritizing customers and deciling physicians Really trying to be more surgical in terms of where we invest the time of our salespeople, because as you said, we've got a smaller sales team, but let's use them as productive as we can. really trying to be more surgical in terms of where we invest the time of our salespeople because as you said we've got a smaller sales team but let's use them as productive as we can Those are sort of the philosophies that we drive. those are sort of the philosophies that we drive I think two additional points I'd like to make is there is NGS on the heme side of things is one of the areas where we're differentiated. i think two additional points i'd like to make is there is ngs on the heme side of things is one of the areas where we're differentiated A number of the companies you just mentioned don't have an offering there, and four out of 10 patients walking into a community practice are going to have heme cancer. a number of the companies you just mentioned don't have an offering there and four out of 10 patients walking into a community practice are going to have heme cancer These physicians have a need on the NGS side of things from the heme perspective. these physicians have a need on the ngs side of things from the heme perspective We're in the door. We've got a seat at that table already, not just with NGS Heme, but other products at Heme that they may find valuable, like COMPASS, as an example. We use that position in the community then to expand. We're in the door. we're in the door We've got a seat at that table already, not just with NGS Heme, but other products at Heme that they may find valuable, like COMPASS, as an example. we've got a seat at that table already not just with ngs heme but other products at heme that they may find valuable like compass as an example We use that position in the community then to expand. we use that position in the community then to expand
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 4: You remember our commercial strategy, protect, expand, acquire, so protect existing customers, but expand within existing customers. This is exactly the expansion. Provide a great experience around our Heme NGS and other portfolio, and use that as a mechanism to expand into other areas. This is where the PanTracer Tissue comes into play, PanTracer liquid comes into play. We find through the good experience and the benefits of having a holistic portfolio, which is often supported through an integrated bi-directional interface, actually pulls through additional volume. You know, a great use case we showcased this before is we launched PanTracer Tissue in March of 2023, so we're actually pretty much three years ago. You remember our commercial strategy, protect, expand, acquire, so protect existing customers, but expand within existing customers. you remember our commercial strategy protect expand acquire so protect existing customers but expand within existing customers This is exactly the expansion. this is exactly the expansion Provide a great experience around our Heme NGS and other portfolio, and use that as a mechanism to expand into other areas. provide a great experience around our heme ngs and other portfolio and use that as a mechanism to expand into other areas This is where the PanTracer Tissue comes into play, PanTracer liquid comes into play. this is where the pantracer tissue comes into play pantracer liquid comes into play We find through the good experience and the benefits of having a holistic portfolio, which is often supported through an integrated bi-directional interface, actually pulls through additional volume. we find through the good experience and the benefits of having a holistic portfolio which is often supported through an integrated bi-directional interface actually pulls through additional volume You know, a great use case we showcased this before is we launched PanTracer Tissue in March of 2023, so we're actually pretty much three years ago. you know a great use case we showcased this before is we launched pantracer tissue in march of 2023 so we're actually pretty much three years ago
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 4: In the first year, we generated some volume. We doubled that volume the next year, and we just about doubled it again the year thereafter. That's a demonstration of our ability to pull through volume in the community, and we think it's a great proxy as people start to think about PanTracer liquid as another product that we're bringing to market. In the first year, we generated some volume. in the first year we generated some volume We doubled that volume the next year, and we just about doubled it again the year thereafter. we doubled that volume the next year and we just about doubled it again the year thereafter That's a demonstration of our ability to pull through volume in the community, and we think it's a great proxy as people start to think about PanTracer liquid as another product that we're bringing to market. that's a demonstration of our ability to pull through volume in the community and we think it's a great proxy as people start to think about pantracer liquid as another product that we're bringing to market
Speaker 2: All right. All right. all right
Speaker 3: I think the only add to that is. You're right, you know, the other competitors do have larger sales forces, so we are still under-indexed there. The value that our incremental investments have been giving us in sales force have become more and more evident, right? I think this is one of the areas where behind the scenes, we've put a lot of work into place on launch excellence and sales force excellence initiatives. You know, we are seeing now, we saw this 14% growth in the number of physicians using five or more Neo tests. You know, we're now up to about 40% of practicing physicians and oncologists using five or more Neo tests. It almost mirrors the growth with these investments that we have continued to make. I think the only add to that is. i think the only add to that is You're right, you know, the other competitors do have larger sales forces, so we are still under-indexed there. you're right you know the other competitors do have larger sales forces so we are still under-indexed there The value that our incremental investments have been giving us in sales force have become more and more evident, right? the value that our incremental investments have been giving us in sales force have become more and more evident right I think this is one of the areas where behind the scenes, we've put a lot of work into place on launch excellence and sales force excellence initiatives. i think this is one of the areas where behind the scenes we've put a lot of work into place on launch excellence and sales force excellence initiatives You know, we are seeing now, we saw this 14% growth in the number of physicians using five or more Neo tests. you know we are seeing now we saw this 14% growth in the number of physicians using five or more neo tests You know, we're now up to about 40% of practicing physicians and oncologists using five or more Neo tests. you know we're now up to about 40% of practicing physicians and oncologists using five or more neo tests It almost mirrors the growth with these investments that we have continued to make. it almost mirrors the growth with these investments that we have continued to make
Speaker 2: Mm-hmm Mm-hmm mm-hmm
Speaker 3: with the field force. I agree that our competitors are strong and we may be under indexed, but it's creating real value for us. If anything, there's probably opportunity for us to further penetrate and go after the remaining 60%. Because once people start getting accustomed to working with Neo, they seem to enjoy the experience, and they're staying with us. with the field force. with the field force I agree that our competitors are strong and we may be under indexed, but it's creating real value for us. i agree that our competitors are strong and we may be under indexed but it's creating real value for us If anything, there's probably opportunity for us to further penetrate and go after the remaining 60%. if anything there's probably opportunity for us to further penetrate and go after the remaining 60% Because once people start getting accustomed to working with Neo, they seem to enjoy the experience, and they're staying with us. because once people start getting accustomed to working with neo they seem to enjoy the experience and they're staying with us
Speaker 4: Can I actually just put one more plug in there? Can I actually just put one more plug in there? can i actually just put one more plug in there
Speaker 2: Yeah. Yeah. yeah
Speaker 4: One of the things that I'm particularly proud of, which I think is a proof statement as well, is we measure NPS score every year. We do it twice a year, typically first half of the year, second half of the year. I'll be the first one to acknowledge that three years ago, our NPS scores were good, but they were actually poor in the oncology setting in the community. We've actively taken that feedback and looked to improve. In December of 2025, so three months ago, we did our NPS survey. It's run independently by a third-party company. About 1,400 people responded to that. About 50% of those 1,400 were- One of the things that I'm particularly proud of, which I think is a proof statement as well, is we measure NPS score every year. one of the things that i'm particularly proud of which i think is a proof statement as well is we measure nps score every year We do it twice a year, typically first half of the year, second half of the year. we do it twice a year typically first half of the year second half of the year I'll be the first one to acknowledge that three years ago, our NPS scores were good, but they were actually poor in the oncology setting in the community. i'll be the first one to acknowledge that three years ago our nps scores were good but they were actually poor in the oncology setting in the community We've actively taken that feedback and looked to improve. we've actively taken that feedback and looked to improve In December of 2025, so three months ago, we did our NPS survey. in december of 2025 so three months ago we did our nps survey It's run independently by a third-party company. it's run independently by a third-party company About 1,400 people responded to that. about 1,400 people responded to that About 50% of those 1,400 were- about 50% of those 1,400 were-
Speaker 2: Mm Mm mm
Speaker 4: Community oncologists, identifying as community oncologists. For the first time ever in my history, and it's only three years, so the first time since I've been at Neo, the NPS score of oncologist outstripped the NPS score of a pathologist. An oncologist came in at 80.1 or 80.2. An incredibly high score, and it's a demonstration of the things we've been doing behind the scenes to create a better experience for these community oncologists across the continuum of care. That's why we believe that we've managed to get a 14% growth rate in new physicians dealing with Neo with five tests or more in 2025. Community oncologists, identifying as community oncologists. community oncologists identifying as community oncologists For the first time ever in my history, and it's only three years, so the first time since I've been at Neo, the NPS score of oncologist outstripped the NPS score of a pathologist. for the first time ever in my history and it's only three years so the first time since i've been at neo the nps score of oncologist outstripped the nps score of a pathologist An oncologist came in at 80.1 or 80.2. an oncologist came in at 80.1 or 80.2 An incredibly high score, and it's a demonstration of the things we've been doing behind the scenes to create a better experience for these community oncologists across the continuum of care. an incredibly high score and it's a demonstration of the things we've been doing behind the scenes to create a better experience for these community oncologists across the continuum of care That's why we believe that we've managed to get a 14% growth rate in new physicians dealing with Neo with five tests or more in 2025. that's why we believe that we've managed to get a 14% growth rate in new physicians dealing with neo with five tests or more in 2025
Speaker 2: That's great. Just on that point, I mean, where do you stand with the overall sales force on the oncology side, and the plans for expansion and how are you thinking about the overall, you know, OPEX spend on that too? That's great. that's great Just on that point, I mean, where do you stand with the overall sales force on the oncology side, and the plans for expansion and how are you thinking about the overall, you know, OPEX spend on that too? just on that point i mean where do you stand with the overall sales force on the oncology side and the plans for expansion and how are you thinking about the overall you know opex spend on that too
Speaker 4: Yeah. I come back to this, probably one of the things maybe Tony was alluding to at the beginning. This is one of the areas where I think trying to balance profitability as well as and growth is being maybe at odds with each other in certain places, 'cause I personally, I'm also in charge of sales, would have loved a bigger sales team. We have also taken a very methodical approach around investing in our sales team, and we've always done it ahead of the launch of new products or the new indications. We invested in new sales people towards the very end of 2024 into 2025. We had a PanTracer liquid coming out. And that took us to roughly 140 people. Yeah. yeah I come back to this, probably one of the things maybe Tony was alluding to at the beginning. i come back to this probably one of the things maybe tony was alluding to at the beginning This is one of the areas where I think trying to balance profitability as well as and growth is being maybe at odds with each other in certain places, 'cause I personally, I'm also in charge of sales, would have loved a bigger sales team. this is one of the areas where i think trying to balance profitability as well as and growth is being maybe at odds with each other in certain places 'cause i personally i'm also in charge of sales would have loved a bigger sales team We have also taken a very methodical approach around investing in our sales team, and we've always done it ahead of the launch of new products or the new indications. we have also taken a very methodical approach around investing in our sales team and we've always done it ahead of the launch of new products or the new indications We invested in new sales people towards the very end of 2024 into 2025. we invested in new sales people towards the very end of 2024 into 2025 We had a PanTracer liquid coming out. we had a pantracer liquid coming out And that took us to roughly 140 people. and that took us to roughly 140 people The breakdown there is about. It's not quite 50-50, it's 60-40. 60% are what we call territory business managers. They're targeting hospitals and the pathology business. The OSSs is the 40% today, targeting community oncology. As we've rolled into 2026 and launched RaDaR ST, head and neck HPV negative cancers has a new core point to us, which is the ENT, and we've invested in a small sales team there, roughly 10 people, dedicated towards the ENT and for RaDaR ST head and neck HPV negative. That's an additional OSS team. Then in anticipation of approval of two additional indications for RaDaR ST that we've submitted, we anticipate those approvals to take place in the latter part of the year. The breakdown there is about. the breakdown there is about It's not quite 50-50, it's 60-40. 60% are what we call territory business managers. it's not quite 50-50 it's 60-40 60% are what we call territory business managers They're targeting hospitals and the pathology business. they're targeting hospitals and the pathology business The OSSs is the 40% today, targeting community oncology. the osss is the 40% today targeting community oncology As we've rolled into 2026 and launched RaDaR ST, head and neck HPV negative cancers has a new core point to us, which is the ENT, and we've invested in a small sales team there, roughly 10 people, dedicated towards the ENT and for RaDaR ST head and neck HPV negative. as we've rolled into 2026 and launched radar st head and neck hpv negative cancers has a new core point to us which is the ent and we've invested in a small sales team there roughly 10 people dedicated towards the ent and for radar st head and neck hpv negative That's an additional OSS team. that's an additional oss team Then in anticipation of approval of two additional indications for RaDaR ST that we've submitted, we anticipate those approvals to take place in the latter part of the year. then in anticipation of approval of two additional indications for radar st that we've submitted we anticipate those approvals to take place in the latter part of the year We're gonna be investing in another sort of 25 or so oncology sales specialists in the third quarter. Again, ahead of those approvals, so that we're up and running when they are approved. That again will take us to roughly 165, and for the first time you'll see a higher index towards the Oncology Sales Specialists versus our Territory Business Managers. We're gonna be investing in another sort of 25 or so oncology sales specialists in the third quarter. we're gonna be investing in another sort of 25 or so oncology sales specialists in the third quarter Again, ahead of those approvals, so that we're up and running when they are approved. again ahead of those approvals so that we're up and running when they are approved That again will take us to roughly 165, and for the first time you'll see a higher index towards the Oncology Sales Specialists versus our Territory Business Managers. that again will take us to roughly 165 and for the first time you'll see a higher index towards the oncology sales specialists versus our territory business managers
Speaker 2: Interesting. Abhishek, anything on the OPEX side, I mean, as you think about this ramp? Interesting. interesting Abhishek, anything on the OPEX side, I mean, as you think about this ramp? abhishek anything on the opex side i mean as you think about this ramp
Speaker 1: On the OpEx, the way I'm kind of thinking, Puneet, is that, okay, we need to provide sufficient investments within our sales organization, which as Tony was saying, is that under-indexed as compared to some of our competition. We need to make sure that we have enough boots on the ground to be able to kind of gain the market share. At the same time, we're gonna stay extremely prudent as to how do we ramp that sales force. That will definitely be a kind of. We will be watchful there. Overall, on the operating expense, I think from the philosophy standpoint, like making some rightful investments to be able to drive the growth, that will be the priority. On the OpEx, the way I'm kind of thinking, Puneet, is that, okay, we need to provide sufficient investments within our sales organization, which as Tony was saying, is that under-indexed as compared to some of our competition. on the opex the way i'm kind of thinking puneet is that okay we need to provide sufficient investments within our sales organization which as tony was saying is that under-indexed as compared to some of our competition We need to make sure that we have enough boots on the ground to be able to kind of gain the market share. we need to make sure that we have enough boots on the ground to be able to kind of gain the market share At the same time, we're gonna stay extremely prudent as to how do we ramp that sales force. at the same time we're gonna stay extremely prudent as to how do we ramp that sales force That will definitely be a kind of. that will definitely be a kind of We will be watchful there. we will be watchful there Overall, on the operating expense, I think from the philosophy standpoint, like making some rightful investments to be able to drive the growth, that will be the priority. overall on the operating expense i think from the philosophy standpoint like making some rightful investments to be able to drive the growth that will be the priority Number two, a little bit in the R&D so that we can drive the payer reimbursement of the coverage, so that can again assist our top line growth. The third area of investment would be the LIMS or some of the IT infrastructure, because we have not spent or invested the amount that we should have, like, a few years ago, so that we could actually start to use the benefit of the automation, not only in our lab, but across the organization. Those will be the three areas of investments, and everything else is going to be flattish or lower as we kind of look forward from here. Number two, a little bit in the R&D so that we can drive the payer reimbursement of the coverage, so that can again assist our top line growth. number two a little bit in the r&d so that we can drive the payer reimbursement of the coverage so that can again assist our top line growth The third area of investment would be the LIMS or some of the IT infrastructure, because we have not spent or invested the amount that we should have, like, a few years ago, so that we could actually start to use the benefit of the automation, not only in our lab, but across the organization. the third area of investment would be the lims or some of the it infrastructure because we have not spent or invested the amount that we should have like a few years ago so that we could actually start to use the benefit of the automation not only in our lab but across the organization Those will be the three areas of investments, and everything else is going to be flattish or lower as we kind of look forward from here. those will be the three areas of investments and everything else is going to be flattish or lower as we kind of look forward from here
Speaker 2: Any thoughts on Adjusted EBITDA in terms of? Any thoughts on Adjusted EBITDA in terms of? any thoughts on adjusted ebitda in terms of
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 2: Adjusted EBITDA margins were, I believe, flat in 2024, 2025. Though I think they were still at 6%. You know, how should we think, investors think about Adjusted EBITDA improvement given the context of the amount? You know, I mean, obviously a number of things that you wanna push on with the investments and on the sales force side. Yeah. Adjusted EBITDA margins were, I believe, flat in 2024, 2025. adjusted ebitda margins were i believe flat in 2024 2025 Though I think they were still at 6%. though i think they were still at 6% You know, how should we think, investors think about Adjusted EBITDA improvement given the context of the amount? you know how should we think investors think about adjusted ebitda improvement given the context of the amount You know, I mean, obviously a number of things that you wanna push on with the investments and on the sales force side. you know i mean obviously a number of things that you wanna push on with the investments and on the sales force side Yeah. yeah
Speaker 1: Yeah. No. It's going to be a balance, Puneet, because in 2026, our guidance basically assumes about 100 basis points expansion in the Adjusted EBITDA from 6%-7%. Yeah. yeah No. no It's going to be a balance, Puneet, because in 2026, our guidance basically assumes about 100 basis points expansion in the Adjusted EBITDA from 6%- 7%. it's going to be a balance puneet because in 2026 our guidance basically assumes about 100 basis points expansion in the adjusted ebitda from 6%- 7%
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 1: We are actually growing Adjusted EBITDA by about, like, 29% at the midpoint of our guide. We have been very thoughtful in terms of making sure that we stay prudent in terms of making the investment in the rightful areas, and then dropping the part of the incremental dollar to the bottom line. Having said that, my sense is 2026 is still a year where we are making more investments. As we kind of look into 2027, 2028, once these newer products basically start to become a little bit more mature, you will start to see a lot more expansion on the Adjusted EBITDA line. We are actually growing Adjusted EBITDA by about, like, 29% at the midpoint of our guide. we are actually growing adjusted ebitda by about like 29% at the midpoint of our guide We have been very thoughtful in terms of making sure that we stay prudent in terms of making the investment in the rightful areas, and then dropping the part of the incremental dollar to the bottom line. we have been very thoughtful in terms of making sure that we stay prudent in terms of making the investment in the rightful areas and then dropping the part of the incremental dollar to the bottom line Having said that, my sense is 2026 is still a year where we are making more investments. having said that my sense is 2026 is still a year where we are making more investments As we kind of look into 2027, 2028, once these newer products basically start to become a little bit more mature, you will start to see a lot more expansion on the Adjusted EBITDA line. as we kind of look into 2027 2028 once these newer products basically start to become a little bit more mature you will start to see a lot more expansion on the adjusted ebitda line
Speaker 2: Just given the, you know, knowing the cadence of, you know, getting the reps and expanding on new products. Just given the, you know, knowing the cadence of, you know, getting the reps and expanding on new products. just given the you know knowing the cadence of you know getting the reps and expanding on new products
Speaker 1: Mm-hmm. Mm-hmm. mm-hmm
Speaker 2: getting the penetration, can you maybe just sort of give us a glimpse into when you start to see maybe potentially a significant ramp in volumes as a result of these investments? getting the penetration, can you maybe just sort of give us a glimpse into when you start to see maybe potentially a significant ramp in volumes as a result of these investments? getting the penetration can you maybe just sort of give us a glimpse into when you start to see maybe potentially a significant ramp in volumes as a result of these investments
Speaker 4: We've done these sort of serial increases in sales team members sort of every- We've done these sort of serial increases in sales team members sort of every- we've done these sort of serial increases in sales team members sort of every-
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 4: I don't know, eight to 12 months, we've really focused on onboarding and time to productivity and trying to get better and better. It's not. It does depend a little on the profile of the person we recruit. Is this the prior territory of theirs, and do they have relationships? Are they coming directly out of community oncology setting or they may be a pharma rep? You know, there's different dynamics, but we typically see it somewhere between the six to eight month range. It's in that sort of range. Some of the growth that we're obviously seeing in the first half of this year can be contributed towards the sales reps we hired in back end of 2024, early 2025 that are now in stride. I don't know, eight to 12 months, we've really focused on onboarding and time to productivity and trying to get better and better. i don't know eight to 12 months we've really focused on onboarding and time to productivity and trying to get better and better It's not. it's not It does depend a little on the profile of the person we recruit. it does depend a little on the profile of the person we recruit Is this the prior territory of theirs, and do they have relationships? is this the prior territory of theirs and do they have relationships Are they coming directly out of community oncology setting or they may be a pharma rep? are they coming directly out of community oncology setting or they may be a pharma rep You know, there's different dynamics, but we typically see it somewhere between the six to eight month range. you know there's different dynamics but we typically see it somewhere between the six to eight month range It's in that sort of range. it's in that sort of range Some of the growth that we're obviously seeing in the first half of this year can be contributed towards the sales reps we hired in back end of 2024, early 2025 that are now in stride. some of the growth that we're obviously seeing in the first half of this year can be contributed towards the sales reps we hired in back end of 2024 early 2025 that are now in stride We're definitely gonna benefit from that, and as I said, we'll have some additional sales reps coming on board early in Q3 as well. We're definitely gonna benefit from that, and as I said, we'll have some additional sales reps coming on board early in Q3 as well. we're definitely gonna benefit from that and as i said we'll have some additional sales reps coming on board early in q3 as well
Speaker 2: I wanna touch briefly on PanTracer liquid and as well as RaDaR. On the PanTracer, you now have a full suite of PanTracer, both liquid, solid and liquid. Maybe just remind us conversations on MolDX side and then, you know, in terms of what's the traction for the liquid side? I wanna touch briefly on PanTracer liquid and as well as RaDaR. i wanna touch briefly on pantracer liquid and as well as radar On the PanTracer, you now have a full suite of PanTracer, both liquid, solid and liquid. on the pantracer you now have a full suite of pantracer both liquid solid and liquid Maybe just remind us conversations on MolDX side and then, you know, in terms of what's the traction for the liquid side? maybe just remind us conversations on moldx side and then you know in terms of what's the traction for the liquid side
Speaker 4: Yeah. Yeah. yeah
Speaker 3: Yeah. On the conversations with MolDX, and then Warren can take on the traction side. They've been ongoing. They've been good conversations in my opinion. What we have seen across the landscape, it's taken about 12 months for new products, so about four cycles through MolDX. We're not quite at that point yet. We would be at that point in early April. What I would tell you is that through the cycles, the number of questions that have come back to us have become fewer and fewer. We've not been asked to do any kind of additional wet work or anything like that. It's provide additional information or data around a specific point or two, which we have happily provided. Yeah. yeah On the conversations with MolDX, and then Warren can take on the traction side. on the conversations with moldx and then warren can take on the traction side They've been ongoing. they've been ongoing They've been good conversations in my opinion. they've been good conversations in my opinion What we have seen across the landscape, it's taken about 12 months for new products, so about four cycles through MolDX. what we have seen across the landscape it's taken about 12 months for new products so about four cycles through moldx We're not quite at that point yet. we're not quite at that point yet We would be at that point in early April. we would be at that point in early april What I would tell you is that through the cycles, the number of questions that have come back to us have become fewer and fewer. what i would tell you is that through the cycles the number of questions that have come back to us have become fewer and fewer We've not been asked to do any kind of additional wet work or anything like that. we've not been asked to do any kind of additional wet work or anything like that It's provide additional information or data around a specific point or two, which we have happily provided. it's provide additional information or data around a specific point or two which we have happily provided We still are fairly confident and optimistic that right around that 12-month window, we should be hearing something. The guidance was a different story. You know, We still are fairly confident and optimistic that right around that 12-month window, we should be hearing something. we still are fairly confident and optimistic that right around that 12-month window we should be hearing something The guidance was a different story. the guidance was a different story You know, you know
Speaker 2: Mm-hmm. Mm-hmm. mm-hmm
Speaker 3: We just wanted to exercise prudence. That's why we only put it in the second half with limited revenue because then it would represent- We just wanted to exercise prudence. we just wanted to exercise prudence That's why we only put it in the second half with limited revenue because then it would represent- that's why we only put it in the second half with limited revenue because then it would represent-
Speaker 2: Yeah Yeah yeah
Speaker 3: opportunity for us. We're still relatively confident. Again, no additional wet work, nothing out of the ordinary from our perspective. opportunity for us. opportunity for us We're still relatively confident. we're still relatively confident Again, no additional wet work, nothing out of the ordinary from our perspective. again no additional wet work nothing out of the ordinary from our perspective
Speaker 4: I think in terms of uptake, we've been very pleased with the uptake. Uptake across two elements for me. The first one is how much absolute PanTracer liquid is being requisitioned. We've seen a healthy uptick sort of month-over-month or quarter-over-quarter since we launched right at the end of July of 2025. We're obviously incurring those costs to result those tests right now, but we're not actually receiving reimbursement based on what Tony had said. I think in terms of uptake, we've been very pleased with the uptake. i think in terms of uptake we've been very pleased with the uptake Uptake across two elements for me. uptake across two elements for me The first one is how much absolute PanTracer liquid is being requisitioned. the first one is how much absolute pantracer liquid is being requisitioned We've seen a healthy uptick sort of month-over-month or quarter-over-quarter since we launched right at the end of July of 2025. we've seen a healthy uptick sort of month-over-month or quarter-over-quarter since we launched right at the end of july of 2025 We're obviously incurring those costs to result those tests right now, but we're not actually receiving reimbursement based on what Tony had said. we're obviously incurring those costs to result those tests right now but we're not actually receiving reimbursement based on what tony had said
Speaker 3: Mm. Mm. mm
Speaker 4: We're building a really good funnel of business at this particular point and quite a nice geographical dispersion as well in terms of where this business is coming from around the country. We're building a really good funnel of business at this particular point and quite a nice geographical dispersion as well in terms of where this business is coming from around the country. we're building a really good funnel of business at this particular point and quite a nice geographical dispersion as well in terms of where this business is coming from around the country
Speaker 2: Mm. Mm. mm
Speaker 4: The other area which I've been particularly pleased with is just the overall increase in the category, our PanTracer family portfolio. Again, PanTracer Tissue, PanTracer Tissue + HRD, PanTracer Liquid, and our PanTracer Pro. You know, as we launched liquid, we saw an inflection point in terms of the growth of the category overall, driven by liquid and solid tumor. We've just, we've also now recently launched PanTracer Pro, and we've seen exactly the same thing again. We see these inflection points. Both the individual test, but the actual category both doing really nicely. The other area which I've been particularly pleased with is just the overall increase in the category, our PanTracer family portfolio. the other area which i've been particularly pleased with is just the overall increase in the category our pantracer family portfolio Again, PanTracer Tissue, PanTracer Tissue + HRD, PanTracer Liquid , and our PanTracer Pro. again pantracer tissue pantracer tissue + hrd pantracer liquid and our pantracer pro You know, as we launched liquid, we saw an inflection point in terms of the growth of the category overall, driven by liquid and solid tumor. you know as we launched liquid we saw an inflection point in terms of the growth of the category overall driven by liquid and solid tumor We've just, we've also now recently launched PanTracer Pro, and we've seen exactly the same thing again. we've just we've also now recently launched pantracer pro and we've seen exactly the same thing again We see these inflection points. we see these inflection points Both the individual test, but the actual category both doing really nicely. both the individual test but the actual category both doing really nicely
Speaker 2: Got it. Okay. On the RaDaR side, if I could switch to that in the few minutes we have here. Maybe just remind us, I mean, maybe how many oncologists were or oncologists that were using RaDaR 1.0 or before, are those the ones that are suitable funnel for ordering this test? Maybe just, I know it's been a couple of weeks since the launch, so, wondering if you can give a sense of what kind of traction are you getting from oncologists. Got it. got it Okay. okay On the RaDaR side, if I could switch to that in the few minutes we have here. on the radar side if i could switch to that in the few minutes we have here Maybe just remind us, I mean, maybe how many oncologists were or oncologists that were using RaDaR 1.0 or before, are those the ones that are suitable funnel for ordering this test? maybe just remind us i mean maybe how many oncologists were or oncologists that were using radar 1.0 or before are those the ones that are suitable funnel for ordering this test Maybe just, I know it's been a couple of weeks since the launch, so, wondering if you can give a sense of what kind of traction are you getting from oncologists. maybe just i know it's been a couple of weeks since the launch so wondering if you can give a sense of what kind of traction are you getting from oncologists
Speaker 3: Certainly. Go ahead. Certainly. certainly Go ahead. go ahead
Speaker 4: Go ahead. I'm sorry. Certainly prior users of RaDaR were, and is a subset of our targeting because when we launched RaDaR in 2023, it was more we're in sort of an EAP program and it was very much a PanTracer pan-cancer type approach. Go ahead. go ahead I'm sorry. ahead i'm sorry Certainly prior users of RaDaR were, and is a subset of our targeting because when we launched RaDaR in 2023, it was more we're in sort of an EAP program and it was very much a PanTracer pan-cancer type approach. certainly prior users of radar were and is a subset of our targeting because when we launched radar in 2023 it was more we're in sort of an eap program and it was very much a pantracer pan-cancer type approach
Speaker 2: Mm. Mm. mm
Speaker 4: We've taken those users who are still sending us time points today for many of their patients, that they're still sending us time points. We have relationships. Those that are in indication have absolutely been targets for us. They head and neck HPV negative and the subset of breast. We've gone after them and we've had one of the prior physicians actually already requisition a new RaDaR ST. In terms of uptake, it's been a little over a week. We have had multiple orders coming in already. I'll give one example in a moment, but what has been incredibly helpful for us is access to the community oncologists has significantly increased, 'cause we've got something new to talk about, something that's relevant. We've taken those users who are still sending us time points today for many of their patients, that they're still sending us time points. we've taken those users who are still sending us time points today for many of their patients that they're still sending us time points We have relationships. we have relationships Those that are in indication have absolutely been targets for us. those that are in indication have absolutely been targets for us They head and neck HPV negative and the subset of breast. they head and neck hpv negative and the subset of breast We've gone after them and we've had one of the prior physicians actually already requisition a new RaDaR ST. we've gone after them and we've had one of the prior physicians actually already requisition a new radar st In terms of uptake, it's been a little over a week. in terms of uptake it's been a little over a week We have had multiple orders coming in already. we have had multiple orders coming in already I'll give one example in a moment, but what has been incredibly helpful for us is access to the community oncologists has significantly increased, 'cause we've got something new to talk about, something that's relevant. i'll give one example in a moment but what has been incredibly helpful for us is access to the community oncologists has significantly increased 'cause we've got something new to talk about something that's relevant Again, it adds to our solution from a continuum of care perspective. Access is up. We've seen dinner programs, lunch and learns. These are all sort of pre-indications of what's likely to come. First tests already in the lab, which is really encouraging. One thing I want to call out in two of the tests that have already arrived in the lab, the requisition wasn't only for RaDaR ST, it was for RaDaR ST, PanTracer Tissue, and some auxiliary tests. These were. I've actually reached out to one of the physicians myself to find out like, "Tell me why you did that," just for my own insight. It's really around this particular physician, A, appreciates the value of our portfolio, but was very concerned about tissue preservation and recognized that they wanted to do multiple testing, not just MRD. Again, it adds to our solution from a continuum of care perspective. again it adds to our solution from a continuum of care perspective Access is up. access is up We've seen dinner programs, lunch and learns. we've seen dinner programs lunch and learns These are all sort of pre-indications of what's likely to come. these are all sort of pre-indications of what's likely to come First tests already in the lab, which is really encouraging. first tests already in the lab which is really encouraging One thing I want to call out in two of the tests that have already arrived in the lab, the requisition wasn't only for RaDaR ST, it was for RaDaR ST, PanTracer Tissue, and some auxiliary tests. one thing i want to call out in two of the tests that have already arrived in the lab the requisition wasn't only for radar st it was for radar st pantracer tissue and some auxiliary tests These were. these were I've actually reached out to one of the physicians myself to find out like, "Tell me why you did that," just for my own insight. i've actually reached out to one of the physicians myself to find out like "tell me why you did that," just for my own insight It's really around this particular physician, A, appreciates the value of our portfolio, but was very concerned about tissue preservation and recognized that they wanted to do multiple testing, not just MRD. it's really around this particular physician a appreciates the value of our portfolio but was very concerned about tissue preservation and recognized that they wanted to do multiple testing not just mrd They wanted to get the CGP insights as well as some particular auxiliary insights. They were concerned that they would exhaust the tissue. By sending it to one lab that could do everything was their solution here. That's why this particular physician sent that to us. We have two such examples already. Demonstration of the value of a breadth of portfolio. They wanted to get the CGP insights as well as some particular auxiliary insights. they wanted to get the cgp insights as well as some particular auxiliary insights They were concerned that they would exhaust the tissue. they were concerned that they would exhaust the tissue By sending it to one lab that could do everything was their solution here. by sending it to one lab that could do everything was their solution here That's why this particular physician sent that to us. that's why this particular physician sent that to us We have two such examples already. we have two such examples already Demonstration of the value of a breadth of portfolio. demonstration of the value of a breadth of portfolio
Speaker 2: Yeah, sort of the one-stop shop that Yeah, sort of the one-stop shop that yeah sort of the one-stop shop that
Speaker 4: Yeah Yeah yeah
Speaker 2: -you always talked about. On the just maybe last one, on the competition front, on the MRD side, obviously a number of companies are talking about their scale, the presence in the market. Obviously, you have a strong presence in the community setting. -you always talked about. -you always talked about On the just maybe last one, on the competition front, on the MRD side, obviously a number of companies are talking about their scale, the presence in the market. on the just maybe last one on the competition front on the mrd side obviously a number of companies are talking about their scale the presence in the market Obviously, you have a strong presence in the community setting. obviously you have a strong presence in the community setting
Speaker 4: Yeah. Yeah. yeah
Speaker 2: Is there any reason why you can't, you know, do with MRD what you did with NGS in that market? You came later in the market with NGS. You're similar, in a similar way you're coming in a bit later, but again, not as late as even NGS, you know? Is there any reason why you can't, you know, do with MRD what you did with NGS in that market? is there any reason why you can't you know do with mrd what you did with ngs in that market You came later in the market with NGS. you came later in the market with ngs You're similar, in a similar way you're coming in a bit later, but again, not as late as even NGS, you know? you're similar in a similar way you're coming in a bit later but again not as late as even ngs you know
Speaker 4: Yeah. Yeah. yeah
Speaker 2: Yeah, how do you know, how should one think about the penetration of RaDaR or the uptake, growth overall? Yeah, how do you know, how should one think about the penetration of RaDaR or the uptake, growth overall? yeah how do you know how should one think about the penetration of radar or the uptake growth overall
Speaker 4: I think we're thinking about it in exactly the same way. I think your comment that we actually, with RaDaR ST, we're nowhere near as late as maybe what we were with I think we're thinking about it in exactly the same way. i think we're thinking about it in exactly the same way I think your comment that we actually, with RaDaR ST, we're nowhere near as late as maybe what we were with i think your comment that we actually with radar st we're nowhere near as late as maybe what we were with
Speaker 2: Yeah Yeah yeah
Speaker 4: ...with our PanTracer Tissue, if you think to Foundation Medicine as an example. ...with our PanTracer Tissue, if you think to Foundation Medicine as an example. ...with our pantracer tissue if you think to foundation medicine as an example
Speaker 2: Yeah. Yeah. yeah
Speaker 4: We've done a lot of work since then around improving our experience that I touched on, a lot of the tools we need to be successful. We certainly believe that what we've done with PanTracer Tissue is a great proxy to think about how we can penetrate the market with RaDaR ST, and we'd like to do better than that as well. We've done a lot of work since then around improving our experience that I touched on, a lot of the tools we need to be successful. we've done a lot of work since then around improving our experience that i touched on a lot of the tools we need to be successful We certainly believe that what we've done with PanTracer Tissue is a great proxy to think about how we can penetrate the market with RaDaR ST, and we'd like to do better than that as well. we certainly believe that what we've done with pantracer tissue is a great proxy to think about how we can penetrate the market with radar st and we'd like to do better than that as well
Speaker 2: Yeah. Well, that's all the time we have. Fabulous. Thanks for your comments, guys. Yeah. yeah Well, that's all the time we have. well that's all the time we have Fabulous. fabulous Thanks for your comments, guys. thanks for your comments guys
Speaker 3: Thanks for having us. Thanks for having us. thanks for having us
Speaker 4: Okay. Thank you. Okay. okay thank you Thank you. okay thank you
Speaker 2: Yeah. Yeah. yeah
Speaker 4: Many thanks. Many thanks. many thanks
Speaker 2: Thank you very much. Thank you very much. thank you very much
Speaker 4: We appreciate it. We appreciate it. we appreciate it
Speaker 2: Yeah. Yeah. yeah