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Lucid Diagnostics(LUCD) - 2025 Q1 - Quarterly Report

Financial Performance - Revenue for the three months ended March 31, 2025, was 0.8million,adecreaseof200.8 million, a decrease of 20% compared to 1.0 million for the same period in 2024[141] - Cost of revenue for the three months ended March 31, 2025, was approximately 1.6million,downfrom1.6 million, down from 1.7 million in the prior year, reflecting a decrease of about 5.88%[142] - Sales and marketing expenses for the three months ended March 31, 2025, were approximately 4.1million,aslightdecreaseof2.384.1 million, a slight decrease of 2.38% from 4.2 million in the same period last year[142] - General and administrative expenses increased to approximately 6.2millionforthethreemonthsendedMarch31,2025,comparedto6.2 million for the three months ended March 31, 2025, compared to 4.1 million in the same period of the prior year, reflecting a net increase of 2.1million[143]Researchanddevelopmentcostsdecreasedtoapproximately2.1 million[143] - Research and development costs decreased to approximately 1.4 million for the three months ended March 31, 2025, down from 1.5millionintheprioryear,primarilyduetoa1.5 million in the prior year, primarily due to a 0.3 million decrease in manufacturing costs related to EsoCheck devices[144] - The amortization of acquired intangible assets was approximately 0.1millionforthethreemonthsendedMarch31,2025,comparedto0.1 million for the three months ended March 31, 2025, compared to 0.4 million in the prior year, a decrease of 0.3millionduetocertainassetsbeingfullyamortized[146]Thecompanyexperiencedanetlossofapproximately0.3 million due to certain assets being fully amortized[146] - The company experienced a net loss of approximately 26.9 million and used approximately 12.5millionofcashinoperationsduringthequarterendedMarch31,2025[152]Cashonhandattheendofthequarterwas12.5 million of cash in operations during the quarter ended March 31, 2025[152] - Cash on hand at the end of the quarter was 25.2 million as of March 31, 2025[152] Funding and Capital Raising - The Company closed on the sale of 14,375,000 shares at 1.20pershareinApril2025,resultinginnetproceedsofapproximately1.20 per share in April 2025, resulting in net proceeds of approximately 16.1 million for working capital[122] - The company closed on the sale of 13,939,331 shares of common stock at 1.10pershareonMarch5,2025,resultinginnetproceedsofapproximately1.10 per share on March 5, 2025, resulting in net proceeds of approximately 14.9 million[156] - On April 11, 2025, the company sold 14,375,000 shares of common stock at 1.20pershare,generatingnetproceedsofapproximately1.20 per share, generating net proceeds of approximately 16.1 million[157] - The company raised gross proceeds of 21.975millionfromthesaleof12.021.975 million from the sale of 12.0% Senior Secured Convertible Notes due 2029 on November 22, 2024, with net proceeds of 18.3 million after repaying the March 2023 Senior Convertible Note[160] - The company has entered into a committed equity facility allowing for the purchase of up to 50millionofcommonstock,with50 million of common stock, with 1.8 million raised as of March 31, 2025[158] Product Development and Research - The EsoGuard Esophageal DNA Test has demonstrated a sensitivity of approximately 90% for detecting disease across the esophageal precancer to cancer spectrum, with a negative predictive value (NPV) of around 99%[119] - The Company plans to incur research and development expenses for the foreseeable future to support the development of existing products and new innovations[136] - An 8millionNIHgrantwasawardedforafiveyearclinicalstudyevaluatingEsoCheckandEsoGuardforesophagealprecancerdetectionamongatriskindividualswithoutGERDsymptoms[128]EsoCheckisanFDA510(k)andCEMarkcleareddevicethatallowsfornoninvasivesamplingofsurfaceesophagealcellsinalessthanfiveminuteofficeprocedure[120]RegulatoryandCoverageUpdatesArecentupdatetotheNCCNClinicalPracticeGuidelinesnowincludesasectiononBarrettsEsophagus(BE)screening,recommendingnonendoscopicbiomarkertestinglikeEsoGuardasanalternativetoinvasiveprocedures[125]HighmarkBlueCrossBlueShieldissuedapositivecoveragepolicyforEsoGuardinNewYork,coveringpatientsmeetingestablishedcriteriaforesophagealprecancertesting[127]AccountingandComplianceThecompanysfinancialstatementsarepreparedinaccordancewithU.S.GAAP,requiringestimatesandassumptionsthatmayaffectreportedamounts[164]TherehavebeennomaterialchangestothecompanyscriticalaccountingestimatesinthethreemonthsendedMarch31,2025[164]AsofMarch31,2025,thecompanyhadapaymentobligationliabilityof8 million NIH grant was awarded for a five-year clinical study evaluating EsoCheck and EsoGuard for esophageal precancer detection among at-risk individuals without GERD symptoms[128] - EsoCheck is an FDA 510(k) and CE Mark cleared device that allows for non-invasive sampling of surface esophageal cells in a less than five-minute office procedure[120] Regulatory and Coverage Updates - A recent update to the NCCN Clinical Practice Guidelines now includes a section on Barrett's Esophagus (BE) screening, recommending non-endoscopic biomarker testing like EsoGuard as an alternative to invasive procedures[125] - Highmark Blue Cross Blue Shield issued a positive coverage policy for EsoGuard in New York, covering patients meeting established criteria for esophageal precancer testing[127] Accounting and Compliance - The company's financial statements are prepared in accordance with U.S. GAAP, requiring estimates and assumptions that may affect reported amounts[164] - There have been no material changes to the company's critical accounting estimates in the three months ended March 31, 2025[164] - As of March 31, 2025, the company had a payment obligation liability of 0.0 million, indicating no accrued obligations under the payroll and benefit expense reimbursement agreement or other operating expenses[163] Strategic Focus - The company is focused on the commercialization of EsoGuard and expanding insurance reimbursement coverage while developing additional products and services[150]