RE: Tiny purchases - Huge red flag17 Feb 2026 11:13
Just picking up on Mikemines response with regards to Renx sales channels. From what I can see there are three ways in which the business secures revenue.
1. Direct to doctor (D2D) is a ground up approach using a directly employed sales force to create demand (looks like there are c.10 direct sales staff under Howard Doran). The target market for this business stream appears to be classified as local care networks (the latest being the Joseph P. Addabbo Family Health Center in New York, Central Florida Kidney Specialists in Florida and The Kidney Experts PLLC in Tennessee). Once sales staff successfully penetrate the practices and secure orders it is hoped the practices may move to integrate the test into existing clinical best practice. D2D is growing but slowly given it is labour intensive and accounts for c.35% or revenue.
2. Electronic Ordering - or EHR - is a top down strategy where care system leadership itself encourages physicians to use the test as part of a best practice strategy. This is the area with the greatest revenue opportunity but the greatest barriers. The target is hospital systems and regional care practices with the goal of introducing automated identification of patients requiring the test with automated alerts issued to physicians for attending patients with diabetes, DKD. MVP healthcare and clearly the Tempus partnership are the latest examples Renx is targeting to deploy its EHR strategy. This currently accounts for c.45% of revenues.
3. Pharma Services. This remains a slow burner with c.10% of revenues coming from partnerships with the likes of Astra Zeneca and the Joslin Centre where work is underway with a major pharma partner on a blood sugar monitoring trial targeting next generation pharmaceutical drug development and commercial programmes in Cardiovascular, Renal and Metabolic Diseases (CVRM). This is possibly linked to the CE Mark certification application to enable clinical use and reporting of the test across the EU.
Hopefully further clarity will come in the next few weeks with the expected investor presentation. SB