- Roche Diagnostics
- Thermo Fisher Scientific
- QIAGEN
- Illumina
- Bio-Rad Laboratories
- Agilent Technologies
- Guardant Health
- Foundation Medicine
- Invitae Corporation
- Genomic Health (Exact Sciences)
- BGI Genomics
- Myriad Genetics
- Caris Life Sciences
- Natera
- NeoGenomics Laboratories
- F. Hoffmann-La Roche Ltd
- Sysmex Corporation
- Danaher Corporation (Leica Biosystems & Cepheid)
- Personalis Inc.
- Biocartis Group NV
1. Roche Diagnostics (F. Hoffmann-La Roche Ltd)
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Headquarters: Basel, Switzerland
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Product Offerings: Advanced molecular diagnostic platforms (e.g., cobas® systems), NGS kits, PCR assays, and digital pathology solutions for detecting genetic mutations, methylation markers, and biomarkers (including for esophageal cancer).
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Market Share & Revenue: Consistently among the top players with significant oncology diagnostics revenue. Contributes to the $1.5B+ global esophageal cancer molecular diagnosis market in 2024; specific segment revenue undisclosed.
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Recent Developments: AI-driven digital pathology collaborations, broadening companion diagnostics, liquid biopsy innovations, and expansion of open environments for digital pathology.
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Competitive Positioning: Leader in oncology diagnostics, strategic focus on precision and digital diagnostics, and personalized medicine.
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Key Customers/Industries: Hospitals, clinical labs, academic research centers, and oncology clinics.
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Financial Performance: Roche Diagnostics division reported global revenues of $19.6B in 2024 (total, not esophageal segment-specific).
2. Thermo Fisher Scientific
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Headquarters: Waltham, Massachusetts, USA
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Product Offerings: PCR, NGS, mutation detection kits, and multiplex liquid biopsy solutions applied to oncology and esophageal cancer molecular diagnostics.
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Market Share & Revenue: Major player in molecular diagnostics with strong adoption in the cancer diagnostics sector; holds a substantial stake in esophageal cancer testing driven by lab adoption.
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Recent Developments: New companion diagnostic (CDx) partnerships, expansion of liquid biopsy and NGS assay portfolio for early cancer detection.
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Competitive Positioning: Strategic focus on breadth of clinical diagnostics, cost efficiency, and high-throughput lab platforms.
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Key Customers/Industries: Clinical labs, hospital systems, pharma companies, and R&D institutions.
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Financial Performance: Total revenue of $39.2B in 2024 (overall company).
3. QIAGEN
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Headquarters: Hilden, Germany
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Product Offerings: QIAseq NGS kits, PCR assays, and companion diagnostics for oncology, including identification of key gene mutations and methylation markers.
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Market Share & Revenue: Leading molecular diagnostics provider; involved in esophageal cancer segment as a toolkit supplier.
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Recent Developments: Expansion of NGS and digital PCR portfolio, collaborations with pharma for biomarker-based diagnostics.
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Competitive Positioning: Focus on assay reliability and companion diagnostics partnerships.
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Key Customers/Industries: Clinical diagnostic labs, research institutes, hospitals.
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Financial Performance: 2024 revenue $2.02B (company-wide).
4. Illumina
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Headquarters: San Diego, California, USA
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Product Offerings: NGS sequencing platforms, oncology panels, diagnostic solutions for genetic and methylation profiling of esophageal tumors.
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Market Share & Revenue: Strong presence in sequencing for esophageal cancer molecular diagnosis via NGS. Key technology provider for genomics-driven cancer diagnostics.
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Recent Developments: Integration of AI-driven data analytics, partnerships with clinical labs for NGS-based esophageal cancer panels.
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Competitive Positioning: Seen as the global leader in high-throughput sequencing, strategic focus on broadening clinical NGS.
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Key Customers/Industries: Hospitals, academic medical centers, genomics labs.
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Financial Performance: Revenue approx. $4.5B in 2024.
5. Bio-Rad Laboratories
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Headquarters: Hercules, California, USA
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Product Offerings: qPCR and ddPCR platforms, molecular oncology panels used in esophageal and other cancers.
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Market Share & Revenue: Not a market leader but holds a strong niche due to specialized platforms.
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Recent Developments: Acquisition of Curiosity Diagnostics (2022) to expand rapid molecular solutions.
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Competitive Positioning: Focus on accuracy, reproducibility, and rapid molecular results for cancer detection.
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Key Customers/Industries: Hospitals, clinical research labs.
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Financial Performance: Revenue $2.8B in 2024.
6. Agilent Technologies
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Headquarters: Santa Clara, California, USA
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Product Offerings: Molecular pathology kits, NGS workflow solutions, and companion diagnostics for cancer diagnostics.
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Market Share & Revenue: Recognized in clinical oncology diagnostics, with expanding footprint in esophageal cancer tests.
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Recent Developments: Recent EU certification for PD-L1 IHC 28-8 pharmDx as companion diagnostic (2025).
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Competitive Positioning: Emphasis on clinically validated, regulatory-compliant assays.
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Key Customers/Industries: Pathology labs, oncology clinics.
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Financial Performance: 2024 revenue $7.2B.
7. Guardant Health
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Headquarters: Redwood City, California, USA
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Product Offerings: Guardant360 liquid biopsy (ctDNA) platform, used for early detection, monitoring, and therapy selection across solid cancers including esophageal cancer.
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Market Share & Revenue: Leading the liquid biopsy diagnostic market, seeing growing clinical use for esophageal and GI cancers.
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Recent Developments: Expansion of real-world data collaborations and AI-enabled ctDNA test enhancements.
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Competitive Positioning: Strategic focus on non-invasive oncology diagnostics and integration of digital health tools.
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Key Customers/Industries: Oncology clinics, academic centers.
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Financial Performance: 2024 revenue $550M (company-wide).
8. Foundation Medicine (a subsidiary of Roche)
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Headquarters: Cambridge, Massachusetts, USA
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Product Offerings: Comprehensive genomic profiling (FoundationOne CDx) for therapy direction in esophageal and other cancers.
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Market Share & Revenue: Market leader in CGP tests with recognized presence in biomarker profiling for esophageal cancer.
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Recent Developments: Expanded CDx approvals, partnerships with pharmaceutical companies for targeted therapy guidance.
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Competitive Positioning: Strategic focus on comprehensive biomarker diagnostics; integrated in Roche’s precision oncology ecosystem.
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Key Customers/Industries: Oncology networks, pharmaceutical partners.
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Financial Performance: Data consolidated under Roche Diagnostics.
9. Invitae Corporation
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Headquarters: San Francisco, California, USA
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Product Offerings: Oncogene panels, germline/somatic mutation screening for esophageal cancer risk and management.
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Market Share & Revenue: Niche provider, widely used by oncologists for germline risk assessment.
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Recent Developments: Broadened NGS testing capabilities post-acquisitions, new telehealth integrations.
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Competitive Positioning: Focused on broad access and clinician-oriented genomic services.
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Key Customers/Industries: Oncology physicians, genetics counselors.
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Financial Performance: 2024 revenue $508M.
10. Genomic Health (Exact Sciences)
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Headquarters: Madison, Wisconsin, USA
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Product Offerings: Oncotype and other molecular tests; Exact Sciences focuses on early cancer detection (liquid biopsy).
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Market Share & Revenue: Influential in early cancer detection; strong commercial presence in GI cancer screening.
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Recent Developments: Expansion of multi-cancer early detection platforms.
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Competitive Positioning: Merges screening, diagnosis, and prognostic capabilities.
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Key Customers/Industries: Healthcare providers, insurers.
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Financial Performance: 2024 revenue $2.6B.
11. BGI Genomics
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Headquarters: Shenzhen, China
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Product Offerings: High-throughput NGS services and genomics-based liquid biopsy solutions for cancer, including esophageal.
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Market Share & Revenue: A dominant Asian genomics provider with increasing international market share.
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Recent Developments: Investment in global genomic data projects and partnerships with cancer centers.
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Competitive Positioning: Focus on scalability and cost efficiency.
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Key Customers/Industries: Hospitals, research institutions.
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Financial Performance: 2024 revenue $650M.
12. Myriad Genetics
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Headquarters: Salt Lake City, Utah, USA
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Product Offerings: Hereditary cancer testing panels, including markers relevant for esophageal cancer susceptibility.
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Market Share & Revenue: Specialized provider in oncology gene testing.
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Recent Developments: Integration of AI analytics into hereditary cancer risk calculators.
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Competitive Positioning: Focus on hereditary/genetic oncology testing.
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Key Customers/Industries: Healthcare systems, specialty labs.
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Financial Performance: 2024 revenue $700M.
13. Caris Life Sciences
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Headquarters: Irving, Texas, USA
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Product Offerings: Precision medicine and molecular profiling services, with pan-cancer biomarker relevance.
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Market Share & Revenue: Established presence in comprehensive tumor profiling.
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Recent Developments: AI-based predictive analytics and expansion of clinical trial networks.
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Competitive Positioning: Precision oncology focus, whole-exome NGS leader.
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Key Customers/Industries: Academic medical centers, pharma trial partners.
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Financial Performance: Estimated 2024 revenue $500M.
14. Natera
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Headquarters: Austin, Texas, USA
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Product Offerings: Signatera MRD test for minimal residual disease (liquid biopsy) management post-treatment, applicable to esophageal cancers.
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Market Share & Revenue: Market leader in ctDNA-based MRD testing; wide clinical adoption in GI oncology.
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Recent Developments: Partnerships for real-world data studies in multi-cancer detection.
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Competitive Positioning: Focused on personalized oncology MRD monitoring.
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Key Customers/Industries: Cancer centers, oncologists.
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Financial Performance: 2024 revenue $840M.
15. NeoGenomics Laboratories
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Headquarters: Fort Myers, Florida, USA
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Product Offerings: Oncology-focused molecular tests including NGS, FISH, and PCR for esophageal and GI tumors.
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Market Share & Revenue: Recognized in the U.S. specialty lab sector for cancer molecular diagnostics.
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Recent Developments: Expanded multi-site lab infrastructure and digital pathology services.
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Competitive Positioning: Fast, integrated lab services.
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Key Customers/Industries: Hospitals, community oncology clinics.
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Financial Performance: 2024 revenue $580M.
16. Sysmex Corporation
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Headquarters: Kobe, Japan
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Product Offerings: Molecular and genomic diagnostics platforms, including cancer genome profiling (partnership with RIKEN Genesis).
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Market Share & Revenue: Strong Asia-Pacific presence, emerging globally.
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Recent Developments: Investment in clinical genome centers and technology collaborations.
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Competitive Positioning: Focus on integrated clinical diagnostics and genomics.
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Key Customers/Industries: Hospitals, research labs.
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Financial Performance: $3B revenue (approx. 2024).
17. Danaher Corporation (Leica Biosystems & Cepheid)
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Headquarters: Washington, DC, USA
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Product Offerings: Leica – workflow solutions for tissue diagnostics, digital pathology; Cepheid – Xpert molecular diagnostics for oncology.
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Market Share & Revenue: Key player in cancer diagnostics with a robust oncology product line.
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Recent Developments: Broadened automated molecular diagnostic platforms (Cepheid), new digital pathology collaborations (Leica).
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Competitive Positioning: Leader in lab automation and ease of integration.
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Key Customers/Industries: Hospitals, reference labs.
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Financial Performance: Total revenue $31.5B (company-wide; not esophageal diagnosis-specific).
18. Personalis Inc.
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Headquarters: Menlo Park, California, USA
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Product Offerings: NGS tumor profiling for research and clinical decision support, applicable to esophageal cancer.
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Market Share & Revenue: Specialized focus in comprehensive genomic analysis.
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Recent Developments: Collaboration with pharma on clinical trial biomarker studies.
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Competitive Positioning: Advanced genome analytics for therapy selection.
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Key Customers/Industries: Biopharma, academic research.
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Financial Performance: $87M revenue in 2024.
19. Biocartis Group NV
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Headquarters: Mechelen, Belgium
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Product Offerings: Idylla™ platform – rapid, automated molecular testing system for oncology markers, applicable to esophageal cancer.
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Market Share & Revenue: Gaining adoption in Europe for fast molecular diagnostics.
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Recent Developments: Expanding oncology test menus and new international market entries.
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Competitive Positioning: Minimally trained staff can operate the system; focus on rapid, decentralized testing.
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Key Customers/Industries: European hospitals, reference labs.
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Financial Performance: 2024 revenue approx. $50M.