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The Cynical Scribe's Guide to the Big Molecular Oncology Labs

If you need extra clues, call MIchael Farmer (the cynical scribe) at 415-994-8852.
Horizontales
Very big lab organization run by Tarheels and Blue Devils
Stealth lab group in Trump country with 100 pathologists billing separately. Who knew they were #5 in US histology volume?
Separating big dumb companies from their money is fun. GE paid $587m in 2010 for a lab; then we bought it from them for $310m in 2015. Who are we?
This year we will turn stool into cash 570,000 times, taking in $475 every time.
Konica Minolta bought us for $1b while you were at the beach; the boss picked the right moment to cash out
This California lab is the Walmart of clinical NGS testing
Novartis loved us once; then we became their albatross .
Verticales
Sold anatomic/flow cytometry business at the top of the market in 2011; smartest deal of the decade
2018 CMS reimbursement reductions hurt us more than anybody.
#1 prognostic breast oncology lab
Pay us a little, pay us a lot, or don't pay us. We don't care; we're soaking the drug companies.
Our prognostic breast panel was the first approved, but we lost the race because we didn't have FFPE in time.
We're decadently profitable, overcharging everybody, and CMS still gave us a raise in 2018. Nice work if you can get it