The earnings call summary reveals strong financial performance with increased royalty revenue and improved coverage approval rates, suggesting growing market confidence. The Q&A section supports this with positive feedback on guideline changes and future growth strategies. Despite flat U.S. revenues, the company has initiatives to drive future growth. The anticipated profitability by Q1 2026, coupled with the strong ESC guidelines reception, further supports a positive outlook. However, the lack of guidance for 2026 introduces some uncertainty, preventing a 'Strong positive' rating.