The Commercial Signal · Issue 03 · October 2026
Recurring Revenue Is a Multiple, Not a Metric
A business can grow its revenue and lower its value at the same time. Here is how that happens, and what it costs.
By J Chad Brown, CEO, CommEx Advisors. Former SVP of Sales and Marketing, NanoString Technologies (2017 to 2022). Published October 28, 2026.
How does the market price pull-through?
Pull-through per instrument is a disclosed and highly visible metric.
- PacBio reports Revio pull-through each quarter: about $202,000 per system in Q2 2026, down from about $219,000 a year earlier, in the same quarter it lowered its full-year revenue guidance.
- 10x Genomics reported consumable pull-through per instrument in its 2019 IPO filing ($148,000 for 2018), and analysts still raise it on its calls. In Q2 2026, one asked whether Xenium's pull-through was the right starting point for its new Atera platform, which shows how much weight investors put on this metric.
- Alamar Biosciences reported consumables at 53% of revenue in Q2 2026, up from about 39% a year earlier.
Analysts ask about it on earnings calls, often early in a platform's life. Those are questions about commercial execution, asked by the people who are determining the value of your company.
What drives pull-through?
Pull-through is driven by aligned leadership decisions on segmentation and ideal customer profile, commercial structure and coverage, assay and panel content, compensation, and ongoing customer satisfaction tracking (e.g., NPS). Structure is a good example. In my experience, once consumable revenue passes instrument revenue, it's time to split the sales team into capital and consumable reps, so someone owns growing the installed base rather than chasing the next placement. While these decisions may be made at different points in the organization's evolution, every one is made years before anyone opens a data room.
What did it look like from the inside?
This month's essay offers a first-hand account rather than a framework. A business decelerating from 42% growth to 4%: the underlying causes, what we changed to reverse the trend, who pushed back, how long it took, and the lessons learned.
While we implemented much of what you read above, we never scored accounts before approving a placement and we did not manage dormant accounts well enough. The gross installed base kept growing while the number of systems actually in use flattened.
What should an owner ask?
Make sure you ask these questions:
- What do the highest pull-through accounts have in common, and are you using this profile to guide future placements?
- What is pull-through by placement year, measured at the same age, and are the newest placements performing better than the ones before them?
- How are you managing the installed base to ensure that dormant accounts are being nurtured back to growth?
- How does your compensation plan balance focus between instrument placements and consumable growth?
- How are you measuring the long-term satisfaction of each account and placement?
The first one is the cheapest to fix and the one most companies skip.
The longer version
Recurring revenue is a multiple, not a metric
What we do about it
The Commercial Readiness Assessment (CRA©) scores a commercial organization against nine weighted pillars and produces a number out of 100, a map of where the gaps are, and a 90-day plan ranked by what moves the score most.
On revenue mix specifically, the work covers the same decisions that drive pull-through: an ideal customer profile that guides each placement, a commercial structure with a clear owner for the installed base and dormant accounts, a compensation plan that balances placements with consumable growth, and ongoing satisfaction tracking by account. The result is pull-through by placement year, in a form a buyer can rely on.
Sources
Danaher 2025 Annual Report and Illumina 2025 Form 10-K (sec.gov). PacBio: Q2 2026 financial results release. 10x Genomics: Form S-1 (2019), key business metrics, and Q2 2026 earnings call. Alamar Biosciences: Q2 2026 financial results release (Form 8-K, Exhibit 99.1). NanoString: Forms 10-K and 10-Q, 2014 to 2021.
The CommEx Advisors team. Built by operators, not consultants. Decades across Life Science Tools and Diagnostics, Series A through public.

