Douglas VanOort
Analyst · Craig-Hallum Capital Group. Please proceed with your question
Thank you, Steve. In this morning's conference call, I will comment briefly on the company's first quarter performance discuss the completion of our significant integration activities and review our initiatives, opportunities, and expectations for the rest of the year. Quarter one financial performance was largely inline with our expectations, although certainly was not what we would expect to deliver under normal operating conditions. During the quarter, we were laser focused on completing the important remaining integration activities all while maintaining high service levels. I'm pleased to report that the integration of Clarient is now 100% complete. However, the intensive integration work affected each month of the quarter and temporarily disrupted our business more than we would have liked. Despite the fact that our sales force devoted a significant amount of their attention to helping clients manage through the integration change process, test volume grew by over 15% compared with last year to our highest levels ever. The mix of testing was less profitable though with a 40% increase in histology testing driven partly by significant increases in the immuno-oncology test for PD-L1. As a result of the product mix change, average revenue per test was down 9% and consolidated revenue was only 3% higher than last year. Since, we closed the Clarient acquisition, revenue has been relatively stable. Growth for new clients has been subdued as our efforts had been primarily focused on transitioning all our existing clients to a single laboratory process rather than our new growth. However, now that the integration is behind us, we expect to more aggressively convert the customers in our pipeline and return to more normal and balanced test mixed growth. Aided by the higher mix of lower cost histology testing, cost per test declined by 10% to the lowest levels ever achieved. However, even at those lower levels, our quarter one cost per test was higher than what we believe it should be under normal operating conditions. Our first quarter costs were impacted by significant increases in over time and inefficiencies associated with winding down activities at our Irvine, California lab and consolidating all Southern California testing in our newly renovated Aliso Viejo Lab. Despite these disruptions to our operations, the productivity of our lab personnel in the first quarter increased to its highest level ever. These massive disruptions also put pressure on operating margins in the quarter with adjusted EBITDA falling to $7.1 million or 11.5% of revenue. Revenue recognition was also impacted by the timing of our California lab facility move which occurred during the very last week of the quarter. Before continuing my prepared remarks, I would like to take a moment and thank our clients for their patience over the last year as we have integrated Clarient and made changes to standardize our product offerings. Change is never easy but we are now finished and we are returning very rapidly to the exceptional service levels to which you were custom prior to the integration. We know that many of our clients listen to these calls and on behalf of all our Neo employees; I want to express our heart felt appreciation to you and thank you for your loyalty. We are getting stronger every day and we are committed to delivering exceptional service to you and your patients on a consistent basis all of the time. In order to more fully understand our quarter one performance, I would like now to provide more insight about the integration of the Clarient business. We are all very pleased employees, clients, and investors that the Clarient integration is now done. This has been our most significant focus area during the past five quarters. It's important for all investors to view our first quarter results in the larger context of these accomplishments and how well they position us to grow and realize synergies. Let's start by describing the move. The single most important event of the quarter was successfully executing the move of our fully functioning and extremely busy Irvine laboratory operations into the newly renovated Aliso Viejo Lab facility. Several key activities needed to be accomplished flawlessly in order for this to be successful. First, the Aliso Viejo facility itself needed to have all construction completed, despite construction delays, our teams worked to have the facility ready by March 25, the last weekend of the quarter. Second, well planned and detailed hour by hour plans to move all of Irvine's expensive and finely calibrated instrumentation to Aliso Viejo needed to happen flawlessly on March 26 and 27, while simultaneously meeting our clients requirements. Testing was carefully choreographed between the sites in order to deliver test results to clients during this process. Third, we needed to move all of our computer systems and network infrastructure essentially unplugging everything and reinstalling 100s of servers and computers and having an up and running again in the new location within a 24-hour period. And fourth, we have to successfully navigate the cultural differences to combine two previously competitive laboratory and medical teams into one team in one location. And have everyone seated and fully functioning on Monday morning, March 27. That was a massive undertaking. There are thousands of details involved in a move this complex and it is fraught with risk. I'm extremely pleased with our team's performance. They planned and executed the move flawlessly. And they demonstrated what NeoGenomics is capable of achieving and personally was in Aliso Viejo, the day after the move and you would hardly have known that the move just happened. I couldn't have been more proud of our team. Those of you attending our annual shareholders meeting and Investors Day on May 25 will be able to tour our newly renovated Aliso Viejo lab facility and it's impressive. You will see over 50 automated immunohistochemistry instruments, a large number of sophisticated digital image and analysis platforms, over 20 automated FISH and cytogenetics instruments, nearly a dozen advanced flow cytometers, a large number of next generation sequencers another molecular instrumentation and much, much more. You will also see one of the largest groups of highly trained, engaged and motivated employees ever to staff a sophisticated pathology lab. We invested several million dollars in the Aliso Viejo facility and it is truly a first class laboratory with a great team of laboratory professionals. Retention of our great team of laboratory professionals is very important, our people and our culture are vital to our success and our number one asset. Therefore, we have made significant efforts to retain our key people and stay focused on our mission and values. In particular, we have made a number of changes to our commercial structure, operation structure and in finance. Our efforts have included reassigning people to more appropriate roles, realigning people in better teams, promoting people, training people, encouraging growth and making other changes necessary to strengthen our team. All of this as prepared us for the next stage of growth. We are also in the hunt for additional talent and intend to build the dream team capable of capitalizing on the many opportunities we have in our business. Our appointment of Bill Bonello as an officer of NeoGenomics is an example of our efforts to strengthen our financing. We are actively recruiting for more great people to join our team as well. We are pleased that retention of our key employees has been excellent and that our efforts around culture are working and that our people are engaged, excited and motivated. Client retention is vitally important to us as well and this also has been a key area of focus during this past 15-month integration period. Throughout the past year as we have made many changes impacting our clients to standardize product offerings and improve our laboratory information system. Our sales and customer facing teams work very hard to manage through these changes with clients. And they have done a remarkable job. We are fortunate to be able to report that as of today, we have retained nearly all of our clients. We are now working hard to return to the consistently rapid turn around times and strong service levels for which we are known and we are making good progress. We still have SWAT teams in place and extra effort is being made in this area, but we have made excellent strides and are intently focused. I also want to comment briefly on the status of billing, which was also affected by the integration. I mentioned it on the last call that our billing operations were stressed in the fourth quarter of last year which resulted in a large backlog of unbilled claims at year end. This was the result of significant changes in billing operations as we shifted all Clarient clients to the NeoGenomics billing system. On the surface, it appears that billing may still be moving in the wrong direction in quarter one. Days sales outstanding ended the quarter at nearly 90 days compared with 85 days reported three months ago at year end 2016. However, I want to assure you, billing is not moving in the wrong direction. In fact, it's a lot better than the DSO number would suggest. Three months ago, we had over 33,000 unbilled test in our system representing about 21 days worth of unbilled work. At the end of quarter one, our teams have reduced that to about 20,000 unbilled test representing about 11 days of unbilled work. As of today, the backlog is even lower still and is back to pre-integration levels. We have made additional hires and corrected a number of procedural issues. We still have work to do in our billing processes that billing is getting back to its normal rhythm, claims are going out on time, teams are working hard on detailed processes and cash is beginning to come in. We expect DSOs to begin to come down in quarter two and to reach more normal levels in the second half of 2017. Our finance and billing teams are doing a remarkable job and we appreciate them and their work. I would like to summarize my comments about the integration by saying, it certainly wasn't easy. But, in just 15 months we successfully simulated a larger company with a similar sized clinical lab operation into NeoGenomics. With the integration now complete, every customer is being serviced from a single lab information system and a common billing system and all by one highly dedicated group of NeoGenomics team members. We are happy it's done and this is the very last quarterly earnings call that we are going to talk about integration. Now, I want to comment about getting back to growth. I've commented previously about the strength of our sales team and historically we have demonstrated industry leading levels of growth and market share gains. Since the acquisition, that growth is abated somewhat as our teams have focused largely on managing change for our existing clients during the integration period rather than focusing and closing new accounts. Thus, our growth has come largely from existing clients ordering more immunohistochemistry and molecular test. Our sales team is now beginning to get back to what it does best and that's sales, in fact, they can't wait. Pipelines are in good shape and with our operations and service levels getting back to normal; they are ready to execute once again on their growth strategies. We expect this activity to begin to ramp up and begin to show better year-over-year revenue growth as the year unfolds. We had 15% test volume growth during quarter one, but that growth was not as tightly managed as is normal for us. Many clients came to NeoGenomics because of our capability in histology and PD-L1 testing and our mix of business became somewhat different than we have had in the past. With more stable and normal operations, we are beginning to once again more actively manage our mix of business. Now, that all clients are being serviced from the same systems and under the same processes, we have the necessary information to better analyze and evaluate profitability of our client relationships. We are going to get back to our normal process now to ensure acceptable levels of profitability by client. Clients that use our services for only one testing line especially for histology only testing will be introduced to more assertively to our comprehensive test menu as a way to improve both growth and profitability. Finally, I want to comment on a number of areas that I'm excited about beginning with our pharma services division. Pharma services revenue was essentially flat at $5 million during the quarter. In fact, it's been flat for the past three quarters. During that time, we rebuilt our sales team and invested in other areas needing attention. We have a strong capability in immuno-oncology testing and molecular diagnostics. As a result, we are winning contracts and building our reputation for quality and innovation in this dynamic market. Encouragingly, our backlog of signed contracts is growing. At the end of the first quarter, our backlog grew to $41.5 million up from $37 million at year end. And up 75% from quarter one of 2016. We expect this to begin to result in higher levels of revenue and profitability in coming quarters. Our plans to open a new lab near Geneva, Switzerland to support European clinical trials are also moving along nicely. Recently, we received notification that our application for a 10-year tax holiday was approved. We are excited about being able to offer our services outside the United States and our clients seem to be excited as well. We continue to expect the Geneva lab to be fully operational in the second half of this year. We believe strongly in our pharma services business and that it has a great long-term growth potential and we are planning to invest in it. The pharma business is important to our diversification and it has the added benefit of helping NeoGenomics stay at the forefront of medical and scientific developments in the field of oncology. I'm also excited and looking forward to moving our attention once again to growth as a result of innovation and great service and being operationally disciplined to translate revenue growth into earnings and cash flow growth. As we have discussed in other conference calls, we believe we have tremendous opportunities to take market share in a growing market, cross-sell to capitalize on our comprehensive oncology test venue, partner with oncology groups, develop and grow our pharma service business, develop and commercialize liquid biopsy test, develop information products based on our vast oncology data base, add testing for early detection, previous physician testing and treatment monitoring, capture cost synergies from the Clarient acquisition, automate our laboratories and participate in the future consolidation of our industry. Each one of these ten areas are opportunities that we are actively pursuing. We believe that individually and collectively these opportunities can create a lot value for our clients, our patients and our investors. Now, I'm going to turn floor over to Steve Jones, our Executive Vice President and Director of Investor Relations to review first quarter results in more detail and lead us through a Q&A session.