Doug VanOort
Analyst · William Blair. Please proceed with your question
Good, thank you, Steve. In this morning's conference call I will focus my comments on the company's second quarter performance, and then briefly discuss a few key dynamics related to our expectations for the second half of the year. We reported very good second quarter financial results this morning. Second quarter revenue was at record $66.1 million, and exceeded the guidance we provided just three months ago. This was driven by strong 16.2% year-over-year volume growth in our core clinical genetic testing business, and accelerating momentum in our pharma services business. Sequential growth was also strong, with revenue growing by 7% from quarter one. We're also pleased with the improvement in profitability compared with last quarter. Gross profit increased by $4 million on a revenue increase of $4.4 million. In fact, gross margin of 47.2% was the highest we have achieved since 2014. Also, adjusted EBITDA, of $9.2 million, was a 30% improvement over last quarter, and represented a 47% contribution on a sequential revenue growth. The improvement compared with last quarter was driven by dramatic improvements in service, productivity, and cost, with nearly every measure of quality and service improving significantly. At the same time that service improved, we drove efficiencies in our lab. Cost per test declined by 13.4% compared with last year to a record low, and lab productivity increased by 6.1% to a record high. We are realizing synergies in our laboratories, and we have more opportunities to pursue. We've also made very good progress in our billing process and function. Cash collections were strong as cash from operations totaled $6.5 million in the quarter, and days sales outstanding were reduced by five days from March 31st. We're very pleased with our quarter two performance, and are looking forward to more improvement as the year progresses. In this regard and anticipating questions you may have, there are a few dynamics and special areas of interest I would like to comment on. I'd like to begin by talking about a hallmark of our company's success, and that is our passion to deliver exceptional service to clients. As part of our quality [process] [ph], like many companies, we regularly survey our clients, and ask for their feedback as to their satisfaction with our service and performance. Just two weeks ago we received results from our semiannual client satisfaction survey, which was initiated by May 23rd. Honestly, we were worried about the feedback after coming through a rapid and challenging integration. We received a lot of feedback, nearly 1,000 people responded, and we received over 2,000 write-in comments. What surprised us was the score. Our Net Promoter Score or NPS was a record high 54. You may be aware of the Net Promoter Score; it was developed by Bain & Company, and is a tool for gauging the loyalty of a firm's customer relationships. It's based on a survey question asking how likely are you to recommend NeoGenomics to a friend or a colleague on a scale of one to 10. The NPS is the percentage of customers who are promoters that give scores of nine or 10 minus the percent who are detractors that give scores of zero to six. Passive scores of seven or eight are ignored. Fully 63% of responders were promoters that rated NeoGenomics a nine or 10, and only 9% were detractors. The resulting score of 54 is considered world class by proponents of the NPS system. Now, achieving world-class client satisfaction is important, and we're pleased to once again deliver consistently exceptional service. It gives our sales team confidence that we will consistently meet or exceed client requirements, and it allows us to grow by taking market share. Our sales team's current pipeline of new accounts is very long, and it's healthy. As we progress through the sales cycle with these new accounts we expect to increase revenue growth momentum in the second half of the year and beyond. I also want to comment on our pharma services division. As we've discussed in prior public statements, we have been investing in the pharma services division as an important area of future growth. We've built a strong team which is working well together, and we are building the infrastructure to accelerate growth. We're starting to see results. After three straight quarters of relatively flat pharma division revenue, second quarter revenue increased by approximately 26% from the first quarter. We also closed a number of new contracts. Backlog increased once again to its highest level ever at $46.5 million, and is nearly 80% higher than in quarter two of last year. As is the case with our clinical division, our team is working hard to close a large pipeline of projects, and there is excitement about our growing capabilities. We're also excited to expand our business outside the U.S., and we're making great progress on opening our new facility just outside of Geneva, Switzerland. We've moved forward on this project at the request of several customers. One of those customers has already approved a $1.5 million project for the lab before the facility is even opened. I also want to comment briefly on our product line and test mix. One of the important attributes of our company is our test menu, which we believe to be the most comprehensive oncology test menu in the country. Certainly our ability to offer comprehensive multimodality testing all-in-one lab is relatively unique in our industry. During the quarter we continued to see strong growth in molecular testing and in immunohistochemistry. In each of these technologies our advanced test menu is unparalleled. These tests in particular are in high demand as a result of the need to profile tumors precisely, and to determine a patient's responsiveness to exciting new immunotherapies. Testing for PD-L1, an important biomarker for immuno-oncology continued to grow in quarter two, however we are also now beginning to see an increasing demand for other tests related to immuno-oncology, such as microsatellite instability, DNA mismatch repair, and tumor mutation burdens. These tests are being sought after by pharma companies as well as by pathologists and clinicians. One new testing technology that's growing quickly for us is our proprietary MultiOmyx testing service. This unique technology, for which we have an exclusive license from GE, is particularly useful to formal researchers as they attempt to more fully understand how the immune system may be harnessed to kill cancer. We're investing to build our MultiOmyx capabilities to meet the increased demand. Many investors ask about trends and dynamics in test mix, and clinical genetic test revenue per test, and we want to comment briefly about that. We're pleased that after a reduction in revenue per test over the past five straight quarters, revenue per test was nearly unchanged in quarter two compared with quarter one. Looking forward to 2018, we continued to believe that pricing will be relatively stable, the preliminary 2018 physician fee schedule was released by CMS on July 13th, and there are no surprises for us. In fact, we estimate the impact of these Medicare reimbursement changes which will also impact certain Medicare Advantage plans to be less than 1% of our clinical testing revenue. The clinical lab fees schedule is expected to change in 2018, because of the implementation of the Protecting Access to Medicare Act, which is referred to as PAMA. Currently, we only built two types of tests using the CPT codes that fall on the clinical lab fees schedule: cytogenetics and molecular testing, which together represent about 28% of our clinical revenue. If PAMA moves forward, rate cuts would be limited to a maximum of 10% for any given test in any given year. We estimate that a worst case impact would be less than $1 million or approximately 0.4% of clinical test revenue for us in 2018. Investors often inquire about the status of synergies resulting from the Clarient acquisition. It's sometimes difficult to differentiate between a synergy and a normal cost reduction activity, and also productivity increases. The 13.5% reduction in cost per test we realized in quarter two is partially attributable to a lower cost mix of testing, but primarily to the realization of cost synergies. After the Irvine lab was vacated at the end of quarter one, we began to realize some of the scale benefits of consolidating testing in one facility. We expect that benefit to increase over time as we more fully settle in and optimize a variety of our processes. We are also beginning to realize synergies from supply cost reductions. Similarly, we expect to see further reductions in supply costs as we optimize processes and renegotiate agreements with suppliers as contracts end. We expect other synergies and cost reductions to be realized in our labs as we optimize logistics, move testing to the most cost effective site, automate processes, reduce paper in our labs, increase the use of our online ordering system, and continually improve our processes. In SG&A, we have clearly realized synergies in sales, information technology, and in many administrative areas. These gains have been somewhat offset by investments we've made to improve our marketing, increase our IT security, build a new IT system for pharma, invest in our Geneva operation, and to build our culture, and retain our great people and teams. Synergies in selling, general and administrative expenses were also offset by much higher bad debt expense in quarter two related primarily to moving all Clarient accounts to the NeoGenomics billing system, and associated changes in our processes. It's important to note that Clarient's level of DSO prior to the acquisition was 108 days, and now our entire company's DSO is 85 days. Clearly, we are realizing synergies in our billing process, but the result hasn't been realized yet in bad debt expense. We expect bad debt expense to decline as a percentage of sales as the year progresses, and believe we can drive day sales outstanding down to approximately 80 to 82 days. Investors have also inquired about Path Logic, and clearly, our results continue to be impacted by poor results from Path Logic. Finally, after exploring a variety of strategic options, we're very close to a resolution. Path Logic generated approximately $1.6 million of revenue, zero gross margin, and lost approximately $600,000 of adjusted EBITDA during the quarter. We expect to be able to announce a resolution for this in August. In summary, we saw a very solid improvement during the second quarter. Our lab teams have come together, and services improved, and has returned to the levels we're used to seeing at NeoGenomics. Our NPS score shows that our customers are also seeing the improvement. Our lab teams are making progress, reducing our cost for test, and our billing team is making progress reducing our DSOs and driving cash collections. With the integration over, our sales teams are now back to being completely focused on growth, and we're starting to see if reflected in accelerating revenue growth. [Technical difficulty] our progress as an organization in the second quarter and we look forward to continuing that in future quarters. Now, we're going to turn the floor over to Steve Jones, our Executive Vice President and Director of Investor Relations to review second quarter results in more detail and read us through our Q&A session. Steve?