John West
Analyst · Morgan Stanley. Your line is open
Thank you, Caroline, and welcome everyone to our third quarter earnings call. As you can see from our press release, in the third quarter 2019, we generated revenues of $17.2 million, up 47% from $11.7 million in the same quarter last year. We received our largest VA MVP order ever increasing our unfulfilled orders with the VA MVP to approximately $82.5 million. In Q3, Personalis set another overall revenue record, and it was our 13th consecutive quarter of sequential revenue growth. We are raising our revenue guidance for the full year 2019 and are projecting over 70% revenue growth for 2019 over 2018. Before I dive further into our progress from the quarter, I'd like to address our biopharma business as it's an area where we see a clear long-term opportunity. Our biopharma revenue in Q2 was $7.3 million an all time record, but in Q3, it declined to $4.3 million. This quarter-to-quarter variation in our pharma revenue is in part a consequence of the groups of clinical trials. You might call them waves or campaigns conducted by our large biopharma customers. Given our customer concentration, these campaigns at individual customers lead to surges of samples for us to process. As we have seen historically, and noted prior to our IPO, biopharma customer revenue can increase or decrease based on the number of samples we received from large retrospective projects. Customers performing retrospective studies often send us large batches of samples for storage, resulting in the surges of revenue and then gaps, while customers performing prospective projects and those samples from patients as they steadily enroll in clinical trials, often over the course of a year or two, which results in steadier streams of revenue. Given our customer concentration, the choppiness from large retrospective customers not only affects us on a quarter by quarter basis but for longer periods as well. As you will see in our 10-Q, our largest biopharma customer Pfizer continued to generate revenue above 10% of our total in Q3, and at lower level than previous quarters. We continue to see strong engagement from Pfizer, and believe the step down in revenue is driven by the particular sequence of clinical trials previously contracted for analysis with our services. It's important to note that our biopharma orders from the third quarter exceeded revenue as current customers continue to demonstrate strong interest in converting to our newest platform, and new customers continue to adopt. I'm glad to announce that we are in advanced discussions with four multinational biopharma companies, who were not customers in 2018. We expected winning large additional customers and diversifying our customer base will drive growth and reduce choppiness over time. It will take time for new customers to complete pilots because of the extensive data validation work they typically do. They then need to sign up for projects and send us samples from patients in clinical trials for processing before we recognize material amounts of revenue. Long-term we are very optimistic about the potential of additional customers contributing to revenue growth, and decreasing quarterly choppiness related to the particular sequence of any single customer's clinical trials, and the shipments of samples to us. Starting about the time of our IPO, we initiated a significant expansion of our commercial team, including a new business development level outreach, focused particularly on large pharma. This initiative is aided by our new ImmunoID NeXT platform, which has capabilities to comprehensively record on both the cancer cells and the immune cells in a single tiny tumor sample. We have increased the size of our sales and business development group by over 30%, hiring new commercial staff with experience at some of the top companies in our field, including Illumina, Foundation Medicine, Gardens and Kaiser. Moving on to our performance in the population sequencing part of our business, I'm happy to report that we have seen exciting growth. We received our largest VA MVP order ever increasing our unfulfilled orders with a VA MVP to approximately $82.5 million. We expect to convert this to revenue over the next year and a half. Our opportunity to serve the VA MVP has grown substantially since we started working together in 2012, such as the VA MVP now represents our largest single source of revenue. Growth of VA MVP appears well positioned to continue. The VA MVP project is one of the largest population sequencing efforts in history with 800,000 enrollees to date, as collections continue at a rate of approximately 100,000 a year. Since 2013, Personlis has sequenced over 40,000 VA MVP samples. With our newest task order in hand, the cumulative value of our task orders received to-date from the VA MVP has increased to approximately $145 million. Our population sequencing business with a VA MVP continues to be a significant growth driver for us. We value this business tremendously given the gross margins, and significant long term potential. Our engagement with the VA MVP has enabled us to invest in technology and build considerable scale and automation, allowing us to deliver high quality genomic information, both to the VA MVP, and other customers. We look forward to maintaining our important relationship with the VA MVP as they continue to deliver on their ambitious goals. Next, I would like to touch on the potential for whole genome sequencing in cancer. We believe our large volume with the VA MVP makes us one of the highest production and commercial DNA sequencing centers in the United States. In Q3 three for example, we sequenced well over 10,000 whole human genomes. This volume and our years spent developing laboratory automation methods and large scale data management systems has made this a financially attractive business and put us in a great position to compete for additional large scale whole genome sequencing business including in cancer. Some of our non VA MVP oncology customers are increasingly looking to whole genome sequencing and analysis. Our experience with the VA MVP in whole genome sequencing makes us an attractive partner. I'm happy to announce that we are using our extensive experience and advanced technology for optimal whole genome sequencing to offer a whole genome sequencing product for customers studying cancer and we have begun sending data to our first customer. Now that I have provided some background, I can discuss our important progress from the third quarter in detail and outline our goals. As I mentioned in the third quarter of 2019, we grew revenue 47% over the same quarter last year. Growth was driven by the VA MVP, which we have noted, continues to send us larger orders as we expand our population sequencing platform. Our growth from the VA MVP was offset somewhat by the biopharma business where we had less revenue in Q3 than in the second quarter. However, I'd like to reiterate our biopharma orders from the third quarter exceeded revenue, as current customers continues to demonstrate strong interest in converting to our newest platform and new customers continue to adopt. Many of our customers are beginning to do more prospective analysis which should create less quarter to quarter volatility over time. Within our biopharma business, our personalized therapy customers who generally place prospective orders continue to be a strong source of order flow. Despite strong early adoption with new customers, it will take time to convert customers to high volumes. As Aaron will discuss later in the call we expect 2020 top line revenue to be driven primarily by the VA MVP. With more moderate pharma growth, we expect to see accelerating biopharma revenue growth through 2020 as new large pharma and biotech customer's complete pilots of NeXT and move into larger and we launch our liquid biopsy product. We expect the order flow that is materializing for NeXT, will translate to revenue growth increasingly through 2020. We have many initiatives underway to ensure we have the right products, infrastructure, and people in place to drive the growth we are guiding to. Let me update you on a few of those now. First and foremost, we continue to work to drive adoption of our platform by establishing and expanding relationships with both current customers and new biopharma customers. Our sales and business development group has grown by over 30%. Importantly, we are engaging in multinational pharma companies who are not customers in 2018 with the new NeXT platform. We are now completing the validation of our diagnostic to be used by biopharma customers in clinical trials, which we believe will launch before year-end. We are working to accelerate development of our liquid biopsy product offering biopharma customers a comprehensive view of 20,000 genes using plasma samples from patients with cancer. This remains on track for launch in 2020. Interest in the use of liquid biopsies to complement data from tissue biopsies continues to grow, and our conversations with customers about our initial product are positive. We also continue to add automation as we scale our operational know-how, growing capacity in a very efficient manner. Our scientific and commercial teams recently had a strong presence at SITC with presentations and three scientific posters, and a commercial exhibit demonstrating compelling evidence of the value of our platform. And finally, during the third quarter, I'm pleased to report that we added Karin Eastham to our Board of Directors. Karin joined us in September 2019, and has over 35 years of financial and operations management experience, primarily with life sciences companies. She is currently a Board member of three additional public biotech companies, including Nektar Therapeutics, Geron Corporation and Veracyte. Also, she was previously a Board member for Illumina for approximately 15 years. We are thrilled to welcome Karin and look forward to leveraging all of her expertise as we continue to build our business. In closing, I would like to emphasize that the parts of our business, VA MVP and biopharma work together as an integrated whole, our management focus is on the growth and eventual profitability of that combination. Given our ability to orchestrate the two pieces together, we are confident that total revenues will continue to grow. The big picture of our business is that we see incredible medical value in the very large scale genomic data and analysis, we are able to generate for our customers, whether in population studies, research, pharma or diagnostics. With that, I will now hand it over to Aaron for more details on our financial results and guidance.