Douglas C. Bryant
Analyst · William Blair. Your line is open
Thank you, Randy and Good afternoon everyone. For today's call I'll talk briefly about our results for the quarter, our progress with a few key initiatives and our product pipeline, our view of how the markets for our products are shaping up and then some of the key assumptions and risks to our growth plan moving forward. Total revenues in the third quarter 2015 were up 14% from $41.2 million in Q3 2014 to $46.8 million. The largest driver of revenue growth in the period was Sophia up 78% in total due mainly to continued market penetration with our Sofia Influenza, RSV and Group A Strep products, which resulted largely from Sofia placements in previous quarters. In addition, Sofia test revenues increased over the prior year quarter due to the impact of initial orders from additional placements in the third quarter. Sofia placements in Q3 2015 were actually 12% higher than they were in Q3 2014. On a trailing 12-month basis through Q3 2015 the number of Sofia influenza customers ordering product increased by 50%. QuickVue revenues in the quarter were up 10% which we believe is due to share gains of our QuickVue Group A Strep products which were up 18%. Curiously despite a 30% cannibalization rate from our QuickVue influenza products to Sofia QuickVue influenza sales remained flat which suggests that the QuickVue brand remains quite strong and that workflow and the quick turnaround time on positive test results remained very important attributes for many of our customers. And finally, Thyretain sales were up 8% for the quarter and on a trailing 12-month basis were up 12% driven by growth in awareness of the product by the endocrinology community. From a product sales perspective we had a very good quarter. Randy will give you details on the declining grant revenue, but generally the reduced R&D spend for Savanna in the third quarter which reduced grant revenue that was recognized was due to gaining clarity around the regulatory pathway for the instrument and our decision to not build prototypes in the third-quarter and instead build what we are now calling alpha M units beginning in the fourth quarter that we intend to use in HIV viral load clinical trials in the back half of 2016 [ph]. If we were to adjust for the decrease in spend for the Savanna project, total revenues in Q3 2015 would have been 22% higher than the prior year quarter. On an out sales basis, meaning sales from our distribution partners to our laboratory and physician customers which excludes DHI and SPG product sales. Growth for Q3 2015 over Q3 2014 was 28%. For influenza sales alone, Q3 2015 was up 41% over the prior year quarter. Through nine months up sales growth year-over-year was 34%. We have said before in a number of venues that we believe that investments that we have made thus far has put us in a position to grow annual revenues reliably at a rate of about 10% to 15% assuming a reasonably normal respiratory disease season. In an overall IVD market that is clearly growing at a lower rate. Certainly the third quarter meets or perhaps exceeds those expectations. We have also said that we have a number of key initiatives that we are working on any of which could improve our growth trajectory and result in meaningful revenue and operating income increases. Let me touch briefly on the initiatives that are most likely to have an impact in the not-too-distant future. First, we expect to grow the influenza testing market by providing better information and by creating far greater awareness of the need to be tested and treated. Influenza is not simply the flu, something that causes us to feel bad for a few days. It is influenza, a serious respiratory disease that killed 46,000 people last year in the U.S. and hospitalized over 260 per 100,000 people 65 years of age and older. The increasing morbidity and mortality of recent and emerging influenza strains that crease a significant burden of disease will certainly create more public awareness over time of the need to see a physician and to be tested. But with Virena, our cloud based data management system and investments in marketing and scientific studies we expect to accelerate awareness by physicians, pharmacists, patients, labs and public health officials of the dangers of influenza and other respiratory diseases and of the need to be tested, treated and possibly isolated from those who are potentially immune compromised. An impossible goal, but no child or his grandmother should die of influenza which is why we developed Sofia and Virena. Regarding progress with Virena, the number of customers at the end of the third quarter sending their Sofia data to our cloud was substantial and we expect to have thousands more by early 2016 greater than the number needed to power the data visualization tools that members of the Quidel ecosystem will have access to that will be used to create the awareness and behavior that we expect in the revenue growth over time that we have forecasted in our strategic plan. Second, we expect to convert microbiology lab customers performing Group A cell culture to our Savanna Group A Strep molecular assay. Instead of waiting 48 to 72 hours to confirm a negative by culture our Savanna customers can easily report out answers the same day as the assay time is 35 minutes and the instrument can run as many as 12 samples per run. Moderately complex today we plan to submit this assay and others for clear waiver because the waiver greatly simplifies what is needed for IQCP which labs will be implementing in January. Savanna Group A Strep was 510 k cleared in June, was launched at our annual sales meeting in August and is already seeing initial success that I would characterize as very encouraging. The revenue contribution from Savanna Group A Strep that we had forecasted for 2016 and throughout the remainder of our strategic plan appears to be very achievable at this point. Third, we expect to be first-to-market with a number of unique products that many have suggested were too difficult to develop. While we have acknowledged all along that there were technical risks we believe that if we could overcome a number of development hurdles the market would be receptive and the commercial risks with these unique products would be minimal. At this stage, both Sofia vitamin D and Sofia In-Line [ph] continue to look promising and we expect to be in clinical trials with both products in early 2016. In addition, we will be first-to-market with [indiscernible] a quantitative version of Thyretain that we expect will enable our TSI assay for Graves' disease to be more easily interpreted by physicians. This new quantitative assay will allow physicians to monitor anti-thyroid drugs during the treatment of Graves' disease, a chronic autoimmune disorder that affects millions throughout the world. And we will be first-to-market with a cell based receptor assay for TBI an antibody that is locked with Thyrotropin producing hormone. This will position Quidel as the only company with FDA clearance to market two definitive thyroid receptor bioassays differentiating the different thyroid receptor antibodies stimulating and blocking in serum which together can be used to definitively diagnose patients with autoimmune thyroid disorder. We expect to be in clinical trials with these two products in early 2016 as well. In terms of the remainder of the pipeline little has changed in terms of timeline. Sofia hCG is under active review at the FDA. We expect Sofia too to be in clinical trials very early in 2016 with the first three assays Sofia Influenza, Sofia RSV and Sofia Strep A plus. With the approval of Savanna and a molecular Group A Strep assay behind us we are working diligently on a number of additional assays and expect several of these moving through clinical trials shortly. And finally with the completion of the Savanna test cartridge design we are at the point where we can begin porting our PCR assays like HIV and our Lyra assays and our proprietary HDA assays to that system. Overall we've had a good quarter from a development perspective, but we've also been successful commercially. Let me comment now on a few trends that we see in our market and with our customers that are enabling our continued success with Sofia in particular. Last year about 9 million newly insured patients began using the healthcare system according to our Gallup poll and even more are expected moving forward. The number of office visits to primary care physicians is projected to increase from 462 million visits in 2008 to 565 million visits in 2025. Family practice wait times in 2013 were already at an average of 18.5 days, which means that if you have a sick child with influenza like illness for example, your physician will need to squeeze you in to one of offices' urgent care slots. And during an influenza epidemic in the future, even more people will potentially want access to those same urgent care slots. I was told recently by a scientific advisory board member that at his large Midwest institution, physicians were expected to treat one patient every 10 minutes. In my own neighborhood a well-known brand of healthcare has a goal of 12 minutes for sick patients and 20 minutes for wellness check. It is understandable then that when physicians think of performance criteria for tests that aid in the diagnosis of illness that turnaround time and workflow are very important. It doesn't mean that specificity and sensitivity are not important. In fact these two performance characteristics have been important drivers for many of the over 10,000 users of Sofia influenza, RSV, Group A Strep and/or hCG, as the sensitivity and specificity of each of these assays are seen by many physicians as best-in-class. It is also understandable then that when with products like Sofia Influenza, Group A Strep and RSV that have excellent sensitivity and specificity particularly with pediatric samples and turnaround time, and ease of use, and connectivity with our cloud so that they can see test results within the context of what is occurring in the communities which surround them, that physicians are continuing to enter into three-year agreement to purchase Sofia products and that they are increasingly sending their the identified data to our Virena cloud. In terms of hospital labs, emergency departments and other urgent care providers, trends in the market are also favoring adoption of Sofia. As our performance in the field in Q3 would demonstrate if I could simply list the new customers that we have gained. To avoid divulging competitive intelligence I will simply say that a number of prominent networks that span numerous hospitals and clinics have committed to Sofia resulting in hundreds of new Sofia placements in the quarter many of which are installing the Virena router. We are finding that larger institutions would like to standardize as inexpensively as possible on one platform across the entirety of their network, so that essentially they are reviewing only one methodology for influenza testing for example. Virena helps these networks achieve the benefits of standardization by tracking QC [ph] and saving labor by consolidating and submitting surveillance data to the public health agencies that they support in addition to the benefits seen by providers and patients that I discussed previously. And although the hospitals and urgent care settings might weigh performance criteria differently than physicians, turnaround time is also becoming increasingly important as EDs and urgent care centers compete with each other. EDs now post wait times online and are streamlining their processes to reduce the number of patients who leave the ED without receiving treatment. Speed matters, in fact, in my hometown we can simply send a text to a number and we will receive a response in seconds indicating the closest ED and the lead time at that location. Once again, our progress with Sofia continues seemingly unabated at this point, because in a nutshell for most customers it’s a better overall solution. Overall we believe that our comprehensive strategy and approach to the markets we serve makes the most sense. Here are some of the key assumptions that we are making and some of the risks that we are seeing over what we call our long range plan. We assume that Sofia 2 has delivered at landed cost of between $300 and $350 with an expectation that it is closer to lower end of that range, that we are allowed to pursue a migration pathway to U.S. CLIA waiver and clearance and that we are in market in the next respiratory season. The risk is low and is more on timing in the two to four weeks range. We also assume that Sofia 2 assay times at one to two minutes for a positive test result and less than 10 minutes for a negative test result are fast enough in the new origin care world. We assume meaningful demand for point-of-care fingerstick assays for vitamin D and Lyme disease. Both are new assays for the FDA to review. Therefore there is risk in terms of the timing of approval we would suggest given our experience with the FDA. We assume thousands of Virena placements by the end of Q1, 2016 as I said, meaning in key metropolitan areas that will remain confidential. In those markets we assume that we can cause a shift in awareness of respiratory disease, that we can grow the testing market in those locations and these markets influence others throughout the country. We further assume that this exercise which will require a significant expense will be completed in a few years. We assume success in converting some number of the estimated $37 million Group A Strep cultures in the U.S. to Savanna Group A Strep and that this is a meaningful contributor to sales and margin beginning in 2016. We further assume success with Group B Strep, C difficile, HSV, DVD, Trichomonas and other non-flu assays beginning in 2016. We assume that Savanna is in trials in Africa in 2016. We further assume that our TB product in development achieves its cost target at around $4 per test which will greatly expand the HBDC [ph] market from TB testing and that success with TB drives the centralization of HIV viral load testing in the developing world. We assume that respiratory viral panels and other panels will get smaller driven by reimbursement and direct cost to patients which creates an opportunity for Sofia 2 and our future molecular offerings. We assume that there is a need for CLIA waived molecular platforms like Savanna and Solana and potentially other platforms that could address this opportunity. We also assume that this not a zero sum gain and that success in placing molecular platforms, ours or our competitors, does not preclude success of Sofia and our plans to grow the overall respiratory disease testing market. And finally, before concluding I would like to mention our most recent addition to our Executive team at Quidel, Ed Russell joined Quidel on October 12 as Senior Vice President, Global Commercial Operations. He was most recently responsible for leading Life Technologies North American Commercial team, a $1 billion operation. In addition to Life, Ed’s industry experience is varied and includes high level commercial and senior leadership roles at FedEx Kinko’s and Mobile Oil [ph]. Under Ed’s leadership we are bringing together all our sales and marketing operations for all products and segments worldwide under a single global commercial umbrella. I understand that Ed has always met or exceeded his annual goals as a commercial executive which is a terrific track record of success. We are thrilled to have him on the team. In closing, a comment also for those of us at Quidel who are out there every day getting things done and who maybe listening in on today’s call. We had another successful quarter as planned and through nine months we are still slightly ahead of our internal annual operating plan. Quidel is truly a great place to be and a terrific environment in which extraordinary people can build their careers. We continue to attract superior talents and I look forward to seeing the impact that our people can have on improving healthcare to the products that they deliver. Randy?