Myriad Genetics FY Conference Summary Company Overview - **Company**: Myriad Genetics (NasdaqGS:MYGN) - **Date of Conference**: September 10, 2025 Key Industry Insights - **Hereditary Cancer Market**: - The affected market (diagnosed with cancer) is valued at approximately $2 billion, with over two-thirds penetration and mid-single-digit growth. [10] - The unaffected market (not diagnosed) is nearing $5 billion, with less than 50% penetration and expected growth between high single digits to low double digits. [10][11] - New guidelines from ASCO and NCCN are expected to drive growth in the affected market. [11] - **Women's Health**: - The Prequel and Foresight volume declined by 7% year-over-year due to issues with the order management system, which have since been resolved. [16][18] - Incremental positive payer coverage for expanded carrier screening has been observed ahead of ACOG guidelines. [19] Core Company Strategies - **Updated Strategy**: - Focus on leveraging strengths in science and high-quality tests, particularly in cancer care. [6][7] - Emphasis on improving user experience and expanding EMR integrations. [7][8] - **Breast Cancer Risk Assessment Program**: - Targeting OB-GYN providers to increase awareness and facilitate hereditary cancer testing. [13][14] - **Partnerships**: - Collaboration with JScreen to enhance access to genetic testing for high-risk populations. [15] Product Developments - **FirstGene**: - A combined screening product for NIPS and carrier screening, currently in early access with positive feedback. [20][21] - **Prequel NIPS**: - Launched for eight weeks of gestational age, showing strong market traction. [23] - **Precise MRD**: - Targeting a 2026 launch with early access to build real-world evidence and customer base. [24][25] - **AI-enabled Prolaris Tests**: - Expected launch by year-end, aimed at improving biopsy confidence and expanding into post-radical prostatectomy opportunities. [29][30] Financial Performance and Projections - **Gross Margins**: - Expected to be in the range of 69.5% to 70% for the year, supported by lab upgrades and operational efficiencies. [41][42] - **Long-term Revenue Growth Target**: - Updated to high single digits to low double digits, driven by growth in hereditary cancer testing, women's health, and oncology. [43][44] - **Operational Expenditure**: - Adjustments made to align with growth strategy, focusing on cancer care while maintaining growth in prenatal and mental health sectors. [46] Challenges and Resolutions - **EMR Integration Issues**: - Challenges in workflow integration for unaffected hereditary cancer testing have been identified and are being addressed through partnerships. [38][39][40] - **Order Management System Disruptions**: - Issues have been resolved, and a gradual return to previous volume levels is expected over the coming quarters. [18][19] Conclusion - Myriad Genetics is positioned in attractive markets with a strong reputation and a focus on innovative product launches. The company is optimistic about future growth driven by strategic partnerships, product development, and operational improvements. [49][50][51]

Financial Data and Key Metrics Changes - The company experienced a reset in financials due to headwinds from the UnitedHealthcare decision and NCCN guidelines confusion, leading to a complicated start to the year [6][10] - Q2 was characterized as a step forward, with hereditary cancer and oncology continuing to grow in double digits, while GeneSight saw a recovery to 5% growth after previous challenges [11][12] - The long-range plan (LRP) was set to high singles to low double digits growth, indicating a more cautious outlook compared to previous expectations of over 12% [12][13] Business Line Data and Key Metrics Changes - Hereditary cancer business showed strong growth, particularly on the affected side, while the unaffected side improved faster than anticipated [10][11] - GeneSight's business was reset and saw a return to growth, while the prenatal business faced challenges due to a new management order system rollout, leading to negative volume year over year in Q2 [24][25] - The Polaris business remained stable, with revenue growth year over year, and the partnership with PathomIQ is expected to enhance growth prospects [30][32] Market Data and Key Metrics Changes - The prenatal market is expected to grow in the mid-single digits, with the company aiming to grow above that rate [26] - The company anticipates a stable environment for average selling prices (ASPs) across its portfolio, with Q2 serving as a proof point for this stability [22][23] Company Strategy and Development Direction - The company is focusing on the cancer care continuum as a core area, with a disciplined approach to resource and capital allocation [18][19] - New strategic partnerships, such as with PathomIQ, are being leveraged to enhance product offerings and market presence [19][30] - Execution and urgency are emphasized as critical components for future success, with a commitment to delivering on new product launches [19][49] Management's Comments on Operating Environment and Future Outlook - Management acknowledged the challenges faced in the first quarter but expressed optimism about the recovery trajectory and the execution of the new strategy [10][11] - The company expects to be operating cash flow positive in the back half of the year, with gradual recovery in prenatal volume and continued progress in hereditary cancer volume [42][46] - Management highlighted the importance of new product launches, including an updated myRisk panel and MRD tests, as key drivers for future growth [49] Other Important Information - The company has made significant changes to its executive team, including the appointment of a new CFO and Chief Commercial Officer, to strengthen leadership and execution capabilities [9][10] - The company is addressing operational inefficiencies and aims to grow revenue faster than operating expenses, indicating a focus on sustainable profitable growth [44][45] Q&A Session Summary Question: What is the pricing outlook for hereditary cancer? - Management expressed confidence in the stability of ASPs and noted that Q2 showed positive trends in pricing [21][22] Question: What impact did the new management order system have on prenatal business? - The company acknowledged negative volume due to the rollout but indicated that the issues are now resolved and growth is expected to resume [24][25] Question: How does the partnership with PathomIQ affect the Polaris business? - The partnership is expected to enhance product offerings and improve market perception, contributing to growth in the prostate cancer segment [30][32] Question: What is the company's strategy for MRD? - Management emphasized the size of the MRD market opportunity and the company's strong reputation and access to healthcare systems as key advantages [36][38] Question: What are the expectations for operating cash flow in the second half of the year? - The company anticipates being operating cash flow positive in the back half of the year, with gradual recovery in volumes [46]

Core Insights - Myriad Genetics reported Q2 2025 earnings with revenue of $213.1 million, surpassing consensus estimates of $201.9 million, but faced a significant impairment charge of $316.7 million leading to a GAAP net loss [1][5][8] - The company experienced a modest return to revenue growth with a year-over-year increase of 1%, and adjusted EPS of $0.05 exceeded analyst expectations of $(0.01) [1][2][5] - The focus on the Cancer Care Continuum strategy emphasizes investment in oncology and next-generation diagnostic testing, with a strong emphasis on R&D and partnerships [4][3] Financial Performance - Revenue for Q2 2025 was $213.1 million, a 0.8% increase from Q2 2024's $211.5 million [2] - Adjusted operating income rose to $8.6 million, a 16.2% increase from Q2 2024 [2][5] - Gross margin improved to 71.2%, up 1.6 percentage points from 69.5% in Q2 2024 [2][5] Segment Performance - The Oncology segment generated $85.5 million in revenue, with hereditary cancer testing contributing $54.1 million, reflecting a 9% year-over-year volume increase [6] - Women's Health reported $89.8 million in revenue, with prenatal testing revenue rising 7% year-over-year to $47.6 million, despite an 8% decline in prenatal test volume due to workflow issues [7] - The Pharmacogenomics segment, including the GeneSight test, posted $37.8 million in revenue, a 12% decrease attributed to the loss of coverage from UnitedHealthcare [8][12] Operational Highlights - Total test volume was 384,000, showing a slight decline from the previous year, with increases in some areas offset by declines in tumor profiling and prenatal tests [9] - The company reported negative adjusted free cash flow of $(17.1) million, compared to a positive figure last year, and cash and equivalents at period end were $74.4 million [10][15] Strategic Focus - Myriad Genetics is prioritizing technological innovation, securing insurance reimbursement, and expanding market presence, particularly in oncology and women's health [4][3] - The company plans to launch new products, including MRD and AI-enabled prostate cancer tests, in 2026 [12] Outlook - Management raised full-year FY2025 revenue guidance to $818 million to $828 million, with gross margin expectations also increased [16] - Adjusted EPS guidance remains between $(0.02) and $0.02 for FY2025, reflecting the second quarter results and current business outlook [16]

Financial Data and Key Metrics Changes - The company reported revenue of $213 million for Q2 2025, representing a 5% year-over-year increase, excluding the impact of UnitedHealthcare's decision on GeneSight and the divested European ENDOPREDICT business [7][34] - Adjusted gross margins improved to 71.5%, an increase of 140 basis points compared to the previous year [12][38] - Adjusted EBITDA for the quarter was $14.5 million, reflecting a 24% growth year-over-year [12][45] Business Line Data and Key Metrics Changes - Hereditary cancer revenue grew by 5% for the quarter, with a 10% volume growth in the oncology channel [23] - GeneSight volume increased by 5% year-over-year, recovering from low single digits [10][31] - Prenatal products, PREQUEL and FORESIGHT, saw a 7% decline in volume year-over-year due to challenges with an order management system, which has since been resolved [11][29] Market Data and Key Metrics Changes - The oncology market showed strong growth, with hereditary cancer testing volume increasing by 14% year-over-year [9][25] - The prenatal health market is expected to grow at or above market rates, driven by new product launches and expanded payer coverage [19][30] - Mental health testing through GeneSight generated revenues of $38 million, with a 5% volume growth year-over-year [31] Company Strategy and Development Direction - The company is focusing on the cancer care continuum (CCC) as a strategic priority to drive accelerated growth and profitability [14][15] - Three strategic pillars include enhancing hereditary cancer testing, growing prenatal and mental health revenues, and maintaining financial discipline [18][20] - The company plans to increase investments in R&D and enhance commercial capabilities to support the CCC strategy [17][21] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the company's potential and the progress made in addressing previous challenges [6][8] - The company raised its guidance for 2025 based on positive Q2 results and ongoing improvements in execution [13][45] - Management emphasized the importance of strategic partnerships and operational excellence to drive future growth [17][22] Other Important Information - The company secured a $200 million term loan from OrbiMed, providing liquidity and flexibility for growth initiatives [13][43] - A significant non-cash impairment charge of $317 million was recognized due to a decline in market capitalization, but this does not reflect a change in business outlook [39][40] Q&A Session Summary Question: Request for more specific KPIs related to the strategic review - Management acknowledged the need for more quantifiable KPIs and plans to share these in the upcoming months [52][56] Question: Clarification on portfolio divestitures - Management indicated satisfaction with the current portfolio and stated that periodic reviews will be conducted to assess strategic alignment [53][56] Question: Impact of UnitedHealthcare's coverage on GeneSight - Management confirmed ongoing discussions with UnitedHealthcare and plans to submit new clinical data for review in the fall [60][64] Question: Clarification on the timing of the MRD test launch - Management confirmed an early access launch for the MRD test in the first half of 2026, with ongoing clinical studies [66][68] Question: Guidance for the back half of the year - Management indicated that the guidance raise is based on improved execution and recovery from previous challenges, particularly in hereditary cancer testing [88][90]

Core Insights - Myriad Genetics reported solid second-quarter results, driven by strong hereditary cancer testing in oncology and favorable pricing trends, while also updating its financial guidance for the full year 2025 [2][3] Financial Performance - Second quarter 2025 revenue was $213.1 million, a 1% increase year-over-year, with a 5% increase when excluding headwinds of $9.5 million [5] - Hereditary cancer testing revenue and volume in oncology grew by 9% and 10% year-over-year, respectively, with MyRisk with RiskScore testing volume in oncology increasing by 14% [5][17] - Gross margin for the second quarter 2025 was 71.2%, up over 160 basis points year-over-year, benefiting from product mix and improved laboratory efficiencies [5] - The company reported a GAAP net loss of $330.5 million, or $(3.57) per share, primarily due to non-cash impairment charges of $316.7 million [5][11] - Adjusted EPS for the second quarter 2025 was $0.05 [5] Strategic Update - Myriad Genetics is focusing on the Cancer Care Continuum (CCC) to accelerate growth, with plans to expand its test portfolio into therapy selection and immuno-oncology therapy response monitoring [6] - The company aims to grow revenue in Prenatal Health and Mental Health while maintaining disciplined investment in these areas [7] - Myriad Genetics expects to achieve high single-digit to low double-digit revenue growth and increased profitability over the next five years [7] Business Unit Performance - The Oncology business generated revenue of $85.5 million in the second quarter of 2025 [13] - The Women's Health business reported revenue of $89.8 million in the same period [14] - GeneSight test revenue was $37.8 million, with a 5% year-over-year growth in test volume, despite the impact of UnitedHealthcare's decision to discontinue coverage [15] Financial Guidance - The company raised its 2025 revenue guidance to a range of $818 - $828 million, up from $807 - $823 million, reflecting improved business outlook [19] - Adjusted operating expenses for 2025 are projected to be between $562 - $568 million [19] - Adjusted EBITDA guidance was increased to a range of $27 - $33 million [19]