Myriad Genetics (NasdaqGS:MYGN) FY Conference September 10, 2025 07:45 AM ET Company ParticipantsSam Raha - President and CEOBen Wheeler - CFOConference Call ParticipantsYuko Oku - Research AnalystYuko OkuHi everyone. My name is Yuko Oku, and I'm on the Life Science Tools and Diagnostics team here at Morgan Stanley. Before we begin, for important disclosures, please see Morgan Stanley research disclosure website at www.morganstanley.com/researchdisclosures. If you have any questions, please reach out to you ...

Financial Data and Key Metrics Changes - The company reported Q1 revenue of $196 million, a decline of 3% year over year, at the lower end of the target range [7][10] - Excluding certain impacts, Q1 revenue grew 5% year over year [9][22] - Average revenue per test decreased by 4%, while test volume increased by 1% [22][23] - Gross margin improved by 50 basis points to 69% due to lab efficiencies [23][24] - The company updated its 2025 revenue guidance, lowering it by $35 million from the prior midpoint [10][28] Business Line Data and Key Metrics Changes - Prenatal testing revenue grew by 11% year over year, with strong demand for carrier screening and NIPS tests [12][18] - Oncology revenue declined by 2%, with MiRisk test volume growing by 11% year over year [15][16] - GeneSight revenue decreased by 20% year over year, primarily due to UnitedHealthcare's policy change [19][20] - Women's health revenue increased by 4%, driven by prenatal testing, but was partially offset by weakness in unaffected hereditary cancer testing [18][19] Market Data and Key Metrics Changes - The company faced challenges in the unaffected hereditary cancer testing market due to slower EMR integrations and workflow disruptions [13][14] - The overall demand for oncology tests remains consistent with 2024 trends, despite some confusion over updated NCCN guidelines [17][18] - The company continues to see positive momentum from breast cancer risk assessment programs, although they are not yet at scale [14][19] Company Strategy and Development Direction - The company is focusing on oncology as a cornerstone of its strategy, aiming to serve the continuum of cancer care [29][40] - Plans are in place to reduce overall projected spending while prioritizing investments in high-value new product development [10][11] - The management team is committed to simplifying the business narrative and focusing on core growth areas [38][39] Management's Comments on Operating Environment and Future Outlook - Management acknowledged the challenges faced in 2025 and emphasized the importance of oncology in the company's future [29][39] - The company is optimistic about addressing workflow disruptions and improving test volume growth in the coming quarters [14][39] - Management expressed confidence in the potential for sustained profitable growth and market share increase [30][39] Other Important Information - The company plans to launch several new products, including a combined carrier screening and NIPS assay, and an AI-enabled test by the end of the year [11][12] - An income tax benefit of $29.3 million was recognized in Q1, expected to result in cash tax refunds [25][26] Q&A Session Summary Question: Concerns about the complexity of the company's situation - Management acknowledged the complexity and indicated that it would take several months to simplify the narrative and focus on core growth areas [36][39] Question: Update on GeneSight's revenue headwind - Management confirmed a $10 million revenue headwind in Q1 due to UnitedHealthcare's coverage change, with no expected impact from other payers [46][52] Question: Coverage updates from other payers - Management stated that there have been no indications of coverage changes from other payers and noted some recent wins in coverage [53][54] Question: Impact of UnitedHealthcare on prescription patterns - Management reported no significant changes in provider behavior regarding GeneSight prescriptions despite the coverage changes [55] Question: Details on EMR integration challenges - Management explained that EMR integration for unaffected testing requires additional features and workflows, which take time to implement [68][70] Question: Market growth expectations for Polaris - Management indicated that the market for Polaris is expected to grow at low double-digit rates, with ongoing efforts to enhance competitive positioning [78][79]

Financial Data and Key Metrics Changes - The company reported first quarter revenue of $196 million, a decline of 3% year over year, at the lower end of the target range [5][20] - Excluding certain impacts, total Q1 revenue grew 5% year over year [6][23] - Average revenue per test decreased by 4%, while test volume increased by 1% [20][21] - Gross margin improved by 50 basis points to 69% due to lab efficiencies [21][22] - The company updated its 2025 financial guidance, lowering annual revenue expectations by $35 million and operational expenses by $25 million [7][25] Business Line Data and Key Metrics Changes - Prenatal testing revenue grew by 11% year over year, while hereditary cancer revenue declined by 2% [10][21] - GeneSight revenue decreased by 20% year over year, primarily due to changes in UnitedHealthcare's coverage policy [12][17] - MiRisk test volume grew by 11% year over year, contributing positively to oncology revenue, which declined by 2% overall [12][13] - Women's health revenue reached $87 million, a 4% increase year over year, driven by strong prenatal testing performance [15][16] Market Data and Key Metrics Changes - The company faced headwinds from UnitedHealthcare's policy changes affecting GeneSight, resulting in a $10 million revenue impact in Q1 [43][44] - The overall market for unaffected hereditary cancer testing is projected to grow, but the company is currently experiencing slower ramp-up due to EMR integration challenges [11][64] - The company remains optimistic about the potential for growth in the hereditary cancer market, which is valued at approximately $4.5 billion [54] Company Strategy and Development Direction - The company is focusing on oncology as a cornerstone of its strategy, aiming to enhance its offerings across the cancer care continuum [26][36] - Plans are in place to prioritize investments in high-value new product development, including AI-enabled tests and MRD testing [8][26] - The management team is committed to simplifying the business narrative and focusing on core growth areas [35][36] Management's Comments on Operating Environment and Future Outlook - Management acknowledged a challenging first quarter but expressed optimism about addressing operational challenges and improving performance [5][26] - The company is actively working on strategies to increase test volumes for GeneSight and MiRisk, despite projecting softer volumes for these tests [7][11] - Management emphasized the importance of execution excellence and the need for a compelling strategy to drive future growth [26][36] Other Important Information - The company recognized a one-time income tax benefit of $29.3 million in Q1, expected to result in cash tax refunds [22] - The company is on track to launch several new products, including a combined carrier screening and NIPS assay and an AI-enabled test by the end of the year [8][26] Q&A Session Summary Question: Concerns about the complexity of the company's situation - Management acknowledged the complexity and indicated that it would take several months to simplify the narrative and focus on key growth metrics [33][36] Question: Update on GeneSight's revenue headwind - Management confirmed a $10 million revenue headwind in Q1 due to UnitedHealthcare's coverage changes, with no expected impact from other payers [43][44] Question: Coverage updates from other payers - Management stated that there have been no indications of coverage changes from other payers and noted recent wins in incremental coverage for GeneSight [48] Question: Changes in provider prescription patterns - Management reported no significant changes in provider behavior regarding GeneSight prescriptions, despite the coverage challenges [50] Question: Portfolio evaluation and potential divestitures - Management emphasized a thorough evaluation of the portfolio, with a focus on oncology, while remaining open to strategic adjustments [52][54] Question: EMR integration challenges - Management explained that EMR integration for unaffected testing is complex and requires time to implement effectively [64] Question: Market growth expectations for Polaris - Management indicated that the market for Polaris is expected to grow at low double-digit rates, with ongoing efforts to enhance competitive positioning [72]