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CareDx(CDNA) - 2024 Q3 - Earnings Call Transcript

Financial Data and Key Metrics Changes - CareDx reported revenue of $82.9 million for Q3 2024, representing a 23% year-over-year growth [9][36] - Adjusted EBITDA was positive at $6.9 million, an improvement from a loss of $10.9 million in the same quarter last year [10][38] - The company ended the quarter with $241 million in cash and cash equivalents, with no debt [10][38] Business Line Data and Key Metrics Changes - Testing Services revenue was $60.8 million, up 27% year-over-year, with approximately 44,600 tests delivered, a 16% increase from the prior year [11][36] - Patient and Digital Solutions revenue was approximately $12 million, reflecting a 20% year-over-year growth [20][37] - Lab Products revenue reached $10.2 million, marking a 7% year-over-year growth [23][37] Market Data and Key Metrics Changes - The company added four million commercial-covered lives in Q3, bringing the total to approximately 31 million covered lives nationwide [19][37] - The Centers for Medicare and Medicaid Services reaffirmed coverage for solid organ transplant monitoring, which is expected to positively impact testing volumes [14][19] Company Strategy and Development Direction - CareDx is executing a strategy to engage transplant centers with a synergistic portfolio of testing, digital, and lab products, aiming for long-term profitable growth [12][29] - The company has reorganized its go-to-market team and is expanding its sales and marketing workforce to capture growth opportunities [13][27] - A three-year growth strategy targets $500 million in revenue by 2027, with a focus on innovation in diagnostics [29] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about long-term profitable growth, citing strong execution and a solid balance sheet [10][51] - The company anticipates a gradual return of surveillance testing protocols at transplant centers over the next two to three quarters [14][62] - Management raised revenue guidance for fiscal year 2024 to $327 million to $331 million, reflecting a growth rate of approximately 17% year-over-year at the midpoint [32][46] Other Important Information - The Department of Justice closed its investigation into CareDx with no findings of wrongdoing, following a similar decision by the SEC [30] - A competitor has dropped patent infringement claims against CareDx, allowing the company to focus on its core business [31] Q&A Session Summary Question: Insights on Q4 guidance and trends - Management indicated that Q4 revenue is expected to be in line with Q3, primarily due to prior-period revenue items [54][56] Question: Surveillance testing recovery timeline - Management noted a modest shift in testing mix towards surveillance and anticipates a gradual return to pre-pandemic levels over the next two to three quarters [62] Question: Capital allocation strategy - The focus remains on growth and profitable growth long-term, with share buybacks considered after reinvestment in the core business [63] Question: Expansion of commercial payer lives in 2025 - Management expects significant growth in covered lives in 2025, particularly for AlloSure Heart and AlloSure Kidney [70] Question: Trends in transplant procedures for 2025 - Management anticipates mid-single-digit growth in the transplant market, with no immediate catalysts for increased procedures [80][81] Question: Framework for surveillance opportunity - The focus is on implementing surveillance testing protocols for newly transplanted patients, with potential for increased demand as new therapeutics emerge [85]