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Personalis(PSNL) - 2022 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - For the full year of 2022, total company revenue was $65 million, a decrease of 24% compared to 2021 due to a decline in VA MVP revenue [21] - Gross margin for the fourth quarter was 13.8%, down from 38.7% in the same period of the prior year, primarily due to unabsorbed overhead costs and increased expenses [3] - Net loss for the full year of 2022 was $113.3 million, compared to a net loss of $65.2 million for 2021, with a net loss per share of $2.48 [24] - Cash and short-term investments at the end of the fourth quarter were $167.7 million, with cash usage of $25.1 million during the quarter [9] Business Line Data and Key Metrics Changes - Oncology revenue for the full year of 2022 increased by 42% compared to 2021, driven by growth in test volume with Natera [21] - Total company revenue for the fourth quarter of 2022 was $16.7 million, a 90% decrease compared to the same period of the prior year, while oncology revenue was $15.8 million, an increase of 3% [37] - R&D expenses in the fourth quarter were $16.6 million, up from $14.5 million in the same period last year, while SG&A expenses increased to $17.8 million from $13.7 million [23] Market Data and Key Metrics Changes - The company estimates that breast and lung cancer alone represents almost 1 million cases for monitoring each year [2] - The company expects to achieve a cash runway through 2025, allowing for strategic investments in key biopharma partnerships [14] Company Strategy and Development Direction - The company has defined a new strategy focused on minimal residual disease (MRD) detection, particularly in immunotherapy monitoring, breast cancer, and lung cancer [28] - The company plans to launch NeXT Personal Dx, an LDT version of its MRD offering, in the second half of 2023 [32] - The company aims to build a strong clinical evidence base to support its products and drive key indications, with collaborations planned for 2023 [35] Management's Comments on Operating Environment and Future Outlook - Management noted that 2022 was a peak year for cash usage due to one-time investments, but expects cash usage to decline each year moving forward [41] - Management expressed optimism about the potential for revenue growth in 2024, despite anticipated declines in volume from Natera [57] - The company is focused on achieving reimbursement for its NeXT Dx offering and expects to receive its first CMS reimbursement coverage decision before the end of Q3 2023 [43][90] Other Important Information - The company has pruned its biopharma business to focus on profitability, resulting in a workforce reduction of approximately 30% [29] - The company has decided to discontinue operations in China, viewing it as a permanent decision due to cost and investment challenges [78] Q&A Session Summary Question: Can you elaborate on your partnership with Moderna regarding the personalized cancer vaccine? - The company has been a strategic partner with Moderna for several years, providing genomic testing to customize therapies for patients, and is excited about the Phase 3 trials starting this year [59] Question: What are the current challenges with sample delivery? - The company is still facing headwinds in sample delivery due to issues with pharma customers obtaining samples from CROs and budget constraints amid economic conditions [61] Question: How do you view gross margins for 2023? - The company expects gross margins to improve in the latter half of 2023 as new equipment comes online, with significant savings anticipated in 2024 [50][65] Question: What is the status of the NeXT Dx reimbursement decision? - The company is committed to obtaining reimbursement for NeXT Dx this year and is actively working on the submission to MolDx [90] Question: How is the company approaching the commercialization of tests? - The company is focusing on partnerships to leverage other companies' sales forces for broader market access while developing its own capabilities in key oncology indications [72][73]