Financial Data and Key Metrics Changes - Total revenue for 2023 was $170.3 million, an 8% decrease year-over-year [16] - Q4 revenue was $45.8 million, with 67% from MRD and 33% from Immune Medicine [15] - MRD revenue for the full year was $102.7 million, up 18% from the previous year, while Immune Medicine revenue was $67.5 million, down 31% [16] - Gross margin for Q4 was 57%, an 8-point increase from Q3 but a 13-point decline year-over-year [17] - Net loss for the full year was $225.3 million, compared to $200.4 million in 2022 [18] Business Line Data and Key Metrics Changes - MRD business grew 27% year-over-year excluding milestones, driven by clonoSEQ volume growth [5][6] - clonoSEQ clinical revenue in Q4 grew 56% year-over-year, with test volumes increasing by 49% [7][8] - Immune Medicine revenue decreased by 45% year-over-year, primarily due to lower Genentech amortization [16] Market Data and Key Metrics Changes - The MRD business is expected to contribute between $130 million and $140 million in revenue for 2024, with a conservative growth outlook for Pharma services [19] - The company anticipates a 45% to 55% revenue split between the first and second halves of 2024 [20] Company Strategy and Development Direction - The company is focusing on a strategic review to maximize shareholder value, with plans to communicate outcomes by the end of the current quarter [7] - The MRD business aims to reach profitability by the end of 2025, while the Immune Medicine segment will focus on targeted drug discovery [6][12] - The company is enhancing its customer experience through EMR integrations and partnerships, including a new agreement with Flatiron Health [10][13] Management Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth trajectory of the clonoSEQ MRD business and the potential of the Immune Medicine pipeline [22] - The company is optimistic about the impact of state biomarker laws on business, although these benefits are not included in the 2024 guidance [80] Other Important Information - The company ended 2023 with approximately $346 million in cash equivalents, allowing for strategic investments [18] - The company is implementing operational efficiencies to reduce burn rate to an average of $35 million per quarter in 2024 [20] Q&A Session Summary Question: Can you walk through the OpEx outlook for '24 and the revenue considerations for burn? - Management indicated a burn rate of $35 million per quarter, emphasizing ongoing efficiency drives across the organization [24] Question: What are the expectations for MRD revenue cadence in the year? - Management noted that Q4 typically has fewer business days, impacting growth rates, but leading indicators remain positive [32] Question: Can you elaborate on the strategic review outcome expected at the end of the quarter? - Management refrained from commenting on specific structures but emphasized a strong cash position and commitment to maximizing stakeholder value [29] Question: What are the trends in the MRD Pharma side, specifically regarding cancellations or delays? - Management noted a decline in the number of trials in multiple myeloma, impacting growth opportunities, while non-Hodgkins lymphoma remains stable [66] Question: Can you provide details on the partnership with Flatiron Health? - The partnership involves a setup fee and an annual fee, with no milestone payments specified [74] Question: How is the Epic integration performing? - Feedback has been positive, with increased volumes and reduced manpower for order entry noted [75]
Adaptive Biotechnologies(ADPT) - 2023 Q4 - Earnings Call Transcript