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BofA Securities Animal Health Summit 2025

Feb 27, 2025

Operator

Ladies and gentlemen, the program is about to begin. At this time, it is my pleasure to turn the program over to your host, Michael Riskin. You may begin.

Michael Riskin
Managing Director, Bank of America

Great. Thanks for joining us, and welcome, everyone. My name is Mike Riskin. I'm the lead analyst for Life Science Tools and Diagnostics at Bank of America, and I've also had the privilege of being the Animal Health Analyst here as well for the past 10 years now. It's been an annual tradition for us to host this Animal Health Summit every year in late February. I think it's a great opportunity to spend a full day focused just on the animal health space, really dig a little bit deeper into the topics and the issues that matter here. Over the years, we've had really great participation from companies in the space. We do again this year, and of course, really high interest from our clients and investors.

Attendance and participation is strong every year, up again this year, showing the large amount of interest in the space, and hopefully you'll find the event to be very helpful and productive. We've got a great lineup of corporate and expert speakers today, plenty of exciting topics and debates that we're going to touch on. If you have any questions throughout the day, don't hesitate to reach out either through Bloomberg Chat or email. There's also a Q&A box on the webcast portal. That's probably the easiest way to get our attention, but just ping us, and we're happy to throw your questions into the fireside chats. And with that, we're going to kick things off. Our first session this morning is with IDEXX Labs.

We're pleased to host Andrew Emerson, Senior VP, Corporate and Finance, soon to be CFO, and then Mike Erickson, EVP and General Manager, Point of Care Diagnostics and Telemedicine. Andrew, Michael, thanks so much for taking the time being with us.

Andrew Emerson
EVP and CFO, IDEXX

Good to see you, Mike. Thanks for having us.

Michael Riskin
Managing Director, Bank of America

Just to kick things off, I'll sort of throw in my opening question, as always. You reported 4Q results about a month ago, initiated Fiscal Year 2025 guidance. Can you briefly run through how Fiscal Year 2024 ended, how the year played out, and just sort of some of the key points in terms of how you see Fiscal Year 2025?

Andrew Emerson
EVP and CFO, IDEXX

Absolutely. So I think we saw a solid finish to the year. In Q4, our revenue performance came in above expectations. We saw nice sequential growth coming out of Q3 into Q4 ultimately, and that was really across our business categories. We saw really strong growth within our lab consumable business, and that benefited from an increased install base that we had on our instruments, as well as benefits from some of the newer innovations like our Pancreatic Lipase slide, as an example. So really strong execution, despite the fact that we did see continued clinical visit declines of about 3% within the quarter. As we think about how that plays out, the good news is, as pets come into the clinic, we're seeing a really high quality of the standard of care being met through the use of diagnostics, ultimately.

We look at things like the diagnostic frequency as we gauge that, and that's really sustained at high levels within the quarter. So really nice benefits from a broader execution, as well as just a closeout to our 2024 year. As I turn to 2025 and the outlook, just a quick reminder, we're not confirming or updating guidance on the call today, but what we shared on our earnings call about a month ago was we're planning for 6%-9% organic revenue growth for the overall company, and that's really supported by 5%-8% CAG diagnostic recurring organic revenue growth. Within that, what we talked about was the midpoint. We're assuming about 4%-4.5% net pricing gains within the year, and that's come down a little bit from the approximately 5% that we saw in 2024.

As we think about the volume side of the equation, we're anticipating about 2% growth associated with the CAG diagnostic recurring revenue, and that's really supported by some of the recent and upcoming innovation and product launches that we're expanding upon within 2025. So we feel really good about that. Again, at midpoint, we're planning for similar clinic visit decline levels that we saw in 2024, which were approximately 2% for the year. We feel like this is a well-calibrated plan, and from a profitability or P&L management standpoint, we're looking to continue to build off of a higher margin profile with about 30-80 basis points and comparable operating margin improvement year over year to deliver about 8%-12% comparable earnings per share, ultimately. So we feel good about the guide.

I think, obviously, it's a range here, and the lower end of the range would assume we see worsening effects from macroeconomic conditions, clinical visits being included in that. In the upper bound, we'd give a potential improvement from what we've seen in terms of trends in 2024.

Michael Erickson
EVP and General Manager, IDEXX

And Mike, maybe if I could, I just want to build a little bit on the innovation point that Andrew just made. I'm coming up on 14 years here at IDEXX, and there's just never been a more exciting time. We're in the midst of the next wave of IDEXX innovation that we're very, very excited about. And you heard some of the milestones in Jay's recent update, but just to kind of retouch on those, we kicked off the controlled launch process for InVue Dx in Q4 of last year. This new cellular analyzer promises to redefine cytology at the point of care. We're on the doorstep of the launch of IDEXX Cancer Dx here in late March in North America. Again, it will be transformative, both for early cancer screening, but also establishing cancer screening as part of routine wellness blood work. So we're excited about that.

We're simultaneously commercializing three different valuable extensions to our Catalyst Technology for Life platform. Andrew mentioned pancreatic lipase, also Smart QC, and our exciting enhancements to the IDEXX VetLab Station, which benefits Catalyst and the whole VetLab suite. And then finally, our software business hit a number of milestones last year, including the rollout and launch and rapid growth of Vello, our new mobile-first pet owner engagement platform. So, as Andrew said, we're excited about this. We're focused on executing this innovation agenda that drives growth even in the midst of some of the clinical visits often that you talked about.

Michael Riskin
Managing Director, Bank of America

Okay, great. That's a great intro from both of you. I appreciate that. Andrew, maybe I'll go to you briefly. Just on the role and the transition, your title is about to change in about 48 hours on March 1st as you formally take over the CFO role that was announced. The transition was announced, I think, in November or December. So, first, congrats on that. And second, anything you want to touch on? I mean, obviously, you've been with the organization for a while, so you're not new to IDEXX, but any early goals in becoming CFO? What are your plans? Sort of what are you most excited about as you move forward?

Andrew Emerson
EVP and CFO, IDEXX

Let me first take the opportunity just to thank Brian for all his meaningful contributions to IDEXX over the years. He's truly been a mentor to me for the past about a decade since I've been here, hired me into that. He has and had an incredible ability to connect the data to how we think about our strategy as a company. I really look forward to building off of that legacy that Brian's instilled in the company. I think what you'll find is we have very similar data-driven approaches in how we manage the business and how we work with the broader leadership team from that perspective. There's more probably similarity than difference in terms of our philosophies.

Ultimately, we're both focused on continuing to drive the IDEXX strategy, which is really about expanding pet healthcare and ultimately through the use of diagnostics and software integration. So, as I think about going forward, some of the areas that really excite me are things like our ability to continue to deliver innovation, both for productivity in the clinic, but more importantly, the clinical insights that we can continue to deliver. I'm personally a pet owner of six, and I've benefited from IDEXX diagnostic solutions over my years of being a pet owner. As an example, I had a Pomeranian who had kidney impairment early on. We identified through SDMA. We were able to change her diet, incorporate some medications, and ultimately, she survived to almost 17 years old. So, I feel really grateful for that.

And I think it's those types of clinical insights and the work that we're doing to leverage diagnostics to identify conditions earlier so they can be treated and you get a longer, better quality of life for pets. So, those are the areas that I'm really excited by, and certainly that leads us into some of what Mike just highlighted in terms of upcoming launches that we have around things like cancer as well. So, really exciting time to be transitioning into this role.

Michael Riskin
Managing Director, Bank of America

That's great. Yeah, and I'll mirror your comments. It's been a pleasure working with Brian. I wish him all the best. I joke that the transition in his retirement was announced, I think, 24 hours after I had them on the road in the fall. So, I really hope it wasn't anything I said or did that pissed him off that much, but he'll be missed. It was always great working with him. So, we're proud to work with you as well. Okay. So, in terms of the conversation going forward, the way I think about IDEXX and the way I think about the questions on the business and the stock now is I'll split it into two baskets. Part one is what's happening in the market, what's happening in the macro, sort of in the background, things like pet visits, things like price elasticity, consumer demand.

And then there's the IDEXX-specific factors, which is execution, commercial engine, innovation, and all the levers you have to execute above what the market gives you. But that's the lens I'm going to approach. So, starting with the first basket, the market trends, the vet visits, I think that's where a lot of the debate and a lot of the questions have been for the last couple of years. Andrew, in your prepared remarks, you kind of said that your 2025 outlook embeds similar vet visit trends as what you saw in 2024, that 2% decline. I think for the first quarter, you expected to be a little bit worse than that, which is relatively consistent with what we've seen through third-party data. So, first question, just what do you see as the reasons why this end market softness has lingered for so long?

Because we're sort of three years into this down cycle now, and we've gone through half a dozen different theories, but as you sit today, why do you think vet visits are still as challenged as they are?

Michael Erickson
EVP and General Manager, IDEXX

Yeah, thanks, Mike. So maybe I'll kick us off, and then we can touch back on some of the numbers. I think there are a number of different things, Mike, that we see, factors that are at play here when we're talking about clinical visit growth. I'll just start on that you asked about, the consumer side. I'll come back to that. Maybe just start on the practice side of things. Capacity constraints in the practice are still a challenge. It's evolved a little bit. It's less on the hiring front. That's normalized somewhat. But just in terms of hours of operation, the extent to which practices are open on the weekends, things like that. Also, just the untapped productivity within the current workforce in practices. We do have a number of our corporate account enterprise partners looking to hire veterinarians, add more staff to their networks.

And so, when you look at that, that's an example of adding to supply, which can support demand and growth. But that's still a play in the practice side. I know your question kind of touched back on consumers. So, just looking at pet owners, we've shared this data multiple times. We study it deeply. Pet owners have always demonstrated a very high willingness to spend on their pets above and beyond just about anything in their personal and family budgets. And for that reason, demand for pet healthcare has always been very resilient to economic ups and downs and so forth. But of course, it's not immune to long-term macro.

As you've heard us say before, when we look through the data lens, what we do see is this cumulative inflationary effect acting on consumers and on the margin, causing some of them to maybe defer a wellness appointment or, to a lesser extent, maybe defer a non-well procedure that they view as a bit more discretionary, something like a dental or something like that. Andrew mentioned earlier that at the same time, we are seeing bright spots. The frequency of including diagnostics in the visit has sustained at a really robust level. In fact, if you look at the wellness visit trends, it actually ticked up. That tells us that the visits that are happening are high quality, that pet parents continue to really seek and demand a high level of care, which includes diagnostics when they're coming in.

We see those as positive continuing trends. I think the other thing that we see is our customers who are obviously wrestling with some of these challenges themselves are increasingly looking to partner with us on growth plays. I'm talking about both independent practices, but also, of course, our enterprise partners. They're looking at. They want to understand ways that they can grow diagnostics, adoption, and utilization to accelerate growth in medical services to drive growth in their practice networks. They're looking for cloud software solutions that can tap into those productivity opportunities I talked about earlier. Just the interest in those types of growth plays and productivity plays is increasing.

And in general, the signal that we have is just a greater interest in growth through volume with those strategies, which, again, we think is positive, just recognizing some of the growth in recent periods has been through price. And so, to the question of when will it return and how will it evolve, at the high level, what I'd say is we're very confident that clinical visit growth will return to positive. It's difficult to crystal ball this type of thing, but it's certainly a when, not an if question. And the reason for that is because all the underlying secular growth trends that drive this over the long run are very intact and expanding. You look at that bond between people and pets. And still, as you go into younger and younger generations of pet owners, it's just stronger and stronger and stronger.

You look at the population of medicalized pets and how it's expanded, particularly through the pandemic. We know those pets, as they age, will have to come back and will seek more care and disproportionately more diagnostics as part of that. These are kind of underlying factors that we look to that give us confidence that it will return to growth. In the meantime, we can't control that directly, but the things we're focused on are some of the things Andrew and I talked about in our opening remarks. We will dig into here in a little bit later in the conversation around innovation-driven growth. Those are things that our customers are really looking to. Our deep commercial partnerships with customers to run these growth plays that they're interested in.

Those are things working with our customers that can drive growth, even in the face of some of the softness in clinical visits that you asked about.

Andrew Emerson
EVP and CFO, IDEXX

Maybe just to build off that briefly, Mike highlighted the trade-off of some of the discretionary areas. Part of how we look at that is certainly through the lens of information we share on the well versus the non-well. In Q4, as an example, we did see the wellness side of clinical visits down about 5% versus the overall clinical visits of about 3%. So, we are seeing those effects. That's one of the dimensions we pay attention to. And as Mike highlighted, I think over the longer term, we have confidence that this will come back given the underlying pet population expansion and the aging demographics that we're continuing to see.

Michael Riskin
Managing Director, Bank of America

Okay, great. I want to follow up on a couple of the points both of you guys brought up. First is, Mike, you mentioned sort of the cumulative inflationary effect impacting customers, consumers. Definitely have seen that. We've heard concerns on that and elsewhere. Other pockets of our coverage make sense. I guess the question I come back to from then is that word cumulative inflationary effect. I think that's the issue is it's not getting less, right? Inflation continues to make vet care more and more expensive. Maybe it's not increasing at the same rate it did in 2021 and 2022 when inflation was 9%, but it is still getting more and more expensive every year. So, sort of how do you undo that?

We've gotten questions from investors that the only way you undo that cumulative effect is if vet care is 20% cheaper one year to sort of reset it. That's obviously not going to happen. So, if it is a cumulative effect, won't it continue to be a problem going forward?

Andrew Emerson
EVP and CFO, IDEXX

Yeah, maybe I'll just lead with, I think when we think about the cumulative effect, it goes beyond just the veterinary services themselves, right? This is the broader CPI metrics. What we know is consumers are feeling pressures in areas like housing and automobile gas or different areas, even in food to some degree. I think we've all seen things like the prices of eggs throughout the news. So, when we think about it, it's really in that broader landscape. And certainly, the veterinary services having an elevated price impact over the years plays into that to some degree as well. But to Mike's point earlier, I think we have a strong confidence that, and this has been proven out both through experience and our survey data, that pet owners are typically willing to make trade-offs in order to ensure the health of their pets, right?

They really see them as loved ones, as part of their family, and we see folks making those trade-offs, and so, we expect that to abate over time and not necessarily a reset in kind of veterinary service pricing per se, but being able to grow into that. The other piece that I would just highlight is it's not one kind of consumer at the end of the day. I think there is, it's not homogeneous. I think there are some tentacles here between the higher-end consumer and the lower-end consumer, and that's likely where you're seeing some of those trade-off decisions as folks are working through their own budgets as well.

Michael Riskin
Managing Director, Bank of America

On that point, exactly what you just brought up there, I had a question from an investor come in is, do you think there was any change in pet owner demographics during COVID? That excess, especially that adoption puppy boom cycle that happened in 2020, 2021, 2022, did the demographics change somehow in that where maybe it was lower-income pet owners or people that you talked about the bond between people and pets? Maybe this is a slightly different demographic in terms of pet ownership today than it was five years ago, and maybe that's why they're a little bit more price sensitive. Any thoughts there?

Michael Erickson
EVP and General Manager, IDEXX

We haven't seen anything like that. I mean, we saw an expansion in the population of pet owners. And we also saw many pet-owning families add additional pets into the household. So, we saw both of those things. But it's really more an expansion across all demographics based on the data that we've seen there, Mike. So, nothing that would kind of point to kind of the kernel of your question. I'll just touch back on kind of what we said earlier. Looking at just the frequency of diagnostic inclusion in the visits is one of those key metrics. So, seeing that sustained is a strong indicator that demand for a high standard of care is still there with the pet owners that are coming in. And so, that's one of the key things we're focused on.

Michael Riskin
Managing Director, Bank of America

Okay, fair enough. The other part of when I talk about the macro and some of those factors, the other part I want to talk about is pricing power. I think it is related to underlying visits. But you talked about price this year in 2025 of 4-4.5%, a little bit lower than you've seen in prior years, 5% last year. I think you were more in the 7% range before that, but still above the LRP and historical trends. So, it seems like price is normalizing, coming back to historical levels. How do you weigh how much price to take in this environment? I mean, I kind of think about it. You could go anywhere between 2.5% at the lower end, maybe 5-6% on the higher end.

How do you arrive at 4, 4.5 as the right level where you're still monetizing as much as you can, but not doing it to the extent that you're hurting your customers?

Michael Erickson
EVP and General Manager, IDEXX

So, Mike, maybe I'll kick off with just talking about our approach to pricing strategy. And Andrew could tie it back a little bit to the long-range growth formula. So, I think the best place to start is just philosophically what we're focused on is understanding our customers' most vexing challenges, bringing forth solutions in the form of diagnostics, software, integrated software that solve those problems and help expand the sector and really bring real value to our customers. And so, then in that context, when it comes to pricing, we think about it strategically. First, through the lens that I just outlined, we always want to stay on the right side of the value delivery equation. And I think we do a good job of that overall. So, that's a very important starting point.

The second piece, and maybe we'll come back and talk more about this, but we have a real interest in, and I think a leadership role in expanding the sector, and price can aid to that end, helping expand access or utilization of diagnostics. Cancer Dx pricing is a great example of that. And then the third, we have to factor in inflationary cost impacts as you asked about. So, when our annual price increases, I think it's fair to say they reflect those three factors. Let me just come back and touch on that cancer point. I mean, I think that's a great example with Cancer Dx. We'll probably dig a bit more into that. But bringing forward this breakthrough technology in early cancer and aid in diagnosis, cancer screening, it's transformational from a diagnostic standpoint.

But bringing it forward also at what I would consider breakthrough pricing, $15 when part of relevant well and sick panels. What that enables is it ensures that doctors, but also importantly, pet owners don't have to choose between doing one or the other, between getting early insights on cancer for an at-risk dog and doing appropriate full blood work as part of a wellness protocol. And so, that's an example of pricing that helps to drive utilization and we think will drive overall and support overall expansion in the category of wellness diagnostics. I think the other important point I would make here is a number of the innovations, Mike, that we invest in, invest substantially into and bring forward to our customers are brought forward at no incremental cost. So, you think about things like VetConnect PLUS, right? Talked earlier about our IDEXX VetLab Station enhancements.

On the software side, certainly on the diagnostic side, you know of a number of these SDMA included in all chemistry panels in the reference labs. And more recently, cystatin C included in all sick pet urine panels or Cystoisospora included into Fecal Dx. These are all examples of really groundbreaking innovations that we brought forward or major enhancements to solutions that we brought forward at no incremental cost. So, that's another thing to kind of factor into the conversation here. Maybe just bringing it back to the consumer and some of those elements of your question. As you know, we don't set end consumer prices. That's really our customers do that. So, we don't set those things.

We do provide insight to our customers on just how to think about pricing, particularly the sort of differential pricing for the wellness versus sick business models, if you will, in the practice or practice network. You think about wellness diagnostics wanting to cast a broad net and really lower that barrier of entry, and then also just the time required by the doctor to examine those results is more modest, five-10 minutes going through things, and how valuable that is to provide that and maybe price that a bit lower relative to sick diagnostics, where you have a different kind of value proposition, a much more time-intensive activity to go through those results, and so it makes sense to price that a bit higher.

So, those sort of consultative insights that we provide as part of IDEXX Preventive Care, Simple Start, for example, are very much appreciated by our customers because, again, I mentioned this earlier, they're looking for opportunities to put in place and to implement growth strategies within their practices and their practice networks. And so, when we're able to come in and provide insight and help them really operationalize a preventive care diagnostic strategy in their network, that's highly valued by the customers. And of course, that helps them grow, and we grow through that too. So, it's beneficial for IDEXX too.

Andrew Emerson
EVP and CFO, IDEXX

Yeah, I think that's a key point is continuing to see the value from a customer lens in the products and services that we deliver, and that's a key focus that we have when we are pricing. Ultimately, you touched on this, Mike, right? We had seen kind of broader inflationary levels. That certainly had an impact on how we were thinking about pricing in that moment. That's certainly started to ease here, and you've seen our pricing effects play out as it relates to that over time. Coming back to kind of that long-range potential in the building block of pricing, what we highlighted at Investor Day over the summer was we anticipate pricing to be a 2.5%-4% benefit to our growth profile here over the longer term.

And I think when you look at 2025, we're more aligned to the higher end of that at this point because of that. And we're still continuing to deliver these types of innovations that Mike highlighted. So, I think we feel good about where we're coming back in from a pricing or net pricing benefit perspective. And it is more aligned with how we're thinking about that long-term potential over time.

Michael Riskin
Managing Director, Bank of America

So, one more point on price. I think you both just kind of touched on it a little bit. In 2024, in the third quarter and fourth quarter, there was a little bit of noise around some of the major contract renewals or sort of expansions with a couple of reference lab customers. Could you walk me through? It's not even that case specifically, but broadly, how price renegotiation or price taking works with those bigger customers or bigger contracts? The dynamic there where if part of a consolidator or sort of your major customer accounts, if they're existing contracts up or you're renegotiating with them, how you can use price as a lever.

Andrew Emerson
EVP and CFO, IDEXX

Let me take that later.

Michael Erickson
EVP and General Manager, IDEXX

Yeah, why don't you start off?

Andrew Emerson
EVP and CFO, IDEXX

Yeah. So, I think, Mike, as you highlighted, I mean, we have long-term agreements with our customers, whether that's a private practice or some of these larger multi-practice groups. And often what that looks like is we're giving value upfront for a longer-term commitment and use of diagnostic capability over time. And we're in that cycle continuously having these discussions with our customers and making sure that, again, we're providing value in that equation. Really, the reason we highlighted the few contracts within 2024, and just a reminder, those actually happened over the course of the year. We highlighted it in Q3 specifically because it started to have a pricing impact on our reference lab business where you could actually see that in the growth rate.

So, that was really the dimension that we were trying to call out by highlighting that we had these three larger agreements that were both extensions of the agreement, but also expansions of the agreement. So, the good news is while we felt some of that impact and pressure in 2024, we also still delivered on our 5% net pricing benefit that we had guided to ultimately. And when you think about the go forward, that really gives us a great foundation with our customers to continue to build off of that with the extension mindset for a longer recurring durable revenue stream that we'll be working with them on. So, that's kind of how we think about it.

Certainly the impact of when we negotiate these, what we're focused on ultimately, which again comes back to expanding pet healthcare and aligning on how do we broaden the use of diagnostics.

Michael Erickson
EVP and General Manager, IDEXX

Yeah, let me just maybe build on that last point because I think any of these agreements really come back to a shared view of the future that we have with our enterprise partner oriented around growth, oriented around the very unique and important role that diagnostics and software play in driving that kind of growth in their networks. They appreciate that diagnostics is a performance category. Software is necessary to be able to execute these things at scale. And so, these aren't commodities. It's very, very important parts of actually executing on those types of strategies. So, that's really the starting point is that shared appreciation and understanding of the growth opportunity and the role that these categories play in driving medical services and overall expansion. And then the price of trade for volume is a fine trade to make.

I mean, these all tie back to growth for both parties. And so, we're very happy to do that when it drives growth.

Michael Riskin
Managing Director, Bank of America

Okay. Okay. That's really helpful. There's a lot of innovation topics I want to get through, so I'm going to run through them relatively quickly, but Mike, maybe starting with you, InVue Dx, a lot of excitement about that launch. You've been talking about it for a while. I think the first time we really talked about it was the prior analyst day, so maybe a year and a half ago, and then you guys did a little bit more of a reveal at VMX last year, and then you launched late last year, so we've kind of been building up excitement for it for a while. You gave us a lot of metrics to think about in terms of you told us 20K placements over five years. You gave us some commentary on how to think about pull-through. You talked about the Fecal Dx rollout.

Let's look at that placement target and sort of how 2025 fits into that. 20,000 over five years, that's four a year. But you're targeting four and a half in 2025. So, faster ramp than we would have thought. We kind of were modeling a gradual ramp in year one, year two. You're sort of coming out of the gate doing 4.5K in 2025. Sort of what's supporting that? Sort of what gives you confidence in that ramp? And then the second part of that question is only 10 placements in the fourth quarter. We would have thought more. So, just walk us through sort of how you're metering the launch and how you're balancing your pre-orders with actual getting the units out there.

Michael Erickson
EVP and General Manager, IDEXX

Great. Thanks, Mike. So, maybe just to reinforce a couple of things that you did here when we have been talking about InVue Dx, probably important to always set context here. When we bring forward a new premium instrument platform, it's a big deal. It's a big deal for us. It's a big deal for our customers. It's a big deal for the sector. And we only do that when we're prepared to do something that's transformational. We don't want to come forward with something that's incremental. And this is an example of that. InVue Dx will fundamentally redefine cytology at the point of care. And just to kind of dig a little bit into that, you look at cytology, the whole act of making a slide, it's incredibly, it's hands-on, multi-step, time-intensive, highly technique variable. I mean, there's just countless different ways that it's done.

In our studies, we frankly have just seen how that translates into a lot of variability in the results. This is if it's done on a microscope or if it's done on a microscope outfitted with a camera or some slide scanner or something like that. It's really in either case hamstrung by the time-intensive aspect of sample prep and the variability that's associated with that. InVue Dx, it just flips all that on its head because it removes the slide entirely from the process. This is really innovating on the edge of science and technology to enable us to study these slides in their natural three-dimensional state through advanced optics, AI, precision staining, fluorescence, all of this kind of technology convergence that allows us to do that.

And so, when we talk to customers about this, we know there's a tremendous amount of excitement because this solves the actual problem that they have with cytology in the practice. And I think that comes through in what you heard from Jay on the call around 1,600 pre-orders that we have from customers. So, there's certainly a lot of interest in InVue Dx because it hits the bull's eye from that standpoint. So, as Jay shared, we initiated our controlled launch process in Q4. This is a tried-and-true process that we have. I mean, this is the fourth premium instrument launch that we've done now in the past around 10 years. We always follow the same exact process because it works very well. Our customers have high expectations for us to bring forward a world-class customer experience. And we always deliver that.

There's always some early tweaking that we have to do to make sure that we nail that. But we're very comfortable with that because, again, it's the process we've always followed. And so, Jay shared the 4,500-plus number for the year that we'll ramp to over time. That number's there. The 20,000, I think those are all things we're comfortable with. But I bring it back to sort of the customer experience from our expansive field trials and those initial shipments, the things they're saying. It's amazing how it works. The workflow is so easy. One to two minutes of prep results in around 10 minutes. It's like nothing that they've ever seen before on that front.

The launch menu, these are two very, very large categories of diagnostic testing between blood morphology, particularly when paired with a CBC to provide a comprehensive hematology solution with ProCyte, and then ear cytology, very common, high-frequency, big categories of testing that will really benefit from automation, from taking the work out of the workflow for those two categories, and then also the expanded insights that come with that. Then just the removal of the need to have to train up technicians on how to make slides because that can be a multi-year process, quite frankly, particularly with blood smears, which require quite a lot of technique to be able to do those well. Corporate accounts are excited about not having to have that huge resource drain associated with that.

There's a lot of reasons why we're excited about InVue Dx and why we're hearing the types of things we are from our customers, and we're following the process that we've always followed that works very, very well. That's where we're at.

Andrew Emerson
EVP and CFO, IDEXX

Yeah, I think the 4,500 premium instrument placements for InVue Dx is a solid start to that 20,000 that we highlighted. I think we feel good about that calibration point. And that's approximately $50 million, is what we highlighted on the call for instrument revenues this year, which is about a 1% benefit to our overall organic growth profile. Just a quick reminder, that's really just the instrument revenue side that we highlighted. I think the exciting part here is actually that longer-term benefit on the recurring side, right? The use in these categories with our customers and delivering a great experience for them and really continuing to get that recurring revenue stream over time.

Michael Erickson
EVP and General Manager, IDEXX

And you mentioned F&A. It's a Technology for Life platform. So, as the installed base grows, that drives growth. As utilization expands, that drives growth. And then the third vector of growth is expanding menu over time, which we've seen that really expands economic value of our Catalyst installed base. That will happen here as well, too.

Michael Riskin
Managing Director, Bank of America

Yeah. I was just about to ask on that, Mike, F&A and the expanding menu, any updates on timing for those? I know, like you said, there's a lot of opportunity to leverage the platform to deliver more. Just sort of what are you thinking on pacing of those menu expansions?

Michael Erickson
EVP and General Manager, IDEXX

No updates today beyond what was shared on the call earlier this year. Later this year is what was shared.

Michael Riskin
Managing Director, Bank of America

Okay. Okay. Great. We've got about five minutes left. Still have, I don't know, maybe an hour's worth of questions. I'm going to go quickly. One is Cancer Dx panel at VMX. You guys you've talked about Cancer Dx panel for a little bit, but you really gave a phenomenal presentation. I thought at VMX really focused on what the opportunity there will be. So, it's launching very, very quickly. So, just can you give us a quick rundown of what the opportunity is there? And more broadly, how to think about the cancer opportunity in general in animal health. It's sort of always been a question of how big could this market be because it feels like a very underutilized market in canine diagnostics compared to what it is in humans. You've had experience with Nu.Q. You've had some experience with PetDx, OncoK9 in prior years.

So, you've been in the market. You've got some learnings from that. So, what have you taken from those, and how do you think that positions you to sort of launch Cancer Dx?

Michael Erickson
EVP and General Manager, IDEXX

Yeah. Thanks, Mike. We're really excited about Cancer Dx. The reception at VMX was tremendous. Maybe just to set the stage here so cancer is the leading cause of death in dogs, and you look at in the U.S., one out of four dogs will be diagnosed with cancer in their lifetime. We estimate upwards of 20 million dogs are at risk in North America when you factor age and breed, and certain breeds have a higher proclivity to cancer, like boxers, for example, so you asked about the overall size of the opportunity. We think it's very large. We estimate the global sector for diagnostics, $1.1 billion. And Andrew earlier talked about his dog. This is a personal thing. Any pet owner has been touched by this in their lives. In our family, we've lost two dogs to cancer.

In both cases, by the time we got a definitive diagnosis, it was just too late to do anything beyond just the basic kind of palliative care. This has been the missing piece. Veterinarians are asked about cancer all the time in their practices. It comes up all the time, and they just haven't had the toolkit to be able to handle that. Cancer Dx is breakthrough technology, this panel from the lab that can enable both early detection of cancer prior to clinical signs, but then also as an aid in diagnosis tool. It fills that critical gap that veterinarians have. We're starting with lymphoma, as you heard, at VMX because that's one of the most common and most treatable cancers when it's caught early. It's a good place to start. I talked earlier about pricing.

That's probably a good way to address your question around the total opportunity. We're pricing it at $15 to ensure that both doctors and pet parents don't have to make this false choice between early cancer screening and preventive care blood work. We really see this as becoming an essential part of doing wellness blood work, early cancer screening. And so, that's why the $15. So, the overall opportunity here is really twofold. One is just really expanding the sector for cancer diagnostics. But the second one is a multiplier on overall blood work and particularly wellness blood work in the practice. And so, I mentioned the reception of VMX, very, very strong. I mean, you saw it in the booth. A lot of interest. It's personal. It's a missing clinical tool.

But also on the growth front, and I'll just talk about some of our corporate partners who we had a chance to meet with at VMX. They really leaned into this because, again, it connects on all these levels. A lot of them are dog owners themselves, and so it connects on that level. They see the fact that this is a missing piece of the clinical toolkit. But on the growth side, really understanding that, hey, this will help to drive visits because there's such a pull for this. This will drive more engagement with diagnostics, things that will drive more medical services. It will help expand the overall envelope from a growth and care perspective. So, a lot of positives to this. So, we're on track for the late March launch that we communicated at VMX.

And beyond lymphoma, we also shared we'll be expanding over three years to cover the majority of cancer types. So, this, again, will be a Technology for Life strategy that will grow over time. So, very excited about Cancer Dx. And we see it as another example along with the others. We've talked about InVue Dx and our overall VetL ab Suite and the innovations in the lab software, which we haven't talked as much about, as really being key strategies through innovation with our customers to help them grow and to drive growth overall.

Michael Riskin
Managing Director, Bank of America

Okay. That's helpful. We're going to go a couple of minutes over, if that's all right, just because I still want to cover a couple more topics. Andrew, maybe back to you. I want to touch a little bit on the margins and sort of expectations for 2025 for margin expansion, but also kind of expanding that into the longer-term algorithm. So, you've got some discrete litigation expense you're lapping from prior year. So, you need to do a little bit of an adjustment to the margins. But essentially, underlying margin expansion is 30-80 basis points in 2025. How do you see that balancing between gross margin and operating margin, operating expense? Sort of what are the bigger drivers there? And how are you seeing that leverage despite the continued pressure on the top line?

Andrew Emerson
EVP and CFO, IDEXX

Yeah. So, just in terms of our operating margin, you hit it right. On a comparable basis, we're targeting 30-80 basis points of improvement year over year. That's net of 160 basis points benefit from the discrete litigation item. So, when you take a look at how we're planning to get there, it's really going to be gross margin led. What we know and what we see is we have exceptionally high incremental margins that are above kind of our overall average. So, as we continue to grow, we feel like we can continue to expand the gross margin profile. We also have a lot of initiatives within our operations teams and reference labs, as an example, to look at efficiency within those areas. So, continue to drive those initiatives and make sure that we're delivering improvement on a year-over-year basis.

And that scale certainly helps kind of us get that benefit. Additionally, we see a high margin in our software business as well. The SaaS and recurring model associated with software really enables us to, again, continue to expand that gross margin over time. But this year, in particular, in 2025, what we did highlight is we have some high-level estimates in for inbound tariffs. Certainly, that's an evolving area for us. We'll have to continue to pay close attention to that, and we'll provide updates as that makes sense. And because of the launch of InVue Dx and the incremental instrument revenue that we'll get, that will be a bit of a headwind for us on the product mix side as well. So, I think we've factored those in. We believe, again, there's opportunity to continue to build off of this margin footprint over time.

A lot of that will be gross margin led as we think about the continued investment back into innovation and commercial to make sure we're continuing to grow into the potential that we have from a sector standpoint.

Michael Riskin
Managing Director, Bank of America

Okay, and then just one last one. Sort of thinking about margins, additional levers you might have if visits or just overall top line growth comes in a little bit on the lower end of expectations, on the upper end of expectations, how should we think about margins? If it comes in a little bit lower, do you have additional levers to offset that? On the other hand, if the business and markets are a little bit stronger, will you let that flow through or reinvest?

Andrew Emerson
EVP and CFO, IDEXX

So, what I would say is, obviously, again, it's a range. And I think we've calibrated aspects of how revenue may play out for the year within that range. What we think about our ability to adapt, I think we've been really good stewards of the P&L over time. We've continued to moderate where we needed to when sector trends or headwinds from a macro standpoint have played out and continued to deliver on that improvement in profitability. So, I would anticipate we have levers that we can kind of look at, whether that's pacing some of our investments or how we may want to think about the delivery of that. But I think we feel good about the guidance that we have.

Michael Riskin
Managing Director, Bank of America

Okay. All right. We can definitely keep going, but I think we've used up all of our time in that summit. Mike, Andrew, thanks so much for joining us. Really appreciate the time. And.

Michael Erickson
EVP and General Manager, IDEXX

Thanks, Mike.

Michael Riskin
Managing Director, Bank of America

Good luck on Saturday. Good luck on Saturday, Andrew, with the switchover, and we'll chat soon.

Andrew Emerson
EVP and CFO, IDEXX

I appreciate that. Thank you.

Michael Erickson
EVP and General Manager, IDEXX

Take care.

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