Ladies and gentlemen, thank you for standing by. Welcome to the Quidel Corporation Fourth Quarter and Full Year 2021 Earnings Conference Call. At this time, all participants are in a listen-only mode. Later, instructions will be given for the questions and answer session. If anyone has difficulty hearing the conference, please press star zero for operator assistance. I'd now like to turn the call over to Mr. Ruben Argueta, Quidel's Director of Investor Relations. Please go ahead.
Thank you, operator. Good afternoon, everyone, and thank you for joining today's call. With me today is our President and Chief Executive Officer, Doug Bryant, and our Chief Financial Officer, Randy Steward. Also on the call are Chris Smith, Ortho's Chairman and Chief Executive Officer, and Joe Busky, Ortho's Chief Financial Officer. Our Fiscal Fourth Quarter and Full Year 2021 Earnings Release is now available on ir.quidel.com, our investor relations website. We will also post prepared remarks on the presentations tab of our IR website. Please note that some of the information we provide during today's conference call will include forward-looking statements, including but not limited to the types of statements identified as forward-looking in our annual report on Form 10-K that we will file later today, which will be available on our IR website. Actual results may differ materially from those projected in any forward-looking statement.
For a further description of the risks and uncertainties that could cause actual results to differ materially from those expressed in the forward-looking statements as well as risks related to our business and the proposed business combination with Ortho Clinical Diagnostics, please see our annual report on Form 10-K and subsequent periodic reports and registration statements filed with the SEC. Furthermore, this conference call contains time-sensitive information that is accurate only as of today. Except as required by law, we undertake no obligation to update these forward-looking statements or time-sensitive information which speak only as of today. Today, Quidel released financial results for the three and 12 months ended December 31, 2021. If you have not received our earnings release or if you would like to be added to the company's distribution list, please contact me at 858-646-8023.
Following Doug's comments, Randy will briefly discuss our financial results, then we'll open the call to take your questions. I'll now hand the call over to Doug for his comments. Doug?
Thanks, Ruben. Good afternoon, everyone, and thanks for joining us. 2021 marked another truly outstanding and transformational year for Quidel. Seemingly, everything we did was big. We opened our largest immunoassay manufacturing facility in just nine months, boosted output tenfold to help meet demand, entered the retail and at-home testing markets with QuickVue At-home OTC COVID-19 assays, created strategic partnerships with CVS, Walgreens, McKesson, the NIH, and others, and entered into a 12-month agreement with the U.S. government estimated at over $500 million. Much of what we did was bold, continuing to ramp production of QuickVue and SOFIA rapid immunoassay when competitors were retrenching, overcoming supply chain challenges and production interruptions caused by positive COVID-19 cases within our workforce.
Launching our revolutionary SAVANNA molecular diagnostic instrumented system outside the United States, and signing a definitive agreement to acquire Ortho Clinical Diagnostics, a transaction that we expect will double our size and more than double our addressable global market. The sum of what we did was breathtaking. Investing in manufacturing multiplied our scope and scale, positioning us for long-term sustainable growth. Our performance was exceptional across the board, from our research labs to our facilities and operations, to our finance and functional departments. 2021 was the highest revenue year in Quidel's history, surpassing a high-growth 2020 revenue number. We dramatically broadened the range of patients, partners, and providers we serve, and we emerged from a challenging year with the strongest portfolio of physical, financial, and intellectual assets in our history.
The combination of Quidel and Ortho is expected to create an end-to-end diagnostics solutions portfolio that spans from the high volume, high complexity hospitals and labs to the farthest reaches of point of care and the vast untapped channels of retail, OTC, and tele diagnostics. To sum up, our markets are significant, our runway is long, and as I will lay out further on this call, we have the team, the strategic roadmap, and the can-do culture that we call the Quidel way to make the most of the opportunities we see ahead. Let's turn quickly to the numbers. Revenue for the fourth quarter was $637 million. We experienced a shift in product mix from SOFIA products delivered through the professional market to QuickVue products that have taken off in the retail pharmacy and employer testing markets.
On a full year basis, revenue increased 2%, primarily supported by strong demand for COVID-19 rapid immunoassay products for both SOFIA and QuickVue. Growth in rapid immunoassay supported our performance for the year, with QuickVue sales increasing exponentially. We entered strategic partnerships with major retail names like CVS and Walgreens to further expand into the retail and online entry points for the consumer at-home testing market. The uptake in both sales and brand recognition is building solid inroads for us to serve the retail sector which we hope to participate in on a longer term basis. Our acceleration of assay development and production has also served to broaden our footprint at the point of care, helping drive introduction of our full portfolio to new groups of highly engaged patients and providers.
For example, there continues to be a vast opportunity to capture demand in emerging markets through both telehealth technology and digital health capabilities, expanding patient access to a broad range of point of care and OTC diagnostic products. In this space, we have both SOFIA Q as well as a recently launched self-test mobile application that we call QVUE business to help address enterprise and employee health use cases and have a consumer version of the app in development as well. As part of our focus on democratizing access to testing, we take considerable pride in the fact that we supported financially or donated a portion of our COVID-19 testing production to charitable organizations such as the United Way, the New York Jets Foundation, University of Arizona, the Chicano Federation of San Diego County, and the Chicago Blackhawks Foundation through our academic, government, and sports league partners.
Our charitable partnerships help serve some of the communities hit hardest by COVID-19, and we are proud to have played a part in increasing equitable access to diagnostic testing. In January, we saw incredibly strong demand for our SOFIA COVID-19 antigen test in the professional market, as well as demand for our QuickVue at home product as a result of elevated COVID-19 case counts. As we move closer to the end of February, we are seeing demand moderate in the professional and retail markets commensurate with lower COVID-19 positive cases, but bolstered by the continued fulfillment of state and U.S. government orders as COVID-19 shifts from a pandemic to what some scientists anticipate as an endemic phase. Unless the government changes direction, we would expect that demand will continue through the second quarter.
While we won't speak at this time about full year 2022 revenue expectations, what we will say confidently is that Q1 2022 will be our largest quarter in terms of revenue in the history of Quidel. During 2021, we also announced the transition of the Beckman BNP business to Beckman Coulter, concluding the litigation that had been ongoing since the purchase of the business in October 2017. This agreement is a major step forward for both Quidel and Beckman. It enables us to focus on expanding our core businesses and executing on our longer term strategy, while also establishing for Quidel a stable cash flow stream through 2029, the remainder of the term of the existing BNP supply agreement.
As long as we're on the subject of future cash flow streams, I'd also like to address progress we've made with our revolutionary SAVANNA platform and what lies in store for us as we prepare for its U.S. launch later this year. The SAVANNA platform will be our next flagship product, and we are incredibly proud of the progress made to date. SAVANNA allows for PCR testing of up to 12 pathogens, plus controls from a single sample. The amplification time is very fast, with total turnaround time for our RVP panels in approximately 20 minutes. The SAVANNA platform is fully integrated, very easy to use, and will have both direct swab and liquid sample compatibility. The reagent is stable at room temperature, which is a huge deal, particularly in hospital labs. As I mentioned at the outset, we've already launched in the EU.
We're in market in a limited launch with our respiratory viral panel for respiratory panel, and have received very positive customer feedback to date, including requests for additional instruments. We expect 2022 to be a busy year for SAVANNA, and as we work toward EUA for RVP four and 510(k) submission for our RVP eleven assay, as well as for our HSV VZV, STI, and gastrointestinal panels. We also plan on automating our manufacturing line, thereby substantially increasing our production capacity for our SAVANNA cartridges. Once launched in the U.S., we're targeting revenues of over $300 million per year within three years. Much of that will be determined by our ability to manufacture instruments and fully automate cartridge manufacturing lines. If we've demonstrated anything during this pandemic, it's that we can scale rapidly, which bodes well for a flawless, successful launch.
Aside from our team's extraordinary execution in scaling our operations to help meet demand for COVID-19 testing, our biggest highlight came at the very end of the year with the announcement of our agreement to acquire Ortho Clinical Diagnostics. We believe this transformative acquisition will position Quidel as a global leader in diagnostics, substantially diversifying our product pipeline while widening our global reach and scale. Our agreement to acquire Ortho for a combination of cash and newly issued shares in the combined company is expected to make us one of the larger pure-play diagnostic companies in the industry. Bringing our two leading companies together will give us the ability to leverage complementary expertise and an unparalleled range of capabilities to drive growth into new markets.
The highly complementary nature of Quidel's and Ortho's product portfolios is expected to create ample cross-selling opportunities across a diverse customer and channel mix, enabling us to maximize the value of existing platforms and drive worldwide growth. The future revenue synergies are particularly attractive with SAVANNA, given Ortho's deep roots among laboratory customers and extensive global commercial reach. Driving global commercial execution of SAVANNA will be a chief priority for us in 2022 and beyond. The planned Ortho acquisition is expected to more than double our global market opportunity, estimated to be worth over $50 billion between the point-of-care, clinical chemistry, and transfusion medicine categories. Financially, it allows us to maintain 9%-11% top-line growth post-COVID and generate 30% or more EBITDA margins and substantial operating cash flow, creating a pathway for strong value creation over the long term.
Culturally, Quidel and Ortho are an excellent fit, which was a key factor in our decision to move forward with the acquisition. Both companies share a passion for advancing innovation and enhancing the well-being of the customers, patients, and communities we serve. Of course, we are already hard at work setting the stage for a smooth integration. With our proven experience in successfully integrating acquired businesses into our operations, we are confident we have the right processes in place. With the help of the great people at Ortho, we believe that we will achieve the milestones we've set for ourselves once integration plans can be implemented post-closing. For a bit of background, our integration approach will be similar to the process we used to integrate the Alere assets, a transaction that doubled the size of our organization at the time.
In some ways, that acquisition presented a more technically challenging integration. It was a carve-out asset purchase that did not include international entities and required a lengthy, staged, deferred closing process throughout the world over a number of years. We also spent a significant amount of time understanding the Alere culture, how a Triage product was manufactured and sold, and the ins and outs of the Beckman BNP business. We devoted a lot of energy to finding the right integration structure and working collaboratively with our new colleagues and third-party integration specialists to plan for a successful integration. It was essential for us to get it right. In the end, we harvested about $20 million in synergies from a $250 million set of businesses in a little over two years and significantly de-levered from over 4x leverage to under 1x.
We also improved the company morale, which had been underprioritized in our view. Given this experience and outcome, we believe we have a good system in place that is thoughtful, effective, and reproducible. Ortho is a great company with very talented employees, strong processes, and a positive customer-centered culture. We believe that both Ortho and Quidel can learn from each other and are taking a truly collaborative approach. We've appointed integration planning leaders on both the Quidel and Ortho sides, Kristin Caltrider and Bob Dunn, who are aided by a select team of employees focused on the integration and third-party integration specialists. Our approach is currently broken down into three parts. First is integration strategy and day one planning. Second is day one readiness and execution. Third is the post-execution phase. We plan to identify and utilize the best of what makes both companies exceptional.
Philosophically, our guiding principles for the post-closing integration involve six points. Ensure continued momentum and preserve the core across both businesses. Empower leaders with the right tools and information to make decisions that drive continued growth. Energize and retain team members at Quidel and Ortho with proactive communication and retention incentives throughout the integration. Capture projected cost synergies by leveraging combined scale of the two businesses. Enhance our go-to-market model to maximize commercial benefit and capture projected revenue synergies. Optimize R&D priorities to match future strategy across U.S. and ex-U.S. We've identified $90 million in expected cost synergies that we think are achievable by the end of the third year, excuse me. These cost synergies are driven by operational efficiencies, supply chain optimization, and shared administrative functions, including duplicative public company costs.
Further, we've identified $100 million in expected revenue synergies by 2025, with approximately 80% to come from cross-selling opportunities and our expanded geographical footprint to sell SAVANNA and other products in ex-U.S. markets. Our integration teams are working well together in planning the integration. I believe that shortly after closing, we will begin harvesting synergies, paying down debt, growing both businesses, and bringing together two remarkable organizations. In addition, as you saw in Ortho's 8-K yesterday, Chris Smith, Ortho's CEO and Chairman, will be joining me as a special advisor. Since 2019, Chris and his team have rejuvenated their company, and I think it would be shortsighted to not avail myself of his experience and expertise to assist me in thinking through things that we know that we will need to address, as well as those that are unknown at this time.
Based on our current expectations, we anticipate holding the special meeting for stockholders to vote on the acquisition in late April and expect the acquisition to close in the first half of the year. The completion of the acquisition is conditioned upon, among other things, the early termination or expiration of any applicable waiting period under the HSR Act. The good news is that effective at 11:59 P.M. Eastern on February 9th, the waiting period under the HSR Act expired with respect to the acquisition. However, the completion of the acquisition remains subject to other closing conditions. Post-closing, we anticipate the integration will be complete within approximately two years.
In closing, I'm enormously proud of our accomplishments in 2021 and want to thank our entire Quidel team for the courage, creativity, and resilience they showed personally and collectively in driving our business forward amid all of the challenges of a second pandemic year. Their steadfast commitment to our mission of advancing diagnostics to improve human health is responsible for our success as a company and as an impactful corporate citizen when our contributions mattered most. We look forward to driving further operational excellence in 2022 through strong execution against our growth roadmap. As we work to support our customers, partners, and patients beyond the threat of COVID-19, we see great opportunities that lie ahead for Quidel to grow our core business and advance our diagnostics portfolio to improve the quality of healthcare and health outcomes across the globe.
With the U.S. launch of SAVANNA and the planned Ortho acquisition, we have many great opportunities to continue accelerating the growth throughout 2022 and beyond. I'm excited to see our company further transform into a leading diagnostics player as we execute on those opportunities to enhance our competitive positioning and create long-term shareholder value. Randy?
Thank you, Doug. Good afternoon, everyone. 2021 was a significant year in Quidel's history. We continued the great momentum from 2020, and 2022 is off to a very strong start as well. To reiterate Doug's comments, I'd also like to thank all of our employees who demonstrated great resolve and dedication to overcome the many challenges we faced this past year. We accomplished much, including achieving the highest revenue year in Quidel's history. During my tenure here, Quidel's incredible culture has been a cornerstone of our continued growth and ability to drive improved outcomes for our patients and customers. I am truly proud to be a part of what we have achieved at Quidel. As reported and as Doug commented, total revenues for the fourth quarter were $636.9 million.
During the period, we experienced a shift in demand from SOFIA COVID-19 products to QuickVue COVID-19 products. SOFIA combo revenue was lower than the prior year period by approximately $250 million. Foreign currency had a positive impact of $2 million in the quarter. Total COVID-19 revenue was $511.8 million, with $466.7 million coming from our rapid immunoassay products and $45.1 million coming from our molecular products, mostly driven by our LYRA COVID-19 product. Within our product categories, rapid immunoassay revenues were $521 million. Within this category, SOFIA products were $92.8 million, of which SOFIA SARS antigen product sales were $47.2 million.
Influenza, which includes our combo test and strep revenue, made up the majority of the balance of the SOFIA revenue. QuickVue product revenues were $427 million, driven by strong sales of our QuickVue COVID-19 tests, which were $419.5 million. We sold over 65 million QuickVue tests in the quarter, broken out between approximately 13 million QuickVue professional SARS tests and approximately 52 million at-home OTC COVID tests in the quarter. Of the QuickVue at-home OTC test volume, our retail channel consisted of 44% of the total volume, the majority of which flowed through our pharmacy partners. The traditional distribution channel, shipping into mostly e-commerce and independent pharmacies and other employer groups, formed 21% of the volume, with 29% going to government agencies.
Included in the government numbers was 3.5 million tests shipped to the U.S. federal government as part of the 108 million test order. In January, we started increasing our shipments to the government and now anticipate completing that order by the end of the second quarter. In addition, we are continuing dialogue with various government agencies around the potential to purchase more tests as part of warm manufacturing programs and pandemic preparedness. For the cardiometabolic immunoassay business, revenue was $52.8 million, lower than the prior year quarter as a result of the agreement we entered into with Beckman Coulter in July of last year. The agreement states that in connection with transitioning the Beckman BNP business to Beckman Coulter, Quidel receives annual cash payments of between $70 million and $75 million per year through 2029, and a prorated payment in 2021.
In the fourth quarter, we recorded revenue of $17.9 million associated with this agreement. The Triage business generated revenue of $34.9 million versus $36.4 million in the fourth quarter of last year. We saw a strong growth in China, offset by weakness in the U.S. Our molecular diagnostic solutions revenue was $50.9 million. The decrease versus fourth quarter last year was due to the LYRA SARS-CoV assay revenue as additional competitive COVID-19 products came into the market. LYRA COVID revenue was $37.2 million in the quarter, and Solana COVID revenue was $7.9 million. We are very pleased with the performance of this business in the fourth quarter as well as for the full year. In the quarter, total influenza revenue was $40.5 million.
Influenza revenue included SOFIA Flu revenue of $11.5 million, and the SOFIA SARS combo test revenue was $24.6 million. Influenza revenue remained low due to a low prevalence of influenza in the U.S. Gross profit in the fourth quarter of 2021 was $489.3 million, and the gross profit margin was 77%. We continue to realize good product margins for our COVID tests, though margins are lower than last year due to a shift in product mix from the higher margin SOFIA SARS products to the QuickVue COVID products, as well as targeted price reductions.
Our significant investment in R&D continued in the fourth quarter as we focused on expanding our robust pipeline of proprietary assays across our QuickVue, SOFIA Q, and SAVANNA platforms, as well as ramping up our investment in the next generation platform, such as Project Leapfrog. From a sales and marketing perspective, we will continue to invest in people and resources to expand our reach, as well as increase our spending in marketing, product promotions, and corporate partnerships in support of the at-home testing market. As it relates to the annual provision for income taxes, we recorded income tax expense of $196.1 million for the full year, which represents an effective tax rate of approximately 22%.
State tax obligations increased our rate above the statutory rate of 21% at the federal level, offset by tax benefits from excess stock-based compensation and foreign-derived intangible income and research credits. We realized another excellent year of positive cash flow for the company, generating over $800 million of cash flow from operations. We utilized some of that cash to significantly increase our production for both our SOFIA and QuickVue product lines. We maintain minimal debt on our balance sheet and only have two remaining deferred consideration annual payments to Abbott for the Alere assets purchase back in October 2017. The remaining balance owed to Abbott is $888 million, of which $48 million will be paid in April of this year.
As of February 11, we had approximately $925 million of cash equivalents, and marketable securities on the balance sheet, and we are estimating this balance to be over $1.2 billion by the end of the first quarter. We anticipate utilizing majority of this cash toward the Ortho acquisition, which we anticipate closing in the first half of this year. In 2022, we're expecting to spend approximately $150 million in capital expenditures, mostly relating to SAVANNA cartridge automation, SAVANNA instruments, and the expansion of our new Carlsbad manufacturing facility. With that, we conclude our formal comments for today. Operator, we're now ready to open the call for questions.
Certainly. If you would like to ask a question, please press star followed by one on your telephone keypad. If for any reason you would like to remove that question, please press star followed by two. Again, to ask a question, please press star one. As a reminder, if you're using a speakerphone, please remember to pick up your handset before asking your question. We will pause here briefly to allow questions to generate in queue. The first question is from the line of Tycho Peterson with J.P. Morgan. Please go ahead.
Hey, good afternoon. Can you guys maybe just give a little more color on how you're thinking about 2022? I know you said first quarter will be the largest revenue quarter in history. Can you maybe just talk about how you think about the remainder of the government contract flowing through the remainder of the 105 million tests? Is that mostly gonna be in the first quarter, or would that, you know, you know, persist beyond that? Any other color you can provide in how you're thinking about the year would be great.
First, hi Tycho, thanks for the question. We actually shipped very little in the fourth quarter to the government contract. We have shipped a bit more in the first quarter and we're still increasing as we go throughout the remainder of this year. We could finish the entirety of the agreement with them by the end of the second quarter, I believe, but it's entirely possible that given things that are out there now that could persist into the third quarter as well.
Okay. Are you able to say anything about kind of just baseline level of COVID expectations? You know, anything on the base ex-COVID, anything on margins? Just curious if you're willing to give any more color.
Sure. As COVID abates here, there still is demand ex-U.S., and we've been engaged with a number of organizations that would be interested in helping folks outside the U.S. With products. I can't say for sure what will happen in terms of disease here in the U.S., of course. If positive cases because of some other variant begins to climb again, we'll obviously pivot back to the professional segment in a more meaningful way, and I suspect that the retail segment will also be stimulated similarly. But it's really you can tell, Tycho, I hate trying to forecast this thing. It's just we're doing our best to anticipate. We're managing various SKUs across different channel segments.
You know, there's more interest on the part of states now than there was before. There's more interest in some employer segments. It's really hard to predict, and that's why I just said simply, you know, Q1, we're pretty darn confident that this will be by far the largest quarter in the history of the company. Second quarter obviously looks-
Yeah, no.
Pretty good so far too. If the question is what happens in 2023 really.
Yes. No, I know this is all hard to kind of model out. Maybe curious on manufacturing then. Are you committing to kind of the 60 million QuickVue and 20 million SOFIA tests per month on the manufacturing side?
I'm sorry. Could you repeat that, Tycho? Didn't quite pick that up.
Yeah. Randy, are you committing to kind of, you know, the manufacturing of the 60 million QuickVue and 20 million SOFIA tests per month or are you tapering back manufacturing?
Oh, no, good question. No, we're thinking that we're gonna build a safety stock one way or another. I hope that we're able to do that here as this situation abates. We certainly wanna be ready in the event that we have some unusual increase in demand like we saw with both Delta and Omicron. Obviously very encouraging discussion with the government with regard to participating in sort of a warm manufacturing program and also participating in their stockpiling efforts.
Okay. Then just lastly on the deal, you know, there's obviously been a lot of volatility in the market. Any risk in your view on the deal vote? Then how are you thinking about, you know, the cash stock debt split, you know, now as it stands given where things have moved around since the deal was announced?
The second part, what was the cash question? We had a little bit of an interesting connection.
Any change in your thinking on cash, stock and debt split, you know, given some of the volatility since the deal was announced?
Oh, no. We haven't considered that.
Okay. All right, I'll leave it at that. Thank you.
Okay. Thanks, Tycho.
Thank you, Mr. Peterson. The next question comes from the line of Brian Weinstein with William Blair. You may proceed.
Hey, guys. Good afternoon.
Hey, Brian.
Good to talk to you guys, Chris and Joe, good to talk to you guys as well. I just wanted to kind of go through, you know, some key assumptions that both sets of management teams had while I have you both on the line here, on the various products that sort of make up those S-4 numbers, and if we should kind of take those as de facto guidance for 2022 and 2023. It looks to have about $3.1 billion in revenue and $1 billion in EBITDA in 2022 if you kind of assume a full year and, you know, something like $3.3 or $3.4 billion in revenue, and EBITDA of, you know, over $1 billion in 2023, again, per the S-4.
I'm just trying to understand, is that kind of de facto guidance? Can you talk about what drove the assumptions that were baked into that?
Well, notwithstanding the COVID volumes, I would say that the S-4 does reflect what both companies think. Randy, why don't you make a comment, and then we'll ask Joe to comment as well on what's in the 2022 numbers.
Yeah, sure. As you know, we are assuming an endemic environment as we have communicated previously, so we see an ongoing revenue stream with COVID. We are anticipating more of a normalized flu season as we get into the back half of the year. We're anticipating, you know, a good introduction for SAVANNA, so we do see a pretty strong SAVANNA growth in 2023.
Are probably the main drivers. Plus we are, you know, we have over 75,000 SOFIA instruments in the market, so we certainly believe that we'll kind of see post-COVID, you know, the revenue trend we saw with that instrument and system to continue here into 2023 as well. So those are. You know, we are assuming also that the High-Sensitivity Troponin will be launched in the 2023 time period, but that's not, you know, the biggest driver, but certainly that's one of the additional new products that we plan on launching. So I don't know, Joe, do you have, you know, further thoughts from your side?
Hey, Randy. Yeah. Hey, Brian, good to talk to you. You know, the Ortho numbers are, you know, as we've been saying, and we said yesterday on our earnings call, you know, fairly stable and predictable with 93% recurring revenue. Yeah, yes, you can take those numbers in the S-4 as pretty predictive of what we're gonna do in 2022, at that mid-single-digit top-line growth. You know, the COVID assay revenue for us is a lot lower than what the Quidel guys have, and we talked yesterday on our call. We got it to $25 million-$35 million of COVID assay revenue in 2022, and, you know, feel pretty good.
It's a fairly tight range and, you know, fairly small amount considering, you know, you got a base of $2 billion. You know, the other, you know, sort of, variable could be FX, you know, where we have half of our business outside U.S. You know, FX does impact us a little bit. You know, if rates move in such a way, you know, if the dollar appreciates, that could hit the numbers from a currency perspective. But again, at this point, as we said on the call yesterday, we expect the top line currency impact to be about 50-100 basis points versus 2021. You know, not right now, we don't think it's gonna be a huge impact. Yeah.
I think our numbers in the S-4 are pretty representative of what we think we're gonna do in 2022.
Hey.
Okay. Thanks, guys. Yeah, go ahead.
Oh, no, I was just gonna say, I mean, I think the nice thing about that proxy is you see the LRPs from both companies and how both companies reviewed the other's LRPs. I think you probably know we brought in a large consulting group and kind of really validated the categories and what the roll-ups would be and the synergies. I think people feel pretty good that the numbers that are there have been really triangulated and looked at deeply.
Thanks, Chris. Thanks, Joe.
Understood. Hey, can I get one more in here, guys? As we think about the integration itself, I'd love to hear from both teams about kind of what you guys see as the biggest challenge to the integration. You outlined kind of what your steps were in pretty good detail from kind of a categorization standpoint, but you know, what's the biggest challenge that you see to bringing these two companies together?
I think it's just time more than anything. Both sides have assembled teams that know what to do, and we're being guided by a third party that also knows what to do. Both teams have very detailed plans on various work streams. I outlined the six major things, but I'm pretty confident that everything that we need to do is actionable. The question, you know, in my mind, Brian, is just, you know, does the timeline make sense? Can we get it all done? You know, we said in under two years, but can I pull it forward even further? I would, you know, in the nicest possible way, I'll be nudging the team to do that.
Okay. Well, good luck with the nudging, and thanks for taking the questions, guys.
Sure.
Brian.
Thank you, Mr. Weinstein. The next question comes from the line of Alex Nowak with Craig-Hallum. You may proceed.
Hey, good afternoon, everyone. Doug, I think everyone likes a baseline here, and just kind of going back to Tycho's original question. Back in the spring 2021 time frame, you gave this $20 million-$25 million per month as the floor of COVID revenue. I think this time it's different with government demand. You got breakthrough, you got variants. Is that still a floor to think about, or what's a new floor number we could potentially use and think about modeling in?
Yeah, that's a great question, Alex. Thank you. We're gonna have to come up with a different floor. Seriously. I mean, I can't say more than that.
Okay
other than the 20. The $25 million is no longer applicable. It's a good question, though. Let us noodle on that and over time, come back with something that makes sense based on science and forecasting, and what we're manufacturing and who's asking for what, over what time. You know, there's a number of factors that we would wanna consider, in all of that. Certainly what the government's gonna do is a big part of it.
I would say certainly from your commentary, it seems like it's gonna be higher than that, just to be correct.
Yes. Pardon me if I wasn't.
Okay
clear on that.
We just want to
Just with the stockpiling initiative alone.
Just wondering.
Alex, sorry to interrupt, but just with the stockpiling initiative alone, you can come up with some pretty big numbers.
Okay. No, but understood. Totally get it. Before COVID, before Ortho, there was this big push to expand the menu on SOFIA . Just curious, any update there? What about expanding the at home QuickVue menu?
Yeah. The QuickVue At-Home menu, we will look at over time. Obviously, there are regulatory hurdles to achieve or to overcome here in the U.S. When you look at our portfolio, the portfolio of SOFIA products that are in development has never been larger. The guys that are working on those projects haven't taken their eye off the ball. Obviously, in the last kind of couple of years now, we've been you know, sort of nudged, if you will, into discussions about COVID all the time. You know, in our next analyst day, I think it would be appropriate, don't you, Ruben, that we share what we got in the pipeline.
It's too many things to discuss on a call like this, but we're now managing over 50 R&D projects. Pre-COVID, we were at about 20. If that gives you a feeling for what the R&D teams are doing now.
No, it certainly does. Just lastly, just going back to the Ortho Clinical Diagnostics deal here. I mean, investors have seen the stock price fade since that deal was announced. I mean, I think the strategic skill set of the combined company looks very impressive. The earnings accretion, certainly very impressive. What do you think the current market is missing here?
I'm not sure the market's missing anything. I do see a number of reasons why a number of companies in our space would have lower valuations at the moment. You know, what I can say for sure, Alex, is that we're gonna get this thing put together, we're gonna complete the integration, we're gonna keep marching down the path that we're on. We see nothing that would cause our decision-making about what we're doing or how we're doing it to change as a result of what's happening with our share price. I don't wanna be naive and say we don't really watch our share price, 'cause that would be untrue. We care about it, we sincerely do.
My job and the job of the executive team at this stage is to communicate our plan so that you all understand what we're doing, and then to execute against that plan. I have to say, I don't wanna sound braggadocious, but generally speaking, we've done pretty well at achieving what we said we were gonna do.
Hey, Alex, it's Chris.
Yep, totally. Appreciate the update. Thank you.
From the Ortho side.
Yeah. Go ahead, Chris. Thanks.
Look, I was just gonna say, you know, from the Ortho, I think to Doug's point, I mean, look, I think some of it was done around the holidays. It was done at a time of COVID. It was tough to get out a roadshow. I think part of it is it's one of the stories that needs to be told, and it may be a story that needs to be told a couple of times for people to really understand it. But I think on paper, you probably couldn't have come up with a better deal. I think where I've seen investors challenged, if you love Quidel's story in the past, high growth, no debt, primarily U.S. focused, then you might not have loved Ortho's.
If you loved Ortho's, which was, you know, mid single digits growth, 93% recurring revenue, but high debt. A lot of debt. They're two very different companies. I think part of it is understanding really what you're gonna see from a value perspective over the next couple of years, not over the next couple of weeks or months. I think investors, just because of what's going on, haven't really been able to digest that. It's something I think the team has to get out and share more regularly on how amazing this deal really is for patients, customers, teammates, shareholders.
Great. Thanks for the update. Thank you.
Thanks, Alex.
Thank you, Mr. Nowak. The next question comes from the line of Andrew Cooper with Raymond James. You may proceed.
Hey, everybody. Thanks for the question. Maybe first just one on SAVANNA and sort of the timelines here. You know, Doug, you rattled off a couple different assays, but maybe starting with the FDA's kind of process for respiratory, you know, where are you in terms of getting the samples? Just because when we think about these respiratory panels, obviously there's not a lot of flu, not a lot of some of these other things floating around. So are you done with enrollment with the flu season or what would normally be the flu season largely behind us? Or sort of where do you sit in that process?
That's a great question. Thank you. We're okay in terms of samples, both banked and those that we're collecting live. We don't have a sample issue for the things that we're working on at the moment. It's a very good question though. Just to round out, a couple guys have asked this question about trying to figure out what's gonna happen moving forward throughout the rest of the year. I you know, maybe a little bit more detail might be useful because I mentioned a couple different times about the government being involved has changed the base level. As an example, in Q2, we would expect to ship another 36-40 million tests to the government just in that quarter alone.
If that helps understand why that original floor that we sort of, I thought it was a pretty good forecast at the time, given what we knew.
Okay.
Obviously, they've changed. There's now over the counter, there's now government programs to provide product to underserved communities. We've got states that are involved, and so the landscape has changed pretty dramatically based on just the products that are out there.
Great. Thanks. Appreciate that clarification. Maybe just on sort of the longer term, what we think about OTC. I think, you know, maybe part of what we've seen when we look at some of the professional products is folks using an OTC product and then maybe saying, "Hey, it isn't COVID. I'm not going into the clinical setting." So when we think about the longer term, how do you think about the need for, you know, OTC flu and those additional assays to be OTC to kind of prevent that sort of cannibalization of the clinical market?
Yeah. Thanks. That's a great question. Before COVID, we would've said that there is a market already, or there is demand on the part of moms and caregivers to acquire tests that would be useful over the counter, whether it's strep. I think strep in our survey was probably the highest volume demand. Flu is in that category too, but not nearly as big as strep. So before COVID, we had already determined that there was a potential market there. Since then, I think that throughout the globe, but here in the United States in particular, people are preconditioned to understand the value of knowing yes or no, do I have it? I think it can be a very useful part of an overall physician assisted healthcare system.
I see that evolving that way. A lot of people might be worried about the FDA and these high standards that they require in terms of product performance. On the other hand, I think it's our job to make sure that we can, through technology advances, that we can actually achieve those levels. When we do, I see a protection from the rest of the world where you have some pretty low performing products out there. I see that being an important aspect of an OTC program. What I wouldn't wanna do, for example, is have the bar lowered, and then we have a myriad of people from. I'm not gonna name a specific country, but you can probably guess who in particular I'm thinking about.
These lower performing products, if those were all to come in, the OTC space would not be as attractive, that's for sure. I do think there's demand, and I think that it's changed. I think people's mindset has changed. I don't think we'd have to create a demand for the notion of going to the store, going to Walgreens, CVS, and picking up a test and test yourself, whether that's strep, flu, or whatever COVID variant's circulating at the time.
Okay. That's very helpful. Maybe just one last one, if I can sneak it in, maybe for the Ortho folks we have on the call. You know, we hear you guys talk about value capture programs, and that's something we haven't historically heard Quidel talk about too much. Maybe just outside of sort of the cost synergies you've talked about for both teams, do you think there's, you know, some playbooks you can sort of port over from the Ortho business to Quidel and vice versa to try to, you know, capture a little bit more beyond just, you know, what I would define as sort of a true synergy?
That's a really good question for the Ortho team.
Yeah, look, I think, Chris.
Go ahead.
I think culturally, I'll make a comment, then I'll have Joe step in, 'cause he kind of owns it. Look, I think culturally being a private equity backed, you know, over 7x levered, culturally it became ingrained in the business all throughout was to drive this operating efficiencies and to target a minimum of $25 million a year. I think on the Ortho side you see it from a culture and it's something that's managed and measured continuously.
I do think it's something that, you know, look, I think ultimately, you know, I think there's gonna be a great partnership with Doug and Joe and then Randy as well, being able to look across the two businesses, but knowing that there's some culture already on the Ortho side that, you know, that's a continuous process. Joe, I don't know if you wanna get more specific on how you guys look at it every year and how we set the target, because it used to be more than 25, I think it was 200 and something since the carve out. Joe, you-
Yeah, Chris, we've. Yeah, I'm here. Yeah, we have we've captured over $200 million of savings since the carve out, and I think that's a good way to put it, is that, you know, we're seven years out the carve out now from J&J and we're still gonna realize $25 million of value capture savings. We did in 2021. And so, you know, that is very ingrained in the culture and, you know, as we get these companies pulled together, it's definitely something that Doug and I on the management team will talk about, you know, whether we can continue it or expand it or, you know, move it into the Quidel world as well. It's a good thought for sure.
Those are good thoughts, guys. Andrew, you're also talking about at the customer level, right?
Really across kind of all the basics I suppose, but I actually was thinking more along with what they answered, but in terms of commercial excellence, I mean, that's a great question as well.
Perfect. I think that's good then. Obviously there's opportunities within the customer base as well to leverage both companies' positions, which I think are really, for the most part, very good, across multiple segments. On our side, you are right. We don't spend as much time squeezing because, you know, our margins are already quite high. We think about it a little bit differently, but I think there is something to be learned on both sides for sure. I do look forward to seeing what manufacturing synergies in managing the same supply chain organization could do for us. I would be maybe just a little bit more specific in that regard.
Great. Appreciate it.
Thank you, Mr. Cooper. The last question is from the line of Jack Meehan with Nephron Research. You may proceed.
Thank you, and good afternoon. Doug, I was hoping you could elaborate a little bit more on the government contracts and just talk about discussions underway. You mentioned stockpiling, just any long-term purchasing support. What's the government talking about to sort of ensure capacity stays online for testing?
That's a really good question, Jack. You know, we talked to several different people, including the FDA liaison and others within the government, HHS, couple times a week actually now. We've got a pretty good feeling for things that are going on that wouldn't even necessarily be announced. To answer that question, I'm gonna turn it over to Rob Bujarski, who is our Chief Operating Officer and who does most of the work with the government.
Hey, Jack.
Hi, Rob.
What we're talking about with our manufacturing is some measure of consistent supply, a consistent volume commitment over a series of many months. Whether that's you know, through the end of the year, whether that's a 24-month period, whether that's a 36-month period, the idea is we've made significant investments, as has the government, in making sure that we can increase our capacity. We saw what happens when last year when demand falls off and there's no place to put product, right? We saw what happened to our competition as well, right? We made that commitment to continue to build and continue to ramp and invest. Those are the conversations that are happening.
What's the right level of a continued commitment so that we as a country are not caught off guard, right? Those are conversations that have been happening for some time. They continue to happen. As Doug mentioned, when we think about even to Tycho's question, in terms of how we're thinking about, you know, Q2, you know, the real idea here is in conversations with the government and states, which is where a lot of the demand has shifted to, we've got strong U.S. manufacturing. We've got the capacity built up in the United States, and we wanna make sure that we can keep that warm. If you think about Q2, Doug mentioned, you know, we have about another 40 million tests or so, scheduled for Q2.
You know, Tycho, that could go pretty quick in Q2, but we do expect that would round out that initial purchase order. Then we look to continue. We hope to be able to continue some amount of warm manufacturing as well for a much longer period of time. The question, Jack, is how long, and that we just don't know. Does that make sense?
Y eah, that's helpful. Yeah.
as they're gonna stockpile actually.
Wanted to follow up on.
I'm sorry, Jack. I was just gonna round out the answer by saying we presume also that.
Go for it.
When the government stockpiles, they're gonna be interested in U.S.-made product.
Yes, they are.
A question too, kinda leads into that, is just talk about the competitive environment for QuickVue. You know, over the last few months and then amidst Omicron, you know, the FDA approved, you know, a number of new tests, not from the U.S., but, you know, now they're here. Just curious how you're seeing this play out in the market, and what do you think is a good QuickVue pricing assumption for 2022?
Our pricing assumption, at least for now, hasn't really changed, Jack. You know, our government pricing is public, and so I think you know that. We haven't really changed the pricing assumption. We do anticipate, though, that with the demand falling off, with case counts dropping, that there will be more supply. You're right, you have more supply coming in from outside the United States that you know, there'll be some pricing pressure. I think we're comfortable with it, certainly with the idea, again, that we'd have some amount of steady demand with stockpiling, et cetera. We haven't made any adjustments at this point. We think we've got a competitive price, at least that's how it lines up today. That's my thought on it.
Doug, I don't know if you wanna add anything to that.
Great.
No, that's a solid answer. Thank you, Rob.
Yep.
Thank you, Mr. Meehan. That is all the time we have today. Please proceed with any closing remarks.
That's great. Thanks everybody for your support and your interest in Quidel. Thanks also to Chris Smith and Joe Busky for participating with us. I look forward to working with the entire Ortho team, but these two guys are great. We've accomplished a lot this year, but there's also a lot of work to do. Although we had a great 2021, I think the key is that we're really well positioned for 2022, and we believe that we're in good shape to achieve our growth objectives over the next few years. Everything that we said in our annual stat ex-COVID we're still on track with, and we expect to deliver at a very high level those products.
Now even further enhanced by this notion that the Ortho commercial organization is really gonna be helpful. Again, thanks again for being on the call. Appreciate it.
Take care.
Bye.
Ladies and gentlemen, we thank you for your participation and ask that you please disconnect your line. Goodbye.