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Citi's 2024 Global Healthcare Conference

Dec 4, 2024

Patrick Donnelly
Analyst, Citi

All right. We can look to get started here. Thanks. I'm Patrick Donnelly, the tools and diagnostics analyst here at Citi. Happy to have Roland Sackers and John Gilardi here from QIAGEN. Yeah, Roland, I guess we can just dive in, you know, coming off the last quarter, another quarter of good solid execution from you guys. Maybe we can just work our way down some of the growth drivers, you know, QIAGEN for one, you know, nice consumable growth there. Maybe talk through what you're seeing in that market. That's one we get asked a lot about just in terms of the competitive landscape, where you guys are playing. So maybe we can start there.

Roland Sackers
CFO, QIAGEN

Yeah. First of all, thanks for having us. It's a pleasure to be here. It's a clearly great location. So, yeah, thanks for that. QIAGEN is clearly probably, if not the most exciting areas for us mid and long term. If you go back to our Capital Markets Day , it's clearly the area where we said it's an opportunity for us going all the way up to $250 million in revenues by 2028. And we feel that we're off to a good start, not only in terms of numbers, but also in terms of portfolio development. As you know, we have dedicated machines and different volumes we put, and therefore addressing the market quite nicely. But I would also argue that we made significant progress in menu expansion, and John can elaborate a bit more on that, over the last 12 months.

We have a good plan also for the next 24 months and building out that menu. We're seeing that gaining some traction. As you said, consumable growth rate is actually very strong, double digit, and clearly every launch helps. Also capabilities like we have on GeneGlobe, where you can customize your panels are perceived and are received quite well. But also placement numbers are actually quite solid. It's clear that in a given environment, instrumentation sales are probably a bit more difficult than 12, 18 months ago. At the same time, instruments as we sell them with a price point starting at $30,000, $35,000 are still well received in the market. We're quite pleased with that. Menu expansion?

John Gilardi
VP, QIAGEN

Menu expansion for QIAGEN is really around our ability to target different types of customers. So we started off by launching this to academia and pharma customers. We offer through our GeneGlobe portal. That's a differentiator for us where people can make their own customized panels as to what they're targeting. Then we started to look at applications in pharma deeper into that area, selling gene therapy, biopharma processing, how can we help people in these areas? Then we moved over into applied testing. We announced an interesting partnership with the U.S. FBI to be able to bring this technology into forensics. So earlier in the second half of the year, we got the first approval for our clinical version of the machine for those who want to have an FDA cleared machine. That's coming into the market now.

We're seeing a lot of interest from oncology, but also for infectious disease testing. So we're just gonna keep widening the range of applications here.

Patrick Donnelly
Analyst, Citi

Mm-hmm. Yeah. And maybe on the competitive landscape, you know, again, obviously a large player out there along with you guys. What do you see on that front? Is it win rates or is it just, there's not too much overlap when you're going into accounts? What's the right way to frame that up?

Roland Sackers
CFO, QIAGEN

I think the best way to look at it is there's clearly a lot of windfall opportunities. There's a lot of significant market qPCR, which I think is asking for conversion. There's significant opportunities also on a, particularly on the biopharma side from the pharma companies, because compared to sequencing, they have much more cost-effective ways to enable and to help them. So I think there's a lot of windfall opportunities. At the same time, our setup on instruments with, as you know, having three different kinds of sizes of machines, depending on your planned throughput, you can pick a small machine, also two or larger flex machines. I think there's an opportunity, which differentiates us quite nicely.

Patrick Donnelly
Analyst, Citi

Yeah. And, and I guess in terms of your guys' sales and marketing approach on that business, you know, obviously you've been a few years, how has that evolved? And, and what's the right way to think about just the future, on the sales and marketing on, on this one?

John Gilardi
VP, QIAGEN

So what we're trying to do is take much more of a unified product development approach in how we go into the, how we steer the product, but to have much more specialization in how we're targeting customers. So that's where we wanna be able to develop that expertise to look at the applications and then be able to, target better how we're selling the machine. It's not necessarily a one size fits all because you're looking at different types of applications in academia, pharma, forensics, or also on the clinical side. So we wanna equip our reps who are going in there to sell sample prep, other products to these types of applications, then to put QIAGEN in the bag for them as well.

Roland Sackers
CFO, QIAGEN

Okay. And just to follow up on that, and you know that, but just to reemphasize that on a Capital Markets Day, we clearly also stated that it's, for example, one area where we actually will allow ourselves M&A activities. It's still ongoing. So I do think it's also an area where we should expect a certain acceleration moving now into 2025.

Patrick Donnelly
Analyst, Citi

Mm-hmm. Okay. And then QIAGEN, you know, another nice vertical for you guys. Few good approvals on the panel side. Maybe talk about the approvals and then, you know, again, I think you guys put up 40% type growth in the last quarter. So maybe talk about both the growth and then again, just that expanding menu and what that could mean for that business.

Roland Sackers
CFO, QIAGEN

I think you're touching on two important topics, first and foremost. We clearly feel quite good about three incremental approvals in the U.S.: meningitis, gastro, and of course another respiratory panel, because it's quite obvious that while we had a complete menu ex-U.S., in the U.S. we were very much focused on respiratory and having now in particular gastro and also meningitis available opens many new doors for us, which we were not accessible for. Not only for gastro or meningitis, also in the U.S. there's a dedicated market where you have to more or less bid on tenders. So it means you have to be able to offer either two or three of them. These doors were closed for us. Over time, these doors will now open for us, all of it. Then I do think that is a nice opportunity.

Nevertheless, I think it's also fair to say that the rest of the world is doing quite well for us. The 40% growth rate speaks for, I think speaks for it. We always said if you have more than 150 placements in a quarter, it's a good quarter. We have seen that now for many quarters in a row, and I'm quite sure the fourth quarter will not, not be different for us. We had now for the first quarter also as many placements as the number one in that market so far. So I think we are catching up clearly now with the new expansion in the U.S. for next year. That will be an incremental opportunity for us. So we feel good about the business. Again, there's clearly other factors, which we will see if that plays out. Right now, there's a regular respiratory season.

We will see how it moves into now, end of this year or the next year. But I think the strength of the platform, which was always there, is very well accepted by the market and helps us to differentiate right now.

Patrick Donnelly
Analyst, Citi

Yeah. And to your point there on the 150 a quarter, I think you guys talk about 600 placements on the year. It sounds like you're tracking well on the way there. Is that still the right way to think about it? And is that just kind of a good status quo number to think about going forward?

Roland Sackers
CFO, QIAGEN

I think that's a good number, and again, it might be a bit on a quarterly basis too, because the first quarter is always a bit higher, but I think that number on average is a good number for us.

Patrick Donnelly
Analyst, Citi

Yeah. And then I, you know, with this one still early days, or at least relative basis, how do you think about just the additional opportunities, both geographical and then similarly just on the menu?

John Gilardi
VP, QIAGEN

I think geographically the important point to remember here is that we're selling well over half of the revenues are coming outside the United States, so we've shown that we can grow the sales in, let's call 'em cost-efficient markets in Europe, Middle East, Asia, Latin America, and now that we have the full menu in the United States, we're expanding here and able, we wanna get traction here in the U.S., especially as we get into a replacement cycle in the coming years from those systems that were placed at the beginning of the pandemic. In terms of menu, the key points here to has to have respiratory, gastro, and gastro panel and meningitis. Let's call those the big three horses that you need to have. Now, like Roland said, we have those approved in the United States.

So we're in good shape here to be able to compete on equal ground, even though, you know, a lot of the market is for respiratory testing, but people wanna have a minimum of those three tests to feel viable about the machines. You also have people who in the U.S. who are looking to do one of those tests more often with a different vendor because of the problems that the, one of the vendor machines out there has to be cleaned after every run. And that causes a lot of time and friction issues. They also have some quality issues with the test. We're able to resolve that issue for them. That's given us an entry into the lab. The next test coming would be blood culture. That's gonna be submitted in 2025. So this is gonna be a rapid test for sepsis.

2026, we're looking to create what we call the first hook. That would be a complicated urinary tract infection test. These happen in women and you have a lot of complicating factors that you wanna be able to scan for, also to rule out, if there's a need for antibiotic use because of the, antibiotic resistance that's becoming a major issue for societies. But the second hook that's coming is our expansion into companion diagnostics, precision medicine with the system. We've already announced publicly partnerships with AstraZeneca and Eli Lilly. And that's where we are also moving companion diagnostics beyond oncology. So what used to be a necessary evil for pharma companies a decade ago has now become at the forefront that they want these tests to be able to stratify patients and get better results.

On the Lilly Alzheimer's drug, this is our opportunity to create a test on APOE one to four in terms of looking at those markers and help identify which patients are most suitable for that treatment and then on AstraZeneca, we're gonna be working on different hereditary diseases like fatty liver, irritable bowel syndrome, these types of products that we're in development too.

Patrick Donnelly
Analyst, Citi

Interesting. How do you think about that kind of companion opportunity relative to kind of the core piece of that business as time unfolds here?

John Gilardi
VP, QIAGEN

Let's see how the market develops here. But in cancer, you're talking about, you know, thousands of patients that get a one and done test. If you think about the demand coming for Alzheimer's testing is tremendous. We're talking millions. And you're also talking about a test that the pharma companies wanna do closer and closer to the patient and not have this centralized lab leakage. But we see, let's see how that develops. But you think about the number of people at risk for Alzheimer's, it's a tremendous amount of people.

Roland Sackers
CFO, QIAGEN

The nice thing about this development agreements with the pharma partners is clearly they clearly carry a lot of the incremental research cost to us. So there's little cost downside to us. But everything what comes out is 100% owned by QIAGEN. So I think there's a significant upside to us in the mid and long term.

Patrick Donnelly
Analyst, Citi

Yeah. Yeah. It's interesting. And, and I guess, you know, obviously QIAGEN has been this, you know, great story. You know, one of the other newer, you know, kind of acquisitions was NeuMoDx, which, you know, it was good, but, but you guys obviously made a decision to kind of wind that down. Maybe talk about, you know, what went into that decision. Again, I thought it was encouraging. You guys were willing to, to kind of make those hard decisions. The profitability wasn't there, but maybe just talk through that decision process and then again, maybe just the numbers impact as we look, look, ahead into 2025.

Roland Sackers
CFO, QIAGEN

And as you said, it was not an easy decision because actually the platform by itself is and was still one of the best in the industry. But what really has changed and it was because of COVID, the market dynamics, particularly in the U.S., have changed because I think it is fair to say that we, as many other companies in our industry, did a very good job during COVID, placing a lot of new machines into the centralized labs. And the normal dedicated customer environment is one of the highest throughput environments. Therefore, the centralized lab and so the decision for us was okay, developing more menu on a machine, going into the U.S. market, well knowing that probably in the next three to five years, there is limited opportunities to place these machines.

You see that also with other companies, that the numbers of machines they're selling actually right now in this environment, you typically can count on one hand, is limited while we have at the same time a lot of opportunities on the decentralized side, on the digital PCR side, things we just discussed. So, then what we had to do is revalue the opportunity, okay, putting another, I don't know, $60+ million into R&D to expand the menu for the U.S. while we had a full menu for Europe, with a limited opportunity to sell into the centralized lab, and that clearly led us to the conclusion there's better opportunities. While it's a good machine, it's probably not the best timing because of COVID.

We made a lot of money with this machine during COVID, but the visibility post-COVID for the next five years was limited. Therefore, I think we came to the decision, let's stop it now. As you said, we were losing money. Let's part of that, we invest in other areas, nevertheless have a margin impact for this year of 50 bp s, probably by mid of next year of 100 bp s margin improvement. Being quite sizable also in improving our profitability while reinvesting, at the same time in other areas with better growth objectives was from our perspective a good decision.

Patrick Donnelly
Analyst, Citi

Mm-hmm. Yep. And then the QDI piece, you know, you guys announced a little more investment, accelerated investment into that piece. Maybe talk about again the scale of the investment, what went into that decision, and how to think about that piece here.

Roland Sackers
CFO, QIAGEN

Yeah. Let me kick it off and then John probably can go into more details. But I do think one thing what is important for us is that also QDI, similar to our other pillars of growth, is a business where we have a top one position in terms of market share, where we have more than, as you know, $100 million in revenues, good growth rates, and also compared to many other companies, actually a very profitable bioinformatics business. Nevertheless, we clearly also understand that there is a need for more consolidation in that market. And, as you know, you can do that in two different directions. You can develop it organically, but you also can acquire certain pieces. We are looking actually to do both, so we stepped up our investments into R&D activities.

At the same time, we clearly intensified our search for bolt-on acquisitions where we believe we can even build a stronger platform for our customers having certain bioinformatics solutions out of one hand. But it's also important that you have the right sales activities and targeted activities. I think what we identified is that while we had a number one position within bioinformatics and in our QDI solutions, it was somewhat detached from the rest of our sales organization. So we believe that having here also a much more integrated approach is important. And that is also something what we're going to drive.

John Gilardi
VP, QIAGEN

Yeah. And on the bioinformatics business on December 16th, we're gonna be having an online webinar for about an hour, to give people a chance to do a deep dive into the business, get some more understanding context of the products that we're giving there. Because again, we see that making sense of this complex genomic data is really becoming more and more the bottleneck of sequencing. A sequencing file without analysis and interpretation is meaningless. And the cost per sequencing run is going down, but the cost to do the analysis continues to be important in a value creating area. And that's where, just like with the computer industry, we see the shift away from the hardware as that becomes more and more commoditized. I'm old enough to remember the days of the $5,000 laptop.

Then you're gonna see the shift more towards what to do with the data. And that's where we wanna play.

Patrick Donnelly
Analyst, Citi

Okay. Okay. No, that sounds, it'll be an interesting event to hear more about that, and then, yeah, just keeping it going, you know, maybe we can talk sample prep and then, and we'll get into QuantiFERON obviously, but, you know, sample tech kind of humming along, this 1% growth, I think last quarter, you know, how are you thinking about it near term? You know, it, it obviously was certainly in focus kind of on the back of COVID. What is this business gonna look like? Feels quite stable at this point, but what's the right way to, to kind of frame this, this segment up?

Roland Sackers
CFO, QIAGEN

Yeah. No, I would agree. Clearly COVID was quite helpful for us also in gaining market share. And I do think that was something what we always like to see. As you said before, we had a good start into the year. Fourth quarter, in all fairness, is a bit more difficult for us because we had actually a very strong fourth quarter last year in terms of sample prep. But putting that aside, we're actually quite optimistic looking also now in the midterm in the business of sample prep because we have two important implementation launches coming up. Next year we will see a new QIAsymphony machine, which clearly should be addressing some of our customer needs if it comes to automation, if it comes to connectivity.

Then probably even important in 2026, we are going to launch a QIAsprint automation solution, which is in the high throughput sample prep area. While everybody knows, and that's absolutely the right conclusion that QIAGEN is by far the market leader if it comes to sample preparation, there's certain pockets within sample prep where we don't have any larger presence. The high throughput area is one of them. We do believe that we are able to fill and grab significantly market share in that area as we did in the rest of the areas as well over time. That should help us also to bring the market growth rate also here, at least to market growth rate, probably even above that. Again, if you are by far the market, it's hard to outperform the market.

But I do think here we have nice opportunities, with not only instrumentation launches, but it typically goes hand in hand also with a portfolio expansion, that should be helpful for us.

Patrick Donnelly
Analyst, Citi

Yeah. I guess when you think about kind of that high throughput piece, to your point, you know, a couple new instruments over the next couple years, given your presence elsewhere in the market being quite dominant, is it just kind of natural that the share will pick up? How do you think about what that impact could have on the numbers getting into, you know, with these new systems maybe opening up a little bit?

Roland Sackers
CFO, QIAGEN

One thing what people sometimes oversee is that sample prep market, if you were to put it into three easy buckets, is you still have a larger piece, which is homebrew methods. There's a conversion from homebrew to manual kits. And then you have manual kits, and then you have automated kits. And manual kits are still the, the bigger share, right? So there's an ongoing conversion from homebrew to manual, from manual to automated. Once you are converted either to manual or to an automated solution, of course you ask yourself, okay, I have now. Typical lab has a 10-15 different types of sample prep solutions, throughput.

If you take our market share, let's say 50% to 60%, whatever your number is, and you have now suddenly all these tests running on a machine, and you ask at some point in time, okay, why I'm not using all others in an automated fashion as well when I do have now an automated solution or I'm used to a manual step. So it typically that is helping us in penetrating the market further. We have seen that with EZ2, which was a new machine we launched now last year. We have seen that with QIAcube, a machine which we also launched in the last two years. I do think we will see the same thing with also QIAsymphony, which even has a larger throughput compared to the machines I just mentioned. It will help us penetration-wise.

Patrick Donnelly
Analyst, Citi

Mm-hmm. Okay.

John Gilardi
VP, QIAGEN

Related to that is the fact that we have easily 19 to 20,000 peer-reviewed journal article mentions of QIAGEN kits every year out there. Peer-reviewed medical, peer-reviewed research is what drives the academic market. That's reflected in the fact that every year we have two, three, four customers that'll win Nobel Prizes, easily 40 in the last 10 years. If you think about QIAGEN over the last four decades, we just had our birthday on Friday. As a company, you're starting to see that swell of work starting to come through, in terms of, you know, being recognized by leaders. That burnishes our reputation.

Patrick Donnelly
Analyst, Citi

Yep. And I know in sample technologies, it's been an area historically given the share that you talked about, you know, you've been able to drive a bit of price here. What does that look like currently? And what's the pricing strategy in this segment?

Roland Sackers
CFO, QIAGEN

Clearly, the last two years, for us, as for many other companies, with the inflationary environment, we drove pricing a bit more. But we clearly do that also quite carefully because we do not want to set up our customers in any negative way. We want to make sure that they understand that we also have our cost increases and we want to cover our cost increases. That is, I think, the underlying philosophy for us. If we do price increases, it's also a reason why this year, for example, the price increases were quite moderate in general, and we do believe if inflationary rates stays on the lower end, we continue with that, given our overall cost margin profile, we feel quite comfortable that we reach our profitability targets despite that.

Patrick Donnelly
Analyst, Citi

Yeah, and then just in terms of potential growth markets for this piece, I think on the call you talked, you might've even mentioned liquid biopsy, some of those areas. How do you think about opening those markets, opening up, you know, your guys' presence there? What, what's the right way to think about some of those opportunities?

John Gilardi
VP, QIAGEN

The more you hear about liquid biopsy, the more you hear from the Guardant Health and the Natera, all these companies that they're seeing explosive growth in liquid biopsy. That's music to our ears. Because for us, liquid biopsy is that first step. How do you get the targets you're looking for out of the blood sample, free circulating DNA, exosomes, or circulating tumor cells? Those are the three modalities that you're looking for. We're the only company that can offer such a comprehensive portfolio. We're now moving towards urine samples as well to do liquid biopsy, which is important for like prostate cancer testing. So that's for us what we're working for. That's what's critical to building that franchise. And that's where you see us wanting to expand and strengthen our position there.

Patrick Donnelly
Analyst, Citi

Mm-hmm. Yep. And then maybe we can turn to QuantiFERON, obviously, you know, one of the more exciting parts of the story. You guys have posted pretty consistent, you know, double-digit growth, another quarter, $100 million plus of revenue last quarter. Maybe talk through the growth drivers. I know there's things like immigration, students returning, what you're seeing there. And again, just the durability of that growth. It's been a pretty incredible part of the story.

Roland Sackers
CFO, QIAGEN

Yeah. As you said, Chris, I think it's about the sixth quarter in a row with more than $100 million in revenues. It's actually now more like $120 million in revenues. And clearly a very solid track record of a double-digit growth rate as well. At the end of the day, it's an, in brackets, easy conversion story, right? Still 60% to 65% of the overall market is literally a 120-year-old skin test. As we all know, the clinical market in general is a very sticky environment. It took us more than 10 years to convert that market. But now with the market share we're having, suddenly our QuantiFERON test is a new standard. And all the labs and the customers converting to the new standard away from the traditional test. It still will take some time.

But in addition to that, also the underlying market is growing. We believe that the general latent TB market is probably growing around 4% year over year. So there's clearly opportunities for us for several years to grow into that market as well. As you know, it is a market with quite a different set of customer segments. You mentioned immigration-based testing. For us here, the legal immigration test is clearly the more important one. Illegal immigrants typically do not get tested, right? I heard rumors about that. That might be an issue for us, of course. We are focusing more by definition on the legal immigrants and drug-related. But we see that, of course, also in Europe, quite that. But we have also customer groups like healthcare workers, back to school testing.

So there's a lot of different pockets where you have also dedicated sales activities and sales forces penetrating that market. As I would say that we built this setup over the last couple of years out quite nicely. It's clearly also a reasonable profitable business for us. So we continue to do so, but given where the penetration is, given where the underlying growth of the market is, I think we are even far away from any kind of reasonable market share.

John Gilardi
VP, QIAGEN

Yeah. Because remember, this is an esoteric test. This is not a commodity test. We estimate that it takes a sales rep about six months to convert a customer from the skin test into QuantiFERON testing. It takes time because you have to walk them through what are the clinical benefits, what is the cost of the skin test versus the cost of the QuantiFERON test, and why it makes clinical sense and economic sense to make the transition.

Patrick Donnelly
Analyst, Citi

Yep.

John Gilardi
VP, QIAGEN

That's what people grossly underestimate. This is not like ordering an HIV test or ordering, offering that to a lab. You have to create the demand and push it in. What's helping us to also drive demand on this increasingly growing base, you gotta remember, we more than doubled sales from $200 million in 2019 to where we are today. And then we hear that a competitor gets up and says they've had flatline sales for five years. Yeah. Then we're like, that shows you that we can execute and drive this market.

Patrick Donnelly
Analyst, Citi

Yep.

John Gilardi
VP, QIAGEN

What we're getting is much better data about where is that clinical testing market for TB testing. When you listen to the TB commercials on the TV in the U.S., you'll often hear them say, you must be tested for TB before the drug is prescribed. People forget that TB kills more people than malaria and HIV combined. It's the number one leading cause of death from infectious disease in the world. So there's a real need for this testing. We're targeting the people who have to get the TB test because not everybody needs one. But that's what gives us confidence in getting the $600 million in 2028.

Patrick Donnelly
Analyst, Citi

Yep. Yeah. And, and I'm glad you mentioned the $600 million in 2028. I mean, it seems like that LRP, I think the CAGR is 7%-ish, obviously again, coming off another strong double digits. Is it just conservatism? What's the right way to think about, you know, obviously law of larger numbers, right? It's, it's definitely gonna be a big, a big, revenue line. But how do you think about just that LRP versus, you know, some of the, some of the larger numbers on the growth side we've seen, recently?

Roland Sackers
CFO, QIAGEN

I think it's a realistic number. Again, we feel quite comfortable with this number. It's clearly also a mix between price and volume. At the same time, we clearly also recognize that there might be an additional competitor coming into the market that is factored into the number as well. As you know, it is always a competitive market. We had, as you John just mentioned before, there was Oxford, now part of Revvity, always in the market. We had bioMérieux in the market, off the market. Now in the market, there's a handful of Asian players since 10 years in the market. So I think we are used to competition, but we have a faster standardized product into the market. It's also quite clear that we are working very hard to have very successful and very loyal customers also going forward.

Patrick Donnelly
Analyst, Citi

Mm-hmm. Yeah, and the competitive landscape, as you guys know, always, always a topic on this one, even though again, the growth speaks for itself, but I guess how do you view the competition? I mean, John, you touched on, again, one of the competitors, more flat growth over multiple years versus what you guys have done. There's the threat of a larger player always looming out there. What's, I guess, what's the right way to frame up the competitive landscape here and, and where you guys sit?

John Gilardi
VP, QIAGEN

Like Roland said, we've been dealing with competitors for many years, and people forget that the QuantiFERON technology has been around for over three decades. We're now in the fourth generation. We're continually improving. It's hard to imagine that somebody's gonna come out with a better clinical test than what we have. We've also automated this test with our partner, DiaSorin. So it's hard to believe that somebody's gonna come out with a better, faster automation. That's why we win. Our test is, they would say, idiot-proof. Even I can process it. You draw the blood, you put it into the incubator for 16 hours, you take it out, you aliquot it into a plate, it goes into the machine, you get the results.

Patrick Donnelly
Analyst, Citi

Yep.

John Gilardi
VP, QIAGEN

And then we're also in all the guidelines. It took us years to get the guidelines up to talk about QuantiFERON, to bring this up on par. What, what people sometimes grossly underestimate is how hard it is to change medical practice. And that's QuantiFERON specific. And the last point is this is a really difficult technology to get to work properly. It's not like you're going into a sample and trying to find the target you're looking for. You have to measure the signal back that you're sending into the whole blood signal based on the interferon-gamma response out of the T cells. So you're having to measure a signal coming back. It took us years to get that right. And that's why you see a major European company that's now on their second attempt to come into this market and again, having trouble.

Patrick Donnelly
Analyst, Citi

Yeah.

John Gilardi
VP, QIAGEN

That's why you're seeing, to us, we haven't found the signs of a competitor doing clinical trials. That's where, like, okay, we've been dealing with this rumor now for a year and a half.

Patrick Donnelly
Analyst, Citi

Yep.

John Gilardi
VP, QIAGEN

We wish we would get past it.

Roland Sackers
CFO, QIAGEN

But I think the main competition, as we said that before.

John Gilardi
VP, QIAGEN

Skin tests.

Roland Sackers
CFO, QIAGEN

Skin tests, 60% to 65% of the total market. There's a lot of way for us to go into that.

Patrick Donnelly
Analyst, Citi

Yeah. And John, to your point there, I mean, in terms of the large European player, if they're still locking in the panel and haven't started trials, what does that timeline look like? You know, let's say they started today, even though it doesn't seem they have, but what's your perspective there?

John Gilardi
VP, QIAGEN

We wanna be ready by the end of this year, early 2025. We wanna have our customers mapped out where do we see potential risk and then start to talk to these customers about how do we prepare and what are we doing there. So we wanna be ready now. But again, we thought they were coming over a decade ago.

Patrick Donnelly
Analyst, Citi

Yeah.

John Gilardi
VP, QIAGEN

We bought this product in 2012, guys.

Patrick Donnelly
Analyst, Citi

Yeah.

John Gilardi
VP, QIAGEN

This product since from 2012 to 2023 has kind of grown year in, year out, 10% in that CAGR. We've been preparing for competition for many years.

Patrick Donnelly
Analyst, Citi

Yep.

John Gilardi
VP, QIAGEN

But it's gonna, you know, we've said 26, 27-ish. That's what we're hearing they're saying they're coming. When they're ready, they'll come. But we're ready too.

Patrick Donnelly
Analyst, Citi

Okay, and then, you know, just given some of the administration changes in the U.S., China, not the biggest piece for you guys, in about 5% of revs, but, and you're a European company, maybe that helps. But, what's your perspective on China overall? You know, what are you seeing over there?

Roland Sackers
CFO, QIAGEN

Yeah. As you know, as you said, everybody, China has around about 5% of our revenue. So it is somewhat meaningful, but it's not as big as with, with most other companies, and I do think what really differentiates us in China from other companies is that we have since actually 2005 a dual brand strategy, around about 40% of our revenues we do, with a local brand. In 2005, we actually bought our single largest copycat, we always kept it separate on R&D producers in China. It's only China for China, so we do not export that, and here we clearly see that China, from our perspective right now, has a couple of, two issues for Western companies. One is the overall GDP issue, which is affecting everybody, but there's clearly also an underlying trend on buying local.

Because we see that our local brand is doing actually quite well in a more difficult environment. Nevertheless, we do believe China right now is for us probably a mid- to high-single-digit negative. We believe it's sequentially going to improve and hope that in the second half of next year there's a more flattish environment. What is helpful for us is clearly here also our second brand.

Patrick Donnelly
Analyst, Citi

Yep. Yeah. And, and I guess, you know, in terms of that recovery, you know, what are you hearing there? I mean, are you guys tied at all to the stimulus piece? Again, there's always fear when you just hear China diagnostics, things like VBP, anti-corruption. Maybe just talk through some of those headwinds.

Roland Sackers
CFO, QIAGEN

The last VBP was not affecting us, which is good for us, I guess. But we hear a lot about the budget. We haven't seen too much of such an incremental budget available if it comes. Happy to see that.

Patrick Donnelly
Analyst, Citi

Yeah.

Roland Sackers
CFO, QIAGEN

Right now we're not planning for that. Nevertheless, we do see. Also, here's a benefit of having an 85% consumable business. It's clearly more stable than some of the other more capital-expenditure businesses. So as I said, we see also this year slight improvements quarter by quarter, and we hope that it's going to continue for next year as well.

Patrick Donnelly
Analyst, Citi

Yep. And then, you know, the other part of the administration piece is kind of this academic NIH piece. I mean, any real exposure on that front? How do you think about just the academic research?

Roland Sackers
CFO, QIAGEN

NIH in general follows around 5% to 6% of total as well. As you know, overall academia has 20% within that, U.S. piece and then NIH piece is around 5% to 6% of total. Having in mind it was always bipartisan approach. If you go back to, Trump's, Trump's first, presidency, there was also a lot of talk and not really larger changes. Have in mind that, NIH budget clearly got significantly improved during COVID, and we always assumed for this year, but also for next year there's been this kind of a flattish environment. It looks like that, so we are quite happy with the current setup.

Patrick Donnelly
Analyst, Citi

Yep. Okay. And last few minutes here, we'd love to talk through some, some margins. You know, I know that your guidance, I think you put up at 250 bp s of expansion, through 2028. You know, what are the key levers there? And what's the right way to think about that progression, you know, particularly when you look at 2025, you know, the right way to think about just OpEx trajectory and, and the margins?

Roland Sackers
CFO, QIAGEN

Yeah. First of all, I think it's hard to argue that QIAGEN is one of the most profitable companies already as of today. Particularly, I think this year is a good margin improvement here. But I think it's also already quite visible that next year will be another one. Reason for that is just by a roll forward, some of the decision which we started to implement by mid of this year, rolling into next year, particularly NeuMoDx , but also some of the smaller side consideration which we initiated will be beneficial. We also started earlier this year a program that we call QIAGEN Efficiency.

Patrick Donnelly
Analyst, Citi

Mm-hmm.

Roland Sackers
CFO, QIAGEN

So it's a kind of continuous improvement program. And here we believe that we should be able to again also for next year. And again, I'm not giving guidance today, but just if you look at the numbers as of today, that the margin improvement should be at least another 100 bp s for next year over this year. And we'll see if it will be even more than that, when we give guidance end of January, early February. Main drivers is probably for the next 12 months on the operational expense side. Beyond that phase, you will see also mix playing a larger role for us. So the gross margin piece should have a larger contribution factor than beyond 2025. Overall, I think our goal of 31% for the year 2028 in terms of adjusted EBIT margin is very well on track.

Patrick Donnelly
Analyst, Citi

Yep. Yeah. And I guess when you look at, you know, next year, obviously a lot of moving pieces as we talked about with China and some other areas. You know, I think the street is somewhere around kind of that mid-single digit growth rate that has been thrown around. I mean, is that a reasonable starting point when you think about, you know, the various factors that are out there?

Roland Sackers
CFO, QIAGEN

Again, official guidance is end of January, early February. But again, put it differently, like the first half of this year was a kind of a flattish growth rate. Second half of this year is around a 5% growth rate. If you look, I think a 5% growth rate is a great starting point moving into next year in a not easy environment. We talked about China, we talk about CapEx. If some of these things are normalizing, I think we are well off. I think a lot of companies in our industry got bearish this year, but for negative growth rate, we have a very solid growth rate and I'm missing that a bit. But let's see how we deliver going forward. I feel quite good about that.

Patrick Donnelly
Analyst, Citi

Yeah. And maybe last one, last minute here, just on the balance sheet, again, pretty clean, you know, in terms of the balance sheet. We've definitely had investors push and say, you know, I wish they would do more share repurchases, things like that. What's your guys' appetite on that?

Roland Sackers
CFO, QIAGEN

Whatever we do right now, right? It's in all fairness, since 2012, we had this share buybacks around, call it $100 million installments. We now recently stepped it up to $300 million. We did a $300 million share buyback, synthetic share buyback earlier this year. We asked for an approval on the AGM mid of this year for another $300 million. So we have to execute in that. And I think there's opportunities for us to step it up given our significantly improved cash flow, given also the cash on hand and the net debt to EBITDA below one, which we have. So I think there's flexibility for us. The nice thing is, as being a Dutch company, we can do this synthetic share buybacks. That means you can reduce your share count while you actually give cash back to your shareholders in many jurisdictions.

That's even tax free. So I think you get actually the best of both, paying a kind of a dividend and reducing your share count. We like to continue that and maybe we step it up.

Patrick Donnelly
Analyst, Citi

Okay. I think we're right out of time. So, Roland and John, thank you so much.

John Gilardi
VP, QIAGEN

Thank you.

Roland Sackers
CFO, QIAGEN

Thanks for having us. Thanks for coming in. Thank you.

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