2/28/2025

speaker
Teleconference Operator
Operator

Greetings and welcome to the Folger Genetics Q4 2024 conference call and webcast. At this time, all participants are in a listen-only mode. If anyone should require operator assistance, please press star zero on your telephone keypad. A question and answer session will follow the formal presentation. You may be placed into question queue at any time by pressing star one on your telephone keypad. As a reminder, this conference is being recorded. It's now my pleasure to turn the call over to your host, Melanie Solomon, Investor Relations. Please go ahead.

speaker
Melanie Solomon
Investor Relations

Thanks, Kevin. Good morning and welcome to the Fulgent fourth quarter and full year 2024 financial results conference call. On the call today are Ming Hsieh, Chief Executive Officer, Paul Kim, Chief Financial Officer, and Brandon Perthews, Chief Commercial Officer. The company's press release discussing the financial results is available on the Investor Relations section of the company's website, ir.fulgentgenetics.com. A replay of this call will be available shortly after the call concludes on the Investor Relations section of the company's website. Management's prepared remarks and answers to your questions on today's call will contain forward-looking statements. These forward-looking statements represent management's estimates based on current views, expectations, and assumptions, which may prove to be incorrect. As a result, matters discussed in any forward-looking statements are subject to risks, uncertainties, and changes in circumstances that may cause actual results to differ from those described in the forward-looking statements. The company assumes no obligation to update any of the forward-looking statements it may make today to reflect actual results or changes in expectations. Listeners should not rely on any forward-looking statements' predictions of future events and should listen to management's remarks today with the understanding that actual events, including the company's actual future results, may be materially different than what is described in or implied by these forward-looking statements. Please review the more detailed discussions related to these forward-looking statements, including the discussions of some of the risk factors that may cause results to differ from those described in the forward-looking statements contained in the company's filings with the Securities and Exchange Commission, including the previously filed 10-K for the year ended December 31st, 2023, and subsequently filed reports which are available on the company's investor relations website. Management's prepared remarks, including discussions of earnings and earnings per share, contain financial measures not prepared in accordance with accounting principles generally accepted in the United States or GAAP. Management has presented these non-GAAP financial measures because it believes they may be useful to investors for various reasons, but these measures should not be viewed as a substitute for or superior to the company's financial results prepared in accordance with GAAP. Please see the company's press release discussing its financial results for the fourth quarter and full year 2024 for more information, including the description of how the company calculates non-GAAP income or loss, earnings or loss per share, non-GAAP gross profit, non-GAAP gross margin, non-GAAP operating profit or loss and margin, and adjusted EBITDA, and a reconciliation of these financial measures to income or loss, earnings or loss per share, and operating margin, the most directly comparable GAAP financial measures. With that, I would now like to call over to Ming.

speaker
Ming Hsieh
Chief Executive Officer

Thank you, Melanie. Good morning, and thank you for joining our call today. I will start with some comments on the fiscal year 2024 and our two business lines. Then Brandon will review our product and go-to-market updates for our laboratory service business in the fourth quarter and 2024. And Paul will conclude with the financials and outlook before taking questions. We are pleased with our results for the fourth quarter and the year. We have shown growth in laboratory service business for the year and have good momentum in 2025 as we continue to invest in business. In our therapeutic development business, we now have a clinical pipeline. In 2024, we begin phase two clinical trial of FID-07 in combination with cetuximab in patients with recurrent bone metastatic head and neck sequimus cell carcinoma. So far, we have dosed 17 patients in this trial and are very encouraged by the preliminary results, which we anticipate to publish at an upcoming ASCO meeting in June. We expect to complete enrollment up to 46 patients by late 2025. We'll continue to estimate the total clinical trial costs for the Phase II trial to be approximately $10 million. Our second clinical candidate is FID022, a nanoencapsulated SN38 for the treatment of solid tumors, including potentially colon, pancreatic, ovarian, and bile duct cancers. We submit an investigational new drug application to US FDA in December 2024, and it was cleared in January 2025. We expect to enroll the first patient in a Phase I trial in the second quarter of 2025. We expect the trial cost for the Phase I and 1B trial is approximately $8 million. As a reminder, Our drug candidates were founded with our novel nano-encapsulation technology, which includes many issued active patterns and active pattern applications. And the target therapeutic platform designed to improve therapeutic windows and the pharmacokinetics profile of both new and existing cancer drugs. I'm excited about the progress we're making in our clinical pipeline and the potential for both FID-07 and FID-022. We are targeting heavily pre-treated patients with a few options left, and I hope we will be able to provide additional treatment options to further their lives. Our anticipated cost for this program is very reasonable, and we believe our investment will be rewarded. Finally, we have made a significant advance in the development of antibody drug conjugate using our novel pattern linker and payload platform technology. In preclinical study, we observed our ADC have better efficacy over various tumors with a broad range of targeting antigens expression level when compared with some of the upper ADC benchmarks on the market. At the same time, ADC honing a novel target using our novel platform technology are also being prepared for the goal of generating candidates for the clinical trials. Overall, I'm pleased with the growth we have seen year over year in our core laboratory services business and the progress we have made with our therapeutic development business. will continue to be in a strong financial position to execute our strategy. I would like to thank our employees, partners, and the stakeholders for your hard work and loyalty in a great year for our business. We look forward to further progress in 2025. I will now turn the call over to Brandon Perthes, our Chief Commercial Officer, to talk more about our laboratory service expenses. Brandon.

speaker
Brandon Perthews
Chief Commercial Officer

Thanks, Ming. It was another strong quarter for Fulgent and a strong close to the year, delivering fourth quarter growth of 14% year over year and 6% growth sequentially, in addition to slightly exceeding our annual core revenue guidance of $280 million. Throughout the year, we executed on both the commercial and operational front. I'll discuss each as we break down and reflect on our three business areas within laboratory services. First, anatomic pathology had a great quarter, growing sequentially 9% as a result of our revised go-to-market plan. We believe this quarterly growth outpaced the market. We did scale the sales team throughout the year and plan to continue to do so in 2025. This team was successful in driving new business by taking our excellent turnaround time and quality to physician clients who were not receiving the same level of service from their previous labs. To put it in perspective, it was not uncommon for our sales team to uncover accounts who were receiving two to three-week turnaround time from another lab while we were delivering two to three-day turnaround time. Our sales team has built a robust pipeline of opportunities, which we believe will lead to continued momentum. In addition, we took several steps throughout the year to improve operational efficiency, including relocating our lab to our recently purchased building in Capel, Texas, and consolidating our New York lab into the Capel operation. Overall, we're pleased with the performance of our AP business and are optimistic about its future. Turning to precision diagnostics, this area continues to expand, delivering fourth quarter growth of 23% year over year while flat sequentially. The sequential performance was in large part due to the timing of several new client wins that were pushed into early 2025. Reproductive Health outpaced some of our other tests due to the market adoption of our Beacon Expanded Care Training product. Even with the strong growth in Beacon, we consistently delivered on our turnaround time and maintained exceptional quality. This is a true testament to our technology platform and operational excellence. We also recently launched a significant new product, Exome and Genome Rise. RISE stands for RNA Integrated Sequencing Evaluation. With this service, we are co-analyzing the DNA and RNA, which could potentially increase diagnostic yield by as much as 30%. Integrating DNA-centric and RNA-centric analysis maximizes diagnostic utility by assessing the RNA level impact of coding regions, splice site changes, and variants in non-coding regulatory regions of phenotypically relevant target genes. This is a significant improvement and is the first major advancement in exome and genome testing in several years. Our rollout has seen significant interest from clients, and we believe this may be a paradigm shift in how we diagnose rare disease. Our newly launched novel NIPT test, NOVA, is performing well with our early adopters. clinicians are realizing the value of a test that combines aneuploidies, microdeletions, and de novo point mutations, leading to higher detection rates for severe genetic conditions. The focus in 2025 will be to build out the sales team to create additional awareness and demand. Within our precision diagnostics phase, we recently announced a very exciting new partnership with Foundation Medicine. Via this new partnership, Foundation Medicine will be launching two tests, Foundation One Germline and Foundation One Germline More. Both tests are powered by Foldge's proprietary technology platform and analyze single nucleotides and copy number variants. When combining the Foundation Medicine's comprehensive genomic profiling test, Foundation One CDX, Foundation One Liquid CDX, Foundation One Heme, and Foundation One RNA, Germline testing supports healthcare providers and building a more comprehensive molecular profile for their patients. Foundation Medicine is one of the largest providers for tumor profiling services, and we are excited to partner with them to bring these germline tests to market. Foundation Medicine plans to begin accepting orders for these tests in March. This is the second partnership we have launched for germline oncology testing after previously announcing the large win with the VA hospitals. We are optimistic these wins can be transformational for our oncology volume. Our biopharma services had an excellent quarter, delivering 56% growth quarter over quarter, going from $3.9 million in the third quarter to $6.1 million in the fourth quarter. As we've mentioned in previous calls, our capability of biopharma services have drastically expanded, allowing us to address many more client research studies. These capabilities include high-demand services such as proteomics, transcriptomics, spatial biology, and more. While we still see some large swings quarter to quarter in this business, it is our hope that in the near future we can hit a steadier state of growth, leveraging an expanded client base and pipeline of opportunities. In closing, we are pleased with our performance in both the fourth quarter and the year. The growth we witnessed this year was organic, leveraging our expanded laboratory capabilities, sales team performance, and strategic partnerships. That said, we continue to evaluate opportunities for M&A and believe our strong cash balance puts us in an enviable position. We'd like to again thank our employees and stakeholders for their dedication, and we look forward to another great year in 2025. I'll now turn the call over to Paul Kim, our Chief Financial Officer. Paul?

speaker
Paul Kim
Chief Financial Officer

Thank you, Brandon. Full-year core revenue, which excludes COVID-19 revenue, totaled $281.2 million. of 7% compared to revenue of $262.1 million in 2023, and slightly exceeding our overall guidance of $280 million. The full year revenue from our three revenue streams was as follows. $168 million from precision diagnostics, $97 million from anatomic pathology, and the remaining $16 million from biopharma services. The 2024 GAAP loss was $42.7 million or a loss of $1.41 per share. We had non-GAAP income of $15 million or $0.49 per share for the year. Now for the quarterly results. Revenue for the fourth quarter totaled $76.2 million compared to $70.5 million in the fourth quarter of 2023. Revenue from COVID-19 testing is negligible. Revenue from our core business totaled $76 million. GAAP gross margin was 41.8% and non-GAAP basis was 44.2%. Gross margins improved over the course of the year and sequentially showing the benefit of our continued efficiencies and streamlining of our business. Now turning to operating expenses. Total GAAP operating expenses were 48 million in the fourth quarter compared to 43.9 million of 2024 primarily related to reversal of legal accrual and lower R&D spend in Q3. Non-GAAP operating expenses totaled $37.4 million compared to $32.9 million in the third quarter of 2024. Non-GAAP operating margin increased approximately one percentage point sequentially to a minus 5% primarily due to higher revenue and gross margin. Adjusted EBITDA income for the fourth quarter was approximately $774,000 compared to a loss of $6.8 million in the fourth quarter of 2023. On a non-GAAP basis and excluding equity-based compensation expense and intangible asset amortization, income for the quarter was approximately $1.2 million or $0.04 per share based on $31.2 million weighted average diluted shares outstanding. Since the end of the fourth quarter, as of today, We have repurchased approximately 185,000 shares at an aggregated cost of $3.1 million. As of today, a total of approximately $147 million remain available for future purchases of our common stock under the repurchase program. Turning to the balance sheet, we ended the fourth quarter and the year with approximately $828.6 million in cash, cash equivalents, restricted cash, and marketable securities. The increase over the third quarter is primarily from federal tax refund received in the fourth quarter. Moving on to our outlook for 2025, with minimal future revenue from COVID-19 testing expected, we're guiding to core revenue, which is total laboratory service revenue for the company without COVID-19. We expect total core revenue to be approximately $310 million for 2025, representing core growth of 10% year over year. We expect growth for this year in all areas of our core business, which include precision diagnostics, anatomic pathology, and biopharma services. With recent customer wins, we believe reproductive health testing remains strong and help drive growth in precision diagnostics. Anatomic pathology experienced a decline in 2024, but ended the year with strong fourth quarter. We believe this momentum will carry into 2025, although we expect variability from quarter to quarter as these services are dependent on patients being treated by healthcare providers that may experience seasonality. The biopharma services which we sell to pharmaceutical businesses is dependent on those partners, so it may be variable from quarter to quarter. We have been building this business and expect moderate growth. The expected 2025 revenues from these three areas of the business are estimated as follows. $187 million from precision diagnostics, $106 million from anatomic pathology, and the remaining $17 million from biopharma services. Turning to expected margins for 2025 excluding COVID-19 and stock-based compensation, we expect non-GAAP gross margins for the full year to slightly exceed 40%, continuing the strong momentum we've experienced in recent quarters. We expect to see lower non-GAAP operating margins at approximately minus 15% for the year as we continue to invest in business growth, develop further laboratory operations, and enhance our existing laboratory facilities. We remain focused on managing our spend and continue to believe that our foundational technology platform supports a strong margin profile longer term. We expect associated cash burn for a therapeutics development business of approximately $25 million this year, which is contemplated in our EPS and cash guidance. We expect our GAAP EPS to be a loss of approximately $1.95 per share, excluding any future one-time charges, using a $32 million average share count. Utilizing a non-GAAP tax provision and average share count of $32 million, we expect Our full year 2025 to be at a net non-GAAP loss of $0.65 per share, excluding stock-based compensation, impairments, and amortization of intangible assets, as well as any one-time charges. Finally, our cash position remains strong. We focus on efficient capital allocation that allows us to reinvest in our business, fund key initiatives, and support future growth, excluding any stock repurchases or other expenditures outside the ordinary course, which could include M&A. We anticipate ending 2025 with approximately $780 million of cash, cash equivalents, and investments in marketable securities. Overall, we see strength in our core business, which has grown both organically and through strategic acquisitions as we see good momentum in the years ahead. Thank you for joining our call today. Operator, now you may ask your questions.

speaker
Teleconference Operator
Operator

Certainly. We'll now be conducting a question and answer session. If you'd like to be placed into question queue, please press star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. One moment, please, while we poll for questions. Our first question is coming from David Westenberg from Piper Sandler. Your line is now live.

speaker
David Westenberg
Analyst, Piper Sandler

Hi, thank you for the question. I got a few. So I'll just start with Mingxie and the key milestones to look for in FID107, endpoints and whatnot. Why the clinical trial is only gonna cost $10 million and what we should expect at ACOG. And then just finally, do you see it head and neck as the biggest opportunity or are you more excited about the indications afterwards?

speaker
Ming Hsieh
Chief Executive Officer

Yeah, thank you, David. That is a great question. The cost for the clinical trials, we expect to enroll about 46 people. And we're using average around 200,000 per patient. And that's about the calculation. It's pretty much on track with our spending so far. So that's for the head and neck cancer. We are very encouraged with preliminary results. As Dave, you remember, last year at the ESCO, we published the data for the FID07 single agent for treatment of head and neck cancer, and we showed very, very promising results at last year's ESCO conference. And this year, we published the data with 17 patients, or a bit more, by the time in June, in the combination with cetuximab, and we see the great synergy between the two drugs work together.

speaker
David Westenberg
Analyst, Piper Sandler

Okay, got it. And this one, I don't know if this one would be for Paul or Brandon. I'm guessing Paul here. On Q4, you had a 14% year-over-year growth. That's really good growth. Can you talk about, was there any one-time dynamics going on in the quarter that you got? Because you are guiding to a little bit of slowdown from that 14% in the following year.

speaker
Paul Kim
Chief Financial Officer

Brandon, do you want to take that?

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, yeah, certainly I can take that. And thanks for the question. No, I can't think of any one-time events that happened in the fourth quarter. I think it was blocking and tackling and gaining market share. So I think you are correct. You know, Q1 of this year will be slightly down from Q4. Um, but that's in, in large part, you know, due to some of the healthcare benefits resetting, meaning, you know, copays, coinsurance, the deductibles resetting in the first quarter. Uh, we also had two significant adverse weather events, uh, in Capelle in Dallas, Texas, and, uh, Texas doesn't do well with snow and ice. So there's just a couple of sort of seasonality type things that we experienced, uh, in Q1. That's going to bring it down a little bit from Q4, but I think know maybe more applicable is looking at it you know year over year and it normalizes those events so we experience similar events you know every year in the first in the first quarter so i think in 2024 uh in the first quarter we were at 63 million dollars and in this quarter in 2025 in the first quarter we'll be well north of that uh but we are coming off a record quarter uh in the fourth quarter uh we have these sort of seasonality dynamics in the first quarter so We expect it to come down a little bit, but, you know, no sort of macro issues or any one-time issues we experienced in the fourth quarter.

speaker
David Westenberg
Analyst, Piper Sandler

Perfect. And then, and Doug, catch this right. Did you say revised plan on anatomic pathology, or did you say precision diagnostics? And can you maybe talk about that 9%, what happened, what the actual revised plan was that would drive the 9% sequential growth? Thank you. And that would be my last question.

speaker
Brandon Perthews
Chief Commercial Officer

Sorry, David, are you saying what did we change in the anatomic pathology?

speaker
David Westenberg
Analyst, Piper Sandler

You mentioned there was a revised plan. I think you were saying anatomic pathology, although it could have been precision diagnostics, but you highlighted a sequential growth of 9% because of the revised plan. I was hoping you could dig on a little bit further in terms of what that revised plan was.

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, certainly. Yeah, that was only in anatomic pathology. So, you know, the anatomic pathology business is diverse. We have GI services, GU services, derm services, general surgical pathology. And in 2024, we really made a decision to go pretty hard after the derm business. As I mentioned in the script, for whatever reason, there's just sort of a national issue right now as it relates to some of the DERM turnaround times. We have tremendous capabilities in dermatopathology. We have very good pathologists that have been subspecialty trained in dermatopathology, and our turnaround times have been fantastic. So as I mentioned, you know, we're delivering two- to three-day turnaround time. We're seeing some of the competition out there at two or three weeks, and we're These are patients who are anxious for results, and they need to know the results of their biopsy, if it's cancer or not, for example. So we really deployed the sales team throughout the year to go target that particular area of our business, and it's done well for us. We've captured a lot of dermatopathology business for the AP division. In addition, we did expand the sales team some, and I think we're going to continue to do so. Almost every new salesperson we've brought on has been successful in growing their pipeline, their business, and I think it's a testament to our quality and turnaround time at the lab and good sales leadership and good sales recruiting. So we want to continue to scale the sales team this year, and I think we're pretty optimistic that AP – has turned a bit of a corner. We've had a few down quarters since we acquired the business, but Q3, especially into Q4, we're seeing some good growth, and we think that's going to carry into 2025.

speaker
Paul Kim
Chief Financial Officer

Yeah, David, we've had a very strong fourth quarter that will be closed out the year. Brandon talked about the dynamics of the anatomic pathology business, but we've had growth in others as well. And as Brandon talked about, we're going to continue to invest in the sales and marketing, probably more aggressively than we have before. So for example, if you take a look at 2024, excluding stock-based compensation or selling and marketing expense was $32 million. That's going to be close to 40 in 2025 because we like what we're seeing in that area and we see specific parts of that business as good investments as we expand the sales organization.

speaker
David Westenberg
Analyst, Piper Sandler

Thank you so much, and congrats on the turning around of that business, of the atomic apology. Thank you.

speaker
Teleconference Operator
Operator

Thanks, David. Thank you. Next question is coming from Luli from UBS. Your line is now live.

speaker
Luli
Analyst, UBS

Good morning. Thank you for taking my questions. I guess like the first one, probably sticking to the guy. So 10% in 2025, but you just finished a very good quarter as well. I wonder specifically on position on college diagnostics, you have like 23% your year growth, but it seems like the 2025 will be lower, but you also have like a two new wins in VA, FMI. I wonder, are we going to see any upside to the guy or is it more like a timing that will be like pushing back to 2026?

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, Paul, do you want me to take that one first? Lou, can you hear me?

speaker
Luli
Analyst, UBS

Yeah, I can hear you.

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, I can take it to start with. And, hey, thank you for the question. Look, I think the guide is a number that we feel really good about. It's a number that we have really good visibility into. And that said, we certainly have opportunities and new wins that we've not built into that number. only because they're not fully baked. And these are new wins where we need some time to understand what they may mean to our revenue. You mentioned Foundation Medicine. I mean, that's a great example, right? Foundation Medicine is a great example. We're really excited about the new partnership with Foundation Medicine, but we don't have any Foundation Medicine in the 2025 guide. Zero dollars. Why? It's a new win. We just don't know enough about it yet, and we don't have the experience and data to feel comfortable to put a number on that partnership. That said, it's certainly something north of $0, right? So, yes, there could be some potential upside there. So I think as we think about these new wins and partnerships and as they begin to, you know, produce and we have a better understanding of their run rate and, you know, if they are meaningful, we can certainly, you know, adjust guidance in the following quarters. But I think where we sit today with the clear visibility we have into this number, we feel really good about it.

speaker
Luli
Analyst, UBS

got it understood um can you give us a little bit update in terms of the va hospital contract um what um what have you heard from the physician office um and how much of the revenue that you think will um will come in 2025 yeah i i'm not ready to just kind of disclose um how much revenue in 2025

speaker
Brandon Perthews
Chief Commercial Officer

because we're still a little bit early in that launch. I will say it's going extremely well, extremely well. I think we've been pretty conservative with how much VA revenue we've built into the guide for this year. That could possibly be some upside there if it continues to go as well as it has, but so far we're really pleased with the progress we've made with the VA.

speaker
Luli
Analyst, UBS

Got it. And then another question going back to the AP. So you mentioned that you've run a lot of new accounts with a very long turnaround time and that appears to be a good opportunity for you. I wonder how fast you can capture all the accounts and do you need to keep increasing the sales representative in order to maintain the momentum, i.e. eventually what will be the optimal size of the sales rep in the AP business?

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, that's a great question. I will say that the sales team is still subscale. I think we have an exceptionally good sales team. And I think we have exceptionally good sales leadership. But it is subscale. Like our goal is to go capture as much of this market as we can. You know, it does take some time to find good salespeople to train good salespeople. So I mean, that's why we're That's why we scaled the team in 2024. That's why we can plan to continue to scale the team in 2025. I think our facility, our AP facility that we built in Capell, Texas is absolutely state of the art. It is amazing. It is built from the ground up, designed from the ground up to be efficient, high capacity. It is just a really good operation. our sales team is out there in selling that right they're selling our quality they're selling our turnaround time we have the capacity so i think when you bundle an exceptionally well-run pathology lab with great pathologists with a really good sales team it's just been a recipe for success so we want to continue to scale that team we want to continue to capture more of that market and that's going to be in the cards for 2025. got it thank you you bet thank you

speaker
Teleconference Operator
Operator

Thank you. Next question is coming from Andrew Cooper from Raymond James. Your line is now live.

speaker
Andrew Cooper
Analyst, Raymond James

Hi, everybody. Thanks for the questions. Maybe just first, you mentioned precision diagnostics being a little bit light of where you had hoped on some slip out of new customer wins into the first quarter of 25. Can you give a little more context on the size of that and how that plays out as you think about sort of low double-digit growth in the guide and precision diagnostics, especially in context of things like the VA and Foundation and NOVA launch that presumably could drive additional growth there.

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, thanks for the question, Andrew. I think you're spot on. I mean, what you mentioned there are potential growth levers that we have not built into this guide. I've already said zero dollars from Foundation Medicine, a modest amount for the VA, and a very modest amount for Nova that's currently built into the guide. So, you know, I don't want to give too much color for competitive reasons on the, you know, accounts that have slid a little bit into this quarter from the fourth quarter. But these are just, these are large accounts, Andrew, with lots of locations and onboarding lots of doctors, lots of locations. It's just taken us a little bit longer than we thought. It's going well. We have a lot of these locations already onboarded with a lot left, but the locations that are onboarded are very happy with our turnaround time, quality, support we're giving them. It's just taking a little bit longer than we had hoped to get every location onboarded for some of these big wins, but it should be happening here pretty soon in the first quarter and maybe a little bit into the second.

speaker
Paul Kim
Chief Financial Officer

Hey, Andrew. If you remember a year or two ago, the split between anatomic pathology and precision diagnostics, it was about half-half. And as Brandon has indicated comprehensively, the success of the precision diagnostics, that's been absolutely wonderful for the company. When you take a look at how we ended 2024, You know, we posted, you know, precision diagnostics was $70 million higher than what we achieved in anatomic pathology. So those numbers are large. And when we take a look at 2025, with our initial guide of 310, you know, what we're anticipating in precision diagnostics, in each of those quarters, although it might be a low, you know, percentage number, it's higher than what we achieved in Q4. The other thing that you also see is the tremendous increase in the gross margins as a result largely from the growth that we see in precision diagnostics. About a year ago or so, we had our gross margin target at close to 40%, and we ended the fourth quarter with gross margins higher than 40%. So the overall business and what precision diagnostics is doing for a company, it's very, very important. And, you know, we always reserve the option to increase the guidance as we see more progress in color in some of these programs that Brandon mentioned.

speaker
Andrew Cooper
Analyst, Raymond James

Okay, super helpful. Maybe shifting gears a little bit to that AP business. You mentioned some of the wins really stemming from the DERM side of things. Is that where you had felt a little bit of pain when that business was kind of underperforming a little bit? And I ask that meaning, is this recapture of share that had maybe gone away or is it, you know, capture of incremental and, and some of the other parts of the business continue to be maybe a little bit shy of, of where they had been, uh, a few years ago. And what do you need to do if the latter is the case to, to recapture that and get those other pieces of the business growing better as well?

speaker
Brandon Perthews
Chief Commercial Officer

Yeah, I mean, that's a good question. Yeah, that's a good question. Good question, Andrew. Um, You know, I think we have two dynamics as it relates to our AP business. It's a large, what we call, base book of business, right? Our existing clients. And from the time we acquired the laboratory, our base book of business was going the wrong direction, right? So as the sales team would close the deal, we'd lose a base account, it was sort of one step forward, one step back. And we made a lot of improvements around our account management our client health score, monitoring it proactively. And I can say in 2024, we did a really good job keeping and maintaining our base book of business. So now it's not one step forward, one step back anymore. Our base book is solid. So now we're growing the sales team, layering on new wins, and that's how we've taken that business and returned it to growth. I've mentioned Durham a couple times. Yes, I mean, Durham was a big factor for us in 2024. But, you know, we've done well in GI, we've done well in GU, been well in, you know, breast and general surgical pathology. I just think overall it's been a really successful turnaround story. We still think there's a lot of market out there to capture. Again, our sales team has frankly just scratched the surface of the opportunities, and we can't really scale this team quick enough. And the reason is we want to take advantage of that opportunity. state-of-the-art operation we built and the fantastic services we have there. They're great products to sell. So we're trying to scale the sales team as quickly as we can, but I think we've just scratched the surface on the opportunities across the entire AP division.

speaker
Ming Hsieh
Chief Executive Officer

Yeah, I think adding Brandon's point, we made a heavy technology investment in that AP business. We're making pretty much the the digitization or using the advanced technology to make the entire business more efficient. That's what you can see, what Brandon mentioned. The other labs have a total turnaround times around more than two weeks and we are achieving in few days. We liked our position and that's why we do see the growth inside. we bought the business that was in the decline mode, I think we believe we find the bottom and we start to find the growth from the bottom.

speaker
Andrew Cooper
Analyst, Raymond James

Okay, helpful. And then maybe just one last one. I know you gave the color around the cost of some of the clinical trials in the pharma efforts. How should we think about the overall cash utilization from those efforts in 2025 and potentially beyond as you continue to push that pipeline forward ahead of any FDA approval or anything like that?

speaker
Ming Hsieh
Chief Executive Officer

Yeah, this is a very good question. Actually, from Paul's financial disclosure, we expect the burn rate for that unit, for the pharma therapeutic development in the year 2025, does include the R&D and the clinical studies around $25 million. So this is very efficient to use our money and to develop two of the most critical drugs to treat the patients with not much of the options with current drugs. So we think we have very efficient R&D team and we will see the results in June at ASCO about our findings in our FID 07 in terms of Phase II trials, and also we expect to enroll the patients for the FID 022 in the second quarter. We are very excited about this opportunity, and we do believe support this nominal investment we're doing will be rewarded.

speaker
Andrew Cooper
Analyst, Raymond James

Perfect. I will stop there. Thanks, everybody.

speaker
Ming Hsieh
Chief Executive Officer

Thank you.

speaker
Teleconference Operator
Operator

Thanks, Andrew. Thank you. We've reached the end of our question and answer session. I'd like to turn the floor back over for any further or closing comments.

speaker
Paul Kim
Chief Financial Officer

Thank you, everyone, for your continued interest at Fulgit. And we will be talking to you on our first quarter 2025 earnings call. Thank you very much.

speaker
Teleconference Operator
Operator

Thank you. That does conclude today's teleconference and webcast. You may disconnect your line at this time and have a wonderful day. We thank you for your participation today.

Disclaimer

This conference call transcript was computer generated and almost certianly contains errors. This transcript is provided for information purposes only.EarningsCall, LLC makes no representation about the accuracy of the aforementioned transcript, and you are cautioned not to place undue reliance on the information provided by the transcript.

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