May 11, 2019
Operator
Good day, ladies and gentlemen, and welcome to the Q1 2019 Fulgent Genetics Earnings Conference Call. [Operator Instructions] As a reminder, today’s conference is being recorded.
I would now like to introduce your host for conference call, Ms. Nicole Borsje.
You may begin.
Nicole Borsje
Great. Thank you.
Good afternoon, and welcome to the Fulgent Genetics First Quarter 2019 Financial Results Conference Call. On the call today is Ming Hsieh, Chief Executive Officer; and Paul Kim, Chief Financial Officer.
The company’s press release discussing its financial results is available on the Investor Relations section of the company’s website, fulgentgenetics.com. An audio replay of this call will be available shortly after the call concludes.
Please visit the Investor Relations section of the company’s website to access the audio replay. 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 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 as 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 and 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 these forward-looking statements contained in the company’s filings with the Securities and Exchange Commission, including the previously filed 10-K for the fourth quarter and full year 2018, which is 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 they 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 first quarter 2019 for more information, including the description of how the company calculates non-GAAP earnings and earnings per share and a reconciliation of these financial measures to earnings and earnings per share, the most directly comparable GAAP financial measures.
With that, I’d now like to turn the call over to Ming.
Ming Hsieh
Thank you, Nicole. Good afternoon, and thank you for joining us on our call today to discuss our first quarter 2019 results.
I will review the highlights from the first quarter before Paul discusses our financial results in detail. We had a good start to the year and it demonstrates a solid year-over-year growth in revenue and the test volume.
Revenue grew 15% year-over-year to $5.4 million. We saw strong growth in billable test volume, which increased 63% year-over-year to a new record high of almost 7,500.
Our ASP was $713, down 19% compared to the fourth quarter of 2018 due to product mix. Non-GAAP gross margin in the first quarter was 47.4%, up approximately 430 basis points from fourth quarter last year and down approximately 600 basis points sequentially.
GAAP loss was $1.9 million and non-GAAP loss was $1 million. Non-GAAP loss per share was $0.06 in the first quarter.
Adjusted EBITDA was negative $712,000 in the first quarter. We saw a strong growth in the test volume this quarter, driven by momentum in our core clinical business.
We have made ongoing investments in our business. And this has been paying off through increasing diversification of our customer base and broad demand for the variety of our tests.
In addition to the ongoing success, we have heading in the areas, such as reproductive health and sequencing-as-a-service. We are seeing recent success in our cancer business.
The increased diversification we are seeing across our businesses beyond the success we are continuing to see our pediatric business, which will help driving sustainable growth over the long run. The increased diversification of our product mix has been impacted our ASPs, which decreased about 19% compared to the fourth quarter.
However, we believe our gross and operating margin should improve in coming quarters as we're increasing scale, efficiency and automation. We have begun to see scale with growth test volume and we expect to continue over the course of the year.
We are confident our ability to surpass 10,000 tests in the second quarter as we build on our momentum in the area I have discussed. As we look ahead, our overall growth in 2019 will be driven by our ability to capitalization on the large and diversified market opportunity for next-generation sequencing.
We continue to do well in the cash market for cancer, reproductive health and the pediatrics. But at the same time, we are expanding our footprint through partnership agreement with institutions, research organizations and the biopharma organizations.
In this partnership situation, organizations are leveraging our advanced technology and our sequencing capability to deliver more informed and actionable care for their patients. Our sales organization has been successful in searching the sequencing partnerships agreements.
And we have continued to build our pipeline for large partnership agreement. This agreement has helped to create more stable and predictable test volume demands for us, which we believe will help drive sustainable growth for our business.
So far this year, our team has executed the collaboration agreement with academic institutions and a major medical foundation that are leveraging our technology for patient's care and funding their treatment research. Another partnership, we recently finalized is a large clinical lab and a research facility in Canada to leverage our Beacon carrier screening technology, to expand the carrier screening available to couples across Ontario [Indiscernible] and others.
This organization selected the Fujian due to our technical expertise in particular our superior capabilities in bioinformatics and our ability to deliver timely results. We are continuing to work on number of other exciting partnerships, which we hope can provide additional upside to our growth later this year.
The increasing number of opportunities that we are seeing is a testament of our superior technology capabilities and our ability to offer partner flexible and cost-effective solutions for their patients. We are also able to offer unique solutions for our partners where they can leverage some of our technology from prompt processing to reporting.
Many of these partnerships span over extensive periods of time, which give us the confidence in our ability to maintain our momentum in the quarters ahead. Outside our partnership in the core cash business, we continue to see growth from our agreements for sequencing packaged with data analysis.
These agreements we process large test volume for customers and leverage our technology to deliver comprehensive analysis, since this continues to one of the biggest driver of growth in our test volume. We have continued to expand our relationships with existing clients, while driving new customers to our platform.
Overall, we have a solid start to the year and we feel good about our position as we look ahead to the rest of 2019 and beyond. We expect to drive growth through consistent execution across our core business, while signing and delivering additional partnerships that leverage our industry leadership technology platform.
I would now like to turn the call over to Paul to provide details on our financial performance in the first quarter. He will also provide an update on our financial outlook for the full year 2019.
Paul?
Paul Kim
Thanks, Ming. First quarter revenue totaled $5.4 million, an increase of 15% compared to the first quarter of 2018.
While our international business remained strong, our U.S. business has been seeing momentum recently as revenues from the U.S.
grew 43% year-over-year in the first quarter, accelerating from 42% year-over-year growth in the fourth quarter of 2018. Revenue from the U.S.
represented 67% of total revenue in the first quarter, up from 61% of the fourth quarter of 2018, activities through our China JV remains relatively low, while revenue in the JV grew 61% year-over-year, while we recorded a net loss of $280,000. Longer-term, we remain confident that the JV uniquely positions us to capture the large China market.
As a reminder, we're using the equity method of accounting for the JV investment, which is being carried on our balance sheet. Billable tests were 7,530 in the first quarter, an increase of 63% over Q1 of last year and an increase of 18% over the fourth quarter of 2018.
Our average selling price was $713, down from the fourth quarter as our non-pediatric business continues to increase as a portion of overall revenue. While our ASP has ticked lower, the costs associated with the tests have declined as we began to scale.
Costs per test for the quarter was $394 on a GAAP basis and $375 per test excluding equity-based compensation of $142,000. Cost per test has stabilized at lower levels due to operational efficiencies, higher volume, better productivity and the introduction of our enhanced probe.
Non-GAAP gross margin was down 600 basis points sequentially, but improved 430 basis points year-over-year. Gross margin has generally improved and stabilized as cost per test has improved with increased efficiency.
Now turning to operating expenses. We have remained focusing on controlling expenses while investing in different areas for our business.
Our operating margin improved more than 13 percentage point’s year-over-year and was down about 16 percentage points sequentially. We will continue to see quarterly fluctuations in the near term as we scale.
Sales and marketing expense on a GAAP basis was $1.3 million in the quarter, up slightly from $1.1 million in the fourth quarter. R&D expense was $1.4 million, flat with what we saw in the fourth quarter.
We continue to invest in all areas of R&D from probes to bioinformatics and in test offerings, whether it be germline or somatic. We believe we can be aggressive in our R&D investments, while still maintaining a business model that is able to demonstrate improvements and leverage over time.
Lastly, G&A expense was $1.5 million, up slightly from $1.4 million in the fourth quarter. Total GAAP operating expenses were $4.2 million for the first quarter, up from $3.9 million in the fourth quarter.
Non-GAAP operating expenses totaled $3.8 million, up from $3.5 million last quarter. Adjusted EBITDA loss for the first quarter was $712,000 compared to positive $37,000 in the fourth quarter of 2018.
On a non-GAAP basis and excluding equity-based compensation, loss for the quarter was $1 million or $0.06 per share on 18.2 million weighted common average shares outstanding. The GAAP tax rate at the end of the first quarter was zero and non-GAAP tax rate was zero, also due to a full valuation allowance.
The non-GAAP loss was impacted negatively by approximately $0.02 based on recording the valuation allowance at the end of 2018. Turning to the balance sheet.
We remain well-capitalized to support our growth and we're comfortable with our cash position. Cash provided by operating activities was approximately $1.1 million compared to $778,000 in Q4 of 2018.
Positive cash flow was driven by strong accounts receivable collections in the first quarter. We continue to manage our business around cash flow breakeven for some time, with the goal of achieving sustainable cash flow generation by the end of the year.
We ended the first quarter with $38.4 million in cash, cash equivalents and marketable securities with no debt. This equates to $2.11 of cash per share.
Now moving onto our outlook and guidance for the year. As Ming discussed, we anticipate on having notable growth in volume going forward.
Based on our pipeline and expectations for the collaborations that we've executed, we feel confident in our growth expectations for 2019. For the second quarter, as Ming mentioned, we expect to see test volume exceed 10,000 in the quarter and we anticipate revenue will grow by approximately 20% sequentially over the first quarter.
For the full year 2019, we expect revenues will be greater than $26 million, which represents a year-over-year growth of more than 22%. We also remain focused on improving leverage while investing for growth.
As we continue to scale, we still expect to return to GAAP profitability towards the end of 2019. We're excited about the opportunities ahead for Fulgent and look forward to updating you on our momentum in the quarters ahead.
Operator, now you can open it up for questions.
Operator
[Operator Instructions] Our first question comes from Bill Quirk with Piper Jaffray.
Unidentified Analyst
Hi. This is Rachel on for Bill.
Thanks for taking the questions. So could you just give an update on your thoughts about CMS' potential changes around reimbursement for hereditary cancer and NGS?
Ming Hsieh
Yes. Thank you for the question.
At the present time, we are continuing to focus on our cash collection business while we are working on the insurance contracts. As we see for the rest of the year, the majority of our revenue will be still cash-driven business.
And however, we do see the potentials we’ll get the insurance collection.
Paul Kim
This is Paul. I agree with what Ming said completely.
I think the only thing that I would add is, as Ming indicated, revenue from reimbursement continues to be a very small portion of our business. And we recognize the fact that CMS had made some amendments and we are working very hard to get incorporated to have reimbursement be a bigger portion of our revenues.
But regardless of their amendment and their decision, it does not impact the guidance that we have for the year and the volume for this business is accelerating in a quite meaningful way as we indicated on giving color for the second quarter of 2019.
Unidentified Analyst
Yes, great. Final question.
So you touched on the Canadian partnership, but you can just give us more of an update on the carrier screening test?
Ming Hsieh
The carrier screening test is continuing to see growth in the business. In Canada, we are doing the collaboration with a major institution to build the partnerships in Canada, which would offer the carrier screening test.
Beside Canada, we also see the momentum in Europe, South America and as well as in the U.S. for the demand of carrier screening test.
Unidentified Analyst
Thanks.
Operator
[Operator Instructions] And I'm not showing any further questions at this time. I'd like to turn the call back over to our host.
Ming Hsieh
All right. Thank you very much for you joining our conference call and are looking forward to talk to you and update you on our business in the next coming quarters.
Thank you.
Operator
Ladies and gentlemen, this does conclude today's presentation. You may now disconnect, and have a wonderful day.