Feb 13, 2019
Operator
Ladies and gentlemen, thank you for standing by. Welcome to Quidel Corporation Fourth Quarter and Full Year 2018 Earnings Conference Call.
[Operator Instructions] I'd now like to turn the call over to Mr. Ruben Argueta, Quidel's Director of Investor Relations.
Please go ahead.
Ruben Argueta
Thank you, operator. Good afternoon, everyone, and thank you for joining today's call.
With me today is our President and Chief Executive Officer, Doug Bryant; and Randy Steward, our Chief Financial Officer. Our fourth quarter and full year 2018 earnings release is now available on ir.quidel.com, on our Investor Relations website.
We will also post our prepared remarks on the Presentations tab of our IR website following the conclusion of this call on February 13 for a period of 24 hours. Please note, that this conference call will include forward-looking statements within the meaning of federal securities laws.
It is possible that actual results and performance could differ significantly from these stated expectations. For a discussion of risk factors, please review Quidel's annual report on Form 10-K, registration statements and subsequent quarterly reports on Form 10-Q as filed with the SEC.
Furthermore, this conference call contains time-sensitive information that is accurate only as of the date of the live broadcast, February 13, 2019. Quidel undertakes no obligation to revise or update any statements to reflect events or circumstances after the date of this conference call, except as required by law.
Today, Quidel released financial results for the three months and full year ended December 31, 2018. If you have not received our news release or if you would like to be added to the company's distribution list, please contact me at 858-646-8023.
Following Doug's comments, Randy will briefly discuss our financial results, then we'll open the call to your questions. I'll now hand the call over to Doug for his comments.
Douglas Bryant
Thank you, Ruben, and good afternoon, everyone. Thanks for listening in on the call.
We have a lot to do this year 2019 and there are many great exciting opportunities ahead of us. So I won't spend too much time today looking in a rear view mirror.
Having said that, Q4 2018 was a solid quarter for us and 2018 overall, was extraordinary. Early in the year, at our Analyst Day in Chicago, we communicated several milestones and several expectations for the year.
We said first that our commercial leadership in their teams could fully absorb the larger sales and marketing responsibilities establishing a solid revenue baseline for the acquired Triage products. While continuing to grow our legacy amino assay and molecular businesses as we had in the past.
We said that we would do this by recruiting and installing the necessary people, and infrastructure internationally but would not need to add significant resources for the U.S. We said that we believed that we would reach $250 million for the combined Triage businesses globally; instead we did $267 million in revenue for the year.
We said that we would deliver 10% in revenue growth for the base driven by new Sofia and Solana replacements; instead we did 11%. In terms of the integration of the newly acquired assets, we said that by the end of the year 95% of ordered cash for the Triage businesses would be under our control, and that we would achieve $10 million in annual of run rate savings.
By the end of Q1 2019, when the Chinese business goes live, we will be at 96%; and at the end of 2018, our cost savings run rate was at $13.3 million. And finally, in terms of financial performance, we said that we plan to reach 32% in terms of EBITDA as a percentage of revenue for the year, and that with cash and to assure exchange for our convertible debt, we intended to lower our leverage ratio to below 1.5 times.
For 2018, EBITDA was 33% of revenue and our leverage ratio at year end was at 0.9 times. In summary, each of the key metrics that we announced at our analyst day was accomplished except for a minor delay with bringing China onboard and under our complete control.
Before moving off 2018, allow me to mention a few other notable achievements. First, we placed nearly 10,000 Sofia instruments, net of replacements.
Sofia truly is a flagship product for us and the franchise is doing extremely well. Second, the molecular franchise is gaining attraction with Solana reagent kit revenue doubling year-over-year helped greatly by the newer products, HSV/VZV and C.
difficile. And third, our R&D and regulatory teams haven't slowed down at all.
Three products; Sofia Vitamin D, Sofia Lyme with the European bugs added, and TriageTrue High Sensitivity Troponin I, each received the CE Mark and are cleared for sale in Europe. Four products; the CLIA waived whole-blood fingerstick version of Sofia Lyme, the serum version of the Lyme test, Solana Bordatella complete, which includes both pertussis and para-pertussis, and QuickVue Influenza, which meets the FDA's reclass guidelines were each FDA cleared to be marketed in the United States.
And we made progress on the 21 significant R&D programs that are currently funded, including Savanna reagents, instrument and test cartridges. Moving forward, as I said earlier, 2019 is expected to be another highly productive year for us on many fronts.
In addition to selling our current products, our global commercial teams will have new products to commercialize. The European team will be spending time on a limited, targeted launch of TriageTrue Troponin I, as well as the Sofia Vitamin D and Lyme Disease assays.
And in the U.S., the commercial organization will be focused on adding Sofia Lyme to the thousands of Sofia 2 CLIA waived sites starting this summer. Importantly, we will do all that leveraging the current infrastructure, as we did when we added the cardiovascular and toxicology portfolio, which continues to be a focus.
In fact, as I mentioned earlier, 2018 revenues were $267 million. During the Q&A, Randy can take you through the puts and takes that created the lumpiness that we saw during the year, but at the end of the day, we think that we have a handle on the overall growth rate, regardless of when, and in which quarter our distribution partners order products.
For 2019, we expect to grow those businesses year-over-year in total by 4%. In terms of near-term product development in 2019, we expect to initiate clinical trials for Sofia 2 Strep 98 and for Sofia 2 C.
difficile in a month or so, both of which we plan to commercialize in early 2020, if not sooner, depending on the timing of FDA clearance. Regarding Savanna, our excitement increases as we move closer to product launch.
There are always technical issues to resolve, but our confidence in our ability to launch an exceptional product is quite high. I've said before that we intend to have a flawless launch with four or more multiplexed assay cartridges FDA cleared and immediately available to our customers; therefore, the timing of our launch is highly dependent on us conducting multiple clinical trials simultaneously, CE Mark, and then review by the FDA, of course.
And just so everyone knows; I will trade off timing of launch just to hit a date for flawless execution and significant market impact with the initial global launches of Savanna. I think it's that important to us.
Having said all that, notwithstanding a major obstacle that I'm not aware of, I see nothing that would have a material impact, favorable or unfavorable, on the 2023 forecast that we presented at our analyst day last year. Switching gears, it's February, and in fact the same Valentine's day week of the month in the last two years when Influenza peaked before declining.
So, it's probably a good time to talk about flu this quarter. Using data in our Virena database and looking at the period ending Friday, February 8, we see a very slight reduction in positivity rates for a handful of states and a slight hint that influenza B may be starting to come up.
There is still a lot of influenza A in the United States, however, I think we can expect the positivity rates to remain high for a few more weeks; therefore, people presenting with ILI should continue to be tested, and we should expect little reduction in test rates. Positivity rates for those patients tested in most states are at 25% to 35%, which is still very high.
In terms of volumes of tests, it's important to look at the states with larger populations with greater propensity to test. California and Florida positivity rates and volumes have been high for several weeks now, and Texas is still climbing.
New York and North Carolina are still quite high. There are some states with positivity rate above 40%, but those are lower volume states.
Another way to assess the magnitude of the season is to look graphically at out-sales by week from Distribution to our customers over that last few seasons. Despite an apparent slower ramp up this season versus last year, the last four weeks have shown an acceleration that is unprecedented.
At this point, the range of testing that we had suggested for this quarter, which was a reduction from last year's Q1, seems appropriate, and we are sticking with our internal projection for influenza testing revenue. Finally, before closing, I'll comment briefly on the Beckman matter.
With respect to the ongoing Beckman litigation, on January 18 of this year we filed our petition for write-off [ph] mandate with the Court of Appeal seeking immediate appellate review of the Court's December 7, 2018 ruling. Whether the Court of Appeal will review the merits of the writ petition is discretionary, and it's common for the Court of Appeal to require the parties to complete the underlying trial court litigation before appellate review.
While we believe that our writ is well founded and should be granted now, we acknowledge that on most occasions courts of appeal prefer to hear all matters after the end of the entire case. On February 7, 2019, the trial Court stayed the remaining litigation on Beckman's second cause of action pending a decision from the Court of Appeal on whether it will hear the merits of Quidel's writ petition.
The trial Court also vacated all deadlines in the matter, including the trial date. Once the Court of Appeal issues it's decision on whether to review the merits of Quidel's writ petition, the parties are to report back to the trial Court.
We expect that to occur in the March/April timeframe. And once again, we remain extremely confident that at the end of this process that we will prevail, and our agreements with Beckman will remain in effect.
In conclusion, what a quarter, what a year, and what a company. 2018 was truly a year for the ages, a year not possible without the unbelievable talent and can-do attitude that we have across all functions.
And importantly, a year that positions us for solid growth over the next several years. We're excited, we're productive, and we're happy.
Randy?
Randall Steward
Thank you, Doug. Good afternoon, everyone.
As we reported earlier today, total revenues for the fourth quarter of 2018 were $132.6 million, this compares to $114.9 million in the fourth quarter of 2017. The 15% increase was primarily due to a 34% increase in Cardiac Immunoassay revenue, 30% growth in Molecular Diagnostic Solutions, and 3% growth in Rapid Immunoassay.
These increases were slightly offset by a 6% decline in our Specialized Diagnostic Solutions. Cardiac Immunoassay revenue was $62.9 million, a growth of 34% in the fourth quarter of 2018.
Revenue growth for Cardiac was mostly due to the incremental revenue in China as we returned to more consistent ordering patterns from our customers. Also, in Q4 2017, we minimized shipments to China in order to reduce the amount of inventory at distribution.
The total year-over-year Cardiac revenue improvement in China was approximately $14 million. Of the $62.9 million in Cardiac revenue, the split was $35.9 million for the Triage business, and $27 million for the Beckman BNP business.
First, let's talk about Triage. From a geographical perspective, Triage revenue grew approximately $8 million in China from the fourth quarter of the prior year, due to the discussed normalized ordering patterns.
The U.S. grew 17% from the fourth quarter of the prior year, and Europe was down approximately 5%.
With regard to the $27 million Beckman BNP business, this product category grew 28%, or $6 million as compared to last year, again driven by China. In the quarter, both the U.S., Europe, Middle East Africa was down 1%.
For the year, Cardiac Immunoassay revenue grew to $266.5 million. Included in this amount, total Triage business revenue was $148.1 million, and the geographic split for this Triage revenue was $65.5 million in the U.S., $33.6 million in China, and Europe, Middle East and Africa was $24.6 million.
The remaining $24 million, approximately $12 million of that was in Asia, other than China and the remaining $12 million was in Latin America and Canada. The Beckman BNP business was $118.4 million for the year, consisting of $72.3 million in the U.S., $20.8 million in Europe, Middle East, Africa, and $20.7 million in China.
These three geographies make up more than 95% of the total BNP revenue. The Cardiac Immunoassay category is going to experience some lumpiness in revenues from quarter to quarter due to logistical and geographical factors, as well as timing and shipment of orders by distribution based on inventory levels.
The big picture is that there is solid demand for our products, and we are optimistic about our ability to grow the business. As Doug has stated previously, in 2019, we expect to grow the Cardiac Immunoassay business by about 4%, to reach approximately $277 million for the year.
Rapid Immunoassay product revenues increased 3 percent to $50.4 million in the fourth quarter of 2018 as compared to $49.1 million in the previous year. Within this category, Sofia products grew 17 percent from the fourth quarter of 2017 to $33.9 million, while QuickVue product revenues declined 19% to $15.4 million.
Total Influenza revenue, which includes rapid immunoassay, DHI respiratory and molecular diagnostics, grew 4% in the quarter to $34.9 million. The Influenza rapid immunoassay revenue split was $26.3 million from Sofia versus $4.9 million from QuickVue.
Total Strep revenue was up 2% and RSV was up 20%. Revenue in the Specialized Diagnostic Solutions category decreased 6 percent in the fourth quarter to $13.4 million, driven by a 5% decrease in our DHI revenues.
Our Molecular Diagnostic Solutions category increased 30 percent in the quarter to $5.8 million due to a 71% growth in Solana. We continue to see strong growth with our Solana platform, specifically with the Strep A assay.
We believe that we will continue to realize increasing demand for the Solana platform. We expect to grow molecular revenue by a minimum 20% in 2019, driven by incremental Solana instrument placements and increased assay utilization.
Gross Profit in the fourth quarter of 2018 increased $23.0 million to $82.1 million. The dollar growth was due to increased sales volumes and improved product mix from Cardiac Immunoassay and Sofia products.
Gross profit margin in the fourth quarter of 2018 was approximately 62 percent, as compared to 51 percent in the fourth quarter of 2017. Excluding acquisition-related costs, inventory step-up amortization, and amortization of intangibles, the legacy Quidel business gross margin was 69%, the Triage gross margin was 52%, and the BC BNP Business gross margin was 63%.
For the full year, we achieved the upper end of our full year guidance, achieving a GAAP gross margin of 60%, a very solid performance. R&D expense increased by $2.0 million in the fourth quarter as compared to the same period last year.
This increase is due to investments made toward our Savanna project. We expect that our R&D expense in 2019 should be similar to last year, between the range of $50 million to $55 million as we continue to invest in Sofia menu expansion and Savanna.
Sales and Marketing expense in the fourth quarter of 2018 was in line with the fourth quarter of 2017. For the full year 2019, we expect Sales and Marketing expense as a percentage of revenue to be between 50 basis points to 100 basis points less than last year.
G&A expense increased by $3.6 million in the quarter, primarily due to incremental costs associated with the globalization of our infrastructure. We expect G&A expenses to be between $48 million to $50 million for the full year 2019 as we complete the globalization of our infrastructure.
In the fourth quarter, interest expense was $4.5 million, a significant reduction from Q4 of 2017. In the year, we reduced our senior credit and revolving credit facility by $201.8 million, and our convertible debt by $108.8 million, as well as made the first $48 million payment to Abbott on the BNP deferred and contingent consideration.
In the quarter, we recorded an income tax benefit of $9.7 million, mostly the result of reversing our tax valuation allowance. For the full year, we start with the enactment of the Tax Cuts and Jobs Act, the U.S.
Federal Corporate Tax Rate was reduced from 35% to 21% effective January 1, 2018. In the year, the Company released $13.4 million of its valuation allowance against its net deferred tax asset balance, since it is more likely than not that a portion of these deferred tax assets will be utilized in the future before they expire.
Additionally, this overall tax provision includes beneficial impacts of $9.3 million from equity compensation gains to employees that occurred during the year and $3.6 million from the generation of Federal and state research credits. The significant drivers of year over year differences in the income tax provision are the increased profitability, offset by the change in the corporate tax rate, increased stock-based compensation activity and the impact from the reversal of the valuation allowance.
Net income for the fourth quarter of 2018 was $32.5 million, or $0.82 per diluted share, as compared to net loss of $5.1 million, or $0.15 per share, for the fourth quarter of 2017. For the full year, we achieved net income of $74.2 million, GAAP EPS of $1.86, and non-GAAP EPS of $3.04, a very rewarding year.
As Doug communicated previously, our capital deployment strategy in 2018 was to aggressively de-lever the business, with the goal of reducing our leverage ratio from 4X to 1.5X by year-end. As stated previously, we accelerated our debt reduction initiatives in 2018.
The result is that we exceeded our internal target, and are now under 1X leverage. As of today, we have paid down an additional $20 million on our revolving credit facility and have an outstanding Revolving Credit Facility obligation of $33 million, with a borrowing capacity of approximately $142 million.
From a balance sheet perspective, our company is very strong and well positioned for M&A, licensing or other partnership opportunities in support of our longer-term growth objectives. And with that, we conclude our formal comments for today.
Operator, we are now ready to open the call for questions.
Operator
Thank you. [Operator Instructions] Our first question comes from John Chu from Raymond James.
Your line is now open.
Unidentified Analyst
Good afternoon.
Douglas Bryant
Hi John.
Unidentified Analyst
Hi, if we could just start right with the 2019 guidance. I apologize if I missed this I got the growth of at least 20% in molecular then obviously the 4% growth in the cardiac business altogether but can you can you just maybe break that apart a little bit as far as what your spectrum for the BNP versus the Triage assets and then for Immunoassay or for the legacy business, I might have missed it but do you have any thoughts around -- what your expectation is there?
Douglas Bryant
Yes. So, this is Doug I'll give you the overall and then Randy can break it down by… So, our marketing guys basically reviewed ongoing run rates looked at gains and losses instrument placement rates and we rolled up the number that effectively for the year is about $276 million.
Whether that's an accurate number or not Jon honestly if we hit it precisely, I probably will promote all the marketing guys. But so, it's going to be either slightly into that or slightly over that but right now I can tell you that just in January alone we placed more Triage instruments in North America that we did in any previous quarter.
So, we're pretty confident that what we're seeing in terms of demand is real and we're seeing similar experience across the globe and so we're pretty comfortable that the 276 is a reasonable stab and what we think we're going to do in and 2019 and, we don't know each other that well John so I don't know if I can joke with you or not but we didn't employ the Goldilocks method of calculation, we didn't say well 3% too low and 5% too high and 4% is just right. What we did instead as we rolled up bottoms up, we said 276 is our number and then we divided that by the 267 that we did in 2018 and that happens to be 4%.
There's no magic to 4 it's just a matter of dividing 276 by 267. And again, I can tell you for sure that the marketing guys are precisely on the number it would be the first time in my 33, what about 35 years.
Randall Steward
Trying to put forecast together.
Douglas Bryant
But I think we have a reasonable number that we forecasted and Randy why don’t you break out the growth rates by the category.
Randall Steward
Sure. So, for the Triage we're looking at mid-single digits.
We see growth both within the US and in Europe. We see China being pretty stable on year-over-year basis within the BNP business, we see that up approximately around 3% again growth in the US and in China.
Europe we are predicting a slight decline that's mostly due to kind of change in over from a direct to get through distribution to a certain degree. So that’s kind of the geographic drivers for 2019.
Your mentioned molecular I think the other one is in the rap Immunoassay as we said we anticipate you know a 10% growth that's somewhat offset by what your estimate is in Q1 of 2019 for year-over-year flow which obviously I you know is pretty significant the consensus is pretty is less versus Q1 2018. Those are those are the pieces John.
Unidentified Analyst
Okay. Great that's a very helpful.
I guess just if we could switch gears to synergies congratulations you hit on most of your target $13.3 million run rate obviously better than even a $11 million that you'd been expecting so how do we think about what to do and maybe how the synergies roll in and maybe could there be potentially some upside to that $20 million number?
Douglas Bryant
So the $20 million is by 2020 as we exit this year as we explained initially at the Analysts Day we expect the run rate as we exit 2019 to be up $15.5 million again that's some pretty serious forecasting accuracy. But you know we're still working very hard in the factory to improve yields and most of that will come from there.
Unidentified Analyst
Okay. Great and then just last one for me.
You obviously gave some updated thoughts around the Beckman litigation. Just to be clear within the numbers that you provided specifically to the cardiac business is there change or any impact to the 2019 operating plan associated with litigation?
Douglas Bryant
No, when we did the call earlier I said very specifically that we are not making the change to our 2019 targets.
Unidentified Analyst
Okay. Very clear.
Douglas Bryant
Thanks John.
Operator
Our next question comes from Jack Meehan from Barclays. Your line is now open.
Jack Meehan
Good afternoon, I agree. Congrats on a great year.
I have a multi-part question I want to start with on the cardiac side and appreciate all the granular detail you provided. The fourth quarter was a little lighter than we were expecting at $63 million.
So, my question is there any seasonal factors which drove the revenues below the recent baseline we’ve seen in previous quarter and then the 4% forecasting for 2019 just what pacing should we expect and what contribution from the new - assay are you building in?
Douglas Bryant
Okay. I think I can remember all of that.
I think the end of the line actually on the $63 million specifically there are couple drivers I’ll let Randy address that. But they are not demand related, they are distribution related.
So Randy?
Randall Steward
Yes. Yes exactly, as I mentioned in Europe we gained control in Europe in August and they had a go to direct market strategy we were pretty much used to going through distribution.
So that's about a 10% hair cut on that European business that we realized in Q4. The other piece as we did have a distributor in the US that we ended up shipping direct because of some shelf life and need for product we ended up shipping direct that had a slight impact downward and US business for Q4 as well.
Douglas Bryant
So theoretically, the damage in the quarter with $2 million like that. So remember when initially we were talking about this we said $60 million to $62 million a quarter that was our stab at the time based on what we have available to us and then we started seeing some quarters that were higher than that and I believe I said that boy it feels like even though we had just shipped I think $68 million in the first quarter, no it really doesn't feel like 68 feels more to me like 65.
Again, we do our best to forecast based on the information we have and then in the second quarter we did even more which would make me by 65 also look bad. And then we had in Q3 Q4 offsets due to some distribution ordering patterns and effectively instead of doing 65 a quarter we ended up doing just about 67 per quarter on average and some of that could have been in the quarter at any time we do feel like we have a handle on why the quarters look the way they do but again my 65 was not right.
We actually did something like 66.75 I think on average and this is your point also Jack I can't really fully predict every quarter that it's going to be shipped to the way we think it's going to be shipped to our distribution partners based on their orders in their inventory levels. But based on the underlying demand for instruments, and starting from a customer, individual customer up and adding that all accounting the losses and offset by gains with new instrument placements I'm pretty comfortable that we're going to get to 276.
The timing of each quarter is not exactly under our control. So, I don't like that quite yet at least I understand that in our point right now we're simply focused on how to grow the demand for the product with most we can grow in a pretty place of for actually as I said before we're actually shipping more instruments in North America or at least through this quarter.
We've already shipped more than we have in the other previous quarter and that's it through January. So, I'm pretty pleased how we are doing I hope that we have under called the number.
Too much.
Jack Meehan
And in terms of building out that demand just an update on the timing of the talk's approval with the FDA you still think the second quarter in within the 4% growth what contribution is linked in the back half?
Douglas Bryant
I can't speak specifically to FDA timing, I think our guys are confident that we’ll be through the process in the March-April timeframe and that I know the guys in our factory are gearing up to manufacture kits and the labeling and all that at this time. So, I think we're pretty comfortable with that first half as we said before.
Jack Meehan
Great. And then last one Savannah I agree with you I prefer flawless launch maximum potential, but I have to ask where do we stand with the cartridge design in preparation for the clinical trials do you think they will start by mid-2019?
Douglas Bryant
It's a great question because that's the key of the [indiscernible] So right now we've got to finish the final cartridge design for manufacture ability and we've got to start make a lot of cartridges. Because with each of the assays we’re thinking we need in total tens of thousands of cartridges and so we got to get started soon.
And if that slips a little bit it’s fine. But I think my point that I'm trying to make Jack is that there is a tendency in companies to say I'm going to meet my timeline, I’m going to get an instrument with one assay cleared by the FDA and I'm going to count that as launch.
We're not going to do that, I'm not going to actually start selling products and so I have four or more things that I can immediately ship to customers and if that causes us to move back a month or so in order to do that because I didn't get enough cartridges out for the clinical trials early on or we have some issue with respect to the FDA, I'm going to make that trade off any day because I know that - it’s so critical when you're launching a new instrument system to make a big impact within the first 120 days and that's pretty hard to do when you only have one thing on the analyzer. So that’s enough I've been going on for too many minutes here on that topic, but I feel pretty passionately about the idea that we want four or five things on the instrument launch and I am hopeful that we can certainly see the market but if I don't have the product I'm not going to launch.
Operator
Our next question comes from Brian Weinstein with William Blair. Your line is now open.
Brian Weinstein
To keep on the cardiology theme here can you talk about what spurred growth here it really kind of going forward are you kind of interesting in the last question but specifically are there competitive wins here is it new account utilization and then with your comment about shipping more instruments in January than any other quarter what specifically is going on that’s driving that at this point is it sort of a new marketing campaign I think you talked to me about a little bit of weakness in their business very taking advantage of that so little bit more color and all that would be great?
Douglas Bryant
Sure about two-thirds of our business actually for Triage is on the hospital segment and we continue to do well in the small hospital. So that's a factor but the other side I was actually a little bit surprised as you might be to Brian that a third of the business is an out, we group as POL and in the POL category we include version here.
And so, right now. I think that’s what I said just the other day that we were in 4700 urgent cares and most of those have a Triage.
So we're doing extremely well and that's probably the segment there and I don't know about other competitors and what they're doing and what they're not doing. But we're pretty competitive in that space.
Brian Weinstein
Okay. And then on [indiscernible] I want to make sure I heart this comment right, did you say the last 4 weeks had shown an unprecedented acceleration, I just want make sure that I heard that right?
Douglas Bryant
Yes you heard it right. I was just looking at the chart this morning I was a little bit surprised, so if you look at even last year that was a phenomenal flu season and you look at out-sales in the same week.
They were higher those out sales for that period of time but the slope of the weeks is pretty vertical right now and but that's to be fair that's offsetting a pretty slow start right so I'm not changing our number for the quarter but I do feel pretty comfortable we're going to get you a number. And I think that's most important thing.
Now the other factor is anytime you see a chart for flu you also realize the next week could be going back the other way so and it is Valentine's week. I don't know what that means but the last couple years this week it started going back the other way.
So, if it does start going back the other way I still think that we're going to make a number for the first quarter of but I would prefer to see a couple weeks for it to go on because at the end of the day I need obviously distribution partners to feel like their inventories are getting too low. And I need them to feel that before we get too close to the end of March because towards the end of March normally they are our products so I think you know that.
Brian Weinstein
Yes absolutely. Great.
Thanks for answering the questions.
Operator
Our next question comes from Tycho Peterson from JP Morgan. Your line is now open.
Tycho Peterson
Question I guess on margin Triage gross margin down a bit that the 53% I think for 57% can you maybe just touch on that and what you're kind of expectation for Triage margin for 19?
Douglas Bryant
Can you repeat that Tycho, we had a little problem on our end?
Tycho Peterson
Question on Triage gross margin which tick down a bit can you maybe touch on that and then what it embedded in guidance for Triage margins for 19?
Randall Steward
Yes. It was it's more of just factory absorption little more volume in Q3 than Q4 as a result of the holidays or something but nothing other than that.
As Doug mentioned we exceeded our synergy number which more than half of that was driven from factory yield, so we anticipate for 2019 to see an incremental improvement in our gross margin over 2018. Driven by new products as well as the continued yield improvements in the cardio vascular business.
Tycho Peterson
Okay. And then Doug on Sofia, can you talk on Lyme how the roll out has gone there what’s kind of embedded in the outlook for this year and if we think about kind of pull through to get to the 10,000 pull through target how important is Lyme to getting there in Sofia?
Douglas Bryant
I think it's pretty critical that we maximize the Lyme launch. The timing of approval wasn't ideal but as we had in the summer particularly with activity in the north-east, we’re hopeful that we can gain some noticeable traction.
The other thing that pointed out previously is that interestingly with each new Lyme disease close that we experience thus far about 90% also came with flu and strap and RSV. So, it's interesting that the collateral benefit of the Lyme close if you will is larger in terms of revenue and margin than the Lyme.
So, right now I have to say that just in the last few weeks I'm thinking about how can I resource this launch to an even greater extent and so we're going to be focused on it and I do think we have a pretty good chance of making a noticeable impact. And that makes us a lot more comfortable that moving towards that $10,000 per account is reasonable.
Tycho Peterson
Okay. And then last one on flu, I appreciate all the real time color here.
As we think about market share, can you maybe touch on how you think about your market share versus last year? I know with the FDA you picked up some share so how are some of their share gains that you experienced last year in your view?
Douglas Bryant
I think that’s sticky because many of them were in large integrated delivery networks or urgent care centers where they value data. So, I think that stickiness is quite good.
It's hard for us to forecast at this stage believe it or not we’re actually being as it's probably and the modestly I could say probably in the 3% to 5% share gain. It would actually surprise me if it's more than that.
But it's very difficult for us to get enough data to actually judge what our share is previous years we spent a lot of dollars doing fourth -- doing surveys to customer to try to estimate but we stopped doing that because I'm not sure how accurate you are.
Tycho Peterson
Okay. Thank you.
Operator
Our next question comes from William Quirk from Piper Jaffray. Your line is now open.
William Quirk
Great. Thanks.
Just sticking on I guess kind of building off Tycho’s last question, if we look at flu for the fourth quarter it was up 4% look at the [indiscernible] data was down about 13% for the quarter. So, I guess help us parse that out a little bit between clearly some of that was share gains but was there any kind of weird behavior going on with the distributors at all in the quarter?
Thanks.
Douglas Bryant
No, not really not really but you're addressing an interesting perspective and it's because of my inability to answer the market share question. If we were shipping directly to every end user, I'd know what my market share is.
We figure it out and here because the timing of orders and all that it's really hard for us to know precisely. But having said all that, we didn't see anything unusual on how our distribution partners or product last year.
William Quirk
Okay. Okay understood thank you.
And then a couple of additional ones from me Randy thanks for your comments regarding all of the debt repayment and also the comment regarding would look at smaller deals I guess can help us think about some of those capital priorities at this point is it pretty much majority focused on additional transactions and if so kind of what’s the status of the potential deal flow that you guys are looking at present?
Randall Steward
Well, I'll give the debt side and then I’ll let Doug talk about potential M&A stuff. From a capital perspective we have a $48 million payment due on April to Abbott, we still have a debt so short term in the next two to three quarters.
But certainly it does give us significantly more leverage than we had last year relating to potential M&A deals.
Douglas Bryant
We continue to look at things that fit, I think what we learned in the earlier asset acquisitions is that fit probably is the most important criterion. We're we were able to fold in things two asset categories into the existing infrastructure in North America and then we used the cash and all that to build the infrastructure in our international team.
So now moving forward things that would fit into those two, the international and North American channels makes a lot of sense to us. So, we continue to look at a lot of things and there are a couple things that look interesting.
I'll just say that but obviously if we are further down the path then what I just expressed we couldn’t talk about it. So, but there are certain things that we think do fit and I think we prove that with the earlier asset acquisition that fit matters.
William Quirk
Okay, got it. So that's a little bit like younger [indiscernible] and scoring in the champions league it's rare that you're close on a deal but obviously not unheard of thank you.
At last probably the question, thinking about Doug you've talked historically about the legacy talks business at bio site and the level that that was running at prior to those assets coming off the market how are you thinking given the FDA filing and how long it'll take you to get back to those levels? Thanks guys.
Douglas Bryant
Thanks Bill. To be specific we've modeled that fourth year revenue will be in the third.
So, can we get there faster than that maybe. So, I think we can do pretty well the next couple years because we think that there is pent up demand for the product.
Our customer demand that we could address before. So conservatively, I would say fourth year revenue post launch should be in the thirties.
William Quirk
Thanks guys. Appreciate it.
Operator
Our next question comes from Alex Nowak from Craig Hallum Capital. Your line is now open.
Alex Nowak
Hi. Good afternoon everyone.
Just to add on to Bill’s and Tycho’s question was there more inventory in the channel exiting 2018 compared to the end of 2017. You quantified this on other quarter, but I don’t believe you mentioned that on this call particular?
Randall Steward
Yes, I know we did not mention it. My oversight but it's pretty consistent with where it was in Q4 2017.
So, no significant changes and actually doing strap RSV and or flu.
Alex Nowak
Okay. That's helpful and then Doug I just want to make sure I got the timelines right to the Beckman.
Are we still one you're expecting to hear next on the original case and then if you look here you can either be done in parallel or could be done after that main case and we’ll know about that here in March or April?
Douglas Bryant
Yes, thanks for clarifying I did mention that date is no longer applicable and so let me just walk through a couple things that might be useful. First of all, the courts’ decision to stay in the litigation and that's what we are talking about here was not surprising.
Because courts typically stay litigation if they're waiting to hear from an appellate court. If they think it would be more efficient to do it that way.
Courts typically vacate the trial date upon entry of the stay and that's what happened here they vacated the trial date. So, there is no trial date right now.
This is normal. The stay does not affect our petition to the court of appeal.
So, if anything it actually enhances the likelihood that the court of appeal will consider the merits of the petition. In it's application, Beckman stated it's -- we'll urge the Court of Appeal to accept the petition for a review.
So Beckman has joined us in the idea that hearing us sooner rather than later is a good idea. The impact of course, if any, will be minimal, so if the Court of Appeal decides to hear the petition now, the order will have no effect because Quidel is in favor of the state in that circumstance, and if the court of appeal denies our petition, the only effect of the order is a slight delay in the trial date which is going to happen in our subsequent appeal, and we do not believe this delay will be lengthy.
And again, we're confident the Court of Appeal will agree with our position whether they hear the appeal now or whether they hear it after the trial. So I've over-answered your question.
Alex Nowak
No, I think I got this. I think just to summarize, the next thing we'll hear will probably come in March or April, and we should know more on the next path at that point.
Douglas Bryant
That's right.
Operator
And our final question comes from Mark Massaro from Canaccord Genuity.
Unidentified Analyst
This is Max [ph] on for Mark. So, it's been about three months since [indiscernible] for large respiratory panels became effective.
I know that for the last two years you've been operating under the assumption that this will be the case. I guess, how do you feel that the market is responding to the decision if anything versus your expectations?
Douglas Bryant
I don't think I have an opinion quite yet. I mean, I really haven't looked at it, so I shouldn't opine on something, I shouldn't speculate.
As we get closer to launch, of course, we're going to know about what customers are doing and then I'll add. So I apologize, I don't really have a good answer for you.
Unidentified Analyst
No problem. So you have indicated you see the potential for 70,000 to 80,000 total Sofia placements overtime, and I guess for the remaining 35,000 to 45,000 potential placements, what geographical regions would you be honing in on, and is there a particular type of customer you will be targeting?
Douglas Bryant
Well, the U.S. and Europe for sure, are good markets for us.
And I think China, once we're approved there. The next wave of things that we're launching will be gastrointestinal related, and we have again plan that have I think 5 or 6 new targets done within the next couple of years.
So that I think is going to be helpful for us.
Operator
And that is all the questions we have for today. Please proceed with your presentation or any closing remarks.
Douglas Bryant
Thanks everyone for your support and for your interest in Quidel. We had a great year, and we're in terrific shape to achieve our growth objectives over the next few years.
We know what to do from here, and we have the right people to get the job done. Thanks again for being on the call.
Operator
Ladies and gentlemen, we thank you for your participation, and we ask that you please disconnect your lines. Goodbye.