GRAIL, Inc. Common StockGRAL
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GRAIL, Inc. Common Stock Canaccord Genuity's 46th Annual Growth Conference

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Kyle MiksonAnalyst

Hi, welcome to the Canaccord Genuity Growth Conference. I'm Kyle Mikson. I cover life science tools and diagnostics for Canaccord Genuity. Please welcome me to a fireside chat with GRAIL here with us today. The company offers the first of its kind commercialized multi-cancer early detection test called Galleri. With the company, we have Aaron Freidin, CFO. Thanks, Aaron, for joining us today.

Aaron FreidinCFO

Yeah. Thanks for having us.

Kyle MiksonAnalyst

Appreciate it. All right, so starting with the second quarter results, I think you reported about a week ago. Congrats on the 35% test volume growth. Just comment on how the volume progressed in the quarter. Anything external that impacted volume or pricing, anything like that in the quarter that helped you guys have that solid revenue output?

Aaron FreidinCFO

Yeah, no, thanks for the questions. Thanks for having us. Yeah, so we're really happy with the first half. We had a revenue growth of about 30% and volume growth of about 42%, over 117,000 tests now in the first half. We've been really focused on building this market in this pay reimbursement space, whether it's through digital health or self-insured employers, in addition to your brick-and-mortar physician offices. We continue to see growth, really, in the digital health and the employer channel space. We've expanded our sales force. That effort really started this quarter in Q2, and it completed by the end of it. We had everybody up and trained by the end of it, and we'll see those sales folks out in the field here shortly. Actually, they are out there now. We also released data at NHS-Galleri data at ASCO.

Aaron FreidinCFO

We've trained the sales force on that now, and they're out having really good conversations with physicians. It's pretty significant, clinically meaningful stage 4 reduction, for an intended screening test, like an I.M. said. No one's demonstrated that before. That's pretty important. I think the things really driving growth right now are traction in those channels, and then the education of those sales reps now having the ASCO data in hand.

Kyle MiksonAnalyst

Okay. Helpful. Then maybe just touching on the Quest Diagnostics partnership, the athenahealth kind of integration, and anything else that helps you sort of streamline the ordering and the enablement of all this testing. Anything like that in the quarter, or is that more of a second-half impact?

Aaron FreidinCFO

I mean, athenahealth and Quest have been in place now for over a year.

Aaron FreidinCFO

Yeah. What we've found is once a physician is bought in and they are detecting cancers, that really removes the friction from the system.

Aaron FreidinCFO

It makes it much easier for them to order. So physicians who use that and are bought in are ordering more tests. What we're excited about is by the end of the year, we'll have Epic integrated, which will be even further friction removing for physicians.

Kyle MiksonAnalyst

Okay. Could you just double-click on the digital health kind of channel and your partners like Function and these others, but maybe how material is that sort of a partner, and could that almost expand and kind of grow further?

Aaron FreidinCFO

Yeah. I mean, digital health is a really big opportunity for us, and we've seen that really through Function. These digital health platforms are built to go out and find customers who are proactive about their health, which lines up very nicely with our test. People who want to find cancer before their symptoms. As they make it available, it's very efficient for us from a sales perspective. They drive the marketing. They drive the selling and retention of the customer. But we've also learned that it's very impacted by their level of investment in the marketing and whatever products that they're pushing. So Function has been a very good partner. Our digital health channel overall volumes have grown, doubled quarter-over-quarter compared to last year, which is nice to see. But we're really just beginning that journey into the digital health channel.

Aaron FreidinCFO

We'd had a launch with Hims & Hers earlier this year. Their attention has been focused on their GLP-1 business, not so much on their labs business, so their investment hasn't really been made currently. But that's upside when that happens.

Kyle MiksonAnalyst

Right. That could accelerate maybe going forward at some point. All right, that's volume, I guess. On the ASP side of things, the test has like a patient pay price of $950 or so.

Kyle MiksonAnalyst

You're kind of getting that down lower as we kind of get towards the Medicare reimbursement, which is eventually going to be maybe $500.

Kyle MiksonAnalyst

You're at an ASP now of, I believe, $700 per test. Again, probably due to some negotiations with some of these one-off customers and so forth. But you talked about, I believe it's like low single-digit decline sequentially in ASP quarter-over-quarter. Is that the right framework to think about basically going forward and just triangulate what the volume has to be to get your guidance, essentially?

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