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Hologic Inc (NASDAQ:HOLX)
Q1 2021 Earnings Call
Jan 27, 2021, 4:30 p.m. ET

Contents:

  • Prepared Remarks
  • Questions and Answers
  • Call Participants

Prepared Remarks:

Operator

Good afternoon, and welcome to Hologic's First Quarter Fiscal 2021 Earnings Conference Call. My name is Eduardo, and I am your operator for today's call. [Operator Instructions]

I'd now like to introduce Mike Watts, Vice President of Investor Relations and Corporate Communications, to begin the call.

Michael Watts -- Vice President, Investor Relations and Corporate Communications

Thank you, Eduardo. Good afternoon, and thanks for joining us for Hologic's first quarter of fiscal 2021 earnings call. With me today are Steve MacMillan the Company's Chairman, President and CEO and Karleen Oberton, our Chief Financial Officer.

Steve and Karleen both have some prepared remarks, then we'll have a question-and-answer session today. Our first quarter press release is available now on the Investors section of our website, we also will post our prepared remarks to our website shortly after we deliver them. Finally, a replay of this call will be archived through February 26th.

Before we begin, I'd like to inform you that certain statements we make during this call will be forward-looking. These statements involve known and unknown risks and uncertainties that may cause actual results to differ materially from those expressed or implied. Such factors include those referenced in the safe harbor statement that's included in our earnings release and in our filings with the SEC.

Also during this call, we will be discussing certain non-GAAP financial measures. A reconciliation to GAAP can be found in our earnings release. One of these non-GAAP measures is organic revenue and we define organic revenue, as constant currency revenue excluding the divested Blood Screening and Cynosure businesses, as well as the acquired Acessa business.

Finally, any percentage changes we discuss will be on a year-over-year basis and revenue growth rates will be expressed in constant currency, unless otherwise noted. Now I'd like to turn the call over to Steve MacMillan, Hologic's CEO.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Thank you, Mike, and good afternoon everyone. We're pleased to discuss our financial results for the first quarter of fiscal 2021. We are off to a very strong start to the year across all our businesses and major geographies. Once again, our Diagnostics division delivered incredible performance by making a massive impact against COVID-19, and our Breast Health and Surgical business -- businesses continue to strengthen with each returning to growth in the United States, Europe and Asia Pacific.

So our performance was strong and broad-based across both divisions and geographies. As a result, our financial results were exceptional in the first quarter. Let's provide a quick overview. Total revenue was $1.61 billion with non-GAAP earnings per share of $2.86. Organic revenue more than doubled, up a 104% while EPS increased more than fourfold, as higher production volumes in Diagnostics enabled us to leverage our fixed cost base. Both revenue and EPS came in well ahead of our expectations at the beginning of the quarter.

With that introduction, I'd like to cover three main topics in my remarks today, which will echo some of the themes from our presentation at the J.P. Morgan conference earlier this month. First, how our purpose-driven culture is contributing to and we believe driving our excellent financial results. Second, how we're making a huge difference in the fight against COVID-19, and third, why we'll be a stronger company on the other side of the pandemic.

To begin, many of you will recall that Larry Fink the CEO of BlackRock wrote in early 2018, that companies both public and private, should serve a social purpose. Three years later, we would argue that Hologic is the epitome of such a company, we are an incredibly purpose-driven highly engaged team that is waking up every day wanting to make a positive difference in the world and we believe this culture is contributing to differentiated financial performance both in terms of our COVID response and the faster than expected return to growth in our Breast Health and Surgical divisions.

Our employees understand that the bigger our collective impact on the world, the more they and our shareholders benefit. What makes us tick is our strong purpose of enabling healthier lives everywhere every day. Within this, we have a special passion to champion women's health, but we don't just help women. If for example, you're one of the tens of millions of people who have had a Hologic COVID test in the last year, you can rest assured that you're getting a high quality, highly accurate result. That's the promise we make to our customers, which we call The Science of Sure.

Our purpose, passion and promise have shown up in countless ways since the pandemic began. Some are visible externally like extraordinarily rapid EUAs or massive increases in production capacity. But many are behind the scenes from how we rewarded our front-line employees for their heroic efforts during the pandemic to how our Board and management team found safe ways to meet in person, to how we always tried to under-promise and over deliver on the COVID test commitments we made to customers and governments around the world.

We talk about many of these topics in our second annual sustainability report, titled The Power of Purpose, which we just published on our website last week. I'd encourage all our investors, but especially those interested in ESG issues to take a look.

Now let us, give you an update on our COVID testing efforts. As you can probably tell from our financial results, we continue to make good progress on our plans to expand manufacturing capacity for our two COVID assays out of our plants in San Diego and Manchester U.K. Total output increased sequentially compared to the September quarter, which enabled us to provide about 30 million COVID assays to customers generating revenue of about $745 million. As we have said, we are now selling more COVID tests each quarter than we had ever produced of all of our molecular tests before the pandemic, and we're on track to meet our goal to produce at least 75 million total molecular diagnostic tests a quarter globally by January of 2022.

This would represent more than 3.5 times our total capacity pre-COVID, a tremendous accomplishment, thanks to our employees, our suppliers and the U.S. government, which is providing financial support. In the first quarter, about one-third of our COVID test revenue came outside the United States, mainly from Europe. COVID testing continues to strengthen our international business, our relationships with customers, our future prospects in diagnostics and even market access for our other franchises.

These COVID sales contributed to total international revenue of $472 million in the quarter, which represented tremendous growth of 145% on an organic basis. At the same time, we are also encouraged the demand for new Panther instruments remains very strong. You might recall that last fiscal year, we placed more than 500 new Panther systems worldwide, more than double our usual run rate. And we are off to an excellent start in fiscal '21 with another 150 shipments in the first quarter alone.

We still have a long waiting list for instruments, which we believe reflects the longevity of COVID testing that our customers anticipate. Overall, our global installed base now stands at roughly 2,400 instruments, giving us a robust platform for future growth, as more customers come to appreciate our systems best-in-class capabilities.

Now let us shift gears to our third major topic, why we believe our business will be much stronger on the other side of the pandemic. First, it's never been more clear to us that demand for highly accurate molecular COVID testing will remain robust for a while. While we may have become a little numb to infection rates that remain staggeringly high in the United States and globally. But as a reminder, the almost 2 million molecular tests, that are being performed daily in the United States today, would annualize to a market that's about 17 times bigger than the single largest molecular market before COVID.

So while demand will inevitably decline as vaccines rollout. Nucleic acid testing is likely to have a long meaningful tail that extends into fiscal '22 and beyond. With COVID likely remaining our biggest molecular product for years to come. As we have seen, it will take time to manufacture and administer vaccines broadly and many people will choose not to be vaccinated. The societal need for and focus on COVID testing far exceeds anything we have ever seen before, and the pandemics emotional toll will last much longer driving future demand.

As public concern around COVID persist, the combination of our huge Panther installed base at facilities close to the patient and our gold standard assay performance, have us uniquely positioned to pursue many use cases, that will be around for the long-term. These include testing before hospital admissions, asymptomatic screening for various purposes and even confirmatory testing of other less accurate modalities.

Studies have shown that these other tests can miss two-thirds of asymptomatic cases and these false negative results can contribute to super spreader events, even as the market matures and our production capacity increases. We believe our combination of robust chemistry, innovative engineering on Panther and differentiated labeling from FDA will help us gain market share.

Moving on, the second reason Hologic will be stronger in the future is the significant non-COVID business we are gaining on our rapidly growing installed base of Panther instruments. I don't think it's an exaggeration to say that in the United States, Europe and Asia, every single Panther that our commercial teams have placed has been with an eye toward the future. They are doing a fantastic job of extending and broadening commercial contract, winning key strategic accounts and fueling our razor razor-blade business model.

As an indicator of this, last quarter we discussed tests of record or TORs which represent contracted year one revenue from new assay customers. We said that we had achieved a new record in TORs in fiscal 2020 with non-COVID business totaling $35 million in the United States, about 50% more than we had ever done before. This positive trend is actually accelerated in early 2021 with more than $20 million of additional TORs in the first quarter alone.

That's one reason, the momentum in our molecular business which was already good before COVID is improving further today, especially in Europe. For example, when we remove COVID assay sales from our molecular number as well as instruments and ancillaries, core assay sales grew roughly 10% globally in the first quarter, more than double the rate a quarter ago.

The third reason we believe we will be stronger post COVID is that, thanks to the tremendous success of our diagnostics business. We have been able to use the last several quarters to further bolster our breast and surgical franchises for the future.

In breast, we have continued to expand on our strategy to diversify the business across the patient continuum of care rather than just placing capital equipment. We are now selling a full portfolio of hardware and software upgrades, interventional tools and service. While the world has been understandably focused on COVID, we have increased our direct presence with Breast Health customers and developed and launched products such as Provera, which is off to a very good start in its relaunch and most recently we acquired for $64 million the German company SOMATEX, a long time partner of ours to strengthen our portfolio of breast cancer markers, enhance our commercial presence in Europe, and improve our profitability.

In Surgical, both our R&D and business development pipelines have been productive broadening the portfolio of products that we sell through a high performing highly engaged sales force. New products such as our Fluent fluid management system and new hysteroscopes are complementing our market leading MyoSure and NovaSure devices and help that division return to growth in the first quarter, well ahead of schedule.

On the business development front, in August we spent approximately $80 million plus future contingent earn-out to buy Acessa Health. Acessa's pro view is a laparoscopic RF product that is used to treat fibroids that MyoSure can't reach, so, it's very complementary to our surgical business and a nice fit for our sales force. And so far, early feedback from our customers has been good.

The acquisitions of Acessa and SOMATEX demonstrate the final reason we will be stronger after the pandemic. The ability to use the healthy cash flow that COVID tests are generating to step up our business development activities.

The pending $230 million acquisition of Biotheranostics, which we announced earlier this month is another good example of this strategy. Biotheranostics, a leader in molecular test for breast and metastatic cancers enables us to expand into the adjacent growth market of oncology, more specifically Biotheranostics has done a great job of developing a strong clinical and reimbursement foundation for their flagship Breast Cancer index test, which plays an important role in a large, but under-penetrated breast cancer market that we know a lot about.

In addition, Biotheranostics provides us clinical lab capabilities that we can use to develop markets for novel content down the road. From a financial perspective Biotheranostics brings more than $30 million of annual revenue, growth rates in excess of 20% and strong gross margins.

We are excited that since we announced the deal Biotheranostics has received some very good news that will benefit women with early stage hormone receptor positive breast cancer. The National Comprehensive Cancer Network or NCCN included the Breast Cancer index test and in its guidelines to predict the benefit of extended treatment with various endocrine therapies. This should help establish the test as the standard of care for this important clinical question and contribute to increased patient access.

Before turning the call over to Karleen, let me conclude by saying that we are off to an excellent start in fiscal 2021. Our purpose driven culture is driving excellent execution and performance both in terms of our COVID test and the recovery of our other businesses. And we are working hard to ensure that the financial success we are experiencing now, will translate into a stronger company down the road. We are confident it will.

Now I will turn the call over to Karleen.

Karleen Oberton -- Chief Financial Officer

Thank you, Steve and good afternoon everyone. In my remarks today, I'm going to provide an overview of our divisional sales results, walk through our income statement, briefly touch on a few other key financial metrics, and finish with our guidance for the second quarter fiscal '21.

As Steve said, we are very pleased with our first quarter results, as revenue and EPS significantly exceeded our guidance. Reported revenue of $1.61 billion increased 87%, organically revenue grew 104% driven by strong COVID sales and the continued improvement of our base business across all major geographies. Given the incredible demand for our COVID tests and the strong results in our base business, we were able to significantly improve profit margins and cash flow. As a result, EPS of $2.86 in the first quarter increased 369%, well ahead of our expectations. Further, operating cash flow has continued to be extremely strong, which I'll discuss in a minute.

Before I do that, let me provide some detail on our divisional revenue results. In Diagnostics, our largest division global revenue of $1.128 billion grew 256% in the first quarter driven by molecular, where sales increased 449%. In response to the unprecedented demand for COVID testing, we shipped about 30 million tests to customers, generating revenue of $745 million, globally, and excluding COVID, our base molecular business accelerated sequentially. As customers continue to see the benefit of our assay menu and the strength of Panther's high throughput automation.

Rounding out Diagnostics, the cytology and perinatal businesses grew by 1% in the quarter, driven in part by a catch-up in cytology procedures at calendar year-end. In Breast Health, global revenue of $332.7 million was down slightly overall. However, performance improved compared to the fourth quarter and the business returned to slight growth in all geographies except for Latin America. The division's performance was driven by the interventional businesses, which grew 15% in the quarter and was held by the relaunch of our Brevera biopsy system.

Although, we are encouraged by sequential improvement in the capital environment and by healthy equipment sales at calendar year-end, overall spending remains a challenge because of COVID. However, our intentional diversification to service and consumables, as well as several recent acquisitions have helped mitigate pressure on capital. As an example, Breast Health service revenue, which is larger than capital sales grew by mid-single digits in the quarter.

In Surgical, sales of $124 million grew 3.3%, a great result given headwinds on elective procedures from recently increasing COVID cases in some parts of the country. This result shows the strength and commitment of our surgical sales force, as well as the benefit of several new products. Overall, in terms of geography, domestic sales of $1.14 billion increased 80% on a reported basis. On an organic basis, U.S. revenue was up 91%. Outside of the United States sales of $472 million increased 106% in constant currency. Organically, sales outside the U.S. grew 145%, a stellar result that reflects our growing international strength.

Now let's move on to the rest of the P&L for the first quarter. Gross margins of 77.2% increased 1,560 basis points, driven by sales of high margin COVID tests and the divestiture of the low margin Cynosure business, total operating expenses of $274.5 million decreased 5.1% in the first quarter. However, expenses actually increased when normalized for the Cynosure sale and about $6.5 million of credits from BARDA associated with the development of our COVID assays.

These increases were driven by investments in R&D and marketing for future growth. In addition, expenses associated with our deferred compensation plan increased, as a result of equity market gains. As a reminder, while this liability is mark-to-market most of the expense is offset by a benefit we realized in other income in the quarter. In addition, our non-GAAP tax rate in the quarter was 21.75%, slightly lower than previously forecasted driven by favorable geographic mix of income, primarily from sales of COVID-19 assays outside the United States.

Putting all this together operating margins increased 3,270 basis points to 60.2%, and net margins increased 2,730 basis points to 46.6%. As a result non-GAAP net income finished at $749.6 million and non-GAAP earnings per share were $2.86 well ahead of expectations. Before we cover our 2021 second quarter guidance I'll quickly touch on a few other financial metrics. Driven by demand for our COVID tests cash flow from operations was $650 million in the first quarter, a very strong result.

In fact, this was about the same, as our total cash flow from operations for all the fiscal 2019. Looked at another way in just the last two quarters we have generated about $1.1 billion in operating cash flow, which gives us tremendous financial and strategic flexibility. For example, we repurchased nearly 1.5 million shares of stock for $101 million in the first quarter, and our board recently approved a new $1 billion authorization, highlighting our commitment to capital deployment. And we were also able to strengthen our balance sheet by repaying our outstanding revolver balance of $250 million.

As a reminder, we had borrowed against the revolver, as a precautionary measure very early in the pandemic. Overall, we had $869 million of cash at the end of the first quarter, and with more than $1 billion of EBITDA for the quarter our leverage ratio fell to 0.8 times. While we remain comfortable with leverage ratio between 2 and 3 over the longer-term we also have no problem with a lower ratio in the short term.

As you know, we are actively pursuing a number of division-led tuck-in acquisitions and hope to use our cash to complete more deals this year, in addition to buying back our stock. Finally, ROIC was 26.7% on a trailing 12-month basis, a significant increase of 1,440 basis points.

Before we open the call for questions, let me discuss our expectations for the second quarter of fiscal '21. We anticipate that fiscal '21 will be an excellent year for Hologic overall, but our business environment remains fluid due to the ongoing effects of the pandemic. Therefore, we are only providing a single quarter of guidance today.

Let me also point out that our guidance does not include the impact of the pending Biotheranostics acquisition, which has not yet closed. In the second quarter of fiscal '21, we expect excellent financial results again, with total revenue in the range of $1.5 billion to $1.56 billion, this represents an approximate doubling of organic revenue growth to roughly 96% to 104%.

Underlying this, we expect similar sales of our COVID test to drive exceptional Diagnostics' growth. As a reminder, most of our new molecular production capacity is expected to come online in the second half of our fiscal year. Blood Screening revenue, which we backed out of our organic calculations expected to be about $10 million in the quarter.

In our other businesses, let me remind you that our March quarter sales are typically down sequentially compared to the December period for our breast, surgical and base diagnostics businesses. As capital sales and semi-elective procedures tend to be seasonally stronger at the end of the calendar year. In addition, our guidance incorporates headwinds related to customer spending constraints and restrictions on procedure volumes given rising COVID cases.

While our customers are much better prepared than they were last spring to manage through local increases in COVID prevalence, we have seen a recent slowdown in some elective surgeries. On the bottom line, we expect EPS of $2.56 to $2.68 in the second quarter with extraordinary growth rates that significantly outpace revenue, even as we increase investments for future growth. To put this in perspective, we expect to earn more in the second quarter alone, than we did in the full year of 2019.

The second quarter guidance is based on tax rate of 21.75% and diluted shares outstanding of 262 million to 263 million for the quarter. I'd also like to point out that we expect other expenses net to increase to close to $25 million in the second quarter, as we don't forecast gains or losses related to certain hedging activities like we saw in the first quarter. As you update your forecast, let me remind you that macro uncertainty has increased in recent weeks, due to the pandemic. While our visibility has improved compared to several months ago, we would still encourage you to model at the middle of our ranges which incorporates both potential upsides and downsides.

Before we open the call for questions, let me wrap up by saying that Hologics financial performance in the first quarter was terrific. We continue to make a huge impact fighting the COVID-19 pandemic and on women's health globally. Further, I'm confident that we have positioned ourselves to deliver exceptional long-term performance.

With that, I will ask the operator to open the call for questions. Please limit your questions to one plus a related follow-up and then return to the queue.

Operator, we are ready for the first question.

Questions and Answers:

Operator

Thank you. [Operator Instructions] We'll take our first question from Dan Leonard at Wells Fargo. Please go ahead.

Dan Leonard -- Wells Fargo Securities -- Analyst

Thank you. So first question, you made a comment that your success for COVID testing outside of the U.S. has actually help strengthen your other franchises. Could you elaborate a bit on that.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Yeah, Dan, thank you. First of, it's funny how things go in full circle. As you know over the last few years, we've acquired a number of our dealers in Europe on the Breast Health side and that gave us much more of a direct presence in a lot of the key countries, the UK, Germany, Spain, Portugal, just to name few and it really helped us strengthen our whole team in Europe.

So we've been building relationships at a higher level as COVID is hit, it's given us incredible access to a lot of the major governments. We've got contracts with just about every major government in Europe and in so doing, we're now on their radar screen that they really -- a lot of them didn't know about the diagnostics business and how much of a leader we are in the sexually transmitted infections and other stuff.

So we've been able, as we've been selling in COVID and giving them Panthers to really be booking new business that will come online as the Panthers go down and really just being able to talk more about our cytology business our HPV business and really just a different level of relationship that we think is going to strengthen us significantly down the road.

Dan Leonard -- Wells Fargo Securities -- Analyst

Okay, that's helpful and there's bit of an unrelated follow-up, how would you characterize the M&A environment right now, during the pandemic in diagnostics specifically, do you think it will be -- is it feasible to do something in your core infectious disease testing phase or do you think this is an environment where you really got to wait for the pandemic to subside before those type of assets become available? Thank you.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Great question, Dan. I think, it would probably put it in a couple of different perspectives. First and foremost, I would say is as -- while we are obviously generating a ton of cash right now. We also have the luxury of being in a enormous position of strength. In that our base businesses are performing and I think the best way that you can be very disciplined on deals is when it's easier to walk away from anything because you don't need anything. And you feel good about your underlying business.

So then if we look at the market, specifically, it's been fascinating to watch over the last 8 months, right, first everybody hunkered down back March, April, May, including ourselves, we had pushed things like the Acessa deal, we even pushed out a few months and we'd had a relationship with Biotheranostics and kind of just wanted to see where our own cash flow was at that point in time, so now obviously there is a lot of companies that are fairly flushed with cash.

There is also a fairly healthy IPO market right now. So there is a bit of froth out there I think. And we want to be disciplined. So I would tell you as excited as the deals we've done. I'm probably more proud of some deals we've got pretty deep on over the last three, four months that we walked away from, really over valuation or other issues in diligence and that's I think the maturing of our team here and that the fundamental strength.

So I think we're in a position where if we can get the right assets at the right price with good ROICs, hey, that's great and if we need to wait some things out or even missed some things, we're not going to get caught into bidding wars and overpay. So I do think it's a pretty vibrant market right now. We've had every banker beating us -- beating our door down trying to sell us things as you can imagine but staying very disciplined.

Dan Leonard -- Wells Fargo Securities -- Analyst

I appreciate that color. Thank you.

Operator

All right. We'll now take our next question from Patrick Donnelly at Citi. Please go ahead.

Patrick Donnelly -- Citi -- Analyst

All right, thanks guys. Steve maybe one for you, just on the COVID testing side, sure you get this a lot, obviously, but just on the durability side, as we think out to the back half obviously vaccines rolling out a little choppy here, but it's going out as you think about the back half and in the pie possibly beginning to naturally shrink their, all test aren't created equal. So I guess where you see Hologics kind of landing in terms of when that pie start shrinking? Do you get a bigger piece? How does that play out? And again certainly your capacity is expanding. What's the view of that split between COVID and non-COVID as we get through this year?

Steve MacMillan -- Chairman, President and Chief Executive Officer

Sure, Patrick you're hitting on clearly want to be the biggest questions. I believe very strongly that we will continue to improve our market share. Right in the beginning, this was kind of the wild, wild west to the FDA granted a gazillion EUAs, everybody raised out to the market. At the end of the day, we have some very powerful and enduring assets that we believe will put us in a really good place over the long run. It starts frankly with Panther and the installed base.

We know there is a ton of hospitals that in a bare minimum are going to want to continue to test everybody that comes in their doors for procedures. They have them on site they'll be doing that as we seek to get more people back to work and back-to-school. There is going to be a need for high level testing that's asymptomatic and I think, again what's been happening in the short term, because there wasn't enough molecular tests in the beginning, in the long turnaround times, there is a big emphasis on a lot of the rapid tests, particularly some of the antigen stuff and they're going to have a place, but at the end of the day they're not indicated, most of them for asymptomatic screening and we keep learning more and more by the day. How much of this is asymptomatically being passed along? And when you look at a lot of these super spreader events, they are quite frankly being caused by using the wrong test off label to try to determine whether people have something and I think over time what we always said, our team is the cream rises to the top. So you have Panther and it's where it's located, you have an assay that's got incredible sensitivity specificity and one of the best labels.

We also have the pooling indication and once you get back into screening, call it next fall. Right. think about simple things we want to get everybody back to school in the fall. The vaccine, still aren't indicated for people under 16. So as we keep talking about vaccinating the country, children are going to be excluded from that, we're going to want to be doing asymptomatic screening and a lot of the antigen tests that people may say are great right now, they're not going to be as effective at picking up particularly asymptomatic indications.

So we have that and then you just have the pure workflow advantage that should never be forgotten. And that is the workflow of Panther the random access automation ability to just make this is easy. The lab techs around the world have been running a marathon at sprint speed, they are exhausted you can't walk in any lab and not hear from the lab director that their tax are just tired and they would much rather be able to be using Panther and one of the fundamental realities is we've been shipping so much but not all of it has been with our full penn caps and that's part of the capacity, we've been building up.

And as we're able to provide more and more of our penn caps, it creates the full automation benefit that not everybody is even been fully getting yet. So we have no idea, truly exactly how this is going to play out, but all the discussions we've been having with the Biden transition team has been continued about, hey, are you still building up more capacity and we certainly are. We'll see how it all plays out, but I think like every market we compete in, we think we're going to be there standing.

Patrick Donnelly -- Citi -- Analyst

No. That's really helpful perspective. Appreciate that. And then maybe just one I think, Karleen mentioned it there at the end, you have seen a little bit of a recent slowdown in some elective surgeries, elective procedures customers in rising COVID cases being a bit of a headwind. Can you just expand a little bit on kind of what you're seeing this quarter sequentially versus last quarter in terms of that slowdown, and kind of where it's taking you guys and what the impact could be? Just want to make sure, we have a good handle on that.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Yeah. Overall, I would say, it's really on the margin. We frankly, I think we finished last quarter better than most. The fact that Surgical and Breast Health both ended up growing, which we wouldn't have expected. Whether they grow or stay flattish, we're probably talking little pieces here. We're seeing little pockets right in certain geographies, suddenly, we have a couple of slower days in the surgical business or in the Breast Health consumable business. So it's I'd call it, it's a little temporary outages, but fundamentally, it's going to be tiny for us, given that we've got the COVID offset. And I think we just continue to focus on sharing it will, take care of itself here over time, but maybe slightly more muted this quarter on a couple of those businesses, but still overall good.

Patrick Donnelly -- Citi -- Analyst

Great that's good to hear. Thanks, Steve.

Steve MacMillan -- Chairman, President and Chief Executive Officer

All right.

Operator

We'll now take our next question from Chris Lin, Cowen. Please go ahead.

Chris Lin -- Cowen -- Analyst

Hey, good afternoon and thanks for taking my question. Also, welcome back to the earnings call, Karleen.

Karleen Oberton -- Chief Financial Officer

Thank you.

Chris Lin -- Cowen -- Analyst

Steve,

Steve MacMillan -- Chairman, President and Chief Executive Officer

Good job. Chris remember. All right.

Chris Lin -- Cowen -- Analyst

ISteve, in past quarters, you provided an estimate on what percentage of Panther placements are expected to replace Tigris and also what percentage of Panther placements displaces a competitor or enabled a new customer to begin testing? Do you have an update on those figures for us? Also, I know you test of record, the test of records metric to track assay adoption, but do you have an estimate on what percentage of Panthers placed over the past year are now also running non-COVID-19 tests?

Michael Watts -- Vice President, Investor Relations and Corporate Communications

Hey, Chris, it's Mike. Let me take a crack at that. I think on your first point, we, what we said a few quarters ago is in the early days we placed a significant portion of our Panthers into some of our largest customers where they were going to replace Tigris over time and provide access to a broader menu, there's four test approved on Tigris I think, now 18 on Panther, if you include the two COVID test.

We haven't given an update on that since then, so I don't have an update for a specific number for you today. I would tell you that by and large, we are focusing on our existing customers, obviously, and broadening our relationships with those customers. If you think about where our Panthers sit overall, most of them still in hospital labs. And I think this gets back to one of the comments as Steve was making earlier about how getting testing closer to the patient is going to help us from a share perspective going forward for pre-op procedures, things like that. And then the second part of your question, Chris, on TOR was...

Chris Lin -- Cowen -- Analyst

What percentage of new Panthers?

Michael Watts -- Vice President, Investor Relations and Corporate Communications

Yeah, I don't know that number either, but I think as Steve said in his prepared remarks that's what the sales force is focused on, right. And we've talked a bit in the past about how we're extra incentivizing our sales force to bring in new non-COVID business and they've done a great job of that. So I think, as Steve said in the prepared remarks, I mean basically every Panther that we place is being placed with an eye toward the future in that run rate of TORs.

I mean, we did $35 million last year, we talked about this, that was 50% more than we had ever done before, pretty excited about that, and now in the first quarter we do another $20 million. So I don't know if that that will continue with that pace, but certainly at a good run rate here out of the chute.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Okay, great. Then for my follow-up, I just want to go back to the topic of decentralization. One of your largest peers and higher throughput COVID-19 Diagnostics recently announced the acquisition of a molecular point-of-care platform and beyond that acquisition, I think this pandemic has also just highlighted the need for rapid but accurate diagnostic tools.

Now given that Panther is in a unique position, as a leading mid-to-high throughputs molecular diagnostics platform. Do you want to extend that leadership to a lower volume setting. Really, do you have any updated thoughts on that market opportunity? Yeah. We continue to look at different areas and different technologies, Chris. I mean I'd tell you, we've been inundated we probably get 5 or 10 per day, little companies, different technologies coming our way. We're certainly looking at some. We're probably, generally a little more focused in the labs that were in our existing customers. We're always looking on the fringe are there ways to extend out from there. So we'll continue to look at everything and stay disciplined on where we can get a good return and where we can bring value to the market.

Chris Lin -- Cowen -- Analyst

Okay, great. Thanks for taking my questions.

Operator

Right. We'll take our next question from Tycho Peterson at J.P. Morgan. Please go ahead.

Tycho Peterson -- J.P. Morgan Chase -- Analyst

Hey, thanks, Steve. I'm going to stick with the durability seen. I'm just curious over the last few weeks, obviously, new strengths have emerged and then you've got the new administration making a big push here, so a couple of quick hits, if you will. Where are you on the test for the new variants? And then as we think about mix, I think up till now you basically been doing lots of stand-alone for COVID. How do you think about the all combo assays, mix shifting over the course of the year? And then how do you think about the sustainability of the current pricing trends and reimbursement as it stands today?

Steve MacMillan -- Chairman, President and Chief Executive Officer

Yeah, Tycho, thanks. I think in terms of the new variance right now we feel very good that the way we've designed our test. With they have -- we basically design ours with two targets to ensure there's a backup target in case the virus mutates. So we continue to watch that but feel very good. And this is part of many advantages of having an incredibly sensitive and specific test to begin with, it targets the genomic regions that are less likely to mutate. So I think we feel very good about our ability to continue to catch those very well. And the second part of that was what again the multiplex.

Chris Lin -- Cowen -- Analyst

Standalong activities along.

Steve MacMillan -- Chairman, President and Chief Executive Officer

I'm sorry. Yeah, the multiplex. We figure come the fall, for this winter, as we all know there's basically been no flu season, demand for our product is virtually been entirely our single COVID test. I think come next fall, having a syndromic multi -- multiple option is probably going to make more sense and you would expect that we'll typically be there.

Chris Lin -- Cowen -- Analyst

And pricing and reimbursement?

Steve MacMillan -- Chairman, President and Chief Executive Officer

I think at least in the short term, we're probably still reasonable. I think over the long run, we've got to assume both of those will eventually come down. But I think at this point, particularly with the Biden administration extending the public health emergency through the end of 2021, we don't see any real near-term pressure on reimbursement. I'm sure again, that will probably start to evolve as we go forward and it may involve at different paces with different governments around the world as well, but so that ultimately will be some downward pressure certainly probably on pricing, but feel pretty good about where we are right now.

Chris Lin -- Cowen -- Analyst

And then one on capital deployment for how about -- You're putting up great numbers, your stock still trading around 10 times EBITDA, so how are you thinking about buybacks would you consider an ASR?

Steve MacMillan -- Chairman, President and Chief Executive Officer

Yeah. We certainly did an ASR in conjunction with the Cynosure divestiture. In general not a huge fan of those short of an event. I think we've been pretty good buyers of our stock. When you look back over the last, really five fiscal years I think we've bought back over 30 million shares and been fairly consistent last year even more. So I think it continues to be an important part of our strategy, but probably more executed along the way both offsetting dilution, as well as frankly we've been reducing our share count really now for a number of years.

Chris Lin -- Cowen -- Analyst

Okay, thank you.

Operator

All right. We'll now take our next question from Raj Denhoy at Jefferies. Please go ahead.

Zachary Weiner -- Jefferies -- Analyst

Hey, this is Zach on for Raj. Just a few from us. You start the year by announcing two acquisitions and $1 billion buyback. Can you give any more detail on the potential timing of that share repurchase program? Should we expect it to start to come in, post COVID? And then also, can you give any more color on potential deals side and or timing of future deals?

Karleen Oberton -- Chief Financial Officer

Hi, this is Karleen, so let me just make a couple of comments and in return -- in regards to capital allocation, certainly we're focused on deploying our free cash flow, which has grown tremendously over the last several quarters. Our priority is going to be that tuck-in M&A growth accretive assets and I think to build on the comments that Steve made, capital share repurchase is going to be part of that strategy. But I would say the $1 billion authorization is over a 5-year period. So we would expect to utilize that on some regular cadence over that period of time.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Great next.

Operator

We will take our next question from Jack Meehan, Nephron Research. Please go ahead.

Jack Meehan -- Nephron Research -- Analyst

Thank you. Good afternoon, guys.

Steve MacMillan -- Chairman, President and Chief Executive Officer

Hey, Jack.

Jack Meehan -- Nephron Research -- Analyst

Wanting to talk about the core business. So as you reflected on the quarter, how much do you think pent-up demand contributed across the three segments. I know you talked about some catch-up in cytology. But do you think there might have been some flush from hospitals in Breast Health and timed surgical procedures going back?

We think there is probably some catch-up again -- is it a few percentage points, is it saying -- it's hard to completely quantify Jack in terms of both cytology as well as surgical and plus you have the year-end. People trying to get them in who have exceeded their Caps for the year, so you tend to have a pretty good time at year-end. In terms of capital a little hard to know, we saw a little bit of strength in pockets, certainly, again I think the way we're thinking about it, overall is, there is still going to be some little puts and takes here as the markets settle back down in the coming quarters. Or we continuing to take market share? Or we continuing to get stronger and none of it frankly is going to make a huge difference. Could we grow -- do we grow a 100% next quarter or 95%, it's -- we're talking on the base business, what would be minor percentages in terms of the total.

Karleen Oberton -- Chief Financial Officer

Yeah, the only thing I would add is that on the Brevera relaunch there was definitely some pent-up demand for capital for that relaunch and I think that really bodes well for that product. Moving forward, we think that will be a nice contributor to the Breast Health division.

Zachary Weiner -- Jefferies -- Analyst

Great. And then was hoping maybe give a little bit of color around expectations for new product launches throughout 2021. What do you have in the pipeline? Should we think kind of more incremental launches and how does the environment make you think about maybe doing larger moves in any other businesses for coming out of the R&D portfolio?

Steve MacMillan -- Chairman, President and Chief Executive Officer

Yeah, I think in terms of your -- the first question, I think we've got consistently, a lot of singles coming in new product development, frankly we've hit a Grand Slam in Diagnostics and put all of our energy and it's hard for people to fully understand how much R&D and manufacturing and quality assurance resources went into getting all of both the assays out for COVID as well as the additional label indications, things like pulling and they involve a lot of software. So we're continuing even just on pathways to continue to strengthen there. In Breast Health, we've got a number of things coming out using AI, we've got follow ups from the SSI acquisition on ultrasound Brevera is really in the process of rolling out. So we've got a lot of additional software and smaller things there, then we've got obviously Acessa the Pro-View product rolling in within the surgical business. So I think we feel very good about the cadence of those things rolling out.

And then on the M&A front, I'll probably go back to our -- the comment I made in probably answering the first question or so, which is the -- to me the best way to be disciplined in M&A is to have a great core business and all of our business's right now are good. We've also got just really good team is able to do some great due diligence. We've really walked away from a number of things actually even over the last few months and we continue to work others.

So I think we're able to look a little bit bigger, certainly given the cash, but we don't necessarily have big eyes or big needs and I think if anything, we're probably likely to be building a little bit more of a cash position here in the near term as Karleen mentioned, we've generated a $1 Billion of cash, just in the last 2 quarters, we certainly aren't spending at that rate and that's OK for right now, we'll will be patient and disciplined.

Michael Watts -- Vice President, Investor Relations and Corporate Communications

Hey Eduardo, I think we have --

Zachary Weiner -- Jefferies -- Analyst

Thank you guys.

Michael Watts -- Vice President, Investor Relations and Corporate Communications

Eduardo I think we have time for may be one more question.

Operator

All right. We will now take our last question from Vijay Kumar at Evercore ISI. Please go ahead.

Daniel Markowitz -- Evercore ISI -- Analyst

Hi, this is Daniel on for Vijay. Thanks for taking the question. Your comment on the 150 Panther placements in the quarter with a strong order book. I'm just wondering on capacity prepared to production or in other words, how I should think about the unwind on that order book?

Steve MacMillan -- Chairman, President and Chief Executive Officer

Sure, we're continuing to produce Panthers at a similar rate right now to what we just placed given that we still have very strong demand. I think probably later into calendar year '21, does that start to back down a little bit, probably given the extreme ramp-up, but we are continuing to produce at a similar rate right now.

Daniel Markowitz -- Evercore ISI -- Analyst

Thank you.

Operator

[Operator Closing Remarks]

Duration: 56 minutes

Call participants:

Michael Watts -- Vice President, Investor Relations and Corporate Communications

Steve MacMillan -- Chairman, President and Chief Executive Officer

Karleen Oberton -- Chief Financial Officer

Dan Leonard -- Wells Fargo Securities -- Analyst

Patrick Donnelly -- Citi -- Analyst

Chris Lin -- Cowen -- Analyst

Tycho Peterson -- J.P. Morgan Chase -- Analyst

Zachary Weiner -- Jefferies -- Analyst

Jack Meehan -- Nephron Research -- Analyst

Daniel Markowitz -- Evercore ISI -- Analyst

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