Logo of jester cap with thought bubble.

Image source: The Motley Fool.

Orasure Technologies Inc (OSUR 0.57%)
Q2 2021 Earnings Call
Aug 3, 2021, 5:00 p.m. ET

Contents:

  • Prepared Remarks
  • Questions and Answers
  • Call Participants

Prepared Remarks:

Operator

Welcome to the OraSure Technologies Incorporated 2021 Second Quarter Earnings Conference Call. My name is Adrian, and I'll be your operator for today's call. [Operator Instructions] Later, we'll conduct a question-and-answer session. [Operator Instructions]

I'll now turn the call over to Scott Gleason, Head of Investor Relations at OraSure. Mr. Gleason, you may begin.

10 stocks we like better than OraSure Technologies
When our award-winning analyst team has a stock tip, it can pay to listen. After all, the newsletter they have run for over a decade, Motley Fool Stock Advisor, has tripled the market.* 

They just revealed what they believe are the ten best stocks for investors to buy right now... and OraSure Technologies wasn't one of them! That's right -- they think these 10 stocks are even better buys.

See the 10 stocks

*Stock Advisor returns as of June 7, 2021

Scott Gleason -- Senior Vice President, Corporate Communications & Investor Relations

Thank you. Good afternoon, and welcome to OraSure Technologies' second quarter 2021 earnings call. I am Scott Gleason, the Senior Vice President of Investor Relations and Communications. Presenting forward for today are Dr. Stephen Tang, our President and Chief Executive Officer; and Roberto Cuca, our Chief Financial Officer. As a reminder, today's webcast is being recorded and a slide presentation accompanying the webcast can be found on the Investor Relations website.

Before we begin, you should know that the call may contain certain forward-looking statements, including statements with respect to revenues, expenses, profitability, earnings or loss per share and other financial performance, product development, performance, shipments and markets, business plans, regulatory filings and approvals, expectations and strategies. Actual results could be significantly different. Factors that could affect results are discussed more fully in the company's SEC filings, including its registration statements, its Annual Report on Form 10-K for the year ended 31, 2020, its quarterly reports on Form 10-Q, and its other SEC filings. Although forward-looking statements help to provide complete information about future prospects, listeners should keep in mind that forward-looking statements are solely based on information available to management as of today. The company undertakes no obligation to update any forward-looking statements to reflect events or circumstances after this call.

With that, I'm pleased to turn the call over to Dr. Stephen Tang.

Stephen S. Tang -- President and Chief Executive Officer

Thanks, Scott, and thank you to everyone for joining our call today. This quarter, OraSure saw an exceptionally strong recovery in our core business and excluding COVID-19 product revenue, we grew 122% year-over-year and 48% sequentially. And while we still have a ways to go, the beginning of the return to a more normal activity for our customers is a welcome sign as we look to the second half of fiscal year 2021.

The strengthening of our core allowed us to achieve strong financial results, despite the anticipated slowdown and molecular solutions COVID revenue as PCR test volumes declined in the US. This quarter, we also achieved a major milestone with the receipt of three Emergency Use Authorizations, EUAs for our InteliSwab COVID-19 Rapid Test in the US, which we continue to believe will be a very important driver of incremental revenue, and a source of growth for the company.

The launch of our InteliSwab tests demonstrates the ability of the company to develop, launch and market new products. And in the coming year, we will talk more about our renewed focus on innovation and our product pipeline as one of our strategic areas of focus. As we reflect on our strong quarterly results and our numerous COVID-19 launches, I would like to personally thank OraSure's dedicated employees around the world who have worked tirelessly to get us to this exciting point in our company's journey.

I would now like to discuss our strategic priorities, which include capitalizing on the COVID-19 testing opportunities, expanding our sample collection and molecular services business in a new sample types and testing modalities and expanding our global reach and driving innovation with a focus on achieving higher growth through both internal R&D and M&A. First, as we look at the COVID-19 testing opportunity, this quarter, we received three EUAs for our InteliSwab COVID-19 Rapid Test for Over-the-Counter, OTC, professional point of care and Prescription Home Use. We believe InteliSwab is competitively differentiated primarily because the test is remarkably simple to use. You just swab your nostrils with a gentle swab, swirl the swab in the tube and see your test results in minutes. Unlike other Rapid COVID tests, there is no confusing steps, no batteries, no electricity needed and no mailing samples to a lab. We like to say it's as simple as swab, swirl and see.

OraSure knows this simplicity is absolutely crucial to adoption and ongoing use by consumers and clinicians ensures confidence in the results and enable testing absolutely anywhere, including outreach testing to underserved communities, exactly where HIV and HCV tests are used today. As is customary in medical device and diagnostics, the conversion of customer leads to purchase orders takes time. And recall that we were limited in our ability to promote this new product prior to receipt of our three EUAs in early June. So while we are in the initial phases of customer acquisition, we did begin shipping orders in June and continue to receive orders in July. We currently have customer inquiries representing over $25 million, including inquiries from over 15 countries that will accept FDA EUA product with appropriate country specific documents and labeling.

We believe the recent propagation of new variance has renewed the focus of global governments on a multi-pronged strategy to counter the pandemic consisting of vaccination, protection and frequent testing. A study conducted by the National Institutes of Health and recently published in The Journal of Infectious Diseases, indicated that antigen testing when conducted every three days as sensitively equal to that of PCR line-based testing. This supports the need for regular, fast and frequent testing, which will be needed in remote locations and at home. One of the most crucial requirements for this type of testing is the ease of use, and that's where InteliSwab provides a real benefit.

Our country's response to the pandemic is well-characterized by the CDC program of protect, test and vaccinate. We continue to believe that testing will be a critical component of the three-tiered response to counter the COVID-19 pandemic. As new variants such as Delta and Lambda propagate across the globe, there has been increasing demand for testing in multiple global markets. Additionally, as students return to school and employees return to work, we believe testing will be vital for ensuring safety and hygiene for all.

We've already seen several announcements around programs incorporating both vaccinated and unvaccinated individuals. Additionally, large funding pools have become available from the federal and state governments, including the CDC's $2.3 billion of funding for underserved and rural communities for which our test is ideally suited. An additional $1.6 billion from the Biden administration to address testing and mitigation in vulnerable communities, and $10 billion from the Biden administration to fund back to school testing. That adds up to $13.9 billion in federal funding to in large part address testing in congregate, underserved and vulnerable communities, places where vaccination rates are low and COVID-19 variants are now surging, and our InteliSwab test is ideally suited.

Lastly, as it pertains to COVID-19, I want to provide an update on our oral fluid antibody tests. The FDA recently responded to us and declined to further review our submission as they focus on areas of higher priority. However, we will continue to offer this product as a research use only tests with several laboratories interested in COVID-19 antibody surveillance and research applications.

Next, I would like to highlight one example of how we're trying to expand our sample collection business. As you know, we built the saliva sample collection portfolio by generating data, disrupt the standard-of-care for sample type, often blood and then co-clearing our collection devices with relevant assays in the genomic space. We are now pursuing a similar strategy with first-void urine collection with our Novosanis subsidiary. As we look to bring the non-invasive benefits of urine sample collection to new markets.

This quarter, we had a significant publication in Gynecologic Oncology, demonstrating the ability of Colli-Pee, OraSure's proprietary urine sample collection technology, to facilitate testing for human papilloma virus, HPV, using first-void urine samples from patients. In the study of approximately 500 women, the sensitivity and specificity of Colli-Pee collected first-void urine samples were shown to be similar to the sensitivity and specificity of clinician collected cervical samples using Abbott's RealTime High Risk HPV assay for the detection of neoplasia.

We have additional clinical studies in process with other major HPV test manufacturers that we expect to come out later this year. While there is still a significant pathway to full product validation, regulatory approval, we believe Colli-Pee has the potential to transform cervical cancer screening to a better, less invasive and more cost-effective modality where women can have the sample collected for cervical cancer and other sexually transmitted diseases in the privacy of their own homes. The market potential for HPV screening represents greater than 30 million tests per year in the US alone, making this a significant future opportunity.

In regard to Colli-Pee used for oncology, we also saw MDxHealth, one of our top customers using Colli-Pee cancer screening receive a draft local coverage determination from Palmetto GBA, a Medicare administrative contractor for their select MDx urine test for prostate cancer risk assessment. Typically, these types of reimbursement coverage decisions are catalysts, more significant commercial adoption of laboratory tests.

This was also a record quarter for our microbiome business in both the service and kit side with over $6 million of total revenue. We now have over 50 commercial customers in microbiome testing, including over 30 biopharmaceutical companies conducting over 20 ongoing clinical studies. We're working with all the top five companies in the microbiome space as well as five of the top 10 pharmaceutical companies in the United States. Early data around microbiome based therapeutics has been positive. And some of these studies are beginning to advance to the Phase III stage with FDA, which will lead to increasing revenues as a number of samples evaluated increases. We also believe eventual regulatory approval microbiome-based therapeutics will lead to further research investment in this area, which will benefit our business.

Building on the growth of our microbiome business, in the second half of this year, we plan to offer a new GUT metatranscriptome collection kit and metatranscriptome service in support of our customers microbiome research. This is an important step for the strategy of expanding sample types analytes, and services as we pursue our multiomic strategy.

Another important strategic component of our molecular solutions business is expanding our long-term competitive position in the market. Investors have asked us about recent low-tech COVID-19 collection devices launched by other companies. I believe it's important to highlight the unique features of our products. Our devices are designed for remote sampling collection for genetic sequencing, in addition to the well proven, easy to use, consumer-friendly form factors. These features proprietary patented designs and chemistry is capable of stabilizing a variety of analytes under a broad range of storage conditions, allowing shipment and storage at ambient temperatures, because the DNA and RNA is preserved. Sample collection in our devices are suitable for surveillance-related sequencing for variant detection as an example.

While there are lower cost devices in the market that can be used for COVID sample collection, they do not match our benefit profile. We continually innovate on both our physical design and chemistry and as a result, have significant intellectual property protecting our technology, many with expirations extending out many years. Additionally, we are increasingly pursuing regulatory approvals in conjunction with our strategic customer relationships, such as the clearance received for our oral fluid collection device in conjunction with Helix for their Whole Exome test this year.

Finally, we have established long-term contracts with some of our key customers, providing long-term visibility, and we are increasingly adding a broader range of services to customer agreements, such as fulfillment and customization services. Importantly, our customer base in these markets has become increasingly diverse. We have over 6,000 customers now with no single customer representing greater than 7% of our revenue in fiscal year 2020. Consequently, we believe we're at an extraordinarily strong competitive position as one of the global leaders in this market with our ability to address diverse markets such as consumer genomics, clinical genomics and home testing, which are growing in the mid-teens, with our ability to expand our solution set to additional high growth areas and sample modalities.

Moving onto our strategy to expand our global reach and presence, we continue to see strong adoption of our OraQuick HIV tests internationally driven by double-digit annual growth since 2016 of our HIV self test, the only regulatory approved oral fluid self tests for HIV in the world. We are already using our established distribution channel for HIV for the new InteliSwab COVID-19 Rapid Test, where we have increased from several countries as COVID-19 continues to spread outside the US.

Across the OraSure portfolio, we continue to expand our global reach and now have over 400 product registrations in 95 countries. This not only applies to diagnostics, but also the Molecular Solutions. We're also looking to increasingly expand outside the United States with our collection kits using our COVID-19 collection devices.

Finally, I'd like to discuss our strategic priority of driving innovation with a focus on higher growth spaces through internal R&D and M&A. I would like to provide some additional details relating to our business development efforts where we've been very active in assessing a number of opportunities and new technologies. From a prioritization standpoint, we're focused on companies and technologies, which build upon the foundation of our existing business strategies and diagnostic and molecular solutions, that would allow us to leverage our infrastructure and market expertise.

In diagnostics, we recognize OraSure strength, and what sets us apart is our expertise and simpler, more effortless testing. With COVID -19, we saw a real time just how important this type of testing really is. So as we think about the future of diagnostics, OraSure is ideally positioned to drive additional self-testing and more effortless testing at the point-of-care. We are actively investigating new technology platforms that could expand our menu of tests on a global basis and provide long-term competitive differentiation.

With the molecular solutions business, we're really looking at innovative solutions, which can expand our capabilities from a sample collection format, expand our reach in the new high-growth emerging areas of testing, further strengthening our competitive positioning, and expand the scope of data and services we can offer our clients. We ended the quarter with $229 million in cash and cash equivalents, and we believe there is significant opportunity to drive further growth and stockholder value through external M&A.

Overall, I'm extremely excited about the outlook for the next 12 months at OraSure. We're currently conducting our annual strategic review, which will incorporate both broad internal stakeholder input and outside expertise in order to ensure we're taking full advantage of the strategic opportunities in front of us. We will look to share the output of this review with investors when the review is complete, along with a broader look at the innovation occurring within our organization.

And with that, I'm pleased to turn the call over to Roberto to discuss our financial results and outlook.

Roberto Cuca -- Chief Financial Officer

Thanks, Steve. I'm happy to review our financial results for the second quarter. First, from a topline perspective, we delivered total revenue of $57.6 million in the second quarter of 2021, compared to $29.3 million in the prior year, representing a year-over-year growth of 97%. As a reminder, last year second quarter was the most heavily impacted by the COVID-19 pandemic. However, as Steve previously noted, our core business excluding COVID-19 product revenue grew 122% year-over-year and 48% sequentially this quarter, representing a significant recovery and demonstrating meaningful progress in key areas such as domestic and international diagnostics, our consumer genomic sample kits and microbiome kits and services.

Total diagnostic revenue in the quarter was $19.3 million versus $10.4 million in the previous year, reflecting 85% growth. Importantly, this quarter, we saw an improvement in domestic HIV, HCV and risk assessment testing revenue as we start to return to pre-pandemic level. Our international diagnostics business saw 89% growth in the second quarter versus the prior year, and grew 8% in the first half of 2021 when compared to 2020. This strong growth was achieved despite few important headwinds: first, there were expected changes in the Bill and Melinda Gates Foundation subsidy for our HIV self test, which have impacted revenue growth year-to-date. This subsidy ended in June 30 of this year, pursuant to the terms of our agreement with the foundation and has been tapering downward for some time. In addition, as COVID-19 is now spiking across Africa, with many major countries in lockdown, our NGO customers have experienced in-country distribution challenges, which then cause delays in Q2 orders.

Looking at our molecular solutions business, total second quarter revenue was $38.3 million, increasing 103% versus the prior year. We saw a strong rebound in customer activity in the consumer and clinical genomics areas. COVID-19 revenue in molecular solutions increased 36% year-over-year to $11.5 million, but declined by 58% sequentially, as PCR testing rates in the US decreased and customers lowered inventory positions. The non COVID-19 portion of the molecular solutions business grew 61% sequentially. Looking back to the pre-pandemic period in the second quarter of 2019, our molecular solutions business grew 45% relative to that period, excluding COVID-19 revenue, demonstrating strong growth in the base business.

Now I'd like to discuss our financial results, beginning with our gross profit percentage. Gross profit percentage in the second quarter was 53.2% compared to 59% in the same period last year. The decline in overall gross profit percentages reflects three factors: The first was product mix in the diagnostics segment with a higher proportion of revenue coming from the lower margin international business, coupled with the decline in the Gates Foundation subsidy. The second factor was the significant hiring and equipment purchases to-date for the InteliSwab launch, which do not yet have associated positive offsets from a revenue perspective. Finally, we did see higher material and labor costs in the quarter.

From an expense standpoint, total operating expense in the quarter was $28.9 million compared to $26.7 million in the second quarter of last year, reflecting operating expense growth of 8%. In the quarter, we generated operating income of $1.8 million, compared to an operating loss of $9.4 million in the previous year. Moving to the bottom line, we generated a net loss per share of $0.02 in the second quarter of this year compared to a net loss of $0.16 per share in the same quarter last year. Cash used in operations for the quarter was $3.4 million.

Moving on to our financial outlook. Given the continued volatility and unpredictability around COVID-19 testing, we are providing topline guidance for the third quarter with some additional color on our full-year outlook. For the third quarter, we expect revenue of $45 million to $50 million. Additionally, we anticipate full year InteliSwab revenue of approximately $30 million, with the preponderance of that occurring in the fourth quarter. This will position us to deliver full-year revenue of approximately $230 million.

I'll review a few of the key assumptions underlying our third quarter guidance. First for InteliSwab, although, we currently have an installed capacity of 55 million tests per year manufacturing. We faced some manufacturing challenges with respect to tech transfer. Although, we are confident in our ability to rapidly resolve these issues, they weren't passing [Phonetic] on product available for sale in the third quarter. As the COVID-19 pandemic continues to evolve in the US, we have noted a declining pricing environment and have also factored that into our projections. Despite these issues, as we previously discussed, we've been receiving significant inbound interest and expect our book of business to continue to expand throughout the quarter.

With respect to our molecular collection kits for COVID-19 PCR-based testing, we are assuming a significant sequential decline in revenue, given current PCR-based testing trends. However, given the proliferation of new viral variants, the upcoming fall, cold and flu season, increasing international sales and funding for back-to-school programs for PCR testing is predominantly used for younger children, we believe there will likely be a rebound in our PCR kit sales for COVID-19 testing products this fall. So ultimately, this assumption could prove conservative.

As we look to our fourth quarter, we would anticipate a significant sequential uptick in revenue as InteliSwab revenues become much more pronounced. Although our third quarter outlook is conservative, we are focused on establishing a revenue baseline that is achievable with the potential for upside if we outperform our current assumptions.

With that, I will turn the call back to Steve.

Stephen S. Tang -- President and Chief Executive Officer

Thanks, Roberto. As a company, we are an exciting point in our history, and the progress we made from our fundamental perspective is beginning to become evident in our financial results. This quarter, we demonstrated the increasing strength of our core franchise with non-COVID revenue of $46 million, representing almost a $200 million annual run rate. That would be an historic high for our total revenue. We have now entered the commercialization phase with InteliSwab. We remain confident that InteliSwab will be a significant driver of revenue growth and free cash flow and also a long-term product of the company as we ultimately entered the endemic phase of the disease.

Our molecular solutions business is also increasingly strong footing as we build out new products and service capabilities, increasing the number of sample types we can accommodate and expand a new fields of testing and end use markets growing in the mid teens. Finally, we are invigorating our innovation engine of the company and look to introduce new technologies for internal R&D, external collaborations and M&A. Overall, we believe we are poised to emerge from the pandemic stronger, more innovative and faster growing company.

And with that, I'd like to turn the call back to Scott for questions and answers.

Scott Gleason -- Senior Vice President, Corporate Communications & Investor Relations

Thanks, Steve. Operator, we are now ready to begin the Q&A portion of our call. We would ask that you limit your questions to one question and one follow-up to ensure broad participation.

Questions and Answers:

Operator

Thank you. We will now begin the question-and-answer session. [Operator Instructions] And our first question comes from Vijay Kumar from Evercore. Your line is open.

Vijay Kumar -- Evercore ISI -- Analyst

Hey guys, congrats on the [Indecipherable] and thanks for taking my question. My first question on the guide here, Steve and Roberto, I guess, the $30 million of antigen testing revenues, what is -- what are you assuming for 3Q and Q4? So I look at your 3Q revenue guide of $45 million to $50 million, the implied Q4 is about $65 million plus, if all of antigen revenues were flowing through in Q4, then the base -- implied base is $30 million, $35 million-ish [Phonetic], that seems to be a pretty dramatic decline versus your pre-pandemic level. So what does, maybe just walk us through your second half assumptions within base versus COVID tailwinds?

Roberto Cuca -- Chief Financial Officer

Sure. Thanks for the question, Vijay. So I'll start off and then Steve can jump in. So, as we mentioned in the prepared remarks, we expect that the preponderance of the $30 million in InteliSwab revenues in the second half of the year will occur in the fourth quarter. So given that, we haven't given exact guidance on how much we expect in the third and fourth quarter, specifically. But you're right, there is a decline in the remainder of the business from the second to third quarters. The biggest driver of that decline is our lower COVID-19 molecular collection kit revenue expectations. As we stated in the prepared remarks, we've taken a conservative outlook based on current demand trends. And additionally, we're making some lower assumptions for some of the core products in diagnostics and molecular solutions, following strong growth and core demand in the second quarter, which could have been driven by restocking or initial distributor purchases or clinic purchases. So we do expect to see slightly lower third quarter than second quarter in some parts of the base business. Definitely a step down in the molecular collection devices. And as we discussed in the prepared remarks, some of the challenges in the tech transfer of the InteliSwab manufacturing have delayed the availability of products such that we'll see most of our InteliSwab sales for the year in the fourth quarter.

Vijay Kumar -- Evercore ISI -- Analyst

That's helpful, Roberto. And Steve, maybe one for you. Some recent articles on perhaps some other corporates or companies having [Phonetic] approached OraSure. I know you don't comment on market speculation. But can you -- the article did mentioned that OraSure has started a strategic review process. Can you tell us if you've started the strategic review process of the business?

Stephen S. Tang -- President and Chief Executive Officer

Well, Vijay, I think, as you know, we wouldn't comment on the veracity of any rumors. And so we're going to stand by that.

Vijay Kumar -- Evercore ISI -- Analyst

Got you. And maybe one last one, if I could ask. Gross margins, maybe, what is one timer here in 2Q, and should second half being in the low 50s or should that normalize to 60 plus?

Stephen S. Tang -- President and Chief Executive Officer

So the biggest driver of the step down year-on-year in gross profit percentage was the increase in our HIV international sales, which tend to be lower than the average of our gross profit percentage across the company, coupled with the decrease in the Bill and Melinda Gates Foundation supplement to those revenues. As we see growth from InteliSwab over the course of the second half, which is likely to be higher -- the higher margin product, and which we are likely to get better pricing on as we get deeper into the year, we should see some movement in the gross profit percentage.

Vijay Kumar -- Evercore ISI -- Analyst

Thanks, guys.

Operator

And our next question comes from Patrick Donnelly from Citi. Your line is open.

Patrick Donnelly -- Citi -- Analyst

Great. Thanks for taking the question, guys. Just on the tech transfer issues impacting InteliSwab manufacturing. I think you guys already manufacturing at risk. So can you just talk to, I guess, when the problem arise? And also, I guess, the path to resolving it? Are you already through it? It sounds like, obviously, with 4Q being bigger, and we have a little bit to go here. But just talk through, I guess, the steps necessary to get us to that 55 million of manufacturing capacity or just in general higher capacity. What you guys are doing internally there?

Stephen S. Tang -- President and Chief Executive Officer

Yeah, Patrick, I'll start. So we have been increasing our capacity as we've been sharing quarter-by-quarter. We currently have installed capacity to produce 55 million tests per year, and we're installing additional equipment to expand at 70 million tests per year this quarter. Our current production as we announced will be significantly lower than that, until we can resolve the tech transfer issues. We have been manufacturing at risk. The issues that we're facing are one of scale up as we are getting more volume online and trying to address issues and increasing that scale. So these are situations we have seen before and other product launches. Fortunately, the InteliSwab design and platform is largely similar to our OraQuick HIV and HCV and Ebola platform. So we've seen this type of situation before. So we're working to rapidly resolve that which hopefully will open up more capacity in the fourth quarter.

Patrick Donnelly -- Citi -- Analyst

Okay, that's helpful. And then, I know you mentioned orders from, I think, 15 countries who are going to accept the EUAs as approval. Can you talk about just broadly the opportunity to OUS? What key markets are you still pursuing additional approvals and maybe just some timelines around the bigger ones that we should keep an eye out for?

Stephen S. Tang -- President and Chief Executive Officer

Well, it's been -- it's shifted, I think as the pandemic has spiked in certain parts of the world. And so as you would expect, countries that accept the FDA EUA as part of the authorization to sell in their country and where the virus and pandemic are spiking are clearly the ones is in the greatest need right now. So that's where we're seeing the most interest in the hotspot countries. 15 that I mentioned, they have the ability to accept the EUA. Beyond that, we're looking at broader geographical coverage, like the European Union. But quite frankly, we didn't expect interest this soon for our product. We thought primarily this would be a domestic product, but it turns up the interest is purely global. So we're adjusting to that, and we're addressing those needs.

Patrick Donnelly -- Citi -- Analyst

Okay. It's a good problem to have. So maybe last quick one, just on the long-term contracts in the sample collection, encouraging to hear that that you guys establish some of those. I know competitive noise has been something you guys have talked about, investors always ask about. So I mean, was this in response to that any change in terms of the pricing we should think about? Or any metrics you can give us in terms of what percent of customers are locked in? I know you said there were some key large ones. So just trying to get a feel for what that looks like. Thank you.

Stephen S. Tang -- President and Chief Executive Officer

Well, so we have not seen significant price changes in the consumer genomics area. I think what we're pleased to see is that it's a rebound of not only the commercial genomics, but also the academic genomics businesses. So we haven't announced what percentage of our revenue base or customers are locked in per se, but it's a significant amount. And I think that the issues we had a few years ago with customer concentration are behind us. And so I think that it bodes well for the continued growth in the consumer genomics area.

Roberto Cuca -- Chief Financial Officer

Yeah. Like we said, number [Phonetic] on the call that we had 36,000 [Phonetic] total customers, it's really just the top ones that we have kind of the longer-term contracts with. But it's more about kind of the multiple strategies that we're engaged in terms of getting regulatory approvals in conjunction with the customers expanding the IP portfolio. And so it's all of those factors going to combine that we think build a very defensible position for that business.

Stephen S. Tang -- President and Chief Executive Officer

Makes sense. Thank you, guys.

Operator

And your next question comes Frank Takkinen from Lake Street Capital. Your line is open.

Frank Takkinen -- Lake Street Capital Markets, LLC -- Analyst

Yeah. Thanks for taking my questions, guys. So not sure if I heard it did get on the call a little bit late, but I was curious about the broader capacity expansion plans that were put in place last quarter, have those changed at all timeline or size wise?

Roberto Cuca -- Chief Financial Officer

Hi, Frank. Thanks for the question. So our capacity expansion plans as far as installed capacity remain on track. So we do expect to, for example, for InteliSwab have installed capacity at the end of the third quarter of 70 million units per year. And again, that includes non-COVID-19 applications of approximately 17 million units a year. And the majority of investment for all of our capacity expansion efforts is largely committed. So we do expect to continue the capacity expansions on the same track as we previously described.

Frank Takkinen -- Lake Street Capital Markets, LLC -- Analyst

Got it. Okay. That makes sense. And then I just wanted to ask a little bit more of a broader question about the base business. And it's not meant to pin you down on any forward-looking growth rates or anything of that nature. But just wanted to kind of level set everybody, and how we should think about the base business? And there's obviously a lot of moving pieces there. But maybe could just talk a little bit through broadly, how you think growth rates could look across infectious disease versus molecular solutions and maybe go into depth in some of your higher-growth areas and some areas that you feel could produce some outsized growth and come a little bit under the spotlight, as you look out over the back half of this year as well as into 2022.

Stephen S. Tang -- President and Chief Executive Officer

Yeah, Frank, so I'll start. I think as we highlighted on the call, we still see strong growth in international HIV, that was strong first half growth over last year and that continues to grow, particularly in number of units outside the US. We have sold over 23 million HIV Self-Test in 35 countries so far, so we expect that to continue. We're seeing renewed growth as we talk about in the consumer genomics area, particularly in disease risk management, companion animal and lifestyle areas. We talked about the fact that the microbiome franchise, which includes sample collection kits and services had a record quarter in their own right. And we had strong growth expectations for the microbiome business before that pandemic, and those look like they're continuing. So those are some of the areas that I would highlight. And obviously, we're just at the tip in the beginning of the COVID-19 InteliSwab commercialization process, so that will be a growth driver as well.

Frank Takkinen -- Lake Street Capital Markets, LLC -- Analyst

Got it. Okay, that's helpful. That's all for me. Thanks.

Operator

And your next question comes from Brandon Couillard from Jefferies. Your line is open.

Matt -- Jefferies -- Analyst

Hey, guys, this is Matt [Phonetic] on for Brandon. Thanks for taking the question. First one is just for Stephen, could you maybe talk a little bit about since you got the test approved back in June, the evolution of your talks with customers or potential customers, and big retail players, academic education setting, which you've had success with your collection kits in the past, just where you're seeing the most interest and then talk about kind of the durability of that as we look into the back half of the year and into 2022?

Stephen S. Tang -- President and Chief Executive Officer

Yeah, certainly, Matt. So the conversation specifically on InteliSwab have been very active, very robust, many inbound inquiries. A lot of those have to do with back-to-school and back-to-work programs overall. And, of course, separately the sample collection area for COVID-19 has a strong base in back-to-school programs as well. So those continue, I think that where we -- what we've seen since we received our EUAs in June 4th is that we are kind of at the low point in testing from June 4th until today. And it's only in the past week or so, where the concerns about the Delta variant and testing not only vaccinated -- unvaccinated, also vaccinated people has come to the front. So we are seeing the pipeline increase over time. Now, since the product launch, I think there has been clearly a focus on asymptomatic testing and serial testing, other words, selling products that can be used to test a single person in one instance and then testing them again in 24 or 36 hours. That's going to become increasingly important to avoid quarantines and shutdowns. And so, I think, we've entered clearly a new phase of the pandemic and that's driving great demand for InteliSwab and as other products are on the market, or use and the difference in quality of our product, which is ease of use, less than a minute of on hands time for a customer to do the test itself. Those attributes are really going to be difference makers. So this is a dynamic market and I think it's coming our way quickly and we'll see that through the rest of the year. And I think we will see an exit rate into 2022, which would be very favorable to us.

Matt -- Jefferies -- Analyst

Super. Thank you.

Operator

And our next question comes from Jacob Johnson [Phonetic] from Stephens. Your line is open.

Jacob Johnson -- Stephens Inc. -- Analyst

Hey, thanks. Good afternoon, everybody. Maybe just one follow-up on the capacity side. Just on collection kit capacity, it sounds like from Roberto's comments are committed to still building this out. So can you just talk about the portion of that capacity that you need for non-COVID purposes, maybe what could drive the non-COVID side, higher as we look at a couple of years? And then if we see limited COVID-19 collection kit sales or maybe the sales remain limited in the near and medium term, what would the plans for that capacity ultimately be?

Roberto Cuca -- Chief Financial Officer

Thanks for the question, Jacob. Yeah. So we remain on track with our molecular collection kits capacity expansion. And as you saw in this quarter, which was a quarter where the COVID-19 application of those collection kits decreased sequentially. The academic and commercial consumption of the kits increased. So we do think that there is pretty good elasticity between the two applications, and we continue to drive growth of both consumer and academic use of those kits. So we expect that to the extent that we're not using them for COVID-19. There will be other applications that we can put those kits too.

Jacob Johnson -- Stephens Inc. -- Analyst

Got it. Thanks, Roberto. And then, maybe for Steve, and just maybe kind of moving back to the non-COVID side. On microbiome, obviously, a really strong quarter there, I guess, record quarter maybe. Can you just remind us of the microbiome assets that you have their capabilities and kind of your outlook for that end market?

Stephen S. Tang -- President and Chief Executive Officer

Sure, Jacob. So our microbiome assets include the sample collection kits, as well as the service businesses, which we acquired a few years ago. So that's traded under the company name Diversigen. It actually is the merger of the Diversigen and CoreBiome assets, which we acquired separately a few years ago. So, that's a company that has a CAP certified laboratory, which essentially does the wet chemistry, all the way through to the machine learning enabled data treatment to characterize what is in that microbiome sample. So it's the type and percentage number of microbes in that sample. A lot of the work is being done in the GUT microbiome area, but we're also moving into the skin microbiome and industrial hygiene areas. And so, as we stated on the call, we have a large customer base for that service business, the several top biopharmaceutical companies products moving into Phase III clinical trials. And so it's been a promising area for some time. And I think what we're starting to see is much more commercial activity on the services side, which coupled with the sample collection kits, I think is going to be high growth for us for the foreseeable future.

Jacob Johnson -- Stephens Inc. -- Analyst

Got it. Thanks for taking the questions, guys.

Operator

[Operator Instructions] And our next question comes from Andrew Cooper from Raymond James. Your line is open. Andrew Cooper, your line is open. If you're mute, could you unmute your phone?

Andrew Cooper -- Raymond James & Associates -- Analyst

Sorry about that double mute. Thanks for the questions and I appreciate the chance here. Maybe just first, I think the area of biggest differentiation versus our model was within that genomics space outside of COVID. We know there was a big promotion event late June, is there anything to call out to think about in terms of moving from that? Was it just kind of broad-based growth or anything kind of one-time we should think about when we think sequentially in that genomics space?

Stephen S. Tang -- President and Chief Executive Officer

So I'll start, and just nothing to call out. I think there is a normal seasonality, our -- both our product business and the royalties we received for the collection kits for consumer genomics is driven by events like Amazon Prime Day. So I think that's been the same for several years now. Amazon Prime Day was different in 2020 than it was in 2021. So that could be a slight difference. But I don't think there's anything inherent to that. I think we're seeing overall strong demand particularly as academic labs reopen, and as people could become more interested in their health and what we call disease risk management, which is the genetic linked to disease. So nothing that I would call out. Roberto, you have anything else you want to add to that?

Roberto Cuca -- Chief Financial Officer

No. I think you've touched on everything, Steve. Just the key there is, there were no one-time events. It just represented organic growth.

Stephen S. Tang -- President and Chief Executive Officer

Andrew, one thing I'd just highlight, when you look at that business from the kind of pre-COVID numbers, if you go back to 2019, we said it was up 45%, which implies kind of a 20% CAGR. I think one trend you have seen is that business has become more diverse as we had more customers, obviously, was some consumer genomics headwinds for some time. I think the consumer genomics side as you can see in the news is starting to do a little bit better. And so I think we're kind of starting to see the growth there, the opportunity in the market kind of come through in the numbers as well.

Andrew Cooper -- Raymond James & Associates -- Analyst

Okay. Great. And maybe just one more kind of focused on InteliSwab, I like hearing the $25 million in inquiries you referenced, is there any sort of timeframe you can put around what folks are looking out at and how to think about that in context of talking about $30 million for the year and more 4Q. Just how should we think about the duration of some of these conversations and what the structure might look like as they start to roll into the -- roll into the model and roll into the results?

Stephen S. Tang -- President and Chief Executive Officer

Yeah. So, Andrew, I think overall there is very strong demand, and I think it's because we're entering this new phase of the pandemic. So I think the forward-looking view to me is much more intense than the backward looking view, because the backward looking view includes this low-end testing in the second quarter for just about everybody. So I think as we get more serious about how we can avoid quarantines and shutdowns, the need for testing will become much more apparent and the need for self-testing will become important on top of that. And then on top of that the attributes of InteliSwab, which are its ease of use, and the confidence the user can have in the results, that will factor in as well. So that's the cost [Phonetic] we have looking forward. Some of the opportunities that are coming in OraSure included in that $25 million pipeline that we talked about are near term and some are longer term and better yet some are even short term and long term, which suggest a recurring sales over time. So we haven't given specifics on that, but our pipeline is actually increasing week-over-week as the concerns about Delta variant become very, very apparent.

Andrew Cooper -- Raymond James & Associates -- Analyst

Great. I appreciate the questions.

Operator

And we have no further questions. I will turn the call back over to final remarks.

Stephen S. Tang -- President and Chief Executive Officer

Thank you, everyone, for joining us today, and we appreciate your participation in the call.

Operator

[Operator Closing Remarks]

Duration: 49 minutes

Call participants:

Scott Gleason -- Senior Vice President, Corporate Communications & Investor Relations

Stephen S. Tang -- President and Chief Executive Officer

Roberto Cuca -- Chief Financial Officer

Vijay Kumar -- Evercore ISI -- Analyst

Patrick Donnelly -- Citi -- Analyst

Frank Takkinen -- Lake Street Capital Markets, LLC -- Analyst

Matt -- Jefferies -- Analyst

Jacob Johnson -- Stephens Inc. -- Analyst

Andrew Cooper -- Raymond James & Associates -- Analyst

More OSUR analysis

All earnings call transcripts

AlphaStreet Logo