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    Matt Larew

    Partner and Senior Equity Research Analyst at William Blair & Co.

    Matt Larew is a Partner and Senior Equity Research Analyst at William Blair & Co., specializing in healthcare, with a focus on life science tools and healthcare delivery. He covers companies such as 10x Genomics, MaxCyte, U.S. Physical Therapy, DaVita, Labcorp, and LHC Group, and was ranked No. 3 stock picker in healthcare providers and services by StarMine Analyst Awards in 2019. Larew joined William Blair in 2012 following experience as Principal at University of Iowa Hospitals & Clinics, and holds an M.B.A. and Master of Health Administration from the University of Iowa and a B.S. in biological sciences from Notre Dame. His professional credentials include recognition as an Institutional Investor Rising Star and coverage in major financial media, evidencing his industry expertise and influence.

    Matt Larew's questions to MARAVAI LIFESCIENCES HOLDINGS (MRVI) leadership

    Matt Larew's questions to MARAVAI LIFESCIENCES HOLDINGS (MRVI) leadership • Q2 2025

    Question

    Matt Larew of William Blair asked about the long-term vision for Maravai, noting its history of aggregating assets and the new emphasis on the standalone value of the BST business. He also inquired about a potential timeline for completing the strategic review to reduce uncertainty.

    Answer

    CEO Bernd Brust acknowledged Maravai's past as a holding company and explained the BST business is highlighted because its value is often overlooked. He stated that strategic decisions on M&A will be made after the business is stabilized. Regarding a timeline, Brust pointed to the rapid pace of changes already made as evidence that they will act 'rather sooner than later.'

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    Matt Larew's questions to Alpha Teknova (TKNO) leadership

    Matt Larew's questions to Alpha Teknova (TKNO) leadership • Q2 2025

    Question

    Matt Larew from William Blair inquired about the triggers for unlocking customer spending amid macro headwinds, the dynamics of new account growth versus average spend per customer, and the drivers behind the strong gross margin performance.

    Answer

    CEO Stephen Gunstream stated that customers are seeking predictability and are moving from a 'wait and see' mode to active decision-making. He attributed new customer growth to commercial investments, while lower spend per customer reflects the macro environment. CFO Matt Lowell explained that strong gross margins were driven by revenue leverage and manufacturing efficiencies, and while he guided cautiously for the back half, he reiterated the long-term target of 70% drop-through on incremental revenue.

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    Matt Larew's questions to MAXCYTE (MXCT) leadership

    Matt Larew's questions to MAXCYTE (MXCT) leadership • Q2 2025

    Question

    Matt Larew asked about the unexpected manufacturing reorganization at MaxCyte's largest customer, seeking clarity on the duration of the impact and the level of certainty about future operations. He also inquired about the potential for further operational efficiencies given the flat revenue trend versus increased spending in recent years.

    Answer

    President and CEO Maher Masoud clarified that the issue with the largest customer is a short-term manufacturing consolidation with no expected long-term impact on licensing revenue, and that MaxCyte has visibility into their plans. Regarding expenses, Masoud emphasized the company's commitment to achieving profitability with its existing capital, noting that they successfully absorbed SecurDx's costs while still modestly decreasing year-over-year OpEx and will continue to seek efficiencies.

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    Matt Larew's questions to BIO-TECHNE (TECH) leadership

    Matt Larew's questions to BIO-TECHNE (TECH) leadership • Q4 2025

    Question

    Matt Larew of William Blair asked what customer outreach has revealed about the specific catalysts that would unlock budgets amid current uncertainties. He also inquired about the company's M&A strategy following recent portfolio reshaping, including target profiles by segment and profitability.

    Answer

    CFO James Hippel suggested that customer behavior in the academic market is currently more conservative than even a worst-case funding outcome, implying that any resolution or certainty would be an upside catalyst. President & CEO Kim Kelderman reiterated that M&A is the highest priority for capital, focusing on high-margin, high-volume products that align with core reagents, cell therapy, and the ProteinSimple instrument franchise.

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    Matt Larew's questions to Stevanato Group S.p.A. (STVN) leadership

    Matt Larew's questions to Stevanato Group S.p.A. (STVN) leadership • Q2 2025

    Question

    Matt Larew of William Blair asked about the reasons for new order delays in the Engineering segment and the timeline for its recovery, and also sought confirmation on the continued improvement in the vials business.

    Answer

    CFO Marco Dal Lago clarified that Engineering order delays were due to customer CapEx decision timing, not lost deals, and that the guidance reflects this shift. CEO Franco Stevanato added that demand remains strong and completing legacy projects will enable new orders. Regarding vials, Dal Lago confirmed that strong order intake supports the full-year growth forecast, with Stevanato noting a gradual market normalization.

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    Matt Larew's questions to Twist Bioscience (TWST) leadership

    Matt Larew's questions to Twist Bioscience (TWST) leadership • Q3 2025

    Question

    Matt Larew asked about the growth drivers for the Synbio business, questioning the contrast between recent single-digit growth and the historical 20% CAGR, and seeking clarity on customer order trends and the expected impact of new products.

    Answer

    CEO & Co-Founder Dr. Emily Leproust explained that underlying Synbio growth was over 20% when excluding a large, non-recurring order from the prior year. She identified future growth drivers as penetrating the 'long tail' of smaller customers and launching a rich pipeline of new products, with AI in drug discovery acting as a catalyst. She noted a strategic shift to rebalance efforts from gross margin improvement back toward accelerating top-line growth.

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    Matt Larew's questions to REPLIGEN (RGEN) leadership

    Matt Larew's questions to REPLIGEN (RGEN) leadership • Q2 2025

    Question

    Matt Larew asked for color on the standout performance in capital equipment and China, questioning the drivers behind equipment demand and the source of optimism in the Chinese market. He also sought to reconcile the high-teens revenue growth from emerging biotechs with their muted order levels.

    Answer

    CEO Olivier Loeillot attributed the capital equipment strength to the differentiated nature of Repligen's systems, which increasingly integrate PAT technology, and noted the company is gaining share from a small base. For China, he credited the new leadership team and sees significant long-term growth potential. Loeillot acknowledged that while biotech sales were strong, muted orders reflect continued funding headwinds in that sector.

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    Matt Larew's questions to WEST PHARMACEUTICAL SERVICES (WST) leadership

    Matt Larew's questions to WEST PHARMACEUTICAL SERVICES (WST) leadership • Q2 2025

    Question

    Matt Larew of William Blair noted that HVP guidance was raised back to its original level despite ongoing labor constraints at a European facility and asked for the resolution timeline and potential for upside.

    Answer

    CEO Eric Green acknowledged the ongoing hiring ramp at the European facility but expressed confidence in the team's execution. He clarified that the restored guidance reflects confidence not just in resolving that constraint, but also in the strength of multiple other growth drivers, including biologics, GLP-1s, and Annex One, which provide a solid foundation for HVP growth.

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    Matt Larew's questions to AMEDISYS (AMED) leadership

    Matt Larew's questions to AMEDISYS (AMED) leadership • Q3 2022

    Question

    Matt Larew inquired about the portion of the per-visit business engaged in productive, innovative contract discussions and asked how the rate and margin of new case rate contracts would compare to traditional Medicare fee-for-service when fully optimized.

    Answer

    President and CEO Chris Gerard stated that while the portion of business with innovative conveners is currently small, they are prioritizing capacity for these partners. He projected that fully optimized case rate contracts could achieve gross margins in the 40-42% range, up from an initial 18-22%, which would significantly close the reimbursement gap with Medicare fee-for-service.

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    Matt Larew's questions to AMEDISYS (AMED) leadership • Q2 2022

    Question

    Matt Larew of William Blair inquired about the current margin differential between Medicare Advantage and traditional fee-for-service business, and also asked about the impact of telehealth on home health utilization.

    Answer

    EVP and CFO Scott Ginn stated that Medicare Advantage margins are in the 25-30% range, significantly lower than the mid-40s for fee-for-service. President and CEO Chris Gerard added that new case rate contracts are expected to improve MA margins. Gerard also explained that increased physician use of telehealth for patient consultations is leading to missed opportunities to identify the need for home health services, acting as a headwind to utilization.

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