OPKO Health - Earnings Call - Q2 2025

Transcript

Operator (participant)

Good day and welcome to the OPKO Health Second Quarter 2025 Financial Results Conference Call. All participants will be in the listen-only mode. Should you need assistance, please signal a conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star, then one on your telephone keypad. To withdraw your question, please press star, then two. Please note this event is being recorded. I would now like to turn the conference over to Yvonne Briggs. Please go ahead.

Yvonne Briggs (SVP of Alliance Advisors IR)

Thank you, Operator, and good afternoon. This is Yvonne Briggs with Alliance Advisors IR. Thank you all for joining today's call to discuss OPKO Health's financial results for the second quarter of 2025. I'd like to remind you that any statements made during this call by management, other than statements of historical fact, will be considered forward-looking and as such are subject to risks and uncertainties that can materially affect the company's results. These forward-looking statements include, without limitation, the various risks described in the company's SEC filings, including the annual report on Form 10-K for the year ended December 31, 2024, and subsequently filed SEC reports. Furthermore, this conference call contains time-sensitive information that is accurate only as of the date of the live broadcast, July 31, 2025.

As required by law, OPKO undertakes no obligation to revise or update any forward-looking statements to reflect events or circumstances after the date of this call. Before we begin, let me review the format for today's call. Dr. Phil Frost, Chairman and Chief Executive Officer, will open the call. Dr. Elias Zerhouni, Vice Chairman and President, will then provide an overview of BioReference Health as well as OPKO's pharmaceutical business. After that, Adam Logal, OPKO's Chief Financial Officer, will review the company's second quarter financial results and discuss OPKO's financial outlook, and then we'll open the call to questions. Now I'd like to turn the call over to Dr. Frost.

Phil Frost (Chairman and CEO)

Good afternoon, and thank you for joining us. Today, we will report on the continued progress of OPKO Health's strategic initiatives and business performance. We have streamlined BioReference Health's operations as we prepare to close the sale of its oncology and related clinical testing business to Labcorp. This transaction monetizes certain assets while sharpening BioReference Health's focus on its core clinical testing business and improving its financial profile. This is our second transaction with Labcorp to unlock value and accelerate BioReference Health's path to profitability. On the pharmaceutical side, we continue to advance our innovative therapeutic pipeline. MODEX has two programs in phase one clinical trials, with three more expected to enter the clinic late this year and early 2026. A significant catalyst for our pipeline is the phase one data from our EBV vaccine partnered with Merck that will guide decisions regarding phase two testing.

We are pleased with the progress of our collaboration with Entera Bio to develop an oral tablet formulation of OPK-88006, our GLP-1/glucagon receptor dual agonist for the treatment of obesity and MASH. Oral administration of this drug candidate has demonstrated encouraging results in animal models with in vivo data presented at the ENDO Annual Meeting in mid-July. OPKO Health is independently developing OPK-88006 for subcutaneous administration, with in vivo data having been presented at the American Diabetes Association 85th Scientific Sessions in June. We're also collaborating with Entera Bio on a second program to develop an oral form of our GLP-2 oral candidate for short bowel syndrome. Our Latin American business and our Irish contract pharmaceutical development and manufacturing unit continue to perform well with increasing revenue and expanding margins even while facing foreign currency headwinds.

We've taken several strategic steps to improve our balance sheet and have sufficient capital to allocate to our R&D efforts, which are partially funded by strategic partners and non-dilutive sources. In addition, we have a $200 million common stock repurchase program in place with $141.5 million remaining capacity as of June 30. As you've noted, we're committed to maximizing shareholder value through the strategic deployment of capital, additional partnerships, business development initiatives, and asset sales. We're confident that this strategy will continue to add value in the second half of 2025 and beyond. With that overview, I'll turn the call over to Elias.

Elias Zerhouni (Vice Chairman and President)

Thank you, Phil, and good afternoon, everyone. Let's start with an update on BioReference Health, our diagnostic segment. We continue to restructure and right-size this business toward the goal of reaching and sustaining profitability. You will recall that in March, we announced an agreement with Labcorp to sell our oncology assets for $225 million, with $192.5 million payable at closing and an earnout of up to $32.5 million based on performance. The earnout will be measured six months post-close and is based on the number of specified client accounts that are retained. We expect this transaction to close near the end of the third quarter of this year. With the pending sale of BioReference oncology and related clinical testing assets to Labcorp, we expect the remaining business to show improving margins through the balance of the year and beyond.

Post-transaction, BioReference will maintain its core clinical testing operations in New York and New Jersey and will continue to offer urology diagnostic services, highlighting our proprietary 4Kscore test for prostate cancer risk assessment, as well as its clinical services business with correctional facilities on a nationwide basis. The revenue of these operations represented approximately $300 million in 2024. Now, reflecting our efforts to drive operational efficiencies, BioReference's financial results continue to improve. As I mentioned in our last call, the latest reduction in force and footprint consolidation provided annualized cost savings of approximately $19 million. Our headcount stands now at approximately 1,900 for the second quarter. After the close of the oncology transaction, we expect our headcount to decrease to between 1,450 and 1,500 by the fourth quarter.

To further grow the business, we have focused our efforts on optimizing our test menu and establishing strategic relationships in market to increase testing volumes. By focusing on the local New York and New Jersey physician market, we have really strengthened our position with those who serve this patient base. This includes ACOs, IPAs, FQHCs, regional health systems, and specialty healthcare companies. In addition, the combination of our menu size and operational agility as a more focused company is instrumental in capitalizing on new revenue streams such as direct-to-consumer, employer-based testing, and early-phase clinical trials. We are also pleased to announce that on July 25, the FDA granted approval of a supplemental application for the 4Kscore test. This approval specifically enables the performance of the 4Kscore test even when digital rectal examination information is not available.

The 4Kscore test is indicated for the assessment of the likelihood of aggressive prostate cancer in men 45 years or older and reported to have age-specific elevated or abnormal screening PSA results. In the U.S., over 90% of PSA screening tests are performed by primary care providers who will now be potential users of the 4Kscore test. Excluding the pending and closed-listed sales, BioReference Health's testing volume grew by 1.4% in the second quarter of 2025 compared with a year ago period. As for our urology segment, the 4Kscore test continued to perform well with year-over-year increase in test volume of approximately 12%. The aforementioned FDA approval of our supplemental application for the 4Kscore test should provide further opportunities for growth, we believe. Now, let's turn to a discussion of our therapeutic segment, starting with MODEX.

The phase I Epstein-Barr virus vaccine trial by our Merck collaborators is progressing as planned. This trial will evaluate up to 200 healthy adults for safety and tolerability and is comprised of two parts with a different adjuvant for each. We're currently waiting for the analysis of the phase one results that will guide Merck's decisions on progression to phase two trials. Several products are advancing in our immuno-oncology and immunology portfolio. The most advanced is our first-in-class MDX2001 CMet-Trop2/CD3-CD288 tetra-specific T-cell engager antibody that has progressed to its fifth dose level in a phase one clinical trial. We expect to enroll the highest dose level by the end of the year, after which we will focus on assessing signals of efficacy in select tumors known to express high levels of TROP2 or CMET at biologically active doses.

Thereafter, we will focus on the tumors that appear most responsive. Two additional programs are expected to enter the clinic late this year or early next year, including our MDX2003 tetra-specific T-cell engager antibody for lymphoma and leukemia and the MDX2004 , an immune rejuvenator for multiple oncology and immunology indications. Our immunology portfolio is focused on the use of multi-specific antibodies for immune-impaired patients, including those with cancer, chronic diseases, and the elderly. Our most advanced product aims to address the unmet need in such patients at high risk for COVID complications. We anticipate that phase one studies will begin early next year. This work, as you remember, is funded by BARDA, which is also supporting the advancement of multi-specific antibodies to prevent influenza, currently at the pre-IND stage.

We continue to work collaboratively with BARDA, which contributed non-dilutive funding of $59 million last year and an additional $51 million so far this year to advance these programs. Now, as mentioned by Dr. Frost, moving to OPK-88006, our novel long-acting GLP-1/glucagon receptor dual agonist, we presented a poster on preclinical data at the American Diabetes Association 85th Scientific Session in June, and the therapeutic benefits of OPK-88006 on quantitative biological hallmarks of MASH in mouse models were superior to semaglutide and survodutide, suggesting that OPK-88006 could be a promising GLP-1/glucagon receptor dual agonist for the treatment of obesity and MASH. We are encouraged by these results in OPK-88006 therapeutic potential. As Phil mentioned, our collaboration with Entera Bio continues to advance as we're in the pre-IND stage with an oral version of OPK-88006.

The oral program combines our proprietary long-acting oxytocin modulant analog and Entera Bio's proprietary MTAB technology. At the recent ENDO meeting in San Francisco, we presented new pharmacologic and pharmacokinetic in vivo data for oral OPK-88006, showing excellent bioavailability. In addition, we're working with Entera Bio on another program for short bowel syndrome, which represents a significant unmet need. Short bowel syndrome patients have a reduced ability to absorb nutrients and fluids and are at risk of malnutrition, unintended weight loss, and additional symptoms due to the loss of essential vitamins and minerals. The European Society for Clinical Nutrition and Metabolism Congress, or ESPEN, accepted our abstract regarding the PK/PD of our oral GLP-2 tablets for the treatment of short bowel syndrome. This presentation will take place in September in Prague.

Finally, our Latin American pharmaceutical division in Realdel continued to perform to plan with sustained revenues and margins, and Adam will provide you also an update on NGENLA. In summary, we're pleased with our progress in advancing our first-in-class therapeutic multi-specific antibodies for oncology and immunology indications, as well as our multi-vaccine candidate that are progressing in clinical development at Merck, and our metabolic disease program with our OPK-88006 GLP-1/glucagon receptor dual agonists in both oral and injectable forms for obesity and MASH, as well as an oral GLP-2 agonist for short bowel syndrome. We're confident that the structuring efforts we're undertaking will position BioReference Health to be more efficient and profitable following the completion of the second asset sale. Now, let me turn the call over to Adam to discuss our financial results. Adam.

Adam Logal (CFO)

Thank you, Elias. Let's begin with our diagnostics business. Revenue for the second quarter of 2025 was $101.1 million, including $24.9 million from the oncology assets being sold. This compares with $129.4 million in Q2 2024, with the decline primarily due to the Labcorp transaction that closed in September of 2024. Revenue in our non-oncology business continues to see steady growth, highlighted by an increase in 4Kscore test volumes of nearly 12%, which Elias mentioned, and has been accelerating throughout the year. Total costs and expenses were $119.3 million, down from $156 million last year. This includes $29.4 million related to the oncology assets and approximately $2 million in expected one-time costs for severance during the 2025 quarter. As a result, our diagnostic operating loss improved to $18.2 million compared to $26.6 million in Q2 2024.

Depreciation and amortization expense came in at $4.9 million, down from $6.3 million in 2024. Importantly, as Elias mentioned, the actions we've taken throughout the first half of this year and those planned as we close the oncology transaction are expected to deliver over $25 million in annualized cost savings, and we remain on track to achieve cash flow breakeven and positive cash from operations in 2025. Turning to our pharmaceutical business, revenue was $55.7 million, up $2.9 million from 2024's $52.8 million. Product revenue was $40.7 million, up slightly from 2024's $40.5 million, reflecting an increase in our Spanish and Mexican businesses, partially offset by foreign exchange headwinds in Chile. RAYALDEE contributed $7.2 million in both the 2025 and 2024 periods, with improved margins during 2025 due to the lower government rebates.

IP transfer revenue rose to $15 million, up from $12.3 million, which includes our Pfizer profit share of $6.1 million compared to $6.3 million for 2024. While the first half of 2025 gross profit share has been slower than we anticipated, we are optimistic about the efforts Pfizer has made and expect to make throughout the remainder of 2025 on the global commercialization efforts of the program. Globally, the adoption of the long-acting form of HGH has been slower than we and the broader market has anticipated. However, we continue to see trends of accelerated transition to the once-weekly formulation. Based on the available market data, NGENLA holds about one-third of the global long-acting market, and as the market continues to move to the once-weekly dosing, we believe Pfizer will continue to grow its portion of the total market.

In addition, BARDA funding increased to $6.5 million from $5 million, reflecting the expanded program activity for our infectious disease antibody programs. Costs and expenses were $84.4 million, up from $77.6 million, driven by increased R&D investments. R&D totaled $29.8 million, up from $23.7 million, primarily due to the MODEX development programs, including our BARDA-supported programs. As Elias mentioned, we are making progress within our clinical development program and with spending on our ongoing phase one trial, as well as expenses to support an additional five IND filings within the next 12 months for our GLP-1/glucagon, oncology, immunology, and infectious disease programs. As a result, our pharmaceutical operating loss was $28.7 million, compared to $24.8 million last year. Depreciation and amortization expense was $18.1 million, slightly more than 2024's $17.9 million.

For our consolidated results, consolidated operating loss improved slightly during 2025 to $60 million, compared to $61.7 million as a result of the improved results at BioReference Health, partially offset by the increased investments in our pharmaceutical research and development programs. As you'll recall, we completed our convertible note exchange on April 1, 2025. As a result, we recorded approximately $92 million of expense during the second quarter of 2025, while our 2024 net loss benefited from an increase in the value of one of our investments, which resulted in a gain of $60 million during 2024. As a result, our net loss for Q2 2025 was $148.4 million, or $0.19 per share, compared to $10.3 million, or $0.01 per share in Q2 2024. As we think about our balance sheet and capital allocation, we ended the quarter with approximately $285 million in cash, cash equivalents, and restricted cash.

We remain focused on optimizing our capital structure while maintaining our investments into our innovative R&D programs. As I mentioned, we completed the convertible note exchange earlier this quarter using approximately $65 million in cash and issuing 121 million shares, eliminating over $159 million in principal debt, which meaningfully improved our overall debt position. Under our expanded share repurchase authorization, as Phil mentioned, we repurchased approximately 13.6 million shares during Q2 2025 and have approximately $142 million remaining authorized, which represents more than 13% of our current share count at recent trading ranges. Cash used in operations during Q2 increased from our normal levels due to certain working capital adjustments, including a negotiated lease exit for one of our BioReference Health facilities, as well as income taxes paid on our transactions that closed in 2024. We also invested approximately $8 million into Entera Bio related to our oral GLP-1 program.

Looking forward, we expect to close our second Labcorp transaction later this year, which will bring in $192.5 million at closing, with potential proceeds of up to $225 million. As we move to our outlook, we continue to execute our multi-phase plan to drive profitability in our diagnostics business by reducing the fixed infrastructure costs and improving our operational efficiency. Following the oncology transaction, the remaining BioReference Health business is expected to reach cash flow positive and profitability during 2025. This will exclude non-recurring and non-cash items, and we have not adjusted our outlook for the closing of the oncology transaction, but we'll do so once the closing date is certain.

For the full year 2025 outlook, we expect total revenue to be between $640 and $660 million, revenue from services of $405 million-$425 million, including $95 million-$105 million from our oncology assets, revenue from products of $160 million-$170 million, and other revenue of $65 million-$75 million, including our Pfizer profit share of $28 million- $35 million, support from BARDA of $30 million-$35 million. Total costs and expenses are expected to be between $835 and $865 million, excluding $15 million-$20 million of one-time restructuring costs for our diagnostics business. This includes $125 million-$135 million in expenses related to our oncology assets. It includes $120 million-$130 million of research and development spending, which will be partially offset by $30 million-$35 million in BARDA funding.

We expect depreciation and amortization expense to be approximately $90 million, and we also anticipate a $100 million gain on the oncology transaction, which will reduce operating expenses and increase operating income in the quarter which we close. With that, I'd like to open up the call for questions. Operator?

Operator (participant)

Certainly. We will now begin the question and answer session. To ask a question, you may press star, then one on your telephone keypad. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star, then two. At this time, we will pause momentarily to assemble our roster. Our first question comes from Maury Raycroft with Jefferies. Please go ahead.

Hi, this is James on for Maury. Congrats on the update. Thanks for taking our questions. Given that new prescriptions and total prescriptions for NGENLA were up in 2Q, do you expect that the $6.1 million in NGENLA/Genotropin profit share in 2Q is due to lower gross to net from copay assistance in 1Q carrying over to 2Q? Have you received any insights from Pfizer on 2Q sales, or do you plan to follow up with them for clarification? I have a follow-up.

Adam Logal (CFO)

Hey, James. Thanks for the questions. We definitely saw an improvement in the U.S. market as it relates to the prescription trends that you identified. We continue to see some of the international markets that are in the early days of launches continuing to work through some of the higher cost inventory that's set out there. We expect the remainder of the year to pick back up to the traditional levels, and we saw strength broadly across all of the geographic markets for OPKO Health. We're pretty optimistic of where that's headed.

Got it. Thanks. My follow-up is, how is the EBITDA margin for the diagnostics business tracking in 2Q versus 1Q? How are you setting expectations for EBITDA profitability in 3Q and 4Q? Going along with that, this approval for supplemental application for this 4Kscore test, can you talk about implications for growth in 4Kscore test sales in the coming quarters?

Yeah. Let me pull the EBITDA question apart. When we think about the diagnostics segment, we're continuing to see quarter-over-quarter improvements, and a lot of the steps we've taken to drive costs down are bearing fruit. If you were to look at the $18.2 million operating loss that resulted in Q2, consider the $2 million of non-recurring expenses in there, you start to see that $4.5 million comes from the oncology business that is set to close later this year and depreciation and amortization expense of $4.9 million. It gets you to about a $6 million or a couple of million dollars a month loss in that segment. A lot of the costs, as Elias mentioned, are expected to come out when we close the oncology transaction in a couple of months' time and get our headcount even further down.

We've been pretty judicious about making sure we maintain that business with the infrastructure at BioReference Health that's required to get through the closing. Once the closing occurs, we'll be able to bring the overall cost structure down as we plan. We feel we're on track to deliver those cost savings and to get to that cash flow positive basis this year, both from an EBITDA and a cash position. As it relates to 4Kscore test, we've seen really good upward growth on the test this year so far. We mentioned it's about 12% up. I think July really has started to accelerate, and that is before we have the FDA label change and really opens up the market for us to think about primary care docs being able to order the test. We think the upside is meaningful.

As I mentioned, being at 12% and meaningfully higher in July, we think, again, that the opportunity is pretty important. That test has a strong margin profile with a relatively small sales force calling on docs today.

Got it. Thanks so much for answering my questions. I'll hop back into queue.

Thanks, James.

Operator (participant)

Our next question comes from Edward Tenthoff with Piper Sandler. Please go ahead.

Edward Tenthoff (Managing Director and Senior Research Analyst)

Great. Thank you very much. My question has to do with the obesity efforts and specifically with an increasingly crowded landscape. How do you envision oxytocin modulant differentiating either as an injectable or with an oral formulation that's partnered with Entera Bio? Thanks.

Elias Zerhouni (Vice Chairman and President)

Yeah, thanks for the question. Fundamentally, we think there is a differentiation because what we found out, actually, and we studied the molecule that we created, that not only is it effective in obesity, but glucagon increases the metabolism. More importantly, glucagon has an effect downstream of glucagon on FGF21, which rises with our molecule. FGF21 is known actually to be anti-fibrotic or correct fibrosis, as we know from other molecules that have been developed around FGF21. We believe, based on the results we have and the preclinical data that show really a very good profile for the drug, number one, we believe that it will have merits for MASH patients combined with obesity and diabetes. We will have to look at that. The second advantage, obviously, is that with Entera, we can create an oral form, excuse me, of the molecule.

Frankly, that is something that in the information that we have from physicians is welcome because they like to stabilize the patient and convert them into oral forms to maintain the weight loss and maintain the effect over time without having to continue with the injectables. Those are the two aspects. It has a biological aspect that we believe will be very valuable in MASH. It has not just a convenience, but really a stabilization aspect of the regimen that you have to keep patients on to maintain the obesity reduction and the metabolic improvements that you hope to achieve.

Edward Tenthoff (Managing Director and Senior Research Analyst)

That's very helpful. When it comes to actually proving that out in the phase one studies, are there endpoints you're envisioning or different patient populations? How do you think you can actually tease that out in the clinical trials?

Elias Zerhouni (Vice Chairman and President)

All right. That's a great question. Our plan is to really go into patients who have biomarker evidence of MASH and are obese, and really go into that phase one data on that population of patients that will eventually be of interest if we get both safety and some sign of signal of efficacy with biomarkers. We're not going to do a biopsy study. We don't want to do that until we have good evidence that both the dose and the effect are really differentiating. That's the idea. We're basically focused on patients who have, for example, liver stiffness, liver fat, and evidence that they are not only obese, but they have a fatty liver that could lead to fibrosis eventually and liver failure. Those are the patients we're going to focus on in phase one with a cost that is quite reasonable.

Obviously, you know these developments are quite expensive. We're not going to pursue that all on our own, and we have a lot of interest coming our way about potential collaborations once we achieve the data that we need to have to really create the value of the asset forward.

Edward Tenthoff (Managing Director and Senior Research Analyst)

That's really helpful. Thanks for the call, Elias.

Elias Zerhouni (Vice Chairman and President)

Thank you.

Operator (participant)

Thank you. Our next question comes from Yale Jen with Laidlaw and Company. Please go ahead.

Yale Jen (Senior Managing Director and Senior Biotech Analyst)

Good afternoon, and thanks for taking the questions. I just want to follow up what Ed just mentioned earlier. What's your estimate of the size in terms of patients both have obesity as well as MASH? Would that be the specific sort of indication you're going to explore in the phase one study when you presumably start later this year or early next year?

Elias Zerhouni (Vice Chairman and President)

Yeah, that is a great question. The answer is yes. We're focused on that population. We're going to try to focus on the patients that have biomarkers that indicate that they're in what we call F2, F3, F4 MASH, stages of MASH. Those are the patients we're going to focus on. We're going to look for, as in phase one, safety signals and dosing ranges. We're not really looking for definitive efficacy, but we will look for biomarker trends that will help us. Now, in terms of total number of patients, it's hard for me to tell you the exact number, but we're thinking between 100 and 170 patients to do the full phase one.

Yale Jen (Senior Managing Director and Senior Biotech Analyst)

Okay. Great. That's very helpful. Maybe one follow-up question here, which is that in terms of the collaboration you have, you have both OPK-88006 and also you have a compound addressing short bowel syndrome. I'd just like to know a little bit, get a little bit more color in terms of what's the difference between these two compounds and specifically for the short bowel syndrome compound that we probably not have too much ideas about.

Elias Zerhouni (Vice Chairman and President)

Right. The GLP-1/glucagon receptor dual agonist is completely different than the GLP-2. GLP-2 is a separate molecule and not at all, physiologically, not at all comparable to the GLP-1. I mean, although they have close names, they're not. The GLP-2 has a huge function in actually intestinal absorption regulation. That's why it's really something that a lot of people want to develop for people who have short bowel syndrome, malnutrition attendant with that. It's an unmet need that has not been served very well. People get infusions of parenteral nutrition, infusion of food supplements, and so on. It's not as good, as effective. That's why the program was developed to address that unmet need, which is a completely separate population, completely different than the obesity MASH population we're trying to address with the GLP-1/glucagon.

Our collaboration with Entera is obviously adding an option, which is an oral version, which we find to be quite attractive, to offer a spectrum of approaches from injectable to oral and vice versa.

Yale Jen (Senior Managing Director and Senior Biotech Analyst)

Maybe squeeze one more in here, which is when you anticipate this program to enter clinical study. Would that be next year? Thanks.

Elias Zerhouni (Vice Chairman and President)

Yes, I think so. When exactly, I don't know. It depends on FDA. It depends on regulatory. Yes, I mean, definitely next year.

Yale Jen (Senior Managing Director and Senior Biotech Analyst)

Okay. Great. Thanks.

Operator (participant)

Thank you. Our next question comes from Yi Chen with HC Wainwright and Company. Please go ahead.

Yi Chen (Managing Director)

Thank you for taking my question. My question is related to the long-acting GLP-1/glucagon receptor dual agonist. Today, many patients taking GLP-1 drugs discontinue treatment due to GI side effects, and also the current GLP-1 drugs cause lean muscle mass loss as well as fat loss, which is a big problem for elderly patients. Does your dual agonist have the potential to improve either of these two aspects of the current GLP-1 drugs on the market today?

Elias Zerhouni (Vice Chairman and President)

I hope that on GI side effects, we will be able to titrate properly. That's an open question. I can't tell you it will or will not. I think when you look at the data of others who have GLP-1/glucagon molecules, you might have the hope that that will be the case. You know every molecule is different. Ours is really, on a preclinical basis, has a very good profile. Now, in terms of lean muscle mass, I don't think there will be a major difference. There may be one because glucagon is, you know, enhancing metabolism. I don't think anybody knows the answer exactly. Some trials by Boehringer Ingelheim and others seem to show a little bit better profile. I really wouldn't stick my neck out here and say we will definitely have better profiles on both of these counts.

I hope that we will because of the difference in metabolic action.

Edward Tenthoff (Managing Director and Senior Research Analyst)

Okay, thank you.

Operator (participant)

Thank you. Our next question comes from Michael Petusky with Barrington Research. Please go ahead.

Michael Petusky (Research Analyst)

Hey, good evening. Adam, I was writing as fast as I could, but not as quick as you were talking. What was the, I don't think it's in the release. What was the BARDA revenue in the quarter? Was it $5 million, $6 million, did you say?

Adam Logal (CFO)

Yeah. BARDA revenue in the quarter, let me make sure I get it right. It was $6.5 million for the quarter.

Michael Petusky (Research Analyst)

5 even or 5.6?

Adam Logal (CFO)

6.5 million.

Michael Petusky (Research Analyst)

Oh, it's 6. Sorry, 6.5. Okay. Thank you. The guide for revenue for BARDA for the year?

Adam Logal (CFO)

Sure. It was $30 million-$35 million for the year.

Michael Petusky (Research Analyst)

Thank you. As you sort of think about the go forward after the oncology deal closes, does your assumption of cash flow break-even, etc., require a higher revenue run rate than the, let's call it, $300 million annualized that'll be left post the close? Essentially, does that top line have to grow in order to achieve, or can it roughly stay around this level?

Adam Logal (CFO)

We have plans for the revenue to grow, but achieving cash flow break-even and being positive is not dependent on us achieving our growth plan.

Michael Petusky (Research Analyst)

I just want to, I guess, you know, obviously, you've got cash on the balance sheet. You'll have more cash on the balance sheet, presumably, in the next 90 days or so. Could you guys just talk about capital allocation priorities for, you know, in terms of that balance sheet cash? Thanks.

Adam Logal (CFO)

Yeah. I'll start us off, Mike, and let Elias and others weigh in. As we kind of laid out early this year, we think about cash really for dollar for dollar of what we're spending or investing in the operations and R&D programs for us to be investing back into the balance sheet. That's been pretty close to where we've been this year for the first half. I think when we did the debt exchange in April, that accelerated the use of cash for our balance sheet strengthening a little bit faster than probably what we planned in January. I'd say this year, we expected to use a little over $100 million in investing in R&D. We remain on track with that as it relates to how much cash we've put in our stock buyback program, as well as the convertible debt exchanges.

We're approaching $80 million so far this year and would expect to continue to buy back shares as opportunities exist. As we think forward, it's probably not going to continue at that same accelerated pace on the capital side. We'll also be mindful of how we are able to partner any of our R&D programs to continue to try to find non-dilutive sources of cash to fund those programs and accelerate those like we did with our relationships with BARDA. Hopefully, that helps.

Michael Petusky (Research Analyst)

Could I just ask maybe a slight clarifying question? You know, the stock obviously is, in my opinion, it hasn't reacted much to some of the improvements that you guys are making. It seems like you're on the path to making, particularly in the lab business. I'm just curious, does that create any extra urgency in terms of completing the common share repurchase?

Adam Logal (CFO)

I think the board has authorized us to go up to that $200 million. We have about $142 million or $141.5 million left to deploy. I don't think we will be shy about using it as the balance sheet allows.

Michael Petusky (Research Analyst)

Awesome. Thanks, guys.

Operator (participant)

Thank you. This concludes our question and answer session. I would like to turn the conference back over to Dr. Phillip Frost for any closing remarks.

Phil Frost (Chairman and CEO)

Thank you. Thank you all for your good questions and for participating in general. I'll close by observing that many of the things that we have talked about at previous meetings have really come to fruition. We have emphasized in the past the use of our assets in such a way that will be beneficial for the company and the shareholders. The disposition of the two parts of our reference so far are good examples of that. The remaining part is certainly becoming a more valuable asset, which we're very happy about. As far as the expenditures are concerned, which are major for us, they're largely for R&D. We consider those, as Adam mentioned, investments. We consider them to be interesting and good investments in the sense that many of the projects are quite novel. They're on the high-risk side, I would say. We can't guarantee anything.

We also believe that the potential returns for these projects are significant. It's for that reason that we feel good about what we're doing. I'll leave you with those thoughts. Thank you once again and look forward to being with you again a quarter from now.

Operator (participant)

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.