Andrew Emerson - EVP, CFO and Treasurer
Management
IDEXX Laboratories, Inc. (IDXX)
Q1 2025 Earnings Call· Thu, May 1, 2025
$545.47
-4.02%
Same-Day
+0.11%
1 Week
+3.95%
1 Month
+11.55%
vs S&P
+4.81%
Andrew Emerson - EVP, CFO and Treasurer
Management
Jay Mazelsky - President and CEO
Management
Operator
Operator
Good morning, and welcome to the IDEXX Laboratories' First Quarter 2025 Earnings Conference Call. As a reminder, today's conference is being recorded. Participating in the call this morning are Jay Mazelsky, President and Chief Executive Officer, Andrew Emerson, Chief Financial Officer, and John Ravis, Vice President, Investor Relations. IDEXX would like to preface the discussion today with a caution regarding forward-looking statements. Listeners are reminded that our discussion during the call will include forward-looking statements that are subject to risks and uncertainties that could cause actual results to differ materially from those discussed today. Additional information regarding these risks and uncertainties is available under the forward-looking statements notice in our press release issued this morning, as well as in our periodic filings with the Securities and Exchange Commission, which can be obtained from the SEC or by visiting the Investor Relations section of our website, idexx.com. During this call, we will be discussing certain financial measures not prepared in accordance with generally accepted accounting principles or GAAP. A reconciliation of these non-GAAP financial measures to the most directly comparable GAAP measures is provided in our earnings release, which may also be found by visiting the Investor Relations section of our website. In reviewing our first quarter 2025 results and updated 2025 guidance, please note all references to growth, organic growth, and comparable growth refer to growth compared to the equivalent prior year period, unless otherwise noted. To allow broad participation in the Q&A, we ask that each participant limit their questions to one with one follow-up as necessary. We appreciate you may have additional questions, so please feel free to get back into the queue, and if time permits, we'll take your additional questions. Today's prepared remarks will be posted to the investor relations section of our website after the earnings conference call concludes. I would now like to turn the call over to Andrew Emerson.
Andrew Emerson
Chief Executive Officer
Good morning, and welcome to our first quarter earnings call. Today I'd like to update you on Q1 results and review our 2025 financial outlook. IDEXX achieved a solid start to 2025. In terms of key highlights for the quarter, overall revenues increased 5% organically, supported by a 4.5% organic growth in CAG Diagnostic reoccurring revenues, net of an approximate 1.5% equivalent days’ headwind. Solid revenue gains were also net of global same-store growth headwinds, including a 2.6% decline in U.S. clinical visits. IDEXX execution trends remain strong, reflecting a continued IDEXX CAG Diagnostic reoccurring revenue growth premium, a 9% expansion of the premium instrument install base, and a 9% organic reoccurring revenue gains in veterinary software and diagnostic imaging. Profit delivery was aligned with our outlook, supported by gross margin gains while we invested in innovation priorities. Operating margin performance enabled EPS delivery of $2.96 per share, delivering 5% growth as reported and 7% growth on a comparable basis. We're pleased with the progress in expanding our business as we work through sector and macro factors that have pressured recent visit growth at the veterinary clinic level. We're confident in the long-term growth potential of our business, supported by ongoing focus on innovation, including our recent IDEXX Cancer Dx launch, starting with canine lymphoma. We've updated our 2025 financial outlook to incorporate positive changes from foreign exchange and a now-concluded litigation expense accrual adjustment, while reinforcing consistent 2025 goals for organic revenue growth and comparable operating margin improvement. Let's begin with a review of our first quarter results before transitioning to our full year outlook. First quarter organic revenue growth of 5% was driven by 4.5% organic revenue gains in our CAG business, 7% organic growth in water, and 4% organic growth in LPD. CAG organic revenue growth was…
Jay Mazelsky
President
Thank you, Andrew, and good morning. 2025 is off to a solid start as IDEXX's innovations gain commercial traction across the portfolio. At the end of March, we launched IDEXX Cancer Dx through our reference labs in North America. This first-of-its-kind diagnostic panel for early detection of canine lymphoma brings exceptional levels of performance and is prized to our veterinarian partners in a way that is intended to support broad inclusion and access to pet owners. Adding to this excitement in the quarter, we continued our rollout of IDEXX inVue Dx, our new-to-the-industry cellular analyzer. With strong pre-order momentum from last year, we placed over 300 instruments in Q1 and moved from a controlled rollout in Q1 to broad availability in April. Together, these two platforms, IDEXX Cancer Dx and IDEXX inVue Dx, represent an importantly forward. They embody our vision for innovation that elevates patient care, supports our customers, and fuels long-term sustainable growth for IDEXX. Let's now take a closer look at our commercial performance. Our commercial organization executed strongly in the quarter. We delivered solid growth and organic recurring revenue, including days-adjusted, double-digit CAG Diagnostics recurring revenue growth internationally, sustained high levels of customer retention, and expanded our customer base while further expanding our commercial footprint in high potential regions. We delivered strong premium instrument placements in the quarter, including over 1,100 new and competitive catalysts, resulting in high single-digit growth in our worldwide premium instrument installed base and double-digit growth in future economic value. In the U.S., our commercial team delivered record Q1 placements in EVI, supported by early interest in IDEXX inVue Dx. In Europe, we locked a record upgrade cycle in hematology from LaserCyte to ProCyte One, while delivering solid growth in competitive and green-filled catalyst placements. We sustained high levels of customer retention…
Operator
Operator
[Operator Instructions] We will now move to your first question coming from Michael Ryskin with Bank of America.
Michael Ryskin
Analyst · Bank of America
Great. Hey, can you hear me?
Jay Mazelsky
President
Yes, we got you.
Michael Ryskin
Analyst · Bank of America
Hey, thanks for taking the question, guys, and congrats on the quarter. I'll start with the high-level question on visits and the macro. I mean, total visits from your snapshot, you know, down 26 in the quarter. Better than some third-party data actually indicated. But you saw pretty meaningful swings between wellness and non-wellness. It looks like non-wellness deteriorated, wellness kind of snapped back after being down a little bit in 4Q. I was wondering if you could just talk about what you're seeing there from a market perspective, you know, the changes over the last couple of months, and just an updated view for the rest of the year.
Jay Mazelsky
President
Yes, good morning, Mike. Thanks for that question. You know, largely we've seen a consistent trend from both wellness, non-wellness. We do see some variation quarter to quarter, obviously. From a wellness standpoint, we're at the front end of the vector-borne disease screening part of the year, so there's obviously some activity related to that, and you'd expect to see some snapback. We still think that the overall market overhang from a macro standpoint is providing some moderation, some headwinds to wellness visits. But, you know, in general, I think there's some level of optimism that the clinical visit moderation that we've seen has stabilized. And, you know, more practices, both independent and corporates, are really focused on trying to reengage customers, getting them back into the practice, and the wellness visit piece is a key strategy for that.
Andrew Emerson
Chief Executive Officer
Yes, Mike, I would just add, you know, just in terms of the quality of the visits, right, something we pay close attention to, we saw an increase in both frequency and utilization, you know, for those that are coming into the clinic. So, while we, you know, continue to see a headwind on, you know, the actual pets coming in the door, you know, I think the quality remains strong in the use of diagnostics, and that's a key part of our strategy going forward.
Jay Mazelsky
President
The other thing I would just add quickly is part of our strategy with IDEXX cancer, you know, DX, and the initial launch of lymphoma is to include that as part of the screening offering. We know that there's been, you know, a lot of receptivity on the part of customers to think about cancer screening and to include that, you know, as part of their wellness offering. And, you know, within a month, we've seen over 1,000 unique practices. Order the test. That's something we think, you know, overtime can provide a tailwind.
Michael Ryskin
Analyst · Bank of America
Okay. That's helpful. And then my follow-up is just going to be on the interview. You know, you did 302 in the quarter, but then you talked about, I think, 900 cumulative through the end of April. So, really picked up the pace in April as you removed the gating. Just what's been the feedback as you've opened it up to more broader release? And, you know, you're still sticking with the 4,500 for the year. But just sort of how should we think about pacing for that through the rest of the year? Thanks.
Jay Mazelsky
President
Yes. So, what I've got it to is 4,500 plus. But 4,500 is what is in the guidance. We're very enthusiastic about the interview because customers are enthusiastic about it. A couple pieces of feedback that I think are important. One is, you know, these are very well understood clinical use cases in terms of ear cytology, blood morphology. So, you don't have the -- if you're bringing something that's new to the world or new to how they practice, there's obviously, you know, market or sector development activity connected with that. That's not the case here. Practices across the board do these type of tasks every day. So, being able to eliminate work, you don't have to do a slide. That's a 15 to 20-minute exercise that captures the actual charge and invoices. The customer, being able to provide consistent and accurate results. These are all things that customers respond to. And the, you know, the initial feedback we've seen from a utilization standpoint, very much in line with where we thought it was going to be. You know, it's early days. To the earlier point of your question, we have moved from more of a gated approach to full volume. And ramped up pretty significantly in April. We'll continue to work through backlog at a fairly rapid pace. We have the capacity, both in the field and in product ready, and we know that that's important to get it out into our customers' hands and get the recurring revenue flywheel going.
Michael Ryskin
Analyst · Bank of America
Thanks, I'll leave it there, guys, thank you.
Operator
Operator
We will now take the next question from Chris Schott with JP Morgan.
Unidentified Analyst
Analyst · JP Morgan
Hey, thank you so much, this is actually Katerina on for Chris from JP Morgan. Thank you so much for taking our questions. So first, just on the theme of the macro, can you just maybe talk about the overall health of the pet owner demand in the U.S. at this point, and maybe if you're starting to see any changes as you think about the broader economic environment as we potentially head into a recession? And then the second question is just around tariffs. Can you elaborate a bit on your exposure and how you're thinking about potential impact, and if there's any ability to kind of mitigate some of that over time, and how you're thinking about potential future retaliatory tariffs after that 90-day pause, and what you're most kind of focused on there? Thank you so much.
Andrew Emerson
Chief Executive Officer
Good morning, thanks for the question. So when we think about the macro and the consumer, just as we were highlighting, we certainly are seeing some pressure in terms of the clinical visits, and that's more recently played out on the wellness side. I think as we look at the consumer, they on the margin are making trade-offs in areas of elective type of procedures or visits for wellness, and we see that, and the pressure is there. So that's been an ongoing constraint. I think we have that well factored in our outlook. We're not expecting any meaningful change associated with that. Our guidance is a range. I think we capture positive improvement or a little bit more of a decline associated with trends within that metric. But again, I come back to the quality of the visits that we continue to see partnering with our customers at the veterinary clinic level, the diagnostic frequency and the utilization continue to be really important drivers for the business, and that comes back to execution from the teams, our ability to continue to drive new innovations, and I think we're really excited by some of the more recent ones between InVue DX and Cancer Dx, as Jay was highlighting, already seeing the early ramps within those. So I think it's something we're continuing to monitor, but I feel like we've had that captured in our outlook ultimately, and it's not a major trend change in anything that we're seeing at this point in time. Just thinking about the tariff component, yes, I think one of the things we highlighted was about 65% of our overall revenues are really U.S.-based, and our CAG industrial footprint is largely U.S.-based as well. So we're relatively well positioned from that perspective. Jay also highlighted that China represents less than 1% of our overall revenues here. We're certainly focused at this point of just making sure that we can supply our customers and really have some operational plans put in place, leverage our balance sheet where possible to minimize the impacts of tariffs, including the post-90-day pause that you highlighted there. So something we're working through, we're paying close attention to that, but again, feel like we're well positioned to manage that. Operationally, we're sticking with our guide that we had started with at the beginning of the year.
Jay Mazelsky
President
Yes, I would add just a couple of other points. Yes, if you think about our reference lab business, so over 80 reference labs on a global basis, yes, those are essentially local-for-local type factories within the countries, and so the tariff impact is pretty small, maybe related to some of the reagents or what have you, but that's largely manageable, and it gives us good local reach. To Andrew's point, what we learned during the pandemic is customers really value product and business continuity. They don't want to have to worry about tariffs and what it may mean from a product standpoint, and so we're very focused. Our supply chains are resilient, focused on really making sure that customers get what they want when they need it, and we have a high degree of confidence that we're well positioned to be able to do that.
Unidentified Analyst
Analyst · JP Morgan
Thank you.
Operator
Operator
We will now go to our next question from Erin Wright with Morgan Stanley.
Erin Wright
Analyst · Morgan Stanley
Great, thanks. Could you talk a little bit about Cancer Dx and the pull-through that you're seeing, for instance, for those who have used it or are familiar with it, and is it every wellness panel is becoming that premium wellness panel, or what's the goal there, in terms of that conversion rate and any sort of metrics you can give on that front? I know it's early, but I'd love to hear it. Thanks.
Jay Mazelsky
President
Sure. Good morning, Erin. Yes, you know, we're only a month in, so it is early. We have seen very -- I think we're very pleased with the awareness and initial uptake with over 1,000 unique customers ordering it, and, you know, many of those customers have ordered more than one. It's too early from a trend standpoint to understand the mix between aid-in diagnosis versus part of the wellness battle. We think that there's a role to play in each of those, and we've positioned both from a product offering and a pricing strategy standpoint, giving customers the option of doing both. We've priced it in a way for inclusion in wellness so that it, from a performance and price standpoint, it can support practice strategies of including it more broadly as part of a wellness screen. I think a lot of veterinarians have resonated with that. They recognize that pet owners are looking, you know, for that, and there's a lot of breeds, designer breeds, so to speak, that are at higher risk as, you know, young adults, four, five years of age. So, the initial feedback has been great. I think customers see this as something that they, it's long overdue, and that they're very enthusiastic about it and looking to really include it as part of their care strategies.
Erin Wright
Analyst · Morgan Stanley
Okay, great. And then on guidance, I guess what gives you confidence right now in terms of, and it sounds like you do feel like you have some conviction in terms of underlying utilization trends, but I guess what gives you confidence in sort of the pickup and CAG recurring for the balance of the year, like what's at the high end versus the low end of guidance from a Vet office visit standpoint, and yes, I know you spoke to the disconnect with some of the other industry metrics, but just trying to understand what some of the buffers are in your guidance at this point? Thanks.
Andrew Emerson
Chief Executive Officer
Thanks for the question. Good morning, Erin. This is Andrew. So, from a guidance standpoint, you know, if I just come back to, you know, the underlying business in the trends that we're currently seeing, we're really expecting that, you know, to stay similar throughout the year. At midpoint, you know, we had highlighted, you know, for the full year that we expected clinical visits to decline similar levels to 2024, which is approximately 2%. And if you take a step back and think about the last four quarters, you know, it's still within that range, it's just over 2%, you know, from a metric standpoint. So, you know, we're not expecting any major change, you know, within the clinical visit component of this. Really what this comes down to is, you know, our ability to, you know, continue to ramp innovations. Again, we're really excited by inVue Dx and Cancer Dx, but we also have other menu expansions like our pancreatic lipase test, which, you know, continues to add positive momentum for our business. The other kind of components that, you know, we'll continue to see play out here as we noted the lapping of some of those large customer agreements, you know, I think we have the ability to both gain a little bit of price, associated with that, as well as when we think about the ability to expand the relationships there and capture volumes over time. So, we have a lot of, you know, really good building blocks that we're putting in place. You know, the guidance is a range, right? So, you know, we certainly have a range of outcomes here that we're expecting. It's a bit wider than we typically may be as well, so I think we're capturing that piece of it. And then in Q1 in particular, you know, I think, you know, we also just had a day's headwind, so when you normalize for that, you know, it's another component that you think about the overall outcome, you know, being pretty similar to the trends that we've seen in the second half and what we're expecting for the full year. So, overall, I think we're well-positioned and, there's certainly a variety of variables that we're considering, and I think the range allows us to, you know, stay consistent at the moment.
Operator
Operator
[Operator Instructions] Your next question is coming from Jon Block from Stifel.
Jon Block
Analyst · Stifel
Hey, guys. Good morning. Maybe just the first one on inVue, a small series of questions all wrapped into one. Jay, I think the InVue order number was 1,600 last quarter. You gave more details around shipments, but is there an updated order number to share as of the end of the first quarter? And then regarding FNA timing, I think you said, you know, later in 2025, but you've been saying later in 2025, so anything more granular that you can give. And the final one is, you know, that additional metric in April of, I think, the implied 600 shipments for the month of April. Like, what led to that accelerating rate? Was it a component issue that was rectified? Did you get the software in a better place to accelerate the shipments? Maybe you can comment there. And then I'll ask my follow-up. Yeah.
Jay Mazelsky
President
Good morning, John. You know, as I've described, in the past when we launched a new instrument, you know, typically we go through a controlled launch process. And that's an opportunity to put at volume a product in the hands of customers. You always learn things that may involve, you know, some tweaks to an algorithm or, you know, helping to refine the training and onboarding experience. And we got -- we went through that process. We've done that with every instrument. And it tends not to be long process. It can be, you know, a couple months, you know, three, four months, something like that. We got confident that we were delivering the right experience with InVue, and we opened up the gates. And so, April represented confidence that we're now through the controlled launch period and can deliver the experience we want to with customers. We're, now that we're in volume launch, we're no longer disclosing backlogs or, the product itself. And we'll just continue to report like we do for the other products in terms of what we ship and put in the hands of customers. In terms of the Cancer Dx, we, you know, have said, I think, consistently that FNA is an important part of the menu, that it's targeted later on in 2025. That's still our plan. We have teams working on it. We know it's an important part of the menu that customers want and an integrated part of the overall company's cancer strategy.
Jon Block
Analyst · Stifel
Okay. So, no order number going forward. The last part of that question, which was like, what, you know, resolve the bottleneck on the shipments, any commentary there, if that was software or components, or did you sort of get after that?
Jay Mazelsky
President
Well, I mean, it's just part of, as I was describing the controlled launch piece, where you want to, you know, you want to exercise the system. There's always things you learn. There's tweaks you make to the algorithm from, you know, a manufacturing standpoint of the instrument and the consumable and the field organization. Capacity, you know, is in place. You know, I can't point to a single thing and say, that was it. It's more just how we run product launches to deliver a very high customer experience.
Jon Block
Analyst · Stifel
Okay, that was helpful. Thank you. And then maybe I'll ask a similar small series of more annoying questions for Andrew. So, Andrew, just maybe you could just help us out on a couple of things. The guidance that you gave or the metrics you gave for 2Q '25, is that call it day neutral? I might have missed that, and if so, when we think about that acceleration in 2H, is that when you get that day or so back from 1Q? Can you help us out on why the visit data, the sample size is down to 7,500 from 8,500 last quarter? It moves around, but that was a pretty big move. Maybe you can give some clarity there. And the last one is I thought I heard you say FX was a headwind Q-on-Q. I might have missed that, but maybe if you can just clarify the FX and the impact of the reported revenue for 2Q? Thanks, guys.
Andrew Emerson
Chief Executive Officer
Yes, good morning, John. So, just in terms of days for Q2 in particular, we didn't highlight anything one way or the other. So, you know, any impact that we have from a day's perspective in Q2 wasn't something we called out and wouldn't be a material, you know, driver. So, to your point, I think we will benefit in the second half related to that compare if you're just looking at a half one to a half two type of metric. That is part of, I think, the acceleration that you could think about, you know, as part of that second half benefit. When we think about the FX component, again, we're planning for about a 1% headwind for foreign exchange year over year. Yes, that's for the full year outlook in Q2 at this point. It aligns with the rates that we publish in our press release. Certainly, foreign exchange has been relatively volatile lately. So, I think it's, you know, something we're, again, paying attention to, but we're being transparent about what we have in plan. Just to give you a sense for sensitivities, you know, 1% change in foreign exchange rates would be about $11 million on the top line and $4 million of operating profit. So, you know, we'll continue to provide that level of transparency, but, you know, just to give you a flavor for how we're seeing the planning rates play out here. And then on the visit data, you know, again, to your point, I think it changes from period to period. It gets largely in line with what we saw in terms of our Q4 numbers as well. So, you know, it's in that, you know, 7,000 to 8,000 range in the last, you know, several quarters here, and, you know, we'll pay attention to that. But nothing meaningful to call out there. You know, it just tends to be how do we make sure we have a comparable basis, and it's still a really material portion of the overall sector. So, yeah, I think it's a meaningful number.
Operator
Operator
Next question is coming from Brandon Vazquez with William Blair.
Brandon Vazquez
Analyst · William Blair
Hi, everyone. Thanks for taking the question. I'll ask two up front because they're kind of related here. One is you guys were talking a lot about macro. So, just kind of curious how things have trended more so in April. I think a lot of us are trying to understand the consumer key leaves are a little harder to read these days. So, curious how wellness visits especially have been trending more so in April and how you guys are feeling there. And the kind of interconnected question to that is despite kind of the noise around macro, your utilization X price has actually been pretty strong the past couple of quarters and has remained pretty resilient. So, curious if you could talk a little bit about how that utilization is? What's driving that utilization growth despite the macro? How durable you think that can be as we go through '25?
Andrew Emerson
Chief Executive Officer
Yes, thanks, Brandon, for the question. I'll start maybe just to highlight it. We don't really typically talk about anything in period here. So, while Jay highlighted the ramp that we had on inVue Dx, which I think is really exciting, points to how we're thinking about that ramp going forward. We're not necessarily going to get into visit metrics here for April. Yes, the guide, again, if you just kind of think about where we're positioning for Q2 at midpoint, CAG Diagnostic recurring revenue would be about 6.25%. And so that's largely in line on a days adjusted basis with what we saw in Q1. And we highlighted that, you know, again, for the Q2 at midpoint, we would expect, you know, similar clinical visit levels as the full year outlook, which approximates around 2% declines for the full year. So, yes, I think those are probably the most important metrics to be thinking about in terms of how we see this playing out over time. And to your point, I think on the utilization, you know, component here, that's really encouraging for us, again, the frequency and the utilization are key aspects of our strategy overall. I think we do see a level of resiliency here. That's what we've always said about the business is we're not immune to some of these macro impacts. And certainly, we've seen that play out on clinical visits. But, you know, we see a resilient business that people are willing to, you know, continue to make tradeoffs, you know, for their pet's health over time.
Operator
Operator
Next question is coming from Dan Clark with Leerink Partners.
Dan Clark
Analyst · Leerink Partners
Great. Thank you. Just wanted to stick with the theme of macro here. Is that a topic that comes up at all when you're discussing, you know, potential inVue sales with your customers? Or, like, what are they focusing on in addition to being probably enthusiastic about the new box? Thank you.
Jay Mazelsky
President
Yes. Hi, Dan. This is Jay. The, you know, customers, what we see pretty much across the board have a, you know, pretty significant appetite for new technology, provided it hits a sweet spot in terms of delivering a good clinical impact, but also workflow optimization. So we see practices, whether it's an independent, you know, practice or the corporate groups, really willing to lean in to technology investment. We've seen this on the software side. We're seeing it on the, you know, the capital side. They are -- I think, discerning consumers, so to speak. They want to know that it's not adding work or taking work away, you know, from their practices, because though I think staffing has largely stabilized, what they don't want to do is put themselves in a position where they will need more staff. They also want to know that the technology can be applied to help them deliver more consistent and accurate care. So whether it's Cancer Dx or inVue or pancreatic lipase or the type of things that we're offering, a lot of, I think, a lot of enthusiasm for those type of solutions, and we've seen that in the numbers.
Operator
Operator
Your next question is coming from David Westenberg with Piper Sandler.
David Westenberg
Analyst · Piper Sandler
Hi, thanks for taking the question. So I wanted to hit on the pet adoption trend. Are you seeing, at least the data I think is suggesting there might be a little bit more cats than dogs in the pet adoption trend? Can you talk about how that kind of changes the utilization dynamics and if there's any innovation or drive or kind of like conversations with customers in terms of how to get these, the utilization of cats up?
Jay Mazelsky
President
Yes, good morning, David. We, you know, we were very, I think, pleased with the overall trend being flat. It had come off, as you recall, you know, through the pandemic and after the pandemic, really from a very significant adoption high. And as I mentioned in my remarks, it's approximately a 3% CAGR going back to 2019. Historically, that's a 3x, that's a 3x figure. There is some mix in the cats, not surprisingly. I think there's increasingly interest in being able to provide excellent care to cats in addition to dogs. So, we expect over time, see higher standards of care, being able to provide. A lot of our solutions, like SDMA, for example, are tailor-made towards cats because there's a higher incidence of chronic kidney disease in cats. So, we have a really nice portfolio, our triple from rapid assay standpoint is the gold standard in being able to support cat health. And something that we continue to, you know, look at and really understand how better to support cat health.
David Westenberg
Analyst · Piper Sandler
Thanks. And just another one on macro, but you guys specifically, you did mention the 10% growth in EVI. So, I'm guessing maybe this leans towards 360, but I was just thinking about the dynamics and kind of the uncertain environment, whether or not they are gravitate toward 360 or a capital purchase. Just, you know, the only, I mean, consideration of maybe 360 is, you know, in an uncertain environment, you also want to have the minimum commitment. So, just any color there on how to think about the purchase decisions that the customers are making? Thank you. And that's my last one.
Jay Mazelsky
President
Yeah, IDEXX 360 has always been, you know, our primary or the majority of placements occur through IDEXX 360 as a program. So, there's a lot of, I think, customer receptivity to it. What we said is we said the, yeah, the EVI placement was double digits on a global basis. So, obviously, the quality of placements across our premium instrument portfolio was very high, which is what we shoot for. It really driven by competitive and greenfield catalysts of both in the U.S. and international. So, we pay a lot of attention to quality of placements. We continue to make great traction and we'll provide updates, you know, throughout the year on that.
Operator
Operator
And your last question will be coming from Navann Ty with BNP Paribas.
Navann Ty
Analyst · BNP Paribas
Hi. Good morning. Do you remain confident on the 4%, 4.5% net price given that visit environment? And I have a question on inVue as well. Is your confidence still based on the existing menu or would you say the SMA expansion will materially help to reach the 4,500 targets? Thank you.
Andrew Emerson
Chief Executive Officer
Good morning, Navann. Maybe I'll just start with your first question. So, as part of our 2025 outlook, we have set at midpoint that pricing is 4% to 4.5%. In Q1, we highlighted that we delivered 4% from a global net price realization perspective. So, I think, you know, we're still confident with our overall focus on pricing at this point. Maybe I'll hand the call to Jay to talk to your next question, however.
Jay Mazelsky
President
Yes. The menu on inVue is, you know, ear cytology, blood morphology, and then we said later on in the year, you know, FNA for lumps and bumps. And, you know, customers who have purchased at this point have purchased based on the ear cytology and blood morphology. And they recognize that we have a technology for life orientation. I think there's a lot of confidence that we'll continue to expand, you know, the menu. But our guidance and our outlook is based on, you know, what we've delivered in the hands of customers today. And then, obviously, as additional menu, you know, comes out, they'll be able to use that. And we provided, I think, back at Investor Day some guidance in terms of the overall value of that consumable stream between $3,500 and $5,500 which dollars annually, which includes FNA as part of that model. So, I'll now conclude our prepared remarks by thanking the 11,000 IDEXX employees for your ongoing commitment and incredible passion for our purpose-driven work. Once again, my pleasure to share how IDEXX executed against our organic growth strategy while delivering strong financial results in the first quarter. So, with that, we'll conclude the call. Thank you.
Operator
Operator
This concludes today's call. Thank you for your participation. You may now disconnect.