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Adam Schechter

Adam Schechter

Chairman & CEO
Labcorp
11 May 2024

Labcorp operates a large network of clinical laboratories around the world. What specifically led you to join it in 2019?

Starting my career in pharmaceuticals in 1988 as a sales rep, I navigated through various roles within the industry, eventually serving as the President of Global Human Health at Merck. My connection with Labcorp began six years prior to my CEO appointment when I joined its board. I was drawn to Labcorp because of its mission and the pivotal role of diagnostic testing in enhancing healthcare productivity. When the opportunity to lead as CEO arose in 2019, just months before the COVID pandemic, I embraced it with enthusiasm, fueled by my belief in the company's impact on health and science.

Why are Labcorp's services indispensable?

Labcorp stands at the forefront of offering innovative and comprehensive laboratory services, aiming to advance science and improve health. Our operations are divided into two main segments: diagnostics and biopharma laboratory services. With over 6,500 available tests covering nearly every disease area, we perform upwards of 600 million diagnostic tests annually, constituting about 70% of our business. The remaining 30% is dedicated to biopharma services, including extensive support for clinical trials and partnership with biotech companies, underscoring our involvement in the development of new drugs approved by the FDA.

Since a significant part of your biopharma lab business is devoted to clinical trials, could you elaborate on the concept of decentralized clinical trials?

Decentralized clinical trials represent a pivotal shift towards democratizing clinical trial access globally. By partnering with companies like Hawthorne, we aim to leverage technology to expand trial participation beyond traditional settings, reaching underserved and rural communities. This approach not only broadens patient access to trials but also accelerates enrollment and drug development processes. The ultimate goal is to make clinical trials more inclusive and efficient, ensuring faster patient access to new treatments.

What are some of the innovative diagnostic tests that Labcorp is proud of, particularly in the field of oncology?

Labcorp's diagnostic segment is dynamic, with over 6,500 tests that span across all therapeutic areas. Our focus is on areas with significant technological advancements such as oncology, neurology, women's health, and autoimmune diseases.

In oncology, our Labcorp Plasma Focus aims to use blood samples for cancer detection, a less invasive alternative to traditional biopsies. This innovation opens new possibilities for early cancer screening, therapy selection, and monitoring residual disease. Our commitment extends to collaborating with pharmaceutical and biotech companies, aligning our diagnostic capabilities with the development of new cancer treatments.

How is technology, specifically AI, integrated into Labcorp's operations?

AI plays a transformative role in both customer-facing and operational aspects of Labcorp. For example, we employ neural networking to enhance patient check-in processes at our service centers, improving accuracy and efficiency in patient identification and insurance verification. This not only speeds up the process but also allows our staff to focus more on patient care. In our laboratories, AI aids in digital pathology, assisting pathologists by highlighting key areas for examination on slides. Our data science team, leveraging over 45 billion data points, works within HIPAA compliance to harness this data for disease prediction and management. AI and technology are pivotal in refining our services and contributing to healthcare advancement.

What was your personal experience becoming the CEO of Labcorp just before the onset of the COVID-19 pandemic, and how did you manage to preserve the company's value during and after?

Becoming CEO of Labcorp at the onset of the pandemic was a unique challenge. Our base business experienced a significant downturn, with a 65% reduction at a point, while we faced the imperative to rapidly scale testing capacity for COVID-19 without clear insights into duration, demand, or reimbursement rates. This period, however, marked one of my proudest moments, witnessing our organization's mobilization around a crucial global need. We adhered to four principles: building capacity as quickly as we could, uniform pricing according to government-approved rates, equal prioritization of tests, and leveraging science and innovation. This approach not only allowed us to scale from conducting a few thousand tests per day to 400,000 but also showcased our commitment to equitable healthcare access and the pivotal role of diagnostics.

The resilience of Labcorp was further demonstrated through our innovative responses to unprecedented challenges, such as developing a method to extract DNA for testing using heat instead of scarce reagents and optimizing our testing processes with robotics. These efforts underscored the importance of diagnostics in public health and helped maintain our company's value. Our strategy included transparently differentiating COVID testing from our core business, allowing us to demonstrate the inherent strength and growth of our primary services independent of the pandemic response. This strategic clarity, alongside our contributions to vaccine development and clinical trials, played a critical role in preserving and even enhancing our value post-pandemic.

How did you manage the surplus capacity and equipment post-pandemic?

Post-pandemic, the challenge of managing surplus capacity and equipment was approached with the same principle of doing the right thing for the global community. Most equipment purchased for COVID-19 testing was integrated into our existing operations, either by upgrading older machines or repurposing them, ensuring a minimal financial impact and reinforcing our commitment to health emergencies over profit. Our response was driven by a sense of duty rather than fiscal considerations, focusing on building as much capacity as needed to meet the crisis head-on. This approach, while leading to some unavoidable write-offs, was a testament to our dedication to public health and our ability to make swift, impactful decisions under pressure.

What is Labcorp’s approach to data privacy?

Data privacy stands as a cornerstone of our operations, especially given our global reach. We adhere to stringent compliance measures, ensuring alignment with local and international data protection laws. Our dedicated compliance and data privacy teams work tirelessly to safeguard patient information, a commitment that extends to every market we operate in. By respecting the unique regulatory landscapes of different countries and always prioritizing the confidentiality and security of patient data, Labcorp maintains the highest standards of data privacy, reinforcing our role as a trusted partner in healthcare.

Where do you see Labcorp in the next three to five years?

Looking ahead, I envision Labcorp as an integral component of global healthcare systems, recognized for our leadership in diagnostic testing and our pivotal role in bringing new pharmaceutical and biotech products to market. Our ambition is to contribute to a more sustainable healthcare ecosystem, one that balances cost-efficiency with high-quality care. By advancing diagnostic and specialty testing worldwide, and fostering collaboration within the healthcare sector, we aim to drive down healthcare costs while enhancing patient outcomes. Labcorp’s commitment to innovation and patient care positions us to make significant strides towards personalized medicine and more effective healthcare solutions globally, reflecting our dedication to improving health and saving lives.