Financial Data and Key Metrics Changes - The company has been focused on driving utilization, ensuring strong reimbursement coverage, and reducing turnaround times and costs to open up access [4] - The gross margin for chromosomal microarray tests has improved to 40% - 50% from a negative margin a few years ago [15] Business Line Data and Key Metrics Changes - The company has diagnosed more children with rare diseases than anyone else globally, with a data asset of over 3 million patients and more than 850,000 exomes and genomes [3][4] - The company is expanding its focus from expert geneticists to pediatric specialists, aiming to reduce the average age of diagnosis from five years to three years [12] Market Data and Key Metrics Changes - There are approximately 600,000 children diagnosed with developmental or intellectual delays, with 60,000 general pediatricians involved in diagnosing these conditions [13][14] - The company is targeting 12 Epic integrated systems by the end of the year, with a goal to connect to over 800 level three and four NICUs [22][25] Company Strategy and Development Direction - The company aims to become a household name in genetic testing, focusing on early diagnosis of rare diseases to alleviate the burden on families [2][17] - The acquisition of Fabric Genomics is intended to enhance the company's interpretation-as-a-service capabilities and expand into international markets without the need for extensive lab setups [36][38] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the new guidelines from the American Academy of Pediatrics, which could significantly shift the standard of care for children and increase testing utilization [12][17] - The company anticipates an 18 to 24-month timeline for significant changes in general pediatrician behavior regarding testing orders [19] Other Important Information - The company has made over 500 gene disease discoveries, contributing to a virtuous cycle of product improvement [9] - The company is focusing on expanding its biopharma business, which has shown potential for significant growth by matching patients to clinical trials [40][41] Q&A Session Summary Question: What is the anticipated mix between two-day and five-day tests? - The company charges more for ultra-rapid testing ($5,000 to $7,000) compared to the five-day turnaround tests, which are priced lower [29] Question: What is the size of the volume base that could be converted quickly? - The company is focusing on general pediatricians who are actively diagnosing children with developmental delays, aiming to convert existing orders through education and improved customer experience [13][15] Question: What does the Fabric Genomics acquisition add to the business? - The acquisition allows the company to leverage its data asset for interpretation-as-a-service globally, enhancing diagnostic accuracy and efficiency [36][38] Question: How is the company approaching the NICU opportunity? - The company is targeting NICUs to increase genetic testing utilization, with a current testing rate of less than 5% among NICU patients [24][25] Question: What are the company's expectations for the pediatric market? - The company expects early adopters among general pediatricians to begin ordering tests within the next 18 to 24 months, although significant impacts on revenue are not anticipated until later [21][19]

Financial Data and Key Metrics Changes - The company reported revenues of $102.7 million for Q2 2025, a 49% increase year over year [19] - Exome and Genome revenue reached a record high of $85.9 million, up 69% from the same quarter last year [19] - The average reimbursement rate for Exome and Genome tests was over $3,700, an increase from approximately $3,400 in the previous quarter [19] - Adjusted gross margin expanded to a record high of 71%, driven by favorable mix shift, improved reimbursement, and lower COGS [22] - Adjusted net income for Q2 was $15 million, marking the fourth consecutive quarter of profitability [25] - Cash, cash equivalents, and marketable securities totaled $135.5 million as of June 30, 2025 [25] Business Line Data and Key Metrics Changes - The company conducted 23,102 Exome and Genome tests in Q2 2025, a 28% increase compared to the same quarter last year [21] - Most volume growth came from existing doctors, with 25% of volume growth attributed to new clinicians [44] - The introduction of new indications like cerebral palsy is expected to drive increased same-store sales [21][44] Market Data and Key Metrics Changes - Pediatric neurologists constituted a majority of new exome and genome ordering providers, capturing nearly a third of the target clinicians in this segment [10] - The NICU market represents a billion-dollar opportunity, with fewer than 5% of babies currently receiving genetic tests [12] - The company has established a presence in 42 out of the 50 top NICUs, with expectations for significant scaling in NICU testing [12] Company Strategy and Development Direction - The company aims to shift healthcare from reactive to proactive, focusing on early genetic diagnosis to improve health outcomes [6][7] - Plans to engage pediatricians and expand into the general pediatrics market, targeting 60,000 pediatricians in the U.S. [14][15] - The acquisition of Fabric Genomics is expected to enhance the company's capabilities and competitive edge in genomic testing [9][78] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving at least 30% year-over-year volume growth for the full year 2025 [21][26] - The company anticipates that the broader adoption of genomic testing will take 18 to 24 months following new guidelines from the American Academy of Pediatrics [16][96] - Management highlighted the importance of simplifying the ordering process for pediatricians to facilitate adoption [92] Other Important Information - The company is focused on building partnerships with pharmaceutical companies to leverage genomic data for drug development [17] - The integration of AI into the proprietary interpretation platform is expected to enhance accuracy and scalability [9] Q&A Session Summary Question: ASPs trounced estimates; what drove this? - Management attributed the increase to major overhauls in the revenue cycle and improved adherence to documentation requirements [32][34] Question: How to balance investment in pediatric market with current business? - The company will continue to focus on pediatric neurology while gradually building the general pediatric market [37][38] Question: How is the NICU market progressing? - The company has three health systems live with Epic and expects to onboard at least 12 more in the second half of the year [46] Question: What is the current denial rate? - The paid rate is now in the mid-50s, reflecting improvements in the revenue cycle [72] Question: How is the Fabric Genomics integration progressing? - The integration is on track, with a focus on leveraging AI and expanding into international markets [78] Question: What is the timeline for commercial payers to adopt new guidelines? - The company expects an 18 to 24-month timeline for operationalizing new guidelines with payers [96]

Financial Performance - GeneDx grew revenues to $102.7 million, a 49% increase year-over-year[25] - Exome and genome test revenue grew to $85.9 million, a 69% increase year-over-year[25] - The company delivered an adjusted gross margin of 71%, up from 62% in the second quarter of 2024[25] - Adjusted net income was $15.0 million in the second quarter of 2025[25] - Cash, cash equivalents, marketable securities, and restricted cash totaled $135.5 million as of June 30, 2025[39] Volume and Market Share - Exome and genome volume grew 28% year-over-year in Q2 2025[34] - The mix share for exome and genome tests grew to 41%[34] Guidance - The company updated its full-year 2025 revenue guidance to $400 to $415 million, from $360 to $375 million[40] - The company expects growth in exome and genome revenue of 48% to 52%[40] - The company expects growth in exome and genome volume of 30%[40] - The company expects adjusted gross margin of 68% to 71%[40]

Financial Data and Key Metrics Changes - The company reported revenues of $87.1 million for Q1 2025, marking a 62% year-over-year growth in Exome and Genome revenues, which contributed $71.4 million this quarter [17][21] - Adjusted gross profit from continuing operations was $59.7 million, up 56% year-over-year, resulting in an adjusted gross margin of 69%, an increase from 61% a year ago [21][24] - Adjusted net income for Q1 2025 was $7.7 million, representing the third consecutive quarter of profitability [22][24] Business Line Data and Key Metrics Changes - Exome and Genome tests accounted for 40% of all tests in Q1, with volumes from these products up 24% year-over-year [17][21] - The company launched an ultra-rapid genome sequencing product in April, which delivers results in as soon as 48 hours, enhancing its service offerings [10][19] Market Data and Key Metrics Changes - The company expanded its market penetration among pediatric neurologists to 14% [10] - The average reimbursement rate for Exome and Genome tests increased to approximately $3,400, up from $2,600 in the same quarter last year [20] Company Strategy and Development Direction - The company is focused on integrating exome and genome testing as a standard of care, aiming to shift from reactive to proactive healthcare [8][12] - Plans to acquire Fabric Genomics, which will enhance AI-powered genomic interpretation and create a recurring software-based revenue stream [13][21] - The company is also targeting new clinical indications, including immune deficiency disorders and cerebral palsy, to drive growth [19][63] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the strategic fit of the Fabric acquisition and its potential to unlock scalable platform economics [13][21] - The company anticipates a NICU volume ramp in the second half of the year, supported by foundational infrastructure laid in previous quarters [11][19] - Management reaffirmed guidance for 2025, expecting total revenues between $360 million and $375 million, with at least 30% growth in Exome and Genome volumes [24][25] Other Important Information - The company highlighted the importance of newborn screening and its potential contribution to revenue streams, likely in the 2027 timeframe [45][46] - The company is integrating AI across its business to enhance efficiency and accuracy in genomic interpretation [13][21] Q&A Session Summary Question: What are the reasons for the sequential decline in volumes in Q1? - Management acknowledged a historical pattern of volume decline from Q4 to Q1, exacerbated by weather disruptions and fewer sales days in Q1 [30][31] Question: What caused the increase in G&A expenses? - A significant portion of the increase was attributed to costs related to the Epic integration and general support costs, with expectations to drive down operating expenses as a percentage of revenue over time [33][34] Question: What visibility supports the expected acceleration in NICU volumes in the second half of the year? - Management indicated strong initial integration with Epic and a backlog of clients ready to come online, supporting the anticipated volume growth [37][38] Question: How is pricing expected to play out in Q2 and beyond? - Management noted that the average reimbursement rate is expected to remain stable, with ongoing efforts to reduce denials and improve the revenue cycle [39][42] Question: What is the expected impact of the weather disruptions on Q2 volumes? - Management expects to recoup some of the missed appointments in Q2, although the scarcity of specialists may delay recovery [88][90] Question: What are the expectations for new indications this year? - Management confirmed that new indications are expected to contribute to growth, with ongoing efforts to change standard care practices among physicians [63][66]

Financial Data and Key Metrics Changes - The company reported revenues of $87.1 million for Q1 2025, marking a 62% year-over-year growth in Exome and Genome revenues, which contributed $71.4 million this quarter [16][22] - Adjusted gross profit from continuing operations was $59.7 million, up 56% year-over-year, resulting in an adjusted gross margin of 69%, an increase from 61% a year ago [21][22] - Adjusted net income for Q1 2025 was $7.7 million, representing the third consecutive quarter of profitability [22] Business Line Data and Key Metrics Changes - Exome and Genome tests accounted for 40% of all tests in Q1, with volumes from these flagship products up 24% year-over-year [16] - The company launched its ultra-rapid genome sequencing product, which delivers results in as soon as 48 hours, enhancing its service offerings [10][19] Market Data and Key Metrics Changes - The company grew its market penetration of pediatric neurologists to 14% [9] - Average reimbursement rate for Exome and Genome tests increased to approximately $3,400, up from $2,600 in the same quarter last year [20] Company Strategy and Development Direction - The company is focused on integrating exome and genome testing as a standard of care, aiming to shift from reactive to proactive healthcare [7][8] - Plans to acquire Fabric Genomics, which will enhance AI-powered genomic interpretation and create a recurring software-based revenue stream [12][13] - The company is expanding into new clinical indications and markets, including NICU and adult testing, to capture growth opportunities [10][19] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the strategic fit of the Fabric acquisition and its potential to unlock scalable platform economics [13] - The company anticipates continued growth in its core exome and genome testing business, with a guidance increase for total revenues to between $360 million and $375 million for the full year 2025 [23][25] Other Important Information - The company highlighted the importance of newborn screening and its potential revenue contribution, expected to materialize around 2027 [46] - Management noted that only 5% of rare diseases currently have approved therapies, emphasizing the critical role of genomic data in drug discovery [14] Q&A Session Summary Question: What are the reasons for the sequential decline in volumes in Q1? - Management acknowledged a historical pattern of volume decline from Q4 to Q1, exacerbated by weather disruptions and fewer sales days in Q1 [30][31] Question: What contributed to the increase in G&A expenses? - A significant portion of the increase was attributed to costs related to the Epic integration and general support costs, with expectations of driving down OpEx as a percentage of revenue over time [34][35] Question: What visibility supports the expected acceleration in NICU volumes in the second half of the year? - Management indicated that initial integration with Epic is on track and that there is a solid pipeline of clients ready to come online [38] Question: How is pricing expected to play out in Q2 and beyond? - Management noted that the average reimbursement rate is expected to remain stable, with ongoing efforts to reduce denials and improve the revenue cycle [40][43] Question: What is the expected impact of the weather disruptions on Q2 volumes? - Management expects to recoup some of the missed appointments in Q2, although long wait times for specialist appointments may affect recovery [90] Question: What are the expectations for new indications this year? - Management confirmed that new indications, including immune deficiencies and cerebral palsy, are expected to contribute to growth, although it is too early to quantify their impact [63][65]