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 previously being negative [16] Business Line Data and Key Metrics Changes - GeneDx has diagnosed more children with rare diseases than any other company 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 medical geneticists to include pediatric neurologists, immunologists, and other specialists to reduce the average age of diagnosis from five years to potentially three years [12][19] Market Data and Key Metrics Changes - There are approximately 600,000 children diagnosed with developmental delay or intellectual delay, with 60,000 general pediatricians involved in diagnosing these conditions [15] - The company aims to penetrate the general pediatrician market, which has not been actively targeted in recent years, through education and improved customer experience [17][19] Company Strategy and Development Direction - The company aspires to become a household name in genetic testing, aiming to reduce the time it takes for children with rare diseases to receive accurate diagnoses [2] - The recent updates to guidelines by the American Academy of Pediatrics present a significant opportunity for the company to shift the standard of care for children [12][18] Management's Comments on Operating Environment and Future Outlook - Management acknowledges the challenges of changing clinician behavior post-guideline publication, estimating an 18 to 24-month timeframe for significant shifts in general pediatrician ordering behavior [20][22] - The company is excited about the potential impact of its testing on families struggling with undiagnosed children, highlighting the associated mental health issues for parents [18] Other Important Information - The acquisition of Fabric Genomics is expected to enhance the company's interpretation capabilities and expand its reach into international markets without the need for extensive capital investment [39][40] - The company is also focusing on the biopharma sector, matching patients to clinical trials and FDA-approved therapies, which is becoming a higher priority [42][44] 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 [32] Question: What is the size of the volume base that could be converted from pediatricians? - The company is focusing on the 25,000 general pediatricians actively diagnosing developmental or intellectual delays, expecting some to begin ordering tests from GeneDx [15][22] Question: How will the rollout of Epic integrated systems progress? - The company targets 12 Epic integrations by the end of the year, with five currently active, and aims to expand to more than 800 level three and four NICUs [24][27] Question: What are the expectations for NICU contributions in the back half of the year? - The company anticipates a couple of thousand tests mainly in the fourth quarter from the NICU segment [30][31] Question: What is the company's strategy for the biopharma business? - The biopharma business is becoming a priority, with efforts to raise awareness and match patients to clinical trials, leveraging the company's data [42][44]

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 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]