GeneDx (US:WGS)2026-02-23 14:32Financial Data and Key Metrics Changes - The company reported quarterly revenues of $121 million, a 27% year-over-year increase, with full-year revenues reaching $428 million, driven by a 54% growth in exome and genome revenue [5][17] - Adjusted net income for Q4 was $4.4 million, with a full-year adjusted net income of $4.8 million, indicating leverage in the business model [19] - Total company adjusted gross margin for Q4 and full year 2025 was 71%, up from 45% in 2023 and 65% in 2024, primarily due to higher reagent costs expected to decrease as adoption ramps [19] Business Line Data and Key Metrics Changes - Exome and genome revenues were $104 million in Q4, reflecting a 32% year-over-year increase, with an organic growth rate of 42% when excluding a one-time payor recovery from the previous year [17] - The company reported 27,761 exome and genome test results in Q4, showing a consistent acceleration in growth throughout the year, from 24% in Q1 to 34% by year-end [17] Market Data and Key Metrics Changes - The company is targeting six untapped markets, including general pediatrics, prenatal, NICU, and adult specialists, with significant room for growth in clinician adoption and test ordering [10][11] - The NICU market is expected to see increased utilization, with a goal of reaching 60% over time, while general pediatricians are anticipated to ramp up following the launch of a one-minute ordering experience [22][23] Company Strategy and Development Direction - The company aims to solidify its leadership in rare disease diagnostics by leveraging its extensive dataset, GeneDx Infinity, which includes over 2.5 million rare genetic tests and is designed to improve diagnostic capabilities [8][9] - The strategy includes nearly tripling the sales force to capture new markets and enhance clinician engagement, with a focus on converting single gene tests to exome and genome tests [11][12] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's growth trajectory, reaffirming guidance for total revenues in the range of $540 million to $555 million for 2026, with expected exome and genome volume growth of 33%-35% [24] - The management highlighted the importance of patient-centered care and the convergence of clinical, economic, and policy factors that support the adoption of genomic solutions in mainstream medicine [6][29] Other Important Information - The company has recently received FDA Breakthrough Device designation, positioning it as a leader in comprehensive genomic solutions [6] - Management noted the importance of maintaining a conservative approach to new market entries and reimbursement rates, with a focus on building a strong foundation before projecting significant upside [55][76] Q&A Session Summary Question: Guidance assumptions regarding foundational tests - Management indicated that the guidance reflects confidence in reversing recent trends due to the potential for increased clinician activation and test ordering [32] Question: Quarterly cadence for volumes and gross margins - Management explained that Q1 is typically the lowest point for volume and reimbursement rates, with expectations for gradual improvement throughout the year [35][36] Question: Pricing outlook and reimbursement rates - Management stated that there is no pricing baked in for Medi-Cal yet, and they are taking a conservative view on reimbursement rates for new outpatient markets [75][76] Question: Growth drivers in NICU and prenatal markets - Management highlighted that the NICU market is expected to provide significant growth, with early signs of increased utilization, while prenatal testing is anticipated to ramp up later in the year [80][81]