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GeneDx Holdings Corp
(:WGS) 

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GeneDx Holdings Corp., through its subsidiaries, provides genomics-related diagnostic and information services. The company offers Centrellis, an AI-driven health intelligence platform that integrates digital tools and artificial intelligence allowing scientists to ingest and synthesize clinical and...


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At a glance:
Bull Thesis:
Bear Thesis:
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Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 
                          
      revenue
                          
      diagnostic test revenue
    117,286,000 113,523,000 99,823,000 85,759,000 94,196,000 77,418,000 69,439,000 61,104,000 55,214,000 51,955,000 46,635,000 41,850,000 59,345,000 81,490,000 34,004,000 52,495,000 56,127,000 41,410,000     
      other revenue
    3,703,000 3,220,000 2,869,000 1,356,000 1,444,000 -544,000 1,075,000 1,318,000 2,204,000 1,348,000 2,071,000 1,289,000 2,005,000 1,744,000 2,165,000 1,446,000 1,674,000 1,768,000     
      total revenue
    120,989,000 116,743,000 102,692,000 87,115,000 95,640,000 76,874,000 70,514,000 62,422,000 57,418,000 53,303,000 48,706,000 43,139,000 61,350,000 83,234,000 36,169,000 53,941,000 57,801,000 43,178,000     
      yoy
    26.50% 51.86% 45.63% 39.56% 66.57% 44.22% 44.77% 44.70% -6.41% -35.96% 34.66% -20.03% 6.14% 92.77%         
      qoq
    3.64% 13.68% 17.88% -8.91% 24.41% 9.02% 12.96% 8.72% 7.72% 9.44% 12.90% -29.68% -26.29% 130.13% -32.95% -6.68% 33.87%      
      cost of services
    36,721,000 32,216,000 31,790,000 28,639,000 29,435,000 29,045,000 27,562,000 25,011,000 26,664,000 28,044,000 29,949,000 27,903,000 77,676,000 69,685,000 65,767,000 48,316,000 48,602,000 58,752,000     
      gross profit
    84,268,000 84,527,000 70,902,000 58,476,000 66,205,000 47,829,000 42,952,000 37,411,000 30,754,000 25,259,000 18,757,000 15,236,000 -16,326,000 13,549,000 -29,598,000 5,625,000 9,199,000 -15,574,000     
      yoy
    27.28% 76.73% 65.07% 56.31% 115.27% 89.35% 128.99% 145.54% -288.37% 86.43% -163.37% 170.86% -277.48% -187.00%         
      qoq
    -0.31% 19.22% 21.25% -11.67% 38.42% 11.35% 14.81% 21.65% 21.75% 34.66% 23.11% -193.32% -220.50% -145.78% -626.19% -38.85% -159.07%      
      gross margin %
    69.65% 72.40% 69.04% 67.13% 69.22% 62.22% 60.91% 59.93% 53.56% 47.39% 38.51% 35.32% -26.61% 16.28% -81.83% 10.43% 15.91% -36.07% NaN% NaN% NaN% NaN% 
      research and development
    24,541,000 19,829,000 15,079,000 12,577,000 11,588,000 11,665,000 10,902,000 11,567,000 12,248,000 14,288,000 17,138,000 14,592,000 24,366,000 13,354,000 27,168,000 21,315,000 22,246,000 17,831,000     
      selling and marketing
    27,131,000 23,510,000 19,448,000 18,316,000 17,676,000 17,025,000 16,585,000 16,085,000 15,559,000 16,763,000 15,182,000 13,452,000 31,797,000 37,451,000 36,118,000 29,547,000 42,801,000 22,121,000     
      general and administrative
    46,831,000 44,439,000 27,415,000 32,134,000 27,350,000 26,145,000 25,170,000 22,445,000 26,626,000 26,099,000 37,341,000 43,689,000 40,648,000 51,863,000 68,034,000 42,784,000 58,047,000 33,230,000     
      income from operations
    -14,235,000 -3,251,000 8,960,000 -4,551,000 8,806,000 -7,780,000 -10,579,000 -13,660,000 -25,643,000 -42,967,000 -51,622,000 -60,364,000 -324,882,000 -90,816,000 -162,649,000 -89,305,000 -116,022,000 -89,603,000 -1,277,960    
      yoy
    -261.65% -58.21% -184.70% -66.68% -134.34% -81.89% -79.51% -77.37% -92.11% -52.69% -68.26% -32.41% 180.02% 1.35% 12627.24%        
      qoq
    337.87% -136.28% -296.88% -151.68% -213.19% -26.46% -22.55% -46.73% -40.32% -16.77% -14.48% -81.42% 257.74% -44.16% 82.13% -23.03% 29.48% 6911.41%     
      operating margin %
    -11.77% -2.78% 8.73% -5.22% 9.21% -10.12% -15.00% -21.88% -44.66% -80.61% -105.99% -139.93% -529.56% -109.11% -449.69% -165.56% -200.73% -207.52% -Infinity% NaN% NaN% NaN% 
      non-operating (expenses) income
                          
      change in fair value of financial liabilities
    1,116,000 -3,401,000                     
      interest expense
    -504,750 -562,000 -817,000 -640,000   -894,000 -597,000   -626,000 -767,000 -803,000 -806,000 -790,000 -808,000 -707,000 -683,000     
      other income
    -4,591,000 -174,000 239,000 209,000 -714,000 1,144,000  37,000 -49,000 -1,134,000 86,000 2,716,000 -1,000 2,000 56,000  50,000 -520,000 14,287,840    
      total non-operating expense
    -1,016,250 -4,137,000                     
      income before income taxes
    -18,230,000 -7,388,000 10,563,000 -6,082,000 5,414,000 -8,359,000 -29,363,000 -20,321,000 -26,184,000 -42,458,000 -46,915,000 -61,136,000 -308,671,000 -77,646,000 -134,819,000 -76,896,000 -40,427,000 31,392,000 13,009,880    
      income tax benefit
    564,000 -247,000 246,000 -447,000 24,000 47,000 190,000 82,000 411,000 172,000 196,000 147,000 -90,000 65,000 49,077,000        
      net income
    -17,666,000 -7,635,000 10,809,000 -6,529,000 5,438,000 -8,312,000 -29,173,000 -20,239,000           13,009,880    
      yoy
    -424.86% -8.14% -137.05% -67.74%                   
      qoq
    131.38% -170.64% -265.55% -220.06% -165.42% -71.51% 44.14%                
      net income margin %
    -14.60% -6.54% 10.53% -7.49% 5.69% -10.81% -41.37% -32.42% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% Infinity% NaN% NaN% NaN% 
      other comprehensive income, net of tax
                          
      unrealized gain related to available for sale securities
    -66,000 190,000 -93,000 75,000 -88,000 459,000 168,000                
      comprehensive loss
    -17,732,000 -7,445,000  -6,454,000 5,350,000 -7,853,000 -29,005,000 -20,373,000               
      weighted-average shares outstanding of class a common stock
     28,797,730,000  28,147,948,000 26,891,213,000 27,095,986,000 26,617,955,000 26,062,170,000 24,311,989,000 25,788,747,000 25,418,358,000 20,061,945,000  380,764,176,000 337,752,029,000 244,368,743,000       
      basic and diluted loss per share, class a common stock
    -0.03 -0.27  -0.23                   
      non-operating income (expenses)
                          
      change in fair value of warrants and contingent liabilities
      2,181,000                    
      total non-operating income
      1,603,000  -3,392,000 -579,000 -18,784,000  -541,000 509,000             
      comprehensive income
      10,716,000                    
      weighted-average shares outstanding of class a common stock - basic
      28,579,704,000                    
      earnings per share, class a common stock- basic
      0.38                    
      weighted-average shares outstanding of class a common stock - diluted
      29,753,933                    
      earnings per share, class a common stock- diluted
      0.36                    
      change in fair value of warrants
       -1,100,000                   
      total non-operating expenses
       -1,531,000                   
      impairment loss
             8,282,000  2,120,000           
      other operating expenses
        785,000 774,000 874,000 974,000 1,964,000 2,794,000             
      change in fair value of warrants and earn-out contingent liabilities
        -2,847,500 -880,000 -4,409,000 -6,101,000               
      interest income
        -698,000 -843,000   -978,000 1,053,000 1,700,000 732,000 1,136,000 996,000 382,000 27,000 22,000 27,000     
      other comprehensive loss, net of tax
                          
      basic and diluted net loss per share, class a common stock
        0.23 -0.31 -1.1 -0.78 -0.92 -1.64 -1.84 -3.04   -0.25 -0.31       
      other expense
          -13,481,000                
      total non-operating loss
           -6,661,000               
      unrealized loss related to available for sale securities
           -134,000               
      change in fair market value of warrant and earn-out contingent liabilities
            486,000 590,000 3,547,000 -3,453,000 15,879,000 12,978,000 28,182,000 13,190,000 76,230,000 122,171,000     
      net loss and comprehensive loss
            -37,498,500 -42,286,000 -46,719,000 -60,989,000   -85,742,000 -76,896,000       
      revenue:
                          
      related party expenses
              1,052,000 1,747,000 1,600,000 1,697,000 1,731,000 1,284,000 2,127,000 847,000     
      other
              -334,000            
      other income, net:
                          
      total other income
              4,707,000 -772,000 16,211,000 13,170,000 27,830,000 12,409,000 75,595,000 120,995,000     
      net income and comprehensive income
                -60,054,750 -77,581,000   -51,240,750 31,392,000     
      weighted-average shares outstanding of class a common stock for diluted earnings
                 380,764,176,000    210,330,946,000     
      basic net income per share, class a common stock
                -0.188 -0.2   -0.813 0.17     
      diluted net income per share, class a common stock
                -0.188 -0.2   -0.813 0.15     
      income tax provision
                          
      weighted-average shares outstanding of class a common stock for basic earnings
                     185,680,394,000     
      general and administrative expenses
                      1,277,960    
      other income:
                          
      change in fair value of warrant liabilities
                      14,276,800    
      interest earned on marketable securities held in trust account
                      11,040    
      weighted-average shares outstanding of class a redeemable common stock, basic and diluted
                      44,275,000    
      basic and diluted net income per share, class a redeemable common stock
                          
      weighted-average shares outstanding of class b non-redeemable common stock, basic
                      11,068,750    
      basic net income per share, class b non-redeemable common stock
                      1.18    
      weighted-average shares outstanding of class a and b non-redeemable common stock, diluted
                      13,621,590    
      diluted net income per share, class a and b non-redeemable common stock
                      -0.09    
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 
                          
        assets:
                          
        current assets:
                          
        cash and cash equivalents
      104,997,000 95,968,000 74,120,000 99,704,000 85,212,000 57,894,000 56,076,000 83,673,000 99,681,000 87,387,000 123,933,000 123,933,000 123,933,000 191,360,000 284,647,000 315,002,000 400,569,000 461,276,000   
        marketable securities
      66,285,000 59,111,000 60,438,000 59,456,000 55,973,000 58,566,000 50,784,000 29,239,000 30,467,000 26,910,000           
        accounts receivable
      74,370,000 60,938,000 48,028,000 45,983,000 37,426,000 38,220,000 25,500,000 28,151,000 32,371,000 31,908,000 42,634,000 42,634,000 42,634,000 42,669,000 45,803,000 37,642,000 26,509,000 21,257,000   
        inventory
      13,951,000 10,569,000 11,932,000 12,662,000 10,650,000 10,770,000 10,322,000 11,615,000 8,777,000 9,349,000 13,665,000 13,665,000 13,665,000 44,173,000 41,601,000 36,318,000 33,456,000 31,174,000   
        prepaid expenses and other current assets
      8,685,000 10,997,000 10,319,000 8,011,000 8,504,000 20,300,000 18,792,000 9,974,000 10,598,000 15,761,000 18,212,000 18,212,000         
        total current assets
      268,288,000 237,583,000 204,837,000 225,816,000 197,968,000 186,010,000 162,167,000 163,424,000 182,339,000 171,813,000 212,622,000 212,622,000 212,622,000 306,610,000 402,701,000 410,424,000 483,544,000 538,511,000 396,467 921,169 
        operating lease right-of-use assets
      23,412,000 24,200,000 24,978,000 24,883,000 25,613,000 24,936,000 25,624,000 26,304,000 26,900,000 27,536,000 32,758,000 32,758,000 32,758,000 44,033,000 44,038,000 38,417,000     
        property and equipment
      45,693,000 42,422,000 40,120,000 36,383,000 32,893,000 31,452,000 31,339,000 31,301,000 32,479,000 35,746,000 51,527,000 51,527,000 51,527,000 84,369,000 89,455,000 60,976,000 62,719,000 60,333,000   
        goodwill
      13,520,000 12,798,000 12,926,000           181,468,000 181,184,000      
        intangible assets
      168,481,000 172,585,000 176,689,000 155,094,000 158,600,000 162,106,000 165,613,000 169,119,000 172,625,000 176,131,000 186,650,000 186,650,000 186,650,000 190,156,000 193,663,000      
        other assets
      4,316,000 4,314,000 4,313,000 4,254,000 4,306,000 4,336,000 4,357,000 4,380,000 4,413,000 6,059,000 6,485,000 6,485,000 6,485,000 7,968,000 7,869,000 6,953,000 6,930,000 3,613,000   
        total assets
      523,710,000 493,902,000 463,863,000 446,430,000 419,380,000 408,840,000 389,100,000 394,528,000 418,756,000 417,285,000 490,942,000 490,942,000 490,942,000 828,974,000 933,280,000 517,670,000 554,093,000 603,357,000 443,182,377 443,696,039 
        liabilities and stockholders’ equity:
                          
        current liabilities:
                          
        accounts payable and accrued expenses
      57,645,000 50,334,000 49,239,000 41,862,000 30,044,000 56,416,000 51,959,000 32,410,000 37,456,000 38,873,000 84,878,000 84,878,000  86,884,000 115,878,000 68,880,000  43,079,000 2,244,995 1,491,735 
        short-term lease liabilities
      4,404,000 4,429,000 3,083,000 3,124,000 3,336,000 3,698,000 4,001,000 4,043,000 3,647,000 3,677,000 6,121,000 6,121,000  4,996,000 4,755,000 5,072,000     
        other current liabilities
      46,859,000 32,858,000 19,084,000 24,555,000 19,830,000 16,501,000 11,097,000 13,240,000 16,336,000 21,846,000 49,705,000 49,705,000 49,665,000 68,623,000 81,619,000 23,384,000 29,968,000 26,369,000   
        total current liabilities
      108,908,000 87,621,000 71,406,000 69,541,000 54,817,000 77,342,000 68,270,000 50,734,000 58,818,000 68,366,000 144,297,000 144,297,000 144,297,000 162,331,000 204,606,000 100,639,000 101,284,000 71,366,000 2,244,995 1,491,735 
        long-term debt
      48,176,000 51,579,000 51,683,000 51,794,000 51,913,000 52,034,000 52,160,000 52,293,000 52,688,000 6,052,000 6,250,000 6,250,000 6,250,000 10,651,000 11,000,000 11,000,000 11,000,000 11,000,000   
        long-term lease liabilities
      56,046,000 57,153,000 59,619,000 59,918,000 60,919,000 60,369,000 60,800,000 62,030,000 62,938,000 63,889,000 60,013,000 60,013,000 60,013,000 62,336,000 62,806,000 57,478,000     
        other liabilities
      1,641,000 4,258,000 3,275,000 6,619,000 5,519,000 13,540,000 12,660,000 20,836,000 14,735,000 22,660,000 22,000,000 22,000,000 22,000,000 20,200,000 500,000 500,000 3,480,000 21,699,000   
        deferred taxes
      757,000 1,033,000 747,000 1,153,000 965,000 1,054,000 1,167,000 1,418,000 1,560,000 2,060,000 2,659,000 2,659,000 2,659,000 2,603,000 2,668,000      
        total liabilities
      215,528,000 201,644,000 186,730,000 189,025,000 174,133,000 204,339,000 195,057,000 187,311,000 190,739,000 163,027,000 237,237,000 237,237,000 237,237,000 267,680,000 296,006,000 188,226,000 165,990,000 212,094,000 130,424,545 143,948,085 
        purchase commitments and contingencies
                          
        stockholders’ equity:
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at december 31, 2025 and december 31, 2024, respectively
                          
        class a common stock
      3,000 2,000 2,000 2,000 2,000 2,000 2,000 2,000 2,000 2,000 1,000 1,000 38,000 38,000     307,757,830 294,747,950 
        additional paid-in capital
      1,680,738,000 1,647,083,000 1,624,513,000 1,615,501,000 1,596,889,000 1,561,493,000 1,543,182,000 1,527,351,000 1,527,778,000 1,528,671,000 1,378,125,000 1,378,125,000 1,378,088,000 1,376,916,000 1,375,315,000 981,757,000   90,367,188 103,376,938 
        accumulated deficit
      -1,373,495,000 -1,355,829,000 -1,348,194,000 -1,359,003,000 -1,352,474,000 -1,357,912,000 -1,349,600,000 -1,320,427,000 -1,300,188,000 -1,274,415,000 -1,124,421,000 -1,124,421,000 -1,124,421,000 -815,660,000 -738,079,000 -652,337,000   -85,369,642 -98,379,521 
        accumulated other comprehensive income
      936,000 1,002,000 812,000 905,000 830,000 918,000 459,000 291,000 425,000            
        total stockholders’ equity
      308,182,000 292,258,000 277,133,000 257,405,000 245,247,000 204,501,000 194,043,000 207,217,000 228,017,000 254,258,000 253,705,000 253,705,000 253,705,000 561,294,000 637,274,000 329,444,000   5,000,002 5,000,004 
        total liabilities and stockholders’ equity
      523,710,000 493,902,000 463,863,000 446,430,000 419,380,000 408,840,000 389,100,000 394,528,000 418,756,000 417,285,000 490,942,000 490,942,000 490,942,000 828,974,000 933,280,000 517,670,000   443,182,377 443,696,039 
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at september 30, 2025 and december 31, 2024, respectively
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at june 30, 2025 and december 31, 2024, respectively
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at march 31, 2025 and december 31, 2024, respectively
                          
        assets
                          
        due from related parties
          203,000 260,000 693,000 772,000 445,000 498,000 708,000 708,000 708,000 1,194,000 1,110,000 125,000 54,000 413,000   
        liabilities and stockholders’ equity
                          
        due to related parties
          1,607,000 727,000 1,213,000 1,041,000 1,379,000 3,970,000 3,593,000 3,593,000 3,593,000 1,828,000 2,354,000 3,237,000 2,623,000 1,425,000   
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at december 31, 2024 and december 31, 2023, respectively
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at september 30, 2024 and december 31, 2023
                          
        commitments and contingencies
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at june 30, 2024 and december 31, 2023
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized, 0 shares issued and outstanding at march 31, 2024 and december 31, 2023
                          
        preferred stock, 0.0001 par value: 1,000,000 shares authorized at december 31, 2023 and december 31, 2022; 0 shares issued and outstanding at december 31, 2023 and december 31, 2022, respectively
                          
        preferred stock, 0.0001 par value: 1,000,000 and 1,000,000 shares authorized at september 30, 2023 and december 31, 2022, respectively; 0 shares issued and outstanding at september 30, 2023 and december 31, 2022, respectively
                          
        restricted cash
                13,470,000 13,470,000 13,470,000 14,370,000 14,370,000 900,000 900,000 900,000   
        long-term restricted cash
                900,000 900,000 900,000        
        warrant liability
                418,000 418,000 418,000 5,059,000 7,258,000 15,177,000 21,555,000 46,629,000 112,683,300 126,960,100 
        earn-out contingent liability
                1,600,000 1,600,000 1,600,000   3,432,000 10,244,000 61,400,000   
        preferred stock, 0.0001 par value: 1,000,000 and 1,000,000 shares authorized at june 30, 2023 and december 31, 2022, respectively; 0 shares issued and outstanding at june 30, 2023 and december 31, 2022, respectively
                          
        preferred stock, 0.0001 par value: 1,000,000 and 1,000,000 shares authorized at march 31, 2023 and december 31, 2022, respectively; 0 shares issued and outstanding at march 31, 2023 and december 31, 2022, respectively
                          
        prepaid expenses
                  11,822,000 17,516,000 21,547,000 17,241,000 19,154,000 20,205,000 228,508 293,754 
        other current assets
                  6,390,000 9,698,000 7,993,000 4,096,000 3,802,000 4,186,000   
        accounts payable
                  46,017,000    44,693,000    
        accrued expenses
                  38,861,000    20,108,000    
        contract liabilities
                  40,000   66,000 473,000    
        current portion of lease liabilities
                  6,121,000        
        preferred stock, 0.0001 par value: 1,000,000 shares authorized at december 31, 2022 and december 31, 2021; 0 shares issued and outstanding at december 31, 2022 and december 31, 2021, respectively
                          
        earn-out contingent liabilities
                   4,500,000 7,168,000      
        preferred stock, 0.0001 par value: 1,000,000 and 0 shares authorized at september 30, 2022 and december 31, 2021, respectively; 0 shares issued and outstanding at september 30, 2022 and december 31, 2021, respectively
                          
        preferred stock, 0.0001 par value: 1,000,000 and 0 shares authorized at june 30, 2022 and december 31, 2021, respectively; 0 shares issued and outstanding at june 30, 2022 and december 31, 2021, respectively
                          
        class a common stock, 0.0001 par value...
                    38,000 24,000   1,349 1,480 
        preferred stock, 0.0001 par value: 1,000,000 and 0 shares authorized at march 31, 2022 and december 31, 2021, respectively; 0 shares issued and outstanding at march 31, 2022 and december 31, 2021, respectively
                          
        liabilities, redeemable convertible preferred stock and stockholders’ equity
                          
        current portion of capital lease obligations
                      3,419,000    
        stock-based compensation liabilities
                          
        capital lease obligations, net of current portion
                      18,427,000    
        redeemable convertible preferred stock
                          
        series a-1 redeemable convertible preferred stock, 0.00001 par value: 0 and 55,399,943 shares authorized, issued and outstanding at december 31, 2021 and december 31, 2020, respectively; aggregate liquidation preference of 0 and 55,000 at december 31, 2021 and december 31, 2020, respectively
                          
        series a-2 redeemable convertible preferred stock, 0.00001 par value: 0 and 64,718,940 shares authorized at december 31, 2021 and december 31, 2020, respectively; 0 and 49,700,364 shares authorized, issued and outstanding at december 31, 2021 and december 31, 2020, respectively; aggregate liquidation preference of 0 and 49,342 at december 31, 2021 and december 31, 2020, respectively
                          
        series b redeemable convertible preferred stock, 0.00001 par value: 0 and 41,937,960 shares authorized, issued and outstanding at december 31, 2021 and december 31, 2020, respectively; aggregate liquidation preference of 0 and 204,302 at december 31, 2021and december 31, 2020, respectively
                          
        series c redeemable convertible preferred stock, 0.00001 par value: 0 and 24,497,317 shares authorized at december 31, 2021 and december 31, 2020, respectively; 0 and 24,496,946 shares issued and outstanding at december 31, 2021 and december 31, 2020, respectively; aggregate liquidation preference of 0 and 121,397 at december 31, 2021 and december 31, 2020, respectively
                          
        stockholders’ equity
                          
        preferred stock, 0.0001 par value: 1,000,000 and 0 shares authorized at december 31, 2021 and december 31, 2020, respectively; 0 shares issued and outstanding at december 31, 2021 and december 31, 2020, respectively
                          
        current contract liabilities
                       493,000   
        series a-1 redeemable convertible preferred stock, 0.00001 par value: 0 and 55,399,943 shares authorized, issued and outstanding at september 30, 2021 and december 31, 2020, respectively; aggregate liquidation preference of 0 and 55,000 at september 30, 2021 and december 31, 2020, respectively
                          
        series a-2 redeemable convertible preferred stock, 0.00001 par value: 0 and 64,718,940 shares authorized at september 30, 2021 and december 31, 2020, respectively; 0 and 49,700,364 shares authorized, issued and outstanding at september 30, 2021 and december 31, 2020, respectively; aggregate liquidation preference of 0 and 49,342 at september 30, 2021 and december 31, 2020, respectively
                          
        current assets
                          
        cash
                        167,959 627,415 
        cash and marketable securities held in trust account
                        442,785,910 442,774,870 
        current liabilities
                          
        deferred underwriting fee payable
                        15,496,250 15,496,250 
        preferred stock, 0.0001 par value...
                          
        class b common stock, 0.00001 par value...
                        1,107 1,107 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 
                            
          operating activities
                            
          net loss
        -17,666,000   -6,529,000 5,438,000 -8,312,000 -29,173,000 -20,239,000 -25,773,000 -42,286,000 -46,719,000 -60,989,000 -308,761,000 -77,581,000 -85,742,000 -76,896,000 -40,427,000    
          adjustments to reconcile net loss to net cash from operating activities:
                            
          depreciation and amortization expense
        6,881,000 6,474,000 6,191,000 5,678,000 5,558,000 5,929,000 5,218,000 5,248,000 6,094,000 8,672,000 10,332,000 8,636,000 34,040,000 10,502,000 8,964,000 5,803,000 5,795,000    
          stock-based compensation expense
        9,780,000 10,586,000 7,813,000 3,983,000 2,845,000 3,636,000 3,108,000 -451,000 -912,000 430,000 108,000 48,000 422,000 1,273,000 22,721,000 17,559,000 36,967,000    
          change in fair value of financial liabilities
        -1,116,000                    
          provision for excess and obsolete inventory
        -17,000 29,000   43,000 28,000 69,000 40,000 279,000 1,014,000   393,000 385,000 304,000 43,000 1,007,000    
          legal reserves
        4,750,000     -1,327,000               
          change in third party payor reserves
        -6,297,000 3,732,000 3,619,000 1,395,000 -130,000 -329,000 1,259,000 -193,000             
          impairment loss
                8,282,000 2,120,000         
          other
        781,000 995,000 630,000 757,000 991,000 901,000 892,000 846,000             
          change in operating assets and liabilities:
                            
          accounts receivable
        -13,432,000 -12,910,000 -1,332,000 -8,557,000 429,000 -12,721,000 2,651,000 4,220,000 -463,000 552,000 451,000 9,723,000 36,000 3,134,000 13,489,000 -11,132,000 -5,252,000    
          inventory
        -3,364,000 1,332,000 628,000 -2,032,000 -454,000 -477,000 1,223,000 -2,877,000 293,000 1,168,000 -1,817,000 1,331,000 7,589,000 -2,957,000 622,000 -2,904,000 -3,290,000    
          accounts payable and accrued expenses
        6,915,000 -2,014,000 -3,625,000 10,824,000 -12,654,000 2,552,000 -5,626,000 -4,733,000 -7,040,000 -14,514,000 -10,929,000 -14,470,000 5,902,000 -7,155,000 31,780,000 3,932,000 21,231,000    
          other assets and liabilities
        10,143,000 10,721,000 -12,010,000 3,116,000 4,918,000 4,892,000 -1,795,000 -4,293,000 -1,155,000            
          net cash from operating activities
        -3,090,000 15,767,000 10,420,000 10,182,000 -3,183,000 -4,395,000 -4,505,000 -16,413,000 -29,858,000 -41,228,000 -53,501,000 -55,560,000 -64,654,000 -88,362,000 -84,645,000 -81,494,000 -51,985,000    
          capital expenditures
        -2,533,000 -7,452,000 1,186,000 -3,932,000 -3,065,000 1,465,000 -887,000 -407,000 -3,462,000 999,000 -964,000  -2,166,000 -2,242,000 548,000 -53,000 -5,056,000    
          free cash flows
        -5,623,000 8,315,000 11,606,000 6,250,000 -6,248,000 -2,930,000 -5,392,000 -16,820,000 -33,320,000 -40,229,000 -54,465,000  -66,820,000 -90,604,000 -84,097,000 -81,547,000 -57,041,000    
          investing activities
                            
          acquisition of business, net of cash acquired
        339,000                   
          consideration on escrow paid for legacy genedx acquisition
                            
          purchases of marketable securities
        -19,141,000 -5,765,000 -13,561,000 -17,209,000 -13,577,000 -23,344,000 -24,214,000 -5,167,000 -3,735,000            
          proceeds from sales of marketable securities
            3,000 598,000             
          proceeds from maturities of marketable securities
        10,015,000 7,250,000 12,775,000 13,930,000 16,105,000 16,235,000 2,865,000 5,855,000             
          purchases of property and equipment
        -4,347,000 -6,172,000 -2,369,000 -6,129,000 -3,050,000 -646,000 -1,352,000 -443,000 -2,376,000 -112,000   -2,166,000 -2,242,000 -1,370,000 -1,378,000 -5,056,000    
          proceeds from sales of assets
                            
          development of internal-use software assets
                1,000 -462,000 -672,000 -2,036,000 -1,923,000 -2,535,000 -2,637,000    
          net cash from investing activities
        -11,072,000 -4,687,000 -36,350,000 -9,408,000 -519,000 -7,755,000 -22,701,000 843,000 -4,864,000 -27,129,000 -11,271,000 -462,000 -2,838,000 -4,278,000 -130,297,000 -3,913,000 -7,693,000    
          financing activities
                            
          proceeds from offerings, net of issuance costs
        21,136,000 11,802,000 -128,000 13,894,000 31,907,000              
          proceeds from issuance of stock pursuant to employee stock purchase plan
                            
          exercise of stock options
        1,040,000 182,000 65,000 735,000 147,000 86,000 137,000 24,000 19,000 266,000 725,000 404,000 1,117,000 702,000 276,000    
          long-term debt principal payments
        -305,000 -304,000 -302,000 -300,000 -299,000              
          finance lease payoff and principal payments
           -611,000 -1,229,000 -509,000 -528,000 -462,000 -1,465,000            
          proceeds from long-term debt
                            
          net cash from financing activities
        23,193,000 10,768,000 346,000 13,718,000 31,023,000 13,968,000 -391,000 -438,000 47,103,000 -911,000 7,388,000 132,658,000 65,000   -160,000 -1,029,000    
          net increase in cash, cash equivalents and restricted cash
        9,031,000   14,492,000   -27,597,000 -16,008,000   -57,384,000 76,636,000     -60,707,000    
          cash, cash equivalents and restricted cash, at beginning of year
                            
          cash, cash equivalents and restricted cash, at end of year
                            
          supplemental disclosures of cash flow information
                            
          cash paid for interest
        1,578,000 1,625,000 1,610,000 1,600,000 609,000 2,035,000 2,014,000 2,019,000 1,925,000 170,000 363,000 583,000   586,000 607,000     
          cash paid for taxes
        236,000 119,000 714,000 206,000 257,000 353,000 257,000 300,000 287,000 175,000 899,000 104,000   197,000 168,000     
          purchases of property and equipment in accounts payable and accrued expenses
        1,814,000 -1,280,000 3,555,000 2,197,000 -15,000 2,111,000 465,000 36,000 -1,086,000 1,111,000 -964,000 1,073,000   1,918,000 1,325,000     
          stock consideration paid pursuant to exercise of perceptive warrant
                          
          assets acquired under capital leases obligations
                          
          issuance of common stock for first opko milestone payment
                            
          lease liability from obtaining right-of-use asset
                            
          deferred tax expense
         246,000 -245,000 447,000                 
          proceeds from issuance of common stock pursuant to employee stock purchase plan
                           
          finance lease principal payments
         -912,000         -175,000 -609,000 -660,000 -998,000 -772,000 -862,000     
          cash, cash equivalents and restricted cash, at beginning of period
         86,202,000  100,668,000  138,303,000  401,469,000     
          cash, cash equivalents and restricted cash, at end of period
         21,848,000 -25,584,000 100,694,000  1,818,000 -27,597,000 84,660,000  -69,268,000 -57,384,000 214,939,000  -93,287,000 -16,885,000 315,902,000     
          assets acquired under capital lease obligations
                            
          net income
                          71,481,803 -58,471,923 
          adjustments to reconcile net income to net cash from operating activities:
                            
          change in fair value of warrants and contingent liabilities
            1,980,000 880,000 4,409,000 6,101,000             
          net decrease in cash, cash equivalents and restricted cash
            27,321,000    12,381,000     -93,287,000 -16,885,000 -85,567,000     
          change in fair value of warrants
           1,100,000                 
          deferred tax benefit
            -24,000 -47,000 -190,000 -82,000 -411,000 -172,000 -196,000 -147,000         
          gain on sale of assets
                1,277,000           
          gain on debt forgiveness
                -2,750,000         
          issuance of stock pursuant to employee stock purchase plan
                            
          issuance of common stock for first milestone payment
                            
          stock consideration paid for purchase of business
                            
          consideration on escrow paid for genedx acquisition
                          
          software development costs in accounts payable and accrued expenses
                   157,000   401,000 717,000     
          third-party payor reserve release
                            
          change in operating assets and liabilities, net of effects from purchase of business:
                            
          proceeds from sale of assets
                147,000 253,000           
          proceeds from pipe issuance, net of issuance costs
                            
          proceeds from long-term debt, net of issuance costs
                            
          stock consideration paid for first milestone payment
                            
          change in fair value of warrant and earn-out contingent liabilities
                 -591,000 -3,547,000 3,453,000  -12,978,000 -28,182,000 -13,190,000     
          third party payor reserve release
                 -2,540,000           
          non-cash lease expense
                 529,000 9,000 146,000 1,113,000 781,000 164,000 167,000 381,000    
          amortization of deferred debt issuance costs
                 130,000 129,000 128,000  130,000 129,000 128,000     
          prepaid expenses and other current assets
                  1,244,000 4,232,000 5,977,000 2,243,000 1,314,000 1,596,000 1,460,000    
          due to/from related parties
                  -537,000 793,000 2,252,000 -610,000 -1,868,000 543,000 1,557,000    
          other assets
                  471,000 -55,000 1,353,000 -229,000 -975,000 -151,000 -1,844,000    
          contract liabilities
                    40,000 -65,000 -408,000 -20,000    
          other current liabilities
                  2,142,000 -7,759,000 -9,459,000 -5,201,000 1,777,000 -6,584,000 6,614,000    
          long-term debt principal payment
                  -2,000,000         
          finance lease payoff
                  -438,000         
          unpaid deferred transaction costs included in accounts payable and accrued expenses
                       227,000     
          proceeds from underwritten public offering, net of issuance costs
                   135,439,000         
          change in fair value of warrant and contingent liabilities
                        -76,230,000    
          income tax benefit
                    52,000 -99,000       
          loss on extinguishment of debt
                           
          amortization of debt issuance costs
                            
          purchase of business, net of cash acquired
                          
          proceeds from issuance of series c redeemable convertible preferred stock, net of issuance costs
                            
          proceeds from pipe issuance
                           
          proceeds from equity infusion from the merger, net of redemptions
                           
          legacy sema4 shareholder payout
                           
          payment of transaction costs
                           
          stock appreciation rights payout
                           
          repayment of long-term debt
                           
          debt issuance costs
                            
          debt issuance costs incurred but unpaid
                            
          loss on debt extinguishment
                            
          proceeds from business combination pipe investment
                            
          proceeds from acquisition pipe investment, net of issuance costs
                            
          payment of deferred transaction costs
                            
          net cash from (used) in financing activities
                            
          proceeds from issuance of series b redeemable convertible preferred stock, net of issuance costs
                            
          capital contributions from ismms
                            
          capital lease principal payments
                        -768,000    
          class a redeemable common stock
                            
          numerator: earnings allocable to class a redeemable common stock
                            
          interest income
                          121 10,919 
          less: income and franchise tax available to be withdrawn from the trust account
                            
          redeemable net earnings
                            
          denominator: weighted-average class a redeemable common stock
                            
          class a redeemable common stock, basic and diluted
                            
          earnings/basic and diluted class a redeemable common stock
                            
          class b non-redeemable common stock, basic
                            
          numerator: net income minus net earnings
                            
          non-redeemable net earnings, basic
                            
          denominator: weighted-average class b non-redeemable common stock, basic
                            
          earnings/basic class b non-redeemable common stock
                            
          numerator: net income minus net earnings diluted
                            
          non-redeemable net income - basic
                            
          less: change in fair value of derivative liability
                            
          non-redeemable net income – diluted
                            
          denominator: weighted-average shares outstanding of class a and class b non-redeemable common stock
                            
          diluted weighted-average shares outstanding, class a and class b non-redeemable common stock
                            
          diluted net income per share, non-redeemable class a and class b non-redeemable common stock
                            
          class a common stock
                            
          numerator: earnings allocable to class a common stock
                            
          income and franchise tax
                           -10,919 
          net earnings
                            
          denominator: weighted-average class a common stock
                            
          class a common stock, basic and diluted
                           44,275,000 
          earnings/basic and diluted class a common stock
                            
          class a and b common stock
                            
          denominator: weighted-average class a and b common stock
                            
          class a and b common stock, basic and diluted
                           11,068,750 
          loss/basic and diluted class a and b common stock
                           -5.28 
          redeemable class a common stock
                            
          numerator: earnings allocable to redeemable class a common stock
                            
          denominator: weighted-average redeemable class a common stock
                            
          redeemable class a common stock, basic and diluted
                            
          earnings/basic and diluted redeemable class a common stock
                            
          non-redeemable class a and b common stock
                            
          numerator: net income minus redeemable net earnings
                            
          non-redeemable net income
                            
          denominator: weighted-average non-redeemable class a and b common stock
                            
          non-redeemable class a and b common stock, basic and diluted
                            
          loss/basic and diluted non-redeemable class a and b common stock