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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934
Date of Report (date of earliest event reported): November 11, 2022
https://cdn.kscope.io/7a49891bcb118a54d5a4f9d0e66f4434-smfr-20221111_g1.jpg
Sema4 Holdings Corp.
(Exact name of registrant as specified in its charter)
Delaware
001-39482
85-1966622
(State or other jurisdiction of incorporation or organization)
(Commission File Number)
(I.R.S. Employer Identification No.)
333 Ludlow Street, North Tower, 8th Floor
06902
Stamford,Connecticut
(Address of Principal Executive Offices)
(Zip Code)
(800) 298-6470
Registrant's telephone number, including area code
(Former name or former address, if changed since last report.)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Class A common stock, par value $0.0001 per shareSMFRThe Nasdaq Global Select Market
Warrants to purchase one share of Class A common stock, each at an exercise price of $11.50 per shareSMFRWThe Nasdaq Global Select Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.




Item 2.02           Results of Operations and Financial Condition.
On November 14, 2022, Sema4 Holdings Corp. (“Sema4 Holdings” or the “Company”) issued a press release (the “Press Release”) and will hold a conference call announcing the Company's financial results for the three and nine months ended September 30, 2022. Copies of the Press Release and Earnings Presentation are furnished as Exhibits 99.1 and 99.2, respectively, to this Current Report on Form 8-K.

The information furnished with this Item 2.02, including Exhibits 99.1 and 99.2, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

Item 2.05 Costs Associated with Exit or Disposal Activities.

On November 14, 2022, the Company announced its plan to pursue a new strategic direction focused on the Company’s pediatric and rare disease testing business coupled with the Company's Centrellis data platform. As part of the Company’s strategic realignment, on November 11, 2022, the board of directors of the Company unanimously approved the Company’s exit from the reproductive and women’s health testing business, which includes carrier screening, noninvasive prenatal, and other ancillary reproductive testing offerings (the "RH Business"). Prior to the decision to exit the RH Business, the Company performed a thorough review of a number of factors including the competitive landscape, recent shifts in payor coverage and reimbursement, declining average selling prices, and cost structure, and consideration of existing capital markets constraints and the macroeconomic climate, and concluded that the RH Business is currently unsustainable and cannot be restructured in way that will allow the Company to achieve profitable growth and cash preservation. Additionally, the Company had engaged a financial advisor in an effort to sell the RH Business as a going concern through a targeted auction process, but had not received any final proposals and had thus been unable to complete a sale. Therefore, the Company will cease accepting samples for reproductive and women's health tests on December 14, 2022 and will begin notifying its customers impacted by this decision immediately. The Company expects to exit the operations of the reproductive and women’s health testing services by the end of the first quarter of 2023. As a result of this announcement, the Company expects to eliminate approximately 500 positions, representing approximately 32.5% of its workforce, and to cease operations at its Stamford, CT laboratory. The Company’s go-forward testing services will be consolidated and performed out of the Company’s Gaithersburg, MD laboratory which was primarily used for the Company’s pediatric and rare disease testing offered by GeneDx. At the time of the filing of this Current Report on Form 8-K, the Company is unable in good faith to make a determination of an estimate of the total amount or range of amounts expected to be incurred by the Company in connection with each major type of cost associated with the exit or an estimate of the total amount or range of amounts expected to be incurred by the Company in connection with the exit. However, the Company anticipates that material cash and non-cash charges will be incurred and recorded in the Company's future reporting periods.


Item 9.01           Financial Statement and Exhibits.
(d) Exhibits.
Exhibit
Number
Description
99.1
99.2
104Cover Page Interactive Data File (embedded within the Inline XBRL document).



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Sema4 Holdings Corp.
Date:November 14, 2022By:/s/ Katherine Stueland
Name:Katherine Stueland
Title:Chief Executive Officer

Document




Exhibit 99.1
Sema4 Reports Third Quarter 2022 Financial Results and New Strategic Direction

Company will focus on its high growth, high margin pediatric and rare disease business, powered by whole exome/genome diagnostic testing and analysis and data-driven insights from Centrellis®
19% pro forma1 volume growth vs. 3Q 2021 and 21% pro forma1 revenue growth vs. 3Q 2021
Sema4 to host a conference call today at 8:30 a.m. ET
STAMFORD, CT — November 14, 2022 — Sema4 Holdings Corp. (Nasdaq: SMFR) (“Sema4”), a health insights company, today announced business highlights and financial results for the third quarter ended September 30, 2022.
Additionally, Sema4 announced its decision to pursue a new strategic direction focused on a $30 billion market opportunity to generate more complete understanding of complex diseases and how to treat them, fueled by its industry-leading genomic and data platforms. As a result, the company has determined that it will exit the reproductive health testing market, which it expects to complete by the end of the first quarter of 2023. The company believes the competitive advantages and differentiated offerings of its GeneDx and Centrellis platforms will enable the company to scale to profitability. The business moving forward is on a path to provide:
-Annual revenue growth in excess of 20% over the next several years
-An adjusted gross margin profile in excess of 50% in the near-term
-A turn to profitability in 2025
The foundation for this growth is strengthened by the GeneDx exome and whole genome sequencing and interpretation services and the Centrellis data platform. The company will be focused on delivering personalized, actionable health insights that help clinicians, researchers, health systems, pharmaceutical companies, and payors improve the patient experience and advance population health. Sema4 will enhance the healthcare experience and improve patients’ quality of life for generations by sequencing once and analyzing for a lifetime.
“As we look ahead, I am excited by the performance of the business representing our future. Our pediatric and rare disease franchise is setting new internal records, generating over 50% revenue growth in the third quarter and delivering over 40% in adjusted gross margin,” said Katherine Stueland, President and CEO of Sema4. “We believe that our focused commercial and R&D efforts provide the right foundation for us to target higher growth areas of the genomics market and optimize our data and health insights go-to-market strategy. We expect the combination of these efforts will help us grow revenue in excess of 20% over the next several years. We also expect the actions we have undertaken will enable us to more than double our run rate gross margin profile exiting the third quarter and reduce our annual cash burn by greater than 50% in 2023.”
Business Highlights
Signed 2 data partnerships with biopharma companies utilizing the company’s proprietary clinical and genomic database
Announced partnership in the recently launched GUARDIAN genomic newborn screening study, the largest of its kind in North America, to improve population health by identifying more than 250 preventable and treatable conditions, many of which are not covered today by standard newborn screening
Announced results from Phase 1 of SeqFirst Study, demonstrating broad utility of rapid whole genome sequencing for critically ill newborns
Presented research on autism spectrum disorders (ASD) at the Child Neurology Society (CNS) annual meeting, underscoring the positive outcomes of exome analysis for individuals with ASD
1





Announced an exit from reproductive health testing, including closing down its Stamford, CT laboratory and a reduction in force of approximately 500 employees. Customers will be notified that the company is accepting samples through December 14, 2022
Combining its prior year-to-date restructuring efforts and the exit from its reproductive health testing business announced today, the company expects total headcount of 1,100 compared to approximately 1,700 exiting the third quarter of 2022
Appointed industry veteran, Kevin Feeley, as Chief Financial Officer
Third Quarter & Recent Highlights
“We are pleased with our third quarter results, especially the volume growth and gross margins in our GeneDx pediatrics and rare disease business. We have seen consistent double-digit volume growth in this business throughout this year and efforts across revenue cycle management and menu optimization have helped drive favorable pricing trends in key areas of focus. Efforts implemented by our commercial team late last year are driving results,” continued Ms. Stueland. “Additionally, with the exit of our reproductive health businesses, we are very excited to enter the next chapter at Sema4 enabled by Centrellis as a health intelligence platform fueled by GeneDx’s genomic services and clinical data.”
Highlights include:
Testing volumes on a pro forma basis were up 19% in the third quarter of 2022 compared to the same period of 2021, with 128,262 tests resulted (excluding COVID-19 tests)1
Testing volumes in pediatric and rare disease were up 20% on a pro forma basis
Gross margin of 16% and adjusted gross margin of 20% in the third quarter of 2022, with our pediatric and rare disease franchise generating an adjusted gross margin in excess of 40% in the quarter

Total revenue for the third quarter of 2022 was $83.2 million compared to $43.2 million in the third quarter of 2021. Pro forma revenue in the third quarter of 2022, assuming GeneDx’s results were included for the full applicable quarter, excluding COVID-19 related revenue, was up 21%.
Gross margin in the third quarter of 2022 was 16%. Adjusted gross margin in the third quarter of 2022 was 20%, with the pediatric and rare disease franchise generating an adjusted gross margin in excess of 40% in the quarter.
Net loss in the third quarter of 2022 was ($77.6) million. Adjusted net loss for the third quarter of 2022 was ($76.8) million compared to an adjusted net loss of ($71.0) million in the same period of 2021.
Total cash and cash equivalents and restricted cash were $205.7 million as of September 30, 2022. As of November 4, 2022, Sema4 had 386,795,130 outstanding shares of Class A common stock.
“During the third quarter, we experienced encouraging growth in test volumes across the total company, especially in the pediatric and rare disease business of GeneDx, where we experienced 20% growth in volumes with an associated growth in revenue of greater than 50%. Our concerted work to improve lab efficiency and revenue cycle management has helped drive a meaningful uptick in our gross margins. Following the announced exit of our reproductive health testing business, we believe our financial profile positions the company for long term success,” said Kevin Feeley, Chief Financial Officer of Sema4.
Full Year 2022 Guidance 

Sema4 is maintaining the previously issued full year and second half 2022 reported revenue guidance of $245-255 million and $154-164 million, respectively.

Sema4 is also maintaining the previously issued full-year and second-half 2022 adjusted gross margin guidance of 4-9% and 15-20%, respectively.
 
2





Webcast and Conference Call Details
Sema4 will host a conference call today, November 14, 2022, at 8:30 a.m. Eastern Time. Interested parties may access the live teleconference by dialing (866) 374-5140, followed by PIN 44463501#. A live and archived webcast of the event will be available on the “Events” section of the Sema4 investor relations website at https://ir.sema4.com


1 Pro forma metrics consolidate GeneDx operating results for the entirety of the compared periods and excludes COVID-19 revenue. Pro forma metrics are presented for illustrative purposes only and are not necessarily indicative of the results that would have occurred had the GeneDx acquisition been completed prior to January 1, 2021 or that may occur in the future. See Appendix for Historical Sema4 & GeneDx Resulted Volumes & Revenue.
Forward-Looking Statements
This press release contains certain forward-looking statements within the meaning of the federal securities laws, including statements regarding our future performance and our market opportunity, including our expected full year and second half 2022 reported revenue and adjusted gross margin guidance, our expectations regarding our annual revenue growth rates over the next several years, our gross margin profile in the near-term and our path to profitability in 2025, our expectations regarding our annual cash burn in 2023, our expectations for our growth and future investment in our business, our expectations regarding our plans to pursue new strategic direction, exit our reproductive health testing business and our ability to scale to profitability, our other restructuring plans and the associated cost savings and impact on our gross margins, and our expectations of the anticipated benefits and synergies of the recently completed GeneDx acquisition. These forward-looking statements generally are identified by the words “believe,” “project,” “expect,” “anticipate,” “estimate,” “intend,” “strategy,” “future,” “opportunity,” “plan,” “may,” “should,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions. Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to risks and uncertainties. Many factors could cause actual future events to differ materially from the forward-looking statements in this press release, including but not limited to: (i) the ability to implement business plans, goals and forecasts, and identify and realize additional opportunities, (ii) the risk of downturns and a changing regulatory landscape in the highly competitive healthcare industry, (iii) the size and growth of the market in which we operate, and (iv) our ability to pursue our new strategic direction, exit our reproductive health testing business, implement our other restructuring plans and achieve the associated cost savings and impact on our gross margins, (v) the risk that the anticipated benefits of the GeneDx acquisition may not be fully realized, if at all. The foregoing list of factors is not exhaustive. You should carefully consider the foregoing factors and the other risks and uncertainties described in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 2021, filed with the U.S. Securities and Exchange Commission (the “SEC”) on March 14, 2022 and other documents filed by us from time to time with the SEC. These filings identify and address other important risks and uncertainties that could cause actual events and results to differ materially from those contained in the forward-looking statements. Forward-looking statements speak only as of the date they are made. Readers are cautioned not to put undue reliance on forward-looking statements, and we assume no obligation and do not intend to update or revise these forward-looking statements, whether as a result of new information, future events, or otherwise. We do not give any assurance that we will achieve our expectations.
About Sema4
Sema4 is a patient-centered health intelligence company dedicated to advancing healthcare through data-driven insights. Sema4 is transforming healthcare by applying AI and machine learning to multidimensional, longitudinal clinical and genomic data to build dynamic models of human health and defining optimal, individualized health trajectories. Centrellis®, our innovative health intelligence platform, is enabling us to generate a more complete understanding of disease and wellness and to provide science-driven solutions to the most pressing medical needs. Sema4 believes that patients should be treated as partners, and that data should be shared for the benefit of all.

For more information, please visit sema4.com and connect with us on LinkedIn, Twitter, Facebook, and Instagram.
Investor Relations Contact:
Joel Kaufman
investors@sema4.com
Media Contact:
Radley Moss
radley.moss@sema4.com
3





Historical Pro Forma Resulted Volume and Revenue1

 1Q212Q213Q214Q211Q222Q223Q22
Volumes2
       
Complex Reproductive Health46,05250,15549,47561,74167,90773,28868,109
Whole Exome, Whole Genome & NICU3,3446,6986,1626,6197,3957,5727,480
Other Diagnostic Testing (Excluding COVID)49,23054,41251,78053,38751,05751,80252,673
Total98,626111,265107,417121,747126,359132,662128,262
      
Sema4 (Excluding COVID)66,94572,08369,89582,96684,92587,09483,348
GeneDx31,68139,18237,52238,78141,43445,56844,914
Total1
98,626111,265107,417121,747126,359132,662128,262
        
Revenue2
       
Complex Reproductive Health$46.5$41.3$37.6$46.2$48.3$8.2$36.8
Whole Exome, Whole Genome & NICU$8.4$13.5$14.2$15.3$18.4$21.1$26.9
Other Diagnostic Testing (Excluding COVID)$14.8$15.7$15.2$15.7$17.9$16.5$17.7
COVID$15.9$3.8$4.2$10.5$3.8$0.3$0.0
Pharma$1.4$2.2$1.8$2.4$1.6$2.3$1.7
Total2
$87.0$76.7$73.0$90.1$90.1$48.3$83.2
2Q 2022 Prior Period Revenue Adjustment3
-----($30.1)-
Adjusted Total$87.0$76.7$73.0$90.1$90.1$78.4$83.2
Adjusted Total Excluding COVID$71.1$72.8$68.8$79.6$86.3$78.1$83.2
        
Sema4$64.2$47.0$43.2$57.8$53.9$10.0$37.7
Sema4 Diagnostic Testing (Excluding COVID)
$46.9$41.0$37.3$45.9$48.7$8.1$36.1
Sema4 COVID Testing
$15.9$3.8$4.2$10.5$3.8$0.3$0.0
Sema4 Pharma
$1.4$2.2$1.7$1.4$1.4$1.7$1.6
GeneDx$22.8$29.6$29.8$32.3$36.1$38.3$45.6
Total2
$87.0$76.7$73.0$90.1$90.1$48.3$83.2
2Q 2022 Prior Period Revenue Adjustment3
-----($30.1)-
Adjusted Total$87.0$76.7$73.0$90.1$90.1$78.4$83.2
Adjusted Total excluding COVID$71.1$72.8$68.8$79.6$86.3$78.1$83.2


4






Historical Pro forma GeneDx Revenue & Volume + Combined Company Pharma1

 1Q212Q213Q214Q211Q222Q223Q22
Volumes       
Whole Exome, Whole Genome & NICU3,3446,6986,1626,6197,3957,5727,480
Other Diagnostic Tests28,33732,48431,36032,16234,03937,99637,434
Total31,68139,18237,52238,78141,43445,56844,914
        
Revenue       
Whole Exome, Whole Genome & NICU$8.4$13.5$14.2$15.3$18.4$21.1$26.9
Other Diagnostic Tests$14.4$16.1$15.5$17.0$17.7$17.2$18.6
Pharma$1.4$2.2$1.8$2.4$1.6$2.3$1.7
Total Revenue$24.2$31.8$31.5$34.7$37.8$40.6$47.3

1 Pro forma volume and revenue metrics assume GeneDx was owned for the entirety of the applicable quarter and are calculated based on the sum of each of Sema4’s and GeneDx’s historical volumes or revenues, as applicable. Pro forma metrics are presented for illustrative purposes only and are not necessarily indicative of the results that would have occurred had the GeneDx acquisition been completed on such dates or that may occur in the future.
2 Represents aggregated Resulted Volume and Revenue from GeneDx and Sema4.
3 $30.1 million of revenue adjustments recorded related to prior periods due to our change in estimate.

5



Sema4 Holdings Corp.
Condensed Consolidated Balance Sheets
(in thousands, except share amounts)


September 30, 2022 (unaudited)December 31, 2021
Assets
Current assets:
Cash and cash equivalents$    191,360$    400,569
Accounts receivable, net42,66926,509
Due from related parties1,19454
Inventory, net44,17333,456
Prepaid expenses17,51619,154
Other current assets9,6983,802
Total current assets$    306,610$    483,544
Operating lease right-of-use assets44,033
Property and equipment, net84,36962,719
Intangible assets, net190,156
Goodwill181,468
Restricted cash14,370900
Other assets7,9686,930
Total assets$    828,974$    554,093
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable and accrued expenses$    86,884$    64,801
Due to related parties1,8282,623
Contract liabilities473
Short-term lease liabilities4,996
Other current liabilities68,62333,387
Total current liabilities$    162,331$    101,284
Long-term debt, net of current portion10,65111,000
Long-term lease liabilities62,336
Other liabilities20,20021,907
Deferred taxes2,603
Warrant liability5,05921,555
Earn-out contingent liabilities4,50010,244
Total liabilities$    267,680$    165,990
Commitments and contingencies (Note 10)
Stockholders’ equity:
Preferred Stock
Class A common stock
3824
Additional paid-in capital
1,376,916
963,520    
Accumulated deficit(815,660)(575,441)
Total stockholders’ equity561,294388,103
Total liabilities and stockholders’ equity
$    828,974$    554,093

6


Sema4 Holdings Corp.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(in thousands, except share and per share amounts)
(unaudited)



Three months ended September 30,Nine months ended September 30,
20222021 (1)20222021 (1)
Revenue:
Diagnostic test revenue
$    81,490$    41,410$    167,989$    148,973
Other revenue
1,7441,7685,3555,421
Total revenue83,23443,178173,344154,394
Cost of services
69,68551,487183,768168,190
Gross profit (loss)13,549(8,309)(10,424)(13,796)
Research and development13,35417,83161,83782,916
Selling and marketing37,45128,152103,11682,092
General and administrative51,86333,125162,681148,033
Related party expenses1,6978474,7123,532
Loss from operations(90,816)(88,264)(342,770)(330,369)
Other income (expense), net:
Change in fair market value of warrant and earn-out contingent liabilities12,978122,17154,350122,171
Interest income996271,40557
Interest expense(806)(683)(2,404)(2,128)
Other income2(520)585,064
Total other income13,170120,99553,409125,164
(Loss) Income before income taxes$    (77,646)$    32,731$    (289,361)(205,205)
Income tax benefit6549,142
Net (loss) income and comprehensive (loss) income$    (77,581)$    32,731$    (240,219)$    (205,205)
Weighted average shares outstanding of Class A common stock380,764,176185,680,394321,461,26663,121,738
Weighted average shares outstanding of Class A common stock for diluted earnings380,764,176210,330,946321,461,26663,121,738
Basic net (loss) income per share, Class A common stock$    (0.20)$    0.18$    (0.75)$    (3.25)
Diluted net (loss) income per share, Class A common stock$    (0.20)$    0.16$    (0.75)$    (3.25)

(1) As previously disclosed in Note 2, “Summary of Significant Accounting Policies” to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2021, certain adjustments were made to reclassify certain expenses between cost of services and operating expenses. The adjustments are reflected as disclosed.
7


Sema4 Holdings Corp.
Condensed Consolidated Statement of Cash Flows
(unaudited, in thousands)
Nine months ended September 30,
20222021 (1)
Operating activities
Net loss$    (240,219)$    (205,205)

Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization expense25,26916,012
Stock-based compensation expense41,553182,454
Change in fair value of warrant and earn-out contingent liabilities(54,350)(122,171)
Income tax benefit(49,176)
Loss on debt extinguishment301
Provision for excess and obsolete inventory7321,122
Non-cash lease expense1,1121,174
Amortization of deferred debt issuance costs387
Change in operating assets and liabilities, net of effects from purchase of
business:
Accounts receivable5,49110,787
Inventory(5,239)(7,334)
Prepaid expenses and other current assets5,153(15,710)
Due to/from related parties(1,935)(124)
Other assets(1,355)(17)
Accounts payable and accrued expenses28,5574,927
Contract liabilities(473)(1,290)
Other current liabilities(10,008)(3,375)
Net cash used in operating activities(254,501)(138,449)

Investing activities
Purchase of business, net of cash acquired(127,004)
Purchases of property and equipment(4,990)(4,344)
Development of internal-use software assets(6,494)(8,749)
Net cash used in investing activities(138,488)(13,093)

Financing activities
Proceeds from Business Combination PIPE Investment350,000
Proceeds from Acquisition PIPE Investment, net of issuance costs197,659
Proceeds from equity infusion from the merger, net of redemptions442,684
Legacy Sema4 Shareholder payout(230,665)
Payment of deferred transaction costs(51,760)
Stock Appreciation Rights payout(3,795)
Repayment of long-term debt(8,741)
Finance lease principal payments(2,632)(2,960)
Long-term debt principal payments(1,000)
Exercise of stock options2,223995
Net cash provided by financing activities197,250494,758

Net decrease in cash, cash equivalents and restricted cash(195,739)343,216
Cash, cash equivalents and restricted cash, at beginning of period401,469118,960
Cash, cash equivalents and restricted cash, at end of period$    205,730$    462,176

8


Sema4 Holdings Corp.
Condensed Consolidated Statement of Cash Flows
(unaudited, in thousands)
(1) As previously disclosed in Note 2, “Summary of Significant Accounting Policies” to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2021, certain adjustments were made to certain liability accounts previously reported in the condensed balance sheets as of September 30, 2021. The adjustments are reflected accordingly as disclosed.

9


Sema4 Holdings Corp.
Reconciliation of Revenue to our Adjusted Gross Profit & Adjusted EBITDA
(unaudited, in thousands)
Three months ended September 30,
20222021
(in thousands)
Revenue
Diagnostic test revenue$81,490$41,410
Other Revenue1,7441,768
Total Revenue83,23443,178
Cost of Service69,68551,487
Gross (Loss) Profit$13,549$(8,309)
Gross Margin16%(19)%
Stock-based compensation$1,477$1,779
Restructuring costs1,497
Adjusted Gross (Loss) Profit16,759(6,530)
Adjusted Gross Margin20%(15)%
Research & Development13,35417,831
Stock-based compensation8,164(3,160)
Restructuring costs(1,362)
Adjusted Research & Development$20,156$14,671
Selling & Marketing37,45128,152
Stock-based compensation(2,337)(4,183)
Amortization of intangibles(1,067)
Restructuring costs(1,863)
Adjusted Selling & Marketing$32,184$23,969
General & Administrative & Related Party Expense53,56033,972
Stock-based compensation(5,623)(8,889)
Amortization of intangibles(2,440)
Transaction, acquisition, and restructuring costs(4,271)(391)
Adjusted General & Administrative & Related Party$41,226$24,692
Total Adjusted Operating Expenses93,56663,332
Loss from Operations(90,816)(88,264)
Stock-based compensation1,27318,011
Amortization of intangibles3,507
Transaction, acquisition, and restructuring costs8,993391
Adjusted loss from operations$(77,043)$(69,862)

10


Sema4 Holdings Corp.
Reconciliation of Revenue to our Adjusted Gross Profit & Adjusted EBITDA
(unaudited, in thousands)
Nine months ended September 30,
20222021
(in thousands)
Revenue
Diagnostic test revenue$167,989$148,973
Other Revenue5,3555,421
Total Revenue173,344154,394
Cost of Service183,768168,190
Gross (Loss) Profit$(10,424)$(13,796)
Gross Margin(6)%(9)%
Stock-based compensation4,66819,948
Restructuring costs1,808
Adjusted Gross (Loss) Profit(3,948)6,152
Adjusted Gross Margin(2)%4%
Research & Development61,83782,916
Stock-based compensation(2,692)(40,977)
Restructuring costs(2,368)
Adjusted Research & Development$56,777$41,939
Selling & Marketing103,11682,092
Stock-based compensation(6,647)(23,936)
Amortization of intangibles(1,884)
Restructuring costs(4,503)
Adjusted Selling & Marketing$90,082$58,156
General & Administrative & Related Party Expense167,393151,565
Stock-based compensation(27,546)(97,593)
Amortization of intangibles(3,960)
Transaction, acquisition, and restructuring costs(23,311)(5,496)
Adjusted General & Administrative & Related Party$112,576$48,476
Total Adjusted Operating Expenses259,435148,571
Loss from Operations(342,770)(330,369)
Stock-based compensation41,553182,454
Amortization of intangibles5,844
Transaction, acquisition, and restructuring costs31,9905,496
Adjusted loss from operations$(263,383)$(142,419)

11



Three months ended September 30,
20222021
(in thousands)
Net (loss) income$(77,581)$32,731
Interest expense, net (1)
(190)656
Income tax benefit(65)
Depreciation and amortization10,5025,491
Stock-based compensation expense1,27318,011
Transaction, acquisition costs, and business integration costs (2)
391
Restructuring (3)
8,993
Change in fair market value of financial liabilities (4)
(12,978)(122,171)
Other income343
Adjusted EBITDA$(70,046)$(64,548)
Net (loss) income(77,581)32,731
Stock-based compensation expense1,27318,011
Amortization of Acquisition Intangibles3,507
Change in fair market value of warrant and earn-out contingent liabilities(12,978)(122,171)
Transaction, acquisition, and restructuring costs8,993391
Adjusted Net loss(76,786)(71,038)

(1)Represents the total of interest expense related to our finance leases and interest-bearing loans and interest income earned on money market funds. This also includes the unused line fee and amortization of deferred transaction costs related to the loan and security agreement entered into with Silicon Valley Bank.
(2)Represents professional service costs incurred in connection with pursuing the business combination transaction that did not meet the requirement for capitalization in 2021.
(3)Represents costs incurred for restructuring activities, which include severance packages offered to impacted employees and third party consulting costs incurred in the third quarter of 2022.
(4)Represents the change primarily in fair market value of the liabilities associated with our Milestone Payments contingent liability based on the achievement of GeneDx revenue-based milestones of $10.6 million. Included in this amount is also public warrants and private placement warrants and the earn-out shares issuable under the terms of the merger agreement related to our business combination with CMLS.

12


Nine months ended September 30,
20222021
(in thousands)
Net loss$(240,219)$(205,205)
Interest expense, net (1)
9992,071
Income tax benefit(49,142)
Depreciation and amortization25,26916,012
Stock-based compensation expense41,553182,454
Transaction, acquisition costs, and business integration costs (2)
13,4365,496
Restructuring (3)
18,554
Change in fair market value of financial liabilities (4)
(54,350)(122,171)
Other income (5)
(56)(5,241)
Adjusted EBITDA$(243,956)$(126,584)
Net loss(240,219)(205,205)
Stock-based compensation expense41,553182,454
Amortization of Acquisition Intangibles5,844
Change in fair market value of warrant and earn-out contingent liabilities(54,350)(122,171)
Transaction, acquisition, and restructuring costs31,9905,496
Adjusted Net loss(215,182)(139,426)


(1)Represents the total of interest expense related to our finance leases and interest-bearing loans and interest income earned on money market funds. This also includes the unused line fee and amortization of deferred transaction costs related to the loan and security agreement entered into with Silicon Valley Bank.
(2)Represents professional service costs incurred in connection with pursuing the business combination transaction that did not meet the requirement for capitalization in 2021. For the period of 2022, this represents professional service costs incurred in connection with the Acquisition transaction, which include due diligence, legal and business integration costs.
(3)Represents costs incurred for restructuring activities, which include severance packages offered to impacted employees and third party consulting costs incurred in the period of 2022.
(4)Represents the change primarily in fair market value of the liabilities associated with our Milestone Payments contingent liability based on the achievement of GeneDx revenue-based milestones of $27.6 million. Included in this amount is also public warrants and private placement warrants and the earn-out shares issuable under the terms of the merger agreement related to our business combination with CMLS.
(5)For the nine months ended September 30, 2021, the amount represents funding received under the CARES Act Provider Relief Fund in the first quarter of 2021.


13
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3Q 2022 Earnings & Investor Presentation November 2022 Exhibit 99.2


 
Disclaimer This presentation contains forward-looking statements under the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that do not relate to historical facts and events and such statements and opinions pertaining to the future that, for example, contain wording such as “may,” “might,” “will,” “cou ld,” “would,” “should,” “expect,” “intend,” “plan,” “objective,” “anticipate,” “believe,” “estimate,” “predict,” “potential,” “continue,” “ongoing,” or the negative of these terms, or other comparable terminology intended to identify statements about the future. Forward-looking statements contained in this presentation include, but are not limited to, statements about: our future performance and our market opportunity, including our expected full year and second half 2022 pro forma and reported revenue and adjusted gross margin guidance, our expectations regarding our annual growth rates over the next several years, our gross margin profile in the near-term, our cash burn expectations for 2023, our path to profitability, our expectations for our growth and future investment in our business, our expectations regarding our plans to pursue new strategic direction, exit our reproductive health testing business and our ability to scale to profitability, our other restructuring plans and the associated cost savings and impact on our gross margins, our expectations of the anticipated benefits and synergies of the recently completed acquisition (the “Acquisition”) of GeneDx, Inc. (“GeneDx”), our addressable market, market growth, future revenue, key performance indicators, expenses, capital requirements and our needs for additional financing, our commercial launch plans, our strategic plans for our business and products, market acceptance of our products, our competitive position and developments and projections relating to our competitors, domestic and foreign regulatory approvals, third-party manufacturers and suppliers, our intellectual property, the potential effects of government regulation and local, regional and national and international economic conditions and events affecting our business. We cannot assure that the forward-looking statements in this presentation will prove to be accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. The forward-looking statements and opinions contained in this presentation are based on our management’s beliefs and assumptions and are based upon information currently available to our management as of the date of this presentation and, while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. Many factors could cause actual future events to differ materially from the forward-looking statements in this presentation, including but not limited to: (i) the ability to implement business plans, goals and forecasts, and identify and realize additional opportunities, (ii) the risk of downturns and a changing regulatory landscape in the highly competitive healthcare industry, (iii) the size and growth of the market in which we operate, and (iv) ability to pursue our new strategic direction, exit our reproductive health testing business, implement our other restructuring plans and achieve the associated cost savings and impact on our gross margins, (v) the risk that the anticipated benefits of the GeneDx Acquisition may not be fully realized, if at all. The information, opinions and forward- looking statements contained in this announcement speak only as of its date and are subject to change without notice Use of Non-GAAP Financial Measures This presentation includes non-GAAP financial measures, including Adjusted EBITDA, Adjusted Gross Profit and Adjusted Gross Margin. Adjusted EBITDA is defined (for us and GeneDx) as net loss adjusted for interest expense, net, depreciation and amortization, stock-based compensation expenses, transaction and acquisition costs, restructuring costs, change in fair market value of warrant and earn-out contingent liabilities and other income. Management believes that these non-GAAP measures of financial results are useful in evaluating the Sema4's operating performance compared to that of other companies in its industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. Please refer to the Appendix for Non-GAAP to GAAP Reconciliation. This presentation contains estimates, projections and other information concerning our industry, our business, and the markets for our products and services. Information that is based on estimates, forecasts, projections, market research or similar methodologies is inherently subject to uncertainties, and actual events or circumstances may differ materially from events and circumstances that are assumed in this information. Unless otherwise expressly stated, we obtained this industry, business, market and other data from our own internal estimates and research as well as from reports, research surveys, studies and similar data prepared by market research firms and other third parties, industry, medical and general publications, government data and similar sources. While we believe our internal company research as to such matters is reliable and the market definitions are appropriate, neither such research nor these definitions have been verified by any independent source. We discuss these and other risks and uncertainties in greater detail in the sections entitled “Risk Factors” and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our periodic reports and other fil ings we make with the SEC from time to time. Given these uncertainties, you should not place undue reliance on the forward-looking statements. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason after the date of this presentation to conform these statements to actual results or to changes in our expectations. We file reports, proxy statements, and other information with the SEC. Such reports, proxy statements, and other information concerning us are available www.sec.gov. Requests for copies of such documents should be directed to our Investor Relations department at Sema4 Holdings Corp. 333 Ludlow Street, North Tower, 8th Floor, Stamford, Connecticut, 06902. Our telephone number is 800-298-6470. 2


 
Our vision remains the same: to deliver personalized health and wellness plans based on comprehensive data


 
Our mission is refined: Unlocking insights from data, leading to healthier lives and a healthier society


 
Creating a scalable path to profitable growth Restructure and Reorganize • Exiting negative margin reproductive health testing • Elimination of ~1/3 of the workforce • 1Q 2023 headcount of ~1,100 vs 9/30/22 headcount of ~1,700 Recognize operational efficiencies • Consolidating all testing into Gaithersburg, MD laboratory • Closing our Stamford, CT laboratory following the announcement on 8/15/22 of Branford, CT Laboratory closure Optimize along the business lines that make the most sense • Focusing on our greatest strength: exome + genome + Centrellis • Shifting data strategy for driving product innovation • Shifting health systems and pharma strategy to scale 5


 
A More Focused Business Mix Managing towards profitable growth through strategic channels Peds / Rare Disease Health Systems Pharma 6


 
7 Industry leading PICU/NICU franchise with curated data in rare diseases Commercialized platform expands utility and creates rich data pipeline for personalized medicine Pediatric and Rare Disease Testing Centrellis® Platform Creating Clinical Insights Differentiated WGS and Centrellis® Platform Commercialized platform and differentiated exome/whole genome solutions provide unique and actionable insights Commercially focused on exome and whole genome platform to drive growth in end markets Differentiated Exome/Whole Genome Sequencing and Curated Data Generating Clinical Insights for Personalized Medicine


 
8 GENERATE MANY CLINICAL REPORTS Repeated insights from existing data → attractive tech-like gross margins for genomic tests SEQUENCE ONCE CAPTURE HEALTH JOURNEY During initial order across offering of genomic testing solutions Centrellis® Creates Actionable Insights Actively source information from expanded set of relationships and integrate over 400,000 clinical exomes from GeneDx Whole Genome Sequencing Whole Exome Sequencing Whole Exome/ Genome Products+ NICU/PICU Dx Centrellis® Rare Disease Integration of genomic and clinical data delivers value to clinicians and patients Provider-initiated order across all Sema4 germline genomic tests Artificial Intelligence (AI) and Automated software query generated data that can be used for diagnostic insights for a lifetime Ability to generate clinical insights focused in rare diseases and NICU/PICU diagnostics Centrellis® leverages existing and new relationships with health systems to create data based model for personalized medicine GeneDx Data and Centrellis® Insights Accelerate Commercialization of Platform


 
Key Highlights of Pediatrics & Rare Disease Franchise 9 Relationships: Entrenched relationships with leading hospitals and providers Deep, rich and unmatched dataset Competitive Advantage: Industry-leading curated data asset1 Talent: Experienced management and engineering team with deep genetics expertise 100+ U.S. children’s hospitals have contracts with GeneDx 100+ MDs / PhDs3 ~70 Commercial experts in sales, marketing, market access, product, BD 300 Gene discovery publications since 20152 10 years of clinical exome sequencing 140,000 journal articles referencing variant evidence >$185M In annualized revenue based on 3Q 2022 revenues4 2.7M Expertly annotated phenotypes2 Definitive diagnosis in 20% more cases and 27% fewer uncertain findings vs. public data sets1 400K+ Clinical exomes sequenced – most by any company1 70% market share among clinicians ordering exomes1 >95% Reduction in interpretation COGS since 2013 1 Company Estimates 2 Includes NEJM, Nature, and JAMA 3 $185 million annualized revenue reflects 3Q 2022 revenues of GeneDx on an annualized basis.


 
Test & Revenue Mix Following Exit of Reproductive Health1 10 Client 33% Commercial 56% Government 6% Self-Pay 1% Data & Pharma 4%Whole Exome, Whole Genome & NICU 57% Other Diagnostic Tests 39% Pharma 4% Whole Exome, Whole Genome & NICU 17% Other Diagnostic Tests 83% Test Volume Mix 1 Based on 3Q22 results Revenue Mix Payer Mix


 
Well positioned to deliver actionable insights for patients, clinicians and researchers


 
Translating into a significant opportunity Our diagnostic testing total addressable market is ~$30 billion1 Accelerating our move to Exome/WGS Newborn Screening: $10B Increasing inclusion of genetics in screening programs Underdeveloped Solution for Sema4 R&D and clinical trials underway to capture Genomic Health Screening: $16B Rapidly expanding into cardio and neuro Accelerating our move to Whole Genome & Exome Current Gap for Sema4 Key growth driver for legacy GeneDx NICU & Outpatient: $3B Potential for substantial cost savings via early screening 12 1 Company Estimates


 
3Q 2022 and Recent Highlights 3Q 2022 pro forma YoY revenue growth of 21%1,2 3Q 2022 pro forma1,2 YoY volume growth of 19% $206M in cash &​ equivalents as of 9/30/223 Announced partnership in GUARDIAN genomic newborn screening study Pediatric and rare disease pro forma revenue +53% YoY1 1 Pro forma metrics consolidate GeneDx operating results for the entirety of the compared periods. Pro forma metrics are presented for illustrative purposes only and are not necessarily indicative of the results that would have occurred had the GeneDx acquisition been completed on such dates or that may occur in the future. See Appendix for Historical Pro Forma Resulted Volumes & Revenue. 2 Excludes COVID-19 volume & revenue 3 Includes restricted cash 13


 
Underlying Volume and Revenue Trends are Robust ~128k tests +19% YoY on a pro forma basis1 $83.2M in total revenue Legacy GeneDx Revenue +53% YoY1 $191.3M in cash & equivalents as of 9/30/22 +$125M undrawn revolver 3Q Resulted Volume1 3Q Total Revenue 3Q Balance Sheet 1 Pro forma results assume GeneDx was owned for the entirety of the current quarter and comparing quarter and exclude COVID-19 testing 2 Includes restricted cash 14


 
3Q 2022 GAAP Financial Highlights 3Q 20221 – Financial Highlights USD Millions 3Q 2022 3Q 2021 Total Revenue $83.2 43.2 Gross Profit (Loss) $13.5 ($8.3) Gross Margin 16% (19%) GAAP Net Income (Loss) ($77.6) $32.7 1 3 months ended 9/30/22 15


 
3Q 2022 Non-GAAP Financial Highlights 3Q 20221 – Non-GAAP2 Financial Highlights USD Millions 3Q 2022 3Q 2021 Revenue $83.2 43.2 Non-GAAP Gross Profit (Loss) $16.8 ($6.5) Non-GAAP Gross Margin 20% (15%) Non-GAAP Net (Loss) ($76.8) ($71.0) 1 3 months ended 9/30/22 2 Refer to Appendix for Non-GAAP Reconciliation 16


 
Reiterating FY 2022 Guidance 60%+ growth YoY Implies 460k+ patient tests resulted & 19%+ proforma growth Adjusted gross margin to exceed 10% Revenue $245-255M reported revenue Translates to $269-279M when excluding ($24M) of prior period r venue adjustments recorded in 2Q20222 Adj. Gross Margin3 4-9% gross margin for 2022 Translates to 11-16% excluding prior period revenue adjustments recorded in 2Q20222 1 Excluding COVID-19 testing 2 $24M of the $30M negative revenue revision taken in 2Q2022 was related to period prior to 2022 and reflects the inclusion of GeneDx’s results for the eight months of ownership in 2022 3 Adjusted Gross Margin is a non-GAAP measure. Refer to Appendix for non-GAAP Reconciliation. Guidance reflects the inclusion of GeneDx’s results for the eight months of ownership in 202217


 
Our Expected Financial Profile Post the Exit of Reproductive Health 18 Annualized revenue run rate of >$185M1 excluding Reproductive Health Testing revenue Adjusted gross margin >40% with a path to >50% by 2025 Reduction in operating cash burn of >50% vs 2022 Target revenue CAGR >20% over the next several years Operating model to drive positive free cash flow in early 2025 1 $185 million annualized revenue run rates reflects 3Q revenues on an annualized basis excluding reproductive health testing revenue 2 Adjusted Gross Margin is a non-GAAP measure. Refer to Appendix for non-GAAP Reconciliation


 
Appendix


 
Historical Pro Forma Resulted Volume & Revenue1 1 Pro forma volume and revenue metrics assume GeneDx was owned for the entirety of the applicable quarter and are calculated based on the sum of each of Sema4’s and GeneDx’s historical volumes or revenues, as applicable. Pro forma metrics are presented for illustrative purposes only and are not necessarily indicative of the results that would have occurred had the GeneDx acquisition been completed on such dates or that may occur in the future. 2 Represents aggregated Resulted Volume and Revenue from GeneDx and Sema4. 3 30.1 million of revenue adjustments recorded related to prior periods due to our change in estimate. 20 1Q21 2Q21 3Q21 4Q21 1Q22 2Q22 3Q22 Volumes2 Complex Reproductive Health 46,052 50,155 49,475 61,741 67,907 73,288 68,109 Whole Exome, Whole Genome & NICU 3,344 6,698 6,162 6,619 7,395 7,572 7,480 Other Diagnostic Testing (Excluding COVID) 49,230 54,412 51,780 53,387 51,057 51,802 52,673 Total 98,626 111,265 107,417 121,747 126,359 132,662 128,262 Sema4 (Excluding COVID) 66,945 72,083 69,895 82,966 84,925 87,094 83,348 GeneDx 31,681 39,182 37,522 38,781 41,434 45,568 44,914 Total1 98,626 111,265 107,417 121,747 126,359 132,662 128,262 Revenue2 Complex Reproductive Health $46.5 $41.3 $37.6 $46.2 $48.3 $8.2 $36.8 Whole Exome, Whole Genome & NICU $8.4 $13.5 $14.2 $15.3 $18.4 $21.1 $26.9 Other Diagnostic Testing (Excluding COVID) $14.8 $15.7 $15.2 $15.7 $17.9 $16.5 $17.7 COVID $15.9 $3.8 $4.2 $10.5 $3.8 $0.3 $0.0 Pharma $1.4 $2.2 $1.8 $2.4 $1.6 $2.3 $1.7 Total2 $87.0 $76.7 $73.0 $90.1 $90.1 $48.3 $83.2 2Q 2022 Prior Period Revenue Adjustment3 - - - - - ($30.1) - Adjusted Total $87.0 $76.7 $73.0 $90.1 $90.1 $78.4 $83.2 Adjusted Total Excluding COVID $71.1 $72.8 $68.8 $79.6 $86.3 $78.1 $83.2 Sema4 $64.2 $47.0 $43.2 $57.8 $53.9 $10.0 $37.7 Sema4 Diagnostic Testing (Excluding COVID) $46.9 $41.0 $37.3 $45.9 $48.7 $8.1 $36.1 Sema4 COVID Testing $15.9 $3.8 $4.2 $10.5 $3.8 $0.3 $0.0 Sema4 Pharma $1.4 $2.2 $1.7 $1.4 $1.4 $1.7 $1.6 GeneDx $22.8 $29.6 $29.8 $32.3 $36.1 $38.3 $45.6 Total2 $87.0 $76.7 $73.0 $90.1 $90.1 $48.3 $83.2 2Q 2022 Prior Period Revenue Adjustment3 - - - - - ($30.1) - Adjusted Total $87.0 $76.7 $73.0 $90.1 $90.1 $78.4 $83.2 Adjusted Total excluding COVID $71.1 $72.8 $68.8 $79.6 $86.3 $78.1 $83.2


 
Historical Pro forma GeneDx Revenue & Volume + Combined Company Pharma Revenue1 21 1Q21 2Q21 3Q21 4Q21 1Q22 2Q22 3Q22 Volumes Whole Exome, Whole Genome & NICU 3,344 6,698 6,162 6,619 7,395 7,572 7,480 Other Diagnostic Tests 28,337 32,484 31,360 32,162 34,039 37,996 37,434 Total 31,681 39,182 37,522 38,781 41,434 45,568 44,914 Revenue Whole Exome, Whole Genome & NICU $8.4 $13.5 $14.2 $15.3 $18.4 $21.1 $26.9 Other Diagnostic Tests $14.4 $16.1 $15.5 $17.0 $17.7 $17.2 $18.6 Pharma $1.4 $2.2 $1.8 $2.4 $1.6 $2.3 $1.7 Total Revenue $24.2 $31.8 $31.5 $34.7 $37.8 $40.6 $47.3 1 Pro forma volume and revenue metrics assume GeneDx was owned for the entirety of the applicable quarter and are calculated based on the sum of each of Sema4’s and GeneDx’s historical volumes or revenues, as applicable. Pro forma metrics are presented for illustrative purposes only and are not necessarily indicative of the results that would have occurred had the GeneDx acquisition been completed on such dates or that may occur in the future


 
Non-GAAP Gross Margin Reconciliation 22


 
Non-GAAP EBITDA Reconciliation 23


 
Non-GAAP Net Loss Reconciliation1 24 1 See footnotes to adjusted EBITDA reconciliation within the appendix for additional detail on the reconciled line items Three months ended September 30, 2022 2021 (in thousands) Net (loss) income (77,581) 32,731 Stock-based compensation expense 1,273 18,011 Amortization of Acquisition Intangibles 3,507 — Change in fair market value of warrant and earn-out contingent liabilities (12,978) (122,171) Transaction, acquisition, and restructuring costs 8,993 391 Adjusted Net loss (76,786) (71,038)