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Invitae Investor Overview - August 2016
1.
© 2016 Invitae
Corporation. All Rights Reserved. 1 INVITAE: Bringing genetic information into mainstream medical practice INVESTOR PRESENTATION AUGUST 2016
2.
© 2016 Invitae
Corporation. All Rights Reserved. 2 Safe Harbor Statement This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements relating to the company’s expectations regarding its plans for 2016, including revenue levels, the cost of goods sold, the number of billable tests delivered, the number of genes in its test menu, and the nature and extent of future reimbursement coverage; the company’s expectations regarding continued growth in 2016; potential market opportunities; the timing of any new testing service releases and the benefits and attributes of any such services; and the company’s plans for long-term growth. Forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially, and reported results should not be considered as an indication of future performance. These risks and uncertainties include, but are not limited to: the company’s history of losses; the company’s need to scale its infrastructure in advance of demand for its tests and to increase demand for its tests; the company’s ability to develop and commercialize new tests and expand into new markets; the risk that the company may not obtain or maintain sufficient levels of reimbursement for its tests; risks associated with the company’s ability to use rapidly changing genetic data to interpret test results accurately and consistently; the company’s ability to compete; laws and regulations applicable to the company’s business, including potential regulation by the Food and Drug Administration; and the other risks set forth in the company’s filings with the Securities and Exchange Commission, including the risks set forth in the company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2016. These forward-looking statements speak only as of the date hereof, and Invitae Corporation disclaims any obligation to update these forward-looking statements. NOTE: Invitae and the Invitae logo are trademarks of Invitae Corporation. All other trademarks and service marks are the property of their respective owners.
3.
© 2016 Invitae
Corporation. All Rights Reserved. 3 Invitae Bringing genetics into mainstream medicine to help billions of people Everyone has a unique genome that has a significant impact on their health There are over 4,000 medically important genetic tests today – most of which are over-priced and under-utilized High quality, low priced genetic testing will dramatically increase the total market to everyone with access to healthcare
4.
© 2016 Invitae
Corporation. All Rights Reserved. 4 ~2-5% 1 in 20 to 1 in 50 healthy people has a gene mutation that puts them at risk for a medically actionable condition ~0.5-5% 1 in 20 to 1 in 200 people carry the Factor V Leiden variant that may increase risk for blood clotting ~5-10% 1 in 20 to 1 in 10 of all cancers are likely to have a hereditary basis Genetic conditions affect everyone “Rare” genetic conditions are actually common in the aggregate 1 in 250 people has a gene mutation that may lead to early onset cardiovascular disease 0.4% ~2% 1 in 50 new births result in a complication involving a genetic condition 0.3% 1 in 300 will have an epileptic seizure during their lifetime ~100% Everyone is carrying mutations that can cause severe illness in a child if the child’s other parent provides a mutation in the same gene ~100% Virtually everyone is carrying mutations affecting drug response Everyone carries mutations in their genome that cause disease, affect drug response or recessive genetic conditions that may affect their families
5.
© 2016 Invitae
Corporation. All Rights Reserved. 5 Unknown Limited Low Complexity of Diagnosis High NumberofGenesInvolved Exomes/Genomes Large gene panels Small gene panels Single Gene Testing Variant testing Sickle-cell anemia High risk breast cancer Hypertrophic cardiomyopathy Diagnostic Odyssey BRCA1 Historically, genetic testing was limited by cost
6.
© 2016 Invitae
Corporation. All Rights Reserved. 6 Exomes/Genomes Large gene panels Small gene panels Single Gene Testing Variant testing Increasing number of genes Cost Cost of the first gene Cost of increasing genes Invitae’s business model innovation - Technology is improving quality and creating economy of scale - Invitae offers one price per indication regardless of the number of genes - Transforming a clinical laboratory report generation industry into a genetic information management industry
7.
© 2016 Invitae
Corporation. All Rights Reserved. 7 - Make genetic testing more accessible than ever before - Consolidate and expand the market for genetic tests and related services - Create new markets for content (i.e. Preventive and Family Health) - Share genetic information on a global scale to advance healthcare and clinical outcomes - Monetize our network of patients, providers and payers for permission- based sharing of genetic information - Build infrastructure to manage genetic information for customers - Genome management creates value over the lifetime of a customer A platform built for long term growth Genetic Testing Genome Management Genome Network
8.
© 2016 Invitae
Corporation. All Rights Reserved. 8 200 500 1,100 1,800 2,200 4,500 5,100 7,000 9,700 12,100 Billable tests Revenue ($k) $118 $301 $310 $876 $1,200 $1,800 $2,200 $3,200 $4,000 $5,600 ! Expenses are incurred for tests in the period in which the test is conducted ! Balance sheet cash, cash equivalents, and marketable securities of $90.2M as of June 30, 2016 Strong volume growth, with revenue following (billable test numbers and revenues are approximate)
9.
© 2016 Invitae
Corporation. All Rights Reserved. 9 Q2 2016 Update ! COGS improvement " drives content expansion " drives volume growth " drives reimbursement – Invitae now has one of the lowest cost –highest content platforms in the industry – ~ million dollar improvement in gross margin and the bottom line over Q1 – Over 25% quarter over quarter growth ! The payer dynamic has changed – Two national payers now on board: Medicare and Aetna with more to come ! The medical opportunity is expanding as genetics becomes less expensive – Unlimited market growth opportunity for the foreseeable future ! “Leapfrogging” to whole exome sequencing – Over three thousand clinically relevant genes with deep coverage + all 20,000 genes for screening rare undiagnosed conditions ! Biopharma and advocacy are showing increasing interest in patient access across oncology, cardiology, and rare disease – Three partnerships inked in the first half of the year – The network effects are just beginning ! The health and wellness markets are in their infancy – Genome management is still a ways off but approaching rapidly with the application of our adult prevention panel
10.
© 2016 Invitae
Corporation. All Rights Reserved. 10 Executing on four key early metrics Content on assays Volume by Billable Reports COGS per sample 2014 >200 genes 2016 >1000 genes 2015 >600 genes Q2:16 $5.6M Q1:15 $1.2M Q2:15 $1.8M Q4:15 $3.2M Q3:15 $2.2M Q1:15 $1,250 Q3:15 $750 Q4:15 $700 Q2:16 $500 Q2:15 $850 Q1:15 2200 Q2:15 4500 Q4:15 9700 Q2:16 12,100 Q3:15 5100 Q1:16 7000 $4.0M Q1:16 $600 Q1:16
11.
© 2016 Invitae
Corporation. All Rights Reserved. 11 Now with national major payer contracts, including more regional plans Content on assays Volume by Billable Reports COGS per sample 2014 >200 genes 2016 >1000 genes 2015 >600 genes Q1:15 $1,250 Q3:15 $750 Q4:15 $700 Q2:16 $500 Q2:15 $850 Q1:15 2200 Q2:15 4500 Q4:15 9700 Q2:16 12,100 Q3:15 5100 Q1:16 7000 $600 Q1:16 ! Aetna ! Medicare ! >100 Institutional contracts ! BCBS in 5 states ! BCBS Federal Employee Program ! Tufts Health Plan ! OSU Health Plan ! SelectHealth ! Others
12.
© 2016 Invitae
Corporation. All Rights Reserved. 12 Covered lives by quarter: now at 95 million Q1:14 0.0M Q2:14 0.0M Q3:14 0.1M Q4:14 4.5M Q1:15 4.5M Q2:15 4.5M Q3:15 5.5M Q4:15 5.5M Q1:16 95M Q2:16 0 5.5M 100 million 50 million
13.
© 2016 Invitae
Corporation. All Rights Reserved. 13 Improving our gross margins Grossmarginperbillablereport ($100) ($300) $0 -$465 -$82 -$342 -$335 -$209 Q3 2015 Q4 2015 Q1 2016 Q2 2016Q2 2015 ($500) NOTE: Estimated numbers may have been used. Actual totals might vary slightly.
14.
© 2016 Invitae
Corporation. All Rights Reserved. 14 Q3 2015 Q4 2015 Q1 2016 Q2 2016Q2 2015Q1 2015 Operating efficiency: growing volume while holding costs steady%Revenue 100 300 500 0 700 NOTE: Estimated numbers may have been used. Actual totals might vary slightly. $0.0 $2.0 $6.0 $4.0 Revenue($M) R&D Commercial G&A Revenue $5.6M
15.
© 2016 Invitae
Corporation. All Rights Reserved. 15 Accelerating menu releases Driving down COGS Measuring our success in 2016: leapfrogging 3,000 genes and accelerating a medical exome of 20,000 genes Medicare and top major private insurers in network >200 genes >600 genes >20,000 genes Q4:2016 < $5002014 $1,500 Q3:2015 $750 Billable reports delivered 3.6K reports 19K reports 50K-70K reports
16.
© 2016 Invitae
Corporation. All Rights Reserved. 16 0.3% ~0.5-5% ~2-5% Evaluating risk for medically actionable disorders in healthy adults ~5-10% Genetic conditions affect everyone 0.4% ~2% ~100% Testing genes for recessive variants in individuals interested in pre-conception and family risk assessment ~100% Testing specific genetic variants linked to drug efficacy Expanding the diagnostic testing menu moving into 2017 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
17.
© 2016 Invitae
Corporation. All Rights Reserved. 17 Early market testing in health and wellness Simple facts about the size of our healthcare economy where preventive genetics could help 1 billion Doctor visits per year 50 million Surgeries per year 1.6 million New cancers per year Heart attacks per year1.5 million 4 million Births per year 3 million New disabling neurological disorders per year 1 million First time parents per year 4 billion Prescriptions written per year
18.
© 2016 Invitae
Corporation. All Rights Reserved. 18 Expand content Improve customer experience Drive Volume Attract Partners Growth Lower costs Lower prices Beginning to attract partners to our network
19.
© 2016 Invitae
Corporation. All Rights Reserved. 19 Patients own and control their own genetic information STORE Simply store your genetic information LEARN Understand more about your genome SHARE Family members, physician, networks, no-one PARTICIPATE Research, development, clinical trials, marketing DONATE Medical research, genomic philanthropy MEDICAL CONDITION MEDICATIONS HAVING KIDS INJURIES OR SURGERIES HEALTH ISSUES AGING GRACEFULLY NEONATAL Genome Management Clinical diagnostics PGx screening Carrier testing Bleeding disorder screening Focused clinical trials Preventative health Newborn screening Building a customer for life Genomics-informed medicine over the course of a patient’s lifetime