Site icon The Invincible India

Startup Deep Dive : MedGenome — 264 million raised, still 80-85% dependent on India

The Invincible India Startup Deep Dive featured graphic for MedGenome.

MedGenome runs labs in three Indian cities, sells genetic tests through more than 24,000 clinicians and 8,000 hospitals, and says it operates in over 45 countries — yet 80–85% of the samples that actually reach its labs still originate inside India, according to India chief executive Vedam Ramprasad (Whalesbook, 2026). That gap between a global-sounding footprint and an overwhelmingly domestic revenue base is the quiet contradiction sitting underneath one of India’s best-known genomics names.

In its most recent full year, the Bengaluru-headquartered company posted consolidated revenue of ₹407 crore (~$42.4 million at $1 ≈ ₹96.0), up 36.0% year-on-year (FY25, Inc42, citing MCA filings). It has also raised, depending on which database is used, somewhere between $233 million and $264 million in venture capital over a decade, and it took until FY25 — twelve years after incorporation — to show the kind of profit growth that makes those numbers add up. This piece works through the funding, the financials, the founders’ bet on genomics as “the source code for life,” and the acquisition-led plan to more than double revenue by the end of the decade.

Quick facts

Company MedGenome (MedGenome Labs Limited / MedGenome Inc.)
Founded Genomics business incubated 2010 within SciGenom Labs; MedGenome Labs Limited incorporated 8 April 2013, Bengaluru (Tofler/MCA)
Founder(s) Sam Santhosh (Founder & Chairman) and Mahesh Pratapneni (Co-founder & CEO)
Businesses Clinical genomic diagnostics, genomics/multiomics research services for pharma and academia, genomic database licensing, and (since May 2026) diagnostic imaging via an acquired centre
Latest FY revenue ₹407.0 crore consolidated, up 36.0% YoY (FY25, year ended March 2025; Inc42/MCA filings)
Latest FY profit/loss Profit after tax ₹46.8 crore consolidated; ₹57.7 crore standalone, up 174% YoY (FY25; Inc42, citing MCA filings)
Listed Private (unlisted public limited company); no confirmed IPO plans as of September 2026
Market value / last valuation Last disclosed valuation ~$105 million (August 2017/March 2018, Tracxn); undisclosed for the 2022 and 2025 rounds
Key shareholders / CEO Sofina, Novo Holdings, Peak XV Partners, LeapFrog Investments and Maj Invest among investors; Mahesh Pratapneni is Co-founder and CEO, Vedam Ramprasad is CEO of India operations

What they do

MedGenome operates CAP- and NABL-accredited genetic testing laboratories in Bengaluru, Mumbai and Delhi, offering more than 1,300 genetic and genomic tests across oncology, reproductive health, rare inherited disorders, cardiology and neurology to hospitals, clinicians and, increasingly, patients directly (company website, diagnostics.medgenome.com, 2026). Alongside clinical testing it runs a research-services business that performs next-generation sequencing and multiomics work for global pharmaceutical companies and academic institutions, and it licenses a proprietary database of Indian genetic variants to partners building drug-discovery platforms (BioVoiceNews, October 2024). In May 2026 it extended into conventional diagnostic imaging by taking a majority stake in a Mumbai-area imaging centre, positioning the company as an “integrated diagnostics” provider rather than a pure genomics lab (BioSpectrum India / OC Academy, May 2026).

The origin

Sam Santhosh spent his first two decades in enterprise software, founding California Software Limited (Calsoft) in 1992 and running it as chief executive until 2012, building it from a niche Silicon Valley player into a company with more than 1,200 employees across eight countries (EY India / FounderWorld profile). When the first human genome was sequenced in 2003, he has said he saw it as the software equivalent of “receiving the source code for life” — a line he has repeated in his own writing and in founder interviews. He spent the following years studying biology on the side before founding SciGenom Labs in Kochi in 2009 as an umbrella research entity, incubating what would become MedGenome from 2010 (Sam Santhosh’s own account, samsanthosh.com / FounderWorld, 2017). MedGenome Labs Limited was formally incorporated in Bengaluru on 8 April 2013, with Mahesh Pratapneni joining as co-founder (Tofler/MCA filing). The founding insight was straightforward: India carried a huge burden of genetic and rare disease, but had almost no domestic capacity for advanced genetic sequencing, so samples were routinely couriered abroad, adding weeks to diagnosis and pricing out most patients (BioVoiceNews, October 2024).

The struggle years

The first years were a slow, expensive build rather than a quick win. India had almost no trained genetic-testing workforce in 2013, so MedGenome had to bring in senior scientists from overseas research institutions to train local staff from scratch, while working with a small base of prescribing clinicians who had no prior experience ordering genomic tests and no easy way to trust the results (BioVoiceNews, October 2024). The company needed two fundraises in eight months to keep growing: a $30 million Series C in August 2017 followed by a further $10 million Series C top-up in March 2018, led by HDFC Mutual Fund, at a reported valuation of roughly $105 million (Inc42 funding data; Tracxn valuation data). Profitability took even longer to arrive than the fundraising suggests. As late as August 2022 — nine years after incorporation and after cumulative funding of about $185.5 million — co-founder Mahesh Pratapneni told EY India that MedGenome was targeting EBITDA breakeven only for FY23, an acknowledgement that a decade-old, well-funded genomics leader was still not consistently profitable at the operating level (EY India Entrepreneur of the Year profile, 2022).

The turning point

The clearest inflection point in the public record is the $50 million round led by Novo Holdings in August 2022, which came with LeapFrog Investments and Sofina also participating (Entrackr, August 2022). Before that round, MedGenome was still primarily a South Asia story: cumulative funding stood at roughly $185.5 million, India operations had generated standalone revenue of about ₹164 crore in FY21 (up 51% year-on-year) with a modest profit after tax of ₹10.5 crore, and Sam Santhosh was telling reporters the company expected total revenue to reach only ₹280–300 crore in FY22 (Entrackr, August 2022, citing company filings and founder statements). The round was earmarked explicitly to push the business beyond South Asia into Africa and the Middle East and to scale its bioinformatics and SaaS offerings (Inc42, August 2022). Three years on, consolidated revenue has reached ₹407 crore in FY25, up 36.0% year-on-year, and the company raised a further $47.5 million Series E in July 2025 — co-led by new investor Maj Invest alongside Novo Holdings, with Sofina again participating — specifically to widen access to its genomics and integrated-diagnostics offerings across India and other emerging markets (Novo Holdings press release, July 2025; Outlook Business, July 2025).

The money behind it

MedGenome’s cap table has been built almost entirely from institutional venture and growth capital, with no single round disclosed as a “unicorn” valuation event. The disclosed round history, per Inc42’s funding tracker, runs as follows:

Summed, those eight disclosed rounds total roughly $233 million (Inc42). Tracxn’s broader count, which includes smaller or unnamed tranches across 10 rounds and 32 investors, puts total funding at $264 million — the two trackers disagree by about $31 million, so both figures are given here rather than one invented number. Three backers stand out for what they changed:

The company’s only publicly disclosed valuation milestone is roughly $105 million around the March 2018 Series C extension (Tracxn); valuations for the 2020, 2022 and 2025 rounds were not disclosed in any source reviewed this session, so none is stated here.

How it makes money

Revenue comes from three distinct lines, each with a different economic logic:

On costs, standalone total expenses fell to ₹276.3 crore in FY25 even as standalone revenue rose to ₹332.0 crore, lifting the standalone net profit margin to 17.4% and standalone profit after tax by 174% year-on-year to ₹57.7 crore (Inc42, citing MCA filings, FY25). The part outsiders tend to get wrong is treating MedGenome as a single genomics product: the company itself does not publish a percentage split between its diagnostics, research-services and licensing revenue in any filing found this session, so that internal mix is stated here as unknown rather than estimated, and it has now added a fourth, non-genomic line — diagnostic imaging — through the 2026 Siddhi Diagnostics acquisition.

The numbers

Public revenue and profit figures are patchy in the years between FY21 and FY24 — no standalone or consolidated filing for FY22 or FY23 was located this session, so that gap is left open rather than filled with an estimate. The figures that are documented and sourced:

Fiscal year Revenue (₹ crore) Profit after tax (₹ crore) Basis / source
FY21 164.0 (India operations) 10.5 Standalone, up 51% YoY (Entrackr, August 2022, citing filings)
FY24 299.3 Not disclosed in sources reviewed Standalone (Inc42, citing MCA filings)
FY25 332.0 57.7 Standalone, revenue up 26.8% YoY, PAT up 174% YoY (Inc42, citing MCA filings)
FY25 407.0 46.8 Consolidated, revenue up 36.0% YoY (Inc42, citing MCA filings)

Two things stand out in this run of numbers: standalone profitability improved far faster than standalone revenue in FY25 — profit grew six times faster than the top line — and the consolidated entity, which folds in overseas operations, carries a lower profit after tax than the standalone Indian business despite higher revenue, implying the non-Indian parts of the group were loss-making or thin-margin in FY25 (figures per Inc42, citing MCA filings).

Where the money comes from

The surprise is less about geography than about mix: management has said only 20–25 percentage points of its targeted 30% annual growth will come from organic testing volumes, with the remaining 10–15 percentage points expected from acquisitions such as SDRC (Whalesbook, 2026). A company that built its identity on being India’s genomics pioneer is, on its own numbers, increasingly planning to grow by buying conventional diagnostic centres rather than by selling more genomic tests.

The risks

The takeaway

MedGenome’s arc is a reminder that scientific difficulty and commercial difficulty are not the same problem, and solving the first does not automatically solve the second. Building South Asia’s largest accredited next-generation sequencing lab, importing scientists to train a workforce that did not exist, and getting India’s first non-invasive prenatal test validated locally — all of that was the hard science. But converting that into a durable, profitable business took over a decade of capital, and even after $185 million-plus in funding, the company was still targeting basic operating breakeven as late as 2022. The lesson transfers well beyond genomics: in a market where the buyer (a clinician) is not the payer (a patient or hospital) and trust has to be built one referral at a time, distribution can be a longer and more expensive problem to solve than the underlying technology.

Frequently asked questions

What does MedGenome do?

MedGenome runs accredited genetic diagnostic laboratories in India offering more than 1,300 tests across oncology, reproductive health, rare disease and cardiology, alongside a research-services business that sells sequencing work to pharmaceutical and academic clients, and a licensing business built around its genetic variant database (company website, 2026; BioVoiceNews, October 2024).

Who founded MedGenome, and when?

Sam Santhosh and Mahesh Pratapneni. The genomics business was incubated from 2010 within Santhosh’s SciGenom Labs, and MedGenome Labs Limited was formally incorporated in Bengaluru on 8 April 2013 (Tofler/MCA filing; FounderWorld/samsanthosh.com, 2017).

How much funding has MedGenome raised?

Disclosed rounds tracked by Inc42 total roughly $233 million across eight rounds between 2014 and 2025; Tracxn’s wider count, including smaller or undisclosed tranches, puts the figure at $264 million across 10 rounds and 32 investors. Key backers include Peak XV Partners, Sofina, Novo Holdings, LeapFrog Investments and Maj Invest.

Is MedGenome profitable?

In FY25 (year ended March 2025) MedGenome reported consolidated revenue of ₹407 crore, up 36.0% year-on-year, with consolidated profit after tax of ₹46.8 crore; standalone profit after tax was ₹57.7 crore, up 174% year-on-year (Inc42, citing MCA filings). As recently as August 2022 the company was still targeting basic EBITDA breakeven (EY India, 2022).

Is MedGenome planning an IPO?

No confirmed IPO plans were found as of September 2026. The company remains a private, unlisted entity, though its shares are quoted on some pre-IPO trading platforms; its most recent capital event was a $47.5 million Series E round in July 2025 and a majority stake acquisition in Siddhi Diagnostics & Research Centre in May 2026.

Sources

Figures are as of September 2026. Currency converted at $1 ≈ ₹96.0 as of 18 September 2026 (Trading Economics).

Found an error? Write to us and we’ll correct it in the open, dated, on the piece.

Exit mobile version