EX-99.1 2 q22024pressrelease.htm EX-99.1 Document
Exhibit 99.1
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GeneDx Reports Second Quarter 2024 Financial Results and Business Highlights
Reported second quarter 2024 revenue from continuing operations1 of $68.9M with 77% year-over-year growth of exome and genome test revenue
Expanded second quarter 2024 adjusted gross margins2 from continuing operations to 62%
Narrowed second quarter 2024 adjusted net loss2 to $2.7M
Raising guidance to deliver between $255M and $265M in FY 2024 revenue and reiterate path to profitability in 2025
GeneDx to host conference call today at 4:30 p.m. ET

STAMFORD, Conn., July 30, 2024 — GeneDx Holdings Corp. (Nasdaq: WGS), a leader in delivering improved health outcomes through genomic insights, today reported its financial results for the second quarter of 2024.
“Our continued organizational focus on execution fueled our strong second quarter results, giving us confidence to raise full year 2024 revenue guidance to between $255-$265 million and reiterate our expectation to reach profitability in the next several quarters,” said Katherine Stueland, President and Chief Executive Officer at GeneDx. “The strength in our performance across all measures of the business has enabled us to begin investments in future growth opportunities for our business with a focus on extending our leadership in whole exome sequencing to whole genome sequencing to ensure we continue to lead the charge in quickly providing the most accurate and actionable genetic information to diagnose disease for as many patients and families as possible.”

Second Quarter 2024 Financial Results (Unaudited)1,2
Revenues
Revenues from continuing operations grew to $68.9 million, an increase of 52% year-over-year and 12% sequentially.
Total company revenues were $70.5 million.
Exome and genome test revenue grew to $50.7 million, an increase of 77% year-over-year and 15% sequentially.
Exome and genome volume
Exome and genome test results volume grew to 18,017, an increase of 52% year-over-year and 9% sequentially.
Exome and genome represented 31% of all test results, up from 22% in the second quarter of 2023 and up from 30% in the first quarter of 2024.
Gross margin
Adjusted gross margin from continuing operations expanded to 62%, up from 37% in the second quarter of 2023 and up from 61% in the first quarter of 2024.
Total company gross margin was 61%.
Operating expenses
Adjusted total operating expenses reduced to $45.0 million, a decrease of 24% year-over-year and 1% sequentially.
Total GAAP operating expenses were $52.7 million.
Net loss
Adjusted net loss narrowed to $2.7 million, an improvement of 93% year-over-year and 68% sequentially.
GAAP net loss was $29.2 million, inclusive of a one-time, net litigation charge of $13 million.



Cash burn and cash position
Total net use of cash was $6.1 million in the second quarter of 2024, an improvement of 89% year-over-year and 65% sequentially.
Cash, cash equivalents, marketable securities and restricted cash was $107.8 million as of June 30, 2024.
1Revenue and gross margin results from continuing operations, which we believe are representative of our ongoing business strategy exclude any revenue and cost of goods sold of the exited Legacy Sema4 diagnostic testing business for the current and all comparative periods. Total company results include GeneDx’s continuing operations and the financial impacts of exited Legacy Sema4 business activities for the current and all comparative periods.
2Adjusted gross margin, adjusted total operating expenses and adjusted net loss are non-GAAP financial measures. See appendix for a reconciliation of GAAP to Non-GAAP figures presented.

GeneDx Full Year 2024 Guidance
GeneDx has updated full year 2024 guidance. Management expects GeneDx to:
Drive full year 2024 revenues1 between $255 and $265 million (previous guidance was between $235 and $245 million);
Expand full year 2024 adjusted gross margin profile to at least 60% (no change);
Use between $65 to $70 million of net cash for full year 2024 (previous guidance was between $70 to $80 million);
Turn to profitability in 2025 (no change).
1Total company results include the combination of the GeneDx diagnostic business revenues and the data and information revenues from the Legacy Sema4 business.

Second Quarter 2024 Business Highlights
Driving sustainable growth, expanding access and improving the standard of care
Announced collaboration with Epic Aura1 to expand access to rapid whole genome sequencing (“rWGS”) services to inform diagnosis for affected pediatric and neonatal patients, enhancing GeneDx’s commercial footprint within leading health systems.
Launched first-of-its-kind Patient Access Program in collaboration with leading biopharma partners to expand access to exome testing for pediatric epilepsy patients.
Grew biopharma partner programs to 32, predominantly with biotech companies who are relying on us to find patients with a specific variant for clinical trial purposes.
North Carolina Medicaid has expanded its existing coverage of outpatient whole exome sequencing (“WES”) to include the analysis of family comparator samples, which increases the rate of diagnosis of WES, effective June 1, 2024.
State Medicaid programs continue to expand coverage of rapid genome sequencing in the neonatal intensive care unit (“NICU”), bringing total states covering rapid whole genome in the acute care setting to 14, including new coverage announced in:
North Carolina (June 2024)
Tennessee (July 2024)
Connecticut (July 2024)
Announced reinvestment in rapid and standard whole genome sequencing products, enabling:
Faster turnaround time for rWGS with a written report in as fast as 5 days
Buccal samples (cheek swab) allowing for easier and more accessible non-invasive sample collection method for even the youngest patients
Expanding the number of repeat expansions covered by whole genome sequencing to increase diagnostic yield and improve the provider and patient experience by decreasing the need for follow-up testing

1Epic and Aura are trademarks of Epic Systems Corporation.



Webcast and Conference Call Details
GeneDx will host a conference call today, July 30, 2024, at 4:30 p.m. Eastern Time. Investors interested in listening to the conference call are required to register online. A live and archived webcast of the event will be available on the “Events” section of the GeneDx investor relations website at https://ir.genedx.com/.
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 2024 reported revenue guidance, our expectations regarding our adjusted gross margin profile in 2024, our use of net cash in 2024 and our turning profitable in 2025. 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) our 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, (iv) our ability to pursue our new strategic direction, and (v) our ability to enhance our artificial intelligence tools that we use in our clinical interpretation platform. 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, 2023, filed with the U.S. Securities and Exchange Commission (the “SEC”) on February 23, 2024 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 GeneDx
At GeneDx (Nasdaq: WGS), we believe that everyone deserves personalized, targeted medical care—and that it all begins with a genetic diagnosis. Fueled by one of the world’s largest rare disease data sets, our industry-leading exome and genome tests translate complex genomic data into clinical answers that unlock personalized health plans, accelerate drug discovery, and improve health system efficiencies. It all starts with a single test. For more information, please visit genedx.com and connect with us on LinkedIn, X, Facebook, and Instagram.

Investor Relations Contact:
Investors@GeneDx.com
Media Contact:
Press@GeneDx.com



Volume and revenue in the table below include the combination of the Legacy GeneDx diagnostic business with the data and information business of Legacy Sema4.
Volume & Revenue
2Q241Q244Q233Q232Q23
Volumes
Whole exome, whole genome18,01716,59215,66313,21611,855
Hereditary cancer5,4826,8688,2408,5567,142
Other panels34,20431,76333,69235,86135,931
Total57,70355,22357,59557,63354,928
Revenue ($ millions)
Whole exome, whole genome$50.7 $44.0 $39.2 $34.0 $28.7 
Hereditary cancer3.8 5.5 5.5 4.5 3.8 
Other panels13.3 10.7 11.2 10.6 10.6 
Data information1.1 1.3 2.2 1.3 2.1 
Total$68.9 $61.5 $58.1 $50.4 $45.2 
Unaudited Select Financial Information (in thousands)
Three months ended June 30, 2024Three months ended March 31, 2024
GeneDxLegacy Sema4TotalGeneDxLegacy Sema4Total
Revenue$68,924$1,590$70,514$61,461$961$62,422
Adjusted cost of services26,52314526,66824,09924,099
Adjusted gross profit (loss)$42,401$1,445$43,846$37,362$961$38,323
Adjusted gross margin %61.5%90.9%62.2%60.8%100.0%61.4%
Three months ended June 30, 2023
GeneDxLegacy Sema4Total
Revenue$45,226$3,480$48,706
Adjusted cost of services28,45228,452
Adjusted gross profit (loss)$16,774$3,480$20,254
Adjusted gross margin %37.1%100.0%41.6%



Three months ended June 30, 2024
ReportedDepreciation and amortizationStock-based compensation expenseRestructuring costsChange in FV of financial liabilitiesCharges related to business exitOtherAdjusted
Diagnostic test revenue$69,439 $— $— $— $— $— $— $69,439 
Other revenue1,075 — — — — — — 1,075 
Total revenue70,514 — — — — — — 70,514 
Cost of services27,562 (808)(86)— — — — 26,668 
Gross profit (loss)42,952 808 86 — — — — 43,846 
Gross margin60.9 %62.2 %
Research and development10,902 (211)(347)(35)— — — 10,309 
Selling and marketing16,585 (1,225)(368)(63)— — — 14,929 
General and administrative25,170 (2,974)(2,307)(150)— — — 19,739 
Impairment loss— — — — — — — — 
Other, net874 — — — — — — 874 
Loss from operations(10,579)5,218 3,108 248 — — — (2,005)
Interest income (expense), net(894)— — — — — — (894)
Other income (expense), net(17,890)— — — 4,409 — 13,450 (31)
Income tax benefit190 — — — — — — 190 
Net loss$(29,173)$5,218 $3,108 $248 $4,409 $— $13,450 $(2,740)
Three months ended June 30, 2023
ReportedDepreciation and amortizationStock-based compensation expenseRestructuring costsChange in FV of financial liabilitiesCharges related to business exitOtherAdjusted
Diagnostic test revenue$46,635 $— $— $— $— $— $— $46,635 
Other revenue2,071 — — — — — — 2,071 
Total revenue48,706 — — — — — — 48,706 
Cost of services29,949 (1,233)(251)(13)— — — 28,452 
Gross profit (loss)18,757 1,233 251 13 — — — 20,254 
Gross margin38.5 %41.6 %
Research and development17,138 (4,656)675 (815)— — — 12,342 
Selling and marketing15,182 (1,225)143 (326)— — — 13,774 
General and administrative37,341 (3,218)(675)(483)— — — 32,965 
Impairment loss— — — — — — — — 
Other, net718 — — — — 334 3,238 4,290 
Loss from operations(51,622)10,332 108 1,637 — (334)(3,238)(43,117)
Interest income (expense), net1,074 — — — — — — 1,074 
Other income (expense), net3,633 — — — (3,547)— (86)— 
Income tax benefit196 — — — — — — 196 
Net loss$(46,719)$10,332 $108 $1,637 $(3,547)$(334)$(3,324)$(41,847)
Three months ended March 31, 2024
ReportedDepreciation and amortizationStock-based compensation expenseRestructuring costsChange in FV of financial liabilitiesCharges related to business exitOtherAdjusted
Diagnostic test revenue$61,104 $— $— $— $— $— $— $61,104 
Other revenue1,318 — — — — — — 1,318 
Total revenue62,422 — — — — — — 62,422 
Cost of services25,011 (816)(48)(48)— — — 24,099 
Gross profit (loss)37,411 816 48 48 — — — 38,323 
Gross margin59.9 %61.4 %
Research and development11,567 (196)187 (103)— — — 11,455 
Selling and marketing16,085 (1,225)20 (400)— — — 14,480 
General and administrative22,445 (3,011)292 (292)— — — 19,434 
Impairment loss— — — — — — — — 
Other, net974 — — — — — — 974 
Loss from operations(13,660)5,248 (451)843 — — — (8,020)
Interest income (expense), net(597)— — — — — — (597)
Other income (expense), net(6,064)— — — 6,101 — — 37 
Income tax benefit82 — — — — — — 82 
Net loss$(20,239)$5,248 $(451)$843 $6,101 $— $— $(8,498)



GeneDx Holdings Corp.
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
June 30, 2024 (Unaudited)December 31, 2023
Assets:
Current assets:
Cash and cash equivalents$56,076 $99,681 
Marketable securities50,784 30,467 
Accounts receivable25,500 32,371 
Due from related parties693 445 
Inventory, net10,322 8,777 
Prepaid expenses and other current assets18,792 10,598 
Total current assets162,167 182,339 
Operating lease right-of-use assets25,624 26,900 
Property and equipment, net31,339 32,479 
Intangible assets, net165,613 172,625 
Other assets (1)
4,357 4,413 
Total assets$389,100 $418,756 
Liabilities and Stockholders’ Equity:
Current liabilities:
Accounts payable and accrued expenses$51,959 $37,456 
Due to related parties1,213 1,379 
Short-term lease liabilities4,001 3,647 
Other current liabilities11,097 16,336 
Total current liabilities68,270 58,818 
Long-term debt, net of current portion52,160 52,688 
Long-term lease liabilities60,800 62,938 
Other liabilities12,660 14,735 
Deferred taxes1,167 1,560 
Total liabilities195,057 190,739 
Stockholders’ Equity:
Preferred stock— — 
Class A common stock
Additional paid-in capital1,543,182 1,527,778 
Accumulated deficit(1,349,600)(1,300,188)
Accumulated other comprehensive income459 425 
Total stockholders’ equity194,043 228,017 
Total liabilities and stockholders’ equity$389,100 $418,756 
(1)Other assets includes $987 thousand of restricted cash as of both June 30, 2024 and December 31, 2023.



GeneDx Holdings Corp.
Condensed Consolidated Statements of Operations (Unaudited)
(in thousands, except share and per share amounts)
June 30,Six months ended June 30,
2024202320242023
Revenue
Diagnostic test revenue$69,439 $46,635 $130,543 $88,485 
Other revenue1,075 2,071 2,393 3,360 
Total revenue70,514 48,706 132,936 91,845 
Cost of services    27,562 29,949 52,573 57,852 
Gross profit42,952 18,757 80,363 33,993 
Research and development10,902 17,138 22,469 31,730 
Selling and marketing16,585 15,182 32,670 28,634 
General and administrative25,170 37,341 47,615 81,030 
Impairment loss— — — 2,120 
Other operating expenses, net874 718 1,848 2,465 
Loss from operations(10,579)(51,622)(24,239)(111,986)
Non-operating income (expenses), net
Change in fair value of warrants and earn-out contingent liabilities (4,409)3,547 (10,510)94 
Interest expense, net(894)1,074 (1,491)1,039 
Other expense, net(13,481)86 (13,444)2,802 
Total non-operating income, net(18,784)4,707 (25,445)3,935 
Loss before income taxes(29,363)(46,915)$(49,684)$(108,051)
Income tax benefit190 196 272 343 
Net loss$(29,173)$(46,719)$(49,412)$(107,708)
Weighted average shares outstanding of Class A common stock26,617,95525,418,35826,340,06322,754,948
Basic and diluted net loss per share, Class A common stock$(1.10)$(1.84)$(1.88)$(4.73)



GeneDx Holdings Corp.
Condensed Consolidated Statements of Cash Flows (Unaudited)
(in thousands)
Six months ended June 30,
20242023
Operating activities
Net loss$(49,412)$(107,708)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization expense10,466 18,968 
Stock-based compensation expense2,657 156 
Change in fair value of warrants and contingent liabilities10,510 (94)
Deferred tax benefit(272)(343)
Provision for excess and obsolete inventory109 2,620 
Legal reserves13,450 — 
Change in third party payor reserves1,066 (4,308)
Gain on sale of assets— (2,954)
Gain on debt forgiveness— (2,750)
Impairment loss— 2,120 
Other1,738 412 
Change in operating assets and liabilities:
Accounts receivable6,871 10,174 
Inventory(1,654)(486)
Accounts payable and accrued expenses(10,359)(25,399)
Other assets and liabilities(6,088)531 
Net cash used in operating activities(20,918)(109,061)
Investing activities
Consideration on escrow paid for GeneDx acquisition— (12,144)
Purchases of property and equipment(1,795)(2,762)
Proceeds from sales of assets— 3,634 
Purchases of marketable securities(29,381)— 
Proceeds from sales of marketable securities598 — 
Proceeds from maturities of marketable securities8,720 — 
Development of internal-use software assets— (461)
Net cash used in investing activities(21,858)(11,733)
Financing activities
Proceeds from offerings, net of issuance costs— 143,002 
Exercise of stock options161 266 
Long-term debt principal payments— (2,000)
Finance lease payoff and principal payments(990)(1,222)
Net cash (used in) provided by financing activities(829)140,046 
Net (decrease) increase in cash, cash equivalents and restricted cash (43,605)19,252 
Cash, cash equivalents and restricted cash, at beginning of period100,668 138,303 
Cash, cash equivalents and restricted cash, at end of period (1)
$57,063 $157,555 
Supplemental disclosures of cash flow information
Cash paid for interest$4,033 $946 
Cash paid for taxes$557 $1,003 
Stock consideration paid for purchase of business$— $6,692 
Stock consideration paid pursuant to exercise of Perceptive warrant $12,586 $— 
Purchases of property and equipment in accounts payable and accrued expenses$501 $109 
Assets acquired under capital leases obligations$689 $— 
(1)Cash, cash equivalents and restricted cash at June 30, 2024 excludes marketable securities of $50.8 million.