“再次,我們本季的業績超出了我們的頂線和底線預期。第三季度標誌著我們連續第10個季度的現金流改善,我們超前了我們之前的調整後凈利潤目標,” GeneDx的CFO Kevin Feeley表示。“憑藉我們在行業板塊中領先的科技和龐大的市場機遇,GeneDx將繼續將財務紀律與戰略投資相結合,加快業務發展,為更多有需要的家庭提供答案。”
Demonstrating genome leadership in the neonatal inventive care unit (NICU)
•Launched improvements to our rapid whole genome sequencing product, including cheek swabs for more accessible sample collection, and shortened turnaround times to as soon as five days
•Progressed initiative to launch Epic Aura in the first half of 2025, which will seamlessly integrate GeneDx exome and genome testing into the ordering and resulting workflows of many of the largest health systems across the country
Leaders in genomic newborn screening (gNBS)
•Conducted more gNBS than any other lab in the United States and successfully executed multi-site implementation strategies across diverse patient populations, positioning GeneDx as the clear leader set to revolutionize the standard approach to NBS
◦On October 8, 2024, data was presented at the International Conference on Newborn Sequencing (ICoNS) showcasing that GeneDx has now provided genomic newborn screenings for more than 14,000 infants through its participation in the groundbreaking GUARDIAN and Early Check research studies. Today, that number exceeds 15,000.
•Revealed limitations of traditional newborn screening methods and showcased the promise of advanced genomic technology to deliver equitable health care for all children
◦On October 24, 2024, findings from the GUARDIAN study were published in JAMA (Journal of the American Medical Association), a leading peer-reviewed medical journal.
◦GUARDIAN goes beyond the typical newborn screening panel of about 60 conditions to now over 450-early onset genetic conditions with established effective interventions.
◦Over the initial 11-month period, 4,000 newborns were enrolled and 3.7% of newborns had positive screenings.
◦By referencing our internal database, one of the largest of its kind enriched for rare disease, we find that the average age of diagnosis for children with these same conditions ranges from 7-11 years.
◦Of the newborns with true positive findings, 92% had a confirmed diagnosis for a condition not included in traditional NBS.
◦The study highlights the wide acceptance of more advanced and modernized NBS, with 72% of families approached for the study consenting to participate.
Webcast and Conference Call Details
GeneDx will host a conference call today, October 29, 2024, at 8:30 a.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, and our use of net cash in 2024. 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
3Q24
2Q24
1Q24
4Q23
3Q23
Volumes
Whole exome, whole genome
19,262
18,017
16,592
15,663
13,216
Hereditary cancer
4,672
5,482
6,868
8,240
8,556
Other panels
35,095
34,204
31,763
33,692
35,861
Total
59,029
57,703
55,223
57,595
57,633
Revenue ($ millions)
Whole exome, whole genome
$
60.0
$
50.7
$
44.0
$
39.2
$
34.0
Hereditary cancer
3.3
3.8
5.5
5.5
4.5
Other panels
13.8
13.3
10.7
11.2
10.6
Data information
(0.5)
1.1
1.3
2.2
1.3
Total
$
76.6
$
68.9
$
61.5
$
58.1
$
50.4
Unaudited Select Financial Information (in thousands)
Three months ended September 30, 2024
Three months ended June 30, 2024
GeneDx
Legacy Sema4
Total
GeneDx
Legacy Sema4
Total
Revenue
$76,622
$252
$76,874
$68,924
$1,590
$70,514
Adjusted cost of services
27,370
—
27,370
26,523
145
26,668
Adjusted gross profit
$49,252
$252
$49,504
$42,401
$1,445
$43,846
Adjusted gross margin %
64.3%
100.0%
64.4%
61.5%
90.9%
62.2%
Three months ended September 30, 2023
GeneDx
Legacy Sema4
Total
Revenue
$50,350
$2,953
$53,303
Adjusted cost of services
26,079
225
26,304
Adjusted gross profit
$24,271
$2,728
$26,999
Adjusted gross margin %
48.2%
92.4%
50.7%
Three months ended September 30, 2024
Reported
Depreciation and amortization
Stock-based compensation expense
Restructuring costs
Change in FV of financial liabilities
Charges related to business exit
Other
Adjusted
Diagnostic test revenue
$
77,418
$
—
$
—
$
—
$
—
$
—
$
—
$
77,418
Other revenue
(544)
—
—
—
—
—
—
(544)
Total revenue
76,874
—
—
—
—
—
—
76,874
Cost of services
29,045
(1,495)
(174)
(6)
—
—
—
27,370
Gross profit
47,829
1,495
174
6
—
—
—
49,504
Gross margin
62.2
%
64.4
%
Research and development
11,665
(222)
(537)
—
—
—
—
10,906
Selling and marketing
17,025
(1,225)
(394)
(55)
—
—
—
15,351
General and administrative
26,145
(2,987)
(2,531)
(308)
—
—
—
20,319
Impairment loss
—
—
—
—
—
—
—
—
Other, net
774
—
—
—
—
—
—
774
Loss from operations
(7,780)
5,929
3,636
369
—
—
—
2,154
Interest income (expense), net
(843)
—
—
—
—
—
—
(843)
Other income (expense), net
264
—
—
—
880
—
(1,327)
(183)
Income tax benefit
47
—
—
—
—
—
—
47
Net income (loss)
$
(8,312)
$
5,929
$
3,636
$
369
$
880
$
—
$
(1,327)
$
1,175
Three months ended September 30, 2023
Reported
Depreciation and amortization
Stock-based compensation expense
Restructuring costs
Change in FV of financial liabilities
Charges related to business exit
Other
Adjusted
Diagnostic test revenue
$
51,955
$
—
$
—
$
—
$
—
$
—
$
—
$
51,955
Other revenue
1,348
—
—
—
—
—
—
1,348
Total revenue
53,303
—
—
—
—
—
—
53,303
Cost of services
28,044
(1,613)
(75)
(52)
—
—
—
26,304
Gross profit
25,259
1,613
75
52
—
—
—
26,999
Gross margin
47.4
%
50.7
%
Research and development
14,288
(283)
533
(970)
—
—
—
13,568
Selling and marketing
16,763
(1,225)
115
(415)
—
—
—
15,238
General and administrative
26,099
(5,551)
(1,004)
(754)
—
—
—
18,790
Impairment loss
8,282
—
—
—
—
(8,282)
—
—
Other, net
2,794
—
—
—
—
(1,014)
—
1,780
Loss from operations
(42,967)
8,672
431
2,191
—
9,296
—
(22,377)
Interest income (expense), net
1,053
—
—
—
—
—
—
1,053
Other income (expense), net
(544)
—
—
—
(590)
—
1,134
—
Income tax benefit
172
—
—
—
—
—
—
172
Net loss
$
(42,286)
$
8,672
$
431
$
2,191
$
(590)
$
9,296
$
1,134
$
(21,152)
Three months ended June 30, 2024
Reported
Depreciation and amortization
Stock-based compensation expense
Restructuring costs
Change in FV of financial liabilities
Charges related to business exit
Other
Adjusted
Diagnostic test revenue
$
69,439
$
—
$
—
$
—
$
—
$
—
$
—
$
69,439
Other revenue
1,075
—
—
—
—
—
—
1,075
Total revenue
70,514
—
—
—
—
—
—
70,514
Cost of services
27,562
(808)
(86)
—
—
—
—
26,668
Gross profit
42,952
808
86
—
—
—
—
43,846
Gross margin
60.9
%
62.2
%
Research and development
10,902
(211)
(347)
(35)
—
—
—
10,309
Selling and marketing
16,585
(1,225)
(368)
(63)
—
—
—
14,929
General and administrative
25,170
(2,974)
(2,307)
(150)
—
—
—
19,739
Impairment loss
—
—
—
—
—
—
—
—
Other, net
874
—
—
—
—
—
—
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 benefit
190
—
—
—
—
—
—
190
Net loss
$
(29,173)
$
5,218
$
3,108
$
248
$
4,409
$
—
$
13,450
$
(2,740)
GeneDx Holdings Corp.
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
September 30, 2024 (Unaudited)
December 31, 2023
Assets:
Current assets:
Cash and cash equivalents
$
57,894
$
99,681
Marketable securities
58,566
30,467
Accounts receivable
38,220
32,371
Due from related parties
260
445
Inventory, net
10,770
8,777
Prepaid expenses and other current assets
20,300
10,598
Total current assets
186,010
182,339
Operating lease right-of-use assets
24,936
26,900
Property and equipment, net
31,452
32,479
Intangible assets, net
162,106
172,625
Other assets (1)
4,336
4,413
Total assets
$
408,840
$
418,756
Liabilities and Stockholders’ Equity:
Current liabilities:
Accounts payable and accrued expenses
$
56,416
$
37,456
Due to related parties
727
1,379
Short-term lease liabilities
3,698
3,647
Other current liabilities
16,501
16,336
Total current liabilities
77,342
58,818
Long-term debt, net of current portion
52,034
52,688
Long-term lease liabilities
60,369
62,938
Other liabilities
13,540
14,735
Deferred taxes
1,054
1,560
Total liabilities
204,339
190,739
Stockholders’ Equity:
Preferred stock
—
—
Class A common stock
2
2
Additional paid-in capital
1,561,493
1,527,778
Accumulated deficit
(1,357,912)
(1,300,188)
Accumulated other comprehensive income
918
425
Total stockholders’ equity
204,501
228,017
Total liabilities and stockholders’ equity
$
408,840
$
418,756
(1)Other assets includes $987 thousand of restricted cash as of both September 30, 2024 and December 31, 2023.
GeneDx Holdings Corp.
Condensed Consolidated Statements of Operations (Unaudited)
(in thousands, except share and per share amounts)
Three months ended September 30,
Nine months ended September 30,
2024
2023
2024
2023
Revenue
Diagnostic test revenue
$
77,418
$
51,955
$
207,961
$
140,440
Other revenue
(544)
1,348
1,849
4,708
Total revenue
76,874
53,303
209,810
145,148
Cost of services
29,045
28,044
81,618
85,896
Gross profit
47,829
25,259
128,192
59,252
Research and development
11,665
14,288
34,134
46,018
Selling and marketing
17,025
16,763
49,695
45,397
General and administrative
26,145
26,099
73,760
107,129
Impairment loss
—
8,282
—
10,402
Other operating expenses, net
774
2,794
2,622
5,259
Loss from operations
(7,780)
(42,967)
(32,019)
(154,953)
Non-operating income (expenses), net
Change in fair value of warrants and earn-out contingent liabilities
(880)
590
(11,390)
684
Interest (expense) income, net
(843)
1,053
(2,334)
2,092
Other income (expense), net
1,144
(1,134)
(12,300)
1,668
Total non-operating income (expense), net
(579)
509
(26,024)
4,444
Loss before income taxes
(8,359)
(42,458)
$
(58,043)
$
(150,509)
Income tax benefit
47
172
319
515
Net loss
$
(8,312)
$
(42,286)
$
(57,724)
$
(149,994)
Weighted average shares outstanding of Class A common stock
27,095,986
25,788,747
26,593,877
23,777,327
Basic and diluted net loss per share, Class A common stock
$
(0.31)
$
(1.64)
$
(2.17)
$
(6.31)
GeneDx Holdings Corp.
Condensed Consolidated Statements of Cash Flows (Unaudited)
(in thousands)
Nine months ended September 30,
2024
2023
Operating activities
Net loss
$
(57,724)
$
(149,994)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization expense
16,395
27,640
Stock-based compensation expense
6,293
586
Change in fair value of warrants and contingent liabilities
11,390
(684)
Deferred tax benefit
(319)
(515)
Provision for excess and obsolete inventory
137
3,634
Legal reserves
12,123
—
Change in third party payor reserves
737
(6,848)
Gain on sale of assets
—
(2,954)
Gain on debt forgiveness
—
(2,750)
Impairment loss
—
10,402
Other
2,639
1,071
Change in operating assets and liabilities:
Accounts receivable
(5,850)
10,726
Inventory
(2,131)
682
Accounts payable and accrued expenses
(7,807)
(39,913)
Other assets and liabilities
(1,196)
(1,372)
Net cash used in operating activities
(25,313)
(150,289)
Investing activities
Consideration on escrow paid for Legacy GeneDx acquisition
—
(12,144)
Purchases of property and equipment
(2,441)
(2,874)
Proceeds from sales of assets
—
3,887
Purchases of marketable securities
(52,725)
(43,935)
Proceeds from sales of marketable securities
598
—
Proceeds from maturities of marketable securities
24,955
16,665
Development of internal-use software assets
—
(461)
Net cash used in investing activities
(29,613)
(38,862)
Financing activities
Proceeds from offerings, net of issuance costs
14,589
143,002
Exercise of stock options
247
266
Long-term debt principal payments
(198)
(2,000)
Finance lease payoff and principal payments
(1,499)
(2,133)
Net cash provided by financing activities
13,139
139,135
Net decrease in cash, cash equivalents and restricted cash
(41,787)
(50,016)
Cash, cash equivalents and restricted cash, at beginning of period
100,668
138,303
Cash, cash equivalents and restricted cash, at end of period (1)
$
58,881
$
88,287
Supplemental disclosures of cash flow information
Cash paid for interest
$
6,068
$
1,116
Cash paid for taxes
$
910
$
1,178
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
$
2,612
$
1,220
Assets acquired under capital leases obligations
$
689
$
—
(1)Cash, cash equivalents and restricted cash at September 30, 2024 excludes marketable securities of $58.6 million.