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Monday, August 3, 2026

GeneDx beats Q2 revenue guidance, returns to profit early

 

GeneDx beats Q2 revenue guidance, returns to profit early with non-GAAP EPS $0.01 on $114.4M revenue

  • Q2 revenue $114.4M grew 11% YoY, above guidance, with exome/genome up 17%.
  • Exome/genome test volume hit 30,785, up 32% YoY, a new quarterly record.
  • Company returned to profitability early with $0.4M adjusted net income and 70% gross margin.
  • Non-GAAP Q2 EPS was $0.01, down 98% year over year.
  • Blended average reimbursement rate was $3,258 per test, flat QoQ despite better mix.
  • Genome was 32% of outpatient insurance volume, down from ~40% Q1 as reflex exome grew.
  • Commercial genome coverage jumped to 87% of lives from 47% last quarter; exome now 98%.
  • Outpatient genome collection rate stuck at ~32%, well below ~70% industry target for mature tests.
  • Q3 guidance: $122–124M revenue, 33,200 tests, ~$3,300 ARR, ~70% GM, ~$2M adjusted profit.
  • Full-year 2026 guidance reaffirmed: $475–490M revenue, ≥30% volume growth, ~70% gross margin, profitable.
  • Liquidity strengthened to ~$188M after Blackstone-backed debt expansion; $25M cost program completed.
  • Blackstone loan facility expanded to $150M, reinforcing the strengthened liquidity position after recent debt expansion.
  • Main concern: Persistently low collection rates and delayed monetization of new coverage improvements.
  • Strong quarter, driven by robust test volume growth and earlier-than-expected profitability despite muted ARR.

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