GeneDx
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GeneDx (WGS) investor relations material

GeneDx Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary3 Aug, 2026

Executive summary

  • Achieved Q2 2026 revenue of $114.4 million, up 11% year-over-year, with exome and genome revenue at $100.3 million, up 17% year-over-year, driven by a 32% increase in test volumes and robust demand across core and expansion markets.

  • Adjusted gross margin reached 70%, and adjusted net income was $0.4 million, marking a return to profitability on an adjusted basis, though GAAP net loss was $17.7 million due to higher operating expenses and a $31.3 million impairment charge.

  • Maintained leadership in rare disease diagnosis, leveraging advanced analytics and the largest rare disease dataset, with continued expansion into pediatrics, NICU, prenatal, and adult specialists.

  • Expanded Medicaid and commercial coverage for exome and genome sequencing in multiple states and with major benefit managers, including Carelon.

  • Focused on optimizing unit economics, growing utilization, and delivering leading products at scale.

Financial highlights

  • Q2 2026 revenue was $114.4 million (11% YoY growth); exome/genome revenue was $100.3 million (17% YoY growth); exome/genome test volume was 30,785 (32% YoY growth).

  • Adjusted gross margin was 70% (up from 69% in Q1 2026, down from 71% in Q2 2025); GAAP gross margin was 68%.

  • Adjusted net income was $0.4 million (up $8.6 million sequentially, down from $16.4 million YoY); GAAP net loss was $17.7 million.

  • Cash, equivalents, and restricted cash were $133.5 million as of June 30, 2026; pro forma cash post-financing was ~$188 million.

  • Blended average reimbursement rate was $3,258 per test, flat quarter-over-quarter.

Outlook and guidance

  • Reaffirmed full-year 2026 revenue guidance of $475–$490 million, with at least 30% exome/genome volume growth and at least 20% revenue growth.

  • Q3 2026 guidance: revenue $122–$124 million, exome/genome revenue $110–$112 million, volume 33,200, adjusted net income ~$2 million, and gross margin ~70%.

  • Meaningful improvements in collection rates expected in Q4 2026, with most significant uplift in 2027.

Blackstone loan amendment and liquidity impact
Carelon and Medicaid coverage expansion details
Redesigned reports for non-genetics clinicians
Operational levers to reach 70% collection rate
Reflex testing impact on product mix and ARR
Revenue timing for Carelon and Medi-Cal coverage
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Q3 202627 Oct, 2026
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