GeneDx Reports Second Quarter 2026 Financial Results
-
Reported second quarter 2026 revenue of
$114.4 million , including$100.3 million in exome and genome revenue - Reported exome and genome volume growth of 32% year-over-year
-
Reported adjusted gross margin(1) of 70% and adjusted net income(1) of
$0.4 million -
Reiterating full year 2026 revenue guidance of
$475 to$490 million with exome and genome volume growth of at least 30% -
Hosting conference call today at
4:30 p.m. ET
“Our team’s unwavering focus and agility drove a strong second quarter. By delivering healthy revenue, volume, and gross margin growth, we successfully navigated our return to profitability,” said
Second Quarter 2026 Financial Results (Unaudited)(1)
Revenue
-
Revenue grew to
$114.4 million , an increase of 11% year-over-year. -
Exome and genome test revenue grew to
$100.3 million , an increase of 17% year-over-year.
Exome and genome volume
- Exome and genome test result volume grew to 30,785, an increase of 32% year-over-year.
Gross margin
-
Adjusted gross margin of 70% in the second quarter of 2026 is up from 69% in the first quarter of 2026 and compares to 71% in the second quarter of 2025.
- GAAP gross margin was 68%.
Operating expenses
-
Adjusted total operating expenses were
$80.3 million , representing 70% of revenue.-
Total GAAP operating expenses were
$95.7 million .
-
Total GAAP operating expenses were
Net income
-
Adjusted net income was
$0.4 million , up$8.6 million from the first quarter of 2026 and compared to adjusted net income of$16.4 million in the second quarter of 2025.-
GAAP net loss was
$17.7 million .
-
GAAP net loss was
Cash position
-
Cash, cash equivalents, marketable securities and restricted cash was
$133.5 million as ofJune 30, 2026 . -
On
August 3, 2026 , the Company amended and restated its existing loan agreement withBlackstone , adding an additional$50.0 million term loan facility and increasing the aggregate principal amount available under the facility to$150.0 million . Concurrently, an affiliate ofBlackstone agreed to purchase approximately$5.0 million of the Company’s Class A common stock at$61.00 per share in a private placement.-
Combined with the cash, cash equivalents, marketable securities and restricted cash balance of
$133.5 million as ofJune 30, 2026 , the Company’s pro forma cash position following this transaction is approximately$188 million .
-
Combined with the cash, cash equivalents, marketable securities and restricted cash balance of
|
(1) |
Adjusted gross margin, adjusted total operating expenses and adjusted net income are non-GAAP financial measures. See appendix for a reconciliation of GAAP to non-GAAP figures presented. |
|
Metric |
|
Full Year 2026 Guidance |
|
Third Quarter 2026 Guidance |
|
Revenue |
|
|
|
|
|
Exome and genome volume |
|
At least 30% growth |
|
33,200 tests |
|
Exome and genome revenue |
|
At least 20% growth |
|
|
|
Adjusted gross margin |
|
Approximately 70% |
|
Approximately 70% |
|
Adjusted net income |
|
Positive |
|
Approximately |
Second Quarter 2026 and Recent Business Highlights
Strategic Expansion and Market Leadership
-
Appointed
Mark Gardner as President to lead GeneDx’s commercial and operations teams through the next phase of growth, with a focus on strengthening execution, scaling efficiently, and expanding the company’s leadership in genomic medicine. - Launched redesigned exome and genome reports to streamline the delivery of genomic insights to non-genetics clinicians as part of a broader suite of customer experience improvements rolling out this summer.
Expanded Coverage for Exome and Genome
-
Improved access to exome sequencing in
Texas with new Medicaid coverage effectiveMay 1, 2026 , building on existing genome sequencing coverage in the state. -
Received California Medicaid (
Medi-Cal ) pricing for genome sequencing effectiveJuly 1, 2026 , with pricing published at 100% of the Medicare rate. Coverage for genome sequencing inCalifornia was originally announced as effectiveNovember 1, 2025 . -
Secured outpatient genome sequencing coverage from Carelon, the nation’s largest lab benefit manager, opening access to up to 56 million covered lives. The policy is effective
June 14, 2026 . -
Expanded the total number of state Medicaid programs covering outpatient exome and/or genome sequencing to 39 following Mississippi Medicaid’s announcement of coverage for both tests effective
July 1, 2026 .
Innovation and Clinical Leadership
- Contributed to 26 peer-reviewed publications, 41 conference presentations, and 50 abstracts in the first half of 2026, reflecting the depth and breadth of the company’s scientific expertise and its commitment to moving the field forward.
Webcast and Conference Call Details
Non-GAAP Financial Measures
Forward-Looking Statements
This press release contains “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and the
About
GeneDx’s (Nasdaq: WGS) mission is to empower everyone to live their healthiest life through genomics.
Volume & Revenue
|
|
2Q26 |
|
1Q26 |
|
4Q25 |
|
3Q25 |
|
2Q25 |
|||||
|
Volumes |
|
|
|
|
|
|
|
|
|
|||||
|
Whole exome, whole genome |
|
30,785 |
|
|
27,488 |
|
|
27,761 |
|
|
25,702 |
|
|
23,246 |
|
Other panels |
|
32,057 |
|
|
27,729 |
|
|
31,281 |
|
|
34,514 |
|
|
34,510 |
|
Total |
|
62,842 |
|
|
55,217 |
|
|
59,042 |
|
|
60,216 |
|
|
57,756 |
|
|
|
|
|
|
|
|
|
|
|
|||||
|
Revenue ($ millions) |
|
|
|
|
|
|
|
|
|
|||||
|
Whole exome, whole genome |
$ |
100.3 |
|
$ |
90.6 |
|
$ |
104.0 |
|
$ |
98.9 |
|
$ |
86.0 |
|
Other panels |
|
11.6 |
|
|
10.7 |
|
|
13.3 |
|
|
14.6 |
|
|
14.1 |
|
Data information |
|
2.3 |
|
|
0.8 |
|
|
2.6 |
|
|
1.5 |
|
|
2.0 |
|
Software and interpretation services |
|
0.2 |
|
|
0.2 |
|
|
1.1 |
|
|
1.7 |
|
|
0.6 |
|
Total |
$ |
114.4 |
|
$ |
102.3 |
|
$ |
121.0 |
|
$ |
116.7 |
|
$ |
102.7 |
Unaudited Select Financial Information
|
|
Three months ended |
||||||||||||||||||||||||||
|
|
Reported |
|
Depreciation and amortization |
|
Stock-based compensation |
|
Restructuring costs |
|
Change in FV of financial liabilities |
|
Other(2) |
|
Adjusted |
||||||||||||||
|
Diagnostic test revenue |
$ |
111,886 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
111,886 |
|
|
Other revenue |
|
2,554 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
2,554 |
|
|
Total revenue |
|
114,440 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
114,440 |
|
|
Cost of services |
|
36,202 |
|
|
|
(1,726 |
) |
|
|
(561 |
) |
|
|
(47 |
) |
|
|
— |
|
|
|
— |
|
|
|
33,868 |
|
|
Gross profit |
|
78,238 |
|
|
|
1,726 |
|
|
|
561 |
|
|
|
47 |
|
|
|
— |
|
|
|
— |
|
|
|
80,572 |
|
|
Gross margin |
|
68.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
70.4 |
% |
||||||||||
|
Research and development |
|
19,656 |
|
|
|
(271 |
) |
|
|
(1,387 |
) |
|
|
(1,036 |
) |
|
|
— |
|
|
|
— |
|
|
|
16,962 |
|
|
Selling, general and administrative |
|
76,037 |
|
|
|
(4,717 |
) |
|
|
(4,394 |
) |
|
|
(2,212 |
) |
|
|
— |
|
|
|
(1,353 |
) |
|
|
63,361 |
|
|
(Loss) income from operations |
|
(17,455 |
) |
|
|
6,714 |
|
|
|
6,342 |
|
|
|
3,295 |
|
|
|
— |
|
|
|
1,353 |
|
|
|
249 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Interest expense, net |
|
(1,185 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
1,185 |
|
|
|
— |
|
|
Other income (expense), net |
|
382 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(220 |
) |
|
|
— |
|
|
|
162 |
|
|
Income tax benefit |
|
518 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(518 |
) |
|
|
— |
|
|
Net (loss) income |
$ |
(17,740 |
) |
|
$ |
6,714 |
|
|
$ |
6,342 |
|
|
$ |
3,295 |
|
|
$ |
(220 |
) |
|
$ |
2,020 |
|
|
$ |
411 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Basic (loss) earnings per share(1) |
$ |
(0.60 |
) |
|
|
|
|
|
|
|
|
|
|
|
$ |
0.01 |
|
||||||||||
|
Diluted (loss) earnings per share(1) |
$ |
(0.60 |
) |
|
|
|
|
|
|
|
|
|
|
|
$ |
0.01 |
|
||||||||||
|
|
Three months ended |
||||||||||||||||||||||||||
|
|
Reported |
|
Depreciation and amortization |
|
Stock-based compensation |
|
Restructuring costs |
|
Change in FV of financial liabilities |
|
Other(2) |
|
Adjusted |
||||||||||||||
|
Diagnostic test revenue |
$ |
100,100 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
100,100 |
|
|
Other revenue |
|
2,592 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
2,592 |
|
|
Total revenue |
|
102,692 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
102,692 |
|
|
Cost of services |
|
31,790 |
|
|
|
(1,389 |
) |
|
|
(193 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
30,208 |
|
|
Gross profit |
|
70,902 |
|
|
|
1,389 |
|
|
|
193 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
72,484 |
|
|
Gross margin |
|
69.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
70.6 |
% |
||||||||||
|
Research and development |
|
15,079 |
|
|
|
(209 |
) |
|
|
(1,422 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
13,448 |
|
|
Selling, general and administrative |
|
46,863 |
|
|
|
(4,593 |
) |
|
|
(6,198 |
) |
|
|
(73 |
) |
|
|
— |
|
|
|
6,937 |
|
|
|
42,936 |
|
|
Income from operations |
|
8,960 |
|
|
|
6,191 |
|
|
|
7,813 |
|
|
|
73 |
|
|
|
— |
|
|
|
(6,937 |
) |
|
|
16,100 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Interest expense, net |
|
(817 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
817 |
|
|
|
— |
|
|
Other income (expense), net |
|
2,420 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(2,181 |
) |
|
|
49 |
|
|
|
288 |
|
|
Income tax benefit |
|
246 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(246 |
) |
|
|
— |
|
|
Net income |
$ |
10,809 |
|
|
$ |
6,191 |
|
|
$ |
7,813 |
|
|
$ |
73 |
|
|
$ |
(2,181 |
) |
|
$ |
(6,317 |
) |
|
$ |
16,388 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Basic earnings per share(1) |
$ |
0.38 |
|
|
|
|
|
|
|
|
|
|
|
|
$ |
0.57 |
|
||||||||||
|
Diluted earnings per share(1) |
$ |
0.36 |
|
|
|
|
|
|
|
|
|
|
|
|
$ |
0.55 |
|
||||||||||
|
(1) |
Basic and diluted reported loss per share and Basic adjusted earnings per share are calculated based on 29,710,139 weighted average shares outstanding and Diluted adjusted earnings per share are calculated based on 30,144,132 weighted average shares outstanding for the three months ended |
|||
|
(2) |
Other represents interest expense, net, income tax benefit and non-core lease costs for all periods presented. For the three months ended |
|||
Unaudited Select Financial Information
|
|
Three months ended |
|||||||||||||||||||||||||||||
|
|
Reported |
|
Depreciation and amortization |
|
Stock-based compensation |
|
Restructuring costs |
|
Change in FV of financial liabilities |
|
Extinguishment of debt |
|
Other(2) |
|
Adjusted |
|||||||||||||||
|
Diagnostic test revenue |
$ |
101,299 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
$ |
— |
|
|
$ |
101,299 |
|
|
Other revenue |
|
955 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
955 |
|
|
Total revenue |
|
102,254 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
102,254 |
|
|
Cost of services |
|
34,043 |
|
|
|
(1,462 |
) |
|
|
(380 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
32,201 |
|
|
Gross profit |
|
68,211 |
|
|
|
1,462 |
|
|
|
380 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
70,053 |
|
|
Gross margin |
|
66.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
68.5 |
% |
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
Research and development |
|
19,804 |
|
|
|
(224 |
) |
|
|
(1,406 |
) |
|
|
(224 |
) |
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
17,950 |
|
|
Selling, general and administrative |
|
74,591 |
|
|
|
(5,123 |
) |
|
|
(7,210 |
) |
|
|
(215 |
) |
|
|
— |
|
|
|
— |
|
|
(1,916 |
) |
|
|
60,127 |
|
|
Impairment loss |
|
31,287 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
(31,287 |
) |
|
|
— |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
Loss from operations |
|
(57,471 |
) |
|
|
6,809 |
|
|
|
8,996 |
|
|
|
439 |
|
|
|
— |
|
|
|
— |
|
|
33,203 |
|
|
|
(8,024 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
Interest expense, net |
|
(717 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
717 |
|
|
|
— |
|
|
Other (expense) income, net |
|
(4,231 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(2,540 |
) |
|
|
6,565 |
|
|
— |
|
|
|
(206 |
) |
|
Income tax expense |
|
(897 |
) |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
897 |
|
|
|
— |
|
|
Net loss |
$ |
(63,316 |
) |
|
$ |
6,809 |
|
|
$ |
8,996 |
|
|
$ |
439 |
|
|
$ |
(2,540 |
) |
|
$ |
6,565 |
|
$ |
34,817 |
|
|
$ |
(8,230 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
Basic and diluted loss per share(1) |
$ |
(2.16 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(0.28 |
) |
|||||||||||
|
(1) |
|
Basic and diluted loss per share are calculated based on 29,335,126 weighted average shares outstanding for the three months ended |
||||
|
(2) |
For the three months ended |
|||||
|
|
|||||||
|
Condensed Consolidated Balance Sheets |
|||||||
|
(in thousands, except share and per share amounts) |
|||||||
|
|
|
|
|
||||
|
Assets: |
|
|
|
||||
|
Current assets: |
|
|
|
||||
|
Cash and cash equivalents |
$ |
60,317 |
|
|
$ |
104,997 |
|
|
Marketable securities |
|
72,231 |
|
|
|
66,285 |
|
|
Accounts receivable |
|
83,610 |
|
|
|
74,370 |
|
|
Inventory, net |
|
17,820 |
|
|
|
13,951 |
|
|
Prepaid expenses and other current assets |
|
12,382 |
|
|
|
8,685 |
|
|
Total current assets |
|
246,360 |
|
|
|
268,288 |
|
|
Operating lease right-of-use assets |
|
33,535 |
|
|
|
23,412 |
|
|
Property and equipment, net |
|
54,316 |
|
|
|
45,693 |
|
|
|
|
1,641 |
|
|
|
13,520 |
|
|
Intangible assets, net |
|
141,350 |
|
|
|
168,481 |
|
|
Other assets(1) |
|
4,284 |
|
|
|
4,316 |
|
|
Total assets |
$ |
481,486 |
|
|
$ |
523,710 |
|
|
Liabilities and Stockholders’ Equity: |
|
|
|
||||
|
Current liabilities: |
|
|
|
||||
|
Accounts payable and accrued expenses |
$ |
42,091 |
|
|
$ |
57,645 |
|
|
Short-term lease liabilities |
|
5,709 |
|
|
|
4,404 |
|
|
Other current liabilities |
|
26,828 |
|
|
|
46,859 |
|
|
Total current liabilities |
|
74,628 |
|
|
|
108,908 |
|
|
Long-term debt, net of current portion |
|
96,836 |
|
|
|
48,176 |
|
|
Long-term lease liabilities |
|
64,857 |
|
|
|
56,046 |
|
|
Other liabilities |
|
71 |
|
|
|
1,641 |
|
|
Deferred taxes |
|
873 |
|
|
|
757 |
|
|
Total liabilities |
|
237,265 |
|
|
|
215,528 |
|
|
Stockholders’ Equity: |
|
|
|
||||
|
Preferred stock |
|
— |
|
|
|
— |
|
|
Class A common stock |
|
3 |
|
|
|
3 |
|
|
Additional paid-in capital |
|
1,698,427 |
|
|
|
1,680,738 |
|
|
Accumulated deficit |
|
(1,454,551 |
) |
|
|
(1,373,495 |
) |
|
Accumulated other comprehensive income |
|
342 |
|
|
|
936 |
|
|
Total stockholders’ equity |
|
244,221 |
|
|
|
308,182 |
|
|
Total liabilities and stockholders’ equity |
$ |
481,486 |
|
|
$ |
523,710 |
|
|
(1) Other assets includes |
|||||||
|
|
|||||||||||||||
|
Condensed Consolidated Statements of Operations (Unaudited) |
|||||||||||||||
|
(in thousands, except share and per share amounts) |
|||||||||||||||
|
|
Three months ended |
|
Six months ended |
||||||||||||
|
|
2026 |
|
2025 |
|
2026 |
|
2025 |
||||||||
|
Revenue |
|
|
|
|
|
|
|
||||||||
|
Diagnostic test revenue |
$ |
111,886 |
|
|
$ |
100,100 |
|
|
$ |
213,185 |
|
|
$ |
185,859 |
|
|
Other revenue |
|
2,554 |
|
|
|
2,592 |
|
|
|
3,509 |
|
|
|
3,948 |
|
|
Total revenue |
|
114,440 |
|
|
|
102,692 |
|
|
|
216,694 |
|
|
|
189,807 |
|
|
Cost of services |
|
36,202 |
|
|
|
31,790 |
|
|
|
70,245 |
|
|
|
60,429 |
|
|
Gross profit |
|
78,238 |
|
|
|
70,902 |
|
|
|
146,449 |
|
|
|
129,378 |
|
|
Research and development |
|
19,656 |
|
|
|
15,079 |
|
|
|
39,460 |
|
|
|
27,656 |
|
|
Selling, general and administrative |
|
76,037 |
|
|
|
46,863 |
|
|
|
150,628 |
|
|
|
97,313 |
|
|
Impairment loss |
|
— |
|
|
|
— |
|
|
|
31,287 |
|
|
|
— |
|
|
(Loss) income from operations |
|
(17,455 |
) |
|
|
8,960 |
|
|
|
(74,926 |
) |
|
|
4,409 |
|
|
|
|
|
|
|
|
|
|
||||||||
|
Non-operating (expense) income, net |
|
|
|
|
|
|
|
||||||||
|
Change in fair value of financial liabilities |
|
220 |
|
|
|
2,181 |
|
|
|
2,760 |
|
|
|
1,081 |
|
|
Interest expense, net |
|
(1,185 |
) |
|
|
(817 |
) |
|
|
(1,902 |
) |
|
|
(1,457 |
) |
|
Loss on extinguishment of debt |
|
— |
|
|
|
— |
|
|
|
(6,565 |
) |
|
|
— |
|
|
Other income (expense), net |
|
162 |
|
|
|
239 |
|
|
|
(44 |
) |
|
|
448 |
|
|
Total non-operating (expense) income, net |
|
(803 |
) |
|
|
1,603 |
|
|
|
(5,751 |
) |
|
|
72 |
|
|
(Loss) income before income taxes |
|
(18,258 |
) |
|
|
10,563 |
|
|
|
(80,677 |
) |
|
|
4,481 |
|
|
Income tax benefit (expense) |
|
518 |
|
|
|
246 |
|
|
|
(379 |
) |
|
|
(201 |
) |
|
Net (loss) income |
$ |
(17,740 |
) |
|
$ |
10,809 |
|
|
$ |
(81,056 |
) |
|
$ |
4,280 |
|
|
|
|
|
|
|
|
|
|
||||||||
|
Weighted-average shares outstanding of Class A common stock - Basic |
|
29,710,139 |
|
|
|
28,579,704 |
|
|
|
29,523,669 |
|
|
|
28,365,018 |
|
|
Basic (loss) earnings per share, Class A common stock |
$ |
(0.60 |
) |
|
$ |
0.38 |
|
|
$ |
(2.75 |
) |
|
$ |
0.15 |
|
|
Weighted-average shares outstanding of Class A common stock - Diluted |
|
29,710,139 |
|
|
|
29,753,933 |
|
|
|
29,523,669 |
|
|
|
29,642,555 |
|
|
Diluted (loss) earnings per share, Class A common stock |
$ |
(0.60 |
) |
|
$ |
0.36 |
|
|
$ |
(2.75 |
) |
|
$ |
0.14 |
|
|
|
|||||||
|
Condensed Consolidated Statements of Cash Flows (Unaudited) |
|||||||
|
(in thousands) |
|||||||
|
|
Six months ended |
||||||
|
|
2026 |
|
2025 |
||||
|
Operating activities |
|
|
|
||||
|
Net (loss) income |
$ |
(81,056 |
) |
|
$ |
4,280 |
|
|
Adjustments to reconcile net loss to net cash (used in) provided by operating activities: |
|
|
|
||||
|
Depreciation and amortization expense |
|
13,523 |
|
|
|
11,869 |
|
|
Stock-based compensation expense |
|
15,338 |
|
|
|
11,796 |
|
|
Change in fair value of financial liabilities |
|
(2,760 |
) |
|
|
(1,081 |
) |
|
Deferred tax expense |
|
379 |
|
|
|
202 |
|
|
Change in third party payor reserves |
|
(1,022 |
) |
|
|
5,014 |
|
|
Loss on extinguishment of debt |
|
6,565 |
|
|
|
— |
|
|
Impairment loss |
|
31,287 |
|
|
|
— |
|
|
Other |
|
2,157 |
|
|
|
1,510 |
|
|
Change in operating assets and liabilities: |
|
|
|
||||
|
Accounts receivable |
|
(9,240 |
) |
|
|
(9,889 |
) |
|
Inventory |
|
(3,973 |
) |
|
|
(1,404 |
) |
|
Accounts payable and accrued expenses |
|
(12,566 |
) |
|
|
7,199 |
|
|
Other assets and liabilities |
|
(20,021 |
) |
|
|
(8,894 |
) |
|
Net cash (used in) provided by operating activities |
|
(61,389 |
) |
|
|
20,602 |
|
|
Investing activities |
|
|
|
||||
|
Acquisition of business, net of cash acquired |
|
— |
|
|
|
(33,195 |
) |
|
Purchases of marketable securities |
|
(29,065 |
) |
|
|
(30,770 |
) |
|
Proceeds from sales of marketable securities |
|
2,272 |
|
|
|
— |
|
|
Proceeds from maturities of marketable securities |
|
20,475 |
|
|
|
26,705 |
|
|
Purchases of property and equipment and development of internal-use software |
|
(16,567 |
) |
|
|
(8,498 |
) |
|
Net cash used in investing activities |
|
(22,885 |
) |
|
|
(45,758 |
) |
|
Financing activities |
|
|
|
||||
|
Proceeds from long term debt, net of issuance costs |
|
96,699 |
|
|
|
— |
|
|
Proceeds from offerings, net of issuance costs |
|
— |
|
|
|
13,766 |
|
|
Proceeds from issuance of common stock from subscription agreements |
|
476 |
|
|
|
— |
|
|
Proceeds from issuance of common stock pursuant to employee stock purchase plan |
|
1,793 |
|
|
|
1,262 |
|
|
Exercise of stock options |
|
58 |
|
|
|
800 |
|
|
Repayment of long-term debt, including prepayment penalty - Perceptive |
|
(54,000 |
) |
|
|
— |
|
|
Repayment and principal payments for long-term debt - DECD |
|
(4,447 |
) |
|
|
(602 |
) |
|
Finance lease principal payments |
|
(984 |
) |
|
|
(1,162 |
) |
|
Net cash provided by financing activities |
|
39,595 |
|
|
|
14,064 |
|
|
Net decrease in cash, cash equivalents and restricted cash |
|
(44,679 |
) |
|
|
(11,092 |
) |
|
Cash, cash equivalents and restricted cash, at beginning of period |
|
105,989 |
|
|
|
86,202 |
|
|
Cash, cash equivalents and restricted cash, at end of period (1) |
$ |
61,310 |
|
|
$ |
75,110 |
|
|
|
|
|
|
||||
|
Supplemental disclosures of cash flow information |
|
|
|
||||
|
Cash paid for interest |
$ |
3,813 |
|
|
$ |
3,210 |
|
|
Cash paid for taxes |
$ |
2,221 |
|
|
$ |
920 |
|
|
Lease liability from obtaining right-of-use asset |
$ |
12,086 |
|
|
$ |
— |
|
|
Purchases of property and equipment in accounts payable and accrued expenses |
$ |
3,154 |
|
|
$ |
5,752 |
|
|
(1) Cash, cash equivalents and restricted cash as of |
|||||||
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