OPKO Health Inc.

Major Shareholding Notification • Jul 28, 2024

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13D/A

Under the Securities Exchange Act of 1934 (Amendment No. 4*)

GeneDx Holdings, Corp.

(Name of Issuer)

Class A Common Stock, par value \$0.0001 per share (Title of Class of Securities)

81663L200

(CUSIP Number)

Steven D. Rubin Executive Vice President - Administration OPKO Health, Inc. 4400 Biscayne Boulevard Miami, Florida 33137 Telephone: (305) 575-4100

(Name, address and telephone number of person authorized to receive notices and communications)

July 24, 2024 (Date of event which requires filing of this statement)

If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), Rule 13d-1(f) or Rule 13d-1(g), check the following box ☐.

Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7(b) for other parties to whom copies are to be sent.

* The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be "filed" for purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

1	NAME OF REPORTING PERSONS
	OPKO Health, Inc.
2	CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
3	(a) ☐ SEC USE ONLY	(b) ☐
4	SOURCE OF FUNDS
	OO
5	CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e) ☒
6	CITIZENSHIP OR PLACE OF ORGANIZATION
	Delaware
7			SOLE VOTING POWER
	NUMBER OF		3,123,403 Shares
	SHARES	8	SHARED VOTING POWER
	BENEFICIALLY
OWNED BY			-
EACH		9	SOLE DISPOSITIVE POWER
REPORTING PERSON
WITH			3,123,403
		10	SHARED DISPOSITIVE POWER
			-
11			AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
12	3,123,403
	CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) ☐
13	PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
	11.94%(1)
14			TYPE OF REPORTING PERSON
	CO

(1) Based on 26,150,866 shares of GeneDx Common Stock (as defined herein) of the Issuer (as defined herein) outstanding on April 24, 2024, as set forth in the Issuer's DEF14A filed with the SEC (as defined herein) on April 29, 2024.

EXPLANATORY NOTE

This Amendment No. 4 (the "Amendment") to Schedule 13D is being filed with the Securities and Exchange Commission (the "SEC") on behalf of OPKO Health, Inc., a Delaware corporation ("OPKO") and relates to the Class A common stock, par value \$0.0001 per share ("GeneDx Common Stock"), of GeneDx Holdings Corp., a Delaware corporation ("GeneDx" or the "Issuer") and amends and supplements the initial statement on Schedule 13D filed by OPKO with the SEC on May 9, 2022, as amended by Amendment No. 1 to Schedule 13D filed with the SEC on February 3, 2023, as amended by Amendment No. 2 filed with the SEC on April 20, 2023, as amended by Amendment No. 3 filed with the SEC on July 5, 2024 (the "Schedule 13D"). Capitalized terms used but not defined in this Amendment No. 4 shall have the same meanings ascribed to them in the Schedule 13D.

ITEM 4. Purpose of Transaction.

Item 4 is amended by adding the following paragraph to the end of the item:

In a series of transactions between July 5, 2024 and July 26, 2024, OPKO sold a total of 346,118 shares of GeneDx Common Stock on the open market at prices ranging from \$28.00 to \$34.66 per share for an aggregate sale price of approximately \$11,350,499.

ITEM 5. Interest in Securities of the Issuer.

Shares

Item 5 is deleted in its entirety and replaced with the following text:

(a) The Company's beneficial ownership of GeneDx Common Stock is as set forth in the table below:

		Percentage of
	Number of Outstanding Shares	Outstanding Common
Name and Title of Beneficial Owner	Beneficially Owned	Shares (1)
OPKO Health, Inc.	3,123,403	11.94%

______________ (1) Based on 26,150,866 shares of GeneDx Common Stock of the Issuer outstanding on April 24, 2024, as set forth in the Issuer's DEF14A filed with the SEC on April 29, 2024.

(c) In the last 60 days prior to the filing of this Amendment No. 4, OPKO sold a total of 435,200 shares of GeneDx Common Stock on the open market at prices ranging from \$26.4607 to \$34.66 per share for an aggregate sale price of approximately \$13,807,784. The following table sets forth the information with regard to GeneDx Common Stock sold by OPKO on the open market in the last 60 days.

	of
Date	Common	Aggregate Purchase Price		Price Per Share
	Stock
7/1/24	50,000	\$	1,331,669	\$	26.6340
7/2/24	25,000	\$	728,095	\$	29.1238
7/3/24	14,082	\$	397,491	\$	28.2269
7/5/24	36,118	\$	1,020,015	\$	28.2412
7/17/24	25,000	\$	823,187	\$	32.9275
7/19/24	25,000	\$	807,250	\$	32.29
7/22/24	50,000	\$	1,630,422	\$	32.6088
7/23/24	75,000	\$	2,509,248	\$	33.4566
7/24/24	75,000	\$	2,529,102	\$	33.7214
7/26/24	60,000	\$	2,031,255	\$	33.8543

• (d) Except as described herein, no other person is known by OPKO to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, any shares of the Issuer beneficially owned by them.
• (e) Not applicable.

⁽b) Items 7-10, inclusive, set forth on the cover page to this Amendment are hereby incorporated by reference in this Item 5.

SIGNATURES

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

OPKO Health, Inc.

Dated: July 26, 2024 By: /s/ Steven D. Rubin Name: Steven D. Rubin Title: Executive Vice President - Administration