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0001818331false00018183312025-10-282025-10-280001818331us-gaap:CommonClassAMember2025-10-282025-10-280001818331us-gaap:WarrantMember2025-10-282025-10-28


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934
Date of Report (date of earliest event reported): October 28, 2025
Commission file number 001-39482
Blue Logo 600x208.jpg
GeneDx Holdings Corp.
(Exact name of registrant as specified in its charter)

Delaware
85-1966622
(State or other jurisdiction of incorporation or organization)
(I.R.S. Employer Identification No.)
333 Ludlow Street, North Tower; 6th Floor
Stamford, Connecticut 06902
(Address of Principal Executive Offices) (Zip Code)
Registrant's telephone number, including area code: (888) 729-1206
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol Name of each exchange on which registered
Class A common stock, par value $0.0001 per share WGS The Nasdaq Stock Market LLC
Warrants to purchase one share of Class A common stock, each at an exercise price of $379.50 per share WGSWW The Nasdaq Stock Market LLC
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company ☒
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐




Item 2.02           Results of Operations and Financial Condition.
On October 28, 2025, GeneDx Holdings Corp. (the “Company”) issued a press release (the “Press Release”) and will hold a conference call announcing the Company's financial results for the quarter ended September 30, 2025. Copies of the Press Release and Earnings Presentation are furnished as Exhibits 99.1 and 99.2, respectively, to this Current Report on Form 8-K.
The information furnished with this Item 2.02, including Exhibits 99.1 and 99.2 hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.
Item 9.01           Financial Statements and Exhibits.
(d) Exhibits
Exhibit No
Description
99.1
99.2




SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
GENEDX HOLDINGS CORP.
Date: October 28, 2025 By: /s/ Katherine Stueland
Name: Katherine Stueland
Title: Chief Executive Officer

EX-99.1 2 q32025pressrelease.htm EX-99.1 Document
Exhibit 99.1
bluelogo600x208.jpg


GeneDx Reports Third Quarter 2025 Financial Results and Business Highlights
•Reported third quarter 2025 revenues of $116.7 million with 65% year-over-year growth in exome and genome test revenue
•Accelerated exome and genome volume growth to 33% year-over-year
•Expanded adjusted gross margin to 74% and generated adjusted net income1 of $14.7 million for the third quarter 2025
•Raised guidance to deliver between $425 and $428 million in revenue with between 53% to 55% full year growth in exome and genome revenue
•Granted FDA Breakthrough Device Designation for GeneDx ExomeDx™ and GenomeDx™
•Leading the nation in genomic newborn screening (gNBS) as the sole commercial testing provider for new gNBS programs, including the NIH BEACONS initiative and Sunshine Genetics Network
•Hosting conference call today at 8:30 a.m. ET

GAITHERSBURG, Md., October 28, 2025 — GeneDx Holdings Corp. (Nasdaq: WGS), a leader in delivering improved health outcomes through genomic insights, today reported its financial results for the third quarter of 2025.
“GeneDx’s accelerated growth reflects more than business momentum - it’s proof of the profound impact we’re making for families navigating rare disease and the broader transformation underway across healthcare,” said Katherine Stueland, President and CEO of GeneDx. “The FDA’s Breakthrough Device Designation for our ExomeDx™ and GenomeDx™ tests underscores our innovative leadership in delivering faster, more accurate diagnoses when every day matters. Powered by GeneDx Infinity™, we’re helping usher in a new era of proactive, personalized care that begins at birth - advancing precision medicine to improve outcomes and change lives.”

Third Quarter 2025 Financial Results (Unaudited)1,2
Revenues
•Revenues grew to $116.7 million, an increase of 52% year-over-year.
•Exome and genome test revenue grew to $98.9 million, an increase of 65% year-over-year.
Exome and genome volume
•Exome and genome test results volume grew to 25,702, an increase of 33% year-over-year.
•Exome and genome represented 43% of all tests, up from 33% in the third quarter of 2024.
Gross margin
•Adjusted gross margin expanded to 74%, up from 64% in the third quarter of 2024.
◦GAAP gross margin was 72%.

Operating expenses
•Adjusted total operating expenses were $71.2 million, representing 61% of revenue in the third quarter of 2025, compared to 62% of revenue in the third quarter of 2024.
◦GAAP operating expenses were $87.8 million.



Net Income
•Adjusted net income was $14.7 million compared to $2.0 million in the third quarter of 2024.
◦GAAP net loss was $7.6 million.
Cash position
•Cash, cash equivalents, marketable securities and restricted cash was $156.1 million as of September 30, 2025.
•Cash flow for the third quarter 2025 primarily included:
◦$8.8 million in free cash flow generated; and
◦$11.8 million in proceeds, net of fees, from the issuance of 101,367 shares of Class A common stock in connection with sales pursuant to our “at-the-market” offering.

1.Adjusted gross margin, adjusted total operating expenses and adjusted net income/(loss) are non-GAAP financial measures. See appendix for a reconciliation of GAAP to non-GAAP figures presented.
2.Revenue and adjusted gross margin growth rates in the comparative 2024 period exclude revenue and costs of sales from the exited Legacy Sema4 diagnostic testing business.

“The third quarter delivered volume acceleration coupled with gross margin expansion, and we’ve established a powerful scale advantage that sets the stage for profitable growth,” said Kevin Feeley, CFO of GeneDx. “As we capitalize on a rapidly expanding market, we’re investing to unlock sustainable, high growth with attractive margins.”

GeneDx Full Year 2025 Guidance
GeneDx has raised certain elements of its full year 2025 guidance and expects to deliver:
Metric Previous Guidance Updated Guidance
Revenue
$400 to $415 million
$425 to $428 million
Growth in exome and genome revenue
48% to 52%
 53% to 55%
Growth in exome and genome volume
At least 30%
At least 30%
Adjusted gross margin
68% to 71%
70% to 71%
Adjusted net income Positive each quarter and for full year Positive each quarter and for full year

Third Quarter 2025 and Recent Business Highlights
Strategic Expansion and Market Leadership
•Introduced GeneDx InfinityTM, the largest rare disease dataset, which serves as the foundation for rare disease insights and powers GeneDx's ExomeDxTM and GenomeDxTM.
•Exhibited at the American Academy of Pediatrics (AAP) Annual Meeting, educating pediatricians about the updated AAP guidance recommending exome and genome sequencing as first-tier tests for children with global developmental delay or intellectual disability.
•Expanded coverage of whole genome sequencing with California Medicaid (Medi-Cal), opening access to testing in the nation’s most populous state and bringing the number of states covering exome or genome testing in the outpatient setting to 36.
•Announced the Autism Partnership Program in partnership with Jaguar Gene Therapy, expanding access to exome and genome testing for patients suspected of having SHANK3-related autism spectrum disorder (ASD) and Phelan-McDermid syndrome - the leading single-gene cause of ASD.
•Appointed Lisa Gurry as Chief Business Officer and Dr. Mimi Lee as Chief Precision Medicine Officer to accelerate precision medicine across policymakers, health systems, biopharmaceutical companies, advocacy groups, and payers to help more families with the power of data, AI, and clinical expertise.
•Appointed Dr. Thomas Fuchs, MD, PhD, to the board of directors, contributing his background at the intersection of AI and human health to support GeneDx’s business and mission.





Innovation & Clinical Leadership
•Granted FDA Breakthrough Device Designation for GeneDx ExomeDx™ and GenomeDx™ associated with causes of life-threatening diseases or genetic disorders to aid in diagnosis of symptomatic patients, underscoring GeneDx’s leadership in genomic medicine and critical role in delivering fast, accurate answers for patients with rare disease.
•Expanded leadership in genomic newborn screening through participation in key programs, including:
◦Announced participation in the nation’s first multi-state genomic newborn screening initiative, BEACONS (Building Evidence and Collaboration for GenOmics in Nationwide Newborn Screening), which was launched with a $14.4 million NIH award to enroll up to 30,000 newborns in as many as 10 states over the next three years.
◦Announced a partnership with Florida’s Sunshine Genetics Network to launch the nation’s first state-backed genomic newborn screening program and offer whole genome sequencing for newborns at select academic medical centers and hospitals, providing families and clinicians the opportunity for early detection and diagnosis of rare diseases.
•Added to the company’s 1,000+ publications and growing by showcasing pioneering research at the American Society of Human Genetics (ASHG) Annual Meeting including:
◦AI and machine learning approaches in rare disease diagnosis: In a study of over 250,000 exome and genome trios, GeneDx’s machine learning approach addresses challenges of identifying de novo variants with high accuracy and throughput, enabling greater efficiency and scalability.
◦The genetic causes of autism: In a study of over 62,000 individuals affected with autism, researchers highlight a core set of over 250 genes associated with autism and found moderate genetic correlations between autism and schizophrenia, epilepsy, and bipolar disorder.
◦Genomic newborn screening (gNBS): Updated results from the GUARDIAN study reports data from 15,000 newborns and demonstrates high enrollment rates, positive parental experiences, and meaningful follow-up outcomes – reinforcing the value of gNBS in accelerating time to diagnosis.
◦Clinical validation for long read sequencing: Long-read sequencing approaches demonstrate strong potential to improve clinical diagnostics, accurately detecting repeat expansions and resolving difficult-to-sequence regions.
•Showcased leadership in genomic newborn screening at the International Consortium of Newborn Sequencing (ICoNS), with data presented on GeneDx’s more than 22,000 newborns sequenced.



Webcast and Conference Call Details
GeneDx will host a conference call today, October 28, 2025, 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 “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and the U.S. Private Securities Litigation Reform Act of 1995, including statements regarding our future performance and our market opportunity, including our expected full year 2025 reported revenue, growth in exome and genome revenue and volume, adjusted gross margin and adjusted net income guidance. 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, and (iv) our ability to pursue our new strategic direction. The foregoing list of factors is not exhaustive. A further list and description of risks, uncertainties and other matters can be found in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 2024 and our Quarterly Reports on Form 10-Q for the fiscal quarters ended March 31, 2025, June 30, 2025 and September 30, 2025, 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
GeneDx (Nasdaq: WGS) is the global leader in rare disease diagnosis, transforming the way medicine is practiced by making genomics the starting point for health, not the last resort. We bring together unmatched clinical expertise, advanced technology, and the power of GeneDx Infinity™ – the largest rare disease dataset – built over 25 years from millions of genomic tests and deep clinical insights. This unparalleled foundation powers our ExomeDx™ and GenomeDx™ tests, giving clinicians the highest likelihood of delivering a timely, accurate diagnosis. GeneDx is shaping the future of healthcare by moving the standard of care from sick care to proactive healthcare. While our roots are in rare disease diagnosis, our commitment extends beyond – growing with the families we serve – as a trusted partner at every stage of life. For more information, visit genedx.com and connect with us on LinkedIn, Facebook, and Instagram.

Investor Relations Contact:
Investors@GeneDx.com
Media Contact:
Press@GeneDx.com



Volume & Revenue 1,2

3Q25 2Q25 1Q25 4Q24 3Q24
Volumes
Whole exome, whole genome 25,702 23,246 20,562 20,676 19,262
Hereditary cancer 1,511 2,677 2,725 3,486 4,672
Other panels 33,003 31,833 28,228 30,115 35,095
Total 60,216 57,756 51,515 54,277 59,029
Revenue ($ millions)
Whole exome, whole genome $ 98.9  $ 86.0  $ 71.4  $ 78.8  $ 60.0 
Hereditary cancer 1.2  1.8  2.2  2.8  3.3 
Other panels 13.4  12.3  12.1  12.3  13.8 
Data information 1.5  2.0  1.4  1.4  (0.5)
Software and interpretation services
1.7  0.6  —  —  — 
Total $ 116.7  $ 102.7  $ 87.1  $ 95.3  $ 76.6 
1.Excludes volume and revenue from the exited Legacy Sema4 diagnostic testing business for the third and fourth quarters of 2024.
2.Diagnostic testing volume and revenue amounts for the second quarter of 2025 revised to conform with current period presentation combining GeneDx and Fabric Genomics.
Unaudited Select Financial Information (in thousands)

Three months ended September 30, 2025 Three months ended September 30, 2024
GeneDx
Other1
Total GeneDx
Other1
Total
Revenue $114,697 $2,046 $116,743 $76,622 $252 $76,874
Adjusted cost of services 30,246 377 30,623 27,370 27,370
Adjusted gross profit
$84,451 $1,669 $86,120 $49,252 $252 $49,504
Adjusted gross margin % 73.6% 81.6% 73.8% 64.3% 100.0% 64.4%
1.Other includes revenue and cost of services from the Fabric Genomics operating segment for the three months ended September 30, 2025. For the three months ended September 30, 2024, Other includes revenue from the Legacy Sema4 diagnostic testing business.




Three months ended September 30, 2025
Reported Depreciation and amortization Stock-based compensation expense Restructuring costs Change in FV of financial liabilities
Other2
Adjusted
Diagnostic test revenue $ 113,523  $ —  $ —  $ —  $ —  $ —  $ 113,523 
Other revenue 3,220  —  —  —  —  —  3,220 
Total revenue 116,743  —  —  —  —  —  116,743 
Cost of services 32,216  (1,374) (219) —  —  —  30,623 
Gross profit
84,527  1,374  219  —  —  —  86,120 
Gross margin 72.4  % 73.8  %
Research and development 19,829  (242) (1,749) 196  —  —  18,034 
Selling and marketing 23,510  (1,334) (1,674) (136) —  —  20,366 
General and administrative 44,439  (3,524) (6,944) (188) —  (974) 32,809 
(Loss) income from operations
(3,251) 6,474  10,586  128  —  974  14,911 
Interest expense, net
(562) —  —  —  —  562  — 
Other income (expense), net (3,575) —  —  —  3,401  (2) (176)
Income tax expense
(247) —  —  —  —  247  — 
Net (loss) income
$ (7,635) $ 6,474  $ 10,586  $ 128  $ 3,401  $ 1,781  $ 14,735 
Basic (loss) earnings per share1
$ (0.27) $ 0.51 
Diluted (loss) earnings per share1
$ (0.27) $ 0.49 

Three months ended September 30, 2024
Reported Depreciation and amortization Stock-based compensation expense Restructuring costs Change in FV of financial liabilities
Other2
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  —  —  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 26,919  (2,987) (2,531) (308) —  —  21,093 
(Loss) income from operations
(7,780) 5,929  3,636  369  —  —  2,154 
Interest expense, net
(843) —  —  —  —  843  — 
Other income (expense), net 264  —  —  —  880  (1,327) (183)
Income tax benefit 47  —  —  —  —  (47) — 
Net (loss) income
$ (8,312) $ 5,929  $ 3,636  $ 369  $ 880  $ (531) $ 1,971 
Basic (loss) earnings per share1
$ (0.31) $ 0.07 
Diluted (loss) earnings per share1
$ (0.31) $ 0.07 
1.Basic and diluted (loss) earnings per share are calculated based on 28,797,730 and 30,152,510 weighted average shares outstanding for the three months ended September 30, 2025, respectively, and 27,095,986 and 28,836,909 weighted average shares outstanding for the three months ended September 30, 2024, respectively.
2.Other represents interest expense, net, and income tax (expense) benefit for all periods presented. For the three months ended September 30, 2025, Other includes costs related to legal reserves. For the three months ended September 30, 2024, Other includes reserves, net of insurance related to a legal settlement.



GeneDx Holdings Corp.
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
September 30, 2025 (Unaudited) December 31, 2024
Assets:
Current assets:
Cash and cash equivalents $ 95,968  $ 85,212 
Marketable securities 59,111  55,973 
Accounts receivable 60,938  37,629 
Inventory, net 10,569  10,650 
Prepaid expenses and other current assets 10,997  8,504 
Total current assets 237,583  197,968 
Operating lease right-of-use assets 24,200  25,613 
Property and equipment, net 42,422  32,893 
Goodwill 12,798  — 
Intangible assets, net 172,585  158,600 
Other assets1
4,314  4,306 
Total assets $ 493,902  $ 419,380 
Liabilities and Stockholders’ Equity:
Current liabilities:
Accounts payable and accrued expenses $ 50,334  $ 30,983 
Short-term lease liabilities 4,429  3,336 
Other current liabilities 32,858  20,498 
Total current liabilities 87,621  54,817 
Long-term debt, net of current portion 51,579  51,913 
Long-term lease liabilities 57,153  60,919 
Other liabilities 4,258  5,519 
Deferred taxes 1,033  965 
Total liabilities 201,644  174,133 
Stockholders’ Equity:
Preferred stock —  — 
Class A common stock
Additional paid-in capital 1,647,083  1,596,889 
Accumulated deficit (1,355,829) (1,352,474)
Accumulated other comprehensive income 1,002  830 
Total stockholders’ equity 292,258  245,247 
Total liabilities and stockholders’ equity $ 493,902  $ 419,380 
1.Other assets includes $1.0 million of restricted cash as of both September 30, 2025 and December 31, 2024.



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,
2025 2024 2025 2024
Revenue
Diagnostic test revenue $ 113,523  $ 77,418  $ 299,382  $ 207,961 
Other revenue 3,220  (544) 7,168  1,849 
Total revenue 116,743  76,874  306,550  209,810 
Cost of services 32,216  29,045  92,645  81,618 
Gross profit 84,527  47,829  213,905  128,192 
Research and development 19,829  11,665  47,485  34,134 
Selling and marketing 23,510  17,025  61,274  49,695 
General and administrative 44,439  26,919  103,988  76,382 
Loss (income) from operations (3,251) (7,780) 1,158  (32,019)
Non-operating (expenses) income, net
Change in fair value of financial liabilities (3,401) (880) (2,320) (11,390)
Interest expense, net (562) (843) (2,019) (2,334)
Other (expense) income, net (174) 1,144  274  (12,300)
Total non-operating expense, net (4,137) (579) (4,065) (26,024)
Loss before income taxes (7,388) (8,359) $ (2,907) $ (58,043)
Income tax (expense) benefit (247) 47  (448) 319 
Net loss $ (7,635) $ (8,312) $ (3,355) $ (57,724)
Weighted-average shares outstanding of Class A common stock 28,797,730  27,095,986  28,505,657 26,593,877
Basic and diluted loss per share, Class A common stock $ (0.27) $ (0.31) $ (0.12) $ (2.17)



GeneDx Holdings Corp.
Condensed Consolidated Statements of Cash Flows (Unaudited)
(in thousands)
Nine months ended September 30,
2025 2024
Operating activities
Net loss $ (3,355) $ (57,724)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization expense 18,343  16,395 
Stock-based compensation expense 22,382  6,293 
Change in fair value of financial liabilities 2,320  11,390 
Deferred tax expense (benefit) 448  (319)
Provision for excess and obsolete inventory 152  137 
Legal reserves 810  12,123 
Change in third party payor reserves 8,746  737 
Other 2,382  2,639 
Change in operating assets and liabilities:
Accounts receivable (22,799) (5,850)
Inventory (72) (2,131)
Accounts payable and accrued expenses 5,185  (7,807)
Other assets and liabilities 1,827  (1,196)
Net cash provided by (used in) operating activities 36,369  (25,313)
Investing activities
Acquisition of business, net of cash acquired (33,195) — 
Purchases of property and equipment (14,670) (2,441)
Purchases of marketable securities (36,535) (52,725)
Proceeds from sales of marketable securities —  598 
Proceeds from maturities of marketable securities 33,955  24,955 
Net cash used in investing activities (50,445) (29,613)
Financing activities
Proceeds from offerings, net of issuance costs 25,568  14,589 
Proceeds from issuance of common stock pursuant to employee stock purchase plan 1,262  — 
Exercise of stock options 982  247 
Long-term debt principal payments (906) (198)
Finance lease principal payments (2,074) (1,499)
Net cash provided by financing activities 24,832  13,139 
Net increase (decrease) in cash, cash equivalents and restricted cash
10,756  (41,787)
Cash, cash equivalents and restricted cash, at beginning of period 86,202  100,668 
Cash, cash equivalents and restricted cash, at end of period (1)
$ 96,958  $ 58,881 
Supplemental disclosures of cash flow information
Cash paid for interest $ 4,835  $ 5,035 
Cash paid for taxes $ 1,039  $ 910 
Stock consideration paid pursuant to exercise of Perceptive warrant $ —  $ 12,586 
Purchases of property and equipment in accounts payable and accrued expenses $ 4,472  $ 2,612 
Assets acquired under capital lease obligations $ —  $ 689 
(1)Cash, cash equivalents and restricted cash as of September 30, 2025 excludes marketable securities of $59.1 million.

EX-99.2 3 q32025earningspresentati.htm EX-99.2 q32025earningspresentati
GeneDx (Nasdaq: WGS) 3Q 2025 Earnings Presentation October 28, 2025 Exhibit 99.2


 
2 Forward Looking Statements This presentation contains “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and the U.S. Private Securities Litigation Reform Act of 1995, including statements regarding our future performance and our market opportunity, including our expected full year 2025 reported revenue, growth in exome and genome revenue and volume, adjusted gross margin and adjusted net income guidance. 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, and (iv) our ability to pursue our new strategic direction. The foregoing list of factors is not exhaustive. A further list and description of risks, uncertainties and other matters can be found in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 2024 and our Quarterly Reports on Form 10-Q for the fiscal quarters ended March 31, 2025, June 30, 2025 and September 30, 2025, 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. We discuss these and other risks and uncertainties in greater detail in the sections entitled “Risk Factors” and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our periodic reports and other filings we make with the SEC from time to time. Given these uncertainties, you should not place undue reliance on the forward-looking statements. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason after the date of this presentation to conform these statements to actual results or to changes in our expectations. We file reports, proxy statements, and other information with the SEC. Such reports, proxy statements, and other information concerning us are available www.sec.gov. Requests for copies of such documents should be directed to our Investor Relations department at GeneDx Holdings Corp. 333 Ludlow Street, North Tower 7th Floor, Stamford, Connecticut, 06902. Our telephone number is 888-729-1206.


 
3 Grew revenues to $116.7 million, an increase of 52%2 year-over-year Delivered adjusted gross margin of 74%, up from 64% in the third quarter of 2024 Grew exome and genome test revenue to $98.9 million, an increase of 65% year-over-year Generated adjusted net income of $14.7 million in the third quarter of 2025 1. Adjusted gross margin and adjusted net income are non-GAAP financial measures. See appendix for a reconciliation of GAAP to non-GAAP figures presented. 2. When compared to 2024 revenue from continuing operations, excluding the exited Legacy Sema4 business. Third Quarter 2025 Results1


 
4 Granted FDA Breakthrough Device Designation for the GeneDx ExomeDx and GenomeDx Introduced GeneDx InfinityTM and exhibited at the American Academy of Pediatrics (AAP) Annual Meeting, educating pediatricians about the updated AAP guidance recommending exome and genome sequencing Third Quarter Business Highlights Announced participation in two flagship genomic newborn screening initiatives – the NIH's BEACONS Initiative and Florida’s Sunshine Genetics Network Announced the Autism Partnership Program in partnership with Jaguar Gene Therapy, expanding access to testing for patients with SHANK3-related autism spectrum disorder (ASD) and Phelan-McDermid syndrome Appointed Lisa Gurry as Chief Business Officer and Dr. Mimi Lee as Chief Precision Medicine Officer to accelerate precision medicine and help more families with the power of data, AI, and clinical expertise, and added Dr. Thomas Fuchs, Chief AI Officer at Lilly to Board of Directors


 
5 43% • Grew Q3 2025 exome and genome volume 33% year-over-year • Grew mix share for exome and genome to 43% of all tests reported Continued strong exome and genome volume growth and mix shift 23% 33% 25,702 19,262 13,216 Quarterly Exome and Genome Volume Exome and Genome Volume Mix


 
6 Q1 2023 Q4 2024 Q1 2024 Q3 2024 Q2 2024 Q4 2023 Q3 2023 Delivered our fifth consecutive profitable quarter • Generated third quarter 2025 adjusted net income1 of $14.7 million • Delivered fifth consecutive quarter of adjusted net income1 • Cash, cash equivalents, marketable securities and restricted cash was $156.1 million as of September 30, 2025 1. Adjusted net income/(loss) is a non-GAAP financial measure. See appendix for a reconciliation of GAAP to non-GAAP figures presented. Q2 2025 Quarterly Adj. Net (Loss)/Income1 (in millions) Q3 2025


 
7 Strategically investing to accelerate long-term growth drivers Gen Peds Commercial Expansion Broadening Market Reach Brand Awareness Next Generation Customer Experience R&D and Innovation • Q3 2025 adjusted total operating expenses were $71 million • Investments reflect confidence in strategies that can drive sustained, profitable volume growth Strategic investment areas:


 
Full Year 2025 Guidance1 8 Metric Previous Guidance Updated Guidance Revenue $400 to $415 million $425 to $428 million Growth in exome and genome revenue 48% to 52% 53% to 55% Growth in exome and genome volume At least 30% At least 30% Adjusted gross margin 68% to 71% 70% to 71% Adjusted net income Positive each quarter and for full year Positive each quarter and for full year 1. Adjusted gross margin and adjusted net income are non-GAAP financial measures. See appendix for a reconciliation of GAAP to non-GAAP figures presented.


 
9 We envision a world where any genetic disorder is diagnosed quickly to prevent disease progression and ensure long and healthy lives for all.


 
10 Rare diseases impact 1 in 10 people, and over half of them are children.3 The estimated economic burden of rare diseases on the US healthcare system is nearly $1 trillion annually.4 On their journey to a diagnosis, rare disease patients will be misdiagnosed an average of three times.2 3x The journey to an accurate diagnosis can take up to five years.1 5 years The diagnostic odyssey: common, critical, and costly Millions of Americans with a rare disease are urgently searching for answers. Most are children. Every day without a diagnosis is a missed opportunity for patients—and burden the healthcare system as a whole. References: 1. Marwaha S, Knowles JW, and Ashley EA. A guide for the diagnosis of rare and undiagnosed disease: beyond the exome. Genome Med. 2022 Feb 28;14(1):23. doi: 10.1186/s13073-022-01026-w. 2. Genetic A lliance UK. The Rare Reality 2016. Retrieved from: https://geneticalliance.org.uk/wp-content/uploads/2024/02/the-rare-rea lity-an-insight-into-the-patient-and-family-experience-of-rare-disease.pdf. on June 4, 2024 3. National Organization for Rare Disorders (NORD). Hope for Millions of Children Living With Rare Diseases. Retrieved fromhttps://rarediseases.org/wp-content/uploads/2024/07/NORD-PRV-One-Pager.pdf 4. EveryLife Foundation for Rare Diseases. Economic Burden of Rare Diseases in the U.S. Approached $1 Trillion in 2019, Surpassing Cost Estimates for Many Chronic Diseases. Retrieved fromhttps://everylifefoundation.org/economic-burden-of-rare-diseases-in-the-u-s-approached-1-trillion-in-2019-surpassing-cost-estimates-for-many- chronic-diseases/


 
11 X X X 1 year X X X 2 years X X X 3 years X X X 4 years X X X 5 years On average: 16 tests and 5 years before an accurate diagnosis We prevent the unnecessary diagnostic journey GeneDx provides answers in months weeks days hours References: 1. National Organization for Rare Disorders (NORD). Hope for Millions of Children Living With Rare Diseases. Retrieved from https://rarediseases.org/wp-content/uploads/2024/07/NORD-PRV-One- Pager.pdf 2. Willmen, T., Ronicke, S., Gabriel, H., & Wagner , A. D. (2023). Rare diseases: why is a rapid referral to an expert center so impor tant? . BMC Health Services Research, 23(1) , 904. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC10463573/ 3.Marshall, D. A., & Spolador, G. (2021). The complexity of diagnosing rare disease: An organizing framework for outcomes research and health economics based on rea l-world evidence. Current Opinion in Structural B iology, 68, 1-9. Retrieved from https://www.sciencedirect.com/science/article/pii/S1098360021053831


 
12 Exome and genome testing offer answers sooner, leading to more effective treatments and more efficient healthcare spend – now recognized by AAP change medical management References: 1. Manickam K, McClain MR, Demmer LA, et al. Genet Med. 2021 Nov;23(11):2029-2037. doi: 10.1038/s41436-021-01242-6. Epub 2021 Jul 1. 2. Srivastava S, Love- Nichols JA, Dies KA, et al. Genet Med. 2019 Nov;21(11):2413–2421. doi: 0.1038/s41436-019-0554-6. 3. Pekeles H, Accogli A, Boudrahem-Addour N, Russell L, Parente F, Srour M. Pediatr Neurol. 2019 Mar;92:32-36. doi: 10.1016/j.pediatrneurol.2018.11.005. 4. Stefanski A, Calle-López Y, Leu C, et al. Epilepsia. 2021 Jan;62(1):143-151. doi: 10.1111/epi.16755. 5. Mellone S, Pur icelli C, Vurchio D, et al. Front Genet. 2022 Aug 11;13:875182. doi: 10.3389/fgene.2022.875182. 6. Spataro N, Trujillo-Quintero JP, Manso C, e t al. Genes (Basel). 2023 Mar 13;14(3):708. doi: 10.3390/genes14030708. 7. Savatt JM, Myers SM. Front Pediatr. 2021 Feb 19;9:526779. doi: 10.1186/s13073-022-01026-w. 8. Sheidley BR, Malinowski J, Bergner AL, et al. Epilepsia. 2022 Feb;63(2):375-387. doi: 10.1111/epi.17141. Epub 2021 Dec 10. 9. Malinowski, J., Miller , D.T., Demmer, L. et al. Genet Med. 22, 986–1004 (2020). https://doi.org/10.1038/s41436-020-0771-z. 10. Rodan LH, Sto ler J, Chen E, et a l. Genetic Evaluation of the Child With Inte llectual Disability or Global Developmental Delay: Clin ical Report. Pediatrics. 2025 Jun 23:e2025072219. doi: 10.1542/peds.2025-072219. identify resources and support for parents and family members An earlier genetic diagnosis is proven to:7,9 reduce medical intervention American College of Medical Genetics & Genomics (ACMG) 2021 evidence-based guideline5 National Society of Genetic Counselors (NSGC) 2022 evidence-based guideline6 NEW American Academy of Pediatrics (AAP) 2025 clinical report10 result in more timely treatment options reduce healthcare costs for patients and the healthcare system Recommended by leading medical societies as a first-line test: Superior diagnostic rate for many indications including: …and moreEpilepsy Developmental delay Intellectual disability 1 2 3-6 7 8 8 8 8


 
13 Reference: Butler L. et al. Exome-based testing for patients with seizures: Advantages over panel-based testing. Poster presented at American Epilepsy Society Annual Meeting; December 2, 2023; Orlando, FL. Only 43% of epilepsy genes are tested on many commercial epilepsy panels Common diseases are in fact a constellation of genetic diagnoses One example is epilepsy. At least 768 different genes are related to seizures. 20


 
14 Reference: Butler L. et al. Exome-based testing for patients with seizures: Advantages over panel-based testing. Poster presented at American Epilepsy Society Annual Meeting; December 2, 2023; Orlando, FL. Exome and genome sequencing checks all 768 genes Only 43% of epilepsy genes are tested on many commercial epilepsy panels Common diseases are in fact a constellation of genetic diagnoses One example is epilepsy. At least 768 different genes are related to seizures. 21


 
15 GeneDx has spent over a decade solving for the limitations of the past and we're working to change the perception of exome and genome sequencing Then Now Results take months Tests are prohibitively expensive GeneDx’s tests are accessible and widely covered by insurance Results are confusing, filled with useless information Patients receive fewer variants of uncertain significance and more definitive answers Turnaround time Cost Interpretation Nothing to do or change based on the results Results unlock a growing number of approved therapies, clinical trials, dietary and behavioral health therapies GeneDx delivers results in hours, days or weeks Other testing (CT scan, MRI, gene panels) offers the same information Exome and genome uncover what other tests don’t, which saves time & money Actionability Value


 
16 Fastest growing and profitable Best in class diagnosis Our north star: to diagnose disease earlier for as many families as possible Build the network effect Leveraging the GeneDx Infinity to fuel growth and generate deep genomic insights


 
17 With every patient, we accelerate and widen our competitive advantage ~1M exomes & genomes >7M phenotypic datapoints Additional patients tested Improved interpretation platform More underlying data Higher diagnostic yield and more answers for more patients >2.5M genetic tests


 
18 Solidifying our leadership and competitive advantage Our unmatched dataset fuels deeper insights and powers more accurate diagnoses. GeneDx InfinityTM With >100 MD and/or PhDs and >150 genetic counselors our team of world- class specialists transform Infinity into clear, trusted answers that clinicians can act on with confidence. Team of Experts Our AI-driven technology harnesses Infinity and expert insights to deliver faster results, greater efficiency, and discoveries that advance precision medicine. Technology We are the #1 genomic testing brand among pediatric and genetic providers1 – here's why: 1 Unpublished HCP survey on genetic testing brand perceptions, Material+, April 2025


 
19 We are increasing market adoption through breadth and depth Market Segment Number of Targets Patient Opportunity Current Market Penetration (Patients) Newborn Screening Up to 3,600,0001 babies born in the US annually could be eligible NICU 800 Level III and IV NICUs >235,0002 3.7% Pediatricians 60,000 (25,000)3 >600,0004 <1% Pediatric Immunologists 600 >25,0005 0% Pediatric Neurologists 2,000 (1,700)6 >180,0007 14%8 Geneticists 2,000 80%9 Adult Specialists Could represent ~5,100,00010 patients annually with a variety of conditions We will expand target market segments and clinical indications to open access to additional patients over time Complemented by biopharma business that opens new avenues for growth Total Future Market Opportunity* Pediatrics & Rare ($25B) Adult ($20B) 1. Live births in the U.S. annually. 2. Based on total number of NICU beds (~27,600), average length of stay of 15 days, 24 patients per bed per year, 70% of beds are occupied and 50% of the patients receive testing. 3. Pediatricians who diagnose patients with DD/ID (ICD-10 codes) 4. Diagnoses of DD/ID by pediatricians (ICD-10 codes). 5. Claims and clinical data for patients with IEIs. 6. Pediatric neurologists seeing target patients (ICD-10 codes) 7. Patients with target conditions seen by pediatric neurologists, developmental specialists, and geneticists (ICD-10 codes). Due to referral patterns, we report one number for this group of clinicians. 8. Internal volume data for patients with target conditions. 9. Claims data 10. Adult patients that are good candidates for exome/genome with conditions such as cardiomyopathies, neurodegenerative disorders, etc. (ICD-10 codes) D ri v in g e a rl ie r d ia g n o s e s *U.S. market only. International opens incremental opportunity


 
20 Fueling growth and better outcomes in the outpatient setting Growing from the core: • Scaling utilization by geneticists and pediatric neurologists diagnosing epilepsy, autism and intellectual disability/developmental delay, and rare disease Expanding to new indications: • Started with cerebral palsy and immunological disorders • Taking a disciplined approach to entering markets with clinical utility and favorable reimbursement Looking ahead to general pediatricians: • American Academy of Pediatrics recommends exome or genome testing as first-line for patients with intellectual disability/developmental delay • Expect 18-24 months before meaningful volume contributions


 
21 Delivering answers to improve care in the NICU References: 1.SeqFirst 2. Kingsmore SF, Nofsinger R. & Ellswor th K. NPJ Genom. Med. 2024;9(17). doi:10.1038/s41525-024-00404-0. 3. Lavelle TA, Maron JL, Kingsmore SF, et a l. Rapid Genome Sequencing Compared to a Gene Panel in Critica lly Ill Infants with a Suspected Genetic Disorder: An Economic Eva luation. medRxiv [Prepr int]. 2025 Apr 10:2024.10.18.24315740. doi: 10.1101/2024.10.18.24315740 Demonstrating clinical and economic utility: • SeqFirst: 60% of infants in Level IV NICUs should receive a rapid genome test1 • Genome testing is severely underutilized, currently ordered for <5% of children who could benefit2 • A genetic diagnosis in the NICU can result in total cost savings of $150K/patient over a single year3 Delivering the leading product and experience: • Epic Aura integrations streamline workflows and improve experience • UltraRapid genome sequencing deliver results in as soon as 48 hours • Genome product updates (buccal, 5-day TAT, etc.) deliver value Leveraging our relationships and reputation: • 200 of the 800 Level IV and V NICUs are current GeneDx clients


 
22 We are radically simplifying genomics to enable broad adoption in everyday medicine PRE-2025 An Experience Built for Geneticists Historical base of providers valued deep, technical reports. H1 2025 AAP Guidance Opens the Gen Peds Market On average, a general pediatrician has 10 minutes with a patient. Guidance catalyzed the need to rapidly evolve the customer experience. H2 2025 Gen Peds Research Program, Began Development Pediatricians and non- genetics specialists need a streamlined ordering and resulting experience. Work is underway to create the "One-Minute Order" experience. 2026 Roll Out CX Improvements Positioned for broader roll-out of the One-Minute order and other elements of the customer experience. Meet customers where they are with a one-minute order and best-in-class customer experience


 
23 〉 GeneDx is contracted with 80% of covered lives, including all large national commercial payers 〉Medicaid and commercial insurance coverage continues to grow for exome and genome o 36 states cover exome or genome testing • In Q3, California added coverage for genome testing o 17 states cover rapid genome sequencing Payor coverage for exome and genome sequencing is expanding Data through October 2025 Medicaid programs covering genetic testing by year 2015: First state Medicaid covers Exome 2021: First state Medicaid covers rapid testing 30 25 20 15 10 5 0 0 3 1 36 2015 2021 2025 Year Rapid testing Exome or genome testing 22 17


 
24 Medicaid programs across the country are expanding access Exome or Genome Sequencing Rapid Genome Sequencing Both No Coverage Current Medicaid Coverage Landscape Data through October 2025 New or Enhanced Coverage


 
25 GeneDx is revolutionizing the standard approach to newborn screening, enabling actionable diagnoses before symptoms even start GUARDIAN has laid the foundation of clinical evidence • Screened 20,000 healthy infants with goal of >100,000 • 3.2% true positive rate, and 92% of true positives would not have been detected with standard newborn screening References: 1. Ziegler A, Koval-Bur t C, Kay DM, et al. Expanded Newborn Screening Using Genome Sequencing for Early Actionable Conditions. JAMA. Published online October 24, 2024. doi:10.1001/jama.2024.1966 BEACONS is proving out operational feasibility • Taking a federal-level approach funded by $14.4M from the National Institutes of Health (NIH) • Up to 30,000 newborns over 3 years across up to 10 states Sunshine Genetics represents the first time gNBS is being taken beyond research and applied in the clinic • First state-backed gNBS program in the U.S. • Creates a blueprint for additional state-level programs Genomic newborn screening (gNBS) is enabling true longevity beginning at birth. GeneDx is cementing its leadership in gNBS as an advisor and sole commercial sequencing partner for the most impactful gNBS programs in the nation. Without gNBS, the average age of diagnosis for these actionable conditions is 7-11 years old.


 
26 Creating the network effect that will drive the future of precision medicine Biopharma Accelerating drug discovery, enabling clinical trials, and unlocking biomarkers for targeted therapies with real-world evidence Policymakers Improving population health outcomes with support for evidence-based policies driving innovation and efficiencies Patients Delivering faster, more accurate diagnosis with personalized treatments based on biology, leading to better outcomes Health Systems Improving clinical decisions, streamlining care pathways, and reducing costs with genomic insights Payers Reducing long-term spend through effective, targeted treatments supporting value-based care models with measurable outcomes Advocacy Delivering answers for families, advancing equitable care, and connecting patients and parents across rare and underserved communities


 
27 Genetic evidence is one of the most powerful tools to improve the therapeutic development process Today Tomorrow The average therapeutic development cycle: Including genetic evidence can dramatically reduce cost, shorten timelines, and improve success rates: o Up to 60% of this cost is spent in the clinical phase. Costs $2.6B o Inefficient trials—driven by patient identification and recruitment challenges—extend timelines. Takes 12 years o Most trials fail due to safety and efficacy concerns. Fails 90% of the time Genetic evidence can reduce development costs by up to 25%. Leveraging genetic data can cut development timelines by up to 5 years. Drugs with supporting genetic evidence are 2.6 times more likely to succeed. 30


 
28 A rare opportunity to fuel seismic healthcare shifts to From years of disease progression From unnecessary and bloated health costs From generalized treatments From diagnosing symptomatic disease early interventions streamlined economic efficiency precision medicines universal genomic newborn screening


 
29 The future of healthcare is about proactive, personalized care. GeneDx is leading the way.


 
30 Confidential & Proprietary. Do Not Distribute. Appendix


 
31 Reconciliation of non-GAAP financial measures Adjusted gross profit and adjusted gross margin (in $ thousands) Three months ended September 30, 2025 2024 GeneDx Other1 Total GeneDx Other1 Total Revenue $ 114,697 $ 2,046 $ 116,743 $ 76,622 $ 252 $ 76,874 Adjusted cost of services 30,246 377 30,623 27,370 - 27,370 Adjusted gross profit $ 84,451 $ 1,669 $ 86,120 $ 49,252 $ 252 $ 49,504 Adjusted gross margin 74% 74% 64% 64% Reconciliations: Depreciation and amortization 1,374 1,495 Stock-based compensation 219 174 Restructuring costs - 6 Gross profit $ 84,527 $ 47,829 Gross margin 72% 62% (in $ thousands) Three months ended September 30, 2025 September 30, 2024 Net loss $ (7,635) $ (8,312) Reconciliations: Depreciation and amortization expense 6,474 5,929 Stock-based compensation expense 10,586 3,636 Restructuring costs 128 369 Change in fair value of financial liabilities 3,401 880 Other1 1,781 (531) Adjusted net income $ 14,735 $ 1,971 Adjusted net income 1. Other represents interest expense, net, and income tax (expense) benefit for all periods presented. Other for the three months ended September 30, 2025 includes costs related to legal reserves. Other for the three months ended September 30, 2024 includes reserves, net of insurance related to a legal settlement. 1. Other includes revenue and cost of services from the Fabric Genomics operating segment for the three months ended September 30, 2025. For the three months ended September 30, 2024, Other includes revenue from the Legacy Sema4 diagnostic testing business.