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Biodesix (BDSX)
NASDAQ:BDSX
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Biodesix (BDSX) AI Stock Analysis

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BDSX

Biodesix

(NASDAQ:BDSX)

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Neutral 48 (OpenAI - 4o)
Rating:48Neutral
Price Target:
$7.50
▼(-0.53% Downside)
Biodesix's overall stock score is primarily impacted by its weak financial performance and valuation challenges. Despite positive earnings call highlights and short-term technical strength, the company's financial instability and lack of profitability weigh heavily on its score.
Positive Factors
Revenue Growth
The 20% YoY revenue growth indicates strong demand for Biodesix's diagnostic tests, supporting long-term business expansion and market penetration.
Improved Gross Margins
Improved gross margins reflect efficient cost management, enhancing profitability potential and financial sustainability over the long term.
Expansion of Sales Force
Expanding the sales force strengthens market reach and customer engagement, likely driving future revenue growth and market share gains.
Negative Factors
High Financial Leverage
High financial leverage poses risks to financial stability, potentially limiting strategic flexibility and increasing vulnerability to economic downturns.
Negative Cash Flows
Negative cash flows indicate liquidity challenges, which could hinder the company's ability to invest in growth opportunities and meet financial obligations.
Net Loss
Ongoing net losses highlight operational challenges and the need for strategic improvements to achieve profitability and ensure long-term viability.

Biodesix (BDSX) vs. SPDR S&P 500 ETF (SPY)

Biodesix Business Overview & Revenue Model

Company DescriptionBiodesix, Inc. operates as a data-driven diagnostic solutions company in the United States. The company offers blood-based lung tests, including Nodify XL2 and Nodify CDT tests, together marketed as part of Nodify Lung Nodule Risk Assessment testing strategy, to assess the risk of lung cancer and help in identifying the appropriate treatment pathway and help physicians in reclassifying risk of malignancy in patients with suspicious lung nodules. It also offers GeneStrat ddPCR and VeriStrat tests, which are used in the diagnosis of lung cancer to measure the presence of mutations in the tumor and the state of the patient's immune system to establish the patient's prognosis and help guide treatment decisions; and GeneStrat NGS (NGS) test, a 72-hour blood-based NGS test. In addition, the company, through its partnership with Bio-Rad Laboratories, Inc., provides Bio-Rad SARS-CoV-2 ddPCR, a COVID-19 Test under Biodesix WorkSafe testing program; and Platelia SARS-CoV-2 Total Ab test, an antibody test for detecting a B-cell immune response to SARS-CoV-2 that indicate recent or prior infection. Further, it offers diagnostic and clinical research, as well as clinical trial testing services to biopharmaceutical companies; and discovers, develops, and commercializes companion diagnostics. The company was formerly known as Elston Technologies, Inc. Biodesix, Inc. was incorporated in 2005 and is headquartered in Boulder, Colorado.
How the Company Makes MoneyBiodesix generates revenue primarily through the sale of its diagnostic tests, which are offered to medical institutions, oncology clinics, and healthcare providers. The company's revenue model is centered around test reimbursements from insurance companies and healthcare payers, allowing them to capture a portion of the revenue generated from patient testing. In addition to test sales, Biodesix may also engage in partnerships with pharmaceutical companies for companion diagnostics, which can further enhance revenue. The company benefits from strategic collaborations and agreements that expand its market reach and facilitate access to new technologies and patient populations, thereby contributing to its overall earnings.

Biodesix Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Chart Insights
Data provided by:Main Street Data

Biodesix Earnings Call Summary

Earnings Call Date:Nov 03, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 17, 2026
Earnings Call Sentiment Positive
Biodesix showed strong revenue growth, improved gross margins, and significant progress in lung diagnostics and development services. However, unresolved issues with Medicare Advantage payments and an existing net loss highlight ongoing challenges. Overall, the achievements and positive trends in growth and operational improvements suggest a positive outlook.
Q3-2025 Updates
Positive Updates
Revenue Growth
Third quarter total revenue was $21.8 million, a 20% increase over the prior year. Lung diagnostic testing revenue for the third quarter of 2025 was $19.8 million, representing 13% growth in test volumes and 16% growth in revenue.
Improved Gross Margins
Gross margin percentage in the third quarter of 2025 was 81%, up 400 basis points from 77% in the third quarter of 2024.
Adjusted EBITDA Improvement
Adjusted EBITDA was a loss of $4.6 million, an improvement of 18% year-over-year and 36% over the second quarter.
Development Services Growth
Development services revenue was $1.9 million in the quarter, representing 97% year-over-year growth.
Expansion of Sales Force
The company increased its sales force to an average of 85 sales reps in the field, with plans for further expansion to 93-97 reps in the fourth quarter.
Progress in Lung Diagnostics
Nodify Lung testing saw increased adoption, with primary care test orders growing 75% over the third quarter of '24. Digital ordering increased by 43% over last year.
Pipeline and Partnerships
Biodesix expanded its product development partnership with Bio-Rad Laboratories and presented multiple studies supporting its product pipeline.
Increased Revenue Guidance
The company increased its full-year 2025 revenue guidance to $84 million to $86 million.
Negative Updates
Medicare Advantage Payment Issues
While one of the largest plans restarted paying for current claims, collection on older claims remains unresolved.
Net Loss
Net loss for the third quarter of 2025 was $8.7 million, although this was an improvement of 15% year-over-year.
Company Guidance
In the recent call, Biodesix provided updated guidance for the fiscal year 2025, indicating an increase in revenue expectations to a range of $84 million to $86 million. The company reported a 20% year-over-year growth in third-quarter revenue, reaching $21.8 million, driven by a 13% increase in test volumes and a 16% rise in revenue from lung diagnostic testing. The gross margin improved by 400 basis points to 81%, and adjusted EBITDA showed an 18% improvement. Biodesix also highlighted the expansion of its primary care market, with tests ordered from primary care increasing from 4% to 11% between the pilot phase in 2024 and September 2025. The company is on track to achieve adjusted EBITDA positivity in the fourth quarter, supported by strong gross margins and the expansion of its sales team.

Biodesix Financial Statement Overview

Summary
Biodesix shows revenue growth but struggles with profitability and cash flow. High leverage and negative equity returns indicate financial instability, though strong gross margins suggest potential for improvement if cost management is addressed.
Income Statement
45
Neutral
Biodesix shows a consistent increase in revenue with a TTM growth rate of 2.81%, indicating positive momentum. However, the company struggles with profitability, as evidenced by negative net profit margins and EBIT margins. The gross profit margin is strong at 78.77% TTM, but the persistent negative net income highlights ongoing challenges in cost management and operational efficiency.
Balance Sheet
30
Negative
The balance sheet reveals significant leverage with a TTM debt-to-equity ratio of 63.39, indicating high financial risk. The return on equity is negative, reflecting losses and insufficient returns for shareholders. The equity ratio is low, suggesting limited asset backing by equity, which could pose risks in financial stability.
Cash Flow
40
Negative
Cash flow analysis shows a negative free cash flow growth rate of -30.86% TTM, indicating deteriorating cash generation. The operating cash flow to net income ratio is negative, highlighting cash flow challenges. However, the free cash flow to net income ratio is slightly positive, suggesting some ability to cover net losses with free cash flow.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue80.17M71.32M49.09M38.21M54.51M45.56M
Gross Profit63.99M55.75M36.08M24.06M23.99M23.56M
EBITDA-26.91M-29.22M-37.10M-51.53M-35.47M-20.84M
Net Income-39.54M-42.93M-52.15M-65.45M-43.16M-31.35M
Balance Sheet
Total Assets88.72M97.24M99.10M92.91M76.10M121.07M
Cash, Cash Equivalents and Short-Term Investments16.70M26.25M26.28M43.09M32.71M62.13M
Total Debt72.93M61.98M60.69M31.85M10.01M27.77M
Total Liabilities90.44M76.37M94.52M72.30M56.37M79.90M
Stockholders Equity-1.72M20.88M4.58M20.61M19.73M41.17M
Cash Flow
Free Cash Flow-29.27M-51.88M-45.93M-48.51M-30.77M-23.54M
Operating Cash Flow-28.14M-48.65M-22.87M-44.97M-28.22M-21.37M
Investing Cash Flow-1.18M-3.44M-23.06M-3.53M-2.55M-2.93M
Financing Cash Flow14.53M52.05M29.13M58.88M1.26M81.13M

Biodesix Technical Analysis

Technical Analysis Sentiment
Positive
Last Price7.54
Price Trends
50DMA
7.52
Positive
100DMA
7.38
Positive
200DMA
9.92
Negative
Market Momentum
MACD
0.06
Negative
RSI
52.66
Neutral
STOCH
58.46
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BDSX, the sentiment is Positive. The current price of 7.54 is above the 20-day moving average (MA) of 7.00, above the 50-day MA of 7.52, and below the 200-day MA of 9.92, indicating a neutral trend. The MACD of 0.06 indicates Negative momentum. The RSI at 52.66 is Neutral, neither overbought nor oversold. The STOCH value of 58.46 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for BDSX.

Biodesix Risk Analysis

Biodesix disclosed 83 risk factors in its most recent earnings report. Biodesix reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Biodesix Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
55
Neutral
$32.51M-16.60-14.76%27.05%55.03%
55
Neutral
$121.79M-6.04-22.66%5.33%75.52%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$60.46M-1.42-302.55%22.29%31.93%
40
Underperform
$46.59M-1.6135.10%39.15%
39
Underperform
$95.92M-44.24%0.93%13.99%
26
Underperform
$9.13M
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BDSX
Biodesix
7.54
-20.66
-73.26%
VNRX
VolitionRX
0.39
-0.32
-45.07%
CHEK
Check-Cap
1.69
0.85
101.19%
PRPO
Precipio
20.24
14.24
237.33%
BNR
Burning Rock Biotech
12.19
8.45
225.94%
SERA
Sera Prognostics
2.55
-4.89
-65.73%

Biodesix Corporate Events

Biodesix, Inc. at Risk: How a Federal Shutdown Could Disrupt Revenue and Growth
Nov 5, 2025

Biodesix, Inc. faces significant business risks from a prolonged federal government shutdown, especially if it disrupts Medicare, Medicaid, or other federally funded healthcare programs. These programs are crucial to the company’s revenue stream, and any payment delays, coverage issues, or patient access problems could severely impact financial performance. Furthermore, such a shutdown might postpone regulatory approvals, impeding the launch of new products and stalling growth opportunities. This situation underscores the vulnerability of Biodesix to governmental operations and the broader implications for its business continuity.

Biodesix, Inc. Reports Strong Q3 Growth and Optimistic Outlook
Nov 5, 2025

Biodesix, Inc. recently held its earnings call, revealing a positive sentiment driven by strong revenue growth, improved gross margins, and significant advancements in lung diagnostics and development services. Despite challenges with Medicare Advantage payments and a net loss, the overall outlook remains optimistic due to the company’s achievements and positive trends in growth and operational improvements.

Biodesix Reports Strong Q3 2025 Revenue Growth
Nov 4, 2025

Biodesix, Inc. is a diagnostic solutions company specializing in lung disease diagnostics and development services for biopharmaceutical and research institutions. In its third-quarter 2025 earnings report, Biodesix reported a 20% increase in revenue to $21.8 million and a gross profit margin improvement to 81%. The company also raised its full-year 2025 revenue guidance to $84-86 million, reflecting strong performance and strategic expansion into primary care. Key financial highlights include a 16% increase in Lung Diagnostic Testing revenue and a 97% growth in Development Services revenue. Despite a net loss of $8.7 million, the company showed improvement in its adjusted EBITDA and operating expenses. Looking forward, Biodesix is optimistic about achieving adjusted EBITDA positivity in the fourth quarter, driven by its expanding market reach and operational excellence.

Delistings and Listing ChangesRegulatory Filings and Compliance
Biodesix Regains Nasdaq Compliance with Bid Price
Positive
Oct 1, 2025

On September 26, 2025, Biodesix, Inc. announced that it has regained compliance with the Nasdaq’s minimum bid price requirement, ensuring its continued listing on The Nasdaq Global Market. This follows a previous notification in March 2025, when the company’s stock had fallen below the $1.00 per share minimum, but has now maintained a closing bid price of at least $1.00 for ten consecutive business days, resolving the issue.

The most recent analyst rating on (BDSX) stock is a Hold with a $7.50 price target. To see the full list of analyst forecasts on Biodesix stock, see the BDSX Stock Forecast page.

Business Operations and StrategyStock Split
Biodesix Implements Reverse Stock Split on September 15
Neutral
Sep 15, 2025

On September 15, 2025, Biodesix, Inc. implemented a one-for-twenty reverse stock split of its common stock, following approval from its Board of Directors and stockholders earlier in May 2025. This move, effective as of September 15, 2025, aims to adjust the trading price of its common stock, with no fractional shares issued; instead, stockholders will receive cash for fractional entitlements. Additionally, on September 12, 2025, the company filed a Certificate of Elimination to remove provisions related to its Series A Non-Voting Convertible Preferred Stock, marking a strategic shift in its stock structure.

The most recent analyst rating on (BDSX) stock is a Hold with a $0.50 price target. To see the full list of analyst forecasts on Biodesix stock, see the BDSX Stock Forecast page.

Stock Split
Biodesix Announces Reverse Stock Split Effective Sept 15
Neutral
Sep 11, 2025

On September 11, 2025, Biodesix, Inc. announced a one-for-twenty reverse stock split of its common stock, effective September 15, 2025. This move, approved by stockholders in May 2025, will reduce the number of outstanding shares from approximately 156 million to 8 million, while maintaining the same percentage ownership for stockholders, except for fractional shares which will be compensated in cash. The reverse stock split will also adjust the number of shares and exercise prices for the company’s outstanding equity awards and warrants, aiming to enhance the company’s stock market positioning.

The most recent analyst rating on (BDSX) stock is a Hold with a $0.50 price target. To see the full list of analyst forecasts on Biodesix stock, see the BDSX Stock Forecast page.

Biodesix, Inc. Reports Strong Q2 2025 Growth
Aug 13, 2025

Biodesix, Inc. Reports Strong Revenue Growth Amidst Challenges

Biodesix Reports Strong Q2 2025 Revenue Growth
Aug 8, 2025

Biodesix, Inc. is a diagnostic solutions company specializing in lung disease diagnostics and personalized care, operating within the healthcare sector. In its latest earnings report, Biodesix announced a 12% increase in revenue for the second quarter of 2025, reaching $20 million, and a gross profit margin improvement to 80%. The company also reaffirmed its full-year revenue guidance of $80-85 million. Key financial highlights include a significant 53% growth in Development Services revenue and an increase in lung diagnostic testing revenue by 8%. The company expanded its sales team by 21% and saw a notable rise in digital ordering and primary care physician engagement. Despite a net loss of $11.5 million, Biodesix remains optimistic about achieving Adjusted EBITDA positivity by the fourth quarter, driven by sales team expansion and operational effectiveness. Looking forward, Biodesix is confident in its growth trajectory and aims for sustainable long-term success, supported by its strategic initiatives and market expansion efforts.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 08, 2025