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Biodesix (BDSX)
NASDAQ:BDSX
US Market

Biodesix (BDSX) AI Stock Analysis

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Biodesix

(NASDAQ:BDSX)

Rating:43Neutral
Price Target:
$0.00
▼(-100.00%Downside)
The overall stock score of 43 reflects significant financial challenges, including negative profitability and cash flow, along with a bearish technical outlook. Despite positive revenue growth and improved efficiency, the recent earnings call highlighted persistent challenges in sales and market expansion, affecting future revenue guidance.
Positive Factors
Financial Performance
The company expects to achieve adjusted EBITDA positivity and cash flow breakeven, signaling a positive financial outlook.
Growth Strategy
Biodesix is exploring the addition of digital diagnostics and radiomics to its portfolio, potentially enhancing long-term growth potential.
Sales Strategy
The rapid near-term expansion of the sales force and updated primary care commercial focus could drive continued top-line growth.
Negative Factors
Revenue Guidance
Biodesix decreased its 2025 revenue guidance due to slower than anticipated expansion of the sales force.
Sales Force Challenges
The company's performance was impacted by meaningful decreases to the sales force and slower than anticipated hiring of new primary care focused sales reps.
Stock Performance
Shares have been under pressure, likely due to rocky results and general weakness in the space.

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 through the sale of its proprietary diagnostic tests to healthcare providers, hospitals, and laboratories. These tests are primarily designed for the oncology market, offering actionable insights into the management of lung cancer. The company's key revenue streams include direct sales of its tests and partnerships with pharmaceutical companies who utilize Biodesix's diagnostics to enhance their drug development processes. Biodesix also benefits from reimbursement agreements with insurance providers, which facilitate the adoption of its tests in clinical practice. Additionally, collaborations with research institutions contribute to its revenue by expanding the use cases and applications of its diagnostic technologies.

Biodesix Earnings Call Summary

Earnings Call Date:May 13, 2025
(Q1-2025)
|
% Change Since: -19.44%|
Next Earnings Date:Aug 12, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted strong revenue growth, operational efficiency, and significant advancements in development services and pipeline progress. However, these positive aspects were balanced by challenges in sales force reconfiguration and primary care market expansion, leading to a downward adjustment in revenue guidance.
Q1-2025 Updates
Positive Updates
Revenue Growth
Biodesix reported a 21% year-over-year revenue growth for Q1 2025, with total revenue reaching $18 million. Lung diagnostic revenue grew by 18%, marking the 16th consecutive quarter of over 15% growth.
Operational Efficiency
Gross margins improved by 80 basis points to 79.4%, showing enhanced operational effectiveness and cost containment, even with a modest increase in R&D spending.
Development Services Expansion
Development services revenue increased by 61% in Q1 2025 compared to Q1 2024, with $10.9 million under contract but not yet recognized, representing a 21% increase over the previous year.
Digital Ordering Success
Digital test ordering increased by 58% over the last year, with customer retention 40% higher among those utilizing digital ordering.
Pipeline Progress
Advancements in pipeline products, including the development of a new combination MRD test and expanded indications for VeriStrat, were highlighted, with plans to offer the MRD test to biopharma by the end of 2025.
Negative Updates
Sales Force Reconfiguration Challenges
The sales force was reconfigured from 71 to 65 reps, causing a one-quarter delay in the commercial expansion plan and impacting revenue guidance.
Revenue Guidance Adjustment
Due to hiring delays and reconfiguration of the sales team, revenue guidance for 2025 was revised to $80 million to $85 million.
Primary Care Market Challenges
The expansion into the primary care market faced challenges, including hiring delays and adapting the sales approach, which impacted revenue and growth plans.
Company Guidance
In the first quarter of 2025, Biodesix reported a 21% year-over-year increase in total revenue to $18 million, driven by a 16% growth in test volumes and an 18% rise in lung diagnostic revenue. The company's gross margins improved by 80 basis points to 79.4%, and SG&A expenses decreased year-over-year. Despite a reduction in sales reps from 71 to 65 due to a reconfiguration into a territory-based sales approach, average sales rep productivity remained strong at an annualized $1 million per rep. Biodesix revised its annual revenue guidance to $80 million to $85 million, aiming for adjusted EBITDA positivity by the fourth quarter. The company's Development Services revenue grew 61% to $1.7 million, with a pipeline of $10.9 million under contract yet to be recognized.

Biodesix Financial Statement Overview

Summary
Biodesix shows revenue growth but faces significant financial challenges. The company operates at a net loss with negative profit margins, high leverage, and deteriorating cash flows, indicating financial instability and operational inefficiencies.
Income Statement
40
Negative
Biodesix's revenue has shown growth over the years, with a significant increase from 2022 to the TTM period. However, the company continues to operate at a net loss with negative net profit margins, indicating challenges in profitability. Despite good gross profit margins, the recurring negative EBIT and EBITDA margins highlight ongoing operational inefficiencies.
Balance Sheet
35
Negative
The balance sheet reveals a high level of debt relative to equity, indicating potential financial risk. The company has a low equity ratio, which may limit its financial stability. The consistent negative return on equity further reflects the challenges in generating returns for shareholders.
Cash Flow
30
Negative
The operating cash flow remains negative, and the free cash flow is deteriorating, suggesting cash burn concerns. Although there is substantial financing activity, it primarily supports short-term liquidity rather than operational sustainability. The ratios of operating and free cash flow to net income are unfavorable, indicating challenges in converting earnings to cash.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue74.46M71.32M49.09M38.21M54.51M45.56M
Gross Profit58.36M55.75M36.08M24.06M23.99M23.56M
EBITDA-27.46M-29.22M-37.10M-53.78M-35.47M-20.84M
Net Income-40.42M-42.93M-52.15M-80.39M-44.48M-36.47M
Balance Sheet
Total Assets86.24M97.24M99.10M92.91M76.10M121.07M
Cash, Cash Equivalents and Short-Term Investments17.60M26.25M26.28M43.09M32.71M62.13M
Total Debt62.28M61.98M60.69M31.85M10.01M27.77M
Total Liabilities75.18M76.37M94.52M72.30M56.37M79.90M
Stockholders Equity11.06M20.88M4.58M20.61M19.73M41.17M
Cash Flow
Free Cash Flow-45.20M-51.88M-45.93M-48.51M-30.77M-23.54M
Operating Cash Flow-41.96M-48.65M-22.87M-44.97M-28.22M-21.37M
Investing Cash Flow-3.30M-3.44M-23.06M-3.53M-2.55M-2.93M
Financing Cash Flow51.38M52.05M29.13M58.88M1.26M81.13M

Biodesix Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price0.29
Price Trends
50DMA
0.36
Negative
100DMA
0.56
Negative
200DMA
1.00
Negative
Market Momentum
MACD
-0.02
Negative
RSI
46.40
Neutral
STOCH
46.46
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BDSX, the sentiment is Neutral. The current price of 0.29 is above the 20-day moving average (MA) of 0.29, below the 50-day MA of 0.36, and below the 200-day MA of 1.00, indicating a neutral trend. The MACD of -0.02 indicates Negative momentum. The RSI at 46.40 is Neutral, neither overbought nor oversold. The STOCH value of 46.46 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for BDSX.

Biodesix Risk Analysis

Biodesix disclosed 81 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
XGXGN
62
Neutral
$153.02M-117.50%1.78%22.46%
57
Neutral
$113.84M-1552.23%25.46%21.83%
53
Neutral
$79.11M138.92%64.15%41.65%
52
Neutral
$97.57M-41.36%-44.17%12.77%
51
Neutral
$7.55B0.39-61.90%2.32%17.14%1.55%
46
Neutral
$159.17M-91.03%-40.09%-18.67%
43
Neutral
$42.06M-1454.41%35.76%47.48%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BDSX
Biodesix
0.29
-1.31
-81.88%
VNRX
VolitionRX
0.77
0.13
20.31%
ACRS
Aclaris Therapeutics
1.41
0.26
22.61%
MDXH
MDxHealth
2.12
-0.21
-9.01%
XGN
Exagen
6.99
5.18
286.19%
SERA
Sera Prognostics
2.59
-2.79
-51.86%

Biodesix Corporate Events

Shareholder MeetingsStock Split
Biodesix Approves Reverse Stock Split at Annual Meeting
Neutral
May 21, 2025

Biodesix, Inc. held its 2025 annual meeting of stockholders on May 20, 2025, where several key decisions were made. The stockholders elected two Class II directors, ratified KPMG LLP as the independent registered public accounting firm, approved a reverse stock split of the company’s common stock, and amended the Employee Stock Purchase Plan to increase available shares.

The most recent analyst rating on (BDSX) stock is a Buy with a $3.00 price target. To see the full list of analyst forecasts on Biodesix stock, see the BDSX Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Biodesix Announces Board Member Resignations
Neutral
Apr 17, 2025

Biodesix, Inc. announced the resignation of two of its Board members, Charles Watts, M.D., and Jack Schuler, effective after the 2025 Annual Meeting of Stockholders on May 20, 2025. Dr. Watts, who joined the Board in July 2019, and Mr. Schuler, a Board member since June 2008, are stepping down without any disagreements with the company. Mr. Schuler will transition to a director emeritus role, continuing to offer advisory support. The company expressed gratitude for their service and contributions.

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: Jul 01, 2025