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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 41 (OpenAI - 4o)
Rating:41Neutral
Price Target:
$5.50
▼(-17.29% Downside)
Biodesix faces significant financial challenges with high leverage and negative profitability, reflected in a low valuation score. Technical indicators suggest bearish momentum, further impacting the stock's outlook. While there is potential for improvement due to strong gross margins and strategic initiatives, these have yet to translate into financial stability.
Positive Factors
Revenue Growth
The consistent revenue growth indicates strong market demand and successful product adoption, which can lead to increased market share and financial stability over time.
Strategic Partnership
The expanded partnership with Bio-Rad enhances Biodesix's technological capabilities and market reach, potentially leading to new revenue streams and strengthening its competitive position in oncology diagnostics.
Improved Gross Margins
Improved gross margins reflect operational efficiency and pricing power, which can enhance profitability and provide a buffer against cost fluctuations, supporting long-term financial health.
Negative Factors
High Leverage
High leverage increases financial risk and limits flexibility, potentially impacting the company's ability to invest in growth opportunities and weather economic downturns.
Negative Cash Flow
Negative cash flow growth suggests challenges in sustaining operations and funding future growth, which could strain resources and necessitate external financing.
Increased Operating Expenses
Rising operating expenses without corresponding revenue growth can pressure margins and profitability, potentially hindering the company's ability to achieve financial stability.

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

Biodesix Business Overview & Revenue Model

Company DescriptionBiodesix, Inc. (BDSX) is a biotechnology company focused on developing and commercializing diagnostic tests for lung cancer and other diseases. The company operates in the healthcare sector, utilizing advanced genomic and proteomic technologies to provide insights that help physicians make informed treatment decisions. Biodesix's core products include non-invasive blood tests that analyze biomarkers to predict patient responses to therapies, thereby enabling personalized treatment strategies for oncology patients.
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:Aug 07, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 03, 2025
Earnings Call Sentiment Neutral
The earnings call reflects positive developments in revenue growth, particularly in lung diagnostic testing and development services, as well as in operational efficiency with improved gross margins. However, these positives are offset by increased operating expenses, net loss, and adjusted EBITDA loss, which paint a balanced picture of achievements and challenges.
Q2-2025 Updates
Positive Updates
Revenue Growth
Biodesix reported a 12% increase in total revenue year-over-year, achieving $20 million in the second quarter of 2025.
Lung Diagnostic Testing Expansion
The company increased lung diagnostic testing revenue by 8% and test volumes by 9%, with $17.9 million in revenue from approximately 15,100 tests.
Development Services Growth
Development Services revenue grew 53% year-over-year to $2.1 million, with $12.5 million under contract, representing a 54% increase over the prior year and an all-time high.
Improved Gross Margins
Gross margins improved by 150 basis points to 80%, despite increases in supply costs and macroeconomic uncertainty.
Primary Care Strategy Success
Primary care ordering of lung diagnostic tests increased to 9% in June, up from 4% prior to the pilot program in 2024.
Negative Updates
Increased Operating Expenses
Overall operating expenses increased by 15% year-over-year to $25.7 million, driven by sales team expansion and increased R&D expenses.
Increased Net Loss
The net loss for the second quarter was $11.5 million, representing a 6% increase year-over-year.
Adjusted EBITDA Loss
Adjusted EBITDA loss increased by 29% year-over-year, amounting to $7.2 million.
Company Guidance
During the Biodesix Q2 2025 earnings call, the company provided guidance on its strategic and financial goals. They reported a 12% year-over-year increase in revenue, reaching $20 million, with lung diagnostic testing contributing $17.9 million from approximately 15,100 tests, marking an 8% revenue growth and 9% increase in test volumes. Biodesix aims to achieve a positive adjusted EBITDA by Q4 2025, driven primarily by revenue growth and an expansion of their sales team, which averaged 74 reps in Q2 and is expected to reach 93 to 97 by Q4. The company also reported a gross margin improvement of 150 basis points to 80% and highlighted the success of their Development Services, which saw a 53% revenue increase to $2.1 million, with $12.5 million under contract—an all-time high. Additionally, Biodesix noted the significant growth in electronic ordering, which increased by 63% over the previous year, contributing to a 40% higher customer retention rate in offices utilizing digital ordering.

Biodesix Financial Statement Overview

Summary
Biodesix is experiencing revenue growth, but profitability and cash flow challenges persist. High leverage and negative equity returns indicate financial instability, while strong gross margins suggest potential for improvement if cost management is addressed. The company needs to focus on reducing debt and improving operational efficiency to enhance financial health.
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 Revenue76.56M71.32M49.09M38.21M54.51M45.56M
Gross Profit60.30M55.75M36.08M24.06M23.99M23.56M
EBITDA-29.63M-29.22M-37.10M-53.78M-35.47M-20.84M
Net Income-41.08M-42.93M-52.15M-65.45M-43.16M-31.35M
Balance Sheet
Total Assets87.74M97.24M99.10M92.91M76.10M121.07M
Cash, Cash Equivalents and Short-Term Investments20.73M26.25M26.28M43.09M32.71M62.13M
Total Debt72.14M61.98M60.69M31.85M10.01M27.77M
Total Liabilities86.60M76.37M94.52M72.30M56.37M79.90M
Stockholders Equity1.14M20.88M4.58M20.61M19.73M41.17M
Cash Flow
Free Cash Flow-31.30M-51.88M-45.93M-48.51M-30.77M-23.54M
Operating Cash Flow-29.94M-48.65M-22.87M-44.97M-28.22M-21.37M
Investing Cash Flow-1.40M-3.44M-23.06M-3.53M-2.55M-2.93M
Financing Cash Flow9.85M52.05M29.13M58.88M1.26M81.13M

Biodesix Technical Analysis

Technical Analysis Sentiment
Negative
Last Price6.65
Price Trends
50DMA
7.81
Negative
100DMA
7.26
Negative
200DMA
10.57
Negative
Market Momentum
MACD
-0.35
Positive
RSI
42.91
Neutral
STOCH
42.85
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BDSX, the sentiment is Negative. The current price of 6.65 is below the 20-day moving average (MA) of 7.13, below the 50-day MA of 7.81, and below the 200-day MA of 10.57, indicating a bearish trend. The MACD of -0.35 indicates Positive momentum. The RSI at 42.91 is Neutral, neither overbought nor oversold. The STOCH value of 42.85 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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
$33.28M-17.24-14.76%27.05%55.03%
$140.58M-6.97-22.66%5.33%75.52%
$142.73M-44.24%0.93%13.99%
$7.86B-0.30-43.30%2.27%22.53%-2.21%
$50.60M-1.7435.10%39.15%
$53.84M-1.20-219.68%25.70%39.25%
$11.37M
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BDSX
Biodesix
6.55
-26.65
-80.27%
VNRX
VolitionRX
0.42
-0.19
-31.15%
CHEK
Check-Cap
1.49
0.35
30.70%
PRPO
Precipio
21.00
14.52
224.07%
BNR
Burning Rock Biotech
12.26
9.43
333.22%
SERA
Sera Prognostics
3.75
-4.39
-53.93%

Biodesix Corporate Events

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: Oct 23, 2025