Skip to main content
TipRanks
Go Ultimate75% OFF

Biodesix (BDSX) AI Stock Analysis

367 Followers
BDSX

Biodesix

(NASDAQ:BDSX)

Select Model
Rating:43Neutral
Price Target:$10.00â–¼(-1.19% Downside)
Action:reiterated
Date:11/07/26

BDSX scores low primarily due to weak financial fundamentals: high leverage versus equity, ongoing losses, and continued cash burn. Technicals add further downside pressure, with the stock trading well below key moving averages and extremely weak momentum readings. The earnings call provides the main offset, supported by reiterated growth and high-margin guidance plus improving profitability metrics, but execution risks (salesforce ramp, development services timing, and cash dependence) remain significant.

Positive Factors
Revenue and Test Volume GrowthStrong growth in diagnostic revenue and test volume indicates expanding utilization of Biodesix’s core clinical testing services. Continued adoption can improve operating leverage, strengthen commercial relevance with providers, and support durable revenue growth as the installed physician base develops.
Negative Factors
High Leverage and Thin Equity CushionThe company’s debt burden is large relative to its equity base, leaving limited balance-sheet protection if operating performance weakens. High leverage can restrict strategic flexibility, increase dependence on financing, and make the path to sustainable growth more vulnerable to execution setbacks.

Biodesix Key Performance Indicators (KPIs)

Revenue by SegmentShows how much revenue each business unit or product line generates, highlighting areas of strength and potential growth within the company’s portfolio.

$0.00$5.00M$10.00M$15.00M$20.00M$25.00M$30.00MMar 21Jun 21Sep 21Dec 21Mar 22Jun 22Sep 22Dec 22Mar 23Jun 23Sep 23Dec 23Mar 24Jun 24Sep 24Dec 24Mar 25Jun 25Sep 25Dec 25Mar 26Jun 26
Chart Insights

Diagnostic testing is the clear growth engine—volume-driven expansion plus modest ASP gains are lifting top-line momentum and gross margins, supporting the raised 2026 guide; primary‑care adoption and a bigger salesforce make that ramp look repeatable. Development services are becoming a meaningful, backlog-backed second leg but remain timing‑sensitive and add quarter-to-quarter volatility. Execution risk (sales productivity, logistics, collections) and limited cash mean converting this momentum into sustained profitability is the key investor watchpoint.

Data provided by:The Fly

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

-50%0%50%100%150%200%250%300%BDSX+26.50%SPY+14.28%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
Market Cap
$82.38M
Dividend Yield
―
Average Volume (3M)
155.05K
Price to Earnings (P/E)
-3.7
Beta (1Y)
0.65
Revenue Growth
31.23%
EPS Growth
48.56%
Country
US
Employees
334
Sector
Healthcare
Sector Strength
51
Industry
Medical - Diagnostics & Research

Biodesix Business Overview & Revenue Model

Company Description

Biodesix, Inc. is a data-driven diagnostic solutions provider operating across the United States. Its primary focus includes a comprehensive suite of blood-based lung tests, marketed as the Nodify Lung Nodule Risk Assessment (which includes Nodify XL...

How the Company Makes Money

Biodesix makes money primarily by performing and selling its proprietary diagnostic tests as clinical laboratory services and recognizing revenue per test delivered. In practice, this is largely a fee-for-service model in which Biodesix bills for tes...

Biodesix Earnings Call Summary

Earnings Call Date:Nov 05, 2026(Q3-2026)|% Change Since:-48.99%|Next Earnings Date:Mar 16, 2027
Earnings Call SentimentPositive

The call had a mixed but overall positive tone. Biodesix reported solid year-over-year revenue, diagnostic testing volume, margin and adjusted EBITDA improvements, continued clinical validation, expanding health system integrations and progress in digital diagnostics and MRD programs. These positives were tempered by results falling short of expectations, reduced sales capacity, primary care seasonality, lower development services revenue, a 6% decline in average revenue per test and a modest normalized fourth-quarter growth outlook. Management characterized the main issues as execution and timing challenges rather than changes in demand or market opportunity.

Positive Updates

Strong Revenue, Diagnostic Testing and Volume Growth
Third-quarter total revenue was $24.0 million, up 10% year-over-year from $21.8 million. Diagnostic testing revenue increased 16% to $23.0 million, while test volumes rose 24% to approximately 19,400, the company's second-highest quarterly volume.

Negative Updates

Quarterly Results Fell Short of Expectations
Management stated that third-quarter results did not meet expectations. The shortfall was attributed to fewer contributing sales representatives than planned, greater-than-anticipated seasonality in primary care and customer-delayed starts for several development services projects.

Company Guidance

For full year 2026, Biodesix now expects total revenue of $101 million to $103 million, with the midpoint representing approximately 15% growth over 2025, gross margins of approximately 80% and continued progress towards profitability; for the fourth quarter, it is anticipating around $1 million for development services and a step-up in lung diagnostic revenues over third quarter. For 2027, development services revenue is expected to be probably in the 7% to 8% of total revenue range, with a depending on the year average between 7% and 10%, and 7% to 8% is a good target for the year; the company has approximately 110 sales representatives in the field, plans to exit the year with approximately 115 representatives, and expects a hiring cadence of approximately 6 to 8 on a quarterly basis, also stated as 6% to 8%.

Biodesix Financial Statement Overview

Summary

Financial performance is weak overall despite strong revenue momentum. The income statement shows rapid TTM revenue growth (+220.8%) and solid gross margin (~64%), but the company remains meaningfully loss-making (TTM net margin ~-25.7%). The balance sheet is the largest risk: ~$72.4M debt versus ~$8.7M equity indicates high leverage and a thin cushion. Cash flow is also pressured with negative TTM operating cash flow (~-$18.2M) and negative free cash flow (~-$19.1M), implying continued reliance on external funding until profitability improves.

Income Statement

38Negative

Balance Sheet

24Negative

Cash Flow

30Negative
Financial statement breakdown
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue105.21M88.50M71.32M49.09M38.21M54.51M
Gross Profit67.27M71.78M55.75M36.08M24.06M23.99M
EBITDA-15.14M-21.95M-29.22M-37.10M-51.53M-35.47M
Net Income-27.08M-35.27M-42.93M-52.15M-65.45M-43.16M
Balance Sheet
Total Assets93.94M87.48M97.24M99.10M92.91M76.10M
Cash, Cash Equivalents and Short-Term Investments28.41M18.99M26.25M26.28M43.09M32.71M
Total Debt72.44M72.85M61.98M60.69M31.85M10.01M
Total Liabilities85.27M89.94M76.37M94.52M72.30M56.37M
Stockholders Equity8.68M-2.46M20.88M4.58M20.61M19.73M
Cash Flow
Free Cash Flow-19.09M-23.67M-51.88M-45.93M-48.51M-30.77M
Operating Cash Flow-18.16M-23.27M-48.65M-22.87M-44.97M-28.22M
Investing Cash Flow-1.10M-403.00K-3.44M-23.06M-3.53M-2.55M
Financing Cash Flow31.06M16.42M52.05M29.13M58.88M1.26M

Biodesix Technical Analysis

Technical Analysis SentimentNegative
Last Price10.12

Price Trends

50DMA24.57Negative
100DMA23.72Negative
200DMA18.89Negative

Market Momentum

MACD-3.78Positive
RSI24.25Positive
STOCH14.17Positive

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 10.12 is below the 20-day moving average (MA) of 20.10, below the 50-day MA of 24.57, and below the 200-day MA of 18.89, indicating a bearish trend. The MACD of -3.78 indicates Positive momentum. The RSI at 24.25 is Positive, neither overbought nor oversold. The STOCH value of 14.17 is Positive, 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.

Higher RiskSector Avg.Lower RiskFinance & CorporateTech & InnovationLegal & RegulatoryProductionAbility to SellMacro & Political
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy

Latest Risks Added

3 New Risks
1.Changes in payer reimbursement policies, claims review practices and broader healthcare policy and enforcement priorities may affect coverage, reimbursement rates, and the timing and amount of payment for our tests.Q2, 2026
2.Changes in payer reimbursement policies, claims review practices and broader healthcare policy and enforcement priorities may affect coverage, reimbursement rates, and the timing and amount of payment for our tests.Q1, 2026
3.There can be no assurance that our common stock will maintain compliance with the minimum bid price requirement or other applicable listing standards of The Nasdaq Stock Market LLC or another national securities exchange.Q4, 2025

Biodesix Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

BDSX against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
PRPOPRPO56Neutral$42.34M-41.02-7.84%―21.76%22.97%
SERASERA54Neutral$79.14M-2.90-52.54%―1.05%13.67%
BNRBNR52Neutral$133.27M-1.37-12.97%―-3.65%51.30%
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%
VNRXVNRX45Neutral$5.15M-0.0577.10%―86.32%21.31%
BDSXBDSX43Neutral$111.11M-3.67-442.34%―31.23%48.56%

* Healthcare Sector Average

Performance Comparison

-100%0%100%200%BDSXVNRXPRPOBNRSERADec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
BDSX and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
BDSXBiodesix, Inc.10.122.2228.10%
VNRXVolitionRX Ltd.0.20-6.89-97.14%
PRPOPrecipio24.805.2827.05%
BNRBurning Rock Biotech Ltd.13.241.9216.96%
SERASera Prognostics, Inc.1.94-1.01-34.24%

Biodesix Corporate Events

Executive/Board Changes

Biodesix Announces Departure of Chief Commercial Officer

Neutral
Nov 5, 2026

On November 2, 2026, Biodesix, Inc. agreed that the employment of Chief Commercial Officer Kieran O’Kane would end effective that day. O’Kane was eligible for separation benefits under his existing Executive Severance and Change in Control Agreement...

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 07, 2026