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Biodesix Announces First Quarter 2025 Results and Highlights

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Biodesix (NASDAQ: BDSX) reported Q1 2025 financial results with total revenue of $18.0 million, up 21% year-over-year. The company's diagnostic testing revenue increased 18% to $16.3 million, marking the 16th consecutive quarter of >15% growth. Development Services revenue grew 61% to $1.7 million. Gross margins improved to 79.4%. Net loss improved by 18% to $11.1 million, while Adjusted EBITDA loss improved 11% to $6.2 million. Following a successful commercial pilot, Biodesix reconfigured its sales team structure to target pulmonology and primary care physicians. Due to implementation delays, the company revised its 2025 revenue guidance to $80-85 million but maintains its expectation for Adjusted EBITDA positivity in Q4. Post-quarter, Biodesix secured $10 million from Tranche C of its term loan facility, bringing pro forma cash balance to $27.6 million.
Biodesix (NASDAQ: BDSX) ha comunicato i risultati finanziari del primo trimestre 2025 con un fatturato totale di 18,0 milioni di dollari, in crescita del 21% su base annua. I ricavi dai test diagnostici sono aumentati del 18%, raggiungendo 16,3 milioni di dollari, segnando il 16° trimestre consecutivo con una crescita superiore al 15%. I ricavi dei servizi di sviluppo sono cresciuti del 61%, arrivando a 1,7 milioni di dollari. I margini lordi sono migliorati al 79,4%. La perdita netta si è ridotta del 18%, attestandosi a 11,1 milioni di dollari, mentre la perdita di EBITDA rettificato è migliorata dell'11%, raggiungendo 6,2 milioni di dollari. Dopo un pilota commerciale di successo, Biodesix ha riorganizzato la struttura del proprio team di vendita per rivolgersi a pneumologi e medici di base. A causa di ritardi nell'implementazione, la società ha rivisto la guida sul fatturato 2025 a 80-85 milioni di dollari, mantenendo però la previsione di un EBITDA rettificato positivo nel quarto trimestre. Dopo la chiusura del trimestre, Biodesix ha ottenuto 10 milioni di dollari dalla Tranche C della sua linea di credito a termine, portando il saldo di cassa pro forma a 27,6 milioni di dollari.
Biodesix (NASDAQ: BDSX) informó los resultados financieros del primer trimestre de 2025 con ingresos totales de 18,0 millones de dólares, un aumento del 21% interanual. Los ingresos por pruebas diagnósticas aumentaron un 18%, alcanzando los 16,3 millones de dólares, marcando el decimosexto trimestre consecutivo con un crecimiento superior al 15%. Los ingresos por Servicios de Desarrollo crecieron un 61%, hasta 1,7 millones de dólares. Los márgenes brutos mejoraron hasta el 79,4%. La pérdida neta mejoró un 18%, situándose en 11,1 millones de dólares, mientras que la pérdida de EBITDA ajustado mejoró un 11%, hasta 6,2 millones de dólares. Tras un exitoso piloto comercial, Biodesix reestructuró su equipo de ventas para enfocarse en neumólogos y médicos de atención primaria. Debido a retrasos en la implementación, la compañía revisó su guía de ingresos para 2025 a 80-85 millones de dólares, pero mantiene la expectativa de un EBITDA ajustado positivo en el cuarto trimestre. Después del trimestre, Biodesix aseguró 10 millones de dólares de la Tramo C de su línea de préstamo a plazo, elevando el saldo de caja pro forma a 27,6 millones de dólares.
Biodesix (NASDAQ: BDSX)는 2025년 1분기 재무 결과를 발표하며 총 매출액이 1,800만 달러로 전년 동기 대비 21% 증가했다고 밝혔습니다. 진단 검사 매출은 18% 증가한 1,630만 달러로, 16분기 연속 15% 이상의 성장세를 기록했습니다. 개발 서비스 매출은 61% 증가한 170만 달러를 기록했습니다. 총 이익률은 79.4%로 개선되었습니다. 순손실은 18% 감소한 1,110만 달러였으며, 조정 EBITDA 손실은 11% 개선된 620만 달러였습니다. 성공적인 상업 파일럿 이후 Biodesix는 영업팀 구조를 폐·호흡기 전문의와 1차 진료의사를 대상으로 재구성했습니다. 구현 지연으로 인해 회사는 2025년 매출 가이던스를 8,000만~8,500만 달러로 조정했으나, 4분기 조정 EBITDA 흑자 달성 기대는 유지하고 있습니다. 분기 종료 후 Biodesix는 대출 시설의 C 트랜치에서 1,000만 달러를 확보해 프로포마 현금 잔액을 2,760만 달러로 늘렸습니다.
Biodesix (NASDAQ : BDSX) a publié ses résultats financiers du premier trimestre 2025 avec un chiffre d'affaires total de 18,0 millions de dollars, en hausse de 21 % sur un an. Les revenus des tests diagnostiques ont augmenté de 18 % pour atteindre 16,3 millions de dollars, marquant le 16e trimestre consécutif avec une croissance supérieure à 15 %. Les revenus des services de développement ont progressé de 61 % pour atteindre 1,7 million de dollars. Les marges brutes se sont améliorées à 79,4 %. La perte nette s'est réduite de 18 % pour s'établir à 11,1 millions de dollars, tandis que la perte d'EBITDA ajusté s'est améliorée de 11 % pour atteindre 6,2 millions de dollars. Suite à un pilote commercial réussi, Biodesix a réorganisé la structure de son équipe commerciale pour cibler les pneumologues et les médecins généralistes. En raison de retards dans la mise en œuvre, la société a révisé ses prévisions de chiffre d'affaires pour 2025 à 80-85 millions de dollars, tout en maintenant sa prévision d'un EBITDA ajusté positif au quatrième trimestre. Après la clôture du trimestre, Biodesix a obtenu 10 millions de dollars de la tranche C de sa facilité de prêt à terme, portant le solde de trésorerie pro forma à 27,6 millions de dollars.
Biodesix (NASDAQ: BDSX) meldete die Finanzergebnisse für das erste Quartal 2025 mit einem Gesamtumsatz von 18,0 Millionen US-Dollar, was einem Anstieg von 21 % im Jahresvergleich entspricht. Die Erlöse aus diagnostischen Tests stiegen um 18 % auf 16,3 Millionen US-Dollar, was das 16. Quartal in Folge mit einem Wachstum von über 15 % markiert. Die Umsätze im Bereich Entwicklungsdienstleistungen wuchsen um 61 % auf 1,7 Millionen US-Dollar. Die Bruttomargen verbesserten sich auf 79,4%. Der Nettoverlust verbesserte sich um 18 % auf 11,1 Millionen US-Dollar, während sich der bereinigte EBITDA-Verlust um 11 % auf 6,2 Millionen US-Dollar verringerte. Nach einem erfolgreichen kommerziellen Pilotprojekt hat Biodesix seine Vertriebsstruktur neu ausgerichtet, um Pneumologen und Hausärzte gezielt anzusprechen. Aufgrund von Verzögerungen bei der Umsetzung hat das Unternehmen seine Umsatzprognose für 2025 auf 80-85 Millionen US-Dollar angepasst, hält jedoch weiterhin an der Erwartung fest, im vierten Quartal einen positiven bereinigten EBITDA zu erzielen. Nach Quartalsende sicherte sich Biodesix 10 Millionen US-Dollar aus Tranche C seiner Kreditfazilität, wodurch sich der Pro-forma-Bargeldbestand auf 27,6 Millionen US-Dollar erhöhte.
Positive
  • Revenue grew 21% YoY to $18.0 million in Q1 2025
  • Lung Diagnostics revenue increased 18%, marking 16th straight quarter of >15% growth
  • Gross margins improved to 79.4% from 78.6% YoY
  • Net loss improved by 18% compared to Q1 2024
  • Development Services revenue increased 61% YoY
  • Successfully secured additional $10M in funding through term loan facility
Negative
  • Revised 2025 revenue guidance downward to $80-85M due to sales team restructuring delays
  • Still operating at a significant net loss of $11.1M in Q1
  • Operating expenses increased 3% YoY
  • Sales team restructuring has caused approximately one quarter delay in commercial plans

Insights

Biodesix shows strong 21% revenue growth and improved margins, but revised guidance downward despite progress toward profitability.

Biodesix delivered a solid Q1 2025 with total revenue reaching $18.0 million, representing 21% year-over-year growth. The company demonstrated strength across both business segments, with Diagnostic Testing revenue growing 18% to $16.3 million (marking their 16th consecutive quarter of >15% growth) and Development Services revenue jumping 61% to $1.7 million.

Gross margins improved to 79.4%, up from 78.6% in Q1 2024, reflecting optimization in testing workflows and lower costs per test. The net loss of $11.1 million showed an 18% improvement compared to the prior year, while Adjusted EBITDA loss narrowed by 11% to $6.2 million.

The company's revised $80-85 million revenue guidance for 2025 (down from previous expectations) deserves attention, as it stems from a strategic reorganization of their sales approach. Management decided to pivot to a territory-based sales structure following a successful pilot targeting pulmonologists and primary care physicians who manage lung nodule patients. While this reconfiguration has delayed their commercial expansion by approximately one quarter, it targets the untapped ~50% of lung nodule patients managed in primary care settings.

Despite the reduced revenue guidance, Biodesix maintained its expectation to achieve Adjusted EBITDA positivity in Q4 2025, suggesting confidence in their operational efficiencies and cost control measures. The company also secured an additional $10 million from their term loan facility with Perceptive Advisors after quarter-end, boosting their pro forma cash position to $27.6 million, though this came with warrant repricing to $0.4191 per share.

The 3% increase in operating expenses was driven by higher R&D costs ($900 thousand increase) for clinical studies supporting current and pipeline products, partially offset by a 1% reduction in SG&A expenses. Non-cash stock compensation decreased significantly from $2.6 million to $1.0 million.

Total Q1 2025 Revenue of $18.0 million, an increase of 21% over Q1 2024;

Gross margins of 79.4% for Q1 2025;

Q1 2025 Net loss improved by 18% compared to Q1 2024;

Updated 2025 Revenue Guidance to a range of $80-85 million;

Conference Call and Webcast Today at 4:30 p.m. ET

LOUISVILLE, Colo., May 13, 2025 (GLOBE NEWSWIRE) -- Biodesix, Inc. (Nasdaq: BDSX), a leading diagnostic solutions company, today announced its financial and operating results for the first quarter ended March 31, 2025.

“Our quarter was highlighted by continued progress toward our three key goals for 2025 – growing top line revenue, improving operational efficiencies and leverage, and advancing our pipeline,” said Scott Hutton, Chief Executive Officer. “Year-over-year, we grew revenue by 21%, powered by growth in both our lung diagnostic testing and diagnostic services, all while decreasing our SG&A spend. Lung Diagnostics revenue grew 18%, which is the 16th straight quarter of greater than 15% growth. We also increased our already strong gross margins to 79.4%, improved Net Loss by 18% and Adjusted EBITDA by 11% on our path to profitability, and presented multiple studies on our pipeline products to help facilitate future growth.”

“In the second half of 2024, we conducted a commercial pilot to explore the expansion of our commercial reach to include pulmonology and the select primary care physicians in their referral network. The goal of the pilot was to assess our ability to effectively access the ~50% of patients with lung nodules being managed in primary care. Due to the successful conclusion of this pilot, we determined that the best strategy was to pause the former sales structure expansion and reconfigure our sales team into a territory-based sales structure, with a team of sales consultants calling across specialties in pulmonology and primary care. With these changes, we believe that we will not only increase patient access, but also provide Biodesix with the potential to accelerate the long-term growth potential of our lung diagnostic tests. That reconfiguration is now complete, and we have restarted the commercial expansion. Based on the timing of the field implementation, we estimate that we are approximately one quarter behind in our commercial plan. Including the results of the first quarter and the delay in sales rep hiring and field implementation, we are revising our revenue guidance to $80-85 million for the year.  That said, due to our strong gross margins and cost efficiencies, we are reiterating our expectation to achieve Adjusted EBITDA positivity in the fourth quarter. Following the end of the first quarter, we strengthened our cash position by drawing down the $10 million Tranche C from our term loan facility with Perceptive Advisors, increasing our pro forma cash balance to $27.6 million.”

First Quarter Ended March 31, 2025 Financial Results

  • Total revenue of $18.0 million for the first quarter 2025, an increase of 21% over the respective prior year comparable period;
    • Diagnostic Testing revenue of $16.3 million for the first quarter, an increase of 18% over the respective prior year comparable period; primarily driven by an increase in total tests delivered;  
    • Development Services revenue of $1.7 million for the first quarter, an increase of 61% over the respective prior year comparable period;
  • Gross margin was $14.3 million, or 79.4%, for the first quarter 2025, as a percentage of revenue compared to 78.6% in the prior year comparable period, continuing to be driven by growth in Diagnostic testing and optimization of testing workflows that resulted in improvements in costs per test and the ongoing expansion of our Development Services business;
  • Operating expenses (excluding direct costs and expenses) of $23.4 million for the first quarter 2025, an increase of 3% over the respective prior year comparable period;
    • Increase in operating expenses is attributed to a $900 thousand increase in Research and Development costs due to the investment in clinical studies to support on-market and pipeline products partially offset by a 1% decrease in Sales, General and Administrative costs;
    • Includes non-cash stock compensation expense of $1.0 million during the first quarter 2025, a decrease from $2.6 million in the prior year period.
  • Net loss of $11.1 million for the first quarter 2025, an improvement of 18% over the respective prior year comparable period;
  • Adjusted EBITDA was a loss of $6.2 million for the first quarter 2025, an improvement of 11% over the respective prior year comparable period;
  • Cash and cash equivalents of $17.6 million as of March 31, 2025. Subsequent to quarter end, we received $10.0 million from Tranche C of the amended term loan facility with Perceptive Advisors. The pro forma cash balance is $27.6 million. As consideration for drawing Tranche C of the amended term loan facility, the Company agreed to modify the previously agreed upon per share exercise prices of the outstanding warrants to a new per share exercise of $0.4191.

Updated 2025 Financial Outlook

  • Based on the timing expectations for the Company’s sales team expansion, the Company is revising guidance and anticipates generating between $80 million to $85 million in total revenue in 2025.

Conference call and webcast information

Listeners can register for the webcast via this link. Analysts who wish to participate in the question-and-answer session should use this link. A replay of the webcast will be available via the Company’s investor relations page on the website approximately two hours after the call’s conclusion. Participants are advised to join 15 minutes prior to the start time.

For a full list of Biodesix press releases and webinars, please visit biodesix.com.

About Biodesix

Biodesix is a leading diagnostic solutions company, driven to improve clinical care and outcomes for patients. ​Biodesix Diagnostic Tests, marketed as Nodify Lung® Nodule Risk Assessment and IQLung™ Cancer Treatment Guidance, support clinical decisions to expedite personalized care and improve outcomes for patients with lung disease. Biodesix Development Services enable the world’s leading biopharmaceutical, life sciences, and research institutions with scientific, technological, and operational capabilities that fuel the development of diagnostic tests, tools, and therapeutics. For more information, visit biodesix.com.

Trademarks: Biodesix, Biodesix Logo, Nodify Lung, and IQLung are trademarks or registered trademarks of Biodesix, Inc.

Use of Non-GAAP Financial Measure

Biodesix reported results are presented in accordance with generally accepted accounting principles in the United States (GAAP). Biodesix has provided in this press release financial information that has not been prepared in accordance with GAAP. Biodesix uses the non-GAAP financial measure, Adjusted EBITDA, internally in analyzing its financial results and believes that use of this non-GAAP financial measure is useful to investors as an additional tool to evaluate ongoing operating results and trends and in comparing Biodesix financial results with other companies in its industry, many of which present similar non-GAAP financial measures. Non-GAAP financial measures are not meant to be considered in isolation or as a substitute for comparable GAAP financial measures and should be read only in conjunction with Biodesix financial statements prepared in accordance with GAAP. A reconciliation of Biodesix historical non-GAAP financial measure to the most directly comparable GAAP measure has been provided in the financial statement tables included in this press release, and investors are encouraged to review the reconciliation.

Adjusted EBITDA is a key performance measure that our management uses to assess our financial performance and is also used for internal planning and forecasting purposes. We believe that this non-GAAP financial measure is useful to investors and other interested parties in analyzing our financial performance because it provides a comparable overview of our operations across historical periods. In addition, we believe that providing Adjusted EBITDA, together with a reconciliation of Net loss to Adjusted EBITDA, helps investors make comparisons between our Company and other companies that may have different capital structures, different tax rates, and/or different forms of employee compensation.

Adjusted EBITDA is used by our management team as an additional measure of our performance for purposes of business decision-making, including managing expenditures. Period-to-period comparisons of Adjusted EBITDA help our management identify additional trends in our financial results that may not be shown solely by period-to-period comparisons of Net loss or Loss from operations. Our management recognizes that Adjusted EBITDA has inherent limitations because of the excluded items and may not be directly comparable to similarly titled metrics used by other companies.

We calculate Adjusted EBITDA as Net loss adjusted to exclude interest, income tax expense, if any, depreciation and amortization, share-based compensation expense, loss on debt extinguishments, net, change in fair value of warrant liabilities, net, other income, net, and other non-recurring items. Non-recurring items are excluded as they are not representative of our underlying operating performance. Adjusted EBITDA should be viewed as a measure of operating performance that is a supplement to, and not a substitute for Loss from operations, Net loss, and other GAAP measures.

Note Regarding Forward-Looking Statements

This press release may contain forward-looking statements that involve substantial risks and uncertainties for purposes of the safe harbor provided by the Private Securities Litigation Reform Act of 1995. All statements contained in this press release other than statements of historical fact, are forward-looking statements. The words “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “plan,” “expect,” “predict,” “potential,” “opportunity,” “goals,” or “should,” and similar expressions are intended to identify forward-looking statements. Such statements are based on management’s current expectations and involve risks and uncertainties. Actual results and performance could differ materially from those projected in the forward-looking statements as a result of many factors. Biodesix has based these forward-looking statements largely on its current expectations and projections about future events and trends. These forward-looking statements are subject to a number of risks, uncertainties, and assumptions. Forward-looking statements may include information concerning the impact of backlog and the timing and assumptions regarding collection of revenues on projections, availability of funds and future capital, including under the term loan facility, the anticipated impact and benefits of new clinical data, reimbursement coverage and research partnerships, assurances that our common stock will continue to trade on The Nasdaq Stock Market LLC and the impact of enhanced U.S. tariffs, import/export restrictions or other trade barriers on Biodesix and its operations and financial performance. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Other factors that could cause actual results to differ materially from those contemplated in this press release can be found in the Risk Factors section of our most recent Annual Report on Form 10-K, filed March 3, 2025, or subsequent quarterly reports on Form 10-Q during 2025, as applicable. Biodesix undertakes no obligation to revise or publicly release the results of any revision to such forward-looking statements, except as required by law. Given these risks and uncertainties, readers are cautioned not to place undue reliance on such forward-looking statements. All forward-looking statements are qualified in their entirety by this cautionary statement. 

Contacts:
Media:
Natalie St. Denis
natalie.stdenis@biodesix.com
(720) 925-9285

Investors:
Chris Brinzey
chris.brinzey@icrhealthcare.com
(339) 970-2843


Biodesix, Inc.
Condensed Balance Sheets (unaudited)
(in thousands, except share data)
    
  March 31, 2025  December 31, 2024 
Assets 
Current assets      
Cash and cash equivalents $17,603  $26,245 
Accounts receivable, net of allowance for credit losses of $209 and $481  7,639   8,603 
Other current assets  4,380   4,636 
Total current assets  29,622   39,484 
Non-current assets      
Property and equipment, net  26,966   27,828 
Intangible assets, net  5,360   5,874 
Operating lease right-of-use assets  1,962   1,767 
Goodwill  15,031   15,031 
Other long-term assets  7,300   7,260 
Total non-current assets  56,619   57,760 
Total assets $86,241  $97,244 
       
Liabilities and Stockholders' Equity 
Current liabilities      
Accounts payable $2,925  $2,194 
Accrued liabilities  7,403   10,064 
Deferred revenue  788   678 
Current portion of operating lease liabilities  1,094   719 
Current portion of notes payable  18   21 
Other current liabilities  1,088   641 
Total current liabilities  13,316   14,317 
Non-current liabilities      
Long-term notes payable, net of current portion  36,693   36,408 
Long-term operating lease liabilities  24,480   24,828 
Other long-term liabilities  692   815 
Total non-current liabilities  61,865   62,051 
Total liabilities  75,181   76,368 
Commitments and contingencies      
Stockholders' equity      
Preferred stock, $0.001 par value, 5,000,000 authorized; 0 (2025 and 2024) issued and outstanding      
Common stock, $0.001 par value, 200,000,000 authorized; 146,443,460 (2025) and 145,491,569 (2024) shares issued and outstanding  146   145 
Additional paid-in capital  484,512   483,228 
Accumulated deficit  (473,598)  (462,497)
Total stockholders' equity  11,060   20,876 
Total liabilities and stockholders' equity $86,241  $97,244 



Biodesix, Inc.
Condensed Statements of Operations (unaudited)
(in thousands, except per share data)
 
  Three Months Ended March 31, 
  2025  2024 
Revenues      
Diagnostic Tests $16,316  $13,796 
Development Services  1,642   1,022 
Total revenues  17,958   14,818 
Direct costs and expenses  3,703   3,175 
Research and development  2,870   2,040 
Sales, marketing, general and administrative  20,448   20,556 
Impairment loss on intangible assets  73   68 
Total operating expenses  27,094   25,839 
Loss from operations  (9,136)  (11,021)
Other (expense) income:      
Interest expense  (1,685)  (2,529)
Change in fair value of warrant liability, net  (378)   
Other income (expense), net  98   (64)
Total other expense  (1,965)  (2,593)
       
Net loss $(11,101) $(13,614)
Net loss per share, basic and diluted $(0.08) $(0.14)
Weighted-average shares outstanding, basic and diluted  146,547   97,166 



Biodesix, Inc.
Reconciliation of Net Loss to Adjusted EBITDA (unaudited)
(in thousands)
 
 Three Months Ended March 31, 
 2025  2024 
Net loss$(11,101) $(13,614)
Interest expense 1,685   2,529 
Depreciation and amortization 1,440   1,420 
Share-based compensation expense 972   2,640 
Change in fair value of warrant liability, net 378    
Other expense, net 430   64 
Adjusted EBITDA$(6,196) $(6,961)

FAQ

What were Biodesix (BDSX) Q1 2025 earnings results?

Biodesix reported Q1 2025 revenue of $18.0M (up 21% YoY), with a net loss of $11.1M (18% improvement YoY). Gross margins were 79.4%, and Adjusted EBITDA loss was $6.2M.

Why did Biodesix (BDSX) revise its 2025 revenue guidance?

Biodesix revised its 2025 revenue guidance to $80-85M due to delays in implementing a new territory-based sales structure and sales rep hiring, causing approximately one quarter delay in their commercial plan.

What was Biodesix's (BDSX) cash position in Q1 2025?

Biodesix had $17.6M in cash as of March 31, 2025, and subsequently received $10M from Tranche C of their term loan facility, bringing pro forma cash balance to $27.6M.

How did Biodesix's (BDSX) Lung Diagnostics segment perform in Q1 2025?

Biodesix's Lung Diagnostics revenue grew 18% YoY, marking the 16th consecutive quarter of greater than 15% growth.

When does Biodesix (BDSX) expect to achieve EBITDA positivity?

Despite revising revenue guidance, Biodesix maintains its expectation to achieve Adjusted EBITDA positivity in the fourth quarter of 2025.
BIODESIX INC

NASDAQ:BDSX

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BDSX Stock Data

69.46M
69.85M
48.45%
40.21%
0.67%
Diagnostics & Research
Services-medical Laboratories
Link
United States
LOUISVILLE