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BDSX · Biodesix Inc

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$24.00 +0.21 (+0.88%) At close · Aug 14
Market Cap
$253.23M
Shares
10.55M
All earnings calls

Earnings call · FY2025 Q4

Biodesix Inc Q4 FY2025 Earnings Call

Biodesix Inc Q4 FY2025 Earnings Call

Concluded Feb 26, 2026 Audio replay
Feb 26, 2026 5:28 39 turns
Period
FY2025 Q4
Runtime
5:28
Sources
4 artifacts

Executive readout · one minute

What matters this quarter

Biodesix delivered Q4 2025 revenue of $28.8 million, up 41% year-over-year, with gross margin expanding 400bps to 83% and its first-ever quarter of Adjusted EBITDA positivity. The company issued FY2026 revenue guidance of $106–112 million, a mid-point reflecting 23% growth.

Lung Diagnostics Growth 34 HEDIS / Lung Cancer Screening Guidelines 27 Profitability Milestones 16 Reimbursement and Revenue per Test 15 Product Pipeline 14 Biopharma Development Services / Partnerships 12

Management tone

Confident

Net tone +78 · low hedging

Grounding quotes
  • “we finished 2025 strong, with excellent fourth quarter performance, including accelerated revenue growth to 41%, delivered 83% gross margins, which are the strongest in advanced diagnostics”
  • “achieved adjusted EBITDA positivity”
  • “delivering additional coverage policies and improved claims collection”
  • “The important thing to remember is the majority of the new reps were hired later in the year, so a lot of the growth that we saw came from our existing reps.”

Forward guidance

2 guided metrics

Management's latest ranges and targets are included below.

Research coverage

4 live sources

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Revenue · derived Q4 $28.75M +40.8% YoY
Net income · derived Q4 -$3.98M

Research materials

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Key takeaways

What improved, and what deserves a closer read.

Constructive signals

  • Q4 revenue grew 41% to $28.8M, exceeding the high end of guidance
  • Gross margin expanded 400bps to 83% in Q4 (300bps to 81% for FY25)
  • Achieved first-ever quarter of Adjusted EBITDA positivity at $0.5M in Q4, a $4.5M improvement
  • Net loss improved 52% in Q4 to $4.0M
  • Core organic Diagnostic Test revenue grew 40% in Q4, with test volumes up 23% to 18,000
  • Primary care Nodify test volumes grew 67% over 2024 and pulmonology volumes grew 26%

Risks & pressure points

  • FY2025 net loss was $35.3M
  • FY2025 Adjusted EBITDA was a loss of $17.5M
  • Stock compensation expense, while decreasing, remains a non-cash cost headwind
  • Sales, marketing and G&A investment increased 14% in Q4 to support growth
  • No material update on HEDIS guidelines; potential catalyst delayed

Key moments

Jump directly to management's words in the synchronized transcript.

“we expect to deliver $106.0 million to $112.0 million in annual revenue, the midpoint of which represents 23% annual growth over 2025, and expect continued improvement towards sustained adjusted EBITDA positivity.” Robin Cowie, CFO
“Adjusted EBITDA, which excludes non-cash and other one-time items, was a positive $530,000 for the quarter. That was an improvement of 113% over 2024 and is the company's first ever positive adjusted EBITDA quarter.” Robin Cowie, CFO

Forward guidance

From the 8-K filed Feb 26, 2026.

Metric Guided
Total revenue
2026
$106M – $112M

Guidance from the call

Stated verbally and extracted from the transcript.

Metric Guided
Gross margins
throughout 2026
80%
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