Revenue Growth - Biodesix reported significant growth in revenue from its Lung Diagnostic Testing and Development Services, with a focus on five blood-based tests for lung diagnostics [510]. - Total revenue for fiscal 2024 was $71.3 million, a 45% increase compared to $49.1 million in fiscal 2023 [524]. - Lung Diagnostic Testing revenue reached $64.7 million, up 43% from $45.2 million in the previous year, driven by an increase in tests delivered [525]. - Development Services revenue increased by 70% to $6.6 million, compared to $3.9 million in fiscal 2023, attributed to new agreements and an expanding business [527]. Test Innovations and Studies - The Nodify CDT Test received Advanced Diagnostic Laboratory Test (ADLT) status from CMS, recognizing its innovative nature and Medicare coverage [503]. - The ORACLE study demonstrated that patients with benign nodules managed by the Nodify XL2 test were 74% less likely to undergo unnecessary invasive procedures compared to the control group [504]. - The ongoing INSIGHT study has enrolled 5,000 patients with non-small cell lung cancer, with follow-up expected to complete by 2026, aimed at expanding clinical understanding of the VeriStrat test [503]. - Biodesix has achieved approximately 90 peer-reviewed publications for its tests, enhancing its credibility and clinical evidence base [507]. - Biodesix employs a multi-omic approach, integrating genomics, proteomics, and AI to enhance diagnostic capabilities and address complex clinical questions [494]. Financial Performance - Gross margin for fiscal 2024 was 78%, an improvement from 73% in the prior year, primarily due to growth in Lung Diagnostic Testing and optimized testing workflows [524]. - Operating expenses for fiscal 2024 totaled $105.8 million, a 17% increase from $90.4 million in fiscal 2023, driven by higher sales and marketing costs [524]. - Net loss for fiscal 2024 was $42.9 million, an improvement of 18% compared to a net loss of $52.1 million in fiscal 2023 [524]. - The Company reported net losses of $42.9 million and $52.1 million for the years ended December 31, 2024 and 2023, respectively, with an accumulated deficit of approximately $462.5 million as of December 31, 2024 [550]. Cash and Liquidity - Cash and cash equivalents stood at $26.2 million as of December 31, 2024, following an amendment to the term loan facility to extend a $10 million loan [72]. - The Company believes it has sufficient liquidity to fund operations for at least the next 12 months following the amended debt agreement in October 2024 [551]. - Net cash used in operating activities for the year ended December 31, 2024, totaled $48.6 million, an increase of approximately $25.8 million compared to 2023, primarily due to unfavorable changes in net working capital of $33.0 million [552]. - Net cash provided by financing activities for the year ended December 31, 2024, totaled $52.1 million, an increase of $22.9 million compared to 2023, primarily from $51.3 million in net proceeds from the issuance of common stock [554]. Research and Development - The company plans to increase research and development expenses to support innovation and the development of new clinically relevant tests [507]. - Research and development expenses decreased by 4% to $9.6 million, primarily due to reduced external costs associated with clinical trials [529]. - The company expects research and development expenses to rise as it continues to innovate and expand its product offerings [520]. Debt and Interest - The Company amended the Perceptive Term Loan Facility to eliminate the Tranche C Loan revenue milestone and extend the Commitment Termination Date through December 31, 2025 [550]. - As of December 31, 2024, the outstanding balance on the Perceptive Term Loan Facility was $40.0 million, with an annual interest rate based on the greater of forward-looking one-month term SOFR or 3.0% plus an applicable margin of 9.0% [568]. - Interest expense decreased by $1.3 million or 13% for the year ended December 31, 2024, primarily related to a decline in contingent consideration balance [531]. Revenue Recognition - Revenue is recognized when customers obtain control of promised goods or services, following a five-step process [558]. - The company recognizes revenues related to blood-based lung diagnostic billings based on estimates of amounts expected to be collected from customers [559]. Company Classification - The company is classified as an "emerging growth company" and a "smaller reporting company," allowing it to take advantage of certain exemptions from public company reporting requirements [563].
Biodesix(BDSX) - 2024 Q4 - Annual Report