Summary of Biodesix (BDSX) FY Conference Call - August 12, 2025 Company Overview - Biodesix is a blood-based diagnostic company with a primary focus on lung cancer and a broader interest in pan-cancer through biopharmaceutical partnerships [3][4] Business Model and Product Offering - The company has five on-market tests, all covered by Medicare for lung disease patients, including two pre-cancer diagnostic tests and three post-cancer genomic and proteomic tests [3][4] - The proprietary proteomic test, Verastrat, assists physicians in determining the best treatment options for patients [4] Second Quarter Performance - The second quarter results exceeded expectations, attributed to a strategic shift towards primary care [5][6] - The company aims to leverage pulmonology networks to enhance patient referrals for testing, addressing concerns about delays in cancer diagnosis [6][7] Sales Strategy and Workforce Expansion - The sales force is expanding, with plans to increase from 74 to 85 representatives by the end of Q3 and 95 by Q4 [16][17] - The productivity of sales representatives has remained consistent, and the company is optimistic about future growth [12][17] Digital Integration and Efficiency - The transition from paper-based to digital ordering systems has improved efficiency and customer satisfaction, leading to increased reorder rates [26][27] - The company is working on further EMR integrations to streamline the ordering process [29][30] Biopharmaceutical Partnerships - The biopharma segment is growing, with $12.5 million in revenue under contract but not yet recognized [32] - The team has maintained high productivity and is focused on building long-term relationships with pharmaceutical partners [34][35] Research and Development Focus - R&D expenses have increased, primarily due to ongoing studies like Clarify and the development of the Verastrat test [48][49] - The company is working on a joint proteomic-genomic MRD test with Memorial Sloan Kettering, expected to be available in RUO capacity by the end of the year [41][42] Market Opportunities and Challenges - The company sees significant growth potential in lung cancer screening, despite current infrastructure challenges faced by pulmonologists [55][56] - The upcoming updates to clinical guidelines in 2025 may provide additional opportunities for the company [52][54] Financial Position and Future Outlook - Biodesix has approximately $20 million in cash and is exploring options to manage cash burn while aiming for adjusted EBITDA profitability [60][61] - The company is focused on growth rather than cost-cutting, with a strong emphasis on maintaining high gross margins [67][68] Key Takeaways - Biodesix is positioned for growth in the lung cancer diagnostic market, with a strong product offering and expanding sales force - The transition to digital ordering and ongoing biopharma partnerships are critical to enhancing operational efficiency and revenue generation - The company is optimistic about future developments in R&D and market opportunities, despite current financial challenges and industry dynamics [66][68]

Biodesix (BDSX) FY Conference Summary Company Overview - Biodesix is a leading diagnostics company focused on lung health, aiming to transform patient care through personalized diagnostics that are timely and accessible [4][3] - The company generates revenue from two segments: lung diagnostic tests and biopharmaceutical services [4][5] Financial Performance - Biodesix reported $18 million in revenue for Q1, representing a 21% year-over-year growth [51] - Revenue from lung diagnostic tests was $16.3 million, growing 18%, while development services saw a significant growth of 61% [51] - The company maintains industry-leading gross margins at just under 80% and expects to reach adjusted EBITDA breakeven by the end of the year [7][52] Product Portfolio - Biodesix has five Medicare-covered lung diagnostic tests, with three having advanced diagnostic laboratory status [6][7] - The company is expanding into digital diagnostics to complement its proteomic and genomic solutions [6] - The lung diagnostic portfolio includes tests for lung nodule risk assessment and treatment guidance [11][37] Market Opportunity - Lung cancer remains the deadliest cancer in the U.S., with one in five cancer-related deaths attributed to it [10][11] - The company aims to address the significant gap in early diagnosis and treatment selection for lung cancer patients [11][12] Clinical Studies and Data Development - Biodesix is conducting two key studies: ALTITUDE (a randomized prospective study) and CLARIFY (a retrospective chart review study) to demonstrate the efficacy and utility of its tests [24][25] - The company has published over 300 clinical publications and presentations, focusing on health economics and outcomes data [6][23] Sales Strategy - Biodesix plans to expand its sales force to 95 representatives by year-end, focusing on pulmonology [6] - The company is also targeting primary care physicians to improve patient referrals to pulmonologists, addressing the issue that many patients do not see specialists [32][35] Future Developments - The company is working on four tests in development, including a risk of recurrence test that combines proteomic and genomic data [42][43] - Biodesix is exploring expanded indications for its Veristrat test in other disease states, including prostate cancer [45][46] - The company is also venturing into digital diagnostics to enhance patient identification and improve test outcomes [47][48] Conclusion - Biodesix is positioned for transformative growth in 2025, with a strong focus on data development and expanding its product pipeline [53][54] - The company emphasizes the importance of its pulmonology-focused sales force and the potential impact of its diagnostic solutions on patient outcomes [54]

Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $18 million, representing a 21% increase year over year [22] - Lung diagnostic testing revenue was $16.3 million, reflecting an 18% growth, with test volumes increasing by 16% [22][24] - Gross margin improved to 79.4%, up from 78.6% in Q1 2024 [23] - Net loss for Q1 2025 was $11.1 million, an 18% improvement year over year [24] - Adjusted EBITDA loss was $6.2 million, an 11% improvement year over year [24] Business Line Data and Key Metrics Changes - Lung diagnostics revenue grew by 18%, marking the sixteenth consecutive quarter of over 15% year-over-year growth [5] - Development services revenue reached $1.7 million, a 61% increase compared to Q1 2024 [20] - The pipeline for development services ended Q1 with $10.9 million under contract, a 21% increase year over year [23] Market Data and Key Metrics Changes - The company is focusing on expanding its presence in the primary care market, which is expected to enhance patient access to lung diagnostics [9][12] - Digital test ordering increased by 58% over the last year, with customer retention for digital ordering being 40% higher than for non-digital ordering [8] Company Strategy and Development Direction - The company aims to achieve positive adjusted EBITDA by Q4 2025 while focusing on revenue growth and operational efficiencies [4][26] - A shift to a territory-based sales approach has been implemented to enhance market penetration in both pulmonology and primary care [9][11] - The company is exploring the integration of AI and radiomics into its diagnostic offerings to improve clinical workflows [12][13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving adjusted EBITDA positivity in Q4 2025 despite current challenges in the sales force expansion [24][44] - The company is optimistic about the growth potential in the primary care market, supported by positive feedback from pulmonologists [42][61] - Management acknowledged the need for careful monitoring of expenses while ramping up the sales team to meet growth targets [78] Other Important Information - The company has been recognized as a top workplace for the second consecutive year in 2025, highlighting its strong team culture [28] - The company plans to hold an R&D day in the fall to provide further insights into its pipeline and progress [20] Q&A Session Summary Question: Can you elaborate on the sales force changes and hiring challenges? - Management noted that the shift to primary care required a different hiring profile, which took longer than anticipated to finalize [32][34] Question: What is the outlook for Q2 and the rest of the year? - Management expects to have 70 to 75 sales reps in Q2, with plans to increase to 85 in Q3 and 95 in Q4 [39] Question: How are primary care physicians responding to the technology? - Early feedback indicates that primary care physicians are aware of the patient population and are interested in utilizing the diagnostic tests [41][61] Question: What is the impact of the $10 million loan on capital needs? - The additional capital provides more flexibility and confidence in achieving breakeven while supporting commercial expansion and pipeline activities [44][45] Question: How does the sales force configuration affect territory management? - Each territory will have a pulmonology sales consultant, with associate sales consultants supporting them based on specific needs and test volumes [92][93]