BIODESIX INC(BDSX)Stock Analysis
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Rank #2,277 of 2,879 stocks
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
BDSX Stock Analysis & AI Quality Score
AI stock analysis and institutional research for BIODESIX INC (BDSX), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores BDSX at 32.3/100 on a 32-signal composite quality model, placing it at rank #2,277 of 2,879 stocks — the bottom half of the AI-ranked universe. BDSX scores in the top quartile across institutional flow (99.1), revenue growth (88.1). Areas of concern include balance sheet strength (4.0) and free cash flow (10.3), which score below median versus the broader universe. Shareholder dilution risk is elevated at 27.0/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), BIODESIX INC reports quarterly revenue of $25.6M, net income of $-7.8M, an operating margin of -24.3%. Top institutional holders of BDSX by reported 13-F value include AIGH Capital Management, Telemark Asset Management,, abrdn plc, based on the most recent SEC filings. BDSX trades on the Nasdaq exchange and files with the SEC under CIK 1439725. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate BDSX daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for BIODESIX INC directly from SEC EDGAR. BIODESIX INC's 13F Pro composite quality score has ranged between 8 and 39 since 2021, currently 32.3 — a declining long-term trajectory across 28 quarterly and live scoring snapshots.
Revenue
Q1 2026
$25.6M
Net Income
Q1 2026
$-7.8M
Free Cash Flow
Q1 2026
$-10.2M
Operating Margin
Q1 2026
-24.3%
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+80.3% YoYNet Income
+32.4% YoYOperating Income
+32.6% YoYEPS (Diluted)
-629.7% YoYTotal Assets
-11.7% YoYTotal Debt
+24.8% YoYOp. Cash Flow
-1.8% YoY| Metric | FY 2025 | FY 2023 | FY 2022 | FY 2020 | FY 2019 |
|---|---|---|---|---|---|
| Revenue | $88.5M +80.3% | $49.1M +28.5% | $38.2M -16.1% | $45.6M +85.6% | $24.6M |
| Net Income | $-35.3M +32.4% | $-52.1M +20.3% | $-65.4M +0.0% | $-65.4M -113.0% | $-30.7M |
| Operating Income | $-27.9M +32.6% | $-41.3M +18.3% | $-50.6M -120.6% | $-22.9M +14.2% | $-26.7M |
| EPS (Diluted) | $-4.67 -629.7% | $-0.64 +58.7% | $-1.55 | — | — |
| Total Assets | $87.5M -11.7% | $99.1M +6.7% | $92.9M -23.3% | $121.1M +190.8% | $41.6M |
| Total Debt | $50.0M +24.8% | $40.1M +33.0% | $30.1M +7.3% | $28.1M | — |
| Operating Cash Flow | $-23.3M -1.8% | $-22.9M +49.1% | $-45.0M -110.5% | $-21.4M +1.7% | $-21.7M |
AI Insight: BDSX Financial Trends
BIODESIX achieved first positive operating cash flow of $1M in Q4 2025 despite persistent losses and equity erosion.
• Revenue grew from $18M in Q2 2024 to $26M in Q1 2026, with Q4 2025 hitting peak of $29M.
• Operating losses narrowed from $8M in Q2 2024 to $2M in Q4 2025 before widening to $6M in Q1 2026.
• Operating cash flow turned positive to $1M in Q4 2025 after eight quarters of negative cash generation.
• Total debt increased from $40M to $50M starting Q2 2025 while equity declined from $36M to $9M.
⚠ Equity turned negative in Q3 2025 at $-2M before recovering to $9M in Q1 2026.
⚠ Operating cash flow reversed from positive $1M in Q4 2025 to negative $10M in Q1 2026.
AI Insight: BDSX Ratio Trends
BDSX showed dramatic profitability improvement in Q4 2025 with operating margin reaching -6.8% from -50.9% lows, but deteriorated again in Q1 2026.
• Operating margin improved sharply from -50.9% in Q1 2025 to -6.8% in Q4 2025, the best level in the dataset.
• ROIC strengthened from -76.0% in Q2 2025 to -16.6% in Q4 2025, showing significant operational recovery.
• Operating margin deteriorated to -24.3% in Q1 2026 from Q4 2025's -6.8%, reversing the improvement trend.
⚠ Debt-to-equity ratio spiked dramatically from 1.92 in Q4 2024 to 43.95 in Q2 2025, indicating severe leverage stress.
⚠ Q1 2026 margin decline suggests Q4 2025 improvement may not be sustainable without further operational changes.
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Available Research
13F Pro tracks comprehensive data for BIODESIX INC including:
Top Institutional Holders of BDSX
AIGH Capital Management LLC
$11.0M758,328 shTelemark Asset Management, LLC
$7.1M489,824 shabrdn plc
$6.6M458,438 shSoleus Capital Management, L.P.
$6.0M416,599 shBirchview Capital, LP
$4.2M286,804 shVANGUARD CAPITAL MANAGEMENT LLC
$3.7M255,161 shOpaleye Management Inc.
$3.5M238,047 shMARSHALL WACE, LLP
$2.1M141,636 shESSEX INVESTMENT MANAGEMENT CO LLC
$1.9M132,086 shStemPoint Capital LP
$1.0M70,004 sh
| Fund | Value | Shares |
|---|---|---|
| AIGH Capital Management LLC | $11.0M | 758,328 |
| Telemark Asset Management, LLC | $7.1M | 489,824 |
| abrdn plc | $6.6M | 458,438 |
| Soleus Capital Management, L.P. | $6.0M | 416,599 |
| Birchview Capital, LP | $4.2M | 286,804 |
| VANGUARD CAPITAL MANAGEMENT LLC | $3.7M | 255,161 |
| Opaleye Management Inc. | $3.5M | 238,047 |
| MARSHALL WACE, LLP | $2.1M | 141,636 |
| ESSEX INVESTMENT MANAGEMENT CO LLC | $1.9M | 132,086 |
| StemPoint Capital LP | $1.0M | 70,004 |
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Popular Research
Is BDSX a good stock to buy?
13F Pro's AI-powered analysis of BIODESIX INC (BDSX) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for BDSX are available on the BDSX stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own BDSX?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling BDSX. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of BIODESIX INC's investment landscape.