Third quarter 2022 core Lung Diagnostic revenue of $9.2 million increased 102% over the comparable period in 2021;

U.S. Federal Supply Schedule Contract expands coverage to Veterans Health Administration and Military Health System Medical Centers for its entire Lung Diagnostic portfolio;

Conference Call and Webcast Today at 8:00 a.m. ET

Biodesix, Inc. (NASDAQ:BDSX), a leading data-driven diagnostic solutions company with a focus in lung disease, today announced its financial and operating results for third quarter ended September 30, 2022 and provided a corporate update.

"Our core lung diagnostic testing momentum through the third quarter resulted in record test volume and revenue. Lung diagnostic revenue grew 102% over the third quarter of 2021 and 26% over the second quarter 2022," said Scott Hutton, President and CEO. "In addition to a focus on sales growth, we have also accomplished several specific strategic reimbursement goals, including all five of our core lung diagnostic tests now being covered by Medicare and the addition of these tests to the Federal Fee Schedule contract for the U.S. Department of Veteran Affairs. These achievements have us well positioned for strong growth and continued high gross margin contributions as we look to the fourth quarter 2022 and beyond. We also remain committed to being a data-driven company through the expansion of our body of supportive clinical data and were proud to have recently participated in the American College of Chest Physicians (CHEST) annual meeting where we had several key presentations."

Third Quarter 2022 Financial Results

For the three-month period ended September 30, 2022, as compared to the same period of 2021 (where applicable):

Total revenue of $11.1 million, an increase of 70%, driven primarily by strong year-over-year growth in core lung diagnostics:
- Core lung diagnostic revenue of $9.2 million, reflected a year-over-year increase of 102% driven primarily by the increased adoption of Nodify Lung nodule management tests (Nodify CDT & Nodify XL2 tests) and the recent GeneStrat NGS commercial launch;
- COVID-19 testing revenue of $1.3 million reflected a year-over-year increase of 154% that was driven primarily by testing volume under a now expired contract with the State of Colorado;
- BioPharma Services revenue of $0.7 million decreased 55% year-over-year. COVID-related delays in clinical study enrollment and sample shipping logistics have begun to recover but are still impacting timelines for existing and new agreements;
Third quarter 2022 gross profit of $7.5 million, or 67% gross margin as compared to 58% gross margin in the comparable prior year period primarily driven by the growth of sales in our higher-margin core lung diagnostics;
Operating expenses (excluding direct costs and expenses) of $18.1 million, an increase of 7% driven primarily by growth in sales and marketing which support the record growth in core lung diagnostics sales as well as the recent GeneStrat NGS™ commercial launch;
- Includes non-cash stock compensation expense of $1.2 million as compared to $1.4 million;
Net loss of $13.7 million, an increase of 19%, driven primarily by a gain on extinguishment of $3.1 million in the third quarter 2021 related to the debt forgiveness under the Small Business Administration Loan forgiveness program and higher interest costs of $1.5 million partially offset by a reduction in operating loss of $2.5 million or 19%;
Cash and cash equivalents of $15.2 million as of September 30, 2022;
- Raised net proceeds of $1.8 million during the quarter through equity offerings;
- Includes payments during the quarter for principal repayment of $2.0 million on the 2021 Term Loan and $2.1 million for scheduled milestone payment to Indi.

2022 Financial Outlook

The Company expects to be at the high end of its previously disclosed total revenue guidance for 2022 of $37.5 million and $39.5 million. Our guidance contemplates minimal COVID-19 and BioPharma Services revenue in the fourth quarter and continued growth within our core lung diagnostic testing.

Conference call and webcast information

Listeners can register for the webcast via this link. Analysts wishing 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 website approximately two hours after the call's conclusion. Those who plan on participating are advised to join 15 minutes prior to the start time.

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

About Biodesix

Biodesix is a leading data-driven diagnostic solutions company with a focus in lung disease. The Company develops diagnostic tests addressing important clinical questions by combining multi-omics through the power of artificial intelligence. Biodesix offers five Medicare-covered tests for patients with lung diseases. The blood based Nodify Lung® nodule risk assessment testing strategy, consisting of the Nodify XL2® and the Nodify CDT® tests, evaluates the risk of malignancy in incidental pulmonary nodules, enabling physicians to better triage patients to the most appropriate course of action. The blood based IQLung™ strategy for lung cancer patients integrates the GeneStrat® ddPCR™ test, the GeneStrat NGS™ test and the VeriStrat® test to support treatment decisions across all stages of lung cancer with results in an unprecedented average of 36-72 hours, expediting time to treatment. Biodesix also leverages the proprietary and advanced Diagnostic Cortex® AI (Artificial Intelligence) platform, to collaborate with many of the world's leading biotechnology and pharmaceutical companies to solve complex diagnostic challenges in lung disease. For more information about Biodesix, visit biodesix.com.

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 the COVID-19 pandemic on Biodesix and its operations, it is possible or assumed future results of operations, including descriptions of its revenues, profitability, outlook, and overall business strategy. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. The Company's ability to continue as a going concern could cause actual results to differ materially from those contemplated in this press release and additionally, 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 Biodesix's most recent annual report on Form 10-K, filed March 14, 2022 or subsequent quarterly reports on Form 10-Q during 2022, if 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.

Biodesix, Inc. Condensed Balance Sheets (unaudited) (in thousands, except share data)

	September 30, 2022			December 31, 2021
Assets
Current assets
Cash and cash equivalents	$	15,175		$	32,712
Accounts receivable, net of allowance for doubtful accounts of $50 and $158		4,449			3,656
Other current assets		4,494			7,245
Total current assets		24,118			43,613
Non‑current assets
Property and equipment, net		4,259			4,179
Intangible assets, net		10,223			11,617
Operating lease right-of-use assets		3,475			—
Goodwill		15,031			15,031
Other long-term assets		6,092			1,657
Total non‑current assets		39,080			32,484
Total assets	$	63,198		$	76,097

Liabilities and Stockholders' (Deficit) Equity
Current liabilities
Accounts payable	$	2,100		$	1,662
Accrued liabilities		6,677			7,665
Deferred revenue		1,637			1,850
Current portion of operating lease liabilities		1,436			—
Current portion of contingent consideration		9,286			17,764
Current portion of notes payable		14,334			19
Other current liabilities		1,945			—
Total current liabilities		37,415			28,960
Non‑current liabilities
Long‑term notes payable, net of current portion		4,880			9,993
Long-term operating lease liabilities		2,855			—
Contingent consideration		20,891			16,028
Other long-term liabilities		60			1,389
Total non‑current liabilities		28,686			27,410
Total liabilities		66,101			56,370
Commitments and contingencies
Stockholders' equity
Preferred stock, $0.001 par value, 5,000,000 shares authorized;		—			—
0 (2022 and 2021) shares issued and outstanding
Common stock, $0.001 par value, 200,000,000 shares authorized;		41			31
41,185,532 (2022) and 30,789,649 (2021) shares issued and outstanding
Additional paid‑in capital		344,138			321,669
Accumulated deficit		(347,082	)		(301,973	)
Total stockholders' (deficit) equity		(2,903	)		19,727
Total liabilities and stockholders' (deficit) equity	$	63,198		$	76,097

Biodesix, Inc. Condensed Statements of Operations (unaudited) (in thousands, except per share data)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2022			2021			2022			2021
Revenues
COVID-19	$	1,286		$	506		$	5,224		$	29,802
Lung diagnostic		9,157			4,533			21,058			13,270
Diagnostic testing revenue		10,443			5,039			26,282			43,072
Biopharma services		664			1,492			2,323			4,210
Total revenues		11,107			6,531			28,605			47,282
Direct costs and expenses		3,633			2,722			10,848			28,025
Research and development		2,970			3,293			9,537			9,937
Sales, marketing, general and administrative		15,114			13,607			44,836			36,959
Change in fair value of contingent consideration		—			—			—			1,622
Impairment loss on intangible assets		—			—			81			—
Total operating expenses		21,717			19,622			65,302			76,543
Loss from operations		(10,610	)		(13,091	)		(36,697	)		(29,261	)
Other (expense) income:
Interest expense		(3,039	)		(1,546	)		(5,522	)		(3,012	)
(Loss) gain on extinguishment of liabilities, net		(52	)		3,123			(3,004	)		2,395
Other income, net		2			—			114			1
Total other (expense) income		(3,089	)		1,577			(8,412	)		(616	)

Net loss	$	(13,699	)	$	(11,514	)	$	(45,109	)	$	(29,877	)
Net loss per share, basic and diluted	$	(0.34	)	$	(0.41	)	$	(1.22	)	$	(1.09	)
Weighted-average shares outstanding, basic and diluted		40,448			28,051			36,953			27,467

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Biodesix Announces Third Quarter 2022 Results and Highlights