Biodesix's Q4 2024: Contradictions Unveiled on Sales Force Expansion, EBITDA Profitability, and Biopharma Revenue
Monday, Mar 3, 2025 8:13 pm ET
These are the key contradictions discussed in Biodesix's latest 2024 Q4 earnings call, specifically including: Sales Force Expansion and Productivity, Adjusted EBITDA Profitability, Sales Force Expansion and its Impact, Product Pipeline and R&D Investment, Salesforce Expansion Strategy and Revenue Outlook, and Biopharma Revenue Recognition Timeline:
Revenue Growth and Lung Diagnostic Testing:
- Biodesix reported $71.3 million in total revenue for the full year of 2024, exceeding the midpoint of their improved revenue guidance, with 45% year-over-year growth.
- The growth was driven by the expansion and professional development of their lung-focused sales and commercial teams, leading to a 43% increase in Lung Diagnostic Testing revenues over the previous year.
Improved Gross Margins and Adjusted EBITDA:
- The company achieved an improvement in its gross margins, reaching 78% for the year, and reduced its adjusted EBITDA loss by 32%.
- This improvement was attributed to a cost-disciplined approach and a significant increase in Lung Diagnostic Testing sales.
Diagnostic Development Services Expansion:
- Biodesix's Diagnostic Development Services revenue increased by 70% year-over-year, with $12.2 million under contract but not yet recognized as revenue at the end of 2024, up 54% compared to the prior year.
- The expansion of these services was driven by increased demand for Biodesix's multimodal approach and R&D expertise in helping partners personalize patient care.
Salesforce Expansion and Market Strategy:
- Biodesix plans to expand its salesforce by adding approximately six sales teammates per quarter, aiming to end the year with about 95 teammates supporting 50 territories.
- This expansion strategy is focused on accessing more of the addressable market across pulmonology and primary care, leveraging successful pilots and referrals from interventional pulmonologists.

Revenue Growth and Lung Diagnostic Testing:
- Biodesix reported $71.3 million in total revenue for the full year of 2024, exceeding the midpoint of their improved revenue guidance, with 45% year-over-year growth.
- The growth was driven by the expansion and professional development of their lung-focused sales and commercial teams, leading to a 43% increase in Lung Diagnostic Testing revenues over the previous year.
Improved Gross Margins and Adjusted EBITDA:
- The company achieved an improvement in its gross margins, reaching 78% for the year, and reduced its adjusted EBITDA loss by 32%.
- This improvement was attributed to a cost-disciplined approach and a significant increase in Lung Diagnostic Testing sales.
Diagnostic Development Services Expansion:
- Biodesix's Diagnostic Development Services revenue increased by 70% year-over-year, with $12.2 million under contract but not yet recognized as revenue at the end of 2024, up 54% compared to the prior year.
- The expansion of these services was driven by increased demand for Biodesix's multimodal approach and R&D expertise in helping partners personalize patient care.
Salesforce Expansion and Market Strategy:
- Biodesix plans to expand its salesforce by adding approximately six sales teammates per quarter, aiming to end the year with about 95 teammates supporting 50 territories.
- This expansion strategy is focused on accessing more of the addressable market across pulmonology and primary care, leveraging successful pilots and referrals from interventional pulmonologists.

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