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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-Q

 

 

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2024

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission File Number: 001-39659

 

 

BIODESIX, INC.

(Exact Name of Registrant as Specified in its Charter)

 

 

Delaware

20-3986492

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer
Identification No.)

 

919 West Dillon Rd

Louisville, Colorado

80027

(Address of principal executive offices)

(Zip Code)

Registrant’s telephone number, including area code: (303) 417-0500

 

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange on which registered

Common Stock, par value $0.001 per share

 

BDSX

 

The NASDAQ Global Market

 

Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

Accelerated filer

 

 

 

 

Non-accelerated filer

Smaller reporting company

 

 

 

 

 

 

 

Emerging growth company

 

 

 

 

 

 

If an emerging growth company, indicate by check mark if the Registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No

Indicate by check mark whether the Registrant has filed all documents and reports required to be filed by Sections 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court. Yes ☒ No ☐

As of October 25, 2024, the Registrant had 145,467,295 shares of common stock, $0.001 par value per share, outstanding.

 

 


 

Table of Contents

 

Page

PART I.

FINANCIAL INFORMATION

1

Item 1.

Financial Statements (Unaudited)

1

 

Condensed Balance Sheets as of September 30, 2024 and December 31, 2023

1

 

Condensed Statements of Operations for the Three and Nine Months Ended September 30, 2024 and 2023

2

Condensed Statements Stockholders' Equity (Deficit) for the Three and Nine Months Ended September 30, 2024 and 2023

3

Condensed Statements of Cash Flows for the Nine Months Ended September 30, 2024 and 2023

5

Notes to Condensed Financial Statements

7

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

24

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

36

Item 4.

Controls and Procedures

36

 

 

 

PART II.

OTHER INFORMATION

38

Item 1.

Legal Proceedings

38

Item 1A.

Risk Factors

38

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

38

Item 3.

Defaults Upon Senior Securities

39

Item 4.

Mine Safety Disclosures

39

Item 5.

Other Information

39

Item 6.

Exhibits

40

 

Signature

41

 

 

i


 

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

 

This Quarterly Report on Form 10-Q contains forward-looking statements about us and our industry that involve substantial risks and uncertainties, including but not limited to those set forth under the caption “Special Note Regarding Forward-Looking Statements” and Item 1A. “Risk Factors” of Part II of this Quarterly Report on Form 10-Q and those discussed in our other filings with the Securities and Exchange Commission (SEC), including the risks described in Item 1A. “Risk Factors” of Part I of our Annual Report on Form 10-K for the year ended December 31, 2023, which was filed on March 1, 2024. All statements other than statements of historical facts contained in this Quarterly Report on Form 10-Q, including statements regarding our future financial condition, results of operations, business strategy and plans, and objectives of management for future operations, as well as statements regarding industry trends, are forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potentially,” “predict,” “should,” “will” or the negative of these terms or other similar expressions.

We have based these forward-looking statements largely on our current expectations and projections about future events and trends that we believe may affect our financial condition, results of operations, business strategy and financial needs. These forward-looking statements are subject to a number of risks, uncertainties, factors, and assumptions described under the section titled “Risk Factors” in this Report and in the section entitled “Risk Factors” and elsewhere in our Annual Report on Form 10-K for the year ended December 31, 2023, regarding, among other things:

our inability to achieve or sustain profitability;
our unaudited financial statements include a statement that there is a substantial doubt about our ability to continue as a going concern, and a continuation of negative financial trends could result in our inability to continue as a going concern;
our ability to attain significant market acceptance among payers, providers, clinics, patients, and biopharmaceutical companies for our diagnostic tests;
difficulties managing our growth, which could disrupt our operations;
failure to retain sales and marketing personnel, and failure to increase our sales and marketing capabilities or develop broad awareness of our diagnostic tests to generate revenue growth;
failure to maintain our current relationships, or enter into new relationships, with biopharmaceutical companies;
significant fluctuation in our operating results, causing our operating results to fall below expectations or any guidance we provide;
product performance and reliability to maintain and grow our business;
third-party suppliers, including courier services, contract manufacturers and single source suppliers, making us vulnerable to supply problems and price fluctuations;
the impact of a pandemic, epidemic, or outbreak of an infectious disease in the United States (U.S.) or worldwide, including the COVID-19 pandemic on our business;
natural or man-made disasters and other similar events negatively impacting our business, financial condition, and results of operations;
failure to offer high-quality support for our diagnostic tests, which may adversely affect our relationships with providers and negatively impact our reputation among patients and providers;
our inability to continue to innovate and improve our diagnostic tests and services we offer;
security or data privacy breaches or other unauthorized or improper access;
significant disruptions in our information technology systems;
the incurrence of substantial liabilities and limiting or halting the marketing and sale of our diagnostic tests due to product liability lawsuits;
our inability to compete successfully with competition from many sources, including larger companies;
performance issues, service interruptions or price increases by our shipping carriers;
cost-containment efforts of our customers, purchasing groups and integrated delivery networks having a material adverse effect on our sales and profitability;
potential effects of litigation and other proceedings;

ii


 

general economic and financial market conditions;
our ability to attract and retain key personnel;
current and future debt financing placing restrictions on our operating and financial flexibility;
our need to raise additional capital to fund our existing operations, develop our platform, commercialize new diagnostic tests, or expand our operations;
the acquisition of other businesses, which could require significant management attention;
the uncertainty of the insurance coverage and reimbursement status of newly approved diagnostic tests;
future healthcare reform measures that could hinder or prevent the commercial success of our diagnostic tests;
compliance with anti-corruption, anti-bribery, anti-money laundering and similar laws;
compliance with healthcare fraud and abuse laws;
our ability to develop, receive regulatory clearance or approval or certification for, and introduce new diagnostic tests or enhancements to existing diagnostic tests that will be accepted by the market in a timely manner;
failure to comply with ongoing FDA or other domestic and foreign regulatory authority requirements, or unanticipated problems with our diagnostic tests, causing them to be subject to restrictions or withdrawal from the market;
future product recalls;
legal proceedings initiated by third parties alleging that we are infringing, misappropriating, or otherwise violating their intellectual property rights, the outcome of which would be uncertain;
the volatility of the trading price of our common stock;
inaccurate estimates or judgments relating to our critical accounting policies, which could cause our operating results to fall below the expectations of securities analysts and investors; and
other risks, uncertainties and factors, including those set forth under "Risk Factors".

These risks are not exhaustive. Other sections of this Quarterly Report on Form 10-Q may include additional factors that could harm our business and financial performance. New risk factors may emerge from time to time and it is not possible for our management to predict all risk factors, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in, or implied by, any forward-looking statements.

You should not rely upon forward-looking statements as predictions of future events. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance or achievements. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason after the date of this Quarterly Report on Form 10-Q or to conform these statements to actual results or to changes in our expectations.

In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this Quarterly Report on Form 10-Q, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and investors are cautioned not to unduly rely upon these statements.

You should read this Quarterly Report on Form 10-Q and the documents that we reference and have filed as exhibits with the understanding that our actual future results, levels of activity, performance and achievements may be different from what we expect. We qualify all of our forward-looking statements by these cautionary statements.

iii


 

PART I—FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited).

BIODESIX, INC.

Condensed Balance Sheets

(in thousands, except share data)

 

 

 

 

 

 

 

September 30, 2024

 

 

December 31, 2023

 

Assets

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

31,406

 

 

$

26,284

 

Accounts receivable, net of allowance for credit losses of $246 and $65

 

 

8,036

 

 

 

7,679

 

Other current assets

 

 

4,575

 

 

 

5,720

 

Total current assets

 

 

44,017

 

 

 

39,683

 

Non‑current assets

 

 

 

 

 

 

Property and equipment, net

 

 

28,683

 

 

 

27,867

 

Intangible assets, net

 

 

6,438

 

 

 

7,911

 

Operating lease right-of-use assets

 

 

1,918

 

 

 

1,745

 

Goodwill

 

 

15,031

 

 

 

15,031

 

Other long-term assets

 

 

6,656

 

 

 

6,859

 

Total non‑current assets

 

 

58,726

 

 

 

59,413

 

Total assets

 

$

102,743

 

 

$

99,096

 

 

 

 

 

 

 

Liabilities and Stockholders' Equity

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

2,537

 

 

$

2,929

 

Accrued liabilities

 

 

8,553

 

 

 

7,710

 

Deferred revenue

 

 

676

 

 

 

324

 

Current portion of operating lease liabilities

 

 

624

 

 

 

252

 

Current portion of contingent consideration

 

 

 

 

 

21,857

 

Current portion of notes payable

 

 

29

 

 

 

51

 

Other current liabilities

 

 

544

 

 

 

293

 

Total current liabilities

 

 

12,963

 

 

 

33,416

 

Non‑current liabilities

 

 

 

 

 

 

Long‑term notes payable, net of current portion

 

 

36,112

 

 

 

35,225

 

Long-term operating lease liabilities

 

 

25,191

 

 

 

25,163

 

Other long-term liabilities

 

 

620

 

 

 

712

 

Total non‑current liabilities

 

 

61,923

 

 

 

61,100

 

Total liabilities

 

 

74,886

 

 

 

94,516

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders' equity

 

 

 

 

 

 

Preferred stock, $0.001 par value, 5,000,000 authorized;
    
0 (2024 and 2023) issued and outstanding

 

 

 

 

 

 

Common stock, $0.001 par value, 200,000,000 authorized;
    
145,465,941 (2024) and 96,235,883 (2023) shares issued and outstanding

 

 

145

 

 

 

96

 

Additional paid‑in capital

 

 

481,958

 

 

 

424,050

 

Accumulated deficit

 

 

(454,246

)

 

 

(419,566

)

Total stockholders' equity

 

 

27,857

 

 

 

4,580

 

Total liabilities and stockholders' equity

 

$

102,743

 

 

$

99,096

 

 

The accompanying Notes are an integral part of these unaudited condensed financial statements.

 

1


 

BIODESIX, INC.

Condensed Statements of Operations

(in thousands, except per share data)

 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenues

 

$

18,151

 

 

$

13,491

 

 

$

50,894

 

 

$

34,419

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Direct costs and expenses

 

 

4,179

 

 

 

3,229

 

 

 

11,231

 

 

 

9,636

 

Research and development

 

 

2,547

 

 

 

1,938

 

 

 

7,145

 

 

 

8,099

 

Sales, marketing, general and administrative

 

 

20,016

 

 

 

15,496

 

 

 

60,232

 

 

 

51,136

 

Impairment loss on intangible assets

 

 

 

 

 

 

 

 

135

 

 

 

20

 

Total operating expenses

 

 

26,742

 

 

 

20,663

 

 

 

78,743

 

 

 

68,891

 

Loss from operations

 

 

(8,591

)

 

 

(7,172

)

 

 

(27,849

)

 

 

(34,472

)

Other (expense) income:

 

 

 

 

 

 

 

 

Interest expense

 

 

(2,041

)

 

 

(2,386

)

 

 

(6,506

)

 

 

(7,207

)

Loss on extinguishment of liabilities

 

 

 

 

 

 

 

 

(248

)

 

 

 

Change in fair value of warrant liability, net

 

 

 

 

 

(1,393

)

 

 

 

 

 

(1,332

)

Other income (expense), net

 

 

374

 

 

 

2

 

 

 

(77

)

 

 

4

 

Total other expense

 

 

(1,667

)

 

 

(3,777

)

 

 

(6,831

)

 

 

(8,535

)

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(10,258

)

 

$

(10,949

)

 

$

(34,680

)

 

$

(43,007

)

Net loss per share, basic and diluted

 

$

(0.07

)

 

$

(0.14

)

 

$

(0.28

)

 

$

(0.55

)

Weighted-average shares outstanding, basic and diluted

 

 

146,296

 

 

 

79,709

 

 

 

123,634

 

 

 

78,672

 

 

The accompanying Notes are an integral part of these unaudited condensed financial statements.

 

2


 

BIODESIX, INC.

Condensed Statements of Stockholders' Equity (Deficit)

(in thousands)

 

 

 

Common Stock

 

 

Additional Paid‑In

 

 

Accumulated

 

 

Total Stockholders' Equity

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Deficit

 

 

(Deficit)

 

Balance ‑ December 31, 2023

 

 

96,236

 

 

$

96

 

 

$

424,050

 

 

$

(419,566

)

 

$

4,580

 

Issuance of common stock, net

 

 

314

 

 

 

1

 

 

 

606

 

 

 

 

 

 

607

 

Issuance of common stock under employee stock purchase plan

 

 

216

 

 

 

 

 

 

282

 

 

 

 

 

 

282

 

Exercise of stock options

 

 

6

 

 

 

 

 

 

3

 

 

 

 

 

 

3

 

Release of restricted stock units

 

 

387

 

 

 

 

 

 

 

 

 

 

 

 

 

Share‑based compensation

 

 

 

 

 

 

 

 

2,640

 

 

 

 

 

 

2,640

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

(13,614

)

 

 

(13,614

)

Balance ‑ March 31, 2024

 

 

97,159

 

 

97

 

 

427,581

 

 

(433,180

)

 

(5,502

)

Conversion of preferred stock liabilities to common stock, net

 

 

30,435

 

 

 

31

 

 

 

33,119

 

 

 

 

 

 

33,150

 

Issuance of common stock, net

 

 

17,392

 

 

 

17

 

 

 

18,181

 

 

 

 

 

 

18,198

 

Exercise of stock options

 

 

8

 

 

 

 

 

 

4

 

 

 

 

 

 

4

 

Release of restricted stock units

 

 

156

 

 

 

 

 

 

 

 

 

 

 

 

 

Share‑based compensation

 

 

 

 

 

 

 

 

1,218

 

 

 

 

 

 

1,218

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

(10,808

)

 

 

(10,808

)

Balance - June 30, 2024

 

 

145,150

 

 

 

145

 

 

 

480,103

 

 

 

(443,988

)

 

 

36,260

 

Issuance of common stock, net

 

 

 

 

 

 

 

 

(15

)

 

 

 

 

 

(15

)

Issuance of common stock under employee stock purchase plan

 

 

255

 

 

 

 

 

 

343

 

 

 

 

 

 

343

 

Exercise of stock options

 

 

13

 

 

 

 

 

 

12

 

 

 

 

 

 

12

 

Release of restricted stock units

 

 

48

 

 

 

 

 

 

 

 

 

 

 

 

 

Share‑based compensation

 

 

 

 

 

 

 

 

1,515

 

 

 

 

 

 

1,515

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

(10,258

)

 

 

(10,258

)

Balance - September 30, 2024

 

 

145,466

 

 

$

145

 

 

$

481,958

 

 

$

(454,246

)

 

$

27,857

 

 

 

 

 

The accompanying Notes are an integral part of these unaudited condensed financial statements.

 

3


 

 

 

Common Stock

 

 

Additional Paid‑In

 

 

Accumulated

 

 

Total Stockholders' (Deficit)

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Deficit

 

 

Equity

 

Balance ‑ December 31, 2022

 

 

77,614

 

 

$

78

 

 

$

387,948

 

 

$

(367,420

)

 

$

20,606

 

Issuance of common stock, net

 

 

 

 

 

 

 

 

(61

)

 

 

 

 

 

(61

)

Issuance of common stock under employee stock purchase plan

 

 

270

 

 

 

 

 

 

420

 

 

 

 

 

 

420

 

Exercise of stock options

 

 

9

 

 

 

 

 

 

6

 

 

 

 

 

 

6

 

Release of restricted stock units

 

 

86

 

 

 

 

 

 

 

 

 

 

 

 

 

Share‑based compensation

 

 

 

 

 

 

 

 

2,281

 

 

 

 

 

 

2,281

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

(18,702

)

 

 

(18,702

)

Balance ‑ March 31, 2023

 

 

77,979

 

 

78

 

 

390,594

 

 

(386,122

)

 

4,550

 

Exercise of stock options

 

 

107

 

 

 

 

 

 

81

 

 

 

 

 

 

81

 

Release of restricted stock units

 

 

525

 

 

 

1

 

 

 

 

 

 

 

 

 

1

 

Issuance of warrants

 

 

 

 

 

 

 

 

674

 

 

 

 

 

 

674

 

Share‑based compensation

 

 

 

 

 

 

 

 

1,057

 

 

 

 

 

 

1,057

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

(13,356

)

 

 

(13,356

)

Balance - June 30, 2023

 

 

78,611

 

 

 

79

 

 

 

392,406

 

 

 

(399,478

)

 

 

(6,993

)

Issuance of common stock, net

 

 

9,455

 

 

 

9

 

 

 

15,307

 

 

 

 

 

 

15,316

 

Issuance of common stock under employee stock purchase plan

 

 

167

 

 

 

 

 

 

223

 

 

 

 

 

 

223

 

Exercise of stock options

 

 

6

 

 

 

 

 

 

3

 

 

 

 

 

 

3

 

Release of restricted stock units

 

 

77

 

 

 

 

 

 

 

 

 

 

 

 

 

Share‑based compensation

 

 

 

 

 

 

 

 

954

 

 

 

 

 

 

954

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

(10,949

)

 

 

(10,949

)

Balance - September 30, 2023

 

 

88,316

 

 

$

88

 

 

$

408,893

 

 

$

(410,427

)

 

$

(1,446

)

 

 

 

The accompanying Notes are an integral part of these unaudited condensed financial statements.

 

4


 

BIODESIX, INC.

Condensed Statements of Cash Flows

(in thousands)

 

 

Nine Months Ended September 30,

 

 

 

2024

 

 

2023

 

Cash flows from operating activities

 

 

 

 

 

 

Net loss

 

$

(34,680

)

 

$

(43,007

)

Adjustments to reconcile net loss to net cash, cash equivalents, and restricted
   cash used in operating activities

 

 

 

 

 

 

Depreciation and amortization

 

 

4,324

 

 

 

2,351

 

(Accretion) amortization of lease right-of-use assets

 

 

(266

)

 

 

1,851

 

Loss on extinguishment of liabilities

 

 

248

 

 

 

 

Share‑based compensation expense

 

 

5,373

 

 

 

4,292

 

Change in fair value of warrant liability, net

 

 

 

 

 

1,332

 

Provision for doubtful accounts

 

 

453

 

 

 

467

 

Accrued interest, amortization of debt issuance costs and other

 

 

2,167

 

 

 

3,954

 

Inventory excess and obsolescence

 

 

20

 

 

 

115

 

Impairment loss on intangible assets

 

 

135

 

 

 

20

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

Accounts receivable

 

 

(810

)

 

 

(1,178

)

Other current assets

 

 

778

 

 

 

1,798

 

Other long-term assets

 

 

49

 

 

 

(26

)

Accounts payable and other accrued liabilities

 

 

(57

)

 

 

(247

)

Deferred revenue

 

 

273

 

 

 

(395

)

Contingent consideration

 

 

(23,242

)

 

 

 

Tenant improvement allowances received

 

 

 

 

 

18,323

 

Current and long-term operating lease liabilities

 

 

682

 

 

 

(237

)

Net cash and cash equivalents and restricted cash used in operating activities

 

 

(44,553

)

 

 

(10,587

)

 

 

 

 

 

 

Cash flows from investing activities

 

 

 

 

 

 

Purchase of property and equipment

 

 

(2,391

)

 

 

(19,935

)

Patent costs and intangible asset acquisition, net

 

 

(165

)

 

 

(126

)

Net cash and cash equivalents and restricted cash used in investing activities

 

 

(2,556

)

 

 

(20,061

)

 

 

 

 

 

 

Cash flows from financing activities

 

 

 

 

 

 

Proceeds from the issuance of common stock

 

 

55,625

 

 

 

15,316

 

Proceeds from issuance of common stock under employee stock purchase plan

 

 

624

 

 

 

643

 

Proceeds from exercise of stock options

 

 

19

 

 

 

90

 

Payment of contingent consideration

 

 

 

 

 

(7,591

)

Repayment of term loan and notes payable

 

 

(38

)

 

 

(36

)

Payment of debt issuance costs

 

 

(38

)

 

 

(833

)

Equity financing costs

 

 

(3,685

)

 

 

(61

)

Other

 

 

(276

)

 

 

(127

)

Net cash and cash equivalents and restricted cash provided by financing activities

 

 

52,231

 

 

 

7,401

 

Net increase (decrease) in cash and cash equivalents and restricted cash

 

 

5,122

 

 

 

(23,247

)

Cash, cash equivalents, and restricted cash ‑ beginning of period

 

 

26,371

 

 

 

43,174

 

Cash, cash equivalents, and restricted cash ‑ end of period

 

$

31,493

 

 

$

19,927

 

 

The accompanying Notes are an integral part of these unaudited condensed financial statements.

 

5


 

BIODESIX, INC.

Statements of Cash Flows

(in thousands)

(Continued from the previous page)

Supplemental cash flow information:

 

 

Nine Months Ended September 30,

 

 

 

2024

 

 

2023

 

Issuance of Perceptive Warrants

 

$

 

 

$

674

 

Operating lease right-of-use asset obtained in exchange for lease liabilities

 

 

281

 

 

 

867

 

Finance lease right-of-use assets obtained in exchange for lease liabilities

 

 

514

 

 

 

773

 

Cash paid for interest

 

 

4,443

 

 

 

3,241

 

Purchases of property & equipment included in accounts payable and accrued liabilities

 

 

526

 

 

 

824

 

 

The accompanying Notes are an integral part of these unaudited condensed financial statements.

 

6


 

BIODESIX, INC.

Notes to Unaudited Condensed Financial Statements

Note 1 – Organization and Description of Business

Biodesix, Inc. (the “Company,” “Biodesix,” “we,” “us” and “our”), formerly Elston Technologies, Inc., was incorporated in Delaware in 2005. The Company’s headquarters are in Colorado and the Company performs its blood-based diagnostic tests in its laboratory facilities which are located in Louisville, Colorado and De Soto, Kansas. The Company conducts all of its operations within a single legal entity. Biodesix is a leading diagnostic solutions company with a focus in lung disease. The Company develops diagnostic tests using a multi-omic approach to harness the strengths of different technologies that are best suited to address important clinical questions. We derive our revenue from two sources: (i) providing diagnostic testing services associated with five blood-based lung tests (Diagnostic Tests) and (ii) providing biopharmaceutical companies with services that include diagnostic research, clinical research, development and testing services generally provided outside the clinical setting and governed by individual contracts with third parties as well as development and commercialization of companion diagnostics. We also recognize revenue from other services, including amounts derived from licensing our technologies (Biopharmaceutical Services and other).

Blood-Based Lung Tests

The Company offers five Medicare-covered blood-based lung cancer tests across the lung cancer continuum of care to support treatment decisions across all stages of lung cancer:

Diagnosis

Nodify CDT® and Nodify XL2® tests, marketed as Nodify Lung® Nodule Risk Assessment, assess a suspicious lung nodule's risk of lung cancer to help identify the most appropriate treatment pathway. The Nodify CDT and XL2 tests have an established average turnaround time of one and five business days, respectively, from receipt of the blood sample, providing physicians with timely results to guide diagnostic planning. The Nodify CDT test is a blood-based test that detects the presence of seven autoantibodies associated with the presence of tumors. Elevated levels of the autoantibodies in patients with lung nodules indicate an increased risk of lung cancer to help identify patients that may benefit from timely intervention. The Nodify XL2 test is a blood-based proteomic test that evaluates the likelihood that a lung nodule is benign to help identify patients that may benefit from surveillance imaging. We believe we are the only company to offer two commercial blood-based tests to help physicians reclassify risk of malignancy in patients with suspicious lung nodules.

Treatment & Monitoring

GeneStrat® ddPCR, GeneStrat NGS® and VeriStrat® tests, marketed as part of our IQLung™ testing strategy, are used following diagnosis of lung cancer to detect the presence of mutations in the tumor and the state of the patient’s immune system to help guide treatment decisions. The GeneStrat ddPCR tumor genomic profiling test and the VeriStrat immune profiling test have established an average turnaround time of two business days from receipt of the blood sample, and the GeneStrat NGS test has an established average turnaround time of three business days from receipt of the blood sample, providing physicians with timely results to facilitate treatment decisions. The GeneStrat ddPCR test evaluates the presence of actionable mutations in lung cancer. The test is covered independent of stage and can be used multiple times per patient to monitor changes in mutation status. The GeneStrat NGS test is a broad 52 gene panel, including guideline recommended mutations that help identify advanced stage patients eligible for targeted therapy or clinical trial enrollment. The VeriStrat test is a blood-based proteomic test that provides a personalized view of each patient’s immune response to their lung cancer.

In developing the Company's products, we have developed or designed a regulatory strategy resulting in approvals, product development and clinical acumen, biorepositories, proprietary and patented technologies, specimen collection kit manufacturing capabilities, and bioinformatics methods that it believes are important to the development of new targeted therapies, determining clinical trial eligibility, and guiding treatment selection. The Company’s testing services are made available through its clinical laboratories.

Note 2 – Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X for interim financial information and reflect all adjustments necessary to state fairly the Company’s financial position, results of operations and cash flows for the interim periods presented. All such adjustments are of a normal recurring nature. Results for interim periods are not indicative of the results for the entire fiscal year. The accompanying unaudited condensed financial statements should be read in conjunction with the audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023. Certain information and footnote disclosures, including significant accounting policies, normally included in fiscal year financial statements prepared in accordance with accounting principles generally accepted in

7


BIODESIX, INC.

 

Notes to Unaudited Condensed Financial Statements

 

the U.S. (GAAP) have been condensed or omitted. The condensed balance sheet as of December 31, 2023 was derived from the audited financial statements.

Liquidity and Capital Resources

As of September 30, 2024, we maintained cash and cash equivalents of $31.4 million and we have $40.0 million in outstanding aggregate principal amount on our Perceptive Term Loan Facility (see Note 6 – Debt). We have incurred significant losses since inception and, as a result, we have funded our operations to date primarily through the sale of common stock, the sale of convertible preferred stock, the issuance of notes payable, and from our two primary revenue sources: (i) diagnostic testing, which includes lung diagnostic testing and (ii) providing biopharmaceutical companies with development and testing services and licensing our technologies. In accordance with Accounting Standards Update 2014-15 (ASC Topic 205-40), Presentation of Financial Statements - Going Concern: Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern, the Company is required to evaluate whether there is substantial doubt about its ability to continue as a going concern each reporting period, including interim periods. In evaluating the Company’s ability to continue as a going concern, management projected its cash flow sources and evaluated the conditions and events that could raise substantial doubt about the Company’s ability to continue as a going concern within one year after the date that these financial statements were issued. Management considered the Company’s current projections of future cash flows, our ability to execute our current operating plan, current financial condition, sources of liquidity and debt obligations for at least one year from the date of issuance of this Form 10-Q in considering whether it has the ability to meet its obligations.

Our ability to meet our obligations as they come due may be impacted by our ability to remain compliant with financial covenants in our Perceptive Term Loan Facility (see Note 6 – Debt) or to obtain waivers or amendments that impact the related covenants. As of September 30, 2024, the Company was in compliance with all restrictive and financial covenants associated with its borrowings.

Our ability to maintain our financial covenants under our Perceptive Term Loan Facility during the next twelve months is, in part, dependent upon executing our current operating plan. If we do not execute our current operating plan and maintain our financial covenants, this could result in an Event of Default (as defined in the Perceptive Term Loan Facility), causing an acceleration and repayment of the outstanding balances. The Perceptive Term Loan Facility requires the Company to meet certain minimum net revenue threshold amounts agreed to between the Company and Perceptive as of the last day of each fiscal quarter, which commenced with the fiscal quarter ending March 31, 2023. During 2023, the Company entered into various amendments to the Perceptive Term Loan Facility to reduce the relevant Minimum Net Revenue thresholds. On February 29, 2024, the Company entered into a third amendment to the Perceptive Term Loan Facility, whereby, subject to the terms and conditions of the third amendment, the Minimum Net Revenue Covenant was amended to reduce the relevant threshold through the fiscal quarter ended December 31, 2025 (see Note 6 – Debt). During the three months ended June 30, 2024, the Company completed an underwritten offering of common stock and a concurrent private placement (the April 2024 Offering). Collectively, the Company raised net proceeds of approximately $51.3 million (see Note 8 – Equity). We have taken steps to improve our liquidity through raising debt and equity capital and have also undertaken several proactive measures including, among other things, the reduction of planned capital expenditures and certain operating expenses as previously disclosed. If we do not execute our current operating plan, we may need to consider further measures to reduce our operating expenses. These measures would limit or reduce our operations and could include a hiring freeze, reductions in our workforce, reduction in cash compensation, deferring capital expenditures, and reducing other operating costs.

If we do not execute our current operating plan we may need to continue to raise additional funds from external sources, such as through the issuance of debt or equity securities. We may also raise additional capital to restructure our existing debt or for general working capital purposes, or both. If we raise additional capital through debt financing, we may be subject to covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends. If we do raise additional capital through equity offerings, the ownership interest of our existing stockholders will be diluted, and the terms of these securities may include liquidation or other preferences that adversely affect our existing stockholders’ rights. There can be no assurance that additional capital will be available to us or, if available, will be available in sufficient amounts or on terms acceptable to us or on a timely basis.

We expect to continue to incur operating losses in the near term while we make investments to support our anticipated growth. Our ability to maintain our financial covenants is, in part, dependent upon executing our current operating plan and, along with the items noted above, raises substantial doubt about the Company’s ability to continue as a going concern within one year after the date the financial statements are issued. Our unaudited financial statements have been prepared assuming we will continue as a going concern and do not include any adjustments that might be necessary should we be unable to continue as a going concern.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the balance sheet date and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from those estimates.

8


BIODESIX, INC.

 

Notes to Unaudited Condensed Financial Statements

 

Concentrations of Credit Risk and Other Uncertainties

Substantially all of the Company’s cash and cash equivalents are deposited with one major financial institution in the United States. The Company continually monitors its positions with, and the credit quality of, the financial institution with which it holds cash. Periodically throughout the year, the Company has maintained balances in various operating and money market accounts in excess of federally insured limits. The Company has not experienced any losses on its deposits of cash and cash equivalents.

Several of the components for certain of the Company's sample collection kits, test reagents, and test systems are obtained from single-source suppliers. If these single-source suppliers fail to satisfy the Company's requirements on a timely basis, the Company could suffer delays in being able to deliver its diagnostic solutions, a possible loss of revenue, or incur higher costs, any of which could adversely affect its operating results.

For a discussion of credit risk concentration of accounts receivable as of September 30, 2024 and December 31, 2023, see Note 9 – Revenue and Accounts Receivable Credit Concentration.

Restricted Cash

Restricted cash consists of deposits related to the Company’s corporate credit card. For both of the periods ended September 30, 2024 and December 31, 2023, the Company had $0.1 million restricted cash, respectively, which was included in ‘Other current assets’ in the accompanying condensed balance sheets.

Inventory

Inventory consists primarily of material supplies, which are consumed in the performance of testing services and charged to ‘Direct costs and expenses’. Inventory is stated at cost and reported within ‘Other current assets’ in the condensed balance sheets and was $1.2 million and $1.4 million as of September 30, 2024 and December 31, 2023, respectively. The Company recorded a reserve for excess inventory of zero and $0.1 million as of September 30, 2024 and December 31, 2023, respectively. During the nine months ended September 30, 2024 and 2023, the Company recorded an insignificant amount and $0.1 million, respectively, to the condensed statements of operations for excess and obsolete inventory.

Other Assets

The Company has a $5.0 million cash refundable deposit to secure the performance of the Company’s obligations associated with the operating lease agreement with Centennial Valley Properties I, LLC and subsequently assigned to CVP I Owner LLC (see Note 7 – Leases). As of September 30, 2024 and December 31, 2023, the $5.0 million refundable deposit is reported within 'Other long-term assets' in the condensed balance sheets.

Fair Value of Financial Instruments

U.S. GAAP for fair value establishes a hierarchy that prioritizes fair value measurements based on the types of inputs used for the various valuation techniques (market approach, income approach and cost approach). We utilize a combination of market and income approaches to value our financial instruments. Our financial assets and liabilities are measured using inputs from the three levels of the fair value hierarchy. Fair value measurements are categorized within the fair value hierarchy based upon the lowest level of the most significant inputs used to determine fair value.

The three levels of the hierarchy and the related inputs are as follows:

Level

 

Inputs

1

 

Unadjusted quoted prices in active markets for identical assets and liabilities.

2

 

Unadjusted quoted prices in active markets for similar assets and liabilities;

 

 

Unadjusted quoted prices for identical or similar assets or liabilities in markets that are not active; or

 

 

Inputs other than quoted prices that are observable for the asset or liability.

3

 

Unobservable inputs for the asset or liability.

The carrying amounts of certain financial instruments including cash and cash equivalents, accounts receivable, prepaid expenses and other current assets, other long-term assets, accounts payable and accrued liabilities approximate fair value due to their relatively short maturities.

See Note 4 Fair Value for further discussion related to estimated fair value measurements.

9


BIODESIX, INC.

 

Notes to Unaudited Condensed Financial Statements

 

Note 3 - Recently Issued Accounting Standards

Standards Being Evaluated

In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting: Improvements to Reportable Segment Disclosures (ASC Topic 280). This ASU requires all public entities to provide additional disclosures about the entity's reportable segments and more detailed information about a reportable segment's expenses. This guidance will become effective for the Company for the annual period beginning on January 1, 2024, and interim periods beginning on January 1, 2025. The Company is currently evaluating this guidance and assessing the overall impact on its financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This ASU improves the transparency of income tax disclosures by requiring consistent categories and greater disaggregation of information in the rate reconciliation and income taxes paid by jurisdiction. This guidance will become effective for the Company beginning January 1, 2025, with early adoption permitted. The Company is currently evaluating this guidance and assessing the overall impact on its financial statements.

Note 4 - Fair Value

Recurring Fair Value Measurements

Our borrowing instruments are recorded at their carrying values in the condensed balance sheets, which may differ from their respective fair values. The fair value of borrowings as of September 30, 2024 is primarily associated with the Perceptive Term Loan Facility entered into with Perceptive Credit Holdings IV, LP, in November 2022 and was determined using a discounted cash flow analysis, excluding the fair value of the Perceptive Warrant (as defined below) issued in conjunction with the transaction. The carrying value of outstanding borrowings approximates the fair value as of September 30, 2024 and December 31, 2023. The table below presents the carrying and fair values of outstanding borrowings, which are classified as Level 2, as of the dates indicated (in thousands):

 

 

As of

 

 

September 30, 2024

 

 

December 31, 2023

 

 

 

Carrying Value

 

 

Fair Value

 

 

Carrying Value

 

 

Fair Value

 

Borrowings

 

$

36,141

 

 

$

36,550

 

 

$

35,276

 

 

$

35,506

 

The financial liabilities that are measured and recorded at estimated fair value on a recurring basis consist of our contingent consideration associated with our previous acquisition of Indi, the warrant liabilities granted as consideration for the Perceptive Term Loan Facility (see Note 6 - Debt), and contingent value rights granted to certain holders of our previously converted Series F Preferred Stock, which were accounted for as liabilities and remeasured through our condensed statements of operations.

The table below presents the reported fair values of contingent consideration and warrant liabilities, which are classified as Level 3 in the fair value hierarchy, as of the dates indicated (in thousands):

 

As of

 

 Description

 

September 30, 2024

 

 

December 31, 2023

 

Contingent consideration

 

$

 

 

$

21,857

 

Warrant liabilities

 

$

 

 

$

 

Contingent value rights

 

$

 

 

$

 

The following table presents the changes in contingent consideration for the dates indicated (in thousands):

 

 

For the nine months ended
September 30, 2024

 

Level 3 Rollforward

 

Contingent Consideration

 

Balance - January 1, 2024

 

$

21,857

 

Interest expense

 

 

1,137

 

Loss on extinguishment of liabilities

 

 

248

 

Payments

 

 

(23,242

)

Balance - September 30, 2024

 

$

 

 

10


BIODESIX, INC.

 

Notes to Unaudited Condensed Financial Statements

 

The following table presents the changes in contingent consideration and warrant liabilities for the dates indicated (in thousands):

 

 

For the nine months ended
September 30, 2023

 

Level 3 Rollforward

 

Contingent Consideration

 

 

Warrant Liabilities

 

Beginning balances - January 1, 2023

 

$

28,986

 

 

$

61