JOHN PATIENCE - 02 Jan 2026 Form 4 Insider Report for BIODESIX INC (BDSX)

Role: Director, Chairman
Signature: /s/ Robin H. Cowie as Attorney-in-Fact for John Patience
Issuer symbol: BDSX
Transactions as of: 02 Jan 2026
Net transactions value: $0
Form type: 4
Filing time: 06 Jan 2026, 16:26:46 UTC
Previous filing: 02 Oct 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
PATIENCE JOHN	Director, Chairman	919 WEST DILLON RD, LOUISVILLE	/s/ Robin H. Cowie as Attorney-in-Fact for John Patience	06 Jan 2026	0001021413

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	BDSX	Common Stock	Options Exercise		+1,143	+5.3%		22,661	05 Jan 2026	Direct	F1
holding	BDSX	Common Stock						107,664	02 Jan 2026	By Patience Enterprises LP	F2
holding	BDSX	Common Stock						241,480	02 Jan 2026	By John Patience Living Trust dated 7/23/1993	F3
holding	BDSX	Common Stock						2,649	02 Jan 2026	By Spouse

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	BDSX	Restricted Stock Units	Award	$0	+5,443		$0.000000	5,443	02 Jan 2026	Common Stock	5,443		Direct	F1, F4
transaction	BDSX	Stock Options (Right to Buy)	Award	$0	+6,354		$0.000000	6,354	02 Jan 2026	Common Stock	6,354	$6.46	Direct	F5
transaction	BDSX	Restricted Stock Units	Options Exercise	$0	-1,143	-100%	$0.000000	0	05 Jan 2026	Common Stock	1,143		Direct	F1, F6

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Each restricted stock unit (the "RSU") represents a contingent right to receive one share of the Issuer's common stock ("Common Stock").
F2	The Reporting Person is the sole general partner of Patience Enterprises LP. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
F3	The Reporting Person is the sole trustee of John Patience Living Trust (July 23, 1993).
F4	These RSUs vest in four substantially equal installments on March 31, June 30, September 30 and December 31, 2026, generally subject to the Reporting Person's continued service with the Issuer, and have no expiration date.
F5	This option vests in four substantially equal installments on March 31, June 30, September 30 and December 31, 2026, generally subject to the Reporting Person's continued service with the Issuer.
F6	These RSUs vested in three substantially equal installments on June 30, September 30 and December 31, 2025, generally subject to the Reporting Person's continued service with the Issuer, and had no expiration date.