NASDAQ$BLLN

BillionToOne, Inc. · Q1 2026 earnings

Q1 2026 earnings ·

Briefing

BillionToOne reported Q1 2026 with $108.4M revenue, net income of $18M, and diluted EPS of $0.34.

For the period ended 2026-03-31, BillionToOne reported $108.4M revenue. Revenue $108.4M (+84% YoY) on prenatal and oncology testing. Net income $18.0M vs $(4.0)M loss prior year; diluted EPS $0.34. Molecular diagnostics scaling across Northstar and Unity products. No quarterly EPS guidance; test volume and reimbursement trends discussed.

  • Revenue $108.4M (+84% YoY) on prenatal and oncology testing.
  • Net income $18.0M vs $(4.0)M loss prior year; diluted EPS $0.34.
  • Molecular diagnostics scaling across Northstar and Unity products.

Headline financials

Total Revenue

$108M

No prior period
EPS (adj)

$0.34

No prior period
Capital Expenditures

-$4.47M

No prior period
Free Cash Flow

$11M

No prior period
Net Income

$18M

No prior period
Operating Income

$17.8M

No prior period
Gross Profit

$79.1M

No prior period
Cash & Equivalents

$537M

No prior period
Total Assets

$701M

No prior period

Revenue & EPS history

BillionToOne, Inc. · Revenue · Quarterly

$108M

Q1 2026
Beat estimate in 3 of 3 quarters(100%)
ActualEstimate

Forward guidance

No quarterly EPS guidance; test volume and reimbursement trends discussed.

Tailwinds

  • Sharp revenue growth with profitability inflection.
  • Gross margin expansion potential.
  • Expanding diagnostic menu.

Headwinds

  • Reimbursement and payer policy risk.
  • Competition in NIPT and oncology liquid biopsy.
  • R&D and commercial spend rising with scale.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 2 quarterly earnings reports · overlaid with Q1 2026

Historical avgQ1 2026

-4.7%

Avg return

Earnings day

+2.5%

Avg return

5 days after

-0.6%

Avg return

30 days after

33%

1 / 3 earnings

Positive

+1.9%

Q1 2026

Best reaction

-10.7%

Q4 2025

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+1.9%+32.5%+21.5%
Q4 2025-10.7%-13.2%-1.8%
Q3 2025-5.3%-11.8%-21.5%

Discussion

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