Filing Flows › BillionToOne (BLLN) › Q1 2026
BillionToOne (BLLN) Q1 2026 earnings results (first quarter 2026)
10-Q filed May 6, 2026
BillionToOne (BLLN) reported revenue of $108M for the first quarter 2026 (Q1 2026), +84% from a year earlier and +13% from the quarter before. Operating margin was 16.5%, net earnings $18.0M (16.6% of revenue).
BillionToOne, Q1 2026: revenue $108M (+84% year over year), operating margin 16.5%, net earnings $18.0M, operating cash flow $15.4M. The chart follows the revenue to costs, profit and cash.
| Q1 2026 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $108M | +13% | +84% |
| Gross profit | $79.1M | +15% | +108% |
| Operating profit | $17.8M | +73% | — |
| Net earnings | $18.0M | +201% | — |
| Operating cash flow | $15.4M | +43% | +488% |
| Free cash flow | $11.0M | +18% | 39× |
What changed
Revenue was $108.4M in Q1 2026, up 84% year over year and up 13% from the previous quarter. Prenatal was the largest line at 89% of revenue. Prenatal added $40.4M year over year (up 72%), 82% of the total change.
Gross margin was 73.0%, up 8.6 points from a year earlier. Operating profit was $17.8M, a 16.5% margin (up 20.4 points year over year). Operating expenses grew 52% against revenue growth of 84%. The fastest-growing cost line was SG&A (+56%). Net earnings were $18.0M. The effective tax rate was 2.9%.
Operating cash flow was $15.4M (up 488% year over year), 86% of net earnings. Non-cash charges added back $1.7M of depreciation and amortization and $6.5M of share-based compensation. Working capital and other items used $10.8M. Capital expenditures of $4.5M left free cash flow of $11.0M.
Questions
What was BillionToOne's revenue in the first quarter 2026?
BillionToOne (BLLN) reported revenue of $108M for the first quarter 2026 (Q1 2026), +84% from a year earlier and +13% from the quarter before.
Was BillionToOne profitable in the first quarter 2026?
Operating profit was $17.8M (16.5% of revenue) and net earnings $18.0M.
Source: BillionToOne 10-Q on SEC EDGAR.