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BillionToOne (BLLN) Q3 2026 earnings results (third quarter 2026)

10-Q filed Nov 4, 2026

BillionToOne (BLLN) reported revenue of $123M for the third quarter 2026 (Q3 2026), +47% from a year earlier and +12% from the quarter before. Operating margin was 9.0%, net earnings $17.4M (14.1% of revenue).

Revenue$123M
Year over year+47%
Quarter over quarter+12%
Operating margin9.0%
Net earnings$17.4M

BillionToOne, Q3 2026: revenue $123M (+47% year over year), operating margin 9.0%, net earnings $17.4M, operating cash flow $12.5M. The chart follows the revenue to costs, profit and cash.

Q3 2026AmountQ/QY/Y
Revenue$123M+12%+47%
Gross profit$87.1M+13%+49%
Operating profit$11.0M+100%+14%
Net earnings$17.4M+116%+205%
Operating cash flow$12.5M+37%+26%
Free cash flow$8.6M—+9%

What changed

Revenue was $123.0M in Q3 2026, up 47% year over year and up 12% from the previous quarter. Prenatal was the largest line at 85% of revenue. Prenatal added $30.2M year over year (up 41%), 77% of the total change.

Gross margin was 70.9%, up 0.9 points from Q3 2025. Operating profit was $11.0M, a 9.0% margin (down 2.6 points year over year). Of the extra revenue versus Q3 2025, 4% reached operating profit, below the 12% margin then. Operating expenses grew 56% against revenue growth of 47%. The fastest-growing cost line was Research & development (+56%). Net earnings were $17.4M, up 205% year over year. The effective tax rate was 0.0%. Non-operating items added $6.4M, 37% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $12.5M (up 26% year over year), 72% of net earnings. Non-cash charges added back $2.0M of depreciation and amortization and $9.7M of share-based compensation. Working capital and other items used $16.5M. After purchases of property and equipment ($3.9M), free cash flow as the company reports it was $8.6M.

Questions

What was BillionToOne's revenue in the third quarter 2026?

BillionToOne (BLLN) reported revenue of $123M for the third quarter 2026 (Q3 2026), +47% from a year earlier and +12% from the quarter before.

Was BillionToOne profitable in the third quarter 2026?

Operating profit was $11.0M (9.0% of revenue) and net earnings $17.4M.

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Source: BillionToOne 10-Q on SEC EDGAR.