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BillionToOne (BLLN) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Mar 11, 2026

BillionToOne (BLLN) reported revenue of $96.1M for the fourth quarter 2025 (Q4 2025), +113% from a year earlier and +15% from the quarter before. Operating margin was 10.8%, net earnings $6.0M (6.2% of revenue).

Revenue$96.1M
Year over year+113%
Quarter over quarter+15%
Operating margin10.8%
Net earnings$6.0M

BillionToOne, Q4 2025: revenue $96.1M (+113% year over year), operating margin 10.8%, net earnings $6.0M, operating cash flow $10.8M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$96.1M+15%+113%
Gross profit$68.6M+17%+167%
Operating profit$10.3M+7%—
Net earnings$6.0M+5%—
Operating cash flow$10.8M+8%—
Free cash flow$9.3M+18%—

What changed

Revenue was $96.1M in Q4 2025, up 113% year over year and up 15% from the previous quarter. Prenatal was the largest line at 90% of revenue.

Gross margin was 71.4%, up 14.4 points from a year earlier. Operating profit was $10.3M, a 10.8% margin (up 36.7 points year over year). Operating expenses grew 56% against revenue growth of 113%. The fastest-growing cost line was SG&A (+67%). Net earnings were $6.0M. The effective tax rate was 5.1%.

Operating cash flow was $10.8M, 181% of net earnings. Non-cash charges added back $1.7M of depreciation and amortization and $6.3M of share-based compensation. Working capital and other items used $3.2M. Capital expenditures of $1.5M left free cash flow of $9.3M.

Questions

What was BillionToOne's revenue in the fourth quarter 2025?

BillionToOne (BLLN) reported revenue of $96.1M for the fourth quarter 2025 (Q4 2025), +113% from a year earlier and +15% from the quarter before.

Was BillionToOne profitable in the fourth quarter 2025?

Operating profit was $10.3M (10.8% of revenue) and net earnings $6.0M.

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Source: BillionToOne 10-K on SEC EDGAR.