First Quarter 2026 Financial Highlights & Key Metrics
- Net sales of
$27.6 million , up 57% compared to$17.6 million in the first quarter of 2025.- Durable Medical Equipment (DME) channel net sales of
$16.9 million , up 22% compared to$13.8 million in the first quarter of 2025. - Pharmacy Benefit Plan (PBP) channel net sales of
$10.7 million , up 181% compared to$3.8 million in the first quarter of 2025.
- Durable Medical Equipment (DME) channel net sales of
- Gross margin of 59.5%, up 864 basis points compared to 50.9% in the first quarter of 2025.
- New patient starts declined by at least 10% but less than 20% sequentially versus the fourth quarter of 2025.
- 70% of new patient starts came from multiple daily injections (MDI).
- High 30s percentage of new patient starts reimbursed through the PBP channel.
- Loss from operations of
$24.3 million , or negative 88% of sales, compared to$18.6 million or negative 106% of sales in the first quarter of 2025. - Net loss of
$21.9 million , or negative 79% of sales, compared to$28.7 million or negative 162% of sales in the first quarter of 2025. - Adjusted EBITDA(1) of negative
$17.7 million , or negative 64% of sales, compared to negative$15.5 million or negative 88% of sales in the first quarter of 2025. $239.5 million in cash, cash equivalents, short and long-term investments as ofMarch 31, 2026 .
(1) See “Non-GAAP Financial Measures” below for additional information. A reconciliation of the non-GAAP financial measure to its most directly comparable GAAP financial measure can be found in Table D.
Recent Strategic Highlights
- In
March 2026 , launched Bionic Insights™ feature within the Bionic Reports healthcare provider portal.- Intelligent data analytics and reporting feature designed to help healthcare providers make more informed, personalized treatment recommendations for people living with diabetes.
- In Q1 2026, initiated a Phase 2a feasibility trial in
New Zealand for the bihormonal system in development, including the glucagon asset, pump, and dosing algorithms.
2026 Full Year Guidance
- Estimated total revenue of approximately
$131 million to$136 million (previously$130 million to$135 million ). - Estimated 37% to 39% of new patient starts reimbursed through the PBP channel (previously 36% to 38%).
- Estimated gross margin of 57.5% to 59.5% (previously 55.5% to 57.5%)
Webcast & Conference Call Details
Non-GAAP Financial Measures
The Company calculates adjusted EBITDA as net loss adjusted to exclude (i) depreciation expense, (ii) stock-based compensation expense, (iii) interest income, (iv) income tax expense, (v) change in fair value of warrant liabilities, (vi) litigation settlement and other related expense, and (vii) other non-recurring expense.
Some of the limitations of adjusted EBITDA include: (i) adjusted EBITDA does not properly reflect capital commitments to be paid in the future and (ii) although depreciation and amortization expense are non-cash charges, the underlying assets may need to be replaced and adjusted EBITDA does not reflect these capital expenditures. The Company’s adjusted EBITDA may not be comparable to similarly titled measures of other companies because they may not calculate adjusted EBITDA in the same manner as the Company calculates the measure, limiting its usefulness as a comparative measure. In evaluating adjusted EBITDA, you should be aware that in the future the Company will incur expenses similar to the adjustments in this presentation. The Company’s presentation of adjusted EBITDA should not be construed as an inference that the Company’s future results will be unaffected by these expenses or any unusual or non-recurring items. When evaluating the Company’s performance, you should consider adjusted EBITDA alongside other financial performance measures, including the Company’s net loss and other GAAP results.
Investors are encouraged to review the related GAAP financial measures and the reconciliation of this non-GAAP financial measure to its most directly comparable GAAP financial measure, and not to rely on any single financial measure to evaluate the Company’s business. This non-GAAP measure has limitations as an analytical tool and should not be construed as an inference that the Company’s future results will be unaffected by unusual or non-recurring items. Therefore, this non-GAAP financial measure should be considered in addition to, not as a substitute for, or in isolation from, measures prepared in accordance with GAAP.
About
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Statements in this press release that are not statements of historical fact are forward-looking statements. Such forward-looking statements include, without limitation, statements regarding: expectations of
| Statements of Operations and Comprehensive Loss (unaudited) | ||||||
| Table A | ||||||
| (In thousands, except number of shares | Three Months Ended | |||||
| and per share data) | 2026 | 2025 | ||||
| Net sales | $ | 27,626 | $ | 17,639 | ||
| Cost of sales | 11,189 | 8,668 | ||||
| Gross profit | 16,437 | 8,971 | ||||
| Gross margin | 59.5% | 50.9% | ||||
| Operating expenses: | ||||||
| Research and development | 10,356 | 7,590 | ||||
| Sales and marketing | 20,735 | 13,402 | ||||
| General and administrative | 9,617 | 6,621 | ||||
| Total operating expenses | 40,708 | 27,613 | ||||
| Loss from operations | (24,271) | (18,642) | ||||
| Other income (expense): | ||||||
| Interest income | 2,376 | 2,436 | ||||
| Change in fair value of warrant liabilities | — | (12,450) | ||||
| Total other expense, net | 2,376 | (10,014) | ||||
| Net loss | $ | (21,895) | $ | (28,656) | ||
| Other comprehensive income (loss): | ||||||
| Unrealized gain (loss) on short-term and long-term investments | (499) | 175 | ||||
| Comprehensive loss | $ | (22,394) | $ | (28,481) | ||
| Net loss per share attributable to common stockholders, basic and diluted | $ | (0.49) | $ | (0.93) | ||
| Weighted-average common shares outstanding, basic and diluted | 44,436,274 | 30,714,769 | ||||
| Balance Sheets (unaudited) | ||||||
| Table B | ||||||
| (In thousands, except number of shares) | 2026 | 2025 | ||||
| Assets | ||||||
| Current assets: | ||||||
| Cash and cash equivalents | $ | 30,206 | $ | 31,576 | ||
| Restricted cash, current | 100 | 100 | ||||
| Short-term investments | 169,314 | 187,549 | ||||
| Accounts receivable, net | 15,750 | 17,118 | ||||
| Inventories | 23,727 | 21,722 | ||||
| Prepaid expenses and other current assets | 8,889 | 9,840 | ||||
| Total current assets | 247,986 | 267,905 | ||||
| Property and equipment, net | 10,160 | 8,600 | ||||
| Operating lease right-of-use asset | 6,225 | 6,627 | ||||
| Long-term investments | 39,865 | 45,431 | ||||
| Other long-term assets | 181 | 180 | ||||
| Total assets | $ | 304,417 | $ | 328,743 | ||
| Liabilities and Stockholders’ Equity | ||||||
| Current liabilities: | ||||||
| Accounts payable | $ | 2,318 | $ | 4,998 | ||
| Accrued expenses and other current liabilities | 17,329 | 22,431 | ||||
| Operating lease liabilities | 1,839 | 1,938 | ||||
| Deferred revenue | 1,705 | 1,557 | ||||
| Total current liabilities | 23,191 | 30,924 | ||||
| Operating lease liabilities, net of current portion | 5,073 | 5,365 | ||||
| Deferred revenue, net of current portion | 3,350 | 3,297 | ||||
| Other long-term liabilities | 1,558 | 1,547 | ||||
| Total liabilities | 33,172 | 41,133 | ||||
| Commitments and contingencies | ||||||
| Stockholders' equity: | ||||||
| Common stock, | 5 | 4 | ||||
| Additional paid-in capital | 663,168 | 657,140 | ||||
| Accumulated other comprehensive income (loss) | (96) | 403 | ||||
| Accumulated deficit | (391,832) | (369,937) | ||||
| Total stockholders’ equity | 271,245 | 287,610 | ||||
| Total liabilities and stockholders’ equity | $ | 304,417 | $ | 328,743 | ||
| Table C | ||||||
| Three Months Ended | ||||||
| (In thousands) | 2026 | 2025 | ||||
| DME channel: | ||||||
| iLet (1) | $ | 10,089 | $ | 9,628 | ||
| Single-use products | 6,834 | 4,199 | ||||
| Total DME channel | 16,923 | 13,827 | ||||
| PBP channel: | ||||||
| iLet (1) | 465 | 506 | ||||
| Single-use products | 10,238 | 3,306 | ||||
| Total PBP channel | 10,703 | 3,812 | ||||
| Total net sales | $ | 27,626 | $ | 17,639 | ||
| (1) iLet includes the over-time recognition software updates and mobile app access. | ||||||
| Reconciliation of GAAP versus Non-GAAP Financial Results (unaudited) | ||||||
| Table D | ||||||
| Three Months Ended | ||||||
| (In thousands) | 2026 | 2025 | ||||
| Net loss | $ | (21,895) | $ | (28,656) | ||
| Add: | ||||||
| Depreciation expense | 585 | 303 | ||||
| Stock-based compensation expense | 5,406 | 2,804 | ||||
| Interest income | (2,376) | (2,436) | ||||
| Quality system remediation (1) | 562 | — | ||||
| Change in fair value of warrant liabilities | — | 12,450 | ||||
| Adjusted EBITDA | $ | (17,718) | $ | (15,535) | ||
| (1) Amounts presented under “Quality system remediation” for the three months ended | ||||||
Investor Relations:
Head of Investor Relations
ir@betabionics.com
Media and Public Relations:
Vice President of Marketing
media@betabionics.com
Source: Beta Bionics, Inc.
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