BLLN on Nasdaq

BillionToOne (United States)

Logo: billiontoone.com3

BillionToOne (United States) is an American medical laboratories services company, incorporated in Delaware.1 It is headquartered in Menlo Park, California.1 Its shares trade on Nasdaq under the symbol BLLN.1

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Last updated Oct 21, 2026.

Overview

$305.1MRevenue, fiscal 20254
$7.5MNet income, fiscal 20254
2016Founded1

Compare with Fulgent Genetics, CASTLE BIOSCIENCES INC or CareDx, Inc, or pick any stock.

  • TickerBLLN on Nasdaq1
  • IndustryServices-Medical Laboratories1
  • HeadquartersMenlo Park, California1
  • Websitebilliontoone.com
  • Incorporated inDE5
  • Business address1035 O'Brien Drive, Menlo Park, Ca5
  • Filer categoryNon-accelerated filer, Emerging growth company5
BillionToOne (United States) image from its website
Image: billiontoone.com6

Unless context requires otherwise, references to “we,” “us,” “our,” “BillionToOne,” or “the Company” here refer to BillionToOne, Inc.7 From its latest annual report

Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2025

68.3%Gross margin4
5.3%Operating margin4
2.4%Net margin4
100.0%Revenue growth, 20254
1.6%Return on equity4
0.12×Debt to equity4
$15.7MFree cash flow4

What sells

Revenue by product, business segment and region, as the company reports it to the SEC.

Products and services

Prenatal brought in 91% of the revenue BillionToOne (United States) broke down this way in fiscal 2025.

  1. Prenatal$277.1M491%up 90% from 2024
  2. Oncology$25.0M48%up 748% from 2024
  3. Clinical Trial Support and Other Services$3.1M41%down 18% from 2024
Products and services by year
Products and services202320242025
Prenatal$68.8M$145.9M$277.1M
Oncology$0$2.9M$25.0M
Clinical Trial Support and Other Services$2.9M$3.7M$3.1M

Where the money goes

Where each dollar of revenue went, fiscal 2025

  • Cost of revenue32¢$96.7M
  • Research and development16¢$49.4M
  • Selling, general and admin47¢$143.1M
  • Other costs3¢$8.3M
  • Income tax0¢$305.0K
  • Profit2¢$7.5M

Out of $305.1M in revenue.4

Where each dollar of operating cash went, fiscal 2025

  • Capital spending36¢$8.9M
  • Kept or used elsewhere64¢$15.7M

Out of $24.6M of cash from operations.4

Financial statements

Revenue4$305.1M in 2025+325% since 2023
0$100.0M$200.0M$300.0M$400.0M2023: $71.7M$71.7M20232024: $152.6M$152.6M2024+113%2025: $305.1M$305.1M2025+100%
Gross profit4$208.5M in 2025+1104% since 2023
0$100.0M$200.0M$300.0M2023: $17.3M$17.3M20232024: $80.9M$80.9M2024+368%2025: $208.5M$208.5M2025+158%
Operating income4$16.0M in 2025
-$75.0M-$50.0M-$25.0M0$25.0M2023: -$69.5M-$69.5M20232024: -$47.1M-$47.1M2024−32%2025: $16.0M$16.0M2025
Net income4$7.5M in 2025
-$100.0M-$75.0M-$50.0M-$25.0M0$25.0M2023: -$82.7M-$82.7M20232024: -$41.6M-$41.6M2024−50%2025: $7.5M$7.5M2025

Every line of the income statement as filed: the last 3 fiscal years, latest first.4

Period ending2025-12-312024-12-312023-12-31
Revenue$305.1M$152.6M$71.7M
Cost of revenue$96.7M$71.7M$54.4M
Gross profit$208.5M$80.9M$17.3M
Research and development$49.4M$36.6M$22.4M
Selling, general and administrative$143.1M$91.5M$64.4M
Total operating expenses$192.4M$128.1M$86.8M
Income (loss) from operations$16.0M-$47.1M-$69.5M
Interest income$7.8M$5.8M$3.5M
Interest expense-$95.0K-$2.4M-$3.3M
Net gain on extinguishment of debt$0$7.3M$0
Change in fair value of term loan-$8.5M-$3.1M$0
Change in fair value of convertible notes$0-$835.0K-$12.9M
Other expense, net-$7.4M-$1.1M-$442.0K
Total other income (expense)-$8.3M$5.6M-$13.2M
Income (loss) before provision for income taxes$7.8M-$41.5M-$82.7M
Total provision for income taxes$305.0K$29.0K$9.0K
Net income (loss)$7.5M-$41.6M-$82.7M
Less: Net income (loss) attributable to participating securities-$4.5M$0$0
Net income (loss) attributable to common stockholders$2.9M-$41.6M-$82.7M
Net income (loss) attributable to common stockholders$2.9M-$41.6M-$82.7M
Change in fair value of term loan attributable to instrument-specific credit risk-$1.8M$0$0
Other comprehensive loss, net of taxes-$1.8M$0$0
Comprehensive income (loss), net of taxes$5.7M-$41.6M-$82.7M
Net income (loss) per share, basic (in dollars per share)$0.18-$4.12-$8.45
Net income (loss) per share, diluted (in dollars per share)$0.14-$4.12-$8.45
Weighted-average shares used in calculating net income (loss) per share, basic (in shares)15.9M shares10.1M shares9.8M shares
Weighted-average shares used in calculating net income (loss) per share, diluted (in shares)21.2M shares10.1M shares9.8M shares

Compare BillionToOne (United States) with another company

Corporate structure

BillionToOne (United States) sits at the top of its group. 1 entity, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of BillionToOne (United States)

  • BillionToOne (United States) Menlo Park, California

Built from major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What BillionToOne (United States) reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Property and equipment, before depreciation$43.6M4 Dec 31, 2025$34.3M4 Dec 31, 2024+27.3%
Accumulated depreciation$23.3M4 Dec 31, 2025$17.1M4 Dec 31, 2024+35.7%
Property and equipment, net$20.4M4 Dec 31, 2025$17.1M4 Dec 31, 2024+19.0%
Operating-lease assets (leased space)$46.7M4 Dec 31, 2025$51.7M4 Dec 31, 2024−9.7%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$496.0M4 Dec 31, 2025$191.5M4 Dec 31, 2024+159.0%

Inventory

ItemLatestA year beforeChange
Inventory, total$17.5M4 Dec 31, 2025$8.7M4 Dec 31, 2024+100.9%

Properties, in its own words

Our headquarters is located in Menlo Park, California, where we lease approximately 36,000 square feet of office and laboratory space pursuant to a lease that expires in February 2031. We also lease approximately

90,000 square feet of office and laboratory space in Union City, California, pursuant to a lease that expires in June 2033. We have an option to extend this lease for an additional five years.

The rest of Item 2

To support our planned growth, we have also entered into a lease for a new facility with 220,000 square feet of office and custom laboratory space located in Austin, Texas, expected to commence on or before September 30, 2027, and expiring in June 2043, with an option to extend for an additional seven years. Once the facility is fully utilized, we expect our potential testing capacity to be nearly triple our current capabilities. We also have commercial leases for patient service centers in various cities, for an aggregate of approximately 8,000 square feet as of December 31, 2025. We expect to enter into additional leases for patient service centers in the ordinary course.

We believe that our current facilities are adequate to meet our current needs and that, should it be needed, suitable additional or alternative space will be available to accommodate our operations.

Item 2 of the 10-K filed Mar 11, 2026.7

Leadership

Who has led BillionToOne (United States), and when. Pick a name to see everywhere that person has worked.

Chief executive

  1. Oguzhan Atay2026–now

Chief financial officer

  1. Ross Taylor2025–now
20202025
Board members and other officers (14)

Timeline

  1. Aug 5, 20268-K Results of operations25
  2. Jul 8, 2026New chief executive Oguzhan Atay becomes CEO11
  3. Jun 29, 20268-K Entered a material agreement; New debt or obligation26
  4. Jun 16, 20268-K Entered a material agreement; New debt or obligation27
  5. May 6, 20268-K Results of operations28
  6. Mar 4, 20268-K Results of operations; Executive or director change29
  7. Jan 12, 20268-K Results of operations; Regulation FD disclosure30
  8. Dec 9, 20258-K Results of operations; Executive or director change31
  9. Nov 10, 20258-K Bylaws or fiscal year changed; Other events32
  10. Nov 6, 2025Went public Listed on NASDAQ1
  11. 2016Founded Founded1

Calendar

Coming up

  1. Nov 4, 2026 · After the closeReports results for the quarter ending Sep/2026 A year earlier it reported $0.10 a share, on Dec 9, 2025.33

When it reported results

  1. Aug 5, 2026Reported quarterly or annual results25
  2. May 6, 2026Reported quarterly or annual results28
  3. Mar 4, 2026Reported quarterly or annual results29
  4. Jan 12, 2026Reported quarterly or annual results30
  5. Dec 9, 2025Reported quarterly or annual results31

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

162 filings to the SEC since October 2021: 1 annual reports, 3 quarterly reports, 8 major events, 78 insider forms, 4 large holders, 68 other. The latest 20:

  1. Oct 15, 2026144 EDGAR
  2. Oct 14, 20264 EDGAR
  3. Oct 14, 2026144 EDGAR
  4. Oct 14, 2026144 EDGAR
  5. Oct 13, 20264 EDGAR
  6. Oct 13, 2026144 EDGAR
  7. Oct 13, 2026144 EDGAR
  8. Oct 7, 20264 EDGAR
  9. Oct 7, 20264 EDGAR
  10. Oct 5, 2026144 EDGAR
  11. Oct 5, 2026144 EDGAR
  12. Oct 5, 2026144 EDGAR
  13. Sep 30, 20264 EDGAR
  14. Sep 28, 20264 EDGAR
  15. Sep 28, 20264 EDGAR
  16. Sep 28, 2026144 EDGAR
  17. Sep 28, 2026144 EDGAR
  18. Sep 24, 2026144 EDGAR
  19. Sep 24, 2026144 EDGAR
  20. Sep 23, 20264 EDGAR

The 162 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

37 open-market trades by officers, directors and large owners since October 2021: 6 buys and 31 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
Sep 28, 2026Atay OguzhanChairman and CEOSale10,999$120.64$1.3MForm 4
Sep 24, 2026Tsao DavidChief Technology OfficerSale3,333$125.00$416.6KForm 4
Sep 24, 2026ten Bosch John RoderickSVP of Laboratory OperationsSale1,416$120.00$169.9KForm 4
Sep 21, 2026ten Bosch John RoderickSVP of Laboratory OperationsSale1,416$106.61$151.0KForm 4
Sep 17, 2026Lynch Thomas P.See RemarksSale35,112$110.33$3.9MForm 4
Sep 14, 2026Atay OguzhanChairman and CEOSale30,331$99.91$3.0MForm 4
Sep 9, 2026Tsao DavidChief Technology OfficerSale20,000$98.77$2.0MForm 4
Sep 9, 2026ten Bosch John RoderickSVP of Laboratory OperationsSale1,416$97.54$138.1KForm 4
Sep 8, 2026Lynch Thomas P.See RemarksSale20,000$99.99$2.0MForm 4
Aug 25, 2026Tsao DavidChief Technology OfficerSale10,000$100.00$1.0MForm 4
Aug 25, 2026ten Bosch John RoderickSVP of Laboratory OperationsSale1,417$100.00$141.7KForm 4
Aug 10, 2026ten Bosch John RoderickSVP of Laboratory OperationsSale1,417$92.86$131.6KForm 4
Aug 10, 2026Tsao DavidChief Technology OfficerSale10,000$92.86$928.6KForm 4
Aug 5, 2026Atay OguzhanChairman and CEOSale15,539$150.03$2.3MForm 4
Aug 3, 2026Atay OguzhanChairman and CEOSale45,000$137.07$6.2MForm 4
Jul 31, 2026Sakakibara Shan RikuChief Product OfficerSale4,000$140.21$560.8KForm 4
Jul 16, 2026Johnson Nancy JoAnnSee RemarksSale14,199$128.30$1.8MForm 4
Jul 13, 2026Tsao DavidChief Technology OfficerSale20,000$124.89$2.5MForm 4
Jul 13, 2026ten Bosch John RoderickSVP of Laboratory OperationsSale4,251$125.46$533.3KForm 4
Jul 9, 2026Atay OguzhanChairman and CEOSale12,500$126.10$1.6MForm 4

All 37 trades can be filtered by person here when JavaScript is on.

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

Executive pay

What the company paid its top executives, from the summary compensation table in its proxy statement. Total pay includes salary, bonus, stock and option awards and other pay, as the company valued them.

YearExecutiveAgeSalaryTotal pay
2025Oguzhan Atay, PhDChief Executive Officer37$371.8K$19.7M38
2025David Tsao, PhDPresident and Chief Technology Officer36$332.9K$10.0M38
2025John ListerChief Administrative Officer51$3.4M38
2024Oguzhan Atay, PhDChief Executive Officer37$303.7K$371.1K38
2024David Tsao, PhDPresident and Chief Technology Officer36$303.7K$367.7K38

Held by these funds

The largest holders among investment managers' 13F reports for the quarter ending Jun 30, 2026, the top 25 of 100. Change is in shares since the quarter before.

FundSharesValueShare of the fundChange
Adams Street Partners LLC1,711,430$205.3M46.4%No change
Baillie Gifford & Co901,420$108.2M0.1%−358,573
Vanguard Portfolio Management LLC840,970$100.9M0.0%+689,757
Invesco Ltd.835,614$100.3M0.0%+429,102
Vanguard Capital Management LLC799,468$95.9M0.0%+617,005
Neuberger Berman Group LLC764,215$91.7M0.1%+55,001
Bamco Inc /ny/742,093$89.0M0.1%+608
Wasatch Advisors LP518,084$62.2M0.4%+148,446
Millennium Management LLC425,032$51.0M0.0%New
Fuller & Thaler Asset Management, Inc.418,565$50.2M0.1%New
Emerald Advisers, LLC375,858$45.1M1.1%+136,296
Next Century Growth Investors LLC364,467$43.7M2.3%+273,903
UBS Group AG344,287$41.3M0.0%+222,683
Jpmorgan Chase & Co340,371$41.0M0.0%+57,231
Ameriprise Financial Inc320,612$38.5M0.0%+100,577
Oberweis Asset Management Inc/299,030$35.9M0.7%New
Wells Fargo & Company/mn271,554$32.6M0.0%+270,446
Napean Trading & Investment Co (Singapore) PTE Ltd233,333$28.0M9.6%No change
UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC223,933$26.9M0.0%−16,654
Emerald Mutual Fund Advisers Trust203,990$24.5M0.9%+71,784
Alliancebernstein L.P.262,103$20.7M0.0%+38,852
Penn Capital Management Company, LLC129,602$15.5M1.0%+3,267
Bnp Paribas Financial Markets122,527$14.7M0.0%+122,519
Goldman Sachs Group Inc120,325$14.4M0.0%+116,167
New York State Common Retirement Fund117,771$14.1M0.0%+29,089

13F reports cover disclosed long positions in U.S. stocks only.

SEC filer profile

How BillionToOne (United States) is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARBillionToOne, Inc.2
  • CIK0002070849
  • Employer ID (EIN)81-10820207
  • Filer statusNon-accelerated filer an emerging growth company; not a smaller reporting company; not a shell company7
  • Incorporated inDelaware7
  • Fiscal year endsDecember 312
  • Industry code (SIC)8071 Services-Medical Laboratories2
  • SEC reviewing officeOffice of Industrial Applications and Services, Division of Corporation Finance2
  • Business address1035 O'Brien Drive, Menlo Park, CA2
  • Mailing address1035 O'Brien Drive, Menlo Park, CA 940252
  • Phone650-460-25512
  • Shares outstanding41,413,162 Common Class A shares; 4,552,650 Common Class B shares as of Mar 6, 20267
  • AuditorPricewaterhouseCoopers LLP, Florham Park, New Jersey PCAOB ID 238; no auditor attestation of internal control over financial reporting7
  • On EDGAR sinceJun 20, 20252
  • Filings162 in all: 4 (63), 144 (51), 3 (15), 8-K (8), 10-Q (3), SCHEDULE 13G (3), DRS/A (2), DRSLTR (2)2
    All 22 form types

    UPLOAD (2), 10-K (1), 144/A (1), 424B4 (1), 8-A12B (1), ARS (1), CERT (1), DEF 14A (1), DEFA14A (1), DRS (1), S-1 (1), S-1/A (1), S-8 (1), SCHEDULE 13D (1)

  • Latest filingsAnnual report (10-K) Mar 11, 2026
    Quarterly report (10-Q) Aug 5, 2026
    Proxy statement (DEF 14A) Apr 21, 2026
    Latest 8-K (8-K) Aug 5, 2026

Securities registered for trading

ClassSymbolExchange
Class A common stock, par valueBLLNThe Nasdaq Stock Market LLC

From the cover page of the 10-K filed Mar 11, 2026 (Section 12(b) of the Exchange Act).7

Risk factors and legal proceedings

The risks BillionToOne (United States) names in Item 1A of its 10-K filed Mar 11, 2026: 74 risks under these headings, as written.7

  • Risks Related to Our Business and Industry
  • Our limited operating history and rapid growth make it difficult to evaluate our future prospects and the risks and challenges we may encounter.
  • We primarily generate revenue from sales of our molecular diagnostic tests and we are highly dependent on them for our success.
  • If the government and other third-party payors fail to provide coverage and adequate payment for our existing and future tests, our revenue and prospects for profitability will be harmed.
  • Our revenue may be adversely affected if we are unable to successfully obtain reimbursement from the Medicare program and state Medicaid programs.
  • Our billing and claim processing are complex and time-consuming, and any delay in submitting claims or failure to comply with applicable billing requirements could hinder collection and have an adverse effect on our revenue.
  • The inherent variability of the insurance coverage and reimbursement landscape makes it difficult to predict amounts we ultimately collect for our tests, and if our estimates of revenue to be recognized materially differs from the revenue recorded for tests, our revenue or operating results may fall below investor or analyst expectations.
  • The loss of key members of our senior management team or our inability to attract and retain highly skilled scientists, technicians, clinicians, and sales representatives could adversely affect our business.
  • If our existing laboratory facilities become damaged or inoperable or we are required to vacate our existing facilities, our ability to perform our tests and pursue our research and development efforts may be jeopardized.
  • Our tests in development may not be clinically effective or may never achieve significant commercial market acceptance and our test offerings that we have recently launched may not be commercially successful.
  • We rely on a limited number of suppliers or, in some cases, sole or single-source suppliers, for some of our laboratory instruments and materials and may not be able to find replacements or promptly transition to alternative suppliers.
  • We rely on commercial courier delivery services to transport samples to our facilities in a timely and cost-efficient manner and if these delivery services are disrupted, our business may be harmed.
The other 63 risks
  • If our products do not meet the expectations of patients and our customers, our operating results, reputation and business could suffer.
  • If our information technology systems or those third parties with whom we work or our data, are or were compromised, we could experience adverse consequences resulting from such compromise, including regulatory investigations or actions, litigation, fines and penalties, disruptions of our business operations, reputational harm, loss of revenue or profits, loss of customers or sales, and other adverse consequences.
  • If we experience a significant disruption in our information technology systems, or those of third parties upon which we rely, our business operations and financial condition could be adversely affected.
  • Recent or future macroeconomic pressures resulting from geopolitical uncertainty, public health developments or other matters may have an adverse impact on our business, financial results and prospects.
  • International trade policies, including tariffs, sanctions and trade barriers may adversely affect our business, financial condition, results of operations and prospects.
  • If we were to be sued for product liability or professional liability, we could face substantial liabilities that exceed our resources.
  • Our estimates of total addressable market opportunity and forecasts of market growth may prove to be inaccurate, and even if the market in which we compete achieves the forecasted growth, our business could fail to grow at similar rates.
  • We may acquire businesses, form joint ventures or make investments in companies or technologies that could negatively affect our operating results, distract management’s attention from other business concerns, dilute our stockholders’ ownership, and significantly increase our debt, costs, expenses, liabilities and risks.
  • New product development and commercialization involve a lengthy and complex process and we may be unable to develop or commercialize new products on a timely basis or at all.
  • The molecular diagnostics industry is subject to rapid change, which could make our current products, and any future products we may develop, obsolete.
  • If we are unable to support demand for our current and future products, including ensuring that we have adequate capacity to meet increased demand, or we are unable to successfully manage our anticipated growth, our business could suffer.
  • Our employees, contractors, consultants and commercial partners may engage in misconduct or other improper activities, including non-compliance with regulatory standards and requirements.
  • We have been, and in the future may be, involved in legal proceedings, regulatory investigations and inquiries and other legal matters, which may have an adverse effect on our business, financial condition, results of operations and prospects.
  • Ethical, legal and social concerns related to the use of genetic information could reduce demand for our tests.
  • The increasing use of social media platforms presents new risks and challenges.
  • If we cannot compete successfully with our competitors, we may be unable to increase or sustain our revenue or to achieve and then sustain profitability.
  • We have generally incurred losses since inception, and we may not be able to generate sufficient revenue to maintain profitability.
  • Our operating results may fluctuate significantly, which makes our future operating results difficult to predict and could cause our operating results to fall below expectations or any guidance we may provide.
  • We may need to raise additional capital, and if we cannot do so when needed or on commercially acceptable terms, we will be required to slow or cease our investment in our product development and commercialization plans, which would have an adverse effect on our business.
  • Risks related to our intellectual property
  • Any inability to effectively protect our proprietary technologies could harm our competitive position.
  • If we are unable to protect the confidentiality of our trade secrets, the value of our technology could be materially adversely affected and our business could be harmed.
  • If we are subject to litigation or other proceedings arising from a claim of infringement of the intellectual property of a third party, we might incur significant costs and delays in test introduction or we could be prevented from using technologies incorporated in our tests.
  • Changes in patent law in the United States and other jurisdictions could diminish the value of patents in general, thereby impairing our ability to protect our products.
  • Issued patents covering our products, services or technology could be found invalid or unenforceable if challenged.
  • We may be subject to claims challenging the inventorship or ownership of our intellectual property.
  • We may be subject to claims that our employees, consultants or independent contractors have wrongfully used or disclosed confidential information of third parties or that our employees have wrongfully used or disclosed trade secrets of their former employers.
  • We may not be able to protect and enforce our trademarks and we could infringe others’ trademarks.
  • We may not be able to protect or enforce our intellectual property rights adequately throughout the world.
  • Failure to comply with the terms of underlying open source software licenses could require us to publicly disclose our proprietary software.
  • Obtaining and maintaining our patent protection depends on compliance with various required procedures, document submissions, fee payments and other requirements imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.
  • Patent terms may be inadequate to protect our competitive position for an adequate amount of time.
  • Risks related to legal and regulatory matters
  • Our tests are currently marketed as LDTs, and future changes in FDA enforcement of LDTs could subject our operations to much more significant regulatory requirements.
  • Changes in the way the FDA regulates the reagents, other consumables, and testing equipment we use when developing, validating, and performing our tests could result in delay or additional expense in bringing our tests to market or performing such tests for our customers.
  • We and the third parties with whom we work are subject to stringent and evolving U.S. and foreign laws, regulations, and rules, contractual obligations, industry standards, policies and other obligations related to data privacy and security, and our actual or perceived failure to comply with those laws and regulations or to adequately secure the information in our possession could result in significant liability or reputational harm.
  • We conduct business in a heavily regulated industry, and changes in regulations or violations of regulations may, directly or indirectly, reduce our revenue, adversely affect our results of operations and financial condition, and harm our business.
  • Our business could be harmed by the loss, suspension or other restriction on a license, certification, or accreditation, or by the imposition of a fine or penalties, under CLIA, its implementing regulations, or other state, federal and foreign laws and regulations affecting licensure or certification, or by future changes in these laws or regulations.
  • Companion and complementary diagnostic tests require FDA approval, and we may not be able to secure such approval in a timely manner or at all.
  • Changes in healthcare laws, regulations and policies could increase our costs, decrease our sales and revenue and negatively impact reimbursement for our tests.
  • We are subject to numerous federal and state healthcare statutes and regulations; complying with such laws pertaining to our business is an expensive and time-consuming process, and any failure to comply could result in substantial penalties and a material adverse effect to our business and results of operations.
  • We are subject to the U.S. Foreign Corrupt Practices Act and other anti-corruption laws, as well as export control laws, import and customs laws, trade and economic sanctions laws and other laws governing our operations.
  • If the validity of an informed consent from a patient intake for any of our tests is challenged, we could be precluded from billing for such testing, forced to stop performing such tests or required to repay amounts previously received, which would adversely affect our business and financial results.
  • A correction or removal of our products, either voluntarily or at the direction of the FDA or another governmental authority, or the discovery of serious safety issues with our products, could have a significant adverse impact on us.
  • Our use of hazardous materials in the development of our tests exposes us to risks related to accidental contamination or injury and requires us to comply with regulations governing hazardous waste materials.
  • Even if we receive regulatory approval or certification of our products, we will continue to be subject to extensive regulatory oversight.
  • Risks related to financial and accounting matters
  • We have identified material weaknesses in our internal control over financial reporting. If our remediation of such material weaknesses is not effective, or if we identify additional material weaknesses in the future or otherwise fail to develop and maintain effective internal control over financial reporting, our ability to produce timely and accurate financial statements or comply with applicable laws and regulations could be impaired.
  • Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limited.
  • Future indebtedness could adversely affect our business and growth prospects.
  • The terms of our debt facility restrict our current and future operations, particularly our ability to respond to changes or to take certain actions.
  • Taxing authorities may successfully assert that we should have collected or in the future should collect sales and use, value added or similar taxes and we could be subject to tax liabilities with respect to past or future sales, which could adversely affect our results of operations.
  • If our estimates or judgments relating to our critical accounting policies are based on assumptions that change or prove to be incorrect, our operating results could fall below our publicly announced guidance or the expectations of securities analysts and investors, resulting in a decline in the market price of our common stock.
  • Risks related to our Class A common stock
  • The market price for our Class A common stock may be volatile or may decline regardless of our operating performance, and you may lose all or part of your investment.
  • Our dual-class capital structure has the effect of concentrating voting power with holders of our Class B common stock, who have significant influence over us and, if acting together, will be able to control matters requiring stockholder approval.
  • We cannot predict the impact our dual class structure may have on the market price of our Class A common stock.
  • If securities or industry analysts do not publish research, if they publish inaccurate or unfavorable research about our business, or if our financial results differ from any guidance we provide to the public, the price of our Class A common stock and trading volume could decline.
  • Future sales of substantial amounts of our Class A common stock in the public markets, or the perception that such sales might occur, could reduce the price that our Class A common stock might otherwise attain.
  • Anti-takeover provisions in our governing documents and under Delaware law could make an acquisition of our company more difficult, limit attempts by our stockholders to replace or remove our current management, and depress the market price of our Class A common stock.
  • Our Certificate of Incorporation provides that the Court of Chancery of the State of Delaware and the U.S. federal district courts are the exclusive forums for substantially all disputes between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.
  • We do not anticipate paying dividends on our Class A common stock in the foreseeable future. As a result, your ability to achieve a return on your investment will depend on appreciation in the price of our Class A common stock.
  • General risk factors
  • Our failure to timely and effectively implement controls and procedures required by Section 404 of the Sarbanes-Oxley Act could have a material adverse effect on our business.
  • We are an “emerging growth company,” and we cannot be certain if the reduced reporting and disclosure requirements applicable to emerging growth companies will make our common stock less attractive to investors.
  • The requirements of being a public company may strain our resources, divert management’s attention, and affect our ability to attract and retain qualified Board of Directors members.
  • Our disclosure controls and procedures may not prevent or detect all errors or acts of fraud.
  • We may be subject to securities litigation, which is expensive and could divert management attention.

Legal proceedings

From time to time, we are involved in legal claims, regulatory investigations, inquiries, proceedings and other legal matters arising from the normal course of business and typical for our industry. Although no formal legal proceeding has been instituted, from time to time, we receive requests from governmental agencies, or third parties working on their behalf, for documents and information related to our products. We do not view any of the legal claims, regulatory investigations, inquiries, proceedings and other legal matters that we are currently subject to as being material to our business; however, it is difficult to assess the outcome of these matters, and we may not prevail in any current or future proceedings or litigation.

Litigation or any other legal, regulatory or administrative proceedings, regardless of the outcome, can result in substantial cost and diversion of our resources, including our management’s time and attention, and there can be no assurances that favorable final outcomes will be obtained. For additional information on risks relating to legal proceedings, reference Part I, Item 1A, “Risk factors—Risks related to our business and strategy—We are involved in legal proceedings, regulatory investigations and inquiries and other legal matters, which may have an adverse effect on our business, financial condition, results of operations and prospects.”

The opening of Item 3, Legal Proceedings.7

Sources

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