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Beta Bionics Announces Second Quarter 2026 Financial Results and Updates Full Year 2026 Guidance

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Beta Bionics (Nasdaq: BBNX) reported second quarter 2026 net sales of $32.0 million, a 38% increase from $23.2 million a year earlier, driven by 153% growth in the Pharmacy Benefit Plan (PBP) channel to $11.6 million and 9% growth in the DME channel to $20.4 million.

Gross margin improved to 59.0%, up 524 basis points year over year. The company recorded a net loss of $23.4 million (negative 73% of sales) versus $16.9 million, and adjusted EBITDA of negative $17.7 million versus negative $14.5 million. Cash, cash equivalents, and investments totaled $225.2 million at June 30, 2026. For full year 2026, Beta Bionics maintained revenue guidance of $131–$136 million, kept PBP new-start mix guidance unchanged, and raised gross margin guidance to 58.5–59.5%. The company also initiated a pivotal U.S. trial of iLet in adults with type 2 diabetes and outlined plans to fully commercialize its Mint patch pump by the end of the second quarter of 2027, both subject to FDA clearance.

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Positive

  • Net sales +38% YoY to $32.0 million in Q2 2026
  • PBP channel net sales +153% YoY to $11.6 million
  • Gross margin improved to 59.0%, up 524 basis points YoY
  • Raised 2026 gross margin guidance to 58.5–59.5%
  • Strong liquidity with $225.2 million in cash and investments
  • New patient starts grew at least 10% sequentially in Q2 2026

Negative

  • Net loss widened to $23.4 million from $16.9 million YoY
  • Loss from operations $25.6 million, equal to negative 80% of sales
  • Adjusted EBITDA loss increased to $17.7 million from $14.5 million
  • Operating expenses rose to $44.5 million from $32.4 million YoY
  • Stockholders’ equity declined to $256.4 million from $287.6 million at year-end 2025

News Explained

The completed second-quarter report shows Beta Bionics had 44,981,606 common shares issued and outstanding as of June 30, 2026, versus 44,360,873 at December 31, 2025; this increases the reported common-share base relevant to existing ownership.

Key Figures

Net sales: $32.0 million PBP channel sales: $11.6 million Gross margin: 59.0% +5 more
8 metrics
Net sales $32.0 million Q2 2026; up 38% versus Q2 2025
PBP channel sales $11.6 million Q2 2026; up 153% versus Q2 2025
Gross margin 59.0% Q2 2026; up 524 basis points versus Q2 2025
Net loss $23.4 million Q2 2026; compared with $16.9 million in Q2 2025
Cash and investments $225.2 million As of June 30, 2026
2026 revenue guidance $131 million to $136 million Full year 2026; no change versus previous guidance
2026 gross margin guidance 58.5% to 59.5% Full year 2026; previously 57.5% to 59.5%
Pivotal trial enrollment July 2026 iLet trial in adults with type 2 diabetes in the U.S.

Previous Earnings Reports

5 past events · Latest: Apr 21 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 21 Q1 earnings report Positive -0.6% Revenue growth and raised full-year guidance accompanied a negative 24-hour reaction.
Feb 17 FY2025 earnings report Positive -2.6% Strong annual growth and 2026 guidance accompanied a negative 24-hour reaction.
Jan 08 Q4 topline update Positive -37.0% Preliminary sales and user growth preceded a negative 24-hour reaction.
Dec 08 Earnings scheduling notice Neutral -3.6% The planned results release and investor meetings preceded a negative 24-hour reaction.
Oct 28 Q3 earnings report Positive +10.3% Quarterly growth and raised annual guidance accompanied a positive 24-hour reaction.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

BBNX earnings-related announcements historically showed negative reactions in four of five tag-specific events despite generally positive operating updates.

Key Terms

adjusted ebitda, gaap, pharmacy benefit plan, fda form 483
4 terms
adjusted ebitda financial
"Adjusted EBITDA(1) of negative $17.7 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
gaap financial
"accordance with U.S. Generally Accepted Accounting Principles (GAAP)"
GAAP, or Generally Accepted Accounting Principles, are a set of standardized rules and guidelines that companies follow when preparing their financial statements. They ensure consistency, transparency, and comparability across different companies, making it easier for investors to understand and compare financial information accurately. This helps investors make informed decisions based on trustworthy and uniform financial reports.
View in glossary
pharmacy benefit plan financial
"Pharmacy Benefit Plan (PBP) channel net sales"
A pharmacy benefit plan is the part of a health insurance program that decides which prescription medicines are covered, how much patients pay, and how pharmacies and drug makers are reimbursed. Think of it like a shopping club that sets the discounted drugs, out‑of‑pocket fees, and rules for buying them; it matters to investors because those coverage and pricing rules directly affect drug sales, pharmacy revenue, and health plan costs.
fda form 483 regulatory
"in response to the FDA Form 483 and Warning Letter"
FDA Form 483 is a written list of inspectional observations issued by the U.S. Food and Drug Administration to a facility after an on-site inspection when investigators observe conditions that may violate regulatory standards. It is like a restaurant health inspector’s report that notes problems needing correction but is not a final finding or enforcement action; investors watch it because the issues can signal production, quality control, or compliance risks that may affect a company’s operations, costs, and reputation.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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IRVINE, Calif., July 29, 2026 (GLOBE NEWSWIRE) -- Beta Bionics, Inc. (Nasdaq: BBNX), a pioneering leader in the development of advanced diabetes management solutions, today reported its financial results for the quarter ended June 30, 2026 and updated its full year guidance for the year ending December 31, 2026.

Second Quarter 2026 Financial Highlights & Key Metrics

  • Net sales of $32.0 million, up 38% compared to $23.2 million in the second quarter of 2025.
    • Durable Medical Equipment (DME) channel net sales of $20.4 million, up 9% compared to $18.6 million in the second quarter of 2025.
    • Pharmacy Benefit Plan (PBP) channel net sales of $11.6 million, up 153% compared to $4.6 million in the second quarter of 2025.
  • Gross margin of 59.0%, up 524 basis points compared to 53.8% in the second quarter of 2025.
  • New patient starts increased by at least 10% but less than 20% sequentially versus the first quarter of 2026.
    • 69% 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 $25.6 million, or negative 80% of sales, compared to $19.9 million or negative 86% of sales in the second quarter of 2025.
  • Net loss of $23.4 million, or negative 73% of sales, compared to $16.9 million or negative 73% of sales in the second quarter of 2025.
  • Adjusted EBITDA(1) of negative $17.7 million, or negative 55% of sales, compared to negative $14.5 million or negative 63% of sales in the second quarter of 2025.
  • $225.2 million in cash, cash equivalents, short and long-term investments as of June 30, 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 July, initiated enrollment for a pivotal trial studying the iLet in adults with type 2 diabetes in the U.S.
    • Beta Bionics expects to expand iLet’s indications for use to adults with type 2 diabetes in the U.S. around mid-year 2027, subject to regulatory clearance by the FDA.
  • Announced updated expectations to fully commercialize Mint, Beta Bionics’ patch pump in development, by the end of the second quarter of 2027, subject to regulatory clearance by the U.S. Food and Drug Administration (FDA).
    • The company expects Mint manufacturing capacity to meet anticipated demand at full launch.
  • Published a near real-time real-world data dashboard publicly available on the company’s website, setting a new standard for data transparency in the Automated Insulin Delivery category.
  • In its most recent Phase 2a feasibility trial in New Zealand initiated in the first quarter of 2026 for the bihormonal system in development, the company identified opportunities to improve the glucagon asset’s excipient profile and the bihormonal dosing algorithm, with improvements expected to take less than one year prior to initiating additional feasibility trials.

2026 Full Year Guidance

  • Estimated total revenue of approximately $131 million to $136 million (no change versus previous guidance).
  • Estimated 37% to 39% of new patient starts reimbursed through the PBP channel (no change versus previous guidance).
  • Estimated gross margin of 58.5% to 59.5% (previously 57.5% to 59.5%).

Webcast & Conference Call Details

Beta Bionics will host a conference call and concurrent webcast today at 4:30 pm Eastern Time (1:30 pm Pacific Time), to review the company’s second quarter 2026 performance. The link to the webcast will be available on the Company’s website in the “Investors—Events & Presentations” section at https://investors.betabionics.com, and will be archived there for future replay. To access the live call by phone, please use the following link, which will provide you with dial-in details and a personal pin: https://register-conf.media-server.com/register/BI3bd9f03fbd0f42bcb9f566c242240033

Non-GAAP Financial Measures

Beta Bionics, Inc. (the “Company”) prepares and presents the Company’s financial statements in accordance with U.S. Generally Accepted Accounting Principles (GAAP). The Company believes adjusted EBITDA as a non-GAAP measure is useful in evaluating the Company’s operating performance and uses adjusted EBITDA to evaluate ongoing operations and for internal planning and forecasting purposes. The Company believes that this non-GAAP financial measure, when taken together with the corresponding GAAP financial measures, provide meaningful supplemental information regarding the Company’s performance by excluding certain items that may not be indicative of the Company’s business, results of operations, or outlook. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in the Company’s industry, may calculate similarly-titled non-GAAP measures differently or may use other measures to evaluate their performance, all of which could reduce the usefulness of the Company’s non-GAAP financial measures as tools for comparison. A reconciliation is provided below for adjusted EBITDA to the most directly comparable financial measure stated in accordance with GAAP in Table D below.

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) quality system remediation (previously labeled “Other non-recurring” in the Form 10-K for the year ended December 31, 2025), which relates to one-time remediation efforts in response to the FDA Form 483 and Warning Letter, including contractor support and various updates to the quality system.

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 Beta Bionics

Beta Bionics, Inc. is a commercial-stage medical device company engaged in the design, development, and commercialization of innovative solutions to improve the health and quality of life of insulin-requiring people with diabetes (PWD) by utilizing advanced adaptive closed-loop algorithms to simplify and improve the treatment of their disease. The iLet Bionic Pancreas is the first FDA-cleared insulin delivery device that autonomously determines every insulin dose and offers the potential to substantially improve overall outcomes across broad populations of PWD. To learn more, visit www.betabionics.com.

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 Beta Bionics, Inc. (the “Company”) regarding its clinical and regulatory development plans for the iLet and other product candidates; the markets and market opportunities for the iLet, Mint, the bihormonal system and other product candidates, if approved; the timing, likelihood or success of its business strategy, including commercialization as well as plans and objectives of management for future operations; its anticipated growth and other measures of future operating results and financial performance, including 2026 full year guidance regarding estimates of revenue, new patient starts reimbursed through the PBP channel and gross margin; the design, results, and timing of its research and development efforts and planned trials for the iLet in adults with type 2 diabetes; the design, results and timing of its research and development efforts and feasibility trials for the bihormonal system in development, including the expected timelines with respect to improvements to the glucagon asset’s excipient profile and the bihormonal dosing algorithm; and the timing or certainty of the FDA’s approval of Mint, the timing or certainty of the commercialization of Mint and related updates and the Company’s manufacturing capacity at launch. Words such as “believe,” “anticipate,” “plan,” “expect,” “intend,” “will,” “may,” “goal,” “potential” and similar expressions are intended to identify forward-looking statements, though not all forward-looking statements necessarily contain these identifying words. These forward-looking statements are based on the beliefs of the management of the Company as well as assumptions made by and information currently available to the Company. Such statements reflect the current views of the Company with respect to future events and are subject to known and unknown risks and uncertainties, including business, regulatory, economic and competitive risks and uncertainties about the Company, including, without limitation, risks inherent in developing product candidates, future results from the Company’s ongoing and future studies and clinical trials, the Company’s ability to obtain adequate financing to fund its product development and other expenses, risks that real-world data or future results may not be consistent with interim, initial or preliminary results or results from prior preclinical studies or clinical trials, trends in the industry, the Company’s relationships with its existing and future collaboration partners, the legal and regulatory framework for the industry, future expenditures and the potential impacts of global macroeconomic conditions. In light of these risks and uncertainties, the events or circumstances referred to in the forward-looking statements may not occur. The actual results may vary from the anticipated results and the variations may be material. Other factors that may cause the Company’s actual results to differ from current expectations are discussed in the Company’s filings with the Securities and Exchange Commission, including the section titled “Risk Factors” in the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2026. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date this press release is given. Except as required by law, the Company undertakes no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise.

Beta Bionics, Inc.
Statements of Operations and Comprehensive Loss (unaudited)
Table A
             
  Three Months Ended  Six Months Ended
(In thousands, except number of shares and per share data)

 June 30, June 30,
 2026
 2025
 2026
 2025
             
Net sales $32,013  $23,238  $59,639  $40,877 
Cost of sales  13,111   10,735   24,300   19,403 
Gross profit  18,902    12,503    35,339    21,474  
Gross margin  59.0%  53.8%  59.3%  52.5%
Operating expenses:            
Research and development  10,240   8,873   20,596   16,463 
Sales and marketing  24,640   15,623   45,375   29,025 
General and administrative  9,600   7,879   19,217   14,500 
Total operating expenses  44,480   32,375   85,188   59,988 
Loss from operations  (25,578)  (19,872)  (49,849)  (38,514)
Other income (expense):            
Interest income  2,177   3,005   4,553   5,441 
Other expense  (2)  (2)  (2)  (2)
Change in fair value of warrant liabilities           (12,450)
Total other income (expense), net  2,175   3,003   4,551   (7,011)
Net loss  $(23,403) $(16,869) $(45,298) $(45,525)
Other comprehensive income (loss):            
Unrealized gain (loss) on short-term and long-term investments  (294)  (91)  (793)  84 
Comprehensive loss $(23,697) $(16,960) $(46,091) $(45,441)
Net loss per share attributable to common stockholders, basic and diluted $(0.53) $(0.39) $(1.02) $(1.23)
Weighted-average common shares outstanding, basic and diluted 44,545,293  43,390,652  44,554,141  37,087,726 
             
             
Beta Bionics, Inc.
Balance Sheets (unaudited)
Table B
             
(In thousands, except number of shares)

 June 30, December 31,
 2026
 2025
Assets        
Current assets:        
Cash and cash equivalents   $44,318  $31,576 
Restricted cash, current        100   100 
Short-term investments    136,171   187,549 
Accounts receivable, net    18,053   17,118 
Inventories    23,918   21,722 
Prepaid expenses and other current assets    8,474   9,840 
Total current assets    231,034   267,905 
Property and equipment, net    10,748   8,600 
Operating lease right-of-use asset    5,816   6,627 
Long-term investments    44,648   45,431 
Other long-term assets    141   180 
Total assets   $292,387   $328,743  
         
Liabilities and Stockholders’ Equity        
Current liabilities:        
Accounts payable   $5,351  $4,998 
Accrued expenses and other current liabilities    17,194   22,431 
Operating lease liabilities    1,591   1,938 
Deferred revenue    1,881   1,557 
Total current liabilities    26,017   30,924 
Operating lease liabilities, net of current portion    4,921   5,365 
Deferred revenue, net of current portion    3,454   3,297 
Other long-term liabilities    1,629   1,547 
Total liabilities    36,021   41,133  
Commitments and contingencies        
Stockholders’ equity:        
Preferred stock, $0.0001 par value, 10,000,000 shares authorized; no shares issued and outstanding at June 30, 2026 and December 31, 2025        
Common stock, $0.0001 par value, 700,000,000 shares authorized; 44,981,606 and 44,360,873 issued and outstanding at June 30, 2026 and December 31, 2025, respectively    5   4 
Additional paid-in capital    671,986   657,140 
Accumulated other comprehensive income (loss)    (390)  403 
Accumulated deficit    (415,235)  (369,937)
Total stockholders’ equity    256,366    287,610  
Total liabilities and stockholders’ equity   $292,387   $ 328,743 
             
             
Beta Bionics, Inc.
Net Sales by Channel (unaudited)
Table C
             
  Three Months Ended Six Months Ended
(In thousands)

 June 30, June 30,
 2026
 2025
 2026
 2025
DME channel:            
iLet(1) $12,651  $13,414  $22,740  $23,042 
Single-use products  7,762   5,230   14,596   9,429 
Total DME channel  20,413   18,644   37,336   32,471 
             
PBP channel:            
iLet(1)  221   205   686   711 
Single-use products  11,379   4,389   21,617   7,695 
Total PBP channel  11,600   4,594   22,303   8,406 
Total net sales $32,013   $23,238   $59,639   $40,877  
(1)iLet includes the over-time recognition software updates and mobile app access.
             
             
Beta Bionics, Inc.
Reconciliation of GAAP versus Non-GAAP Financial Results (unaudited)
Table D
             
  Three Months Ended Six Months Ended
(In thousands)

 June 30, June 30,
 2026
 2025
 2026
 2025
Net loss $(23,403) $(16,869) $(45,298) $(45,525)
Add:            
Depreciation expense  709   347   1,294   650 
Stock-based compensation expense  7,016   4,799   12,422   7,603 
Interest income  (2,177)  (3,005)  (4,553)  (5,441)
Income tax expense  2   2   2   2 
Litigation settlement and other related expense  135   200   135   200 
Quality system remediation(1)  62      624    
Change in fair value of warrant liabilities           12,450 
Adjusted EBITDA $(17,656) $(14,526) $(35,374) $(30,061)
             
(1)Amounts presented reflect the same category of expenses previously labeled "Other non-recurring" in our Form 10-K for the year ended December 31, 2025. These expenses relate to our one-time remediation efforts in response to the FDA Form 483 and Warning Letter, including contractor support and the various updates to our quality system to meet FDA expectations.
 

Investor Relations:
Blake Beber
Head of Investor Relations
ir@betabionics.com

Media and Public Relations:
Felicia Sanborn
Vice President of Marketing
media@betabionics.com

Source: Beta Bionics, Inc.


FAQ

How did Beta Bionics (BBNX) perform in Q2 2026?

Beta Bionics reported Q2 2026 net sales of $32.0 million, up 38% year over year. According to the company, gross margin improved to 59.0%, while net loss increased to $23.4 million and adjusted EBITDA loss reached $17.7 million.

What drove Beta Bionics (BBNX) revenue growth in the second quarter of 2026?

Q2 2026 revenue growth was led by a 153% increase in Pharmacy Benefit Plan channel sales to $11.6 million. According to Beta Bionics, Durable Medical Equipment channel sales also rose 9% to $20.4 million, contributing to total net sales of $32.0 million.

What guidance did Beta Bionics (BBNX) give for full year 2026 revenue and margins?

Beta Bionics expects 2026 revenue of $131–$136 million, unchanged from prior guidance. According to the company, gross margin guidance was raised to 58.5–59.5%, and it continues to estimate 37–39% of new patient starts reimbursed through the PBP channel.

Is Beta Bionics (BBNX) still loss-making after its Q2 2026 results?

Yes, Beta Bionics remains loss-making, with a Q2 2026 net loss of $23.4 million. According to the company, this equaled negative 73% of sales, and adjusted EBITDA was a loss of $17.7 million, reflecting continued investment in R&D and commercialization.

What is Beta Bionics’ cash position after Q2 2026 and what does it mean for investors?

Beta Bionics held $225.2 million in cash, cash equivalents, and investments at June 30, 2026. According to the company, this liquidity supports ongoing operations, clinical programs, and commercialization efforts, despite current operating and net losses.

What are the key clinical and product milestones for Beta Bionics (BBNX) after Q2 2026?

Beta Bionics has started a pivotal U.S. trial of iLet in adults with type 2 diabetes. According to the company, it aims to expand iLet indications around mid-2027 and fully commercialize its Mint patch pump by end of Q2 2027, both subject to FDA clearance.

How is the payer channel mix evolving for Beta Bionics (BBNX) in 2026?

In Q2 2026, a high-30s percentage of new patient starts was reimbursed through the PBP channel. According to Beta Bionics, it maintains 2026 guidance for 37–39% of new patient starts to be covered via the PBP channel, indicating continued mix shift.