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Surging Q1 sales lead Beta Bionics (NASDAQ: BBNX) to lift 2026 guidance

Filing Impact
(Moderate)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Beta Bionics, Inc. reported strong first quarter 2026 growth and raised its full year 2026 outlook. Net sales reached $27.6 million, up 57% from $17.6 million a year earlier, driven by both Durable Medical Equipment and Pharmacy Benefit Plan channels.

Gross margin improved to 59.5% from 50.9%, while net loss narrowed to $21.9 million from $28.7 million as operating expenses increased to support growth. The company ended March 31, 2026 with $239.5 million in cash, cash equivalents, and investments and now expects 2026 revenue of $131–$136 million, higher gross margins, and a greater share of new patient starts through the PBP channel.

Positive

  • Strong top-line growth: Q1 2026 net sales rose 57% year over year to $27.6 million, with 181% growth in Pharmacy Benefit Plan channel revenue.
  • Margin expansion and guidance raise: Gross margin improved from 50.9% to 59.5%, and full year 2026 guidance increased for revenue and gross margin, signaling improving business performance.
  • Robust liquidity: Cash, cash equivalents, and short- and long-term investments totaled $239.5 million as of March 31, 2026, providing significant financial flexibility.

Negative

  • None.

Insights

Rapid revenue growth, margin expansion and higher 2026 guidance mark a clearly positive update.

Beta Bionics delivered Q1 2026 net sales of $27.6 million, up 57% year over year, with especially strong Pharmacy Benefit Plan channel growth of 181%. Gross margin expanded to 59.5%, an 864 basis point improvement, showing better unit economics as volume scales.

Loss from operations was $24.3 million and net loss $21.9 million, both improved versus 2025 despite higher sales and marketing and R&D spend. Adjusted EBITDA was a negative $17.7 million, slightly worse than a year ago, reflecting continued investment. Liquidity remains solid with $239.5 million in cash and investments as of March 31, 2026.

The company raised 2026 full year guidance to revenue of $131–$136 million, higher targeted gross margin of 57.5–59.5%, and a larger share of new patient starts reimbursed through the PBP channel. Additional catalysts include the new Bionic Insights feature and a Q1 2026 Phase 2a feasibility trial in New Zealand for its bihormonal system.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Net sales Q1 2026 $27.6M Quarter ended March 31, 2026; up 57% year over year
Gross margin Q1 2026 59.5% Improved from 50.9% in Q1 2025
Net loss Q1 2026 $21.9M Quarter ended March 31, 2026; improved from $28.7M
Adjusted EBITDA Q1 2026 -$17.7M Non-GAAP measure for quarter ended March 31, 2026
Cash and investments $239.5M Cash, cash equivalents, short- and long-term investments as of March 31, 2026
2026 revenue guidance $131–$136M Updated full year 2026 total revenue estimate
2026 gross margin guidance 57.5–59.5% Updated full year 2026 gross margin estimate
PBP channel net sales Q1 2026 $10.7M Pharmacy Benefit Plan channel; up 181% year over year
Adjusted EBITDA financial
"Adjusted EBITDA(1) of negative $17.7 million, or negative 64% of sales"
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.
Pharmacy Benefit Plan (PBP) channel financial
"Pharmacy Benefit Plan (PBP) channel net sales of $10.7 million, up 181%"
Durable Medical Equipment (DME) channel financial
"Durable Medical Equipment (DME) channel net sales of $16.9 million, up 22%"
Bionic Insights technical
"launched Bionic Insights™ feature within the Bionic Reports healthcare provider portal"
Phase 2a feasibility trial medical
"initiated a Phase 2a feasibility trial in New Zealand for the bihormonal system"
An early-stage clinical study that tests whether a new treatment shows initial signs of benefit and can be practically given to patients, usually after initial safety checks. Think of it as a small dress rehearsal that checks if the approach works, what dose seems right, and which patients respond. Results can materially affect a drug program’s value, timelines and funding needs, so investors watch them closely.
Quality system remediation regulatory
"reflect the same category of expenses previously labeled “Other non-recurring”... one-time remediation efforts"
Revenue $27.6M +57% YoY
Gross margin 59.5% +8.6 percentage points YoY
Net loss $21.9M improved from $28.7M YoY
Adjusted EBITDA -$17.7M vs -$15.5M YoY
Guidance

2026 revenue $131–$136M and gross margin 57.5–59.5%, with 37–39% of new patient starts reimbursed through the PBP channel.

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_________________

FORM 8-K

_________________

CURRENT REPORT

Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported):  April 21, 2026

_______________________________

Beta Bionics, Inc.

(Exact name of registrant as specified in its charter)

_______________________________

Delaware001-4249147-5386878
(State or Other Jurisdiction of Incorporation)(Commission File Number)(I.R.S. Employer Identification No.)

11 Hughes

Irvine, California 92618

(Address of Principal Executive Offices) (Zip Code)

(949) 427-7785

(Registrant's telephone number, including area code)

N/A

(Former name or former address, if changed since last report)

_______________________________

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.0001 par value per shareBBNXNasdaq Global Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 
 
Item 2.02. Results of Operations and Financial Condition.

 

On April 21, 2026, Beta Bionics, Inc. (the “Company”) issued a press release announcing its financial results for the first quarter ended March 31, 2026. A copy of the press release is attached hereto as Exhibit 99.1.

 

The information contained under this Item 2.02, including Exhibit 99.1 attached hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or under the Exchange Act, regardless of any general incorporation language in any such filing, unless the Company expressly sets forth in such filing that such information is to be considered “filed” or incorporated by reference therein.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit No. Description
   
99.1 Press Release, dated April 21, 2026.
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 
 

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 Beta Bionics, Inc.
   
  
Date: April 21, 2026By: /s/ Sean Saint        
  Sean Saint
  President and Chief Executive Officer
  

 

EXHIBIT 99.1

Beta Bionics Announces First Quarter 2026 Financial Results and Raises Full Year 2026 Guidance

IRVINE, Calif., April 21, 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 March 31, 2026 and raised its full year guidance for the year ending December 31, 2026.

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.
  • 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 of March 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

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 first 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/BI9e198d2306384b3c88c83ffa25a93bcc.

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) 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 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, the bihormonal system and other product candidates, if approved; the timing, likelihood or success of its business strategy, including commercialization and its multi-channel reimbursement strategy, 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; and the design, results and timing of its research and development efforts and feasibility trials for the bihormonal system in development. 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 March 31, 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
       
(In thousands, except number of shares Three Months Ended
March 31,
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
       
       
Beta Bionics, Inc.
Balance Sheets (unaudited)
Table B
       
  March 31, December 31,
(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, $0.0001 par value, 700,000,000 shares authorized; 44,561,695 and 44,360,873 issued and outstanding at March 31, 2026 and December 31, 2025, respectively  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
       
       
Beta Bionics, Inc.
Net Sales by Channel (unaudited)
Table C
       
  Three Months Ended
March 31,
(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.
       
       
Beta Bionics, Inc.
Reconciliation of GAAP versus Non-GAAP Financial Results (unaudited)
Table D
       
  Three Months Ended
March 31,
(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 December 31, 2025 and March 31, 2026 reflect the same category of expenses previously labeled “Other non-recurring” in the Company’s Form 10-K for the year ended December 31, 2025. These expenses relate to the Company’s one-time remediation efforts in response to the Form 483 and the Warning Letter, including contractor support and the various updates to the Company’s 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 financially in Q1 2026?

Beta Bionics reported net sales of $27.6 million in Q1 2026, up 57% from $17.6 million a year earlier. Gross margin improved to 59.5%, and net loss narrowed to $21.9 million from $28.7 million, reflecting better scale and efficiency.

What were Beta Bionics’ Q1 2026 net sales by channel?

In Q1 2026, Beta Bionics generated $16.9 million in DME channel net sales and $10.7 million in PBP channel net sales. DME grew 22% year over year, while PBP jumped 181%, highlighting rapid adoption through pharmacy reimbursement pathways.

Did Beta Bionics raise its full year 2026 guidance?

Yes. Beta Bionics now expects 2026 revenue of $131–$136 million, up from $130–$135 million. It also increased projected gross margin to 57.5–59.5% and slightly raised its estimate for the share of new patient starts reimbursed through the PBP channel.

What is Beta Bionics’ cash position as of March 31, 2026?

As of March 31, 2026, Beta Bionics held $239.5 million in cash, cash equivalents, and short- and long-term investments. This sizeable balance supports ongoing commercialization, R&D programs, and quality system remediation efforts described in the company’s financial disclosures.

How did Beta Bionics’ profitability metrics change in Q1 2026?

Loss from operations in Q1 2026 was $24.3 million, versus $18.6 million a year earlier, while net loss improved to $21.9 million from $28.7 million. Adjusted EBITDA was a negative $17.7 million, compared with negative $15.5 million in Q1 2025.

What strategic initiatives did Beta Bionics highlight in this update?

Beta Bionics launched its Bionic Insights analytics feature for healthcare providers and began a Phase 2a feasibility trial in New Zealand for its bihormonal system. These initiatives support clinical adoption and pipeline development in advanced diabetes management.

What is adjusted EBITDA and what was Beta Bionics’ figure for Q1 2026?

Adjusted EBITDA is a non-GAAP measure that adjusts net loss for items like depreciation, stock-based compensation and interest income. Beta Bionics reported adjusted EBITDA of negative $17.7 million in Q1 2026, compared with negative $15.5 million in Q1 2025.

Filing Exhibits & Attachments

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