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Sera Prognostics (NASDAQ: SERA) Q1 2026 results show small revenue, long runway

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

Rhea-AI Filing Summary

Sera Prognostics, Inc. reported first quarter 2026 results, showing it remains in an early commercial stage while emphasizing extended financial runway. Revenue was $14,000 versus $38,000 a year earlier, reflecting limited commercial adoption of its PreTRM test so far.

Total operating expenses were $9.4 million, with $3.0 million in research and development and $6.3 million in selling, general and administrative costs as the company invests in commercialization. Net loss was $8.4 million, or $0.17 per share, similar to the prior-year loss.

As of March 31, 2026, Sera held about $86.8 million in cash, cash equivalents and marketable securities and expects this to fund operations through 2029 after a business review that shifted spending from clinical work toward reimbursement-driven commercialization. The company highlighted new clinical evidence for its PreTRM test, growing clinician engagement, payer discussions across 15 states and progress toward CE marking in Europe.

Positive

  • None.

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Insights

Results show minimal revenue today but a long cash runway and active commercialization efforts.

Sera Prognostics reported Q1 2026 revenue of $14,000 against operating expenses of $9.4M, underscoring that its business remains pre-scale and heavily investment-driven. Net loss of $8.4M and loss per share of $0.17 were close to the prior year.

Management completed a business review to redirect spending from clinical development toward commercialization and reimbursement, extending the cash runway by about one year to 2029. Cash, cash equivalents and marketable securities totaled $86.8M as of March 31, 2026, providing time to pursue adoption of the PreTRM test.

The company emphasized strong clinical validation from the PRIME trial and European publications, new partnership programs expected to reach over 350 providers, and active discussions with 13 payers in 15 states. Actual financial inflection will depend on converting clinician and payer engagement into reimbursed testing volumes over time.

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.
Q1 2026 Revenue $14,000 Three months ended March 31, 2026
Q1 2025 Revenue $38,000 Three months ended March 31, 2025
Q1 2026 Net Loss $8,399,000 Three months ended March 31, 2026
Net loss per share $0.17 Basic and diluted, Q1 2026
Cash and securities $86.8 million Cash, cash equivalents and marketable securities as of March 31, 2026
Total operating expenses $9.374 million Three months ended March 31, 2026
Deferred revenue $20.31 million Current liability as of March 31, 2026
Weighted-average shares 50,258,849 Basic and diluted shares Q1 2026
deferred revenue financial
"Deferred revenue | | | 20,310 | | | | 20,315 |"
Cash a company has already received for goods or services it has promised but not yet delivered; it's recorded as a liability because the company still owes that product, service, or future revenue recognition. For investors, deferred revenue signals upcoming work or deliveries that will convert into reported sales over time and affects short-term obligations, cash flow quality, and how quickly a firm can grow recognized revenue—think of it like prepaid subscriptions or gift cards a business must honor later.
marketable securities financial
"Marketable securities | | | 43,226 | | | | 35,257 |"
Marketable securities are financial assets — such as publicly traded stocks, bonds, and short-term government bills — that a company can quickly sell for cash at a known price. Investors watch them because they show how much ready cash a company can access without selling core operations, like keeping money in a highly liquid savings account versus being tied up in a house, and they affect short-term risk, financial flexibility, and balance-sheet strength.
CE marking regulatory
"Continued Progress in Europe: Advancing toward CE marking with regulatory dossier preparation on track"
CE marking is a symbol placed on certain products showing they meet European Union safety, health and environmental rules required to sell them in the EU/EEA. For investors, it signals that a product has cleared a common regulatory hurdle—like a passport for market access—reducing legal and market-entry risk and often widening sales opportunities across European markets.
PreTRM Test technical
"The PreTRM® Test is the only broadly validated, commercially available blood-based biomarker test"
forward-looking statements regulatory
"This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995"
Forward-looking statements are predictions or plans that companies share about what they expect to happen in the future, like estimating sales or profits. They matter because they help investors understand a company's outlook, but since they are based on guesses and assumptions, they can sometimes be wrong.
Revenue $14,000 vs $38,000 in Q1 2025
Net loss $8,399,000 vs $8,187,000 in Q1 2025
Net loss per share $0.17 vs $0.20 in Q1 2025
0001534969false00015349692026-05-062026-05-06

 

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): May 06, 2026

 

 

Sera Prognostics, Inc.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-40606

26-1911522

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

2749 East Parleys Way

Suite 200

 

Salt Lake City, Utah

 

84109

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: (801) 990-0520

 

Not Applicable

(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 class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Class A Common Stock, $0.0001 par value per share

 

SERA

 

The Nasdaq Stock Market LLC

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 May 6, 2026, Sera Prognostics, Inc. issued a press release announcing its financial results for the first quarter ended March 31, 2026 and providing business highlights. The full text of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

The information in this Current Report on Form 8-K (including Exhibit 99.1) shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any registration statement or other document pursuant to the Securities Act of 1933, as amended, or into any filing or other document pursuant to the Exchange Act, except to the extent required by applicable law or regulation or as shall be expressly set forth by specific reference in such filing.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

Exhibit Number

 

Description

99.1

 

Press release dated May 6, 2026.

 

 

 

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 


SIGNATURES

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.

 

 

 

SERA PROGNOSTICS, INC.

 

 

 

 

Date:

May 6, 2026

By:

/s/ Austin Aerts

 

 

 

Austin Aerts
Chief Financial Officer

 


Exhibit 99.1

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SERA PROGNOSTICS REPORTS FIRST QUARTER 2026 FINANCIAL RESULTS

Salt Lake City – May 6, 2026 – Sera Prognostics Inc., The Pregnancy Company® (Nasdaq: SERA), focused on improving maternal and neonatal health by providing innovative pregnancy biomarker information to doctors and patients, today announced financial results for the first quarter ended March 31, 2026.

Key First Quarter and Recent Highlights:

Published Landmark PRIME Randomized Trial: Study in 5,018 women showing the PreTRM® test reduced early preterm births (–56% <32 weeks; –32% <35 weeks), NICU admissions (–20%), and neonatal morbidity (-20%), with one NICU day saved per 4.2 patients screened.
Expanded European Evidence Base with Two Peer-Reviewed Publications:
PREPARE Survey Accepted for Publication in The Journal of Women’s Health: In March, results from the Pregnancy Research on European Women’s Preterm Birth Awareness, Risk and Education (PREPARE) survey were accepted for publication evaluating preterm birth awareness, risk perception, and education across five countries. Findings identified a meaningful gap between perceived awareness and actionable understanding of preterm birth risk, underscoring the need for earlier and more standardized risk communication, an area PreTRM® testing is designed to address. The live publication is expected in May.
European Expert Commentary on the PRIME Trial Published in The Journal of Maternal-Fetal & Neonatal Medicine: In March, expert commentary highlighted that current European preterm birth prevention strategies fail to identify most women who deliver preterm. They recognized that the PreTRM approach better aligns with existing European healthcare systems.
Commercial Progress: Launched third partnership program expanding physician education and access to PreTRM. This program is expected to reach over 350 providers across three states. In parallel, we are now engaged in active discussions with 13 payers across 15 states, reflecting our strategy to deepen relationships within a focused set of target markets.
Strong Presence Across Key Medical Meetings:
American College of Obstetricians and Gynecologists (ACOG) Annual Clinical and Scientific Meeting in May: Participation included a dedicated product theater and targeted engagement with clinicians to discuss evidence generation and clinical implementation of PreTRM.
Society of Maternal-Fetal Medicine (SMFM) Annual Meeting in February: Highlighted key clinical evidence from PRIME study and engaged with maternal-fetal medicine specialists on PreTRM’s role in risk stratification and early intervention. We also engaged with SMFM leadership to discuss the PRIME study outcomes.

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Continued Progress in Europe: Advancing toward CE marking with regulatory dossier preparation on track for mid‑year submission. Commercial readiness efforts are supported by ongoing clinical validation activities and engagement with European clinical and advisory stakeholders.
Cash Runway Extended Through 2029: As part of the final phase of our transition from a clinical to a commercial organization, we completed a comprehensive business review to redirect investment from clinical activities toward commercialization and rightsized our operating model, resulting in a sustainable cost structure to support the company across significant adoption and commercialization milestones through 2029.

“In the first quarter, our primary focus was building awareness with clinicians and the broader stakeholder community as we continue the evolution from clinical stage to a commercial driven organization,” said Zhenya Lindgardt, President and CEO of Sera Prognostics. “We made meaningful progress translating our expanding clinical foundation into commercial readiness, supported by growing peer reviewed validation in Europe, increasing clinician engagement, expanded education and access through the launch of our third partnership program, and active discussions with 13 payers across 15 states. Our strong presence at SMFM and ACOG and continued progress toward CE marking underscore our focus on scaling in high value markets and driving adoption of the PreTRM® test.”

“During the quarter, we advanced into the next phase of our evolution as a commercial organization through a comprehensive business review. As discussed in prior quarters, we redirected investment from clinical spend toward reimbursement driven commercialization while maintaining a sustainable cost structure,” said Austin Aerts, Chief Financial Officer of Sera Prognostics. “These actions extended our cash runway by approximately one year, through 2029, providing the financial flexibility to fund the company through key adoption and commercial milestones.”

Upcoming Investor Conferences

Company management will participate in the following investor conferences. When a fireside chat is scheduled a live webcast will be accessible through the Investors section of the Company's website for approximately 30 days following each conference.

RBC Capital Markets Global Healthcare Conference May 19-20, 2026 in New York: Zhenya Lindgardt, President & CEO will host one-on-one meetings on Tuesday, May 19.
Jefferies Global Healthcare Conference June 2-4, 2026 in New York: Zhenya Lindgardt, President and CEO, and Dr. Tiffany Inglis, Chief Medical Officer, will participate in a fireside chat on Wednesday June 3, at 9:20am ET and host one-on-one meetings.
William Blair 46th Annual Growth Stock Conference June 2-4 in Chicago: Austin Aerts, Chief Financial Officer, and Jay Boniface, Chief Scientific Officer, will host one-on-one meetings on Wednesday June 3.

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First Quarter 2026 Financial Results

First quarter 2026 revenue was $14,000 compared to $38,000 for the first quarter of 2025.

Total operating expenses were $9.4 million, compared to $9.3 million for the same period in 2025.

Research and development expenses for the first quarter of 2026 were $3.0 million, compared to $3.3 million for the first quarter of 2025.

Selling, general and administrative expenses for the first quarter of 2026 were $6.3 million, compared to $5.9 million for the prior-year period as Sera continued to carefully invest in targeted commercial activities and strategic headcount additions, while building market awareness following the publication of PRIME study data.

Net loss for the quarter was $8.4 million, compared to $8.2 million for the first quarter of 2025 as the Company continued its focus on managing our capital resources ahead of expected revenue expansion in the future.

As of March 31, 2026, the Company had cash, cash equivalents, and available-for-sale securities of approximately $86.8 million, which Sera expects to fund the company across significant adoption and commercial milestones through 2029.

Conference Call Information

Sera Prognostics will host a corresponding conference call and live webcast today to discuss first quarter 2026 operational highlights, financial results and key topics at 5:00 p.m. Eastern Time. Individuals interested in listening to the conference call may do so by dialing the following:

US domestic callers: (800) 836-8184

International callers: (646) 357-8785

Webcast Registration Link: https://app.webinar.net/voeWlGmwyd6

Live audio of the webcast will be available online from the Investors page of the Company’s website at www.sera.com. The webcast will be archived on the Investors page and will be available for one year.

About Sera Prognostics, Inc.

Sera Prognostics is a leading health diagnostics company dedicated to improving the lives of women and babies through precision pregnancy care. Sera’s mission is to provide early, pivotal pregnancy information to improve the health of mothers and newborns, resulting in reductions in the costs of healthcare delivery. Sera has a robust pipeline of innovative diagnostic tests focused on the early prediction of preterm birth risk and other complications of pregnancy. Sera’s precision medicine PreTRM® Test reports to a physician the individualized risk of spontaneous premature delivery in a pregnancy, enabling earlier proactive interventions in women with higher risk. Sera Prognostics is headquartered in Salt Lake City, Utah.


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About Preterm Birth

Preterm birth is defined as any birth before 37 weeks’ gestation and is the leading cause of illness and death in newborns. The 2025 March of Dimes Report Card shows that, for the fourth consecutive year, the United States earned a D+ grade for preterm birth, making the longest stretch of the lowest grade in Report Card history. Prematurity is associated with a significantly increased risk of major long-term medical complications, including learning disabilities, cerebral palsy, chronic respiratory illness, intellectual disability, seizures, and vision and hearing loss, and can generate significant costs throughout the lives of affected children. The annual health care costs to manage short- and long-term complications of prematurity in the United States were estimated to be approximately $25 billion for 2016.

About the PreTRM® Test

The PreTRM® Test is the only broadly validated, commercially available blood-based biomarker test that provides an early, accurate and individualized risk prediction for spontaneous preterm birth in asymptomatic singleton pregnancies. The PreTRM® Test measures and analyzes proteins in the blood that are highly predictive of preterm birth. The PreTRM® Test permits physicians to identify, during the weeks 18 through 20 of pregnancy, which women are at increased risk for preterm birth and its complications, enabling more informed, personalized clinical decisions based on each woman’s individual risk. The PreTRM® Test is ordered by a medical professional.

Sera, Sera Prognostics, the Sera Prognostics logo, The Pregnancy Company, and PreTRM are trademarks or registered trademarks of Sera Prognostics, Inc. in the United States and/or other countries.

Safe Harbor Statement

This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including statements relating to the date and time and content of the Company’s quarterly earnings release and conference call; availability of the live audio of the conference call on the Company’s website; the Company’s third partnership program expanding physician education and access to PreTRM and reaching over 350 providers across three states; advancing toward CE marking with regulatory dossier preparation on track for midyear submission; a sustainable cost structure and funding the Company across significant adoption and commercialization milestones through 2029; translating the Company’s expanding clinical foundation into commercial readiness, increasing clinician engagement, and expanded education and access; scaling in high value markets and driving adoption of the PreTRM® test; extending the Company’s cash runway by approximately one year, through 2029; providing the financial flexibility to fund the Company through key adoption and commercial milestones; expected revenue expansion in the future; the Company’s attendance at, Company leadership’s availability for one-on-one meetings at, and the availability of webcasts from the RBC Capital Markets Global Healthcare Conference May 19-20, 2026 in New York, the Jefferies Global Healthcare Conference June 2-4, 2026 in New York, and the William Blair 46th Annual Growth Stock Conference June 2-4 in Chicago; and the Company’s strategic directives under the caption “About Sera Prognostics, Inc.” These “forward-looking statements” are based on management’s current expectations of future events and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by forward-looking statements. These risks and uncertainties include, but are not limited to: net losses, cash generation, and the potential need to raise more capital; revenues from the


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PreTRM Test representing substantially all Company revenues to date; the need for broad scientific and market acceptance of the PreTRM Test; a concentrated number of material customers; our ability to introduce new products; potential competition; our proprietary biobank; critical suppliers; estimates of total addressable market opportunity and forecasts of market growth; potential third-party payer coverage and reimbursement; new reimbursement methodologies applicable to the PreTRM Test, including new CPT codes and payment rates for those codes; changes in FDA regulation of laboratory-developed tests; the intellectual property rights protecting our tests and market position; and other factors discussed under the heading “Risk Factors” contained in our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q filed with the Securities and Exchange Commission, as well as any updates to those risk factors filed from time to time in our periodic and current reports filed with the Securities and Exchange Commission. All information in this press release is as of the date of the release, and the Company undertakes no duty to update this information unless required by law.

Contacts:

Investor Contact

Jennifer Zibuda, Head of Investor Relations

jzibuda@sera.com

+1 (801) 396-8043

Media Contact

Nicole Kaplan at Allison Worldwide

sera@allisonworldwide.com

+1 (847) 721-6033

 

 


 

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SERA PROGNOSTICS, INC.

Condensed Statements of Operations

(unaudited)

(in thousands, except share and per share data)

 

 

Three Months Ended

 

 

 

March 31,

 

 

2026

 

 

2025

 

Revenue

 

$

14

 

 

$

38

 

Operating expenses:

 

 

 

 

 

 

Cost of revenue

 

 

42

 

 

 

40

 

Research and development

 

 

3,030

 

 

 

3,334

 

Selling and marketing

 

 

2,012

 

 

 

1,470

 

General and administrative

 

 

4,290

 

 

 

4,444

 

Total operating expenses

 

 

9,374

 

 

 

9,288

 

Loss from operations

 

 

(9,360

)

 

 

(9,250

)

Interest expense

 

 

(2

)

 

 

(4

)

Other income, net

 

 

963

 

 

 

1,067

 

Net loss

 

$

(8,399

)

 

$

(8,187

)

Net loss per share, basic and diluted

 

$

(0.17

)

 

$

(0.20

)

Weighted-average shares outstanding, basic and diluted

 

 

50,258,849

 

 

 

41,968,076

 

 

 

 

 

 

 

 


 

img88505028_1.jpg

SERA PROGNOSTICS, INC.

Condensed Balance Sheets

(unaudited)

(in thousands)

 

 

March 31,

 

 

December 31,

 

 

 

2026

 

 

2025

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

4,175

 

 

$

3,944

 

Marketable securities

 

 

43,226

 

 

 

35,257

 

Accounts receivable

 

 

11

 

 

 

12

 

Prepaid expenses and other current assets

 

 

2,314

 

 

 

1,557

 

Total current assets

 

 

49,726

 

 

 

40,770

 

Property and equipment, net

 

 

1,096

 

 

 

1,149

 

Long-term marketable securities

 

 

39,365

 

 

 

56,579

 

Intangible assets, net

 

 

881

 

 

 

910

 

Other assets

 

 

2,476

 

 

 

2,525

 

Total assets

 

$

93,544

 

 

$

101,933

 

Liabilities and Stockholders' Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

767

 

 

$

862

 

Accrued and other current liabilities

 

 

2,342

 

 

 

3,009

 

Finance lease obligation, current portion

 

 

 

 

 

2

 

Deferred revenue

 

 

20,310

 

 

 

20,315

 

Total current liabilities

 

 

23,419

 

 

 

24,188

 

Operating lease obligation, net of current portion

 

 

2,505

 

 

 

2,337

 

Total liabilities

 

 

25,924

 

 

 

26,525

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Common stock, Class A and Class B

 

 

4

 

 

 

4

 

Additional paid-in capital

 

 

387,721

 

 

 

386,864

 

Accumulated other comprehensive income

 

 

16

 

 

 

262

 

Accumulated deficit

 

 

(320,121

)

 

 

(311,722

)

Total stockholders' equity

 

 

67,620

 

 

 

75,408

 

Total liabilities and stockholders' equity

 

$

93,544

 

 

$

101,933

 

 

 


FAQ

How did Sera Prognostics (SERA) perform financially in Q1 2026?

Sera Prognostics reported very modest Q1 2026 revenue of $14,000, down from $38,000 a year earlier. Operating expenses were $9.4 million, leading to a net loss of $8.4 million, or $0.17 per share, reflecting ongoing investment in commercialization.

What is Sera Prognostics’ cash position and runway after Q1 2026?

As of March 31, 2026, Sera Prognostics held about $86.8 million in cash, cash equivalents and marketable securities. Following a business review that shifted spending toward commercialization, the company expects this capital to support operations and key adoption milestones through 2029.

What clinical evidence did Sera Prognostics highlight for the PreTRM test?

Sera highlighted the PRIME randomized trial in 5,018 women, where the PreTRM test was associated with reductions in early preterm birth, NICU admissions, and neonatal morbidity. It also cited European peer-reviewed publications supporting awareness gaps and alignment with European healthcare systems.

>What commercial progress did Sera Prognostics report around PreTRM in Q1 2026?

Sera launched a third partnership program expected to reach over 350 providers across three states and is in active discussions with 13 payers across 15 states. The company also reported strong presence at key medical meetings to build clinician awareness and engagement.

How are Sera Prognostics’ operating expenses changing as it commercializes?

Total operating expenses were $9.4 million in Q1 2026 versus $9.3 million a year earlier. Research and development fell to $3.0 million, while selling, general and administrative expenses rose to $6.3 million as Sera redirected spending toward commercial activities.

What is Sera Prognostics’ progress toward European CE marking?

Sera reported that preparation of its regulatory dossier for CE marking is on track for a mid‑year submission. This work is supported by ongoing clinical validation and engagement with European clinical and advisory stakeholders to prepare for potential commercial introduction.

Filing Exhibits & Attachments

2 documents