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olivLaw · US equity research

Sera Prognostics, Inc. SERA

Services-Medical Laboratories · SIC 8071 · Vertical: Services-Medical Laboratories (SIC 8071)

2.02USD+4.40% · 1 dayClose 04 Nov 2026

Sera Prognostics develops and sells PreTRM, a blood test that predicts the risk of preterm birth, in a field where current screening methods miss most cases. The company's relevance now rests on new clinical evidence and the Illinois Medicaid law, which could expand access to the test, though revenue remains very small.

The AI analysis may be outdated: new filings came after its sources (see the «AI analysis» section).

At the close of 04 Nov 2026, Sera Prognostics, Inc. (SERA) stock was 2.02 USD (+4.40% on the day), with market capitalisation 59.0 m USD, beta 1.01, 52-week range 1.59–3.69 USD. Latest reported quarter (Q3 2026): revenue of 42.0 k USD (+162.5% YoY), net income of -8.1 m USD, diluted EPS -0.16 USD.

Data as of · AI analysis dated · Source: SEC filings and closing prices, computed by olivLaw.

Market cap
59.0 m USD
shares as of 25 Aug 2021
P/E (TTM)
unavailable
Diluted EPS TTM -0.67 · TTM to 30 Sept 2026
E/P (TTM)
-33.14%
TTM to 30 Sept 2026
Dividend yield
unavailable
Beta (2y)
1.01
Volatility (1y) 70%
52-week range
1.593.69

Price history

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Technical reading

RSI (14)
48.2
neutral
Bollinger (20, 2)
1.97 – 2.09
in the lower half of the band · %B 0.36 · band width 5.9%
SMA 50 / 200
2.05 / 2.14
downtrend (price < SMA50 < SMA200)
MACD (12, 26, 9)
-0.01 / -0.01
MACD below signal

Indicators describe past prices; on their own they do not predict direction. On our history the RSI ≤ 40 filter added no return (see the signals methodology).

Performance

CompanyS&P 500vs S&P 500Vertical median
1 month+0.8%−1.1%+1.8 pp—
3 months+0.8%−0.5%+1.2 pp—
6 months+11.3%+4.4%+6.9 pp—
Year to date−31.7%+12.3%−44.0 pp—
1 year−33.3%+13.5%−46.8 pp+7.7%
3 years+4.4%+76.4%−72.0 pp+74.2%
5 years−81.7%+63.7%−145.4 pp—
Max drawdown (1y)
−56.9%
09 Jan 2026 → 13 May 2026
Max drawdown (5y)
−89.7%
17 Nov 2021 → 28 Dec 2022
Compound annual growth (5y)
−28.8%
S&P 500 +10.4%

Price returns, dividends excluded.

Quarterly results

Latest quarter: Q3 2026 · 30 Sept 2026

Revenue
42.0 k USD
+162.5% YoY
Net income
-8.1 m USD
unavailable YoY
Diluted EPS
-0.16
unavailable YoY
net / operating
-19,173.8% / -21,159.5%

Quarterly margins

Quarterly statements · USD

Fiscal yearQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26
Revenue24.0 k38.0 k17.0 k16.0 k10.0 k14.0 k30.0 k42.0 k
Cost of revenue32.0 k40.0 k41.0 k41.0 k42.0 k42.0 k50.0 k—
Research & development3.1 m3.3 m3.3 m3.3 m3.2 m3.0 m3.5 m2.7 m
Operating income-9.4 m-9.3 m-9.3 m-9.0 m-9.0 m-9.4 m-10.0 m-8.9 m
Depreciation & amortisation211.0 k216.0 k208.0 k214.0 k244.0 k193.0 k162.0 k192.0 k ≈
Interest expense6.0 k4.0 k2.0 k2.0 k1.0 k2.0 k2.0 k2.0 k
Net income-8.6 m-8.2 m-8.0 m-7.8 m-7.9 m-8.4 m-9.1 m-8.1 m
Diluted EPS-0.25 ≈-0.20-0.16-0.16-0.16 ≈-0.17-0.18-0.16
Operating cash flow-6.3 m-7.6 m-5.5 m ≈-6.5 m ≈-6.1 m-8.8 m-6.3 m ≈-7.3 m ≈
Capex8.0 k3.0 k281.0 k ≈112.0 k ≈330.0 k8.0 k16.0 k ≈134.0 k ≈

≈ derived quarter (cumulative difference / share-days average)

E/P over time

E/P = trailing-12-month diluted EPS / price at quarter end. E/P is the inverse of P/E and stays defined when earnings are negative.

Fiscal years

Fiscal year202020212022202320242025
Revenue25.0 k82.0 k268.0 k306.0 k77.0 k81.0 k
Revenue YoYunavailable+228.0%+226.8%+14.2%−74.8%+5.2%
Net income-19.8 m-35.0 m-44.2 m-36.2 m-32.9 m-31.9 m
Net income YoYunavailableunavailableunavailableunavailableunavailableunavailable
Diluted EPS-12.76-2.33-1.43-1.16-0.99-0.67
Diluted EPS YoYunavailableunavailableunavailableunavailableunavailableunavailable
net %-79,392.0%-42,693.9%-16,487.3%-11,843.8%-42,724.7%-39,417.3%
Free cash flow-17.0 m-32.9 m-35.4 m-27.3 m-14.2 m-26.3 m

Reported results vs expectations

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Balance sheet & financial health

Fiscal year 2025 · 31 Dec 2025

Cash
3.9 m USD
Financial debt
unavailable USD
Net debt
unavailable USD
Equity
75.4 m USD
Total assets
101.9 m USD
Debt / equity
unavailable
Current ratio
1.69x
ROE
-51.8%
ROA
-36.6%
FCF margin
-32,529.6%

Financial statements (source on every figure)

Revenue and net income (USD)

Margins

Income statement · USD

Revenue
2023
306.0 k
2024
77.0 k
2025
81.0 k

SEC (XBRL)· 18 Mar 2026verified

Cost of revenue
2023
210.0 k
2024
82.0 k
2025
164.0 k

SEC (XBRL)· 18 Mar 2026verified

Gross profit
2023
96.0 k ≈
2024
-5.0 k ≈
2025
-83.0 k ≈

SEC (XBRL)· 18 Mar 2026derived

Research & development
2023
15.2 m
2024
14.7 m
2025
13.2 m

SEC (XBRL)· 18 Mar 2026verified

Operating income
2023
-39.8 m
2024
-36.6 m
2025
-36.5 m

SEC (XBRL)· 18 Mar 2026verified

Depreciation & amortisation
2023
900.0 k
2024
833.0 k
2025
940.0 k

SEC (XBRL)· 18 Mar 2026verified

EBITDA
2023
-38.9 m ≈
2024
-35.8 m ≈
2025
-35.6 m ≈

SEC (XBRL)· 18 Mar 2026derived

Interest expense
2023
55.0 k
2024
28.0 k
2025
9.0 k

SEC (XBRL)· 18 Mar 2026verified

Pre-tax income
2023
—
2024
-32.9 m
2025
-31.9 m

SEC (XBRL)· 18 Mar 2026verified

Income tax
2023
0
2024
0
2025
0

SEC (XBRL)· 18 Mar 2026verified

Net income
2023
-36.2 m
2024
-32.9 m
2025
-31.9 m

SEC (XBRL)· 18 Mar 2026verified

Diluted EPS
2023
-1.16
2024
-0.99
2025
-0.67

SEC (XBRL)· 18 Mar 2026verified

Weighted average diluted shares
2023
31.2 m
2024
33.2 m
2025
47.7 m

SEC (XBRL)· 18 Mar 2026verified

Balance sheet · USD

Cash
2023
3.9 m
2024
4.0 m
2025
3.9 m

SEC (XBRL)· 18 Mar 2026verified

Receivables
2023
160.0 k
2024
34.0 k
2025
12.0 k

SEC (XBRL)· 18 Mar 2026verified

Current assets
2023
61.3 m
2024
47.6 m
2025
40.8 m

SEC (XBRL)· 18 Mar 2026verified

Property, plant & equipment, net
2023
—
2024
—
2025
—

SEC (XBRL)· 29 Mar 2022verified

Intangibles (excl. goodwill)
2023
0
2024
1.0 m
2025
910.0 k

SEC (XBRL)· 18 Mar 2026verified

Total assets
2023
95.4 m
2024
72.6 m
2025
101.9 m

SEC (XBRL)· 18 Mar 2026verified

Accounts payable
2023
1.0 m
2024
2.0 m
2025
862.0 k

SEC (XBRL)· 18 Mar 2026verified

Current liabilities
2023
24.4 m
2024
24.8 m
2025
24.2 m

SEC (XBRL)· 18 Mar 2026verified

Total liabilities
2023
25.3 m
2024
24.8 m
2025
26.5 m

SEC (XBRL)· 18 Mar 2026verified

Equity
2023
70.2 m †
2024
47.8 m †
2025
75.4 m †

SEC (XBRL)· 18 Mar 2026verified

Cash flow · USD

Operating cash flow
2023
-27.2 m
2024
-14.2 m
2025
-25.6 m

SEC (XBRL)· 18 Mar 2026verified

Capex
2023
128.0 k
2024
56.0 k
2025
726.0 k

SEC (XBRL)· 18 Mar 2026verified

Free cash flow
2023
-27.3 m ≈
2024
-14.2 m ≈
2025
-26.3 m ≈

SEC (XBRL)· 18 Mar 2026derived

Investing cash flow
2023
438.0 k
2024
11.7 m
2025
-28.5 m

SEC (XBRL)· 18 Mar 2026verified

Financing cash flow
2023
752.0 k
2024
2.6 m
2025
54.0 m

SEC (XBRL)· 18 Mar 2026verified

Computed indicators

Growth

Revenue growth (YoY)
5.2%
computed by olivLawFY 2025
Revenue CAGR 3Y
-32.9%
computed by olivLawFY 2022 → FY 2025
Revenue CAGR 5Y
26.5%
computed by olivLawFY 2020 → FY 2025
EBIT growth (YoY)
unavailable
the base of the ratio is not positive
Net income growth (YoY)
unavailable
the base of the ratio is not positive
Net income CAGR 3Y
unavailable
the base of the ratio is not positive
Net income CAGR 5Y
unavailable
the base of the ratio is not positive
EPS growth (YoY)
unavailable
the base of the ratio is not positive
EPS CAGR 3Y
unavailable
the base of the ratio is not positive
EPS CAGR 5Y
unavailable
the base of the ratio is not positive
FCF growth (YoY)
unavailable
the base of the ratio is not positive

Profitability

Gross margin
-82.3%
computed by olivLawTTM to 30 Sept 2026
EBITDA margin
-37,931.3%
computed by olivLawTTM to 30 Sept 2026
EBIT margin
-38,755.2%
computed by olivLawTTM to 30 Sept 2026
Net margin
-34,866.7%
computed by olivLawTTM to 30 Sept 2026
FCF margin
-30,199.0%
computed by olivLawTTM to 30 Sept 2026

Returns

ROE
-49.7%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROA
-35.6%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROIC
unavailable
input data missing
ROCE
-67.1%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Payout ratio (EPS)
unavailable
input data missing
Payout ratio (FCF)
unavailable
input data missing

Balance sheet

Net debt
unavailable
input data missing
Net debt / EBITDA
unavailable
input data missing
Debt / equity
unavailable
input data missing
Interest coverage
-5,315.0x
computed by olivLawTTM to 30 Sept 2026

Liquidity

Current ratio
1.9x
computed by olivLawbalance sheet at 30 Sept 2026
Quick ratio
unavailable
input data missing
Cash ratio
0.2x
computed by olivLawbalance sheet at 30 Sept 2026

Cash

Operating cash flow
-28.5 m USD
computed by olivLawTTM to 30 Sept 2026
Capital expenditure
488.0 k USD
computed by olivLawTTM to 30 Sept 2026
Free cash flow
-29.0 m USD
computed by olivLawTTM to 30 Sept 2026
FCF conversion
unavailable
insufficient data
Cash conversion
unavailable
insufficient data

Efficiency

Days sales outstanding
59 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Days inventory outstanding
unavailable
input data missing
Days payables outstanding
2,295 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Cash conversion cycle
unavailable
input data missing

Market and valuation

Market capitalisation
59.0 m USD
computed by olivLawbalance sheet at 30 Sept 2026
Enterprise value
unavailable
input data missing
Market cap / net income TTM
unavailable
insufficient data
P/E (TTM)
unavailable
insufficient data
Earnings yield
-33.1%
computed by olivLawTTM to 30 Sept 2026
P/B
1.1x
computed by olivLawbalance sheet at 30 Sept 2026
P/S
614.9x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
EV/EBITDA
unavailable
input data missing
EV/EBIT
unavailable
input data missing
EV/Sales
unavailable
input data missing
P/FCF
unavailable
the base of the ratio is not positive
FCF yield
-49.1%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero
Shareholder yield (distributions)
unavailable
input data missing

1 indicators that do not apply to the sector.

Valuation

olivLaw classification

Insufficient data
What is missing
  • indicators available: 5 of at least 6
  • score weight coverage: 33.3% of at least 60%
  • valuation methods computed: 0 of at least 1

A scoring methodology on indicators and valuation, not investment advice.

Closing price

2.02 USD

04 Nov 2026Source: olivLaw, closing series

Market cap: 59.0 m USD

Key indicators

Market capitalisation
59.0 m USD
computed by olivLawbalance sheet at 30 Sept 2026
P/E (TTM)
unavailable
insufficient data
P/B
1.1x
computed by olivLawbalance sheet at 30 Sept 2026
EV/EBITDA
unavailable
input data missing
ROE
-49.7%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Net margin
-34,866.7%
computed by olivLawTTM to 30 Sept 2026
Revenue growth (YoY)
5.2%
computed by olivLawFY 2025
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero

Coverage and freshness

28/37 reporting lines present
Latest full fiscal year: 2025
Latest reported period: 30 Sept 2026
Latest balance sheet date: 30 Sept 2026
Share count (cover of the latest filing), as of: 25 Aug 2021
Source: SEC (XBRL)published 04 Nov 2026
verified 705derived 59

Score by group

33% · Insufficient data

Estimated value range

unavailable — no valuation method could be computed

Valuation assumptions are editorial choices, not measured; beta is not measured.

Valuation methods

  • DCF (discounted cash flow)unavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)
  • Peers: EV/EBITDAunavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)
  • Peers: P/Eunavailable · the base of the ratio is not positive
  • Dividend discount (DDM)unavailable · the company pays no dividend: a dividend model needs an explicit initiation assumption

no valuation method could be computed

Multiple comparisons use the SIC vertical: Services-Medical Laboratories (SIC 8071)

Classification (SIC) comparables group by industry code, not by economic activity; the direct group is an editorial selection by activity. Members' multiples are on their own trailing twelve months, at their own latest close.

Assumptions (illustrative, editorial)

Risk-free rate
4.3%
Equity risk premium
5.0%
Beta (default)
1.00
Cost of equity
9.3%
Terminal growth
2.5%

Factor scorecard

Insufficient data

Minimum-evidence gate: indicators available: 5 of at least 6; score weight coverage: 33.3% of at least 60%; valuation methods computed: 0 of at least 1

FactorValueScoreWeight used
ROIC · Qualityunavailableunavailable—
Net margin · Quality-34,866.7%0 (vs peers)19%
FCF conversion · Qualityunavailableunavailable—
Revenue CAGR 3Y · Growth-32.9%0 (on a fixed band)25%
EPS CAGR 3Y · Growthunavailableunavailable—
Net debt / EBITDA · Balance sheetunavailableunavailable—
Interest coverage · Balance sheet-5,315.0x0 (on a fixed band)19%
Current ratio · Balance sheet1.9x90 (on a fixed band)13%
P/E (TTM) · Valuationunavailableunavailable—
EV/EBITDA · Valuationunavailableunavailable—
FCF yield · Valuation-49.1%0 (on a fixed band)25%
Shareholder yield (distributions) · Returnsunavailableunavailable—
Payout ratio (FCF) · Returnsunavailableunavailable—

Factors without a value were dropped; the remaining weights were renormalised.

Score groups

  • Balance sheet36/100 · 2/3 factors with a value
  • Growth· partial0/100 · 1/2 factors with a value
  • Quality· partial0/100 · 1/3 factors with a value
  • Returns· partialunavailable · 0/2 factors with a value
  • Valuation· partial0/100 · 1/3 factors with a value

A «partial» group is computed from under half of its weight or from one factor: it is not a full assessment of the group.

Memo

SERA PROGNOSTICS, INC. (SERA). Latest full fiscal year: 2025; data up to 2026-09-30.

Figures computed from the financial statements: revenue 81.0 k USD in 2025; YoY growth 5.2%; net margin -34,866.7%; ROE -49.7%.

Valuation cannot be computed from the available data.

Insufficient data for a verdict (indicators available: 5 of at least 6; score weight coverage: 33.3% of at least 60%; valuation methods computed: 0 of at least 1).

Text generated deterministically from the figures shown; no language model. Not investment advice.

What supports the thesis

  • Current ratio: 1.9x

What contradicts it

  • Net margin: -34,866.7%
  • Revenue CAGR 3Y: -32.9%
  • Interest coverage: -5,315.0x
  • FCF yield: -49.1%

Not assessed (insufficient data or a ratio without meaning): ROIC, FCF conversion, EPS CAGR 3Y, Net debt / EBITDA, P/E (TTM), EV/EBITDA, Shareholder yield (distributions), Payout ratio (FCF).

Versus the vertical median

Services-Medical Laboratories (SIC 8071) · same industry (4-digit SIC) · compared with 23 companies

Multiples and returns vs the median

P/E
—
vertical median 35.9x
EV/EBITDA
—
vertical median 17.4x
P/S
614.9x
vertical median 2.9x
above median (+20,999.1%)
P/B
1.1x
vertical median 3.2x
below median (−64.9%)
ROE
-49.7%
vertical median -9.1%
below median
Net margin
-34,866.7%
vertical median -7.1%
below median
EBIT margin
-38,755.2%
vertical median -11.8%
below median
Revenue YoY
5.2%
vertical median 14.9%
below median (−65.2%)
Net debt/EBITDA
—
vertical median 2.5x
Dividend yield
—
vertical median 0.8%

Price rebased to 100 (monthly, 5 years)

Companies in the vertical

Market capP/EROENet marginRevenue YoY1A / 3A
NTRANatera, Inc.56.4 bn—-12.5%-7.1%+35.9%+64% / +599%
LHLabcorp Holdings Inc.29.9 bn30.211.4%6.9%+7.2%+37% / +70%
DGXQuest Diagnostics Inc28.1 bn25.515.2%9.5%+11.8%+35% / +86%
GHGuardant Health, Inc.22.6 bn——-38.3%+32.9%+55% / +570%
CAICaris Life Sciences, Inc.9.5 bn97.617.2%9.2%+97.0%+30% / unavailable
GRALGRAIL, Inc.6.4 bn—-16.1%-236.9%+17.2%+30% / unavailable
RDNTRadNet, Inc.6.3 bn—-2.1%-0.9%+11.5%−3% / +142%
CDNACaredx, Inc.4.5 bn35.933.0%25.9%+13.8%+380% / +784%
VCYTVeracyte, Inc.4.2 bn37.58.8%20.4%+16.0%+11% / +105%
FTREFortrea Holdings Inc.2.0 bn—-12.3%-2.6%+1.0%+64% / −29%
PSNLPersonalis, Inc.1.7 bn—-62.1%-147.7%−17.7%+47% / +932%
BLLNBillionToOne, Inc.1.3 bn118.430.2%11.3%+100.0%−13% / unavailable
CSTLCastle Biosciences, Inc.1.1 bn—-4.2%-5.4%+3.7%−11% / +79%
FLGTFulgent Genetics, Inc.541.5 m—-8.0%-26.0%+13.8%−33% / −29%
YDESYD Bio Limited492.0 m—-445.1%-1,392.6%+16.9%−40% / unavailable
BDSXBiodesix, Inc.226.7 m—-540.0%-27.0%+24.1%+160% / −28%
XGNExagen Inc.206.2 m—-113.8%-26.6%+19.7%+8% / +363%
SERASera Prognostics, Inc.59.0 m—-49.7%-34,866.7%+5.2%−33% / +4%
AMSAmerican Shared Hospital Services8.2 m—-7.5%-5.8%−0.9%−43% / −48%
MDXHMdxhealth SA8.0 m—-2,440.4%-31.1%+19.8%−96% / −95%
ACONAclarion, Inc.5.0 m—-59.0%-10,978.5%+65.6%−72% / −100%
ADVBAdvanced Biomed Inc.3.5 m0.484.8%5,231.3%unavailable−75% / unavailable
BGLCBioNexus Gene Lab Corp.2.8 m—-33.7%-82.4%−21.9%−79% / −90%
BNRBurning Rock Biotech Limited0—-10.1%-10.3%+9.2%−41% / +55%

1- and 3-year price returns: for SERA from daily closes (the same as the performance table), for the other companies from month-end closes.

olivLaw engine forecast

The world engine ran after the company's latest material disclosure. Probabilities are of TOUCHING a level within the horizon (not closing there) and sit next to the random walk (p_rw), the no-information benchmark.

The engine has no published run for this company yet.

Valuation scenarios (editable assumptions)

Illustrative scenarios

Illustrative: not forecasts and without probabilities. Each case is one coherent set of assumptions, computed on today's figures.

Bear
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Base
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Bull
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Nothing is saved.

Estimated price (USD)

Estimated priceBearBaseBull
1 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
3 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
5 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
What moves the 3-year price the most

    AI analysis

    AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

    Possibly outdated: the newest document it read is from 12 Aug 2026; since then the company filed 8-K (04 Nov 2026 · results), 10-Q (04 Nov 2026).

    In brief

    Sera Prognostics develops and sells PreTRM, a blood test that predicts the risk of preterm birth, in a field where current screening methods miss most cases. The company's relevance now rests on new clinical evidence and the Illinois Medicaid law, which could expand access to the test, though revenue remains very small.

    SWOT

    Strengths

    • The company has the best documented test in its class, backed by randomized trials and peer-reviewed publications 1.
    • Its proprietary biobank and proteomics platform give a data advantage that is hard to replicate quickly 1.
    • Economic evidence, including a dedicated CPT code, supports its reimbursement argument with insurers 1.

    Weaknesses

    • Revenue is nearly negligible and the company keeps posting losses, which limits its funding 13.
    • Dependence on a single product means any adoption or reimbursement problem has an outsized effect 1.
    • Reimbursement remains fragmented and many insurers still do not cover the test 1.

    Opportunities

    • If other states follow Illinois, Medicaid access could become an important source of volume 3.
    • Obtaining CE marking could open European markets, for which the company is already preparing a submission 3.
    • Inclusion of the test in medical society guidelines could accelerate broader adoption 1.

    Threats

    • A refusal of reimbursement by major insurers could block revenue growth 1.
    • Changes in FDA regulation of laboratory tests could delay or raise the cost of operations 1.
    • Better-resourced competitors could reduce the test's market share 1.

    Risks

    • Continuing losses and need for capitalhigh

      The company has incurred losses since inception, and if it cannot raise additional funds in time, it could have to curtail operations 1.

    • Dependence on a single producthigh

      Nearly all revenue comes from PreTRM, so any commercial or clinical setback would affect the whole company 1.

    • Reimbursement riskmedium

      If insurers refuse or reduce reimbursement, adoption of the test could remain limited 1.

    • Customer concentrationmedium

      In the near term, a large share of revenue could depend on a few direct customers, increasing vulnerability 1.

    • Laboratory regulationlow

      Changes in FDA rules for laboratory tests could delay launches or raise costs 1.

    Investment thesis

    What would need to be true (bull case)

    • If adoption grows after the PRIME publication and the Illinois Medicaid law extends to other states, revenue could accelerate on a clinically validated base 13.
    • The company could benefit from a data advantage that competitors would need years to reproduce 1.
    • CE approval could open a new revenue source in Europe if the submitted package is accepted 3.

    What would break the thesis

    • Quarterly revenue remains very small and continuing losses could force new equity issues with dilutive effect 13.
    • If insurers do not expand reimbursement, adoption could stay confined to a few states and pilot programs 1.
    • Dependence on a single product could turn any commercial delay into a major risk for the whole company 1.

    What to watch

    • Quarterly test volume and PreTRM revenueQ3 2026
    • Submission of the CE marking package for EuropeQ4 2026
    • Extension of Medicaid coverage to other states after Illinois2027
    • Disclosure on funding and cash runway in the next annual reportnext 10-K

    Products, market & competition

    AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

    Possibly outdated: the newest document it read is from 12 Aug 2026; since then the company filed 8-K (04 Nov 2026 · results), 10-Q (04 Nov 2026).

    The business

    Sera Prognostics is a women's health company that uses its proprietary proteomics and bioinformatics platform to discover and commercialize blood-based biomarker tests and predictive analytic products for pregnancy. Its first commercial product, PreTRM, is a non-invasive test given at weeks 18 through 20 of gestation that estimates the risk of a singleton pregnancy delivering spontaneously before 37 weeks 1. The company says substantially all of its revenue to date comes from PreTRM and that it plans to extend its pipeline to other pregnancy complications such as preeclampsia and gestational diabetes 1.

    The business model rests on demonstrating clinical and economic benefits of a test-and-treat strategy, supported by controlled trials PREVENT-PTB, AVERT PRETERM TRIAL and PRIME, which together enrolled more than 7,000 patients in treatment arms 1. The company seeks reimbursement from integrated systems, physician networks and insurers, and CMS priced the unique CPT code for PreTRM at 750 USD 1.

    In 2026 the company expanded its commercial team, launched a fourth partnership program with a national payer and secured an Illinois Medicaid coverage mandate, yet quarterly revenue remains in the tens of thousands of dollars 3.

    Segments

    PreTRM test

    PreTRM is the only broadly validated, commercially available blood-based test for predicting preterm birth, and in the second quarter of 2026 it generated revenue of just 30,000 USD 3.

    Pipeline

    The company is developing tests for other pregnancy conditions, such as preeclampsia and gestational diabetes, but these do not yet generate revenue and depend on future clinical evidence 1.

    Market context

    Approximately 3.7 million births occur annually in the United States, and as many as 30% of pregnancies may involve complications, creating a large pool for risk screening 1. The economic cost of preterm birth is estimated at approximately 25 billion USD per year in the US, a key argument for insurers 1.

    The actual testing market is far smaller than this potential, because reimbursement is fragmented, Medicaid does not yet fund the test in most states and adoption depends on medical society guidelines 1.

    Trends

    • ACOG guidance on tailored prenatal caretailwind

      ACOG's May 2025 update emphasizes risk assessment in prenatal care, which could open a path for biomarker tests to be included in guidelines 1.

    • Publication of the PRIME studytailwind

      PRIME results, published in 2026 in the Pregnancy Journal, show reductions in NICU admissions, and the company reports a slow rise in testing volume after publication 13.

    • Expanded Medicaid access in Illinoistailwind

      The June 2026 law requires Medicaid to cover proteomic blood tests for preterm birth risk, which could increase access to the test 3.

    • Reimbursement hurdles and prior authorizationheadwind

      Many payers still do not reimburse screening for low-risk pregnancies, and prior authorization requirements may slow adoption 1.

    Competitive position

    The company shows that standard care for short cervix, using transvaginal ultrasound with progesterone, performs less efficiently on NNS, but direct competition comes from molecular diagnostics and proteomics companies that the sources do not name 1.

    Competition in the life science industry is intense, and the company cannot guarantee it will keep its position against rivals with greater resources 1.

    • Molecular diagnostics companies

      Molecular diagnostics firms compete for the same clinics and payers, though the sources do not name them 1.

    • Proteomics companies

      Firms using proteomics for biomarkers could develop rival tests, possibly cheaper or approved sooner 1.

    • Standard short cervix screening

      Transvaginal ultrasound with progesterone is already used in practice as an alternative, with lower efficiency in the source 1.

    • Other prenatal test providers

      Prenatal test providers may compete for budgets and physician attention, though the sources do not identify them 1.

    News & filings

    In the press

    No news in our archive over the last 180 days.

    SEC filings

    Sources

    1. [1] Form 10-K, fiscal year ended 2025-12-31 · SEC / Sera Prognostics, Inc. · 18 Mar 2026
    2. [2] Form 10-Q, quarter ended 2026-06-30 · SEC / Sera Prognostics, Inc. · 12 Aug 2026
    3. [3] Form 8-K, results release (exhibit 99.1) · SEC / Sera Prognostics, Inc. · 12 Aug 2026

    Figures computed by olivLaw from SEC filings and closing prices; the qualitative analysis is AI-generated from cited sources. Not investment advice.