Press Release: SERA Prognostics Reports Second Quarter 2026 Financial Results

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SALT LAKE CITY, Aug. 12, 2026 /PRNewswire/ -- Sera Prognostics Inc., The Pregnancy Company$(R)$ (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 second quarter ended June 30, 2026.

Key Second Quarter and Recent Highlights:

   -- Advanced Commercial Adoption Strategy with Fourth Partnership Program 
      Launch: In August 2026, we launched fourth partnership program, expanding 
      implementation of PreTRM(R) Test-guided care through a state-based 
      initiative with a national payer. We also exceeded our 2026 payer 
      engagement objective, with active discussions now spanning more than 20 
      payer opportunities across over 20 states, and are increasingly focused 
      on advancing implementation, reimbursement readiness, and adoption within 
      priority markets. 
 
   -- Illinois Medicaid Coverage Mandate Expands Access to PreTRM-Test: In June 
      2026, Illinois enacted legislation (Public Act 104-0470, Section 5-54) 
      requiring Medicaid coverage and reimbursement for prescribed proteomic 
      blood tests used to identify spontaneous preterm birth risk and 
      associated interventions. In July, the Illinois Department of Healthcare 
      and Family Services published a Provider Notice confirming the coverage 
      of biomarker testing to include assessing risk of preterm birth in 
      pregnant individuals. The Department also confirmed for providers that 
      coverage applies to all Medicaid pregnancies in Illinois, representing 
      approximately 50,000 annual Medicaid births. 
 
   -- Scientific Recognition Highlights New Clinical and Economic PRIME 
      Data: Two abstracts from the PRIME randomized controlled trial were 
      accepted for presentation at the Society for Maternal-Fetal Medicine 
      (SMFM) Global Congress 2026, reflecting continued external validation of 
      our growing clinical evidence base. 
 
          -- Oral Presentation: Subgroup analysis evaluating outcomes among 
             first-time mothers (nulliparous pregnancies), selected as one of 
             63 oral presentations from more than 400 submissions. 
 
          -- Top-Ranked Poster Presentation: New health economic analysis 
             assessing the clinical and economic impact of PreTRM test-guided 
             care, recognized among the top five posters in its session. 
 
   -- Advanced European Regulatory and Commercial Readiness: European expert 
      commentary published supporting the role of biomarker-based risk 
      prediction and biology-driven prevention strategies in addressing preterm 
      birth, the convening of a European Expert Advisory Board representing 
      nine countries, and completion of additional ELISA-based assay 
      performance testing strengthened our CE marking submission package, with 
      pre-application activities expected to commence in the third quarter and 
      submission to conclude in the fourth quarter of 2026. 
 
   -- Publication Demonstrates Clinical and Health Economic Value in First-Time 
      Pregnancies: In July 2026, a PRIME study subgroup analysis was published 
      in The Journal of Maternal-Fetal & Neonatal Medicine demonstrating that 
      PreTRM test-guided care reduced NICU admissions by 22% among first-time 
      mothers, including a two-fold reduction among newborns following 
      spontaneous preterm birth, while reducing severe composite neonatal 
      morbidity by 30%. The analysis also demonstrated strong screening 
      efficiency, with only 28 first-time pregnancies needing to be screened 
      and treated to prevent one NICU admission. 
 
   -- Strengthened Leadership Team and Board to Support Commercial 
      Growth: Expanded commercial leadership capabilities in marketing and 
      payer and government strategy and appointed healthcare diagnostics 
      veteran Mark Capone to the Board of Directors, adding deep expertise in 
      diagnostics commercialization, reimbursement, and scaling innovative 
      healthcare businesses. 
 
   -- Maintained Strong Balance Sheet: Ended the quarter with approximately 
      $80.3 million in cash, cash equivalents and available-for-sale securities 
      that the Company believes will fund operations through significant 
      adoption and commercialization milestones through 2029. 

"During the second quarter, we continued to build momentum across the key drivers of long-term adoption, including payer engagement, policy advancement, clinical evidence generation, and organizational strength," said Zhenya Lindgardt, President and Chief Executive Officer of Sera Prognostics. "The launch of our fourth partnership program, progress in payer engagement, the new Illinois Medicaid coverage law, the publication of compelling PRIME data in first-time mothers, and growing recognition from the maternal-fetal medicine community reinforce our belief that precision, biology-driven pregnancy care can improve outcomes for mothers and babies while creating meaningful value for healthcare systems. While we remain in the early stages of market development, we have been encouraged by the steady month-to-month increase in testing volume following publication of the PRIME study, which we believe reflects growing provider awareness and adoption."

Second Quarter 2026 Financial Results

Second quarter 2026 revenue was $30,000 compared to $17,000 for the second quarter of 2025.

Total operating expenses were $10.0 million, compared to $9.3 million for the same period in 2025.

Research and development expenses for the second quarter of 2026 were $3.5 million, compared to $3.3 million in the prior-year period, reflecting restructuring-related costs; R&D spending expected to decline in future periods.

Selling, general and administrative expenses for the second quarter of 2026 were $6.5 million, compared to $6.0 million for the prior-year period, reflecting investments in commercial execution, marketing programs and strategic hires.

Net loss for the quarter was $9.1 million, compared to $8.0 million for the second quarter of 2025.

Conference Call Information

Sera Prognostics will host a corresponding conference call and live webcast today to discuss second quarter 2026 financial results and recent business highlights 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/O2ldBxvpPmE

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(R) 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.

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, marking 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(R) Test

The PreTRM(R) 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(R) Test measures and analyzes proteins in the blood that are highly predictive of preterm birth. The PreTRM(R) 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(R) 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.

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