Tearsheet

20/20 Biolabs (AIDX)


Market Price (3/28/2026): $1.74 | Market Cap: $9.5 Mil
Sector: Health Care | Industry: Life Sciences Tools & Services

20/20 Biolabs (AIDX)


Market Price (3/28/2026): $1.74
Market Cap: $9.5 Mil
Sector: Health Care
Industry: Life Sciences Tools & Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, and Precision Medicine. Themes include Advanced Diagnostics, Personalized Diagnostics, Show more.
Weak multi-year price returns
2Y Excs Rtn is -114%, 3Y Excs Rtn is -154%
High stock price volatility
Vol 12M is 202%
1   Key risks
AIDX key risks include [1] securing regulatory approval and market adoption for its novel AI diagnostic tests, Show more.
0 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, and Precision Medicine. Themes include Advanced Diagnostics, Personalized Diagnostics, Show more.
1 Weak multi-year price returns
2Y Excs Rtn is -114%, 3Y Excs Rtn is -154%
2 High stock price volatility
Vol 12M is 202%
3 Key risks
AIDX key risks include [1] securing regulatory approval and market adoption for its novel AI diagnostic tests, Show more.

Valuation, Metrics & Events

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

20/20 Biolabs (AIDX) stock has lost about 90% since it went public on 2/19/2026 because of the following key factors:

1. Unsustainable Initial Valuation and Rapid Post-IPO Decline. The stock of 20/20 BioLabs (AIDX) experienced extreme volatility and a sharp decline immediately following its Nasdaq debut on February 19, 2026. After opening as high as $50.00, the stock closed at $23.85 on its first day of trading. This initial high valuation proved unsustainable, leading to a rapid correction where the stock plunged 38.04% on February 20, closing at $14.78, and continued to fall dramatically in subsequent days. This significant and immediate drop from its opening price suggests strong investor skepticism regarding its initial market valuation.

2. Significant Unprofitability and Weak Financials. A core concern for investors appears to be 20/20 BioLabs' financial health. The company reported a negative EBITDA of $24.06 million in the last twelve months and is not yet profitable. Its financial metrics indicate significant challenges, with an operating margin of -232.09% and a net margin of -233.02%, alongside negative returns on equity (-154.87%) and assets (-36.61%). The company also reported a trailing twelve-month revenue of $0.54 million with no growth over the past three years.

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Stock Movement Drivers

Fundamental Drivers

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Market Drivers

11/30/2025 to 3/27/2026
ReturnCorrelation
AIDX  
Market (SPY)-5.3%-12.5%
Sector (XLV)-8.7%-5.1%

Fundamental Drivers

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Market Drivers

8/31/2025 to 3/27/2026
ReturnCorrelation
AIDX  
Market (SPY)0.6%-12.5%
Sector (XLV)5.2%-5.1%

Fundamental Drivers

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Market Drivers

2/28/2025 to 3/27/2026
ReturnCorrelation
AIDX  
Market (SPY)9.8%-12.5%
Sector (XLV)-2.1%-5.1%

Fundamental Drivers

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Market Drivers

2/28/2023 to 3/27/2026
ReturnCorrelation
AIDX  
Market (SPY)69.4%-12.5%
Sector (XLV)18.4%-5.1%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
AIDX Return------93%-93%
Peers Return6%-59%25%22%156%-21%35%
S&P 500 Return27%-19%24%23%16%-5%72%

Monthly Win Rates [3]
AIDX Win Rate-----0% 
Peers Win Rate44%33%52%45%58%47% 
S&P 500 Win Rate75%42%67%75%67%33% 

Max Drawdowns [4]
AIDX Max Drawdown------93% 
Peers Max Drawdown-22%-69%-14%-32%-13%-27% 
S&P 500 Max Drawdown-1%-25%-1%-2%-15%-5% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: GH, EXAS, GRAL, NTRA, FLGT.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 3/27/2026 (YTD)

How Low Can It Go

AIDX has limited trading history. Below is the Health Care sector ETF (XLV) in its place.

Unique KeyEventXLVS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-16.1%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven19.1%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven599 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-28.8%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven40.4%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven116 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-15.8%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven18.8%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven326 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-40.6%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven68.3%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven1,100 days1,480 days

Compare to GH, EXAS, GRAL, NTRA, FLGT

In The Past

SPDR Select Sector Fund's stock fell -16.1% during the 2022 Inflation Shock from a high on 4/8/2022. A -16.1% loss requires a 19.1% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About 20/20 Biolabs (AIDX)

We develop and commercialize AI-powered, laboratory-based blood tests for the early detection and prevention of cancers and chronic diseases. We offer two families of lab tests, both under our OneTest brand: (i) OneTest for Cancer, a multi-cancer early detection, or MCED, blood test which has been our primary commercial focus and source of revenues since we wound down our COVID-19 testing business, and (ii) OneTest for Longevity, which measures inflammatory biomarkers, that we expect to launch in the first half of 2026. Both tests are run in our CAP (College of American Pathologists) accredited, CLIA (Clinical Laboratory Improvement Amendments) licensed laboratory in Gaithersburg, MD. That laboratory also hosts our Clinical Laboratory Innovation Accelerator, or CLIAx, which we believe is the country’s first shared CLIA laboratory for overseas diagnostics start-ups seeking to launch novel lab tests in the U.S. without the expense of establishing and operating their own, independent lab. As noted above, during the COVID-19 pandemic, we also provided COVID-19 viral testing using polymerase chain reaction, or PCR, analytical equipment in our clinical laboratory. Our legacy business also includes a pioneering field test kit for screening suspicious powders for bioterror agents known as BioCheck. As of the date of this prospectus, we generate revenue from three sources: OneTest for Cancer (primarily as a lab test in the U.S. but we also license our algorithms to overseas labs), BioCheck and from our CLIAx. For each of the nine months ended September 30, 2025 and 2024, sales of OneTest for Cancer accounted for approximately 87% of our revenues, sales of BioCheck accounted for approximately 9% of our revenues, and our CLIAx accounted for approximately 4% of our revenues. For the years ended December 31, 2024 and 2023, sales of OneTest for Cancer accounted for approximately 85% and 65% of our revenues, respectively, sales of BioCheck accounted for approximately 10% and 13% of our revenues, respectively, our CLIAx accounted for approximately 5% and 4% of our revenues, respectively, and COVID-19 testing accounted for approximately 0% and 18% of our revenues, respectively. Our principal executive offices are located in Gaithersburg, MD.

AI Analysis | Feedback

Here are 1-3 brief analogies for 20/20 Biolabs (AIDX):

  • Quest Diagnostics for AI-powered multi-cancer early detection blood tests.

  • AWS for diagnostics lab services.

AI Analysis | Feedback

  • OneTest for Cancer: An AI-powered, laboratory-based blood test for multi-cancer early detection, also licensed to overseas labs.
  • BioCheck: A field test kit designed for screening suspicious powders for bioterror agents.
  • Clinical Laboratory Innovation Accelerator (CLIAx): A shared CLIA laboratory service enabling overseas diagnostics start-ups to launch novel lab tests in the U.S.
  • OneTest for Longevity: An upcoming blood test, expected to launch in H1 2026, which measures inflammatory biomarkers for chronic disease prevention.

AI Analysis | Feedback

For the public company 20/20 Biolabs (symbol: AIDX), its major customers fall into the following categories:
  • Individuals (Patients) through Healthcare Providers: As the primary source of revenue, the company's OneTest for Cancer (and the upcoming OneTest for Longevity) are described as "lab tests in the U.S." These tests are typically ordered by healthcare providers for individual patients for early detection and prevention of cancers and chronic diseases.
  • Overseas Diagnostic Laboratories and Start-ups: This category encompasses two distinct groups: (i) overseas laboratories that license 20/20 Biolabs' algorithms for the OneTest for Cancer, and (ii) overseas diagnostics start-ups that utilize 20/20 Biolabs' CLIAx (Clinical Laboratory Innovation Accelerator) facility to launch novel lab tests in the U.S.
  • Government/Public Safety Organizations: Customers for the BioCheck field test kit, used for screening suspicious powders for bioterror agents, would typically include government agencies, law enforcement, first responders, and other public safety or security-focused organizations.

AI Analysis | Feedback

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AI Analysis | Feedback

Jonathan Cohen, President & CEO

Mr. Cohen is the founder of 20/20 BioLabs and has served as its Chief Executive Officer, President, and a director since August 2000. He is a co-inventor of the company's OneTest and BioCheck products and has overseen their commercial launch and sales. He has also led significant license, research, technology transfer, investment, and sales and marketing agreements with major corporations such as Eastman Kodak, Abbott Diagnostics, Johnson & Johnson, IBM, and Ping An. Before founding 20/20 BioLabs, Mr. Cohen served as patent and general counsel for Ventana Medical Systems Inc. and Oncor Inc.

Alan B. Bergman, Interim Chief Financial Officer

Mr. Bergman has served as Interim Chief Financial Officer since December 2025, with his appointment as Chief Financial Officer effective upon the registration statement's effectiveness. His prior roles include Chief Financial Officer of Plethy, Inc., a private musculoskeletal med-tech company, from December 2024 to December 2025, and Chief Financial Officer of Smart for Life, Inc., a publicly traded company, from January 2021 to December 2024. He also held CFO and VP Finance positions at Bright Mountain Media, Inc. and Greenlane Holdings, Inc., respectively. Mr. Bergman started his career as a senior auditor with Deloitte in 2000 and has held audit management roles at other firms. He earned his Master's Degree in Accounting from the University of Miami.

Jiming Zhou, Ph.D., Chief Operating Officer

Dr. Zhou possesses over 20 years of experience in the healthcare and biotech industries. He co-founded Firefox Pharmaceuticals and Fairfax Medical Consulting. His academic career began as an associate professor at Sichuan University, followed by extensive research at the University of Iowa. In 2005, he transitioned to industrial R&D, where he managed multiple clinical laboratories and led significant pharmaceutical projects.

Michael Lebowitz, Ph.D., Chief Scientific Officer

Dr. Lebowitz has been the Chief Scientific Officer since January 2020, having previously served as Director of Research & Development from 2009 to 2012. He also holds the position of CSO at Athanor Biosciences. With over 30 years of research experience, including 22 years in industry, Dr. Lebowitz has been instrumental in launching six laboratory-developed tests and establishing two CLIA-certified laboratories. He holds a Ph.D. from Johns Hopkins University School of Medicine and is an adjunct faculty member there and at the University of Maryland, Baltimore County.

Ron Baker, Chief Business Officer

Mr. Baker brings extensive experience in clinical research, operations, technical sales, marketing, and business development within oncology laboratory services. Before joining 20/20 BioLabs, he held executive positions at Roche Diagnostics, Roche Clinical Labs, and SGS Life Sciences. He obtained his B.S. in Biology from Loyola University.

AI Analysis | Feedback

Key Risks for 20/20 Biolabs (AIDX)

  1. Concentration of Revenue in OneTest for Cancer: The company is heavily reliant on its OneTest for Cancer product, which accounted for approximately 87% of its revenues for the nine months ended September 30, 2025 and 2024, and 85% for the year ended December 31, 2024. Any significant challenges related to this product, such as regulatory hurdles, market acceptance, competition, reimbursement issues, or efficacy concerns, could severely impact the company's overall financial performance.
  2. Regulatory and Commercial Challenges in AI-Powered Diagnostics: As a developer of AI-powered, laboratory-based blood tests for early detection of cancers and chronic diseases, 20/20 Biolabs faces significant risks associated with regulatory approval processes (e.g., maintaining CLIA license and CAP accreditation), clinical validation, market adoption by healthcare providers, and securing favorable reimbursement policies from insurers. The successful launch and commercialization of new products, such as OneTest for Longevity, also depend on navigating these complex challenges.
  3. Rapid Technological Change and Competition: The field of AI-powered diagnostics for early disease detection is highly dynamic and competitive. 20/20 Biolabs operates in an environment where new technologies and diagnostic methods are continuously emerging. There is a risk that competitors could develop superior or more cost-effective solutions, or that the company's current AI algorithms and testing methodologies could become technologically obsolete, potentially eroding its market position.

AI Analysis | Feedback

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AI Analysis | Feedback

For 20/20 Biolabs (AIDX), the addressable markets for its main products and services are as follows:

  • OneTest for Cancer (Multi-Cancer Early Detection, or MCED, blood test):
    • The global multi-cancer early detection (MCED) test market was valued at approximately USD 1.5 billion in 2024 and is projected to reach USD 5.8 billion by 2034, growing at a Compound Annual Growth Rate (CAGR) of 14.1% from 2025 to 2034.
    • The U.S. multi-cancer early detection market is expected to reach a projected revenue of US$ 845.6 million by 2030, with a CAGR of 17% from 2025 to 2030.
  • OneTest for Longevity (inflammatory biomarkers test):
    • The global inflammatory marker market was valued at approximately USD 5.3 billion in 2023 and is expected to reach USD 9.2 billion by 2032, growing at a CAGR of 6.1%.
    • The U.S. inflammation test kit market is projected to be valued at USD 1.1 billion in 2024 and is expected to reach USD 1.9 billion by 2033, demonstrating a CAGR of 6.1%.
  • BioCheck (field test kit for screening suspicious powders for bioterror agents):
    • The global bioterrorism detection market was valued at USD 6.72 billion in 2023 and is expected to reach nearly USD 9.71 billion by 2030, growing at a CAGR of 5.4% from 2024 to 2030.
    • The U.S. bio-detection market was valued at $4.8 billion in 2024.
  • CLIAx (Clinical Laboratory Innovation Accelerator, a shared CLIA laboratory for overseas diagnostics start-ups):
    • While a specific market size for shared CLIA laboratories for start-ups is not available, the broader U.S. clinical laboratory services market, which provides the regulatory and operational framework, generated $99.7 billion of revenue in 2024 and is projected to reach $122.5 billion by 2029, growing at a 4.2% CAGR.

AI Analysis | Feedback

Expected Drivers of Future Revenue Growth for 20/20 Biolabs (AIDX)

Over the next 2-3 years, 20/20 Biolabs (AIDX) is expected to drive revenue growth through several key initiatives:

  1. Increased Adoption and Sales of OneTest for Cancer: As the primary commercial focus and largest revenue generator, the continued expansion of sales and adoption of the AI-powered, multi-cancer early detection (MCED) blood test, OneTest for Cancer, is anticipated to be a significant driver of revenue growth.
  2. Successful Launch and Commercialization of OneTest for Longevity: The company expects to launch OneTest for Longevity, which measures inflammatory biomarkers, in the first half of 2026. This new product family represents an entirely new revenue stream and its successful market penetration and growth will be a crucial driver.
  3. Expansion of the Clinical Laboratory Innovation Accelerator (CLIAx) Program: Revenue from the CLIAx, which offers shared CLIA laboratory services for overseas diagnostics start-ups, is expected to grow as more international companies utilize this platform to launch novel lab tests in the U.S.
  4. Geographic Expansion and Increased Licensing of OneTest for Cancer Algorithms: Beyond direct lab testing in the U.S., 20/20 Biolabs licenses its OneTest for Cancer algorithms to overseas labs. Expanding these licensing agreements to new international partners is a potential avenue for future revenue growth.

AI Analysis | Feedback

Share Issuance

  • 20/20 Biolabs registered up to 15,130,055 shares of common stock for resale by existing stockholders in connection with its direct listing on Nasdaq in February 2026.
  • The company offered convertible notes in July 2025 with a maximum raise amount of $700,000, convertible into equity.
  • Series A and Series A-2 preferred shares automatically converted into common stock upon the company's Nasdaq listing in February 2026.

Inbound Investments

  • Upon its Nasdaq debut in February 2026, 20/20 Biolabs secured a contingent financing agreement with an institutional investor for up to $40 million, with the initial $5 million expected to close on the listing day.
  • In July 2025, the company offered convertible notes to investors with a maximum raise amount of $700,000.

Capital Expenditures

  • Capital expenditures were ($0.3 million) in 2022 and ($0.2 million) in 2023.
  • The company's latest annual financial reports show $889.05K in Property, Plant & Equipment (Net).
  • Capital expenditures are primarily focused on maintaining and enhancing its CAP-accredited, CLIA-licensed laboratory in Gaithersburg, MD, where its OneTest brand blood tests are run and its Clinical Laboratory Innovation Accelerator (CLIAx) is hosted.

Trade Ideas

Select ideas related to AIDX.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
QDEL_2282026_Insider_Buying_45D_2Buy_200K02282026QDELQuidelOrthoInsiderInsider Buys 45DStrong Insider Buying
Companies with multiple insider buys in the last 45 days
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CHE_2272026_Dip_Buyer_FCFYield02272026CHEChemedDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
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LLY_2272026_Monopoly_xInd_xCD_Getting_Cheaper02272026LLYEli LillyMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
0.0%0.0%0.0%
HAE_2202026_Dip_Buyer_FCFYield02202026HAEHaemoneticsDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
3.5%3.5%0.0%
IQV_2132026_Dip_Buyer_ValueBuy02132026IQVIQVIADip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
7.1%7.1%-3.0%

Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

AIDXGHEXASGRALNTRAFLGTMedian
Name20/20 Bi.Guardant.Exact Sc.GRAIL Natera Fulgent . 
Mkt Price1.8084.61-48.49182.6515.5948.49
Mkt Cap-10.9-2.025.30.56.4
Rev LTM-982-1472,306323652
Op Inc LTM--437--534-310-91-374
FCF LTM--233--30076-124-179
FCF 3Y Avg--284--497-50-46-167
CFO LTM--185--299215-102-143
CFO 3Y Avg--250--49135-18-134

Growth & Margins

AIDXGHEXASGRALNTRAFLGTMedian
Name20/20 Bi.Guardant.Exact Sc.GRAIL Natera Fulgent . 
Rev Chg LTM-32.9%-17.2%35.9%13.8%25.0%
Rev Chg 3Y Avg-29.8%--41.5%-13.8%29.8%
Rev Chg Q-39.4%-14.0%39.8%9.3%26.7%
QoQ Delta Rev Chg LTM-8.8%-3.8%8.9%2.3%6.3%
Op Mgn LTM--44.5%--363.0%-13.4%-28.2%-36.4%
Op Mgn 3Y Avg--68.2%--610.2%-22.6%-26.8%-47.5%
QoQ Delta Op Mgn LTM-4.5%-22.5%3.2%-5.7%3.8%
CFO/Rev LTM--18.8%--203.2%9.3%-31.5%-25.2%
CFO/Rev 3Y Avg--36.3%--434.2%-1.8%-4.9%-20.6%
FCF/Rev LTM--23.7%--203.8%3.3%-38.5%-31.1%
FCF/Rev 3Y Avg--40.7%--440.4%-6.6%-14.5%-27.6%

Valuation

AIDXGHEXASGRALNTRAFLGTMedian
Name20/20 Bi.Guardant.Exact Sc.GRAIL Natera Fulgent . 
Mkt Cap-10.9-2.025.30.56.4
P/S-11.1-13.411.01.511.0
P/EBIT--26.3--3.7-95.7-6.9-16.6
P/E--26.2--4.8-121.4-8.0-17.1
P/CFO--58.9--6.6117.4-4.8-5.7
Total Yield--3.8%--20.7%-0.8%-12.5%-8.2%
Dividend Yield-0.0%-0.0%0.0%0.0%0.0%
FCF Yield 3Y Avg--6.6%---1.1%-6.0%-6.0%
D/E-0.2-0.00.00.00.0
Net D/E-0.0--0.4-0.0-0.7-0.2

Returns

AIDXGHEXASGRALNTRAFLGTMedian
Name20/20 Bi.Guardant.Exact Sc.GRAIL Natera Fulgent . 
1M Rtn-68.3%-11.2%--6.4%-13.8%-33.8%-13.8%
3M Rtn-92.5%-17.8%--47.1%-21.9%-41.7%-41.7%
6M Rtn-92.5%40.9%--2.7%12.1%-31.0%-2.7%
12M Rtn-92.5%87.4%-69.7%23.2%-7.5%23.2%
3Y Rtn-92.5%268.2%-185.2%237.3%-47.8%185.2%
1M Excs Rtn-48.1%-5.8%--8.7%-7.7%-29.2%-8.7%
3M Excs Rtn-84.3%-9.2%--39.1%-14.3%-34.2%-34.2%
6M Excs Rtn-88.9%44.2%-4.0%15.2%-25.7%4.0%
12M Excs Rtn-103.9%73.1%-59.3%10.4%-19.2%10.4%
3Y Excs Rtn-154.2%174.8%-123.5%166.3%-110.3%123.5%

Comparison Analyses

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Financials

Short Interest

Short Interest: As Of Date3132026
Short Interest: Shares Quantity0.0 Mil
Short Interest: % Change Since 2282026-82.2%
Average Daily Volume0.3 Mil
Days-to-Cover Short Interest1
Basic Shares Quantity5.4 Mil
Short % of Basic Shares0.3%

SEC Filings

Expand for More
Report DateFiling DateFiling
09/30/202512/12/2025S-1