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Fortrea Holdings Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 26 February 2026: press release. Guidance figures: 2 new. The quarter’s numbers.

Key takeaways

  • Quarterly revenue down, full year up: Fourth-quarter revenue was $660.5 million, against $697.0 million a year earlier. Full-year revenue reached $2,723.4 million, up from $2,696.4 million in 2024. Source
  • Adjusted EBITDA lower in both periods: Adjusted EBITDA was $54.0 million for the quarter, against $56.0 million, and $189.9 million for the full year, against $202.5 million. Source
  • Full-year GAAP loss includes impairment: Full-year GAAP net loss was $(986.2) million, or $(10.81) per diluted share, including a non-cash goodwill impairment recognized in the first half of 2025. Source
  • Fourth-quarter book-to-bill 1.14x: Book-to-bill was 1.14x for the quarter. Trailing twelve-month book-to-bill was 1.02x, against 1.07x reported for the third quarter. Source
  • Direct costs and SG&A fell: Quarterly direct costs were $529.4 million, against $556.1 million, and SG&A was $103.0 million, against $148.1 million. Source
  • Full-year free cash flow $88.3 million: Operating cash flow was $113.5 million for 2025. After capital expenditures of $25.2 million, free cash flow was $88.3 million. Source
  • Return to growth and margin expansion: Management frames early 2026 as the start of a journey back to growth and margin expansion. Source

“We finished 2025 with solid results for the fourth quarter, as the Fortrea team’s shared commitment to commercial, operational and financial excellence becomes embedded in our way of working,”

Anshul Thakral, CEO of Fortrea

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefull year 2026$2,550 million to $2,650 millionNew
Adjusted EBITDA Sourcefull year 2026$190 million to $220 millionNew

What changed from last quarter

  • New guidance: Full-year 2026 revenue and Adjusted EBITDA target ranges were issued; the previous release gave only 2025 guidance. Source

Results and growth drivers

  • Quarterly revenue down, full year up: Fourth-quarter revenue was $660.5 million, against $697.0 million a year earlier. Full-year revenue reached $2,723.4 million, up from $2,696.4 million in 2024. Source
  • Adjusted EBITDA lower in both periods: Adjusted EBITDA was $54.0 million for the quarter, against $56.0 million, and $189.9 million for the full year, against $202.5 million. Source
  • Full-year GAAP loss includes impairment: Full-year GAAP net loss was $(986.2) million, or $(10.81) per diluted share, including a non-cash goodwill impairment recognized in the first half of 2025. Source
  • Adjusted diluted EPS higher for year: Adjusted diluted EPS was $0.09 in the quarter, against $0.18, and $0.43 for the full year, against $0.33 in 2024. Source

Demand and the order book

  • Fourth-quarter book-to-bill 1.14x: Book-to-bill was 1.14x for the quarter. Trailing twelve-month book-to-bill was 1.02x, against 1.07x reported for the third quarter. Source
  • Year-end backlog of $7,728.0 million: Backlog at December 31, 2025 was $7,728.0 million, up from $7,644 million at September 30, 2025. Source
  • Deferred revenue inflow smaller than 2024: The cash flow statement shows an increase in deferred revenue of $114.8 million in 2025, against $140.0 million in 2024. Source

“Our large pharma and biotech clients are giving our project teams very positive feedback across the board, as we work to meet and exceed their expectations every day.”

Anshul Thakral, CEO of Fortrea

Costs and margins

  • Direct costs and SG&A fell: Quarterly direct costs were $529.4 million, against $556.1 million, and SG&A was $103.0 million, against $148.1 million. Source
  • Restructuring charges declined: Restructuring and other charges were $22.4 million in the quarter, against $27.6 million, and $44.1 million for the year, against $50.1 million. Source
  • Operating loss narrowed in quarter: Operating loss was $(13.6) million for the quarter, against $(55.6) million, and $(872.6) million for the year, against $(161.9) million. Source
  • Foreign exchange loss larger for year: Foreign exchange was a $1.2 million gain in the quarter, against a $3.6 million loss a year earlier. The full-year loss was $26.9 million, against $10.6 million. Source

Cash, capital and balance sheet

  • Full-year free cash flow $88.3 million: Operating cash flow was $113.5 million for 2025. After capital expenditures of $25.2 million, free cash flow was $88.3 million. Source
  • Cash and gross debt at year-end: Cash and cash equivalents were $174.6 million and gross debt was $1,066.3 million at December 31, 2025, against cash of $118.5 million a year earlier. Source
  • Debt principal repayments reduced: Principal payments on long-term debt were $75.7 million in 2025, against $482.7 million in 2024. Source
  • Shares outstanding increased: Common shares outstanding were 93.1 million at December 31, 2025, against 89.7 million a year earlier. Source

“At the same time, we strengthened our balance sheet through disciplined capital allocation and continued debt paydown.”

Anshul Thakral, CEO of Fortrea

Business profile and strategy

  • Return to growth and margin expansion: Management frames early 2026 as the start of a journey back to growth and margin expansion. Source
  • Service lines cover phases I-IV: Services span phase I-IV clinical trial management, clinical pharmacology and consulting, according to the company description. Source
  • Therapeutic reach across 20-plus areas: The company cites three decades of experience across more than 20 therapeutic areas. Source
  • Footprint spans about 100 countries: Management says the team works in about 100 countries and is scaled to deliver solutions to clients globally. Source

Non-GAAP adjustments

  • Stock compensation added back: Stock-based compensation added back to Adjusted EBITDA was $14.8 million in the quarter, against $15.3 million, and $74.4 million for the year, against $57.2 million. Source
  • Tax effect of adjustments: Income tax impact of adjustments was $(19.8) million in the quarter, against $(12.9) million, and $(35.2) million for the year, against $(27.6) million. Source
  • One-time spin costs declined: One-time spin-related costs were $1.3 million in the quarter, against $32.1 million, and $24.7 million for the year, against $130.0 million. Source

Coming up, as management said on 26 February 2026

  • Supplemental slides before the call: A supplemental slide presentation will be posted to the Investor Relations website before the call starts. Source

Risks management discussed

  • Financial: Goodwill impairments in the first half of 2025 resulted from share price declines and a higher discount rate from market conditions. Source
  • Operational: Restructuring charges relate to eliminating redundant positions, reducing overcapacity, aligning resources and facilities, and restructuring certain operations. Source
  • External: The 2026 guidance assumes foreign exchange rates at December 31, 2025 remain in effect for the forecast period. Source

Earlier plans management reported on

  • Met: Management said 2025 revenue and Adjusted EBITDA results were in line with the stated full-year targets. Source
  • Ahead: Management said full-year cost savings exceeded the previously communicated targets. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.