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Fortrea Holdings Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 29 July 2026: press release. Guidance figures: 2 raised. The quarter’s numbers.

Key takeaways

  • Fourth consecutive quarter with book-to-bill above 1.0x: Book-to-bill ratio of 1.06x in Q2 marks fourth consecutive quarter above 1.0x threshold. Trailing 12-month book-to-bill reached 1.12x. Source
  • Backlog of $7.8 billion provides visibility: Backlog reached $7,800 million as of June 30, 2026, providing forward revenue visibility for the business. Source
  • Adjusted EBITDA $58.7M, up 6.9% year-over-year: Adjusted EBITDA of $58.7M in Q2 2026 compared to $54.9M in Q2 2025. First half adjusted EBITDA $105.7M versus $85.2M, up 24%. Source
  • Adjusted net income and EPS grow substantially: Adjusted net income $22.7M or $0.23 diluted EPS in Q2, up from $17.6M or $0.19 in Q2 2025. First half adjusted EPS $0.38, up 81% from $0.21. Source
  • Revenue guidance raised to $2.62B-$2.69B range: Full-year revenue guidance increased from prior range of $2.55B-$2.65B to $2.62B-$2.69B, raising low end by $70M and high end by $40M. Source
  • Adjusted EBITDA guidance raised to $205M-$220M: Full-year adjusted EBITDA guidance increased from $190M-$220M to $205M-$220M, raising low end by $15M to reflect confidence. Source
  • Q2 operating cash flow $28.9M and free cash flow $19.9M: Q2 operating cash flow of $28.9M with free cash flow of $19.9M. Positive cash generation in the quarter demonstrates business quality. Source

“We delivered solid operating and financial performance, including our fourth consecutive quarter with a book-to-bill ratio above 1.0x, and raised our full-year 2026 guidance to reflect our confidence in the business.”

Anshul Thakral, CEO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefull year 2026$2,620 million to $2,690 millionRaised from $2,550 million to $2,650 million
Adjusted EBITDA Sourcefull year 2026$205 million to $220 millionRaised from $190 million to $220 million

What changed from last quarter

  • Guidance raised: Management increased full-year 2026 revenue guidance by raising low end $70M and high end $40M, and raised adjusted EBITDA low end by $15M, citing continued execution and commercial momentum. Source

Quarterly Revenue and Performance

  • Fourth consecutive quarter with book-to-bill above 1.0x: Book-to-bill ratio of 1.06x in Q2 marks fourth consecutive quarter above 1.0x threshold. Trailing 12-month book-to-bill reached 1.12x. Source
  • Backlog of $7.8 billion provides visibility: Backlog reached $7,800 million as of June 30, 2026, providing forward revenue visibility for the business. Source

Adjusted Profitability Improves

  • Adjusted EBITDA $58.7M, up 6.9% year-over-year: Adjusted EBITDA of $58.7M in Q2 2026 compared to $54.9M in Q2 2025. First half adjusted EBITDA $105.7M versus $85.2M, up 24%. Source
  • Adjusted net income and EPS grow substantially: Adjusted net income $22.7M or $0.23 diluted EPS in Q2, up from $17.6M or $0.19 in Q2 2025. First half adjusted EPS $0.38, up 81% from $0.21. Source
  • First half margin expansion evident despite revenue decline: H1 2026 adjusted EBITDA increased 24% to $105.7M from $85.2M despite revenue decline of 3.4%, showing operational leverage and cost management. Source

“We remain focused on commercial execution, operational excellence and financial discipline as we continue our strategic journey toward sustainable growth and margin expansion.”

Anshul Thakral, CEO

Full-Year 2026 Guidance Increased

  • Revenue guidance raised to $2.62B-$2.69B range: Full-year revenue guidance increased from prior range of $2.55B-$2.65B to $2.62B-$2.69B, raising low end by $70M and high end by $40M. Source
  • Adjusted EBITDA guidance raised to $205M-$220M: Full-year adjusted EBITDA guidance increased from $190M-$220M to $205M-$220M, raising low end by $15M to reflect confidence. Source
  • Guidance increase reflects confidence in business trajectory: Management raised guidance to reflect confidence in business execution and market momentum, signaling positive view of remaining two quarters. Source

Cash Flow and Capital Generation

  • Q2 operating cash flow $28.9M and free cash flow $19.9M: Q2 operating cash flow of $28.9M with free cash flow of $19.9M. Positive cash generation in the quarter demonstrates business quality. Source

Commercial Progress and Strategic Focus

  • Commercial traction with biotech and large pharma: Management cites continued commercial traction across both biotech and large pharmaceutical clients, indicating broad-based demand.
  • Strategic priorities center on execution and discipline: Management remains focused on commercial execution, operational excellence, and financial discipline to drive sustainable growth and margin expansion. Source
  • Team partnerships advancing innovation and therapies: Management emphasizes dedication of global team building trusted partnerships with clients to help advance important therapies for patients. Source

Figures management reported

FigureReported
Backlog Source$7,800 million
Book-to-bill ratio Source1.06x (1.12x trailing twelve months)

Earlier plans management reported on

  • Met: Management's implicit expectation of maintaining strong pipeline health was achieved with book-to-bill above 1.0x for fourth consecutive quarter. 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.