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Labcorp Holdings Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 30 April 2026: press release. Guidance figures: 3 raised, 2 kept. The quarter’s numbers.

Key takeaways

  • Revenue grew 5.8% to $3.54 billion: Total revenue rose 5.8%. Organic growth contributed 3.1%, acquisitions net of divestitures 1.4%, and foreign exchange 1.3%. Source
  • Adjusted EPS rose 10.6% to $4.25: Adjusted EPS was $4.25 against $3.84. Diluted EPS was $3.35 against $2.52, on net earnings attributable to Labcorp of $277.8 million against $212.8 million. Source
  • Diagnostics revenue grew 5.0%: Diagnostics revenue rose to $2.76 billion from $2.63 billion. Organic growth was 2.9%, acquisitions 2.0%, and foreign exchange 0.2%. Requisitions rose 2.5% and price/mix 2.6%. Source
  • Biopharma grew 8.2%; Central Labs 11.3%: Biopharma Laboratory Services revenue rose 8.2% to $780.6 million. Within it, Central Labs grew 11.3% while Early Development grew 0.6%. Source
  • Adjusted operating margin rose 30 basis points: Adjusted operating income was $507.9 million against $469.0 million, and margin was 14.4% against 14.0%. Management attributed the increase primarily to organic growth. Source
  • Backlog stood at $8.64 billion: Trailing twelve-month net orders were $3.29 billion and book-to-bill 1.04. Backlog was $8.64 billion, down from $8.72 billion at December 31, 2025. Source
  • Free cash flow turned positive: Free cash flow was $70.5 million against negative $107.5 million, as operating cash flow rose to $191.5 million from $18.5 million. Management cited higher cash earnings. Source

“Health systems, providers, consumers, and biopharmaceutical customers are increasingly turning to Labcorp as their partner of choice for their complex, innovative testing needs.”

Adam Schechter, Chairman and CEO of Labcorp

Guidance

AreaPeriodFigureAgainst last quarter
Revenue, Labcorp Enterprise Source2026 full year$14.65 billion to $14.80 billion; growth 5.0% to 6.1%Raised from $14.61 billion to $14.79 billion; growth 4.7% to 6.0%
Revenue, Diagnostics Laboratories Source2026 full year$11.43 billion to $11.52 billion; growth 5.1% to 5.9%Kept
Revenue, Biopharma Laboratory Services Source2026 full year$3.22 billion to $3.27 billion; growth 3.8% to 5.4%Raised from $3.19 billion to $3.25 billion; growth 3.0% to 5.0%
Adjusted EPS Source2026 full year$17.70 to $18.35; midpoint $18.03Raised from $17.55 to $18.25
Free cash flow Source2026 full year$1.24 billion to $1.36 billionKept

What changed from last quarter

  • Guidance raised: Full-year enterprise revenue and adjusted EPS guidance raised at the midpoint. Source
  • Guidance raised: Biopharma Laboratory Services revenue guidance raised at the midpoint. Source
  • Guidance kept: Free cash flow guidance kept at $1.24 billion to $1.36 billion. Source
  • New: Nationwide collaboration with Children’s Hospital of Philadelphia announced in this release. Source

Results and growth drivers

  • Revenue grew 5.8% to $3.54 billion: Total revenue rose 5.8%. Organic growth contributed 3.1%, acquisitions net of divestitures 1.4%, and foreign exchange 1.3%. Source
  • Adjusted EPS rose 10.6% to $4.25: Adjusted EPS was $4.25 against $3.84. Diluted EPS was $3.35 against $2.52, on net earnings attributable to Labcorp of $277.8 million against $212.8 million. Source
  • Operating income rose to $380.8 million: Operating income was $380.8 million against $326.0 million, and operating margin was 10.8% against 9.7%. Source

Segments and revenue drivers

  • Diagnostics revenue grew 5.0%: Diagnostics revenue rose to $2.76 billion from $2.63 billion. Organic growth was 2.9%, acquisitions 2.0%, and foreign exchange 0.2%. Requisitions rose 2.5% and price/mix 2.6%. Source
  • Biopharma grew 8.2%; Central Labs 11.3%: Biopharma Laboratory Services revenue rose 8.2% to $780.6 million. Within it, Central Labs grew 11.3% while Early Development grew 0.6%. Source
  • FX and acquisitions shaped Biopharma growth: Foreign exchange added 5.5% to Biopharma revenue growth. Acquisitions net of divestitures subtracted 1.0%, including the effect of strategic actions in Early Development. Source

“Labcorp also remains committed to a disciplined allocation of capital.”

Labcorp Holdings Inc., press release

Customers, partnerships and products

  • Health system deal with Crouse Health: Completed the purchase of select Crouse Health lab assets in central New York and agreed to manage the health system’s inpatient labs. Source
  • Illumina oncology genomic testing collaboration: Announced an Illumina collaboration to expand access to genomic testing in oncology, aimed at more precise biomarker insights. Source
  • Consumer Health grew; OnDemand tests added: Consumer Health grew, and the Labcorp OnDemand portfolio added tests for insulin resistance and pancreatic function, plus customizable men’s and women’s health tests. Source

Costs, margins and earnings

  • Adjusted operating margin rose 30 basis points: Adjusted operating income was $507.9 million against $469.0 million, and margin was 14.4% against 14.0%. Management attributed the increase primarily to organic growth. Source
  • Diagnostics margin rose to 16.6%: Diagnostics adjusted operating income was $458.7 million against $427.5 million, with margin up 30 basis points from 16.3%. Source
  • Biopharma margin rose 60 basis points: Biopharma adjusted operating income was $120.7 million, and margin rose to 15.5% from 14.8%, driven by Central Labs growth. Source
  • Deal and LaunchPad costs fell: Acquisition and disposition-related costs were $9.9 million against $29.1 million, and LaunchPad costs were $13.0 million against $20.1 million. Source
  • Tax provision fell to $41.7 million: The provision for income taxes was $41.7 million against $62.2 million, and net earnings were $278.0 million against $213.0 million. Source

Demand, orders and backlog

  • Backlog stood at $8.64 billion: Trailing twelve-month net orders were $3.29 billion and book-to-bill 1.04. Backlog was $8.64 billion, down from $8.72 billion at December 31, 2025. Source
  • Backlog up 5.6% from a year earlier: The company stated that backlog was higher than the same period of last year by the percentage shown. Source
  • Next twelve-month backlog conversion rose: Next twelve-month forecast backlog conversion is $2.69 billion, up from $2.66 billion in the prior release. Source

Cash flow and capital allocation

  • Free cash flow turned positive: Free cash flow was $70.5 million against negative $107.5 million, as operating cash flow rose to $191.5 million from $18.5 million. Management cited higher cash earnings. Source
  • Acquisitions, buybacks and dividends in quarter: The company spent $202.2 million on acquisitions, $98.0 million on share repurchases and $61.2 million on dividends during the quarter. Source
  • Cash and debt balances both higher: Cash ended the quarter at $981.1 million and total debt at $6.33 billion. Management said both balances are higher because of pre-funding of maturing debt. Source

Technology and strategic priorities

  • AI real-world data platform with AWS: Launched an AI-powered real-world data platform with AWS and Datavant, aimed at accelerating Alzheimer’s research. Source
  • Optum.ai collaboration on laboratory operations: Announced a collaboration with Optum.ai to apply AI to streamline laboratory operations, improve efficiency, and enhance the patient and provider experience. Source
  • Robotics and AI investments in operations: Management said investments in advanced technologies, including robotics and AI, are improving the customer experience and changing how the company operates. Source

Coming up, as management said on 30 April 2026

  • Quarterly dividend payable June 11: The $0.72 per-share quarterly dividend, announced April 9, is payable June 11, 2026 to holders of record on May 29, 2026. Source
  • MyLabcorp app launches in May: The company plans to launch the MyLabcorp app in May. It combines test results and health data with clinical guidance for consumers. Source

Figures management reported

FigureReported
Diagnostics requisition change, total Source2.5%
Tests performed Sourcemore than 750 million

Risks management discussed

  • Operational: Management cited adverse weather as affecting Diagnostics, including its effect on the organic requisition change of 1.1%. Source
  • External: The 2026 guidance rests on March 31, 2026 exchange rates. Foreign currency translation adds 0.4% to enterprise revenue and 1.5% to Biopharma revenue. Source

Earlier plans management reported on

  • Not stated: Management said the company continues to advance its strategic priorities, including partnerships with health systems and regional and local laboratories. 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.