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Labcorp Holdings Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 28 October 2026: press release. Guidance figures: 4 raised, 2 lowered, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 6.9 percent: Revenue was $3.81 billion against $3.56 billion. Organic growth was 5.5% against 4.3%, acquisitions added 1.5%, and foreign exchange reduced growth by 0.1%. Source
  • Adjusted EPS rose 14.5 percent: Adjusted EPS was $4.78 against $4.18, up 14.5%. Diluted EPS was $3.22 against $3.12, up 3.3%. Adjusted EPS is a non-GAAP measure. Source
  • Adjusted operating margin rose: Adjusted operating income was $570.0 million, or 15.0% of revenue, against $513.3 million and 14.4%. Management attributed the increase to organic growth and operating efficiencies. Source
  • Diagnostics revenue rose 6.5 percent: Diagnostics Laboratories revenue was $2,948.9 million against $2,769.6 million. Organic growth was 4.4%, and acquisitions net of divestitures added 2.2%. Source
  • Biopharma margin rose 180 basis points: Biopharma adjusted operating income was $159.0 million against $132.2 million, and margin was 18.3% against 16.5%, driven by organic growth and Early Development efficiencies. Source
  • Biopharma backlog rose 3.9 percent: Biopharma backlog was $8.92 billion at September 30, up 3.9% from a year earlier. Backlog was $8.73 billion at June 30, up 0.2%. Source
  • Free cash flow rose to $412.2 million: Free cash flow was $412.2 million against $280.5 million. Operating cash flow was $563.8 million and capital expenditures were $151.6 million. Source

“We furthered our leadership in specialty testing by launching innovative tests for advanced melanoma”

Adam Schechter, Chairman and CEO of Labcorp

Guidance

AreaPeriodFigureAgainst last quarter
Revenue, Labcorp Enterprise Sourcefull year 2026$14,779 to $14,887 million; growth 5.9% to 6.7%Raised from $14,710 to $14,827 million; growth 5.4% to 6.3%
Revenue, Diagnostics Laboratories Sourcefull year 2026$11,475 to $11,551 million; growth 5.5% to 6.2%Raised from $11,450 to $11,532 million; growth 5.3% to 6.0%
Revenue, Biopharma Laboratory Services Sourcefull year 2026$3,328 to $3,358 million; growth 7.4% to 8.4%Raised from $3,269 to $3,300 million; growth 5.5% to 6.5%
Adjusted EPS Sourcefull year 2026$18.30 to $18.70Raised from $18.10 to $18.55
Free cash flow Sourcefull year 2026$1,240 to $1,360 millionKept
Foreign currency translation impact, Enterprise Sourcefull year 20260.3%Lowered from 0.4%
Foreign currency translation impact, Biopharma Laboratory Services Sourcefull year 20261.3%Lowered from 1.5%

What changed from last quarter

  • Guidance raised: Full-year guidance raised for enterprise revenue growth and adjusted EPS. Source
  • Guidance kept: Free cash flow guidance range kept at $1,240 million to $1,360 million. Source
  • New: MLM Medical Labs was acquired in the quarter. Source
  • New: Three acquisition agreements were signed after quarter end. Source

Results and growth drivers

  • Revenue rose 6.9 percent: Revenue was $3.81 billion against $3.56 billion. Organic growth was 5.5% against 4.3%, acquisitions added 1.5%, and foreign exchange reduced growth by 0.1%. Source
  • Adjusted EPS rose 14.5 percent: Adjusted EPS was $4.78 against $4.18, up 14.5%. Diluted EPS was $3.22 against $3.12, up 3.3%. Adjusted EPS is a non-GAAP measure. Source
  • Operating margin declined: Operating income was $402.1 million against $396.6 million. Operating margin was 10.6% against 11.1%. Adjustments to operating income totaled $167.9 million against $116.7 million. Source
  • Adjusted operating margin rose: Adjusted operating income was $570.0 million, or 15.0% of revenue, against $513.3 million and 14.4%. Management attributed the increase to organic growth and operating efficiencies. Source
  • Nine-month revenue and EPS rose: For the nine months, revenue was $11,078.7 million, up 6.2%. Diluted EPS was $10.22 against $8.48. Source

Segments and regions

  • Diagnostics revenue rose 6.5 percent: Diagnostics Laboratories revenue was $2,948.9 million against $2,769.6 million. Organic growth was 4.4%, and acquisitions net of divestitures added 2.2%. Source
  • Diagnostics margin widened: Diagnostics adjusted operating income was $491.6 million against $450.4 million, with margin at 16.7% against 16.3%. Source
  • Biopharma revenue rose 8.5 percent: Biopharma Laboratory Services revenue was $866.7 million against $799.1 million. Organic growth was 9.6%. Early Development revenue growth was 0.4%. Source
  • Biopharma margin rose 180 basis points: Biopharma adjusted operating income was $159.0 million against $132.2 million, and margin was 18.3% against 16.5%, driven by organic growth and Early Development efficiencies. Source

“As healthcare continues to be transformed by advances in science and technology, personalized medicine, and evolving consumer expectations, Labcorp is well positioned to capitalize on these trends”

Adam Schechter, Chairman and CEO of Labcorp

Products and customers

  • FDA approved melanoma companion diagnostic: The FDA approved PGDx elio tissue complete CDx as a companion diagnostic to identify patients with advanced melanoma. Source
  • Alzheimer's blood test launched after quarter: After quarter end, the company launched the FDA-cleared Elecsys pTau-217 blood test for primary and specialty care settings. Source
  • Waters partnership on HPV testing: After quarter end, Labcorp announced a collaboration with Waters Corporation to offer the BD Onclarity HPV assay across clinician- and self-collected screening options. Source
  • Oncology and hepatitis testing additions: Labcorp announced a clinical study with the Knight Cancer Institute on Plasma Detect Genome MRD Ultra, and a new hepatitis D reflex testing option. Source
  • OnDemand panels expanded past 140: Labcorp OnDemand added the Advanced Health Panel, the Marker by Labcorp Genetic Health Panel and the Thrive 5 Health Test. Source
  • Community health center partnership announced: Labcorp partnered with the National Association of Community Health Centers on leadership development, practice improvement and community health initiatives. Source

Costs and margins

  • Cost of revenues rose: Cost of revenues was $2,701.9 million against $2,538.4 million. Selling, general and administrative expenses were $611.4 million against $553.1 million. Source
  • Adjustments led by amortization: Adjustments to operating income were $167.9 million, including amortization of $78.7 million and LaunchPad costs of $28.6 million. Source
  • Restructuring and interest costs rose: Restructuring and other charges were $15.9 million against $5.9 million. Interest expense was $59.1 million against $56.0 million. Source
  • Unallocated corporate expense rose: Unallocated corporate expense was $80.6 million against $69.3 million in the quarter. Source

Demand and order book

  • Diagnostics requisitions and price rose: Diagnostics requisitions rose 4.8% in total, including 3.1% organic. Price/mix rose 1.7% in total, including 1.3% organic. Source
  • Biopharma backlog rose 3.9 percent: Biopharma backlog was $8.92 billion at September 30, up 3.9% from a year earlier. Backlog was $8.73 billion at June 30, up 0.2%. Source
  • Orders and book-to-bill rose: Trailing twelve-month net orders were $3.59 billion, with book to bill of 1.10, against $3.32 billion and 1.03 at June 30. Next twelve months backlog conversion is $2.82 billion. Source

Capital, cash and shareholder returns

  • Free cash flow rose to $412.2 million: Free cash flow was $412.2 million against $280.5 million. Operating cash flow was $563.8 million and capital expenditures were $151.6 million. Source
  • Acquisitions and dividends in quarter: The company invested $255.5 million in acquisitions and paid $58.2 million in dividends during the quarter. Source
  • No repurchases in the quarter: No shares were repurchased in the third quarter, against $25.0 million a year earlier. Nine-month repurchases were $451.8 million, against $225.0 million. Source
  • $1.4 billion repurchase authority remains: The company has $1.4 billion remaining under its board-authorized share repurchase program. Source
  • Cash and total debt at quarter end: Cash and cash equivalents were $261.8 million and total debt was $5.85 billion at September 30. Source

Strategy, M&A and launches

  • Four transactions announced or closed: The company announced or closed four transactions, each expected to be accretive to adjusted EPS in year one. Source
  • MLM Medical Labs acquisition closed: MLM Medical Labs is a central and specialty laboratory provider with operations in the United States, Germany and South Africa. Source
  • Three acquisition agreements signed: After quarter end, agreements were signed for BioReference assets, Myriad Prenatal Health testing and Millennium Health. Source
  • Capital allocation included in guidance: Enterprise guidance includes the estimated impact of planned acquisitions, share repurchases and dividends. Source

Coming up, as management said on 28 October 2026

  • Pending acquisitions await approvals: The timing of the three signed acquisition agreements depends on regulatory approvals and customary closing conditions. Source
  • Accretion expected on four deals: Management expects each of the four transactions to be accretive to adjusted EPS in year one and to return cost of capital by year three. Source
  • Dividend payable December 11: The quarterly cash dividend of $0.72 per share is payable December 11, 2026, to holders of record at the close of business on November 24, 2026. Source

Figures management reported

FigureReported
Requisitions, Diagnostics Laboratories Source4.8% total; 3.1% organic

Earlier plans management reported on

  • Not stated: Management said it remains committed to a disciplined allocation of capital. Source
  • Not stated: Free cash flow gains were partly offset by planned higher capital expenditures, which were $151.6 million against $106.7 million. 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.