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Omnicell, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 5 February 2026: press release. Guidance figures: 14 new. The quarter’s numbers.

Key takeaways

  • Quarterly revenue rose 2%: Fourth-quarter total revenues were $314 million, up 2% from the fourth quarter of 2024. Source
  • Quarterly non-GAAP EPS was $0.40: Non-GAAP net income was $18 million, or $0.40 per diluted share, against $28 million, or $0.60, a year earlier. Source
  • Non-GAAP operating margin fell in quarter: Non-GAAP operating margin was 7.1% in the fourth quarter, down from 10.6%; the full-year margin was 7.0% in both years. Source
  • Quarterly EBITDA was $37 million: Non-GAAP EBITDA was $37 million in the fourth quarter, against $46 million a year earlier. Source
  • Full-year bookings down 4%: Full-year product bookings were $535 million, against $558 million in 2024, a decrease of 4%. Source
  • Annual recurring revenue grew: Annual recurring revenue was $635,555 thousand at December 31, 2025, up from $580,025 thousand a year earlier. Source
  • Free cash flow declined: Non-GAAP free cash flow was $18 million in the fourth quarter, against $43 million; the full year was $69 million, against $135 million. Source
  • Titan XT announced as enterprise system: The company announced Titan XT in December 2025 as an enterprise version of automated dispensing systems. Source

“The launch of Titan XT intends to address a significant need for an enhanced and more efficient medication management experience that combines proven automation with powerful intelligence”

Randall Lipps, chairman, president, chief executive officer, and founder

Guidance

AreaPeriodFigureAgainst last quarter
Total revenues Sourcefirst quarter 2026$300 million - $310 millionNew
Total revenues Sourcefull year 2026$1.215 billion - $1.255 billionNew
Product revenues Sourcefirst quarter 2026$171 million - $176 millionNew
Product revenues Sourcefull year 2026$690 million - $710 millionNew
Service revenues Sourcefirst quarter 2026$129 million - $134 millionNew
Service revenues Sourcefull year 2026$525 million - $545 millionNew
Technical services revenues Sourcefull year 2026$260 million - $270 millionNew
SaaS and Expert Services revenues Sourcefull year 2026$265 million - $275 millionNew
Non-GAAP EBITDA Sourcefirst quarter 2026$27 million - $33 millionNew
Non-GAAP EBITDA Sourcefull year 2026$145 million - $160 millionNew
Non-GAAP earnings per share Sourcefirst quarter 2026$0.26 - $0.36New
Non-GAAP earnings per share Sourcefull year 2026$1.65 - $1.85New
Product bookings Sourcefull year 2026$510 million - $560 millionNew
Annual recurring revenue Sourcefull year 2026$680 million - $700 millionNew

What changed from last quarter

  • New guidance: First-quarter and full-year 2026 guidance was issued in this release; no earlier 2026 figures are given to compare against. Source
  • New: Titan XT, an enterprise version of automated dispensing systems, was launched at the ASHP 2025 Midyear Clinical Meeting, a product not described in the prior quarter's release. Source

Fourth quarter and full-year results

  • Quarterly revenue rose 2%: Fourth-quarter total revenues were $314 million, up 2% from the fourth quarter of 2024. Source
  • Full-year revenue rose 7%: Full-year total revenues were $1.185 billion, up $73 million, or 7%, from the prior year. Source
  • Fourth-quarter GAAP net loss: The company reported a GAAP net loss of $2 million, or $0.05 per diluted share, for the fourth quarter. Source
  • Quarterly non-GAAP EPS was $0.40: Non-GAAP net income was $18 million, or $0.40 per diluted share, against $28 million, or $0.60, a year earlier. Source
  • Full-year non-GAAP EPS was $1.62: Full-year non-GAAP net income was $75 million, or $1.62 per diluted share, against $79 million, or $1.71, in 2024. Source

Product and service revenue lines

  • Product revenue slightly lower in quarter: Fourth-quarter product revenues were $179,859 thousand, against $182,271 thousand; full-year product revenues were $665,697 thousand, up from $630,507 thousand. Source
  • Service revenue grew in quarter: Fourth-quarter service revenues were $134,125 thousand, up from $124,608 thousand; full-year service revenues were $519,148 thousand. Source
  • Quarterly growth from services and consumables: Management attributed the quarterly increase to technical service offerings, SaaS and Expert Services, and consumables revenues. Source
  • Full-year growth from connected devices: Management attributed full-year growth to connected devices and technical services, with increases in SaaS and Expert Services and consumables. Source

“As we look ahead, we are focused on delivering long-term, sustainable, and profitable growth.”

Randall Lipps, chairman, president, chief executive officer, and founder

Gross margin and cost of revenue

  • Product gross margin lower in quarter: Non-GAAP product gross margin was 42.3% in the fourth quarter, against 48.3%; full-year non-GAAP product gross margin was 43.6%, up from 41.7%. Source
  • Service gross margin lower in quarter: GAAP service gross margin was 41.3% in the fourth quarter, against 45.1%; non-GAAP service gross margin was 44.5%, against 46.1%. Source
  • RDS charges in cost of revenue: RDS restructuring charges, net of reversals, of $3,708 thousand in cost of revenues were excluded from non-GAAP gross profit in the fourth quarter. Source

Operating expenses and operating margin

  • Selling and administrative costs rose: Selling, general and administrative expense was $107,358 thousand in the fourth quarter, up from $103,325 thousand in the prior-year quarter. Source
  • Research spending fell in quarter: Research and development expense was $22,552 thousand in the fourth quarter, down from $26,040 thousand; full-year R&D was $88,672 thousand. Source
  • Non-GAAP operating margin fell in quarter: Non-GAAP operating margin was 7.1% in the fourth quarter, down from 10.6%; the full-year margin was 7.0% in both years. Source

“We believe that our innovation roadmap continues to resonate with our customers, and I am optimistic for what the future holds for Omnicell in 2026 and beyond.”

Randall Lipps, chairman, president, chief executive officer, and founder

EBITDA and non-GAAP profit measures

  • Quarterly EBITDA was $37 million: Non-GAAP EBITDA was $37 million in the fourth quarter, against $46 million a year earlier. Source
  • Full-year EBITDA rose: Non-GAAP EBITDA for the full year was $140 million, up from $136 million in 2024. Source
  • EBITDA margin lower in quarter: Non-GAAP EBITDA margin was 11.7% in the fourth quarter, against 15.1%; full-year margin was 11.8%, against 12.2%. Source
  • Share-based compensation increased: Share-based compensation was $11,976 thousand in the fourth quarter and $44,502 thousand for the year, both higher than the prior year. Source

Bookings, backlog and recurring revenue

  • Full-year bookings down 4%: Full-year product bookings were $535 million, against $558 million in 2024, a decrease of 4%. Source
  • Product backlog nearly flat: Total product backlog was $640,301 thousand at year-end, against $646,440 thousand; short-term backlog fell and long-term backlog rose. Source
  • Annual recurring revenue grew: Annual recurring revenue was $635,555 thousand at December 31, 2025, up from $580,025 thousand a year earlier. Source

Cash flow, balance sheet and liquidity

  • Quarterly operating cash flow was $30 million: Operating cash flow was $30 million in the fourth quarter, against $56 million a year earlier; full-year operating cash flow was $127.3 million, against $187.7 million. Source
  • Free cash flow declined: Non-GAAP free cash flow was $18 million in the fourth quarter, against $43 million; the full year was $69 million, against $135 million. Source
  • Cash and debt at year-end: Cash and cash equivalents were $197 million and total debt was $168 million at December 31, 2025; total assets were $1.97 billion. Source
  • Revolving credit facility undrawn: $350 million was available under the revolving credit facility at year-end, with no outstanding balance. Source

Capital returns and debt repayment

  • Common stock repurchases of $77.6 million: The cash flow statement shows common stock repurchases of $77.6 million for 2025, in the financing section. Source
  • Convertible notes due 2025 repaid: The company repaid $175 million of convertible senior notes due 2025, and a non-current convertible notes balance of $167,596 thousand remains. Source
  • Stock plan proceeds increased: Proceeds from stock-based compensation plans were $16,868 thousand for 2025, up from $13,411 thousand; employee taxes on restricted units were $7,684 thousand. Source

Titan XT launch and product direction

  • Titan XT announced as enterprise system: The company announced Titan XT in December 2025 as an enterprise version of automated dispensing systems. Source
  • Titan XT pairs automation with intelligence: Titan XT is described as built to unify proven automation and intelligence, supporting a growing health system. Source
  • Conference attendance at ASHP: More than 4,000 pharmacy leaders connected with the company during the December 2025 ASHP Midyear meeting. Source

Recognition and executive costs

  • Industry recognition for innovation: The company was named among the Top 50 Healthcare Technology Companies by the Healthcare Technology Report. Source
  • CEO named a top healthcare technology leader: The chief executive officer was named one of the Top Healthcare Technology CEOs of 2025 by the Healthcare Technology Report. Source
  • Executive transition and severance excluded: Full-year non-GAAP results excluded $968 thousand of executive transition costs and $1,147 thousand of management severance linked to senior leadership changes. Source

Coming up, as management said on 5 February 2026

  • Titan XT to extend into nursing care: Management said that with the Titan XT launch, the OmniSphere capability is meant to extend into nursing care areas. Source

Figures management reported

FigureReported
Total product backlog Source$640,301 thousand at December 31, 2025 (December 31, 2024: $646,440 thousand)
Product gross margin SourceGAAP 41.7%; non-GAAP 42.3% (fourth quarter 2025)
Service gross margin SourceGAAP 41.3%; non-GAAP 44.5% (fourth quarter 2025)
Product revenue (segment) Source$179,859 thousand (fourth quarter 2025)
Service revenue (segment) Source$134,125 thousand (fourth quarter 2025)

Risks management discussed

  • Demand: Management tied the 4% year-over-year decline in full-year product bookings to the company being late in the XT upgrade cycle. Source

Earlier plans management reported on

  • Met: Management said full-year 2025 total revenues, product bookings and ARR were above the mid-point of previously issued guidance ranges. Source
  • Not stated: The prior release said the company would showcase new innovations at the upcoming ASHP Midyear 2025 meeting; the current release reports attendance at that meeting.

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.