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Omnicell, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 28 April 2026: press release. Guidance figures: 2 raised, 5 new, 7 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 15% to $310 million: Total revenues were $310 million, up $40 million or 15% from the first quarter of 2025, which the release attributes to connected devices and other lines. Source
  • Non-GAAP EBITDA up to $45 million: Non-GAAP EBITDA was $45 million, against $24 million in the first quarter of 2025. Source
  • Non-GAAP gross margin rose to 45.9%: Non-GAAP gross margin was 45.9%, against 42.1% a year earlier. Source
  • Operating expenses up in dollars, down as share: Non-GAAP operating expenses were $111.1 million, up from $104.4 million, but 35.9% of total revenues against 38.7% a year earlier. Source
  • Non-GAAP operating margin reached 10.1%: Non-GAAP operating income was $31.2 million, a 10.1% margin, against $9.3 million and 3.5% in the first quarter of 2025. Source
  • Titan XT customer engagement underway: Titan XT customer engagement is underway after its ASHP introduction, with health systems beginning to add the platform to longer-term capital planning. Source
  • Operating cash flow reached $55 million: Operating cash flow was $54.5 million, against $25.9 million a year earlier. Source

“We delivered a strong start to 2026, driven by solid execution and sustained demand for our points of care solutions”

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

Guidance

AreaPeriodFigureAgainst last quarter
Total revenues SourceQ2 2026$307 million - $313 millionNew
Total revenues Sourcefull year 2026$1.215 billion - $1.255 billionKept
Product revenues SourceQ2 2026$174 million - $177 millionNew
Product revenues Sourcefull year 2026$690 million - $710 millionKept
Service revenues SourceQ2 2026$133 million - $136 millionNew
Service revenues Sourcefull year 2026$525 million - $545 millionKept
Technical services revenues Sourcefull year 2026$260 million - $270 millionKept
SaaS and Expert Services revenues Sourcefull year 2026$265 million - $275 millionKept
Product bookings Sourcefull year 2026$510 million - $560 millionKept
Annual recurring revenue Sourcefull year 2026$680 million - $700 millionKept
Non-GAAP EBITDA SourceQ2 2026$37 million - $42 millionNew
Non-GAAP EBITDA Sourcefull year 2026$153 million - $168 millionRaised from $145 million - $160 million
Non-GAAP earnings per share SourceQ2 2026$0.40 - $0.48New
Non-GAAP earnings per share Sourcefull year 2026$1.80 - $2.00Raised from $1.65 - $1.85

What changed from last quarter

  • Guidance raised: Full-year 2026 non-GAAP EBITDA and non-GAAP EPS ranges were increased, citing first-quarter profitability and spend discipline. Source
  • New guidance: Second-quarter 2026 guidance was given; the prior release gave guidance for the first quarter and full year only. Source
  • Guidance kept: Full-year bookings and annual recurring revenue ranges were carried over unchanged from the February release. Source
  • Guidance withdrawn: No guidance was withdrawn; the full-year ranges for revenue, product, service, technical services and SaaS revenue were carried forward. Source
  • Ended: First-quarter 2026 guidance ended with this release, which reports first-quarter results.
  • New: The company launched the Omnicell Customer Community, a virtual networking space for customers, in March 2026. Source

Quarter results and growth drivers

  • Revenue rose 15% to $310 million: Total revenues were $310 million, up $40 million or 15% from the first quarter of 2025, which the release attributes to connected devices and other lines. Source
  • GAAP net income versus prior-year loss: GAAP net income was $11 million, or $0.25 per diluted share, compared with a GAAP net loss of $7 million, or $0.15 per diluted share, a year earlier. Source
  • Non-GAAP EBITDA up to $45 million: Non-GAAP EBITDA was $45 million, against $24 million in the first quarter of 2025. Source
  • Non-GAAP net income of $25 million: Non-GAAP net income was $25 million, or $0.55 per diluted share, against $12 million, or $0.26 per diluted share, a year earlier. Source

Revenue mix and reporting detail

  • Product revenue rose to $174.8 million: Product revenues were $174.8 million, up from $145.2 million. The release ties total revenue growth to connected devices. Source
  • Service revenue and recurring lines grew: Service revenues were $135.1 million, up from $124.5 million, with technical services, SaaS and Expert Services, and consumables also cited as increases. Source
  • Revenue at top of February range: First-quarter revenue of $310 million sat at the top of the $300 million to $310 million range given in February.
  • No first-quarter bookings or ARR disclosed: The release gives no first-quarter product bookings, backlog or annual recurring revenue figure; bookings and ARR appear only as full-year guidance. Source

“As care environments continue to become more complex, we see that health systems are prioritizing reliability, efficiency, and standardization in medication workflows”

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

Margins, costs and profitability

  • Non-GAAP gross margin rose to 45.9%: Non-GAAP gross margin was 45.9%, against 42.1% a year earlier. Source
  • Product gross margin rose: Non-GAAP product gross margin was 45.9%, against 41.9% in the first quarter of 2025. Source
  • Operating expenses up in dollars, down as share: Non-GAAP operating expenses were $111.1 million, up from $104.4 million, but 35.9% of total revenues against 38.7% a year earlier. Source
  • Non-GAAP operating margin reached 10.1%: Non-GAAP operating income was $31.2 million, a 10.1% margin, against $9.3 million and 3.5% in the first quarter of 2025. Source
  • Cost discipline cited for profitability: The release says performance was supported by disciplined cost management, which contributed to improved profitability. Source
  • Prior-year one-time charges absent: The first quarter of 2025 carried legal, severance and executive transition costs excluded from non-GAAP results; none were excluded in the first quarter of 2026. Source

Titan XT and customer engagement

  • Titan XT customer engagement underway: Titan XT customer engagement is underway after its ASHP introduction, with health systems beginning to add the platform to longer-term capital planning. Source
  • Titan XT and OmniSphere shown to nurses: Titan XT and OmniSphere were shown at the AONL 2026 meeting; the release says the platform is expected to cut time nurses spend locating medications. Source
  • Pharmacy leaders met at EAHP Congress: Omnicell met pharmacy leaders at the 30th EAHP Congress, where intelligence-driven medication and supply management solutions were shown. Source

Cash flow and balance sheet

  • Operating cash flow reached $55 million: Operating cash flow was $54.5 million, against $25.9 million a year earlier. Source
  • Free cash flow rose to $38.6 million: Non-GAAP free cash flow was $38.6 million, against $10.2 million, after external-use software development and property and equipment purchases. Source
  • Cash and debt at quarter end: At March 31, 2026, cash and equivalents were $239 million, total debt $168 million net of issuance costs, and total assets $2.0 billion. Source
  • Revolver undrawn at $350 million: The $350 million revolving credit facility had no outstanding balance at quarter end. Source

Share count and financing

  • Diluted share count slightly lower: Diluted shares were 45.9 million on a GAAP basis, against 46.6 million; on a non-GAAP basis, 45.9 million against 47.0 million. Source
  • Stock plan proceeds and employee tax payments: Proceeds from stock-based compensation plans were $7.8 million, against $8.3 million, and employee taxes on RSU settlement were $2.6 million. Source
  • Convertible notes carried at $167.9 million: Convertible senior notes, net were $167.9 million at March 31, 2026, against $167.6 million at December 31, 2025. Source

Platform direction and model durability

  • Next phase of platform evolution: Management said the company advanced the next phase of its platform evolution alongside the Titan XT introduction. Source
  • OmniSphere as enterprise cloud platform: OmniSphere is described as maturing into an enterprise, system-wide, cloud-native platform for visibility, analytics and workflow intelligence. Source
  • Model durability cited: The release says first-quarter performance underscores the durability of the company's model. Source

Coming up, as management said on 28 April 2026

  • Titan XT and OmniSphere adoption to scale: Management expects adoption of Titan XT and OmniSphere to scale over time as health systems incorporate the platform into capital plans. Source
  • Second-quarter 2026 revenue guided: Second-quarter 2026 total revenues are guided to $307 million to $313 million, the period following this release. Source

Figures management reported

FigureReported
Product revenues Source$174.8 million (three months ended March 31, 2026)
Service revenues Source$135.1 million (three months ended March 31, 2026)
Non-GAAP gross margin Source45.9%
Non-GAAP product gross margin Source45.9%
Non-GAAP service gross margin Source46.0%

Earlier plans management reported on

  • Not stated: The release refers to the Titan XT introduction at ASHP and says customer engagement followed; it gives no status against plan. 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.