ICON Public Company
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ICON Public Company (ICLR) investor relations material

ICON Public Company Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary28 Oct, 2026

Executive summary

  • Record net business wins reached $3.15B, with 1.56x net book-to-bill; closing backlog was $24.5B, up 4.8% sequentially.

  • Revenue was $2,024.8M; adjusted EBITDA margin rose 70 bps sequentially to 16.6%, and adjusted diluted EPS was $2.66.

Financial highlights

  • Q3 revenue declined 2.9% YoY, or 2.5% at constant currency; it was $2,024.8M versus $2,063M in Q2 2026 and $2,084M in Q3 2025.

  • Adjusted EBITDA was $336.9M, down 13.1% YoY; margin was 16.6%, versus 15.9% in Q2 2026 and 18.6% in Q3 2025.

  • GAAP net income was $122.1M and diluted EPS was $1.58; adjusted net income was $205.8M and adjusted diluted EPS was $2.66, versus $3.20 YoY.

  • 9M revenue was $6,122.2M, down 0.3% YoY; adjusted EBITDA was $981.9M, down 18.4%. Adjusted diluted EPS was $7.72 versus $9.99 YoY.

  • GAAP operating income was $199M, or 10% of revenue; adjusted gross margin was 24.7%, up 90 bps sequentially.

Outlook and guidance

  • FY2026 revenue guidance increased to $8,100M–$8,200M from $7,850M–$8,150M, primarily reflecting higher pass-through activity.

  • FY2026 adjusted diluted EPS guidance is $10.35–$10.65, narrowed from $10.00–$11.00; it is non-GAAP and unreconciled due to uncertainty in forecasting certain GAAP items.

  • FY26 adjusted EBITDA margin is expected at 16.0%–16.5%, partly dependent on Q4 pass-through activity; adjusted effective tax rate is expected near 17%.

  • Management described mid-single-digit 2027 revenue growth and higher-single-digit earnings growth as possible, not formal guidance; formal guidance is due with Q4 results.

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Frequently asked questions

ICON Public Limited Company is a global provider of clinical research and development services to the pharmaceutical, biotechnology, and medical device industries. The company offers a broad range of outsourced services, including clinical trial management, data analytics, regulatory support, and laboratory services. ICON works with clients to facilitate the development and approval of new medical treatments and therapies, supporting clinical trials from early-phase research through to post-market studies. The company's expertise spans multiple therapeutic areas and geographies. The company is headquartered in Dublin, Ireland, and its shares are listed on the NASDAQ.