Labcorp
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Labcorp (LH) investor relations material

Labcorp Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary17 Feb, 2026

Executive summary

  • Revenue grew 7.2% year-over-year to $13.95 billion for 2025, with Q4 revenue up 5.6% to $3.52 billion compared to 2024.

  • Adjusted EPS increased 12.8% to $16.44 for 2025, with Q4 adjusted EPS up 18% to $4.07.

  • Free cash flow for 2025 was $1.21 billion, up 10% from 2024.

  • Strategic progress included 13 new or expanded partnerships, multiple acquisitions, and over 130 new specialty tests launched in oncology, women's health, neurology, and autoimmune disease.

  • Successfully integrated Invitae, advanced AI and automation, and expanded leadership in genetic testing.

Financial highlights

  • Diagnostics Laboratories contributed 77.4% of Q4 2025 revenue, with Biopharma Laboratory Services at 22.6%.

  • Diagnostics Laboratories Q4 2025 revenue grew 5.5% year-over-year to $2.73 billion; Biopharma Laboratory Services Q4 revenue was $793 million, up 3.4%.

  • Adjusted operating margin for 2025 was 14.3%, up 50 bps year-over-year; Q4 adjusted operating margin was 13.9%, up from 12.7%.

  • Adjusted EBITDA for Q4 2025 was $584.1 million, with a trailing twelve-month total of $2.38 billion.

  • Q4 free cash flow was $490 million.

Outlook and guidance

  • 2026 revenue guidance: $14.61–$14.79 billion, representing 4.7–6.0% growth; midpoint 5.4%.

  • Diagnostics Laboratories 2026 revenue expected to grow 5–6%; Biopharma Laboratory Services 3–5%.

  • Adjusted EPS guidance for 2026: $17.55–$18.25, implying 6.8–11.0% growth; midpoint 8.9%.

  • Free cash flow guidance for 2026: $1.24–$1.36 billion, with higher capital expenditures due to new central lab facility investment.

  • Enterprise margins expected to increase, with BLS margin expansion outpacing Diagnostics.

Biopharma segment growth drivers for 2026
Impact of new Central Lab facility on growth
Q4 2025 FCF decrease: working capital timing
Early Development margin improvement outlook
AI's current impact on testing demand
Consumer health market share strategy
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