Fortrea (FTRE) Q4 2025 earnings summary
Event summary combining transcript, slides, and related documents.
Q4 2025 earnings summary
26 Feb, 2026Executive summary
Full-year 2025 revenue reached $2,723.4M and adjusted EBITDA was $189.9M, both in line with guidance, despite a challenging environment.
Achieved positive operating and free cash flow for both Q4 and the full year, with operating cash flow at $113.5M and free cash flow at $88.3M.
Exceeded gross and net cost savings targets, with over $153M gross and $93M net savings.
Strengthened balance sheet through disciplined debt paydown and expanded leadership team.
Market signals show stabilization and early recovery, especially in biotech funding and client engagement.
Financial highlights
Q4 revenue was $660.5M, down 5.2% year-over-year; full-year revenue was $2,723.4M, up 1% year-over-year.
Adjusted EBITDA for Q4 was $54M (vs. $56M prior year); full-year adjusted EBITDA was $189.9M (vs. $202.5M prior year).
Q4 net loss was $32.5M (vs. $73.9M prior year); full-year GAAP net loss widened to $986.2M due to a $797.9M non-cash goodwill impairment.
Adjusted net income for the year was $40.4M, or $0.43 per diluted share, up 34% year-over-year.
Year-end backlog was $7.728B, with a Q4 book-to-bill ratio of 1.14x and trailing 12-month ratio of 1.02x.
Outlook and guidance
2026 revenue guidance: $2.55B–$2.65B; adjusted EBITDA: $190M–$220M.
Anticipates Q1 2026 to be seasonally lower, with gradual margin improvement through the year.
Targets $70M–$80M gross and $40M–$50M net incremental cost reductions in 2026.
Expects positive full-year operating cash flow in 2026, with Q1 negative due to compensation payouts and DSO timing.
Guidance assumes year-end 2025 foreign exchange rates remain constant.
Latest events from Fortrea
- Raised 2026 guidance after strong Q2 execution, improved profitability, and robust backlog.FTRE
Q2 2026 - Strong book-to-bill, commercial transformation, and debt reduction highlight strategic progress.FTRE
Jefferies 2024 Global Healthcare Conference - All director, auditor, and Say-on-Pay proposals were approved by requisite vote.FTRE
AGM 2026 - Demand, bookings, and technology integration are driving recovery and positioning for future growth.FTRE
Jefferies Global Healthcare Conference 2026 - Adjusted EBITDA rose to $47M as net loss narrowed and guidance was reaffirmed.FTRE
Q1 2026 - Annual meeting covers director elections, auditor ratification, and executive pay, with strong governance focus.FTRE
Proxy filing - Votes will be held on director elections, auditor ratification, and executive pay approval.FTRE
Proxy filing - Driving clinical trial modernization and margin expansion in a $40B global market.FTRE
44th Annual J.P. Morgan Healthcare Conference - Q3 revenue up 3.9%, net loss narrowed, but goodwill impairment led to a large YTD loss.FTRE
Q3 2025