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Fortrea (FTRE) investor relations material
Fortrea Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive 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.
- Debt reduction, execution focus, and margin improvements drive confidence in 2024 guidance.FTRE
Fireside Chat3 Feb 2026 - Strong book-to-bill, commercial transformation, and debt reduction drive improved outlook.FTRE
Jefferies 2024 Global Healthcare Conference1 Feb 2026 - Q2 2024 saw revenue and earnings decline, but sequential EBITDA and cash flow improved as debt fell.FTRE
Q2 20241 Feb 2026 - Accelerating clinical trials with digital innovation and operational excellence in a $40B market.FTRE
44th Annual J.P. Morgan Healthcare Conference30 Jan 2026 - Balanced growth, disciplined execution, and tech-driven innovation drive margin expansion.FTRE
Morgan Stanley 22nd Annual Global Healthcare Conference22 Jan 2026 - Q3 revenue fell 5.4% but backlog hit $7.6B and book-to-bill reached 1.23x.FTRE
Q3 202415 Jan 2026 - Q3 2025 results show strong cash flow, cost savings, and raised FY2025 guidance in a $40B market.FTRE
Investor presentation13 Jan 2026 - Strategic changes, tech innovation, and cost discipline drive growth and margin expansion.FTRE
Evercore ISI 8th Annual HealthCONx Conference12 Dec 2025 - Bookings rebound, cost savings drive margin focus, and debt reduction remains a top priority.FTRE
Citi Annual Global Healthcare Conference 20253 Dec 2025
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