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ICON Public Company (ICLR) investor relations material
ICON Public Company Q2 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q2 2026 revenue reached $2,063.5 million, up 1.4% sequentially and 1.2% year-over-year, with adjusted EBITDA margin at 15.9% and adjusted EPS of $2.56; net business wins totaled $3,120 million (1.51x book-to-bill), reflecting strong demand and disciplined cost management.
Notable growth in biotech RFP flow, balanced award profile, and ongoing cross-selling initiatives supported performance, especially in phase III opportunities.
Strategic investments in AI, technology, and Asia-Pacific capabilities, including partnerships with Anthropic, Microsoft, and a new China partnership, are supporting long-term growth.
CEO reaffirmed full-year 2026 guidance, reflecting balanced opportunities and risks for H2.
Financial highlights
Q2 2026 revenue was $2,063.5 million, up from $2,034 million in Q1 2026 and $2,039 million in Q2 2025, driven by higher pass-through activity.
Adjusted EBITDA was $327.2 million (15.9% margin), up 3% sequentially but down from 20.5% in Q2 2025.
Adjusted EPS was $2.56, down from $3.52 in Q2 2025 but up from $2.50 in Q1 2026.
Adjusted net income was $198.4 million; GAAP net income was $72.6 million ($0.94 per diluted share).
Free cash flow for Q2 was $238.9 million; cash at quarter-end was $928.4 million, with net debt at $2.5 billion and leverage ratio at 1.8x.
Outlook and guidance
Full-year 2026 revenue guidance is $7,850–$8,150 million, with adjusted EPS expected between $10.00 and $11.00.
Guidance excludes future share repurchases and M&A activity; capital expenditure projected at approximately $200 million.
EBITDA margin for the year expected around 16.5% at midpoint, potentially trending lower if pass-throughs remain high.
Sequential EBITDA dollar improvement targeted for H2, driven by gross margin expansion and cost actions.
Direct fee revenue expected to decline ~2% year-over-year, with inorganic drag from Symphony divestment.
- Leadership transition and strategic focus on biotech, automation, and growth drive optimism.ICLR
Baird Global Healthcare Conference 20259 Jul 2026 - Revenue fell 4.3% in Q1 2025 as cancellations and COVID trial removals pressured outlook.ICLR
Q1 20259 Jul 2026 - Global regulators are advancing frameworks to include pregnant individuals in clinical trials.ICLR
Status Update8 Jul 2026 - 2025 revenue and EPS fell after restatements; 2026 targets margin recovery and growth.ICLR
Q4 20258 Jul 2026 - Q1 2026 revenue rose 0.9% to $2,034m, with strong bookings and reaffirmed guidance.ICLR
Q1 202624 Jun 2026 - Q2 2024 saw strong growth, higher EPS, record backlog, and upgraded full-year guidance.ICLR
Q2 20243 Feb 2026 - Growth targets of 7%-10% hinge on innovation, automation, and expanded pharma partnerships.ICLR
Jefferies 2024 Global Healthcare Conference1 Feb 2026 - Long-term growth targets and guidance reaffirmed; short-term biotech and pharma headwinds manageable.ICLR
Baird's 2024 Global Healthcare Conference21 Jan 2026 - Q3 revenue missed expectations, but record backlog and new partnerships support future growth.ICLR
Q3 202418 Jan 2026
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