Revenue Growth (Q1 and Updated FY Outlook)
Reported revenue increased 14% year-over-year in Q1; organic revenue grew 11%. Management raised full-year 2026 revenue guidance to $4.675B–$4.76B (roughly 8.6%–10.6% reported growth), an increase of ~$42M at midpoint versus prior guidance and ~70 bps uplift to organic growth at midpoint.
CAG Diagnostics Recurring Revenue Momentum
CAG Diagnostics recurring revenue grew ~11% organically in Q1 (U.S. nearly 11%, international ~12%). Full-year organic CAG Diagnostic recurring revenue outlook updated to 8.7%–10.7%, supported by ~4% net price realization and continued volume/usage gains.
Premium Instrument Placements and Installed Base Expansion
CAG instrument revenue grew 28% organically in Q1, with 1,100 IDEXX inVue Dx instruments placed during the quarter. Premium instrument placements totaled 4,650 units in the quarter (12% YoY), and the company is tracking to a full-year target of 5,500 inVue Dx placements, with installed base up ~12% YoY.
Profitability and EPS
Comparable operating margin expanded by ~100 basis points in Q1; gross margin was 63.4%, up ~90 bps on a comparable basis. Comparable operating profit rose 15% and comparable EPS increased 15% to $3.47 in Q1. Full-year EPS guidance raised to $14.45–$14.90 (up $0.13 at midpoint).
Recurring Revenue and Consumables Strength
IDEXX VetLab consumables organic revenue grew 15% in Q1 driven by double-digit volume expansion in the U.S. and internationally tied to premium instrument installed base growth and increased utilization. Vet software and imaging recurring revenues grew 11% organically.
Reference Lab and Diagnostic Innovation Adoption
Global Reference Lab revenues increased 10% organically in Q1 with contributions from net new customers and higher same-store utilization. Cancer DX adoption continues to build: >7,500 practices have ordered since launch and ~70% of North America tests run as part of panels; Cancer DX launched internationally in Europe and Australia in Q1.
Record Imaging Placements and Software Momentum
Diagnostic imaging set a quarterly record with ~330 installations (DR50 PLUS launch), cloud-native PIMS installations grew double digits, and pet-owner engagement app Vello grew double digits quarter-over-quarter.
Cash Generation and Capital Allocation
Free cash flow was $234M in Q1; trailing 12-month net income to free cash flow conversion reached 99%. Full-year free cash flow conversion target maintained at 85%–95% of net income. IDEXX repurchased $361M of stock in Q1, reducing diluted shares ~2.1% YoY.
Financial Position and Leverage
Leverage remained low with 0.6x gross and 0.5x net of cash. Foreign exchange contributed ~$14M to operating profit and ~$0.14 to EPS in Q1 (net of hedges).
Product Rollouts and Long-Term Opportunity
Controlled rollout of inVue Dx F&A is on track with positive early feedback; management highlighted a multi-product roadmap (inVue Dx menu expansion, Cancer DX additions, AI capabilities) and continued commercial investment internationally as drivers of long-term growth.