Improved Commercial Traction - Book-to-Bill Above 1
Q1 book-to-bill of 1.15x and trailing 12-month book-to-bill of 1.05x, marking the third consecutive quarter with book-to-bill >= 1.1x and indicating improving sales execution and pipeline momentum (notably new-to-Fortrea biotech wins).
Revenue and Backlog Scale
First quarter revenue of $636.5 million and backlog of $7.8 billion, with management reiterating full-year 2026 revenue guidance of $2.55 billion to $2.65 billion.
Material Adjusted EBITDA and Profitability Improvement
Adjusted EBITDA of $47.0 million in Q1, up from $30.3 million in prior year (+~55% YoY), driven primarily by cost savings and improved project mix; adjusted net income of $15.2 million (vs $1.9 million prior year) and adjusted EPS of $0.16.
Strong Cash Flow and Balance Sheet Progress
Operating cash flow improved to negative $17 million (vs negative $124.2 million prior year) and free cash flow improved to negative $25 million (vs negative $127.1 million prior year); available liquidity in excess of $0.5 billion and reduced interest expense ($19.1M, down $3.2M YoY) following prior debt repurchases.
Rightsizing Delivered Early Cost Savings
Q1 delivered nearly $16 million of gross cost savings and over $9 million net savings, against full-year targets of $70-$80 million gross and $40-$50 million net, helping drive margin expansion.
Technology and Differentiation - FIT Launch
Launched Fortrea Intelligent Technology (FIT), an AI-enabled integrated platform strategy embedded into Xcellerate; initial market reception positive and expected to support win rates, efficiency and long-term differentiation.
China and Clinical Pharmacology Momentum
Reported double-digit growth in China pipeline opportunities and notable wins; Leeds clinical research unit performed first-in-human dosing in patients for an immune thrombocytopenia program, and clinical pharmacology authorizations had strongest Q1 since founding.
Operational Improvements and Quality Leadership
Improvements in site activation/start-up timelines, expanded global site navigator program (including China and Japan), steady improvement in Net Promoter Score, and industry leadership (Chief Quality Officer voted ACRO Chair).
Clear Mid-Long Term Margin Target
Management reiterated pathway to mid-teens adjusted EBITDA margin over the next 3-5 years, driven by revenue diversification, growth and continued cost/efficiency actions.