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IDIDXX

IDEXX Laboratories (IDXX) Q1 FY26 earnings call: guidance and Q&A

Earnings call· Mar 2026 (Q1 FY26)· Health Care· May 5, 2026

Source: earnings call transcript

Executive summary

IDEXX Laboratories Q1 FY26 — Strong Diagnostics Growth Despite Clinical Visit Headwinds

IDEXX delivered a strong first quarter, exceeding expectations with robust organic revenue growth driven by diagnostic innovation and commercial execution, despite a decline in U.S. clinical visits. The company raised its full-year revenue and EPS guidance, reflecting confidence in its growth model and the continued expansion of diagnostics utilization. Leadership changes are underway, with a focus on accelerating innovation, commercial reach, and AI integration.

Highlights

5
  • Revenue increased 14% as reported and 11% organically, driven by strong execution and innovation.

  • CAG Diagnostics recurring revenues grew over 11% organically, with U.S. up nearly 11% and international up approximately 12%.

  • Premium instrument placements saw 28% organic growth, including 1,100 IDEXX inVue Dx analyzers.

  • Comparable operating margin expanded by 100 basis points, supported by gross margin expansion.

  • Comparable EPS grew 15% to $3.47 per share, with full-year EPS outlook raised by $0.13 at midpoint.

Concerns

3
  • U.S. same-store clinical visits declined approximately 1% in Q1, primarily due to a 3% drop in wellness visits.

  • Global Rapid assay revenues were flat organically, impacted by customers shifting pancreatic lipase testing to Catalyst, creating an estimated 2% headwind.

  • International Water business growth was impacted by supply chain dynamics in the Middle East.

Guidance & targets

CategoryTargetConfidence
Full-year 2026 overall revenue
$4.675 billion to $4.76 billion
high materiality
High
Full-year 2026 reported revenue growth
8.6% to 10.6%
high materiality
High
Full-year 2026 overall organic revenue growth
7.7% to 9.7%
high materiality
High
Full-year 2026 organic CAG Diagnostic recurring revenue growth
8.7% to 10.7%
high materiality
High
Full-year 2026 EPS
$14.45 to $14.90 per share
high materiality
High
Full-year 2026 comparable EPS growth
11% to 15%
high materiality
High
Full-year 2026 free cash flow conversion
85% to 95% of net income
medium materiality
High
Full-year 2026 capital spending
approximately $180 million
medium materiality
High
Full-year 2026 U.S. clinical visits
decline of minus 1.5%
medium materiality
Medium
Full-year 2026 reported operating margin
32.1% to 32.5%
high materiality
High
Q2 2026 reported revenue growth
7.3% to 9.3%
medium materiality
High
Q2 2026 overall organic revenue growth
6.7% to 8.7%
medium materiality
High
Q2 2026 CAG Diagnostics recurring revenue growth
8.5% to 10.5%
medium materiality
High
Q2 2026 reported operating margins
33.9% to 34.3%
medium materiality
High
Full-year 2026 IDEXX inVue Dx placements
5,500 placements
medium materiality
High
IDEXX Cancer DX new test launch
third test
medium materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
CAG Diagnostics recurring revenues
Strong performance despite U.S. same-store clinical visit declines.
U.S. organic growth: nearly 11%International organic growth: approximately 12%Equivalent days benefit: approximately 50 bpsGlobal net price improvement: approximately 4%
—11%——
CAG Diagnostics instrument revenue
Strong placements aligned with expectations.
inVue Dx analyzers placed: 1,100 units
—28%——
Water business
International growth impacted by supply chain dynamics in the Middle East.
U.S. growth: strongInternational growth: low single-digit
—7%——
Livestock, Poultry and Dairy (LPD) business
Solid gains across regions.
Gains across regions: solid
—7%——
IDEXX VetLab consumable revenues
Driven by net new customer gains, premium instrument installed base, and expanded testing utilization.
Double-digit growth in U.S. and international regionsDouble-digit volume expansion
—15%——
IDEXX Global Reference Lab revenues
Supported by IDEXX Cancer DX attracting new customers and broadening diagnostic use.
Volume growth: solidNet customer gains: doubled from prior yearSame-store utilization: doubled from prior year
—10%——
Global Rapid assay revenues
Impacted by customer shift to Catalyst platform.
Headwind from pancreatic lipase shift to Catalyst: approximately 2%
—flat——
Veterinary software and diagnostic imaging
Supported by cloud-based PIMS and DR50 PLUS launch.
Recurring revenue growth: 11%Diagnostic imaging systems installations: approximately 330 (record)
—11%——

IDXX operating KPIs by quarter

IDXX operating KPIs stated on its earnings calls, by fiscal quarter
KPI Dec 2024 Q4 FY24 Mar 2025 Q1 FY25 Jun 2025 Q2 FY25 Sep 2025 Q3 FY25 Dec 2025 Q4 FY25This call Mar 2026 Q1 FY26 Jun 2026 Q2 FY26Change vs prior quarter
Premium instrument placements
4,625 In the fourth quarter, we placed 4,625 premium instruments, down 12% from high prior year levels. Source: earnings call transcript
4,163 During Q1, we placed 4,163 CAG premium instruments, a decline of 13% against high prior-year levels. Source: earnings call transcript
6,070 Total premium placements reached 6,070 units, an increase of 23% year-over-year. Source: earnings call transcript
5,665 Total premium placements reached 5,665 units, an increase of 37% year-over-year. Source: earnings call transcript
6,567 In the fourth quarter, we placed 6,567 premium instruments, up 42% from the prior year. Source: earnings call transcript
4,650 CAG premium instrument placements reached 4,650 units during the first quarter, an increase of 12% year-over-year and the quality of placements remains superb reflected in over 1,000 global new and competitive catalyst placements, including nearly 320 in North America. Source: earnings call transcript
5,265 CAG premium instrument placements reached 5,265 units during the second quarter resulting in an expected year-over-year decline as we lap the broad commercial availability of inVue Dx in the prior year. Source: earnings call transcript
+13.2%
Employees
<11K I extend my deepest gratitude to our nearly 11,000 employees whose dedication and hard work have made these accomplishments possible. Source: earnings call transcript
—
11K As I conclude our prepared remarks, I want to express my deep appreciation for our 11,000 IDEXX employees worldwide. Source: earnings call transcript
11K As we conclude, I want to extend my deep gratitude to our 11,000 IDEXX employees worldwide. Source: earnings call transcript
11K I want to close by thanking our 11,000 employees around the world. Source: earnings call transcript
~11K Our approximately 11,000 IDEXX employees around the world are purpose-driven and our talent fuels the company's growth. Source: earnings call transcript
——
IDEXX InVue Dx instrument placements ———
1,753 Globally, we placed 1,753 IDEXX InVue Dx instruments as we continue to meet customer demand for this highly innovative analyzer. Source: earnings call transcript
1,900+ We achieved record premium instrument placements in Q4, with strong gains across our major platforms, including over 1,900 IDEXX inVue Dx placements, supporting a 69% organic year-over-year expansion of our CAG Diagnostic instrument revenues. Source: earnings call transcript
1,100 Strong premium instrument placements in the quarter resulted in 28% organic growth of CAG instrument revenues and included 1,100 IDEXX inVue Dx analyzers. Source: earnings call transcript
1,602 Globally, we placed 1,602 IDEXX inVue Dx instruments in Q2 and over 1,000 new and competitive catalyst instruments globally with nearly 300 in the US IDEXX global reference lab revenues increased over 10% organically in Q2, led by volume gains. Source: earnings call transcript
+45.6%

Operating figures the company stated on at least two of the calls shown, checked against each call's transcript. Click a figure to read the sentence. A dash means it was not stated that quarter.

Product announcements

ProductTypeDetails
ImageVue DR50 PLUSlaunch

Risks & headwinds

Decline in U.S. same-store clinical visits Q1 FY26, full year estimate of -1.5%

-1% in Q1 FY26, wellness visits declined -3%

Mitigation:Increased diagnostic frequency and utilization per visit, strong commercial execution, benefits from innovation, focus on aging pet population.

Impact of customers shifting pancreatic lipase testing to Catalyst platform Q1 FY26

approximately 2% headwind to Q1 revenue growth for Global Rapid assay revenues

Mitigation:Catalyst platform is an IDEXX product, so it's an internal shift rather than a loss of business.

Supply chain dynamics in the Middle East Q1 FY26

Impacted low single-digit growth in international regions for Water business

Mitigation:Company continues to work through it.

Increased spending related to timing of projects Q2 FY26

Expected to impact Q2 operating margins, resulting in 10 to 50 basis points expansion on a comparable basis (lower than Q1's 100 bps).

Mitigation:This is a planned investment, not an unforeseen headwind.

Foreign currency fluctuations Remainder of FY26

a 1% strengthening of the U.S. dollar would reduce revenue by approximately $12 million and EPS by $0.04 for the remainder of the year.

Mitigation:Company uses hedge positions (negligible impact on Q1 gross margins).

Q&A highlights

Analyst expected more than 1,099 inVue Dx placements in Q1 given the 5,500 full-year target, asking about pacing dynamics and confidence in the full-year number.

Management expressed high confidence in the 5,500 full-year target, noting that Q1 placements can be choppy due to customer mix but market receptivity is strong.

“Keep in mind, we came off a very strong year in 2025 and Q4. We have a high degree of confidence in the 5,500 number. It tends to be -- you get some choppiness quarter-to-quarter, just based on customer mix of independents versus corporates.”

asked by Michael Ryskin · answered by Jay Mazelsky

2 min read 6 chapters

Detailed narrative

Q1 Performance Highlights

IDEXX achieved 11% organic revenue growth in Q1 FY26, driven by strong CAG revenue gains (12%) and 7% growth in both Water and LPD businesses. CAG Diagnostics recurring revenue grew 11% organically, benefiting from a 50 basis point equivalent days impact and 4% global net price improvement. This performance led to a 15% comparable operating profit gain and 15% comparable EPS growth.

U.S. Clinical Visit Trends

U.S. same-store clinical visits declined 1% in Q1, with wellness visits down 3% and non-well visits up 20 basis points. Despite this, IDEXX's U.S. CAG Diagnostics recurring revenue grew nearly 11%, demonstrating an 1,100 basis point premium to clinical visit growth, attributed to increased diagnostic frequency and utilization per visit.

Growth in clinical visits for pets 5-plus years old showed positive momentum for the third consecutive quarter.

Innovation and Product Adoption

The company saw strong adoption of its innovations. InVue Dx placements reached 1,100 units in Q1, tracking towards the 5,500 full-year target, with utilization aligned to expectations. The controlled rollout of F&A is progressing well, with plans for a broader launch in Q2 and full volume ramp in H2.

Cancer Dx saw a major international launch in Europe and Australia, with 7,500+ practices ordering since launch in North America, and a third test expected by end of 2026.

Software and Imaging Growth

Veterinary software and diagnostic imaging organic revenues increased 11%, driven by double-digit growth in cloud-based PIMS installations and strong nonrecurring growth from diagnostic imaging systems. The new ImageVue DR50 PLUS led to a record 330 installations, marking the fifth consecutive quarterly placement record. Vello, the pet owner engagement application, also gained traction with double-digit growth.

Capital Allocation and Financial Strength

IDEXX generated $234 million in free cash flow in Q1, maintaining a full-year outlook for 85% to 95% net income conversion. The company deployed $361 million towards share repurchases, reducing diluted shares outstanding by 2.1% year-over-year. Leverage ratios remain low at 0.6x gross and 0.5x net of cash.

Leadership Transition and Future Outlook

Jay Mazelsky will transition to Executive Chair, with Mike Erickson taking over as CEO. The company remains optimistic about the multi-decade opportunity, emphasizing the deepening human-animal bond and the critical role of diagnostics. Future priorities include accelerating innovation, expanding commercial reach, and leveraging AI to drive deeper patient insights.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.