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Operator
Welcome to the second-quarter 2026 financial results conference call and webcast.
(Operator Instructions) Please note this conference call is being recorded. An audio replay of the conference call will be available on the company's website, shortly after this call.
I would now like to turn the conference over to Juliet Cunningham, Vice President of Investor Relations. Please go ahead.
Juliet Cunningham - Vice President - Investor Relations
Good afternoon, everyone. Thanks for joining us today.
With me are Brian Blaser, President and Chief Executive Officer; and Micah Young, Chief Financial Officer.
This conference call is being simultaneously webcast on the Investor Relations page of our website.
To assist in the presentation, we also posted supplemental information on our Investor Relations page that will be referenced throughout this call.
This conference call and supplemental information contain forward-looking statements, which are made, as of today, August 6, 2026. We assume no obligation to update any forward-looking statement, except as required by law.
Statements that are not strictly historical, including the company's expectations; plans; financial guidance; and future performance and prospects are forward-looking statements that are subject to certain risks, uncertainty, assumptions, and other factors.
Actual results may vary materially from those expressed or implied in these forward-looking statements. Please refer to our SEC filings for a description of potential risks.
In addition, today's call includes discussion of certain non-GAAP financial measures. Tables reconciling these non-GAAP measures to their most directly comparable GAAP measures are available in our earnings release and supplemental information on the Investor Relations page of our website.
Lastly, unless stated otherwise, all year-over-year revenue growth rates given on today's call are on a constant-currency basis.
Now, I'd like to turn the call over to our CEO, Brian Blaser.
Brian Blaser - President, Chief Executive Officer, Director
Thanks, Juliet. Good afternoon, everyone.
Before I get into our second-quarter results, I'd like to welcome Micah Young, our new Chief Financial Officer. Micah brings extensive experience from the medical-technology industry; and a strong track record of financial and operational leadership.
We are excited to have him on the team and look forward to the contributions he will make, as we continue executing our strategy and creating long-term value for our shareholders.
Let me begin with the central take-away from our second quarter:
While we are navigating significant headwinds in China and a softer respiratory environment, the underlying performance of our business remains strong.
Total revenue in the quarter increased 2%. Excluding China, revenue grew 6%, reflecting broad-based strength across our core franchises and regions.
Labs revenue, outside of China, grew 9%. Immunohematology revenue, outside of China, increased 5%. TRIAGE expanded by 9%.
These results demonstrate the underlying strength of customer demand and solid commercial execution across our portfolio.
Our geographic revenue performance in the quarter was strong and broad-based:
North America, our largest region, grew by 6%, with strong contributions from Labs and our TRIAGE Point of Care business.
JPAC revenue grew 10%, driven by strong performance in Japan and India.
Latin America grew 8%, with notable strength in Brazil and Central America.
Adjusted EBITDA increased 21% to $129 million, while EBITDA margin expanded 310 basis points to 20% of revenue.
This level of margin expansion during our seasonally weakest quarter of the year demonstrates that our operational-improvement initiatives are delivering tangible results.
We are driving better productivity throughout the organization, exercising disciplined expense management, and focusing our resources on the highest-return opportunities.
We also continue to invest in innovation and growth opportunities that will strengthen our competitive position and expand our addressable markets, over time.
One of the most significant of these opportunities is the commercialization of the LEX Point of Care Molecular platform, now branded as NULEXA.
Since completing the LEX acquisition in April, we have made substantial progress. Our teams have moved quickly to advance manufacturing scale-up, supply-chain readiness, and commercial-launch capabilities.
I'm pleased with the progress, to date. We remain on track against these objectives.
Early-customer engagement has been very encouraging. We believe NULEXA addresses an important need in the market by combining molecular accuracy and rapid turnaround time, with a simple, efficient workflow at the Point of Care.
Just as importantly, NULEXA is more than a single product launch. It provides a scalable platform for future menu expansion and allows us to leverage our established commercial infrastructure, broad customer relationships, and deep expertise in Point of Care diagnostics.
Based on our current plans, we expect customer placements and test utilization to gain steady momentum, as we progress into the respiratory season later this year.
Our objective is to enter the 2027-2028 respiratory season with a growing installed base, a productive commercial engine, and a strong foundation for continued expansion.
Turning back to the results for the quarter, the notable performance exception was China, where revenue declined 23%, year over year.
Uncertainty related to the proposed IVD pricing guidelines has impacted buying behavior, as customers reduce their inventories, pending the issuance of the final nationwide guidelines.
The second draft of the IVD pricing guidelines, which was released for comment in late June, differs meaningfully from the preliminary draft issued in March.
The second draft of the guidelines eliminates methodology and use-case differentiation; and includes a broader range of products. The scope has changed, with the pilot implementation increasing from 3 to 6 provinces.
While the guidelines and their implementation timelines are not yet final, we believe the uncertainty regarding the guidelines is already impacting customer behavior.
As we reviewed market-performance data that became available after quarter end, we observed customers adjusting their purchasing and inventory levels more quickly and significantly than we had anticipated.
We are working closely with our team, customers, and distribution partners in China to adapt our commercial and operating plans.
Our near-term actions are focused on protecting our installed base, maintaining customer engagement during the transition period, and aligning commercial resources with the evolving reimbursement environment.
While we remain confident in our ability to manage through these changes, the timing, extent, and pace of implementation continue to create uncertainty around near-term demand.
The respiratory market also remained softer, as we moved into the summer season. Test-positivity rates are down markedly compared with 2025.
The timing and severity of respiratory seasons are inherently difficult to predict. While historical patterns would indicate we are due for a stronger 2026-2027 flu season, early indicators are pointing to a below-average season ahead.
Rather than assume a typical uptick in [ILI] visits, we are assuming the first-half softness continues and have modeled our second-half respiratory revenues, accordingly.
Given the collective impacts of China and our respiratory-season forecast, we are revising our full-year guidance for revenue, adjusted EBITDA, adjusted EBITDA margin, and adjusted EPS. We are taking a measured approach to our guidance, in view of these factors.
We also made the decision to withdraw free cash flow guidance, until we have greater clarity on the combined working-capital implications of these developments.
This is a prudent response to the information available to us today. It does not change our confidence in the strength of our core business.
Importantly, withdrawing free cash flow guidance does not change our commitment to improving cash performance. Improving our cost structure, strengthening cash flow, and reducing leverage remain top priorities for the company.
The revised outlook reflects the impact of ongoing market pressures in China and a prudent approach to respiratory-season assumptions in the second half.
At the same time, our second-quarter and first-half results, outside of China, demonstrate the underlying strength of our business, the durability of our customer relationships, and the benefits of our diversified portfolio.
Our focus remains on executing with discipline; responding appropriately to current conditions; and positioning QuidelOrtho for stronger, more sustainable performance over the long term.
With that, I'll turn the call over to Micah.
Micah Young - Chief Financial Officer and Principal Financial Officer
Thank you, Brian. Good afternoon, everyone.
Since this is my first earnings call as CFO, I want to start with the perspective I have developed over the past several weeks.
I have been reviewing our operations, financial performance, capital structure, and cash-generation profile with a fresh lens.
QuidelOrtho has a highly attractive global diagnostics franchise, a large installed base, and leading market positions. At the same time, I see clear opportunities to improve execution and strengthen cash conversion.
From that perspective, let me turn to our second-quarter results:
Total revenue for the quarter was $631 million, representing 2% growth on a constant-currency basis. While the headline growth rate was affected by continued weakness in China in the first half of 2026, the underlying Q2 performance of the business was stronger than the consolidated result would suggest.
While China is an important market for QuidelOrtho, our broader global business continued to perform well during the quarter.
Revenue, outside of China, which represents nearly 90% of total company revenue, increased 6% year over year in Q2. That performance reflects healthy demand across our core end markets, strong customer retention, and continued commercial execution across our diagnostics portfolio, even as the consolidated result was pressured by China.
As Brian mentioned, China remained a significant headwind during the quarter, with revenue declining 23%, year over year.
The market continues to experience uncertainty related to healthcare-policy changes, pricing dynamics, and customer-purchasing patterns.
While we do not expect market conditions in China to improve in the near term, our teams remain focused on supporting customers, preserving our installed base, and positioning the business to compete effectively, as the market adjusts.
Taken together, the strength of our business, outside of China, highlights the value of our diversified global footprint, even as the China and respiratory headwinds require a more cautious full-year outlook.
Turning to profitability, Q2 adjusted gross margin was 44.4%, down 130 basis points, year over year. The unfavorable geographic mix associated with lower China volumes negatively impacted our results in the quarter.
Non-GAAP SG&A and R&D operating expenses, combined, increased 2% to $219 million. As a percentage of revenue, operating expenses improved 40 basis points, year over year.
Adjusted EBITDA was $129 million. Adjusted earnings per share was $0.13 for the quarter.
Turning to the balance sheet and cash flow, we ended the quarter with $123 million in cash and $250 million in borrowings outstanding under our revolving-credit facility.
Operating cash flow for the quarter was negative $111 million. Free cash flow was negative $136 million.
Second-quarter free cash flow included a $25 million payment to Grifols associated with the termination of the joint-business arrangement. The remaining payments of $25 million and $15 million associated with the termination of that agreement will occur in 2027 and 2028, respectively.
In addition, we deployed $97 million in cash for the LEX acquisition, which was reported in investing activities this quarter.
At the end of the second quarter, net-debt leverage was 4.3 times adjusted EBITDA, including the pro forma adjustments permitted under our credit agreement.
As I evaluate the business, among my top priorities are improving cash conversion and reducing leverage.
As part of my initial review, we're evaluating opportunities to improve our cost structure, optimize returns on our instrument investments, enhance working-capital efficiency, and maintain a disciplined approach to capital allocation.
I am confident that our actions can and will improve cash conversion. But we do not have sufficient clarity today on the evolving market dynamics; and the timing and impact of our mitigation efforts, with a degree of precision appropriate to provide updated free cash flow guidance for 2026.
Rather than provide a wider guidance range reflecting potential cash flow outcomes for the remainder of the year, which I don't believe would be helpful or meaningful to investors, we made a decision to withdraw free cash flow guidance.
We are taking a disciplined approach to external cash flow guidance, while remaining intensely focused on execution and strengthening the balance sheet.
Turning to our outlook, based on current market conditions and the trends we see across our business, we are updating our full-year 2026 guidance.
We now expect revenue in the range of $2.52 billion to $2.60 billion. The downward revision reflects two primary factors:
First: We expect the challenges in China to persist through the remainder of the year, including continued pressure on demand and ongoing uncertainty related to the China IVD pricing guidelines.
Second: We are taking a prudent approach to respiratory-season assumptions in the second half. At the midpoint of our outlook, we are assuming a respiratory environment that is generally consistent with the more muted [flus] activity experienced during the first half of this year.
Importantly, the adjustment to our outlook is not being driven by changes in expectations for our core laboratory and Immunohematology businesses, outside of China.
Performance in these franchises remains stable. We are assuming approximately 3% to 5% aggregate growth for those businesses in the second half of the year.
The revised outlook primarily reflects our expectation that China-related challenges will persist and our more cautious assumptions regarding respiratory-season demand.
Turning to profitability, we now expect full-year 2026 adjusted EBITDA of $540 million to $560 million, representing an EBITDA margin range of 21% to 22%.
We now expect adjusted EPS of $0.65 to $0.90.
One of my priorities as CFO is to ensure that the guidance and commitments we make externally are grounded in a high level of confidence.
Given the current operating environment, we have decided to withdraw free cash flow guidance. This decision is not a change in our view of the long-term quality of the business.
It reflects continued uncertainty around factors that can significantly influence cash generation, including the current market environment in China; the ultimate strength and timing of the respiratory season; and the related working-capital impacts.
As I step into this role, I see significant opportunities to strengthen financial performance beyond the income statement.
My priorities are clear: improving cash conversion; reducing leverage; and maintaining a disciplined capital-allocation framework, focused on returns and balance-sheet strength.
While the environment remains dynamic, I am encouraged by the resilience of the underlying business, the strength of our market positions, and the opportunities we have to improve execution.
Ultimately, my objective is to improve the consistency with which our operating performance converts into cash flow, supports deleveraging, and drives sustainable long-term shareholder value.
With that, we'll open the line for questions.
Operator
We will now begin the question-and-answer session.
(Operator Instructions)
Jack Meehan, Operon Research.
Jack Meehan - Analyst
Thank you. Good afternoon.
I was wondering if you could talk about what proactive steps you're taking to improve the balance-sheet leverage.
Micah Young - Chief Financial Officer and Principal Financial Officer
Absolutely, Jack. First, thank you for your question.
Let me step back a bit. But the reason I joined QuidelOrtho is because I saw an opportunity to help drive the next phase of value creation.
As I've evaluated the business -- as I mentioned on the prepared remarks -- improving cash conversion, reducing leverage, and increasing returns on invested capital are our priorities.
Where I'm focused with this team is on improving working capital; reducing the capital that's tied up into inventory; optimizing the returns on our instrument investments; rationalizing capital expenditures; and directing capital towards the geographies and businesses generating the highest returns.
Jack Meehan - Analyst
Okay. At the end of June, there was an [FT] article that was reporting that QuidelOrtho was considering selling its Point of Care business.
I was wondering if you had any comment on that. If you were to consider something like that, just talk through the rationale.
Brian Blaser - President, Chief Executive Officer, Director
Hey, Jack. This is Brian.
We saw the article, of course, and have seen some of the speculation. I'm not going to comment on that. Just as a general matter, we don't comment on market rumors like that.
But I will say that our highest priority is maximizing long-term shareholder value.
Just as a matter of good governance, our Board and our management team is regularly evaluating a broad range of opportunities, including portfolio opportunities, to strengthen the business and improve shareholder returns.
But our current focus, right now, is on executing our strategy; as Mike has said, improving cash conversion, reducing leverage, and driving operational performance across our portfolio.
As always, we take actions that we believe are in the best interest of shareholders.
Jack Meehan - Analyst
Okay. Thanks, Brian. If I could squeeze in one more?
You mentioned the reduced respiratory forecast for the year. We're seeing some early indicators that might suggest a lower season.
I was wondering if you could elaborate on that. Is it Australia data or something else? Any color would be great. Thank you.
Brian Blaser - President, Chief Executive Officer, Director
Yeah. Our approach for the respiratory season here has changed a little bit. As you know, the respiratory market is variable, year to year.
Really, what's changed here is, more than anything, our approach to forecasting for it.
Historically -- and I know you're familiar with this -- we have used an average respiratory season as a baseline for creating our annual guidance.
This year, we are assuming that the respiratory-testing market's going to be consistent with more of the lower end of the historical seasons.
I think, moving forward, we intend to take a more conservative approach and align our cost structure, accordingly.
We have seen, up until now, our positivity rates in the US are significantly lower than they were this time, last year. We have seen lower strength of data coming out of the southern hemisphere, which, at a minimum, suggests either a later season or could indicate a softer season.
We think that taking a more prudent approach here to respiratory season, given what we're seeing as early indicators, is the right way to position the business.
Jack Meehan - Analyst
That makes sense. Thank you, Brian.
Operator
Bill Bonello, Craig-Hallum.
Bill Bonello - Analyst
Hey. Thanks a lot. Appreciate the commentary about what growth looks like, excluding China, this quarter.
But I think we find ourselves lots of times in a quarter where, if you don't count something that's not growing, then growth looks pretty good.
I'm just curious how you're thinking about the business, as a whole; maybe, how the Board and the management team thinks about risk-mitigation strategy.
How do you get to a point where you can absorb portions of the business that are underperforming without having it be a major problem for the company, as a whole?
Brian Blaser - President, Chief Executive Officer, Director
Yeah. Bill, I'd answer that a couple of ways:
First, I would point to the strength of the underlying business here. When you step back and look at the business, excluding respiratory and China, which is basically our Labs and Immunohematology business, it's about 75% of the company, last year.
Those are really strong, predictable businesses that are supported by really nice underlying business model attributes. They have long contracts; very durable recurring revenue streams; large base of instruments; and so on -- have very strong brand recognition, solid market positions.
Those businesses continue to demonstrate very solid growth in the mid-single digits. If you look at our first-half results, without China, we grew 6% in the second quarter; and had very nice performance across all of our geographies and our business units.
As it relates to significant impacts, like the one we're seeing in China, all I can tell you is that we are taking very aggressive mitigation steps in China and across the business to better position the company and our cost structure to be able to manage through that and emerge on the other side of that stronger.
As you kn ow, we have a lot of cost-improvement opportunities underway. We're taking additional steps. I have already taken additional steps. We're going to continue to augment those, as we go through the back half of this year.
Bill Bonello - Analyst
Okay. That's really helpful. That's all I wanted to know. Thank you.
Brian Blaser - President, Chief Executive Officer, Director
Thanks, Bill.
Operator
(Operator Instructions)
There are no further questions at this time.
I will now hand the call back to Brian Blaser for closing remarks.
Brian Blaser - President, Chief Executive Officer, Director
Thanks, operator. Thank you, all, for joining us today -- and the questions.
I'd like to close with the following points:
First, that, despite the pricing changes in China and the uncertainty surrounding the upcoming respiratory season, our Q2 results demonstrate that the underlying health of our core business remains strong.
Secondly, we recognize the challenges in front of us. We are addressing them head-on, with aggressive mitigation actions.
We believe that revising our outlook is a prudent and responsible course, based on what we know today.
Lastly, our priorities have not changed. We remain intensely focused on serving our customers, improving our cost structure, strengthening cash flow, and significantly reducing leverage, as we move through the balance of the year.
We remain focused on execution and taking the steps necessary to strengthen our financial position.
Thank you, all, for joining us today. We look forward to updating you on our progress next quarter.
Operator
This concludes today's call. Thank you for attending. You may now disconnect.