ICON reports Q1 revenue of $2.03B, reaffirms 2026 outlook

• ICON (NASDAQ:ICLR) reported Q1 2026 revenue of $2.03 billion, up 0.9% year over year.
• Adjusted EBITDA reached $317.7 million, with adjusted EPS of $2.50 for the quarter.
• The company reaffirmed full-year 2026 guidance of $7.85–$8.15 billion revenue and $10–$11 adjusted EPS.

ICON (NASDAQ:ICLR) reported first-quarter 2026 revenue of $2.03 billion, reflecting a 0.9% increase compared with the same period in 2025.

The company’s performance showed stable growth alongside strong contract activity, supported by a net book-to-bill ratio of 1.42 and expanding backlog levels.

Adjusted EBITDA came in at $317.7 million, representing 15.6% of revenue, while adjusted net income reached $192.9 million, or $2.50 per diluted share.

ICON reported a closing backlog of $22.7 billion, up 4% from Q4 2025, while net debt stood at $2.6 billion with leverage of 1.8x adjusted EBITDA.

The company also reaffirmed full-year 2026 guidance, projecting revenue between $7.85 billion and $8.15 billion and adjusted diluted EPS of $10 to $11.