
| Three months ended December 31, | Twelve Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in thousands) | 2025 | 2024 | % Change | 2025 | 2024 | % Change | |||||||||||||||||||||||||||||
Product volumes: | |||||||||||||||||||||||||||||||||||
Hereditary cancer | 82 | 75 | 9 | % | 315 | 294 | 7 | % | |||||||||||||||||||||||||||
Tumor profiling(1) | 12 | 12 | — | % | 48 | 53 | (9) | % | |||||||||||||||||||||||||||
| Prenatal | 150 | 160 | (6) | % | 637 | 666 | (4) | % | |||||||||||||||||||||||||||
| Mental Health | 138 | 127 | 9 | % | 537 | 507 | 6 | % | |||||||||||||||||||||||||||
| Total | 382 | 374 | 2 | % | 1,537 | 1,520 | 1 | % | |||||||||||||||||||||||||||
(1) Tumor Profiling decreased for the twelve months ended December 31, 2025 compared to the same period in the prior year due primarily to a decrease in testing volume for EndoPredict due to the sale of the company's international EndoPredict business in August 2024. | |||||||||||||||||||||||||||||||||||
| Three months ended December 31, | Twelve Months Ended December 31, | ||||||||||||||||||||||||||||||||||
(in millions) | 2025 | 2024 | % Change | 2025 | 2024 | % Change | |||||||||||||||||||||||||||||
Product revenues: | |||||||||||||||||||||||||||||||||||
Hereditary cancer | $ | 96.8 | $ | 94.3 | 3 | % | $ | 372.4 | $ | 364.5 | 2 | % | |||||||||||||||||||||||
Tumor profiling(1) | 31.5 | 30.8 | 2 | % | 121.7 | 125.8 | (3) | % | |||||||||||||||||||||||||||
| Prenatal | 44.9 | 44.9 | — | % | 186.3 | 177.1 | 5 | % | |||||||||||||||||||||||||||
| Mental Health | 36.6 | 40.6 | (10) | % | 144.1 | 170.2 | (15) | % | |||||||||||||||||||||||||||
| Total | $ | 209.8 | $ | 210.6 | — | % | $ | 824.5 | $ | 837.6 | (2) | % | |||||||||||||||||||||||
(1) Tumor Profiling decreased for the twelve months ended December 31, 2025 compared to the same period in the prior year due primarily to a decrease in testing volume for EndoPredict due to the sale of the company's international EndoPredict business in August 2024. | |||||||||||||||||||||||||||||||||||
(in millions, except percentages) | 2026 Guidance | FY 2026 Comments | ||||||||||||
| Revenue | $860 - $880 | Reiterate the full year 2026 revenue range. Q1’26 revenue is expected to be between $200 and $203 million, or 2% to 4% growth over Q1'25. This reflects current business trends offset by an unfavorable YOY comparison for Prenatal testing. Expect 2H’26 revenue to be greater than 1H’26 | ||||||||||||
Adjusted Gross Margin %** | 68% - 69% | Gross margins expected to fluctuate quarter to quarter given product mix and pricing trends. | ||||||||||||
Adjusted EBITDA*** | $37 - $49 | Q1’26 adjusted EBITDA is expected to be near breakeven | ||||||||||||
| * | Assumes currency rates as of February 23, 2026. | |||||||||||||
** | Adjusted Gross Margin is defined as Gross Margin plus non-cash cost of sales, such as amortization of intangible assets and share-based compensation expense, and non-recurring one-time expenses. | |||||||||||||
*** | Adjusted EBITDA is defined as Net income (loss) plus income tax expense (benefit), total other income (expense), non-cash operating expenses, such as amortization of intangible assets, depreciation, impairment of long-lived assets, and share-based compensation expense, and one-time expenses such as expenses from strategic realignment, legal settlements, and divestitures and acquisitions. | |||||||||||||
| Three months ended December 31, | |||||||||||||||||||||||||||||||||||
| (in millions) | 2025 | 2024 | |||||||||||||||||||||||||||||||||
| WH | ONC | MH | Total | WH | ONC | MH | Total | % Change | |||||||||||||||||||||||||||
| Hereditary Cancer | $ | 43.6 | $ | 53.2 | $ | — | $ | 96.8 | $ | 42.3 | $ | 52.0 | $ | — | $ | 94.3 | 3 | % | |||||||||||||||||
| Tumor Profiling | — | 31.5 | — | 31.5 | — | 30.8 | — | 30.8 | 2 | % | |||||||||||||||||||||||||
| Prenatal | 44.9 | — | — | 44.9 | 44.9 | — | — | 44.9 | — | % | |||||||||||||||||||||||||
| Mental Health | — | — | 36.6 | 36.6 | — | — | 40.6 | 40.6 | (10) | % | |||||||||||||||||||||||||
| Total Revenue | $ | 88.5 | $ | 84.7 | $ | 36.6 | $ | 209.8 | $ | 87.2 | $ | 82.8 | $ | 40.6 | $ | 210.6 | — | % | |||||||||||||||||
| Twelve months ended December 31, | |||||||||||||||||||||||||||||||||||
| (in millions) | 2025 | 2024 | |||||||||||||||||||||||||||||||||
| WH | ONC | MH | Total | WH | ONC | MH | Total | % Change | |||||||||||||||||||||||||||
| Hereditary Cancer | $ | 164.4 | $ | 208.0 | $ | — | $ | 372.4 | $ | 163.1 | $ | 201.4 | $ | — | $ | 364.5 | 2 | % | |||||||||||||||||
| Tumor Profiling | — | 121.7 | — | 121.7 | — | 125.8 | — | 125.8 | (3) | % | |||||||||||||||||||||||||
| Prenatal | 186.3 | — | — | 186.3 | 177.1 | — | — | 177.1 | 5 | % | |||||||||||||||||||||||||
| Mental Health | — | — | 144.1 | 144.1 | — | — | 170.2 | 170.2 | (15) | % | |||||||||||||||||||||||||
| Total Revenue | $ | 350.7 | $ | 329.7 | $ | 144.1 | $ | 824.5 | $ | 340.2 | $ | 327.2 | $ | 170.2 | $ | 837.6 | (2) | % | |||||||||||||||||
| Three months ended December 31, | Twelve months ended December 31, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
| Revenue | $ | 209.8 | $ | 210.6 | $ | 824.5 | $ | 837.6 | |||||||||||||||
| Cost of revenue | 63.0 | 59.7 | 247.9 | 252.2 | |||||||||||||||||||
| Gross profit | 146.8 | 150.9 | 576.6 | 585.4 | |||||||||||||||||||
| Operating expenses: | |||||||||||||||||||||||
| Research and development expense | 25.5 | 29.7 | 106.8 | 113.4 | |||||||||||||||||||
| Sales and marketing expense | 68.7 | 72.0 | 280.8 | 284.1 | |||||||||||||||||||
| General and administrative expense | 55.6 | 66.5 | 256.8 | 275.9 | |||||||||||||||||||
| Legal settlements | — | (21.3) | — | (21.3) | |||||||||||||||||||
| Goodwill and long-lived asset impairment charges | 2.7 | 43.0 | 319.4 | 56.8 | |||||||||||||||||||
| Total operating expenses | 152.5 | 189.9 | 963.8 | 708.9 | |||||||||||||||||||
| Operating loss | (5.7) | (39.0) | (387.2) | (123.5) | |||||||||||||||||||
| Other income (expense): | |||||||||||||||||||||||
| Interest income | 0.8 | 0.3 | 1.8 | 1.7 | |||||||||||||||||||
| Interest expense | (4.4) | (0.7) | (10.5) | (2.8) | |||||||||||||||||||
| Other | 0.4 | 0.3 | 0.8 | 1.1 | |||||||||||||||||||
| Total other expense | (3.2) | (0.1) | (7.9) | — | |||||||||||||||||||
| Loss before income tax | (8.9) | (39.1) | (395.1) | (123.5) | |||||||||||||||||||
Income tax (benefit) expense | (1.0) | 3.4 | (29.2) | 3.8 | |||||||||||||||||||
| Net loss | $ | (7.9) | $ | (42.5) | $ | (365.9) | $ | (127.3) | |||||||||||||||
| Net loss per share: | |||||||||||||||||||||||
| Basic and Diluted | $ | (0.08) | $ | (0.47) | $ | (3.95) | $ | (1.41) | |||||||||||||||
| Weighted average shares outstanding: | |||||||||||||||||||||||
| Basic and Diluted | 93.3 | 91.1 | 92.6 | 90.6 | |||||||||||||||||||
| December 31, 2025 | December 31, 2024 | ||||||||||
| ASSETS | |||||||||||
| Current assets: | |||||||||||
| Cash and cash equivalents | $ | 149.6 | $ | 102.4 | |||||||
| Trade accounts receivable | 115.3 | 121.2 | |||||||||
| Inventory | 30.6 | 27.5 | |||||||||
| Prepaid taxes | 12.0 | 16.4 | |||||||||
| Prepaid expenses and other current assets | 25.1 | 30.5 | |||||||||
| Total current assets | 332.6 | 298.0 | |||||||||
| Operating lease right-of-use assets | 49.4 | 55.0 | |||||||||
| Property, plant and equipment, net | 114.0 | 117.4 | |||||||||
Intangible assets, net | 153.4 | 262.4 | |||||||||
| Goodwill | 51.6 | 286.3 | |||||||||
| Other assets | 5.6 | 8.5 | |||||||||
| Total assets | $ | 706.6 | $ | 1,027.6 | |||||||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||||||
| Current liabilities: | |||||||||||
| Accounts payable | $ | 30.0 | $ | 32.3 | |||||||
| Accrued liabilities | 96.9 | 119.0 | |||||||||
| Current maturities of operating lease liabilities | 6.9 | 12.8 | |||||||||
| Total current liabilities | 133.8 | 164.1 | |||||||||
| Unrecognized tax benefits | 0.2 | 32.7 | |||||||||
| Long-term debt | 119.9 | 39.6 | |||||||||
| Noncurrent operating lease liabilities | 83.0 | 87.9 | |||||||||
| Other long-term liabilities | 1.7 | 2.2 | |||||||||
| Total liabilities | 338.6 | 326.5 | |||||||||
| Commitments and contingencies | |||||||||||
| Stockholders’ equity: | |||||||||||
Common stock, 93.5 and 91.3 shares outstanding at December 31, 2025 and December 31, 2024, respectively | 0.9 | 0.9 | |||||||||
| Additional paid-in capital | 1,489.0 | 1,457.8 | |||||||||
| Accumulated other comprehensive income (loss) | 0.8 | (0.8) | |||||||||
| Accumulated deficit | (1,122.7) | (756.8) | |||||||||
| Total stockholders' equity | 368.0 | 701.1 | |||||||||
| Total liabilities and stockholders’ equity | $ | 706.6 | $ | 1,027.6 | |||||||
| Three months ended December 31, | Twelve months ended December 31, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
Net cash provided by (used in) operating activities | $ | 10.6 | $ | 6.6 | $ | 1.8 | $ | (8.7) | |||||||||||||||
| Net cash used in investing activities | (6.0) | (5.9) | (27.4) | (11.9) | |||||||||||||||||||
| Net cash provided by (used in) financing activities | (8.2) | 2.1 | 64.2 | (7.4) | |||||||||||||||||||
| Effect of foreign exchange rates on cash, cash equivalents, and restricted cash | 0.1 | (0.7) | 0.8 | (1.0) | |||||||||||||||||||
Net increase (decrease) in cash, cash equivalents, and restricted cash | (3.5) | 2.1 | 39.4 | (29.0) | |||||||||||||||||||
| Cash, cash equivalents, and restricted cash at beginning of the period | 154.8 | 109.8 | 111.9 | 140.9 | |||||||||||||||||||
| Cash, cash equivalents, and restricted cash at end of the period | $ | 151.3 | $ | 111.9 | $ | 151.3 | $ | 111.9 | |||||||||||||||
Investor Contact | ||
| Matt Scalo | ||
| (801) 584-3532 | ||
matt.scalo@myriad.com | ||
Media Contact | ||
| Kate Schraml | ||
| (224) 875-4493 | ||
PR@myriad.com | ||
| Three months ended December 31, | Twelve months ended December 31, | |||||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||||||||||||
| Adjusted Operating Expenses | ||||||||||||||||||||||||||
| Operating Expenses | $ | 152.5 | $ | 189.9 | $ | 963.8 | $ | 708.9 | ||||||||||||||||||
Acquisition - amortization of intangible assets(1) | (6.4) | (9.6) | (29.8) | (40.2) | ||||||||||||||||||||||
Goodwill and long-lived asset impairment(2) | (2.7) | (43.0) | (319.4) | (56.8) | ||||||||||||||||||||||
Equity compensation(3) | (2.6) | (10.7) | (34.1) | (48.3) | ||||||||||||||||||||||
Real estate optimization(4) | — | (1.7) | (5.2) | (7.2) | ||||||||||||||||||||||
Transformation initiatives(5) | — | — | — | (6.6) | ||||||||||||||||||||||
Strategic realignment(6) | (2.1) | — | (12.2) | — | ||||||||||||||||||||||
Legal settlements(7) | — | 21.1 | — | 20.6 | ||||||||||||||||||||||
Other adjustments(8) | 0.3 | — | 0.3 | (3.5) | ||||||||||||||||||||||
| Adjusted Operating Expenses | $ | 139.0 | $ | 146.0 | $ | 563.4 | $ | 566.9 | ||||||||||||||||||
| (1) | Represents recurring amortization charges resulting from the acquisition of intangible assets. | |||||||||||||||||||||||||
| (2) | Expense related to goodwill and long-lived asset impairment. For the twelve months ended December 31, 2025, consists of $319.4 million of impairment expense primarily associated with our Mental Health and Women's Health reporting units and asset groups. For the three months ended December 31, 2024, consists of $43.0 million of impairment expense for a GeneSight developed technology intangible asset. For the twelve months ended December 31, 2024, consists of $43.0 million of impairment expense for a GeneSight developed technology intangible asset and $13.8 million primarily related to the sale of the EndoPredict business to Eurobio Scientific. | |||||||||||||||||||||||||
| (3) | Consists of the non-cash equity-based compensation provided to Myriad Genetics employees and directors. | |||||||||||||||||||||||||
| (4) | Costs related to real estate initiatives. For the twelve months ended December 31, 2025, consists of additional rent as a result of the build-out of our new laboratories in Salt Lake City, Utah and South San Francisco, California, while maintaining our previous facilities in those locations. For the three and twelve months ended December 31, 2024, includes additional rent as a result of the build-out of our new laboratories in Salt Lake City, Utah and South San Francisco, California, while maintaining our previous facilities in those locations, costs associated with the voluntary termination of a lease, testing and set-up costs for equipment in our new facilities, and impairment in connection with the ceased use of one of our facilities. | |||||||||||||||||||||||||
| (5) | Costs related to transformation initiatives including consulting and professional fees for the twelve months ended December 31, 2024. | |||||||||||||||||||||||||
| (6) | Costs related to strategic realignment of the company including severance and consulting fees for the three and twelve months ended December 31, 2025. | |||||||||||||||||||||||||
| (7) | Costs related to one-time legal expenses. For the three and twelve months ended December 31, 2024, primarily includes reversal of $21.3 million related to the contingent settlement for the Ravgen litigation that is no longer considered probable. | |||||||||||||||||||||||||
| (8) | Other one-time non-recurring adjustments for the three and twelve months ended December 31, 2025. For the twelve months ended December 31, 2024, primarily includes a gain recognized on acquisition, changes in the fair value of contingent consideration related to acquisitions from prior years, the reclassifications of cumulative translation adjustments to income upon liquidation of an investment in a foreign entity, and costs incurred in connection with executive personnel changes. | |||||||||||||||||||||||||
| Three months ended December 31, | Twelve months ended December 31, | |||||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||||||||||||
Adjusted Net Income(1) | ||||||||||||||||||||||||||
| Net Loss | $ | (7.9) | $ | (42.5) | $ | (365.9) | $ | (127.3) | ||||||||||||||||||
Acquisition - amortization of intangible assets(2) | 6.5 | 10.0 | 30.5 | 41.5 | ||||||||||||||||||||||
Goodwill and long-lived asset impairment(3) | 2.7 | 43.0 | 319.4 | 56.8 | ||||||||||||||||||||||
Equity compensation(4) | 2.8 | 10.9 | 35.2 | 49.8 | ||||||||||||||||||||||
Real estate optimization(5) | — | 1.7 | 5.2 | 7.2 | ||||||||||||||||||||||
Transformation initiatives(6) | — | — | — | 6.6 | ||||||||||||||||||||||
Strategic realignment(7) | 2.1 | — | 12.2 | — | ||||||||||||||||||||||
Legal settlements(8) | — | (21.1) | — | (20.6) | ||||||||||||||||||||||
Other adjustments(9) | (0.6) | 0.8 | (0.2) | 3.3 | ||||||||||||||||||||||
Uncertain tax benefit(10) | (0.4) | — | (29.4) | — | ||||||||||||||||||||||
Tax adjustments(11) | (1.3) | 0.4 | (1.2) | (4.8) | ||||||||||||||||||||||
Adjusted Net Income | $ | 3.9 | $ | 3.2 | $ | 5.8 | $ | 12.5 | ||||||||||||||||||
| Weighted average shares outstanding: | ||||||||||||||||||||||||||
| Diluted | 94.6 | 92.1 | 93.4 | 92.1 | ||||||||||||||||||||||
Adjusted Earnings Per Share | ||||||||||||||||||||||||||
| Diluted | $ | 0.04 | $ | 0.03 | $ | 0.06 | $ | 0.14 | ||||||||||||||||||
| (1) | To determine Adjusted Earnings Per Share, or adjusted EPS. | |||||||||||||||||||||||||
| (2) | Represents recurring amortization charges resulting from the acquisition of intangible assets. | |||||||||||||||||||||||||
| (3) | Expense related to goodwill and long-lived asset impairment. For the twelve months ended December 31, 2025, consists of $319.4 million of impairment expense primarily associated with our Mental Health and Women's Health reporting units and asset groups. For the three months ended December 31, 2024, consists of $43.0 million of impairment expense for a GeneSight developed technology intangible asset. For the twelve months ended December 31, 2024, consists of $43.0 million of impairment expense for a GeneSight developed technology intangible asset and $13.8 million primarily related to the sale of the EndoPredict business to Eurobio Scientific. | |||||||||||||||||||||||||
| (4) | Consists of the non-cash equity-based compensation provided to Myriad Genetics employees and directors. | |||||||||||||||||||||||||
| (5) | Costs related to real estate initiatives. For the twelve months ended December 31, 2025, consists of additional rent as a result of the build-out of our new laboratories in Salt Lake City, Utah and South San Francisco, California, while maintaining our previous facilities in those locations. For the three and twelve months ended December 31, 2024, includes additional rent as a result of the build-out of our new laboratories in Salt Lake City, Utah and South San Francisco, California, while maintaining our previous facilities in those locations, costs associated with the voluntary termination of a lease, testing and set-up costs for equipment in our new facilities, and impairment in connection with the ceased use of one of our facilities. | |||||||||||||||||||||||||
| (6) | Costs related to transformation initiatives including consulting and professional fees for the twelve months ended December 31, 2024. | |||||||||||||||||||||||||
| (7) | Costs related to strategic realignment of the company including severance and consulting fees for the three and twelve months ended December 31, 2025. | |||||||||||||||||||||||||
| (8) | Costs related to one-time legal expenses. For the three and twelve months ended December 31, 2024, primarily includes reversal of $21.3 million related to the contingent settlement for the Ravgen litigation that is no longer considered probable. | |||||||||||||||||||||||||
| (9) | Other one-time non-recurring adjustments for the three and twelve months ended December 31, 2025. For the twelve months ended December 31, 2024, primarily includes a gain recognized on acquisition, changes in the fair value of contingent consideration related to acquisitions from prior years, the reclassifications of cumulative translation adjustments to income upon liquidation of an investment in a foreign entity, and costs incurred in connection with executive personnel changes. | |||||||||||||||||||||||||
| (10) | Consists of the release of unrecognized tax benefits and the recognition of valuation allowances for the three and twelve months ended December 31, 2025. The unrecognized tax benefits released were primarily related to tax years under Joint Committee on Taxation review, which upon conclusion of the review were remeasured or released. | |||||||||||||||||||||||||
(11) | Tax expense or benefit due to non-GAAP adjustments, differences between stock compensation recorded for book purposes as compared to the allowable tax deductions, and valuation allowance recognized against federal and state deferred tax assets in the United States. As of December 31, 2025, a valuation allowance of $103.6 million was not recognized for non-GAAP purposes given our historical and forecasted positive earnings performance. As of December 31, 2024, a valuation allowance of $64 million was not recognized for non-GAAP purposes given the company's historical and forecasted positive earnings performance. | |||||||||||||||||||||||||
| Three months ended December 31, | Twelve months ended December 31, | |||||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||||||||||||
| Adjusted EBITDA | ||||||||||||||||||||||||||
| Net Loss | $ | (7.9) | $ | (42.5) | $ | (365.9) | $ | (127.3) | ||||||||||||||||||
Acquisition - amortization of intangible assets(1) | 6.5 | 10.0 | 30.5 | 41.5 | ||||||||||||||||||||||
Depreciation expense(2) | 4.7 | 4.7 | 19.5 | 17.9 | ||||||||||||||||||||||
Goodwill and long-lived asset impairment(3) | 2.7 | 43.0 | 319.4 | 56.8 | ||||||||||||||||||||||
Equity compensation(4) | 2.8 | 10.9 | 35.2 | 49.8 | ||||||||||||||||||||||
Real estate optimization(5) | — | 1.7 | 5.2 | 7.2 | ||||||||||||||||||||||
Transformation initiatives(6) | — | — | — | 6.6 | ||||||||||||||||||||||
Strategic realignment(7) | 2.1 | — | 12.2 | — | ||||||||||||||||||||||
Legal settlements(8) | — | (21.1) | — | (20.6) | ||||||||||||||||||||||
Interest expense, net of interest income(9) | 3.6 | 0.4 | 8.7 | 1.1 | ||||||||||||||||||||||
Other adjustments(10) | 0.8 | 0.1 | 3.3 | 3.6 | ||||||||||||||||||||||
Uncertain tax benefits(11) | (0.4) | — | (29.4) | — | ||||||||||||||||||||||
Income tax (benefit) expense(12) | (0.6) | 3.4 | 0.2 | 3.8 | ||||||||||||||||||||||
| Adjusted EBITDA | $ | 14.3 | $ | 10.6 | $ | 38.9 | $ | 40.4 | ||||||||||||||||||
| (1) | Represents recurring amortization charges resulting from the acquisition of intangible assets. | |||||||||||||||||||||||||
| (2) | Depreciation expense excludes depreciation included in real estate optimization of $0.3 million and $1.6 million for the three and twelve months ended December 31, 2024, respectively. | |||||||||||||||||||||||||
| (3) | Expense related to goodwill and long-lived asset impairment. For the twelve months ended December 31, 2025, consists of $319.4 million of impairment expense primarily associated with our Mental Health and Women's Health reporting units and asset groups. For the three months ended December 31, 2024, consists of $43.0 million of impairment expense for a GeneSight developed technology intangible asset. For the twelve months ended December 31, 2024, consists of $43.0 million of impairment expense for a GeneSight developed technology intangible asset and $13.8 million primarily related to the sale of the EndoPredict business to Eurobio Scientific. | |||||||||||||||||||||||||
| (4) | Consists of the non-cash equity-based compensation provided to Myriad Genetics employees and directors. | |||||||||||||||||||||||||
| (5) | Costs related to real estate initiatives. For the twelve months ended December 31, 2025, consists of additional rent as a result of the build-out of our new laboratories in Salt Lake City, Utah and South San Francisco, California, while maintaining our previous facilities in those locations. For the three and twelve months ended December 31, 2024, includes additional rent as a result of the build-out of our new laboratories in Salt Lake City, Utah and South San Francisco, California, while maintaining our previous facilities in those locations, costs associated with the voluntary termination of a lease, testing and set-up costs for equipment in our new facilities, and impairment in connection with the ceased use of one of our facilities. | |||||||||||||||||||||||||
| (6) | Costs related to transformation initiatives including consulting and professional fees for the twelve months ended December 31, 2024. | |||||||||||||||||||||||||
| (7) | Costs related to strategic realignment of the company including severance and consulting fees for the three and twelve months ended December 31, 2025. | |||||||||||||||||||||||||
| (8) | Costs related to one-time legal expenses. For the three and twelve months ended December 31, 2024, primarily includes reversal of $21.3 million related to the contingent settlement for the Ravgen litigation that is no longer considered probable. | |||||||||||||||||||||||||
| (9) | Derived from interest expense and interest income from the Condensed Consolidated Statements of Operations. | |||||||||||||||||||||||||
| (10) | Other one-time non-recurring expenses. For purposes of adjusted EBITDA, this includes Other adjustments described in the Adjusted Net Income table above as well as the amounts reported as Other income (expense) in the Condensed Consolidated Statement of Operations. | |||||||||||||||||||||||||
| (11) | Consists of the release of unrecognized tax benefits and the recognition of valuation allowances for the three and twelve months ended December 31, 2025. The unrecognized tax benefits released were primarily related to tax years under Joint Committee on Taxation review, which upon conclusion of the review were remeasured or released. | |||||||||||||||||||||||||
(12) | Derived from income tax (benefit) expense from the Condensed Consolidated Statement of Operations, net of the adjustment for unrecognized tax benefits described above in Note 11 above. | |||||||||||||||||||||||||
| Three months ended December 31, | Twelve months ended December 31, | |||||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||||||||||||
Adjusted operating and free cash flow | ||||||||||||||||||||||||||
Net cash provided by (used in) operating activities | $ | 10.6 | $ | 6.6 | $ | 1.8 | $ | (8.7) | ||||||||||||||||||
Real estate optimization(1) | 0.5 | 2.7 | 9.2 | 14.4 | ||||||||||||||||||||||
Transformation initiatives(2) | — | — | — | 6.6 | ||||||||||||||||||||||
Strategic realignment(3) | 6.8 | — | 10.9 | — | ||||||||||||||||||||||
Legal settlements(4) | — | 6.1 | — | 6.7 | ||||||||||||||||||||||
Contingent consideration payment(5) | — | — | — | 5.8 | ||||||||||||||||||||||
Other adjustments(6) | — | — | 0.2 | 3.5 | ||||||||||||||||||||||
| Adjusted operating cash flow | $ | 17.9 | $ | 15.4 | $ | 22.1 | $ | 28.3 | ||||||||||||||||||
Capital expenditures(7) | (4.7) | (3.6) | (15.6) | (19.0) | ||||||||||||||||||||||
Capitalization of internal-use software costs (7) | (1.3) | (2.3) | (11.8) | (10.7) | ||||||||||||||||||||||
| Adjusted free cash flow | $ | 11.9 | $ | 9.5 | $ | (5.3) | $ | (1.4) | ||||||||||||||||||
| (1) | The cash flow effect of real estate optimizations, excluding non-cash items such as accelerated depreciation. | |||||||||||||||||||||||||
| (2) | Transformation initiatives includes the cash paid for those costs in the related periods. | |||||||||||||||||||||||||
| (3) | Strategic realignment includes the cash paid for those costs for the three and twelve months ended December 31, 2025. | |||||||||||||||||||||||||
| (4) | The cash flow effect of legal expense in the related period. | |||||||||||||||||||||||||
| (5) | The payment of contingent consideration related to the previous acquisition of Sividon Diagnostics GmbH. | |||||||||||||||||||||||||
| (6) | The cash flow effect of executive personnel changes and severance for the twelve months ended December 31, 2024. | |||||||||||||||||||||||||
(7) | Derived from the Condensed Consolidated Statements of Cash Flows. | |||||||||||||||||||||||||