HomeHealthcareAustralian Clinical Labs (ASX:ACL)

How Australian Clinical Labs Is Harnessing AI and Genomics to Drive Growth

Healthcare By Ada Torres 4 min read

Australian Clinical Labs delivered solid FY25 financial results with revenue up 6.4% and EBIT rising 8.7%, underpinned by operational efficiencies and strategic innovation. The company’s FY26 guidance signals continued growth amid evolving market conditions and government fee pressures.

  • FY25 revenue reached $741.3 million, up 6.4% year-on-year
  • Underlying EBIT grew 8.7% to $68.0 million with margin expansion
  • Free cash flow surged 30.2%, enabling $44 million in shareholder returns
  • Net debt reduced to 0.3x EBITDA, reflecting strong balance sheet discipline
  • Strategic investments in AI, digitalisation, and genomic testing advanced

Robust Financial Performance Amid Market Challenges

Australian Clinical Labs (ACL), one of Australia's leading private pathology providers, reported a strong finish to FY25, with revenue climbing to $741.3 million, a 6.4% increase over the prior year. Underlying earnings before interest and tax (EBIT) rose 8.7% to $68.0 million, reflecting both top-line growth and improved operational efficiencies. Margins expanded modestly to 9.2%, with the second half of FY25 seeing EBIT margins return to low double digits, a sign of effective cost management despite a challenging healthcare environment.

Free cash flow before interest, tax, and financing surged 30.2% to $70.8 million, driven by operating leverage and disciplined working capital management. This strong cash generation enabled ACL to reduce net debt to just 0.3 times EBITDA, down from 0.5 times at the end of 2024, while returning $44 million to shareholders through dividends and share buybacks, representing approximately 9% of its market capitalisation.

Operational Efficiencies and Growth Drivers

ACL’s competitive edge stems from its unique national Laboratory Information System, which streamlines operations and reduces duplication. Labour costs as a percentage of revenue improved by 60 basis points to 43%, while lab operational efficiency increased by over 12%. Logistics optimisations cut travel distances by 1.1 million kilometres, further enhancing cost control.

Revenue growth was broad-based, with specialist testing areas such as genetics and oncology showing particularly strong momentum. Carrier screening in genetics doubled year-on-year, and oncology and pharmacogenetic testing revenues rose more than 50%. General practitioner (GP) volumes increased 6.4%, with average fees up 2.1%, underscoring ACL’s ability to grow in a competitive market.

Innovation and Strategic Partnerships

Looking beyond core pathology services, ACL is investing heavily in digital transformation and artificial intelligence (AI). The rollout of AI to automate back-office functions, including manual data entry, is expected to deliver cost savings starting in 2026. Additionally, ACL is advancing its 'Lab of the Future' initiative, aiming to modernise laboratory automation and consolidate footprints for greater efficiency.

A notable strategic highlight is ACL’s partnership with Geneseq, focused on developing a genomic test for melanoma. This test, which has achieved high validation scores, offers earlier and less invasive detection of melanoma, a significant health concern in Australia. ACL holds convertible notes that could translate into a 20% equity stake in Geneseq and a decade-long exclusive Australian licence for the test, positioning ACL at the forefront of genomic diagnostics innovation.

Guidance and Market Outlook

For FY26, ACL projects revenue between $760 million and $780 million, with underlying EBIT expected in the range of $67 million to $73 million. This guidance reflects ongoing investments in revenue growth initiatives and operational efficiencies designed to offset the impact of government fee cuts, particularly for vitamin B12 and urine tests. The company remains cautious about potential slower market growth but is confident in its disciplined approach to pursuing profitable revenue streams.

ACL also anticipates that initiatives under development, including upfront billing, price increases on non-Medicare funded tests, and AI-driven billing automation, will contribute at least $8 million in EBIT by FY27. These efforts, combined with strategic acquisitions and digitalisation, underpin a positive medium-term outlook despite external headwinds.

Bottom Line?

ACL’s FY25 results showcase resilience and innovation, setting the stage for growth amid evolving healthcare dynamics and technological disruption.

Questions in the middle?

  • How will government fee cuts impact ACL’s revenue mix and margins in FY26 and beyond?
  • What is the timeline and commercial potential for ACL’s genomic melanoma test with Geneseq?
  • How quickly can AI and automation initiatives translate into measurable cost savings and efficiency gains?