BID TerminalOpen complete report
Research library Healthcare

Back of Napkin

IDEXX Laboratories, Inc. IDXX

Three-pass checkedFiled since 2026-08-04

Written 2026-06-15. The company has filed a quarterly or annual report since, on 2026-08-04, so figures here predate its latest disclosure.

IDEXX is a razor-and-blade veterinary-diagnostics franchise earning a 40% return on capital, where recurring consumables and lab services compounded near double-digits straight through a falling-vet-visit backdrop.

The asymmetry is narrow; at roughly 39 times forward earnings the price already pays for years of double-digit growth, so the upside is earnings-driven and the downside is multiple-driven; durability at a premium, not a mispricing.

Key data

Sector / industryHealthcare / Medical Diagnostics and Research
FYE / countryDecember / US
Price / 52w range$570.00 / $506.91 to $769.98
Position vs MA50d SMA $563.10, 200d SMA $634.13
Market cap / EV≈$45.0B / ≈$45.9B
Revenue (TTM)≈$4.45B
EPS (TTM, GAAP diluted)≈$13.67
Forward P/E (FY26E)38.9x
Beta1.54

IDXX · price with moving averages

Daily · 6MWeekly · 3Y
$362$467$572$677$782 Sep '23Apr '24Nov '24Jun '25Jan '26Aug '26 BID
EMAs82140

Source: market data.

The business

IDEXX runs the diagnostics that tell a veterinarian what is wrong with a dog or cat: in-clinic analyzers that read blood chemistry, hematology, and urine; the recurring test slides, cartridges, and rapid SNAP assays those machines consume; a reference-lab network for send-out work; and the practice-management software that ties a clinic's workflow together. A small water-testing business and a livestock, poultry, and dairy line round out the rest. The engine is the Companion Animal Group, around 92% of revenue, and inside it the part that does the work is CAG Diagnostics recurring revenue, the consumables and lab services a clinic buys week after week once an IDEXX analyzer is installed. The reported split shows product at $2.54B and service at $1.76B for FY2025, with the recurring blade stream sitting across both.

The thing the financials do not show is the switching cost baked into that installed base. Once a clinic standardizes on IDEXX instruments, trains its technicians on the workflow, and integrates the software, it almost never rips the system out, which is why recurring revenue compounds with very little churn. What changed over the last year is the macro backdrop for the blades: US clinical vet visits have been declining as pet owners stretch out appointments and trade down, yet CAG Diagnostics recurring revenue still grew at a high-single to low-double-digit organic rate, because IDEXX keeps raising price, placing more instruments, and pushing more tests per visit. That divergence, falling visits against double-digit recurring growth, is the entire quality argument.

Inside the complete Back of Napkin

  1. 01The business
  2. 02The numbers
  3. 03Management
  4. 04The linchpins
  5. 05Closing
  6. 06Methodology

Continue with IDXX

Get the complete Back of Napkin free.

Choose this as your free complete report. No card required.

Read the complete report