Operator
I'd now like to hand the conference over to Mr. Paul Anderson, MD and CEO.
Please go ahead.
Paul Anderson
Good morning and thank you everyone for joining us today. Alongside me is our Chief Financial Officer Andrew Thomson, who will present the financial results in detail later in the presentation.
Today we're presenting our results for the first half of FY26. We have delivered revenue growth on lower than normal episode volumes and in an environment of flat MBS volumes.
Cost-out benefits and in particular labor are now being realized and we're making tangible progress against our strategy. We're very much focused on improving customer service for patients and referrers, modernizing the network with digital technology as an enabler, and building out our emerging diagnostics and higher-value growth areas.
In the first half, we've continued executing that strategy, and importantly, you see that execution beginning to translate into revenue and the cost base impacts beginning to take shape. Turning to the group results, revenue grew 3.8% to $688.1 million.
Pathology revenue increased 3.5% and Agilex delivered strong revenue growth of 16% to $21.8 million. Underlying EBITDA increased 13.1% to $122.2 million, reflecting improved operating leverage and early benefits from the cost reduction initiatives we have been implementing.
Underlying EBIT for the group improved to $7.9 million compared to a loss in the prior period, which included an element of corporate costs. Cost reduction initiatives along with reducing corporate and stranded costs have flowed through the results in 1H 26.
We ended the period with a net cash position of $11.6 million at 31 December. Turning now to Pathology, Pathology revenues grew 3.5%, and importantly, that growth has been delivered with total operating cost growth reduced to 1.9%.
Labor costs remain a key focus and reduced to 49.3% in the second quarter as the labor optimization program progressed. Consumables reduced to 15.8% of revenue and are below 1H 2025 in absolute dollar terms.
Operationally, GP attendances were down 1.5% versus the prior corresponding period, whilst specialist attendances increased by 2.5%. MBS volumes were flat over the comparative 6-month period.
Revenue growth has been a combination of volume growth and more importantly improved volume mix, particularly growth in B2B areas including genomic diagnostics, veterinary pathology, and clinical trials. The majority of our labor optimization program is now complete.
We've also continued to deliver on our technology roadmap with Medway Collections portal successfully delivered and the Medway Results portal significantly improved. Other major changes for Pathology are the Australian Defence Force contract, which commences in April 2026.
This is a major win for our business with approximately $60 million of revenue in the initial 5-year period. We have now deployed two AI coworkers, Reva AI and Julie AI.
Both are now fully deployed and the beginning of our AI journey to improve operations with well-defined and purposeful use cases. Reva AI and Julie AI are coworkers in every sense.
They form part of our organizational structure, they report to a manager, and are currently responsible for improving our cash flows and workforce planning. The financial impact of the Fair Work Commission decision on gender-based undervaluation commences from April this year.
Whilst the final decision has not been provided by Fair Work on all matters, what we do know is that there will be a circa $1.8 million impact for 4Q 26 with regard to our collector workforce. The annualized impact will be fully determined once a final decision is provided by the Fair Work Commission.
With regard to the financial consequences of the Fair Work decision, we're working closely with Australian Pathology and the Department of Health, Disability and Ageing to find a solution through the Medicare Benefits Schedule to support these increases. Now turning to Agilex.
Agilex Biolabs delivered a strong first half. Revenue grew 16% and EBIT increased by 145.5% to $2.7 million with margins expanding to 12.4%.
This reflects three deliberate strategic decisions: enhancing our capability, focusing on large molecule development, and exiting the toxicology business. The new Brisbane bioanalytical laboratory is a significant milestone and represents the benchmark operating model for future expansion.
Importantly, our order book has now returned toward normal levels. In terms of digital investment, this slide marks an important milestone for our business.
We have now built substantial digital capability through our multi-year modernization program. From 1 January 26, our digital expenditure will be treated as business as usual and no longer treated as a non-underlying charge.
This program has delivered a range of technology enablers. They are set out on slide 7 in detail and cover every area of our business.
From a customer service perspective, we now have a front door for our business with new websites, e-referrals from all major practice management systems, a new fully digitized Medway Collections portal, an upgraded Medway Results portal with new CPD offerings, and new billing capabilities with simplified pricing and upfront payments. From a clinical perspective, we now have a pathway lab portal as a modern foundational platform to deploy nationally standardized pathology workflows, including the use of AI-enabled decision support.
The key point here is that a large part of the heavy lifting is now done. These capabilities are now embedded in the business and position us to drive both productivity and improved customer service going forward, all part of our normal operations.
Now the T27 scorecard. This is a busy slide, I won't go through everything, but I'll touch on some of the key points.
We've launched a modern collectors portal in the first half to improve patient service and collection efficiency. Around 2 million episodes were collected digitally in H1 with 12% now fully digital through e-referrals.
This is materially changing our workflows through the front end of our business. Alongside that, we deployed new pricing infrastructure across private tests and introduced upfront charging where relevant for criteria-based MBS tests such as B12 and urines.
Importantly, we also introduced informed financial consent. Since October, around 480,000 informed consents have been provided, mostly through digital channels, reducing billing risk and improving transparency for patients.
Appointment booking continues to gain traction. We launched this for complex tests to manage peak demand and reducing waiting times, that is already enabled around 100,000 bookings.
We're also now using real-time data along with AI to optimize ACC opening hours, increase productivity, and improve service availability and wait times. We've also nationalized our collector training program through our Healius Training Academy to ensure we have skilled collectors deployed across the network at the right times.
We simplified our field structure by combining business development, medical liaison, and collection teams into a single national team. This structure has created a single point of contact for referrers, improving engagement and accountability.
In our laboratories, we've delivered major efficiency improvements across our network. Our main laboratory headcount has reduced by 2.2% through workflow and rostering changes.
Across the broader regional and state lab network, labor reduced by approximately 6% as we rebalance where work is performed and optimized our footprint. Courier operations have been digitized across multiple regions with optimized routes, reducing unnecessary stops, overtime, and costs.
Paper reporting has also been reduced by up to 40% in some regions with around 10,000 doctors now receiving fully digitized reporting. On emerging diagnostics, genomics continues to perform strongly with 21.6% revenue growth versus the first half of last year, driven by oncology, cardiology, pharmacogenomics, and hematology, supported by new product launches.
Our focus in the second half will be on omnichannel promotion, digital workflow automation, revenue assurance, and improved result reporting. In Vetnostics, our revenue is ahead of plan, supported by improved service experience and turnaround times.
Our Victorian operations are now fully integrated into the Heidelberg laboratory, delivering standardization and cost reduction with minimal client impact. Medway Clinical Trials continues to grow strongly, supported by our modern trials platform, and we expect this momentum to continue into the second half.
Finally, on digital technologies and our ways of working. We continue to deploy new digital capabilities as part of our business as usual, including lab flow work digitization starting with genomics.
We've also made strong progress in AI with digital coworkers now live in accounts receivable, improving speed to cash, and in rostering, combining collector availability with network demand to optimize coverage and reduce closures. These capabilities will continue to evolve as we gain operational insights.
The overall message from the slide is that we're making tangible progress on our T27 initiatives. The operating model is changing, and we're seeing measurable improvements in service, productivity, and costs coming through.
I'll now hand over to Andrew to take you through the detailed financial results.
Andrew Thomson
Thanks, Paul. I'm delighted to be presenting today for the first time as Healius' Chief Financial Officer.
I'll walk through the first half performance and what it means for the rest of the 26 financial year. As Paul has already said, the key message in today's results is that we're increasing revenue through top-line growth and revenue mix, while also reducing our support costs, keeping a disciplined approach to capital allocation, and setting up delivery for the second half.
Let's begin with the group result and the key contributors to the turnaround versus the prior period. Group revenue grew $25.5 million or 3.8% to $688.1 million, driven by both volume and fee growth in Pathology against flat Medicare volumes for the period, and strong revenue growth in Agilex.
Group EBIT was $7.9 million, improving from a $2.7 million loss in the prior period. Pathology EBIT was up $9 million to $5.2 million, and importantly, now includes corporate functions that were reported separately in the prior year.
Agilex EBIT more than doubled to $2.7 million with revenue growth translating into margin. Non-underlying items for the half were $20.8 million, predominantly the digital transformation program and also restructuring costs to right-size the business in regional labs, main lab optimization, and in the contact center.
Interest costs in the first half were primarily finance costs on properties with very low interest costs on debt and are down versus the prior period due to our average debt levels. We remain on track to deliver $20 million of targeted annualized support cost savings over the year.
We achieved $7.3 million of annualized savings in FY25, an additional $10.7 million of annualized savings in the first half of this year with more planned in the second half of the year. Full run rate benefit is expected from FY27 onwards.
Next, I'll unpack Pathology: what's driving the revenue mix improvement and how productivity is tracking. In Pathology, we're seeing improved volumes despite a flat MBS market and better revenue mix, supporting an increase in the average fee with revenue up 3.5%.
That growth is underpinned by a better mix across specialist, hospitals, and B2B revenues. As Paul said, genomics continues its strong momentum with a 21.6% increase versus PCP, and also clinical trials has had an exceptional growth and a forward pipeline, up 118.6% versus PCP, although on a low base.
Looking at labor and productivity, labor increased 2.9% versus the prior period, primarily from EBA rate increases, although that's been partially offset by a reduction in headcount across the organization. Labor as a percentage of revenue improved to 49.3% in the second quarter of 2026, reflecting the benefits of the labor efficiency program to date.
Our consumable costs are also well controlled. They're 1.8% lower than the prior period in absolute terms despite higher volumes, and they're also down as a percentage of revenue, 15.8% in this half versus 16.6% in the prior period.
The network costs, property including our depreciation and finance costs, are trending higher as a percentage of revenue, driven by the timing of new sites versus exits within the portfolio. I'll now turn to Agilex Biolabs where the mix shift is driving margin expansion.
As Paul said, Agilex is benefiting from a strategic pivot to large molecule work, contributing to that margin growth. EBIT margin for the half is 12.4%, so that's reflecting the mix shift away from the small molecule work, the pivot to large molecule work, and also the closure of loss-making toxicology business that closed during the first half.
Agilex has also expanded its national footprint. The Brisbane bioanalytical lab is performing ahead of expectations and really forms the blueprint for all future lab openings, and those other lab openings are planned.
The industry fundamentals for Agilex remain intact and the strategic rationale also. We have a strong pipeline for the remainder of FY26 with continued growth expected in both revenue and in margins.
Given the investment we're making to support growth, I'll cover capital management and cash movements next. As you've heard in the past, we're being conservative with capital until earnings consistency is achieved, but we are still funding targeted growth initiatives through CapEx.
Maintenance CapEx for the period was $9.4 million, largely the replacement of lab equipment and also IT hardware, and we're doing that in a very targeted way where the business case stacks up. Growth CapEx was $12.3 million, primarily investment in larger scale independent ACCs, also equipment for new hospital contracts, and around the AI development that Paul talked about before.
Our net cash position reduced from $57.2 million to $11.6 million during the year, but that was mainly as a result of non-operational issues. We had a large payment to the ATO, there were the non-underlying digital costs that Paul's talked about, and also the restructuring costs that I talked about earlier.
The cash bridge on the slide provides a graphic representation of that movement broadly aligned to statutory reporting. We remain well within bank covenants for the period and expect to remain that way for the rest of the financial year.
Paul, I'll hand back to you to talk about the second half outlook.
Paul Anderson
Thanks, Andrew. Just looking ahead to the second half, so as we say, we expect earnings for FY26 to be in line with current consensus.
As we set out earlier, we're on track to deliver $20 million in annual support cost savings. Our digital transformation program is now complete and future digital spend is just treated as business as usual as of 1 January.
Revenue and profitability, as we know, in this sector is expected to be weighted to the second half, reflecting the seasonality and the timing of cost savings for us. We continue to expect to achieve high single-digit EBIT margins by June 2027 and doing this by growing volumes through our own ACC footprint and our restructured customer and commercial operations as well as pricing initiatives; continuing to aggressively grow the high-margin parts of our business, and we've talked about some of those today; leveraging our technology investment and the benefits from that; and continuing to reduce our costs.
That concludes the formal part of the presentation today. Thanks very much for your time, and now open the session to questions.
Operator
Thank you. If you wish to ask a question, please press *1 on your telephone and wait for your name to be announced.
If you wish to cancel your request, please press *2. If you're on a speakerphone, please pick up the handset to ask your question.
Your first question comes from Leanne Harrison with Bank of America.
Leanne Harrison
Hi, good morning, Paul. Good morning, Andrew.
Can I start with guidance? I know that you're saying you expect earnings to be in line with current consensus, and I just wanted to confirm: by earnings, do you mean EBIT, and are we looking at sort of a $49-$50 million EBIT number?
Paul Anderson
Sorry. We're referring to EBIT, Leanne,
Leanne Harrison
and
Paul Anderson
I think that number by our calculation with Visible Alpha is around 48, between 48. I think there's a couple of issues that Visible Alpha has to sort out, so, but yeah, sorry, it's EBIT.
Leanne Harrison
Okay. If I'm working on that $48 million and you delivered $7.9 million EBIT for the first half, obviously it feels like there's a lot to catch up on in the second half.
What sort of assumptions have you made for revenue in the second half in terms of growth, and if revenue or volumes remain flattish as we've seen to date, do you still expect to hit that EBIT number?
Paul Anderson
Look, without taking you through our model blow by blow, Leanne, first of all, I think you will know that there's quite a major skew between H1 and H2 and you saw that last year. I think it was $4.1 million and $24.1 million across the two halves.
We expect volumes to improve in the second half. I think we've shown that we have grown our revenue ahead of volumes.
There's two Without giving you a specific number, the rationale for that, I think, one, a number of people have talked about bulk billing and the potential for that to increase volumes. I think for us, it's more about us generating revenue out of our own network.
We have spent that first quarter of this year restructuring our customer and commercial team, as we set out. We've got a single point of contact into our collection center footprint, which is now mapped on a SA3 footprint, and that's the way that our sales team is structured as well.
We've been embedding that in Q2, and we expect to see an improvement in our own volumes in that second half. It's a combination of that without giving you a specific percentage increase, and our continued cost improvement program, particularly around labor, where we've reduced our labor costs as a percentage of revenue from Q1 to Q2 by more than 2 percentage points, and we see that further improving in the third and fourth quarters.
That's a very long-winded answer.
Leanne Harrison
Okay. Whilst you mentioned labor, I'll continue there.
Done in terms of managing that labor cost in this first half. In terms of second half, obviously you said there's a bit more to come.
Should we expect dollar cost labor to be relatively flat sequentially given what we've seen from second half '25 to first half '26?
Paul Anderson
Look, that's our ambition. I think we said that at the AGM that we expect labor costs to be broadly flat year on year, ex the impact of Fair Work.
We've obviously made all of those changes in the first half of the year, mostly in the first quarter, not just in customer and commercial, but also across our main labs, our regional laboratories in particular, and also across support costs.
Leanne Harrison
Okay. If I think about obviously all the initiatives you have including the T27 initiatives, what's your targeted revenue as a percentage of labor as you exit fiscal '27?
I know it's a long way ahead, but I'm sure you've thought about it in terms of part of your initiative program.
Paul Anderson
Look, clearly, labor is running at 49.7% or whatever, 49.2% or 3%. We're obviously hoping to reduce that by several more percentage points below that.
Now you naturally get a kicker in that second half just because revenue is skewed to that second half. Look, I'm not going to give you an absolute number, but we know that that number needs to be in the 40s and reducing.
Leanne Harrison
Okay. Great.
Just wanted to clarify just some of the wording around the annual savings made as part of your cost-out program. The wording was additional and further $10.7 million achieved in the first half.
Is that on top of the $7.3 million or should we just think about it being $10 million achieved? No,
Paul Anderson
no, that's on top of the $7.3 million. Yep.
You've got $7.3 million that was ticked off in FY25, you've got $10.7 million in the first half, so that total's 18, and more to come in H2. I think it's important to say that those are annualized cost saving numbers, Leanne, and we'll see the full run rate of those in FY27, but on an annualized basis, that $18 million that Paul
Leanne Harrison
spoke about. Fantastic.
With some of the further restructuring costs still to come through on labor, what's your anticipated restructuring cost that you expect in the second half for that?
Paul Anderson
We think we're broadly done with that, Leanne. Most of the heavy lifting was done in that first part of the year.
Leanne Harrison
Fantastic. I'll leave it there.
Thank you very much.
Paul Anderson
Thank you.
Operator
Your next question comes from Andrew Goodsall with MST Marquee. Oh,
Andrew Goodsall
thanks very much for taking my two questions. First one, just your growth on private pay and copay as a percentage of your revenue, just wondering what percentage that's sort of grown as a percentage of your revenue, and then whether phlebotomists can now take that payment?
Paul Anderson
Sorry, what was the second question, Andrew?
Andrew Goodsall
Oh, sorry. That's all one.
I jammed it together. Just your growth in private pay or copay as a percentage of revenue, just how much that's increased, and then whether phlebotomists can actually take that payment at the point of collect under your
Paul Anderson
Oh, sorry. The second one is the easiest one to answer.
We've got Square payment terminals in each of our collection centers now, absolutely they can, and that's part of our Medway Collections portal. The answer to your first question, obviously very difficult for us to give you an absolute percentage.
B12 and urines is probably as good an example as anything where there's been changes to Medicare criteria. We're doing tests still for patients that don't meet that criteria.
We are taking upfront payments for those where we can and for those that we can't, then we'll give an invoice. I can't give you a percentage.
It is obviously growing because of some of the changes to Medicare, and we can't be expected to be doing those tests for free. There is a number of tests that we do that are not part of the Medicare schedule that for us to be able to take those payments upfront and be transparent with patients and get informed financial consent at the same time is important.
That cures a whole range of chasing up debts or sending out invoices. It improves our collections and our revenue assurance.
Andrew Goodsall
Thank you. Sorry, my second one was that just with the Fair Work Commission, We had one of your competitors report earlier in the week and you've got 50 50% more collection centers than them, but a similar number on the impact
Paul Anderson
from
Andrew Goodsall
the Fair Work Commission. Then just also if you've got any estimates on the impact of the professionals when their increase comes through next calendar year?
Paul Anderson
Look, this is incredibly confusing and made even more confusing because we've had half the decision and not the whole decision. Just on what we know for collectors, we think we've got a charge of around 1.8 for this year, and that is split 1.2 for our collectors and around $600,000 one-off increase for annual leave or on-costs.
The reason for the differential between us and ACL, which I think is what you're asking, without trying to reconcile that for you, I think the way that the decision works is there is an immediate 4.1% 4.0% increase that comes on the 1st of April, and that increase has to take into account that's above award. What has to be taken into account across each of your EBAs across each of the states is where your current pay exists, so that's the differential.
The third component that we don't know is the further payments because it says up to, but there's very little clarity around that for collectors. I think it's even less clear on health professionals and we're just waiting to hear from Fair Work what that is going to be, and they've said that that will be split equally over 5 years.
Andrew Goodsall
Sorry, I was trying to keep it to two, but just to clarify, if you're already paying a little bit more, you're basically saying, well, therefore our net increase on the 1st of April
Paul Anderson
Would be less. Be lower.
Andrew Goodsall
Does that put you at any disadvantage that you were paying more for a particular reason in the past and now you won't be paying more?
Paul Anderson
Look, I think everyone has EBAs in each state that kind of happen at different cycles. I think there's always going to be some differences.
When you're negotiating EBAs, you've got to navigate the award rate that goes up each 1 July. Depending on the number of years that you do, you're trying to navigate the fine line between you're optics here and not falling behind award, because then you actually have to go back and start changing everything again, so.
Andrew Goodsall
Perfect, thank you.
Operator
Your next question comes from David Stanton with Jefferies.
David Stanton
Thanks very much, team, for taking my questions. Hope everyone's well.
Perhaps we could start delving to guidance to beat a dead horse. Consumables, 15.8% as a percentage of revenue in the first half.
Should we be thinking about that kind of number as a percentage of revenue for F26, please?
Andrew Thomson
I think the reality is it's been a good improvement this year we've made, and it comes in two different forms, right? One is the contractual costs for the volumes of things that we buy, negotiating better contracts.
The other part of it is the volume usage of those things, and we've found savings there. Some of the CapEx that we've spent in the first half has been around buying equipment that uses or is more efficient with those kind of consumables.
We expect to see that into the second half with hopefully further improvement.
David Stanton
Okay. Interest expense in the first half, should we just, broad brush, double that for the full year?
Andrew Thomson
I think the guidance that was given at the start of the year was somewhere between kind of $1 and $3 million for the year for interest. This is bank interest, yeah.
Bank interest has been $1 million. Look, I think it very much depends on where we end up the year, obviously based on where we think we're going to be.
That's the guidance that we would still go with.
David Stanton
Okay. Any cash flow sort of targets that we should be thinking about for end F26?
Paul Anderson
No, look, I think what we've said is that, one, those digital costs, that has become business as usual from the 1st of 1st of January. Those restructuring charges from the first half of the year, that is now done, the ambition is to have that now be relatively clean in H2.
David Stanton
Thank you.
Operator
Your next question comes from Craig Wong-Pan with RBC.
Craig Wong Pan
Good morning. Just wanted to ask about your ACC rents.
I've noticed that your D&A expense went up despite that kind of reduction in ACC footprint. Could you talk us through what you're seeing on a rent or kind of lease basis?
Andrew Thomson
I think, look, there's a couple of elements to this, right, Craig? One is that the guidance we gave for the year for the total D&A number was $230 million.
For the half, it's been $114. I think for the right-of-use assets, effectively the leases you're talking about, full year guidance was $192-ish.
We've hit $96 million. If you look at just that component for the right-of-use, it's $96 versus $93 in the prior period, which is a 3% increase in those kind of 3-year leases, which is kind of what you would expect given that most of them are tied to a CPI number.
In terms of the footprint change, look, you're looking at kind of a difference in the number between 1st of July and end of December, the movements during the period, the timings of when we entered and when we exited, some of those ACCs we carried for a longer period in the year.
Craig Wong Pan
Okay. Thank you.
Next question just on the ADF contract. $60 million expected revenue over 5 years starting in April.
How should we think about that ramping up over time and what kind of contribution could we expect for this fiscal year?
Paul Anderson
Look, it starts on the dare I say it, the 1st of April. Starts in April.
It's a standing start from 0 to 100, it's not a ramp-up over time. Look, in terms of contribution, that's pretty hard for us to set out, Craig.
I think probably a good way of just explaining the difference between the existing contract that exists and the new one, and the Defence Force, they have 56 Joint Health Command centers around the country, of which we provide collectors for 22 of them, and they staff the other 34. They all use our system, we have a fully digitized appointment booking through to results system in place, which is new for them as well.
The model's very different this time. The previous model had the majority of people going to an existing part of the ACC network for either ACL or us, So sorry, that's not answering your question around contribution.
Look, it's obviously a fairly significant revenue item, and it's a fully digitized system as well, we're very excited.
Craig Wong Pan
I guess what I'm sort of asking is that $60 million, can we apportion that sort of on a straight-line basis or is it expected to be kind of building up? Oh, yes.
Paul Anderson
Yes. Sorry, yes, you can.
Yep.
Andrew Thomson
I think that's what Paul sort of alluded to at the start, which is on day one, there's no ramp-up here. We don't sort of ease into the contract.
We take over what's already happening.
Craig Wong Pan
Okay. Great, thank you.
Operator
Your next question comes from Davin Thillainathan with Goldman Sachs.
Davin Thillainathan
Hi, morning, Paul and Andrew. Thanks for taking my questions.
I guess to sort of help us bridge your EBIT from a first half, second half perspective, it does feel like your cost-saving initiatives could be a pretty material driver of that. Could you sort of help us understand just how much more benefit comes into the second half from that initiative, please?
Paul Anderson
The majority of the change between the halves is not so much costs, it's just the skew of revenues. If you look historically, and all of the players have this, is that you have a skew from 1 H1 to H2.
A very simplistic way to think about this is your cost base is relatively fixed across the two periods. Now, yes, we expect to achieve some additional cost savings in H2, but the big benefit comes from the additional volume you get in the second half, and the only cost associated with that is your circa 15% of consumables.
A 49/51 split kind of gives you that answer. Now 49/51 is not the absolute number, if that's round a little bit, but that's kind of the where it lands.
Andrew Thomson
In terms of the cost savings, I think we've talked about the $10.7 million that we've achieved in the first half. Clearly those are, as I said before, that was an annualized number, you do see more of that coming through in the second half on the basis that the six 6 months where we've already put those things in place.
As Paul said, that's not the majority of the delta.
Davin Thillainathan
Thanks. Then another question I guess on your balance sheet.
Seems to be a step up in payables sort of between June and December. I understand you've grown your revenues, but that rate of step up seems a bit higher than the rate of growth of revenues.
Could you sort of help us understand what's driven that?
Andrew Thomson
I think partially there's the normal seasonality that you see with the December numbers. That's definitely part of it, but nothing really outside of that that's materially changed.
Davin Thillainathan
Okay. Last one on my end, just to help with modeling your interest costs, could you help us understand what the effective interest rate you'll be incurring having drawn down some debt over the half, please?
Andrew Thomson
I think what we're seeing is in the first half, it was effectively a million dollars of bank interest. That's not all interest.
Some of that is obviously the fact that we have a $300 million facility that we haven't fully drawn. We pay a fee on the undrawn component as well.
I think you could assume that a sort of linear relationship between where the debt is at the half year-end and the forecast of where it will be at the full year-end.
Davin Thillainathan
Thanks.
Operator
Your next question comes from Saul Hadassin with Barrenjoey.
Saul Hadassin
Good morning. Thanks, Paul.
Thanks, Andrew. I'll stick to two questions.
First one, again, just reflecting your labor cost being flat effectively this year versus fiscal '25. That suggests your labor cost in absolute terms needs to reduce in second half '26.
On our revenue estimate, which allows for that seasonality, as a percentage of revenue that has to come down circa 300 basis points in second half versus first half of '26. Is that the magnitude of improvement in labor that you're expecting in second half?
Paul Anderson
It's probably in the realms of that, yeah. Look, you get there's two components of that.
There's the, reduction in dollars of of of labor that exist in the second half, and then the naturally higher revenue, which combination of those two things should bring your percentage your labor cost percentage costs as a percentage of revenue down quite significantly,
Saul Hadassin
yeah. I guess it does imply a $15 million reduction in sequential labor costs, but I'll leave that to follow up with you guys later.
Then the second question, Paul, I know you've kind of asked this question a lot of different ways, and I think the confusion has been debt-related interest versus lease liabilities going through the interest cost line. Just to be clear, is second half '26 likely to be similar in terms of that circa $24 million of all-in interest expense that flows through?
Andrew Thomson
Yes. I think, Saul, you can assume that that's the right number.
Saul Hadassin
Which effectively means your PBT
Paul Anderson
Within a range, yep, yep.
Saul Hadassin
Sure. Just to be clear, it effectively means your profit before tax if you assume consensus EBIT will be $0, just to clarify that.
Paul Anderson
Sorry, say that again.
Saul Hadassin
If you're effectively guiding to consensus EBIT at around $48 million for the year, and if we allow for the interest expense, it suggests profit before tax will be effectively break-even position for the business in '26. The only thing I'd say is consensus I ask because consensus I think is sitting with $17 million of NPAT profit for the year, just wanted to clarify that.
Paul Anderson
Again, I think the issue here is that we did give the guidance number on the D&A and the right-of-use D&A, and we're kind of tracking in line with all of those. Not entirely sure why the profit after tax numbers are so far off.
Saul Hadassin
Agreed. All right, thanks for clarifying.
That's all I had.
Operator
Your next question comes from Sacha Krien with AMP.
Sacha Krien
Hi, good morning. Thanks for taking my questions.
Look, I just want to ask a couple of clarifying questions on the Fair Work Commission impact, and then I've got a question on the volume versus mix growth. Just on Fair Work Commission, you're sort of talking about $1.2 million impact for collectors in the quarter.
Given sort of your comments around some uncertainty about how it's going to be implemented, are you basically saying there's a step-up in that 1.2 when we get to January, 9 months later?
Paul Anderson
What we're saying is that we can calculate that to 30 June. What they haven't given us is absolute clarity from the 1st of July.
The fact of there is what step-up you have under your current awards, and they're different across each of the states, and how that impacts the total cost going forward. That's the collector piece, and then the health professionals or the scientist piece is even less clear.
I think we are going to see a relatively significant impact from 1 July. We just don't know what that number is yet, so.
It's hard to just go times by four for collectors
Sacha Krien
Yep. I'm just interested that you've maintained that high single-digit margin guidance in that context.
Is there an asterisk next to that depending on what the final numbers are from the Fair Work Commission?
Paul Anderson
Look, I think it's probably fair to say that. I think there's a couple of things there.
There's one, understanding exactly what that impact is, and then two, there is the ongoing dialogue with the Department of Health around how this is dealt with. I think submissions to Fair Work have been pretty clear that elasticity in pricing doesn't exist in this industry.
Any significant impact from these wage increases, there needs to be a solution for that.
Sacha Krien
Yep. Okay.
My second question was just on volume and mix. I'm just wondering if you can give us a bit more color on MBS versus non-MBS volume and mix growth?
Paul Anderson
Look, the reality is that the majority of our revenue, and look, I'm not going to give you a percentage, still relates to MBS. There's obviously been some changes with things like B12 and urines.
There's a range of non-Medicare items that we are reviewing or have changed our pricing already. There is also B2B testing, vet testing, clinical trials, and so forth.
Still a high percentage of our revenue is still related to the Medicare Benefits Schedule. You've seen the numbers, right?
Medicare volumes are flat for the same period. Medicare spends up 1.8% for the period.
We're a component of the industry.
Sacha Krien
Okay. Then just in terms of just looking forward to '27, you sort of talked about the bulk billing incentive change, we're going to be cycling the B12 and possibly some other cyclical issues.
Where do you think we can get back to in terms of MBS? Is there something structurally wrong or do you think it's more just an FY26 story?
We see a better growth rate in '27.
Paul Anderson
Look, I think that's pretty hard to predict, Sascha. I think there's lots of factors to play here.
Obviously, everyone hopes that the change to the bulk billing incentive improves GP attendances, and specialists for that matter. It's pretty hard to predict, but look, I think there's no doubt that the industry is changing to a certain extent.
Telehealth has grown as part of GP attendances and MBS publish those numbers. That's increased by kind of 4 percentage points over 24 months.
There's kind of lots of things happening. I think there's clearly cost of living pressures on people attending doctors, the cost of a doctor visit, bulk billing, there's lots of things rolled into that.
It's pretty hard to give a definitive answer. Of course, we all hope that volumes return to kind of historic 4% levels, but our job is to manage our way through that and grow the higher growth margin parts of our business like genomics, which is growing quite fast.
Sacha Krien
I might jump back in the queue, give someone else a go. Thank you.
Operator
Your next question comes from Steve Wheen with Jarden.
Steve Wheen
Thanks very much. Good morning.
Just back on the lease payments, I'm just a little surprised that payment amount hasn't come down by more now that Lumus is no longer part of the business, or are you still carrying some of their lease costs? What happens at the end of FY27 when I think those lease arrangements expire?
Paul Anderson
No, we're definitely not carrying any of the Lumus lease costs.
Steve Wheen
Okay.
Paul Anderson
Guidance was quite clear. I think where we are is in line with the guidance that was given at the full year last year.
Steve Wheen
Okay. All right.
Next question, just with regards to the ADF contracts that you've won or secured, is there much of an offset from the Western Health contract loss? Just trying to understand what the net benefit will be of those two contracts going forward.
Paul Anderson
Look, we're not going to kind of give you a reconciliation of one offset of the other. Look, Steve, there has been changes in the makeup of a bunch of things.
We've obviously won ADF. In this past 6 months, we've taken on the North West Tasmanian contract, we've renewed our Grampians hospital in Victoria and took over the Horsham hospital as part of that from ACL.
In terms of losses, obviously Western Health leaves us this month, and also Hollywood in WA. There's ups and downs and swings and roundabouts with those.
I think the combination of all of those, you would have to say, is positive in terms of revenue. We've got three new contracts and two disappearing.
Steve Wheen
Okay. Then last question for me, just just with regards to the private billing that you speak of that's that's been able to sort of help offset some of the pressures from from the Medicare changes.
Has the has the Health Minister softened his stance on this because he seemed to be more averse to the idea of private billing, but I guess the argument from the industry was because of the time prescribers, you could claim that they weren't covered by Medicare if they were prescribed those tests within a period of 12 month twice within a period of 12 months. Has that argument resonated with with the Health Minister?
Paul Anderson
Look, I think that's probably a question for him. We should be quite clear is that if we just use urines as an example, and a patient comes in to get a urine test and does not meet criteria for whatever reason, we are entitled to charge them for that service.
That is what we mean and what we have been doing. This is not about us trying to increase prices elsewhere to offset that.
There's been some specific changes made to B12 and urines. We should also be quite clear that that has reduced volumes not insignificantly across the whole sector.
The cost or the revenue that we have charged patients that do not meet criteria has not filled the hole left by those reductions in B12 and urines. So
Steve Wheen
Yep. Thanks very much.
Operator
Your next question comes from Brian Stein with Macquarie.
Brian Stein
Hey, guys. Thanks for taking my question.
Question I have is I saw that you put a note out on the impact of AI and health misinformation. I'm just curious to understand how you feel that would impact your business moving forward.
Paul Anderson
Look, Brian, we first did this research back in November '24, 15 months ago. The reason we did it, we publish this report and we publish a report on diabetes.
Part of that is we have that information and it's actually quite valuable for us to go to the government and say, here is the result of in diabetes terms, the cost to you, and here is our ideas how you can use information to reduce those costs. It's quite part of us being a good corporate citizen as part of the healthcare industry.
The health misinformation piece is fascinating in that 15 months ago, half of the population would self-diagnose using Dr. Google, and half of those that did self-diagnose got it wrong.
The really interesting fact that came out of the most recent research is if you put your symptoms into the internet now, you don't get five or six different links to click through to, you get a nice little AI-summarized paragraph up front which summarizes it all, which 80% of people trust relatively highly. There's a kind of health misinformation piece for the government here, but I think for the industry, it's a fact of life.
We know from that research that you've got parents with young children at home are more likely to go online and check out their conditions before they go and see a doctor to a pretty large extent. I think it's just another factor that goes with cost of going to see a doctor, doctor availability, and look the upside in all of this is that you're more informed before you go and see your doctor.
The downside in all of this is you have potential for less people to go to the doctor because they think they know what's wrong with them. The purpose of the report was really to highlight the prevalence of people checking symptoms online and we've seen that go up.
That's gone up over 15 months. It's just another factor I think to take into account.
Brian Stein
Thank you. I guess where I'm going with this is, if what you're saying means that people are less likely to go see the doctors and you're already having a drop in your GP volumes, will this have a significant impact and if so when?
Also with the MBS indexation pass-throughs, will that be enough to potentially buffer you before any significant impact happens?
Paul Anderson
They're pretty hard to answer questions, both of those. Second one incredibly hard.
Look, as I said, it's just another factor. What I would say is that it was 15 months ago when we did the original survey.
Have things changed dramatically? The way that you receive the information has, it's not as though this has materially changed the fact pattern of how people go to GPs, but give us more of an understanding along with the things that we do know about like the cost of going to see a doctor.
On the positive side of that, since then, bulk billing incentives have changed as well, we're yet to see that play out.
Brian Stein
Right. Just one last question.
How sustainable do you feel is the fee mix uplift with your genomics, B2B, and vet business? You're getting really nice growth numbers.
Do you think it's a structural shift or it's just episodic at this point?
Paul Anderson
Oh, look, I think there's clearly an increase in wellness companies out there that are doing pathology testing. I think the vet pathology market is non-MBS related.
We are the largest vet pathology provider in the country, focusing on that, the average fees are significantly higher than for human pathology, leveraging our network, which is what we're doing, that is a achievable and sustainable increase. Then on the genomics front, precision medicine is growing significantly.
We have a genomics business that has real scale, I think you see the Medicare Benefits Schedule items coming on each year, a lot of those are cancer-related and genetics-related. We've launched eight new products this year, our challenge I think as we've set out in here is to improve our ability to process volume across the different products that we've got and to be able to market that.
That's what we mean in large part by growing the higher-margin parts of our business.
Brian Stein
Great. Thank you very much.
No further questions for me.
Operator
Your next question comes from David Stanton with Jefferies.
David Stanton
Thanks, team, for taking my follow-up. Just a follow-up on the previous question then.
We have seen the CROs in the US come under share price pressure on the back of concerns around AI. How is Agilex going to avoid that going forward, please?
Paul Anderson
Look, I'm not sure I'm probably qualified enough to answer that, Dave. Look, I think what we've seen with Steve McIntyre and the Agilex team is they are a small part of the clinical trials chain.
They are highly specialized in what they do. We've obviously got a good or very good environment here in Australia in terms of speed to market and also the R&D incentives.
Those are all the things I think that along with their pivot to large molecule work. The one thing I would say is that that market is been continually changing.
Some of that's been through politics in the US. As you say, there are other things coming down the pipe like AI.
Which I think historically Steve and his team have actually been pretty good at navigating their way through. I don't think I fully know the answer to that, but they know their strengths, they're playing to their strengths, and they're growing quite significantly because of that.
David Stanton
Thank you.
Operator
Your next question comes from Sacha Krien with AMP.
Sacha Krien
Thanks for taking my follow-up. Just question on cash flow and cash burn.
Look, you got $300 million facility. I think $40 million is drawn down.
I'm just wondering if there's any sort of restrictions on your ability to draw down given the cash burn or whether or not that could potentially be reviewed depending on what happens with the sort of Fair Work Commission outcome?
Paul Anderson
No, there's no restrictions. Look our ambition and part of what we've been very clear about from the 1st of January that the business becomes much cleaner in terms of net cash going out below the line.
Becoming cash flow positive is the number one ambition. I think if you strip out those one-off costs for the last half, which have been very deliberate, to achieve that, then that's the answer.
The answer to your first question is no.
Sacha Krien
Yep. All else equal, you would have better growth and better cash flow into '27, maybe some of that comes off with the Fair Work Commission.
I guess my final question would be do you think you can still grow cash into '27, with Fair Work Commission impacts?
Paul Anderson
Look, Sacha, we don't know what the Fair Work impact is going to be. I think there's one, quantifying what the Fair Work impact will be, and then what is the quid pro quo, if you like, in terms of how do we actually support that cost increase.
Sacha Krien
Okay. Thank you.
Operator
Thank you. That does conclude our question-and-answer and conference for today.
Thank you for participating. You may now disconnect.
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