Revenue Growth
Total revenue of $363.6M for Q1 2026, up 7.7% vs. $337.7M in Q1 2025.
Adjusted EPS Improvement
Adjusted earnings per diluted share of $1.62 in Q1 2026, up 14.1% vs. $1.42 in Q1 2025.
Adjusted EBITDA and Margin Expansion
Adjusted EBITDA of $44.5M, up 9.7% vs. $40.6M in Q1 2025; adjusted EBITDA margin of 12.2% vs. 12.0% in Q1 2025, and company expects full-year margin above 12%.
Strong Operating Cash Flow and Balance Sheet
Net cash flow from operations of $52.4M in Q1 2026 vs. $18.9M a year ago; cash on hand $103.1M as of March 31, 2026; reduced total bank debt to $94.3M (down ~$30M vs. Q4 2025); revolving credit facility capacity $650M with $547.8M availability.
Personal Care Segment Performance
Personal Care revenues $281.1M (77.3% of revenue), up 8.8% overall and up 6.5% same-store vs. Q1 2025; same-store personal care hours increased 2.2% year-over-year; hires improved to 108 per day in Q1 (vs. 103/day in Q4 2025).
Hospice Growth and Census Strength
Hospice revenues $65.8M (18.1% of revenue) with same-store revenue growth of 7.7% vs. Q1 2025; average daily census (ADC) increased to 3,804 from 3,515 (+8.2% YoY); median length of stay 23 days (vs. 19 days in Q1 2025).
Operational Leverage and Cost Discipline
Gross margin stable at 31.9% YoY; G&A improved to 21.4% of revenue (adjusted G&A 19.6% vs. 19.9% a year ago), reflecting leverage from revenue growth and disciplined spending.
Technology and Productivity Initiatives
Caregiver app rolled out in Illinois, portions of New Mexico and Texas with early adoption (over 10% in Texas within days); expected benefits include improved service percentage, caregiver engagement and ability to pick up hours, supporting higher billable hours and utilization.
M&A Progress and Market Expansion
Closed acquisition of HomeCourt Home Care (Fort Wayne, IN) serving ~240 clients with ~$9.7M annual revenue; signed definitive agreement for an additional Indiana personal care acquisition; management sees larger acquisition opportunities and has capacity to pursue them given the strong balance sheet.