Revenue Resilience Despite IRA Impact
Reported revenue of $336.6 million for Q1 2026, up 2% year-over-year. Management estimates that absent the government-mandated IRA price declines revenues would have grown by low double digits year-over-year.
Strong Gross Profit Performance
Gross profit of $76.0 million, up 19% year-over-year (up 14% excluding a $3 million discrete benefit). Reported gross margin was 22.7% (22.0% excluding the $3 million benefit), reflecting successful mitigation actions with payors.
Adjusted EBITDA Growth and Guidance Raise
Adjusted EBITDA of $29.8 million, up 27% year-over-year with an adjusted EBITDA margin of 8.8% (14% growth and 8.0% margin excluding the $3 million discrete benefit). Company updated full-year adjusted EBITDA guidance to $123 million–$127 million (up from $120 million–$124 million) to reflect the $3 million pass-through benefit; revenue guidance remains $1.40 billion–$1.42 billion.
Healthy Volume Trends
Total residents increased ~10% year-over-year to ~207,000 at quarter end; script volumes also increased ~10% year-over-year, supporting organic growth and enrollment dynamics (assisted living ~70% of mix).
Balance Sheet and Cash Position
Cash of $65 million at quarter end (essentially flat vs. year-end), minimal debt, strong operating cash flow covering Q1 seasonal items and a temporary working capital shift related to IRA. Company remains focused on M&A and greenfield investments as capital priorities.
Successful Operational Transition Under IRA
Company completed first full quarter operating under the IRA framework, navigated new transaction/process complexities (including Medicare Transaction Facilitator flows and varied manufacturer data formats), maintained service levels and customer relationships, and asserted ability to forecast and execute in the new environment.
Nondilutive Secondary Offering Completed
Completed a secondary offering of 6.9 million Class A shares (including full overallotment) at $31 per share, enhancing liquidity and broadening the investor base while fully utilizing prior S-3 capacity; new shelf registration filed for flexibility.
Tax and EPS Metrics
Effective tax rate of 26% (in line with expectations) and adjusted EPS of $0.29 for the quarter.