Strong Top-Line Growth
Revenue grew 21% year-over-year to $403M in Q1 2026, driven by higher visit volumes and better-than-expected total revenue per visit.
Significant Adjusted EBITDA Expansion
Adjusted EBITDA increased 48% year-over-year to $51M in Q1 2026, with an adjusted EBITDA margin of 12.7% for the quarter and a raised full-year adjusted EBITDA guidance of $200M–$220M (midpoint implying 12.7% margin and >150 bps margin expansion YoY).
Visit and Clinician Productivity Gains
Visit volumes rose 18% to 2.5M; visits per average clinician increased 7% YoY for the second consecutive quarter, reflecting sustained productivity initiatives.
Clinician Base Expansion
Net clinician adds of 309 in the quarter brought the clinician base to 8,349 (11% growth YoY), supporting capacity and network scale.
Center Margin and Profitability Improvements
Center Margin grew 24% to $136M and represented 33.7% of revenue, benefiting from rate, operating leverage from volume and favorable center spending.
Improved Net Income and Cash Generation
Net income was positive $14M vs $1M a year ago; free cash flow of $22M improved by $32M YoY. Cash balance ended at $195M with net long-term debt $263M and net leverage 0.5x (gross leverage 1.6x).
Raised Full-Year Guidance and Long-Term Targets
Raised 2026 revenue range midpoint to $1.66B (implying ~17% growth), raised Center Margin and adjusted EBITDA guidance, and reaffirmed mid-teens annual revenue growth longer-term and mid-teens adjusted EBITDA margins by 2028.
Clinical Outcomes and Patient Satisfaction
Published outcomes from ~180,000 patients showing roughly 75% experienced clinically significant improvements in anxiety and depression; patient satisfaction strong with a >4.7/5 Google rating across ~575 centers.
Technology & AI Adoption Driving Operational Improvements
Deployment of digital and AI tools (digital check-in, AI-driven workflows, AI-assisted documentation, AI scheduling) and rollout of Care Matching 2.0 improved inbound-to-booking conversion by ~5%; selected a new EHR vendor with implementation planning starting this year and transition in 2027.
Geographic Expansion and Specialty Service Growth
Opened 6 centers and completed 2 tuck-in acquisitions in Q1; company plans 20–30 new centers in 2026. Specialty revenue expected to grow from ~$50M last year to ~$70M in 2026 (~40% YoY), driven by TMS and Spravato expansion.
Capital Allocation and Share Repurchase Activity
Board authorized $100M share repurchase program; $49M deployed in Q1, reflecting confidence in cash generation and capital allocation priorities.