Strong Adjusted EBITDA and Reaffirmed Guidance
Q1 adjusted EBITDA of $58 million; management reaffirmed full-year adjusted EBITDA outlook of $280 million to $300 million (midpoint $290 million). Q1 represented roughly 20% of the annual midpoint.
Top-Line Growth Driven by Pricing and Same-Unit Growth
Consolidated revenue growth driven by same-unit growth just under 3% and ~$6 million of net non-same-unit activity (acquisitions and organic growth). Pricing grew ~4% in the quarter, driven by improved RCM cash collections, contract administrative fees, favorable payer mix, and higher neonatology acuity.
Improved Receivables and Cash Position
Accounts receivable DSO improved to 42.5 days (down over five days year over year). Ended the quarter with just over $200 million cash and net debt just over $385 million, reflecting net leverage of just over 1.3x using the midpoint of 2026 adjusted EBITDA guidance.
Successful Capital Deployment and Share Repurchase
Deployed $21 million of capital in the quarter to repurchase 1 million shares, leaving 82 million shares outstanding; recent small acquisitions have performed better than initial projections.
Operational Discipline on Interest Expense and Nonoperating Costs
Other nonoperating expense decreased year over year, driven by lower interest expense from modestly lower average borrowings and slightly lower rates.
Strategic Quality and Leadership Investments
Announced two senior hires in quality: Dr. Jim Barry (Chief Clinical Quality and Transformation Officer) and Dr. Jochen Proffitt (Chief Quality Advisor). Rolled out share price–based awards and welcomed 45 clinician leaders to the inaugural Pediatrix partners class to enhance alignment and retention.
Opportunities to Expand Core and Emerging Services
Management highlighted expansion opportunities across neonatology, maternal-fetal medicine, OB hospitalist, pediatric intensive care, teleservices, and obstetrics leveraging the company’s footprint, data, and remote capabilities.