Quarterly Financial Performance in Line with Expectations
Net revenue of approximately $811 million; adjusted EBITDA of approximately $102 million (12.6% adjusted EBITDA margin); same‑facility net revenue growth of 4.4%; operating cash flow of ~$12 million (vs ~$6 million prior year).
Strong Musculoskeletal Momentum and Robotics Adoption
Total joints performed in ASCs grew 14.6% year‑over‑year; company operates 73 surgical robots across the portfolio supporting higher‑acuity cases and driving acuity mix improvement.
Physician Recruitment and De Novo Growth
Recruited ~140 physicians in Q1 with concentration in orthopedics, ophthalmology and GI; opened 1 de novo in the quarter and 9 de novos over the trailing 12 months, with additional de novos (5 expected later this year and 7 in pipeline) supporting attractive returns on capital.
Sequential Cost Management Progress
Supply expense improved to ~27.2% of net revenue and SWB improved to ~30.5% of revenue versus prior year; management cited sequential improvements in labor and supply cost metrics and ongoing cost containment initiatives to drive margin expansion.
Reiterated Full‑Year Guidance and Capital Discipline
Reiterated FY2026 revenue guidance of $3.35B–$3.45B and adjusted EBITDA guidance of at least $530M; discipline on share repurchases and targeted ~$200M annual M&A deployment (pipeline active); net leverage under credit agreement ~4.3x with plan for gradual deleveraging.