Completed Strategic Divestiture
Sold Products & Healthcare Services (Owens & Minor) to Platinum Equity on December 31, 2025; received $342 million of net proceeds at closing with an expected additional $12–15 million of purchase price adjustments, enabling a leaner, higher-margin pure-play home-based care company and enabling immediate use of proceeds to reduce debt (including $66 million to settle PNHS-related AR securitization).
Full-Year Revenue Growth
2025 consolidated revenue was nearly $2.8 billion, up a little more than 3% year-over-year, driven by growth in sleep therapy, ostomy and urology categories.
Strong Sleep Category Performance
Sale of sleep supplies grew in the range of 8%–9% both for the fourth quarter and the full year 2025, driven by the 'Sleep Journey' initiative and recurring revenue capture.
Improved Cash Generation from Continuing Operations
Continuing operations generated $135 million of operating cash flow in Q4 2025 (company-wide Q4 operating cash flow $68 million including discontinued ops). For full-year 2025 continuing ops generated $154 million of cash from operations; free cash flow from continuing ops was $18 million in Q4 and $98 million for the year. Guidance midpoint targets at least $100 million of free cash flow for 2026.
Material Debt Reduction and Liquidity
Net debt at December 31, 2025 was $1.8 billion — down $315 million from September 30 and down $46 million year-over-year. Company ended year with ~$282 million of cash, ~ $220 million available under committed revolver and $16 million under amended AR securitization, and a stated long-range leverage target of 3x adjusted EBITDA.
2026 Adjusted EBITDA Guidance and Seasonal Improvement
Management guided 2026 adjusted EBITDA of $335 million to $355 million (midpoint ~$345 million) and expects ~60% of adjusted EBITDA to be realized in the second half of 2026 as cost takeouts ramp, replacement volumes build and stranded costs decline.
Operational & Technology Initiatives
Investments in automation (payer qualification automation), revenue cycle improvements and customer-facing technology (MyApria app launching Q2 2026, building on MyByram) aimed at improving collection rates, patient adherence and lowering cost to serve.