Revenue Growth
First quarter revenue of $1.6 billion, up 7% year-over-year.
Strong EBITDA and Margin Expansion
Adjusted EBITDA increased 26% year-over-year to $124 million; adjusted EBITDA margin expanded 110 basis points to 7.7%. Pre-NCI adjusted EBITDAR margin expanded 100 basis points to 11.5%. Excluding a $10.9 million pre-tax investment gain, adjusted EBITDA growth was 15%.
Volume and Service Line Performance
Adjusted admissions grew 2% (midpoint of 2026 guidance range of 1.5%–2.5%); total surgeries grew 1.2% y/y with outpatient surgery growth of 1.7%.
IMPACT Program Savings and Execution
IMPACT program on track to deliver $55 million in savings for 2026; program produced durable P&L benefits that began in Q4 2025 and continued in Q1 2026.
Labor and Contract Labor Improvements
Salaries, wages, and benefits expense per adjusted admission decreased 1.4% in Q1. Contract labor expense was reduced by over 40% to $15 million, with contract labor as a percent of SW&B improving from 3.8% (Q1 2025) to 2.2% (Q1 2026), a ~160 basis-point y/y improvement.
Supply Chain and Cost Controls
Supply expense per adjusted admission grew modestly at 1.7% while supply expense as a percent of revenue improved 50 basis points year-over-year, driven by vendor consolidation, renegotiated distribution contracts, and improved rebates.
Balance Sheet and Liquidity Strength
Ended Q1 with $610 million cash, $1.1 billion total debt, and $0.9 billion available liquidity. Total net leverage was 1.0x and lease-adjusted net leverage improved to 2.6x from 3.0x in Q1 2025.
Ambulatory and Access Expansion
Opened four urgent care centers (Texas, New Mexico, Idaho) in Q1 and plans for the rest of 2026 include 2 ASCs, 1 freestanding ED, and 1 urgent care to drive incremental volume and higher-margin growth.
Technology and Care Transformation Initiatives
Announced enterprise-wide AI-assisted virtual care partnership with hellocare.ai across 2,000+ patient rooms; virtual patient monitoring is already live and expected to support patient safety and labor efficiency as deployment completes by year-end.
Operational Metrics and Seasonality Management
Improved precision staffing led to Q1 SW&B growth of only 0.6% in the context of IMPACT; company successfully mitigated impacts from severe winter storms and a light flu season by rescheduling surgeries and adjusting labor.