Strong Top-Line Growth
Total company revenue of $3.6 billion in Q1 2026, up 26% year-over-year. Pharmacy Solutions revenue $3.2 billion (+25% YoY) and Provider Services revenue $442 million (+28% YoY).
Robust Profitability and Margin Expansion
Adjusted EBITDA of $190 million in Q1, up 45% year-over-year, with an adjusted EBITDA margin of 5.3% (improvement of ~70 basis points YoY). Adjusted EPS of $0.39.
Pharmacy Specialty & Infusion Momentum
Specialty & Infusion revenue of $2.6 billion (+36% YoY). Specialty & Infusion scripts grew ~30% YoY (specialty higher; infusion mid‑teens). Pharmacy Solutions gross profit $301 million (+48% YoY) and adjusted EBITDA $169 million (+46% YoY). Key operating metrics: medication possession ratio 92.1% and time-to-first-fill 4.6 days.
Provider Services Strength and Successful Integrations
Provider Services gross profit $181 million (+35% YoY) and adjusted EBITDA $66 million (+29% YoY) with a 14.9% adjusted EBITDA margin (up ~10 bps). Home Health revenue $266 million (+49% YoY); acquired Amedisys and LHC branches contributed ~$79 million of revenue and ~$9 million of adjusted EBITDA in Q1, with management expecting ~ $30 million of EBITDA contribution in year 1 from integration.
Operational and Quality Excellence
High quality metrics across services: Home Health >91% of branches are 4+ stars; timely initiation of care >99%; 65 Home Health locations named Best Home Health. Infusion patient satisfaction 94%; 97% of discharges due to therapy completion. Home & Community dispensing accuracy 99.99%, order completeness 99%, on-time delivery 96%.
Cash Generation and Balance Sheet Improvement
Operating cash flow of $123 million in Q1 (excluding Community Living fees). Completed sale of Community Living for ~$835M gross ($811M net proceeds before tax) to be used for debt paydown and liquidity. Net debt ~ $1.7 billion and leverage improved to 2.27x (from 2.99x at year-end 2025); pro forma leverage ~2.40x when factoring expected Q2 taxes.
2026 Guidance and Forward Outlook
Full-year 2026 revenue guidance $14.725B–$15.225B (≈14.1%–17.9% growth ex-Community Living) and total adjusted EBITDA guidance $795M–$825M (≈28.7%–33.6% growth ex-Community Living). Company expects ~ $500M of annual operating cash flow (ex-Community Living).