VITAS Admissions and ADC Growth
Admissions totaled 19,394 in Q1 2026, a 6.9% increase year-over-year. Average daily census (ADC) was 22,723, up 2.2% year-over-year, and full-year ADC growth guidance was raised to 4.5%–5.5% (from 3.5%–4%).
VITAS Revenue and Margin Strength
VITAS net revenue was $420.0 million in Q1 2026, up 3.1% versus prior year. Average revenue per day improved to $210.62 (+146 basis points). Adjusted EBITDA (excluding Medicare Cap) was $70.8 million (+0.6% YoY) with an adjusted EBITDA margin of 16.8%.
Improved Financial Position in Florida
VITAS added over $32.5 million to cap cushion in the Florida combined program in Q1 2026 and management stated the 2025 Florida cap issue is behind them; no Florida combined program cap limitation is anticipated for fiscal 2026.
Raised Full-Year Company Guidance
Company-wide revenue growth excluding Medicare Cap revised to 6.5%–7.5% (from 5.5%–6.5%). Revised adjusted EBITDA margin (ex-Cap) raised to 18.0%–18.5% (from 17.5%–18.5%). Updated full-year adjusted EPS guidance of $20.00–$24.75 (management said midpoint represents a 13% increase from 2025 adjusted EPS of $21.55).
Roto-Rooter Signs of Recovery in Core Residential Services
For the first time since Q4 2022, Roto-Rooter saw increases in residential plumbing and residential sewer & drain revenue in Q1 2026. Total leads rose 3.3% YoY and paid leads increased 18.7% YoY (paid leads comprised 53.4% of leads vs 46.5% prior year).
Operational Improvements and Strategic Acquisitions
Centralization of water restoration billing/collections improved write-offs by $1.5 million versus Q1 2025. Company repurchased two franchise territories (San Francisco and Fort Worth) for ~$20.6 million; these are expected to add $5.0–$5.5 million of revenue for the remainder of 2026 and are immediately accretive to earnings.