Revenue Growth Excluding Migrant Programs
Reported Q1 2026 revenue of $75.6M (vs. $96.0M in Q1 2025). The year‑over‑year decline was driven by wind‑down of migrant projects; removing migrant revenues, Q1 revenue increased ~24% YoY. After adjusting for both migrant revenues (2025) and SteadyMD (2026), underlying revenues still rose ~8% YoY.
Raised Full‑Year Revenue Guidance
Management increased 2026 revenue guidance to roughly $300M–$315M (Norm referenced $310M–$315M), representing approximately 19%–25% growth over 2025 base revenues and a midpoint increase of about $12M versus prior guidance; SteadyMD accounted for an estimated $8M–$9M of the guidance uplift.
SteadyMD Accelerated Growth
SteadyMD generated approximately $9.0M–$9.5M in Q1 revenue (beat Q4 by ~ $1M), completed ~1.1M visits and lab orders in the period (visits/orders up 38% YoY), and is running at an annualized pace near $35M–$36M if maintained; new contract wins (e.g., online pharmacy for weight‑loss prescribing) expand pipeline.
Record Volumes Across Business Lines
Management reported record volumes in Q1 with U.S. medical transportation +17% YoY, health care in the home +46% YoY, mobile phlebotomy +8% YoY, cardiac & remote patient monitoring +13% YoY, and virtual care & lab orders +37% YoY.
Mobile Phlebotomy & Home Health Momentum
Mobile phlebotomy projected to grow as much as 75% in 2026; daily home visits targeted to rise from ~600/day to ~900/day by end of 2026. New territorial expansion into Upstate NY, Pennsylvania and planned Florida launch; integration work with a national lab and AI automation planned to improve margins.
Care Gap / PCP Expansion and Outcomes
Surpassed 1.6M lives assigned for care gap services since inception; visits completed increased 46% YoY. Began onboarding PCP/longitudinal care with a panel of over 1,000 patients (majority enrolled in Q1); management targets this business line to break even in late 2026 and reported >50% readmission reduction for longitudinal care patients.
Medical Transportation Renewals and International Win
Transport revenues were the highest quarterly in company history at $51.9M (up from $50.8M). Secured renewals with major NY hospital systems, new contracts in Tennessee and Wisconsin, and a new nonemergency patient transport contract with Great Western Hospitals NHS Foundation Trust (UK).
Operating Cost Improvements Beginning to Show
Adjusted operating expenses (excluding depreciation, stock‑based comp and nonrecurring items) declined from $35.7M in Q4 2025 to $34.1M in Q1 2026. Management expects further sequential SG&A declines and the bulk of identified cost‑savings to flow through by Q3 2026.