Strong Revenue Growth
Full-year 2025 reported revenue grew 18% (including acquisitions) with organic revenue growth of 13%; fourth-quarter revenue rose 17% year-over-year to $397.6M (12% organic in Q4).
Robust Adjusted EBITDA and Margin Expansion
Full-year adjusted EBITDA increased (management cited a 27% year-over-year increase with margins expanding ~50 bps to 7.9%); fourth-quarter adjusted EBITDA rose 53% year-over-year to $39.5M with a 9.9% margin.
Raised 2026 EBITDA Guidance
Company raised 2026 adjusted EBITDA guidance to $120M–$124M and maintained 2026 revenue guidance of $1.40B–$1.42B, signaling confidence in durable growth drivers and scalability.
Strong Volume and Resident Growth
Served over 205,000 residents (+10% year-over-year) and script volume increased 14% year-over-year, evidencing continued demand and operational scale.
Improved Gross Profit and Vaccine Economics
Gross profit rose 27% in Q4 to $85.5M and gross margin expanded to 21.5% from 19.8% a year ago; vaccine program contributed materially with >120,000 vaccines administered in Q3–Q4 and improved vaccine profitability (vaccine scripts +3% in Q4; 9% full-season increase).
Strong Cash Generation and Liquidity
Cash balance increased to $66M (from $5M at end of 2024), an approximate $60M increase for the year, with a reported cash conversion rate of ~60%, enabling M&A and greenfield investment.
Clinical and Economic Impact
Pharmacists performed over 100,000 clinical interventions benefiting ~74,000 residents; proactive insurance optimization produced an estimated $56M in resident cost savings, demonstrating measurable clinical and economic value.
Successful M&A and Greenfield Ramps
Three midyear acquisitions and several greenfield startups contributed to growth; Pacific Northwest acquisitions ramped faster than expected and began onboarding national accounts early, accelerating contributions.
Improved Operating Efficiency
Adjusted SG&A improved to 13% of revenue versus 13.7% a year ago, reflecting operating leverage and better labor efficiency as scale increased.