Strong Revenue Growth
Full-year 2025 revenue of $1,424,000,000, up 14% year-over-year; Q4 2025 revenue of $382,000,000, up 17% year-over-year and modestly ahead of expectations.
Visit and Utilization Expansion
Nearly 9,000,000 visits in 2025 with Q4 visits of 2,400,000 (up 18% year-over-year). Visits per average clinician increased 7% year-over-year, reflecting productivity gains.
Clinician Growth and Scale
Net clinician adds of 657 in 2025, bringing the clinician base to 8,040 (9% year-over-year growth); Q4 net adds of 44. Clinician network delivered care to over 1,000,000 patients in 2025.
Record Profitability and Margin Expansion
Adjusted EBITDA for full-year 2025 of $158,000,000 (up 32% year-over-year) with margin of 11.1% (up 150 basis points). Q4 adjusted EBITDA of $49,000,000 (up 49% year-over-year) with a record Q4 margin of 12.8%, the highest as a public company.
Positive Net Income and EPS Milestone
Achieved positive net income and earnings per share for the full year 2025, reached one year ahead of prior expectations.
Strong Cash Generation and Balance Sheet
Free cash flow of $110,000,000 for full-year 2025 (exceeding expectations; up from $86,000,000 in 2024). Q4 free cash flow of $47,000,000. Cash balance of $249,000,000, net long-term debt of $266,000,000, undrawn revolver of $100,000,000, and net/gross leverage of 0.2x/1.8x.
Capital Deployment Optionality
Board authorized a $100,000,000 share repurchase program funded with cash on hand; M&A remains a priority with disciplined focus on smaller tuck-ins for geographic expansion (no material M&A included in 2026 guidance).
Technology and AI-Enabled Operational Gains
Targeted digital and AI solutions improved new patient booking conversion by ~5% (AI-assisted phone booking) and reduced clinician administrative burden via AI-assisted documentation pilots, contributing to productivity and revenue cycle improvements.
Clear 2026 Guidance and Long-Term Targets
2026 guidance: revenue $1.615B–$1.655B; center margin $526M–$550M; adjusted EBITDA $185M–$205M (midpoint margin ~11.9%). Company expects continued mid-teens revenue growth longer term and mid-teens adjusted EBITDA margins by fiscal 2028.
Specialty Services Growth Opportunity
Targeting ~$70,000,000 revenue from specialty services in 2026 (up ~40% from prior ~$50,000,000), driven by SPRAVATO and TMS, leveraging existing centers with low capital intensity.