Quarterly Revenue Growth
Consolidated Q4 2025 revenue of $267.7M, up 7.9% year-over-year; full year 2025 consolidated revenue of $1.023B, up 7.8% vs. 2024.
Strong Adjusted EBITDA and Margin Expansion
Q4 adjusted EBITDA of $63.8M, an 18.6% increase YoY, and adjusted EBITDA margin of 23.8% (up 150 bps YoY); full year adjusted EBITDA $230.2M, up 14.6% with a 22.5% margin.
Volume and Mix Momentum in Advanced Imaging
Completed 1.4M advanced imaging exams system-wide in Q4, up 7.7% YoY; advanced imaging growth reported ~8% same-center and ~7.1% consolidated/system-wide. PET volumes increased in the mid-teens for the full year, contributing to higher acuity mix and rates.
Balance Sheet Strengthening via IPO and Deleveraging
Used $406M net IPO proceeds to pay down debt, reducing leverage by ~2 turns to 3.5x in December; cash on hand of $58.8M (vs. $26.1M at end of 2024); credit ratings improved to S&P B+ and Moody's B2; anticipated annual interest cash savings of >$50M.
Record New Center Openings and Growth Cadence
Opened a company-record nine de novo centers in 2025; typical de novo breakeven in ~1 year; plan to open 8–10 de novos annually with good line of sight to 2026 targets and expectation of second-half weighting.
Technology & Efficiency Gains (FastScan, Virtual Cockpit, AI)
FastScan rollout increased schedule throughput by nearly 40% where implemented; ~50% adoption of FastScan across fleet by year-end 2025 with target ~66% adoption by end of 2026. Partnership with Ferrum Health to accelerate deployment of FDA-cleared AI apps; virtual cockpit tech to reduce downtime and flex staffing.
Commercial Wins and Strategic Partnerships
Entered a JV with University of Pittsburgh Medical Center (expanding footprint to 14 states), completed a small tuck-in acquisition in North Carolina, and achieved a return-to-network with a large payer in New Jersey that materially helped Q4 revenue.
Patient Experience and Retention
High patient Net Promoter Scores consistently over 90; mammography screening retention strong with ~85% of screening volume from returning patients and successful initiatives to increase annual compliance.
2026 Guidance and EPS Outlook
Maintained 2026 revenue guidance of $1.045B–$1.097B and adjusted EBITDA guidance of $234M–$242M (includes ~$7M of public company costs); introduced adjusted EPS guidance of $0.71–$0.77 for 2026.