Revenue Growth and Scale
Consolidated revenues of $253 million, up 3% year-over-year, and system-wide revenue growth of 4% for the quarter, driven approximately two-thirds by volume and one-third by rate.
Strong Advanced Modality Performance
Advanced modalities grew 7% year-over-year system-wide and consolidated, with PET up 23.1% year-over-year and MRI up 8.2% year-over-year; advanced scans comprised 37.4% of total volume, a 160 basis point improvement versus Q1 2025.
Profitability Improvement and EPS
Pretax income improved to $3 million from a pretax loss of $4 million in Q1 2025; net income was $2 million versus a net loss of $8 million prior year. GAAP EPS was $0.02 and adjusted EPS was $0.18.
Adjusted EBITDA Resilience
Adjusted EBITDA was $51.2 million, essentially flat versus $51.1 million a year ago, with an adjusted EBITDA margin of 20.3% and management reiterating full-year adjusted EBITDA guidance of $234 million to $242 million.
Improved Cash Flow Profile
Cash flows from operating activities were $3 million, a $17 million improvement year-over-year, and free cash flow was negative $2 million, a $13 million improvement versus prior year; interest expense run rate fell by about $14 million versus Q1 2025 after IPO debt paydown.
Disciplined Capital Deployment and Guidance
Q1 CapEx of $5 million with expected quarterly CapEx of $5 million to $7 million (mid-to-upper $20s full year). Full-year revenue guidance of $1.045 billion to $1.097 billion and adjusted EPS guidance of $0.71 to $0.77 reaffirmed.
Growth via De Novos, JVs and M&A
Opened 4 new centers (2 tuck-in acquisitions and 2 de novos) in Q1, completed first IDTF acquisition in Pennsylvania as part of the UPMC JV, and have 15 centers opened since late 2024 that are ramping; company targeting 8 to 10 de novos annually.
Technology and Operational Enhancements
FastScan deployment driving MRI productivity; beginning the year at 51% MRI fleet adoption and targeting roughly 66-67% by year-end. Virtual cockpit remote MRI scanning and AI-enabled offerings (breast arterial calcification) expanding strategic service lines and efficiency.