Strong Adjusted EBITDA and Record Full Year
Q4 adjusted EBITDA of $66,000,000 (in line with upward guidance); full-year 2025 adjusted EBITDA of $276,000,000 (record practice bonuses noted). 2026 adjusted EBITDA guidance of $280,000,000 to $300,000,000 (midpoint ~5% above 2025).
Solid Same-Unit Pricing and Same-Unit Growth
Same-unit revenue grew ~4% year-over-year with same-unit pricing up just under 7%, driven by improved RCM cash collections, favorable payer mix, increased acuity (notably in neonatology), and higher contract administrative fees.
Healthy Balance Sheet and Liquidity
Ended quarter with $375,000,000 in cash and net debt just over $220,000,000, implying net leverage just under 1x. The company generated $115,000,000 in operating cash flow in Q4 and remains well-capitalized for investment.
Share Repurchase and Capital Deployment
Deployed $64,000,000 in the quarter to repurchase 2,900,000 shares, leaving ~83,000,000 shares outstanding. Company expects to remain opportunistic on buybacks, but guidance assumes a smaller repurchase program in 2026.
Physician Alignment and Talent Initiatives
Introduced multi-year stock price tracking element for physician cash bonuses (500+ physicians participating) and launched 'Pediatrix Partners' with 46 physician leaders receiving stock tracking grants to support quality, hospital relations, recruiting, retention and growth.
Improved AR and Cash Collections
Accounts receivable DSO improved to 42.8 days at year-end (down almost five days year-over-year), reflecting better cash collections after revenue cycle management transition efforts.
Clear Strategic Growth Opportunities
Management highlighted organic and capability-driven growth opportunities including telemedicine expansion, additional NICU and maternal-fetal medicine capacity, and scaling OB hospital medicine leveraging existing NICU/hospital relationships.