Revenue Growth
Full year 2025 net revenue of $5.6 billion, up 13% year-over-year; 2026 revenue guidance reaffirmed at $5.8B–$6.0B (midpoint ~4% growth) despite known headwinds.
Patient Volume and Clinical Activity
Served over 315,000 unique patients in 2025 and completed over 2.5 million infusion events; pro forma infusion clinic visits (Intramed Plus) grew >25% year-over-year in Q4; 34% of nursing visits occurred in infusion suites/clinics.
Profitability and Margin Performance
Gross profit dollars grew 7.4% in 2025; adjusted EBITDA of $471 million (+6% YoY) with an EBITDA margin of 8.3%; adjusted diluted EPS $1.72, up 9% YoY.
Operating Efficiency and SG&A Leverage
SG&A as a percent of sales declined 50 basis points to 12.1%, driven by efficiency initiatives and operational leverage.
Cash and Balance Sheet Actions
Generated $258 million in operating cash flow in 2025 and finished the year with net debt leverage of 2.0x; repurchased >$300 million of shares in 2025 and Board expanded buyback authorization by $500 million.
Technology and Automation Gains
Invested in technology and AI: ~40% of claims are processed without human intervention, and automation is used for invoice processing and cash posting to improve productivity and reduce labor needs.
Network and Capacity Expansion
Opened infusion suites and pharmacies, added >80 infusion chairs in 2025, and expanded ambulatory infusion clinic capabilities (25+ centers with advanced practitioner capabilities).
Pharma Partnerships and Formulary Expansion
Operates >20 enhanced programs with pharma manufacturers, added earlier clinical trial support and data programs; added 5 new programs with regional plans and 2 with nontraditional conveners in 2025; pipeline of infused/injectable drugs for complex patients.
M&A and Integration Success
Acquired Intramed Plus in 2025; the business outperformed initial expectations and contributed to clinic visit growth and synergies.
2026 Financial Targets
Reaffirmed 2026 guidance: adjusted EBITDA $480M–$505M, adjusted diluted EPS $1.82–$1.92, operating cash flow >$340M (projected >30% increase over 2025), net interest ~$50M–$55M, tax rate 26%–28%.