Strong Top-Line Growth
Q1 revenue of $368.3M, up 25% year-over-year (Q1 2025 $294M to Q1 2026 $368.3M). Company reaffirmed FY2026 revenue guidance of $1.55B–$1.65B (reported growth 11%–18%; normalized growth 16%–22% excluding Circle Medical deferrals).
Margin and Profitability Expansion
Adjusted EBITDA of $43.1M in Q1, up 56% year-over-year. Adjusted net income of $15.5M, roughly doubled versus prior year. Adjusted gross profit $163.2M, up 39% YoY, with adjusted gross margin increasing by 440 basis points to 44.3%.
Canadian Clinics—High Growth and Improving Margins
Canadian clinics revenue $130.3M in Q1 and on track to materially exceed $0.5B in 2026. Canadian clinics adjusted EBITDA $17.0M, up 28% YoY. Four-year revenue CAGR ~47% and adjusted EBITDA CAGR ~44%. Primary Care segment adjusted EBITDA margin improved to ~8% (up ~200 bps from 6.2% in Q1 2025).
Material Operational Scale and Productivity Improvements
System-wide patient visits 1.9M in Q1, up 17% YoY; Canadian patient visits ~1.3M (reported growth 31%–33% YoY). Billable providers in Canada 2,204, up 17% YoY. Visits per billable provider increased ~14% YoY to ~576 (from ~510), indicating productivity gains supported by AI and digital tooling.
Wellstar SaaS Momentum
Wellstar revenue $21.8M in Q1, up 27% YoY. Monthly recurring revenue (MRR) $6.4M, up 38% YoY. Wellstar adjusted EBITDA $4.9M, up 14% YoY (excl. $259k spinout-related costs adjusted EBITDA would be $5.2M, +20%).
Healwell Rapid Scale
Healwell revenue $33.2M in Q1, up 316% YoY, with positive adjusted EBITDA of $0.7M compared with a loss of $2.3M in Q1 2025, demonstrating significant margin recovery and customer traction (customers across 11 countries including NHS).
Product and AI-enabled Operational Wins
WELL transcribed and mobilized data for 195,000 fax images using AI in Q1; physicians reportedly save up to 10 hours/week using AI transcription. HealWELL screened >59,000 patient records for disease in Q1. Wellstar billing solutions surpassed $1B in annualized physician pay run rate. NPS ~80 in 2025.
Strategic Platforms and Initiatives Launched
Launched WELL Health Intelligence Platform (WIP) to unify data/AI and accelerate AI deployment and cost optimization; launched WELL Research to consolidate clinical research assets and pivot BPSI toward higher-margin Phase I trials with a target of profitability by end of 2026; consolidated cybersecurity assets into CyberWell with AI-enabled Score Fusion platform and plan to bring in third-party capital partners.
Balance Sheet and Liquidity Enhancements
Cash & equivalents $134M. Expanded and extended senior secured credit facility to CAD 400M with a $100M accordion and maturities extended to Jan 2030, doubling prior capacity and supporting M&A pipeline. Continued NCIB buybacks (177,600 shares repurchased in Q1).
Large M&A Pipeline and Clear Capital Allocation
Pipeline includes >$440M in annual revenue targets across >50 targets and 125+ clinics (WELL Canada: ~$265M revenue under LOI/advanced stage). Management reiterated focused capital allocation toward Canadian clinics and strategic alternatives for non-core assets (Wellstar spinout, U.S. asset review, CyberWell partners).