Financial Data and Key Metrics Changes - The company reported revenue of $333 million, representing an 11% year-over-year growth driven by better-than-expected clinician productivity and total revenue per visit [18][21] - Adjusted EBITDA was $35 million, increasing 25% year-over-year, with adjusted EBITDA margins at 10.4%, marking the second consecutive quarter of double-digit margins [21][22] - The company achieved positive net income of $700,000 for the first quarter, the first positive net income in its history as a public company [22] Business Line Data and Key Metrics Changes - The clinician base grew by 152 clinicians or 10% year-over-year, totaling 7,535 clinicians [18][21] - Total revenue per visit increased by 1% year-over-year to $159, primarily due to modest payer rate increases [20] - Center margin increased by 16% year-over-year to $110 million, representing 33% of revenue [21] Market Data and Key Metrics Changes - The company noted that 71% of visits were virtual, stable from the previous quarter but lower than the same quarter last year [63] - The company has contracts with nearly all major payers in the country, with limited exposure to exchange and managed Medicaid, accounting for about 5% to 10% of total revenue [57] Company Strategy and Development Direction - The company aims to enhance its position in outpatient mental healthcare, focusing on increasing demand for mental health services and transitioning from cash pay to insurance [9][10] - The company is implementing a cash bonus incentive program for clinicians based on quality and productivity, replacing the previous stock-based incentive program [12][26] - The company is expanding specialty services, particularly in neuropsych testing and treatment-resistant depression, expecting this segment to grow at a higher rate than the core business [60] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's resilience to economic cycles, suggesting that economic uncertainty could increase demand for mental healthcare services [8][9] - The company maintains its full-year guidance for revenue between $1.4 billion and $1.44 billion, with expectations for continued growth in visit volumes [24][25] - Management acknowledged the potential impact of a recession but emphasized the flexibility of their insurance-based model to navigate economic challenges [40] Other Important Information - The company has made progress in operational execution, including the rollout of a digital patient check-in tool that has improved patient satisfaction and collections [13][51] - The company is evaluating options for enhancing its electronic health record (EHR) capabilities, with a focus on improving clinician and patient experiences [48] Q&A Session Summary Question: Can you discuss clinician recruitment and retention? - Management noted that the environment remains competitive for attracting and retaining clinicians, but the company's value proposition continues to resonate, leading to stable turnover and retention rates [31][32] Question: What are the expectations for total revenue per visit? - Management expects total revenue per visit to be sequentially lower in Q2 due to a rate decrease from a single outlier payer, but anticipates growth in the back half of the year driven by rate increases from other payers [34][35] Question: How does the company plan to navigate a potential recession? - Management indicated that the company's hybrid model allows for flexibility in responding to economic changes, potentially increasing demand for services during economic downturns [40] Question: What are the drivers behind the center cost leverage? - Management explained that while center costs are expected to increase due to clinician compensation timing, they anticipate continued operating leverage and improvements in center margins in the future [42][44] Question: Can you provide an update on the EHR rollout? - Management stated that it is early in the EHR discovery process, focusing on improving clinician and patient experiences, but specific costs and timelines are not yet available [48] Question: How will changes in stock compensation affect retention and recruitment? - Management emphasized that the shift to a cash-based incentive program was driven by clinician feedback, aiming to better align with their preferences for quality and access [54] Question: What is the company's exposure to exchange plans? - Management confirmed that they have contracts with major payers, including exchange plans, but currently have limited exposure to them, accounting for about 5% to 10% of total revenue [57] Question: How is the company rolling out specialty services? - Management expressed excitement about expanding specialty services, particularly in neuropsych testing and treatment-resistant depression, expecting this segment to grow significantly [60]