Pediatrix Medical Group (MD) Q2 2025 Earnings Call August 05, 2025 09:00 AM ET Speaker0Ladies and gentlemen, thank you for standing by and welcome to the Pediatrics Medical Group's Q2 twenty twenty five Earnings Conference Call. At this time, all participants are in listen only mode. Later, we will conduct a question and answer session. And as a reminder, this conference is being recorded. I would now like to turn the conference over to Mary Anne Moore, EVP, General Counsel and Chief Administrative Officer. ...

Financial Data and Key Metrics Changes - The first quarter results exceeded expectations, driven by same unit revenue growth of over 6% and NICU days increasing by 2% [3][4] - Adjusted EBITDA was just over $49 million, significantly above expectations, leading to an increase in the full year 2025 adjusted EBITDA outlook from $215 million - $235 million to $220 million - $240 million [4][12] - Consolidated revenue decreased by just over 7%, primarily due to non-same unit activity declining by about $63 million, partially offset by strong same unit growth [8][9] - Practice level operating expenses reflected favorable impacts from cost management initiatives, with salary growth decelerating significantly year over year [4][9] Business Line Data and Key Metrics Changes - Strong volumes in hospital-based services contributed to the overall growth, with NICU days increasing by 2% and modest growth in maternal fetal medicine [3][4] - Same unit pricing was up over 4.6%, driven by favorable payer mix shifts and modest improvement in contract administrative fees [8][9] - Practice level SW and B expenses declined year over year, although increased on a same unit basis due to higher incentive compensation and salary increases [9][10] Market Data and Key Metrics Changes - The accounts receivable DSO was just under 48 days, flat compared to the previous quarter but down over four days year over year, indicating improved cash collections [11][12] - The company ended the quarter with cash of $99 million and net debt of $512 million, reflecting net leverage of just over 2.2 times using the midpoint of the updated adjusted EBITDA outlook for 2025 [11][12] Company Strategy and Development Direction - The company is focused on methodically reinvigorating relationships with hospital and health system partners and aims to be the employer of choice for clinicians [5][6] - The strategic focus is on core areas such as neonatology and maternal fetal medicine, with plans to acquire several NICU, MFM, and OB Hospitalist operations [5][6][43] - The management emphasizes the importance of being a reliable partner for hospitals, which is expected to drive growth opportunities [35][36] Management's Comments on Operating Environment and Future Outlook - Management remains cautious about the uncertain healthcare environment and economy, which influences their conservative guidance [16][19] - The company is actively monitoring changes in the economy and potential impacts on family expansion decisions, but does not see specific concerns at this time [17][18] - The management is confident in the company's ability to navigate challenges and believes that their strong balance sheet will provide opportunities for acquisitions [44][46] Other Important Information - Depreciation and amortization expense declined to $5.3 million compared to $10.3 million in the prior year, primarily due to practice dispositions [10] - Interest income on cash balances contributed to strong performance in investments and other income, which is expected to remain favorable [48] Q&A Session Summary Question: Updated thoughts on guidance - Management stated that initial guidance was conservative due to uncertainty, but first quarter results exceeded expectations, prompting an upward revision [16] Question: Concerns regarding economic conditions - Management noted that there are many changes in the economy and administration, leading to a more difficult economic environment [18][19] Question: Hospital contracted subsidies - Subsidies have always been part of the business and continue to be a normal aspect of partnerships with hospitals [24][25] Question: Seasonality expectations - Management does not foresee any changes in seasonality for 2025 and is not concerned about changes affecting the numbers [27][28] Question: Collections and DSO - Management indicated that there are no concerns regarding DSO or accounts receivable, and collections are improving [29][30] Question: Potential hospital contract wins - Management believes that focusing on strong partnerships and reliability will lead to growth opportunities in hospital contracts [35][36] Question: Update on divestitures and acquisitions - Management is comfortable with the current portfolio and sees favorable conditions for acquisitions, indicating potential opportunities in the market [43][44]