Financial Data and Key Metrics Changes - Total company revenue was $572.8 million in Q3 2025, representing a 17% year-over-year growth compared to $489.6 million in Q3 2024 [3] - Adjusted EBITDA was $118.9 million in Q3 2025, a 17.1% increase from $101.6 million in the same quarter prior year [7] - Adjusted net income attributable to the company was $49.9 million, with adjusted earnings per share of $0.39, compared to $44.3 million and $0.37 in the prior year [8] Business Line Data and Key Metrics Changes - In the Occupational Health operating segment, total revenue was $526 million in Q3 2025, a 13.6% increase from the prior year [9] - Workers' compensation revenue was $343.5 million, up 15% year-over-year, with visits per day increasing 9.8% [9] - Employer services revenue increased by 11.9% to $173.2 million, with visits per day up 8.9% [9] Market Data and Key Metrics Changes - Total patient visits increased 9.2% in the quarter to more than 55,500 visits per day [3] - Workers' compensation visits per day increased 9.8%, while employer services visit volumes increased 8.9% relative to the prior year [4] - The company noted a strong correlation between workers' compensation volume and employment levels reported by the BLS, although recent data showed a lack of correlation [5] Company Strategy and Development Direction - The company finalized the integration and rebranding of the Nova Occupational Health Centers and opened additional centers, with plans for more by year-end [2] - The focus is on organic growth and capturing market share, particularly in the on-site health clinics segment, which reported a 123.8% revenue increase due to the acquisition of Pivot OnSite Innovations [11] - The company is shifting back to its core acquisition strategy after integrating Nova and Pivot, targeting smaller practices with one to five occupational health centers [19] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, indicating no significant headwinds or obstacles anticipated for 2026 [33] - The company is focused on leveraging technology to improve customer engagement and operational efficiencies, which is seen as a competitive advantage [49][50] - Management expects a strong rate year in California and anticipates similar rate increases for employer services in line with inflation [66] Other Important Information - The company ended the quarter with a total debt balance of $1.61 billion and a cash balance of $50 million, with a net leverage ratio of 3.6x [17] - A cash dividend of $0.0625 per share was declared, payable on December 9, 2025 [21] - The company raised the low end of its 2025 revenue guidance from $2.13 billion to $2.145 billion [22] Q&A Session Summary Question: Any major headwinds or tailwinds for 2026? - Management sees no significant headwinds and remains bullish about the upcoming year [33] Question: What is driving the improvement in employer services volume? - The company has implemented various sales and marketing strategies, leveraging technology to enhance customer engagement and retention [37] Question: Can you elaborate on the decoupling of workers' comp visit volume from BLS data? - Management noted a lack of correlation over the past two years, which was previously strong, and is uncertain about the factors driving this change [46] Question: How stable is the labor force and cost environment? - The company reported stability in labor force statistics and turnover rates, with no significant changes in costs [54] Question: What are the rate expectations for 2026? - Management expects a strong rate year for workers' comp, particularly in California, and normal rate increases for employer services in line with inflation [66]

Financial Data and Key Metrics Changes - Revenue for Q1 2025 was $500.8 million, a 7.1% increase from $467.6 million in Q1 2024, representing an 8.9% growth rate on a revenue per day basis [8][12] - Adjusted EBITDA was $102.7 million, up 6.8% from $96.1 million in the same quarter last year, with a slight decrease in adjusted EBITDA margin from 20.6% to 20.5% [8][19] - Net income was $40.6 million, lower than the same quarter last year primarily due to increased interest expenses and transaction costs related to acquisitions [10][19] Business Line Data and Key Metrics Changes - Total patient visits per day increased 3.2% year over year to 50,900, with a 0.6% increase to 49,600 when excluding the Nova acquisition [5][12] - Workers' compensation revenue was $302.1 million, an 8% increase year over year, with visits per day up 2.4% [13] - Employer services revenue increased 6.2% to $160.1 million, with visits per day up 3.9%, marking a turnaround from previous declines [14][19] Market Data and Key Metrics Changes - The company reported strong growth in both workers' compensation and employer services, indicating a positive trend in visit volumes across all service lines [6][10] - The acquisition of Nova Medical Centers contributed positively to the company's performance, although it only accounted for one month of results in Q1 [4][10] Company Strategy and Development Direction - The company is focused on corporate development, having recently completed several acquisitions, including Nova and Physician Health Center, and is set to close the Pivot On-site acquisition [7][25] - The strategy includes expanding the on-site health clinics business, which is expected to double revenue in that segment and enhance overall service offerings [24][25] - The company aims to maintain a leverage ratio of approximately 3.5 times by the end of 2025 and is committed to deleveraging while focusing on organic growth initiatives [26][27] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the current macroeconomic environment, noting no observed impact on visit volumes despite broader economic uncertainties [28][29] - The company is well-positioned to handle potential economic slowdowns, leveraging its history of managing costs effectively during downturns [31][32] - Future growth is anticipated from potential increases in manufacturing jobs due to reshoring efforts, which could drive visit growth at the company's centers [30][32] Other Important Information - The company declared a cash dividend of $0.0625 per share, payable on May 29, 2025 [22] - The company ended Q1 2025 with a total debt balance of $1.6 billion and a cash balance of $52 million, with a net leverage ratio of 3.9 times [21] Q&A Session Summary Question: Discussion on Employer Services volumes and turnaround - Management noted that the turnaround in employer services was aided by improved sales and marketing efforts, leading to increased optimism among employers [38][40] Question: Future growth with recent acquisitions - Management highlighted that the acquisitions enhance partnerships within the managed care ecosystem, driving additional volume and growth opportunities [42][44] Question: Workers' compensation performance and outlook - Management acknowledged that while organic growth was slightly slower than expected, they anticipate continued positive growth in the future [51][52] Question: Impact of inflation on rates - Management indicated that rates typically adjust in line with inflation, with historical patterns showing timely updates to fee schedules [58][60] Question: Cost of services performance and labor efficiencies - Management confirmed that labor efficiencies and revenue increases contributed to lower costs as a percentage of revenue, with ongoing investments in technology to enhance efficiency [62][64] Question: Guidance update and acquisition impacts - Management clarified that the updated guidance includes contributions from recent acquisitions, with expectations for continued strong performance [66][68]