ARC Health (ARC), a portfolio company of Thurston Group, has secured a $182m credit facility to refinance existing indebtedness and fund growth initiatives in the US. Founded in 2021 and based in Cleveland, Ohio, ARC is an outpatient behavioural health provider. Serving patients across 91 locations in 20 US states with more than 1,300 clinicians, ARC offers full-service behavioural health offerings and is claimed to focus on a data-driven, patient-centred model for strong clinical and operational results ...

Core Insights - The Ensign Group reported strong operational execution in Q3, with revenue growth driven by higher patient volumes and improved clinical outcomes [1] - Management highlighted the importance of occupancy and skilled patient mix, attributing success to their decentralized, locally led model [1] - CEO Barry Port emphasized clinical performance as a key differentiator, with same-store facilities outperforming peers in government surveys and achieving record occupancy [1] Financial Performance - Revenue reached $1.30 billion, exceeding analyst estimates of $1.28 billion, representing a 19.8% year-on-year growth [6] - EPS (GAAP) was $1.42, missing analyst expectations of $1.49 by 4.9% [6] - Adjusted EBITDA was $151.1 million, beating analyst estimates of $147.1 million, with an 11.7% margin [6] - The company raised its full-year revenue guidance to $5.06 billion, a 1.1% increase from the previous guidance of $5.01 billion [6] - Full-year EPS (GAAP) guidance is $6.51, exceeding analyst estimates by 12.1% [6] - Operating margin remained stable at 7.4%, consistent with the same quarter last year [6] - Sales volumes increased by 15.1% year-on-year, compared to 9.9% in the same quarter last year [6] - Market capitalization stands at $10.35 billion [6] Strategic Insights - There is significant potential for skilled mix growth in mature facilities, with only 31.7% of same-store days currently skilled [6] - Organic growth remains a major focus for the company [6] - Managed care contracting in new markets, such as Alabama, is a gradual process that requires time to establish relationships [6] - Acquisition timing is primarily influenced by seller readiness, with a focus on maintaining discipline in pricing despite competitive pressures [6] - The company is expanding behavioral health services, with new units being added in Arizona and California to meet increased demand [6] - Ensign's facilities are positioned as high-quality, lower-cost alternatives, enabling gradual market share gains over time [6]

Financial Performance - Revenue for Q3 2025 is reported at $64 million, with Payor contributing 54% and DTE contributing 34%[6] - The company achieved a +111% YoY growth in Adjusted EBITDA in Q3 2025 and a LTM Adjusted EBITDA of approximately $119 million, compared to approximately $40 million a year ago[17] - Approximately $9 million of shares were repurchased in Q3 under the company's buyback plan[17] Business Growth & Innovation - Unique Active Payor Members increased by +29% YoY, and Payor sessions increased by +37% YoY[16] - Initial psychiatry sessions experienced a +46% sequential growth[16] - Payor Revenue increased by +42% YoY, and Total Revenue increased by +25% YoY[17] - The company broadened its comprehensive care platform with the acquisition of Wisdo Health[16] - Product platform enhancements led to a +50% increase in clients attending the 3rd session in 30 days[16] Partnerships & Brand Awareness - Brand awareness increased, with over 35% of people now recognizing the company[17] Financial Guidance - The company narrowed its 2025 Revenue guidance to $226 million to $230 million, representing a +20% to +23% YoY increase[23] - The company narrowed its 2025 Adjusted EBITDA guidance to $14 million to $16 million, representing a +101% to +130% YoY increase[23]

Core Insights - Universal Health Services (UHS) reported $4.28 billion in revenue for Q2 2025, a year-over-year increase of 9.6% [1] - Earnings per share (EPS) for the same period was $5.35, compared to $4.31 a year ago, representing a surprise of +10.31% over the consensus estimate of $4.85 [1] - The reported revenue exceeded the Zacks Consensus Estimate of $4.22 billion by +1.51% [1] Financial Performance Metrics - Behavioral health admissions were 118,974, below the estimated 122,616 [4] - Net revenues from behavioral health services reached $1.88 billion, slightly above the average estimate of $1.86 billion, with a year-over-year change of +8.6% [4] - Net revenues from acute care hospital services were $2.4 billion, exceeding the estimated $2.37 billion, reflecting a +10.5% change compared to the previous year [4] - Operating income for behavioral health care services was $396.46 million, surpassing the estimated $368.68 million [4] - Operating income for acute care hospital services was $225.22 million, slightly below the average estimate of $226.87 million [4] Stock Performance - Shares of Universal Health Services have returned -12.6% over the past month, contrasting with the Zacks S&P 500 composite's +4.9% change [3] - The stock currently holds a Zacks Rank 3 (Hold), indicating potential performance in line with the broader market in the near term [3]

Core Insights - Universal Health Services (UHS) is expected to report quarterly earnings of $4.85 per share, reflecting a 12.5% increase year over year, with revenues projected at $4.22 billion, an 8% increase compared to the previous year [1] Earnings Estimates and Revisions - The consensus EPS estimate for the quarter has been revised downward by 0.5% over the past 30 days, indicating a collective reassessment by analysts [2] - Revisions to earnings estimates are significant indicators for predicting investor actions regarding the stock, with empirical research showing a strong correlation between earnings estimate trends and short-term stock price performance [3] Key Metrics and Projections - Analysts predict 'Net Revenues- Acute care hospital services' will reach $2.37 billion, indicating a year-over-year change of +9.1% [5] - 'Net Revenues- Behavioral health services' are expected to be $1.86 billion, reflecting a year-over-year increase of +7.4% [5] - The consensus for 'Admissions - Behavioral health' is projected at 122,616, up from 119,798 in the same quarter last year [5] - 'Operating Income- Behavioral Health Care Services' is forecasted to be $368.68 million, compared to $360.62 million from the previous year [6] - 'Operating Income- Acute Care Hospital Services' is estimated at $226.87 million, up from $212.25 million year over year [6] Market Performance - Over the past month, shares of Universal Health Services have declined by 7.2%, while the Zacks S&P 500 composite has increased by 5.9% [6] - UHS currently holds a Zacks Rank 3 (Hold), suggesting its performance may align with the overall market in the near future [6]

Core Insights - Universal Health Services (UHS) reported revenue of $4.1 billion for the quarter ended March 2025, reflecting a year-over-year increase of 6.7% [1] - Earnings per share (EPS) for the quarter was $4.84, up from $3.70 in the same quarter last year, resulting in an EPS surprise of +11.01% against the consensus estimate of $4.36 [1] - The reported revenue was slightly below the Zacks Consensus Estimate of $4.14 billion, showing a surprise of -1.06% [1] Financial Performance Metrics - Behavioral health admissions totaled 117,788, which was below the two-analyst average estimate of 122,821 [4] - Net revenues from behavioral health services were reported at $1.75 billion, compared to the average estimate of $1.79 billion, marking a year-over-year increase of +5.5% [4] - Net revenues from acute care hospital services matched the average estimate of $2.35 billion, representing a +7.5% change from the previous year [4] - Operating income for behavioral health care services was $337.68 million, slightly below the three-analyst average estimate of $346.29 million [4] - Operating income for acute care hospital services was reported at $254.79 million, exceeding the average estimate of $206.21 million [4] Stock Performance - Shares of Universal Health Services have returned -7.8% over the past month, compared to a -4.3% change in the Zacks S&P 500 composite [3] - The stock currently holds a Zacks Rank 1 (Strong Buy), indicating potential for outperformance in the near term [3]