Financial Data and Key Metrics Changes - Revenue for Q1 was $650.7 million, down 5% year over year and 2% sequentially, primarily due to known NEMT contract attrition, lower build hours in PCS, and membership churn in monitoring [20][21] - Net loss for the quarter was $50.4 million, up from $22.3 million a year ago, mainly due to higher interest expense which rose to $38.8 million [21] - Adjusted net loss was $24.5 million or negative $1.71 per share, reflecting the exclusion of restructuring-related costs and amortization of intangibles [21] - Adjusted EBITDA was $32.6 million, essentially flat year over year but down sequentially, with key drivers including an $8 million impact from net NEMT contract development [21][22] Business Line Data and Key Metrics Changes - In NEMT, revenue was $449 million, representing 69% of total revenue, declining 6% year over year due to previously disclosed contract losses [22] - Average monthly members in NEMT declined 19% year over year and 20% sequentially, while utilization from the normalization of healthcare increased to 12% [22] - PCS contributed $181.8 million in revenue or 28% of total revenue, with revenue per hour rising 1.1% while service hours declined 2.1% due to expected seasonality [24] - Monitoring contributed $18.1 million in revenue, representing just 3% of total revenue but 16% of total adjusted EBITDA, with adjusted EBITDA at $5.2 million for a 29% segment margin [25] Market Data and Key Metrics Changes - The broader opportunity in the 2026 pipeline exceeds $500 million in potential contract value, with the company securing two new Medicaid managed care contracts worth approximately $52 million [6][7] - Retention remains a key performance priority, with four strategic agreements signed in Personal Care expected to generate 90,000 monthly service hours [9] Company Strategy and Development Direction - The company is focused on five strategic objectives: growing core customer relationships, digitizing and automating the Care Access platform, optimizing the operating model, increasing capital efficiency, and delivering high-impact client-centric supportive care [4][5] - The long-term vision is to become the digital infrastructure for supportive care, unifying fragmented benefits and delivering a coordinated member experience [19] Management Comments on Operating Environment and Future Outlook - Management expressed confidence in improving cash flow generation as contracts are restructured and working capital needs decrease [38] - The company is not issuing formal guidance for 2025 but is focused on executing measurable initiatives and communicating progress through clear KPIs [28] Other Important Information - The company launched a company-wide G&A reduction initiative targeting approximately $25 million in annualized savings [13][14] - The company is in the process of restructuring the organization to build a more tech-first model, adding talent in data, AI, and agile operations [12] Q&A Session Summary Question: Can you walk us through how we should be thinking about cash flow generation throughout the rest of the year? - Management indicated that EBITDA is driving cash flow and expects meaningful improvement in cash flow generation as the year progresses, particularly with contract restructuring [32][38] Question: Why did contract receivables increase despite overall revenue decline? - Management explained that the increase in accounts receivable was due to shared risk contracts that had not yet been converted, leading to a disconnect between revenue and receivables [39][40] Question: Is there a positive cash flow possibility in Q3? - Management confirmed that while Q2 and Q4 will see negative cash flows due to large debt payments, they feel good about cash flow generation for the rest of the year [51][53] Question: Can you elaborate on the G&A savings? - Management stated that the $25 million in G&A savings primarily comes from labor reductions in corporate and shared service areas due to increased operational efficiency [56][58]
ModivCare (MODV) - 2025 Q1 - Earnings Call Transcript