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Pediatrix Medical Group Reports First Quarter Results

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Raises Full Year 2025 Adjusted EBITDA Outlook Range

FORT LAUDERDALE, Fla.--(BUSINESS WIRE)-- Pediatrix Medical Group, Inc. (NYSE: MD), a leading provider of physician services, today reported earnings of $0.24 per share for the three months ended March 31, 2025. On a non-GAAP basis, Pediatrix reported Adjusted EPS of $0.33.

For the 2025 first quarter, Pediatrix reported the following results:

  • Net revenue of $458 million;
  • Net income of $21 million; and
  • Adjusted EBITDA of $49 million.

“Our strong first quarter results reflect same-unit top-line outperformance versus our expectations, continued steady cost management and the successful results of the portfolio restructuring we completed last year. As a result of our strong first quarter performance, we are raising our full year 2025 Adjusted EBITDA outlook from a range of $215 million to $235 million to a range of $220 million to $240 million, demonstrating our commitment to delivering value for our stakeholders,� said Mark S. Ordan, Chief Executive Officer of Pediatrix Medical Group. “While we are raising our guidance, we remain mindful of the uncertainty that we face in the healthcare industry and the broad economic turbulence that is challenging virtually all companies.�

Operating Results� Three Months Ended March 31, 2025

Pediatrix’s net revenue for the three months ended March 31, 2025 was $458.4 million, compared to $495.1 million for the prior-year period. This decrease reflects the impact of non-same unit activity, primarily practice dispositions, partially offset by growth in same-unit net revenue of 6.2 percent.

Same-unit revenue from net reimbursement-related factors increased by 4.6 percent for the 2025 first quarter as compared to the prior-year period. This increase primarily reflects improved payor mix and modest improvements in hospital contract administrative fees. The percentage of services reimbursed by commercial and other non-government payors increased by approximately 120 basis points compared to the prior year period.

Same-unit revenue attributable to patient volume increased by 1.6 percent for the 2025 first quarter as compared to the prior-year period. Shown below are year-over-year percentage changes in certain same-unit volume statistics for the three months ended March 31, 2025. (Note: figures in the below table reflect contributions only to net patient service revenue and exclude other contributions to total same-unit revenue, including contract and administrative fees.)

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Three Months Ended March 31, 2025

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Ìý

Ìý

Ìý

Hospital-based patient services

Ìý

1.7%

Office-based patient services

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2.6%

Ìý

Ìý

Ìý

Neonatology services (within hospital-based services):

Ìý

Ìý

Ìý

Neonatal intensive care unit (NICU) days

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2.0%

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For the 2025 first quarter, practice salaries and benefits expense was $337.0 million, compared to $369.1 million for the prior-year period. This comparison primarily reflects the impact of practice disposition activity, partially offset by increases in same-unit clinical compensation costs, including incentive compensation based on practice results.

For the 2025 first quarter, general and administrative expenses were $58.6 million, as compared to $60.2 million for the prior-year period. This decrease primarily reflects net staffing reductions, partially offset by increases in certain professional services and information technology expenses.

For 2025 first quarter, transformational and restructuring related expenses were $6.6 million, compared to $8.5 million for the prior-year period. The expenses in both periods were primarily related to position eliminations and revenue cycle management transition activities.

Adjusted EBITDA, which is defined as earnings before interest, taxes, depreciation and amortization and transformational and restructuring related expenses, was $49.2 million for the 2025 first quarter, compared to $37.2 million for the prior-year period. The increase in Adjusted EBITDA was primarily due to the net favorable impacts from same-unit results and practice disposition activity completed during 2024.

Depreciation and amortization expense was $5.3 million for the first quarter of 2025, compared to $10.3 million for same period in 2024. This comparison was primarily related to a decrease in depreciation expense related to non-same unit activity, primarily practice dispositions.

Interest expense was $9.2 million for the first quarter of 2025, compared to $10.6 million for the first quarter of 2024.

Investment and other income was $4.7 million for the first quarter of 2025, compared to $2.0 million for the prior year period. The increase was primarily related to interest income earned on cash balances.

Pediatrix generated net income of $20.7 million, or $0.24 per diluted share, for the 2025 first quarter, based on a weighted average 85.4 million shares outstanding. This compares with net income of $4.0 million, or $0.05 per diluted share, for the 2024 first quarter, based on a weighted average 83.3 million shares outstanding.

For the first quarter of 2025, Pediatrix reported Adjusted EPS of $0.33, compared to $0.20 for the first quarter of 2024. For these periods, Adjusted EPS is defined as diluted income per common and common equivalent share excluding non-cash amortization expense, stock-based compensation expense, transformational and restructuring related expenses, and discrete tax events.

Financial Position and Cash Flow � Continuing Operations

Pediatrix had cash and cash equivalents of $99.0 million at March 31, 2025, compared to $229.9 million at December 31, 2024, and net accounts receivable at March 31, 2025 were $242.5 million.

For the first quarter of 2025, Pediatrix used cash of $116.1 million to fund continuing operations, compared to a use of $122.6 million during the first quarter of 2024. Pediatrix typically uses cash during the first quarter of each year as it pays incentive compensation, primarily to its affiliated physicians, and makes employee benefit plan matching contributions that were accrued during the prior year. Additionally, during the first quarter of 2025, the Company used $3.3 million to fund capital expenditures.

At March 31, 2025, Pediatrix had total debt outstanding of $611 million, consisting of its $400 million in 5.375% Senior Notes due 2030 and $211 million in borrowings under its Term A Loan. At March 31, 2025, the Company had no outstanding borrowings under its $450 million revolving line of credit.

Updated 2025 Outlook

As a result of the strong first quarter 2025 performance, Pediatrix is raising its full year 2025 outlook for Adjusted EBITDA, as defined above, and now anticipates Adjusted EBITDA will be in a range of $220 million to $240 million.

Non-GAAP Measures

A reconciliation of Adjusted EBITDA and Adjusted EPS to the most directly comparable GAAP measures for the three months ended March 31, 2025 and 2024 is provided in the financial tables of this press release.

Earnings Conference Call

Pediatrix will host an investor conference call to discuss the quarterly results at 9 a.m., ET today. The conference call Webcast may be accessed from the Company’s Website, . A replay of the conference call will also be available at .

ABOUT PEDIATRIX MEDICAL GROUP

Pediatrix® Medical Group, Inc. (NYSE:MD) is a leading provider of physician services. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. Specialties include obstetrics, maternal-fetal medicine and neonatology complemented by multiple pediatric subspecialties. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. The physician-led company was founded in 1979 as a single neonatology practice and today provides its highly specialized and often critical care services through approximately 4,400 affiliated physicians and other clinicians. To learn more about Pediatrix, visit or follow us on , , and the . Investment information can be found at .

Certain statements and information in this press release may be deemed to contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended (the “Securities Act�), and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements may include, but are not limited to, statements relating to the Company’s objectives, plans and strategies, and all statements, other than statements of historical facts, that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future. These statements are often characterized by terminology such as “believe,� “hope,� “may,� “anticipate,� “should,� “intend,� “plan,� “will,� “expect,� “estimate,� “project,� “positioned,� “strategy� and similar expressions, and are based on assumptions and assessments made by the Company’s management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. Any forward-looking statements in this press release are made as of the date hereof, and the Company undertakes no duty to update or revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. Important factors that could cause actual results, developments, and business decisions to differ materially from forward-looking statements are described in the Company’s most recent Annual Report on Form 10-K and its Quarterly Reports on Form 10-Q, including the sections entitled “Risk Factors�, as well the Company’s current reports on Form 8-K, filed with the Securities and Exchange Commission, and include the impact of the Company’s practice portfolio management plans and whether the Company is able to achieve the expected favorable impact to Adjusted EBITDA therefrom; the impact of the Company’s termination of its then third-party revenue cycle management provider and transition to a hybrid revenue cycle management model with one or more new third-party service providers, including any transition costs associated therewith; the impact of surprise billing legislation; the effects of economic conditions on the Company’s business; the effects of the Affordable Care Act and potential healthcare reform; the Company’s relationships with government-sponsored or funded healthcare programs, including Medicare and Medicaid, and with managed care organizations and commercial health insurance payors; the Company’s ability to comply with the terms of its debt financing arrangements; the impact of management transitions; the timing and contribution of future acquisitions or organic growth initiatives; the effects of share repurchases; and the effects of the Company’s transformation initiatives, including its reorientation on, and growth strategy for, its hospital based and maternal fetal businesses.

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Pediatrix Medical Group, Inc.

Consolidated Statements of Income and Comprehensive Income

(in thousands, except per share data)

(Unaudited)

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Three Months Ended
March 31,

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Ìý

Ìý

2025

Ìý

Ìý

2024

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Net revenue

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$

458,359

Ìý

Ìý

$

495,101

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Operating expenses:

Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

Practice salaries and benefits

Ìý

Ìý

337,031

Ìý

Ìý

Ìý

369,138

Ìý

Practice supplies and other operating expenses

Ìý

Ìý

18,686

Ìý

Ìý

Ìý

31,085

Ìý

General and administrative expenses

Ìý

Ìý

58,604

Ìý

Ìý

Ìý

60,198

Ìý

Depreciation and amortization

Ìý

Ìý

5,332

Ìý

Ìý

Ìý

10,308

Ìý

Transformational and restructuring related expenses

Ìý

Ìý

6,605

Ìý

Ìý

Ìý

8,480

Ìý

Total operating expenses

Ìý

Ìý

426,258

Ìý

Ìý

Ìý

479,209

Ìý

Income from operations

Ìý

Ìý

32,101

Ìý

Ìý

Ìý

15,892

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Investment and other income

Ìý

Ìý

4,737

Ìý

Ìý

Ìý

2,013

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Interest expense

Ìý

Ìý

(9,154

)

Ìý

Ìý

(10,599

)

Equity in earnings of unconsolidated affiliate

Ìý

Ìý

406

Ìý

Ìý

Ìý

518

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Total non-operating expenses

Ìý

Ìý

(4,011

)

Ìý

Ìý

(8,068

)

Income before income taxes

Ìý

Ìý

28,090

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Ìý

Ìý

7,824

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Income tax provision

Ìý

Ìý

(7,353

)

Ìý

Ìý

(3,789

)

Net income

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$

20,737

Ìý

Ìý

$

4,035

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Other comprehensive income, net of tax

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Ìý

Ìý

Ìý

Ìý

Ìý

Unrealized holding gain on investments, net of tax of $255 and $20

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779

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Ìý

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60

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Total comprehensive income

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$

21,516

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Ìý

$

4,095

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Per common and common equivalent share data (diluted):

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Ìý

Ìý

Ìý

Ìý

Ìý

Net income:

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$

0.24

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$

0.05

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Weighted average common shares

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85,430

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Ìý

Ìý

83,275

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Pediatrix Medical Group, Inc.

Reconciliation of Net Income to Adjusted EBITDA

(in thousands)

(Unaudited)

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Three Months Ended
March 31,

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Ìý

2025

Ìý

Ìý

2024

Ìý

Net income

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$

20,737

Ìý

Ìý

$

4,035

Ìý

Interest expense

Ìý

Ìý

9,154

Ìý

Ìý

Ìý

10,599

Ìý

Income tax provision

Ìý

Ìý

7,353

Ìý

Ìý

Ìý

3,789

Ìý

Depreciation and amortization expense

Ìý

Ìý

5,332

Ìý

Ìý

Ìý

10,308

Ìý

Transformational and restructuring related expenses

Ìý

Ìý

6,605

Ìý

Ìý

Ìý

8,480

Ìý

Adjusted EBITDA

Ìý

$

49,181

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Ìý

$

37,211

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Pediatrix Medical Group, Inc.

Reconciliation of Diluted Net Income per Share

to Adjusted Income per Diluted Share (“Adjusted EPS�)

(in thousands, except per share data)

(Unaudited)

Ìý

Ìý

Ìý

Three Months Ended
March 31,

Ìý

Ìý

Ìý

2025

Ìý

Ìý

2024

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Weighted average diluted shares outstanding

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85,430

Ìý

Ìý

83,275

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Net income and diluted net income per share

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$

20,737

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$

0.24

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$

4,035

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Ìý

$

0.05

Ìý

Adjustments (1):

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Ìý

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Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

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Amortization (net of tax of $430 and $863)

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1,290

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Ìý

Ìý

0.01

Ìý

Ìý

Ìý

2,589

Ìý

Ìý

Ìý

0.03

Ìý

Stock-based compensation (net of tax of $573 and $716)

Ìý

Ìý

1,720

Ìý

Ìý

Ìý

0.02

Ìý

Ìý

Ìý

2,146

Ìý

Ìý

Ìý

0.03

Ìý

Transformational and restructuring expenses (net of tax of $1,651 and $2,120)

Ìý

Ìý

4,954

Ìý

Ìý

Ìý

0.06

Ìý

Ìý

Ìý

6,360

Ìý

Ìý

Ìý

0.08

Ìý

Net impact from discrete tax events

Ìý

Ìý

(175

)

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Ìý

�

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Ìý

Ìý

1,676

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Ìý

Ìý

0.01

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Adjusted income and diluted EPS

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$

28,526

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Ìý

$

0.33

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Ìý

$

16,806

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Ìý

$

0.20

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Ìý

(1) A blended tax rate of 25% was used to calculate the tax effects of the adjustments for the three months ended March 31, 2025 and 2024.

Pediatrix Medical Group, Inc.

Balance Sheet Highlights

(in thousands)

(Unaudited)

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Ìý

Ìý

As of
March 31, 2025

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Ìý

As of
December 31, 2024

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Assets:

Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

Cash and cash equivalents

Ìý

$

98,978

Ìý

Ìý

$

229,940

Ìý

Investments

Ìý

Ìý

120,198

Ìý

Ìý

Ìý

118,566

Ìý

Accounts receivable, net

Ìý

Ìý

242,529

Ìý

Ìý

Ìý

259,990

Ìý

Other current assets

Ìý

Ìý

29,965

Ìý

Ìý

Ìý

31,111

Ìý

Intangible assets, net

Ìý

Ìý

10,387

Ìý

Ìý

Ìý

11,595

Ìý

Operating and finance lease right-of-use assets

Ìý

Ìý

39,866

Ìý

Ìý

Ìý

39,267

Ìý

Goodwill, other assets, property and equipment

Ìý

Ìý

1,451,556

Ìý

Ìý

Ìý

1,462,231

Ìý

Total assets

Ìý

$

1,993,479

Ìý

Ìý

$

2,152,700

Ìý

Liabilities and shareholders' equity:

Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

Accounts payable and accrued expenses

Ìý

$

234,173

Ìý

Ìý

$

398,690

Ìý

Total debt, including finance leases, net

Ìý

Ìý

612,604

Ìý

Ìý

Ìý

617,664

Ìý

Operating lease liabilities

Ìý

Ìý

42,712

Ìý

Ìý

Ìý

44,649

Ìý

Other liabilities

Ìý

Ìý

314,802

Ìý

Ìý

Ìý

326,759

Ìý

Total liabilities

Ìý

Ìý

1,204,291

Ìý

Ìý

Ìý

1,387,762

Ìý

Total shareholders' equity

Ìý

Ìý

789,188

Ìý

Ìý

Ìý

764,938

Ìý

Total liabilities and shareholders' equity

Ìý

$

1,993,479

Ìý

Ìý

$

2,152,700

Ìý

Pediatrix Medical Group, Inc.

Reconciliation of Net Income to Forward-Looking Adjusted EBITDA

(in thousands)

(Unaudited)

Ìý

Year Ended
December 31, 2025

Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

Ìý

Net income

Ìý

$

106,210

Ìý

Ìý

$

120,810

Ìý

Interest expense

Ìý

Ìý

36,870

Ìý

Ìý

Ìý

36,870

Ìý

Income tax provision

Ìý

Ìý

39,280

Ìý

Ìý

Ìý

44,680

Ìý

Depreciation and amortization expense

Ìý

Ìý

26,060

Ìý

Ìý

Ìý

26,060

Ìý

Transformational and restructuring related expenses

Ìý

Ìý

11,580

Ìý

Ìý

Ìý

11,580

Ìý

Adjusted EBITDA

Ìý

$

220,000

Ìý

Ìý

$

240,000

Ìý

Ìý

FOR MORE INFORMATION:

Kasandra H. Rossi

Executive Vice President, Chief Financial Officer & Treasurer

954-692-7163

[email protected]

Source: Pediatrix Medical Group, Inc.

Pediatrix Medical Group, Inc.

NYSE:MD

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