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Accendra Health
Accendra Health (ACH) investor relations material
Accendra Health Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q4 2025 earnings summary19 Feb, 2026
Executive summary
Completed the sale of the Products & Healthcare Services business on December 31, 2025, marking a strategic shift to focus on core home-based care operations and improving margin profile.
Entered 2026 as a leaner company, emphasizing cost controls, cash flow generation, and balance sheet optimization.
Strong brand recognition and national footprint position the company as a leader in chronic condition home care.
Leveraging technology and automation to enhance patient experience, operational efficiency, and revenue cycle management.
Bullish long-term outlook driven by demographic trends, chronic condition prevalence, and competitive positioning.
Financial highlights
2025 net revenue was $2.8 billion, up just over 3% year-over-year; Q4 2025 revenue was $709 million, up from $695 million in Q4 2024.
Adjusted EBITDA for 2025 was $375 million, slightly up from 2024; Q4 adjusted EBITDA was $90 million.
Free cash flow for 2025 was $98 million, up from $96.4 million in 2024.
Operating cash flow from continuing operations was $135 million in Q4 and $154 million for the year.
GAAP net loss for 2025 was $1.1 billion, including significant losses from discontinued operations.
Outlook and guidance
2026 revenue guidance is $2.55–$2.65 billion, reflecting a $300+ million impact from a large commercial payer loss.
2026 adjusted EBITDA is expected between $335 million and $355 million.
2026 free cash flow guidance is $90–$110 million, with at least $100 million projected and 60% of adjusted EBITDA expected in the second half.
Adjusted effective tax rate for 2026 is projected at 29.0% to 30.0%.
Expense reduction and elimination of stranded costs are key 2026 priorities.
Reconcile 2026 guidance with growth strategy
Detail balance sheet optimization post-P&HS sale
How will earnings quality improve post-transition
Capital structure optimization levers?
Mitigate manufacturer cost increases?
Strategy to replace lost payer revenue?
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Next Accendra Health earnings date
Q1 20267 May, 2026
Accendra Health
Next Accendra Health earnings date
Q1 20267 May, 2026
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Frequently asked questions
Owens & Minor, operates as a healthcare solutions company in the United States and internationally. The company develops healthcare information technology and directs revenue cycle management services primarily to acute care providers; and provides integrated business outsourcing solutions to commercial companies. It offers application development, electronic health record, revenue cycle management software, electronic claims benefits management, and customer relationship management software. Owens & Minor was founded in 1882 and is headquartered in Richmond, Virginia.
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