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Pediatrix Medical Group (MD) investor relations material

Pediatrix Medical Group Q2 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2025 earnings summary5 Aug, 2025

Executive summary

  • Adjusted EBITDA for Q2 2025 exceeded expectations at $73.2M, driven by over 6% same-unit revenue growth, strong hospital-based volume, and favorable reimbursement factors.

  • Net revenue for Q2 2025 was $468.8M, down 7% year-over-year due to practice dispositions, but same-unit revenue increased 6.4% from higher patient acuity and volumes.

  • Net income for Q2 2025 was $39.3M, compared to a net loss of $153M in Q2 2024, reflecting improved operations and absence of prior year impairment charges.

  • The company completed its exit from most office-based practices, focusing on hospital-based and maternal-fetal medicine services.

  • Ongoing cost management and stable payer mix contributed to improved financial performance and a strengthened balance sheet.

Financial highlights

  • Same-unit revenue grew 6.4% year-over-year, with NICU days up 6% and strong RCM collections.

  • Q2 2025 diluted EPS was $0.46, compared to a loss of $1.84 in Q2 2024; adjusted EPS was $0.53, up from $0.34.

  • Operating cash flow reached $138M in Q2, up from $109M in the prior year, driven by higher earnings and improved working capital.

  • Ended the quarter with $225M in cash and net debt just over $380M; net leverage slightly above 1.5x adjusted EBITDA.

  • Six-month net revenue was $927.2M, down 7.2% year-over-year, with net income of $60M versus a net loss of $149M in the prior year.

Outlook and guidance

  • Full-year adjusted EBITDA guidance raised and narrowed to $245M–$255M, reflecting strong Q2 performance and improved visibility for the second half.

  • Adjusted EBITDA expected to be ratable in Q3 and Q4; cash balance projected at $350M–$400M by year-end 2025 absent other activities.

  • Margins expected to remain stable through 2025, with tougher comps anticipated in the second half.

  • Management expects funds from operations, cash on hand, and available credit to be sufficient for all obligations for at least the next 12 months.

  • The company anticipates continued compliance with financial covenants throughout 2025.

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Frequently asked questions

Pediatrix Medical Group Inc. provides specialized healthcare services to women, newborns, and children. The company operates a network of healthcare professionals, including neonatologists, maternal-fetal medicine specialists, and pediatricians, offering care in hospitals and outpatient settings. Its services include neonatal intensive care, obstetric care, and subspecialty pediatric services, as well as telemedicine and consulting support for healthcare facilities. The company is headquartered in Sunrise, Florida, and its shares are listed on the NYSE.

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