Medical Facilities Q3 2026 Earnings Results & Report

Medical Facilities EPS Results

• Actual EPS: C$0.40
• Consensus EPS: N/A
• Beat/Miss: N/A
• One Year Ago EPS: N/A

Medical Facilities Revenue Results

• Actual Revenue: C$93.78 million
• Expected Revenue: N/A
• Beat/Miss: N/A
• YoY Revenue Growth: N/A

Medical Facilities (TSE:DR) owns a 51% controlling interest, with its physician partners owning the remaining 49% interest, in two highly rated, high-quality specialty surgical hospitals located in Arkansas and South Dakota. The hospitals perform scheduled surgical, imaging, diagnostic and other procedures, including primary and urgent care, and derive their revenue from the fees charged for the use of their facilities.

Medical Facilities Q3 2026 Earnings Call Transcript

Key Takeaways

• Positive Sentiment: Revenue rose 9.8% to $65.9 million, while income from operations increased 17.3% to $11.2 million and EBITDA grew 13.5% to $14.1 million. Management attributed the gains mainly to favorable case and payer mix, including more spine, higher-acuity orthopedic, and pain-management cases.
• Negative Sentiment: Total surgical case volume fell 1.6% year over year, though it was down only 0.6% excluding low-margin dental cases. Operating expenses increased 8.4%, led by higher drugs and supplies costs, salaries, and benefits.
• Positive Sentiment: The company repurchased just under 1.7 million shares for $21.5 million through the first nine months and said it had used its normal-course issuer bid limit. It ended the quarter with $70.8 million in cash, including $60.7 million at the corporate level, and no corporate debt.

Presentation

[Operator]

Good morning, everyone. Welcome to the Medical Facilities Corporation's 2026 Third Quarter Earnings Call. After the management's remarks, this call will include a question-and-answer session when qualified equity analysts may ask questions. Before turning the call over to management, listeners are reminded that today's call may contain forward-looking statements within the meaning of the safe harbor provisions of Canadian provincial securities laws. Forward-looking statements involve risks and uncertainties, and undue reliance should not be placed on such statements. Certain material factors or assumptions are applied in making forward-looking statements, and actual results may differ materially from those expressed or implied in such statements. For additional information, please consult the MD&A for this quarter, the risk factor section of the annual information form, and Medical Facilities' other filings with Canadian securities regulators. Medical Facilities does not undertake to update any forward-looking statements, except as required by law.

[Operator]

Such statements speak only as of the date made. I would now like to turn the meeting over to Mr. Jason Redman, President and CEO of Medical Facilities. Please go ahead, Mr. Redman.

[Jason Redman, President and CEO at Medical Facilities]

Good morning, everyone, and thank you for joining us. On the call with me is our Chief Financial Officer, David Watson. This morning, we report our third quarter results. Our news release, financial statements, and MD&A are available on our website and SEDAR+. Before we begin, note that the income statement variances Dave and I will be discussing are for continuing operations, and the amounts exclude non-controllable and non-cash corporate-level adjustments related to share-based compensation plans. As usual, all figures are in USD unless otherwise specified. Looking at our performance, MFC delivered a strong third quarter with increases in spine procedures, higher acuity orthopedic cases, and pain management cases. Our case mix, combined with a favorable payer mix, drove a 9.8% increase in facility service revenue and improved profitability in the quarter.

[Jason Redman, President and CEO at Medical Facilities]

Income from operations grew 17.3% to $11.2 million, while EBITDA increased 13.5% to $14.1 million. In addition to delivering strong operating performance, we fully utilized our normal course issuer bid purchase limit of approximately 1.8 million common shares by mid-July. Through the first nine months of the year, we repurchased just under 1.7 million shares for $21.5 million, highlighting our continued commitment to returning capital to shareholders. In fact, since the change in corporate strategy in Q3 of 2022, MFC has cumulatively returned approximately CAD 219.6 million to shareholders through a combination of NCIBs, substantial issuer bids, and dividends. Finally, we ended the quarter with a consolidated cash position of $70.8 million, including $60.7 million at the corporate level, and we remain free of corporate debt. Our strong balance sheet provides significant financial flexibility and supports our capital return strategy.

[Jason Redman, President and CEO at Medical Facilities]

With that, I will turn the call over to David to review our financial results in more detail. David?

[David Watson, CFO at Medical Facilities]

Thanks, Jason, and good morning, everyone. Starting with our top line, we had revenue of $65.9 million for the quarter, which is up 9.8% year-over-year. As Jason mentioned, most of the increase was due to the combined impact of case and payer mix. In addition to volume growth in spine procedures, higher acuity orthopedic cases, and pain management, we also benefited from payer rate increases. Total surgical case volume was down 1.6%, with inpatient, observation, and outpatient cases declining 3.4%, 2%, and 1.3% respectively. However, when excluding low-margin dental cases, surgical volumes were relatively stable, decreasing only 0.6%. Looking at our expenses for the quarter, total operating expenses increased $4.2 million, or 8.4%. The largest increase was in drugs and supplies, which rose 12.2% in the quarter, primarily reflecting changes in case mix.

[David Watson, CFO at Medical Facilities]

Consolidated salaries and benefits increased 7.7%, driven by annual merit increases, as well as higher market-driven compensation for anesthesia nurse practitioners. Meanwhile, G&A expenses were up 5.5% due to increases in repairs and maintenance and contracted services related to anesthesia, professional fees, and billing fees. Importantly, our profitability strengthened in the quarter, with income from operations increasing 17.3% to $11.2 million and EBITDA being up 13.5% to $14.1 million. Turning to our balance sheet, consolidated net working capital was $67.4 million at quarter end, including $70.8 million in cash and cash equivalents. This compares to $54 million in net working capital and $43.4 million in cash and cash equivalents at the end of December.

[David Watson, CFO at Medical Facilities]

The increase in net working capital was driven primarily by the sale of Oklahoma Spine Hospital in Q1, which boosted cash but was partially offset by the removal of OSH's held-for-sale balances and current assets and liabilities. Lastly, we remain free of corporate-level bank debt, having fully repaid our corporate credit facility in 2024. This concludes our prepared remarks. We would now like to open up the call for questions. Operator?

[Operator]

Thank you. Ladies and gentlemen, we will now begin the question-and-answer session. Should you require or ask a question, please press star followed by the one on your touchtone phone. You will hear the prompt that your hand has been raised. Should you wish to decline from the polling process, please press star followed by the two. If you are using a speakerphone, please lift the handset before pressing any keys. One moment, please, for your first question. Once again, should you have a question, please press star followed by the one on your touchtone phone. You will hear a prompt that your hand has been raised. There are no questions at this time. I'd now like to turn the call back over to Mr. Redman for final closing comments.

[Jason Redman, President and CEO at Medical Facilities]

Thank you, operator, and thank you to everyone joining us this morning. We appreciate your continued support and look forward to keeping you updated on our progress. Have a great day.

[Operator]

Thank you. Ladies and gentlemen, this concludes your conference call for today. We thank you for participating and ask that you please disconnect your lines.

Participants

Executives

• Jason Redman, President and CEO
• David Watson, CFO