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Concentra Group Holdings Parent, Inc. Announces Results For Its Second Quarter Ended June 30, 2025, Cash Dividend, and Raised FY 2025 Guidance

ADDISON, Texas--(BUSINESS WIRE)--Concentra Group Holdings Parent, Inc. (“Concentra,” the “Company,” “we,” “us,” or “our”) (NYSE: CON), the nation’s largest provider of occupational health services, today announced results for its second quarter ended June 30, 2025, the declaration of a cash dividend, and raised guidance for FY 2025.

“Concentra delivered strong results in the second quarter, building on our solid start to 2025,” said Keith Newton, Chief Executive Officer of Concentra. “Our results reflected strength across several key measures, including growth in patient visits, rate, revenue, and Adjusted EBITDA. We are well-positioned for continued momentum driven by the disciplined execution of our strategy by our outstanding colleagues.”

Matt DiCanio, Concentra’s President and Chief Financial Officer, added, “We are progressing well on the integration of our recent acquisitions of Nova Medical Centers and Pivot Onsite Innovations, enabling Concentra to deliver our high-quality workplace health services from over 1,000 combined occupational health center and onsite health clinic locations across the country. In addition to our organic visit growth, these acquisitions and our broader development efforts will contribute to Concentra’s performance through increased top line growth and operational efficiencies.”

Second Quarter 2025 Highlights

  • Revenue of $550.8 million, an increase of 15.2% from $477.9 million in Q2 2024
  • Net income of $46.2 million, net income attributable to the Company of $44.6 million, and Adjusted Net Income Attributable to the Company of $47.7 million in Q2 2025
  • Earnings per share of $0.35 and Adjusted Earnings per Share of $0.37 in Q2 2025
  • Adjusted EBITDA of $115.0 million, an increase of 13.2% from $101.6 million in Q2 2024
  • Cash balance of $73.9 million and net leverage of 3.8x at the end of Q2 2025
  • Patient Visits of 3,520,320, or 55,005 Visits per Day in the quarter, an increase in Visits per Day of 9.5% from Q2 2024
  • Revenue per Visit of $145.92, an increase of 4.4% from $139.81 in Q2 2024
  • Closed on the acquisition of Pivot Onsite Innovations on June 1st
  • Total occupational health centers of 628, compared to 547 at the end of Q2 2024
  • Total onsite health clinics of 406, compared to 154 at the end of Q2 2024
  • More than 1,000 total locations, serving approximately 215,000 employer customers
  • Announced the appointment of Brigid Bonner and Vipin Gopal to our board of directors

Second Quarter 2025 Financial Overview

For the second quarter ended June 30, 2025, revenue increased 15.2% to $550.8 million, compared to $477.9 million for the same quarter, prior year. Income from operations increased 6.7% to $89.5 million for the second quarter ended June 30, 2025, compared to $83.9 million for the same quarter, prior year. Net income was $46.2 million, earnings per share was $0.35, and Adjusted Earnings per Share was $0.37 for the second quarter ended June 30, 2025 compared to net income of $53.1 million, earnings per share of $0.50 and Adjusted Earnings per Share of $0.49, for the same quarter, prior year. Net income decreased due to higher interest expense from the IPO recapitalization. Adjusted EBITDA increased 13.2% to $115.0 million for the second quarter ended June 30, 2025, compared to $101.6 million for the same quarter, prior year. The definition of Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA are presented in table X of this release. The definition of Adjusted Earnings per Share and a reconciliation of net income attributable to the Company and earnings per share on a fully diluted basis to Adjusted Net Income Attributable to the Company and Adjusted Earnings per Share on a fully diluted basis are presented in table XI of this release.

Year to Date June 30, 2025 Financial Overview

For the six months ended June 30, 2025, revenue increased 11.2% to $1,051.5 million, compared to $945.5 million for the same period, prior year. Income from operations increased 6.5% to $169.9 million for the six months ended June 30, 2025, compared to $159.4 million for the same period, prior year. Net income was $86.8 million, earnings per share was $0.65 and Adjusted Earnings per Share was $0.70 for the six months ended June 30, 2025, compared to net income of $103.3 million, earnings per share of $0.97, and Adjusted Earnings per Share of $0.98 for the same quarter, prior year. Adjusted EBITDA increased 10.1% to $217.7 million for the six months ended June 30, 2025, compared to $197.7 million for the same period, prior year. The definition of Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA are presented in table X of this release. The definition of Adjusted Earnings per Share and a reconciliation of net income attributable to the Company and earnings per share on a fully diluted basis to Adjusted Net Income Attributable to the Company and Adjusted Earnings per Share on a fully diluted basis are presented in table XI of this release.

Balance Sheet

As of June 30, 2025, our balance sheet reflected cash of $73.9 million, total debt of $1,665.9 million and total assets of $2,841.6 million. Concentra’s net leverage ratio as of June 30, 2025 is 3.8x, which was in compliance with the financial covenant under our credit agreement. The Company is targeting a net leverage ratio of approximately 3.5x by the end of 2025 and less than 3.0x by the end of 2026.

Cash Flow

Cash flows provided by operating activities in the second quarter ended June 30, 2025 totaled $88.4 million compared to $70.4 million for the same quarter, prior year. The increase in year over year cash flow from operations is driven primarily by the higher income from operations and also due to the timing of payroll and other payables at quarter end. During the second quarter ended June 30, 2025, cash flow from investing activity resulted in cash used of $79.5 million, including capital expenditures of $25.2 million, with $7.4 million of one-time capital expenditures associated with our Nova integration and rebranding, and acquisition-related spend of $54.3 million. Cash flow from operations less cash flow from investing activity resulted in cash provided of $8.9 million for the quarter. Cash flow from financing activity generated $12.9 million for the quarter, resulting in an increase in cash of $21.8 million.

Pivot Onsite Innovations Acquisition Closing

Effective June 1, 2025, the Company acquired Onsite Innovations, LLC (“Pivot Onsite Innovations”) for a purchase price of $54.4 million, subject to adjustment in accordance with the terms and conditions set forth in the equity purchase agreement.

Pivot Onsite Innovations operates over 240 onsite health clinics at employer locations in over 40 states, providing occupational health, wellness, prevention and performance services. The acquisition enabled the Company to expand to over 400 onsite health clinics at employer locations.

The transaction was financed using a combination of $35.0 million of available borrowing capacity under our existing Revolving Credit Facility and the remaining with cash on hand.

Dividend

On August 6, 2025, the Board of Directors declared a cash dividend of $0.0625 per share. The dividend will be payable August 28, 2025, to stockholders of record as of the close of business on August 21, 2025.

There is no assurance that future dividends will be declared. The declaration and payment of dividends in the future are at the discretion of the Board of Directors after taking into account various factors, including, but not limited to, the Company’s financial condition, operating results, available cash and current and anticipated cash needs, the terms of indebtedness, and other factors the Board of Directors may deem to be relevant.

2025 Business Outlook

Concentra raised its financial guidance for 2025. We now expect to deliver the following results:

  • Revenue in the range of $2.13 billion to $2.16 billion
  • Adjusted EBITDA in the range of $420 million to $430 million
  • Capital expenditures in the range of $80 million to $90 million (no change)
  • Net leverage ratio of approximately 3.5x (no change)

A reconciliation of full year 2025 Adjusted EBITDA expectations to net income is presented in table XII of this release.

Company Overview

Concentra is the largest provider of occupational health services in the United States by number of locations, with the mission of improving the health of America’s workforce, one patient at a time. Our approximately 13,000 colleagues and affiliated physicians and clinicians support the delivery of an extensive suite of services, including occupational and consumer health services and other direct-to-employer care. We support the care of over 50,000 patients each day on average across 47 states at our 628 occupational health centers, 406 onsite health clinics at employer worksites, and Concentra Telemed as of June 30, 2025.

Conference Call

Concentra will host a conference call regarding its second quarter financial results and business outlook on Friday August 8, 2025, at 9 a.m. Eastern Time. The conference call will be a live webcast and can be accessed via this Earnings Call Webcast Link or via Concentra’s website at https://ir.concentra.com. A replay of the webcast will be available shortly after the call at the same locations.

Participants may join the audio-only version of the webcast or participate in the question-and-answer session by calling:

Toll Free: 888-506-0062
International: 973-528-0011
Participant Access: All dial-in participants should ask to join the Concentra call.

Certain statements contained herein that are not descriptions of historical facts are “forward-looking” statements (as such term is defined in the Private Securities Litigation Reform Act of 1995), including statements related to Concentra’s 2025 and long-term business outlook. Because such statements include risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements due to factors including the following:

  • The frequency of work-related injuries and illnesses;
  • The adverse changes to our relationships with employer customers, third-party payors, workers’ compensation provider networks or employer services networks;
  • Changes to regulations, new interpretations of existing regulations, or violations of regulations;
  • State fee schedule changes undertaken by state workers’ compensation boards or commissions and other third-party payors;
  • Our ability to realize reimbursement increases at rates sufficient to keep pace with the inflation of our costs;
  • Labor shortages, increased employee turnover or costs, and union activity could significantly increase our operating costs;
  • Our ability to compete effectively with other occupational health centers, onsite health clinics at employer worksites, and healthcare providers;
  • A security breach of our, or our third-party vendors’, information technology systems which may cause a violation of HIPAA and subject us to potential legal and reputational harm;
  • Negative publicity which can result in increased governmental and regulatory scrutiny and possibly adverse regulatory changes;
  • Significant legal actions could subject us to substantial uninsured liabilities;
  • Litigation and other legal and regulatory proceedings in the course of our business that could adversely affect our business and financial statements;
  • Insurance coverage may not be sufficient to cover losses we may incur;
  • Acquisitions may use significant resources, may be unsuccessful, and could expose us to unforeseen liabilities;
  • Our exposure to additional risk due to our reliance on third parties in many aspects of our business;
  • Compliance with applicable laws regarding the corporate practice of medicine and therapy and fee-splitting;
  • Our facilities are subject to extensive federal and state laws and regulations relating to the privacy of individually identifiable information;
  • Compliance with applicable data interoperability and information blocking rule;
  • Facility licensure requirements in some states are costly and time-consuming, limiting or delaying our operations;
  • Our ability to adequately protect and enforce our intellectual property and other proprietary rights;
  • Adverse economic conditions in the U.S. or globally;
  • Any negative impact on the global economy and capital markets resulting from other geopolitical tensions;
  • The impact of impairment of our goodwill and other intangible assets;
  • Our ability to maintain satisfactory credit ratings;
  • The effects of the Separation on our business;
  • Our ability to achieve the expected benefits of and successfully execute the Separation and related transactions;
  • Restrictions on our business, potential tax and indemnification liabilities and substantial charges in connection with the Separation and related transactions;
  • The negative impact of public threats such as a global pandemic or widespread outbreak of an infectious disease similar to the COVID-19 pandemic;
  • The loss of key members of our management team;
  • Our ability to attract and retain talented, highly skilled employees and a diverse workforce, and on the succession of our senior management;
  • Climate change, or legal, regulatory or market measures to address climate change;
  • Increasing scrutiny and rapidly evolving expectations from stakeholders regarding ESG matters;
  • Changes in tax laws or exposures to additional tax liabilities; and
  • Changes to United States tariff and import/export regulations and the impact on global economic conditions may have a negative effect on our business, financial condition and results of operations.

Except as required by applicable law, including the securities laws of the United States and the rules and regulations of the SEC, we are under no obligation to publicly update or revise any forward-looking statements, whether as a result of any new information, future events, or otherwise. You should not place undue reliance on our forward-looking statements. Although we believe that the expectations reflected in forward-looking statements are reasonable, we cannot guarantee future results or performance.

 
 
 

I. Condensed Consolidated Statements of Operations
For the Second Quarter Ended June 30, 2025 and 2024
(In thousands, except per share amounts, unaudited)
 

 

 

 

Three Months Ended June 30,

 

 

 

 

 

2025

 

 

 

2024

 

 

% Change

Revenue

 

$

550,785

 

 

$

477,915

 

 

15.2

%

Costs and expenses:

 

 

 

 

 

 

Cost of services, exclusive of depreciation and amortization

 

 

389,334

 

 

 

339,273

 

 

14.8

 

General and administrative, exclusive of depreciation and amortization(1)

 

 

52,931

 

 

 

36,828

 

 

43.7

 

Depreciation and amortization

 

 

18,998

 

 

 

17,870

 

 

6.3

 

Total costs and expenses

 

 

461,263

 

 

 

393,971

 

 

17.1

 

Other operating income

 

 

20

 

 

 

 

 

N/M

 

Income from operations

 

 

89,542

 

 

 

83,944

 

 

6.7

 

Other income and expense:

 

 

 

 

 

 

Equity in losses of unconsolidated subsidiaries

 

 

 

 

 

(3,676

)

 

N/M

 

Interest (expense) income

 

 

(28,193

)

 

 

205

 

 

N/M

 

Interest expense on related party debt

 

 

 

 

 

(9,318

)

 

N/M

 

Income before income taxes

 

 

61,349

 

 

 

71,155

 

 

(13.8

)

Income tax expense

 

 

15,155

 

 

 

18,096

 

 

(16.3

)

Net income

 

 

46,194

 

 

 

53,059

 

 

(12.9

)

Less: net income attributable to non-controlling interests

 

 

1,634

 

 

 

1,322

 

 

23.6

 

Net income attributable to the Company

 

$

44,560

 

 

$

51,737

 

 

(13.9

)%

Basic and diluted earnings per common share:(2)

 

$

0.35

 

 

$

0.50

 

 

 

_____________________________________________

(1)

Includes transition services agreement fees of $3.5 million for the three months ended June 30, 2025, and shared service fees from a related party of $3.8 million for the three months ended June 30, 2024.

(2)

Refer to table III for calculation of earnings per common share.

N/M

Not meaningful

 
 
 
 

II. Condensed Consolidated Statements of Operations
For the Six Months Ended June 30, 2025 and 2024
(In thousands, except per share amounts, unaudited)
 

 

 

 

Six Months Ended June 30,

 

 

 

 

 

2025

 

 

 

2024

 

 

% Change

Revenue

 

$

1,051,537

 

 

$

945,513

 

 

11.2

%

Costs and expenses:

 

 

 

 

 

 

Cost of services, exclusive of depreciation and amortization

 

 

746,435

 

 

 

676,263

 

 

10.4

 

General and administrative, exclusive of depreciation and amortization(1)

 

 

99,644

 

 

 

73,737

 

 

35.1

 

Depreciation and amortization

 

 

35,617

 

 

 

36,355

 

 

(2.0

)

Total costs and expenses

 

 

881,696

 

 

 

786,355

 

 

12.1

 

Other operating income

 

 

20

 

 

 

284

 

 

(93.0

)

Income from operations

 

 

169,861

 

 

 

159,442

 

 

6.5

 

Other income and expense:

 

 

 

 

 

 

Loss on early retirement of debt

 

 

(875

)

 

 

 

 

N/M

 

Equity in losses of unconsolidated subsidiaries

 

 

 

 

 

(3,676

)

 

N/M

 

Interest (expense) income

 

 

(53,741

)

 

 

94

 

 

N/M

 

Interest expense on related party debt

 

 

 

 

 

(19,289

)

 

N/M

 

Income before income taxes

 

 

115,245

 

 

 

136,571

 

 

(15.6

)

Income tax expense

 

 

28,409

 

 

 

33,233

 

 

(14.5

)

Net income

 

 

86,836

 

 

 

103,338

 

 

(16.0

)

Less: net income attributable to non-controlling interests

 

 

3,365

 

 

 

2,645

 

 

27.2

 

Net income attributable to the Company

 

$

83,471

 

 

$

100,693

 

 

(17.1

)%

Basic and diluted earnings per common share(2)

 

$

0.65

 

 

$

0.97

 

 

 

_____________________________________________

(1)

Includes transition services agreement fees of $7.2 million for the six months ended June 30, 2025, and shared service fees from a related party of $7.7 million for the six months ended June 30, 2024.

(2)

Refer to table III for calculation of earnings per common share.

N/M

Not meaningful

 
 
 
 

III. Earnings per Share
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands, except per share amounts, unaudited)
 

 

As of June 30, 2025, the Company’s capital structure consists of common stock and unvested restricted stock. To calculate earnings per share (“EPS”) for the three and six months ended June 30, 2025, the Company applied the two-class method because its unvested restricted shares were participating securities. 

 

As of June 30, 2024, the Company’s capital structure consists of common stock. There were no participating shares or securities outstanding during the three and six months ended June 30, 2024. 

 

The following table sets forth the net income attributable to the Company, its shares, and its participating shares: 

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

2025

 

2024

 

2025

 

2024

Net income

 

$

46,194

 

$

53,059

 

$

86,836

 

$

103,338

Less: net income attributable to non-controlling interests

 

 

1,634

 

 

1,322

 

 

3,365

 

 

2,645

Net income attributable to the Company

 

 

44,560

 

 

51,737

 

 

83,471

 

 

100,693

Less: distributed and undistributed net income attributable to participating securities

 

 

530

 

 

 

 

985

 

 

Distributed and undistributed net income attributable to common shares

 

$

44,030

 

$

51,737

 

$

82,486

 

$

100,693

 

The following table sets forth the computation of EPS. The Company applied the two-class method for the three and six months ended June 30, 2025. 

 

 

 

Three Months Ended June 30, 2025

 

Three Months Ended June 30, 2024

 

 

Net Income

Attributable to

the Company

 

Shares(1)

 

Basic and

Diluted

EPS

 

Net Income

Attributable to

the Company

 

Shares(1)

 

Basic and

Diluted

EPS

Common shares

 

$

44,030

 

126,647

 

$

0.35

 

$

51,737

 

104,094

 

$

0.50

Participating securities

 

 

530

 

1,524

 

$

0.35

 

 

 

 

$

Total Company

 

$

44,560

 

128,171

 

$

0.35

 

$

51,737

 

104,094

 

$

0.50

 

 

 

Six Months Ended June 30, 2025

 

Six Months Ended June 30, 2024

 

 

Net Income

Attributable to

the Company

 

Shares(1)

 

Basic and

Diluted

EPS

 

Net Income

Attributable to

the Company

 

Shares(1)

 

Basic and

Diluted

EPS

Common shares

 

$

82,486

 

126,647

 

$

0.65

 

$

100,693

 

104,094

 

$

0.97

Participating securities

 

 

985

 

1,512

 

$

0.65

 

 

 

 

$

Total Company

 

$

83,471

 

128,159

 

$

0.65

 

$

100,693

 

104,094

 

$

0.97

_____________________________________________

(1)

Represents the weighted average shares outstanding during the period.

 
 
 
 

IV. Condensed Consolidated Balance Sheets
(In thousands, unaudited)
 

 

 

 

June 30, 2025

 

December 31, 2024

ASSETS

 

 

 

 

Current assets:

 

 

 

 

Cash

 

$

73,872

 

 

$

183,255

Accounts receivable

 

 

271,752

 

 

 

217,719

Prepaid income taxes

 

 

5,280

 

 

 

1,544

Other current assets

 

 

44,263

 

 

 

34,689

Total current assets

 

 

395,167

 

 

 

437,207

Operating lease right-of-use assets

 

 

473,334

 

 

 

435,595

Property and equipment, net

 

 

220,278

 

 

 

197,930

Goodwill

 

 

1,480,653

 

 

 

1,234,707

Other Identifiable intangible assets, net

 

 

257,261

 

 

 

204,725

Other assets

 

 

14,891

 

 

 

11,000

Total assets

 

$

2,841,584

 

 

$

2,521,164

LIABILITIES AND EQUITY

 

 

 

 

Current liabilities:

 

 

 

 

Current operating lease liabilities

 

$

83,279

 

 

$

75,442

Current portion of long-term debt and notes payable

 

 

13,921

 

 

 

10,093

Accounts payable

 

 

38,877

 

 

 

19,752

Accrued and other liabilities

 

 

198,992

 

 

 

201,899

Total current liabilities

 

 

335,069

 

 

 

307,186

Non-current operating lease liabilities

 

 

430,439

 

 

 

396,914

Long-term debt, net of current portion

 

 

1,652,003

 

 

 

1,468,917

Non-current deferred tax liability

 

 

24,362

 

 

 

25,380

Other non-current liabilities

 

 

32,331

 

 

 

24,043

Total liabilities

 

 

2,474,204

 

 

 

2,222,440

Redeemable non-controlling interests

 

 

19,560

 

 

 

18,013

Stockholders’ equity:

 

 

 

 

Common stock, $0.01 par value, 700,000,000 shares authorized, 128,170,952 and 128,125,952 shares issued and outstanding at June 30, 2025 and December 31, 2024, respectively

 

 

1,282

 

 

 

1,281

Capital in excess of par

 

 

265,390

 

 

 

260,837

Retained earnings

 

 

79,827

 

 

 

13,553

Accumulated other comprehensive loss

 

 

(3,863

)

 

 

Total stockholders’ equity

 

 

342,636

 

 

 

275,671

Non-controlling interests

 

 

5,184

 

 

 

5,040

Total equity

 

 

347,820

 

 

 

280,711

Total liabilities and equity

 

$

2,841,584

 

 

$

2,521,164

 
 
 
 

V. Condensed Consolidated Statements of Cash Flows
For the Three Months Ended June 30, 2025 and 2024
(In thousands, unaudited)
 

 

 

 

Three Months Ended June 30,

 

 

 

2025

 

 

 

2024

 

Operating activities

 

 

 

 

Net income

 

$

46,194

 

 

$

53,059

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

Depreciation and amortization

 

 

18,998

 

 

 

17,870

 

Equity in losses of unconsolidated subsidiaries

 

 

 

 

 

3,676

 

Loss (gain) on sale of assets

 

 

1

 

 

 

(1

)

Stock compensation expense

 

 

2,285

 

 

 

166

 

Amortization of debt discount and issuance costs

 

 

995

 

 

 

 

Deferred income taxes

 

 

(1,177

)

 

 

903

 

Other

 

 

1,096

 

 

 

47

 

Changes in operating assets and liabilities, net of effects of business combinations:

 

 

 

 

Accounts receivable

 

 

(5,106

)

 

 

676

 

Other current assets

 

 

(5,028

)

 

 

8,539

 

Other assets

 

 

1,401

 

 

 

(4,939

)

Accounts payable and accrued liabilities

 

 

28,720

 

 

 

(9,563

)

Net cash provided by operating activities

 

 

88,379

 

 

 

70,433

 

Investing activities

 

 

 

 

Business combinations, net of cash acquired

 

 

(54,282

)

 

 

 

Purchases of property and equipment

 

 

(25,226

)

 

 

(15,263

)

Proceeds from sale of assets

 

 

 

 

 

1

 

Net cash used in investing activities

 

 

(79,508

)

 

 

(15,262

)

Financing activities

 

 

 

 

Borrowings on revolving facilities

 

 

35,000

 

 

 

 

Payments on related party revolving promissory note

 

 

 

 

 

(50,000

)

Payments on term loans

 

 

(2,375

)

 

 

 

Borrowings of other debt

 

 

107

 

 

 

 

Principal payments on other debt

 

 

(1,810

)

 

 

(2,102

)

Dividends paid to common stockholders

 

 

(16,021

)

 

 

 

Distributions to and purchases of non-controlling interests

 

 

(2,009

)

 

 

(1,100

)

Distribution to Select

 

 

 

 

 

(852

)

Net cash provided by (used in) financing activities

 

 

12,892

 

 

 

(54,054

)

Net increase in cash and cash equivalents

 

 

21,763

 

 

 

1,117

 

Cash and cash equivalents at beginning of period

 

 

52,109

 

 

 

49,552

 

Cash and cash equivalents at end of period

 

$

73,872

 

 

$

50,669

 

Supplemental information

 

 

 

 

Cash paid for interest

 

$

16,295

 

 

$

9,554

 

Cash paid for taxes

 

$

35,616

 

 

$

33,975

 

 
 
 
 

VI. Condensed Consolidated Statements of Cash Flows
For the Six Months Ended June 30, 2025 and 2024
(In thousands, unaudited)
 

 

 

 

Six Months Ended June 30,

 

 

 

2025

 

 

 

2024

 

Operating activities

 

 

 

 

Net income

 

$

86,836

 

 

$

103,338

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

Depreciation and amortization

 

 

35,617

 

 

 

36,355

 

Equity in losses of unconsolidated subsidiaries

 

 

 

 

 

3,676

 

Loss on extinguishment of debt

 

 

51

 

 

 

 

Loss on sale of assets

 

 

 

 

 

42

 

Stock compensation expense

 

 

4,554

 

 

 

332

 

Amortization of debt discount and issuance costs

 

 

1,971

 

 

 

 

Deferred income taxes

 

 

(2,205

)

 

 

(1,618

)

Other

 

 

1,107

 

 

 

59

 

Changes in operating assets and liabilities, net of effects of business combinations:

 

 

 

 

Accounts receivable

 

 

(26,251

)

 

 

(12,829

)

Other current assets

 

 

(7,781

)

 

 

1,224

 

Other assets

 

 

2,303

 

 

 

(4,217

)

Accounts payable and accrued liabilities

 

 

3,876

 

 

 

(11,307

)

Net cash provided by operating activities

 

 

100,078

 

 

 

115,055

 

Investing activities

 

 

 

 

Business combinations, net of cash acquired

 

 

(333,300

)

 

 

(5,144

)

Purchases of property and equipment

 

 

(40,958

)

 

 

(32,494

)

Proceeds from sale of assets

 

 

1

 

 

 

23

 

Net cash used in investing activities

 

 

(374,257

)

 

 

(37,615

)

Financing activities

 

 

 

 

Borrowings on revolving facilities

 

 

85,000

 

 

 

 

Borrowings from related party revolving promissory note

 

 

 

 

 

10,000

 

Payments on related party revolving promissory note

 

 

 

 

 

(60,000

)

Proceeds from term loans, net of issuance costs

 

 

948,848

 

 

 

 

Payments on term loans

 

 

(850,250

)

 

 

 

Borrowings of other debt

 

 

6,575

 

 

 

6,618

 

Principal payments on other debt

 

 

(6,505

)

 

 

(4,378

)

Dividends paid to common stockholders

 

 

(16,021

)

 

 

 

Distributions to and purchases of non-controlling interests

 

 

(2,851

)

 

 

(2,643

)

Distribution to Select

 

 

 

 

 

(7,742

)

Net cash provided by (used in) financing activities

 

 

164,796

 

 

 

(58,145

)

Net (decrease) increase in cash

 

 

(109,383

)

 

 

19,295

 

Cash at beginning of period

 

 

183,255

 

 

 

31,374

 

Cash at end of period

 

$

73,872

 

 

$

50,669

 

Supplemental information

 

 

 

 

Cash paid for interest

 

$

54,432

 

 

$

19,512

 

Cash paid for taxes

 

$

35,568

 

 

$

34,009

 

 
 
 
 

VII. Disaggregated Revenue
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands, unaudited)
 

 

The following table disaggregates the Company’s revenue for the three and six months ended June 30, 2025 and 2024: 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

2025

 

2024

 

2025

 

2024

Occupational health centers:

 

 

 

 

 

 

 

Workers' compensation

$

332,191

 

$

288,405

 

$

634,298

 

$

568,271

Employer services

 

174,318

 

 

153,305

 

 

334,458

 

 

304,040

Consumer health

 

7,177

 

 

7,669

 

 

15,788

 

 

15,995

Other occupational health center revenue

 

2,452

 

 

1,861

 

 

4,516

 

 

4,006

Total occupational health center revenue

 

516,138

 

 

451,240

 

 

989,060

 

 

892,312

Onsite health clinics

 

22,569

 

 

15,539

 

 

39,119

 

 

31,396

Other

 

12,078

 

 

11,136

 

 

23,358

 

 

21,805

Total revenue

$

550,785

 

$

477,915

 

$

1,051,537

 

$

945,513

 
 
 
 

VIII. Key Statistics
For the Second Quarter Ended June 30, 2025 and 2024
(unaudited)
 

 

 

 

Three Months Ended June 30,

 

 

 

 

2025

 

 

2024

 

 

 

Facility Count

 

 

 

 

 

 

Number of occupational health centers—start of period

 

 

627

 

 

547

 

 

 

Number of occupational health centers acquired

 

 

 

 

 

 

 

Number of occupational health centers de novos

 

 

1

 

 

1

 

 

 

Number of occupational health centers closed/sold

 

 

 

 

(1

)

 

 

Number of occupational health centers—end of period

 

 

628

 

 

547

 

 

 

Number of onsite health clinics operated—end of period

 

 

406

 

 

154

 

 

 

 

 

 

 

 

 

 

The following table sets forth operating statistics for our occupational health centers operating segment for the periods presented:

 

 

 

 

 

 

 

 

 

Three Months Ended June 30,

 

 

Number of patient visits

 

2025

 

 

2024

 

 

% Change

Workers’ compensation

 

 

1,589,981

 

 

1,455,254

 

 

9.3

%

Employer services

 

 

1,877,383

 

 

1,702,399

 

 

10.3

%

Consumer health

 

 

52,956

 

 

56,602

 

 

(6.4

)%

Total

 

 

3,520,320

 

 

3,214,255

 

 

9.5

%

 

 

 

 

 

 

 

Visits per day volume

 

 

 

 

 

 

Workers’ compensation

 

 

24,843

 

 

22,739

 

 

9.3

%

Employer services

 

 

29,334

 

 

26,600

 

 

10.3

%

Consumer health

 

 

827

 

 

884

 

 

(6.4

)%

Total

 

 

55,005

(3)

 

50,223

 

 

9.5

%

 

 

 

 

 

 

 

Revenue per visit(1)

 

 

 

 

 

 

Workers’ compensation

 

$

208.93

 

$

198.18

 

 

5.4

%

Employer services

 

 

92.85

 

 

90.05

 

 

3.1

%

Consumer health

 

 

135.52

 

 

135.49

 

 

%

Total

 

$

145.92

 

$

139.81

 

 

4.4

%

 

 

 

 

 

 

 

Business Days(2)

 

 

64

 

 

64

 

 

 

_____________________________________________

(1)

Represents the average amount of revenue recognized for each patient visit. Revenue per visit is calculated as total patient revenue divided by total patient visits. Revenue per visit as reported includes only the revenue and patient visits in our occupational health centers segment and does not include our onsite health clinics or other businesses segments.

(2)

Represents the number of days in which normal business operations were conducted during the periods presented.

(3)

Does not total due to rounding

 
 
 
 

IX. Key Statistics
For the Six Months Ended June 30, 2025 and 2024
(unaudited)
 

 

 

 

Six Months Ended June 30,

 

 

 

 

2025

 

 

2024

 

 

 

Facility Count

 

 

 

 

 

 

Number of occupational health centers—start of period

 

 

552

 

 

544

 

 

 

Number of occupational health centers acquired

 

 

72

 

 

2

 

 

 

Number of occupational health centers de novos

 

 

4

 

 

2

 

 

 

Number of occupational health centers closed/sold

 

 

 

 

(1

)

 

 

Number of occupational health centers—end of period

 

 

628

 

 

547

 

 

 

Number of onsite health clinics operated—end of period

 

 

406

 

 

154

 

 

 

 

 

 

 

 

 

 

The following table sets forth operating statistics for our occupational health centers operating segment for the periods presented:

 

 

Six Months Ended June 30,

 

 

 

 

2025

 

 

2024

 

 

% Change

Number of patient visits

 

 

 

 

 

 

Workers’ compensation

 

 

3,034,861

 

 

2,888,338

 

 

5.1

%

Employer services

 

 

3,573,795

 

 

3,361,690

 

 

6.3

%

Consumer health

 

 

116,032

 

 

119,882

 

 

(3.2

)%

Total

 

 

6,724,688

 

 

6,369,910

 

 

5.6

%

 

 

 

 

 

 

 

Visits per day volume

 

 

 

 

 

 

Workers’ compensation

 

 

23,897

 

 

22,565

 

 

5.9

%

Employer services

 

 

28,140

 

 

26,263

 

 

7.1

%

Consumer health

 

 

914

 

 

937

 

 

(2.5

)%

Total

 

 

52,950

(3)

 

49,765

 

 

6.4

%

 

 

 

 

 

 

 

Revenue per visit(1)

 

 

 

 

 

 

Workers’ compensation

 

$

209.00

 

$

196.75

 

 

6.2

%

Employer services

 

 

93.59

 

 

90.44

 

 

3.5

%

Consumer health

 

 

136.06

 

 

133.42

 

 

2.0

%

Total

 

$

146.41

 

$

139.45

 

 

5.0

%

 

 

 

 

 

 

 

Business days(2)

 

 

127

 

 

128

 

 

 

_____________________________________________

(1)

Represents the average amount of revenue recognized for each patient visit. Revenue per visit is calculated as total patient revenue divided by total patient visits. Revenue per visit as reported includes only the revenue and patient visits in our occupational health centers segment and does not include our onsite health clinics or other businesses segments.

(2)

Represents the number of days in which normal business operations were conducted during the periods presented.

(3)

Does not total due to rounding.

 
 
 
 

X. Net Income to Adjusted EBITDA Reconciliation
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands, unaudited)
 

 

Adjusted EBITDA and Adjusted EBITDA Margin are non-GAAP measures that we believe provide useful insight into the underlying performance of our business by excluding items that may obscure trends in our core operating results. These metrics are not intended to be substitutes for GAAP measures such as net income and may differ from similarly titled metrics supported by other companies. We use these non-GAAP measures internally for budgeting, forecasting, and evaluating performance. Investors should consider these measures in addition to, and not as a replacement for, GAAP results reported in our financial statements. 

 

Adjusted EBITDA is a supplemental measure that we believe offers a clearer view of business performance by excluding items that do not reflect the core operations of the Company. We define adjusted EBITDA as net income before interest, income taxes, depreciation and amortization, stock-based compensation expense, acquisition related costs, gains or losses on early retirement of debt, separation transaction costs, gains or losses on the sale of businesses, and equity in earnings or losses from unconsolidated subsidiaries. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by total revenue. This margin helps assess the efficiency of our operations on a normalized basis. 

 

The following table reconciles net income to Adjusted EBITDA and net income margin to Adjusted EBITDA margin and should be referenced when we discuss Adjusted EBITDA and Adjusted EBITDA margin. 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

2025

 

2024

 

2025

 

2024

 

Amount

 

% of

Revenue(2)

 

Amount

 

% of

Revenue(2)

 

Amount

 

% of

Revenue(2)

 

Amount

 

% of

Revenue(2)

Reconciliation of Adjusted EBITDA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

$

46,194

 

8.4

%

 

$

53,059

 

 

11.1

%

 

$

86,836

 

8.3

%

 

$

103,338

 

 

10.9

%

Add (Subtract):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income tax expense

 

15,155

 

2.8

 

 

 

18,096

 

 

3.8

 

 

 

28,409

 

2.7

 

 

 

33,233

 

 

3.5

 

Interest expense (income)

 

28,193

 

5.1

 

 

 

(205

)

 

0.0

 

 

 

53,741

 

5.1

 

 

 

(94

)

 

0.0

 

Interest expense on related party debt

 

 

 

 

 

9,318

 

 

1.9

 

 

 

 

 

 

 

19,289

 

 

2.0

 

Equity in losses of unconsolidated subsidiaries

 

 

 

 

 

3,676

 

 

0.8

 

 

 

 

 

 

 

3,676

 

 

0.4

 

Loss on early retirement of debt

 

 

 

 

 

 

 

 

 

 

875

 

0.1

 

 

 

 

 

 

Stock compensation expense

 

2,285

 

0.4

 

 

 

166

 

 

0.0

 

 

 

4,554

 

0.4

 

 

 

332

 

 

0.0

 

Depreciation and amortization

 

18,998

 

3.4

 

 

 

17,870

 

 

3.7

 

 

 

35,617

 

3.4

 

 

 

36,355

 

 

3.8

 

Separation transaction costs(1)

 

1,360

 

0.2

 

 

 

(380

)

 

(0.1

)

 

 

1,675

 

0.2

 

 

 

1,613

 

 

0.2

 

Nova and Pivot Onsite Innovations acquisition costs

 

2,833

 

0.5

 

 

 

 

 

 

 

 

5,970

 

0.6

 

 

 

 

 

 

Adjusted EBITDA

$

115,018

 

20.9

%

 

$

101,600

 

 

21.3

%

 

$

217,677

 

20.7

%

 

$

197,742

 

 

20.9

%

_____________________________________________

(1)

Separation transaction costs represent non-recurring incremental consulting, legal, audit-related fees, system implementation, and software disposal costs incurred in connection with the Company’s separation into a new, publicly traded company and are included within general and administrative expenses on the condensed consolidated statements of operations.

(2)

Does not total due to rounding.

 
 
 
 

XI. Reconciliation of Earnings per Share to Adjusted Earnings per Share
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands, except per share amounts, unaudited)
 

 

Adjusted Net Income Attributable to the Company and Adjusted Earnings per Share are used by management to provide useful insight into the underlying performance of our business. Adjusted Net Income Attributable to the Company and Adjusted Earnings per Share are not measures of financial performance under U.S. GAAP and are not intended to be substitutes for U.S. GAAP measures such as net income or earnings per share. These metrics may differ from similarly titled metrics supported by other companies. Concentra believes that the presentation of Adjusted Net Income Attributable to the Company and Adjusted Earnings per Share are important to investors because they are reflective of the financial performance of Concentra’s ongoing operations and provide better comparability of its results of operations between periods. Investors should consider these measures in addition to, and not as a replacement for, U.S. GAAP results reported in our financial statements. 

 

We define Adjusted Net Income Attributable to the Company as net income attributable to the Company, excluding gain (loss) on early retirement of debt, separation transaction costs, acquisition costs, gain (loss) on sale of businesses, and other non-recurring costs not directly tied to operating performance, all on an after tax basis. We define Adjusted Earnings per Share as the Adjusted Net Income Attributable to the Company divided by the diluted weighted average shares outstanding. 

 

The following table reconciles net income attributable to the Company and earnings per share on a fully diluted basis to Adjusted Net Income Attributable to the Company and Adjusted Earnings per Share on a fully diluted basis. 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

2025

 

 

Per

Share

 

 

2024

 

 

Per

Share(4)

 

 

2025

 

 

Per

Share

 

 

2024

 

 

Per

Share(4)

Reconciliation of Adjusted Net Income Attributable to the Company:(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to the Company

$

44,560

 

 

$

0.35

 

 

$

51,737

 

 

$

0.50

 

$

83,471

 

 

$

0.65

 

 

$

100,693

 

 

$

0.97

Adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

 

 

 

 

 

 

 

 

 

 

 

875

 

 

 

0.01

 

 

 

 

 

 

Separation transaction costs(2)

 

1,360

 

 

 

0.01

 

 

 

(380

)

 

 

0.00

 

 

1,675

 

 

 

0.01

 

 

 

1,613

 

 

 

0.02

Nova and Pivot Onsite Innovations acquisition costs

 

2,833

 

 

 

0.02

 

 

 

 

 

 

 

 

5,970

 

 

 

0.05

 

 

 

 

 

 

Total additions, net

$

4,193

 

 

$

0.03

 

 

$

(380

)

 

$

0.00

 

$

8,520

 

 

$

0.07

 

 

$

1,613

 

 

$

0.02

Less: tax effect of adjustments(3)

 

(1,036

)

 

 

(0.01

)

 

 

97

 

 

 

0.00

 

 

(2,100

)

 

 

(0.02

)

 

 

(392

)

 

 

0.00

Adjusted Net Income Attributable to the Company

$

47,717

 

 

$

0.37

 

 

$

51,454

 

 

$

0.49

 

$

89,891

 

 

$

0.70

 

 

$

101,914

 

 

$

0.98

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding - diluted

 

 

 

128,171

 

 

 

 

 

104,094

 

 

 

 

128,159

 

 

 

 

 

104,094

_____________________________________________

(1)

As of June 30, 2025, we updated the schedule for all periods presented to include Net Income Attributable to the Company. Management believes this measure will provide an improved insight into the performance of our business.

(2)

Separation transaction costs represent non-recurring incremental consulting, legal, audit-related fees, system implementation, and software disposal costs incurred in connection with the Company’s separation into a new, publicly traded company and are included within general and administrative expenses on the condensed consolidated statements of operations.

(3)

Tax impact is calculated using the annual effective tax rate, excluding discrete costs and benefits.

(4)

Does not total due to rounding. 

 
 
 
 

XII. 2025 Net Income to Adjusted EBITDA Reconciliation
Business Outlook for the Year Ending December 31, 2025
(In millions, unaudited)
 

 

The following is a reconciliation of full year 2025 Adjusted EBITDA expectations as computed at the low and high points of the range to the closest comparable GAAP financial measure. Refer to tables X for discussion of Concentra's use of Adjusted EBITDA in evaluating financial performance and for the definition of Adjusted EBITDA. Each item presented in the below table is an estimation of full year 2025 expectations. 

 

 

Range

 

Low

 

High

Net income attributable to the Company

$

157

 

$

164

Net income attributable to non-controlling interests

 

6

 

 

7

Net income

$

163

 

$

171

Loss on early retirement of debt

 

1

 

 

1

Income tax expense

 

54

 

 

56

Interest expense

 

109

 

 

109

Income from operations

 

327

 

 

337

Stock compensation expense

 

10

 

 

10

Depreciation and amortization

 

74

 

 

74

Separation transaction costs

 

3

 

 

3

Nova and Pivot Onsite Innovations acquisition costs

 

6

 

 

6

Adjusted EBITDA

$

420

 

$

430

 

 

 

 

Adjusted Net Income Attributable to the Company(1)

$

165

 

$

172

_____________________________________________

(1)

Represents net income attributable to the Company plus the tax effective adjustments for loss on early retirement of debt, separation transaction costs, and Nova and Pivot Onsite Innovations acquisition costs.

 
 

 

Contacts

Investor inquiries:

Bill Chapman
Vice President, Strategy & Investor Relations
972-725-6488
ir@concentra.com

Concentra Group Holdings Parent, Inc.

NYSE:CON

Release Versions

Contacts

Investor inquiries:

Bill Chapman
Vice President, Strategy & Investor Relations
972-725-6488
ir@concentra.com

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