Concentra Group Holdings Parent, Inc. Announces Results For Its Second Quarter Ended June 30, 2026 and Raises FY 2026 Guidance
DALLAS--( 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 by number of locations, today announced results for the second quarter ended June 30, 2026, declaration of a cash dividend, and raised its full-year 2026 guidance. The quarter included revenue growth of 10.0%, net income attributable to the Company growth of 46.5%, Adjusted EBITDA growth of 22.5% and a net leverage ratio of 2.99x.
As part of a multiyear succession process unanimously approved by Concentra’s board of directors (the “Board”), effective as of November 1, 2026, (i) Matt DiCanio, president and chief financial officer, will become Concentra’s president and chief executive officer and serve as a Class III director on the Board, and (ii) Keith Newton will transition from chief executive officer and director to executive chairman of the Board. Additionally, Robert Ortenzio has notified the Board of his intent to resign from the role of chairman of the Board while continuing to serve as a director on the Board, effective as of November 1, 2026. The planned succession is designed to provide leadership continuity and support continued execution of the Company’s strategy.
“Leading Concentra and our dedicated colleagues over the last decade has been a tremendous privilege, and I am proud of what we have built together: a leader in occupational health,” said Keith Newton. “Our momentum reflects clear priorities and a team committed to delivering results. Matt has been instrumental in shaping that strategy and driving Concentra’s performance, making this the right time to transition leadership."
Matt DiCanio added, “Our strong performance reflects the strength of our strategy, our operating model and our people. As CEO, my priorities are to deliver high-quality care, create meaningful value for customers and patients, and pursue disciplined growth. As Concentra approaches its 50th year, our experienced leadership team, operating leverage, and steadfast commitment to our mission position us well for continued growth.”
Second Quarter 2026 Highlights
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. The definition of Free Cash Flow and a reconciliation of net cash provided by operating activities to Free Cash Flow are presented in table XII of this release.
Balance Sheet
As of June 30, 2026, our balance sheet reflected cash of $158.0 million, total debt of $1,573.6 million and total assets of $3,010.3 million. Concentra’s net leverage ratio as of June 30, 2026 was 2.99x, which was in compliance with the financial covenant under our credit agreement.
Cash Flow
Cash flows provided by operating activities in the second quarter ended June 30, 2026 totaled $135.2 million compared to $88.4 million for the same quarter of the prior year. The increase in year-over-year cash flow from operations was primarily due to an increase in net income from organic growth and through acquisitions and de novos, as well as year-over-year variances in timing associated with payments of current liabilities. During the second quarter ended June 30, 2026, cash flow from investing activities resulted in cash used of $14.2 million, including capital expenditures of $15.7 million, partially offset by proceeds from sale of assets of $1.5 million. Concentra had Free Cash Flow of $121.0 million in the second quarter ended June 30, 2026, compared to $63.2 million for the same quarter of the prior year. Cash flow from financing activities used $24.7 million for the quarter, driven primarily by $11.0 million in repurchases of shares of common stock and $8.0 million in dividend payments. This resulted in a net increase in cash of $96.3 million for the quarter.
Dividend
On August 5, 2026, the Board declared a cash dividend of $0.0625 per share. The dividend will be payable on or about August 28, 2026, to stockholders of record as of the close of business on August 20, 2026.
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 after taking various factors into account, 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 may deem to be relevant.
Leadership Transition
As executive chairman, Keith Newton will continue to support strategic initiatives and leadership development, while providing continuity through the transition. Newton has served as Concentra’s chief executive officer for the past decade, helping establish the Company as the nation’s leading provider of occupational health services by number of locations and guiding its transition to an independent publicly traded company.
“Keith’s leadership has been instrumental in Concentra’s growth, strong performance, and distinctive culture,” said Robert Ortenzio, chairman of the Board. “The Board is grateful for his many contributions as chief executive officer, and we are pleased that Concentra will continue to benefit from his experience and leadership as executive chairman.”
DiCanio has served as Concentra’s president since 2023 and chief financial officer since 2024. During his 11-year tenure, his responsibilities have spanned clinical functions, operations, sales, marketing, corporate strategy, finance and business development. He has also led multiple business units and major acquisition integrations and played an integral role in Concentra’s transition to a publicly traded company.
“Matt has played a pivotal role in shaping Concentra’s strategy, performance, and growth,” Ortenzio said. “His extensive knowledge of the business, proven leadership, and commitment to Concentra’s mission and culture make him the right leader to guide the Company as it approaches its 50th year and builds for the future.”
The Company expects to announce its chief financial officer succession plan prior to the leadership transition taking effect on November 1, 2026.
2026 Business Outlook
Concentra raised its financial guidance for 2026. We now expect to deliver the following results:
A reconciliation of full year 2026 Adjusted EBITDA expectations to net income is presented in table XIII of this release. A reconciliation of full year 2026 Free Cash Flow expectations to net cash provided by operating activities is presented in table XIV 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 approximately 54,000 (1) patients each business day on average across 46 states and the District of Columbia at our 633 occupational health centers, 415 onsite health clinics at employer worksites, and Concentra Telemed as of June 30, 2026.
(1) As of TTM June 30, 2026.
Conference Call
Concentra will host a conference call regarding its second quarter financial results and business outlook on Friday, August 7, 2026, 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 2026 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:
Except as required by applicable law, including the securities laws of the United States and the rules and regulations of the Securities and Exchange Commission, 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 our forward-looking statements are reasonable, we cannot guarantee future results or performance.
I. Condensed Consolidated Statements of Operations
For the Three Months Ended June 30, 2026 and 2025
(In thousands, except per share amounts, unaudited)
Three Months Ended June 30,
2026
2025
% Change
Revenue
$
606,030
$
550,785
10.0
%
Costs and expenses:
Cost of services, exclusive of depreciation and amortization
413,933
389,334
6.3
General and administrative, exclusive of depreciation and amortization (1)
56,677
52,931
7.1
Depreciation and amortization
19,899
18,998
4.7
Total costs and expenses
490,509
461,263
6.3
Other operating (expense) income
(453
)
20
N/M
Income from operations
115,068
89,542
28.5
Other income and expense:
Interest expense
(25,723
)
(28,193
)
(8.8
)
Income before income taxes
89,345
61,349
45.6
Income tax expense
22,046
15,155
45.5
Net income
67,299
46,194
45.7
Less: net income attributable to non-controlling interests
2,000
1,634
22.4
Net income attributable to the Company
$
65,299
$
44,560
46.5
%
Basic and diluted earnings per common share: (2)
$
0.51
$
0.35
(1)
Includes transition services agreement fees of $1.0 million and $3.5 million for the three months ended June 30, 2026 and 2025, respectively.
(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, 2026 and 2025
(In thousands, except per share amounts, unaudited)
Six Months Ended June 30,
2026
2025
% Change
Revenue
$
1,175,585
$
1,051,537
11.8
%
Costs and expenses:
Cost of services, exclusive of depreciation and amortization
813,019
746,435
8.9
General and administrative, exclusive of depreciation and amortization (1)
111,957
99,644
12.4
Depreciation and amortization
39,547
35,617
11.0
Total costs and expenses
964,523
881,696
9.4
Other operating (expense) income
(384
)
20
N/M
Income from operations
210,678
169,861
24.0
Other income and expense:
Loss on early retirement of debt
—
(875
)
N/M
Interest expense
(51,726
)
(53,741
)
(3.7
)
Income before income taxes
158,952
115,245
37.9
Income tax expense
39,361
28,409
38.6
Net income
119,591
86,836
37.7
Less: net income attributable to non-controlling interests
3,804
3,365
13.0
Net income attributable to the Company
$
115,787
$
83,471
38.7
%
Basic and diluted earnings per common share: (2)
$
0.90
$
0.65
(1)
Includes transition services agreement fees of $2.7 million and $7.2 million for the six months ended June 30, 2026 and 2025, respectively.
(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, 2026 and 2025
(In thousands, except per share amounts, unaudited)
As of June 30, 2026 and 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, 2026 and 2025, the Company applied the two-class method because its unvested restricted shares were participating securities.
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,
2026
2025
2026
2025
Net income
$
67,299
$
46,194
$
119,591
$
86,836
Less: net income attributable to non-controlling interests
2,000
1,634
3,804
3,365
Net income attributable to the Company
65,299
44,560
115,787
83,471
Less: distributed and undistributed net income attributable to participating securities
1,372
530
2,438
985
Distributed and undistributed net income attributable to common shares
$
63,927
$
44,030
$
113,349
$
82,486
The following table sets forth the computation of EPS under the two-class method:
Three Months Ended June 30, 2026
Three Months Ended June 30, 2025
Net Income Allocation
Shares (1)
Basic and Diluted EPS
Net Income Allocation
Shares (1)
Basic and Diluted EPS
Common shares
$
63,927
125,102
$
0.51
$
44,030
126,647
$
0.35
Participating securities
1,372
2,685
$
0.51
530
1,524
$
0.35
Total Company
$
65,299
127,787
$
0.51
$
44,560
128,171
$
0.35
Six Months Ended June 30, 2026
Six Months Ended June 30, 2025
Net Income Allocation
Shares (1)
Basic and Diluted EPS
Net Income Allocation
Shares (1)
Basic and Diluted EPS
Common shares
$
113,349
125,439
$
0.90
$
82,486
126,647
$
0.65
Participating securities
2,438
2,698
$
0.90
985
1,512
$
0.65
Total Company
$
115,787
128,137
$
0.90
$
83,471
128,159
$
0.65
_________________________________________
(1) Represents the weighted average shares outstanding during the period.
IV. Condensed Consolidated Balance Sheets
(In thousands, except par value and share data, unaudited)
June 30, 2026
December 31, 2025
ASSETS
Current assets:
Cash
$
158,038
$
79,899
Accounts receivable
299,819
257,900
Prepaid expenses and other current assets
48,626
45,299
Total current assets
506,483
383,098
Operating lease right-of-use assets
522,421
483,652
Property and equipment, net
226,040
225,309
Goodwill
1,480,421
1,479,192
Other identifiable intangible assets, net
232,267
242,556
Non-current deferred tax asset
22,511
24,120
Other assets
20,132
20,461
Total assets
$
3,010,275
$
2,858,388
LIABILITIES AND EQUITY
Current liabilities:
Current operating lease liabilities
$
87,208
$
84,582
Current portion of long-term debt and notes payable
12,412
10,738
Accounts payable
36,415
21,005
Accrued and other liabilities
231,904
220,922
Total current liabilities
367,939
337,247
Non-current operating lease liabilities
482,988
443,642
Long-term debt, net of current portion
1,561,211
1,563,658
Non-current deferred tax liability
47,079
48,906
Other non-current liabilities
44,634
44,506
Total liabilities
2,503,851
2,437,959
Redeemable non-controlling interests
21,706
19,404
Stockholders’ equity:
Common stock, $0.01 par value, 700,000,000 shares authorized, 127,517,736 and 128,633,374 shares issued and outstanding at June 30, 2026 and December 31, 2025, respectively
1,276
1,286
Capital in excess of par
230,964
248,899
Retained earnings
244,152
146,448
Accumulated other comprehensive income (loss)
703
(3,352
)
Total stockholders’ equity
477,095
393,281
Non-controlling interests
7,623
7,744
Total equity
484,718
401,025
Total liabilities and equity
$
3,010,275
$
2,858,388
V. Condensed Consolidated Statements of Cash Flows
For the Three Months Ended June 30, 2026 and 2025
(In thousands, unaudited)
Three Months Ended June 30,
2026
2025
Operating activities
Net income
$
67,299
$
46,194
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
19,899
18,998
Stock compensation expense
4,130
2,285
Amortization of debt discount and issuance costs
1,044
995
Deferred income taxes
(2,321
)
(1,177
)
Other
491
1,097
Changes in operating assets and liabilities, net of effects of business combinations:
Accounts receivable
(3,349
)
(5,106
)
Other current assets
(3,401
)
(5,028
)
Other assets
2,172
1,401
Accounts payable and accrued liabilities
49,246
28,720
Net cash provided by operating activities
135,210
88,379
Investing activities
Business combinations, net of cash acquired
—
(54,282
)
Purchases of property and equipment
(15,665
)
(25,226
)
Proceeds from sale of assets
1,468
—
Net cash used in investing activities
(14,197
)
(79,508
)
Financing activities
Borrowings on revolving facilities
—
35,000
Payments on term loans
(2,375
)
(2,375
)
Borrowings of other debt
—
107
Principal payments on other debt
(1,421
)
(1,810
)
Dividends paid to common stockholders
(7,992
)
(16,021
)
Repurchase of common shares
(10,958
)
—
Distributions to non-controlling interests
(1,928
)
(2,009
)
Net cash (used in) provided by financing activities
(24,674
)
12,892
Net increase in cash
96,339
21,763
Cash at beginning of period
61,699
52,109
Cash at end of period
$
158,038
$
73,872
Supplemental information
Cash paid for interest
$
13,531
$
16,295
Cash paid for taxes
$
35,165
$
35,616
VI. Condensed Consolidated Statements of Cash Flows
For the Six Months Ended June 30, 2026 and 2025
(In thousands, unaudited)
Six Months Ended June 30,
2026
2025
Operating activities
Net income
$
119,591
$
86,836
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
39,547
35,617
Loss on early retirement of debt
—
51
Stock compensation expense
8,265
4,554
Amortization of debt discount and issuance costs
2,072
1,971
Deferred income taxes
(1,506
)
(2,205
)
Other
507
1,107
Changes in operating assets and liabilities, net of effects of business combinations:
Accounts receivable
(41,975
)
(26,251
)
Other current assets
(5,186
)
(7,781
)
Other assets
3,577
2,303
Accounts payable and accrued liabilities
31,337
3,876
Net cash provided by operating activities
156,229
100,078
Investing activities
Business combinations, net of cash acquired
(3,760
)
(333,300
)
Purchases of property and equipment
(26,753
)
(40,958
)
Proceeds from sale of assets
1,470
1
Net cash used in investing activities
(29,043
)
(374,257
)
Financing activities
Borrowings on revolving facilities
—
85,000
Proceeds from term loans, net of issuance costs
—
948,848
Payments on term loans
(4,750
)
(850,250
)
Borrowings of other debt
4,912
6,575
Principal payments on other debt
(3,549
)
(6,505
)
Dividends paid to common stockholders
(16,009
)
(16,021
)
Repurchase of common shares
(25,954
)
—
Distributions to non-controlling interests
(3,697
)
(2,851
)
Net cash (used in) provided by financing activities
(49,047
)
164,796
Net increase (decrease) in cash
78,139
(109,383
)
Cash at beginning of period
79,899
183,255
Cash at end of period
$
158,038
$
73,872
Supplemental information
Cash paid for interest
$
50,201
$
54,432
Cash paid for taxes
$
34,384
$
35,568
VII. Disaggregated Revenue
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands, unaudited)
The following table disaggregates the Company’s revenue:
Three Months Ended June 30,
Six Months Ended June 30,
2026
2025
2026
2025
Occupational health centers:
Workers’ compensation
$
361,228
$
332,191
$
698,907
$
634,298
Employer services
183,157
174,318
355,525
334,458
Consumer health
6,893
7,177
14,723
15,788
Other occupational health center revenue
2,239
2,452
4,263
4,516
Total occupational health center revenue
553,517
516,138
1,073,418
989,060
Onsite health clinics
38,832
22,569
76,028
39,119
Other
13,681
12,078
26,139
23,358
Total revenue
$
606,030
$
550,785
$
1,175,585
$
1,051,537
VIII. Key Statistics
For the Three Months Ended June 30, 2026 and 2025
The following table sets forth facility counts for our occupational health centers and onsite health clinics operating segments for the periods presented:
Three Months Ended June 30,
2026
2025
Facility Counts
Number of occupational health centers—start of period
632
627
Number of occupational health centers acquired
—
—
Number of occupational health centers de novos
1
1
Number of occupational health centers closed
—
—
Number of occupational health centers—end of period
633
628
Number of onsite health clinics—end of period
415
406
The following table sets forth operating statistics for our occupational health centers operating segment for the periods presented:
Three Months Ended June 30,
2026
2025
% Change
Number of patient visits
Workers’ compensation
1,648,983
1,589,981
3.7
%
Employer services
1,910,984
1,877,383
1.8
%
Consumer health
50,967
52,956
(3.8
)%
Total
3,610,934
3,520,320
2.6
%
Visits per day volume
Workers’ compensation
25,765
24,843
3.7
%
Employer services
29,859
29,334
1.8
%
Consumer health
796
827
(3.8
)%
Total
56,421
(3)
55,005
(3)
2.6
%
Revenue per visit (1)
Workers’ compensation
$
219.06
$
208.93
4.9
%
Employer services
95.84
92.85
3.2
%
Consumer health
135.26
135.52
(0.2
)%
Total
$
152.67
$
145.92
4.6
%
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 operating segment and does not include our onsite health clinics or other businesses operating segments.
(2)
Represents the number of days in which normal business operations were conducted during the periods presented.
(3)
Does not foot due to rounding.
IX. Key Statistics
For the Six Months Ended June 30, 2026 and 2025
The following table sets forth facility counts for our occupational health centers and onsite health clinics operating segments for the periods presented:
Six Months Ended June 30,
2026
2025
Facility Counts
Number of occupational health centers—start of period
628
552
Number of occupational health centers acquired
3
72
Number of occupational health centers de novos
2
4
Number of occupational health centers closed
—
—
Number of occupational health centers—end of period
633
628
Number of onsite health clinics—end of period
415
406
The following table sets forth operating statistics for our occupational health centers operating segment for the periods presented:
Six Months Ended June 30,
2026
2025
% Change
Number of patient visits
Workers’ compensation
3,232,326
3,034,861
6.5
%
Employer services
3,689,568
3,573,795
3.2
%
Consumer health
108,131
116,032
(6.8
)%
Total
7,030,025
6,724,688
4.5
%
Visits per day volume
Workers’ compensation
25,451
23,897
6.5
%
Employer services
29,052
28,140
3.2
%
Consumer health
851
914
(6.8
)%
Total
55,355
(3)
52,950
(3)
4.5
%
Revenue per visit (1)
Workers’ compensation
$
216.22
$
209.00
3.5
%
Employer services
96.36
93.59
3.0
%
Consumer health
136.16
136.06
0.1
%
Total
$
152.08
$
146.41
3.9
%
Business days (2)
127
127
(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, 2026 and 2025
(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 U.S. GAAP measures such as net income and net income margin, 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, U.S. GAAP results reported in our financial statements.
Adjusted EBITDA is a supplemental measure that we believe offers useful insight into the Company’s 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 compensation expense, acquisition related costs, gains or losses on early retirement of debt, and separation transaction costs. We define Adjusted EBITDA Margin as Adjusted EBITDA divided by total revenue. Adjusted EBITDA Margin is a supplemental measure that we believe 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,
2026
2025
2026
2025
Amount
% of Revenue (4)
Amount
% of Revenue (4)
Amount
% of Revenue (4)
Amount
% of Revenue (4)
Reconciliation of Adjusted EBITDA:
Net income (1)
$
67,299
11.1
%
$
46,194
8.4
%
$
119,591
10.2
%
$
86,836
8.3
%
Add (Subtract):
Income tax expense
22,046
3.6
15,155
2.8
39,361
3.3
28,409
2.7
Interest expense
25,723
4.2
28,193
5.1
51,726
4.4
53,741
5.1
Loss on early retirement of debt
—
—
—
—
—
—
875
0.1
Stock compensation expense
4,130
0.7
2,285
0.4
8,265
0.7
4,554
0.4
Depreciation and amortization
19,899
3.3
18,998
3.4
39,547
3.4
35,617
3.4
Separation transaction costs (2)
1,777
0.3
1,360
0.2
2,853
0.2
1,675
0.2
Nova and Pivot Onsite Innovations acquisition costs
60
0.0
2,833
0.5
279
0.0
5,970
0.6
Adjusted EBITDA (3)
$
140,934
23.3
%
$
115,018
20.9
%
$
261,622
22.3
%
$
217,677
20.7
%
_________________________________________
(1)
The percentage of revenue values on this row represent the net income margin for the period.
(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 from Select into a new, publicly traded company and are included within general and administrative expenses on the condensed consolidated statements of operations.
(3)
The percentage of revenue values on this row represent the Adjusted EBITDA Margin for the period.
(4)
Totals in this column may not foot due to rounding.
XI. Earnings per Share to Adjusted Earnings per Share Reconciliation
For the Three and Six Months Ended June 30, 2026 and 2025
(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 attributable to the Company or earnings per share. These metrics may differ from similarly titled metrics supported by other companies. We believe 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, and acquisition costs, 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,
2026
Per Share (3)
2025
Per Share (3)
2026
Per Share (3)
2025
Per Share (3)
Reconciliation of Adjusted Net Income Attributable to the Company:
Net income attributable to the Company
$
65,299
$
0.51
$
44,560
$
0.35
$
115,787
$
0.90
$
83,471
$
0.65
Adjustments:
Loss on early retirement of debt
—
—
—
—
—
—
875
0.01
Separation transaction costs (1)
1,777
0.01
1,360
0.01
2,853
0.02
1,675
0.01
Nova and Pivot Onsite Innovations acquisition costs
60
0.00
2,833
0.02
279
0.00
5,970
0.05
Total additions (subtractions), net
$
1,837
$
0.01
$
4,193
$
0.03
$
3,132
$
0.02
$
8,520
$
0.07
Less: tax effect of adjustments (2)
(454
)
(0.00
)
(1,036
)
(0.01
)
(777
)
(0.01
)
(2,100
)
(0.02
)
Adjusted Net Income Attributable to the Company
$
66,682
$
0.52
$
47,717
$
0.37
$
118,142
$
0.92
$
89,891
$
0.70
Weighted average shares outstanding - diluted
127,787
128,171
128,137
128,159
_________________________________________
(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 from Select into a new, publicly traded company and are included within general and administrative expenses on the condensed consolidated statements of operations.
(2)
Tax impact is calculated using the annual effective tax rate, including discrete costs and benefits.
(3)
Totals in this column may not foot due to rounding.
XII. Net Cash Provided by Operating Activities to Free Cash Flow Reconciliation
For the Three and Six Months ended June 30, 2026 and 2025
(In thousands, unaudited)
Free Cash Flow is used by management to provide useful insight into the underlying performance of our business. Free Cash Flow is not a measure of financial performance or liquidity under U.S. GAAP and is not intended to be a substitute for U.S. GAAP measures, such as net cash provided by operating activities. This metric may differ from similarly titled metrics supported by other companies. Other companies, including companies in our industry, may calculate Free Cash Flow differently than we do, limiting the usefulness of those measures for comparative purposes. We believe that the presentation of Free Cash Flow is important to investors because it is reflective of the financial performance and cash flows of Concentra’s ongoing operations and provides a better comparability of its cash flows between periods. Investors should consider this measure in addition to, and not as a replacement for, U.S. GAAP results reporting in our financial statements.
We define Free Cash Flow as net cash provided by operating activities less net cash used in investing activities, excluding business combinations, net of cash acquired. Free Cash Flow (i) does not represent residual cash flow available for discretionary expenditures and (ii) does not reflect our mandatory debt service obligations or other non-discretionary expenditures that are not deducted in calculating the measure.
The following table reconciles net cash provided by operating activities to Free Cash Flow.
Three Months Ended June 30,
Six Months Ended June 30,
2026
2025
2026
2025
Reconciliation of Free Cash Flow:
Net cash provided by operating activities
$
135,210
$
88,379
$
156,229
$
100,078
Add (Subtract):
Net cash used in investing activities
(14,197
)
(79,508
)
(29,043
)
(374,257
)
Business combinations, net of cash acquired
—
54,282
3,760
333,300
Free Cash Flow
$
121,013
$
63,153
$
130,946
$
59,121
XIII. 2026 Net Income to Adjusted EBITDA Reconciliation
Business Outlook for the Year Ending December 31, 2026
(In millions, unaudited)
The following is a reconciliation of full year 2026 Adjusted EBITDA expectations as computed at the low and high points of the range to the closest comparable U.S. GAAP financial measure. Refer to table 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 2026 expectations.
Range
Low
High
Net income attributable to the Company
$
203
$
210
Net income attributable to non-controlling interests
7
7
Net income
$
210
$
217
Income tax expense
69
72
Interest expense
102
102
Income from operations
381
391
Stock compensation expense
20
20
Depreciation and amortization
81
81
Separation transaction costs
3
3
Adjusted EBITDA
$
485
$
495
XIV. 2026 Net Cash Provided by Operating Activities to Free Cash Flow Reconciliation
Business Outlook for the Year Ending December 31, 2026
(In millions, unaudited)
The following is a reconciliation of full year 2026 Free Cash Flow expectations as computed at the low and high points of the range to the closest comparable U.S. GAAP financial measure. Refer to table XII for discussion of Concentra’s use of Free Cash Flow in evaluating financial performance and for the definition of Free Cash Flow. Each item presented in the below table is an estimation of full year 2026 expectations.
Range
Low
High
Reconciliation of Free Cash Flow:
Net cash provided by operating activities
$
300
$
310
Add (Subtract):
Net cash used in investing activities
(84
)
(74
)
Business combinations, net of cash acquired
4
4
Free Cash Flow
$
220
$
240