Medical Facilities Corp
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Medical Facilities Corp
Medical Facilities Corp. engages in the provision of surgical hospitals and an ambulatory surgery center in Arkansas, Indiana, Oklahoma, South Dakota, and California. The company is headquartered in Toronto, Ontario. The company went IPO on 2004-03-29. The firm owns interest in four specialty surgical hospitals located in Arkansas, Oklahoma, and South Dakota, and six ambulatory surgery center (ASC) located in California. In addition, through a partnership with NueHealth LLC, Medical Facilities owns interest in five ambulatory surgery centers located in Michigan, Missouri, Nebraska, Ohio, and Pennsylvania. The firm also owns non-controlling interests in a specialty surgical hospital in Indiana and an ASC in Missouri. The specialty surgical hospitals offer non-emergency surgical, imaging, diagnostic and pain management procedures, and other ancillary services such as urgent care and occupational health. The ambulatory surgery centers offer scheduled outpatient surgical procedures. Its subsidiaries include Arkansas Surgical Hospital, LLC and Oklahoma Spine Hospital, LLC.
Medical Facilities Corp. engages in the provision of surgical hospitals and an ambulatory surgery center in Arkansas, Indiana, Oklahoma, South Dakota, and California. The company is headquartered in Toronto, Ontario. The company went IPO on 2004-03-29. The firm owns interest in four specialty surgical hospitals located in Arkansas, Oklahoma, and South Dakota, and six ambulatory surgery center (ASC) located in California. In addition, through a partnership with NueHealth LLC, Medical Facilities owns interest in five ambulatory surgery centers located in Michigan, Missouri, Nebraska, Ohio, and Pennsylvania. The firm also owns non-controlling interests in a specialty surgical hospital in Indiana and an ASC in Missouri. The specialty surgical hospitals offer non-emergency surgical, imaging, diagnostic and pain management procedures, and other ancillary services such as urgent care and occupational health. The ambulatory surgery centers offer scheduled outpatient surgical procedures. Its subsidiaries include Arkansas Surgical Hospital, LLC and Oklahoma Spine Hospital, LLC.
Revenue: Full-year facility service revenue was $342.2 million, up 3.2% year-over-year; Q4 facility service revenue was $97.3 million, up 6.9%.
Profitability: Income from operations rose to $58.0 million for the year (up 6.1%) and to $20.9 million in Q4 (up 20.1%); adjusted EBITDA was $73.7 million for the year (up 3.1%) and $24.4 million in Q4 (up 12%).
Volumes & mix: Surgical case volumes increased 2.6% in Q4 (outpatient +6.6%, inpatient -10.8%, observation -3.8%), with pain management cases down 13.5% in the quarter.
Costs: Operating expenses rose $2.8 million (3.8%) in Q4; salaries & benefits +2.7%, drugs & supplies +7.1%, G&A +3.5%.
Capital returns: Returned $61.8 million to shareholders in 2025 via repurchases (more than 5.1 million shares, ~22% reduction in share count).
Asset sales / cash: Sold Surgery Center of Newport Coast for $1.5 million (51% interest) and closed Oklahoma Spine Hospital sale (64% interest) for $46.0 million on Jan 30, 2026; corporate cash was $34.2 million at year-end and the Oklahoma sale added $46.0 million thereafter.
Balance sheet: Consolidated net working capital at Dec 31 was $38.1 million (cash & equivalents about $43.4 million) versus $76.4 million and $108.5 million, respectively, at the end of 2024; corporate credit facility fully repaid.
