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Surgery Partners, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 9 November 2026: press release. The quarter’s numbers.

Key takeaways

  • Quarterly revenue declined 0.8 percent: Revenue was $815.3 million, down 0.8 percent from $821.5 million in the third quarter of 2025. Source
  • Net loss attributable to company: Net loss attributable to the company was $21.1 million, or $(0.16) per diluted share, against $22.7 million a year earlier. Source
  • Adjusted EBITDA slipped to $132.7 million: Adjusted EBITDA was $132.7 million against $136.4 million. The margin was 16.3 percent versus 16.6 percent. Nine-month Adjusted EBITDA was $360.2 million versus $369.3 million. Source
  • Overhead and deal costs increased: General and administrative expenses were $40.6 million against $22.4 million. Transaction and integration costs were $22.6 million against $12.6 million. Source
  • Unsolicited rival bid prompted amendment: The amendment followed receipt of an unsolicited competing proposal from a third party. The release does not name that party. Source
  • Cash rose to $354.5 million: Cash was $354.5 million at September 30, 2026, against $216.7 million at June 30, 2026. $692.8 million was available under the revolver. Source

“Our financial results in the third quarter reflect the impact of the successful Idaho Falls divestiture and sustained momentum in our core business, underscoring the value of our short-stay surgical platform.”

Eric Evans, Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Revenuefull year 2026$3.35 billion to $3.45 billion
Adjusted EBITDAfull year 2026at least $530 million, excluding the pending divestiture

What changed from last quarter

  • Guidance withdrawn: The company will no longer provide forward-looking guidance and will not hold an earnings call for the quarter, citing the pending HealthSpan transaction. Source
  • New: The merger agreement with HealthSpan Partners was amended after an unsolicited competing bid, raising merger consideration to $25.00 per share in cash. Source
  • Ended: Ownership of the Idaho Falls facilities ran through September 13, 2026. The prior release had described that sale as pending. Source

Revenue and same-facility growth

  • Quarterly revenue declined 0.8 percent: Revenue was $815.3 million, down 0.8 percent from $821.5 million in the third quarter of 2025. Source
  • Same-facility revenue per case rose: Same-facility revenue per case rose 5.8% to $4,375 from $4,136 in the third quarter of 2025. Source
  • Nine-month revenue rose 2.1 percent: Year-to-date revenue was $2,475.1 million, up 2.1 percent. Year-to-date same-facility revenue rose 4.6 percent, with revenue per case up 4.2 percent. Source

Earnings and per-share results

  • Net loss attributable to company: Net loss attributable to the company was $21.1 million, or $(0.16) per diluted share, against $22.7 million a year earlier. Source
  • Adjusted diluted EPS rose to $0.16: Adjusted diluted EPS was $0.16 against $0.13. The non-GAAP reconciliation adds back transaction costs, equity-based compensation and litigation items. Source
  • Non-controlling interest share declined: Net income attributable to non-controlling interests was $35.2 million, against $48.0 million, and is deducted to reach the net loss attributable to the company. Source

“the recently announced amended merger agreement with HealthSpan Partners serves as further validation of our unique offering”

Eric Evans, Chief Executive Officer

Margins and cost lines

  • Adjusted EBITDA slipped to $132.7 million: Adjusted EBITDA was $132.7 million against $136.4 million. The margin was 16.3 percent versus 16.6 percent. Nine-month Adjusted EBITDA was $360.2 million versus $369.3 million. Source
  • Overhead and deal costs increased: General and administrative expenses were $40.6 million against $22.4 million. Transaction and integration costs were $22.6 million against $12.6 million. Source
  • Supply and lease costs rose: Supplies rose to $214.1 million from $208.9 million and lease expense to $23.8 million from $21.5 million. Salaries and benefits fell to $239.8 million from $242.8 million. Source

Cases, facilities and revenue per case

  • Total cases declined year over year: Total cases were 159,070 against 166,106. Consolidated revenue per case was $5,125 against $4,946. Source
  • Facility count rose to 173: Surgical facilities totaled 173 at quarter end, against 165. Consolidated facilities were 115, against 114. Source
  • Same-facility cases edged higher: Same-facility cases were 181,102 against 180,652. Year-to-date same-facility cases were 518,357 against 516,639. Source

HealthSpan merger amendment

  • Unsolicited rival bid prompted amendment: The amendment followed receipt of an unsolicited competing proposal from a third party. The release does not name that party. Source
  • Bain affiliates excluded from extra payments: The additional monthly payments apply to stockholders other than affiliates of Bain Capital Private Equity. Source

Cash, debt and distributions

  • Cash rose to $354.5 million: Cash was $354.5 million at September 30, 2026, against $216.7 million at June 30, 2026. $692.8 million was available under the revolver. Source
  • Operating cash flow increased: Operating cash flow was $103.5 million against $83.6 million. Nine-month operating cash flow was $174.5 million against $170.9 million. Source
  • Investing inflow and capital spending: Investing activities provided $468.0 million; the release does not itemize the source. Capital expenditure was $24.5 million against $19.8 million. Source
  • Leverage about 4.4x; long-term debt lower: Total net debt to EBITDA under the credit agreement was about 4.4x. Long-term debt, less current maturities, fell to $2,998.7 million from $3,648.3 million in June. Source
  • Distributions to non-controlling holders: Distributions to non-controlling interest holders were $53.1 million, against $52.5 million a year earlier. Source

Coming up, as management said on 9 November 2026

  • Merger expected to close in Q1 2027: Management expects the HealthSpan merger to close in the first quarter of 2027, subject to stockholder approval, regulatory approvals and other customary closing conditions. Source
  • Monthly payments if closing passes March 1: If stockholder approval is obtained but the merger has not occurred by March 1, 2027, monthly cash payments accrue at 10 percent per annum on $25.00 per share. Source

Figures management reported

FigureReported
Same-facility revenue growth (days adjusted) Source6.0%
Same-facility case growth (days adjusted) Source0.2%

Risks management discussed

  • Regulatory: Closing depends on Surgery Partners stockholder approval, regulatory approvals and other customary closing conditions. Source
  • External: The amendment followed an unsolicited competing proposal from a third party received before the amended agreement was signed. Source

Earlier plans management reported on

  • Not stated: Described in the prior release as pending closing conditions. The current release does not restate the deleveraging effect.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.