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Viemed Healthcare, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 3 August 2026: press release. Guidance figures: 2 lowered, 1 narrowed. The quarter’s numbers.

Key takeaways

  • Revenue reached a Company record: Net revenue was $78.1 million, up $15.0 million or 23.9% from the prior-year quarter and about 3.6% above the prior quarter. Source
  • Adjusted EBITDA fell 4.0%: Adjusted EBITDA was $13.7 million, down 4.0%. The prior-year quarter included a $1.0 million non-recurring gain on disposal tied to the ventilator return program. Source
  • Ventilator census hit a record: Ventilator patients reached a record 12,635, up 4.0% year over year and 4.5% sequentially from March 31, 2026. Source
  • PAP therapy patients up 44%: PAP therapy patients rose to 37,825, up 44.0% year over year and 5.3% sequentially. Source
  • SG&A rose on higher spend: Selling, general and administrative expense was $37.1 million, against $28.8 million a year earlier. Source
  • Free cash flow of $8.6 million: Free cash flow was $8.6 million for the quarter and $34.4 million for the trailing twelve months. Source
  • 530,802 shares repurchased: The company repurchased and cancelled 530,802 shares for $5.1 million, excluding taxes, at an average $9.65 per share. Source
  • Less capital-intensive mix cited: Management said the revised guidance reflects a growing contribution from less capital-intensive product and service revenue. Source

“Strong ventilator setup activity, improving patient compliance, record PAP volume, and continued expansion in resupply and maternal health demonstrate the momentum building across our entire platform.”

Casey Hoyt, Viemed’s CEO

Guidance

AreaPeriodFigureAgainst last quarter
Net revenue SourceFull year 2026$314 million to $320 millionNarrowed, low end up from $312 million to $320 million
Adjusted EBITDA SourceFull year 2026$64 million to $68 millionLowered from $65 million to $69 million
Net capital expenditures (percent of net revenue) SourceFull year 20268.5% to 10.0% of net revenueLowered from 9.0% to 10.5%

What changed from last quarter

  • Guidance raised: Net revenue guidance low end raised to $314 million from $312 million; top end unchanged at $320 million and range narrowed. Source
  • Guidance lowered: Adjusted EBITDA guidance lowered to $64 million to $68 million from $65 million to $69 million. Source
  • Guidance lowered: Net capital expenditure guidance lowered to 8.5% to 10.0% of net revenue from 9.0% to 10.5%. Source

Record revenue and earnings

  • Revenue reached a Company record: Net revenue was $78.1 million, up $15.0 million or 23.9% from the prior-year quarter and about 3.6% above the prior quarter. Source
  • Net income and diluted EPS: Net income attributable to Viemed was $2.8 million, or $0.07 per diluted share, against $3.2 million and $0.08 in the prior-year quarter. Source
  • Adjusted EBITDA fell 4.0%: Adjusted EBITDA was $13.7 million, down 4.0%. The prior-year quarter included a $1.0 million non-recurring gain on disposal tied to the ventilator return program. Source

Patient volumes by product line

  • Ventilator census hit a record: Ventilator patients reached a record 12,635, up 4.0% year over year and 4.5% sequentially from March 31, 2026. Source
  • PAP therapy patients up 44%: PAP therapy patients rose to 37,825, up 44.0% year over year and 5.3% sequentially. Source
  • Sleep resupply patients up 47%: Sleep resupply patients were 37,035, up 46.7% year over year and 10.0% sequentially. Source

“Viemed has multiple growth engines, strong cash generation, a solid balance sheet, and the financial flexibility to continue investing in our people, technology, and patient care capabilities.”

Casey Hoyt, Viemed’s CEO

Costs and investment

  • Cost of revenue and gross profit: Cost of revenue was $33.0 million and gross profit $45.0 million, against $26.3 million and $36.7 million in the prior-year quarter. Source
  • SG&A rose on higher spend: Selling, general and administrative expense was $37.1 million, against $28.8 million a year earlier. Source
  • Stock-based compensation declined: Stock-based compensation was $2.0 million, against $2.3 million a year earlier. Source

Cash flow and balance sheet

  • Free cash flow of $8.6 million: Free cash flow was $8.6 million for the quarter and $34.4 million for the trailing twelve months. Source
  • Operating cash flow $15.9 million: Net cash provided by operating activities was $15.9 million for the quarter and $60.8 million over the trailing twelve months. Source
  • Net capex of $7.3 million: Net capital expenditure was $7.3 million for the quarter, being $8.5 million of purchases less $1.2 million of sale proceeds; trailing twelve months $26.3 million. Source
  • Cash and working capital balances: Cash was $10.7 million and working capital was $6.1 million at June 30, 2026. Source
  • Term loan repaid; $46 million available: The company repaid $2.2 million of its term loan in the quarter; long-term debt was $6.4 million, and $46 million remained available under existing credit facilities. Source

“We are making those investments deliberately to support the patient growth already entering the platform, and we enter the second half of 2026 confident in Viemed's ability to deliver consistent and increasingly predictable growth.”

Casey Hoyt, Viemed’s CEO

Share repurchases and share count

  • 530,802 shares repurchased: The company repurchased and cancelled 530,802 shares for $5.1 million, excluding taxes, at an average $9.65 per share. Source
  • Buyback above first-quarter volume: The first-quarter repurchase was 150,000 shares for $1.4 million, or $9.29 per share, so second-quarter volume was higher.
  • Shares outstanding declined: Shares issued and outstanding were 38,088,228 at June 30, 2026, down from 38,533,586 at March 31, 2026 in the prior release. Source

Guidance rationale and investment

  • Revenue low end raised, range narrowed: Management cited first-half performance and favorable operating trends across ventilation and the broader platform for raising the low end and narrowing the range. Source
  • Less capital-intensive mix cited: Management said the revised guidance reflects a growing contribution from less capital-intensive product and service revenue. Source
  • Investment to support patient growth: Management said it is investing deliberately in technology, people and patient care to support patient growth already entering the platform. Source

Figures management reported

FigureReported
Patient volumes (ventilator) Source12,635 patients at June 30, 2026, up 4.0% year over year
Patient volumes (PAP therapy) Source37,825 patients at June 30, 2026, up 44.0% year over year
Patient volumes (sleep resupply) Source37,035 patients at June 30, 2026, up 46.7% year over year

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.