Oncoclínicas do Brasil Serviços Médicos S.A. ($ONCO3)

Earnings Call Transcript · May 15, 2026

BOVESPA BR Health Care Health Care Providers and Services Earnings Calls 17 min

Highlights from the call

Oncoclínicas do Brasil Serviços Médicos S.A. reported its Q1 2026 results, highlighting significant operational and financial pressures. Revenue was impacted by a BRL 40 million shortfall due to medication supply issues, and net revenue fell significantly due to a one-time PCLD adjustment. Despite these challenges, management emphasized strategic initiatives to stabilize operations and improve profitability. No changes in forward guidance were provided, but management remains focused on long-term sustainability.

Main topics

  • Operational and Financial Pressures: The company faced 'strong operational pressure and financial pressure' due to medication supply issues, impacting revenue by BRL 40 million. Management is focused on 'preserving continuity and maintaining sustainability.'
  • Medication Supply Issues: A lack of medication supply in certain regions led to a reduction in procedures and a BRL 40 million revenue impact. Management is working with partners like Lumina and OncoProd to address these issues.
  • PCLD Adjustment: A significant one-time PCLD adjustment increased provisions to nearly 100% of accounts receivable, impacting net revenue. Management expects this to normalize to 3% in future quarters.
  • Cost Management Initiatives: The company implemented a zero-based budget and renegotiated supplier contracts, resulting in a reduction of operating expenses. This is expected to continue in future quarters.
  • Debt and Cash Flow Management: Operational cash flow was negative due to advance receivables from Q4 2025. Net debt to EBITDA increased to 5.2x. Negotiations with creditors are ongoing, with management optimistic about outcomes.

Key metrics mentioned

  • Revenue Impact: BRL 40 million (Due to medication supply issues)
  • Net Revenue: Significant decline (Due to one-time PCLD adjustment)
  • Gross Margin: 27.7% (Normalized for PCLD, down from 32.3%)
  • EBITDA Margin: 8.7% (Normalized for PCLD, down from 11.2%)
  • Net Debt to EBITDA: 5.2x (Increased from 3.5x)

Oncoclínicas faces significant challenges due to medication supply issues and financial pressures, impacting revenue and profitability. However, management is actively addressing these issues through strategic partnerships and cost management initiatives. Investors should monitor the resolution of supply issues and creditor negotiations as potential catalysts or risks going forward.

Earnings Call Speaker Segments

Operator

Operator
#1

[Interpreted] Good morning, and welcome to the audio conference of Oncoclinicas. [Operator Instructions] Please remember that this audio conference is being recorded. I would like to now pass the microphone to Carlos Gil, CEO of the Oncoclinicas Group. Carlos Gil, please go ahead.

Carlos Gil Ferreira

Executives
#2

[Interpreted] Good morning. Thank you for all of your presence. I'd like to compliment our investors, our analysts and other participants who are accompanying the release of the results of the first quarter of 2026. It was a quarter that was very challenging for the company, marked by strong operational pressure and financial pressure. We confronted a complex scenario, which demands from the administration quick decision-making and principally responsibility in the conduct of our operations. Since the beginning, the priority has been clear: preserve the continuity and maintain the sustainability of the company for the long term. We have been through relevant impacts from the pressure from liquidity with temporary effects about certain operations, especially in the supply of medications. This theme was treated with the maximum priority and seriousness, and we operate in an active and coordinated way to establish the operations and minimize the impact on the assistance and accelerate the normalization of our services. We started in this context, we started important initiatives to recompose the gradual complying -- supply of medications and in partnership with Lumina and OncoProd, which represent us in our restructuring plan and our operational restructuring plan. Our focus is on equalizing the treatments that have been held back and recovering operational efficiency and a gradual reconstruction of the company. Despite the challenges confronted in this quarter, I'd like to emphasize that we are -- remain -- have solid fundamentals and ethical fundamentals. Oncoclinicas has maintained its position and a leadership position in oncology in Brazil with national presence and with an important strategic role in the area of oncology and health in the country. I'd like to take advantage of this moment that we count on a clinical team, which is committed movements at the entrance and coming back of the doctors, which is natural in our sector. And up until the moment, we have not seen any relevant impact on our operations or capacity to attend our patients. We have a great deal of consciousness that we have to have more rationality in allocation of capital. This is exactly what we're concentrated on right now. These measures implemented in recent months have started to rebuild a more sustainable basis for the recovery -- the organic recovery of the growth of profitability and the strengthening of the reputation of the company. We affirm that in this process, we will not have -- this will not happen from night to day. It will be conducted with total transparency and responsibility in maintaining the market informed about any -- all of the relevant advances. I'd like to pass it over to our CFO -- our acting CFO, Isaac Quintino, who will detail the financial results from the first quarter of '26.

Isaac Quintino

Executives
#3

[Interpreted] Thank you, Gil. Good morning to everyone. It's a pleasure to be with you all once again. Beginning with Slide 3. We can -- on the graph on the left, we can observe an evolution, a slight reduction in the number of procedures in the quarter here, which principally impacts due to the lack of certain medications in certain regions in Brazil, as Gil mentioned, just mentioned. This impact of lack of supply was principally in the middle of March going forward. And the impact which we calculated was for about BRL 40 million of revenue in this period. We calculate about 4,000 procedures in this first quarter. Normalizing that, we will have basically the same number of procedures in the last quarter with an important growth in the average ticket of the company. Here, I would like to mention 2 factors. One, we had an advance in the pass-through of SME in this period. So we had several negotiations that we started to see in the first quarter. And we also had an impact of what we've been working on in recent years of the cleansing of some contracts and some payers who beyond having pressure on their -- on our working capital have average tickets that are lower than our average. So we then see this effect in the first quarter and the tendency that we see on the stability of these numbers in coming quarters. The graph on the right shows exactly the effect of the last 12 months, which is a higher falloff, which comprehends the effect -- the complete effect of this cleansing that we've been mentioning of our basis -- of our client base, which we've been talking about over the last 12 to 18 months. On the next slide, our gross revenue, we see the effect of this even though we've had a fall in the number of procedures, we had an effective -- a good effect on the average ticket. And so we see a growth -- a sequential growth of 1%. And year-on-year, we have the effect of the sanitation, this cleansing of our base, as I just mentioned. On Slide 5, we see the impact principally of PCLD in this quarter. We had an adjustment -- a bigger adjustment in PCLD, and we have certain -- to give you some clarity, as you know, we have a history of approximately 3% of PCLD, which is provisioned for on Slide 6, a long history of 3% of PCLD in this quarter, which is the first quarter of this year, we're getting close to 100% of our accounts to receive, almost 100%, which means that there is no -- we're not applying any adjustment, management adjustment to this PCLD number. The effect which we considered in the past and on certain payers, which at certain points in time during the negotiations have done several adjustments -- management adjustments, which is no longer done in this first quarter. The tendency naturally is that in the next quarters, we will go back to the normality of approximately 3%, understanding that this 14.3% of PCLD in this quarter is a onetime effect, which will happen only during this first quarter, fruit of this adhesion of 100% of the rule of the PCLD for the company. As a consequence of this higher level of PCLD in the first quarter, we had net revenue falling significantly in relation to the last quarter. On Slide 7, I'm going to mention about our gross margin. We have 2 effects. The first, as that I mentioned right now, which is the PCLD and PCLD went down beyond that, we had to -- because of this lack of supply in medications, we had certain moments we had to do purchases of medications from local distributors. And naturally, we don't have the same margins, same commercial and discounts that we have in national agreements -- nationwide agreements due to that. So we have pressure on our gross margin occurring in the quarter. As we see here, the gross margin, excluding the effects of the PCLD, both in the fourth quarter as well as in the first quarter, normalizing the PCLD at 3%, we go from 32.3% to 27.7%. And we understand that this fall is the fruit, specifically the fruit of this question of the lack of supplies of certain medications and local purchases from local suppliers of these medications. Slide 8 is a good 8, it's the beginning of the process of reduction of operating expenses. As we've been mentioning, the company since the beginning of the year has been working on a zero-budget for certain renegotiations of contracts with suppliers of expenses of IT contracts, contracts with suppliers -- corporate suppliers and has brought to the company in this first quarter, a reduction -- an important reduction, which should continue to appear in the next quarter -- in the coming quarters. So here, we're going to leave here, I think, more evident in the next weeks and months, what are the principal initiatives in the zero-based budget on which we've been working to maintain the company to bring it to the right size for the current moment of the company. And that's what the financial plan here that we've been working on and making more adequate for the company. It's also important to mention that in this quarter, we had a very low a provision due to the risk of Unimed Leste Fluminense, we have a debt -- they have a debt with us and there were several failures in receipts of payments on net debt and we made a provision for the total amount of that balance. We continue to try to collect it, and we will continue our efforts to negotiate. However, due to a higher level of being conservative on the part of our administration due to the accounting and financial point of view, we opted to provision 100% of that balance. And this balance will then be counted as an expense in this quarter. So we adjusted this effect in this slide so that becomes the expenses -- the comparative expenses would be comparable on a recurring basis. Having said that, we had a reduction in the percentage of expenses on revenue, which is important, which is that -- which we continue to see in coming quarters. On Slide 9, our EBITDA, the same thing happened, as I mentioned, for the gross margin appears also in the EBITDA margin as well. The effect of the PCLD, higher losses in this -- which reflected in our EBITDA margin. We put here the effect excluding or normalizing the PCLD both in the fourth quarter as well as in this quarter, we go from 11.2% margin in the quarter to 4% -- to 8.7% in this quarter with the effect basically due -- which I mentioned about the purchase of medications from local suppliers. Slide 10, the effect of the loss -- accumulated losses of this quarter, the effect, which is not just of the nonpayments as well as the high level of leverage of the company. The company has no growth year-on-year. We have had a deleverage -- an operational deleveraging in this quarter. And beyond that, the sum of the interest in the period to get added to that with the accounting effect of the PCLD. On Slide 11, working capital of the company. We continue to observe stability in the accounts receivable since the first quarter of last year. And the second quarter of last year was already a little bit better. And since then, there has been stability in this line of accounts receivable. And here I would like to mention once again the strong work which is doing -- the company is doing on the cleaning of our client base so that this line will not vary as it has in the past. Beyond that, you will note the stabilization in the level of inventories. This line of inventories here, as you can see, as you know very well in the past, was close to 10 days. And last year, it got to a maximum of 20 days of inventory, which is now down to 13 days. And the tendencies with the exit of the hospitals that we go back to our historic levels. And here, the accounts payable, as you know, we have renegotiated several balances that we had that are owned by our principal supplier, some medication, and this will continue to impact on the days of accounts payable for some time. We'll be communicating this to the market as we advance in our formal negotiations, definitive negotiations with our principal suppliers. Slide 12, the reconciliation of the cash on hand. We started the year with BRL 518 million cash on hand. Our operation had a negative operational cash flow. We did the anticipation of receivables of approximately BRL 330 million in the fourth quarter of last year. So naturally, these receivables were allocated for the first quarter. And so we had an important effect here on the operational cash flow due to this anticipation of receivables from the fourth quarter. And so the payment of interest in January and February before the standstill period of BRL 65 million and also payment on the principal on the debt of approximately BRL 87 million and also a period of pre -- prior to the standstill period, the CapEx of approximately BRL 28 million in this quarter and the value which is much lower than the amount that we have been practicing in the past and is also a line which should reach to even lower levels in the future and also the payment of BRL 66 million for acquisitions and partnerships prior to the standstill period. We also finalized the cash flow at this period with BRL 124 million, which naturally this fact together with a lower EBITDA in this quarter on Slide 3 (sic) [ Slide 13 ], increases our leveraging from 3.5 x net debt to EBITDA to 5.2x net debt to EBITDA. To give you an update, we have continued in our negotiations with our creditors. And shortly, we should have -- we'll be able to release the advances in these negotiations. We continue optimistic in negotiations on which we're working. And we will continue, as Gil mentioned, open for any clarifications and to give any details that we can to the market and for the financial markets. With that, I will wrap up my presentation. I'm open for any questions and answers. Please raise your hand if you have any questions.

Operator

Operator
#4

[Interpreted] [Operator Instructions] Since there are no questions, I will now return the microphone to Carlos Gil for his final comments. Sir Carlos, please go ahead.

Carlos Gil Ferreira

Executives
#5

[Interpreted] I'd like to thank you all for joining us today, and thank you very much in the name of Oncoclinicas Group. Thank you very much.

Operator

Operator
#6

[Interpreted] Thank you. The conference of Oncoclinicas is now closed. We thank you for the participation of everyone, and please have a good day. [Statements in English on this transcript were spoken by an interpreter present on the live call.]

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