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Introduction & Market Context
CareRx Corporation (TSX:CRRX), a leading provider of pharmacy services to the long-term care sector in Canada, presented its third quarter 2025 financial results on November 4, 2025. The company's stock closed at CAD 3.50 on the day of the earnings call, and has shown impressive year-to-date growth of over 70%, according to available market data.
Despite reporting improved profitability and a strengthened balance sheet, CareRx's shares dipped 2.51% following the announcement, as the company missed analyst expectations for earnings per share, posting CAD 0.0294 versus the forecasted CAD 0.0347.
Quarterly Performance Highlights
CareRx reported stable revenue of CAD 93.2 million for Q3 2025, virtually unchanged from the CAD 92.8 million reported in the same period last year. However, the company achieved notable improvements in profitability metrics, with adjusted EBITDA rising to CAD 8.3 million, up from CAD 7.8 million in Q3 2024, representing a 7% year-over-year increase.
As shown in the following quarterly summary slide, the company posted a net income of CAD 1.6 million, marking a significant improvement from the CAD 0.4 million loss recorded in the same quarter last year:

The company's adjusted EBITDA margin expanded to 9.0%, compared to 8.4% in the prior-year period, demonstrating improved operational efficiency despite flat revenue growth. CareRx also reported serving an average of 91,298 beds during the quarter, representing a 2.5% increase from the 89,099 beds serviced in Q3 2024.
The detailed financial results slide provides a comprehensive year-over-year comparison of key performance metrics:

Detailed Financial Analysis
CareRx's balance sheet showed significant improvement during the quarter. Cash holdings increased to CAD 15.5 million as of September 30, 2025, up from CAD 8.7 million at the end of the previous quarter. The company reduced its net debt to CAD 28.8 million, down from CAD 34.8 million in Q2 2025.
The company's leverage ratio, measured as net debt to adjusted EBITDA, improved to 0.9x from 1.1x in the previous quarter, indicating enhanced financial flexibility and reduced financial risk. This strengthened balance sheet position is illustrated in the following slide:

Cash from operations totaled CAD 10.1 million for the quarter, down from CAD 12.2 million in Q3 2024. Following the quarter's end, CareRx paid CAD 1.3 million in dividends (CAD 0.02 per share), allocated CAD 2.0 million toward principal and interest payments on debt, and spent CAD 0.5 million on share repurchases under its Normal Course Issuer Bid program.
Strategic Initiatives
During the quarter, CareRx continued to strengthen its market position in the long-term care pharmacy sector. A notable highlight was hosting the Ontario Minister of Long-Term Care at the company's Oakville Pharmacy location, suggesting ongoing engagement with government stakeholders in a sector heavily influenced by public policy and regulation.
The company also emphasized its community engagement initiatives, including the "Voices of CareRx" video series, participation in medication safety presentations for ISMP Canada, and community support through Long-Term Care Engagement Day and the Strides for Seniors Walk/Run. These activities reinforce CareRx's positioning as a community-oriented healthcare provider focused on senior care.
The following slide highlights the company's community engagement efforts:

Forward-Looking Statements
While the presentation did not provide explicit forward guidance, the earnings call transcript indicates that CareRx is targeting the addition of 6,000-8,000 beds in 2026, supported by new developments and ongoing consolidation efforts in the long-term care sector. The company maintains a capital expenditure guidance of CAD 8-10 million for 2026 and is aiming for double-digit EBITDA margins.
CEO Puneet Khanna emphasized the company's proactive approach to expansion during the earnings call, stating, "We are always engaged in ongoing conversations with anyone not serviced by us." This suggests a continued focus on organic growth and potential acquisition opportunities within the Canadian long-term care pharmacy market.
The company faces several challenges moving forward, including potential delays in bed growth that could impact revenue targets, market saturation in key Canadian provinces, and competitive pressures from other long-term care service providers. Macroeconomic factors and potential supply chain disruptions also present ongoing risks to operational efficiency.
Despite these challenges, CareRx's improved profitability metrics and strengthened balance sheet position the company well for continued execution of its growth strategy in the senior care pharmacy sector. Investors will be watching closely to see if the company can translate its improved financial position into accelerated growth in the coming quarters.
Full presentation:
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