Q4 EBITDA and Financial Outlook

Q: Tyler Brown of Raymond James asked for color on Q4 EBITDA shaping and margin expectations.

A: David Reed, Executive Vice President and Chief Operating Officer, stated that Q4 should be consistent with year-to-date performance, noting that while margins typically improve sequentially, year-over-year comparisons might be lower due to fuel headwinds.

Q: Noah Kaye of Oppenheimer asked for clarification on whether the company expects EBITDA margins to be up sequentially but down year-over-year, and if that implies results toward the lower end of the guidance range.

A: David Reed clarified that the guidance range remains intact, noting that factors like volume, pricing, and recycling commodity prices could push results toward the higher end of the range.

Risk and Insurance Costs

Q: Tyler Brown of Raymond James asked for details regarding the risk-related headwind mentioned in the prepared remarks.

A: John Morris, President, and David Reed explained that the $63 million year-over-year increase was not related to safety performance but rather a third-quarter actuarial adjustment, large loss claims, and a difficult comparison against a prior-year insurance recovery.

Healthcare Solutions Performance

Q: Tyler Brown of Raymond James asked about the breakdown of Healthcare revenue growth versus core price and volume.

A: John Morris noted that core price is at 5.5%, SG&A is at 15.2% of revenue, and EBITDA grew over 30%, adding that volume trends are improving.

Q: Tami Zakaria of JP Morgan asked if the company expects to exit the year with mid-single-digit growth in Healthcare.

A: John Morris stated that the company is focused on continuing to improve the middle of the P&L and will not take its foot off the gas regarding pricing and SG&A management.

Q: Seth Weber of BNP Paribas asked for an update on the cross-selling EBITDA contribution for Healthcare.

A: John Morris confirmed the $38 million figure from the previous year and expressed confidence in the business moving into 2027.

Q: Sabahat Khan of RBC Capital Markets asked about the pipeline and revenue outlook for the Healthcare business.

A: John Morris noted that trends are improving and while he is not ready to call for positive volume yet, the trajectory is positive.

Q: Kevin Chiang of CIBC asked if customer churn is increasing as the company pushes through pricing in Healthcare.

A: John Morris explained that churn is bifurcated between legacy issues and near-term trends, noting that the hospital segment is showing secular growth.

Q: James Schumm of TD Cowen asked for the updated SG&A goal for the Healthcare business.

A: John Morris and David Reed stated that the goal is to improve beyond the current 15.2% level, noting that there is still room for further optimization.

Q: Shlomo Rosenbaum of Stifel asked for insight into the drivers of EBITDA and SG&A improvement in Healthcare.

A: John Morris attributed the improvement to pricing commensurate with the cost to serve, accurate billing, and the automation of manual processes.

Pricing and Strategy

Q: Jerry Revich of Wells Fargo asked about the pricing strategy for 2027 given cost variability.

A: Tara Hemmer, Executive Vice President and Chief Operating Officer, stated the company is focusing on landfill and transfer station pricing to offset increased operating costs.

Renewable Energy (RNG)

Q: Jerry Revich of Wells Fargo asked about RNG development plans and earnings expectations for 2027.

A: Tara Hemmer noted that 18 plants are online, and the company expects increased EBITDA from plants coming online in 2026 and 2027, while remaining confident in the $26 long-term price target.

Q: William Grippin of Barclays asked why RNG EBITDA margins were weaker sequentially.

A: Tara Hemmer explained the drop was driven by higher volume sold in the voluntary market at lower prices and the impact of start-up costs.

Volume Trends

Q: Toni Kaplan of Morgan Stanley asked for an update on volume trends in the core business and residential shedding.

A: John Morris stated that residential volume is tracking toward positive, industrial roll-off is flat to slightly positive, and commercial is down 1.3% due to national account broker decisions.

Q: Tami Zakaria of JP Morgan asked for the reasons behind the volume outlook falling short of expectations.

A: John Morris cited intentional residential shedding and softness in landfill volumes and commercial business formation as the primary drivers.

Q: Sabahat Khan of RBC Capital Markets asked for a breakdown of volume details and potential green shoots.

A: John Morris and Tara Hemmer noted that industrial roll-off volume is holding up and special waste pipelines are strong, though they have not yet hit the P&L.

Technology and Operations

Q: Toni Kaplan of Morgan Stanley asked about the benefits of technology investments.

A: Tara Hemmer and John Morris highlighted the use of smart trucks, routing algorithms, and AI to lower costs, as well as the implementation of robotics in processing plants.

Q: Stephanie Moore of Jefferies asked about the internalization rate and labor productivity.

A: Tara Hemmer explained that internalization is driven by recycling volumes and routing, and the company is using technology like remote heavy equipment to reduce labor dependence.

M&A and Capital Allocation

Q: Faiza Alwy of Deutsche Bank asked about strategic focus and M&A priorities for the new CEO.

A: John Morris stated the focus remains on core solid waste tuck-ins and integrating Healthcare, with no major shifts in strategy.

Q: Konark Gupta of Scotia Capital asked if the company would be interested in potential asset spin-offs from larger players.

A: John Morris confirmed interest in solid waste core assets, noting the balance sheet is in great shape to pursue such deals.

Q: Trevor Romero of William Blair asked for details on recent M&A and the impact of interest rates.

A: Tara Hemmer and David Reed noted the focus is on core solid waste deals, and higher interest rates might make smaller operators more prone to exiting.

Inflation and Macro Environment

Q: Konark Gupta of Scotia Capital asked if the company is in a higher-for-longer pricing and weaker-for-longer volume environment.

A: John Morris noted that the company has historically been able to price through inflation and is finding ways to recover fuel costs across the portfolio.

Q: Kevin Chiang of CIBC asked about the regulatory environment and PFAS.

A: John Morris and Tara Hemmer stated that PFAS is a potential cost headwind that can be passed to customers, and the company is monitoring regulatory developments closely.

Q: Shlomo Rosenbaum of Stifel asked about diesel price assumptions and general inflationary impacts.

A: David Reed and Tara Hemmer noted an assumption of a 40% increase in diesel over Q4 of last year, adding that the fuel surcharge program has a 1-month lag.