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Optima Health (OPT) investor relations material

Optima Health H1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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H1 2026 earnings summary10 Dec, 2025

Executive summary

  • Achieved 17% year-over-year revenue growth to GBP 59.5 million in H1/HY26, driven by acquisitions and organic growth in large contracts, with a strong proprietary technology platform and comprehensive service offering.

  • Completed two acquisitions: Cognate Health (Ireland) and Care First, expanding geographic reach and mental health services, with integration and rebranding underway.

  • Strong new business momentum with GBP 1.9 million annualized new business signed in H1 and a further GBP 8.3 million post-period, supporting future growth and a robust pipeline of GBP 11.5 million annualized revenue.

  • Mobilisation underway for a GBP 210 million contract with UK Armed Forces, expected to deliver over GBP 20 million per annum from FY 2028.

  • Transformation program launched to drive operational efficiency, margin improvement, and technology enhancement, with key senior hires and phased benefits expected over the next three years.

Financial highlights

  • Revenue for H1/HY26 was GBP 59.5 million, up 17% year-over-year.

  • Adjusted EBITDA was GBP 8.3 million, down from GBP 8.7 million in HY25, with margin at 13.9% due to higher costs from National Insurance, wage increases, and PLC-related expenses.

  • Statutory operating profit improved to GBP 2 million from a GBP 0.4 million loss in HY25, reflecting reduced exceptional costs.

  • Gross profit rose to GBP 18 million (29% margin) from GBP 15.8 million (31% margin) year-over-year.

  • Net cash generated from operations was GBP 6.5 million, a significant increase from GBP 0.1 million in the prior year.

  • Net debt (excluding leases) increased to GBP 4.7 million, mainly due to GBP 6 million spent on acquisitions.

Outlook and guidance

  • Strategic initiatives in place to reach GBP 200+ million revenue and GBP 40 million EBITDA, targeting up to 20% margin in the medium term.

  • Major contract with UK Armed Forces expected to deliver over GBP 20 million per annum in service revenues from FY 2028.

  • Transformation program underway to drive operational efficiency and margin improvement, with benefits expected to phase in over the next three years.

  • Robust new business pipeline of GBP 11.5 million annualized revenue, with GBP 8.3 million won or at preferred bidder stage since period end.

  • FY26 guidance includes up to GBP 1.5 million in exceptional costs and capex of GBP 3.8 million.

Quantify margin improvement from transformation program?
UK Armed Forces contract: revenue ramp-up details?
Prioritize cash use: debt reduction vs. M&A?
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Frequently asked questions

Optima Health plc is a United Kingdom-based provider of workplace health and wellbeing services. The company offers a range of occupational health services, including employee health assessments, mental health support, absence management, and workplace risk assessments, helping organizations manage employee wellbeing and regulatory compliance. Optima Health serves both public and private sector clients across industries such as healthcare, construction, and government. Its solutions are designed to enhance workforce productivity, support employee mental and physical health, and reduce overall health-related business risks. The company is headquartered in London, United Kingdom, and its shares are listed on the LSE.

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