WELL Health Technologies Corp.TSX: WELL

Management Discussion and Analysis (WELL Q3 2026 MDA Final)

· Issued by WELL Health Technologies Corp.

Summary by 6ix AI

WELL Health Technologies Corp., a practitioner-focused digital healthcare company, reported unaudited revenue of C$407,399 thousand and a net loss of C$135,505 thousand for the three months ended September 30, 2026, compared with revenue of C$364,599 thousand and a net loss of C$2,653 thousand a year earlier.

Key details

  • Loss per share attributable to WELL Health Technologies Corp. was C$0.50, basic and diluted, for the third quarter ended September 30, 2026, compared with earnings of C$0.02 per share a year earlier.
  • Annual impairment tests led to a C$67,335 thousand goodwill impairment, a write-down of the value recorded for past acquisitions, for HEALWELL, CYBERWELL, BPSI and Adracare. This included C$39,800 thousand for HEALWELL and C$16,884 thousand for CYBERWELL.
  • For the nine months ended September 30, 2026, revenue was C$1,176,090 thousand and the net loss was C$148,622 thousand, compared with C$1,015,409 thousand and C$27,541 thousand a year earlier.
  • Subsidiary WELLSTAR amalgamated with 1587818 B.C. Ltd. on September 29, 2026, and its shares began trading on the TSX Venture Exchange under WSTR on October 1, 2026. The company recorded a reverse takeover listing expense and transaction costs of C$24,445 thousand. WELL's economic interest in WELLSTAR fell from 82% to 56%, but it keeps control.
  • Net finance cost was C$43,646 thousand for the third quarter ended September 30, 2026, including C$28,801 thousand of interest and remeasurement expense on redeemable preferred shares, compared with C$15,886 thousand a year earlier.

6ix AI wrote this summary from the release below and checked it against the release.

WELL HEALTH TECHNOLOGIES CORP. CONDENSED INTERIM CONSOLIDATED FINANCIAL STATEMENTS

September 30, 2026

Expressed in thousands of Canadian dollars

(Unaudited)

Table of Contents

Page:

Consolidated Statements of (Loss) Income and Comprehensive (Loss) Income................................................................................. 2

Consolidated Statements of Financial Position ................................................................................................................................... 3

Consolidated Statements of Changes in Equity................................................................................................................................... 4

Consolidated Statements of Cash Flows.............................................................................................................................................. 5

Notes to Condensed Interim Consolidated Financial Statements....................................................................................................... 6

Consolidated Statements of (Loss) Income and Comprehensive (Loss) Income

‌Three months ended Nine months ended

Unaudited (in thousands of Canadian dollars, except share

September 30,

September 30,

September 30,

September 30,

and per share amounts)

Note

2026

2025

2026

2025

Revenue

5

407,399

364,599

1,176,090

1,015,409

Expenses

Cost of sales (excluding depreciation and amortization)

(229,551)

(198,828)

(656,662)

(573,427)

General and administrative

6

(122,449)

(103,962)

(370,177)

(293,119)

Depreciation and amortization

(30,282)

(26,520)

(83,527)

(71,461)

Share-based payments

14

(8,940)

(5,949)

(22,650)

(14,229)

Impairment charge

11

(67,490)

(10,506)

(67,490)

(10,506)

Foreign exchange gain (loss)

7

(1,734)

445

(786)

Operating (loss) income

(51,306)

17,100

(23,971)

51,881

Net finance cost

7

(43,646)

(15,886)

(85,851)

(39,219)

Time-based earnout expense

8

(686)

(1,583)

(2,807)

(6,935)

Change in fair value of investments

10

(5,340)

(311)

12,332

(22,795)

Change in fair value of derivative liability

13

(614)

(488)

1,065

1,642

Gain on disposal of assets and investments

-

10,950

88

10,974

Reverse takeover listing expense and transaction costs

20

(24,445)

-

(24,445)

-

Share of net income (loss) of associates

247

(146)

(38)

(2,643)

Loss on early settlement of convertible debentures

13

(4,754)

-

(4,754)

-

Legal settlement and defence (costs) recovery

(629)

(1,824)

(6,247)

1,780

Other expenses

(977)

(903)

(4,213)

(7,970)

(Loss) income before income tax

(132,150)

6,909

(138,841)

(13,285)

Income tax expense

(3,355)

(9,562)

(9,781)

(14,256)

Net loss

(135,505)

(2,653)

(148,622)

(27,541)

Net (loss) income attributable to:

Owners of WELL Health Technologies Corp.

(128,357)

4,172

(151,652)

(30,251)

Non-controlling interests

(7,148)

(6,825)

3,030

2,710

(135,505)

(2,653)

(148,622)

(27,541)

Other comprehensive (loss) income:

Items that may be subsequently reclassified to profit or loss:

Exchange difference on translation of foreign operations

(2,421)

8,712

20,428

(15,571)

Reclassification of fair value loss on derivative instruments to net loss

-

107

-

329

Total comprehensive (loss) income

(137,926)

6,166

(128,194)

(42,783)

Total comprehensive (loss) income attributable to:

Owners of WELL Health Technologies Corp.

(130,843)

13,010

(131,491)

(45,958)

Non-controlling interests

(7,083)

(6,844)

3,297

3,175

(137,926)

6,166

(128,194)

(42,783)

(Loss) earnings per share attributable to WELL Health Technologies Corp.

Basic

(0.50)

0.02

(0.59)

(0.12)

Diluted

(0.50)

0.02

(0.59)

(0.12)

Weighted average number of common shares outstanding

Basic

256,068,050

253,663,389

255,386,357

251,796,729

Diluted

256,068,050

257,218,385

255,386,357

251,796,729

‌Consolidated Statements of Financial Position

Unaudited (in thousands of Canadian dollars)

Note

September 30,

2026

December 31,

2025

Assets

Current

Cash

198,978

133,755

Accounts and other receivables

9

207,353

170,944

Financial assets at fair value through profit or loss

10

17,683

-

Contract assets

9

13,815

17,769

Inventory

2,869

2,465

Prepayments and other assets

43,183

44,672

Total current assets

483,881

369,605

Financial assets at fair value through profit or loss - non-current

10

9,093

16,071

Investments accounted for using the equity method

2,532

2,970

Prepayments and other assets - non-current

6,266

7,736

Property and equipment

159,740

119,410

Intangible assets

11

779,895

760,212

Goodwill

11

879,939

787,615

Deferred tax assets

32,499

33,269

Total assets

2,353,845

2,096,888

Liabilities and equity Current

Accounts payable and accrued liabilities

111,149

91,597

Contract liabilities

9

30,741

49,407

Deferred acquisition costs

12

26,329

31,170

Other liabilities

12

42,702

72,555

Loans and borrowings

13

8,816

6,427

Convertible debentures and derivative liability

13

20,569

83,515

Lease liability

35,033

22,795

Total current liabilities

275,339

357,466

Deferred acquisition costs - non-current

12

58,084

40,554

Other liabilities - non-current

12

90,863

24,910

Loans and borrowings - non-current

13

767,548

419,015

Convertible debentures and derivative liability - non-current

13

2,513

1,635

Redeemable preferred shares - non-current

13

-

113,430

Lease liability - non-current

76,743

67,259

Deferred tax liabilities

33,947

33,221

Total liabilities

1,305,037

1,057,490

Equity

Share capital

14

816,818

808,059

Share-based payments reserve

14

39,077

27,468

Convertible debenture options reserve

-

25,043

Accumulated other comprehensive income

61,434

41,273

Accumulated deficit

(119,682)

(38,335)

Equity attributable to owners of WELL Health Technologies Corp.

797,647

863,508

Non-controlling interests

251,161

175,890

Total equity

1,048,808

1,039,398

Total equity and liabilities

2,353,845

2,096,888

Approved by the Directors:

"Hamed Shahbazi"

"Thomas Liston"

WELL HEALTH TECHNOLOGIES CORP. Consolidated Statements of Changes in Equity

‌Attributable to owners of WELL Health Technologies Corp.

Unaudited (in thousands of Canadian dollars)

Note

Number

of Shares

Share capital

Share-based payments reserve

Convertible debenture options reserve

Accumulated

other comprehensive

income

Accumulated

deficit

Total

Non-controlling interests

Total equity

Balance at December 31, 2025

253,985,679

808,059

27,468

25,043

41,273

(38,335)

863,508

175,890

1,039,398

Shares issued for RSUs/PSUs

14

2,570,023

11,041

(11,041)

-

-

-

-

-

-

Share-based payments

14

-

-

22,650

-

-

-

22,650

-

22,650

Normal course issuer bid

14

(501,400)

(2,282)

-

-

-

-

(2,282)

-

(2,282)

Non-controlling interests via business combination

17

-

-

-

-

-

-

-

610

610

Distributions paid to non-controlling interests

-

-

-

-

-

-

-

(20,424)

(20,424)

Preferred share conversion and listing-event remeasurement

13, 20

-

-

-

-

-

95,560

95,560

59,114

154,674

Private placement of subsidiary shares, net of transaction costs

20

-

-

-

-

-

13,377

13,377

19,530

32,907

Changes in non-controlling interests

20

-

-

-

-

-

-

-

16,506

16,506

Foreign currency translation of foreign subsidiaries

-

-

-

-

20,161

-

20,161

267

20,428

Exercise of warrants in consolidated subsidiary

-

-

-

-

-

27

27

(350)

(323)

Acquisition of non-controlling interest

-

-

-

-

-

(2,526)

(2,526)

(3,012)

(5,538)

Recognition of NCI buyback liability

17

-

-

-

-

-

(61,177)

(61,177)

-

(61,177)

Settlement of convertible debentures

13

-

-

-

(25,043)

-

25,043

-

-

-

Net (loss) income for the period

-

-

-

-

-

(151,652)

(151,652)

3,030

(148,622)

Balance at September 30, 2026

256,054,302

816,818

39,077

-

61,434

(119,682)

797,647

251,161

1,048,808

Attributable to owners of WELL Health Technologies Corp.

Unaudited (in thousands of Canadian dollars)

Note

Number

of Shares

Share capital

Share-based payments reserve

Convertible debenture options reserve

Accumulated

other comprehensive

income

Accumulated

deficit

Total

Non-controlling Interests

Total equity

Balance at December 31, 2024

249,091,940

784,873

21,578

25,043

67,088

(30,975)

867,607

62,114

929,721

Stock options exercised

14

140,500

595

(149)

-

-

-

446

-

446

Shares issued for RSUs/PSUs

14

2,723,630

12,053

(12,053)

-

-

-

-

-

-

Shares issued for settlement of deferred acquisition costs

12

2,170,275

11,285

-

-

-

-

11,285

-

11,285

Share-based payments

14

-

-

14,229

-

-

-

14,229

-

14,229

Normal course issuer bid

14

(232,300)

(1,123)

-

-

-

-

(1,123)

-

(1,123)

Non-controlling interests via business combination

-

-

-

-

-

-

-

98,114

98,114

Distributions paid to non-controlling interests

-

-

-

-

-

-

-

(17,811)

(17,811)

Changes in non-controlling interests

-

-

(2,096)

-

-

-

(2,096)

3,478

1,382

Foreign currency translation of foreign subsidiaries

-

-

-

-

(16,036)

-

(16,036)

465

(15,571)

Derivative instruments designated in cash flow hedges

-

-

-

-

329

-

329

-

329

Net (loss) income for the period

-

-

-

-

-

(30,251)

(30,251)

2,710

(27,541)

Balance at September 30, 2025

253,894,045

807,683

21,509

25,043

51,381

(61,226)

844,390

149,070

993,460

The accompanying notes are an integral part of these condensed interim consolidated financial statements

4

Consolidated Statements of Cash Flows

‌Nine months ended

Unaudited (in thousands of Canadian dollars)

Note

September 30,

2026

September 30,

2025

Operating activities

Net loss for the period

(148,622)

(27,541)

Adjustments to net loss for non-cash items:

Interest income accretion

(119)

(495)

Interest expense accretion

57,599

22,066

Impairment charge

11

67,490

10,506

Unrealized foreign exchange and others

5,277

144

(Gain) loss on revaluation of deferred acquisition cost liability

(115)

7,074

Change in fair value of investments

(12,332)

22,795

Change in fair value of derivative liability

(1,065)

(1,642)

Depreciation and amortization

83,527

71,461

Gain on disposal of investments

-

(10,960)

Share of net loss of associates

38

2,643

Share-based payments

22,650

14,229

Gain on deferred acquisition cost settled in shares

Loss on early settlement of convertible debentures

-

4,754

(1,931)

-

Non-cash listing and other expenses

20

22,688

753

Deferred income taxes

(3,099)

480

Change in non-cash operating items

21

(30,631)

(33,739)

Net cash provided by operating activities

68,040

75,843

Investing activities

Business acquisitions, net of cash acquired

17 , 21

(157,297)

(31,719)

Asset acquisitions

-

(11,781)

Net proceeds from disposal of investments

-

15,103

Loss on equity and debt investments in associates and others

(250)

(6,807)

Acquisition of property and equipment and internally generated intangible assets

(32,232)

(19,390)

Working capital/Indemnity holdbacks

(4,613)

(2,234)

Net cash used in investing activities

(194,392)

(56,828)

Financing activities

Shares repurchased under NCIB

(2,282)

(1,123)

Private placement of subsidiary shares, net of transaction costs

20

32,907

-

Payment of interest on convertible debentures

13

(3,938)

(2,675)

Repayments of advances to billing service provider

12

(30,013)

(91,317)

Proceeds from loans and borrowings

206,805

111,134

Proceeds from senior unsecured notes, net of issuance costs

13

145,534

-

Repayments of loans and borrowings

(11,447)

(44,647)

Proceeds from stock options exercised

-

446

Transactions with non-controlling interests

(30,936)

(15,992)

Lease payments

(23,460)

(19,713)

Lease payments received

864

943

Settlement of convertible debentures

(70,000)

-

Settlement of deferred acquisition costs

(23,349)

(2,717)

Net cash provided by (used in) financing activities

190,685

(65,661)

Effects of foreign exchange difference on cash

890

(2,477)

Net change in cash

65,223

(49,123)

Cash - beginning of period

133,755

131,669

Cash - end of period

198,978

82,546

Cash paid for: Interest

(26,095)

(21,177)

Income tax

(14,443)

(10,837)

The accompanying notes are an integral part of these condensed interim consolidated financial statements

  1. NATURE OF OPERATIONS

    WELL Health Technologies Corp. (the "Company" or "WELL") is a practitioner-focused digital healthcare company. WELL's overarching mission is to positively impact health outcomes by leveraging technology to empower healthcare practitioners and their patients globally. The Company was incorporated under the Business Corporations Act (British Columbia) on November 23, 2010. The Company's common shares trade on the Toronto Stock Exchange (the "TSX") under the symbol WELL.

    The Company's head office is located at Suite 550 - 375 Water Street, Vancouver, BC, V6B 5C6.

    These condensed interim consolidated financial statements were approved by the Company's Board of Directors on November 9, 2026.

  2. BASIS OF PRESENTATION
    1. ‌Statement of compliance

      These condensed interim consolidated financial statements, including comparatives, have been prepared in accordance with IAS 34, Interim Financial Reporting. These condensed interim consolidated financial statements should be read in conjunction with the December 31, 2025 audited annual consolidated financial statements, which have been prepared in accordance with IFRS Accounting Standards.

      These condensed interim consolidated financial statements have been prepared on the historical cost basis except for certain financial instruments which are measured at fair value. All financial information in these condensed interim consolidated financial statements, except share and per share amounts, is presented in thousands of Canadian dollars, which is the functional currency of the Company. All amounts are rounded to the nearest thousands of Canadian dollars.

    2. ‌Foreign Currency Translation

      The condensed interim consolidated financial statements are presented in Canadian dollars. Each subsidiary determines its functional currency based on the primary economic environment in which it operates.

      Assets and liabilities of foreign subsidiaries with a different functional currency are translated into Canadian dollars using exchange rates in effect at the balance sheet date. Revenues and expenses are translated at average rates during the period. Translation reserve adjustments are recorded in translation reserve within equity and are reclassified to earnings upon disposal of the foreign operation. Foreign currency transactions are recorded at exchange rates in effect at the transaction date, with resulting gains or losses from remeasurement of monetary items recognized in earnings.

  3. MATERIAL ACCOUNTING POLICY INFORMATION
    1. ‌The preparation of these condensed interim consolidated financial statements is based on accounting principles and practices consistent with those used in the preparation of the Company's December 31, 2025 audited annual consolidated financial statements, except for the adoption of the amendments to IFRS 9, "Financial Instruments" and IFRS 7, "Financial Instruments: Disclosures".

      IFRS 9 and IFRS 7 Amendments

      On May 30, 2024, the International Accounting Standards Board ("IASB") issued amendments to IFRS 9, "Financial Instruments" and IFRS 7, "Financial Instruments: Disclosures". The amendments clarify the timing of recognition and derecognition for a financial asset or financial liability, including clarifying that a financial liability is derecognized on the settlement date. In addition to these clarifications, the amendments introduce an accounting policy choice to derecognize financial liabilities settled using an electronic payment system before the settlement date, if specific conditions are met. Also included in the amendments, are clarifications regarding the classification of financial assets, including those with features linked to environmental, social and corporate governance. Under the amendments, additional disclosures are required for financial instruments with contingent features and investments in equity instruments classified at fair value through other comprehensive income. These amendments are effective for annual reporting periods beginning on or after January 1, 2026. Early adoption is permitted, with an option to early adopt only the amendments to the classification of financial assets. The Company has assessed and adopted the IFRS 9 and IFRS 7 amendments and it does not have a material impact on its condensed interim consolidated financial statements.

    2. ‌The IASB issued the following new accounting standards or amendments that will become effective on future dates. IFRS 18

      On April 9, 2024, the IASB issued IFRS 18 "Presentation and Disclosures in Financial Statements". The objective of the new standard is to set out requirements for the presentation and disclosure of information in general purpose financial statements to help ensure they provide relevant information that faithfully represents an entity's assets, liabilities, equity, income and expenses. The new standard is effective for reporting periods beginning on or after January 1, 2027. IFRS 18 is required to be applied retrospectively.

      The Company has assessed the impact of IFRS 18 and the related amendments to other IFRS Accounting Standards and expects adoption to result in material changes to the presentation and disclosure of its annual and condensed interim consolidated financial statements. These changes include revised classifications of income and expenses, changes to reported subtotals in the statement of profit or loss, disclosures relating to management-defined performance measures, and changes to the presentation of the statement of cash flows.

  4. CRITICAL ACCOUNTING ESTIMATES AND JUDGEMENTS

    ‌The preparation of condensed interim financial statements in accordance with IFRS Accounting Standards requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, revenues and expenses. Actual results may differ from these estimates. Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimates are revised and in any future periods affected.

    In preparing these condensed interim consolidated financial statements, the significant judgements made by management in applying the Company's accounting policies and the key sources of estimation uncertainty were the same as those that applied to the December 31, 2025 audited annual consolidated financial statements.

  5. REVENUE

    The following table shows the details of revenues for the three and nine months ended:

    Three months ended Nine months ended

    September 30,

    September 30,

    September 30,

    September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    Public insured

    147,442

    114,352

    384,477

    327,950

    Non-public and other

    198,722

    200,514

    623,247

    566,737

    Patient Services

    346,164

    314,866

    1,007,724

    894,687

    SaaS and Technology Services

    61,235

    49,733

    168,366

    120,722

    Total revenue

    407,399

    364,599

    1,176,090

    1,015,409

  6. GENERAL AND ADMINISTRATIVE EXPENSES

    The following table shows the details of general and administrative expenses for the three and nine months ended:

    Three months ended Nine months ended

    September 30,

    September 30,

    September 30,

    September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    Salaries and benefits

    68,331

    54,919

    200,213

    156,148

    Marketing and promotion

    17,469

    23,095

    67,542

    69,505

    Professional and consulting fees

    12,223

    8,924

    35,388

    20,461

    Office expenses

    7,578

    8,129

    27,504

    22,870

    IT expenses

    11,065

    7,089

    29,279

    19,951

    Other

    5,783

    1,806

    10,251

    4,184

    122,449

    103,962

    370,177

    293,119

  7. NET FINANCE COST

    The following table shows a breakdown of interest income and interest expense for the three and nine months ended:

    Three months ended Nine months ended

    September 30,

    September 30,

    September 30,

    September 30,

    (in thousands of Canadian dollars)

    Note

    2026

    2025

    2026

    2025

    Interest accretion on subleases

    24

    30

    103

    101

    Interest income on cash

    982

    312

    1,888

    1,223

    Interest income

    1,006

    342

    1,991

    1,324

    Interest on loans and borrowings

    (10,391)

    (7,005)

    (28,389)

    (18,477)

    Interest on convertible debentures

    13

    (1,711)

    (4,014)

    (10,075)

    (10,062)

    Interest and remeasurement expense on redeemable preferred shares

    13

    (28,801)

    (1,986)

    (41,321)

    (5,747)

    Interest accretion on lease liability

    (952)

    (1,152)

    (3,522)

    (3,188)

    Accretion of discount on deferred acquisition costs

    12

    (2,491)

    (1,753)

    (3,348)

    (2,109)

    Amortization of deferred financing fees

    (306)

    (318)

    (1,187)

    (960)

    Interest expense

    (44,652)

    (16,228)

    (87,842)

    (40,543)

    Net finance cost

    (43,646)

    (15,886)

    (85,851)

    (39,219)

  8. TIME-BASED EARNOUT EXPENSE

    The following table shows a breakdown of time-based earnout expense for the three and nine months ended:

    Three months ended Nine months ended

    September 30,

    September 30,

    September 30,

    September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    Time-based earnout expense

    (1,873)

    (69)

    (2,692)

    (1,792)

    Gain on settlement of certain deferred acquisition cost and time-based earnout liabilities via shares

    -

    10

    -

    1,931

    Gain (loss) on revaluation of deferred acquisition cost

    liabilities 1,187

    (1,524)

    (115)

    (7,074)

    (686)

    (1,583)

    (2,807)

    (6,935)

  9. ACCOUNTS AND OTHER RECEIVABLES, AND CONTRACT ASSETS AND LIABILITIES
    1. Accounts and other receivables

      The following table shows the details of the Company's accounts and other receivables as at September 30, 2026 and December 31, 2025:

      (in thousands of Canadian dollars)

      September 30,

      2026

      December 31,

      2025

      Accounts receivable - gross

      212,113

      177,274

      Less: expected credit losses

      (4,760)

      (6,330)

      207,353

      170,944

      Accounts receivables - gross

      Canadian Patient Services - Primary WMC

      30,903

      18,544

      Canadian Patient Services - Specialized WDC

      29,425

      15,732

      U.S. Patient Services - Primary - Circle Medical

      8,131

      6,716

      U.S. Patient Services - Primary - Wisp

      857

      729

      U.S. Patient Services - Primary - CRH Medical

      82,854

      64,624

      U.S. Patient Services - Primary - Provider Staffing

      15,783

      22,462

      HEALWELL AI Inc. ("HEALWELL")

      25,282

      25,024

      SaaS and Technology Services

      11,438

      17,721

      Other receivables

      7,440

      5,722

      212,113

      177,274

      The Company evaluates credit losses on a periodic basis based on the aging and collectability of its accounts receivable. As at September 30, 2026, the Company recognized expected credit losses of $4,760 (December 31, 2025 - $6,330), which have been recorded as a reduction of accounts receivable. The expected lifetime credit loss provision for trade receivables is based on historical counterparty default rates and is adjusted for relevant forward-looking information as required.

    2. Contract assets and liabilities

      Each customer is billed in accordance with the terms of the contractual arrangement that it has entered with the Company. This means that customer billing and payments are not always aligned with revenue recognition. Contract assets arise when revenue is recognized prior to a customer being billed. Contract liabilities arise when a customer is billed in advance of revenue being earned.

      The following table shows the details of the Company's contract assets and liabilities as at September 30, 2026 and December 31, 2025:

      (in thousands of Canadian dollars)

      September 30,

      2026

      December 31,

      2025

      Contract assets

      13,815

      17,769

      Contract liabilities

      (30,741)

      (49,407)

  10. FINANCIAL ASSETS AT FAIR VALUE THROUGH PROFIT OR LOSS

    The following table provides the carrying values of the Company's investments in financial assets measured at fair value through profit or loss as at September 30, 2026 and December 31, 2025:

    (in thousands of Canadian dollars)

    September 30,

    2026

    December 31,

    2025

    Tali.ai

    2,154

    2,154

    Phelix

    2,859

    2,859

    Funds holding X.AI Securities / SpaceX

    (a)

    17,683

    4,607

    Others

    4,081

    6,451

    26,777

    16,071

    1. ‌Investment in Funds holding X.AI Securities / SpaceX:

      On May 9, 2024, HEALWELL invested in a private fund with the opportunity to realize the long-term appreciation from investments in the securities of X.AI Corp ("X.AI"). The Company invested $2,752 (US$2,000) to acquire an indirect interest in less than 1% total outstanding shares in X.AI which is an American startup company working in the area of artificial intelligence. In March 2025, X.AI acquired X (formerly Twitter) in an all-stock deal, valuing X.AI at $80 billion and X at $33 billion. On February 2, 2026, Space Exploration Technologies Corp. ("SpaceX") acquired X.AI in an all-stock transaction, resulting in X.AI becoming a wholly-owned subsidiary of SpaceX. In June 2026, SpaceX completed its initial public offering ("IPO"). Following the transaction and IPO, the Company's investment continues to be held indirectly through the private fund, now in the form of SpaceX common shares, and is subject to customary lock-ups which are expected to be released over time following completion of the IPO.

      As at September 30, 2026, the Company's indirect interest in the fund represents 95,135 SpaceX common shares, after giving effect to the five-for-one share split completed in connection with the IPO and to the general partner's 20% carried interest, which is settled in shares. Fair value has been determined by reference to the closing price of SpaceX common shares of USD 150.86 as at September 30, 2026, translated at the period-end exchange rate of 1.4188, less a discount for lack of marketability ("DLOM") of 13.2% to reflect the lockup restriction. The DLOM was estimated using an option-pricing model, with the principal inputs being the remaining lock-up period of approximately 0.4 years, the historical volatility of SpaceX common shares of 85.9% and a risk-free rate of 4.3%. The investment is classified as Level 2 in the fair value hierarchy.

      The fair value of the investment in SpaceX (formerly X.AI) is $17,683 as at September 30, 2026 (December 31, 2025 - $4,607). The Company recognized an unrealized fair value loss of $5,340 and an unrealized fair value gain of $13,076 for the three and nine months ended September 30, 2026, respectively (2025 - $nil and $nil), in the consolidated statements of (loss) income and comprehensive (loss) income. Management expects to realize the investment within twelve months, through a cash distribution following the fund's sale of the shares, which is expected to occur following expiry of the lock-up. Accordingly, the investment has been classified as current.

  11. INTANGIBLE ASSETS AND GOODWILL

    ‌(in thousands of Canadian dollars)

    Note

    Customer relationships

    Technology

    Brands

    Licenses

    Intellectual property

    Intangibles

    Total

    Goodwill

    COST

    Balance at December 31, 2025

    635,711

    129,600

    45,423

    186,011

    -

    996,745

    787,615

    Acquired via business combination

    17

    7,861

    -

    1,193

    12,450

    26,290

    47,794

    147,975

    Internally generated intangible assets

    40

    18,642

    -

    -

    -

    18,682

    -

    Impairment

    -

    (155)

    -

    -

    -

    (155)

    (67,335)

    Exchange difference on foreign currency translation and other

    16,676

    9,690

    738

    (313)

    -

    26,791

    11,684

    Balance at September 30, 2026

    660,288

    157,777

    47,354

    198,148

    26,290

    1,089,857

    879,939

    ACCUMULATED AMORTIZATION

    Balance at December 31, 2025

    (199,136)

    (30,950)

    (6,447)

    -

    -

    (236,533)

    -

    Amortization for the period

    (39,091)

    (18,197)

    (1,160)

    -

    (1,112)

    (59,560)

    -

    Exchange difference on foreign currency translation

    (13,945)

    99

    (21)

    -

    -

    (13,869)

    -

    Balance at September 30, 2026

    (252,172)

    (49,048)

    (7,628)

    -

    (1,112)

    (309,962)

    -

    Net carrying amount at September 30, 2026

    408,116

    108,729

    39,726

    198,148

    25,178

    779,895

    879,939

    (in thousands of Canadian dollars)

    Customer relationships

    Technology

    Brands

    Licenses

    Intellectual property

    Intangibles

    Total

    Goodwill

    COST

    Balance at December 31, 2024

    516,664

    43,883

    15,455

    181,761

    -

    757,763

    565,117

    Acquired via business combination

    129,504

    63,016

    28,028

    4,563

    -

    225,111

    253,857

    Acquired via asset acquisitions

    26,015

    -

    -

    -

    -

    26,015

    -

    Internally generated intangible assets

    -

    15,588

    -

    -

    -

    15,588

    -

    Disposal

    (2,287)

    -

    -

    -

    -

    (2,287)

    -

    Impairment

    -

    -

    -

    -

    -

    -

    (10,297)

    Exchange difference on foreign currency translation and other

    (34,185)

    7,113

    1,940

    (313)

    -

    (25,445)

    (21,062)

    Balance at December 31, 2025

    635,711

    129,600

    45,423

    186,011

    -

    996,745

    787,615

    ACCUMULATED AMORTIZATION

    Balance at December 31, 2024

    (168,849)

    (10,981)

    (3,971)

    -

    -

    (183,801)

    -

    Amortization for the period

    (50,560)

    (12,228)

    (2,448)

    -

    -

    (65,236)

    -

    Disposal

    2,085

    -

    -

    -

    -

    2,085

    -

    Exchange difference on foreign currency translation

    18,188

    (7,741)

    (28)

    -

    -

    10,419

    -

    Balance at December 31, 2025

    (199,136)

    (30,950)

    (6,447)

    -

    -

    (236,533)

    -

    Net carrying amount at December 31, 2025

    436,575

    98,650

    38,976

    186,011

    -

    760,212

    787,615

    ‌During the nine months ended September 30, 2026 the Company acquired $47,794 of intangible assets via business combination, comprising customer relationships, technology, brands, and intellectual property.

    The customer relationship assets were valued using key inputs such as revenue growth rates, customer attrition rates, and a discount rate determined using the capital asset pricing model, and have an estimated useful life of ten years.

    The technology was valued using assumptions on royalty rates, a technology migration factor, and a market-based discount rate, with an estimated useful life of ten years.

    The brand was valued using the relief-from-royalty method, incorporating assumptions on royalty rates benchmarked to comparable market transactions, forecast revenue attributable to the brand, and a market-based discount rate, with an estimated useful life of ten years.

    ‌Goodwill is monitored by management at the level of the following CGU(s) or group of CGUs, with the allocation summarized below:

    (in thousands of Canadian dollars)

    September 30, 2026

    Carrying Value of goodwill in CGUs or group of CGUs

    Canadian Patient Services - Primary WMC

    230,349

    CRH Medical

    280,734

    CRH Provider Staffing

    34,445

    Canadian Patient Services - Specialized WDC

    119,166

    Circle Medical

    15,777

    Wisp

    42,491

    WELLSTAR

    77,176

    CYBERWELL

    -

    HEALWELL

    79,801

    879,939

    ‌The Company tests goodwill and indefinite life intangible assets for impairment on an annual basis as at September 30 and whenever events or changes in circumstances indicate that an asset's carrying amount may be less than its recoverable amount.

    For impairment tests performed as at September 30, 2026 and September 30, 2025, the recoverable amount of each CGU or group of CGUs was determined based on its value-in-use using a discounted cash flow approach. Discounted cash flows were based on five-year cash flow projections derived from financial budgets or forecasts approved by management using the following key assumptions:

    1. Average annual revenue growth rate

      The average annual revenue growth rate for each CGU or group of CGUs was estimated based on historical growth and management's expectations of market development.

    2. Discount rate

      The discount rate for each CGU or group of CGUs was determined by estimating a weighted average cost of capital reflecting the time value of money and risks associated with the business.

    3. Terminal growth rate

      The terminal growth rate is based on management's current assessment of the long-term growth outlook for each CGU or group of CGUs and expected economic conditions in the jurisdiction in which it operates.

      Impairment tests as at September 30, 2026

      The carrying values of goodwill and indefinite life intangible assets as well as key assumptions used for each CGU or group of CGUs for the impairment tests performed as at September 30, 2026 were as follows. The carrying values presented are net of impairment charges recognized as a result of these tests.

      CGU or group of CGUs

      Canadian Patient Services -

      Carrying value of CGU or group of

      CGUs

      Carrying value of goodwill in CGU or group of CGUs

      Carrying value of indefinite life intangible assets in CGU or group of

      CGUs

      Average annual revenue

      growth rate Discount rate

      Terminal growth rate

      Primary WMC

      217,840

      230,349

      -

      4.5 %

      9.0 %

      3.0 %

      Canadian Patient Services -

      Specialized WDC

      367,062

      119,166

      198,403

      3.1 %

      9.0 %

      3.0 %

      CRH Medical

      593,393

      280,734

      -

      5.7 %

      11.5 %

      3.0 %

      CRH Provider Staffing

      82,792

      34,445

      -

      10.1 %

      12.0 %

      3.0 %

      Circle Medical

      29,351

      15,777

      -

      24.1 %

      14.0 %

      3.0 %

      Wisp

      54,540

      42,491

      -

      11.5 %

      14.0 %

      3.0 %

      WELLSTAR

      125,839

      77,176

      -

      11.6 %

      10.0 %

      3.0 %

      CYBERWELL

      5,854

      -

      -

      12.7 %

      15.5 %

      3.0 %

      HEALWELL

      228,435

      79,801

      -

      14.2 %

      11.0 %

      3.0 %

      1. Impairment test results:

        During the third quarter of 2026, the Company performed its annual impairment tests on its CGUs and groups of CGUs. As a result, an impairment loss of $67,335 was recognized in respect of HEALWELL, CYBERWELL, BPSI, and Adracare, which was allocated in full to goodwill. For all other CGUs and groups of CGUs, the recoverable amounts exceeded their carrying values, and no impairment loss was recognized on goodwill or intangible assets.

        Impairment of goodwill

        HEALWELL CGU

        The Company recognized a goodwill impairment loss of $39,800 in respect of the HEALWELL CGU, which represents the Company's HEALWELL operating segment, and the recoverable amount was determined on the basis of value in use.

        During the year, HEALWELL's revenue growth was lower than forecast, HEALWELL experienced declines in market capitalization as a result of a sustained decrease in stock price, and market discount rates increased.

        The Company holds a 30% ownership interest in HEALWELL with the non-controlling interests ("NCI") measured at the NCI's proportionate share of HEALWELL's identifiable net assets, resulting in goodwill attributable to NCI is not recognized. For the impairment test, the carrying amount of the CGU was grossed up to include the goodwill attributable to NCI.

        CYBERWELL CGU

        The Company recognized a goodwill impairment loss of $16,884 in respect of the CYBERWELL CGU, which represents the Company's CYBERWELL operating segment, and the recoverable amount was determined on the basis of value in use.

        The loss was allocated in full to the goodwill of the CYBERWELL CGU, reducing that goodwill from $16,884 to nil. No impairment was allocated to the CGU's other assets, including intangible assets of $5,484, property and equipment, and working capital.

      2. Sensitivity analysis:

      For the impairment tests performed as at September 30, 2026, for those CGUs for which no impairment loss was recognized, the Company determined that a reasonably possible change in each key assumption, including possible consequential changes between key assumptions, would not result in an impairment loss.

      ‌Impairment tests as at September 30, 2025

      The carrying values of goodwill and indefinite life intangible assets as well as key assumptions used for each CGU or group of CGUs for the impairment tests performed as at September 30, 2025 were as follows:

      CGU or group of CGUs

      Carrying value of CGU or group of

      CGUs

      Carrying value of goodwill in CGU or group of CGUs

      Carrying value of indefinite life intangible assets in CGU or group of

      CGUs

      Average annual revenue

      growth rate Discount rate

      Terminal growth rate

      Canadian Patient Services -Primary WMC

      133,206

      131,054

      -

      4.6%

      8.8%

      3.0%

      Canadian Patient Services -

      Specialized WDC

      222,879

      45,136

      181,703

      4.2%

      8.8%

      3.0%

      CRH Medical

      612,288

      275,649

      -

      4.8%

      9.5%

      3.0%

      CRH Provider Staffing

      82,347

      28,109

      -

      12.5%

      9.5%

      3.0%

      Circle Medical

      18,636

      15,481

      -

      28.6%

      11.3%

      3.0%

      Wisp

      56,411

      41,691

      -

      25.1%

      11.2%

      3.0%

      WELLSTAR

      66,682

      67,839

      -

      9.5%

      9.9%

      3.0%

      CYBERWELL

      30,414

      16,129

      -

      30.2%

      10.2%

      3.0%

      HEALWELL

      325,303

      142,100

      -

      8.1%

      8.7%

      3.0%

      1. Impairment test results:

        The Company did not recognize an impairment loss related to goodwill or intangible assets in 2025 because the recoverable amounts of the Company's CGUs or groups of CGUs, as applicable, exceeded their carrying values.

      2. Sensitivity analysis:

      For the impairment tests performed as at September 30, 2025, the Company determined that a reasonably possible change in each key assumption, including possible consequential changes between key assumptions, would not result in an impairment loss.

  12. DEFERRED ACQUISITION COSTS AND OTHER LIABILITIES
    1. Deferred acquisition costs

      Deferred acquisition costs are liabilities for time-based earnout payments that are treated as purchase consideration for business combinations and asset acquisitions (Note 17).

      (in thousands of Canadian dollars)

      September 30,

      2026

      December 31,

      2025

      Current

      26,329

      31,170

      Non-current

      58,084

      40,554

      84,413

      71,724

      (in thousands of Canadian dollars)

      Note

      Total

      Balance at December 31, 2025

      71,724

      Additions via business combinations and asset acquisitions

      17

      31,827

      Accretion of discount

      3,348

      Settlement in cash

      (20,328)

      Gain on revaluation included in time-based earnout expenses

      (115)

      Exchange difference and other

      (2,043)

      Balance at September 30, 2026

      84,413

      Balance at December 31, 2024

      30,939

      Additions via business combinations and asset acquisitions

      50,255

      Accretion of discount

      3,404

      Settlement in cash

      (6,557)

      Settlement in common shares

      (11,285)

      Gain on settlement via shares

      (1,931)

      Loss on revaluation included in time-based earnout expenses

      6,981

      Exchange difference and other

      (82)

      Balance at December 31, 2025

      71,724

    2. Other liabilities

      (in thousands of Canadian dollars)

      September 30,

      2026

      December 31,

      2025

      Current:

      Payroll liabilities and others

      32,915

      27,156

      Advances payable

      496

      30,180

      Time-based earnouts

      1,446

      4,801

      Income tax payable

      3,076

      5,408

      Working capital holdback

      4,769

      5,010

      42,702

      72,555

      Non-current:

      Non-controlling interest buyback obligations

      85,104

      19,960

      Time based earnouts and other

      5,759

      4,951

      90,863

      24,910

      The movement in non-current other liabilities during the nine months ended September 30, 2026 primarily relates to put option and share buyback liabilities recognized in connection with business combinations. The Company has entered into put option and share buyback agreements with non-controlling shareholders, which provide the holders the right to require the Company, or the Company the obligation, to purchase their remaining equity interests at a future date. The redemption price is based on a multiple of earnings and other performance-based metrics. The Company has recognized a financial liability of $47,662 for these share buyback obligations in Union MD and $16,607 in E-Consult, the initial recognition is measured based on the gross obligation for the potential future acquisition of these remaining equity interests. The gross obligation is determined using a discounted cash flow model incorporating unobservable inputs, including forecast financial performance, valuation multiples, and discount rates, and is subsequently measured at amortized cost. The liability will be released to equity if the put option and share buyback expires unexercised. The ultimate settlement amount and timing of cash outflows are dependent on the future performance of the underlying businesses and may differ from the amounts recognized at the reporting date.

  13. LOANS AND BORROWINGS, CONVERTIBLE DEBENTURES AND REDEEMABLE PREFERRED SHARES
    1. Syndicated credit facilities and senior unsecured notes

      (in thousands of Canadian dollars)

      September 30,

      2026

      December 31,

      2025

      CRH syndicated credit facility with JPM:

      Revolving loan

      163,453

      151,311

      Term loan

      66,972

      68,112

      WHCC and MyHealth syndicated credit facility with RBC:

      Revolving loan

      256,519

      118,200

      Term loan

      97,500

      39,375

      HEALWELL syndicated credit facility with BNS:

      Revolving loan

      29,500

      29,500

      Term loan

      18,500

      19,250

      Other loans and borrowings

      1,359

      1,570

      Less: Financing fees

      (3,178)

      (1,876)

      Senior unsecured notes Principal

      150,000

      -

      Unamortized transaction costs

      (4,261)

      -

      Total Loans and Borrowings

      776,364

      425,442

      Current portion

      8,816

      6,427

      Non-current portion

      767,548

      419,015

      Total Loans and Borrowings

      776,364

      425,442

      1. ‌HEALWELL credit facility with The Bank of Nova Scotia ("BNS")

        HEALWELL holds a credit agreement with a syndicate of lenders led by BNS, including senior secured credit facilities consisting of a

        $30,000 revolving credit facility (including a $5,000 swingline tranche), a $20,000 non-revolving term facility and a $1,000 credit card facility. The credit facilities mature on March 4, 2028. The term loan is repayable in quarterly principal installments of $250, with mandatory prepayments under specified conditions. Interest is calculated based on a tiered pricing grid tied to Orion Health's leverage ratio, with rates based on Prime, US Base Rate, CORRA, or SOFR. The facilities are secured by a first-ranking charge over all present and after-acquired property of Orion Health and its direct and indirect parents and subsidiaries. The agreement includes an accordion feature allowing for an increase in the revolving facility by up to $25,000, subject to lender consent.

      2. Financial covenants

        The Company's syndicated credit facilities with loans outstanding as of September 30, 2026 ($230,425 with JPM, $354,019 with RBC, and $48,000 with BNS) are subject to financial covenants based on the consolidated financial results of CRH, WHCC and MyHealth, and Orion Health ("Orion"). Financial covenants include maintenance of certain leverage ratios, fixed charge coverage ratios and guarantor and capital expenditure thresholds and compliance is evaluated quarterly as of March 31, June 30, September 30 and December 31 of each year. The Company was in compliance with all financial covenants and other terms and conditions under its syndicated credit facilities as of September 30, 2026.

      3. Minimum principal repayments:

        Total minimum principal repayments under the syndicated credit facilities were as follows as at September 30, 2026:

        (in thousands of Canadian dollars)

        CRH (JPM)

        WHCC and MyHealth (RBC)

        HEALWELL (BNS)

        2026

        971

        1,250

        250

        2027

        3,882

        5,000

        1,000

        2028

        225,572

        5,000

        46,750

        2029

        -

        5,000

        -

        2030

        -

        337,769

        -

        230,425

        354,019

        48,000

      4. Senior unsecured notes

        On July 15, 2026, the Company completed a private placement of $150,000 aggregate principal amount of 6.875% senior unsecured notes due July 15, 2031 (the "Notes"). The Notes were issued at par under a trust indenture dated July 15, 2026 between the Company and Computershare Trust Company of Canada, as trustee.

        The Notes bear interest at a fixed rate of 6.875% per annum. Interest is payable semi-annually in arrears on January 15 and July 15 of each year, beginning January 15, 2027. The Notes are direct senior unsecured obligations of the Company. They rank equally in right of payment with all of the Company's other existing and future senior unsecured indebtedness.

        The Notes are classified as financial liabilities measured at amortized cost using the effective interest method. Transaction costs of

        $4,466 that are directly attributable to the issuance of the Notes, including underwriting fees, legal and professional fees, and rating agency fees, were deducted from the initial carrying amount. These costs are being amortized to finance costs over the term of the Notes.

    2. Convertible debentures and derivative liability

      On August 19, 2026, the Company redeemed all of the $70,000 principal amount of its outstanding 5.5% convertible senior unsecured debentures prior to maturity, at a redemption price equal to 100% of the principal amount, together with accrued and unpaid interest of $513 up to, but excluding, the redemption date, for a total cash payment of $70,513. The redemption was funded from senior unsecured notes. The Company recognized a loss on early redemption of convertible debentures of $4,754, which is included in the condensed interim consolidated statement of (loss) income for the three and nine months ended September 30, 2026. Upon redemption, the carrying amount of the equity component of the convertible debentures of $25,043, previously recorded in the convertible debenture options reserve, was reclassified to accumulated deficit within equity, as presented in the condensed interim consolidated statement of changes in equity.

      ‌(in thousands of Canadian dollars)

      Convertible debentures

      Derivative liability

      Total

      Balance as of December 31, 2025

      82,035

      3,115

      85,150

      Interest accretion

      9,562

      -

      9,562

      Interest paid

      (3,938)

      -

      (3,938)

      Change in fair value of derivative liability

      -

      (1,065)

      (1,065)

      Conversion into subsidiary's shares

      (1,380)

      -

      (1,380)

      Settlement of convertible debentures

      (70,000)

      -

      (70,000)

      Loss on early settlement of convertible debentures

      4,754

      -

      4,754

      Balance as of September 30, 2026

      21,033

      2,049

      23,082

      Current

      18,520

      2,049

      20,569

      Non-current

      2,513

      -

      2,513

      21,033

      2,049

      23,082

      Balance as of December 31, 2024

      55,094

      -

      55,094

      Acquired via business acquisition

      21,050

      7,491

      28,541

      Interest accretion

      13,894

      -

      13,894

      Interest paid

      (6,100)

      -

      (6,100)

      Change in fair value of derivative liability

      -

      (4,376)

      (4,376)

      Conversion into subsidiary's shares

      (1,903)

      -

      (1,903)

      Balance as of December 31, 2025

      82,035

      3,115

      85,150

      Current

      80,400

      3,115

      83,515

      Non-current

      1,635

      -

      1,635

      82,035

      3,115

      85,150

    3. Redeemable Preferred Shares

      The following table summarizes the outstanding redeemable Preferred Shares of the Company's subsidiary, WELLSTAR Technologies Corp. ("WELLSTAR"):

      Series A Redeemable Preferred Shares

      Series B Redeemable Preferred

      Shares Total

      (in thousands of Canadian dollars)

      Shares Issued

      Amount

      Shares Issued

      Amount

      Amount

      Balance at December 31, 2025

      50,377,500

      55,527

      41,352,598

      57,903

      113,430

      Transaction costs

      -

      -

      -

      -

      -

      Interest expense

      -

      16,441

      -

      24,880

      41,321

      Preferred Shares issued on warrant

      92,703

      132

      35,400

      71

      203

      Conversion to subordinate voting shares of WELLSTAR

      (50,470,203)

      (72,100)

      (41,387,998)

      (82,854)

      (154,954)

      Balance at September 30, 2026

      -

      -

      -

      -

      -

      Balance at December 31, 2024

      50,377,500

      48,054

      -

      -

      48,054

      Proceeds on issuance

      -

      -

      41,352,598

      62,029

      62,029

      Transaction costs

      -

      (585)

      -

      (4,722)

      (5,307)

      Interest expense

      -

      8,058

      -

      596

      8,654

      Balance at December 31, 2025

      50,377,500

      55,527

      41,352,598

      57,903

      113,430

      Series A and Series B Redeemable Preferred Shares

      On December 11, 2024, WELLSTAR issued 50,377,500 Series A Preferred Shares (the "Series A Preferred Shares") for gross proceeds of $50,378 (net proceeds of $47,645 after cash issuance costs) and 2,285,375 broker warrants with a term of two years entitling holders to acquire 2,285,375 Series A Preferred Shares at an exercise price of $1.00 per share. On December 5, 2025, WELLSTAR issued 41,352,598 Series B Preferred Shares (the "Series B Preferred Shares" and, together with the Series A Preferred Shares, the "Preferred Shares") for gross proceeds of $62,029 (net proceeds of $57,832 after cash issuance costs) and 1,770,000 broker warrants with a term of two years entitling holders to acquire 1,770,000 Series B Preferred Shares at an exercise price of $1.50 per share.

      Before their conversion on September 29, 2026, Preferred Shares provided holders with a right to require redemption after December 31, 2026. Those redemption rights ceased on conversion. If a holder had exercised the redemption option before conversion, WELL had a call right to purchase the Preferred Shares and the holder had a put right to require WELLSTAR to purchase the Preferred Shares at a price equal to the holder's redemption price. The Preferred Shares automatically converted into subordinate voting shares of WELLSTAR at the discounted prices specified for a qualifying reverse takeover public listing.

      Pursuant to the Transaction referred to in Note 20, the Preferred Shares converted into subordinate voting shares of WELLSTAR which were exchanged for subordinate voting shares of amalgamated WELLSTAR. The conversion quantities, per-share prices and conversion ratios in this paragraph are stated on a pre-consolidation basis. Each Series A Preferred Share converted into subordinate voting shares of WELLSTAR equal to its original issue price of $1.00 divided by the lower of (i) $1.00 and (ii) 70% of the applicable listing price. As the listing price was $1.03, this resulted in a conversion ratio of 1.3870, with the 50,377,500 Series A Preferred Shares converting to 69,871,683 subordinate voting shares of WELLSTAR or 11,645,269 subordinate voting shares on a post-consolidation basis. Each Series B Preferred Share converted into subordinate voting shares of WELLSTAR equal to its original issue price of $1.50 divided by the lower of (i) $1.50 and (ii) 75% of the applicable listing price. As the listing price was $1.03, this resulted in a conversion ratio of 1.9417, with the 41,352,598 Series B Preferred Shares converting to 80,296,274 subordinate voting shares of WELLSTAR, or 13,382,695 subordinate voting shares on a post-consolidation basis. Refer to Note 20 for further details on the Transaction.

      The Preferred Shares were entitled to quarterly dividends commencing January 1, 2026. The unpaid notional dividends were included in the liability measurement through conversion but were cancelled upon completion of the Transaction in accordance with the articles and terms of the Preferred Shares.

      The Preferred Shares were classified as liabilities in the consolidated statement of financial position due to the redemption feature at the option of the holders and other terms that resulted in the instruments meeting the definition of financial liabilities. The liability components of the Preferred Shares were measured at amortized cost using the effective interest method with any embedded conversion derivatives measured at fair value through profit or loss. On conversion, Predecessor WELLSTAR measured the subordinate voting shares issued at their fair value and derecognized the Preferred Shares. The difference between the fair value of the subordinate voting shares issued and the combined carrying amounts of the Preferred Shares and fair value of the derivative liability related to the conversion option of $28,801, was recognized and recorded in interest and remeasurement expenses. The fair value of the subordinate voting shares issued was $154,876, including $203 relating to Preferred Shares issued on the broker-warrant exercise.

      Preferred Shares Broker Warrant Liability

      The broker warrants issued in connection with the Preferred Shares were classified as a financial liability on the consolidated statement of financial position consistent with the classification of the underlying Preferred Shares and were being accounted for as issuance costs. The warrant liabilities have been initially recognized at $585 and $479, respectively, being fair value at issuance date and were subsequently being measured at FVPL at each reporting date and were recorded as other expenses. Fair value is estimated using the Black-Scholes option pricing model with inputs including share price, volatility, risk-free interest rate and time to maturity.

      (in thousands of Canadian dollars)

      Warrants

      Amount

      Balance at December 31, 2025

      4,055,375

      1,059

      Changes in fair value

      -

      519

      Derecognition on exercise

      (128,103)

      (57)

      Expiry of unexercised warrants

      (3,927,272)

      (1,521)

      Balance at September 30, 2026

      -

      -

      Balance at December 31, 2024

      2,285,375

      585

      Fair value of warrants in connection with Series B Preferred Shares

      1,770,000

      479

      Changes in fair value

      -

      (5)

      Balance at December 31, 2025

      4,055,375

      1,059

      During the three months ended September 30, 2026, certain broker warrants of WELLSTAR, a subsidiary of the Company, were exercised for cash proceeds of $146. WELLSTAR issued 92,703 Series A Preferred Shares and 35,400 Series B Preferred Shares, which converted into 32,884 post-consolidation subordinate voting shares of WELLSTAR in connection with the Transaction. The related warrant liability of $57, together with the cash proceeds, totalling $203, was reclassified to equity and recognized as a transaction with non-controlling interests.

      The remaining 2,192,672 Series A and 1,734,600 Series B broker warrants of WELLSTAR expired unexercised, resulting in a non-cash gain of $1,521, presented in other (income) expenses. No broker warrant liabilities remained outstanding at September 30, 2026.

  14. SHARE CAPITAL
    1. Authorized

      Unlimited common shares without par value.

    2. Issued Common Shares

      As at September 30, 2026, the issued share capital consisted of 256,054,302 (December 31, 2025 - 253,985,679) common shares.

    3. Normal Course Issuer Bid ("NCIB")

      1. ‌2025 NCIB

        On May 20, 2025, the Company received approval from the TSX for a renewal of the NCIB that was set to expire on June 9, 2025. Under the 2025 NCIB, the Company could have acquired up to an aggregate of 6,326,417 common shares from May 20, 2025 to May 19, 2026. In accordance with TSX rules, daily purchases made by the Company on the TSX could not have exceeded 284,830 common shares, subject to certain prescribed exemptions, being 25% of the average daily trading volume over the preceding six calendar months of 1,139,321 common shares. The expiry of the 2025 NCIB was May 19, 2026. As of September 30, 2026, 679,000 common shares were purchased under the 2025 NCIB.

      2. ‌2026 NCIB

        On May 19, 2026, the Company received approval from the TSX for a renewal of the NCIB that was set to expire on May 19, 2026. Under the renewed 2026 NCIB, the Company may acquire up to an aggregate of 12,770,172 common shares from May 21, 2026 to May 20, 2027. In accordance with TSX rules, daily purchases made by the Company on the TSX cannot exceed 383,933 common shares, subject to certain prescribed exemptions, being 25% of the average daily trading volume over the preceding six calendar months of 1,535,732 common shares. As of September 30, 2026, 216,400 common shares have been purchased under the 2026 NCIB.

    4. ‌Options to purchase common shares

      1. Movement in stock options

        ‌The changes in stock options during the nine months ended September 30, 2026 and the year ended December 31, 2025 were as follows:

        ‌September 30, 2026 December 31, 2025

        Number of options

        Weighted average exercise price

        $

        Number of options

        Weighted average exercise price

        $

        Balance outstanding, beginning of period

        225,000

        3.17

        365,500

        2.89

        Options exercised

        -

        -

        (140,500)

        2.46

        Balance outstanding, end of period

        225,000

        3.17

        225,000

        3.16

        During the three and nine months ended September 30, 2026, the Company recognized share-based payments expense of $143 and

        $295, respectively, relating to stock options in the condensed interim consolidated statements of income. (2025 - $120 and $499, respectively).

      2. Stock options outstanding at the end of the period

        The following table summarizes information relating to outstanding and exercisable stock options of the Company as at September 30, 2026:

        Exercise price $

        Options outstanding

        Options exercisable

        Weighted average remaining contractual life (years)

        3.06

        100,000

        100,000

        1.00

        3.25

        125,000

        125,000

        0.75

        225,000

        225,000

        0.86

        The weighted average exercise price of options exercisable as at September 30, 2026 was $3.17 (December 31, 2025 - $3.18).

    5. Restricted Share Units ("RSUs")

      ‌The changes in RSUs during the nine months ended September 30, 2026 and year ended December 31, 2025 were as follows:

      ‌September 30, 2026

      December 31, 2025

      Number of RSUs

      Number of RSUs

      Balance outstanding, beginning of period

      2,546,196

      3,370,902

      Units granted

      2,383,654

      988,834

      Units vested and shares issued

      (1,341,494)

      (1,740,304)

      Units forfeited

      (47,773)

      (73,236)

      Balance outstanding, end of period

      3,540,583

      2,546,196

      During the three and nine months ended September 30, 2026, the Company recognized share-based payments expense of $2,558 and

      $5,941, respectively, relating to RSUs in the condensed interim consolidated statements of income. (2025 - $1,358 and $3,760, respectively).

    6. Performance Share Units ("PSUs")

      ‌The changes in PSUs during the nine months ended September 30, 2026 and the year ended December 31, 2025 were as follows:

      ‌September 30, 2026

      December 31, 2025

      Number of PSUs

      Number of PSUs

      Balance outstanding, beginning of period

      2,415,234

      2,460,449

      Units granted

      2,867,427

      1,250,800

      Units vested and shares issued

      (1,228,529)

      (1,230,559)

      Units forfeited

      (76,208)

      (65,456)

      Balance outstanding, end of period

      3,977,924

      2,415,234

      During the three and nine months ended September 30, 2026, the Company recognized share-based payments expense of $2,774 and

      $5,941, respectively, relating to PSUs in the condensed interim consolidated statements of income (2025 - $1,322 and $3,167, respectively).

    7. Share-based awards of subsidiary, HEALWELL

      See below the information regarding the Company's subsidiary, HEALWELL, as of September 30, 2026 and December 31, 2025:

      1. Stock options

        September 30, 2026

        Number of options

        Weighted average exercise price $

        Balance outstanding, September 30, 2026

        and December 31, 2025

        2,690,750 1.31

        December 31, 2025

        Number of options

        Weighted average exercise price $

        Balance outstanding, April 1, 2025

        2,597,000

        1.30

        Options granted

        100,000

        1.42

        Options settled

        (6,250)

        0.69

        Balance outstanding, December 31, 2025

        2,690,750

        1.31

      2. DSUs, RSUs, and PSUs

        HEALWELL grants DSUs to the members of the Board of Directors as part of their annual remuneration for the services rendered as directors on HEALWELL's Board and Committees and may also award one-time grants of DSUs to its directors in connection with major events, such as its going-public transaction in January 2021. The Company also grants RSUs to employees and contractors. The amount of the DSU or RSU awards payable is based on the number of units outstanding multiplied by the share price of HEALWELL at the date of the payout. For equity settled DSUs and RSUs, the fair value of the award is recorded as an expense at the grant date. To date, all RSUs and DSUs that have been awarded by HEALWELL have been equity-settled.

        HEALWELL also grants PSUs to key employees as part of their long-term incentive compensation. The fair value of the PSUs is recorded as an expense at the grant date based on assessing the performance criteria associated with the PSUs and adjusted quarterly depending on likely achievement of the performance criteria associated with the PSUs. To date, all PSUs that have been awarded by HEALWELL have been equity settled.

        September 30, 2026

        Net outstanding share-based payments by type

        No. of shares

        Vested

        PSUs

        Grants in 2023

        650,002

        275,001

        Grants in 2024

        237,501

        93,750

        Grants in 2025

        3,893,698

        1,141,389

        Grants in 2026

        1,711,712

        149,907

        Total PSUs

        6,492,913

        1,660,047

        RSUs

        Grants in 2023

        948,334

        549,999

        Grants in 2024

        1,292,586

        998,729

        Grants in 2025

        4,322,668

        1,294,471

        Grants in 2026

        5,026,092

        436,880

        Total RSUs

        11,589,680

        3,280,079

        DSUs

        Grants in 2023

        43,947

        43,947

        Total DSUs

        43,947

        43,947

        Total Number of Shares

        18,126,540

        4,984,073

        During the three and nine months ended September 30, 2026, the Company recognized share-based payments of $2,950 and $7,040, respectively, relating to HEALWELL's share-based awards in the condensed interim consolidated statements of income (loss) (2025 -

        $3,148 and $6,802, respectively).

    8. Share-based awards of subsidiary, WELLSTAR

      On August 28, 2025, WELLSTAR's Board of Directors approved a Legacy OEIP whereby eligible employees, officers, directors and consultants may be granted awards in the form of (1) stock options exercisable to purchase WELLSTAR's subordinate voting shares and (2) RSUs, PSUs, and DSUs that convert automatically into WELLSTAR's subordinate voting shares upon vesting. On October 21, 2025, WELLSTAR's Board of Directors authorized a grant of 367,272 RSUs and 574,898 PSUs under the Legacy OEIP to certain directors, officers, employees and consultants of WELLSTAR. The RSUs and PSUs vest on dates ranging from May 1, 2026 to May 1, 2028.

      On May 1, 2026, WELLSTAR's Board of Directors authorized a grant of 81,722 RSUs, 143,454 PSUs and 26,291 DSUs under the Legacy OEIP to certain directors, officers, employees and consultants of WELLSTAR. The RSUs and PSUs vest on dates ranging from May 1, 2026 to May 1, 2029.

      On September 1, 2026, WELLSTAR's Board of Directors authorized a grant of 255,307 RSUs and 559,877 PSUs under the Legacy OEIP to certain directors, officers, employees and consultants of WELLSTAR. The total estimated fair value of the RSUs and PSUs granted was

      $1,578 and $3,460, respectively, based on the estimated fair value of a subordinate voting share of WELLSTAR on the grant date. The RSUs and PSUs vest on dates ranging from September 1, 2026 to May 1, 2029.

      In connection with the reverse takeover transaction described in Note 20, the Legacy OEIP was cancelled and ceased to have effect at the effective time of the Transaction. Concurrently, WELLSTAR adopted a new omnibus equity incentive plan (the "Resulting Issuer OEIP") having substantially the same terms as the Legacy OEIP. Under the Resulting Issuer OEIP, WELLSTAR may grant stock options, RSUs, PSUs and DSUs to eligible employees, officers, directors and consultants. The aggregate number of subordinate voting shares reserved for issuance under the Resulting Issuer OEIP, together with all other security-based compensation arrangements of WELLSTAR, may not exceed 10% of WELLSTAR's issued and outstanding subordinate voting shares from time to time.

      At the effective time of the Transaction, each outstanding WELLSTAR stock option, RSU, PSU and DSU was cancelled and replaced on a one-for-one basis after giving effect to the WELLSTAR share consolidation with a corresponding award of WELLSTAR having substantially the same terms, including the original grant date, vesting requirements, performance conditions, settlement provisions and remaining contractual term.

      WELLSTAR assessed the replacement of the WELLSTAR awards under IFRS 2, Share-based payments and concluded that the replacement did not change the classification or measurement of the awards and did not result in incremental fair value. Accordingly, the replacement awards are accounted for as a continuation of the original awards, and the remaining share-based compensation expense continues to be recognized based on the original grant-date fair value over the original vesting periods.

      WELLSTAR-issued award quantities presented in this note include awards originally granted by WELLSTAR and subsequently replaced by awards of WELLSTAR. The award quantities and comparative information have been adjusted, where applicable, to reflect the share consolidation and exchange ratio completed in connection with the Transaction. The RSU, PSU and DSU quantities and related per-share amounts presented in this note, including comparative amounts, have been adjusted retrospectively to reflect the six-for-one WELLSTAR share consolidation described in Note 20. The continuity schedules, historical grant disclosures and vested but unsettled award balances are presented on a consistent post-consolidation basis. Option exercise prices and fair values per award have been adjusted proportionately. Awards relating to WELL Health Technologies Corp.'s equity incentive plan remain presented on the basis of WELL common shares and were unaffected by the WELLSTAR share consolidation.

      WELLSTAR's employees also participate in WELL's equity incentive plan ("Plan") whereby eligible employees, directors and consultants may be granted awards in the form of (1) stock options exercisable to purchase WELL common shares and (2) restricted share units ("RSUs") and performance share units ("PSUs") that convert automatically into WELL common shares upon vesting.

      Share-based compensation expense consists of amounts relating to stock options, RSUs, PSUs and DSUs granted by WELLSTAR and WELL to the WELLSTAR's employees under the respective plans.

      See below the information regarding the Company's subsidiary, WELLSTAR, as of September 30, 2026:

    9. RSUs

      A summary of changes to the numbers of RSUs during the nine months ended September 30, 2026 and the year ended December 31, 2025 were as follows:

      WELLSTAR Issued Awards

      September 30, 2026

      December 31, 2025

      Number of RSUs

      Number of RSUs

      Balance outstanding, beginning of year

      367,272

      -

      Units granted

      337,029

      367,272

      Units forfeited

      (23,316)

      -

      Balance outstanding, end of period

      680,985

      367,272

      1. PSUs

        A summary of changes to the numbers of PSUs during the nine months ended September 30, 2026 and the year ended December 31, 2025 were as follows:

        WELLSTAR Issued Awards

        September 30, 2026

        December 31, 2025

        Number of PSUs

        Number of PSUs

        Balance outstanding, beginning of year

        574,898

        -

        Units granted

        703,331

        574,898

        Units forfeited

        (59,358)

        -

        Balance outstanding, end of period

        1,218,871

        574,898

      2. DSUs

      A summary of changes to the numbers of DSUs during the nine months ended September 30, 2026 and the year ended December 31, 2025 were as follows:

      WELLSTAR Issued Awards

      September 30, 2026

      December 31, 2025

      Number of DSUs

      Number of DSUs

      Balance outstanding, beginning of year

      -

      -

      Units granted

      26,291

      -

      Balance outstanding, end of period

      26,291

      -

      During the three and nine months ended September 30, 2026, the Company recognized share-based payments expense of $1,050 and

      $3,967, respectively, relating to WELLSTAR's share-based awards in the condensed interim consolidated statements of income. (2025 - nil and nil, respectively).

  15. RELATED PARTY BALANCES AND TRANSACTIONS

    Related party balances and transactions with management

    Key management personnel are those persons having authority and responsibility for planning, directing and controlling the activities of the Company, directly or indirectly. Key management personnel consists of the Company's Board of Directors and certain members of the senior executive team. Key management personnel are the Chief Executive Officer ("CEO"), the Chief Financial Officer ("CFO") and the Chief Operating Officer ("COO"). The Company's current COO joined the Company in May 2026, replacing the former COO who also served as WELLSTAR CEO until April 2026. Compensation disclosed for the COO reflects the applicable period of service for each individual during the reporting period. The Company's current CFO joined the Company in September 2026 and also serves on WELLSTAR's Board of Directors. The compensation disclosed for the CFO includes the compensation attributable to the then-serving CFO for the period prior to the transition and the current CFO for the period following the transition during the reporting period.

    The remuneration of the Company's key management personnel during the three and nine months ended September 30, 2026 and 2025 was as follows:

    Three months ended Nine months ended

    September 30,

    September 30,

    September 30,

    September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    Salaries

    415

    323

    1,117

    1,168

    Directors' fees

    110

    100

    330

    360

    Share-based payments

    1,855

    716

    4,725

    1,289

    2,380

    1,139

    6,172

    2,817

    During the nine months ended September 30, 2026, the Company granted 1,200,621 RSUs (746,572 to the CEO, 16,832 to the former CFO, 162,904 to the COO who commenced in May 2026, and 274,313 to the members of the Board of Directors), and 981,845 PSUs (727,935 to the CEO, 50,497 to the former CFO, and 203,413 to the COO). During the nine months ended September 30, 2025, the Company granted 379,629 RSUs (141,806 to the CEO, 7,878 to the former CFO, 9,359 to the COO and 220,586 to the members of the Board of Directors), and 288,054 PSUs (236,343 to the CEO, 23,634 to the former CFO, and 28,077 to the COO).

    Included in employee receivables in prepayments and other assets as at September 30, 2026 and December 31, 2025 is $12,593 ($7,232 from the CEO, $3,046 from the Executive Advisor, who served as the Company's CFO until September 2026, and $2,315 from the WELLSTAR CEO, who previously served as the Company's COO) and as at December 31, 2025 was $12,371 ($7,232 from the CEO, $2,824 from the Executive Advisor, and $2,315 from the WELLSTAR CEO), respectively, of receivables from related parties. These receivables relate to payroll taxes on stock issuance with respect to equity and option exercises for the related parties. They are interest bearing at interest rates as prescribed by Canada Revenue Agency, payable on demand with no specified repayment terms. The Company has full recourse to assets of the related parties if they are unable or unwilling to pay.

  16. SEGMENT REPORTING

    The Company is organized into operating segments based on its product and service offerings. Operating segments are reported in a manner consistent with the internal reporting provided to the chief operating decision-maker who is the CEO. The Company has eight reportable segments as shown below that are grouped into four key business units: Canadian Patient Services, WELL Health USA Patient and Provider Services, SaaS and Technology Services, and HEALWELL.

    Reportable Segment Operations

    1. Canadian Patient Services

      • Primary WELL Health Medical Centres or WMC Primary care and allied health clinic operations in Canada

      • Specialized MyHealth

        also known as WELL Health Diagnostic Centres or WDC Specialty care and accredited diagnostic health services from WDC

    2. WELL Health USA Patient and Provider Services

      • Primary Circle Medical

      • Primary Wisp

      • Specialized CRH Medical

      • Specialized Provider Staffing

        US primary care telehealth operations from Circle Medical US primary care operations from Wisp

        Specialized care gastroenterology anesthesia services

        Medical recruitment and staffing services

    3. SaaS and Technology Services Provides digital health and infrastructure solutions for healthcare providers, including Electronic Medical Records (EMRs), patient engagement and eReferral solutions, AI-enabled applications, billing and practice management services, and cybersecurity protection and data privacy solutions.

    4. HEALWELL AI and data sciences and healthcare software offerings

    5. Corporate and Other Corporate shared services, WELL Research and Eliminations

    ‌Three months ended September 30, 2026

    <- Canadian Patient Services -><- WELL Health USA Patient and Provider Services ->

    Primary

    Specialized

    Primary -

    Specialized

    -

    Specialized

    -

    SAAS

    and

    Total -

    Corporate

    (in thousands of Canadian

    -

    -

    Circle

    Primary -

    CRH

    Provider

    Technology

    ALL

    / Other /

    Consolidated

    dollars)

    WMC

    WDC

    Total

    Medical

    Wisp

    Medical

    Staffing

    Total

    Services

    HEALWELL

    segments

    Elimination

    total

    Total segment revenue

    106,531

    58,414

    164,945

    25,199

    29,016

    76,907

    51,818

    182,940

    26,258

    32,816

    406,959

    11,760

    418,719

    Inter-segment revenue

    (169)

    (241)

    (410)

    -

    -

    -

    (2,743)

    (2,743)

    (2,410)

    (579)

    (6,142)

    (5,178)

    (11,320)

    Revenue from external customers

    106,362

    58,173

    164,535

    25,199

    29,016

    76,907

    49,075

    180,197

    23,848

    32,237

    400,817

    6,582

    407,399

    Cost of sales

    (71,404)

    (22,969)

    (94,373)

    (10,765)

    (8,173)

    (47,214)

    (43,542)

    (109,694)

    (5,012)

    (14,902)

    (223,981)

    (5,568)

    (229,551)

    Salaries and benefits

    (12,148)

    (16,016)

    (28,164)

    (4,575)

    (3,381)

    (6,088)

    (775)

    (14,819)

    (9,146)

    (9,301)

    (61,430)

    (6,901)

    (68,331)

    Marketing and promotion

    (444)

    (338)

    (782)

    (3,860)

    (12,143)

    (248)

    (46)

    (16,297)

    (248)

    429

    (16,898)

    (571)

    (17,469)

    Other G&A

    (10,143)

    (5,342)

    (15,485)

    (3,810)

    (2,075)

    (3,539)

    (852)

    (10,276)

    (3,675)

    (6,161)

    (35,597)

    (5,571)

    (41,168)

    Other expenses

    (94,139)

    (44,665)

    (138,804)

    (23,010)

    (25,772)

    (57,089)

    (45,215)

    (151,086)

    (18,081)

    (29,935)

    (337,906)

    (18,611)1

    (356,519)

    Adjusted EBITDA

    12,223

    13,508

    25,731

    2,189

    3,244

    19,818

    3,860

    29,111

    5,767

    2,302

    62,911

    Three months ended September 30, 2025

    <- Canadian Patient Services -><- WELL Health USA Patient and Provider Services ->

    Primary

    Specialized

    Primary -

    Specialized

    -

    Specialized

    -

    SAAS

    and

    Total -

    Corporate

    (in thousands of Canadian

    -

    -

    Circle

    Primary -

    CRH

    Provider

    Technology

    ALL

    / Other /

    Consolidated

    dollars)

    WMC

    WDC

    Total

    Medical

    Wisp

    Medical

    Staffing

    Total

    Services

    HEALWELL

    segments

    Elimination

    total

    Total segment revenue

    71,817

    38,678

    110,495

    41,960

    30,340

    72,510

    53,992

    198,802

    21,001

    38,123

    368,421

    4,910

    373,331

    Inter-segment revenue

    (270)

    (171)

    (441)

    -

    -

    -

    (1,415)

    (1,415)

    (1,715)

    (251)

    (3,822)

    (4,910)

    (8,732)

    Revenue from external customers

    71,547

    38,507

    110,054

    41,960

    30,340

    72,510

    52,577

    197,387

    19,286

    37,872

    364,599

    -

    364,599

    Cost of sales

    (49,148)

    (14,730)

    (63,878)

    (10,434)

    (8,069)

    (44,681)

    (47,889)

    (111,073)

    (3,031)

    (19,276)

    (197,258)

    (1,570)

    (198,828)

    Salaries and benefits

    (8,954)

    (10,845)

    (19,799)

    (4,304)

    (3,190)

    (4,616)

    (768)

    (12,878)

    (6,944)

    (11,905)

    (51,526)

    (3,393)

    (54,919)

    Marketing and promotion

    (330)

    (256)

    (586)

    (2,584)

    (16,264)

    (225)

    (61)

    (19,134)

    (140)

    (2,950)

    (22,810)

    (285)

    (23,095)

    Other G&A

    (7,542)

    (4,102)

    (11,644)

    (2,305)

    (1,517)

    (3,999)

    (187)

    (8,008)

    (2,331)

    (2,344)

    (24,327)

    (3,513)

    (27,840)

    Other expenses

    (65,974)

    (29,933)

    (95,907)

    (19,627)

    (29,040)

    (53,521)

    (48,905)

    (151,093)

    (12,446)

    (36,475)

    (295,921)

    (8,761)

    (304,682)

    Adjusted EBITDA

    5,573

    8,574

    14,147

    22,333

    1,300

    18,989

    3,672

    46,294

    6,840

    1,397

    68,678

    1 Corporate EBITDA includes $890 EBITDA loss attributable to WELL Research

    ‌Nine months ended September 30, 2026

    <- Canadian Patient Services -><- WELL Health USA Patient and Provider Services ->

    (in thousands of Canadian dollars)

    Primary

    - WMC

    Specialized

    - WDC

    Total

    Primary -

    Circle Medical

    Primary -

    Wisp

    Specialized

    - CRH

    Medical

    Specialized

    -

    Provider Staffing

    Total

    SAAS

    and Technology Services

    Total -

    ALL

    HEALWELL segments

    Corporate

    / Other / Elimination

    Consolidated

    total

    Total segment revenue

    288,619

    158,169

    446,788

    90,700

    87,464

    218,861

    152,438

    549,463

    75,370

    99,472 1,171,093

    33,823

    1,204,916

    Inter-segment revenue

    (633)

    (634)

    (1,267)

    -

    -

    -

    (6,988)

    (6,988)

    (6,860)

    (1,175)

    (16,290)

    (12,536)

    (28,826)

    Revenue from external customers

    287,986

    157,535

    445,521

    90,700

    87,464

    218,861

    145,450

    542,475

    68,510

    98,297

    1,154,803

    21,287

    1,176,090

    Cost of sales

    (194,430)

    (61,645)

    (256,075)

    (31,497)

    (24,332)

    (135,299)

    (129,220)

    (320,348)

    (15,225)

    (43,080)

    (634,728)

    (21,932)

    (656,662)

    Salaries and benefits

    (35,841)

    (42,354)

    (78,195)

    (13,764)

    (9,478)

    (18,189)

    (1,810)

    (43,241)

    (26,839)

    (34,560)

    (182,835)

    (17,378)

    (200,213)

    Marketing and promotion

    (1,470)

    (917)

    (2,387)

    (10,901)

    (44,153)

    (721)

    (209)

    (55,984)

    (436)

    (6,245)

    (65,052)

    (2,490)

    (67,542)

    Other G&A

    (28,875)

    (15,019)

    (43,894)

    (10,232)

    (7,341)

    (9,170)

    (3,257)

    (30,000)

    (10,675)

    (9,602)

    (94,171)

    (15,444)

    (109,615)

    Other expenses

    (260,616)

    (119,935)

    (380,551)

    (66,394)

    (85,304)

    (163,379)

    (134,496)

    (449,573)

    (53,175)

    (93,487)

    (976,786)

    (57,244)2

    (1,034,032)

    Adjusted EBITDA

    27,370

    37,600

    64,970

    24,306

    2,160

    55,482

    10,954

    92,902

    15,335

    4,810

    178,017

    Nine months ended September 30, 2025

    <- Canadian Patient Services -><- WELL Health USA Patient and Provider Services ->

    Primary

    Specialized

    Primary -

    Specialized

    -

    Specialized

    -

    SAAS

    and

    Total -

    Corporate

    (in thousands of Canadian

    -

    -

    Circle

    Primary -

    CRH

    Provider

    Technology

    ALL

    / Other /

    Consolidated

    dollars)

    WMC

    WDC

    Total

    Medical

    Wisp

    Medical

    Staffing

    Total

    Services

    HEALWELL

    segments

    Elimination

    total

    Total segment revenue

    200,037

    125,280

    325,317

    105,651

    87,868

    205,385

    159,070

    557,974

    63,359

    79,061

    1,025,711

    11,834

    1,037,545

    Inter-segment revenue

    (745)

    (389)

    (1,134)

    -

    -

    -

    (2,257)

    (2,257)

    (6,244)

    (667)

    (10,302)

    (11,834)

    (22,136)

    Revenue from external customers

    199,292

    124,891

    324,183

    105,651

    87,868

    205,385

    156,813

    555,717

    57,115

    78,394

    1,015,409

    -

    1,015,409

    Cost of sales

    (136,950)

    (48,683)

    (185,633)

    (39,486)

    (24,318)

    (127,897)

    (140,703)

    (332,404)

    (11,901)

    (38,102)

    (568,040)

    (5,387)

    (573,427)

    Salaries and benefits

    (27,012)

    (31,474)

    (58,486)

    (16,361)

    (9,164)

    (14,907)

    (1,409)

    (41,841)

    (20,973)

    (24,461)

    (145,761)

    (10,387)

    (156,148)

    Marketing and promotion

    (914)

    (528)

    (1,442)

    (12,156)

    (47,499)

    (706)

    (159)

    (60,520)

    (459)

    (6,298)

    (68,719)

    (786)

    (69,505)

    Other G&A

    (21,551)

    (11,416)

    (32,967)

    (9,610)

    (4,260)

    (9,857)

    (2,376)

    (26,103)

    (6,795)

    (5,964)

    (71,829)

    (7,271)

    (79,100)

    Other expenses

    (186,427)

    (92,101)

    (278,528)

    (77,613)

    (85,241)

    (153,367)

    (144,647)

    (460,868)

    (40,128)

    (74,825)

    (854,349)

    (23,831)

    (878,180)

    Adjusted EBITDA

    12,865

    32,790

    45,655

    28,038

    2,627

    52,018

    12,166

    94,849

    16,987

    3,569

    161,060

    2 Corporate EBITDA includes $3,972 EBITDA loss attributable to WELL Research

    ‌A reconciliation of net income before tax to segment adjusted EBITDA is as follows:‌

    Three months ended Nine months ended

    September 30,

    September 30,

    September 30,

    September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    Adjusted EBITDA

    62,911

    68,679

    178,017

    161,060

    Corporate expenses

    (12,029)

    (8,762)

    (35,957)

    (23,831)

    Depreciation and amortization

    (30,282)

    (26,520)

    (83,527)

    (71,461)

    Net finance cost

    (43,646)

    (15,886)

    (85,851)

    (39,219)

    Rent expense on leases

    6,829

    4,935

    19,658

    15,030

    Share-based payments

    (8,940)

    (5,949)

    (22,650)

    (14,229)

    Foreign exchange gain (loss)

    7

    (1,734)

    445

    (786)

    Time-based earnout expense

    (686)

    (1,583)

    (2,807)

    (6,935)

    Change in fair value of investments

    (5,340)

    (311)

    12,332

    (22,795)

    Change in fair value of derivative liability

    (614)

    (488)

    1,065

    1,642

    Gain on disposal of assets and investments

    -

    10,950

    88

    10,974

    Share of net income (loss) of associates

    247

    (146)

    (38)

    (2,643)

    Transaction, restructuring and integration expenses

    (3,289)

    (3,946)

    (16,435)

    (10,612)

    Loss on early settlement of convertible debentures

    (4,754)

    -

    (4,754)

    -

    Legal settlement and defense (costs) recovery

    (629)

    (1,824)

    (6,247)

    1,780

    Reverse takeover listing expense and transaction costs

    (24,445)

    -

    (24,445)

    -

    Impairment charge and other items

    (67,490)

    (10,506)

    (67,735)

    (11,260)

    Net (loss) income before income tax

    (132,150)

    6,909

    (138,841)

    (13,285)

    Geographic information

    Revenue by geographic location of customers for the three and nine months ended September 30, 2026 and 2025 are summarized as follow:

    ‌Three months ended

    US Canada Others

    Canada (Corporate /

    Shared services) Total

    September 30, September 30, September 30, September 30, September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    2026

    2025

    2026

    2025

    2026

    2025

    Total Segment Revenue

    189,612

    203,550

    203,016

    152,855

    14,332

    12,016

    11,759

    4,910

    418,719

    373,331

    Inter-segment revenue

    (2,743)

    (1,415)

    (2,820)

    (2,407)

    (579)

    -

    (5,178)

    (4,910)

    (11,320)

    (8,732)

    Revenue from external customers

    186,869

    202,135

    200,196

    150,448

    13,753

    12,016

    6,581

    -

    407,399

    364,599

    ‌Nine months ended

    US Canada Others

    Canada (Corporate /

    Shared services) Total

    September 30, September 30, September 30, September 30, September 30,

    (in thousands of Canadian dollars)

    2026

    2025

    2026

    2025

    2026

    2025

    2026

    2025

    2026

    2025

    Total Segment Revenue

    566,988

    567,685

    563,247

    432,772

    40,859

    25,254

    33,822

    11,834

    1,204,916

    1,037,545

    Inter-segment revenue

    (6,988)

    (2,257)

    (8,127)

    (8,045)

    (1,175)

    -

    (12,536)

    (11,834) (28,826) (22,136)

    Revenue from external customers

    560,000

    565,428

    555,120

    424,727

    39,684

    25,254

    21,286

    - 1,176,090 1,015,409

    Non-current assets other than financial instruments and deferred tax assets by location are summarized as at September 30, 2026 and December 31, 2025:

    (in thousands of Canadian dollars)

    September 30,

    2026

    December 31,

    2025

    Non-current assets other than financial instruments and deferred tax assets

    US

    634,385

    644,249

    Canada

    1,060,155

    891,818

    Other

    119,394

    126,440

    Canada (Corporate / Shared services)

    14,438

    15,436

    Total

    1,828,372

    1,677,943

  17. BUSINESS COMBINATIONS, ASSET ACQUISITIONS AND DISPOSALS

    ‌The Company completed multiple business combination acquisitions during the nine months ended September 30, 2026. The purchase price of these acquisitions were satisfied through, where applicable:

    1. cash paid to the vendor, net of working capital adjustments;

    2. fair value of common shares of the Company issued to the vendor, determined at the opening share price on the date of the issuance;

    3. fair value of common shares of a Company subsidiary issued to the vendor, determined as of the date of the issuance;

    4. working capital/indemnification holdback; and

    5. deferred acquisition cost(s).

    Earn out obligations that are considered contingent consideration have been included in purchase consideration as deferred acquisition costs. Deferred acquisition costs are recorded as financial liabilities based on the fair value at the acquisition date and are revalued at each subsequent reporting date and on settlement through earnings. Time-based earn out payments that are contingent on continued employment of the selling shareholders are excluded from purchase consideration and are expensed during the post-acquisition requisite service period.

    For business combinations, the excess of the fair value of the purchase consideration over the fair values of assets and liabilities acquired is recognized as goodwill. Goodwill is attributable to the workforce, expected synergies and future profitability of the acquired businesses. The Company elected to recognize the non-controlling interests at its proportionate share of the acquired net identifiable assets, where applicable.

    2026 Acquisitions:

    During the nine months ended September 30, 2026, the Company acquired initial interests in the following companies:

    Company name

    Date of Acquisition

    Business/ asset acquisition

    %

    Ownership

    Place of incorporation

    Line of business

    TBD Health Inc.

    January 8, 2026

    Business

    100%

    USA

    WELL Health USA Patient and Provider Services -Primary Wisp

    West 10th Medical Clinic "Dunbar"

    February 1, 2026

    Business

    100%

    Canada

    Canadian Patient Services -Primary WMC

    2748778 Alberta Corp

    "E-Consult"

    February 1, 2026

    Business

    61%

    Canada

    Canadian Patient Services -Primary WMC

    Lambert Medico Factures Inc. "Lambert"

    February 1, 2026

    Business

    60%

    Canada

    SaaS and Technology Service

    2154796 Alberta Ltd "Royal Vista"

    March 1, 2026

    Business

    100%

    Canada

    Canadian Patient Services -Primary WMC

    Sherritt Services Inc. "Sherritt"

    April 1, 2026

    Business

    100%

    Canada

    SaaS and Technology Service

    TDS Cardiology "TDS"

    May 1, 2026

    Business

    100%

    Canada

    Canadian Patient Services -Specialized WDC

    OID Group

    June 1, 2026

    Business

    100%

    Canada

    Canadian Patient Services -Specialized WDC

    Union MD

    June 1, 2026

    Business

    65%

    Canada

    Canadian Patient Services -Primary WMC

    JCL Medical Systems Ltd "JCL Medical"

    July 1, 2026

    Business

    100%

    Canada

    SaaS and Technology Service

    Rise Psychotherapy

    August 1, 2026

    Business

    100%

    Canada

    Canadian Patient Services -Primary WMC

    The following tables summarize the fair value of the purchase consideration and the estimated fair values of assets and liabilities acquired at the acquisition dates for business combinations and asset acquisitions that occurred during the nine months ended September 30, 2026. Purchase price allocations have been classified as "Final" or "Provisional"/"Prov" based on the status of the work performed by the Company to determine net working capital or other adjustments and the fair value of the assets acquired and liabilities assumed at the acquisition date. The Company may adjust preliminary purchase price allocations, as necessary, up to one year after the acquisition closing date as new information is obtained about facts and circumstances that existed as of the closing date.

    During the nine months ended September 30, 2026, the Company completed several acquisitions to expand its healthcare service offerings, strengthen its network of clinics and healthcare professionals, enhance its technology-enabled capabilities, and increase its presence in key Canadian markets. These acquisitions are listed in the table above.

    On February 1, 2026, the Company acquired E-Consult, a leading technology-enabled eConsult platform in Alberta, together with the eight Satori primary care clinics acquired in December 2025. Total consideration transferred was $32,925, consisting primarily of cash consideration of $31,265, and $1,660 of holdbacks. The provisional purchase price allocation resulted in the recognition of

    $26,290 of intellectual property, representing proprietary technology and related know-how with an estimated useful life of 10 years.

    During the second quarter of 2026, the Company completed the acquisitions of Union MD, OID Group, TDS Cardiology and Sherritt. The purchase price allocations for these acquisitions remain provisional pending the completion of the valuation of identifiable assets acquired and liabilities assumed, including income tax balances, and the finalization of working capital adjustments.

    On June 1, 2026, the Company acquired 100% of OID Group for total consideration of $73,401, consisting of $43,092 in cash and

    $23,106 of deferred costs and holdbacks, and a performance based earnout of $7,203. The preliminary purchase price allocation resulted in the recognition of $52,171 of goodwill, primarily attributable to expected synergies, assembled workforces, future growth opportunities and other intangible benefits that do not qualify for separate recognition under IFRS.

    On June 1, 2026, the Company acquired a 65% controlling interest in Union MD for total consideration of $79,733, consisting of

    $72,252 in cash, shares of subsidiary with a fair value of $3,092, and $4,389 of deferred costs and holdbacks. The preliminary purchase price allocation resulted in the recognition of $79,437 of goodwill, primarily attributable to expected synergies, assembled workforces, future growth opportunities and other intangible benefits that do not qualify for separate recognition under IFRS.

    The preliminary purchase price allocations also resulted in the recognition of identifiable intangible assets, including customer relationships, licenses, brands, and intellectual property. The goodwill recognized is not expected to be deductible for income tax purposes.

    On July 1, 2026, the Company acquired 100% of the issued and outstanding shares of 1947368 Ontario Inc., which owns JCL Medical Systems Ltd. ("JCL"), an Ontario-based medical billing, claims administration and related revenue cycle management business, for estimated purchase consideration of up to $5,799 subject to closing cash, working capital, indebtedness and transaction expense adjustments. In addition, performance-based earnout payments of up to $2,738 are payable over three one-year performance periods, subject to achievement of specified organic growth and normalized EBITDA criteria and other terms of the agreement. Since the earnout payments are contingent on continuing employment of the selling shareholders and are automatically forfeited if employment terminates, amounts will be recognized and expensed over time during the post-acquisition requisite service period.

    Goodwill of $3,243 arising from the acquisition consists largely of the synergies and economies of scale expected from combining the operations of JCL and integrating the acquired technologies into the Company's platforms. The goodwill is not deductible for tax purposes. Accounts and other receivables are reported at a gross carrying amount of $387, net of an allowance for expected credit losses of nil. Intangible assets recognized for customer relationships and brands will be amortized over 8 years.

    ‌TDS

    (in thousands of Canadian E-Consult

    dollars) Prov

    Lambert Prov

    Royal Vista

    Prov

    Sherritt Prov

    Cardiolog y

    Prov

    OID

    Group

    Prov

    Union MD Prov

    JCL

    Medical

    Prov

    Total

    Cash

    31,265

    815

    887

    2,810

    1,755

    43,092

    72,252

    5,411

    158,287

    Shares of subsidiary issued

    -

    277

    -

    -

    -

    -

    3,092

    -

    3,369

    Indemnity holdback

    1,660

    152

    93

    -

    245

    1,617

    700

    300

    4,767

    Working capital holdback

    -

    -

    -

    382

    -

    -

    1,973

    88

    2,443

    Deferred acquisition cost and

    performance based earnout

    -

    -

    260

    -

    1,159

    28,692

    1,716

    -

    31,827

    Purchase consideration

    32,925

    1,244

    1,240

    3,192

    3,159

    73,401

    79,733

    5,799

    200,693

    Assets and liabilities acquired

    Cash

    179

    368

    103

    (58)

    -

    -

    224

    174

    990

    Accounts receivable and other assets

    1,537

    343

    -

    187

    -

    57

    -

    387

    2,511

    Property and equipment

    264

    46

    123

    -

    392

    8,723

    255

    92

    9,895

    Right-of-use asset

    -

    -

    -

    -

    -

    11,800

    11,272

    426

    23,498

    Customer relationships

    3,334

    932

    -

    1,234

    -

    -

    -

    2,360

    7,860

    Intellectual property

    26,290

    -

    -

    -

    -

    -

    -

    -

    26,290

    Brands

    -

    362

    -

    305

    -

    -

    -

    526

    1,193

    Licenses

    -

    -

    -

    -

    -

    12,450

    -

    -

    12,450

    Accounts payable and accrued liabilities

    (1,215)

    (182)

    (9)

    (249)

    -

    -

    (183)

    (218)

    (2,056)

    Deferred income taxes

    (4,343)

    (343)

    -

    (354)

    -

    -

    -

    (765)

    (5,805)

    Lease liabilities

    -

    -

    -

    -

    -

    (11,800)

    (11,272)

    (426)

    (23,498)

    Non-controlling interest

    -

    (610)

    -

    -

    -

    -

    -

    -

    (610)

    Goodwill

    6,879

    328

    1,023

    2,127

    2,767

    52,171

    79,437

    3,243

    147,975

    32,925

    1,244

    1,240

    3,192

    3,159

    73,401

    79,733

    5,799

    200,693

  18. CONTINGENCIES

In the ordinary course of business, the Company is involved in and potentially subject to, legal actions and proceedings. There are many uncertainties involved in these legal actions and proceedings and as such, it is not possible for the Company to predict the final outcome of these matters with certainty. The Company does not believe that the ultimate resolution of these matters, including the matters noted below where not fully resolved, will have a material adverse impact on the Company's operations, financial condition or results of operations.

Since November 2023, the Company's subsidiary Wisp has had two class actions and one mass arbitration filed against it, each alleging pixel tracking technologies deployed on Wisp's website used to improve marketing and advertising initiatives, improperly collected and disclosed personal health information to third-party social media platforms (Meta Platforms Inc. dba Facebook, Google, Bing/Microsoft, and Tik Tok Inc.). Wisp has settled both class actions and the mass arbitration matter. For the year ended December 31, 2024, the Company recognized an expense of $6,017 in other expenses for estimated settlement costs and $290 in general and administrative expenses for legal fees. During the year ended December 31, 2025, the Company reached an agreement to settle an insurance claim in relation to this matter and recognized an insurance recovery of $2,134 as other income in the consolidated statement of (loss) income for the year ended December 31, 2025. For the nine months ended September 30, 2026, the Company recognized an expense of $2,025 in other expenses for settlement costs. The final settlement amount was $5,435, the estimated settlement amounts recognized as at June 30,2026.

In September 2024, the Company's 70%-owned Delaware subsidiary, Circle Medical Technologies, Inc. ("Circle Medical"), received a Request for Information ("RFI") from the Civil Division of the United States Attorney's Office for the Northern District of California ("USAO") relating to claims for reimbursement submitted to both federal health care programs and private insurers. Circle Medical voluntarily responded to the RFI. The Company has cooperated fully with the RFI, and has implemented enhanced compliance controls as appropriate. In June 2026, Circle Medical reached a settlement to resolve the matter with the United States Department of Justice, the California Department of Insurance, and the San Francisco District Attorney's office (collectively the "Agencies"). The settlement amount was equal to the estimated settlement amounts recognized as at December 31, 2025. For the year ended December 31, 2024, the Company recognized an expense of $4,072 in Other Expenses for estimated settlement costs, and $511 in general and administrative expenses for associated legal fees. For the year ended December 31, 2025, the Company incurred $885 in general and administrative expenses for legal fees and recognized an additional $678 in other expenses, for total estimated settlement costs of $4,750.

In 2024, the Company's subsidiary CRH received notice of a product liability claim related to its O'Regan hemorrhoid banding device. For the year ended December 31, 2024, the Company recognized an expense of $7,914 in other expenses for settlement costs and $100 in general and administrative expenses for legal fees. During the year ended December 31, 2025, in April 2025, the Company reached an agreement to settle an insurance claim in relation to this matter and recognized an insurance recovery of $4,561 as other income in the consolidated statement of (loss) income.

19. FINANCIAL INSTRUMENTS

(a) Classification of financial instruments

The following table summarizes the Company's financial instruments and their carrying amounts:

(in thousands of Canadian dollars)

September 30,

2026

December 31,

2025

Financial assets at amortized cost

Cash

198,978

133,755

Accounts and other receivables

207,353

170,944

Other current and non-current assets

49,449

52,408

455,780

357,107

Financial assets at fair value through profit or loss

Equity and debt investments and call option and warrant agreement

26,776

16,071

Financial liabilities at amortized cost

Accounts payable and accrued liabilities

111,149

91,597

Loans and borrowings

776,364

425,442

Convertible debentures

21,034

82,035

Redeemable preferred shares

-

113,430

Lease liability

111,776

90,054

Other current and non-current liabilities

133,564

96,406

1,153,887

898,964

Financial liabilities at fair value through profit or loss

Deferred acquisition costs, derivative liability, and broker warrants liability

86,462

75,898

  1. Fair value measurements

    The fair value hierarchy establishes three levels to reflect the significance of the inputs used in making the measurements: Level 1 - quoted prices in active markets for identical assets or liabilities;

    Level 2 - inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly (i.e., as prices) or indirectly (i.e., derived from prices); and

    Level 3 - inputs for the asset or liability that are not based on observable market data (unobservable inputs).

    Financial instruments are classified based on the lowest level of input that is significant to the fair value measurement of the asset or liability. There were no transfers of fair value measurements between level 1, 2 and level 3 of the fair value hierarchy for the nine months ended September 30, 2026 and 2025.

    Financial instruments carried at amortized cost:

    The carrying values of financial instruments measured at amortized cost, including cash, accounts and other receivables, contract assets, accounts payable and accrued liabilities, lease liabilities, and other certain assets and liabilities, approximate their fair values due to the short-term maturities of these instruments.

    The Company's loans and borrowings, which are mainly comprised of the JPM facility, the RBC facility, and the BNS facility (Note 13), are floating rate instruments which are based on SOFR plus 1.75% to 3.00% dependent on CRH's total leverage ratio, CORRA plus 1.50% to 3.25% dependent on WHCC and MyHealth's total funded debt to EBITDA ratio, and CORRA plus 1.65% to 3.15% dependent on Orion Health's net debt to EBITDA ratio, respectively. The Company estimated the fair value of these financial instruments to be $233,076 for the JPM facility, $354,019 for the RBC facility, and $48,000 for the BNS facility as at September 30, 2026 based on a discounted cash flow analysis using Level 2 directly observable market inputs (December 31, 2025 - $218,872 for the JPM facility, $157,575 for the RBC facility, and $48,750 for the BNS facility).

    On July 15, 2026, the Company issued $150,000 aggregate principal amount of senior unsecured notes due 2031 (Note 13), which bear interest at a fixed rate of 6.875% per annum and are measured at amortized cost using the effective interest method, net of unamortized transaction costs. As at September 30, 2026, the carrying amount of the notes was $145,739 and the Company estimated their fair value to be $149,947, based on a discounted cash flow analysis using market yields for debt instruments with similar credit ratings and remaining terms to maturity, which are Level 2 directly observable market inputs (December 31, 2025 - nil)

  2. ‌Financial risk management Liquidity risk

‌The maturities of the contractual cash flows of the Company's financial liabilities are as follows:

(in thousands of Canadian dollars) Undiscounted payments due by period

At September 30, 2026

Total

Less than 1

year

1-3 years

4-5 years

More than 5

years

Deferred acquisition costs and time-based earnouts

84,413

26,329

37,651

9,323

11,110

Lease obligations' minimum payments

111,775

35,033

42,392

24,376

9,974

Accounts payable and accrued liabilities

111,149

111,149

-

-

-

Working capital holdbacks

4,769

4,769

-

-

-

Other current and non-current liabilities

121,674

29,888

17,829

5,050

68,907

Loans and borrowings

776,364

8,059

342,821

425,484

-

Convertible debentures

30,895

-

30,895

-

-

1,241,039

215,227

471,588

464,233

89,991

On March 28, 2024, the Company entered into an agreement with a cloud hosting services provider to secure infrastructure services for its operations. Pursuant to this agreement, the Company and its affiliates have committed to spending a total of $25,000 over a period of five years. As of September 30, 2026, the Company had a remaining commitment of $10,792 under this agreement.

On July 31, 2025, the Company entered into an agreement with a cloud hosting services provider to secure infrastructure services for its operations. Pursuant to this agreement, the Company and its affiliates have committed to spending a total of $50,434 over a period of five years. As of September 30, 2026, the Company had a remaining commitment of $39,722 under this agreement.

Interest rate risk

The Company is exposed to fluctuations in interest rates through variable rate debt obligations under its syndicated credit facilities with JPM, RBC and BNS. The Company from time-to-time uses interest rate swap contracts to hedge the variability of the cash flows attributable to changes in the relevant benchmark variable interest rates.

‌With all other variables held constant, a 10% upward movement in the interest rate would have increased net loss by approximately

$2,045 and $1,762 for the nine months ended September 30, 2026 and 2025. There would be an equal and opposite impact on net loss with a 10% downward movement in the interest rate.

Foreign currency risk

The Company is exposed to foreign exchange risk on revenue contracts, purchase contracts and loans and borrowings denominated in currencies other than the currency of the Company's contracting entity. For Canadian operations, this is typically the U.S. dollar and for

U.S. entities, this is typically the Canadian dollar. The Company is also exposed to foreign currency risk on translation of the net assets of its foreign operations to Canadian dollars. The Company operates internationally and is exposed to currency risk on transactions that are denominated in a currency other than the functional currency of the relevant group entity and is primarily exposed to risk in the following currencies: US Dollar (USD), New Zealand Dollar (NZD), Australian Dollar (AUD), Pound Sterling (GBP), EURO (EUR), and United Arab Emirates Dirham (AED).

The Company from time-to-time uses foreign currency forward contracts to manage its exposure to transactions in foreign currencies. These transactions include forecasted transactions and firm commitments denominated in foreign currencies.

The Company had no foreign currency forward contracts outstanding as at September 30, 2026 and December 31, 2025.

The Company's exposure to foreign currency risk at the reporting date was as follows (all amounts are denominated in CAD):

NZD

AUD

GBP

USD

EUR

AED

(in thousands of Canadian dollars)

CAD

CAD

CAD

CAD

CAD

CAD

As at September 30, 2026

Cash

2,863

992

1,189

24,460

363

31

Trade receivables

1,117

1,036

11,620

116,211

532

-

Trade payables

(621)

(162)

(155)

(44,300)

(244)

(11)

Loans and borrowings

-

-

-

(229,454)

-

-

Net exposure

3,359

1,866

12,654

(133,083)

651

20

The following table summarizes the sensitivity of profit or loss and equity with regards to the Company's financial assets and financial liabilities affected by foreign currency/CAD exchange rate with all other aspects being equal. A positive number below indicates an increase in profit and equity where CAD strengthens 10% against the relevant currency for the period ended September 30, 2026. For a 10% weakening of CAD against the relevant currency for the period ended September 30, 2026, there would be a comparable impact to profit and equity in the opposite direction.

NZD

AUD

GBP

USD

EUR

AED

(in thousands of Canadian dollars)

CAD

CAD

CAD

CAD

CAD

CAD

As at September 30, 2026

Equity

(336)

(187)

(1,265)

13,309

(65)

(2)

  1. REVERSE ASSET ACQUISITION, PRIVATE PLACEMENT AND CHANGE IN OWNERSHIP INTEREST IN WELLSTAR

    Reverse takeover and listing of WELLSTAR

    On September 29, 2026, WELLSTAR, a subsidiary of the Company, completed a reverse takeover of 1587818 B.C. Ltd. ("818"), a TSXV-listed shell company, by way of an amalgamation (the "Transaction"). WELLSTAR's subordinate voting shares began trading on the TSXV under the symbol "WSTR" on October 1, 2026. Before closing, WELLSTAR completed a reorganization of its share capital. This included the conversion of the Preferred Shares (Note 13(c)) into subordinate voting shares and a six-for-one share consolidation.

    At closing, WELLSTAR issued 3,676,652 subordinate voting shares to the former shareholders of 818. At the same time, it completed a brokered private placement. This resulted in the issuance of 5,857,700 subordinate voting shares for gross proceeds of $36,201, or

    $32,907 net of financing costs. A concurrent secondary offering raised gross proceeds of $13,800, but WELLSTAR received no proceeds from it and issued no shares.

    818 did not meet the definition of a business under IFRS 3, as it had no employees, substantive operations or processes. The Transaction was therefore accounted for as a share-based payment under IFRS 2, with WELLSTAR as the accounting acquirer. The shares deemed issued to 818 shareholders were measured at $6.18 per share, for a fair value of $22,721. The excess of this amount over 818's identifiable net assets, which consisted of cash of $78, was recognized as a listing expense of $24,445 in the consolidated statement of loss. No goodwill or intangible asset was recognized.

    Total listing expense and transaction costs for the three and nine months ended September 30, 2026 were:

    (in thousands of Canadian dollars, except share amounts)

    Shares

    Amount

    Total fair value of WELLSTAR shares issued

    3,676,652

    22,721

    Less: Net assets of 818 assumed

    -

    (33)

    Plus: cash transaction costs

    -

    1,757

    Total listing expense and transaction costs

    24,445

    Impact on the Company's interest in WELLSTAR and non-controlling interest

    The conversion of WELLSTAR's Preferred Shares into WELLSTAR subordinate voting shares and WELLSTAR's private placement of new WELLSTAR subordinate voting shares diluted the Company's interest in WELLSTAR. The table below summarizes the change:

    Before the transaction

    After the transaction

    Company economic interest

    82%

    56%

    Company voting interest

    97%

    82%

    NCI economic interest

    18%

    44%

    The Company's multiple voting shares give it a majority of the voting rights in WELLSTAR, and the Company continues to have the power to direct WELLSTAR's relevant activities. Accordingly, the Company retains control of WELLSTAR and continues to consolidate it.

    Because control was retained, the dilution of the Company's interest was accounted for as an equity transaction under IFRS 10. On conversion of the Preferred Shares, the carrying amount of non-controlling interests was increased by $59,114 to reflect the change in relative interests, and the $95,560 difference between this adjustment and the carrying amount of the Preferred Shares and the derivative liability related to the conversion option was recognized directly in equity attributable to owners of the Company. The private placement was accounted for in the same way: the carrying amount of non-controlling interests was increased by $19,530, and the

    $13,377 difference between this adjustment and the consideration received by WELLSTAR, net of transaction costs, was recognized directly in equity attributable to owners of the Company.

  2. CASH FLOW INFORMATION

    Nine months ended

    (in thousands of Canadian dollars)

    September 30,

    2026

    September 30,

    2025

    Change in non-cash operating items:

    Accounts and other receivables

    (30,661)

    19,265

    Contract assets

    3,954

    (3,671)

    Inventory

    (326)

    453

    Prepayments and other current assets

    2,363

    (10,881)

    Other non-current assets

    1,763

    3,248

    Accounts payable and accrued liabilities

    13,088

    (11,749)

    Contract liabilities

    (18,675)

    (20,236)

    Other non-current liabilities

    1,159

    (12,768)

    Other current liabilities

    (3,296)

    2,600

    (30,631)

    (33,739)

    ‌Nine months ended

    (in thousands of Canadian dollars)

    September 30,

    2026

    September 30,

    2025

    Business acquisitions, net of cash

    Harmony

    -

    (30,689)

    Bison

    -

    (1,824)

    Healthpoint/Northpoint

    -

    (5,796)

    Meadowlands

    -

    (695)

    Patient Networks

    -

    (2,042)

    K2

    -

    (304)

    HEALWELL

    -

    28,976

    Kensington

    -

    (5,268)

    Preventum

    -

    (10,476)

    Regen

    -

    (3,601)

    E-Consult

    (31,086)

    -

    Lambert

    (447)

    -

    Royal Vista

    (784)

    -

    Sherritt

    (2,868)

    -

    TDS

    (1,755)

    -

    OID Group

    (43,092)

    -

    Union MD

    (72,028)

    -

    JCL Medical

    (5,237)

    -

    (157,297)

    (31,719)

    During the nine months ended September 30, 2026, the Company completed the acquisitions of OID Group, Union MD, TDS, E-Consult, Royal Vista, Lambert, Sherritt, and JCL Medical. Total purchase consideration transferred for these business acquisitions amounted to

    $200,693, of which a portion was settled through non-cash consideration.

    Non-cash consideration included the recognition of shares of subsidiary issued of $3,369, indemnity holdbacks of $4,767, working capital holdbacks of $2,443, as well as deferred acquisition costs and performance based earnouts of $31,827, which are payable over time. Cash consideration paid in connection with the acquisitions totaled $158,287. Cash acquired as part of the transactions amounted to $990, resulting in net cash used for business acquisitions of $157,297 during the period.

    The acquisitions resulted in the recognition of identifiable assets and liabilities at their respective fair values, including customer relationships, intellectual property, brands, licenses, property and equipment, and working capital items. Goodwill of $147,975 was recognized during the period and represents expected synergies, growth opportunities, assembled workforce, and other intangible benefits that do not qualify for separate recognition.

  3. EVENTS AFTER THE REPORTING PERIOD

a) WELLSTAR listing

On October 1, 2026, the subordinate voting shares of WELLSTAR, a subsidiary of the Company, began trading on the TSX Venture Exchange under the symbol "WSTR." The listing followed WELLSTAR's amalgamation with 1587818 B.C. Ltd. on September 29, 2026. The related reverse takeover listing expense and transaction costs of $24,445 are included in these financial statements. The listing did not require any adjustment to amounts in these financial statements.

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