WM (WM) Q3 2025: Operating EBITDA Margin Hits 30.6% as Healthcare Integration Drives $145M Segment Gain

WM delivered record operating EBITDA margin and robust free cash flow conversion, underpinned by disciplined pricing, cost efficiency, and early synergy capture from the healthcare acquisition. The core collection and disposal engine accelerated, with volume and margin expansion across the network, while sustainability and RNG investments begin to harvest returns. Management’s focus shifts to extracting value from recent investments, with 2026 shaping up as a year of cash flow realization and operational leverage.

Summary

  • Margin Expansion: Record high operating EBITDA margin reflects structural cost discipline and improved business mix.
  • Healthcare Integration: Synergy capture and cross-selling in WM Healthcare Solutions outpaced initial expectations, despite delayed top-line ramp.
  • Free Cash Flow Inflection: 2026 set to benefit from lower capex, synergy realization, and normalized fleet investment.

Performance Analysis

WM’s Q3 results underscore the strength of its diversified, integrated waste management platform, with operating EBITDA margin reaching an all-time high of 30.6%—even as the healthcare acquisition provided a near-term margin headwind. The core collection and disposal business remains the growth engine, driving more than half of year-over-year EBITDA gains, and achieving a record 38.4% margin, up 100 basis points. Volume gains were broad-based, with MSW (municipal solid waste) and special waste both up over 5%, and industrial volumes turning positive for the first time since 2022, aided by cross-selling from healthcare clients.

Organic revenue growth was fueled by disciplined pricing, with core price up 6% and collection/disposal yield at 3.8%, while operating expense as a percentage of revenue fell below 60% for the second straight quarter. Recycling and renewable energy segments delivered resilient EBITDA growth despite a 35% drop in recycled commodity prices, highlighting the benefits of automation and contract restructuring. Healthcare Solutions, now about 10% of total revenue, contributed to synergy capture and internalized landfill volumes, though top-line growth lagged initial projections due to a deliberate, customer-centric stabilization approach.

  • Volume Recovery: Industrial and landfill volumes rose, with special waste and MSW leading, not reliant on one-time wildfire events.
  • Cost Leverage: Fleet automation, lower maintenance, and improved labor retention drove 300 basis point improvement in turnover and reduced incident rates.
  • Sustainability Payoff: Recycling EBITDA up 18% despite commodity headwinds, as automation and contract innovation offset market volatility.

WM’s free cash flow conversion approached 42% in Q3, signaling a transition from peak investment to a period of cash harvesting as sustainability and healthcare investments begin to yield returns. Management returned $1 billion to shareholders and remains on track to achieve its targeted leverage ratio by mid-2026.

Executive Commentary

"Our team delivered another strong quarter of operational and financial performance. This led to third quarter operating EBITDA growth of more than 15% and free cash flow growth of nearly 33%. These strong results reflect the hard work of our teams, the resilience of our business model, and the value of the intentional investments we've made across our business."

Jim Fish, Chief Executive Officer

"Total company operating EBITDA margin was 30.6% in the third quarter, which is the best quarterly result in our history. And that is despite the expected margin headwind from the acquisition of the healthcare solutions business. WM's legacy business achieved operating EBITDA margin of 32% in the quarter, meaningfully surpassing our longstanding ambition of sustained operating EBITDA margins above 30%."

Davina Rankin, Executive Vice President and Chief Financial Officer

Strategic Positioning

1. Core Engine: Collection and Disposal

The collection and disposal segment remains WM’s primary EBITDA driver, both through volume growth and disciplined price-to-cost spread management. Every line of business contributed to margin expansion, and the network’s broad strength in landfill volumes—across MSW, special waste, and construction—demonstrates pricing power and customer stickiness. Investments in fleet technology and process optimization have structurally lowered cost to serve, enabling WM to outperform even as some end-markets remain subdued.

2. Healthcare Solutions: Integration and Synergy Realization

The integration of WM Healthcare Solutions (formerly Stericycle) is delivering ahead of schedule on synergy capture, with internalization of medical waste into WM’s landfill network and robust cross-selling to hospital customers. While top-line growth is intentionally paced to prioritize customer lifetime value, the segment’s margin improved each quarter to 17.5%, and credits/deferrals given in Q3 are viewed as one-time stabilization actions. Management sees the ERP (enterprise resource planning) transition as a multi-quarter process, with scalability and growth expected to resume in mid-2026.

3. Sustainability and Automation: Margin Resilience

WM’s sustainability portfolio—including recycling and renewable natural gas (RNG)—is now positioned to harvest returns from multi-year investment, even in the face of commodity price declines. Automation has doubled EBITDA margins at key recycling facilities, and the company is pre-selling a larger share of RNG output at fixed prices, reducing volatility. Management expects a step-up in RIN (renewable identification number) sales in Q4, boosting year-end segment results.

4. Capital Allocation: Harvesting Investments

With peak capex behind, 2026 will see WM shift toward cash flow maximization, with management signaling free cash flow approaching $3.8 billion. Fleet capex will normalize after an outsized three-year refresh, and further synergy realization from healthcare and sustainability segments will support accelerated shareholder returns—likely including increased share repurchases and continued M&A in core adjacencies.

5. Pricing Discipline and Customer Retention

WM’s pricing strategy is tightly linked to cost trends and customer value, with core price and yield outpacing cost inflation. Labor retention and safety improvements have structurally reduced risk management and operating costs, while a focus on customer experience—particularly in healthcare—supports long-term pricing power and contract renewals.

Key Considerations

WM’s Q3 results reflect a business at the inflection point between investment and harvesting, with strategic focus now on extracting value from recent acquisitions and automation initiatives. The company’s ability to drive margin expansion and volume growth in both legacy and acquired segments is a central theme for forward returns.

Key Considerations:

  • Healthcare Stabilization: ERP integration and customer-centric credits have delayed revenue ramp, but synergy capture and internalization are ahead of plan.
  • Commodity Headwinds: Recycling and plastics businesses remain exposed to price volatility, but automation and contract structure mitigate downside.
  • Capex Normalization: 2026 will see lower maintenance and sustainability capex, freeing up cash for capital returns and selective M&A.
  • Margin Leverage: Fleet automation, labor retention, and risk management gains have unlocked new baseline for operating efficiency.
  • Cross-Selling Momentum: Healthcare integration is driving both large and small customer wins, with 7,000+ cross-sell transactions completed in the SMB segment.

Risks

Execution risk remains around the full stabilization and scaling of the healthcare segment, particularly as ERP integration continues into 2026 and customer churn, while manageable, could pressure near-term growth. Commodity price volatility in recycling and RNG markets persists, and while automation and contract innovation provide resilience, a prolonged downturn could limit upside. Regulatory shifts in waste, recycling, or healthcare could also impact cost structure or pricing power.

Forward Outlook

For Q4 2025, WM guided to:

  • Operating EBITDA margin between 29.6% and 30.2%, with confidence skewed toward the upper end.
  • Full-year revenue at the low end of prior guidance, reflecting softness in recycled commodity prices and measured healthcare growth.

For full-year 2026, management signaled:

  • Free cash flow approaching $3.8 billion, driven by synergy realization, normalized capex, and continued margin expansion.

Management highlighted several factors that will drive results:

  • Strong synergy and internalization benefits from healthcare solutions.
  • Harvesting returns from sustainability and automation investments as capex intensity declines.

Takeaways

WM’s operating model is demonstrating resilience and adaptability, with margin expansion and cash flow inflection as key themes for investors.

  • Healthcare Integration: Synergy capture and cross-selling are delivering tangible results, but full revenue and margin realization will depend on successful ERP stabilization through early 2026.
  • Margin and Cash Flow Leverage: Fleet automation, labor retention, and cost discipline are setting a new baseline for profitability, with sustainability investments poised to deliver multi-year returns.
  • 2026 Watchpoint: Investors should monitor healthcare segment ramp, commodity price trends, and capital allocation decisions as WM pivots from investment to harvesting.

Conclusion

WM’s Q3 marks a transition from heavy investment to cash flow realization, with record margins and strong synergy capture validating the company’s strategic bets. The next phase will test WM’s ability to scale healthcare and sustainability returns, while maintaining discipline in pricing, cost, and capital allocation.

Industry Read-Through

WM’s results signal a broader shift in environmental services toward integrated, technology-enabled platforms that can withstand commodity volatility and extract value from cross-segment synergies. The successful integration and synergy capture from healthcare waste highlights the potential for adjacent verticals, while the automation-driven margin resilience in recycling offers a blueprint for peers. Industry participants should note the growing importance of cost structure, customer-centric integration, and capital discipline as differentiators in a maturing waste and sustainability landscape.