Conferencia de resultados del T3 de 2026 de WM: El EBITDA de atención médica aumenta un 33% y el flujo de caja libre supera los 3.000 millones de dólares

Puntos clave

• WM informó un crecimiento de los ingresos en el tercer trimestre de 2026 del 6,3% y un incremento del EBITDA operativo del 5,8%, al tiempo que mantuvo un margen EBITDA operativo del 31%.
• Los gastos de SG&A mejoraron en 70 puntos básicos hasta el 9,3% de los ingresos. La gerencia prevé que el SG&A del conjunto del año se ubique en torno al 10% de los ingresos.
• Los ingresos de Healthcare Solutions aumentaron un 3,7% y el EBITDA operativo creció un 33%. El precio subyacente alcanzó el 5,5%, mientras que el SG&A cayó al 15,2% de los ingresos, alcanzando ambos objetivos de fin de año antes de lo previsto.
• El flujo de caja libre superó los 3.000 millones de dólares durante los primeros nueve meses de 2026, lo que supone un aumento superior al 42%, impulsado por el crecimiento de las ganancias y una reducción de más del 17% en el gasto de capital.
• La gerencia prevé que los ingresos y el flujo de caja libre del ejercicio completo finalicen en la parte alta de sus rangos de estimaciones anteriores, mientras que el EBITDA operativo se mantendrá dentro del rango original.
• El CEO Jim Fish se jubilará a principios de enero, tras lo cual John Morris asumirá como CEO. La gerencia afirmó que la transición de liderazgo no supondrá un cambio significativo en la estrategia de WM.

Datos financieros clave

WM destinó más del 90% del flujo de caja libre generado durante los primeros nueve meses a la recompra de acciones y al pago de dividendos.

Rendimiento empresarial y operativo

Recogida y eliminación de residuos

El precio subyacente fue del 5,8% en el T3. El diferencial favorable entre precio y coste aportó 40 puntos básicos a la expansión del margen subyacente, aunque el aumento de los costes del combustible generó un impacto negativo de 40 puntos básicos en el margen.

Los volúmenes de recogida y eliminación continuaron siendo ligeramente negativos. La gerencia sigue previendo que los volúmenes del año completo caigan alrededor del 1%, o aproximadamente 50 puntos básicos excluyendo los volúmenes de limpieza de incendios forestales del año anterior.

El volumen residencial se redujo un 2,6% en el T3 frente al descenso del 3,5% acumulado en el año, lo que refleja una mejora secuencial. A pesar del menor volumen residencial, el precio subyacente, el rendimiento y la combinación de servicios aumentaron los ingresos residenciales en unos 40 millones de dólares. El volumen comercial cayó aproximadamente un 1,3%, reflejando decisiones previas de intermediarios de cuentas nacionales y una creación más débil de pequeñas empresas. El volumen industrial de contenedores basculantes (roll-off) se mantuvo estable o ligeramente positivo, mientras que el volumen de construcción y demolición cayó alrededor del 4,5% acumulado en el año.

La tasa de internalización de WM superó el 72%. La gerencia atribuyó este incremento a los mayores volúmenes de reciclaje y a la tecnología de enrutamiento que redirige más material hacia instalaciones propias de la empresa.

Healthcare Solutions

Healthcare Solutions registró su primer incremento interanual de ingresos desde su adquisición, con un aumento de los ingresos del 3,7% y un incremento del EBITDA operativo del 33%.

El precio subyacente alcanzó el 5,5%, mientras que los gastos de SG&A disminuyeron 390 puntos básicos hasta el 15,2% de los ingresos. La gerencia señaló que la unidad aún tiene margen para reducir más el SG&A, aunque los requisitos de atención al cliente, especialmente para hospitales, generan algunas diferencias estructurales con respecto al negocio principal de residuos sólidos.

Los volúmenes continuaron siendo negativos, en parte debido a la pérdida de clientes originada en periodos anteriores. Sin embargo, la gerencia informó de una mejora secuencial de las tendencias tanto en residuos médicos como en destrucción segura de documentos, y espera que Healthcare Solutions beneficie a los resultados de 2027. WM prevé alcanzar su objetivo de sinergias de adquisición hacia mediados de 2027, un poco antes de lo planificado inicialmente.

Reciclaje y energía renovable

El EBITDA operativo de Procesamiento y Venta de Reciclaje aumentó un 40% hasta los 91 millones de dólares. El crecimiento reflejó las contribuciones de la red de procesamiento automatizado de WM y los precios combinados más altos de las materias primas.

El EBITDA operativo de Energía Renovable aumentó más del 35%, a pesar de la ligera bajada en los precios de los RIN. WM puso en marcha una nueva planta de gas natural renovable en Nueva York, elevando a 18 el número de instalaciones completadas desde 2022. La gerencia prevé la entrada en funcionamiento de una planta adicional en el T4 de 2026 y de la última planta planificada a principios del T1 de 2027.

Más del 90% de la producción de energía renovable prevista para 2026 y alrededor del 40% de la producción prevista para 2027 ya se encuentra contratada. La gerencia indicó que esto mejora la visibilidad de las ganancias y reduce la exposición a la volatilidad de los precios de las materias primas.

Adquisiciones y tecnología

WM completó 239 millones de dólares en adquisiciones complementarias (tuck-in) durante los primeros nueve meses. Espera cerrar otros 140 millones de dólares en el T4 y ha firmado una transacción de 250 millones de dólares que prevé cerrar a principios de 2027.

La gerencia calificó de sólida la cartera de adquisiciones en proyecto, centrada en activos clave de residuos sólidos capaces de generar sinergias de internalización en vertederos y de enrutamiento.

Las iniciativas tecnológicas incluyen sistemas de camiones inteligentes, algoritmos de enrutamiento en tiempo real, analítica de precios, robótica en las plantas de procesamiento de Healthcare Solutions y pruebas piloto de maquinaria pesada por control remoto en vertederos. La gerencia afirmó que las mejoras tecnológicas y de procesos están destinadas a respaldar de forma constante una expansión del margen de 50 a 100 puntos básicos a lo largo del tiempo.

Previsiones de la gerencia

• La gerencia prevé que los ingresos y el flujo de caja libre del ejercicio 2026 se sitúen en la parte alta de sus rangos de estimaciones anteriores.
• Se espera que el EBITDA operativo se mantenga dentro del rango establecido a principios de año.
• Se proyecta que los gastos de SG&A de todo el año representen alrededor del 10% de los ingresos.
• Se prevé que el volumen de recogida y eliminación para todo el año disminuya alrededor del 1%, o unos 50 puntos básicos excluyendo los volúmenes de limpieza de incendios forestales.
• Se prevé que el margen EBITDA operativo del T4 mejore de forma secuencial y represente el rendimiento trimestral del margen más sólido de WM en 2026. No obstante, la gerencia señaló que la comparación interanual podría mantenerse por debajo de la del T4 de 2025 debido a los costes del combustible.
• Se espera que el gasto de capital del T4 aumente secuencialmente, con una inversión para todo el año probablemente cercana a la parte alta del rango, en aproximadamente 2.750 millones de dólares.
• La gerencia considera que del 10% al 10,5% de los ingresos es el rango de gasto de capital adecuado a más largo plazo.

El potencial alcista en el T4 dentro del rango de EBITDA dependerá de una fijación de precios más sólida, la mejora de los volúmenes, el alza en los precios de las materias primas recicladas y la recuperación secuencial prevista en la producción de energía renovable.

Riesgos y factores a vigilar

• Costes del combustible: Los costes del diésel en el T3 supusieron una presión significativa sobre el margen. WM asume que los precios del diésel en el T4 se situarán un 40% por encima del mismo periodo del año anterior, a algo más de 5,50 dólares por galón. Los recargos por combustible suelen recuperar los costes directos e indirectos con un desfase medio de un mes aproximadamente.
• Presión sobre el volumen: La pérdida de clientes residenciales, la salida de intermediarios de cuentas nacionales, la menor actividad en la construcción y el menor ritmo de creación de pequeñas empresas siguen pesando sobre los volúmenes.
• Gastos de gestión de riesgos: Los costes de riesgo en el T3 aumentaron aproximadamente 63 millones de dólares en términos interanuales, lo que incluye unos 40 millones de dólares en Corporativo y Otros y 23 millones de dólares en recogida y eliminación. La gerencia atribuyó el incremento a un ajuste actuarial desfavorable, estimaciones más elevadas para varias reclamaciones importantes y una comparativa difícil con la recuperación de seguros del año anterior. No prevé un impacto continuado significativo.
• Costes operativos de vertederos: Los costes están aumentando en California y otros mercados, en parte debido a la gestión de lixiviados y los nuevos requisitos de supervisión. La gerencia espera recuperar estos costes mediante las tarifas aplicadas en vertederos y estaciones de transferencia.
• Variabilidad de la energía renovable: Los resultados del GNR pueden fluctuar según el trimestre debido a los costes de puesta en marcha de las plantas, el calendario de producción y la combinación entre el mercado voluntario y los volúmenes de mayor precio.
• Calendario de residuos especiales: La gerencia afirmó que los proyectos en cartera se mantienen sólidos en todas sus áreas operativas, pero el calendario de ejecución sigue siendo incierto y podría extenderse hasta finales del T4 o principios de 2027.

Aspectos destacados del turno de preguntas y respuestas

• Factores impulsores del margen para 2027: La gerencia no proporcionó previsiones para 2027. Identificó las contribuciones a pleno rendimiento de los proyectos de energía renovable y reciclaje, las mejoras en Healthcare Solutions y la continuidad en la disciplina del diferencial precio-coste como potenciales beneficios. El crecimiento del volumen sigue siendo la principal incertidumbre debido a la limitada visibilidad macroeconómica.
• Recuperación del volumen en Healthcare: La gerencia señaló que los volúmenes de residuos médicos y de destrucción segura de documentos están mejorando secuencialmente, pero no especificó cuándo volverá a crecer de forma positiva cualquiera de los dos negocios.
• Estrategia de precios: WM prevé hacer hincapié en la fijación de precios en vertederos y estaciones de transferencia en 2027 para reflejar el valor estratégico de su red de eliminación y recuperar los mayores costes operativos y regulatorios.
• Capacidad de M&A: La gerencia afirmó que WM consideraría tanto pequeñas transacciones complementarias (tuck-in) como oportunidades más grandes en el negocio principal de residuos sólidos. La empresa citó su ratio de apalancamiento de 2,92x, la exposición a tipo fijo en casi el 90% de la deuda y el acceso al capital como elementos que respaldan su flexibilidad para adquirir.
• Comportamiento de los clientes comerciales: A pesar de los elevados precios, la tasa de cancelación de clientes comerciales (churn) mejoró unos 30 puntos básicos en términos interanuales hasta el 9,3%. La gerencia afirmó que los precios no han provocado un deterioro en las tendencias de retención.
• Transición de liderazgo: John Morris afirmó que WM continuará con su estrategia actual, centrada en el retorno para el accionista, las adquisiciones en el sector de residuos sólidos, la integración de Healthcare Solutions, la tecnología y la eficiencia operativa.

Transcripción completa de la conferencia de resultados

Transcripción completa de la conferencia de resultados

Comentarios de la dirección

Operator

Good day, and thank you for standing by. Welcome to the WM Third Quarter Earnings Conference Call. [Operator Instructions] Please be advised that today's conference is being recorded. I will now hand the conference over to your speaker host, Ed Egl, Vice President of Investor Relations. Please go ahead.

Edward Egl

Thank you, Olivia. Good morning, everyone, and thank you for joining us for our third quarter 2026 earnings conference call. With me this morning are Jim Fish, Chief Executive Officer; John Morris, President; David Reed, Executive Vice President and Chief Operating Officer; and Tara Hemmer, Executive Vice President and Chief Operating Officer. Jim will cover high-level financials. Joe will cover an operating overview and provide a strategic update, and Dave will cover the details of the financials. Following our prepared remarks, each of these members of our leadership team will be available during the Q&A portion of the call. Before we get started, please note that we filed a Form 8-K that includes the earnings press release and is available on our website at www.wm.com.

The Form 8-K, the press release and the schedules of the press release include important information.

During call, you will hear forward-looking statements, which are based on current expectations, projections or opinions about future periods. All forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially. Some of these risks and uncertainties are discussed in today's press release and in our filings with the SEC, including our most recent Form 10-K and Form 10-Qs.

We will discuss our results in the areas of yield and volume, which unless stated otherwise, are more specifically references to internal revenue growth, or IRG from yield or volume.

During the call, we will discuss operating EBITDA, which is income from operations before depreciation, depletion, amortization and accretion. Beginning this year, landfill accretion expense was moved from operating expenses to depreciation, depletion, amortization and accretion to enhance comparability and better reflect operating performance. For comparability purposes, 2025 actuals have been updated to reflect that change.

Any comparisons, unless otherwise stated, will be with the prior year period. Net income, EPS, income from operations and margin, operating EBITDA and margin, operating expenses and margin and SG&A expense and margin have been adjusted to enhance comparability by excluding certain items that management believes do not reflect our fundamental business performance or results of operations. These adjusted measures, in addition to free cash flow, are non-GAAP measures. Please refer to the earnings press release and tables, which can be found on the company's website at www.wm.com for reconciliations to the most comparable GAAP measures and additional information about our use of non-GAAP measures.

This call is being recorded and will be available 24 hours a day beginning approximately 1:00 p.m. Eastern Time today. To hear a replay of the call access the WM website at www. investors.wm.com. Time-sensitive information provided during today's call, which is occurring on October 28, 2026, may no longer be accurate at the time of a replay. Any redistribution, retransmission or rebroadcast of this call in any form without the express written consent of WM is prohibited.

Now I'll turn the call over to WM's CEO, Jim Fish.

James Fish

Okay. Thanks, Ed, and thank you all for joining us today. As most of you know, after including 10 years as CEO, I'll be retiring in early January. At that time, John Morris will become WM's new CEO. John's promotion is the result of a thoughtful, deliberate succession planning process by our Board of Directors, and I have the utmost confidence that John is the right person to lead WM into its next chapter and build on the momentum that we've established. Looking at the results. We're right on track to achieve our guidance for the full year with revenue and free cash flow expected to finish at the high end of our ranges. During my tenure as CEO, we've achieved or beaten our original operating EBITDA guidance every year except for 2020 during COVID, and we're on track to do that again this year. Taking a look at the third quarter, the company grew operating EBITDA by 5.8%, grew revenue by 6.3%, continued to reduce our SG&A down to 9.3% and maintained operating EBITDA margins at 31% in the face of strong headwinds from fuel and grew free cash flow by 20%.

And lastly, I'm pleased that our Healthcare Solutions business is in such a good place after 2 years of hard work on the integration. For the first time since the acquisition, revenue was up year-over-year, and we grew operating EBITDA 33%. I believe this is going to prove to be one of the best acquisitions in the history of the company. So I want to finish my brief remarks today with a thank you and a fair well. It's been a tremendous privilege to be in this role for 10 years at this great company and to work with such a fantastic team of 60,000 people. You are all truly amazing.

I want to say to our many investors and to each of you on the sell side who cover our stock how much I've appreciated all of the support you've given me over the years. Your questions have been fair, your coverage has been comprehensive and intelligent and your faith in us has been unwavering.

And I wanted to tell a quick story here. When I was just coming into my CFO role, at my first investor meeting, Ed and I were out in San Francisco, and we met with Charles [indiscernible] at Capital World. And in my naive way, I told him that we had a plan to get SG&A down to 11%. I think at the time, it was at 12.7%.

Charles in a nice way, but in a firm way. So Jim, I know you're new in the job. And just so you know, though, we've heard that from you guys for a long time. And to be honest, I don't believe you. I believe I want to see it. And so a couple of years later when we actually did get SG&A down to 11%. I'll never forget, Charles called me and he said Jim, I didn't believe you at the time, but you did prove me wrong. So thank you for that and great job. And I don't know whether Charles is on the call today, but I have to say that no other call from an investor in more to me than that call that date from Charles. And now that we're at 9.3% and I expect that to drop below 9% at some point down the road, I do think back on that, so I want to tell that story. And then lastly, I want to tell you that I am leaving WM with tremendous confidence, not only in John, but in Terra, and David and the rest of the senior leadership team and the entire leadership of WM. The company is in such a great place strategically, financially, customer-wise, and when I'm no longer on the inside, I will have the greatest trust in this management team. I love the culture that we've built here at this company. and I strongly believe in the long-term strategy of the company. So I am truly a shareholder for the long term. It's been a joy for me to work alongside so many amazing people over this 25 years. And I look forward to supporting John and the team through the transition and watching WM continue to create value for all of its stakeholders. And so with that, I'm going to turn the call over to John, and he can share his perspective on the quarter on our outlook and on the opportunities we have for WM.

John Morris

Thanks, Jim. It's certainly an honor to have the opportunity to lead WM, and I appreciate the confidence that you and the board have placed the mate. Over the years, I've experienced firsthand the strong foundation we've built centered around our people, culture and strategy. I look forward to building on that foundation and driving opportunities to deliver value for our customers, employees, communities and our shareholders.

So now let's turn to our performance in the quarter and our outlook for the business.

WM delivered another quarter of solid operating and financial performance. Operating EBITDA grew 5.8%, driven by strong price to cost spread in the collection and disposal business and growing contributions from our health care and sustainability businesses. Our results reflect the earnings power of our diversified business as growth came from every one of our operating segments with operating EBITDA increases of more than 30% in each of the health care and sustainability segments in the quarter.

In nccollection and disposal, disciplined pricing and technology-enabled cost optimization continue to drive results. Core price again was strong at 5.8% for the quarter. And despite a 70-point headwind from higher fuel costs, total company operating expenses remain below 60% of revenue, demonstrating the increasingly important role technology combined with process improvements is playing in sustaining our performance and helping us to structurally lower our cost to serve.

Growing the collection and disposal business through tuck-in acquisitions remains a strategic priority. We've completed $239 million of deals through the first 9 months of the year and expect to close another $140 million in the fourth quarter. We've also signed a $250 million transaction that we expect to close early next year, and our pipeline remains robust, supporting continued acquisition activity into 2027.

Turning to Healthcare Solutions, I am very pleased with the progress we've made in the business in the third quarter with revenue up by 3.7% and operating EBITDA increasing 33%. We had 2 year-end targets for the business as we exit 2026, core price at 5.5% and SG&A of between 15% and 16% of revenue. We achieved both of those targets earlier than expected, with third quarter core price coming in right at 5.5% and SG&A at 15.2% of revenue.

This progress reinforces our confidence that we can bring the same price and cost discipline to health care that has driven our success in solid waste. The benefits of disciplined investment in execution are evident in our sustainability businesses, where the projects we brought online are increasingly contributing to revenue and earnings growth.

Recycling processing and Sales segment operating EBITDA increased 40% to $91 million in the third quarter. That strong growth reflects the benefits of our investments in our automated network as well as year-over-year improvements in our blended average commodity price.

On the renewable energy front, we added a new renewable natural gas facility in New York during the quarter, marking the 18th facility completed since 2022. Segment operating EBITDA grew more than 35% despite slightly lower RIN pricing as compared to the prior year. With more than 90% of our expected 2026 production and about 40% of our 2027 production already contracted, we are also improving earnings visibility and reducing commodity price exposure. As we move through the fourth quarter and prepare for 2027, our priorities remain clear: maintain disciplined price to cost spread, continue embedding technology and process improvement across our operations, execute additional tuck-in M&A and capture the earnings and free cash flow benefits of our strategic investments.

Our focus on these priorities gives us confidence in our ability to deliver strong results in 2027.

Before I close, I want to thank our employees for their dedication and commitment they bring to serving our customers and communities every day. Our performance is a direct result of their hard work and strong execution, and I deeply appreciate all they do.

And with that, I'll turn the call over to David.

David Reed

Thanks, John, and thank you all for joining us. We are pleased to report another quarter of growth across each of our operating segments. The breadth of this performance underscores the durability of our business model and the consistent execution of our teams. In collection and disposal, favorable price to cost spread added 40 basis points of underlying margin expansion. Healthcare Solutions contributed another 30 basis points from cost management and pricing growth as we continue to realize the benefits from the integration and begin to see pricing traction.

These core business contributions were offset by primarily a couple of headwinds, 40 basis points from higher fuel cost and 40 basis points from increased risk management costs within our Corporate and Other segment.

Even with those headwinds, the underlying performance of the business remains strong and demonstrated our ability to protect profitability while continuing to invest for long-term growth.

Turning to revenue. Strong pricing results were led by the commercial line of business. Collection and disposal volume was modestly negative, primarily reflecting continued intentional residential losses, which have improved each quarter this year, and the national account broker losses in commercial that we discussed last quarter. Overall, our core price and yield are tracking to the high end of our guidance, with volumes still expected to be about negative 1% for the year or negative 50 basis points when excluding wildfire cleanup volumes from the prior year.

Our energy surcharge program continues to effectively recover higher direct and indirect fuel cost in both the solid waste and health care businesses, even as diesel spiked to record highs in the quarter.

Finally, higher recycling and renewable energy volumes from completed growth projects and year-over-year increases in recycling commodity prices added to the top line.

Turning to SG&A. Expenses improved 70 basis points to 9.3% of revenue in the third quarter. This improvement reflects disciplined cost management across the company together with continued synergy capture from the Healthcare Solutions business. As John mentioned, Healthcare Solutions SG&A was 15.2% of revenue in the third quarter, reaching our year-end target ahead of schedule and representing a 390-basis-point improvement compared to the prior year. This reinforces our confidence in the integration and earnings potential of the business as we continue to streamline support functions, drive operating leverage and scale the platform.

Our earnings growth continues to translate into robust cash generation. During the first 9 months of the year, operating cash flow increased 12% compared to the same period in 2025. As planned, capital spending declined by more than 17% from the prior year, reflecting normalized investment in collection vehicles and lower sustainability capital as we approach the completion of our planned investment program. Together, these results drove free cash flow of over $3 billion, up more than 42% through the first 9 months of the year, with operating EBITDA conversion of more than 50%.

We remain focused on converting earnings growth into cash efficiently while funding the investments that support safe, dependable operations and attractive long-term returns.

We allocated more than 90% of that free cash flow to shareholder returns during the first 9 months of the year, repurchasing $1.58 billion of our shares and paying $1.14 billion in dividends. That balanced approach reflects our confidence in the business and our commitment to returning capital to shareholders while maintaining the financial flexibility to invest in our strategic priorities.

We also remained within our target leverage of 2.5 to 3x, ending the quarter at 2.92x. Our strong cash generation, disciplined capital allocation and continued focus on the balance sheet position us well to create sustained value.

Finally, let me bring the pieces of our outlook together as we look to the balance of 2026. Strong pricing, cost optimization and robust cash generation through the first 9 months position us well to deliver our full year outlook. We expect operating EBITDA to be within the guidance range we established at the beginning of the year, and we anticipate revenue and free cash flow results to be at the high end of our prior ranges.

Our expectations include full year SG&A of about 10% of revenue, reflecting cost discipline across the organization and the success of our integration in health care solutions.

Overall, the resilience of the special waste business, continued progress in health care solutions and growing contributions from our sustainability investments reinforce our confidence as we close out 2026 and build a strong foundation for continued growth.

In closing, I want to thank the entire WM team for their hard work throughout the quarter. We entered the final months of the year with strong momentum, clear priorities and confidence in our ability to finish 2026 on a high note. With that, Olivia, let's open the line for questions.

Operator

[Operator Instructions] Now first question coming from the line of Tyler Brown with Raymond James.

Preguntas y respuestas

Patrick Brown

Jim, it's been a please, wishing you definitely all the best, and John, big congrats. David, just I appreciate the guidance color, but I was hoping for maybe a little more color just on the Q4 EBITDA shaping. I mean the range is still, call it, $100 million at the EBITDA line. I mean we typically see a slight step down in margins sequentially into Q4. Is that what we should expect? And would we maybe be shading towards the lower end on EBITDA for Q4?

David Reed

Sure. I can give you some color here. We're obviously very pleased with the results through year-to-date. And the fourth quarter should be consistent with the results we posted all year. And note that similar to last year, we did have improving margins sequentially through the year, and we expect our best performance from a margin perspective in Q4. But having said that, if you think about the margin impact of fuel this year, which we are assuming is about a 40-basis-point impact. Our year-over-year margin comparison will likely be a bit lower than the fourth quarter of 2025, all else equal. So that probably helps to give you a little bit of color.

And then in terms of a couple of things just to keep an eye out in terms of what would progress that performance up from there is really if you think about -- well, we do have sequential improvement in our renewable energy business from Q3 to Q4 that will happen as most of our shortfall in RNG production related to start-up activity that we alluded to last quarter actually occurred in the third quarter. So you'll see a pickup in the fourth quarter. But then if you think about our sustained strengthen our pricing program, both in solid waste and in health care, along with any improvement in the volume landscape, particularly things like special waste, that would aid our relative performance.

And then finally, the last thing I'd point out is just obviously any incremental strength in recycling commodity prices would further improve our Q4 results towards or above the midpoint.

Patrick Brown

Okay. Okay. That's helpful. Yes. Go ahead, sorry.

David Reed

Stepping back, I would just say, if we think about the guidance range in general, given where we started at the beginning of the year and the moving pieces and the dynamics we're definitely impressed with the resiliency and the strength of the business.

Patrick Brown

Yes. Okay. Perfect. And then, John, I think you mentioned that risk was a sizable headwind. So one, to be clear, was that incorporated? And two, was it accident or insurance premium related? Or what exactly is that? And then is that something that lingers into Q4 and into '27? Or how should we think about that?

John Morris

So Tyler, it's a good question. I would tell you, first and foremost, it's not related to our safety performance. It has more to do with sort of an out-of-period adjustment that happened in Q3. But if you look at our safety statistics and performance, that is not what's driving. In fact, across the broader business, including our health care business, we're seeing a nice improvement in our recordable injury rate and our accident rate. So it's not that. But I'll let David comment on the actual number for the quarter.

David Reed

Yes, there's an element that's in corporate and other and then an element outside of that. But for the company, in general, it's about a $63 million increase year-over-year for Q3. The higher risk costs were attributed to 3 items, the first of which is we had a negative impact associated with our third quarter actuarial adjustment. It's always a little bit of a wildcard, but I would point out that this follows 6 consecutive quarters of positive variances against our actuarial report. And so as John alluded to, this should -- it's not to be construed as a trend or a fundamental change in terms of the frequency or activity of events.

Secondly, we had some cost estimate increases associated with a few large loss claims that were accrued during the third quarter. And then third, we had a tough comp versus last year where we had an insurance recovery in the third quarter of last year. So the expense was higher than we expected, but we don't expect that to have an outsized negative impact as we carry forward.

Tara Hemmer

And jus to highlight one important point, about $40 million of that was in corporate and other and $23 million was in collection and disposal. So that's something that's impacting the collection and disposal growth.

Patrick Brown

Okay. Excellent. Perfect. Great color. And then just last one real quick. I just want to make sure that I read the release correctly, which is always a little risky. But I think health care revenue was up maybe 4%. But if I look at core price and volume, it only contributed maybe $1 million to revenue growth. And I think, John, you said that core pricing was up 5%. So were volumes down about $5 million? It seems that maybe most of that 4% was from fuel surcharges, but I guess, regardless, it seems like good SG&A management and the core pricing is what's driving the EBITDA there. Just any color there would be helpful.

John Morris

Yes. I think you hit some of the big pieces of that. We're really proud about where core price is at 5.5%. We said a handful of quarters ago, I think I said we think that at some point, that will approximate what we do with the solid waste business. We had targeted to be at 5.5% at the end of the year. We're there at the SG&A, we said 15% to 16% at the end of the year. We're closing on at 15% at the end of Q3. So really good story there.

I think the EBITDA comment you heard from Jim and from myself at over 30% improvement shows that we're taking a lot of the what we would call the WM way and working on price to cost spread and whatnot. There are still some volume headwinds that we've talked about. What I would tell you, Tyler, is when you look at the trends, I'm not putting a stake in the ground to say when they're going to get positive, but I will tell you both on the secure document side and on the health care side, we're seeing improving trends as we go into 2027.

And lastly, there was some tailwind too from the fuel side in the health care business. But overall, as Jim mentioned, it's been 2 years of hard work, and I feel like we're really starting to hit our stride here in terms of what it's doing for the business from a segment perspective and also what it's doing on the other side of the fence, if you will, with regard to the benefits on the core solid waste business.

Operator

Our next question in queue coming from the line of Jerry Revich with Wells Fargo.

Jerry Revich

Jim, John, congratulations. You might think the stock is up 6x since you appointed CFO is a really fantastic performance by any mean. I wanted to ask in terms of we had some lumpier costs this quarter. Obviously, risk costs could move around on us. As you folks think about pricing heading into '27, are you thinking about pricing for potential additional one-off risk? Should we expect '27 to be an outsized year of the price cost spread for you folks given some of the variability that we see here?

Tara Hemmer

Sherry, the one area that we're really focused on is landfill and transfer station pricing, we think that we have an opportunity, if you look at where our post-collection assets are and how critical and advantage they are within the network. And also, we are experiencing some increased landfill operating costs, and we expect those to persist. A great example of that is in California where there's new legislation that will require enhanced monitoring and some other things that will flow,,-- and we know that we can pass along these costs through pricing and leverage that. So as we look to 2027 and beyond, we're going to look to continue to enhance our landfill and transportation pricing.

Jerry Revich

And then can I ask in terms of the update on the RNG development plans, it looks like those are coming along nicely. Q3 RIN price is obviously a bit softer recently. Can you just talk about directionally the incremental earnings that you're expecting in 2017 versus I know you'll give us a wholesome update in about 3 months, but I'm wondering, based on what you folks have been able to put into service, how does the growth '27 versus '26 compared to what you folks had laid out maybe 6 months ago?

Tara Hemmer

Sure. When we look at the renewable energy business, what we reflect on is that we're through so much of the hard things. We have all of these plants constructed, 18 of them online, we'll have another 1 come online in Q4 and the last 1 will come online in early Q1 of 2027. We've learned a lot of lessons along the way on what it takes to start these up, and we have also gotten through a lot of the pipeline issues that we referenced that impacted really Q3 of this year.

The other thing that we've demonstrated is our ability to navigate pricing. We had given an outlook of $26 as a long-term number. This year, we should land a little bit higher than that, more like $27 and that price impact, from a flow-through perspective, is being impacted by lower production, which we've already talked about.

So we're pleased with the progress, the rollover impact we are going to see increased EBITDA from these plants, those that came online in '26 and also in 27. And we -- last thing I will say is we gave this framework of 80/40/20 to have 40% of our volume locked up for next year, and we're at that number today. So we feel very confident about our ability to hit the $26 number. We'll give a little bit more color on the EBITDA ramp in early '27.

Operator

Our next question in queue coming from the line of Toni Kaplan with Morgan Stanley.

Toni Kaplan

I was hoping you could update us on some of the volume trends in the core business, including particularly the intentional shedding and resi. Are we through with that at this point? Or is that going to continue?

John Morris

Yes. Tony, thanks for the question. For the full year, we said we'll be about a 1% decline in volume or about 50 basis points if you take out the wildfire comp year-over-year. To your question, I would tell you, starting with residential, we're pleased with what we're seeing, which is what we told you folks is in the second half of the year, we'd start to see this trend towards positive. And so while we're minus 3.5% year-to-date, we're 2.6% for the quarter. And so we're tracking along. What I would also tell you is if you look at the core price yield and revenue build for residential, we're up about $40 million in revenue despite the volume loss. So we're tracking the right way there. We've said, again, not putting a stake in the ground on when it's going to go positive, but we feel good about the trend going into to '27.

Continue on volume, if you look at our industrial roll off, it was flat, slightly positive, which is, frankly, what we've been seeing through the year. That's probably a line of business, got some indication of what's going on in the broader economy, in particular, around construction. So even though that's been a headwind on the construction and disposal volumes, we're pleased that our roll-off volume has held up that tells you about the rest of the industrial line for us.

Commercial down about 1.3%, which was slightly more negative than what we printed in Q2. I would tell you, it's really 2 major things. It's 1 is what we talked about, some national account broker decisions that we made last year that we should lap right around the end of Q1. And then a little bit of pressure on the SMB business. But I would tell you where construction and housing are doing what they're doing. It's not a total surprise that we're not seeing the same strength in the business formation.

What I would tell you though is some of the metrics we keep an eye on whether service increases and decreases, whether it's our churn rate, our ability to get pricing in commercial, even in this high fuel environment, we are seeing no wavering in that, in fact, we've seen some positive trends there net of these 2 bullet points in commercial.

Toni Kaplan

That's great. And then shifting to technology investments. Hoping you could just give us some color on the benefits you've been seeing from maybe the pricing program and what's sort of next on the technology side?

Tara Hemmer

Sure. Obviously, technology is something that we've leaned into as a company, and we've been leaning into for some time, whether it's smart truck that we have on our trucks that helps us look at where we might have overages. That's something that we're continuing to enhance. And then on the operating side, we have technologies in play that are helping us with the health and safety of our employees, some tools in our trucks. And also routing algorithms. We have something called NBO on the industrial side of the business that's helping us route on a daily basis, much more effectively and using it for traffic conditions in real time. And we're also looking at where we might have opportunities to leverage AI and some unique applications really helping our dispatchers.

The way I would frame our technology journey is this is something that's been a part of our fabric for several years now, and it's going to be what we lean into to continue to expand margins in that 50- to 100-basis-point range consistently over time.

John Morris

Great answer, Tara. I think the one thing I would add, Tony, is on the health care side, too, we're in the very early innings. And we've talked about the benefits of our technology applications over top of what health care is. And this is the things Tara talked about sort of the operating expense benefits we can get from routing and the other forms of technology, we're embedding in the business. One example there is we've been upgrading a lot of the robotics capabilities inside some of the processing plants, which is helping us meet some of the challenges with the broader labor market.

And then I think on pricing, I mean, we've talked about this a good bit. I think the predictive analytical tools that we've built, Mike Watson and the team have shown up and continue to show up in our ability to syndicate pricing across the broader business. And frankly, you're really starting to see it show up in the health care business in the last few quarters.

Toni Kaplan

And I'll add my congratulations to Jim and John.

Operator

Our next question in queue coming from the line of Tami Zakaria with JP Morgan.

Tami Zakaria

Convertible Jim and John. I wanted to follow up on Toni's question. In hindsight, what are some of the key reasons or factors that drove your volume outlook to fall short this year versus your original expectation of it being up?

John Morris

I think there's 2 places where it's probably, Tami, a tad softer than we originally anticipated. I mean, clearly, you see some of the volume declines in residential. A lot of that was planned, but it is contributing to the negative volume print. And I think when you look at -- there's a little bit of softness in some of the landfill volumes, I mentioned C&D. I think that's actually more a reflection of what's going on in the broader economy. And the other one was commercial. I know it's not far off what we predicted. I do think some of what we're seeing in the macro environment is impacting some of the business formation in the commercial line of business.

Tami Zakaria

Understood. That's very helpful. And then excellent margin performance in the quarter on the health care side. As we look into the fourth quarter, are you still expecting health care growth sort of exiting the year with a mid-single-digit percent type of growth rate?

John Morris

Well, listen, we're really proud about the progress we made in the first half of the year and then going into the second half of the year. I know Brent and team are working hard to do 2 things. One is continue to make progress in the middle of the P&L. And you've seen the focus on the SG&A line and the progress that they've been able to deliver there in addition to the pricing progress through the end of Q3. I would tell you, we're not going to take our foot off the gas there. And as Jim mentioned, I think, as we start to unpack more and more of the self-care business, we see it as a really good strategic investment going forward.

Operator

Our next question coming from the line of Faiza Alwy with Deutsche Bank.

Faiza Alwy

Congratulations from me as well to both the Jim and to John. I guess, John, I'm curious, as you step into the CEO role, how should we think about your strategic focus, priorities I know you've talked about potentially higher level of solid waste M&A, but curious if there's other areas of investments that you're thinking about just kind of what your priorities are and if anything changes?

John Morris

I think we've heard from Jim and David and I, over the last couple of quarters is one, certainly being focused on returning cash to shareholders, and we've talked a lot about that, and I'm sure Dave will get a chance to comment a little bit more on that. We do think now that we feel like we've turned the corner, if you will, on health care, we've got the ability to be a little more aggressive in terms of what we do on the core solid waste side, and we see that as a strategic priority. And as referenced in my prepared remarks, what we've done through the year to date, what we expect to close in Q4, and we've already got teed up for the first quarter suggest that we've got good runway.

And listen, that's a core competency of the organization is to bring in those core solid waste businesses and tuck those in. At the same time, I think you'll continue to see us build on the health care business and look for further ways to integrate and take the advantages of cross-selling in addition to some of the operating expense opportunities we have in that business.

And I think -- other than that, I think you're going to see us continue -- there's not going to be any big shifts in the way, I think, just because because Jim is going to retire here in a few months. We've all worked together for a long time and built this strategy collectively. So I feel like we've got a terrific path charted that we're going to continue to pursue.

Faiza Alwy

Great. And then a question for David regarding free cash flow. So I know you're saying you're not going to be at the high end of the free cash flow guide, and you haven't been specific around where in the guide you'll end on EBITDA. So just curious kind of what's driving that higher free cash flow? Is it timing? And kind of any thoughts or whether that impacts next year?

David Reed

Sure. I mean we're very pleased looking 3 quarters end of the year with printing over $3 billion of free cash flow. And then obviously, the strong, almost aspirational number, but hitting the strong EBITDA to free cash flow print of 50%, which was really great to see. A lot of that was expected. We've talked a lot about this year being harvesting. So the strong earnings growth, the lower capital spending that we've been alluding to for a number of quarters now are playing out as we anticipated.

I will say a couple of other areas that have been pleasant surprises. Cash taxes was a bit favorable relative to what we thought we were going to have for this year. And then we've had a nice improvement, a nice sustained improvement in working capital, particularly around accounts payable, and that's been driven by some of our active strategies and vendor management. So that's kind of given us a little bit of extra push in terms of our results and expectations for the year.

As we look into the fourth quarter, I do anticipate that we'll have sequentially higher CapEx spending, which is common as we close out the year. And so from a -- while we're going to be within our guidance range for capital spending, we're probably going to be more towards the higher end thinking at that $2.75 billion number as well. So again, really good result for the year. We talked to this being the year of harvest and then returning cash to shareholders, and that's how it's playing out.

Operator

Our next question coming from the line of Bryan Burgmeier with Citi.

Bryan Burgmeier

Congratulations to both Jim and John on the next phase of your journeys. Just on the quarter, obviously, a really big step-up in margins as you flagged. Can you just maybe remind us how much of a benefit you have in 2026 from cost synergies? And maybe how much is kind of remaining there? And then do you see this low 20s EBITDA margin to sort of an achievable run rate going forward?

John Morris

Yes, Bryan, we're super pleased with where we are on the margin front. And to answer your question, we have -- I think we still have some room to go there. To your first part of your question, I think mid-'27 right now is looked like where we're on track to hit kind of the synergy target, which would be a little bit ahead of what we originally planned. which credit to the team. I mean some of the challenges we faced in the first year, 18 months, we've certainly weathered the storm and now the team, like I said, has really seen to hit their stride and gain momentum. So I think midyear '27 is when we should be right around that synergy target we've talked about.

Bryan Burgmeier

Got it. Got it. And then, John, I think base CapEx for WM was down to maybe 9.5% this year. Just curious if -- a similar question, if you see that as kind of a sustainable level? Or is there maybe a little bit of a catch-up going forward? Any thoughts around sort of fleet age or technology investments could be helpful.

John Morris

Yes. I think, Bryan, on technology, we've got that sort of baked into our capital run rate now. On the fleet side, obviously, we talked about the fact that we've caught up, and you'll see more steady state there. But I think the long-term capital run rate is still probably 10%, 10.5%. It's a little bit -- it's down a little bit this year relative. I mean I think it's down 17% for the quarter. I think year-to-date, excuse me. Some of that has to do with we're in the slowing. We're completing the spending and a lot of sustainability investments. The fleet spend has come down a little bit. But I think long term, 10%, 10.5% is still going to be the right range for us.

Operator

Our next question in queue coming from the line of Konark Gupta with Scotia Capital.

Konark Gupta

Congrats and best wishes to both John and Jim. First question on M&A opportunities. I mean, you guys laid out, obviously, some near-term opportunities in the fourth quarter and maybe early 2027. But I'm curious on your thoughts in the event of 1 of the larger players spinning off some assets over time. Would you guys be interested in any specific pockets of the markets any specific types of assets in that spin-off potentially? Or I mean, you guys have probably already a lot of density in various markets you want to be in, so you probably would pass on some of those opportunities.

John Morris

Yes, I think the way I would answer that, Konark, is if it's certainly solid waste core assets, we'd be interested. And it's hard to pick a geography where we wouldn't be more interested. And even on the high side of the industrial side, where we've got assets and services that we could wrap those assets around, we'd be interested in that as well. I think the good news is that credit to David and the team that the balance sheet is in great shape. So regardless, it was a smaller one or a larger one, if it fit our strategic lines, it would be something we'd certainly be able to pursue.

Konark Gupta

Yes. And then just as a follow-up. The clinical line environment, right, we are in right now, obviously, the fuel prices and energy prices keep like ticking up. We don't know when the inflation ends and all that. But I mean do you think we are in a sustainably -- maybe more sustainably than before higher for longer pricing environment and weaker for longer volume environment? I mean is that the trade-off that we are playing for the next another 1 year or 2 maybe?

John Morris

Well, I would tell you, we've obviously historically been able to price through sort of the ebbs and flows of inflationary pressures. Whether you look at CPI or WST more recently, I think you look at what we've been able to do is certainly maintain a cost the price spread and actually improve that. Now specific to $6.37 gallon diesel, let's hope for everybody that, that's not the case long term. In the short term, as you heard from us in our prepared remarks and some of the Q&A that we've -- we're finding our way to recover that cost broadly across the portfolio.

Operator

Our next question in queue coming from the line of Seth Weber with BNP Berrinba

Seth Weber

I just wanted to follow up on your comments about the SMB market. Given the strong core pricing, I'm wondering if you're seeing any fatigued or higher churn on the -- just the consumer side?

John Morris

That's a good question, Seth. Part of what I mentioned is some of the headwind is some, I would call it, deliberate actions. We with some of our national account broker business. And as you can imagine, that's more pronounced when you have a loss there just because of the scale of it. But we feel like we're going to lap that right around the end of of Q1.

To your point, our churn actually improved about 30 basis points year-over-year to 9.3%. So we -- and when you look at our pricing, it has not impacted our pricing. And we're seeing, like I said, indicators of the commercial line of business actually having a little bit more momentum once we lap the national account work.

I do think though, as I mentioned, when you think about what's going on with the commercial business formation related to housing, construction, et cetera, I do think it's putting a little bit of pressure on that line.

Seth Weber

Okay. And then just a quick follow-up on health care. I think last quarter, you gave us a cross-selling number $32 million of EBITDA. Just wondering if there's an update on that.

John Morris

I think it was -- $38 million, I think, was the number we've restated last year for the full year, and we feel good about where we're at now moving into 2027.

Operator

Our next question coming from the line of Noah Kay with Oppenheimer.

Noah Kaye

Jim, wishing you the very best, and John, congratulations. So maybe a question for David here. I must have misheard. Were you saying in answer to the first question asked on the call that you expect EBITDA margins to be up sequentially, but modestly down year-over-year because if I plug that in and just take the revenue number, then that actually puts me just below the low end of the EBITDA range. So there may be something wrong we're doing here. But I think that would suggest that you're heading towards the lower end of the guide for the year.

So anything that we're getting wrong?

David Reed

Well, that's just on the -- I'm just making the assumption on the fuel, the 40 basis impact of fuel, but I did highlight some of the items that depending on how they play out in the quarter will push us up higher in that range as well. That's just fuel isolated.

Noah Kaye

Yes. Meaning that revenues can possibly be higher versus the high end of the range? I'm sorry, I'm just getting a little bit confused here.

David Reed

Whether it's improvement in volumes or strengthen our pricing or recycling commodity prices, those will be the things that would move us up the range.

Noah Kaye

Okay. Okay. Very helpful. And then I think the commentary on increased landfill costs coming in the context of AB28 is interesting. Just broadly, how are you thinking about the landfill operating cost profile and risk mitigation and risk planning strategies going forward? What do you think that means in terms of overall industry pricing trends, especially given, not only those cost pressures, but increasing disposal scarcity in certain parts of the country.

Tara Hemmer

Well, first and foremost, when you look at landfill operating costs, and we are seeing them tick up a bit in California and in other places, a lot of it driven by leaching. We know how to handle those from an environmental perspective. We know how to process them, and we're going to continue to do that in an environmentally responsible way. We also know how to pass those costs along to our customers through price increases. And recognizing the strategic nature of our assets, we have always used a next best alternative analysis on how to price and that's part of an evolution of our pricing analytics. And we're going to use that as we navigate increased operating expenses at our landfills.

And by the way, it's not just us, this is an industry-wide issue. And so everyone is going to be based with some of these same issues across the board. So we're in a strong position, like I said, to deliver on price increases to recoup our costs.

Operator

Our next question coming from the line of Saba Khan with RBC Capital Markets.

Sabahat Khan

Great. Congrats both Jim and John on the chapter ahead. Just on the question, I guess, there's been a bit of discussion on the health care side. As you sort of contemplate '27, I'm not looking for guidance, but maybe if you can talk about sort of the pipeline that you've been building that gives you confidence on maybe accelerating on the growth front there. And just in terms of how the year's played out on the top line, what are you initially thinking it would be a bit more late in the year heavy on the top line growth. Maybe you can just talk through what's sort of the revenue outlook for that business at this point?

John Morris

Well, I think what you saw is some real significant progression from the end of last year through the first half and then into Q3. So as I mentioned earlier, us being close to the sort of solid waste pricing we talked about several quarters ago for us to be there earlier than anticipated is certainly terrific. I think a lot of that is translating into, obviously, the significant EBITDA growth that we built from the first half going into Q3 and the momentum we built into Q4. And from a volume perspective, as we've said, the one unique aspect of some of the volume challenges we had is when you gain or lose a customer, the tail going in or going out is a little longer. So what we're weathering is honestly some losses that we we've known about.

As I mentioned, though, I'm not ready to put a stake in the ground on positive volume for the medical waste side of the house or the secure document destruction, but the trends are improving. So as we move into 2027, we know that we're going to continue to see benefits there. When it gets to positive is still a little bit yet to be determined, but we're really happy with the progress the team is making.

Sabahat Khan

Great. And then just a quick one on the broader volume side. With a lot of the construction activity commentary being positive across some of the industrial machinery type names, are there -- are you seeing some positive momentum in some underlying markets, maybe offset by perhaps housing? Maybe you could just break out some of the volume details, particularly on the solid waste side, and where there might be some green shoots and where maybe they are the more meaningful offsets that are driving it to be more negative?

John Morris

Well, I would tell you, it's a good question because I think when you look market by market, there's plenty of markets we're in, and I can rattle them off. You could probably come up with some of the same geographies that are still showing really positive growth trends. And that's where Tara and the team are looking to make sure that we got the right assets, and we're investing the right way to take advantage of that. Housing is still, the last time I looked at $1.2 million and change, which is well down from where it has historically been. And that's part of what you're seeing on balance, I think, through our construction and demo volume, I commented at, which is down about 4.5% year-to year-to-date. The good news is that we're not tethered to that as much on the roll-off side, and I think that's one of the reasons you're seeing our overall roll off or industrial volume continue to be slightly positive.

Tara Hemmer

And the interesting thing, we spend a week every quarter with our areas and 16 of them pretty much across the board are saying their special wase pipelines are very strong. It's just so many special waste pipelines haven't yet hit. So it's not a question of if, it's more of a question of when. And that really speaks again to where our assets are located and the types of materials that we can take. So we're in a strong position when some of these things start to pop.

Certainly, with diesel pricing being what it is and some of the other things that are talked about in the economy, we think that some are just taking a wait and see approach and might see some of them later in Q4 or early '27.

Operator

Our next question coming from the line of Kevin Chiang with CIBC.

Kevin Chiang

And just echoing everyone's congratulations, Jim and John onto your new chapters here. I know there's been a lot of questions on health care. But just wondering, when you look at the volume trends you're seeing versus the strong pricing you're pushing through, are you seeing an increase in customer churn? Or is churn holding, I'll call it, flat or static as you push through this pricing and really the volume situation is more maybe more cyclical?

John Morris

So it's a good question, Ken. I think it's interesting because I mentioned the long tail on some of the losses we endured at the end of '25 and '26. So I almost bifurcate churn between like the historical churn we're still fighting our way through and the near-term churn. And as I mentioned, we're seeing good trends. Like I said, we're not saying when we're going to go positive, but the one thing I would point to is if you look at the hospitals, in particular, which is a big piece of that revenue on the medical waste side, and you look at what's happening in that sort of same-store sales basis, a lot of the secular trends that we talked about are showing up in that hospital group where we're seeing the growth there. It's been a little bit of a mixed bag when you folks have looked at it because we've had other things that have been impacting that number. But again, that's probably one area we feel we have a lot of -- we feel encouraged by because those hospitals are growing in and of by themselves. So it's probably 2 answers to your 1 question, but there's sort of the legacy churn and then there's a near-term churn, and that's why you hear probably a more level of confidence in terms of the trends we're seeing.

Kevin Chiang

No, that's very helpful. And maybe just a second one for me. I guess as you guys approach the midterm here, just anything you should be -- that you're watching out for that we should be thinking about, whether it's changes in the regulatory environment and there's been a lot of headlines on the waste sector looking for a broad exemption on PFAS as a passive receiver, maybe the M&A environment and maybe even special waste volumes that Tara talked about, like do you think the upcoming election cycle maybe impacts some of the trends you're seeing today or maybe the trends you think will happen in the coming quarters or 2?

John Morris

Well, Kevin, that's a loaded question right there, my fried. Listen, I think on the regulatory front, we've said this, whether it's Canada or here, it's more provincial or state run other than PFOS, right? And I think Tara commented earlier, we've been closely watching that. And while the rules haven't been totally formulated yet, we feel like it could be a little bit of a cost headwind to us. But again, as Tara mentioned, relative to the landfill side, we think that's cost we can pass on to our customers. We also still believe that there is a big opportunity at the other end of the PFAS calculation depending on how the regulations fall.

Kevin Chiang

Congrats to Jim and John.

Operator

Our next question in queue coming from the line of Trevor Romeo with William Blair.

Trevor Romeo

My congratulations as well to Jim and John. I will just ask one, I think, for the sake of time on M&A. So it sounds like you've had some good activity on new deals that you've signed recently. So maybe are there any details you can give us in terms of like regions, asset types, et cetera, on those deals? And then if we think about maybe higher interest rates, any impact on potential M&A., how does that influence both kind of your preference to do M&A versus maybe the willingness of small operators to sell, if that's an incremental headwind to them?

Tara Hemmer

So the thing that I would just say on M&A and just to emphasize is these are core solid lease deals where we're going to bring our machine to bear on driving synergies, whether it's internalization into our landfill assets or routing synergies. So as John always uses golf analogies, but straight down the middle of the fairway.

John Morris

Not usually where I have.

Tara Hemmer

And the other thing I would mention is that there is a lot of room across the U.S. and Canada geographically for us to do deals. And so we do have a robust pipeline right now of deals that we're looking at. David can speak to the interest rate environment, how that's potentially positive for us?

David Reed

Yes. Yes, I think we're in a really good spot, obviously. We have deep access to capital. Our balance sheet is in really good shape. Close to 90% of our interest rate exposure is fixed. And so from that standpoint, we're obviously well positioned. And then from a seller mindset, I do think just higher interest rates might make them more prone to potentially look at exiting just if they're thinking about recapping or funding growth in their business, the rates that they're probably going to see are probably pretty high at this point. And so I do think we see -- that's why we see a fair amount of activity in the market and the pipeline right now.

Operator

Our next question coming from the line of Adam Bubes with Goldman Sachs.

Adam Bubes

Congrats, both Jim and John. I know we're only in 3Q here, but maybe just conceptually, how are you thinking about the margin algorithm next year? It seems like there's a lot of moving pieces between fuel, landfill gas continuing to ramp higher, the strong synergy realization in health care. Can you just help us think about the algorithm there?

David Reed

Yes. I mean, obviously, we're not providing guidance until next quarter. And the visibility, as we've been discussing, is obviously quite low. But you did highlight on a couple of things that will be a bit favorable for us if I think about some of the carryover and rollover impact from RNG and from recycling as those plants are -- we get the full run rate benefit from those. But just given the price and cost dynamic that we've demonstrated really well this year, we've been north of the [ $250 million ] that we highlighted for this year. You'll continue to see us focus on maintaining that price to cost spread. It really comes down to fundamentally just the volume growth and expectations in the business because, again, I think, on the pricing side, we're going to be able to pass along our cost.

And so as I think about that, it's really more of a call on the macro environment, which, as we've been highlighting, is low visibility, it's a bit muted, but if there's any catalyst there, that would help spur that growth algorithm.

John Morris

Yes. The only thing I'd add, David, is, again, we talked a lot about health care, but that also, as we exit Q3 and going to Q4, clearly, that's going to be a benefit to us, Adam, in next year.

Adam Bubes

Great. All clear. And then on the pricing side, I think core price was strong at 5.8% this quarter with yield of 3.4% in collection disposal. I think that spread is just a little higher than the recent range, and it ticked up sequentially. What's sort of the mix impacts impacting that? And what do you view as more of like a sustainable level of that core price yield spread going forward?

John Morris

Yes. I think we've said we've generally been like low 60s to 70%. We've ticked up a little bit higher from time to time. But to your point, if you break it up and you look at collection, it was somewhere in the neighborhood of the mid-60s, which is about the norm. Where it's been a little bit more pressured has been on the disposal side. And what I would tell you is not to get into the weeds where we've looked at some of the volume mix with a few small landfills that we closed, which we had planned to close, I think ADS, there were a few of the sites that we closed in the quarter. And then some volume shifts out on the West Coast, where it tends to be higher price volume doesn't necessarily mean higher profit volume. That's where I see you see a little bit of a pressure on the disposal side of the equation.

Operator

Our next question coming from the line of Will Grippin with Barclays.

William Grippin

Great. I appreciate you squeezing me in here. I did want to come back to some of the volume discussion around the Healthcare Solutions business. I think as of the end of the second quarter, I think you had made significant progress toward getting all your customers a clean bill. And we had sort of anticipated that, that might help drive sort of a deceleration or easing some of this customer churn you've been seeing. I'm just curious, maybe if you could parse out just some of the trends on the volume side between sort of churn versus just overall market volume trends? And if customers starting to get those clean bills has had the desired impact?

John Morris

Well, I think what you heard, Will, is on the pricing side, clearly, they're seeing the value in the services we're providing across the portfolio. And again, in terms of the volume trends, what I would tell you is both if you think -- if you bifurcate the business between the health care side, traditional health care and the secure document disruption, we're seeing improving trends in both. I would tell you the [indiscernible] business is probably tracking a little bit quicker than the medical waste business, but the important point is that they're both trending in the right direction. And as I said, half joking, I'm not ready to tell you, we're not ready to say when those will go positive, but we feel good about the trajectory on both those segments within health care.

Tara Hemmer

I think what's important is the way that we're looking at this is looking at quarter-over-quarter sequential improvement. And that's what we're expecting moving forward.

William Grippin

Got it. Appreciate that. And then just switching over to the RNG business. EBITDA margin just a bit weaker sequentially quarter-on-quarter. Was that just driven by, I guess, some of the sort of start-up and slightly lower revenue you had flagged? Or was it just a contribution from the the New York facility that was brought online diluting overall margin? And how should we think about sort of the right range for that business going forward?

Tara Hemmer

The 2 reasons for the sequential drop from Q3 of '26 to -- from Q3 '26 versus Q2 is 2 things. One, we sold more volume in the voluntary market in Q3, which would be at a lower price per MMBtu. That's the first item. And the second is we did have some start-up costs that flow through the P&L. So it's one of the reasons why I always point you to looking at margins in this business for the full year because we can have some lumpiness from quarter-to-quarter.

William Grippin

Congrats on retirement, Jim.

Operator

Our next question coming from the line of Jim Schumm with TD Cowen.

James Schumm

Most of my questions have been asked, but I just wanted to echo my congrats to Jim and John. And maybe just one for me. So you kind of hit the goal for G&A for WM Healthcare, you're around 15%. Can you speak to what the updated goal would be now?

John Morris

I would say it'd be better than 15.2%. Credit to the team. They worked really hard. And I will tell you when we set that goal a handful of quarters ago to get there, it seemed like a taller hill to climb. And credit to the whole team, they've done a really nice job. And what I can tell you is where we're going to land, I don't know we've talked about, could it get as low as the core business? Is it going to stay at 15%, I would tell you, we still have room to go. And I think we'll have probably a better view of that as we get into the beginning of the year and give guidance for next year. But better...

Jasper Bibb

Right. John, I don't know, maybe it was 2 years ago, I think Devina said there's no structural reason why WM Healthcare's G&A as a percentage of sales wouldn't or couldn't approach the level of the corporate level of 9% to 10%. You've had the business for 2 years. Do you still that to believe that to be the case?

John Morris

What I would tell you is I do think a inside, there's certainly opportunity there. And yes, I remember Devina's comments a handful of years ago. I would tell you the only place that I see a structural difference is really when you look at some of the customer level attention that is required, I mentioned the hospitals, for instance, there is probably more of a customer service intensity there than other parts of the core solid waste business. So that would be the one area.

But if you look at it, James, like in the field business, I think, yes, that probably is a true statement where you see a little bit of a premium is obviously the unique nature of some of the services and the regulatory challenges that we're helping to provide services for, for these customers would be 1 difference.

David Reed

And I think just from an investment thesis, the synergies that we underwrote with the deal, we're going to get us to 17%, and we're already past that. So I think from that goalpost that we're we look really well. But to John's point, we see further room to go.

Operator

Our next question in queue coming from the line of Stephanie Moore with Jefferies.

Stephanie Benjamin Moore

Great. Really appreciate it. Two for me real quick. Your internalization rate reached just over 72% this quarter. That's pretty much near record levels. In the past, I think you talked about a mid-70% range was kind of the historical ceiling. Just wanted to get your thoughts on structurally higher internalization rates and what this can mean in terms for, I guess, overall disposal margin assumptions?

Tara Hemmer

Well, there's 2 things that are driving our internalization rate higher, and one of them we talked about last quarter related to recycling. Our recycling volumes are up, and we're seeing more volumes be really directed to our recycling plants. So that's a key piece as we brought those investments online.

We also are continuing to look at through our routing algorithms, are rerouting our material to the best spot? And we're able to then redirect some material into our own assets that we might have otherwise been sending to third parties. So this is something that we're constantly looking at. And we'll definitely have a broader positive impact on pricing, too.

Stephanie Benjamin Moore

Understood. And then I did want to follow up on a prior question just in terms of labor and productivity savings. So I think in the past, you've talked about, I think, close to 5,000 and position reductions through essentially not having to rehire or fill the exit positions. Given all that you've done in terms of investing in productivity and technology, AI opportunity, how can you think about just incremental labor demand over time?

Tara Hemmer

This is something we spend a lot of time talking about, especially our collection business. Our collection business is very labor intensive when you look at our our drivers and helpers and it's one of the reasons why we need the transition to automated side loaders from rear loaders for safety reasons and also labor reasons.

We're absolutely looking at how can we bring technologies to the forefront of our operations to reduce labor dependence, given that there's going to be a labor shortage long term. And the best example of that is the work that we're doing with the Caterpillar pilots on our landfills piloting remote heavy equipment, and we're doing that at one of our hazardous landfills and a facility in Arizona. And if we can expand on that, you can imagine where we can improve the overall experience for new employees and really tap into another labor pool that we might not have otherwise been able to tap into and then over time, continue to look at structurally lowering our costs.

So we're looking at a whole host of things. This is something that's incredibly important to us and something that is going to help us transform how we operate over the next 10 years.

Operator

Our next question coming from the line of Tobey Sommer with Truist.

Tobey Sommer

In the health care arena, what is the pricing outlook appear to be like this year? And then the next is, hospitals are sort of seeing an increase in uncompensated care pressuring margins.

John Morris

Well, I think, Tobey, we worked hard, obviously, as I mentioned, to get to where we are. And we think over the long term, we think the pricing algorithm for the health care business can approximate the solid waste business. And I think we are taking the same view and we'll continue to take the same view about where we can build spread between our cost to serve and price. And I think what you saw in the quarter was almost 500 basis points of margin expansion partly fueled by SG&A coming down, partly fueled by pricing. And as I mentioned, I think we're starting to see some volume trends that are encouraging, still negative. And the one thing I would add to that is when you think about the health care business and the acquisition of what was Stericycle, there's obviously the short-term gains that we're making, but the more secular benefits of owning our business, particularly on the medical waste side are more long term, right?

And if you look at it as one of the things that attracted us to the business, I think full of years ago was the fact that, that was an area where we think we're going to see outsized growth over the longer term. And in that regard, we're going to be patient and that volume, we think, is going to accrue to our benefit.

Tobey Sommer

The landfill requirements that are increasing expenses in California, do you anticipate those changes proliferating nationally or being confined to that market?

Tara Hemmer

Well, to clarify, the legislation was just passed, so they need to go through some rule-making. So it's still early innings there and what's going to happen in California. We don't anticipate that being widespread, but it's something, obviously, that we're tracking. And if it does get traction in other states, we're well positioned to respond.

Operator

And our last question in queue coming from the line of Shlomo Rosenbaum with Stifel.

Shlomo Rosenbaum

I wanted to ask a little bit on the diesel fuel assumptions that you might have in your guidance? Like what are the price that you're expecting for the fourth quarter? And just in general, how are you thinking about the general inflationary impact as it goes into 2027? Are you seeing anything? Were you expecting that to creep into your labor costs in terms of how you're thinking of positioning the business and what you're going to need for pricing? If you can just address those 2 issues? And then I have 1 follow-up.

David Reed

Sure. In terms of Q4 for diesel prices, we're assuming about a 40% increase over Q4 of last year. I think it's around 5 -- a little over $5.50 per gallon for diesel. But in terms of your comment about inflation that's trickling down outside of just fuel, we are seeing it in third-party costs, but that is our fuel surcharge program is designed to to recover from that aspect as well. It's not just recovering our direct fuel cost.

Tara Hemmer

The only thing I would just say on that is, when you see increased diesel costs like we did from August to September, a spike of $0.80 a gallon, you've heard from us that there is approximately on average a 1-month lag in our fuel surcharge. So you will see some timing differences on recovery. And this is something, I think, that we're all learning to navigate and how this has been interesting to follow related to what's happening with diesel.

Shlomo Rosenbaum

Okay. And then maybe just shifting back to the health care side. In terms of the improvement in the EBITDA and the SG&A, could you talk a little bit more about how much of the improvement came from actually getting the technology to work and removal of the manual processes that were in place and how much might have come from other areas? Maybe you can just give us a little bit of an insight as to what got improved so much in the course of the quarter?

John Morris

Well, I think first and foremost, I think the fact that we're getting pricing that's more commensurate with our cost to serve and trying to build a spread there would be one big move we've made. I think to the point, and Jim made this comment on many calls going back to the acquisition, there was a lot more manual effort being put in, in the early days to make sure that we were improving and getting to the point where folks are getting an accurate bill. And obviously, while there's still a little bit of that happening, the most important thing is our folks are getting an accurate bill. They're paying their bills at a normalized rate as opposed to what it was. And to your point, we have taken out some of that SG&A, and we're getting closer to automating more of that process. But I would say that's certainly a piece of which, Shlomo, we've been able to gain some traction.

Operator

I will now turn the call back over to Mr. Jim Fish, WM CEO, for his final remarks.

James Fish

Okay. Well, just a couple of quick comments here. Thanks -- first of all, thanks for joining us, as always, today, and I truly appreciate all the well wishes and the congratulations. I really do, I hope that maybe I'll run in some of you up in Jacksonville flyfishing we'll see. But I would normally say at the end of this call, I'll talk to you next quarter. And today, I'm going to say John and Tara and David will talk to you next quarter. Thank you very much.

Operator

Ladies and gentlemen, that does conclude our conference for today. Thank you for your participation. You may now disconnect.