Encompass Health Corporation Common Stock 2026 Q2 Earnings Call
Review the key takeaways and the transcript of this earnings call.
- Encompass Health reported second quarter 2026 revenue growth of 9.6%, adjusted EBITDA increase of 9.2%, and adjusted EPS growth of 10.7%.
- Q2 discharge community rate was 84.7%, discharged to acute rate was 8.4%, and discharged to skilled nursing facilities was 6.1%, all exceeding industry averages.
- The company opened a new 50-bed hospital in Concordville, Pennsylvania, and a 40-bed hospital in Loganville, Georgia, its eighth joint venture with Piedmont, and added 10 beds to existing hospitals in Q2.
- Through the first half of 2026, Encompass Health opened three hospitals with 139 beds and added 54 beds to existing hospitals.
- Q2 net revenue per discharge increased 3.9% driven by higher patient acuity, with strong growth in medically complex categories including stroke and brain injury.
- Bad debt expense in Q2 was 2.3%, in line with expectations, with an increase over last year due to a favorable reserve adjustment in Q2 2025.
- Net preopening and ramp-up costs were $6.9 million in Q2, up $2.9 million from Q2 2025, with full year expected between $18 million and $22 million.
- The company repurchased approximately 704,000 shares for $74.2 million in Q2, totaling 1,412,000 shares and $145.8 million year to date.
- Encompass Health issued $500 million of 5.875% senior notes due 2034 and used proceeds to redeem $400 million of 4.5% senior notes due 2028.
- Net leverage at quarter end was 1.9 times, with strong liquidity.
- Quarterly dividend increased to $0.21 per share, payable in October, and common stock repurchase authorization increased to $1 billion.
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Transcript
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Good morning, everyone, welcome to Encompass Health second quarter 2026 earnings conference call. At this time, I would like to inform all participants that their lines will be in listen-only mode. After the speaker's remarks, there will be a question and answer period. If you would like to ask a question during this time, please press star one on your telephone keypad. You'll be limited to one question and one follow-up question. Today's conference call is being recorded. If you have any objections, you may disconnect at this time. I will now turn the call over to Mark Miller, Encompass Health's Chief Investor Relations Officer.
Please go ahead. Thank you, operator, good morning, everyone.
Thank you for joining Encompass Health second quarter 2026 earnings call. Before we begin, if you do not already have a copy, the second quarter earnings release, supplemental information, and related Form 8-K filed with the SEC are available on our website at encompasshealth.com. On page two of the supplemental information, you will find the safe harbor statements, which are also set forth in greater detail on the last page of the earnings release. During the call, we'll make forward-looking statements, such as guidance and growth projections, which are subject to risks and uncertainties, many of which are beyond our con- We ask the audience to please stand by.
Once again, we ask everyone to please stand by. Thank you for your patience. I believe the speakers have reconnected to the live conference. Yes. Yes, we're on in the main room. Aaron, can you hear it? Gentlemen, you are with the audience now. You have reconnected. I'm hearing a little bit of echo at the moment. One moment. Please stand by, everyone.
Thank you for your continued patience. Your meeting will begin shortly. If you need assistance at any time, please press star zero and a member of our team will be happy to help.
Thank you for your patience. Once again, thank you for standing by. Your program is about to resume.
We have- Good morning, everyone.
This is Doug Coltharp. We apologize for the technical difficulties we're experiencing this morning. These difficulties are arising through our vendors, a vendor we have historically used, and these are not on the Encompass Health side. We appreciate your patience. With that, we are going to start from the top, assuming that you've heard nothing from us this morning, and I'm going to ask Mark Miller to begin.
Thank you, Doug. Good morning, everyone. Thank you for joining Encompass Health's second quarter 2026 earnings call. Before we begin, if you do not already have a copy, the second quarter earnings release, supplemental information, and related Form 8-K filed with the SEC are available on our website at encompasshealth.com. On page two of the supplemental information, you will find the safe harbor statements, which are also set forth in greater detail on the last page of the earnings release. During the call, we will make forward-looking statements, such as guidance and growth projections, which are subject to risks and uncertainties, many of which are beyond our control.
Certain risks and uncertainties, like those relating to regulatory developments as well as volume, bad debt, and cost trends that could cause actual results to differ materially from our projections, estimates, and expectations are discussed in the company's SEC filings, including the earnings release and related Form 8-K, the Form 10-K for the year ended December 31, 2025, the Form 10-Q for the quarter ended March 31st, 2026, and the Form 10-Q for the quarter ended June 30th, 2026, when filed. We encourage you to read them. You are cautioned not to place undue reliance on these estimates, projections, guidance, and other forward-looking information presented, which are based on current estimates of future events and speak only as of today. We do not undertake a duty to update these forward-looking statements. Our supplemental information and discussion on this call will include certain non-GAAP financial measures.
For such measures, reconciliation to the most directly comparable GAAP measure is available at the end of the supplemental information, at the end of the earnings release, and as part of the Form 8-K filed yesterday with the SEC, all of which are available on our website. I would like to remind everyone that we will adhere to the one question and one follow-up question rule to allow everyone to submit a question. If you have additional questions, please feel free to put yourself back in the queue. With that, I'll turn the call over to President and Chief Executive Officer, Mark Tarr.
Thank you, Mark, and good morning, everyone. We're very pleased with our second quarter results. As revenue grew 9.6%, adjusted EBITDA increased 9.2%, and adjusted EPS increased 10.7%. Based primarily on our Q2 results, we are again raising our guidance for 2026. Doug will review the details in his comments. Patient outcomes were again outstanding. Our Q2 discharge to community rate was 84.7%, discharge to acute rate was 8.4%, and discharge to skilled nursing facilities was 6.1%. Our performance on each of these quality metrics continues to exceed industry averages. We again experienced increased participation in our clinical staff professional growth and development programs, such as our career ladders, providing nurses with support to attain advanced licenses and certifications, including certified rehabilitation RN designation. We believe our success in these programs contributes to our favorable clinical staff turnover trends and helps to drive further declines in premium labor spend.
Our professional growth and development programs also enhance our abilities to serve high acuity, medically complex patients. Demand for inpatient rehabilitation services remains strong, and we continue to invest in capacity additions. In Q2, we opened a new 50-bed hospital in Concordville, Pennsylvania, and a 40-bed hospital in Loganville, Georgia. Our Loganville hospital is our eighth joint venture with Piedmont. We also added 10 beds to existing hospitals. Through the first half of the year, we opened three hospitals with a total of 139 beds and added 54 beds to existing hospitals. Over the balance of the year, we intend to open five more hospitals with a total of 250 beds and add 100 to 150 beds to existing hospitals.
We maintain an active pipeline of new hospital development projects, both wholly owned and joint ventures, while also executing on bed expansion opportunities as warranted by occupancy trends and market dynamics. Our pipeline of announced new hospital projects with opening dates beyond 2026 currently consists of 13 hospitals with 606 beds, and we anticipate additional projects, including small format hospitals, will be announced over the balance of the year. Last month, North Carolina repealed its Certificate of Need law for inpatient rehabilitation care effective October 1st of this year. We believe this is a great result for the citizens of North Carolina who will now benefit from more access to inpatient rehabilitation care. North Carolina exhibits highly favorable population growth and demographic characteristics, and our assessment points to a large underserved market for IRF services. We currently operate one hospital in North Carolina.
Replicating our approach to CON repeal in Florida, in anticipation of the CON revocation in North Carolina, we conducted a thorough market-by-market analysis across the state. This has led to an initial prioritization of 15 markets, and we currently have three real estate parcels under contract. We anticipate our next hospital opening in North Carolina to occur in late 2028 or early 2029. Finally, on July 30th, 2026, CMS released the 2027 IRF final rule, which we estimate will result in approximately 2.3% increase in net revenue per discharge for our Medicare patients beginning October 1st of 2026, based on our current patient mix. Now I'll turn it over to Doug.
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