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Encompass Health (EHC) investor relations material

Encompass Health Q3 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2025 earnings summary30 Oct, 2025

Executive summary

  • Q3 2025 net operating revenue rose 9.4% year-over-year to $1,477.5 million, with nine-month revenue up 10.6% to $4,390.6 million and Adjusted EBITDA up 11.4% to $300.1 million; Adjusted EPS increased 19.4% to $1.23.

  • Opened three new hospitals and added 39 beds in Q3, with 240 new beds year-to-date and continued capacity expansion.

  • Retired $100 million of 5.75% Senior Notes due 2025 and repurchased $24.9 million in shares in Q3; $81.7 million year-to-date.

  • Maintained high-quality patient outcomes, industry-leading discharge metrics, and national recognition for care quality.

  • Strong financial position with no significant debt maturities until 2028 and optimism for long-term growth due to demographic trends.

Financial highlights

  • Q3 2025 net operating revenues: $1,477.5M (up from $1,351.0M in Q3 2024); net patient revenue per discharge increased 3.3% to $21,679.

  • Adjusted EBITDA for Q3 2025 was $300.1M, and net income attributable to shareholders was $126.5M, up 16.9% year-over-year.

  • Adjusted free cash flow for Q3 2025 was $174.2M, down 8.2% year-over-year, but nine-month free cash flow increased to $582.5M.

  • Premium labor costs declined $5.6M year-over-year to $27M, and benefits expense per FTE increased 1.9%.

  • Quarterly dividend of $0.19 per share paid in Q3 2025.

Outlook and guidance

  • 2025 guidance raised: net operating revenue of $5,905M–$5,955M, Adjusted EBITDA of $1,235M–$1,255M, and Adjusted EPS of $5.22–$5.37.

  • Full-year adjusted free cash flow estimate increased to $730M–$810M.

  • Medicare pricing expected to increase 2.9% in Q4 2025; managed care pricing up 3.0%.

  • 8 new hospitals and 127 additional beds planned for 2025, with 150–200 bed additions in both 2026 and 2027.

  • Estimated 2025 cash tax payments are $110M–$130M, with $50M in cash tax savings anticipated from new tax legislation.

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Frequently asked questions

Encompass Health Corporation operates inpatient rehabilitation hospitals that provide care for patients recovering from illnesses and injuries such as stroke, neurological disorders, and orthopedic conditions. It also offers home-based care services through its healthcare network. The company is headquartered in Birmingham, Alabama, and its shares are listed on the NYSE.

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