Before we begin, if you do not already have a copy, the first 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. You are cautioned not to place undue reliance on the estimates, projections, guidance and other forward-looking information presented, which are based on current estimates of future events and speak only as of today.

Based primarily on our Q1 results, we are raising our guidance for 2026. Compared to Q1 of 2025, our discharge TME rates improved 50 basis points to 84.5%. Our discharge acute rate improved 30 basis points to 8.6%, and our discharge SNF rate improved 20 basis points to 6.2%. We also believe that our clinical advancement programs and reduced clinical staff turnover further enhance our abilities to serve high acuity, medically complex patients and increase patient satisfaction scores.

Demand for IRF services remains strong, and we are continuing to invest in capacity additions to meet the needs of patients requiring inpatient rehabilitation services. Our pipeline of announced new hospital projects with opening dates beyond 2026 currently consists of 11 hospitals with 520 beds. Nonetheless, the fact remains that demand for inpatient rehabilitation services remains considerably underserved and is growing as the U.S. The proposed rule included a net market basket update of 2.4%, which we estimate would result in a 2.4% pricing increase for our Medicare patients beginning October 1st, 2026.

What went well
  • Q1 revenue rose 9% to $1.59 billion and adjusted EBITDA increased 11.2% to $348.8 million, prompting an increase to full-year 2026 guidance.
  • Discharge growth was 4.3% (1.6% same-store) with net revenue per discharge up 3.7% on favorable patient mix and Medicare SSI adjustment.
  • Quality metrics improved year-over-year and stayed above industry average (community 84.5%, acute 8.6%, SNF 6.2%).
  • RN turnover fell to 17.8% (lowest since at least 2012) and therapist turnover to 6.4%, helping drive a 9.4% decline in premium labor spend.
  • Opened a 49-bed hospital in Irmo, SC plus 44 beds, and detailed a new small-format hub-and-spoke hospital strategy starting in 2027.
  • Repurchased about 708,000 shares for $71.6 million and maintained 1.9x net leverage.
What went wrong
  • Bad debt expense rose 20 basis points to 2.2%, primarily from writing off 2013 claims tied to a legacy audit appeal.
  • Four unit closures (three IRF units within acute-care hospitals plus one SNF unit) cut roughly 85 basis points from total and same-store discharge growth.
  • SWB per FTE increased 3.7%, partly due to greater career-ladder participation.
  • Management cautioned on possible short-term transitory impacts from a heavy regulatory calendar: TEAM began January 1 and RCD expanded to Texas (March 1) and California.

More on Encompass Health Corp

Reported 2026-05-01 · figures from the Encompass Health Corp Q1 2026 earnings call.

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