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Encompass Health Corp.: Q3 FY2025 earnings call

What management said about Q3 FY2025, from the documents filed with the SEC on 29 October 2025: press release. Guidance figures: 3 raised, 2 kept. The quarter’s numbers.

Key takeaways

  • Net operating revenue rose 9.4%: Net operating revenue was $1,477.5 million, up $126.5 million from $1,351.0 million. Nine-month net operating revenue was $4,390.6 million against $3,968.2 million. Source
  • Adjusted EPS rose 19.4%: Adjusted EPS was $1.23 against $1.03, up 19.4%. Nine-month adjusted EPS was $3.99 against $3.26. Adjustments removed a $0.01 per share change in fair market value of marketable securities. Source
  • Adjusted EBITDA rose 11.4%: Adjusted EBITDA was $300.1 million against $269.3 million, up 11.4%. Nine-month Adjusted EBITDA was $932.3 million against $814.1 million. Source
  • Adjusted EBITDA guidance raised: Full-year Adjusted EBITDA guidance is $1,235 to $1,255 million, against $1,220 to $1,250 million previously. Source
  • Adjusted EPS guidance raised: Full-year adjusted EPS from continuing operations is $5.22 to $5.37, against $5.12 to $5.34 previously. Source
  • Adjusted free cash flow fell 8.2%: Adjusted free cash flow was $174.2 million against $189.7 million, down 8.2%. Nine-month adjusted free cash flow was $582.5 million against $499.8 million. Source
  • Three hospitals opened in quarter: Three hospitals opened in the quarter: 40 beds in Danbury, Connecticut, the company's first in that state; 50 beds in Daytona Beach, Florida; and 50 beds in Wildwood, Florida (The Villages). Another 39 beds were added to existing hospitals. Source

“During the quarter, we further increased our capacity to serve patients in need of inpatient rehabilitation care by opening three new hospitals and adding 39 beds to existing hospitals,”

President and Chief Executive Officer Mark Tarr

Guidance

AreaPeriodFigureAgainst last quarter
Net operating revenue SourceFull-year 2025$5,905 to $5,955Raised from $5,880 to $5,980
Adjusted EBITDA SourceFull-year 2025$1,235 to $1,255Raised from $1,220 to $1,250
Adjusted earnings per share from continuing operations attributable to Encompass Health SourceFull-year 2025$5.22 to $5.37Raised from $5.12 to $5.34
Interest expense and amortization of debt discounts and fees SourceFull-year 2025approximately $125 millionKept
Amortization of debt-related items SourceFull-year 2025approximately $10 millionKept

What changed from last quarter

  • Guidance raised: Full-year 2025 net operating revenue range changed to $5,905 to $5,955 million from $5,880 to $5,980 million. Source
  • Guidance raised: Full-year 2025 Adjusted EBITDA range raised to $1,235 to $1,255 million from $1,220 to $1,250 million. Source
  • Guidance raised: Full-year 2025 adjusted EPS from continuing operations raised to $5.22 to $5.37 from $5.12 to $5.34. Source
  • Guidance kept: Interest expense and amortization of debt discounts and fees kept at approximately $125 million for 2025. Source
  • New: Hospital count rose to 171 in 39 states and Puerto Rico, with the first hospital in Connecticut opened this quarter. Source

Results and growth drivers

  • Net operating revenue rose 9.4%: Net operating revenue was $1,477.5 million, up $126.5 million from $1,351.0 million. Nine-month net operating revenue was $4,390.6 million against $3,968.2 million. Source
  • Diluted EPS from continuing operations rose: Income from continuing operations attributable to Encompass Health was $1.24 per diluted share against $1.07, up 15.9%. Nine-month diluted EPS from continuing operations was $4.13 against $3.31. Source
  • Adjusted EPS rose 19.4%: Adjusted EPS was $1.23 against $1.03, up 19.4%. Nine-month adjusted EPS was $3.99 against $3.26. Adjustments removed a $0.01 per share change in fair market value of marketable securities. Source
  • Adjusted EBITDA rose 11.4%: Adjusted EBITDA was $300.1 million against $269.3 million, up 11.4%. Nine-month Adjusted EBITDA was $932.3 million against $814.1 million. Source
  • Revenue per discharge rose 3.3%: Net patient revenue per discharge was $21,679 against $20,987, up 3.3%. Source

Full-year 2025 guidance update

  • Revenue guidance range narrowed: Full-year net operating revenue guidance is $5,905 to $5,955 million, against $5,880 to $5,980 million. The low end rose $25 million and the high end fell $25 million. Source
  • Adjusted EBITDA guidance raised: Full-year Adjusted EBITDA guidance is $1,235 to $1,255 million, against $1,220 to $1,250 million previously. Source
  • Adjusted EPS guidance raised: Full-year adjusted EPS from continuing operations is $5.22 to $5.37, against $5.12 to $5.34 previously. Source
  • Interest and debt amortization estimates kept: Reasonably estimable GAAP amounts for 2025 are interest expense of approximately $125 million and amortization of debt-related items of approximately $10 million, both unchanged. Source

“Our value proposition and operating strategy continue to be validated and we remain highly optimistic about the long-term prospects of our business.”

President and Chief Executive Officer Mark Tarr

Operating cost lines

  • Salaries and benefits were largest cost: Salaries and benefits were $784.8 million against $732.1 million, the largest operating cost line. Nine-month salaries and benefits were $2,314.8 million against $2,144.2 million. Source
  • Other operating expenses rose: Other operating expenses were $231.1 million against $202.4 million. Nine-month other operating expenses were $662.4 million against $596.2 million. Source
  • Supplies and G&A rose: Supplies were $64.6 million against $60.6 million, and general and administrative expenses were $56.1 million against $54.0 million. Source
  • Depreciation rose while interest fell: Depreciation and amortization was $82.4 million against $78.4 million. Interest expense and amortization of debt discounts and fees was $30.8 million against $34.9 million. Source

Cash, capital and shareholder returns

  • Adjusted free cash flow fell 8.2%: Adjusted free cash flow was $174.2 million against $189.7 million, down 8.2%. Nine-month adjusted free cash flow was $582.5 million against $499.8 million. Source
  • Maintenance capex rose: Maintenance capital expenditures were $61.4 million against $46.2 million for the quarter, and $140.5 million against $133.8 million for nine months. Source
  • Operating cash flow edged up: Net cash provided by operating activities was $270.8 million against $267.8 million, up 1.1%. Nine-month operating cash flow was $829.6 million against $724.0 million. Source
  • Repurchases and dividends increased: Nine-month share repurchases were $81.7 million against $23.6 million, and dividends paid were $52.1 million against $45.8 million. Source
  • Purchases of property and equipment rose: Purchases of property, equipment, and intangible assets were $507.1 million for the nine months, against $443.8 million. Source
  • Cash balance fell from year-end: Cash and cash equivalents were $48.7 million at September 30, 2025, against $85.4 million at December 31, 2024. Source

“Encompass Health was recently named ‘America’s Most Awarded Leader in Inpatient Rehabilitation’ by Newsweek and Statista for the sixth consecutive year.”

President and Chief Executive Officer Mark Tarr

New hospitals and beds

  • Three hospitals opened in quarter: Three hospitals opened in the quarter: 40 beds in Danbury, Connecticut, the company's first in that state; 50 beds in Daytona Beach, Florida; and 50 beds in Wildwood, Florida (The Villages). Another 39 beds were added to existing hospitals. Source
  • Footprint grew to 171 hospitals: The footprint is 171 hospitals in 39 states and Puerto Rico, against 169 hospitals in 38 states and Puerto Rico in the second-quarter release. Source
  • Second-quarter Fort Myers opening: The second-quarter release reported a new 60-bed hospital in Fort Myers, Florida, and 26 beds added to an existing hospital.

Changes from second-quarter release

  • Second-quarter revenue grew 12.0%: Second-quarter revenue grew 12.0%, which the release attributed to increased discharges and pricing.
  • Second-quarter Adjusted EBITDA rose 17.2%: Second-quarter Adjusted EBITDA rose 17.2%, from increased revenue and expense leverage.
  • Second-quarter operating cash rose 24.3%: Second-quarter operating cash flow rose 24.3% to $270.2 million, primarily due to higher net income.
  • Second-quarter discharges grew 7.2%: Second-quarter discharges grew 7.2%, including same-store growth of 4.7%; net patient revenue per discharge grew 4.2%.
  • Second-quarter adjusted FCF rose 30.5%: Second-quarter adjusted free cash flow rose 30.5% to $185.9 million, against $142.5 million.

Coming up, as management said on 29 October 2025

  • Form 10-Q not yet filed: The Form 10-Q for the quarter ended September 30, 2025 is listed as not yet filed, when filed, in the release. Source

Figures management reported

FigureReported
Patient volumes (discharges) Source65,839 discharges, up 5.0% from 62,715
Same-store discharge growth Source2.9%

Risks management discussed

  • Financial: Items management cannot predict, such as settlements and restructuring, could be material to GAAP results. Source

Earlier plans management reported on

  • Not stated: The company says it increased the full-year 2025 guidance, with updated ranges shown in the release. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.