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Pennant Group, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 6 May 2026: press release. The quarter’s numbers.

Key takeaways

  • Revenue rose 36.0% year over year: Total revenue was $285.4 million, up $75.5 million from $209.8 million in the prior year quarter. Source
  • Adjusted EPS rose to $0.32: Adjusted diluted EPS was $0.32 against $0.27. GAAP diluted EPS was $0.24 against $0.22. Source
  • Consolidated Adjusted EBITDA rose 32.6%: Consolidated Adjusted EBITDA was $21.7 million. Adjusted EBITDA prior to NCI was $23.5 million, up 37.2%. Source
  • Home health and hospice revenue up 43.3%: Home Health and Hospice Services revenue was $229.1 million. Segment adjusted EBITDA from operations was $33.6 million, up 33.7%. Source
  • Cash fell to $4.9 million: Cash was $4.9 million at March 31, 2026, against $17.0 million at December 31, 2025. Source
  • Operating cash outflow narrowed: Net cash used in operating activities was $3.4 million, against $21.2 million a year earlier. Investing outflow was $5.4 million against $50.3 million. Source
  • Integrating over 50 Southeast operations: Management described the work of integrating over 50 operations in the southeast as a heavy demand on the company during the quarter. Source
  • Two of five waves transitioned: Two of five waves of acquired operations are fully transitioned, with leaders in place across the acquired agencies. Source

“After a year of dramatic expansion, we are driving operational excellence across both segments, including at our newly-acquired operations in the southeast, even as we complete their integration.”

Brent Guerisoli, the Company's Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Total revenuefull year 2026between $1,133.6 million and $1,171.8 million
Adjusted diluted EPSfull year 2026between $1.26 and $1.36
Adjusted EBITDAfull year 2026between $88.5 million and $94.1 million
Adjusted EBITDA prior to NCIfull year 2026$94.2 million to $100.0 million
Share count and tax rate assumptionsfull year 2026approximately 37.0 million diluted shares; 26.0% effective tax rate
Former UnitedHealth and Amedisys assetsfull year 2026revenue $191.2 million to $200.3 million; adjusted EBITDA $16.7 million to $17.9 million; adjusted EBITDA prior to NCI $19.8 million to $21.1 million

What changed from last quarter

  • New: Agency count is 174 home health and hospice agencies, up from 172 in the prior quarter's release. Source

Results and growth drivers

  • Revenue rose 36.0% year over year: Total revenue was $285.4 million, up $75.5 million from $209.8 million in the prior year quarter. Source
  • Adjusted EPS rose to $0.32: Adjusted diluted EPS was $0.32 against $0.27. GAAP diluted EPS was $0.24 against $0.22. Source
  • Consolidated Adjusted EBITDA rose 32.6%: Consolidated Adjusted EBITDA was $21.7 million. Adjusted EBITDA prior to NCI was $23.5 million, up 37.2%. Source
  • Net income rose 9.6%: Net income for the quarter was $8.5 million, up $0.7 million from the prior year quarter. Adjusted net income was $11.5 million. Source

Segments and regions

  • Home health and hospice revenue up 43.3%: Home Health and Hospice Services revenue was $229.1 million. Segment adjusted EBITDA from operations was $33.6 million, up 33.7%. Source
  • Senior living revenue up 12.6%: Senior Living Services revenue was $56.3 million. Segment adjusted EBITDA from operations was $6.4 million, up 30.6%. Source

“Despite the heavy demands of integrating over 50 operations in the southeast and the headwinds of a 1.3% home health reimbursement cut, our same store margins improved”

John Gochnour, the Company's Chief Operating Officer

Payor mix and customers

  • Medicare share of revenue rose: Medicare revenue was $144.9 million, or 50.8% of total revenue, against $101.1 million or 48.2% a year earlier. Source
  • Managed care share of revenue rose: Managed care revenue was $45.7 million, or 16.0% of total revenue, against 14.6% a year earlier. Source
  • Medicaid share held steady: Medicaid revenue was $37.3 million, or 13.1% of total revenue, against 13.0% a year earlier. Source

Costs and corporate expense

  • Cost of services and G&A rose: Cost of services was $232.7 million against $168.7 million. General and administrative expense was $19.7 million against $14.8 million. Source
  • Unallocated corporate expense rose: Unallocated corporate expenses were $18.3 million against $13.7 million in the prior year quarter. Source
  • Share-based comp and acquisition costs: Share-based compensation expense was $2.6 million and acquisition related costs were $0.4 million. Both are adjusted out of non-GAAP results. Source

“As we continue to transition new operations and incrementally reduce duplicative expenses, we will unlock additional latent potential across our operations and drive margins toward our long term targets.”

John Gochnour, the Company's Chief Operating Officer

Margins and pricing

  • Same store margins improved: The COO said same store margins improved and that management is pushing for operational excellence at every level across operations. Source
  • Senior living rate per room rose: Average monthly revenue per occupied room was $5,388, an increase of $195 or 3.8% over the prior year quarter. Source
  • Medicare episode rate eased 0.2%: Total average Medicare revenue per 60-day completed episode was $3,689, down 0.2% from $3,698. Source

Demand and census

  • Same agency admissions up 5.8%: Same agency total home health admissions were 18,264, up 5.8% from 17,268. Source
  • Same agency Medicare admissions up 9.2%: Same agency Medicare home health admissions were 7,693, up 9.2% from 7,048. Source
  • Same agency hospice census up 10.2%: Same agency hospice average daily census was 3,952, up 10.2% from 3,585. Source
  • Total hospice admissions up 27.0%: Total hospice admissions were 4,805 in the quarter, up 27.0% from 3,783. Source

Cash and capital

  • Cash fell to $4.9 million: Cash was $4.9 million at March 31, 2026, against $17.0 million at December 31, 2025. Source
  • Operating cash outflow narrowed: Net cash used in operating activities was $3.4 million, against $21.2 million a year earlier. Investing outflow was $5.4 million against $50.3 million. Source
  • Financing used $3.3 million: Net cash used in financing activities was $3.3 million, against $52.5 million provided in the prior year quarter. Source
  • Long-term debt $164.7 million: Long-term debt was $164.7 million against $168.8 million at December 31, 2025, plus $5.0 million of current maturities. Source

Integration and strategy

  • Integrating over 50 Southeast operations: Management described the work of integrating over 50 operations in the southeast as a heavy demand on the company during the quarter. Source
  • Two of five waves transitioned: Two of five waves of acquired operations are fully transitioned, with leaders in place across the acquired agencies. Source
  • Census above acquisition levels: Total census at the acquired operations is above acquisition levels. Management cites momentum in its mature businesses alongside this. Source
  • Transition services fees $2.8 million: Fees under the UnitedHealth transition services agreement were $2.8 million for the quarter, and related costs are adjusted out of non-GAAP results. Source

Coming up, as management said on 6 May 2026

  • Form 10-Q to be filed: More complete information will be in the Form 10-Q for the quarter, which the company says will be filed with the SEC. Source

Figures management reported

FigureReported
Total home health admissions Source30,721 (up 62.7%)
Total Medicare home health admissions Source13,303 (up 75.1%)
Hospice average daily census Source5,199 (up 37.0%)
Same agency home health and hospice revenue Source$159,917 thousand (up 11.1%)
Same store senior living revenue Source$51,550 thousand (up 7.5%)
Senior living occupancy Source78.6%

Risks management discussed

  • Regulatory: A 1.3% home health reimbursement cut was cited as a headwind during the quarter. Source
  • Operational: Integrating over 50 southeast operations was described as a heavy demand on the company. Source

Earlier plans management reported on

  • On track: Management said the integration of the acquired southeast operations is proceeding in line with its expectations. Source
  • Not stated: Management said it will reduce duplicative expenses and move margins toward its long-term targets. No timing was given. 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.