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Pennant Group, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 5 August 2026: press release. The quarter’s numbers.

Key takeaways

  • Revenue rose 35.8% to $298.0M: Second-quarter revenue was $298.0 million, up $78.5 million or 35.8%. Net income attributable to the company was $9.1 million, up 28.2%. GAAP diluted EPS was $0.25, against $0.20. Source
  • Adjusted EPS $0.36 against $0.27: Adjusted net income was $12.8 million, up 36.5%. Adjusted diluted EPS was $0.36, against $0.27 a year earlier. Year-to-date adjusted diluted EPS was $0.68, against $0.54. Source
  • Adjusted EBITDA up 48.2%: Consolidated Adjusted EBITDA was $24.3 million, up 48.2%. Consolidated Adjusted EBITDA prior to NCI was $26.1 million, up 51.0%. Consolidated Adjusted EBITDAR was $37.6 million. Source
  • Guidance reflects year-to-date results: The updated annual guidance reflects management expectations based on year-to-date performance and current operating conditions, as the CFO stated. Source
  • Home health and hospice revenue up 43.2%: Home Health and Hospice Services revenue was $237.8 million. Segment adjusted EBITDA from operations was $37.7 million, up 48.2%, and segment adjusted EBITDAR from operations was $41.0 million. Source
  • Home health admissions up 62.3%: Total home health admissions were 28,947, up 62.3%, against 30,721 in the first quarter. Same-store admissions were 17,854, up 9.7%. Source
  • Southeast integration running ahead: At the first-quarter release, two of five integration waves were fully transitioned. In the second quarter, management said integration is unfolding ahead of expectations, with the two largest waves now transitioning.

“We are driving operational excellence across both segments, including at our recently-acquired operations in the southeast, even as we complete their integration.”

Brent Guerisoli, the Company’s Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue SourceFull year 2026$1,171.1 million to $1,190.1 million
Adjusted diluted EPS SourceFull year 2026$1.34 to $1.41
Adjusted EBITDA SourceFull year 2026$94.4 million to $98.0 million
Adjusted EBITDA prior to NCI SourceFull year 2026$101.5 million to $105.1 million
Share count and tax rate SourceFull year 2026approximately 37.0 million diluted shares; 26.0% effective tax rate
Former UnitedHealth and Amedisys assets: revenue SourceFull year 2026$196.0 million to $198.0 million
Former UnitedHealth and Amedisys assets: adjusted EBITDA SourceFull year 2026$17.0 million to $18.6 million
Former UnitedHealth and Amedisys assets: adjusted EBITDA prior to NCI SourceFull year 2026$20.8 million to $22.5 million

What changed from last quarter

  • New: Footprint at quarter end was 175 home health and hospice agencies and 69 senior living communities. The first-quarter release listed 174 and 63. Source
  • New: An equity method investment of $28.8 million appears on the June 30, 2026 balance sheet. Income from the equity method investment was $0.4 million in the quarter. Source

Results and growth drivers

  • Revenue rose 35.8% to $298.0M: Second-quarter revenue was $298.0 million, up $78.5 million or 35.8%. Net income attributable to the company was $9.1 million, up 28.2%. GAAP diluted EPS was $0.25, against $0.20. Source
  • Adjusted EPS $0.36 against $0.27: Adjusted net income was $12.8 million, up 36.5%. Adjusted diluted EPS was $0.36, against $0.27 a year earlier. Year-to-date adjusted diluted EPS was $0.68, against $0.54. Source
  • Adjusted EBITDA up 48.2%: Consolidated Adjusted EBITDA was $24.3 million, up 48.2%. Consolidated Adjusted EBITDA prior to NCI was $26.1 million, up 51.0%. Consolidated Adjusted EBITDAR was $37.6 million. Source
  • Revenue and EBITDA above first quarter: The first-quarter release reported revenue of $285.4 million and Consolidated Adjusted EBITDA of $21.7 million, so both measures were higher in the second quarter.

Full-year 2026 guidance

  • Guidance reflects year-to-date results: The updated annual guidance reflects management expectations based on year-to-date performance and current operating conditions, as the CFO stated. Source
  • Guidance assumptions and exclusions: Guidance includes transition services agreement costs with UnitedHealth, reimbursement rate adjustments and no unannounced acquisitions. It excludes noncontrolling interest, tax-effected start-up costs, share-based compensation, acquisition costs, and asset disposal gains or impairments. Source
  • Former assets guided separately: Guidance for the former UnitedHealth and Amedisys assets covers revenue, adjusted EBITDA and adjusted EBITDA prior to noncontrolling interest, as the CFO described. Source

“We have been focused on operational excellence at every level, which is producing compelling clinical results and record financial performance.”

John Gochnour, the Company’s Chief Operating Officer

Segments and revenue mix

  • Home health and hospice revenue up 43.2%: Home Health and Hospice Services revenue was $237.8 million. Segment adjusted EBITDA from operations was $37.7 million, up 48.2%, and segment adjusted EBITDAR from operations was $41.0 million. Source
  • Senior living revenue up 12.6%: Senior Living Services revenue was $60.2 million, up 12.6%. Segment adjusted EBITDA from operations was $5.8 million, up 13.2%, and segment adjusted EBITDAR from operations was $16.0 million, up 7.9%. Source
  • Home health and hospice share of revenue: Home Health and Hospice Services was 79.8% of total revenue, up from 75.6%. Senior Living Services was 20.2%, down from 24.4% a year earlier. Source

Products and customers

  • Hospice census up 40.1%: Hospice average daily census was 5,477, up 40.1%. Same-store census was 4,089, up 10.8%. Hospice Medicare revenue per day was $191, up 0.5%. Source
  • Medicare share of revenue rose: Medicare revenue was $151.7 million, or 50.9% of total, against 47.3% a year earlier. Medicaid was 13.4% of revenue, against 14.0%. Source
  • Managed care share increased: Managed care revenue was $47.9 million, or 16.1% of total, against $30.6 million or 13.9% a year earlier. Private and other payors fell to 19.6% from 24.8%. Source

“We believe providing updated annual adjusted consolidated EBITDA guidance in addition to updated annual revenue and adjusted earnings per share guidance is helpful to understanding our expectations for our business and operational cash flow.”

Lynette Walbom, the Company’s Chief Financial Officer

Costs

  • Cost of services rose to $242.6M: Cost of services was $242.6 million, against $177.3 million a year earlier. Rent in cost of services was $13.4 million, against $11.9 million. Source
  • General and administrative expense up: General and administrative expense was $21.6 million, against $17.6 million. Unallocated corporate expenses in segment reporting were $19.3 million. Source
  • Share-based compensation rose: Share-based compensation expense was $3.1 million, against $2.2 million. Acquisition related costs were $0.4 million, against $2.2 million a year earlier. Source

Margins and pricing

  • Medicare revenue per episode slipped: Average Medicare revenue per 60-day completed episode was $3,716, down 1.9% from $3,788. The same-store figure was $3,823, up 0.4%. Source
  • Same-store senior living rate up: Same-store average monthly revenue per occupied room was $5,413, up 5.5%. Total average monthly revenue per occupied room was $5,392, up 3.9%. Source
  • Payment landscape seen as steadier: The COO said the company's recent experience positions it to benefit from a more stable payment landscape he sees ahead, after a challenging reimbursement period. Source

Demand and census

  • Home health admissions up 62.3%: Total home health admissions were 28,947, up 62.3%, against 30,721 in the first quarter. Same-store admissions were 17,854, up 9.7%. Source
  • Same-store Medicare admissions up 13.6%: Same-store Medicare home health admissions were 7,372, up 13.6%. Total Medicare home health admissions were 11,916, up 70.7%. Source
  • Senior living occupancy edged up: Average occupancy was 78.9%, up 10 basis points. Same-store occupancy was 81.6%, up 150 basis points. Source

Capital, cash and debt

  • Operating cash flow positive for six months: Net cash provided by operating activities was $18.4 million for the six months, against $13.4 million a year earlier. The first quarter had used $3.4 million. Source
  • Investing outflows for six months: Net cash used in investing activities was $45.3 million for the six months, against $60.4 million a year earlier. Source
  • Long-term debt higher, cash lower: Long-term debt was $192.5 million at June 30, 2026, against $168.8 million at December 31, 2025. Cash was $15.3 million, against $17.0 million at year-end. Source

Strategy, integration and leadership

  • Southeast integration running ahead: At the first-quarter release, two of five integration waves were fully transitioned. In the second quarter, management said integration is unfolding ahead of expectations, with the two largest waves now transitioning.
  • Senior living growth plans: The COO said senior living work includes pursuing acquisitions, building local care continuums and growing the real estate portfolio. Source
  • Leader development credited: The COO credited a focus on finding and developing leaders for enabling senior living acquisitions and continuum build-out. Source

Non-GAAP measures and reconciliation

  • Start-up operations adjusted: Start-up operations were adjusted by $0.3 million in the quarter, against a negative $0.1 million a year earlier. Adjusted measures exclude these results. Source
  • Purpose of adjusted measures: The company says the adjusted measures provide supplemental information for evaluating operating performance, and that the excluded items are infrequent or do not represent current cash expenditures. Source
  • Adjusted EBITDAR is a valuation measure: Consolidated Adjusted EBITDAR was $37.6 million. The company describes it as a valuation measure that excludes rent, not a performance measure. Source

Coming up, as management said on 5 August 2026

  • Two largest integration waves to finish: Management expects the two largest waves of acquired operations to be fully transitioned by the middle of the fourth quarter. Source
  • Form 10-Q filing for the period: The company says more complete information will be in its Form 10-Q for the three and six months ended June 30, 2026, which it will file with the SEC. Source

Figures management reported

FigureReported
Total home health admissions Source28,947, up 62.3%
Same-store home health admissions Source17,854, up 9.7%
Total Medicare home health admissions Source11,916, up 70.7%
Hospice average daily census Source5,477, up 40.1%
Same-store hospice average daily census Source4,089, up 10.8%
Same-store senior living occupancy Source81.6%, up 150 basis points
Average Medicare revenue per 60-day completed episode Source$3,716, down 1.9%
Same-store senior living revenue Source$52.9 million, up 7.1%

Risks management discussed

  • Operational: Integration of recently acquired southeast operations is ongoing, with the two largest waves still being transitioned. Source
  • Operational: Fees under the transition services agreement with UnitedHealth were $2.5 million in the quarter and $5.3 million for six months. The company reports related costs as adjustments. Source
  • Regulatory: The COO described the reimbursement environment of recent years as challenging, and the guidance includes reimbursement rate adjustments. Source

Earlier plans management reported on

  • Ahead: The CEO said integration is unfolding ahead of the company's expectations. Source
  • On track: The CEO said the company is on pace to exceed the top end of its original full-year guidance. The original ranges are not given in these documents. 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.