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Pennant Group, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 4 November 2026: press release. The quarter’s numbers.

Key takeaways

  • Revenue rose 32% to $302.3M: Total revenue was $302.3 million, up $73.2 million or 32.0% from $229.0 million a year earlier. Nine-month revenue was $885.6 million, against $658.4 million. Source
  • Adjusted diluted EPS $0.35 vs $0.30: Adjusted diluted EPS was $0.35 against $0.30. Adjusted net income rose $2.2 million, or 21.6%, to $12.7 million. Nine-month adjusted diluted EPS was $1.03 against $0.84. Source
  • Home Health and Hospice revenue up 38%: Home Health and Hospice Services revenue was $239.8 million, up $66.2 million or 38.2%. Segment adjusted EBITDA from operations was $38.1 million, up 42.0%, and segment adjusted EBITDAR was $41.4 million. Source
  • Adjusted EBITDA prior to NCI up 44%: Consolidated Adjusted EBITDA prior to NCI was $26.1 million, up 44.0%, while revenue rose 32.0%. The nine-month figure was $75.7 million, against $52.5 million. Source
  • Medicare revenue per episode down 2.2%: Average Medicare revenue per 60-day completed episode was $3,632, down $80 or 2.2% from $3,712 a year earlier. Source
  • Same store admissions up 8%: Same store home health admissions were 17,825, up 8.0%. Same store Medicare home health admissions were 7,383, up 12.0%. Source
  • Senior living occupancy declined: Average senior living occupancy was 78.4%, down 250 basis points. Same store occupancy was 81.2%, down 60 basis points. Source
  • Operating cash flow rose: Net cash from operating activities was $43.5 million for the nine months, against $27.3 million a year earlier. Source

“These investments have improved us as an organization and have allowed us to effectively transition a large number of acquisitions while simultaneously improving results at our same store operations.”

John Gochnour, the Company’s Chief Operating Officer

Guidance

AreaPeriodFigureAgainst last quarter
Total revenuefull year 2026$1,171.1 million to $1,190.1 million
Adjusted diluted EPSfull year 2026$1.34 to $1.41
Adjusted EBITDAfull year 2026$94.4 million to $98.0 million
Adjusted EBITDA prior to NCIfull year 2026$101.5 million to $105.1 million
Former UnitedHealth and Amedisys assets: revenue2026$196.0 million to $198.0 million
Former UnitedHealth and Amedisys assets: adjusted EBITDA2026$17.0 million to $18.6 million
Former UnitedHealth and Amedisys assets: adjusted EBITDA prior to NCI2026$20.8 million to $22.5 million
Diluted weighted average shares2026approximately 37.0 million
Effective tax rate202626.0%

What changed from last quarter

  • New: The company description lists 70 senior living communities, up from 69 in the prior-quarter release. Source

Results and growth drivers

  • Revenue rose 32% to $302.3M: Total revenue was $302.3 million, up $73.2 million or 32.0% from $229.0 million a year earlier. Nine-month revenue was $885.6 million, against $658.4 million. Source
  • Net income and diluted EPS rose: Net income attributable to The Pennant Group was $9.6 million, up 58.5%. Diluted EPS was $0.26 against $0.17. Nine-month diluted EPS was $0.76 against $0.59. Source
  • Adjusted diluted EPS $0.35 vs $0.30: Adjusted diluted EPS was $0.35 against $0.30. Adjusted net income rose $2.2 million, or 21.6%, to $12.7 million. Nine-month adjusted diluted EPS was $1.03 against $0.84. Source
  • Adjusted EBITDA up 42%: Consolidated Adjusted EBITDA was $24.7 million, up $7.4 million or 42.4%. Consolidated Adjusted EBITDAR was $38.4 million, up 31.1%. Source

Segments and regions

  • Home Health and Hospice revenue up 38%: Home Health and Hospice Services revenue was $239.8 million, up $66.2 million or 38.2%. Segment adjusted EBITDA from operations was $38.1 million, up 42.0%, and segment adjusted EBITDAR was $41.4 million. Source
  • Senior Living revenue up 12.6%: Senior Living Services revenue was $62.4 million, up $7.0 million or 12.6%. Senior living segment adjusted EBITDAR from operations was $16.2 million, up 5.7%, and segment adjusted EBITDA was $5.7 million, up 3.0%. Source
  • Locations in 13 states: Operations are located in 13 states, from Arizona through Wyoming. Source

“Our third quarter results are consistent with our full-year guidance and put us on track for a successful conclusion to the year.”

Brent Guerisoli, the Company’s Chief Executive Officer

Products and customers

  • Medicare reached 50.6% of revenue: Medicare revenue was $153.0 million, or 50.6% of total revenue, up from 47.5% a year earlier. Medicaid was $40.0 million, or 13.2%, against 13.7%. Source
  • Managed care share rose: Managed care revenue was $48.0 million, or 15.9%, up from 14.4%. Private and other payors were 20.3% of revenue, down from 24.4%. Source
  • Service-line revenue mix: Home health revenue was $118.2 million, hospice $104.8 million and home care and other $16.8 million, against $81.5 million, $76.4 million and $15.7 million a year earlier. Source

Costs and adjusted items

  • Cost of services rose to $248.1M: Cost of services was $248.1 million against $185.4 million. Rent in cost of services was $13.8 million against $12.1 million. General and administrative expense was $20.6 million against $19.3 million. Source
  • Share-based pay and acquisition costs: Share-based compensation expense was $3.4 million against $2.5 million. Acquisition-related costs were $0.1 million against $3.0 million. Source
  • Transition fees excluded from adjusted results: Transition services fees under the UnitedHealth agreement were $1.55 million in the quarter and $6.9 million for nine months. These costs are excluded from adjusted results. Source
  • Insurance gain on memory care property: A gain on disposition of property and equipment of $504 thousand was recorded in the quarter. Management says insurance proceeds on a memory care property are recorded in that line. Source

Margins and pricing

  • Adjusted EBITDA prior to NCI up 44%: Consolidated Adjusted EBITDA prior to NCI was $26.1 million, up 44.0%, while revenue rose 32.0%. The nine-month figure was $75.7 million, against $52.5 million. Source
  • Senior living rate per occupied room up: Average monthly revenue per occupied room in senior living was $5,385, up $190 or 3.7%. Same store monthly revenue per occupied room was $5,370, up 4.6%. Source
  • Medicare revenue per episode down 2.2%: Average Medicare revenue per 60-day completed episode was $3,632, down $80 or 2.2% from $3,712 a year earlier. Source
  • Same-agency Medicare episode revenue rose: Same-agency average Medicare revenue per 60-day episode was $3,807, up $61 or 1.6% from $3,746. Source
  • Hospice Medicare revenue per day up: Hospice Medicare revenue per day was $193, up $4 or 2.1% from $189. Source

Patient volumes and census

  • Home health admissions up 39%: Total home health admissions were 28,479, up 8,053 or 39.4%. Total Medicare home health admissions were 11,347, up 38.0%. Source
  • Same store admissions up 8%: Same store home health admissions were 17,825, up 8.0%. Same store Medicare home health admissions were 7,383, up 12.0%. Source
  • Hospice census up 35%: Average daily census was 5,443, up 34.6%. Same store hospice average daily census was 4,164, up 13.0%. Hospice admissions were 4,590, up 31.8%. Source
  • Senior living occupancy declined: Average senior living occupancy was 78.4%, down 250 basis points. Same store occupancy was 81.2%, down 60 basis points. Source

Capital, cash and share count

  • Operating cash flow rose: Net cash from operating activities was $43.5 million for the nine months, against $27.3 million a year earlier. Source
  • Investing and financing cash flows: Investing activities used $68.5 million and financing activities provided $26.3 million in the nine months. Cash at period end was $18.4 million. Source
  • Long-term debt rose: Long-term debt, net was $193.3 million at September 30, 2026, up from $168.8 million at December 31, 2025. Current maturities were $5.0 million. Source
  • Interest expense and equity income: Interest expense, net was $3.6 million in the quarter, against $1.0 million. Income from the equity method investment was $1.4 million. Source
  • Property and equipment rose: Property and equipment, net was $93.4 million at September 30, 2026, up from $61.0 million at December 31, 2025. Source
  • Diluted share count rose: Diluted weighted average shares were 36.4 million in the quarter, against 35.3 million a year earlier. Source

Strategy and investment

  • Five key initiatives continue: The company continues to drive five initiatives: leadership development, clinical excellence, margin, growth and employee experience. Source
  • Footprint added over two years: Over the last two years the company added 75 home health and hospice locations and 16 senior living communities, the COO said. Source

People and leadership

  • Investment in operational leaders: The company says it has made investments in operational leaders, service center support and enhanced infrastructure as it has grown. Source
  • Accrued wages declined: Accrued wages and related liabilities were $55.7 million at September 30, 2026, against $65.2 million at December 31, 2025. Source

Coming up, as management said on 4 November 2026

  • Form 10-Q for nine months: The company will file its Form 10-Q for the three and nine months ended September 30, 2026, which will contain more complete information. Source

Figures management reported

FigureReported
Total home health admissions Source28,479 (up 39.4%)
Same store home health admissions Source17,825 (up 8.0%)
Hospice average daily census Source5,443 (up 34.6%)
Same store hospice average daily census Source4,164 (up 13.0%)
Same agency home health and hospice revenue Source$169.2 million (up 10.5%)
Same store senior living revenue Source$52.8 million (up 2.8%)
Same store senior living occupancy Source81.2% (down 60 basis points)

Earlier plans management reported on

  • On track: Management says third-quarter results are consistent with full-year guidance and put the company on track for a successful year-end. 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.