Encompass Health
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Encompass Health (EHC) investor relations material

Encompass Health Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary6 Aug, 2026

Executive summary

  • Q2 2026 net operating revenue rose 9.6% year-over-year to $1,597.4 million, with Adjusted EBITDA up 9.2% to $348.0 million and adjusted EPS up 10.7% to $1.55.

  • Discharges grew 5.6% year-over-year, and net patient revenue per discharge increased 3.9%.

  • Opened three new hospitals and added 54 beds in H1 2026; five more hospitals and 100–150 beds planned for the remainder of 2026.

  • Guidance for 2026 was raised, reflecting strong Q2 results and continued demand for inpatient rehabilitation services.

  • Continued shareholder returns through increased dividends and expanded share repurchase authorization to $1 billion.

Financial highlights

  • Net patient revenue per discharge increased 3.9% year-over-year to $22,521 in Q2.

  • Adjusted free cash flow for Q2 was $177.0 million, down 4.8% year-over-year.

  • Premium labor costs declined $2.6 million to $25 million, with contract labor FTEs at 1.1% of total FTEs.

  • Bad debt expense was 2.3% of revenue, in line with expectations.

  • Quarterly dividend increased to $0.21 per share, effective October 2026.

Outlook and guidance

  • Full-year 2026 guidance: net operating revenue of $6.41–$6.49 billion, Adjusted EBITDA of $1.365–$1.395 billion, and adjusted EPS of $6.02–$6.25.

  • Medicare pricing for Q4 assumes a 2.3% increase per the IRF final rule.

  • 8 new hospitals (389 beds) and 150–200 beds to existing hospitals planned for 2026.

  • Maintenance CAPEX expected at $225–$240 million; adjusted free cash flow guidance $760–$865 million.

  • SWB per FTE growth expected at 3.5–4% for 2026.

Strategy for small format hospital expansion
Impact of CMS TEAM model on 2026 discharges
Status of RCD rollout in Texas and California
Explain the decline in Q2 adjusted free cash flow
H2 2026 hospital and bed expansion targets
Detail the updated share repurchase authorization
North Carolina CON repeal impact on de novo growth
Scaling the MA admit and appeal pilot program
Impact of career ladders on labor and turnover
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