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Encompass Health reports results for fourth quarter 2024 and issues 2025 guidance

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Encompass Health (NYSE: EHC) reported strong Q4 2024 results with significant growth across key metrics. Net operating revenue increased 12.7% to $1,405.0 million, driven by a 7.8% growth in discharges and 4.2% increase in net patient revenue per discharge. Same-store discharge growth was 5.8%.

The company's income from continuing operations per diluted share rose 25.5% to $1.18, while adjusted earnings per share increased 23.2% to $1.17. Cash flows from operating activities grew 38.7% to $278.8 million, and adjusted EBITDA improved 13.6% to $289.6 million.

For 2025, EHC provided guidance projecting net operating revenue between $5,800 to $5,900 million, adjusted EBITDA of $1,160 to $1,200 million, and adjusted earnings per share from continuing operations of $4.67 to $4.96.

Encompass Health (NYSE: EHC) ha riportato risultati solidi per il quarto trimestre del 2024, con una crescita significativa in diversi indicatori chiave. Il fatturato operativo netto è aumentato del 12,7% raggiungendo i 1.405,0 milioni di dollari, grazie a una crescita del 7,8% nei dimissioni e un incremento del 4,2% nel fatturato netto per dimissione. La crescita delle dimissioni nei negozi esistenti è stata del 5,8%.

Il reddito dell'azienda da operazioni continuative per azione diluita è aumentato del 25,5% raggiungendo 1,18 dollari, mentre gli utili per azione rettificati sono cresciuti del 23,2% a 1,17 dollari. I flussi di cassa dalle attività operative sono aumentati del 38,7% raggiungendo 278,8 milioni di dollari, e l'EBITDA rettificato è migliorato del 13,6% a 289,6 milioni di dollari.

Per il 2025, EHC ha fornito previsioni che indicano un fatturato operativo netto compreso tra 5.800 e 5.900 milioni di dollari, un EBITDA rettificato tra 1.160 e 1.200 milioni di dollari e utili per azione rettificati da operazioni continuative compresi tra 4,67 e 4,96 dollari.

Encompass Health (NYSE: EHC) reportó resultados sólidos para el cuarto trimestre de 2024, con un crecimiento significativo en métricas clave. Los ingresos operativos netos aumentaron un 12,7% hasta $1,405.0 millones, impulsados por un crecimiento del 7,8% en los egresos y un incremento del 4,2% en los ingresos netos por egreso. El crecimiento de egresos en tiendas comparables fue del 5,8%.

El ingreso de la compañía de operaciones continuas por acción diluida creció un 25,5% hasta $1.18, mientras que las ganancias por acción ajustadas aumentaron un 23,2% a $1.17. Los flujos de efectivo de las actividades operativas crecieron un 38,7% hasta $278.8 millones, y el EBITDA ajustado mejoró un 13,6% hasta $289.6 millones.

Para 2025, EHC proporcionó una guía proyectando ingresos operativos netos entre $5,800 y $5,900 millones, EBITDA ajustado de $1,160 a $1,200 millones y ganancias por acción ajustadas de operaciones continuas de $4.67 a $4.96.

Encompass Health (NYSE: EHC)는 2024년 4분기 실적을 발표하며 주요 지표에서 상당한 성장을 기록했습니다. 순 운영 수익은 12.7% 증가하여 14억 5백만 달러에 달했으며, 이는 퇴원 수가 7.8% 증가하고 퇴원당 순 환자가 4.2% 증가한 데 따른 것입니다. 동일 매장 퇴원 성장률은 5.8%였습니다.

지속 사업에서의 희석 주당 수익은 25.5% 상승하여 1.18 달러로, 조정 후 주당 수익은 23.2% 증가하여 1.17 달러가 되었습니다. 운영 활동으로 인한 현금 흐름은 38.7% 증가하여 2억 7,880만 달러에 달했으며, 조정 EBITDA는 13.6% 증가하여 2억 8,960만 달러로 개선되었습니다.

2025년을 위해 EHC는 순 운영 수익이 58억에서 59억 달러 사이일 것으로 예상하며, 조정 EBITDA는 11억 6천만에서 12억 달러 사이, 지속 사업의 조정 주당 수익은 4.67에서 4.96 달러 사이로 예측했습니다.

Encompass Health (NYSE: EHC) a annoncé de solides résultats pour le quatrième trimestre 2024, avec une croissance significative dans des indicateurs clés. Le chiffre d'affaires net d'exploitation a augmenté de 12,7 % pour atteindre 1 405,0 millions de dollars, soutenu par une croissance de 7,8 % des sorties et une augmentation de 4,2 % du chiffre d'affaires net par sortie. La croissance des sorties dans les magasins comparables était de 5,8 %.

Le revenu de la société provenant des opérations continues par action diluée a augmenté de 25,5 % à 1,18 dollar, tandis que les bénéfices par action ajustés ont augmenté de 23,2 % à 1,17 dollar. Les flux de trésorerie provenant des activités opérationnelles ont augmenté de 38,7 % pour atteindre 278,8 millions de dollars, et l'EBITDA ajusté s'est amélioré de 13,6 % à 289,6 millions de dollars.

Pour 2025, EHC a fourni des prévisions projetant un chiffre d'affaires net d'exploitation compris entre 5 800 et 5 900 millions de dollars, un EBITDA ajusté de 1 160 à 1 200 millions de dollars et un bénéfice par action ajusté des opérations continues compris entre 4,67 et 4,96 dollars.

Encompass Health (NYSE: EHC) hat starke Ergebnisse für das vierte Quartal 2024 vermeldet, mit signifikantem Wachstum in den wichtigsten Kennzahlen. Der Nettobetriebsumsatz stieg um 12,7% auf 1.405,0 Millionen US-Dollar, angetrieben durch ein Wachstum der Entlassungen um 7,8% und einen Anstieg des Netto-Patientenumsatzes pro Entlassung um 4,2%. Das Wachstum der Entlassungen in vergleichbaren Einrichtungen betrug 5,8%.

Der Gewinn des Unternehmens aus fortgeführten Betrieben pro verwässerter Aktie stieg um 25,5% auf 1,18 US-Dollar, während der bereinigte Gewinn pro Aktie um 23,2% auf 1,17 US-Dollar zunahm. Die Cashflows aus operativen Aktivitäten wuchsen um 38,7% auf 278,8 Millionen US-Dollar, und das bereinigte EBITDA verbesserte sich um 13,6% auf 289,6 Millionen US-Dollar.

Für 2025 gab EHC eine Prognose ab, die einen Nettobetriebsumsatz von 5.800 bis 5.900 Millionen US-Dollar, ein bereinigtes EBITDA von 1.160 bis 1.200 Millionen US-Dollar und einen bereinigten Gewinn pro Aktie aus fortgeführten Betrieben von 4,67 bis 4,96 US-Dollar prognostiziert.

Positive
  • Net operating revenue increased 12.7% to $1,405.0 million in Q4 2024
  • Discharge growth of 7.8% with same-store growth of 5.8%
  • Income from continuing operations per share up 25.5% to $1.18
  • Cash flows from operations increased 38.7% to $278.8 million
  • Adjusted EBITDA grew 13.6% to $289.6 million
  • Added 427 beds capacity through new hospitals and expansions in 2024
Negative
  • None.

Insights

Encompass Health's Q4 2024 results demonstrate exceptional operational execution and strategic expansion. The 12.7% revenue growth was driven by a balanced mix of volume (7.8% discharge growth) and pricing (4.2% revenue per discharge increase), indicating strong market demand and pricing power. The impressive 5.8% same-store discharge growth suggests robust organic growth in existing facilities.

The addition of 427 beds in 2024 through new hospitals and expansions represents a significant capacity increase, positioning the company for sustained growth. This expansion strategy is particularly noteworthy given the growing demand for inpatient rehabilitation services driven by an aging population and increased focus on post-acute care efficiency.

Working capital management has notably improved, as evidenced by the 103.7% increase in adjusted free cash flow to $190.5 million. This enhanced cash conversion efficiency provides greater financial flexibility for future expansion and shareholder returns.

The 2025 guidance implies continued momentum, with revenue growth of approximately 8-10% and adjusted EBITDA margins expected to remain robust around 20%. As the largest operator of inpatient rehabilitation facilities in the U.S., Encompass Health's scale advantages and operational expertise position it well to capture growing market opportunities while maintaining pricing discipline.

BIRMINGHAM, Ala., Feb. 6, 2025 /PRNewswire/ -- Encompass Health Corporation (NYSE: EHC), the largest owner and operator of inpatient rehabilitation hospitals in the United States, today reported its results of operations for the fourth quarter ended December 31, 2024.

Summary results






Growth


Q4 2024


Q4 2023


Dollars


Percent


(In Millions, Except Per Share Data)

Net operating revenue

$      1,405.0


$      1,246.8


$     158.2


12.7 %

Income from continuing operations attributable to Encompass Health per diluted share

1.18


0.94


0.24


25.5 %

Adjusted earnings per share

1.17


0.95


0.22


23.2 %

Cash flows provided by operating activities

278.8


201.0


77.8


38.7 %

Adjusted EBITDA

289.6


255.0


34.6


13.6 %

Adjusted free cash flow

190.5


93.5


97.0


103.7 %









(Actual Amounts)






Discharges

63,839


59,247




7.8 %

   Same-store discharge growth







5.8 %

Net patient revenue per discharge

$       21,399


$       20,538




4.2 %

See attached supplemental information for calculations of non-GAAP measures and reconciliations to their most comparable GAAP measure.

  • Revenue growth of 12.7% resulted primarily from discharge growth of 7.8%, including same-store growth of 5.8%. Net patient revenue per discharge grew 4.2%.
  • Cash flows provided by operating activities increased 38.7% to $278.8 million, primarily due to an increase in net income and favorable change in working capital partly offset by higher cash tax payments.
  • Adjusted EBITDA increased 13.6%, primarily from increased revenue.

"The fourth quarter was a very strong finish to 2024," said President and Chief Executive Officer of Encompass Health Mark Tarr. "Discharge growth of 7.8% facilitated an increase of 12.7% in net operating revenue and an increase of 13.6% in Adjusted EBITDA. For the full year, net operating revenue increased 11.9% and Adjusted EBITDA grew 13.7%."

"In 2024, we increased our capacity by a total of 427 beds through new hospitals and bed additions to existing hospitals. Our value proposition and operating strategy continue to be validated and we remain bullish on the long-term prospects of our business."

2025 Guidance

The Company provided the following guidance for 2025.


2025 Guidance


(In Millions, Except Per Share Data)

Net operating revenue

$5,800 to $5,900

Adjusted EBITDA

$1,160 to $1,200

Adjusted earnings per share from continuing operations attributable to Encompass Health

$4.67 to $4.96

For considerations regarding the Company's 2025 guidance, see the supplemental information posted on the Company's website at http://investor.encompasshealth.com. See also the "Other information" section below for an explanation of why the Company does not provide guidance for comparable GAAP measures for Adjusted EBITDA and adjusted earnings per share.

Earnings conference call and webcast

The Company will host an investor conference call at 10:00 a.m. Eastern Time on Friday, February 7, 2025 to discuss its results for the fourth quarter of 2024. For reference during the call, the Company will post certain supplemental information at http://investor.encompasshealth.com.

The conference call may be accessed by dialing 800 579-2543 and giving the conference ID EHCQ424. International callers should dial 785 424-1789 and give the same conference ID. Please call approximately ten minutes before the start of the call to ensure you are connected. The conference call will also be webcast live and will be available for on-line replay at http://investor.encompasshealth.com by clicking on an available link.

About Encompass Health

Encompass Health (NYSE: EHC) is the largest owner and operator of inpatient rehabilitation hospitals in the United States. With a national footprint that includes 166 hospitals in 38 states and Puerto Rico, the Company provides high-quality, compassionate rehabilitative care for patients recovering from a major injury or illness, using advanced technology and innovative treatments to maximize recovery. Encompass Health is ranked as one of Fortune's World's Most Admired CompaniesTM, Becker's Hospital Review's 150 Top Places to Work in Healthcare and Forbes' Most Trusted Companies in America.1 For more information, visit encompasshealth.com, or follow us on our newsroom, Twitter, Instagram and Facebook.

1 Fortune © 2025 Fortune Media IP Limited. All rights reserved. Fortune® is a registered trademark and Fortune World's Most Admired Companiesis a trademark of Fortune Media IP Limited and are used under license. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of, Encompass Health.  Forbes © 2024 Forbes Media LLC. All rights reserved. Used under license.

Other information

The information in this press release is summarized and should be read in conjunction with the Company's Annual Report on Form 10-K for the year ended December 31, 2024 (the "2024 Form 10-K"), when filed, as well as the Company's Current Report on Form 8-K filed on February 6, 2025 (the "Q4 Earnings Form 8-K"), to which this press release is attached as Exhibit 99.1. In addition, the Company will post supplemental information today on its website at http://investor.encompasshealth.com for reference during its February 7, 2025 earnings call.

The financial data contained in the press release and supplemental information include non-GAAP financial measures, including the Company's adjusted earnings per share, leverage ratio, Adjusted EBITDA, and adjusted free cash flow. Reconciliations to their most comparable GAAP measure, except with regard to non-GAAP guidance, are included below or in the Q4 Earnings Form 8-K. Readers are encouraged to review the "Note Regarding Presentation of Non-GAAP Financial Measures" included in the Q4 Earnings Form 8-K which provides further explanation and disclosure regarding the Company's use of these non-GAAP financial measures.

Excluding net operating revenues, the Company does not provide guidance on a GAAP basis because it is unable to predict, with reasonable certainty, the future impact of items that are deemed to be outside the control of the Company or otherwise not indicative of its ongoing operating performance. Such items include government, class action, and related settlements; professional fees—accounting, tax, and legal; mark-to-market adjustments for stock appreciation rights; gains or losses related to hedging instruments; loss on early extinguishment of debt; adjustments to its income tax provision (such as valuation allowance adjustments and settlements of income tax claims); items related to corporate and facility restructurings; and certain other items the Company believes to be not indicative of its ongoing operations. These items cannot be reasonably predicted and will depend on several factors, including industry and market conditions, and could be material to the Company's results computed in accordance with GAAP.

However, the following reasonably estimable GAAP measures for 2025 would be included in a reconciliation for Adjusted EBITDA if the other reconciling GAAP measures could be reasonably predicted:

  • Interest expense and amortization of debt discounts and fees - approximately $125 million
  • Amortization of debt-related items - approximately $10 million

The Q4 Earnings Form 8-K and, when filed, the 2024 Form 10-K can be found on the Company's website at http://investor.encompasshealth.com and the SEC's website at www.sec.gov.

 

Encompass Health Corporation and Subsidiaries

Condensed Consolidated Statements of Comprehensive Income

(Unaudited)



For the Three
Months Ended
December 31,


For the Year Ended
December 31,


2024


2023


2024


2023


(In Millions, Except Per Share Data)

Net operating revenues

$  1,405.0


$  1,246.8


$  5,373.2


$  4,801.2

Operating expenses:








Salaries and benefits

756.8


676.3


2,901.0


2,600.1

Other operating expenses

206.4


184.8


802.6


719.1

Occupancy costs

14.7


14.0


57.3


56.3

Supplies

62.3


58.6


239.0


218.3

General and administrative expenses

54.5


53.1


209.2


201.7

Depreciation and amortization

78.0


70.1


299.6


273.9

Total operating expenses

1,172.7


1,056.9


4,508.7


4,069.4

Loss on early extinguishment of debt

0.2



0.6


Interest expense and amortization of debt discounts and fees

33.0


34.9


137.4


143.5

Other income

(2.1)


(8.9)


(20.1)


(15.7)

Equity in net income of nonconsolidated affiliates

(0.2)


(0.9)


(3.0)


(3.2)

Income from continuing operations before income tax expense

201.4


164.8


749.6


607.2

Provision for income tax expense

37.6


37.2


150.2


132.2

Income from continuing operations

163.8


127.6


599.4


475.0

Income (loss) from discontinued operations, net of tax

0.4


(8.5)


(2.8)


(12.0)

Net and comprehensive income

164.2


119.1


596.6


463.0

Less: Net and comprehensive income attributable to noncontrolling interests

(43.3)


(31.5)


(140.9)


(111.0)

Net and comprehensive income attributable to Encompass Health

$     120.9


$       87.6


$     455.7


$     352.0









Weighted average common shares outstanding:








Basic

100.0


99.5


99.9


99.5

Diluted

102.3


101.5


102.2


101.3

Earnings per common share:








Basic earnings per share attributable to Encompass Health common shareholders:








Continuing operations

$       1.20


$       0.96


$       4.56


$       3.63

Discontinued operations


(0.09)


(0.03)


(0.12)

Net income

$       1.20


$       0.87


$       4.53


$       3.51

Diluted earnings per share attributable to Encompass Health common shareholders:








Continuing operations

$       1.18


$       0.94


$       4.49


$       3.59

Discontinued operations


(0.08)


(0.03)


(0.12)

Net income

$       1.18


$       0.86


$       4.46


$       3.47









Amounts attributable to Encompass Health common shareholders:








Income from continuing operations

$     120.5


$       96.1


$     458.5


$     364.0

Income (loss) from discontinued operations, net of tax

0.4


(8.5)


(2.8)


(12.0)

Net income attributable to Encompass Health

$     120.9


$       87.6


$     455.7


$     352.0

 

Encompass Health Corporation and Subsidiaries

Condensed Consolidated Balance Sheets

(Unaudited)



As of
December 31,
2024


As of
December 31,
2023


(In Millions)

Assets




Current assets:




Cash and cash equivalents

$               85.4


$                69.1

Restricted cash

37.7


35.1

Accounts receivable

598.8


611.6

Prepaid expenses

42.3


34.5

Other current assets

122.7


91.5

Total current assets

886.9


841.8

Property and equipment, net

3,643.1


3,301.0

Operating lease right-of-use assets

203.7


208.5

Goodwill

1,284.0


1,281.3

Intangible assets, net

297.8


278.2

Other long-term assets

219.2


191.6

Total assets

$          6,534.7


$           6,102.4

Liabilities and Shareholders' Equity




Current liabilities:




Current portion of long-term debt

$             138.6


$                24.8

Current operating lease liabilities

26.3


24.1

Accounts payable

171.0


170.0

Accrued payroll

227.9


207.5

Accrued interest payable

38.6


42.6

Other current liabilities

238.6


187.4

Total current liabilities

841.0


656.4

Long-term debt, net of current portion

2,359.2


2,687.8

Long-term operating lease liabilities

189.7


196.1

Self-insured risks

138.6


131.8

Deferred income tax liabilities

105.2


87.0

Other long-term liabilities

51.8


46.1

Total liabilities

3,685.5


3,805.2

Commitments and contingencies




Redeemable noncontrolling interests

56.5


42.0

Shareholders' equity:




Encompass Health shareholders' equity

2,067.0


1,647.5

Noncontrolling interests

725.7


607.7

Total shareholders' equity

2,792.7


2,255.2

Total liabilities and shareholders' equity

$          6,534.7


$           6,102.4

 

Encompass Health Corporation and Subsidiaries

Condensed Consolidated Statements of Cash Flows

(Unaudited)



For the Year Ended

December 31,


2024


2023


(In Millions)

Cash flows from operating activities:




Net income

$            596.6


$            463.0

Loss from discontinued operations, net of tax

2.8


12.0

Adjustments to reconcile net income to net cash provided by operating activities—




Depreciation and amortization

299.6


273.9

Amortization of debt-related items

9.7


9.5

Loss on early extinguishment of debt

0.6


Equity in net income of nonconsolidated affiliates

(3.0)


(3.2)

Distributions from nonconsolidated affiliates

4.0


1.6

Stock-based compensation

48.3


50.6

Deferred tax expense

10.7


3.9

Other, net

14.7


5.2

Change in assets and liabilities, net of acquisitions—




Accounts receivable

3.0


(22.4)

Prepaid expenses and other assets

(57.3)


6.1

Accounts payable

3.0


11.8

Accrued payroll

20.4


39.2

Other liabilities

52.8


15.6

Net cash used in operating activities of discontinued operations

(3.1)


(16.0)

Total adjustments

403.4


375.8

Net cash provided by operating activities

1,002.8


850.8

Cash flows from investing activities:




Purchases of property, equipment, and intangible assets

(642.5)


(583.1)

Proceeds from sale of restricted investments

18.9


7.4

Purchase of restricted investments

(22.5)


(23.0)

Other, net

(7.2)


(4.1)

Net cash used in investing activities

(653.3)


(602.8)

Cash flows from financing activities:




Principal borrowings on notes

15.0


20.0

Principal payments on debt, including pre-payments

(255.2)


(7.2)

Borrowings on revolving credit facility

80.0


60.0

Payments on revolving credit facility

(60.0)


(115.0)

Principal payments under finance lease obligations

(21.8)


(41.1)

Debt amendment costs

(0.1)


(0.1)

Taxes paid on behalf of employees for shares withheld

(12.1)


(8.2)

Contributions from noncontrolling interests of consolidated affiliates

140.4


68.3

Dividends paid on common stock

(62.8)


(60.4)

Distributions paid to noncontrolling interests of consolidated affiliates

(125.0)


(114.7)

Repurchases of common stock, including fees and expenses

(31.1)


Other, net

2.1


1.2

Net cash used in financing activities

(330.6)


(197.2)

Increase in cash, cash equivalents, and restricted cash

18.9


50.8

Cash, cash equivalents, and restricted cash at beginning of period

104.2


53.4

Cash, cash equivalents, and restricted cash at end of period

$            123.1


$            104.2

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Earnings Per Share



Q4


Year Ended


2024


2023


2024


2023


(In Millions, Except Per Share Data)

Adjusted EBITDA

$     289.6


$     255.0


$  1,103.7


$     971.1

Depreciation and amortization

(78.0)


(70.1)


(299.6)


(273.9)

Interest expense and amortization of debt discounts and fees

(33.0)


(34.9)


(137.4)


(143.5)

Stock-based compensation

(12.5)


(13.4)


(48.3)


(50.6)

Loss on disposal or impairment of assets

(6.1)


(6.1)


(17.4)


(9.8)


160.0


130.5


601.0


493.3

Items not indicative of ongoing operating performance:








Loss on early extinguishment of debt

(0.2)



(0.6)


State regulatory change impact on noncontrolling interests




2.2

Change in fair market value of equity securities

(1.7)


2.8


1.0


0.7

Asset impairment impact on noncontrolling interests



7.3


Pre-tax income

158.1


133.3


608.7


496.2

Income tax expense

(37.6)


(37.2)


(150.2)


(132.2)

Income from continuing operations (1)

$     120.5


$       96.1


$     458.5


$     364.0









Basic shares

100.0


99.5


99.9


99.5

Diluted shares

102.3


101.5


102.2


101.3









Basic earnings per share (1)

$       1.20


$       0.96


$       4.56


$       3.63

Diluted earnings per share (1)

$       1.18


$       0.94


$       4.49


$       3.59



(1)

Income from continuing operations attributable to Encompass Health

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Adjusted Earnings Per Share



Q4


Year Ended


2024


2023


2024


2023









Earnings per share, as reported

$      1.18


$      0.94


$      4.49


$      3.59

Adjustments, net of tax:








Asset impairment impact



0.02


Income tax adjustments

(0.03)


0.03


(0.08)


0.03

State regulatory change impact




0.03

Change in fair market value of equity securities

0.01


(0.02)


(0.01)


Adjusted earnings per share*

$      1.17


$      0.95


$      4.43


$      3.64



*

Adjusted EPS may not sum due to rounding.

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Net Cash Provided by Operating Activities to Adjusted EBITDA



Q4


Year Ended


2024


2023


2024


2023


(In Millions)

Net cash provided by operating activities

$     278.8


$     201.0


$  1,002.8


$     850.8

Interest expense and amortization of debt discounts and fees

33.0


34.9


137.4


143.5

(Loss) gain on sale of investments, excluding impairments

(3.1)


5.5


2.7


4.6

Equity in net income of nonconsolidated affiliates

0.2


0.9


3.0


3.2

Net income attributable to noncontrolling interests in continuing operations

(43.3)


(31.5)


(140.9)


(111.0)

Amortization of debt-related items

(2.4)


(2.4)


(9.7)


(9.5)

Distributions from nonconsolidated affiliates

(0.9)


(1.0)


(4.0)


(1.6)

Current portion of income tax expense

29.0


30.4


139.5


128.3

Change in assets and liabilities

(2.8)


8.6


(21.9)


(50.3)

Cash (provided by) used in operating activities of discontinued operations

(0.6)


11.4


3.1


16.0

State regulatory change impact on noncontrolling interests




(2.2)

Asset impairment impact on noncontrolling interests



(7.3)


Change in fair market value of equity securities

1.7


(2.8)


(1.0)


(0.7)

Adjusted EBITDA

$     289.6


$     255.0


$  1,103.7


$     971.1

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Income from Continuing Operations Attributable to Encompass Health per Diluted Share to Adjusted Earnings Per Share



For the Three Months Ended December 31, 2024




Adjustments




As
Reported


Loss on Early
Extinguishment
of Debt


Income Tax
Adjustments


Change in Fair
Market Value
of Equity
Securities


As
Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA*

$    289.6


$                     —


$                —


$                   —


$     289.6

Depreciation and amortization

(78.0)





(78.0)

Interest expense and amortization of debt discounts and fees

(33.0)





(33.0)

Stock-based compensation

(12.5)





(12.5)

Loss on disposal or impairment of assets

(6.1)





(6.1)

Loss on early extinguishment of debt

(0.2)


0.2




Change in fair market value of equity securities

(1.7)




1.7


Income from continuing operations before income tax expense

158.1


0.2



1.7


160.0

Provision for income tax expense

(37.6)


(0.1)


(2.6)


(0.4)


(40.7)

Income from continuing operations attributable to Encompass Health

$    120.5


$                  0.1


$           (2.6)


$                1.3


$     119.3

Diluted earnings per share from continuing operations**

$      1.18


$                     —


$         (0.03)


$              0.01


$       1.17

Diluted shares used in calculation

102.3











*

See reconciliation of net income to Adjusted EBITDA.

**

Adjusted EPS may not sum across due to rounding.

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Income from Continuing Operations Attributable to Encompass Health per Diluted Share to Adjusted Earnings Per Share



For the Three Months Ended December 31, 2023




Adjustments




As
Reported


Income Tax
Adjustments


Change in Fair
Market Value of
Equity Securities


As
Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA*

$    255.0


$                 —


$                        —


$     255.0

Depreciation and amortization

(70.1)




(70.1)

Interest expense and amortization of debt discounts and fees

(34.9)




(34.9)

Stock-based compensation

(13.4)




(13.4)

Loss on disposal or impairment of assets

(6.1)




(6.1)

Change in fair market value of equity securities

2.8



(2.8)


Income from continuing operations before income tax expense

133.3



(2.8)


130.5

Provision for income tax expense

(37.2)


2.9


0.7


(33.6)

Income from continuing operations attributable to Encompass Health

$      96.1


$              2.9


$                    (2.1)


$       96.9

Diluted earnings per share from continuing operations**

$      0.94


$            0.03


$                  (0.02)


$       0.95

Diluted shares used in calculation

101.5









*

See reconciliation of net income to Adjusted EBITDA.

**

Adjusted EPS may not sum across due to rounding.

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Income from Continuing Operations Attributable to Encompass Health per Diluted Share to Adjusted Earnings Per Share



For the Year Ended December 31, 2024




Adjustments




As
Reported


Asset
Impairment
Impact


Loss on Early
Extinguishment
of Debt


Income Tax
Adjustments


Change in Fair
Market Value of
Equity Securities


As
Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA*

$ 1,103.7


$               —


$                     —


$                —


$                        —


$ 1,103.7

Depreciation and amortization

(299.6)






(299.6)

Interest expense and amortization of debt discounts and fees

(137.4)






(137.4)

Stock-based compensation

(48.3)






(48.3)

Loss on disposal or impairment of assets

(17.4)


10.4





(7.0)

Loss on early extinguishment of debt

(0.6)



0.6




Change in fair market value of equity securities

1.0





(1.0)


Asset impairment impact on noncontrolling interests

7.3


(7.3)





Income from continuing operations before income tax expense

608.7


3.1


0.6



(1.0)


611.4

Provision for income tax expense

(150.2)


(1.3)


(0.2)


(7.7)


0.3


(159.1)

Income from continuing operations attributable to Encompass Health

$    458.5


$            1.8


$                  0.4


$           (7.7)


$                   (0.7)


$     452.3

Diluted earnings per share from continuing operations**

$      4.49


$          0.02


$                     —


$         (0.08)


$                 (0.01)


$       4.43

Diluted shares used in calculation

102.2













*

See reconciliation of net income to Adjusted EBITDA.

**

Adjusted EPS may not sum across due to rounding.

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Income from Continuing Operations Attributable to Encompass Health per Diluted Share to Adjusted Earnings Per Share



For the Year Ended December 31, 2023




Adjustments




As
Reported


State
Regulatory
Change
Impact


Income Tax
Adjustments


Change in
Fair Market
Value of
Equity
Securities


As
Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA*

$    971.1


$              —


$                 —


$               —


$     971.1

Depreciation and amortization

(273.9)


6.1




(267.8)

Interest expense and amortization of debt discounts and fees

(143.5)





(143.5)

Stock-based compensation

(50.6)





(50.6)

Loss on disposal or impairment of assets

(9.8)





(9.8)

State regulatory change impact on noncontrolling interests

2.2


(2.2)




Change in fair market value of equity securities

0.7




(0.7)


Income from continuing operations before income tax expense

496.2


3.9



(0.7)


499.4

Provision for income tax expense

(132.2)


(1.0)


2.8


0.2


(130.2)

Income from continuing operations attributable to Encompass Health

$    364.0


$            2.9


$              2.8


$          (0.5)


$     369.2

Diluted earnings per share from continuing operations**

$      3.59


$          0.03


$            0.03


$               —


$       3.64

Diluted shares used in calculation

101.3











*

See reconciliation of net income to Adjusted EBITDA.

**

Adjusted EPS may not sum across due to rounding.

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Net Income to Adjusted EBITDA



Q4


Year Ended


2024


2023


2024


2023


(In Millions)

Net income

$    164.2


$    119.1


$     596.6


$     463.0

(Income) loss from discontinued operations, net of tax,attributable to Encompass Health

(0.4)


8.5


2.8


12.0

Net income attributable to noncontrolling interests included in continuing operations

(43.3)


(31.5)


(140.9)


(111.0)

Provision for income tax expense

37.6


37.2


150.2


132.2

Interest expense and amortization of debt discounts and fees

33.0


34.9


137.4


143.5

Depreciation and amortization

78.0


70.1


299.6


273.9

Loss on early extinguishment of debt

0.2



0.6


Loss on disposal or impairment of assets

6.1


6.1


17.4


9.8

Stock-based compensation

12.5


13.4


48.3


50.6

State regulatory change impact on noncontrolling interests




(2.2)

Change in fair market value of equity securities

1.7


(2.8)


(1.0)


(0.7)

Asset impairment impact on noncontrolling interests



(7.3)


Adjusted EBITDA

$    289.6


$    255.0


$  1,103.7


$     971.1

 

Encompass Health Corporation and Subsidiaries

Supplemental Information

Reconciliation of Net Cash Provided by Operating Activities to Adjusted Free Cash Flow



Q4


Year Ended


2024


2023


2024


2023


(In Millions)

Net cash provided by operating activities

$     278.8


$     201.0


$  1,002.8


$     850.8

Impact of discontinued operations

(0.6)


11.4


3.1


16.0

Net cash provided by operating activities of continuing operations

278.2


212.4


1,005.9


866.8

Capital expenditures for maintenance

(50.8)


(87.1)


(184.6)


(216.9)

Distributions paid to noncontrolling interests of consolidated affiliates

(39.5)


(22.8)


(125.0)


(114.7)

Items not indicative of ongoing operating performance:








Transaction costs and related liabilities

2.6


(9.0)


(6.0)


(9.5)

Adjusted free cash flow

$     190.5


$       93.5


$     690.3


$     525.7

For the three months ended December 31, 2024, net cash used in investing activities was $203.7 million and resulted primarily from capital expenditures. Net cash used in financing activities during the three months ended December 31, 2024 was $150.9 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, cash dividends paid on common stock, and repurchases of common stock partially offset by contributions from noncontrolling interests of consolidated affiliates.

For the three months ended December 31, 2023, net cash used in investing activities was $208.1 million and resulted primarily from capital expenditures. Net cash used in financing activities during the three months ended December 31, 2023 was $29.9 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, and cash dividends paid on common stock partially offset by contributions from noncontrolling interests of consolidated affiliates.

For the year ended December 31, 2024, net cash used in investing activities was $653.3 million and resulted primarily from capital expenditures. Net cash used in financing activities during the year ended December 31, 2024 was $330.6 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, cash dividends paid on common stock, and repurchases of common stock partially offset by contributions from noncontrolling interests of consolidated affiliates.

For the year ended December 31, 2023, net cash used in investing activities was $602.8 million and resulted primarily from capital expenditures. Net cash used in financing activities during the year ended December 31, 2023 was $197.2 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, and cash dividends paid on common stock partially offset by contributions from noncontrolling interests of consolidated affiliates.

Encompass Health Corporation and Subsidiaries
Forward-Looking Statements

Statements contained in this press release and the supplemental information which are not historical facts, such as those relating to the business, strategy, outlook, growth targets and guidance considerations, dividend strategies, effective income tax rates, cost trends, legislative and regulatory developments or their impacts, financial guidance, ability to return value to shareholders, projected capital expenditures, acquisition opportunities, development projects, addressable market size, other balance sheet and cash flow plans, are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. In addition, Encompass Health, through its senior management, may from time to time make forward-looking public statements concerning the matters described herein. All such estimates, projections, and forward-looking information speak only as of the date hereof, and Encompass Health undertakes no duty to publicly update or revise such forward-looking information, whether as a result of new information, future events, or otherwise. Such forward-looking statements are necessarily estimates based upon current information and involve a number of risks and uncertainties. Actual events or results may differ materially from those anticipated in these forward-looking statements as a result of a variety of factors. While it is impossible to identify all such factors, factors which could cause actual events or results to differ materially from those estimated by Encompass Health include, but are not limited to, an infectious disease outbreak, including the speed, depth, geographic reach and duration of its spread, which could decrease our patient volumes and revenues and lead to staffing and supply shortages and associated cost increases; Encompass Health's infectious disease prevention and control efforts; the demand for Encompass Health's services, including based on any downturns in the economy, consumer confidence, or the capital markets; the price of Encompass Health's common stock as it affects Encompass Health's willingness and ability to repurchase shares and the financial and accounting effects of any repurchases; any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings involving Encompass Health, including any matters related to yet undiscovered issues, if any, in acquired operations; Encompass Health's ability to attract and retain key management personnel; any adverse effects on Encompass Health's stock price resulting from the integration of acquired operations; potential disruptions, breaches, or other incidents affecting the proper operation, availability, or security of Encompass Health's or its vendors' or partners' information systems, including unauthorized access to or theft of patient, business associate, or other sensitive information or inability to provide patient care because of system unavailability as well as unforeseen issues, if any, related to integration of acquired systems; the ability to successfully integrate acquired operations, including realization of anticipated tax benefits, revenues, and cost savings, minimizing the negative impact on margins arising from the changes in staffing and other operating practices, and avoidance of unforeseen exposure to liabilities; Encompass Health's ability to successfully complete and integrate de novo developments, acquisitions, investments, and joint ventures consistent with its growth strategy; Encompass Health's ability to realize construction cost savings from prefabrication of hospitals; increases in Medicare audit activity, including increased use of sampling and extrapolation, resulting in additional unpaid reimbursement claims and an increase in the backlog of appealed claims denials; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for Encompass Health's services by governmental or private payors; changes in the regulation of the healthcare industry at either or both of the federal and state levels, including as part of national healthcare reform and deficit reduction and Encompass Health's ability to adapt operations to those changes, including in connection with the CMS inpatient rehabilitation review choice demonstration project; competitive pressures in the healthcare industry and Encompass Health's response thereto; Encompass Health's ability to obtain and retain favorable arrangements with third-party payors; Encompass Health's ability to control costs, particularly labor and employee benefit costs, including group medical expenses; adverse effects resulting from coverage determinations made by Medicare Administrative Contractors regarding its Medicare reimbursement claims and lengthening delays in Encompass Health's ability to recover improperly denied claims through the administrative appeals process on a timely basis; Encompass Health's ability to adapt to changes in the healthcare delivery system, including value-based purchasing and involvement in coordinated care initiatives or programs that may arise with its referral sources; Encompass Health's ability to attract and retain nurses, therapists, and other healthcare professionals in a highly competitive environment with often severe staffing shortages, which may be worsened by infectious disease outbreaks, and the impact on Encompass Health's labor expenses from potential union activity, staffing shortages, and competitive compensation practices; general conditions in the economy and capital markets, including any instability or uncertainty related to armed conflict or an act of terrorism, governmental impasse over approval of the United States federal budget, an increase in the debt ceiling, or an international sovereign debt crisis; the increase in the cost of, or the decrease in the availability of, necessary supplies, such as personal protective equipment; the increase in the costs of defending and insuring against alleged professional liability claims, and Encompass Health's ability to predict the estimated costs related to such claims; and other factors which may be identified from time to time in Encompass Health's SEC filings and other public announcements, including Encompass Health's Form 10K for the year ended December 31, 2024, when filed.

Media Contact
Polly Manuel, 205 969-4532
polly.manuel@encompasshealth.com

Investor Relations Contact
Mark Miller, 205 970-5860
mark.miller@encompasshealth.com

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/encompass-health-reports-results-for-fourth-quarter-2024-and-issues-2025-guidance-302370604.html

SOURCE Encompass Health Corp.

FAQ

What was Encompass Health's (EHC) revenue growth in Q4 2024?

Encompass Health reported a 12.7% revenue growth in Q4 2024, reaching $1,405.0 million, primarily driven by discharge growth and increased patient revenue per discharge.

How much did EHC's adjusted EBITDA increase in Q4 2024?

Encompass Health's adjusted EBITDA increased by 13.6% to $289.6 million in Q4 2024 compared to the same period in 2023.

What is Encompass Health's revenue guidance for 2025?

Encompass Health provided guidance for 2025 with projected net operating revenue between $5,800 to $5,900 million.

How many new beds did EHC add in 2024?

Encompass Health increased its capacity by 427 beds in 2024 through new hospitals and bed additions to existing hospitals.

What was EHC's same-store discharge growth in Q4 2024?

Encompass Health achieved a same-store discharge growth of 5.8% in Q4 2024.

Encompass Health Corp

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