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Encompass Health (EHC)
NYSE:EHC

Encompass Health (EHC) AI Stock Analysis

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EHC

Encompass Health

(NYSE:EHC)

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Outperform 70 (OpenAI - 5.2)
Rating:70Outperform
Price Target:
$119.00
▲(17.32% Upside)
Action:ReiteratedDate:03/11/26
The score is driven primarily by solid profitability and a materially improved balance sheet, plus an upbeat earnings call with constructive 2026 guidance. Offsetting these positives are the sharp deterioration in reported cash flow in 2025 and only mixed technicals (below longer-term moving averages).
Positive Factors
Balance sheet deleveraging
A materially lower debt-to-equity ratio provides durable financial flexibility: it reduces interest and covenant pressure, supports funding of growth capex and share repurchases, and improves resilience to payer or reimbursement shocks over the next several quarters.
Consistent revenue and margin expansion
Sustained top-line growth and rising net margin signal enduring demand for inpatient rehab and improved mix or pricing. This trend supports persistent operating leverage, stronger retained earnings, and better capacity to fund investments and shareholder returns over multiple quarters.
Operational quality and labor progress
Above-industry outcomes and lower premium labor usage strengthen referral appeal and reduce variable cost pressure. Better clinical results and workforce stability are structural advantages that sustain margins, referral volumes, and negotiating leverage with payors over the medium term.
Negative Factors
Reported cash-flow deterioration in 2025
A sudden deterioration in reported operating and free cash flow undermines durable cash-generation credibility. Even with adjusted metrics and guidance, weaker reported cash flow increases funding and execution risk, may pressure liquidity or capital allocation, and warrants monitoring of cash recovery.
Medicare Advantage conversion / payer concentration risk
Sharp, payer-specific drops in MA conversion reduce admissions despite rising referrals and reveal concentration exposure. Sustained conversion gaps versus FFS require operational appeals, contract renegotiation or regulatory escalation and can structurally depress volumes and revenue per discharge.
Ongoing regulatory and audit uncertainty
New pilot programs and RCD expansion raise the risk of altered reimbursement, higher denials and greater administrative costs. Persistent regulatory shifts can change payment timing or eligibility, forcing sustained appeals spend and operational adjustments that pressure margins and resource allocation.

Encompass Health (EHC) vs. SPDR S&P 500 ETF (SPY)

Encompass Health Business Overview & Revenue Model

Company DescriptionEncompass Health Corporation provides facility-based and home-based post-acute healthcare services in the United States. The company operates in two segments, Inpatient Rehabilitation, and Home Health and Hospice. The Inpatient Rehabilitation segment provides specialized rehabilitative treatment on an inpatient and outpatient basis to patients who are recovering from conditions, such as stroke and other neurological disorders, cardiac and pulmonary conditions, brain and spinal cord injuries, complex orthopedic conditions, and amputations. The Home Health and Hospice segment provides home health and hospice services primarily in the Southeast and Texas. Its home health services include a range of Medicare-certified home nursing services to adult patients in need of care comprising skilled nursing, medical social work, and home health aide services, as well as physical, occupational, speech therapy, and others. This segment's hospice services comprise in-home services to terminally ill patients and their families. As of June 1, 2022, it operated 149 hospitals, 252 home health locations, and 99 hospice locations in 42 states and Puerto Rico. The company was formerly known as HealthSouth Corporation and changed its name to Encompass Health Corporation in January 2018. Encompass Health Corporation was founded in 1983 and is based in Birmingham, Alabama.
How the Company Makes MoneyEncompass Health primarily makes money by providing inpatient rehabilitation services and receiving reimbursement for patient stays. Revenue is generated largely from payments by third-party payors, including Medicare, Medicare Advantage plans, Medicaid, and commercial managed-care insurers, as well as payments from patients (e.g., deductibles and co-insurance). The company’s core revenue stream is patient service revenue tied to admissions, length of stay, case mix (patient acuity and diagnosis), and negotiated or regulated reimbursement rates. A key driver of earnings is the volume of patients referred for inpatient rehabilitation and the reimbursement terms associated with those payors. Medicare reimbursement is commonly determined under the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), which bases payment on patient characteristics and case classification rather than itemized billing; managed-care and commercial contracts may use per-case, per-diem, or other negotiated payment structures (specific contract terms vary and are not publicly itemized). Encompass Health also benefits from hospital operations scale—operating many facilities allows the company to spread fixed costs (facility, staffing, administrative functions) and optimize occupancy and staffing efficiency, which influences margins. In addition, the company historically expanded its footprint through a combination of wholly owned hospitals and joint venture arrangements with acute-care health systems, where partners contribute local market access and referral relationships while Encompass provides rehabilitation operating expertise; however, the company does not publicly disclose a complete, current list of all joint venture partners in a single standardized source, so specific partner names and terms are null.

Encompass Health Key Performance Indicators (KPIs)

Any
Any
Number of Hospitals
Number of Hospitals
Indicates the scale and reach of the company's healthcare network, which can impact patient access, market presence, and potential for revenue growth.
Chart InsightsEncompass Health's hospital count has steadily increased from 137 in 2020 to 166 in 2024, reflecting a strategic focus on expansion. The latest earnings call underscores this growth trajectory, with plans for seven new hospitals and one satellite in 2025, particularly in Florida. This expansion aligns with their strong financial performance, including significant revenue and EBITDA growth. However, challenges such as rising medical costs and uncertain tax benefits could impact margins. The continued expansion is crucial for sustaining growth and capitalizing on the increasing demand for healthcare services.
Data provided by:The Fly

Encompass Health Earnings Call Summary

Earnings Call Date:Feb 05, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 29, 2026
Earnings Call Sentiment Positive
The call conveyed strong operational and financial performance—robust revenue and EBITDA growth, record free cash flow, improved labor metrics, quality outcomes above industry averages and active capital deployment—offset by targeted payer and regulatory challenges (notably a meaningful MA conversion decline with a specific national plan, RCD adjudication efforts in select markets, and some unit consolidations). Management presented clear mitigation actions (appeals strategy, Palmetir analytics, small-format hospital strategy) and provided constructive 2026 guidance, so positives materially outweigh negatives.
Q4-2025 Updates
Positive Updates
Strong Revenue and EBITDA Growth
Full-year 2025 revenue increased 10.5%; Q4 revenue rose 9.9% to $1.5B. Full-year adjusted EBITDA grew 14.9%, and Q4 adjusted EBITDA increased 15.9% to $335.6M.
Robust Free Cash Flow and Capital Deployment
Full-year adjusted free cash flow was $818M (up 18.5% year-over-year); Q4 adjusted free cash flow was $235.4M (up 23.6%). Management funded $736M of capex, $158M in share repurchases and returned $71M in cash dividends while keeping long-term debt essentially flat.
Volume Growth and Patient Mix
2025 discharge growth was 6% (Q4 discharge growth 5.3%). Net revenue per discharge increased 4.1% in Q4 (including a $2.7M managed care settlement). Management highlighted favorable fee-for-service growth and broad-based growth across diagnosis categories (brain injury +8.7%, cardiac +5.1%, neuro +4.5%, major trauma +5%, stroke +3.8%).
Quality and Outcomes
Strong quality metrics: full-year discharge-to-community 84.6%, discharge-to-acute-care 8.6%, discharge-to-SNF 6.1% — each favorable versus industry averages. Management reported record patient outcome scores and patient satisfaction for 2025.
Labor Cost Improvement and Workforce Progress
Premium labor spend declined by more than $21M year-over-year in 2025; Q4 premium labor costs fell $5.8M to $23.8M (lowest since Q1 2021). Contract labor FTEs at 1.1% of total FTEs (lowest since Q1 2021). SWB per FTE up 2.1% in Q4; nursing turnover 20.2% and therapy turnover 7.8% for the year; company added ~300 net RNs same-store in 2025.
Capacity Expansion and Strategic Growth
Added 517 beds in 2025 (390 via 8 new hospitals and 127 by adding beds to existing hospitals). Plan to add a new modality of 24-bed small-format hospitals beginning in 2027 to support a hub-and-spoke strategy and expand market density.
Technology and Operational Enhancements
Completed ERP conversion to Oracle Fusion (October) and expanded Palantir relationship to streamline admission documentation and enhance claim-denial responses, with expectations to expand analytics to CRM, revenue cycle and clinical staffing.
Prudent Balance Sheet and 2026 Guidance
Year-end net financial leverage 1.9x (provides flexibility). 2026 guidance: net operating revenue $6.365B–$6.465B, adjusted EBITDA $1.34B–$1.38B, adjusted EPS $5.81–$6.10.
Negative Updates
Medicare Advantage Conversion Challenges
A major national Medicare Advantage payer experienced a significant drop in conversion rate in Q4 (management cited roughly a 500 bps decline for that payer), reducing admits despite referrals rising; MA conversion historically ~25–30% versus FFS mid-60s, prompting a new admit-and-appeal strategy and potential escalation to CMS.
RCD Audit Friction and Appeals
RCD (recovery & coverage determinations) activity created friction in certain markets (Palmetto in Alabama). Alabama’s aggregate affirmation rate ~93% for cycle 4 but some non-affirmations required multi-level appeals; management expects affirmation rates to rise but continues to expend resources on appeals and education.
Unit Consolidations and Same-Store Headwinds
Lease terminations and unit closures (Sewickley PA, Cincinnati OH and Bridgeport WV) created same-store discharge headwinds. Cincinnati contributed ~45 bps headwind in Q4; the Bridgeport closure creates an unmitigated ~70 bps same-store discharge headwind for 2026 (management expects to mitigate ~35–40 bps).
Concentration of MA Conversion Risk in Specific Payers
One large MA plan drove the quarter’s MA weakness with notably low conversion rates (management noted two major payers with conversion below 20% in some markets), indicating payer-specific operational/legal efforts may be required and potential short-term volume variability.
Regulatory Uncertainty (TEAM Model & RCD Expansion)
Implementation of the TEAM pilot (initially affecting 89 hospitals) and expansion of RCD to additional states (Texas, California) create ongoing regulatory uncertainty; while management expects limited near-term impact, these developments require continued monitoring and resource allocation.
Provider Taxes / Supplemental Payments Impact
Net provider taxes impacted EBITDA by approximately $21M in 2025 (up from $15.5M in prior year), representing an ongoing modest headwind to margins tied to state-level payment dynamics.
Company Guidance
Management's 2026 guidance calls for net operating revenue of $6.365–$6.465 billion, adjusted EBITDA of $1.34–$1.38 billion and adjusted EPS of $5.81–$6.10, with an assumed bad‑debt rate of roughly 2.0–2.5%; they emphasized a strong balance sheet (year‑end 2025 net financial leverage 1.9x, implied ~1.83x at the 2026 midpoint), continued robust cash generation (2025 adjusted free cash flow $818M, 2026 midpoint modeled near $828M), the capacity to fund roughly $725M of growth capex (2025 capex was $736M) while supporting $158M of share repurchases and just over $70M of cash dividends.

Encompass Health Financial Statement Overview

Summary
Profitability and revenue trends are solid and the balance sheet strengthened materially (very low debt-to-equity and strong ROE), but cash flow quality is a key risk because 2025 operating and free cash flow turned sharply negative versus prior years.
Income Statement
78
Positive
Revenue has grown steadily from 2021–2025 (with 2025 showing strong reported growth), and profitability has generally improved, with net profit margin rising to ~9.5% in 2025 from ~6.2% in 2022. Gross margin also expanded meaningfully in 2025. Offsetting this, operating profitability trends are less consistent (2025 operating margin appears anomalous versus prior years), and margins have shown some year-to-year volatility.
Balance Sheet
86
Very Positive
Leverage improved dramatically in 2025, with debt-to-equity dropping to ~0.08 from ~1.3–2.3 in prior years, materially strengthening balance-sheet risk. Equity has also expanded, and returns on equity remain solid (~18% in 2025; ~21–22% in 2022–2024). The main weakness is that the sharp debt reduction year-over-year is unusually large and may not be sustainable or may reflect one-time actions, making trend durability a key watch item.
Cash Flow
28
Negative
Cash generation deteriorated sharply in 2025: operating cash flow was slightly negative and free cash flow fell deeply negative, a major break from 2022–2024 when operating cash flow was strong and free cash flow was positive. This introduces near-term funding and execution risk, even though the prior multi-year history suggests the business can produce healthy cash flow under more normal conditions.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue5.94B5.37B4.80B4.35B4.01B
Gross Profit1.29B2.23B1.98B1.75B1.70B
EBITDA1.40B1.19B1.01B870.10M888.90M
Net Income566.20M455.70M352.00M271.00M412.20M
Balance Sheet
Total Assets7.09B6.53B6.10B5.64B6.86B
Cash, Cash Equivalents and Short-Term Investments145.10M85.40M141.80M21.80M49.40M
Total Debt2.71B2.71B2.93B2.99B3.48B
Total Liabilities3.81B3.69B3.81B3.77B4.47B
Stockholders Equity2.44B2.07B1.65B1.31B1.91B
Cash Flow
Free Cash Flow439.20M360.30M267.70M121.70M164.60M
Operating Cash Flow1.18B1.00B850.80M705.80M715.80M
Investing Cash Flow-762.80M-653.30M-602.80M-627.00M-666.30M
Financing Cash Flow-433.00M-330.60M-197.20M-145.70M-240.10M

Encompass Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price101.43
Price Trends
50DMA
103.45
Negative
100DMA
108.32
Negative
200DMA
114.00
Negative
Market Momentum
MACD
-0.85
Positive
RSI
40.87
Neutral
STOCH
21.12
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For EHC, the sentiment is Negative. The current price of 101.43 is below the 20-day moving average (MA) of 105.72, below the 50-day MA of 103.45, and below the 200-day MA of 114.00, indicating a bearish trend. The MACD of -0.85 indicates Positive momentum. The RSI at 40.87 is Neutral, neither overbought nor oversold. The STOCH value of 21.12 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for EHC.

Encompass Health Risk Analysis

Encompass Health disclosed 31 risk factors in its most recent earnings report. Encompass Health reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Encompass Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
74
Outperform
$12.17B29.0216.58%0.14%18.61%35.76%
70
Outperform
$10.08B18.8424.48%0.65%11.13%27.53%
69
Neutral
$19.07B12.8334.82%-0.56%-53.50%
66
Neutral
$11.82B9.3121.03%0.35%10.21%39.58%
63
Neutral
$9.90B10.44-160.63%5.14%4.37%
60
Neutral
$13.33B12.077.13%3.29%4.09%13.17%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
EHC
Encompass Health
101.57
4.55
4.69%
DVA
DaVita
149.98
0.61
0.41%
FMS
Fresenius Medical Care
23.16
-0.85
-3.54%
THC
Tenet Healthcare
211.64
86.31
68.87%
ENSG
The Ensign Group
210.38
80.95
62.55%
UHS
Universal Health
193.46
17.81
10.14%

Encompass Health Corporate Events

Business Operations and StrategyPrivate Placements and Financing
Encompass Health Secures New $1 Billion Credit Facility
Positive
Mar 11, 2026

On March 9, 2026, Encompass Health entered into a new $1 billion revolving credit agreement with Truist Bank and other lenders, replacing and fully repaying its prior 2022 facility led by Barclays. The new 2026 Credit Agreement extends the maturity to March 9, 2031, lowers the undrawn commitment fee, relaxes certain covenants on investments, debt, liens and restricted payments, removes a 0.10% SOFR interest adjustment, and increases the swingline sublimit to $40 million.

The facility includes a $260 million letter of credit subfacility, an accordion feature that allows substantial incremental term loans or increased revolver capacity subject to leverage tests, and covenants requiring minimum interest coverage of 3.00x and a maximum leverage ratio of 4.50x outside significant acquisitions. As of March 9, 2026, the company had drawn $250 million on the revolver and $53.6 million on the letter of credit subfacility to retire the old credit agreement, and concurrently replaced its Barclays collateral and guarantee arrangements with a new collateral and guarantee agreement under Truist on similar terms, reinforcing its secured financing structure and balance-sheet flexibility.

The most recent analyst rating on (EHC) stock is a Buy with a $118.00 price target. To see the full list of analyst forecasts on Encompass Health stock, see the EHC Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Encompass Health posts strong Q4 results and upbeat outlook
Positive
Feb 5, 2026

On February 5, 2026, Encompass Health reported strong results for the fourth quarter ended December 31, 2025, with net operating revenue up 9.9% year-on-year to $1.54 billion and diluted income from continuing operations per share rising 20.3% to $1.42. Adjusted earnings per share increased 24.8% to $1.46, while Adjusted EBITDA grew 15.9% to $335.6 million, supported by a 5.3% increase in discharges, higher net patient revenue per discharge, and improved cash generation, including a 24.1% rise in operating cash flow and 23.6% growth in adjusted free cash flow. For full-year 2025, management highlighted revenue growth of 10.5% and a 14.9% increase in Adjusted EBITDA, underpinned by capacity expansion of 517 inpatient rehabilitation beds through eight new hospitals and bed additions at existing sites, reinforcing the company’s position to capture rising demand from an aging U.S. population. Looking ahead, the company issued 2026 guidance calling for net operating revenue of $6.37 billion to $6.47 billion, Adjusted EBITDA of $1.34 billion to $1.38 billion and adjusted earnings per share of $5.81 to $6.10, signaling continued growth expectations and underscoring the importance of non-GAAP metrics such as Adjusted EBITDA and adjusted free cash flow in assessing its leverage, liquidity and ability to fund expansion and shareholder returns.

The most recent analyst rating on (EHC) stock is a Hold with a $101.00 price target. To see the full list of analyst forecasts on Encompass Health stock, see the EHC Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
Encompass Health Appoints Cain Hayes to Board
Positive
Feb 2, 2026

On January 30, 2026, Encompass Health’s board of directors elected Cain A. Hayes as an independent director, formalized in a press announcement on February 2, 2026. Hayes, the former president and CEO of Point32Health and Gateway Health Plan with a long executive track record at Aetna and Nationwide, brings deep expertise in healthcare payor operations, strategic leadership, risk management, and regulation. His appointment, part of Encompass Health’s ongoing board succession planning, is aimed at strengthening the board’s payor-focused perspective as the company seeks to maintain its position as the leading U.S. provider of inpatient rehabilitation services in a rapidly evolving healthcare environment, with the company emphasizing his expected contribution to strategic direction and long-term value creation for shareholders.

The most recent analyst rating on (EHC) stock is a Hold with a $104.00 price target. To see the full list of analyst forecasts on Encompass Health stock, see the EHC Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Mar 11, 2026