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Pennant Reports Second Quarter 2025 Results

Conference Call and Webcast scheduled for tomorrow, August 7, 2025 at 10:00 am MT

EAGLE, Idaho, Aug. 06, 2025 (GLOBE NEWSWIRE) -- The Pennant Group, Inc. (NASDAQ: PNTG), the parent company of the Pennant group of affiliated home health, hospice and senior living companies, today announced its operating results, reporting GAAP diluted earnings per share of $0.20 for the second quarter of 2025. Pennant also reported adjusted diluted earnings per share of $0.27 for the quarter(1).

Second Quarter Highlights

  • Total revenue for the second quarter was $219.5 million, an increase of $50.8 million or 30.1% over the prior year quarter;
  • Net income for the second quarter was $7.1 million, an increase of $1.4 million or 24.5% over the prior year quarter;
  • Adjusted net income for the second quarter was $9.4 million, an increase of $2.1 million or 28.2% over the prior year quarter;
  • Consolidated Adjusted EBITDAR for the second quarter was $28.2 million, an increase of $4.8 million or 20.3% over the prior year quarter;
  • Consolidated Adjusted EBITDA for the second quarter was $16.4 million, an increase of $3.2 million or 24.5% over the prior year quarter;
  • Home Health and Hospice Services segment revenue for the second quarter was $166.0 million, an increase of $40.7 million or 32.5% over the prior year quarter;
  • Home Health and Hospice Services segment adjusted EBITDAR from operations for the second quarter was $27.7 million, an increase of $6.5 million or 30.5% over the prior year quarter; and segment adjusted EBITDA from operations for the second quarter was $25.5 million, an increase of $5.9 million or 29.9% over the prior year quarter;
  • Total home health admissions for the second quarter were 17,832, an increase of 3,692 or 26.1% over the prior year quarter; total Medicare home health admissions for the second quarter were 6,980, an increase of 1,242 or 21.6% over the prior year quarter;
  • Hospice average daily census for the second quarter was 3,909, an increase of 689 or 21.4% compared to the prior year quarter; 
  • Senior Living Services segment revenue for the second quarter was $53.5 million, an increase of $10.0 million or 23.1% over the prior year quarter; average occupancy for the second quarter was 78.8%, which is flat with the prior year quarter, and average monthly revenue per occupied room for the second quarter was $5,188, an increase of $398 or 8.3% over the prior year quarter;
  • Senior Living segment adjusted EBITDAR from operations for the second quarter was $14.8 million, an increase of $2.0 million or 15.5% over the prior year quarter; and segment adjusted EBITDA from operations for the second quarter was $5.1 million, an increase of $1.1 million or 25.7% over the prior year quarter.

    (1) See "Reconciliation of GAAP to Non-GAAP Financial Information.”

Operating Results

“The second quarter represents a continuation of our robust operating momentum,” said Brent Guerisoli, the Company’s Chief Executive Officer. “Throughout Pennant’s history, two things have consistently been true: we have faced dynamic changes in our operating environment, and we have grown through them. We are pleased by the strength in our home health, hospice and senior living businesses, as each contributes meaningfully to our positive performance.”

“Our local leaders are driving strong clinical, cultural and financial results across Pennant,” said John Gochnour, the Company’s Chief Operating Officer. “Looking to the future, we see significant untapped potential for organic improvement and exciting acquisition opportunities on the near horizon, including the announced transaction with  UnitedHealth Group and Amedisys.”

A discussion of the Company’s use of Non-GAAP financial measures is set forth below. A reconciliation of net income to EBITDA, adjusted EBITDAR and adjusted EBITDA, as well as a reconciliation of GAAP earnings per share, net income to adjusted net earnings per share and adjusted net income, appear in the financial data portion of this release. More complete information is contained in the Company’s Form 10-Q for the three and six months ended June 30, 2025, which has been filed with the SEC today and can be viewed on the Company’s website at www.pennantgroup.com.

2025 Guidance

Management is providing updated 2025 annual guidance as follows: total revenue is anticipated to be between $852.8 million and $887.6 million; full year 2025 adjusted earnings per diluted share is anticipated to be between $1.09 and $1.15;  and full year 2025 adjusted EBITDA is anticipated to be between $69.1 million and $72.7 million.

Mr. Guerisoli remarked, “Our earnings guidance midpoint of $1.12 represents 19.1% growth on our 2024 adjusted earnings per share and 53.4% growth over 2023 results. Our guidance update is based on the momentum across our segments, the capability of our local leaders to continue to drive growth, and the untapped potential within our existing operations.”

The Company’s updated 2025 annual guidance is based on diluted weighted average shares outstanding of approximately 35.7 million and a 26.0% effective tax rate.  The guidance includes additional expenses in anticipation of the transaction with UnitedHealth Group and Amedisys, but no additional earnings because of the uncertainty surrounding the timing of our closing on that transaction. The guidance assumes, among other things, reimbursement rate adjustments and no unannounced acquisitions.  It excludes the tax-effected costs at start-up operations, share-based compensation, acquisition-related costs, and gain (loss) on disposition of assets and impairments.

Lynette Walbom, the Company’s Chief Financial Officer, also stated, “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. This updated guidance reflects management’s expectations based on 2025 year-to-date performance and current operating conditions.”

Conference Call

A live webcast will be held tomorrow, August 7, 2025 at 10:00 a.m. Mountain time (12:00 p.m. Eastern time) to discuss Pennant’s second quarter 2025 financial results. To listen to the webcast, or to view any financial or statistical information required by SEC Regulation G, please visit the Investors Relations section of Pennant’s website at https://investor.pennantgroup.com. The webcast will be recorded and will be available for replay via the website.

About Pennant

The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through 137 home health and hospice agencies and 61 senior living communities located throughout Arizona, California, Colorado, Idaho, Montana, Nevada, Oklahoma, Oregon, Texas, Utah, Washington, Wisconsin and Wyoming. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. References herein to the consolidated "company" and "its" assets and activities, as well as the use of the terms "we," "us," "its" and similar verbiage, are not meant to imply that The Pennant Group, Inc. has direct operating assets, employees or revenue, or that any of the home health and hospice businesses, senior living communities or the Service Center are operated by the same entity. More information about Pennant is available at www.pennantgroup.com.

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995

This press release contains, and the related conference call and webcast will include, forward-looking statements that are based on management’s current expectations, assumptions and beliefs about its business, financial performance, operating results, the industry in which it operates and other future events. Forward-looking statements can often be identified by words such as "anticipates," "expects," "intends," "plans," "predicts," "believes," "seeks," "estimates," "may," "will," "should," "would," "could," "potential," "continue," "ongoing," similar expressions, and variations or negatives of these words. These forward-looking statements include, but are not limited to, statements regarding growth prospects, future operating and financial performance, and acquisition activities. They are not guarantees of future results and are subject to risks, uncertainties and assumptions that could cause actual results to materially and adversely differ from those expressed in any forward-looking statement.

These risks and uncertainties relate to the company’s business, its industry and its common stock and include: reduced prices and reimbursement rates for its services; its ability to acquire, develop, manage or improve operations, its ability to manage its increasing borrowing costs as it incurs additional indebtedness to fund the acquisition and development of operations; its ability to access capital on a cost-effective basis to continue to successfully implement its growth strategy; its operating margins and profitability could suffer if it is unable to grow and manage effectively its increasing number of operations; competition from other companies in the acquisition, development and operation of facilities; its ability to defend claims and lawsuits, including professional liability claims alleging that our services resulted in personal injury, and other regulatory-related claims; and the application of existing or proposed government regulations, or the adoption of new laws and regulations, that could limit its business operations, require it to incur significant expenditures or limit its ability to relocate its operations if necessary. Readers should not place undue reliance on any forward-looking statements and are encouraged to review the company’s periodic filings with the Securities and Exchange Commission, including its Form 10-Q and/or 10-K, for a more complete discussion of the risks and other factors that could affect Pennant’s business, prospects and any forward-looking statements. Except as required by the federal securities laws, Pennant does not undertake any obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, changing circumstances or any other reason after the date of this press release.

Contact Information

Investor Relations
The Pennant Group, Inc.
(208) 506-6100
ir@pennantgroup.com

SOURCE: The Pennant Group, Inc.

               
THE PENNANT GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(unaudited, in thousands, except for per-share amounts)
               
  Three Months Ended June 30,
  Six Months Ended June 30,
  2025     2024     2025     2024  
                       
Revenue $ 219,501     $ 168,745     $ 429,343     $ 325,660  
                       
Expense                      
Cost of services 177,275     135,313     346,020     261,308  
Rent—cost of services 11,925     10,524     23,640     20,908  
General and administrative expense 17,597     11,878     32,437     23,314  
Depreciation and amortization 2,224     1,468     4,116     2,799  
Gain on disposition of property and equipment, net (1,048 )       (1,048 )   (755 )
Total expenses 207,973     159,183     405,165     307,574  
Income from operations 11,528     9,562     24,178     18,086  
Other (expense) income, net:                      
Other (expense) income 255     (2 )   186     83  
Interest expense, net (1,204 )   (1,622 )   (2,409 )   (3,414 )
Other expense, net (949 )   (1,624 )   (2,223 )   (3,331 )
Income before provision for income taxes 10,579     7,938     21,955     14,755  
Provision for income taxes 2,598     1,844     5,452     3,603  
Net income 7,981     6,094     16,503     11,152  
Less: Net income attributable to noncontrolling interest 896     404     1,643     556  
Net income attributable to The Pennant Group, Inc. $ 7,085     $ 5,690     $ 14,860     $ 10,596  
Earnings per share:                      
Basic $ 0.21     $ 0.19     $ 0.43     $ 0.35  
Diluted $ 0.20     $ 0.18     $ 0.42     $ 0.35  
Weighted average common shares outstanding:                      
Basic 34,529     30,142     34,500     30,094  
Diluted 35,372     30,781     35,284     30,583  
                       


THE PENNANT GROUP, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except par value)
           
  June 30,
2025
    December 31,
2024
 
Assets          
Current assets:          
Cash $ 14,385     $ 24,246  
Accounts receivable—less allowance for doubtful accounts of $506 and $232,  at June 30, 2025 and December 31, 2024 respectively 95,720     81,302  
Prepaid expenses and other current assets 17,269     17,308  
Total current assets 127,374     122,856  
Property and equipment, net 52,578     43,296  
Operating lease right-of-use assets 273,842     270,586  
Deferred tax assets, net 33      
Restricted and other assets 23,804     17,477  
Goodwill 156,604     129,124  
Other indefinite-lived intangibles 117,182     96,182  
Total assets $ 751,417     $ 679,521  
Liabilities and equity          
Current liabilities:          
Accounts payable $ 19,211     $ 18,737  
Accrued wages and related liabilities 42,731     43,106  
Operating lease liabilities—current 20,667     19,671  
Other accrued liabilities 22,332     20,186  
Total current liabilities 104,941     101,700  
Long-term operating lease liabilities—less current portion 255,781     253,420  
Deferred tax liabilities, net 1,143     1,861  
Other long-term liabilities 18,925     10,575  
Long-term debt 37,000      
Total liabilities 417,790     367,556  
Commitments and contingencies          
Equity:          
Common stock, $0.001 par value; 100,000 shares authorized; 34,782 and 34,490 shares issued and outstanding at June 30, 2025, respectively; and 34,670 and 34,373 shares issued and outstanding at December 31, 2024, respectively 35     35  
Additional paid-in capital 241,250     236,091  
Retained earnings 72,082     57,222  
Treasury stock, at cost, 3 shares at June 30, 2025 and December 31, 2024 (65 )   (65 )
Total The Pennant Group, Inc. stockholders’ equity 313,302     293,283  
Noncontrolling interest 20,325     18,682  
Total equity 333,627     311,965  
Total liabilities and equity $ 751,417     $ 679,521  
           


THE PENNANT GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
       
The following table presents selected data from our condensed consolidated statements of cash flows for the periods presented:  
       
  Six Months Ended June 30,
  2025     2024  
Net cash provided by operating activities $                13,414     $                11,036  
Net cash used in investing activities (60,355 )   (33,280 )
Net cash provided by financing activities 37,080     19,228  
Net decrease in cash (9,861 )   (3,016 )
Cash beginning of period 24,246     6,059  
Cash end of period $                14,385     $                  3,043  
           


THE PENNANT GROUP, INC.
REVENUE BY SEGMENT
(unaudited, dollars in thousands)
       
The following table sets forth our total revenue by segment and as a percentage of total revenue for the periods indicated:
       
  Three Months Ended June 30,
  2025     2024  
  Revenue
Dollars
  Revenue
Percentage
  Revenue
Dollars
  Revenue
Percentage
                   
Home health and hospice services                  
Home health $ 79,194   36.1 %   $ 61,637   36.5 %
Hospice 73,770   33.6     59,347   35.2  
Home care and other(a) 13,056   5.9     4,317   2.6  
Total home health and hospice services 166,020   75.6     125,301   74.3  
Senior living services 53,481   24.4     43,444   25.7  
Total revenue $ 219,501   100.0 %   $ 168,745   100.0 %

(a) Home care and other revenue is included with home health revenue in other disclosures in this press release. 

       
       
  Six Months Ended June 30,
  2025     2024  
  Revenue
Dollars
  Revenue
Percentage
    Revenue
Dollars
  Revenue
Percentage
 
                   
Home health and hospice services                  
Home health $ 153,312   35.7 %   $ 118,849   36.5 %
Hospice 144,356   33.6     113,954   35.0  
Home care and other(a) 28,222   6.6     8,988   2.7  
Total home health and hospice services 325,890   75.9     241,791   74.2  
Senior living services 103,453   24.1     83,869   25.8  
Total revenue $ 429,343   100.0 %   $ 325,660   100.0 %

(a) Home care and other revenue is included with home health revenue in other disclosures in this press release. 

THE PENNANT GROUP, INC.
SELECT PERFORMANCE INDICATORS
(unaudited, total revenue dollars in thousands)
             
The following table summarizes our overall home health and hospice performance indicators for the each of the dates or periods indicated:
             
  Three Months Ended June 30,          
  2025   2024   Change   % Change  
Total agency results:                
Home health and hospice revenue $ 166,020   $ 125,301   $ 40,719   32.5 %
                 
Home health services:                
Total home health admissions 17,832   14,140   3,692   26.1 %
Total Medicare home health admissions 6,980   5,738   1,242   21.6 %
Average Medicare revenue per 60-day completed episode(a) $      3,882   $      3,665   $            217   5.9 %
Hospice services:                
Total hospice admissions 3,500   3,051   449   14.7 %
Average daily census 3,909   3,220   689   21.4 %
Hospice Medicare revenue per day $          190   $          184   $                6   3.3 %
                 


             
  Three Months Ended June 30,          
  2025   2024   Change   % Change  
Same agency(b) results:                
Home health and hospice revenue $ 126,592   $ 115,346   $       11,246   9.7 %
                 
Home health services:                
Total home health admissions 13,301   12,553   748   6.0 %
Total Medicare home health admissions 5,358   5,208   150   2.9 %
Average Medicare revenue per 60-day completed episode(a) $      3,726   $      3,532   $            194   5.5 %
Hospice services:                
Total hospice admissions 3,028   2,898   130   4.5 %
Average daily census 3,376   3,167   209   6.6 %
Hospice Medicare revenue per day $          188   $          187   $                1   0.5 %
                 


             
  Six Months Ended June 30,          
  2025   2024   Change   % Change  
Total agency results:                
Home health and hospice revenue $ 325,890   $ 241,791   $       84,099   34.8 %
                 
Home health services:                
Total home health admissions       36,710         28,789             7,921   27.5 %
Total Medicare home health admissions       14,579         12,084             2,495   20.6 %
Average Medicare revenue per 60-day completed episode(a) $      3,809   $      3,549   $            260   7.3 %
Hospice services:                
Total hospice admissions         7,283           6,131             1,152   18.8 %
Average daily census         3,852           3,091                761   24.6 %
Hospice Medicare revenue per day $          190   $          185   $                5   2.7 %
                 


             
  Six Months Ended June 30,          
  2025   2024   Change   % Change  
Same agency(b) results:                
Home health and hospice revenue $ 249,042   $ 225,360   $       23,682   10.5 %
                 
Home health services:                
Total home health admissions 27,383   25,107   2,276   9.1 %
Total Medicare home health admissions 11,170   10,744   426   4.0 %
Average Medicare revenue per 60-day completed episode(a) $      3,648   $      3,475   $            173   5.0 %
Hospice services:                
Total hospice admissions 6,209   5,978   231   3.9 %
Average daily census 3,323   3,064   259   8.5 %
Hospice Medicare revenue per day $          188   $          185   $                3   1.6 %
                 


(a) The year to date average for Medicare revenue per 60-day completed episode includes post period claim adjustments for prior periods.
(b) Same agency results represent all agencies purchased or licensed prior to January 1, 2024.
   


The following table summarizes our senior living performance indicators for the periods indicated:    
                   
  Three Months Ended June 30,
           
  2025     2024     Change     % Change  
Total senior living results:                      
Senior living revenue $ 53,481     $ 43,444     $   10,037     23.1 %
                       
Occupancy 78.8 %   78.8 %   —  %      
Average monthly revenue per occupied unit $   5,188     $   4,790     $         398     8.3 %
                       


                   
  Three Months Ended June 30,
           
  2025     2024     Change     % Change  
Same store senior living(a) results:                      
Senior living revenue $ 44,553     $ 40,867     $     3,686     9.0 %
                       
Occupancy 80.1 %   79.2 %   0.9 %      
Average monthly revenue per occupied unit $   5,131     $   4,718     $         413     8.8 %
                       


The following table summarizes our senior living performance indicators for the periods indicated:    
                   
  Six Months Ended June 30,
           
  2025     2024     Change     % Change  
Total senior living results:                      
Senior living revenue $ 103,453     $ 83,869     $   19,584     23.4 %
                       
Occupancy 78.7 %   78.7 %   —  %      
Average monthly revenue per occupied unit $   5,165     $   4,730     $         435     9.2 %
                       


                   
  Six Months Ended June 30,
           
  2025     2024     Change     % Change  
Same store senior living(a) results:                      
Senior living revenue $ 87,816     $ 80,606     $     7,210     8.9 %
                       
Occupancy 79.6 %   79.5 %   0.1 %      
Average monthly revenue per occupied unit $   5,112     $   4,681     $         431     9.2 %
                       

(a) Same store senior living results represent all senior living communities purchased or licensed prior to January 1, 2024, excluding affiliate memory care units in transition.

 
THE PENNANT GROUP, INC.
REVENUE BY PAYOR SOURCE
(unaudited, dollars in thousands)
       
The following table presents our total revenue by payor source as a percentage of total revenue for the periods indicated:
       
  Three Months Ended June 30,
  2025     2024  
  Revenue
Dollars
  Revenue
Percentage
    Revenue
Dollars
  Revenue
Percentage
 
                   
Revenue:                  
Medicare $ 103,821   47.3 %   $ 81,880   48.5 %
Medicaid 30,798   14.0     26,462   15.7  
Subtotal 134,619   61.3     108,342   64.2  
Managed Care 30,619   13.9     21,349   12.7  
Private and Other(a) 54,263   24.8     39,054   23.1  
Total revenue $ 219,501   100.0 %   $ 168,745   100.0 %

(a) Private and other payors includes revenue from all payors generated in the Company’s home care operations and management services agreement.

       
  Six Months Ended June 30,
  2025     2024  
  Revenue
Dollars
  Revenue
Percentage
    Revenue
Dollars
  Revenue
Percentage
 
                   
Revenue:                  
Medicare $     204,946   47.8 %   $     158,861   48.8 %
Medicaid 58,136   13.5     51,528   15.8  
Subtotal 263,082   61.3     210,389   64.6  
Managed Care 61,333   14.3     41,471   12.7  
Private and Other(a) 104,928   24.4     73,800   22.7  
Total revenue $     429,343   100.0 %   $     325,660   100.0 %
                   

(a) Private and other payors includes revenue from all payors generated in the Company’s home care operations and management services agreement.

               
THE PENNANT GROUP, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL INFORMATION
(unaudited, in thousands, except per share data)
               
The following table reconciles net income to Non-GAAP net income for the periods presented:
               
  Three Months Ended June 30,
  Six Months Ended June 30,
  2025     2024     2025     2024  
                       
Net income attributable to The Pennant Group, Inc. $      7,085     $      5,690     $    14,860     $    10,596  
                       
Non-GAAP adjustments                      
Costs at start-up operations(a) (61 )   98     32     178  
Share-based compensation expense(b) 2,212     1,949     4,379     3,475  
Acquisition related costs and credit allowances(c) 2,166     365     2,438     502  
Costs associated with transitioning operations(d) (982 )   87     (907 )   (486 )
Unusual, non-recurring or redundant charges(e) 16     32     67     307  
Provision for income taxes on Non-GAAP adjustments(f) (1,024 )   (878 )   (1,833 )   (1,267 )
Non-GAAP net income $      9,412     $      7,343     $    19,036     $    13,305  
                       
Dilutive Earnings Per Share As Reported                      
Net Income $         0.20     $         0.18     $         0.42     $         0.35  
Average number of shares outstanding 35,372     30,781     35,284     30,583  
                       
Adjusted Diluted Earnings Per Share                      
Net Income $         0.27     $         0.24     $         0.54     $         0.44  
Average number of shares outstanding 35,372     30,781     35,284     30,583  


     
(a) Represents results related to start-up operations.    
    Three Months Ended June 30,
  Six Months Ended June 30,
    2025     2024     2025     2024  
  Revenue $     (2,391 )   $     (2,546 )   $     (3,256 )   $     (4,956 )
  Cost of services          2,233              2,491              3,176              4,819  
  Rent               12                 150                   19                 306  
  Depreciation & amortization               85                      3                   93                      9  
  Total Non-GAAP adjustment $           (61 )   $             98     $             32     $           178  
                         
(b) Represents share-based compensation expense incurred for the periods presented.  
     
    Three Months Ended June 30,
  Six Months Ended June 30,  
    2025     2024     2025     2024  
  Cost of services $       1,233     $           983     $       2,428     $       1,745  
  General and administrative             979                 966              1,951              1,730  
  Total Non-GAAP adjustment $       2,212     $       1,949     $       4,379     $       3,475  
                         
(c) Represents costs incurred to acquire an operation that are not capitalizable.  


(d) During 2024 and 2025, an affiliate of the Company held its memory care units in transition and is converting the facility into an assisted living community. We received insurance proceeds related to the property in 2024 and 2025 which were recorded in gain on disposition of property and equipment, net on the consolidated statements of income.
         
    Three Months Ended June 30,   Six Months Ended June 30,
      2025       2024       2025       2024  
  Revenue $              —     $            (1 )   $             —      $             (1 )
  Cost of services                  25                     34                     45                   156  
  Rent                  52                     52                   104                   104  
  Depreciation                    2                        2                        5                        5  
  Gain on disposition of property and equipment, net           (1,061 )                   —               (1,061 )               (750 )
  Total Non-GAAP adjustment $          (982 )   $          87     $         (907 )   $         (486 )
                                 
(e) Represents unusual or non-recurring charges for legal services, implementation costs, integration costs, and consulting fees in general and administrative and cost of services expenses.
                                 
(f) Represents an adjustment to the provision for income tax to the year-to-date effective tax rate of 26.0% for both the three and six months ended June 30, 2025 and 2024, respectively. This rate excludes the tax benefit of share-based payment awards.
   

The table below reconciles Consolidated net income to the Consolidated Non-GAAP financial measures, Consolidated Adjusted EBITDA, and to the Non-GAAP valuation measure, Consolidated Adjusted EBITDAR, for the periods presented:

               
  Three Months Ended June 30,
  Six Months Ended June 30,
  2025     2024     2025     2024  
                       
Consolidated net income $      7,981     $      6,094     $    16,503     $    11,152  
Less: Net income attributable to noncontrolling interest 896     404     1,643     556  
Add: Provision for income taxes 2,598     1,844     5,452     3,603  
Net interest expense 1,204     1,622     2,409     3,414  
Depreciation and amortization 2,224     1,468     4,116     2,799  
Consolidated EBITDA 13,111     10,624     26,837     20,412  
Adjustments to Consolidated EBITDA                      
Add: Start-up operations(a) (158 )   (55 )   (80 )   (137 )
Share-based compensation expense(b) 2,212     1,949     4,379     3,475  
Acquisition related costs and credit allowances(c) 2,166     365     2,438     502  
Activities associated with transitioning operations(d) (1,036 )   33     (1,016 )   (595 )
Unusual, non-recurring or redundant charges(e) 16     32     67     307  
Rent related to items (a) and (d) above 64     202     123     410  
Consolidated Adjusted EBITDA 16,375     13,150     32,748     24,374  
Rent—cost of services 11,925     10,524     23,640     20,908  
Rent related to items (a) and (d) above (64 )   (202 )   (123 )   (410 )
Adjusted rent—cost of services 11,861     10,322     23,517     20,498  
Consolidated Adjusted EBITDAR(f) $    28,236           $    56,265        


(a) Represents results related to start-up operations. This amount excludes rent and depreciation and amortization expense related to such operations.
(b) Share-based compensation expense and related payroll taxes incurred. Share-based compensation expense and related payroll taxes are included in cost of services and general and administrative expense.
(c) Non-capitalizable costs associated with acquisitions, credit allowances, and write offs for amounts in dispute with the prior owners of certain acquired operations.
(d) During 2024 and 2025, an affiliate of the Company held its memory care units in transition and is converting the facility into an assisted living community. We received insurance proceeds related to the property in 2024 and 2025 which were recorded in gain on disposition of property and equipment, net on the consolidated statements of income.
(e) Represents unusual or non-recurring charges for legal services, implementation costs, integration costs, and consulting fees in general and administrative and cost of services expenses.
(f) This measure is a valuation measure and is displayed thusly, it is not a performance measure as it excludes rent expense, which is a normal and recurring operating expense and, as such, does not reflect our cash requirements for leasing commitments. Our presentation of Consolidated Adjusted EBITDAR should not be construed as a financial performance measure.
   

The following table present certain financial information regarding our reportable segments. General and administrative expenses are not allocated to the reportable segments:

               
  Home Health and Hospice Services   Senior Living Services   All Other   Total
Three Months Ended June 30, 2025              
Revenue $           165,248   $             51,862   $               2,391   $           219,501
Segment Cost of Services $           137,565   $             37,074        
Segment Adjusted EBITDAR from Operations $             27,683   $             14,788       $             42,471
Three Months Ended June 30, 2024              
Revenue $           123,333   $             42,865   $               2,547   $           168,745
Segment Cost of Services $           102,119   $             30,061        
Segment Adjusted EBITDAR from Operations $             21,214   $             12,804       $             34,018
               


               
  Home Health and Hospice Services   Senior Living Services   All Other   Total
Six Months Ended June 30, 2025              
Segment Revenue $           324,691   $           101,396   $               3,256   $           429,343
Segment Cost of Services              269,734                  72,159        
Segment Adjusted EBITDAR from Operations $             54,957   $             29,237       $             84,194
Six Months Ended June 30, 2024              
Segment Revenue $           237,823   $             82,880   $               4,957   $           325,660
Segment Cost of Services              197,059                  58,065        
Segment Adjusted EBITDAR from Operations $             40,764   $             24,815       $             65,579
               

The table below provides a reconciliation of Segment Adjusted EBITDAR from Operations above to income from operations:

               
  Three Months Ended June 30,
  Six Months Ended June 30,
  2025     2024     2025     2024  
                       
Segment Adjusted EBITDAR from Operations(a) $ 42,471     $ 34,018     $ 84,194     $ 65,579  
Less: Unallocated corporate expenses 14,235     10,546     27,929     20,707  
Less: Depreciation and amortization 2,224     1,468     4,116     2,799  
Rent—cost of services 11,925     10,524     23,640     20,908  
Other income 255     (2 )   186     83  
Adjustments to Segment EBITDAR from Operations:                      
Less: Start-up operations(b) (158 )   (55 )   (80 )   (137 )
Share-based compensation expense(c) 2,212     1,949     4,379     3,475  
Acquisition related costs and credit allowances(d) 2,166     365     2,438     502  
Activities associated with transitioning operations(e) (1,036 )   33     (1,016 )   (595 )
Unusual, non-recurring or redundant charges(f) 16     32     67     307  
Add: Net income attributable to noncontrolling interest 896     404     1,643     556  
Income from operations $ 11,528     $ 9,562     $ 24,178     $ 18,086  


(a) Segment Adjusted EBITDAR from Operations is net income attributable to the Company's reportable segments excluding interest expense, provision for income taxes, depreciation and amortization expense, rent, unallocated corporate and administrative expenses, and, in order to view the operations’ performance on a comparable basis from period to period, certain adjustments including: (1) costs associated with start-up operations, (2) share-based compensation expense, (3) acquisition related costs and credit allowances, (4) costs associated with transitioning operations, (5) unusual, non-recurring, or redundant charges, and (6) net income attributable to noncontrolling interest. “All Other” consists of revenues generated at operating locations not included in the segment financial information reviewed by the CODM. Revenue included in the “All Other” category is insignificant individually, and therefore does not constitute a reportable segment. General and administrative expenses are not allocated to the reportable segments, and are included as “Unallocated corporate expenses”, accordingly the segment earnings measure reported is before allocation of corporate general and administrative expenses. The Company's segment measures may be different from the calculation methods used by other companies and, therefore, comparability may be limited.
(b) Represents results related to start-up operations. This amount excludes rent and depreciation and amortization expense related to such operations.
(c) Share-based compensation expense and related payroll taxes incurred. Share-based compensation expense and related payroll taxes are included in cost of services and general and administrative expense.
(d) Non-capitalizable costs associated with acquisitions, credit allowances, and write offs for amounts in dispute with the prior owners of certain acquired operations.
(e) During 2024 and 2025, an affiliate of the Company held its memory care units in transition and is converting the facility into an assisted living community. We received insurance proceeds related to the property in 2024 and 2025 which were recorded in gain on disposition of property and equipment, net on the consolidated statements of income.
(f) Represents unusual or non-recurring charges for legal services, implementation costs, integration costs, and consulting fees in general and administrative and cost of services expenses.
   

The tables below reconcile Segment Adjusted EBITDAR from Operations to Segment Adjusted  EBITDA from Operations for each reportable segment for the periods presented:

   
  Three Months Ended June 30,
  Home Health and Hospice   Senior Living
    2025       2024       2025       2024  
                               
Segment Adjusted EBITDAR from Operations $ 27,683     $ 21,214     $ 14,788     $ 12,804  
Less: Rent—cost of services   2,226       1,664       9,699       8,860  
Rent related to start-up and transitioning operations   (12 )     (57 )     (52 )     (145 )
Segment Adjusted EBITDA from Operations $ 25,469     $ 19,607     $ 5,141     $ 4,089  
                               

 


   
  Six Months Ended June 30,
  Home Health and Hospice   Senior Living
    2025       2024       2025       2024  
                               
Segment Adjusted EBITDAR from Operations $ 54,957     $ 40,764     $ 29,237     $ 24,815  
Less: Rent—cost of services   4,368       3,393       19,272       17,515  
Rent related to start-up and transitioning operations   (19 )     (122 )     (104 )     (288 )
Segment Adjusted EBITDA from Operations $ 50,608     $ 37,493     $ 10,069     $ 7,588  
                               
                               

Discussion of Non-GAAP Financial Measures

EBITDA consists of net income before (a) interest expense, net, (b) provisions for income taxes, and (c) depreciation and amortization. Adjusted EBITDA consists of net income attributable to the Company before (a) interest expense, net (b) provisions for income taxes, (c) depreciation and amortization, (d) results related to start-up operations, including rent and excluding depreciation, interest and income taxes, (e) share-based compensation expense, (f) non-capitalizable acquisition related costs and credit allowances, (g) activities associated with transitioning operations, (h) unusual, non-recurring or redundant charges and (i) net income attributable to noncontrolling interest. Consolidated Adjusted EBITDAR is a valuation measure applicable to current periods only and consists of net income attributable to the Company before (a) interest expense, net, (b) provisions for income taxes, (c) depreciation and amortization, (d) rent-cost of services, (e) results related to start-up operations, excluding rent, depreciation, interest and income taxes, (f) share-based compensation expense, (g) acquisition related costs and credit allowances, (h) activities associated with transitioning operations, (i) unusual, non-recurring or redundant charges and (j) net income attributable to noncontrolling interest. The company believes that the presentation of EBITDA, adjusted EBITDA, consolidated adjusted EBITDAR, adjusted net income and adjusted earnings per share provides important supplemental information to management and investors to evaluate the company’s operating performance. The company believes disclosure of adjusted net income, adjusted net income per share, EBITDA, adjusted EBITDA and consolidated adjusted EBITDAR has economic substance because the excluded revenues and expenses are infrequent in nature and are variable in nature, or do not represent current revenues or cash expenditures. A material limitation associated with the use of these measures as compared to the GAAP measures of net income and diluted earnings per share is that they may not be comparable with the calculation of net income and diluted earnings per share for other companies in the company's industry. These non-GAAP financial measures should not be relied upon to the exclusion of GAAP financial measures. For further information regarding why the company believes that this non-GAAP measure provides useful information to investors, the specific manner in which management uses this measure, and some of the limitations associated with the use of this measure, please refer to the company's periodic filings with the Securities and Exchange Commission, including its Annual Report on Form 10-K and Quarterly Report on Form 10-Q. The company’s periodic filings are available on the SEC's website at www.sec.gov or under the "Financial Information" link of the Investor Relations section on Pennant’s website at http://www.pennantgroup.com.


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