UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________
FORM 10-Q
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2022March 31, 2023
OR
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number: 001-41406
___________________
Enhabit, Inc.
(Exact name of registrant as specified in its charter)
Delaware47-2409192
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
6688 N. Central Expressway, Suite 1300, Dallas, Texas75206
(Address of Principal Executive Offices)(Zip Code)
(214) 239-6500
Registrant’s telephone number, including area code
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, par value $0.01 per shareEHABNew York Stock Exchange
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes  No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filerAccelerated filerNon-accelerated filerx
Smaller reporting companyEmerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No
The registrant had outstanding 49,618,40250,099,817 shares of common stock as of November 9, 2022.May 8, 2023.



TABLE OF CONTENTS
Page No



i


NOTE TO READERS
As used in this report, the terms “Enhabit,” “we,” “us,” “our,” and the “Company” refer to Enhabit, Inc. and its consolidated subsidiaries, unless otherwise stated or indicated by context.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
This quarterly report contains historical information, as well as forward-looking statements (within the meaning of Section 27A of the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) that involve known and unknown risks and relate to, among other things, future events, projections, financial guidance, legislative or regulatory developments, strategy or growth opportunities, our future financial performance, our projected business results, or our projected capital expenditures. All statements other than statements of historical fact are, or may be deemed to be, forward-looking statements. In some cases, the reader can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “targets,” “potential,” or “continue” or the negative of these terms or other comparable terminology. Any forward-looking statement speaks only as of the date of this report, and the Company 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, many of which are beyond our control. Actual events or results may differ materially from the results 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 the Company include, but are not limited to, our ability to execute on our strategic plans, regulatory and other developments impacting the markets for our services, changes in reimbursement rates, general economic conditions, our ability to attract and retain key management personnel and healthcare professionals, potential disruptions or breaches of our or our vendors’ information systems, the outcome of litigation, our ability to successfully complete and integrate de novo developments, acquisitions, investments, and joint ventures, and our ability to control costs, particularly labor and employee benefit costs. Our Form 10 Registration Statement dated June 14, 2022 and subsequent quarterly reportsAnnual Report on Form 10-Q, each of10-K for the year ended December 31, 2022 dated April 14, 2023, which can be found on the Company’s website at http://investors.ehab.com, discussdiscusses other risks and factors that could cause actual results to differ materially from those expressed or implied by any forward-looking statement in this report.


ii


Part I - Financial Information
Item 1. Financial Statements (Unaudited)
Enhabit, Inc. and Subsidiaries
Condensed Consolidated Statements of Income
(Unaudited)
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended March 31,
202220212022202120232022
(In Millions, Except Per Share Data)(In Millions, Except Per Share Data)
Net service revenueNet service revenue$265.7 $273.9 $808.0 $830.5 Net service revenue$265.1 $274.3 
Cost of service (excluding depreciation and amortization)132.3 131.2 392.3 385.4 
Gross margin133.4 142.7 415.7 445.1 
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization132.6 129.7 
General and administrative expensesGeneral and administrative expenses107.5 104.2 310.4 309.8 General and administrative expenses110.5 100.7 
Depreciation and amortizationDepreciation and amortization8.0 9.4 24.7 27.9 Depreciation and amortization7.8 8.5 
Operating incomeOperating income17.9 29.1 80.6 107.4 Operating income14.2 35.4 
Interest expense and amortization of debt discounts and feesInterest expense and amortization of debt discounts and fees6.2 0.1 6.3 0.2 Interest expense and amortization of debt discounts and fees9.5 — 
Equity in net income of nonconsolidated affiliates (0.1) (0.5)
Other income —  (1.6)
Income before income taxes and noncontrolling interestsIncome before income taxes and noncontrolling interests11.7 29.1 74.3 109.3 Income before income taxes and noncontrolling interests4.7 35.4 
Income tax expenseIncome tax expense2.8 7.1 17.9 26.2 Income tax expense1.5 8.7 
Net incomeNet income8.9 22.0 56.4 83.1 Net income3.2 26.7 
Less: Net income attributable to noncontrolling interestsLess: Net income attributable to noncontrolling interests0.3 0.4 1.6 1.3 Less: Net income attributable to noncontrolling interests0.5 0.6 
Net income attributable to Enhabit, Inc.Net income attributable to Enhabit, Inc.$8.6 $21.6 $54.8 $81.8 Net income attributable to Enhabit, Inc.$2.7 $26.1 
Weighted average common shares outstanding:Weighted average common shares outstanding:Weighted average common shares outstanding:
BasicBasic49.6 49.6 49.6 49.6 Basic49.8 49.6 
DilutedDiluted49.7 49.6 49.7 49.6 Diluted50.1 49.6 
Earnings per common share:Earnings per common share:Earnings per common share:
Basic earnings per share attributable to Enhabit, Inc. common stockholdersBasic earnings per share attributable to Enhabit, Inc. common stockholders$0.17 $0.44 $1.10 $1.65 Basic earnings per share attributable to Enhabit, Inc. common stockholders$0.05 $0.53 
Diluted earnings per share attributable to Enhabit, Inc. common stockholdersDiluted earnings per share attributable to Enhabit, Inc. common stockholders$0.17 $0.44 $1.10 $1.65 Diluted earnings per share attributable to Enhabit, Inc. common stockholders$0.05 $0.53 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
1


Enhabit, Inc. and Subsidiaries
Condensed Consolidated Balance SheetsStatements of Comprehensive Income
(Unaudited)
September 30,
2022
December 31,
2021
(In Millions)
Assets
Current assets:
Cash and cash equivalents$44.1 $5.4 
Restricted cash3.8 2.6 
Accounts receivable148.8 164.5 
Income tax receivable7.9 — 
Prepaid expenses and other current assets21.1 6.3 
Total current assets225.7 178.8 
Property and equipment, net21.2 20.4 
Operating lease right-of-use assets41.6 48.4 
Goodwill1,217.7 1,189.0 
Intangible assets, net105.6 259.1 
Other long-term assets11.1 24.3 
Total assets(1)
$1,622.9 $1,720.0 
Liabilities and Stockholders’ Equity
Current liabilities:
Current portion of long-term debt$23.4 $5.0 
Current operating lease liabilities13.9 14.9 
Accounts payable3.4 3.5 
Accrued payroll63.2 66.4 
Refunds due patients and other third-party payors8.0 9.4 
Income tax payable 4.2 
Accrued medical insurance5.7 8.3 
Other current liabilities32.7 24.8 
Total current liabilities150.3 136.5 
Long-term debt, net of current portion545.2 3.5 
Long-term operating lease liabilities27.8 33.5 
Deferred income tax liabilities30.6 63.2 
753.9 236.7 
Commitments and contingencies
Redeemable noncontrolling interests5.2 5.0 
Stockholders’ equity:
Enhabit, Inc. stockholders’ equity:
Common stock, $.01 par value; 200,000,000 shares authorized; issued: 49,618,402 as of September 30, 2022 and 49,618,402 as of December 31, 20210.5 0.5 
Capital in excess of par value404.7 1,094.1 
Retained earnings430.2 375.4 
Total Enhabit, Inc. stockholders’ equity835.4 1,470.0 
Noncontrolling interests28.4 8.3 
Total stockholders’ equity863.8 1,478.3 
Total liabilities(1) and stockholders’ equity
$1,622.9 $1,720.0 
(1)Our consolidated assets as of September 30, 2022 and December 31, 2021 include total assets of variable interest entities of $20.2 million and $18.2 million, respectively, that cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of September 30, 2022 and December 31, 2021 include total liabilities of the variable interest entities of $0.7 million and $0.4 million, respectively. See Note 3, Variable Interest Entities.

Three Months Ended March 31,
20232022
(In Millions)
Net income including noncontrolling interest$3.2 $26.7 
Other comprehensive loss:
Unrealized loss of cash flow hedges, net of tax benefit of $0.3, and $0.0, respectively(1.1)— 
Total other comprehensive loss(1.1)— 
Comprehensive income including noncontrolling interest2.1 26.7 
Less: Comprehensive income attributable to noncontrolling interest0.5 0.6 
Comprehensive income attributable to Enhabit, Inc.$1.6 $26.1 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
2


Enhabit, Inc. and Subsidiaries
Condensed Consolidated Statements of Stockholders’ EquityBalance Sheets
(Unaudited)

Three Months Ended September 30, 2022
Enhabit, Inc. Common Stockholders
Number of
Common
Shares
Outstanding
Common
Stock
Capital in
Excess of Par
Value
Retained
Earnings
Noncontrolling
Interests
Total
(In Millions)
Balance at beginning of period49.6 $0.5 $400.2 $421.6 $28.4 $850.7 
Net income— — — 8.6 0.3 8.9 
Distributions declared— — — — (0.3)(0.3)
Stock-based compensation— — 4.5 — — 4.5 
Balance at end of period49.6 $0.5 $404.7 $430.2 $28.4 $863.8 
March 31,
2023
December 31,
2022
(In Millions)
Assets
Current assets:
Cash and cash equivalents$37.6 $22.9 
Restricted cash2.0 4.3 
Accounts receivable156.5 149.6 
Income tax receivable4.3 11.4 
Prepaid expenses and other current assets12.2 23.6 
Total current assets212.6 211.8 
Property and equipment, net19.0 20.4 
Operating lease right-of-use assets45.8 42.0 
Goodwill1,147.5 1,144.8 
Intangible assets, net97.1 102.6 
Other long-term assets5.0 5.2 
Total assets(1)
$1,527.0 $1,526.8 
Liabilities and Stockholders’ Equity
Current liabilities:
Current portion of long-term debt$22.7 $23.1 
Current operating lease liabilities11.6 14.0 
Accounts payable6.2 3.8 
Accrued payroll47.7 35.5 
Refunds due patients and other third-party payors8.0 8.3 
Accrued medical insurance7.5 7.5 
Other current liabilities31.9 40.7 
Total current liabilities135.6 132.9 
Long-term debt, net of current portion549.7 560.0 
Long-term operating lease liabilities34.2 28.1 
Deferred income tax liabilities28.5 28.6 
Other long-term liabilities3.0 1.9 
751.0 751.5 
Commitments and contingencies
Redeemable noncontrolling interests5.1 5.2 
Stockholders’ equity:
Enhabit, Inc. stockholders’ equity:
Common stock, $.01 par value; 200,000,000 shares authorized; issued: 50,157,207 as of March 31, 2023 and 50,099,716 as of December 31, 20220.5 0.5 
Capital in excess of par value408.4 406.9 
Accumulated other comprehensive income(1.8)(0.7)
Retained earnings337.7 335.0 
Treasury stock at cost, 67,879 and — shares, respectively(0.5)— 
Total Enhabit, Inc. stockholders’ equity744.3 741.7 
Noncontrolling interests26.6 28.4 
Total stockholders’ equity770.9 770.1 
Total liabilities(1) and stockholders’ equity
$1,527.0 $1,526.8 

(1)
Three Months Ended September 30, 2021
Enhabit, Inc. Common Stockholders
Number of
Common
Shares
Outstanding
Common
Stock
Capital in
Excess of Par
Value
Retained
Earnings
Noncontrolling
Interests
Total
(In Millions)
Balance at beginning of period49.6 $0.5 $1,129.4 $324.5 $7.9 $1,462.3 
Net income— — — 21.6 0.4 22.0 
Capital contributions— — 8.7 — — 8.7 
Capital distributions— — (19.6)— — (19.6)
Distributions declared— — — — (0.4)(0.4)
Balance at end of period49.6 $0.5 $1,118.5 $346.1 $7.9 $1,473.0 
Our consolidated assets as of March 31, 2023 and December 31, 2022 include total assets of variable interest entities of $19.8 million and $20.6 million, respectively, that cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of March 31, 2023 and December 31, 2022 include total liabilities of the variable interest entities of $0.7 million and $0.5 million, respectively. See Note 2, Variable Interest Entities.

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
3


Enhabit, Inc. and Subsidiaries
Condensed Consolidated Statements of Stockholders’ Equity (Continued)
(Unaudited)

Nine Months Ended September 30, 2022
Enhabit, Inc. Common Stockholders
Number of
Common
Shares
Outstanding
Common
Stock
Capital in
Excess of Par
Value
Retained
Earnings
Noncontrolling
Interests
Total
(In Millions)
Balance at beginning of period49.6 $0.5 $1,094.1 $375.4 $8.3 $1,478.3 
Net income— — — 54.8 1.6 56.4 
Capital contributions— — 62.3 — — 62.3 
Capital distributions (See Note 5)— — (759.1)— — (759.1)
Distributions declared— — — — (0.9)(0.9)
Saint Alphonsus acquisition— — — — 15.9 15.9 
Contributions from noncontrolling interests of consolidated affiliates— — 2.9 — 3.5 6.4 
Stock-based compensation— — 4.5 — — 4.5 
Balance at end of period49.6 $0.5 $404.7 $430.2 $28.4 $863.8 

Nine Months Ended September 30, 2021Three Months Ended March 31, 2023
Enhabit, Inc. Common Stockholders
Number of
Common
Shares
Outstanding
Common
Stock
Capital in
Excess of Par
Value
Retained
Earnings
Noncontrolling
Interests
TotalNumber of
Common
Shares
Outstanding
Common
Stock
Capital in
Excess of Par
Value
Other Comprehensive IncomeRetained
Earnings
Number of Treasury Shares OutstandingTreasury StockNoncontrolling
Interests
Total
(In Millions)(In Millions)
Balance at beginning of period49.6 $0.5 $1,118.3 $264.3 $6.7 $1,389.8 
Balance at December 31, 2022Balance at December 31, 202250.1 $0.5 $406.9 $(0.7)$335.0 — $— $28.4 $770.1 
Net incomeNet income    2.7   0.4 3.1 
Other comprehensive loss, net of taxOther comprehensive loss, net of tax   (1.1)    (1.1)
Distributions declaredDistributions declared       (2.2)(2.2)
Stock-based compensation expenseStock-based compensation expense  1.5      1.5 
Restricted stock forfeited, including forfeitures due to net share settlement of income taxesRestricted stock forfeited, including forfeitures due to net share settlement of income taxes     0.1 (0.5) (0.5)
Balance at March 31, 2023Balance at March 31, 202350.1 $0.5 $408.4 $(1.8)$337.7 0.1 $(0.5)$26.6 $770.9 
Three Months Ended March 31, 2022
Number of
Common
Shares
Outstanding
Common
Stock
Capital in
Excess of Par
Value
Other Comprehensive IncomeRetained
Earnings
Number of Treasury Shares OutstandingTreasury StockNoncontrolling
Interests
Total
(In Millions)
Balance at December 31, 2021Balance at December 31, 202149.6 $0.5 $1,094.1 $— $375.4 — $— $8.3 $1,478.3 
Net incomeNet income— — — 81.8 1.3 83.1 Net income— — — — 26.1 — — 0.6 26.7 
Capital contributionsCapital contributions— — 94.3 — — 94.3 Capital contributions— — 24.8 — — — — — 24.8 
Capital distributionsCapital distributions— — (94.1)— — (94.1)Capital distributions— — (55.8)— — — — — (55.8)
Distributions declaredDistributions declared— — — — (1.1)(1.1)Distributions declared— — — — — — — (0.4)(0.4)
Acquisition of Frontier Home Health and Hospice— — — — 1.0 1.0 
Balance at end of period49.6 $0.5 $1,118.5 $346.1 $7.9 $1,473.0 
Saint Alphonsus acquisitionSaint Alphonsus acquisition— — — — — — — 15.9 15.9 
Contributions from noncontrolling interests of consolidated affiliatesContributions from noncontrolling interests of consolidated affiliates— — 2.9 — — — — 3.5 6.4 
Balance at March 31, 2022Balance at March 31, 202249.6 $0.5 $1,066.0 $— $401.5 — $— $27.9 $1,495.9 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
4


Enhabit, Inc. and Subsidiaries
Condensed Consolidated Statements of Cash Flows
(Unaudited)
Nine Months Ended September 30,Three Months Ended March 31,
2022202120232022
(In Millions)(In Millions)
Cash flows from operating activities:Cash flows from operating activities:Cash flows from operating activities:
Net incomeNet income$56.4 $83.1 Net income$3.2 $26.7 
Adjustments to reconcile net income to net cash provided by operating activities—Adjustments to reconcile net income to net cash provided by operating activities—Adjustments to reconcile net income to net cash provided by operating activities—
Depreciation and amortizationDepreciation and amortization24.7 27.9 Depreciation and amortization7.8 8.5 
Amortization of debt related costsAmortization of debt related costs0.3 — Amortization of debt related costs0.3 — 
Stock-based compensationStock-based compensation7.1 2.1 Stock-based compensation1.5 1.3 
Deferred tax (benefit) expense(2.5)0.8 
Deferred tax expense (benefit)Deferred tax expense (benefit)0.3 (0.2)
Other, netOther, net (2.6)Other, net (0.2)
Changes in assets and liabilities, net of acquisitions—Changes in assets and liabilities, net of acquisitions—Changes in assets and liabilities, net of acquisitions—
Accounts receivableAccounts receivable16.4 (25.7)Accounts receivable(6.7)(0.1)
Prepaid expenses and other assetsPrepaid expenses and other assets(22.5)(0.2)Prepaid expenses and other assets18.1 (1.6)
Accounts payableAccounts payable(0.2)(0.9)Accounts payable2.3 (0.6)
Accrued payrollAccrued payroll(3.3)14.0 Accrued payroll12.2 (1.6)
Other liabilitiesOther liabilities(0.4)1.7 Other liabilities(9.4)9.2 
Net cash provided by operating activitiesNet cash provided by operating activities76.0 100.2 Net cash provided by operating activities29.6 41.4 
Cash flows from investing activities:Cash flows from investing activities:Cash flows from investing activities:
Acquisition of businesses, net of cash acquiredAcquisition of businesses, net of cash acquired (97.7)Acquisition of businesses, net of cash acquired(2.8)— 
Purchases of property and equipmentPurchases of property and equipment(5.3)(3.9)Purchases of property and equipment(0.6)(2.3)
Other, netOther, net1.2 1.9 Other, net0.2 0.9 
Net cash used in investing activitiesNet cash used in investing activities(4.1)(99.7)Net cash used in investing activities(3.2)(1.4)
Cash flows from financing activities:Cash flows from financing activities:Cash flows from financing activities:
Principal borrowings on term loan400.0 — 
Principal payments on debt(5.4)— 
Borrowings on revolving credit facility170.0 — 
Principal payments on term loanPrincipal payments on term loan(5.0)— 
Payments on revolving credit facilityPayments on revolving credit facility(5.0)— 
Distributions paid to noncontrolling interests of consolidated affiliatesDistributions paid to noncontrolling interests of consolidated affiliates(2.5)(0.5)
Principal payments under finance lease obligationsPrincipal payments under finance lease obligations(3.6)(5.6)Principal payments under finance lease obligations(1.0)(1.4)
Contributions from EncompassContributions from Encompass59.8 91.8 Contributions from Encompass 23.5 
Distributions to EncompassDistributions to Encompass(654.9)(93.7)Distributions to Encompass (55.8)
Contributions from noncontrolling interests of consolidated affiliatesContributions from noncontrolling interests of consolidated affiliates7.4 — Contributions from noncontrolling interests of consolidated affiliates 7.4 
OtherOther(5.3)(1.6)Other(0.5)— 
Net cash used in financing activitiesNet cash used in financing activities(32.0)(9.1)Net cash used in financing activities(14.0)(26.8)
Increase (decrease) in cash, cash equivalents, and restricted cash39.9 (8.6)
Increase in cash, cash equivalents, and restricted cashIncrease in cash, cash equivalents, and restricted cash12.4 13.2 
Cash, cash equivalents, and restricted cash at beginning of yearCash, cash equivalents, and restricted cash at beginning of year8.0 40.0 Cash, cash equivalents, and restricted cash at beginning of year27.2 8.0 
Cash, cash equivalents, and restricted cash at end of yearCash, cash equivalents, and restricted cash at end of year$47.9 $31.4 Cash, cash equivalents, and restricted cash at end of year$39.6 $21.2 
Supplemental cash flow information:Supplemental cash flow information:
Cash received for income taxes, netCash received for income taxes, net(5.9)— 
Cash paid for interestCash paid for interest10.2 — 
Supplemental schedule of noncash activities:Supplemental schedule of noncash activities:Supplemental schedule of noncash activities:
Property and equipment additions through finance leasesProperty and equipment additions through finance leases2.9 4.0 Property and equipment additions through finance leases0.2 0.2 
Operating lease additionsOperating lease additions5.9 17.6 Operating lease additions7.9 2.9 
Trade name transfer to Encompass (including deferred tax liability)(104.2)— 
Supplemental cash flow information:
Cash paid for income taxes11.8 26.7 
Cash paid for interest6.0 0.2 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
5

Table of Contents
Enhabit, Inc. and Subsidiaries
Notes to Condensed Consolidated Financial Statements
(Unaudited)


1.Summary of Significant Accounting Policies:
Organization and Description of Business—
Enhabit, Inc. (“Enhabit,” “we,” “us,” “our,” and the “Company”), incorporated in Delaware in 2014, provides a comprehensive range of Medicare-certified skilled home health and hospice services in 34 states, with a concentration in the southern half of the United States. We manage our operations and disclose financial information using two reportable segments: (1) home health and (2) hospice. See Note 9, Segment Reporting. Prior to July 1, 2022, the Company operated as a reporting segment of Encompass Health Corporation (“Encompass”).
On December 9, 2020, Encompass announced a formal process to explore strategic alternatives for its home health and hospice business. On January 19, 2022, Encompass announced its home health and hospice business would be rebranded and operate under the name Enhabit Home Health & Hospice. In March 2022, we changed our name from Encompass Health Home Health Holdings, Inc. to Enhabit, Inc.
Separation from Encompass—
On July 1, 2022, Encompass completed the previously announced separation of the Company through the distribution of all of the outstanding shares of common stock, par value $0.01 per share, of Enhabit to the stockholders of record of Encompass (the “Distribution”) as of the close of business on June 24, 2022 (the “Record Date”). The Distribution was effective at 12:01 a.m., Eastern Time, on July 1, 2022. The Distribution was structured as a pro rata distribution of one share of Enhabit common stock for every two shares of Encompass common stock held of record as of the Record Date. No fractional shares were distributed. A cash payment was made in lieu of any fractional shares. As a result of the Distribution, Enhabit is now an independent public company and its common stock is listed under the symbol “EHAB” on the New York Stock Exchange (the “Separation”).
The Separation was completed pursuant to a separation and distribution agreement (the “Separation and Distribution Agreement”) and other agreements with Encompass related to the Separation, including, but not limited to, a tax matters agreement (the “Tax Matters Agreement”), an employee matters agreement (the “Employee Matters Agreement”), and a transition services agreement (the “Transition Services Agreement” or “TSA”). Following the Separation, certain functions continue to be provided by Encompass under the TSA or are being performed using the Company’s own resources or third-party providers. The Company incurred certain costs in its establishment as an independent, publicly-tradedpublicly traded company and expects to incur ongoing additional costs associated with operating as an independent, publicly-tradedpublicly traded company.
In anticipation of the Distribution, we transferred the “Encompass” trade name with a book value of $135.2 million and the related deferred tax liabilities with a book value of $31.0 million to Encompass as they will continue to operate under the Encompass brand.
All share and earnings per share information has been retroactively adjusted for all periods presented to reflect the Distribution.
See also Note 5,4, Long-term Debt.
Basis of Presentation and Consolidation—
The accompanying unaudited condensed consolidated financial statements of the Company and its subsidiaries should be read in conjunction with the audited consolidated financial statements and accompanying notes contained in the Company’s Registration StatementAnnual Report for the year ended December 31, 2022 on Form 1010-K (the “Form 10”10-K”) filed with the United States Securities and Exchange Commission (the “SEC”) on May 25, 2022, as amended June 9, 2022 and JuneApril 14, 2022.2023. The unaudited condensed consolidated financial statements have been prepared in accordance with the rules and regulations of the SEC applicable to interim financial information. Certain information and note disclosures included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) have been omitted in these interim statements, as allowed by such SEC rules and regulations. The condensed consolidated balance sheet as of December 31, 20212022 has been derived from audited financial statements, but it does not include all disclosures required by GAAP. However, we believe the disclosures are adequate to make the information presented not misleading.
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Notes to Condensed Consolidated Financial Statements
(Unaudited)


The unaudited results of operations for the interim periods shown in these financial statements are not necessarily indicative of operating results for the entire year. In our opinion, the accompanying unaudited condensed consolidated financial statements recognize all adjustments of a normal recurring nature considered necessary to fairly state the financial position, results of operations, and cash flows for each interim period presented.
Prior to July 1, 2022, we existed and functioned as part of the consolidated business of Encompass. The results related to the periods prior to July 1,three months ended March 31, 2022 that are included within the accompanying unaudited condensed consolidated financial statements have been derived from the consolidated financial statements and accounting records of Encompass as if the Company had operated on a stand-alone basis during the periods presented and were prepared utilizing the legal entity approach, in accordance with GAAP, and pursuant to the rules and regulations of the SEC. Prior to July 1, 2022, the Company was reported as a single reportable segment within Encompass’s reportable segments and did not operate as a stand-alone company. Accordingly, Encompass historically reported the financial position and the related results of operations, cash flows and changes in equity of the Company as a component of Encompass’s condensed consolidated financial statements.
The unaudited condensed consolidated financial statements include an allocation of expenses related to certain Encompass corporate functions as discussed in Note 10, Related Party Transactions, for periods prior to July 1, 2022. The unaudited condensed consolidated financial statements also include revenues and expenses directly attributable to the Company and assets and liabilities specifically attributable to the Company. Encompass’s third-party debt and related interest expense have not been attributed to the Company because the Company is not the primary legal obligor of the debt and the borrowings are not specifically identifiable to the Company. However, subsequent to April 23, 2020, the Company was a guarantor for Encompass’s credit agreement and senior debt. In connection with the Distribution, the Company was released from its guarantee of Encompass’s indebtedness. The Company maintains its own cash management system and doesdid not participate in a centralized cash management arrangement with Encompass.
The income tax amounts in these unaudited condensed consolidated financial statements for the three months ended March 31, 2022 have been calculated based on a separate return methodology and are presented as if our income gave rise to separate federal and state consolidated income tax return filing obligations in the respective jurisdictions in which we operate. In addition to various separate state and local income tax filings, we joined with Encompass in various U.S. federal, state and local consolidated income tax filings prior to the Separation. See Note 7,6, Income Taxes, for information related to our Tax Sharing Agreement with Encompass.
The unaudited condensed consolidated financial statements include the assets, liabilities, revenues, and expenses of all wholly-ownedwholly owned subsidiaries, majority-owned subsidiaries over which we exercise control, and, when applicable, entities in which we have a controlling financial interest.
We use the equity method to account for our investments in entities we do not control, but for which we have the ability to exercise significant influence over operating and financial policies. Consolidated Net income attributable to Enhabit, Inc. includes our share of the net earnings of these entities.
We eliminate all intercompany accounts and transactions within the Company from our financial results. Transactions between the Company and Encompass have been included in these condensed consolidated financial statements. The transfers with Encompass that arewere not expected to be settled in cash are reflected in stockholders’ equity on the condensed consolidated balance sheets and within Capital in Excess of Par Value on the condensed consolidated statements of stockholders’ equity. Within the condensed consolidated statements of cash flows, these transfers are treated as an operating, financing or noncash activity determined by the nature of the transaction. TransactionsFor the three months ended March 31, 2022, transactions between the Company and Encompass arewere considered related party transactions. Refer to Note 10, Related Party Transactions, for more information.
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Notes to Condensed Consolidated Financial Statements
(Unaudited)


Net Service Revenue—
Our Net service revenue disaggregated by payor source and segment are as follows (in millions):
Home HealthHospiceConsolidated
Three Months Ended
September 30,
Three Months Ended
September 30,
Three Months Ended
September 30,
202220212022202120222021
Medicare$159.1 $172.7 $47.3 $51.6 $206.4 $224.3 
Medicare Advantage38.5 28.6 — — 38.5 28.6 
Managed care15.2 16.1 1.7 0.9 16.9 17.0 
Medicaid3.3 3.4 0.4 0.3 3.7 3.7 
Other0.2 0.3 — — 0.2 0.3 
Total$216.3 $221.1 $49.4 $52.8 $265.7 $273.9 
Home HealthHospiceConsolidatedHome HealthHospiceConsolidated
Nine Months Ended
September 30,
Nine Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
Three Months Ended
March 31,
Three Months Ended
March 31,
202220212022202120222021202320222023202220232022
MedicareMedicare$492.5 $529.2 $141.4 $154.0 $633.9 $683.2 Medicare$146.0 $169.5 $47.6 $47.9 $193.6 $217.4 
Medicare AdvantageMedicare Advantage110.3 86.5 — — 110.3 86.5 Medicare Advantage49.3 34.5 — — 49.3 34.5 
Managed careManaged care49.2 45.6 4.3 2.2 53.5 47.8 Managed care17.2 17.7 1.7 1.1 18.9 18.8 
MedicaidMedicaid8.9 10.7 0.9 1.0 9.8 11.7 Medicaid2.9 3.1 — 0.4 2.9 3.5 
OtherOther0.5 1.3 — — 0.5 1.3 Other0.4 0.1 — — 0.4 0.1 
TotalTotal$661.4 $673.3 $146.6 $157.2 $808.0 $830.5 Total$215.8 $224.9 $49.3 $49.4 $265.1 $274.3 
For a discussion of our significant accounting policies, including our policy related to Net service revenue, see Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements included in the Form 10.10-K.
Earnings Per Common Share Redeemable Noncontrolling Interests in Consolidated Affiliates
Certain of our joint venture agreements contain provisions that allow our partners to require us to purchase their interests in the joint venture at fair value at certain points in the future. These put rights include termination provisions, change in control provisions and breaches of the terms of the underlying operating agreements. Because these noncontrolling interests provide for redemption features that are not solely within our control, we classify them as Redeemable noncontrolling interests outside of permanent equity in our consolidated balance sheets.
The following table sets forthtables reconcile the computationnet income attributable to nonredeemable Noncontrolling interests, as recorded in the shareholders’ equity section of diluted weighted average common shares outstanding for the threeconsolidated balance sheets, and nine months ended September 30, 2022the net income attributable to Redeemable noncontrolling interests, as recorded in the mezzanine section of the consolidated balance sheets, to the Net and 2021comprehensive income attributable to noncontrolling interests presented in the consolidated statements of income (in millions). A total of 0.2 million options to purchase Enhabit’s shares, 0.5 million shares of restricted stock and 0.2 million performance units were excluded from the diluted weighted average common shares outstanding for the three and nine months ended September 30, 2022 because their effects were anti-dilutive. There were no diluted or anti-dilutive shares for the three and nine months ended September 30, 2021.:
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Weighted average common shares outstanding
Basic49.649.649.649.6
Dilutive effect of restricted stock, restricted stock units and performance units0.1— 0.1— 
Diluted weighted average common shares outstanding49.749.649.749.6
Three Months Ended March 31,
20232022
Balance at beginning of period$5.2 $5.0 
Net income attributable to redeemable noncontrolling interests0.1 0.1 
Distributions to redeemable noncontrolling interests(0.2)— 
Balance at end of period$5.1 $5.1 

Three Months Ended March 31,
20232022
Net income attributable to nonredeemable noncontrolling interests$0.4 $0.6 
Net income attributable to redeemable noncontrolling interests0.1 — 
Net income attributable to noncontrolling interests$0.5 $0.6 

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Notes to Condensed Consolidated Financial Statements
(Unaudited)


Earnings Per Common Share —
The following table sets forth the computation of diluted weighted average common shares outstanding for the three months ended March 31, 2023 and 2022 (in millions). A total of 0.3 million options to purchase Enhabit’s shares and 0.5 million shares of restricted stock awards, performance units and restricted stock units were excluded from the diluted weighted average common shares outstanding for the three months ended March 31, 2023 because their effects were anti-dilutive. There were no dilutive or anti-dilutive shares for the three months ended March 31, 2022. See Note 10, Stock-based Payments, to the consolidated financial statements included in the Form 10-K for additional information.
Three Months Ended
March 31,
20232022
Weighted average common shares outstanding:
Basic49.849.6
Dilutive effect of restricted stock, restricted stock units and performance units0.3— 
Diluted50.149.6
Recent Accounting Pronouncements —
We do not believe any recently issued, but not yet effective, accounting standards will have a material effect on our condensed consolidated financial position, results of operations, or cash flows.
2.Business Combinations:
On January 1, 2022, we acquired a 50% equity interest from Frontier Home Health and Hospice, LLC in a joint venture with Saint Alphonsus Health System (“Saint Alphonsus”) which operates home health and hospice locations in Boise, Idaho. The total purchase price was $15.9 million and was funded on December 31, 2021. This acquisition was made to expand our footprint in this geographic area. This transaction was not material to our financial position, results of operations, or cash flows.
We accounted for this transaction under the acquisition method of accounting and reported the results of operations of the acquired locations from the date of acquisition. Assets acquired, liabilities assumed, and noncontrolling interests were recorded at their estimated fair values as of the acquisition date. Estimated fair values were based on various valuation methodologies including: an income approach using primarily discounted cash flow techniques for the noncompete and license intangible assets; and an income approach utilizing the relief-from-royalty method for the trade name intangible asset. The aforementioned income methods utilize management’s estimates of future operating results and cash flows discounted using a weighted average cost of capital that reflects market participant assumptions. For all other assets and liabilities, the fair value was assumed to represent carrying value due to their short maturities. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. All goodwill recorded reflects our expectations of favorable growth opportunities in the home health and hospice markets based on positive demographic trends. At least $14.4 million of the goodwill recorded as a result of this transaction is deductible for federal income tax purposes.
The fair values recorded were based upon a preliminary valuation. Estimates and assumptions used in such valuation are subject to change, which could be significant, within the measurement period (up to one year from the acquisition date). We expect to continue to obtain information to assist us in determining the fair value of the net assets acquired at the acquisition date during the measurement period.
The preliminary fair value of the assets acquired and liabilities assumed at the acquisition date were as follows (in millions):
Cash and cash equivalents$0.7 
Accounts receivable, net1.6 
Operating lease right-of-use-assets0.3 
Identifiable intangible assets:
Noncompete agreement (useful life of 5 years)0.2 
Trade name (useful life of 6 months)0.1 
Licenses (useful lives of 10 years)0.9 
Internal-use software (useful life of 3 years)0.1 
Goodwill28.7 
Total assets acquired32.6 
Liabilities assumed:
Current operating lease liabilities0.1 
Accounts payable0.1 
Accrued payroll0.2 
Other current liabilities0.2 
Long-term operating lease liabilities0.2 
Total liabilities assumed0.8 
Noncontrolling interests15.9 
Net assets acquired$15.9 
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Notes to Condensed Consolidated Financial Statements
(Unaudited)


Information regarding the cash paid for the acquisitions during each period presented is as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2022202120222021
Fair value of assets acquired$— $— $3.9 $11.9 
Goodwill— — 28.7 92.4 
Fair value of liabilities assumed— — (0.8)(2.0)
Fair value of noncontrolling interest owned by joint venture partner— — (15.9)(3.9)
Cash paid for acquisition(1)
$— $— $15.9 $98.4 
(1)     As discussed above, the $15.9 million was paid on December 31, 2021; therefore, this amount is not included in the consolidated statement of cash flows for the nine months ended September 30, 2022.
Pro Forma Results of Operations
The following table summarizes the results of operations of the above mentioned acquisition from its respective date of acquisition included in our condensed consolidated statements of income and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2021 (in millions):
Net Service
Revenue
Net (Loss) Income
Attributable to
Enhabit
Acquired entities only: Actual from acquisition date to September 30, 2022$4.0 $(0.3)
Combined entity: Supplemental pro forma from 07/01/2022-09/30/2022265.7 8.6 
Combined entity: Supplemental pro forma from 07/01/2021-09/30/2021275.8 21.7 
Combined entity: Supplemental pro forma from 01/01/2022-09/30/2022808.0 54.8 
Combined entity: Supplemental pro forma from 01/01/2021-09/30/2021836.7 82.1 

The information presented above is for illustrative purposes only and is not necessarily indicative of results that would have been achieved if the acquisition had occurred as of the beginning of our 2021 period. For information regarding acquisitions completed in 2021, see Note 2, Business Combinations, to the consolidated financial statements included in the Form 10.
We acquired four Caring Hearts Hospice locations in Texas on October 1, 2022, and we acquired one Unity Hospice location in Arizona on November 1, 2022. The aggregate total purchase price of these acquisitions was approximately $18 million. The initial accounting for these acquisitions is not yet complete.
3.Variable Interest Entities (“VIEs”):
As of September 30, 2022March 31, 2023 and December 31, 2021,2022, we consolidated two limited partnership-like entities that are VIEs and of which we are the primary beneficiary. Our ownership percentages in these entities are 60% and 90% as of September 30, 2022.March 31, 2023. Through partnership and management agreements with or governing these entities, we manage these entities and handle all day-to-day operating decisions. Accordingly, we have the decision makingdecision-making power over the activities that most significantly impact the economic performance of the VIEs and an obligation to absorb losses or receive benefits from the VIEs that could potentially be significant to the VIEs. These decisions and significant activities include, but are not limited to, marketing efforts, oversight of patient admissions, medical training, nurse and therapist scheduling, provision of healthcare services, billing, collections and creation and maintenance of medical records. The terms of the agreements governing the VIEs prohibit us from using the assets of the VIEs to satisfy the obligations of other entities.
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Notes to Condensed Consolidated Financial Statements
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The carrying amounts and classifications of the consolidated VIEs’ assets and liabilities, which are included in our condensed consolidated balance sheets, are as follows (in millions):
September 30,
2022
December 31,
2021
March 31,
2023
December 31,
2022
AssetsAssetsAssets
Current assets:Current assets:Current assets:
Restricted cashRestricted cash$3.7 $1.7 Restricted cash$1.6 $4.0 
Accounts receivableAccounts receivable2.8 2.8 Accounts receivable3.0 2.9 
Other current assetsOther current assets1.6 — 
Total current assetsTotal current assets6.5 4.5 Total current assets6.2 6.9 
Operating lease right-of-use assetsOperating lease right-of-use assets0.2 0.1 Operating lease right-of-use assets0.2 0.2 
GoodwillGoodwill12.4 12.3 Goodwill12.4 12.4 
Intangible assets, netIntangible assets, net1.1 1.3 Intangible assets, net1.0 1.1 
Total assetsTotal assets$20.2 $18.2 Total assets$19.8 $20.6 
LiabilitiesLiabilitiesLiabilities
Current liabilities:Current liabilities:Current liabilities:
Current operating lease liabilitiesCurrent operating lease liabilities$0.1 $0.1 Current operating lease liabilities$0.1 $0.1 
Accrued payrollAccrued payroll0.4 0.3 Accrued payroll0.3 0.2 
Other current liabilitiesOther current liabilities0.2 — Other current liabilities0.2 0.1 
Total current liabilitiesTotal current liabilities0.7 0.4 Total current liabilities0.6 0.4 
Long-term operating lease liabilitiesLong-term operating lease liabilities0.1 — 
Other long-term liabilitiesOther long-term liabilities— 0.1 
Total liabilitiesTotal liabilities$0.7 $0.4 Total liabilities$0.7 $0.5 
4.3.Goodwill and Other Intangible Assets:
We are required to test our goodwill and indefinite-lived intangible assets for impairment asat least annually, as of October 1st, absent any triggering events that would accelerate an impairment assessment. Absent any triggering events, we perform this testing as of October 1st of each year.
During the three months ended September 30,March 31, 2023, we identified no potential impairment triggering events, and determined a quantitative analysis of our two reporting units was not necessary.
During the preparation of our consolidated financial statements for the year ended December 31, 2022, we identified potential impairment triggering events includingin the impact of ongoing reimbursement and labor pressures, the Federal Reserve further increasing the risk-free interest rate and a decline in our stock price,fourth quarter and determined a quantitative analysis of our two reporting units should be performed. These triggering events included lower than expected fourth quarter operating results, a change in our acquisition strategy and declining collections, which we believe is in part a result of the growing shift in our third-party payor mix, and specifically, an increase in Medicare Advantage payors. We estimated the fair value of our reporting units using both the income approach and market approach. Based on the results of the quantitative analysis, no adjustments to the carrying value of goodwill for each of the reporting units were necessary during the three months ended September 30, 2022.
As of September 30, 2022, the fair value of our home health reporting unit exceeded its carrying value by less than 5%. The home health reporting unit has an allocated goodwill balance of $0.9 billion.The assumptions used in the quantitative analysisincome approach incorporate a number of significant estimates and judgments, including the discount rate, revenue and gross margin forecast,growth rates, timing of acquisitions and de novo openings, forecasted operating margins, and long-term growth rate.the weighted-average cost of capital. The market approach utilizes the guideline public company methodology, which uses valuation indicators, including market multiples of earnings before interest, taxes, depreciation and amortization, from other businesses that are similar to each reporting unit and implied control premiums. While management believes the assumptions used are reasonable and commensurate with the views of a market participant, there is also uncertainty in current general economic and market conditions. The result of the analysis is sensitive to changes in key assumptions, such as assumed future reimbursement rates, rising interest rates and labor costs and delays in our ability to complete acquisitions and de novo openings, which could negatively impact our forecasted cash flows and result in an impairment charge in future periods.

Based on the quantitative analysis, we recorded an impairment charge of $109.0 million in the three months ended December 31, 2022 to reflect a decrease in the carrying value of our home health reporting unit. As of December 31, 2022, the fair value of our hospice reporting unit exceeded its carrying value by less than 15%. The hospice reporting unit has an allocated goodwill balance of $303.6 million.
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Notes to Condensed Consolidated Financial Statements
(Unaudited)


5.4.Long-term Debt:
Our long-term debt outstanding consists of the following (in millions):
September 30, 2022December 31, 2021March 31, 2023December 31, 2022
Credit Agreement—Credit Agreement—Credit Agreement—
Advances under revolving credit facilityAdvances under revolving credit facility$170.0 $— Advances under revolving credit facility$185.0 $190.0 
Term loan A facilityTerm loan A facility392.9 — Term loan A facility383.1 387.9 
Other notes payable— 2.0 
Finance lease obligationsFinance lease obligations5.7 6.5 Finance lease obligations4.3 5.2 
568.6 8.5 572.4 583.1 
Less: Current portionLess: Current portion(23.4)(5.0)Less: Current portion(22.7)(23.1)
Long-term debt, net of current portionLong-term debt, net of current portion$545.2 $3.5 Long-term debt, net of current portion$549.7 $560.0 
The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):
AmountAmount
October 1 through December 31, 2022$6.0 
202322.9 
April 1 through December 31, 2023April 1 through December 31, 2023$17.1 
2024202421.4 202421.7 
2025202520.3 202520.5 
2026202620.0 202620.0 
20272027480.0 2027495.0 
2028 and thereafter— 
Gross maturitiesGross maturities570.6 Gross maturities574.3 
Less unamortized debt issuance costsLess unamortized debt issuance costs(2.0)Less unamortized debt issuance costs(1.9)
TotalTotal$568.6 Total$572.4 
In June 2022, the Company entered into a credit agreement (the “Credit Agreement”) that consists of a $400$400.0 million term loan A facility (the “Term Loan A Facility”) and a $350$350.0 million revolving credit facility (the “Revolving Credit Facility” and together with the Term Loan A Facility, the “Credit Facilities”). The Credit Facilities mature five years from the closing date thereof.in June 2027. Interest on the loans under the Credit Facilities is calculated by reference to the Secured Overnight Financing Rate (“SOFR”) or an alternative base rate, plus an applicable interest rate margin. Enhabit may voluntarily prepay outstanding loans under the Credit Facilities at any time without premium or penalty, other than customary breakage costs with respect to SOFR loans. The Term Loan A Facility contains customary mandatory prepayments, including with respect to proceeds from asset sales and from certain incurrences of indebtedness.
The Term Loan A Facility amortizes by an amount per annum equal to 5.0% of the outstanding principal amount thereon as of the closing date, payable in equal quarterly installments, with the balance being payable on the date that is five years after the closing of the Term Loan A Facility.in June 2027. The Revolving Credit Facility provides us with the ability to borrow and obtain letters of credit, which will beis subject to a $75$75.0 million sublimit in amounts available to be drawn at any time prior to the date that is five years after the closing of the Revolving Credit Facility.sublimit. The obligations under the Credit Facilities will beare guaranteed by our existing and future wholly-ownedwholly owned domestic material subsidiaries, subject to certain exceptions. Borrowings under the Credit Facilities will beare secured by first priority liens on substantially all the assets of Enhabit and the guarantors, subject to certain exceptions. The Credit Facilities contain representations and warranties, affirmative and negative covenants and events of default customary for secured financings of this type, including limitations with respect to liens, fundamental changes, indebtedness, restricted payments, investments and affiliate transactions, in each case, subject to a number of important exceptions and qualifications. In addition, the Credit Facilities
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Notes to Condensed Consolidated Financial Statements
(Unaudited)


willpayments, investments and affiliate transactions, in each case, subject to a number of important exceptions and qualifications.
In addition, the Credit Facilities obligate us to maintain certaina maximum total net leverage ratiosratio of no more than 4.75 to 1.0 and a minimum interest coverage ratio.ratio of no less than 2.5 to 1.0 for the previous four consecutive quarters. The maximum total net leverage ratio is scheduled to decline to 4.5 to 1.0 on June 30, 2024.
Under specified circumstances, including non-compliance with any of the covenants described above and the unavailability of any waiver, amendment or other modification thereto, we may not be able to borrow under the Revolving Credit Facility. Additionally, violation of the covenants would result in an event of default under the Credit Facilities. A default that occurs, and is not cured within any applicable cure period or is not waived, would permit lenders to accelerate the maturity of the debt under the Credit Facilities and to foreclose upon any collateral securing the debt. As of September 30, 2022,March 31, 2023, we were in compliance with the financial covenants under the Credit Facilities.
Our forecast for results through June 30, 2024 indicate we will continue to be in compliance with those financial covenants through that date. We cannot guarantee we will be in compliance with our financial covenants for each reporting period through June 30, 2024. We continually evaluate our expected compliance with the covenants described above and take all appropriate steps to proactively renegotiate such covenants when appropriate.
On June 30, 2022, we drew the full $400$400.0 million of the Term Loan A Facility and $170$170.0 million on the Revolving Credit Facility. The net proceeds of $566.6 million were distributed to Encompass prior to the completion of the Distribution. As of September 30, 2022,March 31, 2023, amounts drawn under the Term Loan A Facility and the Revolving Credit Facility had an interest rate of 4.9%6.7%. For additional information on the Separation, see Note 1, Summary of Significant Accounting Policies.
On October 20, 2022, we entered into an interest rate swap.swap to manage our exposure to interest rate movements for a portion of our Term Loan A Facility. The interest rate swap has a $200.0 million notional value and a maturity date of October 20, 2025. Beginning in October 2022, we receive the one-month SOFR and pay a fixed rate of interest of 4.3%. See Note 7, Derivative Instruments.
The carrying amounts and estimated fair values forof our long-term debt are presented in the following table (in millions):
As of September 30, 2022As of December 31, 2021As of March 31, 2023As of December 31, 2022
Carrying AmountEstimated Fair ValueCarrying AmountEstimated Fair ValueCarrying AmountEstimated Fair ValueCarrying AmountEstimated Fair Value
Long-term debt:Long-term debt:Long-term debt:
Advances under revolving credit facilityAdvances under revolving credit facility$170.0 $170.0 $— $— Advances under revolving credit facility$185.0 $185.0 $190.0 $190.0 
Term loan A facilityTerm loan A facility392.9 366.7 — — Term loan A facility383.1 354.3 387.9 356.6 
Other notes payable— — 2.0 2.0 
Finance lease obligationsFinance lease obligations5.7 5.7 6.5 6.5 Finance lease obligations4.3 4.3 5.2 5.2 
Fair values for our long-term debt and financial commitments are determined using inputs, including quoted prices in nonactive markets, that are observable either directly or indirectly, or Level 2 inputs within the fair value hierarchy. See Note 1, Summary of Significant Accounting PoliciesPolicies—Fair Value Measurements,, “Fair Value Measurements” to the consolidated financial statements included in the Form 10.10-K.
6.5.Stock-Based Payments:Leases
PriorWe lease office space, vehicles, and equipment under operating and finance leases with non-cancelable terms generally expiring at various dates through 2035. Our operating and finance leases generally have one- to July 1, 2022, the Company’s employees and board of directors participated in Encompass’s various stock-based plans, which are described in the consolidated financial statements included in the Form 10. On July 1, 2022, all unvested Encompass restricted stock awards (“RSA”), performance units and stockeight-year terms. Certain leases also include options to purchase shares issuedthe leased property.
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Notes to our employees were canceled and replaced with restricted stock and options to purchase shares issued under the Enhabit 2022 Omnibus Performance Incentive Plan (the “2022 Plan”). This represented a modification (the “Modification”) of outstanding stock-based compensation awards. See further discussion of the 2022 Plan in the Form 10.Condensed Consolidated Financial Statements
Prior to the Separation, Encompass issued a total of 128,000 RSAs to members of our management team. Approximately 47,000 of these awards contain only a service condition, while the remainder contain both a service and a performance condition. Additionally, Encompass granted approximately 22,000 stock options to a member of our management team. The fair value of these awards and options was determined using the policies described in Note 1, Summary of Significant Accounting Policies, and Note 10, Stock-Based Payments, to the consolidated financial statements included in the Form 10.
As a result of the Modification, all outstanding stock-based compensation of Encompass stock awarded to Enhabit employees were converted to Enhabit stock using a conversion rate that retained the fair value of the awards immediately prior to the Modification.(Unaudited)

All performance based RSAs were measured immediately prior
In March 2023, we renewed the lease on our corporate headquarters office space for a term of 11 years. The lease commences on June 1, 2024 and expires in May 2035. The minimum lease payment obligations due under this lease are $19.8 million.
The components of lease costs are as follows (in millions):
Three Months Ended March 31,
20232022
Operating lease cost:
General and administrative expenses$5.1 $5.0 
Finance lease cost:
Amortization of right-of-use assets0.9 1.0 
Total finance lease cost0.9 1.0 
Total lease cost$6.0 $6.0 
Supplemental consolidated balance sheet information related to the Modificationleases is as follows (in millions):
ClassificationAs of March 31, 2023As of December 31, 2022
Assets
Operating leaseOperating lease right-of-use assets$45.8 $42.0 
Finance lease(1)
Property and equipment, net9.2 10.1 
Total lease assets$55.0 $52.1 
Liabilities
Current Liabilities:
Operating leaseCurrent portion of operating lease liabilities$11.6 $14.0 
Finance leaseCurrent portion of long-term debt2.7 3.1 
Noncurrent liabilities
Operating leaseLong-term operating lease liabilities, net of current portion34.2 28.1 
Finance leaseLong-term debt, net of current portion1.6 2.1 
Total lease liabilities$50.1 $47.3 
(1)Finance lease assets are recorded net of accumulated amortization of $21.3 million and the number$21.3 million as of shares to be issued upon vesting was determinedMarch 31, 2023 and these awards were converted to restricted stock awards of Enhabit that vest based upon a service condition. All service based RSAs were converted to restricted stock awards of Enhabit that vest based upon a service condition. The outstanding options to purchase shares of Encompass stock were converted to options to purchase shares of Enhabit stock. There was no additional compensation cost as a result of the Modification.December 31, 2022, respectively.
As of March 31,
20232022
Weighted Average Remaining Lease Term
Operating lease5.9 years3.6 years
Finance lease1.8 years1.7 years
Weighted Average Discount Rate
Operating lease6.2 %3.9 %
Finance lease3.1 %2.0 %
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Maturities of lease liabilities as of March 31, 2023 are as follows (in millions):
During the three months ended September 30, 2022, Enhabit issued a total of 273,000 RSAs
Operating LeasesFinance Leases
April 1 through December 31, 2023$10.2 $2.2 
20247.7 1.7 
202510.1 0.5 
20267.6 — 
20275.2 — 
20283.0 — 
2029 and thereafter13.5 — 
Total lease payments57.3 4.4 
Less: Interest portion(11.5)(0.1)
Total lease liabilities$45.8 $4.3 
Supplemental cash flow information related to members of our management team. All of these awards contain only a service condition. Additionally, Enhabit issued a total of 110,000 restricted stock units (“RSU”) to members of our board of directors. The fair value of these awards was determined using the policies described in Note 1, Summary of Significant Accounting Policies, and Note 10, Stock-Based Payments, to the consolidated financial statements included in the Form 10.leases is as follows (in millions):
Three Months Ended March 31,
20232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$4.2 $4.3 
Financing cash flows from finance leases1.0 1.4 
Right-of-use assets obtained in exchange for lease obligations:
Operating leases$7.9 $2.9 
Finance leases0.2 0.2 
Included in the allocation of expenses related to certain Encompass functions are stock compensation expenses resulting from RSAs, RSUs6.Income Taxes:
Our effective tax rates were 31.9% and stock options totaling $0.0 million and $0.5 million24.6% for the three months ended September 30,March 31, 2023 and 2022, and 2021, respectively, and $1.1 million and $1.6 million for the nine months ended September 30, 2022 and 2021, respectively.
Total unrecognized compensation cost for unvested stock-based compensation is $15.1 million and the weighted average remaining vesting period is 2.4 years as of September 30, 2022.

7.Income Taxes:
Our Income tax expense of $2.8 million and $7.1 million for the three months ended September 30, 2022 and 2021, respectively, The higher rate in 2023 was primarily resulted from the application of our estimated effective blended federal and state income tax rate. Our Income tax expense of $17.9 million and $26.2 million for the nine months ended September 30, 2022 and 2021, respectively, primarily resulted from the application of our estimated effective blended federal and state income tax rate.
On March 27, 2020, former President Trump signed into law the Coronavirus Aid, Relief, and Economic Security Act of 2020 (the ‘‘CARES Act’’), which includes provisions relating to net operating loss carryback periods, alternative minimum tax credit refunds, modificationsdue to the net interest deduction limitations, technical correctionsgreater unfavorable rate impact of permanent differences attributable to tax depreciation methods for qualified improvement property and deferral of employer payroll taxes. The CARES Act did not materially impact our effective tax rate for the three and nine months ended September 30, 2022 and 2021, although it has impacted the timing of cash payments for taxes. Deferred payments of social security taxes totaled $14.9 million as of September 30, 2022 and December 31, 2021, all of which is included in Accrued payroll in the condensed consolidated balance sheets.stock-based compensation.
Prior to July 1, 2022, the Company joined Encompass in the filing of various consolidated federal, state and local income tax returns and was a party to an income tax allocation agreement (the “Tax Sharing Agreement”). Under the Tax Sharing Agreement, the Company paid to or received from Encompass the amount, if any, by which the Encompass’s income tax liability was affected by virtue of inclusion of the Company in the consolidated income tax returns of Encompass. Effectively, that arrangement resulted in the Company’s annual income tax provision being computed, with adjustments, as if the Company filed separate consolidated income tax returns.
At the Distribution, the Company entered into the Tax Matters Agreement with Encompass, which terminated the existing Tax Sharing Agreement. The Tax Matters Agreement governs the Company’s respective rights, responsibilities and obligations with respect to taxes (including responsibility for taxes arising in the ordinary course of business and taxes, if any, incurred as a result of any failure of the Distribution to qualify as tax-free for U.S. federal income tax purposes), entitlement to refunds, allocation of tax attributes, preparation of tax returns, control of tax contests and other matters.
In addition, the Tax Matters Agreement imposes certain restrictions on the Company and its subsidiaries until the second anniversary of the Distribution (including restrictions on share issuances, business combinations, sales of assets and similar transactions) that are designed to preserve the tax-free status of the Distribution and certain related transactions. The Tax Matters Agreement provides special rules that allocate tax liabilities in the event the Distribution or certain related transactions are not tax-free. In general, under the Tax Matters Agreement, each party is responsible for any taxes imposed
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on Encompass or the Company that arise from the failure of the Distribution or certain related transactions to qualify as a transaction that is generally tax-free for U.S. federal income tax purposes under Section 355 of the Code, to the extent that the failure to so qualify is attributable to actions, events or transactions relating to such party’s respective stock, assets or business, or a breach of the relevant covenants made by that party in the Tax Matters Agreement.
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7.
Derivative Instruments:

In October 2022, we entered into an interest rate swap agreement with a notional value of $200.0 million with a maturity of October 20, 2025. See Note 4,
Long-Term Debt.
The activities of the cash flow hedge included in accumulated other comprehensive loss for the three months ended March 31, 2023 are presented in the following table (in millions):
Cash Flow Hedge
Balance as of December 31, 2022$(0.7)
Unrealized loss recognized in other comprehensive income, net of tax(1.0)
Reclassified to interest expense, net of tax(0.1)
Balance as of March 31, 2023$(1.8)
The fair value of derivative assets and liabilities within the consolidated balance sheets are presented in the following table (in millions):
Derivative InstrumentsMarch 31, 2023December 31, 2022
Prepaid and other current assets$0.6 $1.0 
Other long-term liabilities(3.0)(2.0)
Total$(2.4)$(1.0)
Fair values for our interest rate swap agreement are determined using inputs, including quoted prices in nonactive markets, that are observable either directly or indirectly, or Level 2 inputs within the fair value hierarchy. See Note 1, Summary of Significant Accounting Policies—Fair Value Measurements, to the consolidated financial statements included in the Form 10-K.
8.Contingencies and Other Commitments:
We operate in a highly regulated industry in which healthcare providers are routinely subject to litigation. As a result, various lawsuits, claims, and legal and regulatory proceedings have been and can be expected to be instituted or asserted against us. The resolution of any such lawsuits, claims, or legal and regulatory proceedings could materially and adversely affect our financial position, results of operations, and cash flows in a given period.
We recorded $8.0The condensed consolidated balance sheet as of March 31, 2023 and December 31, 2022 include $0.8 million and $8.8 million, respectively, in Other current liabilities and Other current assets for claims made against the Company that are probable of loss and reasonably estimable as liabilities within Other current liabilities in the condensed consolidated balance sheet as of September 30, 2022. We also recorded $8.0 million related to such claims that areand recoverable based on the Company’s insurance policies within Other current assets on the condensed consolidated balance sheet as of September 30, 2022.policies.
9.Segment Reporting:
Our internal financial reporting and management structure is focused on the major types of services provided by the Company. We manage our operations using two operating segments that are also our reportable segments: (1) home health and (2) hospice. These reportable operating segments are consistent with information used by our chief executive officer, who is our chief operating decision maker, to assess performance and allocate resources.Theresources. The following is a brief description of our reportable segments:
Home Health - Our home health operations represent the nation’s fourth largest provider of Medicare-certified skilled home health services in terms of Medicare revenues. We operateAs of March 31, 2023, we operated 253 home health agencies
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locations in 34 states, with a concentration in the southern half of the United States. As of September 30, 2022, the Company operates 250 home health agencies. We are the sole owner of 239242 of these locations. We retain 50.0% to 81.0% ownership in the remaining 11 jointly owned locations. Our home health services include a comprehensive range of Medicare-certified home nursing services to adult patients in need of care. These services include, among others, skilled nursing, physical, occupational, and speech therapy, medical social work, and home health aide services. See Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements included in the Form 10-K for a definition of episodic and non-episodic revenue.
Hospice - Our hospice operations represent the nation’s twelfth largest provider of Medicare-certified hospice services in terms of Medicare revenues. We operateAs of March 31, 2023, we operated 107 hospice agencieslocations in 2223 states, with a concentration in the southern half of the United States. As of September 30, 2022, the Company operates 100 hospice agencies. We are the sole owner of 96103 of these locations. We retain 50.0% to 90.0% ownership in the remaining four jointly owned locations. Our hospice services include in-home services to terminally ill patients and their families to address patients’ physical needs, including pain control and symptom management, and to provide emotional and spiritual support.
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The accounting policies of our reportable segments are the same as those described in Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements included in the Form 10.10-K. All revenues for our services are generated through external customers. See Note 1, Summary of Significant Accounting PoliciesPolicies—Net Service Revenue, “Net Service Revenue,” for the disaggregation of our revenues. No corporate overhead is allocated to either of our reportable segments. Our chief operating decision maker evaluates the performance of our segments and allocates resources to them based on adjusted earnings before interest, taxes, depreciation, and amortization (“Segment Adjusted EBITDA”). Segment assets are not reviewed by our chief operating decision maker and therefore are not disclosed below.
Selected financial information for our reportable segments is as follows (in millions):
Home HealthHospiceHome HealthHospice
Three Months Ended September 30,Three Months Ended September 30,Three Months Ended March 31,Three Months Ended March 31,
20222021202220212023202220232022
Net service revenueNet service revenue$216.3 $221.1 $49.4 $52.8 Net service revenue$215.8 $224.9 $49.3 $49.4 
Cost of service (excluding depreciation and amortization)109.6 107.6 22.7 23.6 
Gross margin106.7 113.5 26.7 29.2 
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization108.2 108.0 24.4 21.7 
General and administrative expensesGeneral and administrative expenses61.9 62.0 17.3 16.1 General and administrative expenses62.9 58.7 16.3 14.9 
Other income— — — — 
Equity in net income of nonconsolidated affiliates— (0.1)— — 
Noncontrolling interestsNoncontrolling interests0.2 0.4 0.1 — Noncontrolling interests0.4 0.5 0.1 0.1 
Segment Adjusted EBITDASegment Adjusted EBITDA$44.6 $51.2 $9.3 $13.1 Segment Adjusted EBITDA$44.3 $57.7 $8.5 $12.7 
Home HealthHospice
Nine Months Ended September 30,Nine Months Ended September 30,
2022202120222021
Net service revenue$661.4 $673.3 $146.6 $157.2 
Cost of service (excluding depreciation and amortization)326.4 317.2 65.8 68.2 
Gross margin335.0 356.1 80.8 89.0 
General and administrative expenses178.4 186.4 47.7 47.9 
Other income— (1.6)— — 
Equity in net income of nonconsolidated affiliates— (0.5)— — 
Noncontrolling interests1.3 1.3 0.3 — 
Segment Adjusted EBITDA$155.3 $170.5 $32.8 $41.1 
Segment reconciliations (in millions):
Three Months Ended March 31,
20232022
Total Segment Adjusted EBITDA$52.8 $70.4 
Non-segment general and administrative expenses(29.8)(25.8)
Depreciation and amortization(7.8)(8.5)
Interest expense and amortization of debt discounts and fees(9.5)— 
Net income attributable to noncontrolling interests0.5 0.6 
Stock-based compensation expense(1.5)(1.3)
Income before income taxes and noncontrolling interests$4.7 $35.4 
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Segment reconciliations (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2022202120222021
Total Segment Adjusted EBITDA$53.9 $64.3 $188.1 $211.6 
Non-segment general and administrative expenses(23.8)(25.8)(77.2)(73.4)
Depreciation and amortization(8.0)(9.4)(24.7)(27.9)
Interest expense and amortization of debt discounts and fees(6.2)(0.1)(6.3)(0.2)
Net income attributable to noncontrolling interests0.3 0.4 1.6 1.3 
Stock-based compensation expense(4.5)(0.3)(7.1)(2.1)
Other— — (0.1)— 
Income before income taxes and noncontrolling interests$11.7 $29.1 $74.3 $109.3 
Additional detail regarding the revenues of our operating segments by service line follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended March 31,
202220212022202120232022
Home Health:Home Health:Home Health:
EpisodicEpisodic$181.8 $192.6 $559.8 $588.1 Episodic$170.2 $191.7 
Non-Episodic31.5 25.2 93.1 74.6 
Non-episodicNon-episodic42.9 30.4 
OtherOther3.0 3.3 8.5 10.6 Other2.7 2.8 
Total home healthTotal home health216.3 221.1 661.4 673.3 Total home health215.8 224.9 
HospiceHospice49.4 52.8 146.6 157.2 Hospice49.3 49.4 
Total net service revenueTotal net service revenue$265.7 $273.9 $808.0 $830.5 Total net service revenue$265.1 $274.3 
10.Related Party Transactions:
In connection with the Separation, we entered into several agreements with Encompass that govern the relationship of the parties following the Distribution, including a Separation and Distribution Agreement, a Transition Services Agreement, a Tax Matters Agreement and an Employee Matters Agreement. The Separation and Distribution Agreement contains provisions that, among other things, relate to (i) assets, liabilities, and contracts to be transferred, assumed, and assigned to each of Enhabit and Encompass as part of the Separation, (ii) cross-indemnities principally designed to place financial responsibility for the obligations and liabilities of the Enhabit business with Enhabit and financial responsibility for the obligations and liabilities of Encompass’s remaining business with Encompass, (iii) procedures with respect to claims subject to indemnification and related matters, (iv) the allocation between Enhabit and Encompass of rights and obligations under existing insurance policies with respect to occurrences prior to completion of the Distribution, as well as the right to proceeds and the obligation to incur certain deductibles under certain insurance policies, and (v) procedures governing Enhabit’s and Encompass’s obligations and allocations of liabilities with respect to ongoing litigation matters that may implicate each of Enhabit’s business and Encompass’s business.
Allocation of Corporate Expenses
Encompass provided the Company with certain services, including, but not limited to, executive oversight, treasury, legal, accounting, human resources, tax, internal audit, financial reporting, information technology and investor relations. Some of these services continue to be provided by Encompass to the Company on a temporary basis under the Transition Services Agreement. Our condensed consolidated financial statements through September 30,March 31, 2022 include an allocation of these costs for the period prior to July 1, 2022. When specific identification is not practicable, a proportional cost method is used, primarily based on revenue and headcount. These cost allocations reasonably reflect these services and the benefits derived for the periods presented. These allocations may not be indicative of the actual expenses that would have been
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incurred as an independent, publicly-tradedpublicly traded company. In addition, the Company’s employees have historically participated in Encompass’s various stock-based plans as discussed in Note 6, Stock-Based Payments.plans.
The allocations of services from Encompass to the Company andof $3.5 million, including $0.5 million of stock-based compensation are reflectedexpense paid to employees of Encompass, were recorded in General and administrative expenses in the condensed consolidated statements of operations as follows (in millions):for the three months ended March 31, 2022.
Three Months Ended September 30,Nine Months Ended September 30,
2022202120222021
Transaction services agreement$1.1 $— $1.1 $— 
Overhead allocation— 3.9 7.7 12.3 
Stock-based compensation— 0.3 2.5 2.1 
For information related to our Tax Sharing Agreement with Encompass, see Note 7,6, Income Taxes.
Software Services
The Company is party to a client service and license agreement (the “HCHB Agreement”) with Homecare Homebase, LLC (“HCHB”) for a home health and hospice care management software product that includes multiple modules for collecting, storing, retrieving and disseminating patient health and health-related information by and on behalf of home health and hospice agencies, point of care staff, physicians, patients and patient family members via hand-held mobile computing devices and desktop computers linked with a website hosted by HCHB. The Company’s former chief executive officer along with others created this software product and eventually sold it to HCHB. This individual serves as HCHB’s executive chairman. As of June 19, 2021, this individual no longer serves as our chief executive officer or in any other role in the Company.
Pursuant to the HCHB Agreement, we pay fees to HCHB based on, among other things, the software modules in use, the training programs, and the number of licensed users. Total HCHB expenses of $1.5 million and $4.5 million are included in General and administrative expenses in the condensed consolidated statements of income for the three and nine months ended September 30, 2021, respectively.
Data Analytics Investment
During 2019, we made a $2.0 million investment in Medalogix, LLC, a healthcare predictive data and analytics company (“Medalogix”); this investment is accounted for under the measurement alternative for investments. In April 2021, Medalogix entered in an agreement whereby TVG Logic Holdings, LLC (“TVG”) acquired a majority of the issued and outstanding membership interests of Medalogix for cash. The transaction closed in May 2021. As a result of the transaction, the Company received $2.0 million of cash and a minority equity investment in TVG and recorded a $1.6 million gain as part of Other income during the nine months ended September 30, 2021. During the three months ended September 30,March 31, 2023 and 2022, and 2021, we incurred costs of approximately $1.1 million and $0.9 million, respectively, and during the nine months ended September 30, 2022 and 2021, we incurred costs of approximately $3.4 million and $2.5$0.7 million, respectively, in connection with the usage of Medalogix’s analytics platforms. These costs are included in Cost of service (excluding, excluding depreciation and amortization)amortization and General and administrative expenses in the condensed consolidated statements of income.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
You should read the following discussion and analysis together with our consolidated financial statements and related notes included under Part I, Item 1, Financial“Financial Statements (Unaudited), of this report. Among other things, those historical financial statements include more detailed information regarding the basis of presentation for the financial data included in the following discussion. This discussion contains forward-looking statements about our business, operations and industry that involve risks and uncertainties, as described under the section titled “—Cautionary“Cautionary Note Regarding Forward-Looking Statements”Statements.”
Overview
We are a leading nationalprovider of home health and hospice provider workingservices in the United States. We strive to expand what’s possible for patientprovide superior, cost-effective care where patients prefer it: in their homes. For over twenty years, we have provided care in the home. Our teamlow-cost home setting while achieving high-quality clinical outcomes. Over that time, we have grown to become the fourth largest provider of clinicians supports patientshome health services and their families where they are most comfortable, with a nationwideleading provider of hospice services nationally, measured by 2020 Medicare revenues. As of March 31, 2023, our footprint spanning 250comprised 253 home health locations and 100107 hospice locations across 34 states.
Our operations are principally managed on a services basis and include two operating segments for financial reporting purposes: (1) home health and (2) hospice. For additional information about our business and reportable segments, see the sections titledItem 1,Business” and Item 1A,Risk Factors” in the Annual Report on Form 1010-K (the “Form 10-K”) and Note 9, Segment Reporting, to the accompanying condensed consolidated financial statements, and “—Segment Results of Operations” section of this item.
Results of Operations Overview
Our segment and consolidated Net service revenue is provided in the table below.
Three Months Ended September 30,
2022%2021%
(In Millions, Except Percentage Change)
Home health segment net service revenue$216.3 81.4 %$221.1 80.7 %
Hospice segment net service revenue49.4 18.6 %52.8 19.3 %
Consolidated net service revenue$265.7 100.0 %$273.9 100.0 %
Nine Months Ended September 30,
2022%2021%
(In Millions, Except Percentage Change)
Home health segment net service revenue$661.4 81.9 %$673.3 81.1 %
Hospice segment net service revenue146.6 18.1 %157.2 18.9 %
Consolidated net service revenue$808.0 100.0 %$830.5 100.0 %
Our Net service revenue decreased during the three and nine months ended September 30, 2022 compared to the same periods of 2021 due to the resumption of sequestration, the continued shift to more non-episodic patients in home health and lower patient volumes in hospice. See “—Segment Results of Operations” section of this item for additional information.
Separation from Encompass
Prior to July 1, 2022, the Company operated as a reporting segment of Encompass Health Corporation (“Encompass”). On July 1, 2022, Encompass completed the previously announced separation of the Company through the distribution of all of the outstanding shares of common stock, par value $0.01 per share, of Enhabit to the stockholders of record of Encompass (the “Distribution”) as of the close of business on June 24, 2022 (the “Record Date”). The Distribution was effective at 12:01 a.m., Eastern Time, on July 1, 2022. The Distribution was structured as a pro rata distribution of one share of Enhabit common stock for every two shares of Encompass common stock held of record as of the Record Date. No fractional shares were distributed. A cash payment was made in lieu of any fractional shares. As a result of the
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Distribution, Enhabit is now an independent public company, and its common stock is listed under the symbol “EHAB” on the New York Stock Exchange (the “Separation”).
In connection with the Separation, we entered into several agreements with Encompass that govern the relationship of the parties following the Distribution, including a Separation and Distribution Agreement, a Transition Services Agreement, a Tax Matters Agreement, and an Employee Matters Agreement. See “—Liquidity and Capital Resources” for additional information.
Acquisition and Expansion Activities
On January 1, 2022, we acquired a 50% equity interest from Frontier Home Health and Hospice, LLC in a joint venture with Saint Alphonsus Health System which operates home health and hospice locations in Boise, Idaho. The total purchase price of this acquisition was $15.9 million and was funded on December 31, 2021.
We acquired four Caring Hearts Hospice locations in Texas on October 1, 2022, and we acquired one Unity Hospice location in Arizona on November 1, 2022. The aggregate total purchase price of these acquisitions was approximately $18 million.
We have also continued our expansion efforts in 2022 by opening de novo hospice locations in Williamsburg, Virginia (January 2022), Marble Falls, Texas (March 2022), and Temple, Texas (May 2022).

For additional information about our acquisition-related activities, see Note 2, Business Combinations, to the accompanying condensed consolidated financial statements and Note 2, Business Combinations, to the consolidated financial statements in our Form 10.

Factors Affecting Our Performance
There are a number of factors that have impacted, and we believe will continue to impact, our results of operations and growth. These factors include:
Pricing
Pricing. Generally, the pricing we receive for our services is based on reimbursement rates from payors. Because we derive a substantial portion of our Net service revenuefrom the Medicare program, our results of operations are heavily impacted by changes in Medicare reimbursement rates.
Medicare reimbursement rates if any. are subject to change annually, with the potential for more sweeping changes from time to time as a result of Congressional or state legislation. See Item 1, “Business” and Item 1A, “Risk Factors,” and “—Segment Results of Operations” in the Form 10-K, as well as Note 9, Segment Reporting, to the accompanying condensed consolidated financial statements.
We are also impacted by changes in reimbursement rates by other payors, and in particular, Medicare Advantage plans. We are attempting to grow the number of Medicare Advantage networks in which we participate. Medicare Advantage and managed care payors generally pay less than Medicare Fee for Service, and bad debt associated with these payors tends to be slightly higher, as patients typically retain more payment responsibility under those arrangements. See “—Segment Results of Operations”Operations section of this item for a tabletables identifying the sources and relative payor mix of our revenues.revenues for our home health and hospice segments.
Sequestration resumed as of April 1, 2022 and resulted in a 1% payment reduction through June 30, 2022. Thereafter, the full 2% Medicare payment reduction resumed. Additional Medicare payment reductions are also possible under the statutory pay as you go (“PAYGO”). Statutory PAYGO requires, among other things, that mandatory spending and revenue legislation not increase the federal budget deficit over a five- or ten-year period. If the Office of Management and Budget (“OMB”) finds there is a deficit, Statutory PAYGO requires the OMB to order sequestration of Medicare. During the second session of the 117th Congress, the Statutory PAYGO cuts required in 2023 and 2024 were delayed until 2025.
On OctoberMarch 31, 2022,2023, the Centers for Medicare &and Medicaid Services (“CMS”) releasedissued its notice of final rulemakingproposed rule for calendarhospice payments for fiscal year 2023 for home health agencies under the home health prospective payment system (the “2023 HH Rule”). The 2023 HH Rule will, among other changes, implement2024. CMS proposed a net 4.0% market basket increase (market basket update of 4.1% reduced by 0.1% for a productivity adjustment) and a 5% cap on wage index decreases, update the case-mix weights and fixed-dollar loss ratio for outlier payments, and update the low utilization payment adjustment thresholds. The 2023 HH Rule will also implement a permanent negative behavioral adjustment of 7.85% to the calendar year 2023 base payment rate, which is being phased in at 3.925% for 2023. Based on our preliminary analysis, which utilizes our year-to-date patient mix as of November 4, 2022, we believe the net aggregate impact of the 2023 HH Rule will result in a2.8% estimated net increase to our Medicare payment rates of 0.8% effective for claim dates on or after January 1, 2023.
A group of lawmakers have introducedpayments as compared to 2023 payments. This update represents a bill, The Preserving Access to Home Health Act, that if enacted would immediately prevent CMS from implementing the proposed permanent and temporary adjustments3.0% update to the home health base payment rate prior to 2026. This would allow more time for the industry to work with CMS to refine its proposed approach to determining budget neutrality in home health.
On July 27, 2022, CMS released its notice of final rulemaking for calendar year 2023 for hospice agencies under the hospice prospective payment system (the “2023 Hospice Rule”). In addition to other changes, the 2023 Hospice Rule implements a net 3.8% market basket, increase (market basket update of 4.1% reduced by 0.3% for a 0.2% productivity adjustment). The 2023 Hospice Rule also implements a permanent, budget neutral approach to smooth year-to-year changes in the hospice wage index.adjustment. Based on our preliminary analysis, which utilizes, among other things, our patient mix annualized over a six-monthsix month period ended June 30, 2022,March 31, 2023, our specific geographic coverage area, and other factors, we believe the 2023proposed 2024 Hospice Rule will
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would result in a net increase to our Medicare payment rates of approximately 3.9%2.5% effective for services provided beginning October 1, 2022.2023 if enacted as proposed.
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In response to the public health emergency associated with the pandemic, Congress and CMS adopted several statutory and regulatory measures intended to provide relief to healthcare providers in order to ensure patients would continue to have adequate access to care. On March 27, 2020, former President Trump signed into law the Coronavirus Aid, Relief, and Economic Security Act of 2020 (the “CARES Act”), which suspended sequestration, an automatic 2% reduction of Medicare program payments for all healthcare providers, for the period of May 1 through December 31, 2020. The sequestration suspension was extended a number of times. Sequestration resumed as of April 1, 2022, but was only a 1% payment reduction through June 30, 2022. On July 1, 2022, the full 2% Medicare payment reduction resumed. During the nine months ended September 30, 2022, the sequestration suspension provided additional revenues of approximately $7 million.Volume
Volume.In addition to pricing, theThe volume of services we provide has a significant impact on our Net service revenue. revenue. Various factors, including competition the ongoing impact of the pandemic, our ability to recruit and retain qualified personnel in a highly competitive labor market and increasing regulatory and administrative burdens, may impact our ability to maintain and grow our home health and hospice volumes. In any particular market, we may encounter competition from local or national entities with longer operating histories or other competitive advantages. Aggressive payment review practices by Medicare contractors, aggressive enforcement of regulatory policies by government agencies, and restrictive or burdensome rules, regulations, or statutes governing admissions practices may lead us to not accept patients who would be appropriate for, and would benefit from, the services we provide. In addition, from time to time, we must obtain regulatory approval to expand our services and locations in states with certificate of need laws. This approval may be withheld or take longer than expected. In the case of new-store volume growth, the addition of home health agencies and hospice agencies to our portfolio also may be difficult and take longer than expected.
We expect the United States’ aging population will continue to increase long-term demand for the services we provide, which we believe will help us grow our home health and hospice volumes. While we treat patients of all ages, most of our patients are 65 and older, and, due to the increasingly aging United StatesU.S. population, the number of Medicare eligiblesenrollees is expected to continue to grow approximately 3% per year. More specifically, the average age of our home health patients and hospice patients is approximately 77,75 and the population group ranging in ages from 75 to 79 is expected to grow at a compound annual growth rate of 5% through 2026.80, respectively. We believe the demand for the services we provide will continue to increase as the U.S. population ages. We believe these factors align with our strengths in, and focus on, home-based services. In addition, we believe the growing percentage of seniors experiencing chronic conditions will result in higher utilization of home health services in the future as patients require more care to support these conditions.
We also expect the volume of third-party payors to shift and evolve. For example, in the three months ended March 31, 2023, Medicare Advantage patients accounted for 18.6% of our revenue as compared to 12.6% for the three months ended March 31, 2022.
EfficiencyIn addition to organic growth, our strategy includes volume growth through strategic acquisitions and de novo location openings. See Item 1, “.BusinessOur Growth Strategy” in the Form 10-K.
Efficiency
Cost and operating efficiencies impact the profitability of the patient care services we provide. We use a number of strategies to drive cost and operating efficiencies within our business. We target markets for expansion and growth that allow us to leverage our existing operations to create operating efficiencies through scale and density. We also leverage technology to create operating and supply chain efficiencies throughout our organization. See Item 1, Business—BusinessOur Competitive Strengths”Strengths in the Form 1010-K for further discussion of the ways we seek to reduce costs while improving patient outcomes.
Recruiting and Retaining High-Quality Personnel..See “Risk Factors” in the Form 10 for a discussion of competition for staffing, shortages of qualified personnel, and other factors that may increase our labor costs.
Recruiting and retaining qualified personnel, including management, for our home health and hospice agencies remainremains a high priority for us. We attempt to maintain a comprehensive compensation and benefits package that allows us to remain competitivecompete in thisthe current challenging staffing environment while remaining consistent with our goal of being a high-quality, cost-effective provider of home health and hospice services. Additionally, our operations have been affected and may in the future be affected by staffing shortages, due to shortages of qualified personnel and where employees must self-quarantine due to exposure to COVID-19 or where employees are unavailable due to a lack of childcare or care for elderly family.environment.
Our Separation from Encompass
. As a result of our separation from Encompass, certain items may impact the comparability of theour historical results presented below with ourand future performance. Specifically, we will incurhave incurred additional expenses as a result of being an independent, publicly-tradeda separate public company includingand continue to develop, manage, and train management level and other employees to comply with ongoing public reporting obligations, proxy statements, stockholder meetings, stock exchange fees, transfer agent fees, and SEC and Financial Industry Regulatory Authority filing fees and offering expenses.company requirements. For more information on the Separation, see Item 1, “Business—History” in the Form 10-K.
GoodwillCOVID-19 Pandemic Impact on Our Results of Operations
In response to the COVID-19 outbreak and Other Intangible Assets.We are requiredensuing pandemic (the “pandemic”), Congress and CMS adopted several statutory and regulatory measures intended to testprovide relief to healthcare providers in order to ensure patients would continue to have adequate access to care. The suspension of sequestration under the CARES Act and the 2021 Budget Act positively impacted our goodwillhome health and indefinite-lived intangible assetshospice revenues by $3.8 million and $1.0 million, respectively, for impairment as least annually, absent any triggering events that would accelerate an impairment assessment. Absent any triggering events, we perform this testing asthe three months ended March 31, 2022. Sequestration resumed in full on July 1, 2022. The resumption of October 1st of each year.sequestration negatively impacted our home health and hospice revenues by $3.6 million and $1.0 million, respectively, for the three months ended March 31, 2023.
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During the three months ended September 30, 2022, we identified potential impairment triggering events, including theThe lasting impact of ongoing reimbursementthe pandemic remains unknown and labor pressures, the Federal Reserve further increasing the risk-free interest rate and a decline in our stock price, and determined a quantitative analysis of our two reporting units should be performed. We estimated the fair value of our reporting units using the income approach and market approach. Based on the resultsdifficult to predict. For discussion of the quantitative analysis, no adjustments to the carrying value of goodwill for each of the reporting units were necessary during the three months ended September 30, 2022.
As of September 30, 2022, the fair value of our home health reporting unit exceeded its carrying value by less than 5%. The home health reporting unit has an allocated goodwill balance of $0.9 billion.The assumptions used in the quantitative analysis incorporatefinancial and operational impacts we have experienced as a number of significant estimates and judgments, including the discount rate, revenue and gross margin forecast, timing of acquisitions and de novo openings and long-term growth rate. While management believes the assumptions used are reasonable and commensurate with the views of a market participant, there is also uncertainty in general economic and market conditions. The result of the analysis is sensitivepandemic, see the sections titled Item 1, “Business,” and Item 1A, “Risk Factors,” in the Form 10-K.
Acquisition-Related Activities
In February 2023, we acquired the assets of Specialty Home Health Care, Inc., a home health provider in Evansville, Indiana for $3.1 million, with a hold back of $0.3 million expected to changes in key assumptions, such as assumed future reimbursement rates, rising interest rates and labor costs and delays in our ability to complete acquisitions and de novo openings, which could negatively impact our forecasted cash flows and result in an impairment charge in future periods.
be released on November 1, 2024.
Results of Operations
Payor Mix
We derivedRevenues and expenses are measured in accordance with the policies and procedures described in Note 1, Summary of Significant Accounting Policies, to the consolidated Net service revenue fromfinancial statements included in the following payor sources:Form 10-K.
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Medicare77.6 %81.9 %78.4 %82.2 %
Medicare Advantage14.5 %10.4 %13.7 %10.4 %
Managed care6.4 %6.2 %6.6 %5.8 %
Medicaid1.4 %1.4 %1.2 %1.4 %
Other0.1 %0.1 %0.1 %0.2 %
Total100.0 %100.0 %100.0 %100.0 %
The decline in Medicare reimbursements as a percentage of our Net service revenue and corresponding increase in Medicare Advantage reimbursements was primarily driven by continued national enrollment increases in Medicare Advantage Plans by Medicare beneficiaries in our home health segment. We expect these trends in enrollment in Medicare Advantage Plans to continue and result in further decreases in Medicare revenue as a percentage of our Net service revenue in future periods. For additional discussion of our payor mix by segment, see “—Segment Results of Operations”.
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Our Results
Our consolidated results of operations were as follows:
Three Months Ended
September 30,
Percentage ChangeNine Months Ended
September 30,
Percentage ChangeThree Months Ended
March 31,
Percentage Change
202220212022 vs. 2021202220212022 vs. 2021202320222023 vs. 2022
(In Millions, Except Percentage Change)(In Millions, Except Percentage Change)
Net service revenueNet service revenue$265.7 $273.9 (3.0)%$808.0 $830.5 (2.7)%Net service revenue$265.1 $274.3 (3.4)%
Cost of service (excluding depreciation and amortization)132.3 131.2 0.8 %392.3 385.4 1.8 %
Gross margin133.4 142.7 (6.5)%415.7 445.1 (6.6)%
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization132.6 129.7 2.2 %
Gross margin, excluding depreciation and amortizationGross margin, excluding depreciation and amortization132.5 144.6 (8.4)%
General and administrative expensesGeneral and administrative expenses107.5 104.2 3.2 %310.4 309.8 0.2 %General and administrative expenses110.5 100.7 9.7 %
Depreciation and amortizationDepreciation and amortization8.0 9.4 (14.9)%24.7 27.9 (11.5)%Depreciation and amortization7.8 8.5 (8.2)%
Operating incomeOperating income17.9 29.1 (38.5)%80.6 107.4 (25.0)%Operating income14.2 35.4 (59.9)%
Interest expense and amortization of debt discounts and feesInterest expense and amortization of debt discounts and fees6.2 0.1 6100.0 %6.3 0.2 3050.0 %Interest expense and amortization of debt discounts and fees9.5 — — %
Equity in net income of nonconsolidated affiliates— (0.1)(100.0)%— (0.5)(100.0)%
Other income— — — %— (1.6)(100.0)%
Income before income taxes and noncontrolling interestsIncome before income taxes and noncontrolling interests11.7 29.1 (59.8)%74.3 109.3 (32.0)%Income before income taxes and noncontrolling interests4.7 35.4 (86.7)%
Income tax expenseIncome tax expense2.8 7.1 (60.6)%17.9 26.2 (31.7)%Income tax expense1.5 8.7 (82.8)%
Net incomeNet income8.9 22.0 (59.5)%56.4 83.1 (32.1)%Net income3.2 26.7 (88.0)%
Less: Net income attributable to noncontrolling interestsLess: Net income attributable to noncontrolling interests0.3 0.4 (25.0)%1.6 1.3 23.1 %Less: Net income attributable to noncontrolling interests0.5 0.6 (16.7)%
Net income attributable to Enhabit, Inc.Net income attributable to Enhabit, Inc.$8.6 $21.6 (60.2)%$54.8 $81.8 (33.0)%Net income attributable to Enhabit, Inc.$2.7 $26.1 (89.7)%
The following table sets forth our consolidated results as a percentage of Net service revenue, except Income tax expense, which is presented as a percentage of Income before income taxes and noncontrolling interests:
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
202220212022202120232022
Cost of service (excluding depreciation and amortization)49.8 %47.9 %48.6 %46.4 %
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization50.0 %47.3 %
General and administrative expensesGeneral and administrative expenses40.5 %38.0 %38.4 %37.3 %General and administrative expenses41.7 %36.7 %
Depreciation and amortizationDepreciation and amortization3.0 %3.4 %3.1 %3.4 %Depreciation and amortization2.9 %3.1 %
Income tax expenseIncome tax expense23.9 %24.4 %24.1 %24.0 %Income tax expense31.9 %24.6 %
Net Service Revenue
Our Net service revenue decreased during the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 due to the resumption of sequestration, the continued shift to more non-episodic patients in home health and lower volumes in hospice.the resumption of sequestration. See additional discussion in the section titled “—Segment Results of OperationsOperations..
Cost of Service, (ExcludingExcluding Depreciation and Amortization)Amortization
Cost of service, excluding depreciation and amortization increased in terms of dollars and as a percentage of Net service revenue during the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 primarily due to higher costs related to labor, and fleet and mileage reimbursement.including an increase in employee group medical claims. See additional discussion in “—Segment Results of OperationsOperations..


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General and Administrative Expenses
General and administrative expenses increased during the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 primarily due to an increase in employee group medical claims, incremental costs associated with being a stand-alone company.company, vendor rebates received during the three months ended March 31, 2022 and improved back office staffing in the field. As a percentage of revenue, our General and administrative expenses increased primarily due to the decrease in revenue discussed above. Our General and administrative expenses are expected to increase in the future as an independent, publicly-tradedpublicly traded company.
Other IncomeDepreciation and Amortization
Other income Depreciation and amortizationfor decreased during the ninethree months ended September 30, 2021 includedMarch 31, 2023 as compared the same period of 2022 due to a $1.6 million gain related to our investmentnumber of intangible assets, vehicles and internal-use software reaching the end of their useful lives in a healthcare predictive data and analytics company. See Note 10, Related Party Transactions, to the accompanying condensed consolidated financial statements for additional information.2022.
Interest Expense and Amortization of Debt Discount and Fees
Interest expense and amortization of debt discount and fees increased for the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 primarily due to interest expense related to borrowings under our new Credit Facilities.credit facilities. See additional discussion in “—Liquidity and Capital Resources”.Resources.”
Income Tax Expense
Our Income tax expense decreased during the three and nine months ended September 30, 2022March 31, 2023 compared to the same period of 20212022 primarily due to lower Income before income taxes and noncontrolling interests. We currently estimate our cash payments for income taxes to be approximately $11$3 million to $13$6 million, net of refunds, for 2022. These payments are expected to primarily result from federal and state income tax expenses based on estimates of taxable income for 2022.2023. See also Note 7,6, Income Taxes, to the accompanying condensed consolidated financial statements.
RelationshipsAdjusted EBITDA
Adjusted EBITDA is a non-GAAP measure of our financial performance. Management believes Adjusted EBITDA assists investors in comparing our operating performance across operating periods on a consistent basis by excluding items we do not believe are indicative of our operating performance. The items excluded from Adjusted EBITDA are significant components in understanding and Transactionsassessing financial performance. Therefore, Adjusted EBITDA should not be considered a substitute for Net income. Because Adjusted EBITDA is not a measurement determined in accordance with Related PartiesGAAP and is thus susceptible to varying calculations, Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.
We calculate Adjusted EBITDA as Net income adjusted to exclude: (1) income tax expense, (2) interest expense,
(3) depreciation and amortization, (4) gains or losses on disposal or impairment of assets or goodwill, (5) stock-based compensation, (6) net income attributable to noncontrolling interest and (7) unusual or nonrecurring items that
are partynot typical of ongoing operations.
The following table reconciles Net income to a client serviceAdjusted EBITDA (in millions).
Three Months Ended
March 31,
20232022
Net income$3.2 $26.7 
Income tax expense1.5 8.7 
Interest expense and amortization of debt discounts and fees9.5 — 
Depreciation and amortization7.8 8.5 
Gain on disposal of assets— (0.1)
Stock-based compensation1.5 1.3 
Stock-based compensation included in overhead allocation— 0.5 
Net income attributable to noncontrolling interest(0.5)(0.6)
Unusual or nonrecurring items that are not typical of ongoing operations(1)
2.3 2.0 
Adjusted EBITDA$25.3 $47.0 
The following table reconciles Net cash provided by operating activities to Adjusted EBITDA (in millions).
Three Months Ended
March 31,
20232022
Net cash provided by operating activities$29.6 $41.4 
Interest expense and amortization of debt discounts and fees9.5 — 
Net income attributable to noncontrolling interests in continuing operations(0.5)(0.6)
Distributions from nonconsolidated affiliates— (0.2)
Current portion of income tax expense1.2 8.9 
Change in assets and liabilities(16.5)(5.3)
Unusual or nonrecurring items that are not typical of ongoing operations(1)
2.3 2.0 
Stock-based compensation included in overhead allocation— 0.5 
Other(0.3)0.3 
Adjusted EBITDA$25.3 $47.0 
(1)    Unusual or nonrecurring items include costs associated with the strategic alternatives review, shareholder activism defense, and license agreement with a third party for which our former chief executive officer serves as executive chairman. non-routine litigation.
For a descriptionadditional information, see “—Segment Results of these transactions as well as a description of our relationships and transactions with Encompass following the Separation, see Note 10, OperationsRelated Party Transactions, to the accompanying condensed consolidated financial statements for additional information..”
Segment Results of Operations
Our internal financial reporting and management structure is focused on the major types of services we provide. We manage our business using two operating segments which are also our reportable segments: (1) home health and (2) hospice. For additional information regarding our business segments, including a detailed description of the services we provide, financial data for each segment and a reconciliation of total Segment Adjusted EBITDA toconsolidated Income before income taxes and noncontrolling interestsNet service revenue, see Note 9, Segment Reporting, to the accompanying condensed consolidated financial statements and Note 14, Segment Reporting, to the consolidated financial statements included is provided in the Form 10.table below.
Three Months Ended March 31,
2023% of Consolidated Revenue2022% of Consolidated Revenue
(in millions)
Home health segment net service revenue$215.8 81.4 %$224.9 82.0 %
Hospice segment net service revenue49.3 18.6 %49.4 18.0 %
Consolidated net service revenue$265.1 100.0 %$274.3 100.0 %
Home Health
Our home health segment derived its Net service revenue from the following payor sources:
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
202220212022202120232022
MedicareMedicare73.6 %78.2 %74.5 %78.6 %Medicare67.7 %75.4 %
Medicare AdvantageMedicare Advantage17.8 %12.9 %16.7 %12.8 %Medicare Advantage22.8 %15.3 %
Managed careManaged care7.0 %7.3 %7.4 %6.8 %Managed care8.0 %7.9 %
MedicaidMedicaid1.5 %1.5 %1.4 %1.6 %Medicaid1.3 %1.4 %
OtherOther0.1 %0.1 %— %0.2 %Other0.2 %— %
TotalTotal100.0 %100.0 %100.0 %100.0 %Total100.0 %100.0 %
The decline in Medicare reimbursement as a percentage of our home health Net service revenue and corresponding increase in Medicare Advantage reimbursement is primarily the result of continued national enrollment increases in Medicare Advantage plans by Medicare eligibles.
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Additional information regarding our home health segment’s operating results is as follows:follows.
Three Months Ended
September 30,
Percentage ChangeNine Months Ended
September 30,
Percentage ChangeThree Months Ended
March 31,
Percentage Change
202220212022 vs. 2021202220212022 vs. 2021202320222023 vs. 2022
(In Millions, Except Percentage Change)(In Millions, Except Percentage Change)
Net service revenue:Net service revenue:Net service revenue:
EpisodicEpisodic$181.8 $192.6 (5.6)%$559.8 $588.1 (4.8)%Episodic$170.2 $191.7 (11.2)%
Non-episodicNon-episodic31.5 25.2 25.0 %93.1 74.6 24.8 %Non-episodic42.9 30.4 41.1 %
OtherOther3.0 3.3 (9.1)%8.5 10.6 (19.8)%Other2.7 2.8 (3.6)%
Home health segment revenueHome health segment revenue216.3 221.1 (2.2)%661.4 673.3 (1.8)%Home health segment revenue215.8 224.9 (4.0)%
Cost of service (excluding depreciation and amortization)109.6 107.6 1.9 %326.4 317.2 2.9 %
Gross margin106.7 113.5 (6.0)%335.0 356.1 (5.9)%
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization108.2 108.0 0.2 %
Gross margin, excluding depreciation and amortizationGross margin, excluding depreciation and amortization107.6 116.9 (8.0)%
General and administrative expensesGeneral and administrative expenses61.9 62.0 (0.2)%178.4 186.4 (4.3)%General and administrative expenses62.9 58.7 7.2 %
Other income— — — %— (1.6)(100.0)%
Equity earnings and noncontrolling interests0.2 0.3 (33.3)%1.3 0.8 62.5 %
Home health segment Adjusted EBITDA$44.6 $51.2 (12.9)%$155.3 $170.5 (8.9)%
Noncontrolling interestsNoncontrolling interests0.4 0.5 (20.0)%
Home Health Segment Adjusted EBITDAHome Health Segment Adjusted EBITDA$44.3 $57.7 (23.2)%
Three Months Ended
March 31,
Percentage Change
202320222023 vs. 2022
(Actual Amounts)(Actual Amounts)
Episodic:Episodic:Episodic:
AdmissionsAdmissions35,487 37,577 (5.6)%110,564 117,449 (5.9)%Admissions35,032 38,971 (10.1)%
RecertificationsRecertifications25,821 27,742 (6.9)%77,622 84,121 (7.7)%Recertifications23,674 25,808 (8.3)%
Completed episodesCompleted episodes60,396 66,065 (8.6)%186,198 200,339 (7.1)%Completed episodes57,827 63,111 (8.4)%
VisitsVisits902,720 993,110 (9.1)%2,802,319 3,098,471 (9.6)%Visits854,417 957,831 (10.8)%
Revenue per episodeRevenue per episode$3,009 $2,916 3.2 %$3,006 $2,936 2.4 %Revenue per episode$2,943 $3,038 (3.1)%
Non-Episodic:
Non-episodic:Non-episodic:
AdmissionsAdmissions14,252 10,835 31.5 %41,883 32,360 29.4 %Admissions18,911 14,338 31.9 %
RecertificationsRecertifications6,541 5,200 25.8 %18,967 14,517 30.7 %Recertifications8,104 5,979 35.5 %
VisitsVisits272,282 220,260 23.6 %818,214 651,322 25.6 %Visits351,283 270,253 30.0 %
Revenue per visitRevenue per visit$116 $114 1.8 %$114 $115 (0.9)%Revenue per visit$122 $112 8.9 %
Total:Total:Total:
AdmissionsAdmissions49,739 48,412 2.7 %152,447 149,809 1.8 %Admissions53,943 53,309 1.2 %
RecertificationsRecertifications32,362 32,942 (1.8)%96,589 98,638 (2.1)%Recertifications31,778 31,787 — %
Starts of care (total admissions and recertifications)Starts of care (total admissions and recertifications)82,101 81,354 0.9 %249,036 248,447 0.2 %Starts of care (total admissions and recertifications)85,721 85,096 0.7 %
VisitsVisits1,175,002 1,213,370 (3.2)%3,620,533 3,749,793 (3.4)%Visits1,205,700 1,228,084 (1.8)%
Cost per visitCost per visit$92 $87 5.7 %$89 $83 7.2 %Cost per visit$88 $86 2.3 %
Expenses as a % of Net Service Revenue
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Cost of service (excluding depreciation and amortization)50.7 %48.7 %49.3 %47.1 %
General and administrative expenses28.6 %28.0 %27.0 %27.7 %
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Three Months Ended
March 31,
20232022
Cost of service, excluding depreciation and amortization50.1 %48.0 %
General and administrative expenses29.1 %26.1 %
Net Service Revenue
The decrease in home healthNet service revenue during the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 was primarily due to the resumption of sequestration and the continued shift to more non-episodic patients.patients and the resumption of sequestration. Total admissions increased during the three months ended September 30, 2022March 31, 2023 compared to the same period of 20212022 primarily
21


due to growth in non-episodic admissions. Revenue per episode increaseddecreased during the three months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 primarily due to anthe resumption of sequestration and timing of completed episodes partially offset by a 0.7% increase in Medicare reimbursement rates, the timing of completed episodes and patient mix under the Patient Driven Groupings Model offset by the resumption of sequestration. Revenue per episode increased during the nine months ended September 30, 2022 compared to the same periods of 2021 primarily due to an increase in Medicare reimbursement rates and patient mix under the Patient Driven Groupings Model offset by the resumption of sequestration.rates.
Segment Adjusted EBITDA
The decrease in home healthHome Health Segment Adjusted EBITDA during the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 2021primarily2022 primarily resulted from lower Net service revenue, as discussed above, and higheran increase in Cost of service. Cost of serviceGeneral and administrative expenses. General and administrative expenses increased for the three and nine months ended September 30, 2022 compared to the same periods of 2021 primarily due to higher costs related to labor,fleetan increase in employee group medical claims, vendor rebates received in the three months ended March 31, 2022 and mileage reimbursement and workers’ compensation.improved back office staffing in the field.
Hospice
Our hospice segment derived its Net service revenue from the following payor sources:
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
202220212022202120232022
MedicareMedicare95.7 %97.7 %96.5 %98.0 %Medicare96.5 %97.0 %
Managed careManaged care3.5 %1.7 %2.9 %1.4 %Managed care3.5 %2.2 %
MedicaidMedicaid0.8 %0.6 %0.6 %0.6 %Medicaid— %0.8 %
TotalTotal100.0 %100.0 %100.0 %100.0 %Total100.0 %100.0 %
Additional information regarding our hospice segment’s operating results is as follows:
Three Months Ended
September 30,
Percentage ChangeNine Months Ended
September 30,
Percentage ChangeThree Months Ended
March 31,
Percentage Change
202220212022 vs. 2021202220212022 vs. 2021202320222023 vs. 2022
(In Millions, Except Percentage Change)(In Millions, Except Percentage Change)
Hospice segment revenueHospice segment revenue$49.4 $52.8 (6.4)%$146.6 $157.2 (6.7)%Hospice segment revenue$49.3 $49.4 (0.2)%
Cost of service (excluding depreciation and amortization)22.7 23.6 (3.8)%65.8 68.2 (3.5)%
Gross margin26.7 29.2 (8.6)%80.8 89.0 (9.2)%
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization24.4 21.7 12.4 %
Gross margin, excluding depreciation and amortizationGross margin, excluding depreciation and amortization24.9 27.7 (10.1)%
General and administrative expensesGeneral and administrative expenses17.3 16.1 7.5 %47.7 47.9 (0.4)%General and administrative expenses16.3 14.9 9.4 %
Equity earnings and noncontrolling interests0.1 — N/A0.3 — N/A
Noncontrolling interestsNoncontrolling interests0.1 0.1 — %
Hospice Segment Adjusted EBITDAHospice Segment Adjusted EBITDA$9.3 $13.1 (29.0)%$32.8 $41.1 (20.2)%Hospice Segment Adjusted EBITDA$8.5 $12.7 (33.1)%
Three Months Ended
March 31,
Percentage Change
202320222023 vs. 2022
(Actual Amounts)(Actual Amounts)
Total:Total:Total:
AdmissionsAdmissions2,982 3,262 (8.6)%9,063 9,890 (8.4)%Admissions3,122 3,246 (3.8)%
Patient daysPatient days320,732 352,691 (9.1)%954,284 1,038,969 (8.2)%Patient days317,027 319,834 (0.9)%
Average daily censusAverage daily census3,486 3,834 (9.1)%3,496 3,806 (8.1)%Average daily census3,523 3,554 (0.9)%
Revenue per patient dayRevenue per patient day$154 $150 2.7 %$154 $151 2.0 %Revenue per patient day$156 $154 1.3 %
Cost per patient dayCost per patient day$71 $67 6.0 %$69 $66 4.5 %Cost per patient day$77 $68 13.2 %

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Expenses as a % of Net Service Revenue
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
202220212022202120232022
Cost of service (excluding depreciation and amortization)46.0 %44.7 %44.9 %43.4 %
Cost of service, excluding depreciation and amortizationCost of service, excluding depreciation and amortization49.5 %43.9 %
General and administrative expensesGeneral and administrative expenses35.0 %30.5 %32.5 %30.5 %General and administrative expenses33.1 %30.2 %
Net Service Revenue
The decrease in hospiceHospice Net service revenueduring was relatively flatfor the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 2021 was primarily due2022 as the decline in the average daily census attributable to lower volumesthe impact of short length of stay patients and the resumption of sequestration. Admissions decreased during the three and nine months ended September 30, 2022 compared to the same periods of 2021sequestration were offset by increased Medicare reimbursement rates. Revenue per day increased primarily due to capacity constraintsincreased Medicare reimbursement rates offset by the resumption of sequestration and staffing challenges leading to a decline in referrals early in the year.patient mix.
Segment Adjusted EBITDA
The decrease in hospiceHospice Segment Adjusted EBITDA during the three and nine months ended September 30, 2022March 31, 2023 compared to the same periodsperiod of 20212022 was primarily due to lower revenuehigher Cost of service, excluding depreciation and higher cost of serviceamortization related to labor (includingcosts. Increased labor costs resulted from the implementation of the new case management model, including costs associated with dedicated on-call and triage nurses, increased use of contract labor), fleet,labor and mileage reimbursement.an increase in employee group medical claims.
Liquidity and Capital Resources
Our abilityprincipal sources of short-term liquidity are our cash on hand and our revolving credit facility. We use these sources to fund working capital requirements, capital expenditures, acquisitions, and servicing our operationsdebt. See “—Contractual Obligations” for more information about our cash requirements from our contractual obligations at March 31, 2023.
As of March 31, 2023 and capital needs depends uponDecember 31, 2022, we had $37.6 million and $22.9 million, respectively, in Cash and cash equivalents. These amounts exclude $2.0 million and $4.3 million, respectively, in Restricted cash. Our Restricted cash pertains primarily to a joint venture in which we participate where our abilityexternal partner requested, and we agreed, that the joint venture’s cash not be commingled with other corporate cash accounts. See Note 1, Summary of Significant Accounting Policies—Cash and Cash Equivalents and —Restricted Cash, to generate operating cash flow andthe consolidated financial statements included in the Form 10-K. Availability under our Revolving Credit Facility is currently constrained by $91.6 million due to access the capital markets.our consolidated net leverage ratio covenant requirement. Our principal usesavailable liquidity as of March 31, 2023 was $107.6 million. This amount included $37.6 million of cash are to fundplus $70.0 million of availability under our operations, working capital needs, repayment of borrowings, strategic business development transactions, and capital expenditures.Revolving Credit Facility.
In June 2022, the Company entered into a credit agreement (the “Credit Agreement”) that consists of a $400$400.0 million term loan A facility (the “Term Loan A Facility”) and a $350$350.0 million revolving credit facility (the “Revolving Credit Facility” and together with the Term Loan A Facility, the “Credit Facilities”). The Credit Facilities mature five years from the closing date thereof.in June 2027. Interest on the loans under the Credit Facilities is calculated by reference to the Secured Overnight Financing Rate (“SOFR”) or an alternative base rate, plus an applicable interest rate margin. Enhabit may voluntarily prepay outstanding loans under the Credit Facilities at any time without premium or penalty, other than customary breakage costs with respect to SOFR loans. The Term Loan A Facility contains customary mandatory prepayments, including with respect to proceeds from asset sales and from certain incurrences of indebtedness.
The Term Loan A Facility amortizes by an amount per annum equal to 5.0% of the outstanding principal amount thereon as of the closing date, payable in equal quarterly installments, with the balance being payable on the date that is five years after the closing of the Term Loan A Facility.in June 2027. The Revolving Credit Facility provides the ability to borrow and obtain letters of credit, which will beis subject to a $75$75.0 million sublimit in amounts available to be drawn at any time prior to the date that is five years after the closing of the Revolving Credit Facility. The obligationssublimit. Obligations under the Credit Facilities will beare guaranteed by our existing and future wholly-ownedwholly owned domestic material subsidiaries (the “Guarantors”), subject to certain exceptions. Borrowings under the Credit Facilities will beare secured by first priority liens on substantially all the assets of Enhabit and the guarantors,Guarantors, subject to certain exceptions. The Credit Facilities contain representations and warranties, affirmative and negative covenants, and events of default customary for secured financings of this type, including limitations with respect to liens, fundamental changes, indebtedness, restricted
23


payments, investments, and affiliate transactions, in each case, subject to a number of important exceptions and qualifications.
In addition, the Credit Facilities will obligate us to maintain certain totala maximum total net leverage ratiosratio of no more than 4.75 to 1.0 and a minimum interest coverage ratio.ratio of no less than 2.5 to 1.0 for the previous four consecutive quarters. The leverage ratio is scheduled to decline to 4.5 to 1.0 on June 30, 2024. As of March 31, 2023, we were in compliance with the financial covenants under the Credit Facilities.
Under specified circumstances, including non-compliance with any of the covenants described above and the unavailability of any waiver, amendment or other modification thereto, we may not be able to borrow under the Revolving Credit Facility. Additionally, violation of the covenants would result in an event of default under the Credit Facilities. A default that occurs, and is not cured within any applicable cure period or is not waived, would permit lenders to accelerate the maturity of the debt under the Credit Facilities and to foreclose upon any collateral securing the debt. As of March 31, 2023, we were in compliance with the financial covenants under the Credit Facilities.
Our forecasts for results through June 30, 2024 indicate we will continue to be in compliance with those financial covenants through that date. We cannot guarantee we will be in compliance with our financial covenants for each reporting period through June 30, 2024. If we were unable to draw on the Revolving Credit Facility, we expect to continue to have sufficient cash resources to support our existing debt service payments and all other financial obligations. We continually evaluate our expected compliance with the covenants described above and take all appropriate steps to proactively renegotiate such covenants when appropriate.
On June 30, 2022, we drew the full $400$400.0 million of the Term Loan A Facility and $170$170.0 million on the Revolving Credit Facility. The net proceeds of $566.6 million were distributed to Encompass prior to the completion of the Distribution. As of September 30, 2022,March 31, 2023, amounts drawn under the Term Loan A Facility and the Revolving Credit Facility
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had an interest rate of 4.9%6.7%. For additional information on the Separation, see Note 1, Summary of Significant Accounting Policies, to the accompanying condensed consolidated financial statements.
On October 20, 2022, we entered into an interest rate swap. The interest rate swap has a $200.0 million notional value and a maturity date of October 20, 2025. Beginning in October 2022, we receive the one-month SOFR and pay a fixed rate of interest of 4.3%.
For additional information regarding our debt and interest rate swap, see Note 5,4, Long-term Debt, to the accompanying condensed consolidated financial statements and Item 3, Quantitative and Qualitative Disclosures about Market Risk.
Current Liquidity
Our liquidity needs include working capital requirements, funding capital expenditures, including acquisitions, and servicing our debt.
As of September 30, 2022 and December 31, 2021, we had $44.1 million and $5.4 million, respectively, in Cash and cash equivalents. These amounts exclude $3.8 million and $2.6 million, respectively, in Restricted cash. Our Restricted cash pertains primarily to a joint venture in which we participate where our external partner requested, and we agreed, that the joint venture’s cash not be commingled with other corporate cash accounts. See Note 1, Summary of Significant Accounting Policies—Cash and Cash Equivalents and Restricted Cash, to the consolidated financial statements included in the Form 10.
In addition to Cash and cash equivalents as of September 30, 2022, we had approximately $180 million available to us under the Revolving Credit Facility. The Credit Agreement governs our senior secured borrowing capacity and contains a leverage ratio and an interest coverage ratio as financial covenants. Our leverage ratio is defined in the Credit Agreement as the ratio of consolidated total debt (less up to $200 million of cash on hand) to Adjusted EBITDA for the trailing four quarters. In calculating the leverage ratio under the Credit Agreement, we are permitted to use pro forma Adjusted EBITDA, the calculation of which includes historical income statement items and pro forma adjustments resulting from (1) the dispositions and repayments or incurrence of debt and (2) the investments, acquisitions, mergers, amalgamations, consolidations and operational changes from acquisitions to the extent such items or effects are not yet reflected in our trailing four-quarter financial statements. Our interest coverage ratio is defined in the Credit Agreement as the ratio of Adjusted EBITDA to cash interest paid or required to be paid for the trailing four quarters.
Sources and Uses of Cash
The following table shows the cash flows provided by or used in operating, investing, and financing activities for the ninethree months ended September 30,March 31, 2023 and 2022 and 2021 (in millions):
Nine Months Ended
September 30,
Three Months Ended
March 31,
2022202120232022
Net cash provided by operating activitiesNet cash provided by operating activities$76.0 $100.2 Net cash provided by operating activities$29.6 $41.4 
Net cash used in investing activitiesNet cash used in investing activities(4.1)(99.7)Net cash used in investing activities(3.2)(1.4)
Net cash used in financing activitiesNet cash used in financing activities(32.0)(9.1)Net cash used in financing activities(14.0)(26.8)
Increase (decrease) in cash, cash equivalents, and restricted cash$39.9 $(8.6)
Increase in cash, cash equivalents, and restricted cashIncrease in cash, cash equivalents, and restricted cash$12.4 $13.2 
Operating activities. The decrease in Net cash provided by operating activities during the ninethree months ended September 30, 2022March 31, 2023 as compared to 20212022 primarily resulted from a decrease in Net income and payroll taxes deferred under the CARES Act in 2021 partially offset by a decrease in accounts receivable resulting from the phase-outtiming of the Request for Anticipated Payments in 2021.payroll.
Investing activities. The decreaseincrease in Net cash used in investing activities during the ninethree months ended September 30, 2022March 31, 2023 as compared to 20212022 primarily resulted from the FrontierSpecialty Home Health Care, Inc. acquisition in June 2021 as described in Note 2, Business Combinations, to the consolidated financial statements included in the Form 10.February 2023.
Financing activities. The increasedecrease in Net cash used in financing activities during the ninethree months ended September 30, 2022March 31, 2023 compared to 20212022 primarily resulted from the debt distributionnet distributions to Encompass offset by debt borrowings and lower contributions from Encompass. For additional information, see Note 5, Long-term Debt,of $32.3 million during the three months ended March 31, 2022. There were no such net distributions to Encompass during the accompanying condensed consolidated financial statements.three months ended March 31, 2023.
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Contractual Obligations
Our consolidated contractual obligations as of September 30, 2022March 31, 2023 are as follows (in millions):
TotalCurrentLong-termTotalCurrentLong-term
Long-term debt obligations:Long-term debt obligations:Long-term debt obligations:
Long-term debt, excluding revolving credit facility and finance lease obligations(a)
Long-term debt, excluding revolving credit facility and finance lease obligations(a)
$392.9 $20.0 $372.9 
Long-term debt, excluding revolving credit facility and finance lease obligations(a)
$383.1 $20.0 $363.1 
Revolving credit facilityRevolving credit facility170.0 — 170.0 Revolving credit facility185.0 — 185.0 
Interest on long-term debt (b)(a)
Interest on long-term debt (b)(a)
122.8 27.7 95.1 
Interest on long-term debt (b)(a)
157.2 39.2 118.0 
Finance lease obligations(c)(b)
Finance lease obligations(c)(b)
5.9 3.3 2.6 
Finance lease obligations(c)(b)
4.5 2.8 1.7 
Operating lease obligations(d)(c)
Operating lease obligations(d)(c)
44.9 13.9 31.0 
Operating lease obligations(d)(c)
57.3 14.2 43.1 
Purchase obligations(e)(d)
Purchase obligations(e)(d)
6.4 5.7 0.7 
Purchase obligations(e)(d)
8.0 5.6 2.4 
TotalTotal$742.9 $70.6 $672.3 Total$795.1 $81.8 $713.3 
(a)Included in long-term debt are amounts owed on other notes payable. These borrowings are further explained in Note 5, Long-term Debt, accompanying the condensed consolidated financial statements.
(b)Interest expense on our variable rate debt is estimated using the rate in effect as of September 30, 2022. Interest related to finance lease obligations is excluded from this line. Amounts exclude amortization of debt discounts, amortization of loan fees that would be included in interest expense in our condensed consolidated statements of operations.March 31, 2023.
(c)(b)We lease automobiles for our clinicians under finance leases. Amounts include interest portion of future minimum finance lease payments.
(d)(c)Our home health and hospice segments lease: (1) relatively small office spaces in the localities they serve, (2) space for their corporate office, and (3) equipment in the normal course of business. Amounts include interest portion of future minimum operating lease payments. For more information, see Note 6, Leases, to the consolidated financial statements included in the Form 10.10-K.
(e)(d)Purchase obligations include agreements to purchase goods or services that are enforceable and legally binding and that specify all significant terms, including: fixed or minimum quantities to be purchased; fixed, minimum, or variable price provisions; and the approximate timing of the transaction. Purchase obligations exclude agreements that are cancelable without penalty. Our purchase obligations primarily relate to software licensing and support. Purchase obligations are not recognized in our consolidated balance sheet.
Our capital expenditures include costs associated with capital projects, technology initiatives, and equipment upgrades and purchases. During the ninethree months ended September 30, 2022,March 31, 2023, we made capital expenditures of $5.8$0.6 million for property and equipment and capitalized software. During 2022,2023, we expect to spend approximately $5 million to $8$10 million for capital expenditures and $50 million to $100 million for acquisitions.expenditures. Actual amounts spent will be dependent upon the timing of projects and acquisition opportunities.
Adjusted EBITDA
Management believes Adjusted EBITDA, a non-GAAP measure, as definedCritical Accounting Estimates
There have been no changes to our critical accounting estimates from those set forth in the Credit Agreement is a measure of our ability to service our debt and our ability to make capital expenditures. We reconcile Adjusted EBITDA to Net income and to Net cash provided by operating activities.
We use Adjusted EBITDA on a consolidated basis as a liquidity measure. We believe this financial measure on a consolidated basis is important in analyzing our liquidity because it is the key component of certain material covenants contained within the Credit Agreement, which is discussed in more detail in Note 5, Long-term Debt, to the accompanying condensed consolidated financial statements. These covenants are material terms of the Credit Agreement. Noncompliance with these financial covenants under the Credit Agreement—its interest coverage ratio and its leverage ratio—could result in our lenders requiring us to immediately repay all amounts borrowed. If we anticipated a potential covenant violation, we would seek relief from our lenders, which would have some cost to us, and such relief might be on terms less favorable to those in our existing Credit Agreement. In addition, if we cannot satisfy these financial covenants, we would be prohibited under the Credit Agreement from engaging in certain activities, such as incurring additional indebtedness, paying common
29


stock dividends, making certain payments, and acquiring and disposing of assets. Consequently, Adjusted EBITDA is critical to our assessment of our liquidity.
In general terms, the Credit Agreement definition of Adjusted EBITDA, therein referred to as “Adjusted Consolidated EBITDA,” allows us to add back to consolidated net income interest expense, income taxes, and depreciation and amortization and then add back to consolidated net income (1) share-based compensation expense and (2) any “run rate” cost savings, operating expense reductions and synergies related to any acquisitions, dispositions and other specified transactions, restructurings, cost savings initiatives and other initiatives that are reasonably quantifiable not in excess of 25% of Adjusted Consolidated EBITDA. We also subtract from consolidated net income all unusual or nonrecurring items to the extent they increase consolidated net income.
Adjusted EBITDA is not a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA are significant components in understanding and assessing financial performance. Therefore, Adjusted EBITDA should not be considered a substitute for net income or cash flows from operating, investing, or financing activities. Because Adjusted EBITDA is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. Revenues and expenses are measured in accordance with the policies and procedures described in Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements accompanying the Form 10.
Our Adjusted EBITDA was as follows (in millions):
Reconciliation of Net income to Adjusted EBITDA
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Net income$8.9 $22.0 $56.4 $83.1 
Income tax expense2.8 7.1 17.9 26.2 
Interest expense and amortization of debt discounts and fees6.2 0.1 6.3 0.2 
Depreciation and amortization8.0 9.4 24.7 27.9 
Loss (gain) on disposal of assets0.7 (0.1)0.1 (0.4)
Stock-based compensation4.5 0.3 7.1 2.1 
Stock-based compensation included in overhead allocation— 0.5 1.1 1.6 
Net income attributable to noncontrolling interest(0.3)(0.4)(1.6)(1.3)
Transaction costs0.9 4.1 7.0 8.8 
Adjusted EBITDA$31.7 $43.0 $119.0 $148.2 
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Reconciliation of Net Cash Provided by Operating Activities to Adjusted EBITDA
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Net cash provided by operating activities$1.0 $6.6 $76.0 $100.2 
Interest expense and amortization of debt discounts and fees6.2 0.1 6.3 0.2 
Equity in net income of nonconsolidated affiliates— 0.1 — 0.5 
Net income attributable to noncontrolling interests in continuing operations(0.3)(0.4)(1.6)(1.3)
Distributions from nonconsolidated affiliates— — — (0.2)
Current portion of income tax expense3.9 7.2 20.4 25.4 
Change in assets and liabilities20.3 24.7 10.0 11.1 
Transaction costs0.9 4.1 7.0 8.8 
Stock-based compensation included in overhead allocation— 0.5 1.1 1.6 
Other(0.3)0.1 (0.2)1.9 
Adjusted EBITDA$31.7 $43.0 $119.0 $148.2 
For additional information, see “—Results of Operations” and “—Segment Results of Operations” sections of this item.
10‑K.
Recent Accounting Pronouncements
For information regardingabout recent accounting pronouncements, see Note 1, Summary of Significant Accounting Policies, to the accompanying condensed consolidated financial statements.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
Our primary exposure to market risk is to changes in interest rates on our variable rate long-term debt. We use sensitivity analysis models to evaluate the impact of interest rate changes on our variable rate debt. As of September 30, 2022,March 31, 2023, our primary variable rate debt outstanding related to $170.0$185.0 million in advances under our Revolving Credit Facility and $395.0$385.0 million under our Term Loan A Facility. Assuming outstanding balances were to remain the same, a 1% increase in interest rates would result in an incremental negative cash flow of $5.7$3.7 million over the next 12 months, while a 1% decrease in interest rates would result in an incremental positive cash flow of $5.7$3.7 million over the next 12 months.
On October 20, 2022, we entered into an interest rate swap. The interest rate swap has a $200.0 million notional value and a maturity date of October 20, 2025. Beginning in October 2022, we receive the one-month SOFR and pay a fixed rate of interest of 4.3%.

The impact of increases and decreases in interest rates on our cash flow discussed above includes the impact of the interest rate swap.
See Note 5,4, Long-term Debt, to the accompanying condensed consolidated financial statements for additional information regarding our long-term debt.
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Item 4. Controls and Procedures
AsEvaluation of Disclosure Controls and Procedures
Our “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the endSecurities Exchange Act of 1934, as amended (the “Exchange Act”), are designed to ensure that information required to be disclosed in the period covered by this report, an evaluation was carried out byreports that we file or submit under the Exchange Act is (1) recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms and (2) accumulated and communicated to our management, including our chief executive officerChief Executive Officer and chief financial officer,Chief Financial Officer, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended.March 31, 2023. Based on ourthe evaluation, our chief executive officerChief Executive Officer and chief financial officerChief Financial Officer concluded that, as of such date, our disclosure controls and procedures were not effective, due to the material weaknesses in our internal control over financial reporting as described below under “Material Weaknesses in Internal Control over Financial Reporting.”
Material Weaknesses in Internal Control over Financial Reporting
A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.
As previously described in our Form 10-K for the year ended December 31, 2022, management identified two material weaknesses in our internal control over financial reporting that continue to exist as of March 31, 2023. We did not design and maintain effective controls to (i) monitor and review the endestimated recoverability of accounts receivable, including the impact of changes to our third-party payor mix and (ii) identify potential goodwill impairment triggering events, including the impact of changes to our third-party payor mix.
We are in the process of enhancing the design of our controls in the following areas: (i) monitoring and reviewing the estimated recoverability of accounts receivable, including the impact of changes to our third-party payor mix and (ii) identifying potential goodwill impairment triggering events, including the impact of changes to our third-party payor mix. We continue to evaluate the design of these controls. The material weaknesses cannot be considered remediated until the applicable remedial controls have been designed and implemented and have operated for a period covered by this report.of time sufficient for management to conclude, through testing, that these controls are operating effectively.
Changes in Internal Control Over Financial Reporting
There have been no material changes into our Internal Controlinternal control over Financial Reporting during the quarter ended September 30, 2022financial reporting that has materially affected, or isare reasonably likely to materially affect, our internal control over financial reporting.
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Part II - Other Information
Item 1. Legal Proceedings
We provide services in the highly regulated healthcare industry. In the ordinary course of our business, we are a party to various legal actions, proceedings, and claims as well as regulatory and other governmental audits and investigations. These matters could potentially subject us to sanctions, damages, recoupments, fines, and other penalties. Some of these matters have been material to us in the past, and others in the future may, either individually or in the aggregate, be material and adverse to our business, financial position, results of operations, and liquidity. We do not believe any of our pending legal proceedings are material to us, but there can be no assurance our assessment will not change based on future developments.
Additionally, the False Claims Act (the “FCA”) allows private citizens, called ‘‘relators,’’“relators,” to institute civil proceedings on behalf of the United States alleging violations of the FCA. These lawsuits, also known as ‘‘qui tam’’“qui tam” actions, are common in the healthcare industry and can involve significant monetary damages, fines, attorneys’ fees and the award of bounties to the relators who successfully prosecute or bring these suits to the government. It is possible that qui tam lawsuits have been filed against us, which suits remain under seal, or that we are unaware of such filings or precluded by existing law or court order from discussing or disclosing the filing of such suits. Therefore, from time to time, we may be party to one or more undisclosed qui tam cases brought pursuant to the FCA.
On January 13, 2022, the Federal Trade Commission (“FTC”) issued a Civil Investigative Demand (“CID”) to Encompass Health Corporation in connection with an investigation into unfair methods of competition by companies providing home health aide or personal care aide services. Following responses to the CID by Encompass Health Corporation and Enhabit, Inc. as successor to Encompass Health Corporation’s home health and hospice business, on October 6, 2022, the FTC informed Encompass Health Corporation that no further response to the CID would be required.

Item 1A. Risk Factors
Except for the updates, set forth below, there have been no material changes from the risk factors disclosed in Item 1A, Risk Factors, in the Form 10.10-K.
ReductionsWe may incur additional indebtedness in the future, and that debt or changesthe associated increased leverage may have negative consequences for our business. The restrictive covenants included in reimbursementthe terms of our indebtedness could affect our ability to execute aspects of our business plan successfully.
In connection with our separation from government or third-party payorsEncompass, we entered into a $400.0 million Term Loan A facility and a $350.0 million revolving credit facility. Subject to specified limitations, the credit agreement governing this indebtedness will permit us and our subsidiaries to incur additional debt. Any additional debt that we incur could adversely affectexacerbate these risks.
Our indebtedness could have important consequences, including:
limit our
Net ability to borrow additional amounts to fund working capital, capital expenditures, acquisitions, debt service revenuerequirements, execution of our business strategy and other operating results.general corporate purposes;
On October 31, 2022, CMS released its final rulemakingmake us more vulnerable to unfavorable economic, industry and competitive conditions and government regulation by limiting our flexibility in planning for, calendar year 2023 for home health agencies under the home health prospective payment system (the “2023 HH Rule”). The long-term implications of the 2023 HH Rule and CMS’s approachreacting to, changing conditions;
place us at a competitive disadvantage compared with competing providers that have less debt; and
expose us to risks inherent in interest rate adjustments remain a challenge to home health businesses like the Company. If CMS continues to implement its current methodology for determining prospective reimbursement ratesfluctuations, which could result in 2023 and beyond, or if CMS pursues more aggressive adjustmentshigher interest expense, as discussed in reimbursement rates, it could have a material adverse effect on our Net service revenue and other operating results. For additional information, see Item 2, Management’s Discussion and Analysis of Financial Condition and Results of Operations..
Item 5. Other Information
OnNovember 9, 2022, the Company amended its AmendedChanges in our business or other factors could prevent us from satisfying our obligations under our Credit Agreement or other future debt instruments. If we are unable to generate sufficient cash flow from operations to service our debt and Restated Bylaws, effective asany other cash payment obligations, we may have to refinance all or a portion of our debt, obtain additional financing, reduce expenditures, or sell assets we deem necessary to our business. We cannot assure that date (as amended, the “Amended and Restated Bylaws”), to provide that, tothese measures would be timely,possible or any stockholder nominations for director candidates and proposals for other business toadditional financing could be considered at the Company’s 2023 annual meeting of stockholders must be received by the Company’s Secretary at the Company’s principal executive offices at 6688 N. Central Expressway, Suite 1300, Dallas,Texas 75206 of the Company not earlier than November 21, 2022 and not later than December 20, 2022.
The foregoing description of the Amended and Restated Bylaws is qualified in its entirety by reference to the full text of the Amended and Restated Bylaws, which is filed as Exhibit 3.2 to this Quarterly Report on Form 10-Q and incorporated herein by reference.obtained.
In addition, the various restrictive covenants in our credit agreements could also adversely affect our ability to satisfyingfinance our future operations or capital needs and pursue available business opportunities. Further, we are required to maintain certain financial tests and ratios under the requirements undercredit agreement. If we default on such financial tests and ratios, we will be required to negotiate a waiver or amendment of the applicable covenant. There can be no assurance we will be able to obtain such waiver or amendment on commercial terms, or at all. Various risks, uncertainties and events beyond our Amended and Restated Bylaws,control could affect our ability to comply with the universal proxy rules, stockholders who intendcovenants and financial tests and ratios in the credit agreement.
Failure to solicit proxies in support of director nominees other than the company’s nominees must provide notice that sets forth the information required by Rule 14a-19 under the Exchange Act, which notice must be postmarked or transmitted electronically to us at our principal executive offices by the later of 60 calendar days prior to the Company’s 2023 annual meeting or the 10th calendar day following the day on which public announcementcomply with any of the date of the Company’s 2023 annual meetingcovenants in our existing or future financing agreements could result in a default under those agreements and under other agreements containing cross-default provisions. A default that occurs, and is first made.not
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Any proposals that stockholders wishcured within any applicable cure period or is not waived, would permit lenders to accelerate the maturity of the debt under these agreements and to foreclose upon any collateral securing the debt. Under these circumstances, we might not have includedsufficient funds or other resources to satisfy all of our obligations. For additional discussion of our indebtedness, see Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of OperationsLiquidity and Capital Resources,” and Note 4, Long-term Debt, to the accompanying condensed consolidated financial statements.
Consolidation in the Company’s proxy statementhealthcare industry and formthe actions of proxy for the 2023 annual meetingactivist shareholders could materially affect our business, financial position, results of stockholders pursuantoperations and cash flows and our ability to Rule 14a-8 of the Exchange Act must comply with the requirements of Rule 14a-8.operate as an independent entity.
The 2023 annual meetinghealthcare industry faces strong competition and consistent pressure to grow revenues while containing escalating costs. In recent periods, these aspects of stockholders willour industry have caused some consolidation. We could become an acquisition target, which could disrupt our business or impact our ability to operate as an independent entity. Even the announcement that we were an acquisition target could materially impact our business, financial position, results of operations and cash flows.
Additionally, our business could be negatively affected by the Company’s first annual meetingactions of activist shareholders, including without limitation by causing increased volatility in our share price. We value constructive input from investors and regularly engage in dialogue with our shareholders. But responding to actions by activist shareholders can be costly and time-consuming and divert management’s attention from operations. Activist shareholder activity can create uncertainties as to our future direction and could lead to the perception of a public companychange in the direction of our business or other instability. In such a case, our competitors or other activist shareholders could exploit these uncertainties and the Company will announce the dateperceptions, which could have a material adverse impact on our business, financial position, results of this meeting in its forthcoming public disclosures.operations and cash flows.
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Item 6. Exhibits
EXHIBIT INDEX
Exhibit
Number
Exhibit Description
3.2
101.INS†XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document).
101.SCH†Inline XBRL Taxonomy Extension Schema Document.
101.CAL†Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF†Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB†Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE†Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104104†Cover Page Interactive Data File - the cover page XBRL tags are embedded within the Inline XBRL document.

The exhibits marked with the cross symbol (†) are filed and the exhibits marked with a double cross (††) are furnished with this Form 10-Q. Anysubmitted electronically, herewith. The exhibits marked with the asterisk symbol (*) are management contracts or compensatory plans or arrangements filed pursuant to Item 601(b)(10)(iii) of Regulation S-K.
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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
ENHABIT, INC.
By:
/s/ CRISSYCrissy B. CARLISLE
Carlisle
Crissy B. Carlisle
Chief Financial Officer
Date:November 14, 2022May 11, 2023
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