Free cash flow remains volatile due to aggressive infrastructure investment, evidenced by capital expenditures consuming 10.2% of revenue in 2026Q1, even as the company maintains consistent shareholder returns.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Cash from Operations | 908.2M | 1.18B | 1B | 850.8M | 705.8M | 715.8M | 704.7M | 635.3M | 762.4M | 657.2M | 605.5M | 484.8M | 444.9M | 470.3M | 411.5M | 342.7M | 331M | 406.1M | 227.2M | 230.7M | -120.4M | 1.56M | 413.92M | 603.41M | 0 | 670.39M | 796.76M | 704.51M | 636.13M | 415.85M | 367.66M |
| Operating CF Margin % | - | 19.81% | 18.66% | 17.72% | 16.23% | 17.83% | 19.76% | 13.8% | 17.82% | 16.79% | 16.62% | 15.56% | 18.74% | 20.93% | 19.27% | 17.08% | 17.78% | 21.25% | 12.42% | 13.28% | -7.03% | 0.09% | 11.03% | 15.25% | - | 20.64% | 23.09% | 17.3% | 15.88% | 13.31% | 13.88% |
| Operating CF Growth % | -43.14% | 17.23% | 17.87% | 20.54% | -1.4% | 1.58% | 10.92% | -16.67% | 16.01% | 8.54% | 24.9% | 8.97% | -5.4% | 14.29% | 20.08% | 3.53% | -18.49% | 78.74% | -1.52% | 291.61% | -7813% | -99.62% | -31.4% | - | -100% | -15.86% | 13.09% | 10.75% | 52.97% | 13.11% | 69.21% |
| Net Income | 609.2M | 567.2M | 599.4M | 361.6M | 365.9M | 517.6M | 284.2M | 446.4M | 374.3M | 335.8M | 318.1M | 253.7M | 276.2M | 382.5M | 235.9M | 205.8M | 700K | 126.7M | 252.4M | 653.4M | -625M | -384.58M | -165.85M | -458.82M | -270.09M | 202.39M | 278.46M | 76.52M | 46.56M | 330.61M | 220.82M |
| Depreciation & Amortization | 345.6M | 327.9M | 299.6M | 273.9M | 243.6M | 219.6M | 243M | 218.7M | 199.7M | 183.8M | 172.6M | 139.7M | 107.7M | 94.7M | 82.5M | 78.8M | 76.4M | 70.9M | 97M | 85.3M | 166.5M | 208.13M | 199.49M | 200.19M | 205.7M | 375.27M | 360.85M | 374.25M | 344.59M | 250.01M | 188.97M |
| Stock-Based Compensation | 58.5M | 0 | 48.3M | 50.6M | 29.2M | 29.1M | 25.6M | 114.4M | 85.9M | 47.7M | 27.4M | 26.2M | 23.9M | 24.8M | 24.1M | 20.3M | 16.4M | 13.4M | 5M | 7.7M | 12.1M | 0 | -460K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 2.9M | 22.3M | 10.7M | 3.9M | 27.9M | 17.4M | 52.4M | 40M | -9.1M | 75.6M | 132.9M | 127.1M | 97.4M | 6.4M | 102.7M | 36.5M | -738.5M | 4.1M | 3.7M | 8M | 33.2M | 17.5M | -5.34M | -25.56M | 0 | 192.23M | 96.45M | -5.85M | -43.41M | 12.52M | 13.53M |
| Other Non-Cash Items | -264.4M | 253.9M | 22.9M | 110.5M | 69.6M | 50.1M | 5.6M | -4.1M | 65.6M | 75.2M | 63.2M | 89.1M | 34.1M | 12.5M | 28.9M | 65.5M | 984.3M | 203M | -74.4M | -344.4M | 626.6M | 358.21M | 345.29M | 794.47M | -594.14M | 383.14M | 204.06M | 552.78M | 729.99M | 151.81M | 143.79M |
| Working Capital Changes | 11.8M | 4.3M | 21.9M | 50.3M | -30.4M | -118M | 93.9M | -180.1M | 46M | -60.9M | -108.7M | -151M | -94.4M | -50.6M | -62.6M | -64.2M | -8.3M | -12M | -56.5M | -179.3M | -333.8M | -254.2M | 40.79M | 96.06M | 658.54M | -482.63M | -143.06M | -293.18M | -441.59M | -329.1M | -199.45M |
| Change in Receivables | -43.7M | -15.2M | 3M | -22.4M | -16.9M | -64.3M | -5.1M | -22.9M | 7M | -83.9M | -127.5M | -134.1M | -91.6M | -55.1M | -51.3M | -37.1M | -23.7M | -17.8M | -44.7M | -40.7M | -95.6M | -76.91M | -82.3M | -96.15M | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -2.4M | 25.9M | 18.3M | -13.9M | -3.9M | -200K | -5M | -5.3M | 14.4M | 9.6M | -6.3M | -83.8M | -15.1M | 19.54M | 330.38M | 191.13M | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | -22.5M | -22.6M | 3M | 11.8M | 2.3M | 14.9M | 0 | -6.1M | 6.6M | 7.5M | 6.3M | 900K | 5.4M | 6.4M | -4.4M | 800K | -1.3M | 4.8M | -4.3M | -17.8M | -15.9M | -28.56M | 28.28M | -12.28M | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -754.4M | -762.8M | -653.3M | -602.8M | -627M | -666.3M | -407.5M | -657.4M | -424.5M | -284.5M | -245M | -1.13B | -876.9M | -226.2M | -178.8M | -24.6M | -125.9M | -133M | -40M | 1.18B | 59.3M | -104.3M | -205.84M | -188.55M | 0 | -399.34M | -757.3M | -614.86M | -1.78B | 366.51M | -451.34M |
| Capital Expenditures | -735.7M | -736.4M | -642.5M | -583.1M | -584.1M | -551.2M | -408.2M | -404.1M | -270.5M | -245M | -202.9M | -156.5M | -187.9M | -216.5M | -159.7M | -109.1M | -70.9M | -72.6M | -74.2M | -39.4M | -99.2M | -94.05M | -178.49M | -146.94M | 0 | -480.51M | -666.93M | -507.25M | -762.63M | -408.03M | -347.41M |
| CapEx % of Revenue | 12.13% | 12.41% | 11.96% | 12.14% | 13.43% | 13.73% | 11.45% | 8.78% | 6.32% | 6.26% | 5.57% | 5.02% | 7.91% | 9.63% | 7.48% | 5.44% | 3.81% | 3.8% | 4.06% | 2.27% | 5.8% | 5.37% | 4.75% | 3.71% | - | 14.79% | 19.33% | 12.46% | 19.04% | 13.06% | 13.12% |
| Acquisitions | 0 | 0 | 0 | 0 | 64.1M | -118.6M | -1.1M | -231.5M | -143.9M | -38.8M | -48.1M | -985.1M | -694.8M | -18.1M | -3.1M | -4.9M | -34.1M | 3M | -14.6M | 1.18B | 70.5M | 11.07M | -744K | 0 | 0 | -5.03M | -74.14M | -104.3M | -729.44M | -270.22M | -91.39M |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -18.3M | -14.8M | -7.2M | 3.3M | -7.7M | 3.5M | -2.1M | -6.5M | -8.4M | 18.5M | 31.1M | 6.1M | 9M | 700K | -7.2M | 107.5M | 39.4M | -58.8M | 41.2M | 600K | 127.4M | -382K | 41.44M | -45.31M | 0 | 86.2M | 63.66M | 28.54M | -259.32M | 1.11B | 161.59M |
| Cash from Financing | -405.1M | -433M | -330.6M | -197.2M | -145.7M | -240.1M | -145.9M | 48.2M | -321.2M | -359.9M | -381.6M | 639.9M | 434.2M | -312.4M | -130M | -336.4M | -237.7M | -224.3M | -176M | -1.44B | -75.3M | -173.83M | -224.73M | -110.34M | 0 | -174.79M | 11.46M | -99.08M | 1.12B | -784.36M | 83.11M |
| Debt Issued (Net) | -9M | -29M | -242M | -83.3M | -498.2M | -59.1M | 215.9M | 476M | -103.5M | -202.2M | -193.4M | 814.7M | 596.3M | -12.4M | -13.3M | -270.5M | -182.5M | -167.7M | -263.6M | -1.34B | -246.2M | -71.9M | -67.42M | 47.33M | 0 | -187.55M | 89.01M | 285.38M | 1.18B | -771.57M | 88.85M |
| Equity Issued (Net) | -126M | -158M | -31.1M | -8.2M | -7.3M | -14.6M | -6.1M | -45.9M | 0 | -57.9M | -65.6M | -62.5M | -43.1M | -234.1M | -46M | 0 | 0 | 0 | 150.2M | 0 | 400M | 13.94M | -159K | 0 | 0 | 31.81M | 12.77M | -252.32M | 42.31M | 59.02M | 32.81M |
| Dividends Paid | -73.4M | -71.1M | -62.8M | -60.4M | -99M | -112.2M | -111.9M | -108.7M | -100.8M | -91.5M | -83.8M | -80.3M | -72.1M | -38.7M | -24.6M | -26M | -26M | -58.7M | -26M | -26M | -15.7M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | -197.6M | -158M | -31.1M | -8.2M | -7.3M | -14.6M | -6.1M | -45.9M | -65.6M | -38.1M | -65.6M | -45.3M | -43.1M | -234.1M | -46M | 0 | 0 | 0 | 0 | 0 | 0 | -44K | -159K | 0 | 0 | 0 | -2.02M | -256.69M | -17.89M | 0 | 0 |
| Other Financing | -196.7M | -174.9M | 5.3M | -45.3M | 458.8M | -54.2M | -243.8M | -273.2M | -116.9M | -8.3M | -67.7M | -35.1M | -46.9M | -27.2M | -46.1M | -39.9M | -29.2M | 2.1M | -62.6M | -73.8M | -213.4M | -114.04M | -156.89M | -157.67M | 0 | -19.05M | -90.32M | -126.14M | -98.46M | 1.95M | 4.75M |
| Net Change in Cash | 40.6M | -20.2M | 18.9M | 50.8M | -66.9M | -190.6M | 151.3M | 26.1M | 16.7M | 13.9M | -21.1M | -5.1M | 2.2M | -68.3M | 102.7M | -18.3M | -32.6M | 48.8M | 12M | -21.3M | -136.3M | -277.82M | -15.4M | 382.05M | 0 | 96.27M | 50.92M | -9.43M | -24.16M | -2M | -4.22M |
| Free Cash Flow | 172.5M | 439.2M | 360.3M | 267.7M | 121.7M | 164.6M | 296.5M | 231.2M | 491.9M | 412.2M | 402.6M | 328.3M | 257M | 253.8M | 251.8M | 233.6M | 260.1M | 333.5M | 153M | 191.3M | -219.6M | -92.48M | 235.42M | 456.47M | 0 | 189.89M | 129.83M | 197.26M | -126.5M | 7.82M | 20.25M |
| FCF Margin % | 2.84% | 7.4% | 6.71% | 5.58% | 2.8% | 4.1% | 8.31% | 5.02% | 11.5% | 10.53% | 11.05% | 10.54% | 10.82% | 11.29% | 11.79% | 11.65% | 13.97% | 17.45% | 8.36% | 11.01% | -12.83% | -5.28% | 6.27% | 11.53% | - | 5.85% | 3.76% | 4.84% | -3.16% | 0.25% | 0.76% |
| FCF Growth % | -55.36% | 21.9% | 34.59% | 119.97% | -26.06% | -44.49% | 28.24% | -53% | 19.34% | 2.38% | 22.63% | 27.74% | 1.26% | 0.79% | 7.79% | -10.19% | -22.01% | 117.97% | -20.02% | 187.11% | -137.45% | -139.28% | -48.43% | - | -100% | 46.25% | -34.18% | 255.94% | -1717.58% | -61.38% | 147.18% |
| FCF per Share | 1.71 | 4.30 | 3.53 | 2.64 | 1.21 | 1.64 | 2.97 | 2.33 | 4.93 | 4.15 | 4.05 | 3.25 | 2.55 | 2.49 | 2.33 | 2.14 | 2.40 | 3.23 | 1.59 | 2.08 | -2.43 | -1.16 | 2.96 | 5.62 | - | 2.29 | 1.66 | 2.38 | -1.46 | 0.10 | 0.31 |
| FCF Conversion (FCF/Net Income) | 0.28x | 2.08x | 2.20x | 2.42x | 2.60x | 1.74x | 2.48x | 1.77x | 2.61x | 2.42x | 2.45x | 2.65x | 2.00x | 1.45x | 2.22x | 1.64x | 0.37x | 4.28x | 0.90x | 0.35x | 0.19x | -0.00x | -2.37x | -1.39x | - | -3.51x | -2.19x | 9.21x | 13.66x | 1.21x | 1.87x |
| Interest Paid | 0 | 0 | 146.8M | 147.7M | 178.4M | 168.4M | 168.4M | 155.7M | 149.6M | 150.5M | 164.3M | 121.4M | 100.6M | 99.4M | 88.1M | 115.4M | 106.1M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 164.5M | 109.3M | 51.2M | 131.4M | 34.3M | 104.2M | 115.4M | 96.4M | 33.3M | 16.8M | 17.7M | 12.5M | 11.8M | 9.1M | 10M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Regulatory reimbursement rate sensitivity
According to recent quarterly filings, Encompass Health consistently reports operating cash flow significantly higher than net income, with an OCF/NI ratio frequently exceeding 2.0, which suggests that non-cash depreciation charges are a primary driver of the reported cash flow figures rather than pure operational cash generation.
The persistent gap between net income and operating cash flow indicates that the company's accounting earnings are heavily influenced by the depreciation of its extensive facility footprint. Investors should monitor whether this cash conversion remains stable as the company continues its aggressive de novo expansion strategy, which will likely keep depreciation levels elevated.
As reported in financial statements, Encompass Health's free cash flow trajectory remains highly inconsistent, swinging from a positive $125.5 million in 2025Q1 to a negative $141.2 million in 2026Q1, primarily due to the lumpy nature of capital expenditures required for new hospital construction and facility upgrades.
The negative free cash flow observed in recent periods highlights the capital-intensive nature of the inpatient rehabilitation business model. This volatility suggests that the company's ability to self-fund growth is constrained by its commitment to expanding its physical footprint, necessitating careful scrutiny of future capital allocation priorities.
Based on EHC's reported figures, capital expenditures as a percentage of revenue have fluctuated between 10.2% and 17.9% over the last ten quarters, reflecting a sustained and aggressive investment cycle aimed at building new inpatient rehabilitation facilities to capture regional market share in the post-acute care sector.
The high capital intensity suggests that Encompass Health is prioritizing long-term capacity growth over immediate cash return to shareholders. While these investments are intended to build a competitive moat, the reliance on heavy reinvestment implies that the company's cash flow profile will remain sensitive to the timing and success of these de novo projects.
Data from recent SEC filings indicates that Encompass Health maintains a consistent pattern of returning capital to shareholders through dividends and share repurchases, even while simultaneously funding significant capital expenditures, which suggests a management team focused on balancing growth investments with a commitment to shareholder yield.
The simultaneous pursuit of aggressive expansion and shareholder distributions warrants further investigation into the sustainability of this dual-track strategy. If reimbursement rates face downward pressure, the company may be forced to choose between maintaining its dividend and continuing its current pace of facility development.
Quick answers to the most common questions about buying EHC stock.
Encompass Health Corporation (EHC) generated $1.18B in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Encompass Health Corporation (EHC) generated $439.2M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Encompass Health Corporation (EHC) spent $736.4M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, Encompass Health Corporation (EHC) returned $71.1M to shareholders via cash dividends and spent $158.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.