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The Pennant community, Inc. (PNTG) Q1 2021 salary call Transcript

a close up of a logo: The Pennant Group, Inc. (PNTG) Q1 2021 Earnings Call Transcript © offered by The Motley fool The Pennant community, Inc. (PNTG) Q1 2021 salary name Transcript

The Pennant neighborhood, Inc. (NASDAQ: PNTG)

Q1 2021 revenue name

can also 7, 2021, 12:00 p.m. ET

Contents:
  • organized Remarks
  • Questions and solutions
  • call individuals
  • prepared Remarks:

    Operator

    good day and thanks for standing via. Welcome to the Pennant neighborhood First Quarter 2021 income name. [Operator Instructions]

    i'd now like to hand the conference over to Mr. Derek Bunker, Chief funding Officer. Sir, please go forward.

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    this text is a transcript of this conference call produced for The Motley fool. whereas we strive for our silly gold standard, there can be mistakes, omissions, or inaccuracies in this transcript. as with all our articles, The Motley fool does not expect any accountability on your use of this content, and we strongly motivate you to do your own analysis, together with taking note of the call your self and analyzing the company's SEC filings. Please see our phrases and stipulations for additional details, together with our mandatory Capitalized Disclaimers of liability.

    The Motley fool has no position in any of the stocks mentioned. The Motley fool has a disclosure coverage.

    Derek J. Bunker -- Chief investment Officer, executive vice president And Secretary

    thank you, Lee, and welcome, all and sundry, thanks for becoming a member of us today. right here with me these days, I even have Danny Walker, our CEO; Brent Guerisoli, our President; Jen Freeman, our CFO; and John Gochnour, our COO. before we start, I actually have a couple of housekeeping concerns. We filed our salary press release and 10-Q the day gone by. This announcement is attainable on the Investor relations portion of our web page at www.pennantgroup.com. A replay of this name will even be accessible on our web page unless 5 p.m. Mountain on Friday, June four, 2021. We wish to remind anyone that may well be listening to a replay of this call that every one statements made are as of nowadays, may 7, 2021, and these statements have not been nor will they be up-to-date subsequent to contemporary call. additionally, any ahead-searching statements made these days are in accordance with management's present expectations, assumptions and beliefs about our enterprise and the atmosphere wherein we function.

    These statements are subject to risks and uncertainties that might trigger our precise outcomes to materially fluctuate from these expressed or implied on present day call. Listeners should still no longer vicinity undue reliance on forward-looking statements and are inspired to overview our SEC filings for a greater comprehensive discussion of elements that may have an effect on our consequences. except as required by way of federal securities legal guidelines, Pennant and its affiliates do not undertake to publicly update or revise any ahead-searching statements the place changes arise because of new counsel, future activities, altering circumstances or for any other purpose. furthermore, The Pennant group, Inc. is a protecting company with no direct working property, employees or revenues. definite of our impartial subsidiaries, together noted as the provider center, give accounting, payroll, HR, IT, legal, possibility management and other services to the different operating subsidiaries via contractual relationships with such subsidiaries. The phrases Pennant, enterprise, we, our and us confer with The Pennant group and its consolidated subsidiaries.

    All of our working subsidiaries within the service core are operated by separate impartial agencies that have their own management, employees and assets. References, herein, to the consolidated enterprise and its belongings and actions as smartly as the use of the terms we, us, our and identical phrases used nowadays aren't intended to indicate nor should still or not it's construed as which means that The Pennant neighborhood has direct working belongings, employees or profits or that any of the subsidiaries are operated by The Pennant neighborhood.. also, we complement our GAAP reporting with non-GAAP metrics. When considered along side our GAAP outcomes, we consider that these measures can give a more comprehensive knowing of our enterprise, however they may still not be relied upon to the exclusion of GAAP studies. A GAAP-to-non-GAAP reconciliation is obtainable in the day prior to this's press release and is purchasable in our 10-Q.

    And with that, i'll flip the name over to Daniel Walker, our CEO. Danny?

    Daniel H Walker -- Chairman Of The Board And Chief govt Officer

    Thanks, Derek, and welcome all and sundry to our first quarter 2021 revenue name. earlier than I share an update on the progress of our operations, i wanted to say thank you to the numerous people across Pennant that proceed to deliver care to our patients and residents and serve their friends throughout the company. it's been an ancient and enjoyable quarter. We celebrate their committed effort to drive their native operations forward and in the face of challenges that we've needed to navigate. we are excited to document a checklist quarter for our domestic fitness and hospice segment as our native leaders continue to produce astounding outcomes across the board. The marvelous fiscal and clinical development throughout the segment is extra facts that our exciting working mannequin gives the toolkit for leaders to force gigantic lengthy-term cost. Our segment revenue grew 31% over the prior year quarter, thanks partly to a forty eight% increase in total home health admissions and 36% boom in hospice admissions as well as a 12 -- about 12% growth in home fitness Medicare salary per 60 day episode and a 5.5% increase in hospice Medicare earnings per day.

    whereas we continue to acquire each domestic fitness and hospice companies over the prior three hundred and sixty five days, it's noteworthy that plenty of this increase befell in corporations bought in advance of 2020, due to the in the community tailored first-class care supplied via our native operational and clinical leaders. As a case in point, our hospice ADC in agency's received before January of 2020 has expanded eight% 12 months-over-yr. And whereas we proceed to grow and serve greater sufferers than ever earlier than, we were capable of achieve this with superior effectivity as reflected in our statistics section, adjusted EBITDA of $12.8 million and adjusted EBITDA margin of 250 groundwork aspects higher than the prior yr quarter. concurrently, our medical consequences continue to improve as well. whereas CMS has cited that they are not updating their domestic health or hospice compared tools in 2021, third-party real time analytics demonstrate fantastic traits in our domestic health star rating, with the number of companies with 5 stars enhancing to 43% on a real time basis, and hospice satisfactory composite traits, improving to 96% or 7% over the industry typical. we're glad with the growth being made throughout our home health and hospice segment and are excited for the numerous opportunities ahead for us to give lifestyles changing service to the communities that we operate in.

    In our senior living section, the first quarter of 2021 marked most likely the most difficult length of our background. As we described all through our ultimate profits call, we experienced relative steadiness in our section occupancy in September and October of 2020. however, via November and February, from November to February, our occupancy declined at an accelerated expense as a result of the fast upward thrust of COVID, which peaked in mid-January in lots of of our key markets and severely depressed our operating consequences. during this in the course of this difficult COVID affected working atmosphere, the extreme winter storm in Texas significantly impacted operations in our 12 Texas communities. as a result of the disruption to the power grid caused via the storm, we had to coordinate the relocation of residents of three of our 12 Senior residing communities in neighborhood amenities. a lot of our personnel in Texas in each segments proceed to deliver care to our sufferers, residents and their families, regardless of feeling the impact of the storm at home.

    we're proud that we had been capable of make sure the protection of our residents and personnel all over such a tough time. however this effort drew substances from across the organization and resulted in over 1.5 million of identifiable emergency related fees. whereas we are expecting most or all of this to be coated through our enterprise assurance, interruption coverage, the affects of this adventure are intricate to wholly quantify and had been felt all the way through the phase. That this storm got here only a number of weeks following the maximum COVID fees in the pandemic created a different and taxing short term headwind. The complexity and challenges of the trial via a long way we experienced within the first quarter acted as an accelerant for growth and published pleasing alternatives for extra construction on our leadership strengths, the health of our teams, our means to manipulate costs extra rigorously, and attract new residents. one in all our core functions as an organization has been to and is still the recruiting, construction and retention of excessive incredibly gifted leaders, dedicated to fitting the suppliers of choice in every market through which we operate.

    within the aftermath of the peak of COVID-19 instances and the iciness storm in Texas, we have moved methodically to extend and deepen the bench of entrepreneurial leaders which are supporting and riding our senior residing business. we are seeing development due to these efforts. As we continue to improve the management in our senior living business, there are a few components value noting that make contributions to our enthusiasm about our capacity to recover and the lengthy-term price during this segment. The operating environment has greater for our senior dwelling communities. considering the fact that the peak of COVID-19 situations in mid-January and many of our markets, the number of cases continues to say no swiftly and the vaccine rollout has reached a significant portion of the population. the limitations on in-person touring and visitation that were regular right through the pandemic and introduced a challenge for some abilities residents and their households were eased. we're completely happy to file that seventy six% of our residents get hold of vaccines and all of our communities have had at least their 2d vaccination sanatorium and are open for in grownup visitation in some form.

    we are additionally inspired through our increase in internet movement ins in both March and April. additionally, the single greatest fixed cost in our senior living segment is our precise estate charges. as a result of our discipline, boom. strategy, many of the triple web leases underlying our buildings have constructed below market rents and inherent operator friendly merits that deliver short-time period flexibility and long-time period upside. additionally, in view that the completion of our spin linked equipment cut overs, we have been capable of direct greater substances towards improving the operational and health facts that we bring together and share amongst our container clusters that allows you to accelerate the excellent of care. We give and force superior choice making, and pure accountability, in addition to cost administration in every of our communities. The pandemic is accelerating the transformation of the senior residing neighborhood right into a surroundings the place the best of care is extended on par with the nice of lifestyles amenities that may well be supplied.

    because the industry continues to adapt, and thru our clinical expertise, world-category systems and statistics-pushed most excellent practices. inspite of these brief-time period headwinds we face this quarter, we're located to thrive in the highly fragmented senior dwelling business, just as we've achieved and proceed to do on a constant basis in our domestic fitness and hospice section. Now, earlier than I turn the time over to Derek to discuss our fresh funding actions, I simply wanted to assert a brief note about our information for 2021. Which we are reaffirming. youngsters we aren't convinced with our performance in the quarter, we know our outcomes are typically cyclical, and we predicted pandemic linked challenges within the first two quarters that would possible cause lumpiness in our quarterly results. although, we stay confident in our means to confirm and achieve our full yr counsel tiers as our native leaders move their operations ahead and proceed the flywheel of success that they've already begun to movement.

    Now with that, i may turn it over to Derek for an replace on our acquisition exercise all through the quarter, Derek?

    Derek J. Bunker -- Chief investment Officer, govt vice chairman And Secretary

    thank you, Danny. throughout the quarter and because we've got persisted to methodically execute our disciplined investment approach. besides hospice birth-up in Houston, the domestic care start-up in Arizona that we launched earlier this 12 months, we announced that we got two home health companies in Arizona, two domestic health and two domestic care businesses in southwest Colorado, and most these days, a house health company in citadel price, Texas, which enhances our strong native hospice agency and permits us to enhanced serve the neighborhood together with our companions within the Ensign Pennant Care Continuum in the Dallas-castle value Metroplex. lots of these strategic deals deliver new platforms to serve extra sufferers in markets during which we already operate, whereas a number of marker entry into new but adjacent markets the place we are able to optimum leverage our cluster mannequin to support local leaders, as they tailor their corporations to develop into the native company of alternative.

    We're excited about the potentialities in our home fitness and hospice deal pipeline, and our capability to proceed transforming into throughout the acquisition of strategic and underperforming companies. As Danny described, we are working urgently to extra advance strength in our senior residing markets and leadership pipeline. As we mentioned, final quarter, we haven't allotted and do not assume allocating capital for acquisitions in the senior residing house within the close-time period, except for clusters are exhibiting operating strength, as our leaders center of attention their efforts on driving superior consequences in our present constructions. ordinary, we're placed to do very smartly and to continue our acquisition strategy, and we're excited for the growth opportunities for the relaxation of 2021 and beyond.

    With that, i could hand it over to Jen, for a evaluate of the financials. Jen?

    Jennifer L. Freeman -- Chief financial Officer

    thank you, Derek. And good morning, every person. special fiscal consequences for the three months ended March 31, 2021 are contained in our 10-Q and press unencumber filed the day before today. For the three months ended March 31, 2021, we suggested total GAAP salary of $one zero five.7 million, a rise of $13.eight million or 15% over the prior yr. GAAP diluted revenue per share of $0.03 and non-GAAP adjusted revenue per diluted share of $0.eleven. different key metrics encompass $119.2 million available on our revolving line of credit, and $5.6 million money handy at quarter end. 0.56 instances net debt to adjusted EBITDA and 1.37 instances of Medicare develop payments had been paid lower back as of the quarter conclusion.

    Our operating money flows declined since the beginning of the 12 months, reflecting a temporary debt as a result of the impact of the remaining section out of the request for predicted funds of about 8% of salary, together with one time money outflows for prepaid software prices related to our new gadget enforce -- implementation. As a reminder to our listeners, our consequences do not encompass any cash from the provider aid Fund based by way of the CARES Act. We proceed to benefit from the receipt of approximately $28 million in advance Medicare payments, and approximately $7.eight million from the CARES Act, payroll tax deferral software as of quarter conclusion.

    computerized recoupment of the superior funds started in April 2021, of which we now have repaid 1.4 million via might also 6, 2021. And we are expecting it to continue via 2021. Please notice, that our non GAAP adjusted revenue per share outcomes for the three months ended March 31, 2021 include the consequences of all COVID connected costs and loss profits, as neatly as the merits and Medicare sequestration reduction. As Danny outlined, we expect our quarterly results to reflect some lumpiness, as we confronted the extreme affects of the pandemic in our senior dwelling section. however, we remain confident in our potential to understand huge growth during the the rest of the 12 months and past.

    As a reminder, our full year 2021 income advice is $430 million to $440 million and adjusted salary per share guidance is $0.89 cents to $0.ninety nine cents per diluted share. The robust second we now have endured to adventure with our home health and hospice company lays the groundwork for us to achieve our 12 months-over-12 months growth. we're cognizant of the have an effect on of our first quarter results from our senior residing business and we anticipate greater efficiency and the relaxation of the yr, with contributions more closely weighted towards the 2nd half of the year. With receded COVID cases, the accessibility of the vaccine, our center of attention on our operational model, our development in that circulation considering that the end of February and our acquisition pipeline, we see a direction toward performing per the high expectations we have set for ourselves. We commend our native leaders for carrying on with to execute within the face of adversity and for surroundings the route for us to achieve our boom trajectory in 2021.

    And with that, i may turn the name over to Danny. Danny?

    Daniel H Walker -- Chairman Of The Board And Chief executive Officer

    thanks, Jen. In our usual observe, that we'd like to take a few minutes to share a couple of examples of the brilliant management displayed by way of many all through our firm. First led through Chief executive Officer, Jordan Baker and Director of patient Care capabilities, Christine Williams, Sequoia domestic health & Hospice in Milpitas, California, has skilled giant increase all over a challenging 12 months. As Jordan and Christine methodically labored to encompass themselves with a gifted inspired group infused with our core values, the neighborhood began to take note. They began to invest in and extend their functions and tackle the wants of the neighborhood that we're now not being competently met.

    This in the community tailored approach to healthcare has produced first rate scientific and fiscal effects. Their home fitness company has maintained as a minimum a 4.5 big name score throughout 2020. all the way through the first quarter of 2021, they raise their salary through 254% over the first quarter of 2020, which itself become elevated with an increase of 121% over 2019. at the same time, they drove huge margin expansion and revenue growth. Sequoia is barely scratching the surface of its abilities beneath Jordan and Christine and they are just two examples of dozens of leaders right through our domestic health and hospice segment, riding wonderful results via addressing the demands of their native healthcare communities.

    subsequent, on the senior dwelling facet, led via executive Director, Alexa Lewis; wellness Director, Sarah Walton and Operations manager, Tammy Mangum. The Windsor court docket team in Weatherford, Texas organized themselves final year neatly in boost of the COVID-19 outbreaks. in the early days of the pandemic they applied robust healthcare protocols, constructed staffing contingencies, created new how you can hold residents active and more desirable communique for residents and their households. because of this, the body of workers, residents and households had a high stage of self belief in their crew. because the pandemic unfold, Alexa and team were in a position to steadily boost their occupancy going from ninety% in the first quarter of 2020 to ninety six% within the third quarter of 2020, the place they've on the grounds that maintained earnings within the first quarter of 2021, extended 5.4% over the first quarter of 2020, despite Texas experiencing a spike in COVID-19 situations and the ancient iciness storm all over the quarter.

    This sort of performance is doable in all of our senior dwelling communities, as we proceed to attract and improve leaders like these at Windsor courtroom. There are others in the firm and we are looking to express our deep appreciation for their work this quarter. even though it become a tough quarter, there may be a lot that we continue to be very, very hopeful about and that we trust we will see that realized in the 2nd half of the 12 months, and lay a very good basis for our consequences in the years to come back. Now, we are going to flip to the Q&A portion of the call. As Derek mentioned earlier, we're right here with Brent Guerisoli, the President of the Pennant neighborhood, and John Gochnour, our COO. both of which can be -- might be attainable and participate in answering questions.

    Lee, are you able to educate the audience on the Q&A system?

    Questions and solutions:

    Operator

    [Operator Instructions] Your first question comes from the road of Scott Fidel from Stephens. Your line is open.

    Scott Fidel -- Stephens -- Analyst

    hi, hi, all and sundry. First query, just wanted to throw into just figuring out the climate and COVID connected influences within the first quarter and just settling on that up with might be how we have been modeling it. So Danny mentioned, you already mentioned that appears like there became a one and a half million greenback adverse impact from the Texas climate that become undoubtedly unanticipated in the first quarter. simply to follow-up with that, interested if there turned into any have an impact on that you might size for the domestic fitness and hospice operations as regarding the climate?

    after which additionally, you had changed the way you're reporting in the COVID charges and now basically baking these costs into adjusted EBITDA. I remember you're now not exceptionally estimating these. but that become a transformation relative to how we were modeling. So in its place, if there is any variety of widely wide-spread ideas that you simply'd have round, comparable COVID fees from for PPE materials, and other prices that you had in, in the past backing out of your adjusted EBITDA?

    Daniel H Walker -- Chairman Of The Board And Chief govt Officer

    Yeah. respectable. Thanks for the query, Scott. And or not it's super to discuss with with you. First, on the weather, we've got dedicated time to quantifying issues much more in aspect. On the senior residing aspect, because of probably the most claims that we're processing and how disruptive it changed into to a very to just a few of the amenities, all of them were affected tremendously, all of our staff phrases affected vastly. We haven't, we haven't quantified those influences that in element on the home fitness and hospice facet of things.

    but in regularly occurring, it became disruptive when it comes to missing visits of, personnel in, needing at hand things off over time. We don't often try to, spotlight these issues and, and create a way of, this is why we didn't obtain what we have been planning to obtain. nevertheless it's fair to assert there were it become a very precise factor. It wasn't insignificant. We surely carried out really neatly on the domestic health and hospice side. via those -- those challenges, however -- so we do not I wouldn't have, Jen must -- Jen has greater particulars there. We just -- we are likely to just function via these things. We got stung a little bit in that -- this primary quarter, notably in our senior residing business. In established, what it tends to do is, it's simply highlighted certain areas the place we recognize we should be more desirable. And we're taking full expertise of those opportunities to enrich as they do.

    Now as it relates to your 2d a part of your question on how what's covered and excluded. Jen, can you tackle that?

    Jennifer L. Freeman -- Chief fiscal Officer

    Yeah. So thanks for the query. here's Jen. I simply desired to can help you recognize that so the COVID prices are becoming more a part of our typical every day operations. We just captured about seven hundred,000 to 800,000 within the first quarter of COVID expenses, but then as we're carrying on with to purchase supplies to make sure that we're keeping our residents and our patients, it is becoming more and more part of our normal cost.

    and then so it's about the identical as what our estimates are approximately the same as what we acquired in sequestration reduction, however then remember that we also have misplaced revenue from the impact of COVID in assessment to the momentum we had in the first quarter of 2020.

    Scott Fidel -- Stephens -- Analyst

    okay, acquired it. and that's simply beneficial even to get that 700,000 800,000 when it comes to just attempting to get some framing of that. Then -- so the second query would simply be maybe pondering about the trajectory over the leisure of the yr towards attaining the information, which you reaffirmed, it actually looks like the revenue trajectory turned into right on track in the first quarter, and particularly given one of the vital energy within the domestic health and hospice side. So definitely it changed into that view attributed greater on the margin aspect, and with some of these entertaining elements within the first quarter. So I wager simply on that margin trajectory, probably assist us consider about, how you're pondering that ramp over the relaxation of the year, i do know, you do are expecting greater of the improvement to be within the lower back half of the 12 months. but any further aspect you can give on that margin seasonality?

    and then also simply I guess, inside that, on the occupancy aspect, in terms of SL, if you had a spot estimate, where issues are operating presently as we are trying to -- as compared to how you're pondering concerning the returned half of the year as we tried to just drill in or model -- into modeling that occupancy? So, there may be a few issues in there, however options to each of those could be constructive.

    Daniel H Walker -- Chairman Of The Board And Chief govt Officer

    Yeah, simply high stage, and then I consider Brent and Jen may additionally have some concepts certain on the numbers concerning margins. however this confluence of activities with COVID, COVID had not peeked in, in any of the states we had been operating in except for perhaps Washington, where we've just one facility. So COVID peak-within the quarter in California, in Texas, in Wisconsin, Arizona, and Nevada, I imply, there become, it turned into, type of all came to a head at the identical time. So I predict and what we're awaiting is, and we're already starting to see the beginnings of this transformation in March and April, however hastily, all of that, emergency related margin compression is starting to ease up. And there are some elements of it which are, may additionally take a bit longer to work through, as Jen outlined, managing of elements, it be a brand new cost that we believe we'll proceed, our leaders will make alterations for that reason, appropriate, when it comes to how they may be staffing and how they're working with the residents to seize these prices, in that method.

    but it's -- we'll see that progressively, i would say we're now not waiting for enormous dramatic development in margin within the second quarter. however we're already seeing the foundations that will enable us to in fact trap our momentum within the -- later into the third quarter and obviously into the fourth. Our leaders are just adjusting with ease now that the kind of the catastrophe of the second is handed and individuals are gaining their footing once more, and we're seeing splendid indications of that. Brent, any particular ideas on the margin side?

    Brent Guerisoli -- President

    well, I mean, we comprehend that the margin is historically has been a little bit cyclical as neatly. Q1 tends to be a little bit greater difficult. And we start -- we're seeing a similar sample in 2021 as now we have seen in prior years and so we now have viewed development in March, and in April and beyond. And in selected, on the senior living facet, we've got been hitting pretty hard on the charge facet and so this is one more one.

    or not it's going to take time to work via some of these changes that Danny has simply spoke of. And as we start to look occupancy enhance, I consider we'll be in a position to take potential of that margin -- the incremental margin raise on a sooner groundwork, as we see that occupancy improved. So this is a part of our expectation going forward. Our expenses will -- our cost management will improve, as we see. We're optimistic that we see that occupancy increase smartly.

    Scott Fidel -- Stephens -- Analyst

    ideal. bought it. and then...

    Brent Guerisoli -- President

    Go ahead, Scott. Sorry.

    Scott Fidel -- Stephens -- Analyst

    i used to be just going to follow up, simply to clarify on that occupancy point. Are you seeing some growth so far already within the 2d quarter or can we feel about here is some thing that in fact starts to variety of show itself more and more of a first-rate ramp within the back half of the 12 months?

    Daniel H Walker -- Chairman Of The Board And Chief govt Officer

    Yeah. So frequently, we believe like it's going to happen extra in the back half of the 12 months, but we're seeing really, definitely hopeful indications there. Derek, I feel has probably the most numbers here.

    Derek J. Bunker -- Chief investment Officer, govt vice chairman And Secretary

    hi there, Scott. So i would echo what Danny outlined, that we do assume it to be leaning towards the second half of the yr. And as we mentioned, remaining quarter, this 2nd quarter can have some lingering weak spot from this, but we are seeing some encouraging signs in the in the occupancy. And or not it's like I said, or not it's fairly a whole lot based on what I suppose others have been experiencing and reporting. Our general occupancy in March was quite flat and picked up in April. And the spots are -- our net move-ins had been fantastic in both months, because of truly our maximum month of flow-in and lowest most of circulate out when you consider that the pandemic began.

    And so what we're seeing is, we're beginning to see undoubtedly, it is a favorable trend. however, however that's coming -- as Danny outlined, the combination of two form of routine that truly likely created a short-time period downward spike in that occupancy, so we'll see a few of that inflection. And we'll likely deserve to proceed to evaluate that during the 2d quarter. nonetheless it's actually encouraging for us.

    Scott Fidel -- Stephens -- Analyst

    acquired it. after which just one last one for me, but i could get returned in queue. simply hoping for some framing on what you had been seeing with hospice when it comes to length of live and how that became influenced your pondering on sequential ADC for the industry backdrop more greatly. There turned into like sustained power in hospice, just as relates, unluckily to the lessen size of reside of the COVID sufferers, interested in terms of how a lot you take a look at that? after which how you're considering sequential type of ramp in ADC? and that is the reason it for me. Thanks.

    Daniel H Walker -- Chairman Of The Board And Chief executive Officer

    Yeah. John, why do not you tackle that?

    John J. Gochnour -- Chief working Officer

    it be a pretty good query, Scott and we recognize it. Our hospice ADC has actually held up pretty smartly throughout the quarter. Our size of dwell did decline about eight%. And what we saw is, this is definitely the outcome of one of the elements that we now have been talking about, concerning the pandemic and its have an impact on on some of our referral sources in the assisted living and the skilled nursing world.

    And so, we're seeing a fairly modest decline, but we're glad that the ADC itself held up. And we consider we're poised and we've obtained some tremendous possibility in Q2, both from organically for those operations that we've got had for a longer duration and also seeing some of these transition operations proceed to tick up.

    Daniel H Walker -- Chairman Of The Board And Chief government Officer

    So, yes, our ADC became flat and -- however length of live changed into down via eight%. So we're quite completely satisfied with these effects and we suppose we can construct from there as issues continue to variety of return to whatever thing that resembles greater like normal. Thanks for the question, Scott.

    Scott Fidel -- Stephens -- Analyst

    ok. Thanks.

    Operator

    thanks. Your next query comes from the line of Frank Morgan from RBC Capital. Your line is now open.

    Frank Morgan -- RBC Capital -- Analyst

    respectable morning. I bet, only 1 brief one here from me, loads of ground has been coated. in case you consider about your guidance that you simply're conserving here, relative to type of where you have been on the senior housing aspect. are you able to nonetheless make your numbers if you don't get development from right here? Is it is it predicated on some level of growth in the senior housing portfolio over the steadiness of the yr? Or are you able to ramp up and -- or is there sufficient chance on the home health, hospice aspect of the company to offset probably the most near term headwinds right here? and that's the reason it. thank you.

    Daniel H Walker -- Chairman Of The Board And Chief govt Officer

    extremely good query, Frank and good to hear from you. We're looking forward to some modest improvement in the senior living. We're now not -- we're very cautious to now not over expect too plenty there, we are looking to make certain that the healing and the constructing in the senior living is in step with our -- what now we have pointed out from for reasonably some time, is the future fitness of that portfolio. And as now we have pointed out in the past, the transition away from Ensign into Pennant turned into essentially the most disruptive for this community, you layer on top of that, the immediate -- kind of, almost immediate have an effect on of COVID inside a really brief period of time of being type of newly constituted and then the entire device cut over.

    So our issues there are very concentrated on making bound that what we do that yr, it definitely types the basis for the year over 12 months over 12 months over 12 months fitness and increase that we are demonstrating within the home health and hospice house. So it really is a protracted method of simply asserting, we're expecting modest growth from the first quarter, which turned into a real problem for us. So we're not -- we don't -- we want them to do the appropriate issues for the appropriate -- long run interest of that phase. And so, we're concentrated on that. Jen, are there any specifics on that, that you would add?

    Jennifer L. Freeman -- Chief financial Officer

    No, I think you have covered it, Danny. I think, that it's really the suggestions is more heavily weighted or most weighted toward the domestic fitness and hospice increase in our company and modest improvement.

    Daniel H Walker -- Chairman Of The Board And Chief executive Officer

    sure, yes. however we're now not awaiting loads of contribution from the senior living company this year. We trust we are able to enrich enormously. however with that, Brent, do you have got any thoughts on that?

    Brent Guerisoli -- President

    No, I imply, obviously, we're positive. And we're going to drive as correctly, as Danny outlined, appropriate, getting the appropriate leadership mannequin in vicinity, the local leadership using effects. but -- and the different aspect i'd say is, as Jen mentioned, our home health and hospice segment has continued to function smartly, and we are expecting that. And so there are numerous paths to hitting that number. And we are going to proceed to work on all of those, however cost continuing to observe the mannequin of using at the local level and building powerful teams for lengthy-term success.

    Frank Morgan -- RBC Capital -- Analyst

    k. thank you.

    Daniel H Walker -- Chairman Of The Board And Chief govt Officer

    Thanks, Frank.

    Operator

    [Operator Instruction] There are not any extra query as of this time, presenters, you may proceed.

    Daniel H Walker -- Chairman Of The Board And Chief government Officer

    thanks, Lee, and thank you excited about joining us. We categorical our appreciation for the guide of our shareholders, their perception in what we are creating, their belief in what we've created and proceed to know within the home fitness and hospice house and appear forward to demonstrating that same energy within the senior dwelling space, which is coming off of a pretty traditionally difficult quarter. We view as short time period headwind. we've a lot of exhilaration concerning the lengthy-term opportunity there. but primarily, we're very, very excited in regards to the usual location where Pennants at coming through a gorgeous difficult first 12 months or so as a public -- newly traded publicly enterprise. We're thrilled with the aid of the beginning aspect that we now have and we're basically excited about the coming yr. So thanks focused on becoming a member of us and be suit and safe. Bye-bye.

    Operator

    [Operator Closing Remarks]

    length: 38 minutes

    name contributors:

    Derek J. Bunker -- Chief funding Officer, govt vice president And Secretary

    Daniel H Walker -- Chairman Of The Board And Chief government Officer

    Jennifer L. Freeman -- Chief economic Officer

    Brent Guerisoli -- President

    John J. Gochnour -- Chief working Officer

    Scott Fidel -- Stephens -- Analyst

    Frank Morgan -- RBC Capital -- Analyst

    more PNTG analysis

    All earnings name transcripts

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