The Pennant Group
The Pennant Group is a publicly traded healthcare services holding company (NASDAQ: PNTG) operating 250+ locally-led affiliates across 17 U.S. states, delivering home health, hospice, home care, palliative care, and senior living services to over 21,000 patients and residents daily through a centralized service-center support model.
- Company typePublic
- Founded2019
- HeadquartersEagle, United States
- Headcount5,001–10,000
- GTM typeB2B and B2C
- OfferingServices
What The Pennant Group does
The Pennant Group (NASDAQ: PNTG) is a publicly traded holding company headquartered in Eagle, Idaho, that operates a network of 250+ independently-led affiliates providing home health, hospice, home care, palliative care, mobile primary care, and senior living services (independent living, assisted living, memory care, respite care) across 17 U.S. states, serving more than 21,000 patients and residents daily. The company was founded in 2007 and spun off from The Ensign Group in 2019 to become an independent publicly traded entity.
The operating model is decentralized: each affiliate is led by a local CEO supported by a centralized service center (Synergy Shared Services) that provides finance, HR, legal, IT, billing, coding, OASIS review, and clinical operations support. The company supplements this operating platform with the Ascend Leadership Program—a structured development pipeline with three tracks (CEO-in-Training, Path to CCO, Path to CMO) that produces internal operators for new and acquired affiliates. Distribution combines direct physician and hospital referrals, an emerging health system partnership channel (Hartford HealthCare, Scripps Health, John Muir Health), and physical locations in 17 states.
Revenue is generated through per-episode Medicare home health payments, per-diem Medicare/Medicaid hospice payments, monthly senior living private-pay residency fees, private-pay home care, and managed-service economics from health system partnerships. FY2025 revenue reached $947.7 million (up 36.3% YoY) on net income of $29.6 million and adjusted EBITDA of $72.5 million, with management guiding FY2026 revenue to $1,133.6M–$1,171.8M. Growth has been driven by a combination of organic same-store improvement and an active acquisition program, headlined by the October 2025 purchase of 54 home health and hospice locations from UnitedHealth Group and Amedisys for $146.5 million. The company has funded expansion with a $108.5 million public equity offering (October 2024) and a credit facility expanded to $350 million in November 2025.
The Pennant Group firmographics
Firmographics- Name
- The Pennant Group
- Legal name
- The Pennant Group, Inc.
- Website
- https://pennantgroup.com
- Company type
- Public
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- The Pennant Group is a publicly traded healthcare services holding company (NASDAQ: PNTG) operating 250+ locally-led affiliates across 17 U.S. states, delivering home health, hospice, home care, palliative care, and senior living services to over 21,000 patients and residents daily through a centralized service-center support model.
- Ownership category
- akta.pro rank
The Pennant Group industry classification
Industry- Product category
- Home Health and Hospice Services
- NAICS
- Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Other Residential Care Facilities (623990), Management of Companies and Enterprises (551)
- SIC
- Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-To Dwellings & Other Buildings (7340)
- akta.pro primary industry
- Independent Living Real Estate Owners/Operators (REITs & Management Companies) (HLADAAAG)
- akta.pro secondary industry
- Multi-Campus / Regional CCRC Networks (HLADAEAF)
Keywords
Where The Pennant Group is headquartered
LocationHeadquarters
- HQ city
- Eagle
- HQ country
- United States
- HQ region
- North America
Offices10 records
Markets served
The Pennant Group business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Marketing or Sales, Others
Revenue model
- Home Health Services: Short-term skilled care provided in the home for individuals recovering from illness, injury, or surgery, or managing chronic health conditions. Medicare covers 100% of eligible Home Health services for qualifying patients. Revenue is generated through per-episode Medicare payments and commercial insurance.
- Hospice Services: End-of-life care focused on enhancing quality of life through symptom management, emotional and spiritual support. Covered by Medicare, Medicaid, and most private insurance plans. Revenue is primarily per-diem Medicare/Medicaid payments.
- Senior Living Services: Residential care services including Independent Living, Assisted Living, Memory Care, and Respite Care. Typically paid privately or through long-term care insurance. Revenue is recurring based on resident occupancy and care level.
- Home Care Services: Non-medical assistance in the home for daily living activities. Paid privately, through long-term care insurance, Medicaid, VA benefits for eligible veterans, and community programs.
- Health System Partnerships: Strategic partnerships with health systems to operate home health and hospice programs. Pennant assumes day-to-day operations and leadership, creating new revenue streams without operational burden for health system partners.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Per episode | Medicare-covered home health services |
| Subscription | Per diem | Hospice care coverage |
| Usage-based | Pay-as-you-go | Home care private pay |
| Subscription | Monthly | Senior living private pay |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels8 records
The Pennant Group product offering
Product offeringCore offering
The Pennant Group is a publicly traded holding company that operates a decentralized network of 250+ independently led affiliates providing home-based healthcare and senior living services across 17 U.S. states. Its core offerings span Home Health, Hospice, Home Care, Palliative Care, and Mobile Primary Care delivered in patients' homes, as well as Senior Living services including Independent Living, Assisted Living, Memory Care, and Respite Care. The company also partners with health systems to operate post-acute care programs and runs internal leadership development tracks (Ascend) that build a pipeline of affiliate operators.
Product overview
The Pennant Group is a healthcare services holding company operating a network of home health, hospice, home care, and senior living affiliates across 16+ states. The company operates through a locally led model with centralized support, offering Healthcare at Home services (Home Health, Hospice, Home Care, Palliative Care, Mobile Primary Care) and Senior Living services (Independent Living, Assisted Living, Memory Care, Respite Care). The portfolio also includes Health System Partnerships for post-acute care collaboration, Synergy Shared Services for operational support to agencies, and Ascend Leadership Programs (CEO-in-Training, COLT, CMO Path) for developing future healthcare leaders. The company operates 250+ affiliate locations serving 21,000+ patients and residents daily.
Differentiator
Problem solved
Functional benefit
Brands
- Ascend Leadership Program: Leadership development program offering CEO-in-Training, Path to CCO, and Path to CMO tracks for aspiring healthcare leaders
- Synergy Shared Services
- Health System Partnerships
Products and services
- Home Health Services Short-term skilled care provided in the home for individuals recovering from illness, injury, or surgery, or managing chronic health conditions. Includes skilled nursing, physical therapy, occupational therapy, speech therapy, wound care, and medication management.
- Hospice Services End-of-life care focused on enhancing quality of life through symptom management, emotional and spiritual support, and meaningful time with loved ones. Available 24/7 wherever the patient feels most comfortable.
- Home Care Services Non-medical assistance provided in a person's home to help with daily living activities such as bathing, dressing, meal preparation, and light housekeeping, helping individuals maintain independence and dignity.
- Palliative Care Services Specialized medical care for people living with serious or life-limiting illnesses, addressing physical discomfort, emotional stress, and other challenges during treatment. Can be provided at any stage of illness alongside curative treatments.
- Mobile Primary Care Services Medical professionals providing primary medical services on-site at private homes, assisted living communities, or other care settings, including preventive care, chronic disease management, and follow-up visits with mobile diagnostics.
- Independent Living Services Active, maintenance-free lifestyle communities for older adults offering private residences, shared amenities, planned activities, and optional services such as housekeeping, dining, and transportation.
- Assisted Living Services Personalized support for older adults who need help with daily activities while valuing independence, featuring 24/7 assistance, social engagement, and safe, comfortable living environments.
- Memory Care Services Specialized, compassionate support for individuals living with Major Neurocognitive Disorders, providing 24/7 support in a safe, structured, and engaging environment that promotes dignity, comfort, and quality of life.
- Respite Care Services Short-term stays in a safe, welcoming environment providing relief for primary caregivers while ensuring loved ones receive high-quality support, including engaging activities, nutritious meals, and professional assistance.
- Health System Partnerships Partnerships with health systems to deliver seamless post-acute care, strengthen outcomes, and support smooth care transitions through locally led, expertly managed home health and hospice programs.
- Synergy Shared Services Operational support hub for home health and hospice agencies providing specialized expertise in recruiting, onboarding, HR, intake, authorizations, billing, pre-bill, collections, OASIS, and coding partnership.
- CEO-in-Training Leadership Program 12-week hands-on program designed to develop high-potential individuals into confident leaders ready to own and operate Pennant-affiliated Home Health, Hospice, Home Care, or Senior Living companies.
- COLT Program (Clinical Operation Leadership Training) Program equipping clinicians with leadership skills to grow into Director of Clinical Services, Director of Rehab, and other clinical leadership positions, preparing them for Chief Clinical Officer roles.
- CMO Path (Chief Marketing Officer Program) Leadership development program for growth-minded leaders passionate about building relationships, driving strategic growth, and expanding community impact, preparing them for Chief Marketing Officer roles.
Quantifiable outcome
- 97% CAHPS patient satisfaction across partner agencies
- +4 more outcomes
Companies that use The Pennant Group
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles5 records
The Pennant Group technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
The Pennant Group partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- Hartford HealthCarecoreStrategic collaboration to strengthen and expand home-based care services across Connecticut, with plans to transition the partnership into a unified operating entity. Since the collaboration began in May 2024, Hartford HealthCare at Home achieved its first-ever 4-star Centers for Medicare & Medicaid Services rating and expanded access to tens of thousands of patients through hundreds of thousands of visits.
- Scripps HealthminorHealth system partnership for post-acute care delivery. Pennant provides operational expertise and leadership for home health and hospice programs.
- John Muir HealthminorHealth system partnership for post-acute care delivery. Pennant provides operational expertise and leadership for home health and hospice programs.
Scale indicators15 records
Recent moves6 records
Expansion highlights6 records
The Pennant Group competitors and assessment
Company assessmentBroad incumbents
- National HealthCare Corporation: NHC operates skilled nursing, assisted living, home care, and hospice services across the Southeast and Midwest. Comparable multi-service continuum-of-care model with senior living and home-based services.
- The Ensign Group, Inc. The Ensign Group is Pennant's former parent and operates skilled nursing facilities and senior living communities using a similar locally-led operating model. Closely comparable in operating philosophy and culture, though more SNF-focused.
- Brookdale Senior Living: Brookdale is the largest senior living operator in the U.S. offering independent living, assisted living, and memory care. Comparable to Pennant's senior living service line, though Brookdale is pure-play senior living rather than diversified.
Direct peers
- Amedisys, Inc. Amedisys is a leading home health and hospice operator that Pennant partially acquired assets from. Operates the same core service lines as Pennant's home health and hospice affiliates and serves Medicare-eligible populations across multiple states.
- BrightSpring Health Services: BrightSpring is a publicly traded home and community-based health services platform providing home health, hospice, pharmacy, and behavioral services. Highly comparable multi-modality healthcare-at-home model to Pennant's diversified platform.
- Aveanna Healthcare Holdings: Aveanna operates a pediatric and adult home health, private duty, and medical solutions platform. Comparable in home-based care delivery and Medicaid-heavy payer mix, though more pediatric-skewed.
- Encompass Health Corporation: Encompass Health operates one of the largest networks of inpatient rehabilitation hospitals and, through its Enhabit spinoff history, is closely tied to home health and hospice. Highly comparable to Pennant's home health and hospice service lines.
- Enhabit, Inc. Enhabit is a pure-play home health and hospice provider spun off from Encompass Health. Closely mirrors Pennant's home health and hospice offerings and operates across similar geographies.
- Addus HomeCare Corporation: Addus provides personal care, home health, and hospice services to primarily elderly and disabled clients across the U.S. Directly competes with Pennant's home care and hospice affiliates and shares a similar Medicaid/Medicare payer mix.
Emerging players
- Option Care Health: Option Care Health is a leading provider of home and alternate-site infusion services. While not directly competing in home health/hospice, it operates in the same home-based care delivery category serving complex patients in their homes.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
The Pennant Group social profiles
Digital presenceThe Pennant Group financial estimates
Financial estimateRevenue estimate
Valuation estimate
The Pennant Group leadership team
Management profileNumber of profiles
Profiles2 records
The Pennant Group subsidiaries and ownership
Company hierarchySubsidiaries14 records
The Pennant Group funding detail
Funding detailFunding overview
Funding rounds2 records
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
The Pennant Group M&A and investment
M&A and investmentM&A11 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about The Pennant Group
What does The Pennant Group do?
The Pennant Group is a publicly traded holding company that operates a decentralized network of 250+ independently led affiliates providing home-based healthcare and senior living services across 17 U.S. states. Its core offerings span Home Health, Hospice, Home Care, Palliative Care, and Mobile Primary Care delivered in patients' homes, as well as Senior Living services including Independent Living, Assisted Living, Memory Care, and Respite Care. The company also partners with health systems to operate post-acute care programs and runs internal leadership development tracks (Ascend) that build a pipeline of affiliate operators.
Is The Pennant Group a public or private company?
The Pennant Group is a public company. It is classified as public and is currently operating.
When was The Pennant Group founded?
The Pennant Group was founded in 2019. It employs 5,001 to 10,000 people.
Where is The Pennant Group based?
The Pennant Group is headquartered in Eagle, United States, in the North America region.
How does The Pennant Group make money?
Five revenue lines are on record. Home Health Services are the primary driver. The others are hospice Services, senior Living Services, home Care Services and health System Partnerships.
Who are The Pennant Group's main competitors?
Broad incumbents on record are National HealthCare Corporation, The Ensign Group, Inc. and Brookdale Senior Living. Direct peers are Amedisys, Inc., BrightSpring Health Services, Aveanna Healthcare Holdings, Encompass Health Corporation, Enhabit, Inc. and Addus HomeCare Corporation. Option Care Health is listed as an emerging player.
Does The Pennant Group have an API?
No public API is recorded for The Pennant Group.
What industry is The Pennant Group in?
The Pennant Group's product category is Home Health and Hospice Services. Its primary akta.pro industry code is HLADAAAG, Independent Living Real Estate Owners/Operators (REITs & Management Companies), with a secondary code of HLADAEAF, Multi-Campus / Regional CCRC Networks. Its NAICS code is 62331 and its SIC code is 8082.