Crissy, mid-March, I and families in the XXXX and are everyone. impact hope from healthy. and for of to into good and you, heading we home, February a had experiencing Thank safe, morning you a began significant start year. your a that In at pandemic. We the strong momentum lot COVID-XX January
on the focus touch our the my the response I'll environment. current on our for While results quarter, we comments to will pandemic in operating
taken I'll liquidity both have Specifically, of supply safety, enhance relief we segments, efforts Doug employee and by will and under government. credit and and address in observations steps management, chain ensure availability legislative current regulatory business federal our address the our our patient to agreement.
of our workers against enough part value I critical heroic care this and care well-being. efforts national a our our our during period. of the health how contributing patients are Our cannot exhibiting are frontline nation's and appreciate COVID-XX, excellent in and actions to unprecedented teams and providing emphasize we employees much the to this infrastructure battle
field, our To profession our million inspiring for and contributing commitment their off. our your in time I to country's an to and $XX workers of future. our we you paid invested segments additional to both in approximately thank your of support efforts, safety front-line recognition award of teams In the for through
paramount us of patients and employees our to Encompass of importance Health. at safety is The
of segment the comprised updating place and backgrounds, state stay with task working of our taken to nonclinical. patients COVID-XX We the evaluating on a daily federal to up latest and from for speed and safe. steps information to stay and have their clinical employees in are measures resources, of leadership help well-being, variety ensure to forces forces constantly both task These including numerous the creation company each
protective focus employees. the pandemic And increased resulting to forces our primary personal particular, of created health patients for been A for not care has the task PPE equipment The chain is and utilization management, of chain challenges. and have from all challenges of the availability supply COVID-XX we supply providers. in immune
normal of prices had have suppliers have suppliers, that We as premium are XXx PPE and managing experienced allocations limited as through visibility paying find alternative our reduced primary pricing to and much elevated these into believe weeks. production both the persist We domestically internationally, but challenges, several for and including cost at production capacity, least schedules supply expect shipment and next increasing, we status. is from
here pause employees are for to secure resiliency resourcefulness. our supplies thank clock, members working medical PPE, you around to chain us. need the who and safe. for the demonstrated other and have commitment and They patients keeping supply of Thank I your our and teams
In our including hospitals addition screening limiting steps in safely discharge caregivers, training order entering and physicians, patient We required to our home. employees, persistent visitors taken patient in efforts primary implemented to for anyone hospitals, PPE, a our to we vendors. include secure while other procedures to have
distancing We our are rooms performing recommendations inpatient also needed. as following gyms and therapy the in therapy CDC social
assess frequently patient For home-based home, is including status prior else to we visit. health home and calls the sending current our their self-screening staff for home employees in our implemented anyone risk of who all are factors and within into the performing for previsit the clinical care, protocols to telephone the
halted home nonessential working at field we addition, home, personnel have are office and In and nonessential travel. most
shift let's growth our to States, lines all volume to were experiencing in United of cases and COVID-XX growth. discussion taken operating the them. in have business explosive Prior strong current the to of Now actions trends we the response
the have experiencing lower we volumes in both we in beginning volume April. and began segments However, decreased mid-March into in March trends saw continued
has slowly entered of rehabilitation lower-than-planned at We average with exited to hit inpatient X,XXX. volumes ADC X,XXX. levels. We we March slowly level of low steadily our In point current a approximately an X,XXX. although beginning and approximately its daily of recovered weekend to recover, it segment, are of pre-pandemic The believe March that ADC with remaining census time, Easter X,XXX. approximately an Since
and episodes, weeks February starts includes expected additional starts X% which of of to by our March In-home compared trends the recertifications January to XX% in are in April. average they a suggest of Recent decline care and decline. health, approximately off an and XX,XXX, the dropped leveling of
number volumes the both at In XX segments. have stable census lower remained contributed XX believe February factors going XX to April. relatively The January We hospice, XX our decrease have levels to deferral hospitals. of an acute an to care ADC has the and in average of COVID-XX a from served pandemic related in estimated surgeries in of in elective the
have April. While not of of we care elective level our large surgeries in management and volume, hospitals of significantly care need our our this multiple home approximately XX% admissions. are in impacted patient the a The therapy represented deferral who surgeries these do take elective down with our and health is percentage historically of medical interventions. our for business rehabilitation as overall patients has post-acute Those comorbidities volumes of that inpatient patients have
to rehabilitation policies hospitals. our at reduced care lowered care have care acute emergency transition census department and liaisons levels acute orders Shelter-in-place by and limited in clinical place hospitals patients in at coordinators. access visitation severely traffic Restricted turn, caregivers and have
health provide decline Assisted home in in in-person our living embarked down, existing to home to been health facilities which ability admissions care patients. has also has a and resulted
care officials anxiety to the their patients COVID-XX among post-acute new addition, the during treatment impacted In for admit home. family patients. message and and the of acute risk has and to and heightened health continue has and exposure the The clear regarding patients from consistent public ability stay meaningfully members government at care large, to to care been our existing
attacks having fear other to lower chosen volumes. some life-threatening an not of treatment in census and and virus. care turn, medical our We at or emergencies to in go hospital in resulted consistent to heart to contracting acute for a call believe so it has This and strokes, care been decrease has continue and, served further to clear XXX hospitals choose that acute individuals has due have
in contracting virus of receiving cannot address While patient's we've for to care patients while steps care. we in the taken these our fears care acute a address hospital, fear
are For appropriate. therapy segment, more example, we possible when inpatient rooms in our and inpatient conducting individually rehabilitation
we services, our phone in-person pre-visit with with possible. calls and visits conducting supporting telephone patients home-based when care are For
are in constant are We and willing by to we provide ensure ready with to patients. the communication care needed know they our referral sources
conversations During phone this time, risk care. and we with and are conducting the bedside to associated educate segments families post-acute avoiding on their virtually using patients
resulted an segments, the episode visits inpatient our of a in of length exposure in proportion has period. LUPA a the in volumes fear in resulted our overall of decrease limiting per which decrease in stay elevated and rehabilitation in in segment health, to home addition In
we At But this in pressures near-term on patient, creating COVID-XX to impacting this expect the revenue continue when choppiness expenses. end. at we operations. summarize, pandemic predict minimum, per quarter. second and volumes, To reasonably it is may our cannot It's a time, the
I for we still segments. beginning rate both see gradual to and our earlier, run X admissions XXXX, in of although increase As months the in first are well below mentioned referrals
of or testing CDC's For COVID-XX follow inpatient believe from CDC our the before encourages markets. some exposed We negative of our tests results. we that improvements rehabilitation may a hospitals, this the guidelines virus. for accepting The admitting the COVID-XX for was turnaround patient strongly in in patients be two resulting positive
we obtain to X timing the days more some receiving most patients the United results Thus, XX we obtain. hours. the days, X to across in April, are testing In X spread from within were acute are markets, we to XX able taking to began tests care of now results can hospitals. markets, take COVID-XX results As results quickly early in improving. In and States, of
complete remotely. patients, believe and now hospitals, referral to families. communicating our also managers transition coordinators are and adapted improve obtain working processes to and our directly the have with learn to sources, care in information in to acute their clinical care liaisons find stay They We ways liaisons had Normally, remotely communication work with case to contact prescreen and patient procedures. order in and to
and Encompass our communities. we patients be here country our and for long Health of to trend the to in ensure hear to for expand elective will care for hospitals our in care we are over order times the resources starting markets We continue that must believe acute stewards Finally, are our several this to unprecedented and our good resuming family. term the weeks. next are some are These surgeries, we of
implemented are developed compensation to to considering to our in greater structure labor our to significant costs staffing to volumes variability market-specific our lower inpatient visit structure furloughs. cost patients demand, manage After lengthy operating changes In segments. create volume. consideration of both to health, respond to a had level in in In-home we response current we we with declines align have segment, in plans rehabilitation
another XX, COVID-XX regulatory April As described X-K on in pandemic part legislative companies is Form the of federal nation's ability government. our the our from combat important to filed we and and relief
are The to and along providers actions CMS, of health Congress, been House, The White includes appreciative and care guidance the adequate ensure throughout of Cares a efforts this waivers decisive taken patients relief by continue We scale have of access to that HHS, Act, is by to CMS. the unprecedented. series issued the care with help have pandemic.
the XX, temporarily X% Specifically, X XXXX. sequestration, program payments, the December May suspends through of automatic the for Medicare as known period Cares from reduction Act
and payments Act the Department received to Services revenue on healthcare-related COVID-XX. support Human receiving fund date, providers of million. XX, and from We began health distribution to Cares lost $XXX the Health care approximately April attributable also grants we or have authorized expenses to to relief of
these we've on and permitted terms previously funds restrictions are subject conditions, use. including noted, to As
will portions, keep and able At use. any, what estimate cannot this be from further these we time, clarification we if funds, of to and HHS, reasonably without
them. are We and funds or special these accounts permitted these while itemized in we the are terms, associated holding with use funds dispersing assess and not spending conditions,
relief other for XX% a our week. include day be the per For able minimum the of X must of and patients to inpatient regulatory hours of suspension therapy requirement efforts per temporary rehabilitation days rule tolerate segment, that X
and health accept the of maintaining For certify our status relief have they of the allowance to practicing care homebound for in with to includes revisions environment. to services patient the during visits need of our home laws actions physician the in health and of patients the hospitals assistance, of emergency, home care required nurse provide orders practitioners capacity care flexibilities public state eligibility in period health, and accordance types for ability assist definition for the physician acute the hospitals encounter. and regulatory purposes and telehealth given enhanced These agencies face-to-face current hospital to
Medicare care and relevant tele business. organizations managed visits. health Advantage for which constructive have for from organizations, permitting post-acute our and pre-authorization We've few response care, are also paying for is seen a waved particularly Many a home managed care requirements
to proposed of rehabilitation adjustment market regards April update a Lastly, update of fiscal inpatient CMS XX, for rule rule-making basis offset basket in on notice X.X%, productivity facilities of regulatory net includes comprised of for X.X%, released its proposed XX updates, basket points. of a XXXX. The by a market
routine changes. does or new existing expected, the It on measures not and As measures. quality proposal minor focused amendments include any quality technical updates to
patients effective our estimate rehabilitation through Using XXXX, rule believe X, of reimbursement in October our that an segment, currently from year XXXX increase our inpatient would March we X.X% rates X, fiscal XXXX, Medicare XX, XXXX. within result proposed October in
each change and rapidly, to market's a to I with want my that it. operating to COVID-XX to environment response the our emphasize close, I pandemic continues along As remarks bring prepared
X-K April so filing XX, with our in uncertainty, XXXX As much noted on guidance. withdrew our we
business further to because we provide strong by all In base confidence this, thing substantial made aging for we financial year targets, an the This and as of segments targets the not prospects confident businesses. supported withdrew we've as growth served is has We for the one based our our foundation our both increasing XXXX remain in investments of well. those of a our X-year addition, the in services demands Throughout changed. on population.
working Whether a and of and of the We current or care time are thank through their frontline is someone support home, ability all difficult Health foundation have serves changes I our what record from daily a want altered who for catalyst in believe clinician resilient proven currently of patient future they its organization are function employees a overcome to lives. in a people. in working our you in challenges. Encompass track whose routines this providing doing situations, is and to I
values, are core stronger our in together. we noted As
it results. With Doug that, I'll turn over for more our to financial details on
