Ensign Group Inc
NASDAQ:ENSG

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Ensign Group Inc
NASDAQ:ENSG
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Price: 176.09 USD -1.06%
Market Cap: 10.2B USD

Ensign Group Inc
Investor Relations

Ensign Group Inc. operates in the often-overlooked but vital sector of healthcare services, carving out its niche in skilled nursing and rehabilitative care. With an impressive network of post-acute care operations, the company has woven a tapestry that spans various communities across the United States. Recognizing that healthcare is as much about heart as it is about facilities, Ensign Group emphasizes the delivery of compassionate and personalized care. Their business model is centered around acquiring underperforming but strategically located healthcare facilities and transforming them into thriving hubs of expert care. By doing so, they not only uplift the standards of patient outcomes but also improve operational efficiency, which enhances profitability.

Revenue generation for Ensign Group Inc. is tightly linked to its capacity to manage and optimize these healthcare facilities effectively. Primarily, they make money by providing short-term rehabilitation and long-term care services reimbursed through Medicaid, Medicare, and private insurance. Ensign Group has developed a keen acumen for balancing the intricacies of regulatory compliance with astute financial management. The company’s strategy involves a deeply decentralized operational structure wherein local leadership is empowered, ensuring that each facility can adapt to the unique needs of its community while maintaining the financial health of the organization. Through this dynamic model, Ensign Group navigates the challenging healthcare landscape, delivering essential services while securing steady financial returns.

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Last Earnings Call
Fiscal Period
Q3 2025
Call Date
Nov 4, 2025
AI Summary
Q3 2025

Record Occupancy & Growth: Ensign reported all-time high same-store and transitioning occupancy at 83% and 84.4%, driven by strong clinical outcomes and market share gains.

Raised Guidance: 2025 earnings guidance was raised to $6.48–$6.54 EPS (up from $6.34–$6.46) and revenue to $5.05–$5.07B (up from $4.99–$5.02B), reflecting continued strong performance and anticipated acquisitions.

Skilled Mix Expansion: Both skilled days and Medicare/managed care revenue saw notable increases across same-store and transitioning operations, highlighting organic growth potential.

Active Acquisitions: 22 new operations were added, including significant portfolios in California and Utah, bringing total acquisitions in 2025 and since to 45 operations.

Labor & Margins: Turnover improved, wage inflation stabilized at low to mid-single digits, and contract labor usage returned to near pre-COVID levels.

Financial Strength: GAAP revenue rose 19.8% to $1.3B, GAAP EPS increased 6% to $1.42, and low leverage was maintained with $1B in available investment capacity.

Key Financials
GAAP Diluted EPS
$1.42
Revenue
$1.3B
Net Income
$83.8M
Cash and Cash Equivalents
$443.7M
Cash Flow from Operations
$381M
Dividend per Share
$0.0625
Net Debt-to-EBITDA Ratio
1.86x
Available Credit Capacity
$593M
Standard Bearer Rental Revenue
$32.6M
Standard Bearer FFO
$19.3M
Standard Bearer EBITDAR to Rent Coverage Ratio
2.5x
Same-store Occupancy
83%
Transitioning Occupancy
84.4%
Earnings Call Recording
Other Earnings Calls

Management

Mr. Christopher R. Christensen
Co-Founder & Executive Chairman
No Bio Available
Mr. Barry R. Port
CEO & Director
No Bio Available
Mr. Spencer W. Burton
President & COO
No Bio Available
Ms. Suzanne D. Snapper CPA
CFO, Executive VP & Director
No Bio Available
Mr. Chad A. Keetch J.D.
Chief Investment Officer, Executive VP & Secretary
No Bio Available
Ms. Beverly B. Wittekind
Executive VP & General Counsel
No Bio Available
Kevin Reese
President of Keystone Healthcare Inc
No Bio Available

Contacts

Address
CALIFORNIA
San Juan Capistrano
29222 Rancho Viejo Rd Ste 127
Contacts
+19494879500.0
ensigngroup.net