Companies · ENSG
Ensign Group
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Latest analysis
Updated Oct 28, 2026
Ensign Group raises 2026 EPS guidance 21.5% above 2025 as same-store occupancy hits 84.1% and skilled mix revenue grows 10.7% year-over-year
Ensign Group delivered Q3 2026 adjusted diluted EPS of $2.03, up 23.8% year-over-year, on consolidated revenue of $1.48 billion, up 14.5%, driven by same-store skilled mix revenue growth of 10.7% and Medicare same-store day growth of 7.6%. Management raised full-year 2026 EPS guidance to $7.94-$8.02 per diluted share and revenue guidance to $5.89-$5.92 billion, representing a 21.5% EPS increase over 2025 at the midpoint. The quarter was defined by 22 new acquisitions including Ensign's first entry into Florida, a market flagged as high-litigation but strategically critical given its demographics and scale.
Tone: bullishRevenue
$5.1B
ENSG 10-K · FY 2025
Employees
46,000
Revenue FY2024
$4.3B
Founded
1999
Profile
ENSG 10-K Item 1 · Feb 4, 2026The Ensign Group is a holding company whose independent subsidiaries provide skilled nursing, senior living, and rehabilitative care services across 17 states, operating 373 facilities as of December 31, 2025. The company also owns and leases healthcare real estate through Standard Bearer, its captive REIT subsidiary, which held 152 owned properties at year-end. Skilled nursing facilities generate approximately 95.6% of consolidated revenue, with Medicaid and Medicare as the two largest payor sources.
Read filing description ↓ Collapse description ↑
Founded in 1999, The Ensign Group, Inc. (Ensign) is a holding company with independent subsidiaries that provide skilled nursing, senior living and rehabilitative services, as well as other ancillary businesses (including mobile diagnostics and medical transportation), in 17 states. As part of our investment strategy, we also acquire, lease and own healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities in healthcare properties. For the year ended December 31, 2025, we generated approximately 95.6% of our revenue from our skilled nursing facilities. The remainder of our revenue is primarily generated from our real estate properties, senior living services and other ancillary services. As of December 31, 2025, we offered skilled nursing, senior living and rehabilitative care services through 373 skilled nursing and senior living facilities. Of the 373 facilities, we operate 253 facilities under long-term lease arrangements and have options to purchase 8 of those 253 facilities. Our real estate portfolio consists of 158 owned real estate properties, which includes 120 facilities operated and managed by us, 38 operations leased to and operated by third-party operators, and the Service Center's California location. We organize our independent subsidiaries into portfolio companies, which we believe has enabled us to maintain a local, field-driven organizational structure, attract additional qualified leadership talent, and to identify, acquire, and improve operations at a generally faster rate. Real estate investments are part of our strategies to further our mission of dignifying post-acute care in the eyes of the world through thoughtful acquisitions of property and leases that promote healthy long-term operations.
Primary products
- Skilled Nursing Services
- Senior Living Services
- Rehabilitative Care Services
- Mobile Diagnostics
- Medical Transportation
- Healthcare Real Estate Leasing (Triple-Net)
Business segments
End markets
Geographies
Named customers
Named competitors
“We seek to compete effectively in each market by establishing a reputation within the local community as the 'operation of choice.'” Competitive position, as stated in the filing
Revenue commentary · FY 2025
Total revenue increased from $4.26 billion in 2024 to $5.06 billion in 2025, driven primarily by growth in skilled services revenue and an expanded facility count following 46 operational additions during the year.
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