ENSIGN GROUP, INC

ENSG 10-K · FY 2025
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Income Statement

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Income Statement
Metric FY 2025 FY 2024 YoY
Revenue 5,032,118 4,237,525 +18.8%
Show Business Segments breakouts
Skilled Services · Operating Segments 944,316 789,643 +19.6%
Skilled Services · Operating Segments 3,447,818 2,968,386 +16.2%
Skilled Services · Operating Segments 1,952,142 1,646,422 +18.6%
Skilled Services · Operating Segments 301,122 266,738 +12.9%
Skilled Services · Operating Segments 1,194,554 1,055,226 +13.2%
Skilled Services · Operating Segments 445,675 318,796 +39.8%
Skilled Services · Operating Segments 4,837,809 4,076,825 +18.7%
Show Consolidation Items breakouts
Consolidation Eliminations -26,055 -20,366 -27.9%
Corporate Non Segment 220,364 181,066 +21.7%
Eliminations And Reconciling Items [Member] 194,309 160,700 +20.9%
Eliminations And Reconciling Items [Member] · Medicaid 49,865 35,922 +38.8%
Eliminations And Reconciling Items [Member] · Private and other payors 144,444 124,778 +15.8%
Eliminations And Reconciling Items [Member] · Total Medicaid and Medicare 49,865 35,922 +38.8%
Operating Segments 4,837,809 4,076,825 +18.7%
Show Major Customers breakouts
Managed care 944,316 789,643 +19.6%
Medicaid 2,002,007 1,682,344 +19.0%
Medicaid-Skilled [Member] 301,122 266,738 +12.9%
Medicare 1,194,554 1,055,226 +13.2%
Private and other payors 590,119 443,574 +33.0%
Total Medicaid and Medicare 3,497,683 3,004,308 +16.4%
Operating Lease Lease Income 25,723 22,960 +12.0%
Show Business Segments breakouts
Standard Bearer Master Leases 107,560 78,110 +37.7%
Standard Bearer · Operating Segments 126,930 95,086 +33.5%
Show Lease Arrangement [Axis] breakouts
Leases To Third Party Operators 25,723 22,960 +12.0%
Leases To Third Party Operators · Other third-party 9,226 7,480 +23.3%
Leases To Third Party Operators · The Pennant Group, Inc. 16,497 15,480 +6.6%
Show Consolidation Items breakouts
Consolidation Eliminations -113,689 -83,941 -35.4%
Corporate Non Segment 12,482 11,815 +5.6%
Operating Segments 126,930 95,086 +33.5%
Revenue 5,057,841 4,260,485 +18.7%
Show Business Segments breakouts
Skilled Services · Operating Segments 4,837,809 4,076,825 +18.7%
Standard Bearer · Operating Segments 126,930 95,086 +33.5%
Show Consolidation Items breakouts
Consolidation Eliminations -139,744 -104,307 -34.0%
Corporate Non Segment 232,846 192,881 +20.7%
Operating Segments 4,964,739 4,171,911 +19.0%
Cost of Revenue 4,019,076 3,376,884 +19.0%
Show Business Segments breakouts
Skilled Services · Operating Segments 3,846,828 3,242,737 +18.6%
Standard Bearer · Operating Segments 2,133 2,265 -5.8%
Rent Cost Of Services 239,312 216,016 +10.8%
Show Business Segments breakouts
Skilled Services · Operating Segments 318,763 270,430 +17.9%
Standard Bearer · Operating Segments 1,057 983 +7.5%
General & Administrative 269,820 225,143 +19.8%
Show Business Segments breakouts
Standard Bearer · Operating Segments 8,020 5,904 +35.8%
Depreciation & Amortization 104,327 84,138 +24.0%
Show Business Segments breakouts
Skilled Services · Operating Segments 55,821 45,195 +23.5%
Standard Bearer · Operating Segments 37,599 29,297 +28.3%
Total Costs & Expenses 4,632,535 3,902,181 +18.7%
Operating Income 425,306 358,304 +18.7%
Interest Expense -7,988 -8,286 +3.6%
Show Business Segments breakouts
Standard Bearer · Operating Segments -40,498 -27,302 -48.3%
Show Consolidation Items breakouts
Consolidation Eliminations 35,058 20,285 +72.8%
Interest Income 24,512 28,749 -14.7%
Other Non-Operating Income (Expense) 13,792 7,327 +88.2%
Non-Operating Income (Expense) 30,316 27,790 +9.1%
Income Before Taxes 455,622 386,094 +18.0%
Income Tax Expense (Benefit) 111,358 87,636 +27.1%
Net Income 344,264 298,458 +15.3%
Net Income Loss Attributable To Noncontrolling Interest 293 485 -39.6%
Show Equity Components breakouts
Noncontrolling Interest 293 485 -39.6%
Net Income 343,971 297,973 +15.4%
Show Equity Components breakouts
Retained Earnings 343,971 297,973 +15.4%
EPS (Basic) 6 5.26 +14.1%
EPS (Diluted) 5.84 5.12 +14.1%
Wtd Avg Shares (Basic) 57,306 56,655 +1.1%
Wtd Avg Shares (Diluted) 58,873 58,240 +1.1%
Gain Loss On Investments 8,354 5,157 +62.0%

Balance Sheet

Balance Sheet
Metric FY 2025 FY 2024 YoY
Current Assets
Cash & Cash Equivalents 503,881 464,598 +8.5%
Accounts Receivable 636,985 569,897 +11.8%
Short-Term Investments 68,506 62,255 +10.0%
Prepaid Expenses & Other Current Assets 62,932 60,882 +3.4%
Total Current Assets 1,272,304 1,157,632 +9.9%
Non-Current Assets
Property, Plant & Equipment 1,696,863 1,291,354 +31.4%
Operating Lease Right-of-Use Assets 2,097,862 1,861,071 +12.7%
Deferred Tax Assets 83,138 66,281 +25.4%
Restricted And Other Assets Noncurrent 41,600 46,499 -10.5%
Goodwill 97,981 97,981 0.0%
Show Business Segments breakouts
Skilled Services · Operating Segments 88,626 88,626 0.0%
Show Consolidation Items breakouts
Material Reconciling Items 9,355 9,355 0.0%
Total Assets 5,462,970 4,669,356 +17.0%
Intangible Assets 1,715 2,626 -34.7%
Show Finite Lived Intangible Assets By Major Class breakouts
Customer Relationships 1,468 1,680 -12.6%
Trade Names 247 271 -8.9%
Other Assets
Insurance Subsidiary Deposits And Investments 166,841 141,246 +18.1%
Intangible Assets Net Excluding Goodwill 6,381 7,292 -12.5%
Current Liabilities
Accounts Payable 97,327 98,947 -1.6%
Employee Related Liabilities Current 422,326 347,532 +21.5%
Operating Lease Liability Current 114,816 93,475 +22.8%
Self Insurance Reserve Current 81,623 67,331 +21.2%
Other Accrued Liabilities Current 174,027 132,057 +31.8%
Current Portion of Long-Term Debt 4,227 4,086 +3.5%
Total Current Liabilities 894,346 743,428 +20.3%
Non-Current Liabilities
Operating Lease Liabilities 1,949,213 1,735,325 +12.3%
Self Insurance Reserve Noncurrent 164,792 144,421 +14.1%
Total Liabilities 3,228,146 2,828,928 +14.1%
Long-Term Debt 144,352 — —
Long-Term Debt 137,529 141,585 -2.9%
Other Non-Current Liabilities 18,591 18,458 +0.7%
Accrued Income Taxes Noncurrent 818 — —
Other Liabilities
Deferred Rent And Other Long Term Liabilities 82,266 64,169 +28.2%
Long Term Debt Net Of Current Maturities And Debt Discount 137,529 141,585 -2.9%
Stockholders' Equity
Common Stock 62 61 +1.6%
Additional Paid In Capital Common Stock 614,724 528,052 +16.4%
Retained Earnings 1,756,137 1,426,762 +23.1%
Treasury Stock Common Value -139,198 -117,764 -18.2%
Total Stockholders' Equity 2,231,725 1,837,111 +21.5%
Minority Interest 3,099 3,317 -6.6%
Stockholders Equity Including Portion Attributable To Noncontrolling Interest 2,234,824 1,840,428 +21.4%
Show Equity Components breakouts
Additional Paid In Capital 614,724 528,052 +16.4%
Common Stock 62 61 +1.6%
Noncontrolling Interest 3,099 3,317 -6.6%
Retained Earnings 1,756,137 1,426,762 +23.1%
Treasury Stock Common -139,198 -117,764 -18.2%
Total Liabilities & Equity 5,462,970 4,669,356 +17.0%

Cash Flow Statement

Cash Flow Statement
Metric FY 2025 FY 2024 YoY
Operating Activities
Amortization Of Financing Costs And Discounts 1,057 1,061 -0.4%
Deferred Income Taxes -16,857 635 -2754.6%
Stock-Based Compensation 48,299 36,226 +33.3%
Proceeds From Insurance Settlement And Gain Loss On Long Lived Assets Net 885 3,367 -73.7%
Other Operating Activities Cash Flow Statement 4,371 2,747 +59.1%
Change in Accounts Receivable -70,433 -84,397 +16.5%
Increase Decrease In Prepaid Taxes 11,179 -9,227 +221.2%
Change in Prepaid & Other Assets -16,441 -19,055 +13.7%
Life Insurance Corporate Or Bank Owned Change In Value -18,356 -14,833 -23.8%
Increase Decrease In Deferred Compensation 18,487 14,986 +23.4%
Increase Decrease In Operating Lease Liability -3,389 287 -1280.8%
Show Lease Arrangement [Axis] breakouts
Amended Master Lease Agreement 124,761 — —
New Master Lease Agreeement · Various Landlords 134,893 — —
Change in Accounts Payable -2,920 2,835 -203.0%
Increase Decrease In Employee Related Liabilities 82,812 19,992 +314.2%
Increase Decrease In Other Operating Liabilities 41,724 -34,048 +222.5%
Increase Decrease In Self Insurance Reserve 35,261 44,014 -19.9%
Net Cash from Operations 564,270 347,186 +62.5%
Investing Activities
Payments To Acquire Property And Equipment -193,557 -158,240 -22.3%
Payments To Acquire Businesses Gross -323,258 -156,547 -106.5%
Proceeds From Insurance Settlement And Sale Of Productive Assets Investing Activities 14,226 6,152 +131.2%
Payments To Acquire Investments -110,723 -105,149 -5.3%
Proceeds From Sale Maturity And Collections Of Investments 99,670 26,397 +277.6%
Other Investing Activities 465 -2,665 +117.4%
Net Cash from Investing -513,177 -390,052 -31.6%
Financing Activities
Repayments Of Long Term Debt -4,086 -4,350 +6.1%
Proceeds From Stock Options Exercised 29,044 22,286 +30.3%
Tax Withholding for Share Compensation -1,434 -1,209 -18.6%
Share Repurchases -20,000 — —
Payments Of Dividends -14,410 -13,671 -5.4%
Proceeds From Payments For Other Financing Activities -924 -5,618 +83.6%
Net Cash from Financing -11,810 -2,162 -446.3%
Supplemental
Interest Paid 6,907 7,063 -2.2%
Income Taxes Paid 116,202 96,337 +20.6%
Operating Lease Payments 242,142 215,677 +12.3%
Unpaid Capital Expenditures 9,200 7,900 +16.5%
Dividends Payable Current And Noncurrent 3,775 3,589 +5.2%
Right Of Use Asset Obtained In Exchange For Operating Lease Liability 335,901 232,918 +44.2%
Other Cash Flow
Net Change in Cash 39,283 -45,028 +187.2%
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations 503,881 464,598 +8.5%

Values in thousands USD. Source: SEC EDGAR 10-K filing.

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