ENSIGN GROUP, INC

ENSG 10-Q · Q1 2026
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ENSG Q1 2026 request

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Income Statement

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Income Statement
Metric Q1 2026 Q1 2025 YoY
Revenue 1,382,303 1,167,040 +18.4%
Show Business Segments breakouts
Skilled Services · Operating Segments 260,851 227,217 +14.8%
Skilled Services · Operating Segments 940,400 800,713 +17.4%
Skilled Services · Operating Segments 529,333 443,411 +19.4%
Skilled Services · Operating Segments 75,238 69,551 +8.2%
Skilled Services · Operating Segments 335,829 287,751 +16.7%
Skilled Services · Operating Segments 129,584 95,624 +35.5%
Skilled Services · Operating Segments 1,330,835 1,123,554 +18.4%
Show Consolidation Items breakouts
Consolidation Eliminations -7,593 -5,941 -27.8%
Corporate Non Segment 59,061 49,427 +19.5%
Eliminations And Reconciling Items [Member] 51,468 43,486 +18.4%
Eliminations And Reconciling Items [Member] · Medicaid 14,117 10,429 +35.4%
Eliminations And Reconciling Items [Member] · Private and other payors 37,351 33,057 +13.0%
Eliminations And Reconciling Items [Member] · Total Medicaid and Medicare 14,117 10,429 +35.4%
Operating Segments 1,330,835 1,123,554 +18.4%
Show Major Customers breakouts
Managed care 260,851 227,217 +14.8%
Medicaid 543,450 453,840 +19.7%
Medicaid-Skilled [Member] 75,238 69,551 +8.2%
Medicare 335,829 287,751 +16.7%
Private and other payors 166,935 128,681 +29.7%
Total Medicaid and Medicare 954,517 811,142 +17.7%
Operating Lease Lease Income 6,893 6,001 +14.9%
Show Business Segments breakouts
Standard Bearer Master Leases 30,832 23,904 +29.0%
Standard Bearer · Operating Segments 36,102 28,401 +27.1%
Show Lease Arrangement [Axis] breakouts
Leases To Third Party Operators 6,893 6,001 +14.9%
Leases To Third Party Operators · Other third-party 2,680 1,879 +42.6%
Leases To Third Party Operators · The Pennant Group, Inc. 4,213 4,122 +2.2%
Show Consolidation Items breakouts
Consolidation Eliminations -32,404 -25,399 -27.6%
Corporate Non Segment 3,195 2,999 +6.5%
Operating Segments 36,102 28,401 +27.1%
Revenue 1,389,196 1,173,041 +18.4%
Show Business Segments breakouts
Skilled Services · Operating Segments 1,330,835 1,123,554 +18.4%
Standard Bearer · Operating Segments 36,102 28,401 +27.1%
Show Consolidation Items breakouts
Consolidation Eliminations -39,997 -31,340 -27.6%
Corporate Non Segment 62,256 52,426 +18.8%
Operating Segments 1,366,937 1,151,955 +18.7%
Cost of Revenue 1,095,826 927,849 +18.1%
Show Business Segments breakouts
Skilled Services · Operating Segments 1,052,724 891,855 +18.0%
Standard Bearer · Operating Segments 625 598 +4.5%
Rent Cost Of Services 65,506 57,076 +14.8%
Show Business Segments breakouts
Skilled Services · Operating Segments 88,784 74,555 +19.1%
Standard Bearer · Operating Segments 265 257 +3.1%
General & Administrative 74,210 62,555 +18.6%
Show Business Segments breakouts
Standard Bearer · Operating Segments 2,232 1,751 +27.5%
Depreciation & Amortization 28,801 24,188 +19.1%
Show Business Segments breakouts
Skilled Services · Operating Segments 15,310 13,213 +15.9%
Standard Bearer · Operating Segments 10,783 8,476 +27.2%
Total Costs & Expenses 1,264,343 1,071,668 +18.0%
Operating Income 124,853 101,373 +23.2%
Interest Expense -1,932 -2,037 +5.2%
Show Business Segments breakouts
Standard Bearer · Operating Segments -11,388 -8,736 -30.4%
Show Consolidation Items breakouts
Consolidation Eliminations 9,767 7,040 +38.7%
Interest Income 6,536 6,883 -5.0%
Other Non-Operating Income (Expense) -885 361 -345.2%
Non-Operating Income (Expense) 3,719 5,207 -28.6%
Income Before Taxes 128,572 106,580 +20.6%
Income Tax Expense (Benefit) 28,816 26,227 +9.9%
Net Income 99,756 80,353 +24.1%
Net Income Loss Attributable To Noncontrolling Interest 88 76 +15.8%
Show Equity Components breakouts
Noncontrolling Interest 88 76 +15.8%
Net Income 99,668 80,277 +24.2%
Show Equity Components breakouts
Retained Earnings 99,668 80,277 +24.2%
EPS (Basic) 1.73 1.41 +22.7%
EPS (Diluted) 1.67 1.37 +21.9%
Wtd Avg Shares (Basic) 57,771 57,099 +1.2%
Wtd Avg Shares (Diluted) 59,567 58,500 +1.8%
Gain Loss On Investments 1,694 282 +500.7%

Balance Sheet

Balance Sheet
Metric Q1 2026 Q1 2025 YoY
Current Assets
Cash & Cash Equivalents 539,498 282,666 +90.9%
Accounts Receivable 663,247 584,048 +13.6%
Short-Term Investments 55,677 61,805 -9.9%
Prepaid Expenses & Other Current Assets 61,678 57,872 +6.6%
Total Current Assets 1,320,100 986,391 +33.8%
Non-Current Assets
Property, Plant & Equipment 1,720,225 1,459,378 +17.9%
Operating Lease Right-of-Use Assets 2,137,308 1,896,409 +12.7%
Deferred Tax Assets 83,169 66,278 +25.5%
Restricted And Other Assets Noncurrent 52,347 80,826 -35.2%
Goodwill 97,981 — —
Show Business Segments breakouts
Skilled Services · Operating Segments 88,626 — —
Show Consolidation Items breakouts
Material Reconciling Items 9,355 — —
Total Assets 5,611,761 4,759,846 +17.9%
Intangible Assets 1,656 2,281 -27.4%
Show Finite Lived Intangible Assets By Major Class breakouts
Customer Relationships 1,416 1,628 -13.0%
Trade Names 240 265 -9.4%
Other Assets
Insurance Subsidiary Deposits And Investments 194,309 157,307 +23.5%
Intangible Assets Net Excluding Goodwill 6,322 6,947 -9.0%
Current Liabilities
Accounts Payable 116,132 95,326 +21.8%
Employee Related Liabilities Current 313,517 284,769 +10.1%
Operating Lease Liability Current 116,500 97,176 +19.9%
Self Insurance Reserve Current 94,868 69,959 +35.6%
Other Accrued Liabilities Current 202,766 153,857 +31.8%
Current Portion of Long-Term Debt 4,263 4,120 +3.5%
Total Current Liabilities 848,046 705,207 +20.3%
Non-Current Liabilities
Operating Lease Liabilities 1,987,386 1,767,210 +12.5%
Self Insurance Reserve Noncurrent 183,860 150,661 +22.0%
Total Liabilities 3,242,064 2,829,689 +14.6%
Long-Term Debt 136,491 140,585 -2.9%
Other Non-Current Liabilities 19,549 19,623 -0.4%
Accrued Income Taxes Noncurrent 27,352 — —
Other Liabilities
Deferred Rent And Other Long Term Liabilities 86,281 66,026 +30.7%
Long Term Debt Net Of Current Maturities And Debt Discount 136,491 140,585 -2.9%
Stockholders' Equity
Common Stock 62 61 +1.6%
Additional Paid In Capital Common Stock 653,401 551,867 +18.4%
Retained Earnings 1,852,008 1,503,442 +23.2%
Treasury Stock Common Value -139,221 -128,553 -8.3%
Total Stockholders' Equity 2,366,250 1,926,817 +22.8%
Minority Interest 3,447 3,340 +3.2%
Stockholders Equity Including Portion Attributable To Noncontrolling Interest 2,369,697 1,930,157 +22.8%
Show Equity Components breakouts
Additional Paid In Capital 653,401 551,867 +18.4%
Common Stock 62 61 +1.6%
Noncontrolling Interest 3,447 3,340 +3.2%
Retained Earnings 1,852,008 1,503,442 +23.2%
Treasury Stock Common -139,221 -128,553 -8.3%
Total Liabilities & Equity 5,611,761 4,759,846 +17.9%

Cash Flow Statement

Cash Flow Statement
Metric YTD Q1 2026 YTD Q1 2025 YoY
Operating Activities
Amortization Of Financing Costs And Discounts 264 266 -0.8%
Stock-Based Compensation 13,895 10,724 +29.6%
Proceeds From Insurance Settlement And Gain Loss On Long Lived Assets Net 1,915 420 +356.0%
Other Operating Activities Cash Flow Statement 613 646 -5.1%
Change in Accounts Receivable -24,009 -14,589 -64.6%
Increase Decrease In Prepaid Taxes 1,878 13,057 -85.6%
Change in Prepaid & Other Assets -986 -9,360 +89.5%
Life Insurance Corporate Or Bank Owned Change In Value -7,490 -7,489 -0.0%
Increase Decrease In Deferred Compensation 6,926 7,441 -6.9%
Increase Decrease In Operating Lease Liability -183 -102 -79.4%
Change in Accounts Payable 18,705 -3,521 +631.2%
Increase Decrease In Employee Related Liabilities -97,663 -60,021 -62.7%
Increase Decrease In Other Operating Liabilities 27,283 21,497 +26.9%
Increase Decrease In Self Insurance Reserve 30,449 8,710 +249.6%
Net Cash from Operations 100,154 72,220 +38.7%
Investing Activities
Payments To Acquire Property And Equipment -35,473 -42,926 +17.4%
Payments To Acquire Businesses Gross -28,737 -194,241 +85.2%
Proceeds From Insurance Settlement And Sale Of Productive Assets Investing Activities 83 1,494 -94.4%
Payments To Acquire Investments -36,866 -25,984 -41.9%
Proceeds From Sale Maturity And Collections Of Investments 29,717 17,862 +66.4%
Other Investing Activities 89 -9 +1088.9%
Net Cash from Investing -71,187 -243,804 +70.8%
Financing Activities
Repayments Of Long Term Debt -1,042 -1,009 -3.3%
Proceeds From Stock Options Exercised 11,490 5,050 +127.5%
Tax Withholding for Share Compensation -23 -14 -64.3%
Payments Of Dividends -3,775 -3,589 -5.2%
Net Cash from Financing 6,650 -10,348 +164.3%
Supplemental
Interest Paid 1,664 1,769 -5.9%
Income Taxes Paid 425 — —
Operating Lease Payments 66,078 59,165 +11.7%
Unpaid Capital Expenditures 9,970 7,800 +27.8%
Dividends Payable Current And Noncurrent 3,797 3,597 +5.6%
Right Of Use Asset Obtained In Exchange For Operating Lease Liability 68,296 57,961 +17.8%
Other Cash Flow
Net Change in Cash 35,617 -181,932 +119.6%
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations 539,498 282,666 +90.9%

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

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