The Ensign Group, Inc.

ENSG Healthcare Medical Care Facilities

The Ensign Group, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $5.1 billion, up 18.7% from fiscal 2024.

Revenue
+14.5%
EPS
+23.6%
Free cash flow
+89.2%
Total debt
+39.2%

Quarter to September 2026, against a year earlier

180.10 2.29 −1.26%
Market cap
$10.6B
P/E
26.3×
Fwd P/E
25.4×
Dividend yield
0.14%
F-score
7/9
Altman Z
3.57
Beneish M
−2.57
Dividend safety
92/100

The Ensign Group, Inc. (ENSG) revenue by segment, product and region

Where the money comes from and where it goes

Fiscal 2022: revenue by segment, and margins
Skilled Services 2,906 96.06%
Standard Bearer 73 2.41%
Other, not broken out 46 1.53%
Gross margin 17.12%
Operating margin 9.81%
Pre-tax margin 9.56%

Revenue by product or service $m

Line FY2022 FY2021 FY2019 FY2018 FY2016
Service revenue 3,009 2,611 2,031 1,753 —
Rental revenue 17 16 5 2 —
Health Care, Patient Service — — — — 1,531
Other, not broken out — — — — 124
Revenue 3,025 2,627 2,037 1,755 1,655

Revenue by segment $m

Line FY2025 FY2024 FY2023 FY2022 FY2021 FY2020 FY2019 FY2018 FY2017 FY2016
Skilled Services 4,838 4,077 3,579 2,906 2,523 2,288 1,934 1,679 1,545 1,375
Standard Bearer 0 0 0 73 58 — — — — —
All Other — — — — 103 106 — — — 41
Real Estate — — — — — 0 50 40 — —
Senior Living Services — — — — — — — — — 124
Home Health and Hospice — — — — — — — — — 116
Other, not broken out 194 161 129 46 — — 52 36 53 —
Eliminations — — — — (57) — — — — —
Revenue 5,032 4,238 3,708 3,025 2,627 2,387 2,037 1,755 1,598 1,655

Operating income by segment $m, and margin

Operating figures as reported in each quarter’s results release or filing

Figure Quarter Latest A year before Change
Actual patient days Q3 FY2026 3.1M 2.8M +13.14%
Number of campuses at period end Q3 FY2026 32.00 31.00 +3.23%
Number of facilities at period end Q3 FY2026 350.00 314.00 +11.46%
Occupancy percentage — operational beds Q3 FY2026 83.1% 82.3% —
Recently acquired facility number of campuses at period end Q3 FY2026 3.00 4.00 −25.00%
Recently acquired facility number of facilities at period end Q3 FY2026 66.00 56.00 +17.86%
Same facility actual patient days Q3 FY2026 2.2M 1.9M +14.46%
Same facility number of campuses at period end Q3 FY2026 25.00 25.00 0.00%
Same facility number of facilities at period end Q3 FY2026 234.00 210.00 +11.43%
Same facility occupancy percentage — operational beds Q3 FY2026 84.1% 83.0% —
Same facility skilled mix by nursing days Q3 FY2026 32.2% 31.7% —
Same facility skilled mix by nursing revenue Q3 FY2026 51.2% 50.5% —
Skilled mix by nursing days Q3 FY2026 30.7% 30.3% —
Skilled mix by nursing revenue Q3 FY2026 49.7% 48.9% —
Transitioning facility actual patient days Q3 FY2026 416.3K 430.4K −3.29%
Transitioning facility number of campuses at period end Q3 FY2026 4.00 2.00 +100.00%
Transitioning facility number of facilities at period end Q3 FY2026 50.00 48.00 +4.17%
Transitioning facility occupancy percentage — operational beds Q3 FY2026 86.1% 84.4% —
Transitioning facility skilled mix by nursing days Q3 FY2026 29.3% 29.4% —
Transitioning facility skilled mix by nursing revenue Q3 FY2026 49.3% 50.9% —

As each company reports them in its 10-K and 10-Q filings, in US dollars. Where a later filing recast a year's segments, the year is shown as recast; a period whose breakdown does not add up to the company's revenue is left out.