The Ensign Group
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The Ensign Group (ENSG) investor relations material

The Ensign Group Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary28 Oct, 2026

Executive summary

  • Q3 revenue was $1.484B, up 14.5% YoY; GAAP diluted EPS was $1.76 and adjusted diluted EPS was $2.03, up 23.9% and 23.8%, respectively.

  • Strong quarterly results, occupancy and skilled-mix momentum supported higher FY 2026 diluted EPS guidance of $7.94-$8.02.

  • Acquisitions expanded operations across 18 states, with 418 healthcare operations as of October 1, 2026.

Financial highlights

  • Q3 GAAP net income was $104.3M, up 24.4% YoY; adjusted net income was $120.5M, up 24.9%.

  • Q3 total revenue was $1.484B versus $1.296B; 9M revenue was $4.314B versus $3.697B, up 16.7%.

  • 9M GAAP diluted EPS was $5.11 versus $4.23; adjusted diluted EPS was $5.80 versus $4.75.

  • 9M operating cash flow was $512.3M versus $381.0M; investing cash outflow was $690.9M, primarily reflecting higher acquisition spending.

Outlook and guidance

  • FY 2026 diluted EPS guidance increased to $7.94-$8.02 from $7.75-$7.85; revenue guidance is $5.89B-$5.92B.

  • Guidance midpoint implies 21.5% growth over 2025 and 45.1% over 2024; assumptions include ~59.5M diluted weighted-average shares and a 25% tax rate.

  • Guidance reflects same-facility growth, stronger census and skilled mix, acquisition activity, and expected Q4 acquisitions; it excludes certain non-ordinary charges and share-based compensation.

  • Renovation projects were budgeted at $175.0M for 2026; 9M capital expenditures were $135.9M.

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Frequently asked questions

The Ensign Group Inc is a provider of healthcare services, primarily focusing on skilled nursing, rehabilitative care, and assisted living services. The company operates a network of facilities across the United States, offering short-term and long-term care for elderly and post-acute patients. In addition to skilled nursing and senior living, Ensign provides home health, hospice care, and physical therapy services. The company is headquartered in San Juan Capistrano, California, and its shares are listed on the NASDAQ.