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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.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.
- Clinical execution, acquisition growth and real estate support rising earnings and scale.ENSG
Investor presentation - FY23 growth and occupancy gains underpin higher FY24 revenue and EPS guidance.ENSG
Q4 2023 - Q2 2026 saw record growth, higher guidance, strong acquisitions, and ongoing regulatory risks.ENSG
Q2 2026 - Q1 2026 revenue up 18.4%, net income up 24.2%, with raised guidance and strong expansion.ENSG
Q1 2026 - Director elections, auditor ratification, and say-on-pay up for vote at annual meeting.ENSG
Proxy filing - 2025 saw record growth, enhanced governance, and performance-driven executive compensation.ENSG
Proxy filing - Strong growth, robust acquisitions, and proactive regulatory management drive future upside.ENSG
Oppenheimer 36th Annual Healthcare MedTech & Services Conference - Record revenue, earnings, and occupancy drive double-digit FY26 growth outlook.ENSG
Q4 2025 - Q3 revenue up 15%, net income up 22.8%, and guidance raised amid record occupancy and expansion.ENSG
Q3 2024
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