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The Ensign Group (ENSG) investor relations material

The Ensign Group Q2 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2025 earnings summary25 Jul, 2025

Executive summary

  • Achieved record-setting Q2 2025 with 18.5% revenue growth, strong occupancy, and skilled mix, driven by local teams and clinical outcomes.

  • Added 52 new operations since 2024, expanding into new states and supporting organic and acquisition-driven growth.

  • Operates 348 facilities with over 39,000 beds and 52,000 employees across 17 states, maintaining a high occupancy rate of 82.1%.

  • Emphasizes a decentralized, entrepreneurial leadership model and disciplined acquisition strategy.

  • Record occupancy and skilled mix improvements in both same store and transitioning facilities.

Financial highlights

  • Q2 2025 revenue reached $1.23B, up 18.5% year-over-year; six-month revenue was $2.40B.

  • GAAP diluted EPS was $1.44, up 18%; adjusted EPS was $1.59, up 20.5%.

  • GAAP net income was $84.4M, up 18.9%; adjusted net income was $93.3M, up 22.1%.

  • Adjusted EBITDA for Q2 2025 was $146.6M, up from $117.2M in Q2 2024.

  • Cash and equivalents at $364M; cash flow from operations at $228M for the first half of 2025.

Outlook and guidance

  • 2025 annual EPS guidance raised to $6.34–$6.46, a 16.4% increase over 2024 and 34% over 2023.

  • 2025 revenue guidance increased to $4.99–$5.02B, reflecting strong Q2 and anticipated acquisitions.

  • Guidance based on continued occupancy and skilled mix momentum, labor management, and expected acquisitions.

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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.

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