The Ensign Group (ENSG) Investor presentation summary

Scale and operating model

• 398 operations across 17 states, with 44K beds/units, 60K employees and 200K+ residents cared for on an annualized basis in 2026.

• Same-facility occupancy was 84.1%; the operating model emphasizes empowered local leadership, shared accountability and collaboration through regional clusters.

Clinical quality and culture

• Same-facility CMS quality measures were 23% better than state averages; Cycle 1 inspection results were 18% better than state averages.

• More than 80% of operations had a 4- or 5-star quality measure rating; same-facility short- and long-stay outcomes outperformed national averages on multiple measures.

• 88% employee participation in the Emergency Fund; 49 operations received the 2025 Flag award for performance across clinical quality, culture, compliance, engagement and financial results.

Growth and shareholder returns

• Facility count has grown at a 20% CAGR since 1999; revenue and adjusted EBITDAR each showed a 16% CAGR across the presentation's historical growth series.

• YTD 2026 activity included 22 operations acquired, 25 operation expansions, 3,109 operational beds/units added and $437M in acquisition spending.

• Total shareholder return since the 2007 IPO was 4,629%, versus 680% for the S&P 500 over the same period, through July 2026.