Highlights

  • Third quarter 2026 revenue was $1,484,002 thousand, and net income attributable to Ensign was $104,262 thousand, or $1.76 diluted.
  • Ensign amended its Credit Facility on August 19, 2026, raising it to $800.0 million and extending maturity to 2031.
  • Cash and cash equivalents were $337.6 million at September 30, 2026, and investments were $274.1 million.
  • Ensign repurchased 301 shares for $47.4 million in the nine months, leaving $52.6 million authorized under the repurchase program.

The Ensign Group (NASDAQ:ENSG) shares were trading at USD 184.63 on October 28, 2026, up 8.92%, with a relative volume at time of 4.51. The post-acute care provider amended its Credit Facility on August 19, 2026, and filed its Form 10-Q for the third quarter ended September 30, 2026 on October 27, 2026.

The Ensign Group, Inc. is a Delaware corporation with principal executive offices in San Juan Capistrano, California. It is a holding company whose independent subsidiaries provide skilled nursing, long-term acute care, senior living and rehabilitative care services. As of September 30, 2026, Ensign operated 398 skilled nursing and senior living facilities in 17 states. It reports a Skilled Services segment and a Standard Bearer segment, its captive real estate investment trust, which owns and manages its real estate. Its fiscal year ends December 31.

Third Quarter 2026 Results

Total revenue for the three months ended September 30, 2026 was $1,484,002 thousand, compared with $1,296,405 thousand in the prior-year quarter. Net income was $104,384 thousand, and net income attributable to The Ensign Group, Inc. was $104,262 thousand, compared with $83,844 thousand. Diluted earnings per share were $1.76, compared with $1.42.

Skilled Services segment revenue was $1,421,971 thousand, and Standard Bearer segment revenue was $47,704 thousand.

On a non-GAAP basis, adjusted net income was $120,456 thousand, or $2.03 per share, compared with $96,474 thousand, or $1.64 per share. Adjusted EBITDA was $190,705 thousand, compared with $151,090 thousand.

For the nine months ended September 30, 2026, total revenue was $4,313,679 thousand, compared with $3,697,215 thousand. Net income attributable to Ensign was $303,668 thousand, or $5.11 per diluted share, compared with $248,517 thousand, or $4.23.

Balance Sheet, Cash Flow and Capital

Cash and cash equivalents were $337.6 million at September 30, 2026, and Ensign held investments of $274.1 million. Net cash provided by operating activities for the nine months was $512,348 thousand, compared with $380,950 thousand. Cash paid to fund acquisitions was $539.9 million, compared with $240.3 million. About $175.0 million is budgeted for renovation projects in 2026.

On August 19, 2026, Ensign amended its Credit Facility with Truist Bank as administrative agent, increasing the revolving credit facility by $200.0 million to up to $800.0 million and extending maturity to August 19, 2031. Outstanding borrowings were $60.0 million at September 30, 2026.

The Board approved a stock repurchase program on May 13, 2026 and amended it on June 12, 2026, authorizing repurchases of up to $100.0 million. Ensign repurchased 301 shares for $47.4 million during the nine months.

Operational Expansions and Real Estate

During the nine months ended September 30, 2026, Ensign added 23 stand-alone skilled nursing operations and two campus operations in five states. These added 2,974 operational skilled nursing beds and 135 operational senior living units. Standard Bearer added $543.1 million of real estate assets in the period.

After September 30, 2026, Ensign added 18 stand-alone skilled nursing operations and two campus operations in three states, including its entrance into Florida, its 18th state. These will add 2,123 operational skilled nursing beds and 113 operational senior living units.

Legal Matters and Outlook

The filing does not provide numerical financial guidance. It states that Ensign received a Civil Investigative Demand from the U.S. Department of Justice in January 2024 covering the period from January 1, 2016 to the present, that it is cooperating, and that it cannot predict the outcome. The Arizona Court of Appeals ruled in the company's favor on July 6, 2026 on an appeal of a November 2023 jury verdict against one subsidiary.

Ensign said it anticipates existing cash, investments and projected operating cash flows will support operations for the foreseeable future.