[Financial & Operational Highlights](index=1&type=section&id=Financial%20%26%20Operational%20Highlights) The Ensign Group achieved record Q4 and full-year 2024 financial results, demonstrating significant growth in net income, EPS, and revenues, with improved operational metrics [Q4 and Full-Year 2024 Performance Summary](index=1&type=section&id=Q4%20and%20Full-Year%202024%20Performance%20Summary) The Ensign Group achieved record financial results for Q4 and full-year 2024, demonstrating substantial growth in net income and EPS, complemented by improved occupancy and skilled revenue across its facilities Q4 & Full-Year 2024 Key Financial Results | Metric | Full Year 2024 | YoY Change | Q4 2024 | YoY Change | | :--- | :--- | :--- | :--- | :--- | | GAAP Diluted EPS | $5.12 | +40.3% | $1.36 | +257.9% | | Adjusted Diluted EPS | $5.50 | +15.3% | $1.49 | +16.4% | | GAAP Net Income | $298.0 Million | +42.3% | $79.7 Million | +267.4% | | Adjusted Net Income | $320.5 Million | +17.2% | $87.6 Million | +18.9% | | Consolidated Revenues | $4.26 Billion | +14.2% | $1.13 Billion | +15.5% | - Operational improvements were noted across facility types for the full year 2024 compared to 2023: - **Same Facilities Occupancy:** Increased by **2.7%** - **Transitioning Facilities Occupancy:** Increased by **4.1%** - **Same Facilities Skilled Revenue:** Increased by **8.6%** - **Transitioning Facilities Skilled Revenue:** Increased by **9.8%**[2](index=2&type=chunk) - The company experienced strong growth in managed care, with full-year managed care days improving by **6.5%** for Same Facilities and **27.8%** for Transitioning Facilities compared to the prior year[2](index=2&type=chunk) [Management Commentary and Outlook](index=2&type=section&id=Management%20Commentary%20and%20Outlook) Management attributes strong performance to operational execution, provides optimistic 2025 guidance, and highlights a robust acquisition strategy supported by strong liquidity [Operating Results Review](index=2&type=section&id=Operating%20Results%20Review) CEO Barry Port attributed record results to local leadership and caregiver efforts, driven by increased occupancy, skilled days, and managed care census, particularly in transitioning operations - In Q4 2024, same store and transitioning occupancy increased to **81.7%** and **77.5%**, respectively[3](index=3&type=chunk) - Compared to the prior year quarter, Q4 skilled days grew by **3.8%** for same store operations and **10.9%** for transitioning operations[3](index=3&type=chunk) - Managed care census in Q4 saw substantial growth over the prior year quarter, rising **6.6%** for same store and **27.7%** for transitioning operations[3](index=3&type=chunk) [2025 Financial Guidance](index=2&type=section&id=2025%20Financial%20Guidance) The company issued its 2025 annual guidance, projecting continued strong growth in revenue and earnings, with the midpoint of EPS guidance representing a 13.8% increase over 2024 2025 Annual Guidance | Metric | Guidance Range | | :--- | :--- | | Annual Revenue | $4.83 billion to $4.91 billion | | Diluted EPS | $6.16 to $6.34 | - The midpoint of the 2025 earnings guidance is **13.8%** higher than 2024 results and **31.0%** higher than 2023 results[4](index=4&type=chunk) - Guidance is based on approximately **59.5 million** diluted weighted average common shares and a **25.0%** tax rate[5](index=5&type=chunk) [Growth, Acquisitions, and Liquidity](index=2&type=section&id=Growth%2C%20Acquisitions%2C%20and%20Liquidity) Management emphasized a strong acquisition pipeline, adding 38 operations since 2024, supported by robust liquidity with significant cash and available credit for sustainable growth - The company acquired **38** new operations during 2024 and since, including **12** during Q4 and post-quarter-end[5](index=5&type=chunk) - Ensign's acquisition strategy focuses on adding density in known markets and carefully choosing accretive opportunities[5](index=5&type=chunk) - The company reports strong liquidity with approximately **$464.6 million** of cash on hand and **$572.1 million** of available capacity under its line-of-credit[5](index=5&type=chunk) [Growth and Real Estate Portfolio](index=2&type=section&id=Growth%20and%20Real%20Estate%20Portfolio) The company expanded its portfolio through strategic acquisitions across multiple states, increasing healthcare operations and real estate assets, while its Standard Bearer segment continued to generate significant rental revenue [Recent Acquisitions](index=2&type=section&id=Recent%20Acquisitions) The company expanded its portfolio through several Q4 and post-quarter acquisitions, adding skilled nursing and senior living facilities, and real estate assets across five states to increase market density - Acquisitions were completed across five states: Alabama, Tennessee, Nebraska, Wisconsin, and Texas[6](index=6&type=chunk) - New leased operations include facilities in Huntsville, AL; Pulaski, TN; Knoxville, TN; and Lubbock, TX, among others[6](index=6&type=chunk)[10](index=10&type=chunk) - The company, through its Standard Bearer subsidiary, acquired the real estate for four operations in Texas and three senior living assets in Wisconsin operated by a third party[7](index=7&type=chunk)[10](index=10&type=chunk) [Portfolio and Standard Bearer Overview](index=4&type=section&id=Portfolio%20and%20Standard%20Bearer%20Overview) Ensign's portfolio includes 334 healthcare operations across 15 states, with 134 owned real estate assets, while its Standard Bearer segment generated $25.1 million in Q4 rental revenue, and the company increased its dividend for the 22nd consecutive year - The total portfolio consists of **334** healthcare operations, with the company owning **134** real estate assets[7](index=7&type=chunk) - The Standard Bearer segment comprises **129** owned properties. In Q4, it generated **$25.1 million** in rental revenue and **$15.3 million** in Funds from Operations (FFO)[8](index=8&type=chunk) - The company paid a quarterly cash dividend of **$0.0625** per share and increased its dividend for the **22nd** consecutive year in December 2024[9](index=9&type=chunk) [Consolidated Financial Statements (GAAP)](index=8&type=section&id=Consolidated%20Financial%20Statements%20%28GAAP%29) The company's GAAP financial statements show significant revenue and net income growth for fiscal year 2024, with a strengthened balance sheet and effective cash flow management [Consolidated Statements of Income](index=8&type=section&id=CONSOLIDATED%20STATEMENTS%20OF%20INCOME) For fiscal year 2024, The Ensign Group achieved total revenues of **$4.26 billion**, a **14.2%** increase, with net income attributable to the company growing significantly to **$298.0 million**, resulting in a diluted EPS of **$5.12** Full-Year Income Statement Highlights (in thousands) | Metric | 2024 | 2023 | % Change | | :--- | :--- | :--- | :--- | | Total Revenue | $4,260,485 | $3,729,355 | +14.2% | | Income from Operations | $358,304 | $255,367 | +40.3% | | Net Income Attributable to ENSG | $297,973 | $209,399 | +42.3% | | Diluted EPS | $5.12 | $3.65 | +40.3% | [Consolidated Balance Sheets](index=9&type=section&id=CONSOLIDATED%20BALANCE%20SHEETS) As of December 31, 2024, the company's balance sheet strengthened, with total assets growing to **$4.67 billion** from **$4.18 billion** in 2023, supported by an increase in total equity to **$1.84 billion** Balance Sheet Highlights (in thousands) | Metric | Dec 31, 2024 | Dec 31, 2023 | | :--- | :--- | :--- | | Cash and cash equivalents | $464,598 | $509,626 | | Total Current Assets | $1,157,632 | $1,046,930 | | Total Assets | $4,669,356 | $4,177,541 | | Total Liabilities | $2,828,928 | $2,680,224 | | Total Equity | $1,840,428 | $1,497,317 | [Consolidated Statements of Cash Flows](index=9&type=section&id=CONSOLIDATED%20STATEMENTS%20OF%20CASH%20FLOWS) For the year ended December 31, 2024, net cash provided by operating activities was **$347.2 million**, while **$390.1 million** was used in investing activities, with cash and cash equivalents ending at **$464.6 million** Full-Year Cash Flow Summary (in thousands) | Metric | 2024 | 2023 | | :--- | :--- | :--- | | Net cash provided by operating activities | $347,186 | $376,666 | | Net cash used in investing activities | ($390,052) | ($182,698) | | Net cash used in financing activities | ($2,162) | ($612) | | Net (decrease) increase in cash | ($45,028) | $193,356 | | Cash at end of period | $464,598 | $509,626 | [Non-GAAP Financial Measures and Reconciliations](index=11&type=section&id=Non-GAAP%20Financial%20Measures%20and%20Reconciliations) The company provides non-GAAP financial measures like adjusted net income, EPS, EBITDA, and Adjusted EBITDA, offering a clearer view of core operating performance by excluding specific items [Reconciliation of GAAP to Non-GAAP Net Income](index=11&type=section&id=RECONCILIATION%20OF%20GAAP%20TO%20NON-GAAP%20NET%20INCOME) The company presents non-GAAP net income and EPS, excluding specific items, with fiscal year 2024 adjusted net income at **$320.5 million** and adjusted diluted EPS at **$5.50**, compared to GAAP figures of **$298.0 million** and **$5.12**, respectively FY 2024 GAAP vs. Non-GAAP Results | Metric | GAAP | Non-GAAP (Adjusted) | | :--- | :--- | :--- | | Net Income | $298.0 Million | $320.5 Million | | Diluted EPS | $5.12 | $5.50 | Q4 2024 GAAP vs. Non-GAAP Results | Metric | GAAP | Non-GAAP (Adjusted) | | :--- | :--- | :--- | | Net Income | $79.7 Million | $87.6 Million | | Diluted EPS | $1.36 | $1.49 | [Reconciliation to EBITDA and Adjusted EBITDA](index=12&type=section&id=RECONCILIATION%20OF%20GAAP%20TO%20NON-GAAP%20FINANCIAL%20INFORMATION) The company reconciles net income to EBITDA and Adjusted EBITDA for operational insight, with fiscal year 2024 Adjusted EBITDA reaching **$490.4 million**, an increase from **$425.8 million** in 2023, and Q4 2024 Adjusted EBITDA at **$133.6 million** EBITDA and Adjusted EBITDA (in thousands) | Metric | Full Year 2024 | Full Year 2023 | Q4 2024 | Q4 2023 | | :--- | :--- | :--- | :--- | :--- | | Net Income | $79,750 | $21,823 | $298,458 | $209,850 | | EBITDA | $122,874 | $45,956 | $449,284 | $333,569 | | Adjusted EBITDA | $133,626 | $112,905 | $490,392 | $425,762 | [Key Performance Indicators](index=13&type=section&id=Key%20Performance%20Indicators) Key performance indicators show overall portfolio growth, improved occupancy rates across facility types, and detailed insights into skilled nursing revenue rates and payor mix [Facility Performance Statistics](index=13&type=section&id=UNAUDITED%20SELECT%20PERFORMANCE%20INDICATORS) In 2024, the company's total facility portfolio grew to **286** facilities, with overall occupancy rising to **80.5%**, and both Same and Transitioning Facilities showing improved occupancy rates Full-Year 2024 vs 2023 Facility Metrics | Metric | 2024 | 2023 | | :--- | :--- | :--- | | Total Facilities at period end | 286 | 259 | | Total Occupancy Percentage | 80.5% | 78.5% | | Same Facility Occupancy % | 81.3% | 79.2% | | Transitioning Facility Occupancy % | 76.0% | 73.0% | Q4 2024 vs 2023 Facility Metrics | Metric | 2024 | 2023 | | :--- | :--- | :--- | | Total Occupancy Percentage | 80.9% | 79.2% | | Same Facility Occupancy % | 81.7% | 79.9% | | Transitioning Facility Occupancy % | 77.5% | 74.0% | [Skilled Nursing Revenue Rates and Payor Mix](index=16&type=section&id=UNAUDITED%20SKILLED%20NURSING%20AVERAGE%20DAILY%20REVENUE%20RATES) For full-year 2024, the total average skilled nursing daily revenue rate increased to **$398.66**, with skilled mix at **48.6%** of revenue, and Medicare and Medicaid collectively comprising **65.8%** of total skilled nursing revenue Full-Year 2024 Average Daily Revenue Rates (Total Facilities) | Payor | 2024 Rate | 2023 Rate | | :--- | :--- | :--- | | Medicare | $767.72 | $733.47 | | Managed Care | $555.37 | $539.25 | | Medicaid | $294.78 | $272.14 | | **Total Skilled Nursing** | **$398.66** | **$378.02** | Full-Year 2024 Revenue by Payor (Total Facilities) | Payor | % of Revenue | | :--- | :--- | | Medicare | 21.9% | | Managed Care | 18.6% | | Other Skilled | 8.1% | | Medicaid | 43.9% | | Private & Other | 7.5% | [Revenue by Payor Source](index=18&type=section&id=UNAUDITED%20REVENUE%20BY%20PAYOR%20SOURCE) For fiscal year 2024, total service revenue was **$4.24 billion**, with government payors (Medicaid & Medicare) accounting for **70.9%**, managed care for **18.6%**, and private/other sources for **10.5%** Full-Year 2024 Service Revenue by Payor Source | Payor Source | Revenue (in thousands) | % of Revenue | | :--- | :--- | :--- | | Medicaid & Medicare | $3,004,308 | 70.9% | | Managed Care | $789,643 | 18.6% | | Private and other | $443,574 | 10.5% | | **Total Service Revenue** | **$4,237,525** | **100.0%** | [Segment Reporting](index=19&type=section&id=Segment%20Reporting) Segment reporting highlights strong financial performance in both Skilled Services and Standard Bearer real estate segments, with significant growth in income, Adjusted EBITDA, and rental revenue [Skilled Services Segment](index=19&type=section&id=Skilled%20Services%20Segment) The Skilled Services segment reported income of **$518.5 million** for fiscal year 2024, up from **$464.9 million** in 2023, with Adjusted EBITDA growing to **$588.8 million**, demonstrating strong operational performance Skilled Services Segment Performance (in thousands) | Metric | Full Year 2024 | Full Year 2023 | Q4 2024 | Q4 2023 | | :--- | :--- | :--- | :--- | :--- | | Segment Income | $518,463 | $464,925 | $140,980 | $116,756 | | Adjusted EBITDA | $588,750 | $527,186 | $159,489 | $136,869 | [Standard Bearer Segment](index=19&type=section&id=Standard%20Bearer%20Segment) The Standard Bearer real estate segment generated **$95.1 million** in total rental revenue for fiscal year 2024, a **15.3%** increase, with Funds from Operations (FFO) growing **8.0%** to **$58.6 million** Standard Bearer Segment Performance (in thousands) | Metric | Full Year 2024 | Full Year 2023 | Q4 2024 | Q4 2023 | | :--- | :--- | :--- | :--- | :--- | | Total Rental Revenue | $95,086 | $82,486 | $25,102 | $21,875 | | FFO | $58,632 | $54,270 | $15,261 | $14,225 | [Appendix](index=6&type=section&id=Appendix) The appendix provides essential company information, including operational scope and details on the definitions and purpose of non-GAAP financial measures used in reporting [Company Information](index=6&type=section&id=Company%20Information) The Ensign Group, Inc. operates **334** healthcare facilities across **15** states through its subsidiaries, providing post-acute services and investing in real estate, with a conference call scheduled for February 6, 2025 - The company's subsidiaries provide skilled nursing, senior living, and therapy services at **334** healthcare facilities in **15** states[12](index=12&type=chunk) - A conference call and webcast to discuss Q4 and FY 2024 results was scheduled for February 6, 2025[11](index=11&type=chunk) [Discussion of Non-GAAP Financial Measures](index=20&type=section&id=Discussion%20of%20Non-GAAP%20Financial%20Measures) The company utilizes non-GAAP measures like EBITDA, Adjusted EBITDA, and FFO to supplement GAAP results, believing they offer valuable insights into operating performance by excluding specific infrequent or non-cash expenses, though they are not substitutes for GAAP - EBITDA is defined as net income before interest income, taxes, depreciation, and amortization, and interest expense[56](index=56&type=chunk) - Adjusted EBITDA further excludes items such as stock-based compensation, acquisition costs, certain litigation, and system implementation costs[56](index=56&type=chunk) - FFO for the Standard Bearer segment is calculated per the National Association of Real Estate Investment Trusts definition, excluding gains/losses from real estate sales and adding back depreciation[56](index=56&type=chunk)

Conference Call and Webcast scheduled for tomorrow, February 6, 2025 at 10:00 am PTSAN JUAN CAPISTRANO, Calif., Feb. 05, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign(TM) group of companies, which provide post-acute healthcare services and invest in the long-term healthcare industry, primarily in skilled nursing and senior living facilities, announced operating results for the fiscal year and fourth quarter of 2024, reporting GAAP diluted earnings per share ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 _____________________________ FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the fiscal year ended December 31, 2024. OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the transition period from to . Commission file number: 001-33757 _____________________________ THE ENSIGN GROUP, INC. (Exact Name of Registrant as Specified in Its Cha ...

SAN JUAN CAPISTRANO, Calif., Feb. 03, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign™ group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that its captive real estate company, Standard Bearer Healthcare REIT, Inc. exercised a purchase option to acquire the real estate of the following skilled nurs ...

SAN JUAN CAPISTRANO, Calif., Feb. 03, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (NASDAQ:ENSG), the parent company of the Ensign™ group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that it acquired the real estate and operations of Mesquite Post Acute Care, a 120-bed skilled nursing facility located in Lubbock, Texas. The real estate was ac ...

SAN JUAN CAPISTRANO, Calif., Jan. 31, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (NASDAQ:ENSG), the parent company of the Ensign™ group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that it expects to issue its fourth quarter and fiscal year 2024 financial results on Wednesday, February 5, 2025. Conference Call Ensign invites current and pr ...

SAN JUAN CAPISTRANO, Calif., Jan. 31, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign™ group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that it expects to issue its fourth quarter and fiscal year 2024 financial results on Wednesday, February 5, 2025. Conference Call Ensign invites current and p ...

Growth stocks are attractive to many investors, as above-average financial growth helps these stocks easily grab the market's attention and produce exceptional returns. However, it isn't easy to find a great growth stock.That's because, these stocks usually carry above-average risk and volatility. In fact, betting on a stock for which the growth story is actually over or nearing its end could lead to significant loss.However, the task of finding cutting-edge growth stocks is made easy with the help of the Z ...

The Ensign Group, Inc. (ENSG) is well-poised to grow due to the rising demand for healthcare services. Its moves to expand its geographic reach and increase market density, combined with improving occupancy, will boost its results. ENSG stock has gained 2.2% over the past month, outperforming the industry and the S&P 500 Index.One-Month Price Performance – ENSG, Industry & S&P 500 Image Source: Zacks Investment ResearchHeadquartered in San Juan Capistrano, CA, ENSG operates as a provider of skilled nursing, ...

Acquisition Details - The Ensign Group Inc (ENSG) recently acquired the operations of eight skilled nursing facilities in Tennessee and one in Alabama, marking its entry into Alabama [1] - The Tennessee facilities are Meadowbrook Healthcare and Rehabilitation Center (83 beds), Wellpark Health and Rehabilitation (30 beds), Legacy Park Health and Rehabilitation (176 beds), VanAyer Senior Living and Rehabilitation (91 beds), Union City Health and Rehabilitation (115 beds), Decatur County Healthcare (125 beds), Savannah Nursing and Rehabilitation (120 beds), and Westwood Nursing and Rehabilitation (90 beds) [2] - The Alabama facility, The Health Center at Research Park, contains 91 beds [2] - Six of these facilities are co-owned by CareTrust REIT Inc (CTRE) and a joint venture investor, operating under a new long-term triple-net master lease with ENSG-affiliated operating companies starting from 2025 [3] - The remaining three facilities were acquired by Ensign Group's real estate subsidiary, Standard Bearer Healthcare REIT [3] Portfolio and Operations - Post-acquisition, ENSG's portfolio comprises 333 healthcare operations across 15 states, with 30 offering senior living services [4] - Through subsidiaries including Standard Bearer, ENSG owns 129 real estate assets and operates 96 of them [4] - The company aims to gain an in-depth understanding of local communities by working closely with caregivers at the acquired facilities, enabling high-quality care for residents and their families [4] Expansion Strategy - The latest acquisition marks ENSG's first expansion initiative for 2025, following an active year of buyouts in 2024 [5] - Management focuses on opportunistic real-estate buyouts and leasing struggling skilled nursing, senior living, and other healthcare-linked businesses across the US [6] - Frequent expansions allow the company to deepen its presence in underserved communities and address inadequate care access [5] Financial and Market Performance - The Skilled Services segment, which generates income from Medicaid, Medicare, managed care, and private payors, saw revenues rise 8.4% year-over-year in the first nine months of 2024 [7] - ENSG's share price gained 16.7% in the past year, outperforming the industry's 9.3% growth [8] - The company currently carries a Zacks Rank 2 (Buy) [8] Industry Comparison - Other top-ranked stocks in the Medical space include Doximity Inc (DOCS) and Inspire Medical Systems Inc (INSP), both sporting a Zacks Rank 1 (Strong Buy) [10] - Doximity's earnings surpassed estimates in the last four quarters, with an average surprise of 22.12%, and its 2025 earnings and revenue estimates indicate a 10% rise from 2024 [11] - Inspire Medical Systems' earnings outpaced estimates in the trailing four quarters, with an average surprise of 649.90%, and its 2025 earnings and revenue estimates indicate a 53.6% and 19% rise, respectively, from 2024 [12] - Shares of Doximity and Inspire Medical Systems gained 92.6% and 14.6%, respectively, in the past year [13]