Company Overview - The Ensign Group operates 344 facilities [15], employing over 50,500 individuals [5] across 17 states [15, 27], with a focus on post-acute care [5] - The company has experienced significant growth, with a 15% annual revenue growth rate and a 16% annual EBITDAR growth rate since 2014 [15] - The Ensign Group's real estate portfolio includes 144 owned properties [15] - The company's mission is to support operations in dignifying post-acute care [14] Financial Performance and Guidance - The company's 2025 revenue guidance is $4.91 billion [15], with EPS guidance of $6.30 [15] - The company forecasts annual revenue between $4.89 billion and $4.94 billion, and diluted adjusted EPS between $6.22 and $6.38 for 2025 [85] - Q1 2025 revenue increased by 16.1% to $1.173 billion compared to $1.0102 billion in Q1 2024 [82] - Q1 2025 consolidated adjusted net income increased by 18% to $89 million compared to $75.4 million in Q1 2024 [82] Operational Strategy and Growth - The company focuses on a local leadership strategy in fragmented markets [20], with an emphasis on high-quality healthcare outcomes [20] - The company's skilled nursing operations have improved significantly within five quarters, including a 454 bps increase in occupancy, a 324 bps increase in EBITDAR margin, and a 311 bps increase in skilled mix revenue [43] - 28.8% of the company's skilled nursing operations have been operated for less than three full years [42] - The company operates a Captive REIT, Standard Bearer Healthcare REIT, Inc [17]