Core Insights - Selectis Health, Inc. has executed a definitive Purchase and Sale Agreement to sell two skilled nursing facilities in Georgia for $13.18 million, with a target completion date of February 1, 2026 [1][3] Group 1: Transaction Details - The properties sold include Providence of Sparta Health & Rehab and Warrenton Health & Rehabilitation, purchased by Journey Propco LLC entities for $13,175,000, subject to customary adjustments [1] - Following the transaction, Selectis will continue to operate existing facilities in Georgia, including Eastman Healthcare & Rehabilitation and Glen Eagle Nursing & Rehabilitation [2] Group 2: Operational Improvements - The CEO highlighted that the sale reflects operational improvements and aims to strengthen the company's balance sheet, retire debt, and generate positive cash flow [3] - Significant improvements in occupancy rates were noted at the Southern Hills facility, increasing from 55-61% in 2024 to 68-71% in 2025, alongside enhanced service quality [4] - At the Park Place facility, patient numbers increased from 48 to 65, with skilled patients rising from 1 to 10, indicating improved occupancy and quality [5] Group 3: Quality Measurement and Compliance - The company has seen improvements in CMS quality measurement ratings across its facilities, reflecting better regulatory compliance and resident outcomes [6] - The resolution of outstanding bed taxes in Georgia, amounting to $1,484,703.19, has also contributed to improved cash flow [7] Group 4: Strategic Growth and Market Presence - Selectis Health upgraded its common stock to OTCQB in June 2025, enhancing visibility and liquidity [8] - The company aims to deepen its market presence in the Southcentral and Southeastern U.S. to better serve the aging population [9]

Core Insights - The Ensign Group, Inc. (ENSG) has acquired operations of four skilled nursing facilities effective December 1, 2025, expanding its healthcare portfolio significantly [1][8] - The acquisition includes facilities located in Colorado, Kansas, and Arizona, enhancing ENSG's presence in these markets [4][8] - This strategic move increases ENSG's total healthcare operations to 373 across 17 states, including 47 senior living facilities [3][8] Acquisition Details - The newly acquired facilities include The Rehabilitation Center at Sandalwood (103 beds), Edgewater Health and Rehabilitation (69 beds), Willow Point Rehabilitation and Nursing Center (45 beds), and Santa Rosa Care Center (144 beds) [1][2] - The Kansas facility's real estate was purchased by Standard Bearer Healthcare REIT, which is Ensign's captive real estate arm [2] Strategic Growth - The recent acquisitions are part of a broader strategy that has seen ENSG actively expand its operations in various states, including Utah, Alabama, Wisconsin, and Iowa in 2025 [5] - This consistent growth strategy aims to bridge care gaps and provide essential support to underserved populations in need of quality healthcare services [5] Financial Impact - The addition of skilled nursing facilities is expected to drive revenue growth within ENSG's Skilled Services segment, which contributed 96% of total revenues during the first nine months of 2025 [6] - The acquisition is also anticipated to enhance rental income through Standard Bearer, further strengthening the company's financial position [6] Market Performance - Shares of Ensign Group have increased by 24.4% over the past year, outperforming the industry growth of 22.7% [7]

Acquisition and Market Reactions - Abbott Labs has entered into a definitive agreement to acquire Exact Sciences for $105 per share, representing a 22% premium over the closing price prior to the bid [1] - The acquisition will enhance Abbott's cancer diagnostics portfolio, particularly with the addition of the Cologuard home screening product line [1] - Exact Sciences shareholders have seen stock prices return to levels not seen since 2021 following the acquisition announcement [1] PACS Group Financial Performance - PACS Group experienced a 56% increase in stock price after reporting third-quarter revenue of $1.34 billion, a 31% year-over-year increase [2] - The company reported net income of $52.3 million, more than tripling its earnings from the previous year [2] - PACS has completed its audit committee investigation and restatement of past financial results, regaining compliance with SEC filing obligations [2] Stock Market Trends - Overall stock markets closed lower on Thursday, with the Nasdaq Composite dropping over 2% despite initial excitement from Nvidia's quarterly results [4][5] - Investors expressed concerns about the sustainability of the AI-led rally in the stock markets [4] Top Stock Losers - Bath & Body Works saw a 25% decline in stock price after reporting a 1% decrease in quarterly sales to $1.59 billion and a drop in earnings per share from $0.49 to $0.37 [6] - The company anticipates a high single-digit percentage decline in net sales for the holiday quarter and a potential 20% drop in earnings per share compared to the previous year's fourth quarter [6] - SanDisk's stock fell 20% despite a price target increase from Bank of America, as investors cooled on AI-related stocks [7]

Financial Performance & Growth - PACS Group's 2025 revenue guidance is between $525 billion and $535 billion[10] - The company anticipates approximately 30% revenue growth compared to 2024 at the midpoint of the guidance[12] - Adjusted EBITDA for 2025 is projected to be between $480 million and $490 million[10] - For the nine months ended September 30, 2025, total revenue reached $39310 million[125], and Adjusted EBITDA was $3630 million[125] - Q3 2025 revenue was $13446 million, reflecting a year-over-year increase of approximately 310%[62,82] - Q3 2025 Adjusted EBITDA was $1315 million, a year-over-year increase of approximately 168%[62,82] - Last Twelve Months (LTM) revenue reached $514 billion, with LTM Adjusted EBITDA of $4569 million[81] Operational Metrics - The company operates 320 facilities across 17 states[15] - Mature facilities have an occupancy rate of 948%[22] - Mature facilities have an average skilled mix of 330%[22] - Mature facilities have an average CMS Quality Measure Star Rating of 43[22]

Core Insights - The Ensign Group, Inc. (ENSG) reported a 2.2% decline in shares following its third-quarter 2025 results, despite beating earnings expectations due to elevated expenses from higher service costs and administrative expenses [1][9] - Adjusted EPS for Q3 2025 was $1.64, exceeding the Zacks Consensus Estimate by 3.1%, and reflecting an 18% year-over-year improvement [2][11] - Operating revenues increased by 19.8% year over year to $1.3 billion, surpassing consensus estimates by 2.5% [2][9] Financial Performance - Adjusted net income for Q3 2025 was $96.5 million, an 18.9% increase year over year [3] - Total expenses rose by 20.9% year over year to $1.2 billion, exceeding estimates by 3.6% [3][9] - Cash and cash equivalents at the end of Q3 2025 were $443.7 million, a 4.5% decrease from the end of 2024 [6] - Total assets increased by 11.9% year over year to $5.2 billion [6] Segment Performance - Skilled Services segment revenues reached $1.2 billion, growing 19.9% year over year, driven by higher occupancy rates and patient days [4] - Rental revenues increased by 33.5% year over year to $32.6 million, supported by buyouts [5] Capital Deployment - The company did not engage in share buybacks during Q3 2025, but paid dividends totaling $10.8 million in the first nine months of 2025 [10] Outlook - The revenue forecast for 2025 has been raised to between $5.05 billion and $5.07 billion, indicating an 18.8% improvement from 2024 [11] - Adjusted EPS is projected to be between $6.48 and $6.54 for 2025, reflecting an 18.4% growth from the previous year [11]

Financial Data and Key Metrics Changes - The company reported GAAP diluted earnings per share of $1.44, an increase of 18% year-over-year, and adjusted diluted earnings per share of $1.59, an increase of 20.5% [31] - Consolidated GAAP revenue and adjusted revenue were both $1,200,000,000, reflecting an increase of 18.5% [31] - GAAP net income was $84,400,000, an increase of 18.9%, while adjusted net income was $93,300,000, an increase of 22.1% [31] - Cash and cash equivalents stood at $364,000,000, with cash flow from operations at $228,000,000 [31] - The company raised its annual 2025 earnings guidance to between $6.34 and $6.46 per diluted share, up from a previous range of $6.22 to $6.38 [10] Business Line Data and Key Metrics Changes - Same store and transitioning occupancy increased by 24.6% to 82.184% year-over-year [7] - Skilled census increased for both same store and transitioning operations by 7.4% and 13.5% respectively [8] - The company added eight new operations during the quarter, including three real estate assets, bringing the total number of operations acquired in 2024 to 52 [12] Market Data and Key Metrics Changes - The skilled nursing population was carved out of provider tax reduction in a recent reconciliation bill, which is seen as a positive development for the industry [9] - The company continues to see improvements in turnover and lower staffing agency labor despite increased occupancy [8] Company Strategy and Development Direction - The company is focused on organic growth stemming from stronger occupancy and skilled mix, with a commitment to maintaining disciplined growth [11] - The strategy includes a decentralized transition model that allows for growth without typical corporate bottlenecks, enabling the company to handle larger acquisitions effectively [14][19] - The company is also expanding its presence in established markets while exploring new states for growth opportunities [13] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, citing strong occupancy trends, labor trends, and growth opportunities [34] - The company is confident in its ability to advocate for proper funding for skilled nursing at the state level, especially in light of recent legislative developments [51] - Management noted that the current environment allows for productive conversations regarding funding for seniors, indicating a positive outlook for the industry [52] Other Important Information - The company has a lease adjusted net debt to EBITDA ratio of 1.97x, indicating low leverage even during significant growth [32] - Standard Bear, the company's real estate investment trust, generated rental revenue of $31,500,000 for the quarter, with an EBITDAR to rent coverage ratio of 2.5x [20] Q&A Session Summary Question: Changes in strategy regarding larger multistate portfolio deals - Management clarified that there has not been a strategy shift but highlighted the success of recent portfolio deals and the importance of local execution in managing larger acquisitions [37][39] Question: Impact of the "one big beautiful bill" on the skilled nursing industry - Management noted that skilled nursing was protected from direct impacts and emphasized the importance of maintaining relationships with state legislators to ensure funding for seniors [50][51] Question: Valuation trends for acquisitions - Management indicated that valuations are moderately increasing, particularly post-COVID, but emphasized a disciplined approach to acquisitions based on local market fundamentals [54][56] Question: Contribution from California's Workforce and Quality Incentive Program - Management expects the program to continue through 2026 and is actively working with the state to ensure adequate funding [62][63] Question: Engagement with payers around value-based care reimbursement models - Management confirmed ongoing discussions with managed care organizations to develop value-based care programs that benefit both the company and the payers [66]

Core Insights - The Ensign Group, Inc. has acquired the real estate and operations of a skilled nursing facility in Boise, ID, and another facility in Duncanville, TX, enhancing its healthcare portfolio [1][2][10] Group 1: Acquisitions - The Boise facility has 120 beds and will be operated by a tenant entity affiliated with Ensign [1] - The Duncanville facility has 124 beds and will be operated under a long-term triple net lease arrangement [2] - Both acquisitions became effective at the beginning of July 2025 [2] Group 2: Portfolio Expansion - Following these acquisitions, Ensign Group's portfolio now includes 348 healthcare operations across 17 states, with 44 locations offering senior living services [4] - The company owns 146 real estate assets through its subsidiaries, including Standard Bearer [4] Group 3: Strategic Motives - The company aims to expand into various U.S. communities, addressing gaps in care availability and supporting underserved populations [5] - Management is focused on opportunistic real estate buyouts and leasing struggling healthcare businesses [6] Group 4: Revenue Growth Potential - The increase in skilled nursing facilities allows Ensign to serve a broader patient population, potentially driving revenue growth in its Skilled Services segment, which accounted for 97.5% of total revenues in Q1 2025 [7] - The Texas acquisition is expected to enhance rental income through triple-net lease agreements, shifting property-related expenses to tenants [8] Group 5: Market Performance - Ensign Group's shares have increased by 17.8% over the past year, outperforming the industry growth of 12.5% [9]

Core Insights - The Ensign Group, Inc. has acquired two skilled nursing facilities, expanding its portfolio in the healthcare sector [1][3] - The acquisitions include Duncanville Healthcare and Rehabilitation Center in Texas and Timber Springs Transitional Care in Idaho, increasing the total number of healthcare operations to 348 across 17 states [4] Group 1: Acquisitions - Ensign acquired the real estate of Duncanville Healthcare and Rehabilitation Center, a 124-bed facility, which will be operated by a third-party under a long-term triple net lease [1] - The company also acquired Timber Springs Transitional Care, a 120-bed facility in Boise, Idaho, which will be operated by an Ensign-affiliated tenant [3] Group 2: Portfolio Expansion - Following these acquisitions, Ensign's portfolio now includes 348 healthcare operations, comprising 44 senior living operations [4] - Ensign subsidiaries, including Standard Bearer, own a total of 146 real estate assets [4] Group 3: Strategic Focus - The company is actively seeking further opportunities to acquire real estate and lease both well-performing and struggling skilled nursing and senior living facilities across the United States [4]

As filed with the U.S. Securities and Exchange Commission on September 3, 2024. Registration No. 333- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-1 REGISTRATION STATEMENT Under The Securities Act of 1933 PACS Group, Inc. (Exact name of registrant as specified in its charter) (State or other jurisdiction of incorporation or organization) Delaware 8051 92-3144268 (Primary Standard Industrial Classification Code Number) (I.R.S. Employer Identification No.) 262 N. University A ...

As filed with the Securities and Exchange Commission on April 8, 2024. Registration No. 333-277893 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 AMENDMENT NO. 3 TO FORM S-1 REGISTRATION STATEMENT Under The Securities Act of 1933 PACS Group, Inc. (State or other jurisdiction of incorporation or organization) (Primary Standard Industrial Classification Code Number) Delaware 8051 92-3144268 (I.R.S. Employer Identification No.) 262 N. University Ave. Farmington, Utah 84025 (801) 447-98 ...