2025 Earnings Presentation February 2026 1 Disclaimer This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements contained in this presentation other than statements of hist ...

Core Insights - The Ensign Group, Inc. reported record operating results for the fiscal year and fourth quarter of 2025, with GAAP diluted earnings per share of $5.84 and adjusted earnings per share of $6.57 for the year, reflecting increases of 14.1% and 19.5% respectively compared to the previous year [1][6]. Operating Results - The company achieved a record year and quarter in key performance areas, attributing success to the dedication of its healthcare professionals [3]. - Ensign-affiliated facilities outperformed peers in clinical excellence, with a 24% advantage at the state level and 33% at the county level in annual survey results [4]. - Occupancy rates for same-store and transitioning facilities reached all-time highs of 83.8% and 84.9% respectively during the quarter [5]. Financial Performance - GAAP net income for the year was $344.0 million, a 15.4% increase year-over-year, while adjusted net income was $386.6 million, up 20.6% [6]. - Total skilled services revenue was $4.84 billion for the year, marking an 18.7% increase, with quarterly revenue of $1.30 billion, a 20.2% increase [6]. - The company reported a strong liquidity position with approximately $503.9 million in cash and $591.6 million available under its line of credit [8]. Growth and Acquisitions - Ensign added 17 new operations during the quarter, bringing the total acquisitions in 2025 to 51, indicating ongoing growth opportunities in various healthcare markets [8][9]. - The company plans to continue its strategy of acquiring both performing and underperforming operations across multiple states [11]. - Ensign's portfolio now includes 378 healthcare operations across 17 states, with a focus on both leasing and acquiring real estate [11]. Future Guidance - The company issued annual earnings guidance for 2026 of $7.41 to $7.61 per diluted share, representing a 14.3% increase over 2025 results [7]. - Management remains optimistic about organic growth potential, indicating that current occupancy levels allow for sustained earnings and revenue growth even without new acquisitions [7].

Group 1 - The Ensign Group, Inc. has acquired the real estate and operations of "Sunset Valley Rehabilitation and Healthcare Center," an 80-bed skilled nursing facility in Littlefield, Texas, effective February 1, 2026 [1][2] - The acquisition was made through Standard Bearer Healthcare REIT, Inc., Ensign's captive real estate company, with operations leased to an Ensign-affiliated tenant [1][3] - In addition, Ensign acquired the operations of "Agave Grove Post Acute," a 225-bed skilled nursing facility in Glendale, Arizona, also effective February 1, 2026 [4][5] Group 2 - These acquisitions expand Ensign's portfolio to 378 healthcare operations, including 47 senior living operations across 17 states [5] - Ensign subsidiaries, including Standard Bearer, own a total of 160 real estate assets [5] - The company is actively seeking further opportunities to acquire real estate and lease both well-performing and struggling skilled nursing and senior living facilities throughout the United States [5]

Core Insights - The Ensign Group, Inc. has acquired the operations of "Agave Grove Post Acute", a 225-bed skilled nursing facility in Glendale, Arizona, effective February 1, 2026 [1] - This acquisition is part of Ensign's strategy to expand its portfolio in Arizona, particularly in the Phoenix area [2] - Ensign's portfolio now includes 378 healthcare operations across 17 states, with 47 of those being senior living operations [4] Company Expansion - The acquisition of Agave Grove Post Acute aligns with Ensign's ongoing growth strategy in Arizona, following previous expansions in the state [2] - Ensign is actively seeking additional opportunities to acquire both well-performing and struggling skilled nursing and senior living facilities across the United States [4] Real Estate Operations - The real estate associated with the newly acquired facility was purchased by subsidiaries of Standard Bearer Healthcare REIT, Inc., which is Ensign's captive real estate company [3] - Ensign subsidiaries currently own 160 real estate assets, further solidifying their presence in the healthcare real estate market [4] Service Offerings - Ensign's independent operating subsidiaries provide a wide range of services, including skilled nursing, senior living, and various rehabilitative therapies across 378 healthcare facilities [5]

Core Viewpoint - The Ensign Group, Inc. has expanded its portfolio by acquiring two skilled nursing facilities, enhancing its presence in Texas and Arizona, and reaffirming its strategy to seek further acquisition opportunities in the healthcare sector [1][5]. Group 1: Acquisitions - The Ensign Group acquired "The Chateau Waco," a 123-bed skilled nursing facility in Waco, Texas, effective February 1, 2026, through its subsidiary Standard Bearer Healthcare REIT, Inc. [1] - In addition, the company acquired "Agave Grove Post Acute," a 225-bed skilled nursing facility located in Glendale, Arizona, also effective February 1, 2026 [4]. - These acquisitions bring Ensign's total healthcare operations to 378 across 17 states, including 47 senior living operations [5]. Group 2: Operational Strategy - Barry Port, CEO of Ensign, expressed enthusiasm about adding the new facility to their Texas operations, highlighting Texas as a mature market for the company [2]. - Andy Ashton, President of Keystone Care LLC, emphasized the commitment to combine efforts with existing staff to provide exceptional service to patients [3]. - The company is actively seeking opportunities to acquire both well-performing and struggling skilled nursing and senior living facilities throughout the United States [5]. Group 3: Real Estate Holdings - Ensign subsidiaries, including Standard Bearer, currently own 160 real estate assets as part of their growing portfolio [5]. - The company operates a broad spectrum of healthcare services across various states, indicating a diverse operational footprint [6].

SAN JUAN CAPISTRANO, Calif., Feb. 03, 2026 (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 “Wylie Oaks Healthcare and Rehabilitation”, a 106-bed skilled nursing facility located in Wylie, Texas. The r ...

Core Insights - The Ensign Group, Inc. has announced multiple acquisitions of skilled nursing facilities in Colorado, Kansas, and Arizona, effective December 1, 2025, expanding its portfolio significantly [1][2][3] Group 1: Acquisitions - The company acquired "The Rehabilitation Center at Sandalwood," a 103-bed facility in Wheat Ridge, Colorado, and "Edgewater Health and Rehabilitation," a 69-bed facility in Lakewood, Colorado, both under long-term triple net leases [1][2] - Additionally, the company acquired "Willow Point Rehabilitation and Nursing Center," a 45-bed facility in Kansas City, Kansas, with real estate purchased by a subsidiary of Standard Bearer Healthcare REIT, Inc., and operations leased to an Ensign-affiliated operator [2] - The acquisition of "Santa Rosa Care Center," a 144-bed facility in Tucson, Arizona, was also completed on the same day, operated by an Ensign-affiliated operator and subject to a long-term triple net lease [3] Group 2: Portfolio Expansion - Following these acquisitions, Ensign's portfolio now includes 373 healthcare operations, comprising 47 senior living operations across 17 states [4] - Ensign subsidiaries, including Standard Bearer, own a total of 156 real estate assets [4] - The company is actively seeking further acquisition opportunities in skilled nursing, senior living, and other healthcare-related businesses throughout the United States [4]

Core Insights - The Ensign Group, Inc. has acquired multiple skilled nursing facilities, expanding its operations in Arizona and Colorado, effective December 1, 2025 [1][4][5] Group 1: Acquisitions - Ensign acquired the operations of "Santa Rosa Care Center", a 144-bed skilled nursing facility in Tucson, Arizona, under a long-term, triple net lease [1] - The company also acquired "Willow Point Rehabilitation and Nursing Center", a 45-bed facility in Kansas City, Kansas, with operations leased to an Ensign-affiliated operator [3] - Additionally, Ensign acquired two facilities in Colorado: "The Rehabilitation Center at Sandalwood" (103 beds) and "Edgewater Health and Rehabilitation" (69 beds), both under long-term triple net leases [4] Group 2: Market Expansion - These acquisitions increase Ensign's portfolio to 373 healthcare operations, including 47 senior living operations across 17 states [5] - Ensign's subsidiaries, including Standard Bearer, own 156 real estate assets, indicating a strong presence in the healthcare real estate market [5] Group 3: Future Outlook - The CEO of Ensign expressed optimism about the future of the newly acquired facilities and their integration into the existing operations in Tucson [2] - The company is actively seeking further acquisition opportunities in skilled nursing, senior living, and other healthcare-related businesses across the United States [5]

Core Insights - The Ensign Group, Inc. has acquired the real estate and operations of Willow Point Rehabilitation and Nursing Center, a 45-bed skilled nursing facility in Kansas City, Kansas, effective December 1, 2025 [1] - The company also announced the acquisition of Santa Rosa Care Center, a 144-bed skilled nursing facility in Tucson, Arizona, along with two facilities in Colorado: The Rehabilitation Center at Sandalwood (103 beds) and Edgewater Health and Rehabilitation (69 beds) [3][4] - These acquisitions expand Ensign's portfolio to 373 healthcare operations across 17 states, including 47 senior living operations, and the company owns 156 real estate assets through its subsidiaries [5] Company Strategy - Ensign's CEO, Barry Port, emphasized the strategic importance of these acquisitions in enhancing service offerings in the Kansas City community and expanding the company's footprint in the Midwest [2] - The company is actively seeking further acquisition opportunities in skilled nursing, senior living, and other healthcare-related businesses across the United States [5] Operational Details - The newly acquired facilities will be operated by Ensign-affiliated tenants and are subject to long-term triple net leases, indicating a stable revenue model for the company [3][4] - Ensign's independent operating subsidiaries provide a wide range of healthcare services, including skilled nursing and rehabilitative therapies, across its extensive network of facilities [6]

Core Insights - The Ensign Group, Inc. reported strong operating results for Q3 2025, with GAAP diluted earnings per share of $1.42 and adjusted earnings per share of $1.64, reflecting increases of 6.0% and 18.0% respectively compared to the prior year quarter [1][7]. Operating Results - The company achieved record financial results driven by exceptional healthcare outcomes from its clinical teams, emphasizing a patient-focused culture [4]. - Occupancy rates for same store and transitioning facilities reached all-time highs of 83.0% and 84.4%, respectively, attributed to increased market share and trust from communities [5]. - The company has added 73 new operations since 2024, many of which are performing above expectations, indicating significant organic growth potential [6]. Financial Performance - Total skilled services revenue for the quarter was $1.24 billion, a 19.9% increase year-over-year, while consolidated GAAP and adjusted revenue reached $1.30 billion, up 19.8% [7]. - GAAP net income for the quarter was $83.8 million, a 6.9% increase from the previous year, and adjusted net income was $96.5 million, up 18.9% [7]. - The company raised its annual earnings guidance for 2025 to between $6.48 and $6.54 per diluted share, reflecting an 18.4% increase over 2024 results [8]. Acquisition Growth - The company accelerated growth by adding 22 new operations during the quarter, bringing the total for 2025 to 45, with a focus on both multi-facility portfolios and single facility opportunities [9][10]. - Ensign's liquidity remains strong, with approximately $443.7 million in cash and $592.6 million available under its line-of-credit [9]. Real Estate and Portfolio Expansion - Ensign's portfolio now consists of 369 healthcare operations across 17 states, with 155 real estate assets, indicating a robust strategy for both leasing and acquiring healthcare real estate [12]. - Recent acquisitions include several skilled nursing and senior living facilities in California and Texas, enhancing the company's operational footprint [11][12]. Dividend and Financial Health - The company declared a quarterly cash dividend of $0.0625 per share, maintaining a strong history of dividend payments [14]. - The financial statements indicate a solid cash flow position, with net cash provided by operating activities amounting to $380.95 million for the nine months ended September 30, 2025 [29].