Ensign Group reported second-quarter 2026 results with consolidated revenue of $1.44 billion and GAAP diluted earnings per share of $1.68; adjusted diluted EPS was $1.92. Net income for the quarter was $99.7 million and the company raised its 2026 earnings guidance to $7.75–$7.85 per diluted share while increasing full-year revenue guidance to $5.87–$5.92 billion. Management cited improving occupancy, stronger skilled mix and continued acquisition activity as drivers of performance.

Financial Highlights

  • Total revenue for Q2 2026: $1,440,481 thousand (consolidated revenue of $1.44 billion).
  • GAAP net income for Q2 2026: $99,834 thousand; net income attributable to Ensign Group: $99,738 thousand.
  • GAAP diluted earnings per share for Q2 2026: $1.68; adjusted diluted earnings per share: $1.92.
  • Adjusted net income for Q2 2026: $114,308 thousand (after non-GAAP adjustments reported).
  • Company raised 2026 guidance: adjusted EPS range $7.75 to $7.85; full-year revenue guidance $5.87 billion to $5.92 billion.

Business Highlights

  • Occupancy and skilled mix improved: Same Facility occupancy 84.1% and Transitioning Facility occupancy 84.7% for the quarter, both up year-over-year.
  • Same Facility skilled revenue increased 10.1% year-over-year; Same Facility Medicare revenue improved 9.8% and managed care revenue up 6.1% for the quarter.
  • Portfolio growth and acquisitions: added 20 new operations during the quarter (all including real estate); 102 operations sourced and transitioned since 2024 across multiple markets.
  • Standard Bearer real estate segment revenue: $44.1 million for the quarter; Standard Bearer FFO of $24.7 million for the quarter, supporting the company’s real estate strategy (owns 183 real estate assets, 144 operated by Ensign affiliates).
  • Clinical and talent metrics: CMS Quality Measure ratings and Cycle 1 survey inspection results outperformed peers in operating states; rehospitalization and ED visit rates materially better than national averages, and administrator turnover 46% lower than peers.

Original SEC Filing:

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