ENSIGN GROUP, INC
The Ensign Group, Inc. (NASDAQ: ENSG) operates as a holding company providing skilled nursing, senior living, and rehabilitative services through independent subsidiaries across 17 states. The company's website is located at www.ensigngroup.net. From the company’s description.
Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.
What ENSIGN GROUP, INC does
In the company’s own words
The Ensign Group, Inc. (NASDAQ: ENSG) operates as a holding company providing skilled nursing, senior living, and rehabilitative services through independent subsidiaries across 17 states. The company's website is located at www.ensigngroup.net.
As of December 31, 2025, Ensign operates 373 skilled nursing and senior living facilities, comprising 37,911 operational skilled nursing beds and 3,402 senior living units. The company generates approximately 95.6 percent of revenue from skilled nursing facilities, with the remainder derived from real estate properties, senior living services, and ancillary operations including mobile diagnostics and medical transportation.
Ensign operates through two reportable segments: Skilled Services, which includes skilled nursing facilities and rehabilitation therapy services, and Standard Bearer, the company's captive real estate investment trust that owns and manages healthcare properties. The Skilled Services segment operates 357 skilled nursing facilities across Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington, and Wisconsin. Standard Bearer maintains a portfolio of 158 owned real estate properties, with 116 leased to Ensign's independent subsidiaries and 37 leased to third-party operators under triple-net lease arrangements.
Revenue sources are diversified across government and private payors. Medicaid represents approximately 46.6 percent of skilled services revenue, Medicare comprises 24.7 percent, with managed care, commercial insurance, and private pay sources making up the remainder. Senior living operations derive approximately 55.5 percent of revenue from private pay sources.
The company's organizational structure emphasizes local leadership empowerment and operational independence. Rather than maintaining a traditional corporate headquarters, Ensign operates service centers providing centralized accounting, payroll, human resources, information technology, legal, and risk management support. This structure enables individual operations to function with economies of scale while maintaining local decision-making authority and community focus.
Ensign has demonstrated significant growth through acquisition and integration expertise. From January 2021 through December 31, 2025, the company acquired 145 facilities, adding 14,739 operational skilled nursing beds and 1,148 senior living units. The company maintains a reputation for rapidly improving quality metrics in acquired facilities, with 153 facilities achieving four or five-star ratings as of December 31, 2025.
Company details
- Sector
- Healthcare
- Industry
- Health Services
- Headquarters
- SAN JUAN CAPISTRANO, CA
- Fiscal year end
- December
- CIK
- 1125376
- SIC
- 8051
Financial performance, year by year
Fiscal 2013–2025 · USDThe full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.
Who owns ENSIGN GROUP, INC — and what changed
Funds as of 2026Q2 · superinvestors as of 2026-06-30
Largest fund holders · ENSIGN GROUP, INC’s weight in each
Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.
Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.
Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.
Recent filings
All filings →Each filing opens into its own statements and disclosures here.
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