The Ensign Group reported strong third quarter 2026 results, characterized by double-digit revenue growth and significant expansion of its operating portfolio. Performance was bolstered by increased occupancy and an improved skilled nursing payor mix, particularly within the Medicare segment. Management raised its full-year 2026 earnings guidance to a range of $7.94 to $8.02 per diluted share and increased the lower end of its annual revenue guidance to $5.89 billion.

Key Highlights

  • Adjusted diluted earnings per share grew 23.8% year-over-year to $2.03, supported by a 24.9% increase in adjusted net income to $120.5 million.
  • Consolidated revenue for the quarter reached $1.48 billion, representing a 14.5% increase over the third quarter of 2025.
  • Same-facility occupancy increased by 160 basis points to 84.1%, while transitioning facility occupancy surged 390 basis points to 86.1%.
  • The company accelerated its acquisition strategy by adding 22 new operations, including a strategic entry into the Florida market.
  • Standard Bearer, the company’s real estate segment, generated $47.7 million in rental revenue, a 46.3% increase compared to the prior year period.