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Mar 31

Ensign Group Q1 2025 Earnings Report

Announced operating results for the first quarter of 2025

Key Takeaways

The Ensign Group reported a strong first quarter in 2025, with record operating results, exceeding expectations and leading to an increase in full-year guidance. The company saw significant improvements in occupancy and skilled mix across its facilities and continued its strategic acquisition pace.

GAAP diluted earnings per share for Q1 2025 were $1.37.

Adjusted earnings per share for Q1 2025 were $1.52.

Same store and transitioning occupancy increased to 82.6% and 83.5% respectively, new high-water marks.

The company raised its full-year 2025 earnings guidance to $6.22 to $6.38 per diluted share and revenue guidance to $4.89 billion to $4.94 billion.

Total Revenue
$1.23B
Previous year: $983M
+24.7%
EPS
$1.52
Previous year: $1.3
+16.9%
Same Facility Occupancy
82.6%
Transitioning Facility Occupancy
83.5%
Same Facility Skilled Daily Census Growth
7.6%
Cash and Equivalents
$283M
Previous year: $512M
-44.8%

Ensign Group

Ensign Group

Ensign Group Revenue by Segment

Forward Guidance

The Ensign Group raised its full-year 2025 guidance based on strong Q1 results and anticipated acquisitions.

Positive Outlook

  • Increased 2025 earnings guidance to $6.22 to $6.38 per diluted share.
  • New midpoint of earnings guidance represents a 14.5% increase over 2024 results.
  • Increased annual revenue guidance to $4.89 billion to $4.94 billion.
  • Anticipates continuing a steady pace of acquisitions.
  • Strong liquidity with significant cash on hand and available credit.

Challenges Ahead

  • Guidance is based on diluted weighted average common shares outstanding of approximately 59.5 million.
  • Guidance assumes a 25.0% tax rate.
  • Guidance assumes normalized insurance costs.
  • Guidance assumes management’s current expectations regarding reimbursement rates.
  • Guidance excludes certain charges that arise outside the normal course of business, acquisition related costs, and share-based compensation.