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Sep 30, 2023

Ensign Group Q3 2023 Earnings Report

Ensign Group reported a strong Q3 2023 with increased earnings and revenue, driven by occupancy and managed care revenue growth. Increased annual earnings and revenue guidance for 2023.

Key Takeaways

Ensign Group reported a strong third quarter in 2023, with GAAP diluted earnings per share of $1.11 and adjusted earnings per share of $1.20. Consolidated GAAP and adjusted revenues for the quarter were $940.8 million, representing a 22.2% increase over the prior year quarter. The company is raising its annual 2023 earnings guidance to between $4.73 to $4.79 per diluted share and annual revenue guidance to between $3.72 billion and $3.73 billion.

GAAP diluted earnings per share increased by 12.1% and adjusted diluted earnings per share increased by 15.4% over the prior year quarter.

GAAP net income increased by 13.7% and adjusted net income increased by 16.6% over the prior year quarter.

Consolidated GAAP and adjusted revenues increased by 22.2% over the prior year quarter.

Same store occupancy increased by 290 basis points over the prior year quarter.

Total Revenue
$941M
Previous year: $770M
+22.2%
EPS
$1.2
Previous year: $1.04
+15.4%
Occupancy percentage
78.9%
Previous year: 75.7%
+4.2%
Gross Profit
$149M
Previous year: $129M
+15.4%
Cash and Equivalents
$468M
Previous year: $309M
+51.5%
Free Cash Flow
$97.6M
Total Assets
$4.08B
Previous year: $3.27B
+25.0%

Ensign Group

Ensign Group

Ensign Group Revenue by Segment

Forward Guidance

The company is increasing its annual 2023 earnings guidance to between $4.73 to $4.79 per diluted share and annual revenue guidance to between $3.72 billion and $3.73 billion.

Positive Outlook

  • New midpoint of 2023 earnings guidance represents an increase of 15.0% over 2022 results.
  • New midpoint of 2023 earnings guidance is 30.8% higher than 2021 results.
  • Company sees a steady pipeline of new opportunities.
  • Company is beginning to see the effects of higher interest rates on pricing.
  • Company expects there will be lots of opportunities that will arise as many operators are struggling.

Challenges Ahead

  • Lingering challenges on the labor front.
  • Persistent labor market pressures.
  • Return of more typical seasonality.
  • Guidance assumes normalized health insurance costs.
  • Guidance assumes management’s current expectations regarding reimbursement rates and recovery of the COVID-19 pandemic.