Revenue: As of FY2026 Q2, the actual value is USD 1.44 B, missing the estimate of USD 1.441 B.

EPS: As of FY2026 Q2, the actual value is USD 1.68, missing the estimate of USD 1.7178.

EBIT: As of FY2026 Q2, the actual value is USD 130.97 M.

Consolidated Financial Performance (Three Months Ended June 30, 2026 vs. 2025)

Net Income

• GAAP net income was $99,738 thousand for Q2 2026, an 18.2% increase from $84,396 thousand in Q2 2025.
• Adjusted net income was $114,308 thousand, up 22.5% from $93,320 thousand in the prior year quarter.

Income from Operations

• Income from operations for Q2 2026 was $122,504 thousand, compared to $103,902 thousand in Q2 2025.

Total Expenses

• Total expenses were $1,317,977 thousand in Q2 2026, up from $1,123,867 thousand in Q2 2025.
• This included cost of services at $1,134,237 thousand, rent—cost of services at $66,412 thousand, general and administrative expense at $85,922 thousand, and depreciation and amortization at $31,406 thousand.

Interest Expense and Income

• Interest expense was - $1,933 thousand in Q2 2026, a decrease from - $2,025 thousand in Q2 2025.
• Interest income was $4,633 thousand in Q2 2026, down from $5,240 thousand in Q2 2025.

Provision for Income Taxes

• Provision for income taxes was $33,840 thousand in Q2 2026, compared to $27,892 thousand in Q2 2025.

EBITDA and Adjusted EBITDA/EBITDAR

• EBITDA was $162,284 thousand for Q2 2026, an increase from $134,858 thousand in Q2 2025.
• Adjusted EBITDA was $181,149 thousand, up from $146,611 thousand.
• Adjusted EBITDAR was $247,561 thousand for Q2 2026.

Consolidated Financial Performance (Six Months Ended June 30, 2026 vs. 2025)

Net Income

• Net income attributable to The Ensign Group, Inc. was $199,406 thousand for the six months ended June 30, 2026, compared to $164,673 thousand for the same period in 2025.
• Adjusted net income was $224,508 thousand, up from $182,292 thousand.

Income from Operations

• Income from operations was $247,357 thousand for the six months ended June 30, 2026, compared to $205,275 thousand for the same period in 2025.

Total Expenses

• Total expenses were $2,582,320 thousand for the six months ended June 30, 2026, compared to $2,195,535 thousand for the same period in 2025.

EBITDA and Adjusted EBITDA/EBITDAR

• EBITDA was $314,965 thousand for the six months ended June 30, 2026, compared to $260,704 thousand for the same period in 2025.
• Adjusted EBITDA was $352,309 thousand, up from $283,996 thousand.
• Adjusted EBITDAR was $484,227 thousand for the six months ended June 30, 2026.

Balance Sheet Highlights (June 30, 2026 vs. December 31, 2025)

Cash and Cash Equivalents

• Cash and cash equivalents were $262,300 thousand as of June 30, 2026, a decrease from $503,881 thousand as of December 31, 2025.

Total Assets

• Total assets were $5,749,396 thousand as of June 30, 2026, compared to $5,462,970 thousand as of December 31, 2025.

Total Liabilities and Equity

• Total liabilities and equity were $5,749,396 thousand as of June 30, 2026, compared to $5,462,970 thousand as of December 31, 2025.

Cash Flow (Six Months Ended June 30, 2026 vs. 2025)

Operating Activities

• Net cash provided by operating activities was $272,108 thousand for the six months ended June 30, 2026, an increase from $227,950 thousand for the same period in 2025.

Investing Activities

• Net cash used in investing activities was - $478,893 thousand for the six months ended June 30, 2026, compared to - $311,924 thousand for the same period in 2025.

Financing Activities

• Net cash used in financing activities was - $34,796 thousand for the six months ended June 30, 2026, compared to - $16,655 thousand for the same period in 2025.

Segment Revenue (Three Months Ended June 30, 2026)

Skilled Services Revenue

• Total skilled services revenue was $1,379,912 thousand.
• Same Facility skilled services revenue increased by 6.6% to $988,337 thousand.
• Transitioning Facility skilled services revenue increased by 6.1% to $197,371 thousand.
• Recently Acquired Facility skilled services revenue was $194,204 thousand.

Standard Bearer Revenue

• Standard Bearer revenue was $44,133 thousand, a 40.2% increase over the prior year quarter.
• This included $6,348 thousand from third-party tenants and $37,785 thousand from Ensign’s independent subsidiaries.

Standard Bearer FFO

• Standard Bearer FFO was $24,746 thousand, a 34.6% increase over the prior year quarter.

Operational Metrics (Three Months Ended June 30, 2026)

Total Facilities

• The Ensign Group, Inc.’s portfolio consists of 398 healthcare operations across 17 states, with 32 also including senior living operations.

Occupancy

• Total facility occupancy was 82.9%.
• Same Facility occupancy was 84.1%, a 2.7% increase YoY.
• Transitioning Facility occupancy was 84.7%, a 2.3% increase YoY.
• Recently Acquired Facility occupancy was 76.6%.

Skilled Mix by Nursing Revenue

• Total skilled mix by nursing revenue was 50.0%.
• Same Facility skilled mix by nursing revenue was 51.0%.
• Transitioning Facility skilled mix by nursing revenue was 49.7%.

Skilled Mix by Nursing Days

• Total skilled mix by nursing days was 31.0%.
• Same Facility skilled mix by nursing days was 32.2%.
• Transitioning Facility skilled mix by nursing days was 29.7%.

Clinical Highlights

• Same Facilities achieved CMS Quality Measure ratings 23% better and CMS Cycle 1 survey inspection results 18% better than industry peers.
• Over 80% of skilled nursing operations earned a CMS Quality Measure rating of 4 or 5 stars.
• Rehospitalization rates for Same Facilities were 15% better than the national average, and long-stay outpatient emergency department visit rates were 24% better than the national average.
• Administrator turnover for Same Facilities was 46% lower than industry peers.

Outlook / Guidance

• Due to strong second-quarter performance, The Ensign Group, Inc. is raising its annual 2026 earnings guidance to $7.75 to $7.85 per diluted share and annual revenue guidance to $5.87 billion to $5.92 billion.
• The company anticipates continued growth through acquisitions, having added 20 new operations recently and with several new additions planned for the second half of 2026.
• This guidance assumes approximately 59.5 million diluted weighted average common shares outstanding, a 25.0% tax rate, normalized insurance costs, and acquisitions closing through Q3 2026.