Overview
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- TickerENSG on Nasdaq1
- IndustryServices-Skilled Nursing Care Facilities1
- HeadquartersSan Juan Capistrano, California1
- Business address29222 Rancho Viejo Rd., Suite 127, San Juan Capistrano, Ca 926752
- Filer categoryLarge accelerated filer2
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Founded in 1999, The Ensign Group, Inc. (Ensign) is a holding company with independent subsidiaries that provide skilled nursing, senior living and rehabilitative services, as well as other ancillary businesses (including mobile diagnostics and medical transportation), in 17 states. As part of our investment strategy, we also acquire, lease and own healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities in healthcare properties. For the year ended December 31, 2025, we generated approximately 95.6% of our revenue from our skilled nursing facilities. The remainder of our revenue is primarily generated from our real estate properties, senior living services and other ancillary services.4 From its latest annual report
Financials
From the company’s reports to the SEC. Every number links to the filing it came from.
Key numbers, fiscal 2025
8.5%Operating margin5
6.8%Net margin5
18.8%Revenue growth, 20255
15.4%Return on equity5
0.06×Debt to equity5
Where the money goes
Where each dollar of revenue went, fiscal 2025
- Cost of revenue80¢$4.0B
- Other costs11¢$557.7M
- Income tax2¢$111.4M
- Profit7¢$344.0M
Out of $5.0B in revenue.5
Where each dollar of operating cash went, fiscal 2025
- Dividends paid3¢$14.4M
- Share buybacks4¢$20.0M
- Kept or used elsewhere94¢$529.9M
Out of $564.3M of cash from operations.5
Financial statements
Every line of the income statement as filed: the last 3 fiscal years, latest first.5
| Period ending | 2025-12-31 | 2024-12-31 | 2023-12-31 |
|---|---|---|---|
| Service revenue | $5.0B | $4.2B | $3.7B |
| Rental revenue | $25.7M | $23.0M | $21.3M |
| TOTAL REVENUE | $5.1B | $4.3B | $3.7B |
| Cost of services | $4.0B | $3.4B | $2.9B |
| Rentcost of services | $239.3M | $216.0M | $197.4M |
| General and administrative expense | $269.8M | $225.1M | $263.0M |
| Depreciation and amortization | $104.3M | $84.1M | $72.4M |
| TOTAL EXPENSES | $4.6B | $3.9B | $3.5B |
| Income from operations | $425.3M | $358.3M | $255.4M |
| Interest expense | -$8.0M | -$8.3M | -$8.1M |
| Interest income | $24.5M | $28.7M | $19.2M |
| Other income | $13.8M | $7.3M | $6.3M |
| OTHER INCOME, NET | $30.3M | $27.8M | $17.4M |
| Income before provision for income taxes | $455.6M | $386.1M | $272.8M |
| Provision for income taxes | $111.4M | $87.6M | $62.9M |
| NET INCOME | $344.3M | $298.5M | $209.8M |
| Net income attributable to noncontrolling interests | $293.0K | $485.0K | $451.0K |
| NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. | $344.0M | $298.0M | $209.4M |
| Basic (in dollars per share) | $6.00 | $5.26 | $3.76 |
| Diluted (in dollars per share) | $5.84 | $5.12 | $3.65 |
| Basic (in shares) | 57.3M shares | 56.7M shares | 55.7M shares |
| Diluted (in shares) | 58.9M shares | 58.2M shares | 57.3M shares |
No quarter-by-quarter statement was filed.
Every line of the balance sheet as filed: the last 4 fiscal years (annual) or 4 quarters (quarterly), latest first.5
| Period ending | 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 |
|---|---|---|---|---|
| Cash and cash equivalents | $503.9M | $464.6M | ||
| Accounts receivableless allowance for doubtful accounts of $7,805 and $8,435 at December 31, 2025 and 2024, respectively | $637.0M | $569.9M | ||
| Investmentscurrent | $68.5M | $62.3M | ||
| Prepaid expenses and other current assets | $62.9M | $60.9M | ||
| Total current assets | $1.3B | $1.2B | ||
| Property and equipment, net | $1.7B | $1.3B | ||
| Right-of-use assets | $2.1B | $1.9B | ||
| Insurance subsidiary deposits and investments | $166.8M | $141.2M | ||
| Deferred tax assets | $83.1M | $66.3M | ||
| Restricted and other assets | $41.6M | $46.5M | ||
| Intangible assets, net | $6.4M | $7.3M | ||
| Goodwill | $98.0M | $98.0M | $76.9M | |
| TOTAL ASSETS | $5.5B | $4.7B | ||
| Accounts payable | $97.3M | $98.9M | ||
| Accrued wages and related liabilities | $422.3M | $347.5M | ||
| Lease liabilitiescurrent | $114.8M | $93.5M | ||
| Accrued self-insurance liabilitiescurrent | $81.6M | $67.3M | ||
| Other accrued liabilities | $174.0M | $132.1M | ||
| Current maturities of long-term debt | $4.2M | $4.1M | ||
| Total current liabilities | $894.3M | $743.4M | ||
| Long-term lease liabilitiesless current portion | $1.9B | $1.7B | ||
| Accrued self-insurance liabilitiesless current portion | $164.8M | $144.4M | ||
| Other long-term liabilities | $82.3M | $64.2M | ||
| Long-term debtless current maturities | $137.5M | $141.6M | ||
| TOTAL LIABILITIES | $3.2B | $2.8B | ||
| Common stock: $0.001 par value; 150,000 shares authorized; 61,652 and 58,085 shares issued and shares outstanding at December 31, 2025, respectively, and 60,838 and 57,438 shares issued and shares outstanding at December 31, 2024, respectively | $62.0K | $61.0K | ||
| Additional paid-in capital | $614.7M | $528.1M | ||
| Retained earnings | $1.8B | $1.4B | ||
| Common stock in treasury, at cost, 3,567 and 3,400 shares at December 31, 2025 and 2024, respectively | -$139.2M | -$117.8M | ||
| Total Ensign Group, Inc. stockholders' equity | $2.2B | $1.8B | ||
| Non-controlling interest | $3.1M | $3.3M | ||
| Total equity | $2.2B | $1.8B | $1.5B | $1.2B |
| TOTAL LIABILITIES AND EQUITY | $5.5B | $4.7B | ||
| Allowance for doubtful accounts on accounts receivable | $7.8M | $8.4M | ||
| Common stock, par value (in dollars per share) | $0.00 | $0.00 | ||
| Common shares authorized (in shares) | 150.0M shares | 150.0M shares | ||
| Common shares issued (in shares) | 61.7M shares | 60.8M shares | ||
| Common shares outstanding (in shares) | 58.1M shares | 57.4M shares | ||
| Common shares in treasury, at cost (in shares) | 3.6M shares | 3.4M shares |
| Period ending | 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 |
|---|---|---|---|---|
| Cash and cash equivalents | $503.9M | $464.6M | ||
| Accounts receivableless allowance for doubtful accounts of $7,805 and $8,435 at December 31, 2025 and 2024, respectively | $637.0M | $569.9M | ||
| Investmentscurrent | $68.5M | $62.3M | ||
| Prepaid expenses and other current assets | $62.9M | $60.9M | ||
| Total current assets | $1.3B | $1.2B | ||
| Property and equipment, net | $1.7B | $1.3B | ||
| Right-of-use assets | $2.1B | $1.9B | ||
| Insurance subsidiary deposits and investments | $166.8M | $141.2M | ||
| Deferred tax assets | $83.1M | $66.3M | ||
| Restricted and other assets | $41.6M | $46.5M | ||
| Intangible assets, net | $6.4M | $7.3M | ||
| Goodwill | $98.0M | $98.0M | $76.9M | |
| TOTAL ASSETS | $5.5B | $4.7B | ||
| Accounts payable | $97.3M | $98.9M | ||
| Accrued wages and related liabilities | $422.3M | $347.5M | ||
| Lease liabilitiescurrent | $114.8M | $93.5M | ||
| Accrued self-insurance liabilitiescurrent | $81.6M | $67.3M | ||
| Other accrued liabilities | $174.0M | $132.1M | ||
| Current maturities of long-term debt | $4.2M | $4.1M | ||
| Total current liabilities | $894.3M | $743.4M | ||
| Long-term lease liabilitiesless current portion | $1.9B | $1.7B | ||
| Accrued self-insurance liabilitiesless current portion | $164.8M | $144.4M | ||
| Other long-term liabilities | $82.3M | $64.2M | ||
| Long-term debtless current maturities | $137.5M | $141.6M | ||
| TOTAL LIABILITIES | $3.2B | $2.8B | ||
| Common stock: $0.001 par value; 150,000 shares authorized; 61,652 and 58,085 shares issued and shares outstanding at December 31, 2025, respectively, and 60,838 and 57,438 shares issued and shares outstanding at December 31, 2024, respectively | $62.0K | $61.0K | ||
| Additional paid-in capital | $614.7M | $528.1M | ||
| Retained earnings | $1.8B | $1.4B | ||
| Common stock in treasury, at cost, 3,567 and 3,400 shares at December 31, 2025 and 2024, respectively | -$139.2M | -$117.8M | ||
| Total Ensign Group, Inc. stockholders' equity | $2.2B | $1.8B | ||
| Non-controlling interest | $3.1M | $3.3M | ||
| Total equity | $2.2B | $1.8B | $1.5B | $1.2B |
| TOTAL LIABILITIES AND EQUITY | $5.5B | $4.7B | ||
| Allowance for doubtful accounts on accounts receivable | $7.8M | $8.4M | ||
| Common stock, par value (in dollars per share) | $0.00 | $0.00 | ||
| Common shares authorized (in shares) | 150.0M shares | 150.0M shares | ||
| Common shares issued (in shares) | 61.7M shares | 60.8M shares | ||
| Common shares outstanding (in shares) | 58.1M shares | 57.4M shares | ||
| Common shares in treasury, at cost (in shares) | 3.6M shares | 3.4M shares |
Cash flow is reported year to date, not quarter by quarter, so there are no separate quarterly figures.
Every line of the cash flow as filed: the last 3 fiscal years, latest first.5
| Period ending | 2025-12-31 | 2024-12-31 | 2023-12-31 |
|---|---|---|---|
| Net income | $344.3M | $298.5M | $209.8M |
| Depreciation and amortization | $104.3M | $84.1M | $72.4M |
| Amortization of deferred financing fees | $1.1M | $1.1M | $1.1M |
| Deferred income taxes | -$16.9M | $635.0K | -$27.5M |
| Stock-based compensation | $48.3M | $36.2M | $30.8M |
| Insurance proceeds and (gain) loss on long-lived assets, net | $885.0K | $3.4M | $723.0K |
| Other operating activities, net | $4.4M | $2.7M | $4.3M |
| Accounts receivable | -$70.4M | -$84.4M | -$79.8M |
| Prepaid income taxes | $11.2M | -$9.2M | $814.0K |
| Prepaid expenses and other assets | -$16.4M | -$19.1M | $7.0M |
| Cash surrender value of life insurance policy premiums | -$18.4M | -$14.8M | -$16.1M |
| Deferred compensation liability | $18.5M | $15.0M | $16.0M |
| Operating lease obligations | -$3.4M | $287.0K | -$6.6M |
| Accounts payable | -$2.9M | $2.8M | $15.9M |
| Accrued wages and related liabilities | $82.8M | $20.0M | $48.0M |
| Other accrued liabilities | $41.7M | -$34.0M | $71.0M |
| Accrued self-insurance liabilities | $35.3M | $44.0M | $28.8M |
| NET CASH PROVIDED BY OPERATING ACTIVITIES | $564.3M | $347.2M | $376.7M |
| Purchase of property and equipment | -$193.6M | -$158.2M | -$106.2M |
| Cash payments for acquisitions | -$323.3M | -$156.5M | -$69.0M |
| Cash proceeds from insurance recoveries and sale of assets | $14.2M | $6.2M | $2.3M |
| Purchases of investments | -$110.7M | -$105.1M | -$29.6M |
| Maturities of investments | $99.7M | $26.4M | $18.9M |
| Other investing activities, net | $465.0K | -$2.7M | $970.0K |
| NET CASH USED IN INVESTING ACTIVITIES | -$513.2M | -$390.1M | -$182.7M |
| Proceeds from debt (Note 13) | $0 | $400.0K | $150.0K |
| Payments on debt | -$4.1M | -$4.3M | -$4.0M |
| Issuance of common stock upon exercise of options | $29.0M | $22.3M | $18.4M |
| Repurchase of shares of common stock to satisfy tax withholding obligations | -$1.4M | -$1.2M | -$1.9M |
| Repurchase of shares of common stock (Note 19) | -$20.0M | $0 | $0 |
| Dividends paid | -$14.4M | -$13.7M | -$12.9M |
| Other financing activities | -$924.0K | -$5.6M | -$279.0K |
| NET CASH USED IN FINANCING ACTIVITIES | -$11.8M | -$2.2M | -$612.0K |
| Net increase (decrease) in cash and cash equivalents | $39.3M | -$45.0M | $193.4M |
| Interest | $6.9M | $7.1M | $7.0M |
| Income taxes | $116.2M | $96.3M | $89.7M |
| Lease liabilities | $242.1M | $215.7M | $196.9M |
| Accrued capital expenditures | $9.2M | $7.9M | $4.6M |
| Right-of-use assets obtained in exchange for new and modified operating lease obligations | $335.9M | $232.9M | $376.6M |
No quarter-by-quarter statement was filed.
Corporate structure
ENSIGN GROUP, INC sits at the top of its group. 680 entities, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.
Major holders of ENSIGN GROUP, INC
- VANGUARD PORTFOLIO MANAGEMENT LLC Filed SCHEDULE 13G/A on ENSIGN GROUP, INC, latest Jul 31, 2026 (2 filings since Apr 29, 2026)
- BlackRock Filed SCHEDULE 13G/A on ENSIGN GROUP, INC, latest Jul 28, 2026 (6 filings since Jan 28, 2022)
- VANGUARD CAPITAL MANAGEMENT LLC Filed SCHEDULE 13G on ENSIGN GROUP, INC, latest Apr 29, 2026
- VANGUARD GROUP INC Filed SCHEDULE 13G/A on ENSIGN GROUP, INC, latest Mar 26, 2026 (5 filings since Feb 10, 2022)
- WASATCH ADVISORS LP Filed SCHEDULE 13G/A on ENSIGN GROUP, INC, latest Feb 10, 2026 (5 filings since Feb 10, 2022)
- BAILLIE GIFFORD & CO Filed SCHEDULE 13G on ENSIGN GROUP, INC, latest Feb 9, 2026
- ENSIGN GROUP, INC San Juan Capistrano, California
- 1645 Florence Rd TN LLC Subsidiary · Delaware, United States
- 2016 Health Holdings LLC Subsidiary · Nevada, United States
- 2020 Health Holdings LLC Subsidiary · Nevada, United States
- 2025 CO Health Holdings LLC Subsidiary · Nevada, United States
- 2310 South Eldridge Parkway Health Holdings LLC Subsidiary · Nevada, United States
- 2410 Stillhouse Health Holdings LLC Subsidiary · Nevada, United States
- 24th Street Healthcare Associates LLC Subsidiary · Nevada, United States
- 307 Air Medical Transportation, LLC Subsidiary · Nevada, United States
- 524 West Main Street TN LLC Subsidiary · Delaware, United States
- 726 Kentucky Avenue S TN LLC Subsidiary · Delaware, United States
- Abbot Health Holdings LLC Subsidiary · Nevada, United States
- Adipiscor, LLC Subsidiary · Nevada, United States
- Agape Health Holdings LLC Subsidiary · Nevada, United States
- Alice Branch Healthcare LLC Subsidiary · Nevada, United States
- Allen Creek Healthcare, Inc. Subsidiary · Nevada, United States
- Alvarado Health Holdings LLC Subsidiary · Nevada, United States
- Amelia Health Holdings LLC Subsidiary · Nevada, United States
- American Lake Healthcare, Inc. Subsidiary · Nevada, United States
- American Pika Healthcare LLC Subsidiary · Nevada, United States
- American Robin Healthcare, Inc. Subsidiary · Nevada, United States
- Ann Arbor Health Holdings LLC Subsidiary · Nevada, United States
- Anza Healthcare, Inc. Subsidiary · Nevada, United States
- Apache Trail Healthcare, Inc. Subsidiary · Nevada, United States
- Appaloosa Healthcare, Inc. Subsidiary · Nevada, United States
- Apple Springs Healthcare, Inc. Subsidiary · Nevada, United States
- and 654 more
Built from subsidiaries listed in Exhibit 21 of annual reports filed with the SEC; major holders from Schedules 13D and 13G. Each entity in the chart links to its source.
What it owns
What ENSIGN GROUP, INC reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.
Property and equipment
| Item | Latest | A year before | Change |
|---|---|---|---|
| Property and equipment, before depreciation | $2.2B5 Dec 31, 2025 | $1.8B5 Dec 31, 2024 | +28.4% |
| Accumulated depreciation | $550.9M5 Dec 31, 2025 | $459.5M5 Dec 31, 2024 | +19.9% |
| Property and equipment, net | $1.7B5 Dec 31, 2025 | $1.3B5 Dec 31, 2024 | +31.4% |
| Operating-lease assets (leased space) | $2.1B5 Dec 31, 2025 | $1.9B5 Dec 31, 2024 | +12.7% |
Real estate and locations
Investments
| Item | Latest | A year before | Change |
|---|---|---|---|
| Cash and cash equivalents | $503.9M5 Dec 31, 2025 | $464.6M5 Dec 31, 2024 | +8.5% |
| Marketable securities, current | $68.5M5 Dec 31, 2025 | $62.3M5 Dec 31, 2024 | +10.0% |
Intangibles and goodwill
| Item | Latest | A year before | Change |
|---|---|---|---|
| Goodwill | $98.0M5 Dec 31, 2025 | $98.0M5 Dec 31, 2024 | 0% |
| Intangible assets, net (excluding goodwill) | $6.4M5 Dec 31, 2025 | $7.3M5 Dec 31, 2024 | −12.5% |
| Indefinite-lived intangibles (excluding goodwill) | $4.7M5 Dec 31, 2025 | $4.7M5 Dec 31, 2024 | 0% |
| Finite-lived intangibles, gross | $5.3M5 Dec 31, 2025 | $7.3M5 Dec 31, 2024 | −27.3% |
| Accumulated amortization | $3.6M5 Dec 31, 2025 | $4.7M5 Dec 31, 2024 | −23.1% |
| Finite-lived intangibles, net | $1.7M5 Dec 31, 2025 | $2.6M5 Dec 31, 2024 | −34.7% |
Properties, in its own words
Service Center — Our primary Service Center is located at our San Juan Capistrano, California campus, which we acquired for a purchase price of $31.0 million to accommodate our growing Service Center team. The property consists of approximately 108,058 square feet of usable office space. In addition, we lease a portion of the space within the campus to third-party tenants. We also have service centers located in Tempe, Arizona; San Antonio, Texas; Dallas, Texas and Salt Lake City, Utah.
Operating Facilities — We operate 373 independent subsidiaries in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin, with the operational capacity to serve approximately 41,000 patients as of December 31, 2025. Of the 373 facilities, we operate 253 facilities under long-term lease arrangements and have options to purchase 8 of those 253 facilities. The results of our independent subsidiaries are reflected in our skilled services segment for our skilled nursing operations and in the "All Other" category for our senior living operations. For more information about our subsequent acquisitions, see Part II., Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations.
The rest of Item 2
The following table sets forth the location of our facilities and the number of operational beds and units located at our skilled nursing, senior living and campus facilities as of December 31, 2025:
Facility Counts · Bed / Unit Counts
Skilled Operations · Senior Living Communities · Campus Operations(1) · Total · Skilled Operational Beds · Senior Living Units · Total Beds / Units
Texas · 79 · 1 · 5 · 85 · 10,242 · 605 · 10,847
California · 78 · 4 · 3 · 85 · 8,198 · 378 · 8,576
Arizona · 34 · 1 · 6 · 41 · 5,170 · 891 · 6,061
Colorado · 33 · 5 · 1 · 39 · 3,541 · 633 · 4,174
Utah · 26 · 2 · 1 · 29 · 2,412 · 163 · 2,575
Washington · 17 · 1 · — · 18 · 1,608 · 98 · 1,706
Idaho · 14 · — · 1 · 15 · 1,301 · 21 · 1,322
Kansas · 4 · — · 8 · 12 · 883 · 251 · 1,134
Tennessee · 11 · — · — · 11 · 1,122 · — · 1,122
South Carolina · 9 · — · — · 9 · 1,126 · — · 1,126
Iowa · 7 · — · 2 · 9 · 602 · 31 · 633
Nebraska · 4 · 1 · 3 · 8 · 496 · 199 · 695
Wisconsin · 4 · — · — · 4 · 302 · — · 302
Nevada · 3 · — · — · 3 · 483 · — · 483
Alaska · 1 · 1 · — · 2 · 146 · 82 · 228
Alabama · 2 · — · — · 2 · 181 · — · 181
Oregon · — · — · 1 · 1 · 98 · 50 · 148
326 · 16 · 31 · 373 · 37,911 · 3,402 · 41,313
(1) Campuses represent facilities that offer both skilled nursing and senior living services.
The following table provides summary information regarding the location of our facilities, operational beds and units by property type as of December 31, 2025:
Operated Facilities
Leased without a Purchase Option · Leased with a Purchase Option · Owned · Total
Facilities · Beds/Units · Facilities · Beds/Units · Facilities · Beds/Units · Facilities · Beds/Units
Texas · 56 · 6,975 · 2 · 220 · 27 · 3,652 · 85 · 10,847
California · 73 · 7,243 · — · — · 12 · 1,333 · 85 · 8,576
Arizona · 24 · 3,515 · — · — · 17 · 2,546 · 41 · 6,061
Colorado · 29 · 3,088 · 1 · 125 · 9 · 961 · 39 · 4,174
Utah · 12 · 1,314 · 2 · 159 · 15 · 1,102 · 29 · 2,575
Washington · 12 · 1,085 · — · — · 6 · 621 · 18 · 1,706
Idaho · 9 · 732 · — · — · 6 · 590 · 15 · 1,322
Kansas · 2 · 147 · 3 · 325 · 7 · 662 · 12 · 1,134
Tennessee · 8 · 822 · — · — · 3 · 300 · 11 · 1,122
South Carolina · 4 · 582 · — · — · 5 · 544 · 9 · 1,126
Iowa · 6 · 399 · — · — · 3 · 234 · 9 · 633
Nebraska · 5 · 364 · — · — · 3 · 331 · 8 · 695
Wisconsin · — · — · — · — · 4 · 302 · 4 · 302
Nevada · 3 · 483 · — · — · — · — · 3 · 483
Alaska · — · — · — · — · 2 · 228 · 2 · 228
Alabama · 2 · 181 · — · — · — · — · 2 · 181
Oregon · — · — · — · — · 1 · 148 · 1 · 148
245 · 26,930 · 8 · 829 · 120 · 13,554 · 373 · 41,313
Real Estate Properties — As of December 31, 2025, we owned 158 real estate properties in Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin, which include 120 of the 373 facilities that we operate and manage. Of our 158 real estate properties, 38 operations are leased to and operated by third-party operators. One senior living facility is located on the same real estate property as a skilled nursing facility that we own and operate. We further own the real estate property of our Service Center's California location and continue to lease a portion of the office space to third-party tenants. Our Standard Bearer segment reflects the results of operations for 152 of the 158 owned real estate properties.
The following table provides summary information regarding the location of our owned and operated real estate properties as of December 31, 2025:
Facility Counts · Bed / Unit Counts
Skilled Operations · Senior Living Communities · Campus Operations(1) · Total · Skilled Operational Beds · Senior Living Units · Total Beds / Units
Texas · 22 · 1 · 4 · 27 · 3,077 · 575 · 3,652
Arizona · 12 · — · 5 · 17 · 2,052 · 494 · 2,546
Utah · 15 · — · — · 15 · 1,102 · — · 1,102
California · 11 · — · 1 · 12 · 1,291 · 42 · 1,333
Colorado · 6 · 3 · — · 9 · 592 · 369 · 961
Kansas · 2 · — · 5 · 7 · 495 · 167 · 662
Washington · 6 · — · — · 6 · 621 · — · 621
Idaho · 6 · — · — · 6 · 590 · — · 590
South Carolina · 5 · — · — · 5 · 544 · — · 544
Wisconsin · 4 · — · — · 4 · 302 · — · 302
Nebraska · 1 · 1 · 1 · 3 · 171 · 160 · 331
Tennessee · 3 · — · — · 3 · 300 · — · 300
Iowa · 3 · — · — · 3 · 234 · — · 234
Alaska · 1 · 1 · — · 2 · 146 · 82 · 228
Oregon · — · — · 1 · 1 · 98 · 50 · 148
97 · 6 · 17 · 120 · 11,615 · 1,939 · 13,554
(1) Campuses represent facilities that offer both skilled nursing and senior living services.
The following table provides summary information regarding the location of our owned real estate properties as of December 31, 2025:
Item 2 of the 10-K filed Feb 4, 2026.4
Leadership
Who has led ENSIGN GROUP, INC, and when. Pick a name to see everywhere that person has worked.
Chief executive
President
Chief financial officer
Chief operating officer
2010201520202025
- Chief executive officerBarry Port May 31, 2019 to now14
- Chief executive officerChristopher R. Christensen Nov 8, 2007 to Mar 6, 201915
- ChairChristopher R. Christensen Jun 3, 2019 to now16
- ChairRoy E. Christensen Nov 8, 2007 to Apr 23, 200917
- PresidentSpencer Burton Jun 3, 2019 to now18
- PresidentBrian Hulse Jun 5, 2009 to Jun 5, 200919
- PresidentCovey C. Christensen Jan 24, 2008 to Aug 15, 201220
- PresidentBarry Port Nov 8, 2007 to Oct 31, 200821
- PresidentChristopher R. Christensen Nov 8, 2007 to Mar 6, 201915
- PresidentCory Monette Nov 8, 2007 to Jan 8, 201022
- PresidentJohn Albrechtsen Nov 8, 2007 to Feb 12, 200923
- Chief financial officerSuzanne D. Snapper Aug 17, 2009 to now24
- Chief financial officerAlan Norman Nov 8, 2007 to Jan 31, 200825
- Chief operating officerSpencer Burton Jun 3, 2019 to now18
Board members and other officers (24)
- Executive Vice PresidentChad Keetch Jun 4, 2014 to now26
- Vice PresidentBarry Port Apr 18, 2012 to Mar 6, 201927
- V.P.Gregory K. Stapley Jan 19, 2010 to Feb 13, 201528
- V.P. of Org. Dev.David M. Sedgwick Nov 8, 2007 to Feb 12, 200929
- Board memberPison Marivic Uychiat Sep 11, 2025 to now30
- Board memberMark Vincent Parkinson Nov 20, 2024 to now31
- Board memberJohn O. Agwunobi Jan 10, 2023 to now32
- Board memberSuzanne D. Snapper Feb 10, 2022 to now33
- Board memberSwati Bargotra Abbott Jan 10, 2020 to now34
- Board memberAnn Scott Blouin Jan 17, 2019 to now35
- Board memberBarry Port May 31, 2019 to now14
- Board memberMalene Davis Nov 13, 2017 to Jul 18, 201836
- Board memberBarry M. Smith Jun 3, 2014 to now37
- Board memberClayton M. Christensen Jun 25, 2013 to Jan 17, 201438
- Board memberLee A. Daniels Jun 25, 2013 to Apr 19, 202339
- Board memberDaren Shaw Apr 24, 2012 to now40
- Board memberVan R. Johnson Jul 27, 2009 to Apr 16, 201341
- Board memberJohn G. Nackel Jun 10, 2008 to Jan 10, 202042
- Board memberRoy E. Christensen Nov 12, 2008 to Feb 15, 201243
- Board memberCharles M. Blalack Nov 8, 2007 to Jun 3, 200844
- Board memberChristopher R. Christensen Nov 8, 2007 to Mar 6, 201915
- Board memberThomas A. Maloof Nov 8, 2007 to Apr 16, 201345
- General counselBeverly B. Wittekind Nov 10, 2009 to now46
- General counselGregory K. Stapley Nov 8, 2007 to Feb 17, 200947
Subsidiaries and ownership
Subsidiaries (Exhibit 21)
- 1645 Florence Rd TN LLC Delaware3
- 2016 Health Holdings LLC Nevada3
- 2020 Health Holdings LLC Nevada3
- 2025 CO Health Holdings LLC Nevada3
- 2310 South Eldridge Parkway Health Holdings LLC Nevada3
- 2410 Stillhouse Health Holdings LLC Nevada3
- 24th Street Healthcare Associates LLC Nevada3
- 307 Air Medical Transportation, LLC Nevada3
- 524 West Main Street TN LLC Delaware3
- 726 Kentucky Avenue S TN LLC Delaware3
- Abbot Health Holdings LLC Nevada3
- Adipiscor, LLC Nevada3
- Agape Health Holdings LLC Nevada3
- Alice Branch Healthcare LLC Nevada3
- Allen Creek Healthcare, Inc. Nevada3
- Alvarado Health Holdings LLC Nevada3
- Amelia Health Holdings LLC Nevada3
- American Lake Healthcare, Inc. Nevada3
- American Pika Healthcare LLC Nevada3
- American Robin Healthcare, Inc. Nevada3
- Ann Arbor Health Holdings LLC Nevada3
- Anza Healthcare, Inc. Nevada3
- Apache Trail Healthcare, Inc. Nevada3
- Appaloosa Healthcare, Inc. Nevada3
All 681 listed subsidiaries
- Apple Springs Healthcare, Inc. Nevada3
- Archstone Healthcare LLC Nevada3
- Armstrong Healthcare, Inc. Nevada3
- Arrington Valley Healthcare, Inc. Nevada3
- Arris Health Services LLC Nevada3
- Arvada Healthcare, Inc. Nevada3
- Ascent Health Services LLC Nevada3
- Atlantic Memorial Healthcare Associates, Inc. Nevada3
- Avalanche Healthcare, Inc. Nevada3
- Avebury Healthcare LLC Nevada3
- Avenues Healthcare, Inc. Nevada3
- Avocado Health Holdings LLC Nevada3
- Aztec Healthcare, Inc. Nevada3
- Bainbridge Health Holdings LLC Nevada3
- Bakorp, L.L.C. Arizona3
- Bandera Healthcare LLC Nevada3
- Banner Holdings LLC Nevada3
- Bannock Health Holdings LLC Nevada3
- Bardwell Healthcare, Inc. Nevada3
- Baseline Healthcare, Inc. Nevada3
- Bayshore Healthcare, Inc. Nevada3
- Bayside Healthcare, Inc. Nevada3
- Baywood Health Holdings LLC Nevada3
- Beacon Hill Healthcare, Inc. Nevada3
- Beacon Purchasing LLC Nevada3
- Bear Creek Healthcare LLC Nevada3
- Bear Creek Senior Living, Inc. Nevada3
- Bear Ridge Health Holdings LLC Nevada3
- Bell Villa Care Associates LLC Nevada3
- Belmont Ridge Healthcare, Inc. Nevada3
- Bennett Healthcare LLC Nevada3
- Bernardo Heights Healthcare, Inc. Nevada3
- Bertetti Healthcare, Inc. Nevada3
- Best SW Health Holdings LLC Nevada3
- Big Blue Healthcare LLC Nevada3
- Big Creek Healthcare, Inc. Nevada3
- Bijou Health Holdings LLC Nevada3
- Bijou Healthcare LLC Nevada3
- Bing Health Holdings LLC Nevada3
- Black Ridge Canyon Healthcare LLC Nevada3
- Black Wolf Healthcare LLC Nevada3
- Blackbird Senior Living, Inc. Nevada3
- Bluebird Creek Health Holdings LLC Nevada3
- Bluebird Healthcare, Inc. Nevada3
- Bluebonnet Healthcare, Inc. Nevada3
- Boise Imaging Solutions LLC Nevada3
- Bouverie Healthcare Services, Inc. Nevada3
- Brackenridge Healthcare, Inc. Nevada3
- Bremer Health Holdings LLC Nevada3
- Brenwood Park Health Holdings LLC Nevada3
- Bridge Holding Company, LLC Nevada3
- Bridge Resources LLC Nevada3
- Bridger Health Holdings LLC Nevada3
- Bridgestone Living LLC Nevada3
- Brody Bay Healthcare, Inc. Nevada3
- Broken Ridge Healthcare, Inc. Nevada3
- Brownsville Care Associates, Inc. Nevada3
- Bruce Neenah Health Holdings LLC Nevada3
- Buffalo Creek Healthcare LLC Nevada3
- Buffington Gardens Health Holdings LLC Nevada3
- Burch Creek Health Holdings LLC Nevada3
- C Street Health Associates LLC Nevada3
- Calavaras Creek Healthcare LLC Nevada3
- California Nursing Academy, Inc. Nevada3
- Camarillo Community Care, Inc. Nevada3
- Camelback Advanced Therapy LLC Nevada3
- Canary Bend Healthcare LLC Nevada3
- Cane Creek Healthcare, Inc. Nevada3
- Cane Island Healthcare, Inc. Nevada3
- Canfield River Healthcare LLC Nevada3
- Canyon Springs Senior Living, Inc. Nevada3
- Capstone Resources, Inc. Nevada3
- Capstone Transportation Investments, Inc. Nevada3
- Cardiff Healthcare, Inc. Nevada3
- Cardinal Healthcare, Inc. Nevada3
- Carnation City Healthcare, Inc. Nevada3
- Carolina Healthcare LLC Nevada3
- Carrollton Heights Healthcare, Inc. Nevada3
- Cascade Mountain Health Holdings LLC Nevada3
- Castle Pines Healthcare LLC Nevada3
- Castle Rock Healthcare, Inc. Nevada3
- Cedar City Healthcare LLC Nevada3
- Cedar Ridge Transportation LLC Nevada3
- Central Avenue Healthcare, Inc. Nevada3
- Chaparral Healthcare, Inc. Nevada3
- Chateau Julia Healthcare, Inc. Nevada3
- Cherokee Healthcare, Inc. Nevada3
- Cherry Hills Healthcare, Inc. Nevada3
- Chickadee Healthcare LLC Nevada3
- Chimney Rock Healthcare, Inc. Nevada3
- Circle Health Holdings LLC Nevada3
- City Heights Health Associates LLC Nevada3
- Claremont Foothills Health Associates LLC Nevada3
- Clark Health Holdings LLC Nevada3
- Claydelle Healthcare LLC Nevada3
- Clear Skies Healthcare, Inc. Nevada3
- Clear Sky Flights LLC Nevada3
- Clint Trail Health Holdings LLC Nevada3
- Cloverleaf Healthcare LLC Nevada3
- Clovis Point Health Holdings LLC Nevada3
- Coalescence Health Services, LLC Nevada3
- Coldwater Springs Healthcare, Inc. Nevada3
- Colton River Healthcare LLC Nevada3
- Columbia Respiratory Care, LLC Nevada3
- Columbia River Healthcare, Inc. Nevada3
- Concord Avenue Health Holdings LLC Nevada3
- Congaree Health Holdings LLC Nevada3
- Connect Health Group, Inc. Nevada3
- Connect Health Holdings, Inc. (fka Quorum Ventures, Inc.) Nevada3
- Conrad Health Holdings LLC Nevada3
- Constitution Road Healthcare, Inc. Nevada3
- Conway Health Holdings LLC Nevada3
- Copeland Healthcare, Inc. Nevada3
- Cornet Limited, Inc. Arizona3
- Costa Victoria Healthcare LLC Nevada3
- Cotton Glen Healthcare LLC Nevada3
- Cottontail Creek Healthcare, Inc. Nevada3
- Covalence Health Holdings LLC Nevada3
- Cow Creek Healthcare, Inc. Nevada3
- Crane Creek Health Holdings LLC Nevada3
- Creed Health Holdings LLC Nevada3
- Cress Creek Healthcare LLC Nevada3
- Crown Hill Healthcare LLC Nevada3
- Crystal Lake Healthcare, Inc. Nevada3
- Cursus Healthcare LLC Nevada3
- Cypress Creek Healthcare, Inc. Nevada3
- D3T Enterprise, LLC Texas3
- Da Vinci Healthcare, Inc. Nevada3
- Daffodil Healthcare, Inc. Nevada3
- Dark Sky Health Holdings LLC Nevada3
- Davis Health Holdings LLC Nevada3
- De Moisy Healthcare LLC Nevada3
- Deer Creek Health Holdings LLC Nevada3
- Deer Tail Senior Living, Inc. Nevada3
- Deergrass Healthcare, Inc. Nevada3
- Desert Cove Healthcare, Inc. Nevada3
- Desert Empire Behavioral Health, Inc. Nevada3
- Desert Lily Healthcare, Inc. Nevada3
- Desert Mallow Healthcare, Inc. Nevada3
- Design City Health Holdings LLC Nevada3
- Dessau Healthcare, Inc. Nevada3
- Devonshire Healthcare, Inc. Nevada3
- Dewey Health Holdings LLC Nevada3
- Dexter Creek Healthcare, Inc. Nevada3
- Diamond Valley Health Holdings LLC Nevada3
- Discovery Trail Healthcare, Inc. Nevada3
- Dorothy Health Holdings LLC Nevada3
- Dove Valley Healthcare, Inc. Nevada3
- Downey Community Care LLC Nevada3
- Dragonfly Senior Living, Inc. Nevada3
- Duck Creek Healthcare, Inc. Nevada3
- Dusk Healthcare, Inc. Nevada3
- Eagle Harbor Healthcare LLC Nevada3
- Eagle Health Services LLC Nevada3
- Earhart Healthcare LLC Nevada3
- East Mesa Health Holdings LLC Nevada3
- East River Health Holdings LLC Nevada3
- Echo Canyon Healthcare, Inc. Nevada3
- Eiffel Healthcare LLC Nevada3
- Elati Health Holdings LLC Nevada3
- Elevate Air Med LLC Nevada3
- Elkhorn Health Holdings LLC Nevada3
- Ellis Pointe Health Holdings LLC Nevada3
- Empirecare Health Associates LLC Nevada3
- Endura Healthcare LLC Nevada3
- Ensidium Investments, LLC Nevada3
- Ensign Cloverdale LLC Nevada3
- Ensign Montgomery LLC Nevada3
- Ensign Palm I LLC Nevada3
- Ensign Panorama LLC Nevada3
- Ensign Pleasanton LLC Nevada3
- Ensign Sabino LLC Nevada3
- Ensign San Dimas LLC Nevada3
- Ensign Santa Rosa LLC Nevada3
- Ensign Services, Inc. Nevada3
- Ensign Sonoma LLC Nevada3
- Ensign Whittier East LLC Nevada3
- Ensign Whittier West LLC Nevada3
- Ensign Willits LLC Nevada3
- Farmington Bay Health Holdings LLC Nevada3
- Fawn Meadows Health Holdings LLC Nevada3
- First Creek Healthcare, Inc. Nevada3
- Flagstone Healthcare Central LLC Nevada3
- Flagstone Healthcare North LLC Nevada3
- Flagstone Healthcare South LLC Nevada3
- Flintrock Falls Healthcare, Inc. Nevada3
- Floyde Health Holdings LLC Nevada3
- Forney Lake Healthcare LLC Nevada3
- Forrest Hill Healthcare LLC Nevada3
- Fossil Creek Healthcare, Inc. Nevada3
- Founders Holdings LLC Nevada3
- Founders RX LLC Nevada3
- Fox Bay Health Holdings LLC Nevada3
- Fox Hollow Healthcare, Inc. Nevada3
- Fox Sparrow Healthcare, Inc. Nevada3
- Franklin Avenue Healthcare, Inc. Nevada3
- Franklin Health Holdings LLC Nevada3
- French Lake Health Holdings LLC Nevada3
- Fullerton Healthcare, Inc. Nevada3
- Galena Healthcare LLC Nevada3
- Garwood Health Holdings II LLC Nevada3
- Gate Three Healthcare LLC Nevada3
- Gateway Healthcare LLC Nevada3
- Gem Healthcare, Inc. Nevada3
- Getzendaner Healthcare, Inc. Nevada3
- Glendale Healthcare Associates LLC Nevada3
- Glimmer Healthcare, Inc. Nevada3
- Golden Eagle Senior Living, Inc. Nevada3
- Golden Oaks Healthcare, Inc. Nevada3
- Golden Ridge Healthcare, Inc. Nevada3
- Golden Years Program, Inc. Nevada3
- Goldenstar Healthcare, Inc. Nevada3
- Goldfield Mountain Healthcare LLC Nevada3
- Good Hope Healthcare, Inc. Nevada3
- Gooding Health Holdings LLC Nevada3
- Graceland Senior Living, Inc. Nevada3
- Grand Avenue Health Holdings LLC Nevada3
- Grand Villa PHX, Inc. Nevada3
- Grassland Healthcare and Rehabilitation, Inc. Nevada3
- Great Forrest Holdings LLC Nevada3
- Green Bay Health Holdings LLC Nevada3
- Green Heron Senior Living, Inc. Nevada3
- Green Mountain Healthcare LLC Nevada3
- Green Mountain Personalized Care, Inc. Nevada3
- Green Valley Health Holdings LLC Nevada3
- Gypsum Creek Healthcare, Inc. Nevada3
- HB Healthcare Associates LLC Nevada3
- Hamilton Health Holdings LLC Nevada3
- Harbor Mesa Healthcare LLC Nevada3
- Harlan Heights Health Holdings LLC Nevada3
- Harlingen Healthcare, Inc. Nevada3
- Harmony Health Holdings LLC Nevada3
- Harmony Hill Healthcare, Inc. Nevada3
- Harrison Health Holdings LLC Nevada3
- Hartwell Health Holdings LLC Nevada3
- Hawkins Spring Healthcare LLC Nevada3
- Healthlift Medical Transportation, Inc. Nevada3
- Heartland Health Holdings II LLC Nevada3
- Hickory Creek Healthcare LLC Nevada3
- Highcross Healthcare, Inc. Nevada3
- Highland Healthcare LLC Nevada3
- Higley Healthcare, Inc. Nevada3
- Hill Country Health Holdings LLC Nevada3
- Holbrook Healthcare LLC Nevada3
- Holford Health Holdings LLC Nevada3
- Holly Plains Health Holdings LLC Nevada3
- Hollyleaf Healthcare, Inc. Nevada3
- Holman Health Holdings LLC Nevada3
- Homedale Healthcare, Inc. Nevada3
- Hopewell Healthcare LLC Nevada3
- Hoquiam Healthcare, Inc. Nevada3
- Hub City Healthcare LLC Nevada3
- Hueneme Healthcare, Inc. Nevada3
- Huntington Beach Convalescent Hospital Asset LLC Delaware3
- Hutchins Healthcare, Inc. Nevada3
- Hyrum Health Holdings LLC Nevada3
- Immediate Clinic Seattle, Inc. Nevada3
- Iron Health Holdings LLC Nevada3
- Iron Horse Healthcare LLC Nevada3
- JARR Transportation Group, Inc. Arizona3
- JRT Healthcare, Inc. Nevada3
- Jack Finney Healthcare, Inc. Nevada3
- Jack Pines Healthcare LLC Nevada3
- Jefferson Healthcare LLC Nevada3
- Jordan Health Associates, Inc. Nevada3
- Joseph Peak Health Holdings LLC Nevada3
- Juniper Springs Healthcare, Inc. Nevada3
- Kendrick Healthcare LLC Nevada3
- Kenosha Health Holdings LLC Nevada3
- Kettle Creek Health Holdings LLC Nevada3
- Keystone Care LLC Nevada3
- Kingston Falls Healthcare LLC Nevada3
- Klement Healthcare, Inc. Nevada3
- Knight Health Holdings LLC Nevada3
- Korsin Healthcare LLC Nevada3
- Krypton Health Services LLC Nevada3
- La Jolla Skilled LLC Nevada3
- La Veta Healthcare, Inc. Nevada3
- Lacefield Healthcare LLC Nevada3
- Lake Cassidy Health Holdings LLC Nevada3
- Lake Island Healthcare LLC Nevada3
- Lake Morris Health Holdings LLC Nevada3
- Lake Pleasant Healthcare, Inc. Nevada3
- Lake Pointe Health Holdings LLC Nevada3
- Lake Waco Health Holdings LLC Nevada3
- Lake Washington Healthcare, Inc. Nevada3
- Lake Winnebago Health Holdings LLC Nevada3
- Lakewood Health Holdings LLC Nevada3
- Lakewood Healthcare, Inc. Nevada3
- Last Empire Healthcare LLC Nevada3
- Latham River Healthcare, Inc. Nevada3
- Ledbetter Health Holdings LLC Nevada3
- Legend Lake Health Holdings LLC Nevada3
- Lemon Grove Health Associates LLC Nevada3
- Lightning Healthcare, Inc. Nevada3
- Lilac City Health Holdings LLC Nevada3
- Lilly Road Health Holdings LLC Nevada3
- Lil’ Tots Day Program, Inc. Nevada3
- Lindahl Healthcare, Inc. Nevada3
- Link Support Services, Inc. Nevada3
- Little Blue Health Holdings LLC Nevada3
- Little Mountain Healthcare, Inc. Nevada3
- Little Village Day Care, Inc. Nevada3
- Littleton Health Holdings LLC Nevada3
- Livingston Care Associates, Inc. Nevada3
- Lone Star MTC, Inc. Nevada3
- Longboard Health Holdings LLC Nevada3
- Longs Peak Healthcare, Inc. Nevada3
- Lookout Mountain Healthcare LLC Nevada3
- Lost Cane Senior Living, Inc. Nevada3
- Lowell Healthcare, Inc. Nevada3
- Lucky Peak Healthcare, Inc. Nevada3
- Ludden Healthcare LLC Nevada3
- Luna Vega Healthcare LLC Nevada3
- Lynnwood Health Services, Inc. Nevada3
- Lynx Canyon Health Holdings LLC Nevada3
- Madison Health Holdings LLC Nevada3
- Madison Pointe Health Holdings LLC Nevada3
- Magic Valley Senior Living, Inc. Nevada3
- Magic Way Health Holdings LLC Nevada3
- Mahogany Mountain Health Holdings LLC Nevada3
- Malcolm Healthcare, Inc. Nevada3
- Manitowoc Health Holdings LLC Nevada3
- Manor Park Healthcare LLC Nevada3
- Manzanita Healthcare, Inc. Nevada3
- Maple Hills Healthcare, Inc. Nevada3
- Marble City Healthcare, Inc. Nevada3
- Marguerite Holdings LLC Nevada3
- Mariano Health Holdings LLC Nevada3
- Marion Health Associates, Inc. Nevada3
- Market Bayou Healthcare, Inc. Nevada3
- Marshall Lake Healthcare LLC Nevada3
- Mason Health Holdings LLC Nevada3
- Mason Park Healthcare, Inc. Nevada3
- MavStar Medical Transportation, Inc. Nevada3
- McAllen Care Associates, Inc. Nevada3
- McAllen Community Healthcare LLC Nevada3
- McCall Healthcare LLC Nevada3
- McFarland Health Holdings LLC Nevada3
- MedStar Medical Transportation, LLC Arizona3
- Menomonee Health Holdings LLC Nevada3
- Merchant Health Holdings LLC Nevada3
- Meridian Healthcare LLC Nevada3
- Merrill Health Holdings LLC Nevada3
- Midland Nampa Health Holdings LLC Nevada3
- Midland Nampa Healthcare LLC Nevada3
- Midnight Healthcare, Inc. Nevada3
- Milestone Healthcare LLC Nevada3
- Millcreek Health Holdings LLC Nevada3
- Mission Trails Healthcare LLC Nevada3
- Misty Willow Healthcare, Inc. Nevada3
- Mockingbird Healthcare, Inc. Nevada3
- Monroe Healthcare, Inc. Nevada3
- Montebella Health Holdings LLC Nevada3
- Montecito Outpatient Rehabilitation LLC Nevada3
- Moon Cove Healthcare, Inc. Nevada3
- Moonflower Healthcare, Inc. Nevada3
- Moonrise Healthcare, Inc. Nevada3
- Morning Glory Healthcare, Inc. Nevada3
- Mount Lemmon Healthcare LLC Nevada3
- Mount Sunflower Health Holdings LLC Nevada3
- Mountain View Retirement, Inc. Nevada3
- Mountain Violet Healthcare, Inc. Nevada3
- Muriel Healthcare LLC Nevada3
- Murphy Health Holdings II LLC Nevada3
- Murphy Road Healthcare, Inc. Nevada3
- Mussel Rock Healthcare, Inc. Nevada3
- Mustang Ridge Healthcare, Inc. Nevada3
- Myers Pond Healthcare LLC Nevada3
- Myracle Health Holdings LLC Nevada3
- Myrtle Springs Healthcare LLC Nevada3
- NB Brown Rock Healthcare, Inc. Nevada3
- Narrows Peak Health Holdings LLC Nevada3
- Nautilus Healthcare, Inc. Nevada3
- Nelson Peak Health Holdings LLC Nevada3
- New England Medical Transportation, Inc. Nevada3
- Nickel Valley Health Holdings LLC Nevada3
- Nightfall Healthcare, Inc. Nevada3
- Nobel Health Properties LLC Nevada3
- Nordic Valley Health Holdings LLC Nevada3
- North Fork Health Holdings LLC Nevada3
- North Mountain Healthcare LLC Nevada3
- North Parkway Health Holdings LLC Nevada3
- North Parkway Healthcare LLC Nevada3
- North Silver Healthcare, Inc. Nevada3
- Northern Oaks Healthcare, Inc. Nevada3
- Oak Point Healthcare, Inc. Nevada3
- Oak Prairie Healthcare, Inc. Nevada3
- Oceanview Healthcare, Inc. Nevada3
- Ocotillo Healthcare, Inc. Nevada3
- Old Pueblo Medical Transportation, Inc. Nevada3
- Olmstead Health Holdings LLC Nevada3
- Olympic Marmot Healthcare LLC Nevada3
- Olympus Health, Inc. Nevada3
- One Hope Healthcare LLC Nevada3
- One Hope Senior Living LLC Nevada3
- Oneida Creek Health Holdings LLC Nevada3
- Orange Grove Healthcare, Inc. Nevada3
- Orange Health Holdings LLC Nevada3
- Orchard Bay Health Holdings LLC Nevada3
- Orman Ridge Healthcare LLC Nevada3
- Osage Valley Healthcare LLC Nevada3
- Ottawa Healthcare LLC Nevada3
- PMD Investments, LLC Nevada3
- PMD X-Ray Services, LLC Nevada3
- PMDAZ, LLC Nevada3
- PMDCO, LLC Nevada3
- PMDTC, LLC Nevada3
- PMDUT, LLC Nevada3
- POST Rio Grande Valley LLC Nevada3
- POST THERAPY LLC Nevada3
- POST Westover Hills LLC Nevada3
- Padua Health Holdings LLC Nevada3
- Palm Valley Health Holdings LLC Nevada3
- Panorama Health Holdings LLC Nevada3
- Park Waverly Healthcare LLC Nevada3
- Parker Creek Healthcare LLC Nevada3
- Parkside Healthcare, Inc. Nevada3
- Pendant Staffing CA, LLC Nevada3
- Pendant Staffing, Inc. Nevada3
- Pendant Staffing, LLC Nevada3
- Pennant Healthcare LLC Nevada3
- Peoria Healthcare LLC Nevada3
- Percheron Healthcare LLC Nevada3
- Permunitum LLC Nevada3
- Perris Hills Healthcare LLC Nevada3
- Phoenix Mountain Therapy LLC Nevada3
- Pikes Peak Healthcare, Inc. Nevada3
- Pine Forest Healthcare, Inc. Nevada3
- Piney Lufkin Healthcare, Inc. Nevada3
- Pioneer Transportation Holdings LLC Nevada3
- Pleasant Run Health Holdings LLC Nevada3
- Pocatello Health Services, Inc. Nevada3
- Pointe Meadow Healthcare, Inc. Nevada3
- Pomerado Ranch Healthcare LLC Nevada3
- Ponderosa Pine Healthcare, Inc. Nevada3
- Portside Healthcare, Inc. Nevada3
- Poudre Creek Health Holdings LLC Nevada3
- Powderhorn Mountain Healthcare LLC Nevada3
- Powers Park Healthcare, Inc. Nevada3
- Prairie Creek Healthcare, Inc. Nevada3
- Prairie Ridge Health Holdings LLC Nevada3
- Prairie Waters Healthcare, Inc. Nevada3
- Presidio Diagnostics LLC Nevada3
- Presidio Health Associates LLC Nevada3
- Price Healthcare, Inc. Nevada3
- Primrose Health Holdings LLC Nevada3
- Primrose Healthcare, Inc. Nevada3
- Provo Bay Health Holdings LLC Nevada3
- Quail Creek Health Holdings LLC Nevada3
- Queenston Healthcare, Inc. Nevada3
- Quorum Services, Inc. Nevada3
- Racine Health Holdings LLC Nevada3
- Radiant Hills Health Associates LLC Nevada3
- Railroad Crossing Healthcare, Inc. Nevada3
- Ramon Healthcare Associates LLC Nevada3
- Randolph Healthcare, Inc. Nevada3
- Raven Lake Healthcare, Inc. Nevada3
- Ravenscroft Healthcare LLC Nevada3
- Red Cliffs Healthcare, Inc. Nevada3
- Red Mountain Healthcare LLC Nevada3
- Redbrook Healthcare Associates LLC Nevada3
- RenewCare of Scottsdale, Inc. Nevada3
- Respire Health Services LLC Nevada3
- Rex Road Healthcare LLC Nevada3
- Richmond Senior Services, Inc. Nevada3
- Rigby Creek Senior Living, Inc. Nevada3
- Rillito River Healthcare, Inc. Nevada3
- Rincon Bayou Healthcare LLC Nevada3
- Rio Hondo Healthcare, Inc. Nevada3
- Rio Mesa Health Holdings LLC Nevada3
- River Bluff Healthcare, Inc. Nevada3
- River Hawk Healthcare LLC Nevada3
- River Otter Healthcare LLC Nevada3
- Riverside Healthcare, Inc. Nevada3
- Riverview Healthcare, Inc. Nevada3
- Riverview Village Health Holdings LLC Nevada3
- Riverwalk Healthcare, Inc. Nevada3
- Roadrunner Healthcare, Inc. Nevada3
- Rock Canyon Healthcare LLC Nevada3
- Rock Hill Healthcare LLC Nevada3
- Rocky Mountain Medical Transportation Company, Inc. Nevada3
- Rocky Top Healthcare LLC Nevada3
- Rose Health Holdings LLC Nevada3
- Rose Park Healthcare Associates, Inc. Nevada3
- Rosemead Health Holdings LLC Nevada3
- Rowlett Creek Healthcare LLC Nevada3
- Royal View Healthcare LLC Nevada3
- Russet Ridge Healthcare LLC Nevada3
- Sadie Ranch Health Holdings LLC Nevada3
- Sage Meadow Healthcare, Inc. Nevada3
- Sage Terrace Healthcare LLC Nevada3
- Sagebrush Healthcare, Inc. Nevada3
- Salado Creek Senior Care, Inc. Nevada3
- Salisbury Plain Healthcare LLC Nevada3
- Salt Creek Healthcare LLC Nevada3
- Saltwater Health Holdings LLC Nevada3
- Sand Creek Healthcare, Inc. Nevada3
- Sand Hollow Healthcare LLC Nevada3
- Sanderson Lake Healthcare, Inc. Nevada3
- Sandpiper Senior Living LLC Nevada3
- Santa Catalina Healthcare, Inc. Nevada3
- Santa Maria Healthcare, Inc. Nevada3
- Santiago Healthcare LLC Nevada3
- Santiago Personal Care, Inc. Nevada3
- Sarsen Healthcare LLC Nevada3
- Savoy Healthcare, Inc. Nevada3
- Sawtooth Healthcare, Inc. Nevada3
- Scandinavian Court Health Holdings LLC Nevada3
- Seaboard Healthcare, Inc. Nevada3
- Seagull Lane Healthcare, Inc. Nevada3
- Second West Health Holdings LLC Nevada3
- Sedgewood Health Holdings LLC Nevada3
- Sentinel Peak Healthcare LLC Nevada3
- Sheboygan Health Holdings LLC Nevada3
- Sherman Health Holdings LLC Nevada3
- Sherwood Health Holdings LLC Nevada3
- Shiloh Health Holdings LLC Nevada3
- Shoshone Health Holdings LLC Nevada3
- Sidewinder Healthcare, Inc. Nevada3
- Siena Health Holdings LLC Nevada3
- Silver Falls Health Holdings LLC Nevada3
- Skywalk Health Holdings LLC Nevada3
- Smoky Mountain Healthcare, Inc. Nevada3
- Somers Kenosha Health Holdings LLC Nevada3
- Songbird Healthcare, Inc. Nevada3
- South C Health Holdings LLC Nevada3
- South Valley Healthcare, Inc. Nevada3
- Southern Charm Healthcare LLC Nevada3
- Southern Oaks Healthcare LLC Nevada3
- Southland Management LLC Nevada3
- Southside Healthcare, Inc. Nevada3
- Southstone Healthcare LLC Nevada3
- Spring Creek Healthcare, Inc. Nevada3
- Spring Trail Health Holdings LLC Nevada3
- Squak Valley Health Holdings LLC Nevada3
- Stagecoach Healthcare, Inc. Nevada3
- Standard Bearer Healthcare Merger Sub, LLC Maryland3
- Standard Bearer Healthcare OP GP, LLC Delaware3
- Standard Bearer Healthcare OP, LP Delaware3
- Standard Bearer Healthcare REIT, Inc. Maryland3
- Standardbearer Insurance Company, Inc. Arizona3
- Stanton Lake Healthcare, Inc. Nevada3
- Stapleton Health Holdings LLC Nevada3
- Starburst Healthcare, Inc. Nevada3
- Starling Healthcare, Inc. Nevada3
- Statler Health Holdings LLC Nevada3
- Steel City Healthcare, Inc. Nevada3
- Steelhead Healthcare, Inc. Nevada3
- Stevens Health Holdings LLC Nevada3
- Stevens Point Health Holdings LLC Nevada3
- Stoney Hill Healthcare LLC Nevada3
- Storm Healthcare, Inc. Nevada3
- Stoughton Health Holdings LLC Nevada3
- Strawberry Pond Healthcare LLC Nevada3
- Streetcar Healthcare, Inc. Nevada3
- Strong Creek Health Holdings LLC Nevada3
- Subacute Facility Services, Inc. Nevada3
- Successor Healthcare LLC Nevada3
- Sugar Maple Health Holdings LLC Nevada3
- Summit Healthcare, Inc. Nevada3
- Summit Trail Health Holdings LLC Nevada3
- Sun Mountain Health Holdings LLC Nevada3
- Sunflower Health Holdings LLC Nevada3
- Sungazer Healthcare, Inc. Nevada3
- Sunland Health Associates LLC Nevada3
- Sunny Acres Health Holdings LLC Nevada3
- Sunny Acres Healthcare LLC Nevada3
- Sunrise Mountain Healthcare LLC Nevada3
- Sweet Bay Healthcare LLC Nevada3
- Terrace Court Health Holdings LLC Nevada3
- Terrace Hill Healthcare LLC Nevada3
- The Ensign Group, Inc. Delaware3
- TheraTroopers CA, Inc. Nevada3
- TheraTroopers, Inc. Nevada3
- Theratroopers Holdings LLC Nevada3
The subsidiaries the company lists in Exhibit 21 of its annual report, as filed.
Timeline
- Aug 25, 20268-K Bylaws or fiscal year changed48
- Aug 20, 20268-K Entered a material agreement; New debt or obligation; Regulation FD disclosure49
- Jul 27, 20268-K Results of operations50
- Jun 15, 20268-K Other events51
- Jun 10, 20268-K Other events52
- May 18, 20268-K Shareholder vote53
- Apr 30, 20268-K Results of operations54
- Feb 4, 20268-K Results of operations55
- Nov 3, 20258-K Results of operations56
- Aug 26, 20258-K Executive or director change57
- Jul 24, 20258-K Results of operations58
- Jun 20, 20258-K Executive or director change59
- May 31, 2019New chief executive Barry Port becomes CEO14
- Nov 8, 2007New chief executive Christopher R. Christensen becomes CEO15
Calendar
Coming up
- Nov 2, 2026Reports results for the quarter ending Sep/2026 A year earlier it reported $1.47 a share, on Nov 3, 2025.60
When it reported results
- Jul 27, 2026Reported quarterly or annual results50
- Apr 30, 2026Reported quarterly or annual results54
- Feb 4, 2026Reported quarterly or annual results55
- Nov 3, 2025Reported quarterly or annual results56
- Jul 24, 2025Reported quarterly or annual results58
- Apr 29, 2025Reported quarterly or annual results61
- Feb 5, 2025Reported quarterly or annual results62
- Oct 24, 2024Reported quarterly or annual results63
Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar
Filings
545 filings to the SEC since October 2021: 5 annual reports, 15 quarterly reports, 36 major events, 359 insider forms, 20 large holders, 110 other. The latest 20:
- Sep 14, 20264 EDGAR
- Aug 25, 20268-K EDGAR
- Aug 20, 20268-K EDGAR
- Aug 13, 20264 EDGAR
- Jul 31, 2026SCHEDULE 13G/A EDGAR
- Jul 29, 20264 EDGAR
- Jul 28, 2026SCHEDULE 13G/A EDGAR
- Jul 27, 2026144 EDGAR
- Jul 27, 20268-K EDGAR
- Jul 27, 202610-Q EDGAR
- Jul 22, 20264 EDGAR
- Jul 20, 2026144 EDGAR
- Jul 17, 20264 EDGAR
- Jul 17, 20264 EDGAR
- Jul 17, 20264 EDGAR
- Jul 17, 20264 EDGAR
- Jul 17, 20264 EDGAR
- Jul 17, 20264 EDGAR
- Jul 16, 2026144 EDGAR
- Jun 15, 20268-K EDGAR
The 545 filings since October 2021 can be filtered by form type and year here when JavaScript is on.
Every filing from the last five years, summarized. The full record is on SEC EDGAR.
Insider trades
120 open-market trades by officers, directors and large owners since October 2021: 1 buys and 119 sales. Grants, option exercises and gifts are left out.
| Date | Who | Trade | Shares | Price | Value | Filing |
|---|---|---|---|---|---|---|
| Jul 27, 2026 | Blouin Ann ScottDirector | Sale | 375 | $183.54 | $68.8K | Form 4 |
| Jul 20, 2026 | Agwunobi John ODirector | Sale | 392 | $171.06 | $67.1K | Form 4 |
| Jul 16, 2026 | Parkinson Mark VincentDirector | Sale | 100 | $168.12 | $16.8K | Form 4 |
| Jun 2, 2026 | SMITH BARRY MDirector | Sale | 700 | $164.28 | $115.0K | Form 4 |
| May 4, 2026 | SMITH BARRY MDirector | Sale | 700 | $182.21 | $127.5K | Form 4 |
| Apr 20, 2026 | Agwunobi John ODirector | Sale | 392 | $199.97 | $78.4K | Form 4 |
| Apr 16, 2026 | Parkinson Mark VincentDirector | Sale | 100 | $196.60 | $19.7K | Form 4 |
| Apr 2, 2026 | SMITH BARRY MDirector | Sale | 700 | $196.65 | $137.7K | Form 4 |
| Mar 2, 2026 | SMITH BARRY MDirector | Sale | 700 | $213.02 | $149.1K | Form 4 |
| Feb 20, 2026 | Uychiat Pison MarivicDirector | Sale | 67 | $204.92 | $13.7K | Form 4 |
| Feb 19, 2026 | Uychiat Pison MarivicDirector | Sale | 83 | $211.02 | $17.5K | Form 4 |
| Feb 19, 2026 | Wittekind Beverly B.VP and Chief Legal Officer | Sale | 500 | $210.23 | $105.1K | Form 4 |
| Feb 17, 2026 | Shaw DarenDirector | Sale | 1,000 | $213.43 | $213.4K | Form 4 |
| Feb 9, 2026 | Parkinson Mark VincentDirector | Sale | 100 | $198.00 | $19.8K | Form 4 |
| Feb 9, 2026 | Blouin Ann ScottDirector | Sale | 375 | $198.00 | $74.2K | Form 4 |
| Feb 6, 2026 | Snapper Suzanne D.CFO | Sale | 4,573 | $196.11 | $896.8K | Form 4 |
| Feb 5, 2026 | Snapper Suzanne D.CFO | Sale | 8,258 | $194.48 | $1.6M | Form 4 |
| Feb 2, 2026 | SMITH BARRY MDirector | Sale | 700 | $171.54 | $120.1K | Form 4 |
| Jan 21, 2026 | Agwunobi John ODirector | Sale | 146 | $178.31 | $26.0K | Form 4 |
| Jan 20, 2026 | Agwunobi John ODirector | Sale | 246 | $179.82 | $44.2K | Form 4 |
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From Forms 4 filed with the SEC.
Major holders
Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.
- VANGUARD PORTFOLIO MANAGEMENT LLCSCHEDULE 13G/A, 2 filings Apr 29, 2026 to Jul 31, 202664
- BlackRockSCHEDULE 13G/A, 6 filings Jan 28, 2022 to Jul 28, 202665
- VANGUARD CAPITAL MANAGEMENT LLCSCHEDULE 13G, 1 filing Apr 29, 202666
- VANGUARD GROUP INCSCHEDULE 13G/A, 5 filings Feb 10, 2022 to Mar 26, 202667
- WASATCH ADVISORS LPSCHEDULE 13G/A, 5 filings Feb 10, 2022 to Feb 10, 202668
- BAILLIE GIFFORD & COSCHEDULE 13G, 1 filing Feb 9, 202669
Executive pay
What the company paid its top executives, from the summary compensation table in its proxy statement. Total pay includes salary, bonus, stock and option awards and other pay, as the company valued them.
| Year | Executive | Age | Salary | Total pay |
|---|---|---|---|---|
| 2025 | Barry R. Port | $549.3K | $13.8M70 | |
| 2025 | Suzanne D. Snapper | $453.7K | $11.9M70 | |
| 2025 | Spencer W. Burton | $349.3K | $9.6M70 | |
| 2025 | Chad A. Keetch | $411.9K | $8.4M70 | |
| 2025 | Christopher R. Christensen | $469.6K | $2.6M70 | |
| 2024 | Chief Executive Officer | $533.3K | $11.0M70 | |
| 2024 | Chief Financial Officer, | $440.5K | $9.5M70 | |
| 2024 | President and Chief Operations Officer, | $339.1K | $8.0M70 | |
| 2024 | Chief Investment Officer | $399.9K | $6.6M70 | |
| 2024 | Co-Founder and Former | $606.2K | $4.6M70 | |
| 2023 | and Chairman of Board | $517.7K | $11.0M70 | |
| 2023 | Executive VicePresident and Director | $427.7K | $9.8M70 | |
| 2023 | Ensign ServicesInc. | $329.2K | $8.5M70 | |
| 2023 | and Executive Vice President and Secretary | $388.3K | $7.3M70 | |
| 2023 | Executive Chairman and Chairman of the Board | $588.5K | $4.0M70 |
Held by these funds
The largest holders among investment managers' 13F reports for the quarter ending Jun 30, 2026, the top 25 of 100. Change is in shares since the quarter before.
| Fund | Shares | Value | Share of the fund | Change |
|---|---|---|---|---|
| BlackRock, Inc. | 5,846,650 | $937.2M | 0.0% | −1,517,884 |
| Baillie Gifford & Co | 5,029,273 | $806.2M | 0.7% | +203,101 |
| Vanguard Portfolio Management LLC | 2,866,559 | $459.5M | 0.0% | −253,739 |
| Vanguard Capital Management LLC | 2,624,612 | $420.7M | 0.0% | +31,707 |
| Fmr LLC | 2,540,352 | $407.2M | 0.0% | +243,887 |
| Wasatch Advisors LP | 2,278,324 | $365.2M | 2.4% | +220,329 |
| Capital Research Global Investors | 2,019,706 | $323.8M | 0.0% | +617,598 |
| State Street Corp | 1,797,579 | $288.3M | 0.0% | −265,271 |
| Geode Capital Management, LLC | 1,667,955 | $267.4M | 0.0% | −19,337 |
| Arrowstreet Capital, Limited Partnership | 1,075,099 | $172.3M | 0.1% | +617,432 |
| Dimensional Fund Advisors LP | 963,826 | $154.5M | 0.0% | +3,253 |
| Norges Bank | 728,801 | $116.8M | 0.0% | New |
| Turtle Creek Asset Management Inc. | 652,046 | $104.5M | 4.1% | +394,886 |
| Charles Schwab Investment Management Inc | 649,397 | $104.1M | 0.0% | −130,834 |
| Eversept Partners, LP | 602,079 | $96.5M | 5.3% | +587,318 |
| Fuller & Thaler Asset Management, Inc. | 593,069 | $95.1M | 0.3% | +19,497 |
| Morgan Stanley | 588,646 | $94.4M | 0.0% | +99,419 |
| Copeland Capital Management, LLC | 568,896 | $91.2M | 1.9% | −24,529 |
| Northern Trust Corp | 544,869 | $87.3M | 0.0% | −222,291 |
| Clark Capital Management Group, Inc. | 544,352 | $87.3M | 0.5% | +15,736 |
| Hood River Capital Management LLC | 504,517 | $80.9M | 0.6% | +14,091 |
| Franklin Resources Inc | 503,176 | $80.7M | 0.0% | −152,810 |
| Goldman Sachs Group Inc | 446,196 | $71.5M | 0.0% | +9,181 |
| American Century Companies Inc | 442,750 | $71.0M | 0.0% | +66,911 |
| Riverbridge Partners LLC | 440,086 | $70.5M | 2.0% | −129,259 |
13F reports cover disclosed long positions in U.S. stocks only.
SEC filer profile
How ENSIGN GROUP, INC is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.
- Name on EDGARENSIGN GROUP, INC1
- CIK0001125376
- Employer ID (EIN)33-08612634
- Filer statusLarge accelerated filer not an emerging growth company; not a smaller reporting company; not a shell company4
- Incorporated inDelaware4
- Fiscal year endsDecember 311
- Industry code (SIC)8051 Services-Skilled Nursing Care Facilities1
- SEC reviewing officeOffice of Industrial Applications and Services, Division of Corporation Finance1
- Business address29222 Rancho Viejo Rd., Suite 127, San Juan Capistrano, CA 926751
- Phone(949) 487-95001
- Shares outstanding58,282,434 as of Jul 23, 202611
- Public float$6.0B as of Jun 30, 20254
- AuditorDELOITTE & TOUCHE LLP, Costa Mesa, California PCAOB ID 34; it also attests to the company’s internal control over financial reporting4
- On EDGAR sinceMay 14, 20071
- Filings1,794 in all: 4 (1,142), 8-K (166), 144 (93), 5 (78), SC 13G/A (69), 10-Q (57), 3 (34), 4/A (29)1
All 31 form types
10-K (19), DEF 14A (19), SC 13G (19), UPLOAD (11), S-8 (9), CORRESP (7), ARS (6), DEFA14A (5), S-1/A (5), SCHEDULE 13G/A (5), 8-K/A (4), SCHEDULE 13G (3), 424B5 (2), 8-A12B (2), PRE 14A (2), 10-Q/A (1), 25 (1), 424B4 (1), CERTNAS (1), EFFECT (1), FWP (1), S-1 (1), S-3ASR (1)
- Latest filingsAnnual report (10-K) Feb 4, 2026
Quarterly report (10-Q) Jul 27, 2026
Proxy statement (DEF 14A) Apr 2, 2026
Latest 8-K (8-K) Aug 25, 2026
Securities registered for trading
| Class | Symbol | Exchange |
|---|---|---|
| Common Stock, par value $0.001 per share | ENSG | NASDAQ Global Select Market |
From the cover page of the 10-K filed Feb 4, 2026 (Section 12(b) of the Exchange Act).4
Risk factors and legal proceedings
The risks ENSIGN GROUP, INC names in Item 1A of its 10-K filed Feb 4, 2026: 53 risks under these headings, as written.4
- Risks Related to our Business and Industry
- Risks Related to Ownership of our Common Stock
- Risks Related to Our Business and Industry
- The rules of Medicare and Medicaid, including reductions of reimbursement rates, changes to spending requirements, data reporting, measurement and evaluation standards could have a material, adverse effect on our revenues, financial condition and results of operations.
- State-level direct spending requirements could negatively impact our results of operations.
- Reforms to the U.S. healthcare system, including new regulations under the ACA, continue to impose new requirements upon us that could materially impact our business.
- Anticipated changes in the U.S. political environment, including those as a result of the current Presidential administration and control of Congress, and to regulatory agencies, particularly HHS, may result in significant changes to regulatory framework, enforcements, reimbursements and our business.
- We are subject to various government reviews, audits and investigations that could adversely affect our business, including an obligation to refund amounts previously paid to us, potential criminal charges, the imposition of fines, and/or the loss of our right to participate in Medicare and Medicaid programs.
- We are subject to extensive and complex laws and government regulations. If we are not operating in compliance with these laws and regulations or if these laws and regulations change, we could be required to make significant expenditures or change our operations in order to bring our facilities and operations into compliance.
- Public and government calls for increased survey and enforcement efforts toward SNFs, past and potential rulemaking that results in enhanced enforcement and penalties, could result in increased scrutiny by state and federal survey agencies. In addition, potential sanctions and remedies based upon alleged regulatory deficiencies could negatively affect our financial condition and results of operations.
- CMS’s changes to the SFF program and its look-back period may create greater risk of our facilities being subject to this program and subject to potential fines and sanctions, even after graduating from the SFF program.
- Future cost containment initiatives undertaken by private third-party payors may limit our revenue and profitability.
The other 44 risks
- Reductions in Medicare reimbursements for physician and non-physician services could impact reimbursement for medical professionals.
- We may be subject to increased investigation and enforcement activities related to HIPAA violations.
- Security breaches and other cyber-security incidents could violate security laws and subject us to significant liability.
- We may not be fully reimbursed for all services for which each facility bills through consolidated billing, which could adversely affect our revenue, financial condition and results of operations.
- Increased competition for, or a shortage of, nurses and other skilled personnel could increase our staffing and labor costs and subject us to monetary fines.
- Annual caps and other cost-reductions for outpatient therapy services may reduce our future revenue and profitability or cause us to incur losses.
- The Office of the Inspector General or other regulatory authorities may choose to more closely scrutinize billing practices in areas where we operate or propose to expand, which could result in an increase in regulatory monitoring and oversight, decreased reimbursement rates, or otherwise adversely affect our business, financial condition and results of operations.
- State efforts to regulate or deregulate the healthcare services industry or the construction or expansion of healthcare facilities could impair our ability to expand our operations, or could result in increased competition.
- Newly enacted and proposed legislation in the States where our independent subsidiaries are located may affect our operations in terms of individual litigation and the broader regulatory environment.
- Changes to federal and state employment-related laws and regulations could increase our cost of doing business.
- Required regulatory approvals could delay or prohibit transfers of our healthcare operations, which could result in periods in which we are unable to receive reimbursement for such properties.
- Compliance with federal and state fair housing, fire, safety and other regulations may require us to make unanticipated expenditures, which could be costly to us.
- We depend largely upon reimbursement from third-party payors, and our revenue, financial condition and results of operations could be negatively impacted by any changes in the acuity mix of patients in our independent subsidiaries as well as payor mix and payment methodologies.
- We are subject to litigation that could result in significant legal costs and large settlement amounts or damage awards.
- We conduct regular internal investigations into the care delivery, recordkeeping and billing processes of our independent subsidiaries. These reviews sometimes detect instances of noncompliance which we attempt to correct, which can decrease our revenue.
- The OHCA CMIR has the potential to delay or prevent proposed transactions and require disclosure of confidential information.
- We may be unable to complete future asset or business acquisitions at attractive prices or at all, which may adversely affect our revenue; we may also elect to dispose of underperforming or non-strategic independent subsidiaries, which would also decrease our revenue.
- We may not be able to successfully integrate acquired assets and businesses into our operations, and we may not achieve the benefits we expect from any of our acquisitions.
- In undertaking acquisitions, we may be adversely impacted by costs, liabilities and regulatory issues that may adversely affect our operations.
- If we do not achieve or maintain competitive quality of care ratings from CMS or private organizations engaged in similar monitoring activities, our business may be negatively affected.
- If we are unable to obtain insurance, or if insurance becomes more costly for us to obtain, our business may be adversely affected.
- Our self-insurance programs may expose us to significant and unexpected costs and losses.
- The geographic concentration of our independent subsidiaries could leave us vulnerable to an economic downturn, regulatory changes or acts of nature in those areas.
- The actions of a national labor union that has pursued a negative publicity campaign criticizing our business in the past may adversely affect our revenue and our profitability.
- Because we lease the majority of the facilities operated by our independent subsidiaries, we are subject to risks associated with leased real property, including risks relating to lease termination, lease extensions and special charges, any of which could adversely affect our business, financial position or results of operations.
- Failure to generate sufficient cash flow to cover required payments or meet operating covenants under our long-term debt, mortgages and long-term operating leases could result in defaults under such agreements and cross-defaults under other debt, mortgage or operating lease arrangements, which could harm our independent subsidiaries and cause us to lose facilities or experience foreclosures.
- A housing downturn could decrease demand for senior living services.
- As we continue to acquire and lease real estate assets, we may not be successful in identifying and consummating these transactions.
- As we expand our presence in other relevant healthcare industries, we would become subject to risks in a market in which we have limited experience.
- If our referral sources fail to view us as an attractive skilled nursing provider, or if our referral sources otherwise refer fewer patients, our patient base may decrease.
- We may need additional capital to fund our independent subsidiaries and finance our growth, and we may not be able to obtain it on terms acceptable to us, or at all, which may limit our ability to grow.
- Delays in reimbursement may cause liquidity problems.
- The continued use and growth of managed care organizations (MCOs) may contribute to delays or reductions in our reimbursement, including Managed Medicaid.
- Compliance with the regulations of the Department of Housing and Urban Development may require us to make unanticipated expenditures which could increase our costs.
- If we fail to safeguard the monies held in our patient trust funds, we will be required to reimburse such monies, and we may be subject to citations, fines and penalties.
- We are a holding company with no operations and rely upon our multiple independent subsidiaries to generate revenue and provide us with the funds necessary to meet our financial obligations. Liabilities of any one or more of our subsidiaries could be imposed upon us or our other subsidiaries.
- Our implementation of a new enterprise resource planning (ERP) system may adversely affect our business and results of operations or the effectiveness of our internal controls over financial reporting.
- Certain directors who serve on our Board of Directors also serve as directors of Pennant, and ownership of shares of Pennant common stock by our directors and executive officers may create, or appear to create, conflicts of interest.
- If Standard Bearer fails to remain qualified as a REIT, it will be subject to U.S. federal income tax as a regular corporation and could face substantial tax liability.
- Legislative or other actions affecting REITs could have a negative effect on Standard Bearer.
- Even if Standard Bearer remains qualified as a REIT, it may face other tax liabilities that reduce its cash flow.
- Failure to comply with existing environmental laws could result in increased expenditures, litigation and potential loss to our business and in our asset value.
- We may not be able to pay or maintain dividends and the failure to do so would adversely affect our stock price.
- Our amended and restated certificate of incorporation, amended and restated bylaws and Delaware law contain provisions that could discourage transactions resulting in a change in control, which may negatively affect the market price of our common stock.
Legal proceedings
Indemnities — From time to time, we enter into contracts that contingently require us to indemnify parties against third-party claims. These contracts primarily include (i) certain real estate leases, under which we may be required to indemnify property owners or prior facility operators for post-transfer environmental or other liabilities and other claims arising from our use of the applicable premises, (ii) operations transfer agreements, in which we agree to indemnify past operators of facilities we acquire against certain liabilities arising from the transfer of the operation and/or the operation thereof after the transfer to our independent subsidiary, (iii) certain lending agreements, under which we may be required to indemnify the lender against various claims and liabilities, and (iv) certain agreements with our officers, directors and others, under which we may be required to indemnify such persons for liabilities based on the nature of their relationship to us. The terms of such obligations vary by contract and, in most instances, do not expressly state or include a specific or maximum dollar amount. Generally, amounts under these contracts cannot be reasonably estimated until a specific claim is asserted. Consequently, because no claims have been asserted, no liabilities have been recorded for any such potential obligation on our balance sheets for any of the periods presented.
The opening of Item 3, Legal Proceedings.4
Sources
The numbers on this page point here. Each one links to the record it came from.
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14SEC EDGARBarry Port, Chief executive officer
- 15
- 16SEC EDGARChristopher R. Christensen, Chair
- 17SEC EDGARRoy E. Christensen, Chair
- 18SEC EDGARSpencer Burton, President
- 19SEC EDGARBrian Hulse, President
- 20SEC EDGARCovey C. Christensen, President
- 21SEC EDGARBarry Port, President
- 22SEC EDGARCory Monette, President
- 23SEC EDGARJohn Albrechtsen, President
- 24
- 25SEC EDGARAlan Norman, Chief financial officer
- 26
- 27SEC EDGARBarry Port, Vice President
- 28SEC EDGARGregory K. Stapley, V.P.
- 29SEC EDGARDavid M. Sedgwick, V.P. of Org. Dev.
- 30SEC EDGARPison Marivic Uychiat, Board member
- 31SEC EDGARMark Vincent Parkinson, Board member
- 32SEC EDGARJohn O. Agwunobi, Board member
- 33SEC EDGARSuzanne D. Snapper, Board member
- 34SEC EDGARSwati Bargotra Abbott, Board member
- 35SEC EDGARAnn Scott Blouin, Board member
- 36SEC EDGARMalene Davis, Board member
- 37SEC EDGARBarry M. Smith, Board member
- 38SEC EDGARClayton M. Christensen, Board member
- 39SEC EDGARLee A. Daniels, Board member
- 40SEC EDGARDaren Shaw, Board member
- 41SEC EDGARVan R. Johnson, Board member
- 42SEC EDGARJohn G. Nackel, Board member
- 43SEC EDGARRoy E. Christensen, Board member
- 44SEC EDGARCharles M. Blalack, Board member
- 45SEC EDGARThomas A. Maloof, Board member
- 46
- 47SEC EDGARGregory K. Stapley, General counsel
- 48SEC EDGARBylaws or fiscal year changed
- 49
- 50SEC EDGARResults of operations
- 51SEC EDGAROther events
- 52SEC EDGAROther events
- 53SEC EDGARShareholder vote
- 54SEC EDGARResults of operations
- 55SEC EDGARResults of operations
- 56SEC EDGARResults of operations
- 57SEC EDGARExecutive or director change
- 58SEC EDGARResults of operations
- 59SEC EDGARExecutive or director change
- 60NasdaqNasdaq calendar
- 61
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