The Ensign Group, Inc. · ENSG · FY2025 Q4 · Calendar Q1 2026

Ensign’s record FY2025 results pair strong occupancy with continued expansion

The supplied analysis supports a constructive operating picture: record FY2025 revenue and earnings, all-time-high same-store occupancy, improved skilled mix and raised FY2026 earnings guidance point to continued growth. Whether this trajectory persists depends on execution across acquisitions, staffing and reimbursement conditions.

Reported After market closeNASDAQHealthcare $10.59B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $1.82 Consensus $1.75
EPS surprise +4.0% Reported versus consensus
Reported revenue $1.36B Consensus $1.37B
Revenue surprise -0.5% Reported versus consensus

Market reaction

event-close to next-session close
Stock move +13.8% Event window
SPY move -1.2% Same window
Abnormal move +15.1% Stock minus SPY
Volume 3.2× Versus trailing sessions
Subsequent drift +5.1% Up to 20 sessions
ENSGSPY benchmark

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Transcript intelligence

What changed

The current call analysis describes 18.7% year-over-year revenue growth and 19.5% adjusted EPS growth for FY2025, alongside same-store occupancy of 83.8%. Compared with the prior-quarter analysis, management’s year-end update emphasizes FY2026 earnings guidance being raised, full-year operating results, and continued investment in acquisitions, construction and technology.

Guidance delta

Raised FY2026 earnings guidance, according to the supplied call analysis; the supplied materials do not include the revised range.

Key takeaways

  • Same-store occupancy reached an all-time high of 83.8%, with skilled-mix improvements cited as operating drivers.
  • FY2025 revenue and adjusted EPS grew year over year, while reported-quarter EPS exceeded consensus and revenue was slightly below it.
  • The company added operations and capacity through acquisitions and construction; management also described a low-leverage balance sheet and available funding for growth.

Management priorities

  • Pursue acquisitions and new-construction projects while focusing on asset quality.
  • Expand behavioral-health and bariatric services in select markets.
  • Advance AI and data initiatives for administrative efficiency and clinical decision-making; continue focus on talent retention.

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Earnings History

Estimate Beat Miss Match
ENSG EPS earnings history estimate and actual scatter chart 10 reported fiscal quarters and 4 future estimate-only quarters. Q2 '24 estimate $1.30 Q2 '24 actual $1.32, beat Q3 '24 estimate $1.38 Q3 '24 actual $1.39, match Q2 '25 estimate $1.55 Q2 '25 actual $1.59, beat Q3 '25 estimate $1.59 Q3 '25 actual $1.64, beat Q4 '25 estimate $1.75 Q4 '25 actual $1.82, beat Q1 '26 estimate $1.82 Q1 '26 actual $1.85, beat Q2 '26 estimate $1.80 Q2 '26 actual $1.92, beat Q3 '26 estimate $1.97 Q3 '26 actual $2.03, beat Q4 '26 estimate $2.15 Q1 '27 estimate $2.13 Q2 '27 estimate $2.12 Q3 '27 estimate $2.17
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Analyst Consensus ?

ConsensusBuy13 ratings
Bullish969.2%
Neutral215.4%
Bearish215.4%

Analyst 52W Price Targets

$181.52Current
$105Low
$192.22Average
$240High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Nov 2, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
UBS Buy BuyMaintainOct 29, 2026
Truist Securities Hold HoldMaintainOct 29, 2026
Oppenheimer Outperform OutperformMaintainOct 29, 2026
RBC Capital Outperform OutperformMaintainFeb 9, 2026
Stephens & Co. Overweight OverweightMaintainNov 5, 2025
Macquarie Outperform OutperformMaintainMay 2, 2025
Stifel Buy BuyMaintainSep 15, 2022
SunTrust Robinson Humphrey Buy BuyMaintainJun 11, 2020
Cantor Fitzgerald Overweight OverweightMaintainNov 2, 2018
Stifel Nicolaus Hold HoldMaintainAug 16, 2018
Wells Fargo Underperform Market PerformDowngradeApr 28, 2017
JMP Securities Market Underperform Market PerformDowngradeJan 4, 2017
DA Davidson Buy BuyMaintainAug 9, 2013
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Named analyst price targets

Upside is calculated against the persisted current price $181.52. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
UBSAnalyst unavailable$240$184.64 +32.2%Oct 29, 2026
OppenheimerMichael Wiederhorn$215$184.74 +18.4%Oct 29, 2026
Truist FinancialPeter Osterland$210$184.11 +15.7%Oct 29, 2026
RBC CapitalAnalyst unavailable$228$178.07 +25.6%Jul 28, 2026
Truist FinancialAnalyst unavailable$202$168.39 +11.3%Jul 14, 2026
RBC CapitalAnalyst unavailable$222$198.94 +22.3%Feb 9, 2026
Truist FinancialAnalyst unavailable$215$196.88 +18.4%Feb 6, 2026
UBSAnalyst unavailable$230$197.62 +26.7%Feb 6, 2026
RBC CapitalBen Hendrix$206$179 +13.5%Nov 14, 2025
Truist FinancialAnalyst unavailable$200$179.86 +10.2%Nov 10, 2025
UBSAnalyst unavailable$220$192.62 +21.2%Nov 5, 2025
Truist FinancialDavid MacDonald$190$176.79 +4.7%Oct 14, 2025
UBSAnalyst unavailable$205$172.53 +12.9%Sep 2, 2025
Truist FinancialDavid MacDonald$165$149.15 -9.1%Jul 28, 2025
Truist FinancialDavid Macdonald$170$152.57 -6.3%Oct 28, 2024
RBC CapitalBen Hendrix$167$149.56 -8.0%Oct 21, 2024
OppenheimerMichael Wiederhorn$165$152.73 -9.1%Sep 16, 2024
MacquarieTao Qiu$134$120.84 -26.2%Jun 28, 2024
RBC CapitalBen Hendrix$133$118.49 -26.7%May 31, 2024
Stifel NicolausAnalyst unavailable$105$85.28 -42.2%Sep 15, 2022
Truist FinancialDavid MacDonald$85$78.77 -53.2%Jul 26, 2022
RBC CapitalAnalyst unavailable$101$79.04 -44.4%May 3, 2022
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Company context

Snapshot as of publication

The Ensign Group, Inc. operates as a healthcare provider, primarily concentrating on post-acute care services, alongside other supporting business ventures. The company's activities are organized into two main divisions: Skilled Services and Real Estate. Within its Skilled Services segment, Ensign provides extensive short-term and long-term nursing care tailored for patients recovering from extended illnesses, managing chronic health conditions, or requiring elder care. This division also encompasses a variety of rehabilitative therapies, such as physical, occupational, and speech therapy, among other specialized healthcare provisions.…

Historical context

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-11-02T04:40:46.612714+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-11-02T04:40:46.609972+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-11-02. For educational purposes only; not investment advice.