The Ensign Group, Inc. · ENSG · FY2026 Q1 · Calendar Q2 2026

Ensign raises 2026 guidance as occupancy and skilled mix reach records

The current analysis supports a constructive near-term operating thesis: record occupancy, higher skilled mix, acquisitions and strong liquidity are supporting growth, while reimbursement, labor, clinical-review and integration risks remain material.

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

Earnings scorecard

Reported versus consensus
Reported EPS $1.85 Consensus $1.82
EPS surprise +1.6% Reported versus consensus
Reported revenue $1.39B Consensus $1.40B
Revenue surprise -0.5% Reported versus consensus

Market reaction

event-close to next-session close
Stock move -1.6% Event window
SPY move +0.3% Same window
Abnormal move -1.9% Stock minus SPY
Volume 2.4× Versus trailing sessions
Subsequent drift -10.2% Up to 20 sessions
ENSGSPY benchmark

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Transcript intelligence

What changed

Occupancy and skilled mix reached new highs, Ensign added 22 operations, and management raised 2026 earnings and revenue guidance. The company also highlighted Standard Bearer REIT growth and continued ERP implementation.

Guidance delta

Management raised 2026 earnings guidance to $7.48-$7.62 per share and revenue guidance to $5.81-$5.86 billion.

Key takeaways

  • Same-store occupancy reached 84.3%, while transitioning occupancy reached 85.1%.
  • Skilled-mix revenue increased 9%-10% year over year.
  • Ensign added 22 operations and 2,662 skilled-nursing beds, plus senior- and independent-living units.
  • Management cited more than $1 billion of dry powder and net debt-to-EBITDA of 1.73x.

Management priorities

  • Advance acquisitions and transitions, including planned Q2-Q3 2026 deals.
  • Add beds through new construction at high-performing sites.
  • Expand the Standard Bearer REIT portfolio and third-party leasing.
  • Complete the ERP rollout and develop specialty-care programs.

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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. Q4 '23 estimate $1.27 Q4 '23 actual $1.28, match Q1 '24 estimate $1.29 Q1 '24 actual $1.30, match 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 1, 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
Show 8 more rating actions

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
See 17 more

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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

All ENSG earnings

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Latest beats and misses

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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 · 2026-11-01T06:30:41.990109+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-11-01T06:30:41.987207+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 2026-11-01. For educational purposes only; not investment advice.