The Ensign Group Acquisition Strategy Paying Dividends

The Ensign Group (Ensign), a leader in the long-term care market, reported an adjusted net income of $102.1 million for 2018, a 38.3% increase over the previous year. Ensign reported almost $191 million in revenue from its transitional and skilled services segments, a 36% increase over the previous year.

Ensign is a holding company with no direct operating assets, employees or revenue. Ensign operates, operates approximately 240 facilities (189 skilled nursing facilities), 49 home health, hospice and home care agencies and other ancillary operations located in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oklahoma, Oregon, South Carolina, Texas, Utah, Washington, Wisconsin and Wyoming.

Ensign has capacity of approximately 19,300 operational skilled nursing beds and 5,200 assisted living and independent living units. Ensign owns 68 of its 236 affiliated facilities and leased an additional 168 facilities through long-term lease arrangements with options to purchase twelve of those 168 facilities. The Ensign Group provides: In-House Therapy, Skilled Nursing, Senior Living, and Home & Hospice.

Ensign has been implementing an acquisition strategy, steadily acquiring underperforming assets and has experienced periods of growth. Ensign’s local leaders have been have been evaluating a number of acquisition opportunities over the last two years, but have been very selective in completing the deals.