ENSGMEDIUM SIGNALOPPORTUNITY10-K

ENSG demonstrated strong operational expansion with a 14% increase in facilities (327 to 373) while achieving robust financial growth across all key metrics, led by a 62.5% surge in operating cash flow.

The company's significant facility expansion coupled with strong financial performance suggests successful execution of a growth strategy in the healthcare services sector. The increase in facilities from 327 to 373 represents meaningful scale expansion, while the substantial improvement in cash flow generation indicates operational efficiency gains that should support continued investment and shareholder returns.

Comparing 2026-02-04 vs 2025-02-05View on EDGAR →
FINANCIAL ANALYSIS

ENSG delivered strong across-the-board financial growth with revenue increasing 18.7% to $5.1B and operating cash flow surging 62.5% to $564.3M, indicating improved operational efficiency. The balance sheet expanded proportionally with total assets growing 17% to $5.5B and stockholders' equity increasing 21.5% to $2.2B, while liabilities grew at a slower 14.1% pace. The financial profile reflects a healthy, expanding business with strong cash generation capabilities that exceeded revenue growth, suggesting improved margins and working capital management.

FINANCIAL STATEMENT CHANGES
Operating Cash Flow
Cash Flow
+62.5%
$347.2M→$564.3M

Operating cash flow surged 62.5% — exceptional cash generation, highest quality earnings signal.

Capital Expenditure
Cash Flow
+30.2%
$54.9M→$71.5M

Capital expenditure jumped 30.2% — major investment cycle underway; assess returns on deployment.

Stockholders Equity
Balance Sheet
+21.5%
$1.8B→$2.2B

Equity base grew 21.5% — retained earnings accumulation or equity issuance strengthening the balance sheet.

Current Liabilities
Balance Sheet
+20.3%
$743.4M→$894.3M

Current liabilities rose 20.3% — increased short-term obligations, watch current ratio.

Revenue
P&L
+18.7%
$4.3B→$5.1B

Revenue growing 18.7% — solid top-line momentum, watch margins for quality of growth.

Operating Income
P&L
+18.7%
$358.3M→$425.3M

Operating income improving — cost discipline or growing revenue base absorbing fixed costs.

Total Assets
Balance Sheet
+17%
$4.7B→$5.5B

Asset base grew 17% — expansion through organic growth, acquisitions, or capital deployment.

Net Income
P&L
+15.4%
$298.0M→$344.0M

Net income grew 15.4% — bottom-line growth signals improving overall business health.

Total Liabilities
Balance Sheet
+14.1%
$2.8B→$3.2B

Liabilities increased 14.1% — monitor debt-to-equity ratio and interest coverage.

Accounts Receivable
Balance Sheet
+11.8%
$569.9M→$637.0M

Receivables grew 11.8% — monitor days sales outstanding for collection efficiency.

LANGUAGE CHANGES
NEW — 2026-02-04
PRIOR — 2025-02-05
ADDED
As of January 30, 2026, 58,112,780 shares of the registrant s common stock, $0.001 par value, were outstanding.
Management's Discussion and Analysis of Financial Condition and Results of Operations 74 Item 7A.
For the year ended December 31, 2025, we generated approximately 95.6% of our revenue from our skilled nursing facilities.
OPERATIONS Overview As of December 31, 2025, we offered skilled nursing, senior living and rehabilitative care services through 373 skilled nursing and senior living facilities.
Of the 373 facilities, we operate 253 facilities under long-term lease arrangements and have options to purchase 8 of those 253 facilities.
Our real estate portfolio consists of 158 owned real estate properties, which includes 120 facilities operated and managed by us, 38 operations leased to and operated by third-party operators, and the Service Center's California location.
We view owning and expanding our real estate portfolio as a key component of our long-term strategy, aimed at driving sustained growth for the organization.
We own 158 real estate properties, including 38 real estate properties that are leased to third parties under triple-net long-term leases.
We are committed to further growing our real estate portfolio, which we believe will strengthen our earnings and long-term value for our stockholders.
The real estate portfolio in Standard Bearer consists of 152 of our 158 owned real estate properties.
REMOVED
As of January 31, 2025, 57,455,374 shares of the registrant s common stock, $0.001 par value, were outstanding.
Management's Discussion and Analysis of Financial Condition and Results of Operations 71 Item 7A.
For the year ended December 31, 2024, we generated approximately 95.7% of our revenue from our skilled nursing facilities.
OPERATIONS Overview As of December 31, 2024, we offered skilled nursing, senior living and rehabilitative care services through 327 skilled nursing and senior living facilities.
Of the 327 facilities, we operated 231 facilities under long-term lease arrangements and have options to purchase 12 of those 231 facilities.
Our real estate portfolio consists of 129 owned real estate properties, which included 96 facilities operated and managed by us, 33 operations leased to and operated by third-party operators, and the Service Center's California location.
Currently, we plan to continue to expand our real estate portfolio.
We own 129 real estate properties, including 33 real estate properties that are leased to third parties under triple-net long-term leases.
We are committed to growing our real estate portfolio, which we believe will further enhance our earnings and maximize long-term shareholder value.
The real estate portfolio in Standard Bearer consists of 124 of our 129 owned real estate properties.
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