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    ENSG

    ENSIGN GROUP, INC

    Company overview

    Market capitalization
    $10.28B
    Employees
    46,000
    Latest publication
    2026-09-29
    About ENSIGN GROUP, INC

    The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services. It operates through two segments: Skilled Services and Standard Bearer. The Skilled Services segment provides short and long-term nursing care services for patients with chronic conditions, prolonged illness, and the elderly; specialty care, such as on-site dialysis, ventilator care, cardiac, and pulmonary management; and standard services, such as room and board, special nutritional programs, social services, recreational activities, entertainment, and other services. The Standard Bearer segment leases post-acute care properties to healthcare operators. In addition, the company operates senior living units; and provides ancillary services consisting of digital x-ray, ultrasound, electrocardiograms, sub-acute services, dialysis, respiratory, and long-term care pharmacy and patient transportation to people in their homes or at long-term care facilities, as well as mobile diagnostics. The company operates healthcare facilities in Alabama, Alaska, Arizona, Colorado, Idaho, Iowa, Kansas, Oregon, Nebraska, Nevada, South Carolina, Tennessee, Texas, Utah, Washington, and Wisconsin. The company was incorporated in 1999 and is based in San Juan Capistrano, California.

    Company website

    Financial statements

    Income Quarterly

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricQ2 20262026-06-30 · USDQ1 20262026-03-31 · USDQ4 20252025-12-31 · USDQ3 20252025-09-30 · USDQ2 20252025-06-30 · USDQ1 20252025-03-31 · USDQ4 20242024-12-31 · USDQ3 20242024-09-30 · USD
    Total Revenue1,440,481,000USD1,389,196,000USD1,360,626,000USD1,296,405,000USD1,227,769,000USD1,173,041,000USD1,132,252,000USD1,081,776,000USD
    Cost Of Revenue1,134,237,000USD1,095,826,000USD1,074,788,000USD1,044,659,000USD971,780,000USD927,849,000USD—859,992,000USD
    Gross Profit306,244,000USD293,370,000USD285,838,000USD251,746,000USD255,989,000USD245,192,000USD—221,784,000USD
    Selling General Administrative85,922,000USD74,210,000USD70,791,000USD67,367,000USD69,107,000USD62,555,000USD—56,180,000USD
    General And Administrative Expenses85,922,000USD74,210,000USD70,791,000USD67,367,000USD69,107,000USD62,555,000USD—56,180,000USD
    Total Operating Expenses183,740,000USD168,517,000USD162,025,000USD155,528,000USD152,087,000USD143,819,000USD—132,446,000USD
    Operating Income122,504,000USD124,853,000USD123,813,000USD96,218,000USD103,902,000USD101,373,000USD100,777,000USD89,338,000USD
    Total Other Income Expense Net11,170,000USD3,719,000USD6,271,000USD10,382,000USD8,456,000USD5,207,000USD—9,336,000USD
    Interest Income4,633,000USD6,536,000USD6,221,000USD6,168,000USD5,240,000USD6,883,000USD—7,607,000USD
    Interest Expense1,933,000USD1,932,000USD1,955,000USD1,971,000USD2,025,000USD2,037,000USD—2,024,000USD
    Income Before Tax133,674,000USD128,572,000USD130,084,000USD106,600,000USD112,358,000USD106,580,000USD—98,674,000USD
    Income Tax Expense33,840,000USD28,816,000USD34,550,000USD22,689,000USD27,892,000USD26,227,000USD105,758,000USD20,107,000USD
    Net Income99,834,000USD99,756,000USD95,534,000USD83,911,000USD84,466,000USD80,353,000USD79,750,000USD78,567,000USD
    Minority Interest96,000USD88,000USD80,000USD67,000USD70,000USD76,000USD—123,000USD
    Net Income Applicable To Common Shares99,738,000USD99,668,000USD95,454,000USD83,844,000USD84,396,000USD80,277,000USD—78,444,000USD
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosurePreliminaryDisclosureDeterministicFinal

    Income Yearly

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricFY 20252025-12-31 · USDFY 20242024-12-31 · USDFY 20232023-12-31 · USDFY 20222022-12-31 · USDFY 20212021-12-31 · USDFY 20202020-12-31 · USDFY 20192019-12-31 · USDFY 20182018-12-31 · USD
    Total Revenue5,057,841,000USD4,260,485,000USD3,729,355,000USD3,025,468,000USD2,627,461,000USD2,402,596,000USD2,036,524,000USD2,040,659,000USD
    Cost Of Revenue4,019,076,000USD3,376,884,000USD2,941,238,000USD2,354,434,000USD2,019,879,000USD1,865,201,000USD1,620,628,000USD1,627,672,000USD
    Gross Profit1,038,765,000USD883,601,000USD788,117,000USD671,034,000USD607,582,000USD537,395,000USD415,896,000USD412,987,000USD
    Selling General Administrative269,820,000USD225,143,000USD263,005,000USD158,805,000USD151,761,000USD129,743,000USD110,873,000USD100,307,000USD
    General And Administrative Expenses269,820,000USD225,143,000USD263,005,000USD158,805,000USD151,761,000USD129,743,000USD110,873,000USD100,307,000USD
    Total Operating Expenses613,459,000USD525,297,000USD532,750,000USD374,209,000USD347,117,000USD314,240,000USD286,716,000USD284,499,000USD
    Operating Income425,306,000USD358,304,000USD255,367,000USD296,825,000USD260,465,000USD223,155,000USD129,180,000USD128,488,000USD
    Total Other Income Expense Net30,316,000USD27,790,000USD17,395,000USD-7,736,000USD-2,461,000USD-5,549,000USD-13,013,000USD-13,119,000USD
    Interest Income24,512,000USD28,749,000USD———3,813,000USD2,649,000USD2,063,000USD
    Interest Expense7,988,000USD8,286,000USD8,087,000USD8,931,000USD6,849,000USD9,362,000USD15,662,000USD15,182,000USD
    Income Before Tax455,622,000USD386,094,000USD272,762,000USD289,089,000USD258,004,000USD217,606,000USD116,167,000USD115,369,000USD
    Income Tax Expense111,358,000USD87,636,000USD62,912,000USD64,437,000USD60,279,000USD46,242,000USD23,954,000USD22,841,000USD
    Net Income344,264,000USD298,458,000USD209,850,000USD224,652,000USD197,725,000USD171,364,000USD111,686,000USD92,528,000USD
    Minority Interest293,000USD485,000USD451,000USD-29,000USD3,073,000USD886,000USD1,152,000USD164,000USD
    Net Income Applicable To Common Shares343,971,000USD297,973,000USD209,399,000USD224,681,000USD194,652,000USD170,478,000USD110,534,000USD92,364,000USD
    Litigation Settlement Expense——48,000,000USD—————
    Discontinued Operations————0USD0USD19,473,000USD—
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinal

    Balance sheet Quarterly

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricQ2 20262026-06-30 · USDQ1 20262026-03-31 · USDQ4 20252025-12-31 · USDQ3 20252025-09-30 · USDQ2 20252025-06-30 · USDQ1 20252025-03-31 · USDQ4 20242024-12-31 · USDQ3 20242024-09-30 · USD
    Total Assets5,749,396,000USD5,611,761,000USD5,462,970,000USD5,226,437,000USD4,930,291,000USD4,759,846,000USD4,669,356,000USD4,629,159,000USD
    Cash And Equivalents262,300,000USD539,498,000USD503,881,000USD443,668,000USD363,969,000USD282,666,000USD464,598,000USD532,066,000USD
    Cash And Short Term Investments320,844,000USD595,175,000USD572,387,000USD506,309,000USD418,442,000USD344,471,000USD526,853,000USD571,035,000USD
    Short Term Investments58,544,000USD55,677,000USD68,506,000USD62,641,000USD54,473,000USD61,805,000USD62,255,000USD38,969,000USD
    Total Current Assets1,071,488,000USD1,320,100,000USD1,272,304,000USD1,206,578,000USD1,067,195,000USD986,391,000USD1,157,632,000USD1,196,930,000USD
    Other Current Assets81,742,000USD61,678,000USD62,932,000USD87,525,000USD70,703,000USD57,872,000USD60,882,000USD14,744,000USD
    Total Liabilities3,304,087,000USD3,242,064,000USD3,228,146,000USD3,103,535,000USD2,909,308,000USD2,829,689,000USD2,828,928,000USD2,878,212,000USD
    Total Current Liabilities884,799,000USD848,046,000USD894,346,000USD825,230,000USD755,545,000USD705,207,000USD743,428,000USD768,940,000USD
    Other Non Current Liabilities17,076,000USD19,549,000USD18,591,000USD17,491,000USD17,935,000USD19,623,000USD18,458,000USD20,015,000USD
    Total Stockholder Equity2,441,688,000USD2,366,250,000USD2,231,725,000USD2,119,465,000USD2,017,659,000USD1,926,817,000USD1,837,111,000USD1,747,297,000USD
    Total Equity Including Noncontrolling Interest2,445,309,000USD2,369,697,000USD2,234,824,000USD2,122,902,000USD2,020,983,000USD1,930,157,000USD1,840,428,000USD1,750,947,000USD
    Short Long Term Debt8,364,000USD8,526,000USD8,454,000USD8,382,000USD8,310,000USD8,240,000USD8,172,000USD8,102,000USD
    Long Term Debt135,562,000USD136,491,000USD137,529,000USD138,557,000USD139,576,000USD140,585,000USD141,585,000USD142,577,000USD
    Net Receivables668,902,000USD663,247,000USD636,985,000USD612,744,000USD578,050,000USD584,048,000USD569,897,000USD554,091,000USD
    Property Plant Equipment Net4,240,764,000USD3,857,533,000USD3,794,725,000USD3,646,380,000USD3,465,847,000USD3,355,787,000USD3,152,425,000USD3,121,870,000USD
    Goodwill97,981,000USD97,981,000USD97,981,000USD97,981,000USD97,981,000USD106,310,000USD97,981,000USD77,241,000USD
    Intangible Assets6,263,000USD6,322,000USD6,381,000USD6,442,000USD6,509,000USD6,947,000USD7,292,000USD6,676,000USD
    Accounts Payable119,675,000USD116,132,000USD97,327,000USD105,796,000USD102,799,000USD95,326,000USD98,947,000USD90,274,000USD
    Short Term Debt121,117,000USD116,500,000USD114,816,000USD110,817,000USD103,825,000USD97,176,000USD93,475,000USD93,868,000USD
    Common Stock62,000USD62,000USD62,000USD61,000USD61,000USD61,000USD61,000USD61,000USD
    Retained Earnings1,947,958,000USD1,852,008,000USD1,756,137,000USD1,664,458,000USD1,584,233,000USD1,503,442,000USD1,426,762,000USD1,350,664,000USD
    Deferred Revenue100,006,000USD————14,572,000USD18,818,000USD9,541,000USD
    Other Current Liabilities171,001,000USD———————
    Other Non Current Assets39,755,000USD———————
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinal

    Balance sheet Yearly

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricFY 20252025-12-31 · USDFY 20242024-12-31 · USDFY 20232023-12-31 · USDFY 20222022-12-31 · USDFY 20212021-12-31 · USDFY 20202020-12-31 · USDFY 20192019-12-31 · USDFY 20182018-12-31 · USD
    Total Assets5,462,970,000USD4,669,356,000USD4,177,541,000USD3,452,022,000USD2,850,623,000USD2,545,578,000USD2,361,909,000USD1,181,958,000USD
    Cash And Equivalents503,881,000USD464,598,000USD509,626,000USD316,270,000USD262,201,000USD236,562,000USD59,175,000USD31,083,000USD
    Cash And Short Term Investments572,387,000USD526,853,000USD526,855,000USD331,711,000USD275,964,000USD250,011,000USD76,929,000USD39,765,000USD
    Short Term Investments68,506,000USD62,255,000USD17,229,000USD15,441,000USD13,763,000USD13,449,000USD17,754,000USD8,682,000USD
    Total Current Assets1,272,304,000USD1,157,632,000USD1,046,930,000USD781,125,000USD639,709,000USD582,956,000USD411,081,000USD348,072,000USD
    Other Current Assets62,932,000USD60,882,000USD12,662,000USD14,053,000USD29,562,000USD26,659,000USD24,428,000USD24,130,000USD
    Total Liabilities3,228,146,000USD2,828,928,000USD2,680,224,000USD2,203,222,000USD1,828,909,000USD1,727,351,000USD1,705,765,000USD579,618,000USD
    Total Current Liabilities894,346,000USD743,428,000USD734,747,000USD582,072,000USD523,068,000USD562,399,000USD343,173,000USD269,227,000USD
    Other Non Current Liabilities18,591,000USD18,458,000USD17,405,000USD13,046,000USD18,415,000USD9,444,000USD9,914,000USD9,356,000USD
    Total Stockholder Equity2,231,725,000USD1,837,111,000USD1,491,865,000USD1,247,332,000USD1,020,768,000USD818,077,000USD654,197,000USD590,935,000USD
    Total Equity Including Noncontrolling Interest2,234,824,000USD1,840,428,000USD1,497,317,000USD1,248,800,000USD1,021,714,000USD818,227,000USD656,144,000USD602,340,000USD
    Short Long Term Debt8,454,000USD8,172,000USD7,900,000USD11,649,000USD11,280,000USD5,920,000USD5,404,000USD10,105,000USD
    Long Term Debt137,529,000USD141,585,000USD145,497,000USD149,269,000USD———233,135,000USD
    Net Receivables636,985,000USD569,897,000USD485,039,000USD408,432,000USD328,731,000USD305,062,000USD308,985,000USD276,099,000USD
    Property Plant Equipment Net3,794,725,000USD3,152,425,000USD2,847,201,000USD2,443,005,000USD2,027,306,000USD1,803,754,000USD1,814,466,000USD618,874,000USD
    Goodwill97,981,000USD97,981,000USD76,869,000USD76,869,000USD60,469,000USD54,469,000USD54,469,000USD80,477,000USD
    Intangible Assets6,381,000USD7,292,000USD6,525,000USD—————
    Accounts Payable97,327,000USD98,947,000USD92,811,000USD77,087,000USD58,116,000USD50,901,000USD44,973,000USD44,236,000USD
    Short Term Debt114,816,000USD93,475,000USD82,526,000USD65,796,000USD52,181,000USD48,187,000USD44,964,000USD—
    Common Stock62,000USD61,000USD60,000USD59,000USD58,000USD58,000USD56,000USD55,000USD
    Retained Earnings1,756,137,000USD1,426,762,000USD1,142,653,000USD946,339,000USD733,992,000USD551,055,000USD391,523,000USD344,901,000USD
    Deferred Revenue—18,818,000USD10,834,000USD9,698,000USD9,337,000USD8,558,000USD8,870,000USD8,495,000USD
    Other Non Current Assets———————20,844,000USD
    Other Current Liabilities———————69,784,000USD
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinal

    Cash flow YTD

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricQ2 20262026-06-30 · USDQ3 20252025-09-30 · USDQ2 20252025-06-30 · USDQ3 20242024-09-30 · USDQ2 20242024-06-30 · USDQ3 20232023-09-30 · USDQ2 20232023-06-30 · USDQ3 20222022-09-30 · USD
    Depreciation60,207,000USD76,606,000USD49,973,000USD61,619,000USD40,145,000USD53,154,000USD34,708,000USD45,475,000USD
    Stock Based Compensation30,061,000USD35,375,000USD22,386,000USD26,406,000USD17,222,000USD22,691,000USD15,454,000USD16,681,000USD
    Change To Account Receivables-29,618,000USD-44,356,000USD-9,025,000USD-69,025,000USD-62,813,000USD-66,630,000USD-39,433,000USD-27,552,000USD
    Change To Liabilities16,478,000USD32,530,000USD6,769,000USD760,000USD-4,909,000USD12,091,000USD442,000USD10,041,000USD
    Change In Working Capital-51,933,000USD8,007,000USD-20,248,000USD-59,630,000USD-91,603,000USD12,401,000USD-15,258,000USD-11,683,000USD
    Operating Cash Flow272,108,000USD380,950,000USD227,950,000USD246,730,000USD112,249,000USD291,397,000USD168,082,000USD222,337,000USD
    Net Investments-16,789,000USD-9,513,000USD-9,429,000USD-29,709,000USD-16,241,000USD-8,435,000USD-10,563,000USD-3,592,000USD
    Other Investing Activities-488,000USD-475,000USD-647,000USD3,131,000USD2,095,000USD-825,000USD-394,000USD-16,573,000USD
    Unclassified Investing Cash Flow-461,616,000USD-379,249,000USD-301,848,000USD-196,887,000USD-130,418,000USD-128,494,000USD-51,478,000USD-123,606,000USD
    Investing Cash Flow-478,893,000USD-389,237,000USD-311,924,000USD-223,465,000USD-144,564,000USD-137,754,000USD-62,435,000USD-143,771,000USD
    Net Debt Issuance-2,094,000USD-3,050,000USD-2,025,000USD-2,950,000USD-1,958,000USD-2,917,000USD-1,958,000USD-2,697,000USD
    Net Common Stock Issuance-40,980,000USD-21,071,000USD-21,071,000USD-1,209,000USD-1,209,000USD-1,929,000USD-1,929,000USD-31,584,000USD
    Common Dividends Paid-7,572,000USD-10,791,000USD-7,186,000USD-10,234,000USD-6,810,000USD-9,647,000USD-6,415,000USD-9,118,000USD
    Other Financing Activities-24,000USD0USD0USD-278,000USD-278,000USD-4,000USD-4,000USD-11,000USD
    Unclassified Financing Cash Flow15,874,000USD22,269,000USD13,627,000USD13,846,000USD10,280,000USD12,454,000USD8,363,000USD11,507,000USD
    Financing Cash Flow-34,796,000USD-12,643,000USD-16,655,000USD-825,000USD25,000USD-2,043,000USD-1,943,000USD-31,903,000USD
    Change In Cash-241,581,000USD-20,930,000USD-100,629,000USD22,440,000USD-32,290,000USD151,600,000USD103,704,000USD46,663,000USD
    End Cash Flow262,300,000USD443,668,000USD363,969,000USD532,066,000USD477,336,000USD467,870,000USD419,974,000USD308,864,000USD
    Deferred Income Tax—10,156,000USD0USD1,931,000USD552,000USD-325,000USD47,000USD-585,000USD
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinal

    Cash flow Quarterly

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricQ2 20262026-06-30 · USDQ1 20262026-03-31 · USDQ4 20252025-12-31 · USDQ3 20252025-09-30 · USDQ2 20252025-06-30 · USDQ1 20252025-03-31 · USDQ4 20242024-12-31 · USDQ3 20242024-09-30 · USD
    Depreciation31,406,000USD28,801,000USD27,721,000USD26,633,000USD25,785,000USD24,188,000USD22,519,000USD21,474,000USD
    Stock Based Compensation16,166,000USD13,895,000USD12,924,000USD12,989,000USD11,662,000,000USD10,724,000USD9,820,000USD9,183,000,000USD
    Change To Account Receivables-5,609,000USD-24,009,000USD-26,077,000USD-35,331,000USD—-14,589,000USD-15,372,000USD—
    Change To Liabilities-29,510,000USD45,988,000USD———4,757,000USD——
    Change In Working Capital24,737,000USD-76,670,000USD69,772,000USD19,591,000USD—-65,994,000USD-11,810,000USD—
    Operating Cash Flow171,954,000USD100,154,000USD———72,220,000USD——
    Net Investments-9,640,000USD-7,149,000USD———-8,122,000USD——
    Other Investing Activities-399,000USD-89,000USD———9,000USD——
    Unclassified Investing Cash Flow-397,667,000USD-63,949,000USD240,300,000USD77,229,000USD—-235,691,000USD-38,509,000USD—
    Investing Cash Flow-407,706,000USD-71,187,000USD———-243,804,000USD——
    Net Debt Issuance-1,052,000USD-1,042,000USD———-1,009,000USD——
    Net Common Stock Issuance-40,957,000USD-23,000USD———-10,789,000USD——
    Common Dividends Paid-3,797,000USD-3,775,000USD———-3,589,000USD——
    Other Financing Activities-24,000USD0USD———0USD——
    Unclassified Financing Cash Flow4,384,000USD11,490,000USD6,318,000USD9,024,001USD—5,039,000USD3,990,000USD—
    Financing Cash Flow-41,446,000USD6,650,000USD———-10,348,000USD——
    Change In Cash-277,198,000USD35,617,000USD60,213,000USD79,699,000USD-100,629,000USD-181,932,000USD-67,468,000USD22,440,000USD
    End Cash Flow262,300,000USD539,498,000USD——363,969,000USD282,666,000USD—532,066,000USD
    Net Income99,834,000USD—95,534,000USD83,911,000USD84,466,000USD—79,750,000USD78,567,000USD
    Other Non Cash Items——4,382,000USD-280,000USD——1,473,000USD—
    Total Cash From Operating Activities——183,320,000USD153,000,000USD——100,456,000USD—
    Capital Expenditures——-49,843,000USD-51,193,000USD——-48,161,000USD—
    Free Cash Flow——133,477,000USD101,807,000USD——52,295,000USD—
    Investments——-1,540,000USD-77,313,000USD——-166,587,000USD—
    Total Cashflows From Investing Activities——-123,940,000USD-77,313,000USD——-166,587,000USD—
    Net Borrowings——-1,036,000USD-1,025,000USD——-1,000,000USD—
    Total Cash From Financing Activities——833,000USD4,012,000USD——-1,337,000USD—
    Dividends Paid——-3,619,000USD-3,605,000USD——-3,437,000USD—
    Sale Purchase Of Stock——-363,000USD-1,071,000USD——-1,209,000USD—
    Begin Period Cash Flow——443,668,000USD363,969,000USD——532,066,000USD—
    End Period Cash Flow——503,881,000USD443,668,000USD——464,598,000USD—
    Other Cashflows From Investing Activities——-312,857,000USD-26,036,000USD——86,670,000USD—
    Other Cashflows From Financing Activities——-467,000USD688,999USD——319,000USD—
    Unclassified Operating Cash Flow——-27,013,000USD10,156,000USD——-1,296,000USD—
    Deferred Income Tax—————0USD——
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalLegacy providerLegacyLegacy providerLegacyDisclosurePreliminaryDisclosureDeterministicFinalLegacy providerLegacyDisclosurePreliminary

    Cash flow Yearly

    Exact reported values; units shown beside each amount. Missing values are —.
    MetricFY 20252025-12-31 · USDFY 20242024-12-31 · USDFY 20232023-12-31 · USDFY 20222022-12-31 · USDFY 20212021-12-31 · USDFY 20202020-12-31 · USDFY 20192019-12-31 · USDFY 20182018-12-31 · USD
    Depreciation104,327,000USD84,138,000USD72,387,000USD62,355,000USD55,985,000USD54,571,000USD51,054,000USD47,344,000USD
    Stock Based Compensation48,299,000USD36,226,000USD30,767,000USD22,720,000USD18,678,000USD14,524,000USD11,322,000USD10,337,000USD
    Deferred Income Tax-16,857,000USD635,000USD-27,481,000USD-6,496,000USD-724,000USD-27,809,000USD3,490,000USD1,095,000USD
    Change To Account Receivables-70,433,000USD-84,397,000USD-79,818,000USD-82,426,000USD-30,771,000USD2,171,000USD-60,424,000USD-13,099,000USD
    Change To Liabilities38,804,000USD-27,835,000USD39,752,000USD20,880,000USD8,414,000USD24,163,000USD15,810,000USD8,679,000USD
    Change In Working Capital34,742,000USD-111,295,000USD14,894,000USD-31,705,000USD20,446,000USD81,399,000USD-4,475,000USD22,072,000USD
    Operating Cash Flow564,270,000USD347,186,000USD376,666,000USD272,513,000USD275,684,000USD373,351,000USD192,223,000USD210,302,000USD
    Net Investments-11,053,000USD-78,752,000USD-10,751,000USD-7,619,000USD-4,776,000USD2,771,000USD-3,475,000USD—
    Other Investing Activities-465,000USD5,483,000USD-722,000USD-16,549,000USD-3,880,000USD1,276,000USD-4,219,000USD-4,725,000USD
    Unclassified Investing Cash Flow-501,659,000USD-316,783,000USD-171,225,000USD-162,014,000USD-165,251,000USD-62,713,000USD-167,780,000USD-91,538,000USD
    Investing Cash Flow-513,177,000USD-390,052,000USD-182,698,000USD-186,182,000USD-173,907,000USD-58,666,000USD-247,015,000USD-151,211,000USD
    Net Debt Issuance-4,086,000USD-3,950,000USD-3,883,000USD-3,695,000USD42,162,000USD-629,745,000USD-1,296,654,000USD-914,939,000USD
    Net Common Stock Issuance-21,434,000USD-1,209,000USD-1,929,000USD-31,584,000USD-11,829,000USD-25,917,000USD-6,891,000USD-1,972,000USD
    Common Dividends Paid-14,410,000USD-13,671,000USD-12,890,000USD-12,168,000USD-11,548,000USD-10,830,000USD-10,190,000USD-9,419,000USD
    Other Financing Activities-924,000USD-543,000USD-4,000USD-284,000USD-908,000USD—0USD0USD
    Unclassified Financing Cash Flow29,044,000USD17,211,000USD18,094,000USD15,469,000USD-94,015,000USD529,194,000USD1,396,619,000USD855,985,000USD
    Financing Cash Flow-11,810,000USD-2,162,000USD-612,000USD-32,262,000USD-76,138,000USD-137,298,000USD82,884,000USD-70,345,000USD
    Change In Cash39,283,000USD-45,028,000USD193,356,000USD54,069,000USD25,639,000USD177,387,000USD28,092,000USD—
    End Cash Flow503,881,000USD464,598,000USD509,626,000USD316,270,000USD262,201,000USD236,562,000USD59,175,000USD—
    Capital Expenditures——————-71,541,000USD-54,948,000USD
    SourceDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinalDisclosureDeterministicFinal

    Operating metrics

    No operating metrics are currently published for this company.

    Revenue breakdown

    PeriodDimensionBusiness / regionRevenueCurrencySource
    Q2 2026Quarterly · 2026-06-30SegmentSkilled Services1,379,912,000USDDisclosure
    Q2 2026Quarterly · 2026-06-30SegmentStandard Bearer0USDDisclosure
    Q1 2026Quarterly · 2026-03-31SegmentSkilled Services1,330,835,000USDDisclosure
    Q1 2026Quarterly · 2026-03-31SegmentStandard Bearer0USDDisclosure
    Q4 2025Quarterly · 2025-12-31SegmentSkilled Services1,301,583,000USDDisclosure
    Q4 2025Quarterly · 2025-12-31SegmentStandard Bearer0USDDisclosure
    FY 2025Yearly · 2025-12-31SegmentSkilled Services4,837,809,000USDDisclosure
    FY 2025Yearly · 2025-12-31SegmentStandard Bearer0USDDisclosure
    Q3 2025Quarterly · 2025-09-30SegmentSkilled Services1,239,096,000USDDisclosure
    Q3 2025Quarterly · 2025-09-30SegmentStandard Bearer0USDDisclosure
    Q2 2025Quarterly · 2025-06-30SegmentSkilled Services1,173,576,000USDDisclosure
    Q2 2025Quarterly · 2025-06-30SegmentStandard Bearer0USDDisclosure
    Q1 2025Quarterly · 2025-03-31SegmentSkilled Services1,123,554,000USDDisclosure
    Q1 2025Quarterly · 2025-03-31SegmentStandard Bearer28,401,000USDDisclosure
    Q1 2025Quarterly · 2025-03-31ProductRental6,001,000USDDisclosure
    Q1 2025Quarterly · 2025-03-31ProductServices1,167,040,000USDDisclosure
    Q4 2024Quarterly · 2024-12-31SegmentSkilled Services1,082,825,000USDLegacy provider
    Q4 2024Quarterly · 2024-12-31SegmentStandard Bearer0USDLegacy provider
    FY 2024Yearly · 2024-12-31SegmentSkilled Services4,076,825,000USDDisclosure
    FY 2024Yearly · 2024-12-31SegmentStandard Bearer0USDDisclosure
    Q4 2024Quarterly · 2024-12-31ProductRental5,878,000USDDisclosure
    Q4 2024Quarterly · 2024-12-31ProductServices1,126,374,000USDDisclosure
    FY 2024Yearly · 2024-12-31ProductRental22,960,000USDDisclosure
    FY 2024Yearly · 2024-12-31ProductServices4,237,525,000USDDisclosure
    Q3 2024Quarterly · 2024-09-30ProductRental5,684,000USDDisclosure
    Q3 2024Quarterly · 2024-09-30ProductServices1,076,092,000USDDisclosure
    Q2 2024Quarterly · 2024-06-30ProductRental5,711,000USDDisclosure
    Q2 2024Quarterly · 2024-06-30ProductServices1,030,574,000USDDisclosure
    Q1 2024Quarterly · 2024-03-31SegmentOther18,369,000USDDisclosure
    Q1 2024Quarterly · 2024-03-31SegmentSkilled Services969,602,000USDDisclosure
    Q1 2024Quarterly · 2024-03-31SegmentStandard Bearer22,201,000USDDisclosure
    Q1 2024Quarterly · 2024-03-31ProductRental5,687,000USDDisclosure
    Q1 2024Quarterly · 2024-03-31ProductServices1,004,485,000USDDisclosure
    FY 2023Yearly · 2023-12-31SegmentSkilled Services3,578,855,000USDDisclosure
    FY 2023Yearly · 2023-12-31SegmentStandard Bearer0USDDisclosure
    Q4 2023Quarterly · 2023-12-31ProductRental5,650,000USDDisclosure
    Q4 2023Quarterly · 2023-12-31ProductServices974,728,000USDDisclosure
    FY 2023Yearly · 2023-12-31ProductRental21,284,000USDDisclosure
    FY 2023Yearly · 2023-12-31ProductServices3,708,071,000USDDisclosure
    Q3 2023Quarterly · 2023-09-30ProductRental5,467,000USDDisclosure
    Q3 2023Quarterly · 2023-09-30ProductServices935,324,000USDDisclosure
    Q2 2023Quarterly · 2023-06-30ProductRental5,244,000USDDisclosure
    Q2 2023Quarterly · 2023-06-30ProductServices916,101,000USDDisclosure
    FY 2022Yearly · 2022-12-31SegmentSkilled Services2,906,215,000USDDisclosure
    FY 2022Yearly · 2022-12-31SegmentStandard Bearer72,937,000USDDisclosure
    FY 2022Yearly · 2022-12-31ProductRental16,757,000USDDisclosure
    FY 2022Yearly · 2022-12-31ProductServices3,008,711,000USDDisclosure
    FY 2021Yearly · 2021-12-31SegmentAll Other Segments95,276,000USDDisclosure
    FY 2021Yearly · 2021-12-31SegmentReal Estate0USDDisclosure
    FY 2021Yearly · 2021-12-31SegmentSkilled Services2,523,234,000USDDisclosure
    FY 2021Yearly · 2021-12-31ProductRental15,985,000USDDisclosure
    FY 2021Yearly · 2021-12-31ProductServices2,611,476,000USDDisclosure
    FY 2020Yearly · 2020-12-31SegmentAll Other Segments105,548,000USDDisclosure
    FY 2020Yearly · 2020-12-31SegmentReal Estate0USDDisclosure
    FY 2020Yearly · 2020-12-31SegmentSkilled Services2,288,182,000USDDisclosure
    FY 2020Yearly · 2020-12-31ProductRental15,157,000USDDisclosure
    FY 2020Yearly · 2020-12-31ProductServices2,387,439,000USDDisclosure
    FY 2019Yearly · 2019-12-31SegmentOther52,413,000USDDisclosure
    FY 2019Yearly · 2019-12-31SegmentReal Estate49,868,000USDDisclosure
    FY 2019Yearly · 2019-12-31SegmentSkilled Services1,934,243,000USDDisclosure
    FY 2019Yearly · 2019-12-31ProductRental5,258,000USDDisclosure
    FY 2019Yearly · 2019-12-31ProductServices2,031,266,000USDDisclosure
    FY 2018Yearly · 2018-12-31SegmentOther35,575,000USDDisclosure
    FY 2018Yearly · 2018-12-31SegmentReal Estate40,177,000USDDisclosure
    FY 2018Yearly · 2018-12-31SegmentTransitionaland Skilled Services1,678,849,000USDDisclosure
    FY 2018Yearly · 2018-12-31ProductRental1,610,000USDDisclosure
    FY 2018Yearly · 2018-12-31ProductServices1,752,991,000USDDisclosure
    FY 2017Yearly · 2017-12-31ProductHealth Care Patient Service1,712,670,000USDDisclosure
    FY 2017Yearly · 2017-12-31ProductHealth Care Resident Service136,647,000USDDisclosure

    Periods follow company fiscal calendars. Quarterly, annual and year-to-date amounts are shown separately. Missing values are not zero. Data may be delayed, incomplete or corrected; follow the disclosure links to verify figures.