The Ensign Group (ENSG) Earnings: Q3 2026 Results

The quarter ended September 30, 2026 and The Ensign Group published the results on October 27, 2026. Revenue and diluted EPS are shown against Q3 2025, the same quarter a year earlier, which takes seasonal swings out of the comparison. The Ensign Group reports EPS two ways: GAAP, under the accounting rules every US filer follows, and adjusted, which leaves out items the company considers outside its operating results. The release reconciles the two, and when they diverge, the reconciliation says why.

• Ensign reports in thousands of dollars; figures here are converted to millions. Segment rows come from Note 7 of the 10-Q, where Standard Bearer's rent from Ensign's own operations is removed in the intercompany elimination line.
• Ensign's earnings guidance excludes stock-based compensation, acquisition costs, system implementation costs and other items, so it compares with adjusted EPS, not GAAP EPS.

Source: The Ensign Group Q3 2026 results, October 27, 2026. Also in the Form 10-Q for the quarter ended September 30, 2026. Figures as reported; checked against the release on November 10, 2026.

How The Ensign Group splits revenue in its own release, under its own labels, for Q3 2026 against Q3 2025. Indented lines are parts of the line above them.

• The Ensign Group's Skilled Services revenue was $1.4 billion in Q3 2026, up 15% from $1.2 billion in Q3 2025, 96% of total revenue.
• The Ensign Group's Standard Bearer revenue was $47.7 million in Q3 2026, up 46% from $32.6 million in Q3 2025, 3% of total revenue.
• The Ensign Group's All other revenue revenue was $66.9 million in Q3 2026, up 10% from $60.6 million in Q3 2025, 5% of total revenue.

Segment lines are the figures writers cite most often, because they show where the growth in a quarter came from. Companies redraw their segments from time to time and restate the prior year to match, so a year-ago figure here can differ from the one printed a year ago. When that has happened, the note above says so.

From the earnings release

In its Q3 2026 release, The Ensign Group said:

“Due to the strength of the third quarter and our confidence in the fourth quarter, we are increasing our annual 2026 earnings guidance to $7.94 to $8.02 per diluted share, up from our original guidance of $7.75 to $7.85.”

“We are also raising the lower end of our annual revenue guidance to $5.89 billion, while maintaining the upper end at $5.92 billion.”

“Management's annual guidance is based on diluted weighted average common shares outstanding of approximately 59.5 million and a 25.0% tax rate.”

“It also excludes certain charges that arise outside the normal course of business, amortization of system implementation costs, acquisition related costs and share-based compensation.”

Source: Ensign Q3 2026 release, Oct 27, 2026.

This is the company's own guidance as of Oct 27, 2026, quoted as given. Walnut does not make forecasts of its own. Analyst estimates for the coming quarters are on the ENSG forecast page.

Revenue and diluted EPS for the last 5 quarters. Each date links to that quarter's release.

GAAP total revenue and diluted EPS, each as first reported in that quarter's release.

We do not hold a confirmed date for The Ensign Group's next report. Companies post the date on their investor relations site a few weeks ahead, usually with the time of the conference call.

Each quarter keeps its own page with the figures as reported, so a link to one stays pointed at the same numbers after the next report.

• Q3 2026 (this page), reported Oct 27, 2026

The Ensign Group's total revenue was $1.48 billion in Q3 2026, up 14.5% from a year earlier. Almost all of it is service revenue from skilled nursing: the Skilled Services segment brought in $1,422.0 million, up 14.8%, and in 2025 Ensign generated about 95.6% of its revenue from its skilled nursing facilities. The rest comes from rental income, senior living and ancillary businesses such as mobile x-ray, transportation and long-term care pharmacy. (The Ensign Group Q3 2026 release, Oct 27, 2026; The Ensign Group Form 10-K, 2025, Feb 4, 2026)

Of $1,476.8 million of service revenue in the quarter, Medicaid was 40.0%, Medicare 23.2% and Medicaid-skilled 5.3%, so Medicaid and Medicare together were 68.5%, down from 69.5% a year earlier. Managed care was 18.7% and private and other payors 12.8%. (The Ensign Group Q3 2026 release, Oct 27, 2026)

Ensign splits its skilled nursing results by how long it has owned each building. Same Facilities (acquired before January 1, 2023) grew skilled services revenue 5.6% to $997.2 million, Transitioning Facilities grew 5.4% to $198.4 million, and Recently Acquired Facilities (acquired since January 1, 2025) brought in $226.4 million against $106.2 million a year earlier. Ensign ended the quarter with 350 skilled services facilities, up from 315. (The Ensign Group Q3 2026 release, Oct 27, 2026)

Ensign attributed the growth to higher occupancy and a richer skilled mix. Same Facilities occupancy rose to 84.1% from 82.8%, and Same Facilities Medicare revenue rose 11.1% and managed care revenue 9.1%, with skilled days up 7.2%. Across all facilities the Medicare average daily rate was $817.11, against $800.89 a year earlier. (The Ensign Group Q3 2026 release, Oct 27, 2026)

Standard Bearer, Ensign's real estate segment, owns 183 properties: 146 leased to Ensign-affiliated operators and 38 to third parties, all on triple-net, long-term leases. Its rental revenue was $47.7 million, up 46.3%, of which $42.1 million came from Ensign's own operations, and that intercompany rent is eliminated from consolidated revenue. (The Ensign Group Q3 2026 release, Oct 27, 2026)

The Ensign Group's GAAP diluted EPS was $1.76 in Q3 2026, up 23.9%, and adjusted EPS was $2.03, up 23.8%. The largest item between them is stock-based compensation expense of $19.0 million, which Ensign excludes, along with acquisition costs, system implementation costs and gains or losses on long-lived assets; it taxes those adjustments at its historical effective tax rate of 25.0%. (The Ensign Group Q3 2026 release, Oct 27, 2026)

Year-ago GAAP results carried a $12.0 million litigation charge in cost of services, which Ensign also excluded from adjusted net income. Other income, net fell to $2.2 million from $10.4 million, as interest income declined and other (expense) income swung from a $6.2 million gain to a $0.2 million expense. (The Ensign Group Q3 2026 release, Oct 27, 2026)

Ensign's effective tax rate was 25.5% in the quarter, against 21.3% a year earlier. Diluted weighted average shares were 59.3 million against 59.0 million. Ensign repurchased about 44,000 shares for $7.4 million in the quarter, after about 257,000 shares for $40.0 million in Q2, and paid a quarterly dividend of $0.065 per share. (The Ensign Group Form 10-Q, Q3 2026, Oct 27, 2026; The Ensign Group Q3 2026 release, Oct 27, 2026)

Diluted EPS divides net income by the weighted average number of shares outstanding in the quarter, plus the shares that options and other equity awards could add. Buybacks shrink that count and lift EPS for the same profit; share issuance and stock awards enlarge it.

The Ensign Group gives full-year guidance in its release and updates it each quarter. With Q3 2026 results it raised 2026 earnings guidance to $7.94 to $8.02 per diluted share, from $7.75 to $7.85, and raised the low end of revenue guidance to $5.89 billion while keeping the top at $5.92 billion. (The Ensign Group Q3 2026 release, Oct 27, 2026)

The guidance assumes about 59.5 million diluted shares, a 25.0% tax rate, normalized insurance costs and acquisitions expected to close through the fourth quarter of 2026. It excludes share-based compensation and acquisition and system implementation costs, so it lines up with adjusted EPS ($5.80 for the first nine months of 2026), not GAAP EPS ($5.11). (The Ensign Group Q3 2026 release, Oct 27, 2026)

A consensus figure is the average of the models published by the analysts who cover The Ensign Group, collected by a data provider and revised up to the day of the report. A quarter that lands above it says how expectations were set as much as how the business did, and the share price on the day also reflects the guidance and the lines no consensus covers.

The consensus figures on this page are Yahoo Finance's, as pulled on the date shown. Each comes with the number of analysts behind it; the smaller that number, the more one revised estimate can move the average.

The figures below are the ones The Ensign Group's own release and filings put weight on for Q3 2026, with the latest reported value for each.

What the quarter means for a holding is a separate question from what it reported. The case for and against owning ENSG is on is ENSG a buy or a sell?, what analysts expect next is on the ENSG forecast, and what the company does is on the The Ensign Group (ENSG) stock page.

Every number on this page can be traced to a document The Ensign Group published. Checking one takes a couple of minutes, and it is worth doing before you quote a figure anywhere.

• The results release is the document linked in the source line above. Companies publish it on their investor relations site at the moment results go out, and it carries the headline tables: revenue, operating income, net income and EPS for the quarter and the year-ago quarter.
• The same release is filed with the SEC as Exhibit 99.1 to a Form 8-K under Item 2.02, usually on the day of the report. The SEC copy does not change after the fact, which makes it the safer thing to link when you cite a number.
• The quarterly report (Form 10-Q) follows within a few weeks and carries the full financial statements, the segment note and management's discussion of what changed. The fourth quarter is covered by the annual report (Form 10-K) instead.
• Restated comparisons are flagged in the notes on this page. When a company redraws its segments or changes how it adjusts EPS, it restates the year-ago column, so the year-ago figure in a new release can differ from the one printed a year ago. This page always uses the comparison in the newer release, because that is the like-for-like one.

A walk-through of every line in a release, with what each one tells you, is in how to read an earnings report.