NASDAQ$ENSG

The Ensign Group Inc. · Q4 2023 earnings

Q4 2023 earnings · · Investor relations

Briefing

Ensign Group reported Q4 2023 results with revenue increase and earnings per share.

Ensign Group reported a strong Q4 2023, with consolidated GAAP revenue of $980.4 million, a 21.1% increase over the prior year quarter. GAAP diluted earnings per share was $0.38, and adjusted diluted earnings per share was $1.28, a 16.4% increase over the prior year quarter. The company's same store occupancy was 79.9%, a 2.4% increase over the prior year quarter.

  • Consolidated GAAP revenue increased by 21.1% year-over-year to $980.4 million.
  • GAAP diluted earnings per share was $0.38, which includes the impact of certain litigation matters arising outside the ordinary course of business.
  • Adjusted diluted earnings per share increased by 16.4% year-over-year to $1.28.
  • Same store occupancy increased by 2.4% over the prior year quarter, reaching 79.9%.

Headline financials

Total Revenue

$971M

Previous: $810M+19.9%
EPS (adj)

$1.28

Previous: $1.10+16.4%
Same Facility Occupancy

79.9%

No prior period
Transitioning Facility Occupancy

74.0%

No prior period
Skilled Nursing Revenue - Medicare

20.9%

No prior period
Skilled Nursing Revenue - Medicaid

42.2%

No prior period
Skilled Nursing Revenue - Managed Care

20.2%

No prior period
Skilled Nursing Revenue - Private/Other

7.8%

No prior period
Capital Expenditures

-$28.8M

No prior period
Net Income

$21.8M

Previous: $60.5M-63.9%
Operating Income

$22.8M

Previous: $75.2M-69.6%
Gross Profit

$149M

Previous: $135M+10.2%
Stock-Based Comp

$8.08M

Previous: $6.04M+33.7%

Revenue & EPS history

Ensign Group · Revenue · Quarterly

$971M

Q4 2023+19.9%vs Q4 2022
Beat estimate in 9 of 15 quarters(60%)
ActualEstimate

Revenue by segment

Ensign Group · $924M total across 2 segments · Q3 2023

  • Skilled Services
    $903M+22.1%
  • Standard Bearer
    $21M+12.3%

Forward guidance

The Ensign Group is issuing its annual 2024 earnings guidance of $5.29 to $5.47 per diluted share and annual revenue guidance of $4.13 billion to $4.17 billion.

Tailwinds

  • 2024 earnings guidance represents an increase of 13% over 2023 results.
  • 2024 earnings guidance is 30% higher than 2022 results.
  • Company is well-positioned to have another outstanding year in 2024.
  • Pipeline for new deals remains strong.
  • Company has over a billion dollars in dry powder for future investments.

Headwinds

  • Guidance excludes one-time charges, including certain expenses related to litigation matters arising outside of the ordinary course of business.
  • Guidance excludes acquisition-related costs.
  • Guidance excludes amortization costs related to intangible assets acquired and share-based compensation.
  • The company is unable to predict the full extent and duration of the financial impact of these changes on our business, financial condition and results of operations
  • There are risks and uncertainties related to the Company’s business, its industry and its common stock

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2023

Historical avgQ4 2023

+1.7%

Avg return

Earnings day

+2.4%

Avg return

5 days after

+4.9%

Avg return

30 days after

55%

36 / 66 earnings

Positive

+21.1%

Q2 2020

Best reaction

-14.9%

Q4 2016

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026-1.2%-5.8%-10.2%
Q4 2025+13.8%+17.8%+19.7%
Q3 2025-0.1%-2.1%-3.2%
Q2 2025+0.1%+1.8%+1.2%
Q1 2025+0.7%+2.9%+14.9%
Q4 2024-8.7%-13.3%-12.4%
Q3 2024+1.9%+4.6%-2.4%
Q2 2024+4.5%+6.5%+8.4%
Q1 2024-1.5%-2.0%+2.4%
Q4 2023+6.7%+3.9%+7.7%
Q3 2023-1.4%-1.4%+13.3%
Q2 2023+1.4%+3.2%+7.0%
Q1 2023-5.7%-4.6%-13.1%
Q4 2022-1.7%-4.4%-2.7%
Q3 2022-1.9%+1.8%+6.7%
Q2 2022+9.5%+6.5%+7.0%
Q1 2022-1.4%-3.8%+1.1%
Q4 2021+7.9%+6.0%+15.9%
Q3 2021+8.3%+11.3%+10.6%
Q2 2021-2.5%-1.3%-3.8%
Q1 2021-3.3%-2.5%-6.3%
Q4 2020+0.4%-2.1%-6.3%
Q3 2020+2.8%+4.8%+23.2%
Q2 2020+21.1%+21.5%+20.9%
Q1 2020+2.6%+2.6%+22.6%
Q4 2019+11.6%+13.9%-2.5%
Q3 2019+1.1%+1.9%+3.9%
Q2 2019-10.3%-15.7%-17.2%
Q1 2019-1.0%+5.0%+4.2%
Q4 2018+11.3%+10.0%+10.2%
Q3 2018+11.2%+20.5%+21.1%
Q2 2018-2.7%-0.1%+8.4%
Q1 2018+12.4%+17.8%+30.7%
Q4 2017+7.5%+8.7%+20.1%
Q3 2017-0.8%-0.2%-2.9%
Q2 2017-7.4%-7.3%-4.4%
Q1 2017+10.4%+9.5%+2.4%
Q4 2016-14.9%-15.5%-8.9%
Q3 2016+3.4%+5.3%+20.7%
Q2 2016-12.2%-8.9%-12.6%
Q1 2016+1.1%
Q4 2015-5.6%
Q3 2015+13.0%
Q2 2015-0.8%
Q1 2015+5.7%
Q4 2014-6.0%
Q3 2014+5.3%
Q2 2014-1.9%
Q1 2014-2.0%
Q4 2013-1.0%
Q3 2013+3.5%
Q2 2013-3.9%
Q1 2013-5.3%
Q4 2012+3.1%
Q3 2012-5.1%
Q2 2012+2.6%
Q1 2011-0.7%
Q1 2012-0.7%
Q4 2011+7.7%
Q4 2009+7.7%
Q3 2011+12.7%
Q3 2010+12.7%
Q4 2010+1.2%
Q2 2010+1.2%
Q2 2011+1.2%
Q1 2010-3.4%

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