NASDAQ$ENSG

The Ensign Group Inc. · Q4 2024 earnings

Q4 2024 earnings · · After market close · Investor relations

Briefing

Ensign Group reported strong Q4 2024 results with significant increases in net income, adjusted net income, and diluted earnings per share, alongside growth in skilled services revenue and occupancy rates.

The Ensign Group, Inc. announced robust operating results for the fourth quarter of 2024, with GAAP diluted earnings per share of $1.36 and adjusted earnings per share of $1.49. The company saw substantial increases in net income and revenue compared to the prior year quarter, driven by strong performance in skilled services and strategic acquisitions.

  • GAAP net income for Q4 2024 increased by 267.4% over the prior year quarter to $79.7 million.
  • Adjusted net income for Q4 2024 increased by 18.9% over the prior year quarter to $87.6 million.
  • Total skilled services revenue for Q4 2024 was $1.1 billion, an increase of 15.1% over the prior year quarter.
  • Same Facilities and Transitioning Facilities occupancy for Q4 2024 increased by 2.3% and 4.7%, respectively, over the prior year quarter.

Headline financials

Total Revenue

$1.13B

Previous: $971M+16.6%
EPS (adj)

$1.49

Previous: $1.28+16.4%
Same Facility Occupancy

81.4%

Previous: 79.9%+1.9%
Transitioning Facility Occupancy

82.0%

Previous: 74.0%+10.8%
Skilled Nursing Revenue - Medicare

21.1%

Previous: 20.9%+1.0%
Skilled Nursing Revenue - Medicaid

44.7%

Previous: 42.2%+5.9%
Skilled Nursing Revenue - Managed Care

18.4%

Previous: 20.2%-8.9%
Skilled Nursing Revenue - Private/Other

7.5%

Previous: 7.8%-3.8%
Avg Daily Revenue - Medicare

$791.34

No prior period
Avg Daily Revenue - Medicaid

$301.56

No prior period
Avg Daily Revenue - Managed Care

$568.89

No prior period
Avg Daily Revenue - Private/Other

$277.12

No prior period
Funds From Operations

$15.3M

No prior period
Total Skilled Services Revenue

$1.08B

No prior period
Total Skilled Nursing Revenue

$406.77

No prior period
Capital Expenditures

-$48.2M

Previous: -$28.8M-67.1%
Net Income

$79.8M

Previous: $21.8M+265.4%
Operating Income

$101M

Previous: $22.8M+341.5%
Gross Profit

$156M

Previous: $149M+5.2%

Revenue & EPS history

Ensign Group · Revenue · Quarterly

$1.13B

Q4 2024+16.6%vs Q4 2023
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 annual 2025 earnings guidance with diluted earnings per share expected to be between $6.16 and $6.34, and annual revenue guidance between $4.83 billion and $4.91 billion. The midpoint of this guidance represents a 13.8% increase over 2024 results.

Tailwinds

  • Continued strong performance and momentum in existing markets.
  • Anticipated continued growth through strategic acquisitions.
  • Robust bench of talent supporting ongoing expansion.
  • Commitment to managing and innovating while integrating new operations.
  • Well-positioned for another outstanding year in 2025 due to organizational health, culture, and local leadership strategy.

Headwinds

  • Guidance assumes normalized health insurance costs.
  • Guidance assumes current expectations regarding reimbursement rates.
  • Excludes certain charges arising outside the normal course of business.
  • Excludes acquisition-related costs.
  • Excludes share-based compensation.

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 2024

Historical avgQ4 2024

+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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