10-Q quarterly report · filed Apr 30, 2026

ENSIGN GROUP, INC (ENSG) Q1 2026 10-Q Quarterly Report

Short answer

ENSIGN GROUP, INC (ENSG) filed its Q1 2026 10-Q quarterly report on Apr 30, 2026 for the quarter ended Mar 31, 2026. Quarterly revenue was $1.4B (up 17.8% year over year) with net income of $100M.

Q1 2026 key financials · XBRL

Revenue
$1.4B
+17.8% YoY
Net income
$100M
+24.2% YoY
Operating margin
9.0%
EPS (diluted)
$1.67
+21.9% YoY

Source: XBRL data from the ENSIGN GROUP, INC (ENSG) Q1 2026 10-Q on SEC EDGAR. USD.

ENSIGN GROUP, INC Q1 2026 10-Q analysis

AI summary of MD&A and risk factor updates

Management Discussion & Analysis

  • Service revenue $1.382B, up $215.3M YoY from $1.167B
  • Skilled Services revenue $1.331B vs $1.124B; All Other $51.5M vs $43.5M
  • Skilled mix 50.7% of revenue vs 50.2%; occupancy 84.0% vs 81.9%
  • Operating expansion: five skilled nursing operations, adding 582 beds
  • Headwinds: Medicaid provider-tax limits and potential mandatory staffing legislation

Risk Factors

  • Newly triggered political risk: OBBB limits ACA Medicaid expansion and imposes six-month eligibility redeterminations
  • Most material reimbursement update: FY 2027 PPS proposal expands QRP reporting and reduces VBP reimbursements
  • Compliance risk: CMS Interoperability Final Rule implementation through January 1, 2027 may reduce Medicare Advantage reimbursement
  • Labor risk: Staffing shortages could increase costs and trigger state minimum-staffing fines
  • Revenue concentration: Medicaid represented 44.8% of revenue, with exposure concentrated in California, Texas, and Arizona

Generated from the filing text; verify against the original. 10-K vs 10-Q vs 8-K

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