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The Ensign Group Increases Operations in Arizona

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The Ensign Group (Nasdaq: ENSG) announced multiple acquisitions, effective December 1, 2025, expanding operations and real estate activity across several states. Key moves include acquiring operations of the 144-bed Santa Rosa Care Center in Tucson, AZ (triple net lease), purchasing real estate and operations of the 45-bed Willow Point Rehabilitation and Nursing Center in Kansas City, KS (real estate bought by Standard Bearer Healthcare REIT subsidiary and leased to an Ensign operator), and acquiring operations of two Colorado nursing facilities (103-bed Sandalwood and 69-bed Edgewater), all effective Dec. 1, 2025.

These transactions bring Ensign’s portfolio to 373 healthcare operations across 17 states, with subsidiaries owning 156 real estate assets. Management said the company continues to pursue additional real estate and operating acquisitions nationwide.

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Positive

  • Portfolio increased to 373 healthcare operations
  • Adds a 144-bed skilled nursing operation in Tucson, AZ
  • Subsidiaries now own 156 real estate assets

Negative

  • Multiple long-term triple-net leases increase contractual lease obligations
  • Real estate purchase via captive REIT concentrates capital deployment

News Market Reaction

-1.35%
1 alert
-1.35% News Effect

On the day this news was published, ENSG declined 1.35%, reflecting a mild negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

Santa Rosa capacity: 144 beds Willow Point capacity: 45 beds Sandalwood capacity: 103 beds +5 more
8 metrics
Santa Rosa capacity 144 beds Skilled nursing facility in Tucson, Arizona
Willow Point capacity 45 beds Rehabilitation and nursing center in Kansas City, Kansas
Sandalwood capacity 103 beds Skilled nursing facility in Wheat Ridge, Colorado
Edgewater capacity 69 beds Skilled nursing facility in Lakewood, Colorado
Total healthcare operations 373 facilities Ensign portfolio after December 1, 2025 acquisitions
Senior living operations 47 facilities Included within 373 healthcare operations
Owned real estate assets 156 assets Owned by Ensign subsidiaries including Standard Bearer
States served 17 states Geographic footprint of Ensign operations

Market Reality Check

Price: $183.54 Vol: Volume 304,899 is below t...
normal vol
$183.54 Last Close
Volume Volume 304,899 is below the 20-day average of 343,586. normal
Technical Price at 174.15 is trading above the 200-day MA of 155.15.

Peers on Argus

Peers showed mixed moves: DVA +0.8%, CHE +0.24%, UHS +0.25%, OPCH -1.76%, EHC 0%...

Peers showed mixed moves: DVA +0.8%, CHE +0.24%, UHS +0.25%, OPCH -1.76%, EHC 0%, suggesting company-specific drivers for ENSG rather than a broad sector trend.

Historical Context

5 past events · Latest: Dec 02 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Dec 02 Portfolio expansion Positive -1.4% Acquisition of Arizona, Kansas, and Colorado skilled nursing operations.
Dec 02 Portfolio expansion Positive -1.4% Details on Colorado operations growth under triple net leases.
Dec 02 Real estate expansion Positive -1.4% Real estate and operations acquisitions in Kansas, Arizona, Colorado.
Nov 03 Earnings and guidance Positive +2.1% Q3 2025 EPS and revenue growth with raised 2025 guidance.
Nov 03 Portfolio expansion Positive +2.1% Acquisition of Alabama facility and seven Utah properties.
Pattern Detected

Positive acquisition and earnings news has typically seen modest price reactions, with some recent acquisition announcements followed by short-term declines.

Recent Company History

Over recent months, Ensign reported multiple acquisition-driven expansions and strong financial results. On Nov 1, 2025, it added a 90-bed Alabama facility and seven Utah properties, lifting the portfolio to 369 operations and 155 owned real estate assets. Q3 2025 results on Nov 3 showed higher EPS, net income, and revenue, alongside raised full-year guidance. The current news on Dec 1 acquisitions expands operations to 373 facilities and 156 owned real estate assets across 17 states, continuing this growth pattern.

Market Pulse Summary

This announcement details multiple transactions effective December 1, 2025, adding four skilled nurs...
Analysis

This announcement details multiple transactions effective December 1, 2025, adding four skilled nursing facilities and bringing Ensign’s portfolio to 373 operations, including 47 senior living sites, and 156 owned real estate assets across 17 states. It continues a consistent acquisition strategy seen in prior months. Investors may watch subsequent disclosures for occupancy, margins, and contribution from these facilities to assess operational performance and integration progress.

Key Terms

triple net lease, reit, captive real estate company
3 terms
triple net lease financial
"subject to a long-term, triple net lease with a third-party landlord"
A triple net lease is a rental agreement where the tenant pays the base rent plus three main ongoing costs: property taxes, building insurance, and routine maintenance. For investors, this shifts much of the expense and risk onto the tenant, creating a steadier, more predictable income stream for the property owner—similar to renting a furnished home where the renter also pays the bills—making valuation and cash-flow forecasting simpler.
reit financial
"Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company"
A real estate investment trust (REIT) is a company that owns, operates, or finances income-producing real estate, like shopping centers, apartments, or office buildings. For investors, REITs offer a way to invest in real estate without having to buy property directly, often providing regular income through dividends. They function like a mutual fund for real estate, making it easier for people to add property investments to their portfolio.
captive real estate company financial
"Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company"
A captive real estate company is an in-house landlord set up by a parent business to own, manage, or develop property used primarily by that parent or its related companies. For investors, it matters because transactions between the parent and its captive can affect cash flow, asset values and risk transparency—similar to watching how a family runs its own rental properties rather than leasing on the open market, which can hide costs or shift profits.

AI-generated analysis. Not financial advice.

SAN JUAN CAPISTRANO, Calif., Dec. 02, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign™ group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that it acquired the operations of “Santa Rosa Care Center”, a 144-bed skilled nursing facility located in Tucson, Arizona which is subject to a long-term, triple net lease with a third-party landlord. This acquisition was effective as of December 1, 2025.

“We are excited to add another operation to one of our more mature and thriving markets,” said Barry Port, Ensign’s Chief Executive Officer. “This facility clusters well with other operations in Tucson and we are looking forward to seeing what the future holds,” he continued.

Christie Jones, market leader for Bandera Healthcare LLC, Ensign’s Arizona-based subsidiary, added, “We are excited to work together with the outstanding care team at the facility and combine their expertise with Ensign’s quality of service to provide our residents and their families the care they want and need.”

In a separate transaction on the same day, Ensign announced that it acquired the real estate and operations of “Willow Point Rehabilitation and Nursing Center”, a 45-bed skilled nursing facility located in Kansas City, Kansas. The real estate was purchased by a subsidiary of Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company, and operations were leased to an Ensign-affiliated operator, subject to a long-term lease effective as of December 1, 2025.

In another transaction on the same day, Ensign announced that it acquired the operations to two facilities in Colorado (i) “The Rehabilitation Center at Sandalwood”, a 103-bed skilled nursing facility located in Wheat Ridge, Colorado, and (ii) “Edgewater Health and Rehabilitation”, a 69-bed skilled nursing facility located in Lakewood, Colorado. Both facilities are operated by an Ensign affiliated operator and are subject to a long-term triple net lease. This acquisition was effective as of December 1, 2025.

These acquisitions bring Ensign’s growing portfolio to 373 healthcare operations, which includes 47 senior living operations, across 17 states. Ensign subsidiaries, including Standard Bearer, own 156 real estate assets. Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and to lease both well-performing and struggling skilled nursing, senior living and other healthcare related businesses throughout the United States.

About Ensign™

The Ensign Group, Inc.’s independent operating subsidiaries provide a broad spectrum of skilled nursing and senior living services, physical, occupational and speech therapies and other rehabilitative and healthcare services at 373 healthcare facilities in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin. More information about Ensign is available at http://www.ensigngroup.net.

Contact Information

The Ensign Group, Inc., (949) 487-9500, ir@ensignservices.net

SOURCE: The Ensign Group, Inc.


FAQ

What facilities did Ensign (ENSG) acquire effective Dec. 1, 2025?

Ensign acquired operations of Santa Rosa Care Center (144 beds, Tucson AZ), operations and real estate of Willow Point (45 beds, Kansas City KS), and operations of two Colorado facilities (103-bed Sandalwood and 69-bed Edgewater), effective Dec. 1, 2025.

How does the Dec. 1, 2025 deal affect Ensign’s total operations (ENSG)?

After the transactions, Ensign’s portfolio totals 373 healthcare operations across 17 states.

Did Ensign (ENSG) buy the real estate for Willow Point or lease it?

A subsidiary of Standard Bearer Healthcare REIT purchased Willow Point real estate and leased operations to an Ensign-affiliated operator under a long-term lease.

Are the new Arizona and Colorado facilities subject to triple-net leases under ENSG?

Yes; the Santa Rosa care center and the two Colorado facilities are reported as subject to long-term triple net leases.

How many real estate assets does Ensign (ENSG) own after these transactions?

Ensign subsidiaries, including Standard Bearer, own 156 real estate assets following these transactions.

Is Ensign (ENSG) still pursuing additional healthcare real estate and operations?

Yes; management reaffirmed that Ensign is actively seeking opportunities to acquire real estate and lease healthcare operations nationwide.
Ensign Group Inc

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Medical Care Facilities
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United States
SAN JUAN CAPISTRANO