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Ensign Group (ENSG) earnings and revenue breakdown
Latest: Q3 2026 · 10-Q filed Oct 27, 2026 · Ensign Group (ENSG) Q3 2026 earnings results →
Q3 2026 Revenue up 14% year over year to $1.5B · 7¢ of every $1 of revenue kept as net profit · operating margin 9.3%
Ensign Group made $1.5B in Q3 2026 (+14% Y/Y). Operating margin 9.3%, net earnings $104M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Oct 27, 2026.
Drawing the Sankey…
Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF
What changed this quarter
Revenue was $1.5B in Q3 2026, up 14% year over year and up 3% from the previous quarter.
Operating profit was $0.14B, a 9.3% margin (up 1.9 points year over year). Of the extra revenue versus Q3 2025, 22% reached operating profit, above the 7% margin then. Total costs grew 12% against revenue growth of 14%. The fastest-growing cost line was General & admin (+18%). Net earnings were $0.10B, up 24% year over year. The effective tax rate was 25.5%.
Operating cash flow was $0.24B (up 57% year over year), 230% of net earnings. Non-cash charges added back $0.03B of depreciation and amortization and $0.02B of share-based compensation. Working capital and other items added $0.08B. Capital expenditures of $0.05B left free cash flow of $0.19B.
Quarterly history
| Quarter | Form | Filed | Revenue | Y/Y | Op. margin | Net earnings | Op. cash flow |
|---|---|---|---|---|---|---|---|
| Q3 2026 | 10-Q | Oct 27, 2026 | $1.5B | +14% | 9.3% | $104M | $240M |
| Q2 2026 | 10-Q | Jul 27, 2026 | $1.4B | +17% | 8.5% | $99.8M | $172M |
| Q1 2026 | 10-Q | Apr 30, 2026 | $1.4B | +18% | 9.0% | $99.8M | $100M |
| Q4 2025 | 10-K | Feb 4, 2026 | $1.4B | +20% | 9.1% | $95.5M | $183M |
| Q3 2025 | 10-Q | Nov 3, 2025 | $1.3B | +20% | 7.4% | $83.9M | $153M |
| Q2 2025 | 10-Q | Jul 24, 2025 | $1.2B | +18% | 8.5% | $84.5M | $156M |
| Q1 2025 | 10-Q | Apr 29, 2025 | $1.2B | +16% | 8.6% | $80.4M | $72.2M |
Charts
Interactive views
The same charts as the app — open one to draw it.
💵Where each $1 goesinteractive
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🌏Named in Asian annual reportsinteractive
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🔄Rotation against the market and its industry (RRG)interactive
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🔍Earnings qualityinteractive
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⚖️Fair value by methodinteractive
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🔭Outlook & guidanceinteractive
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📈Investments: gains and what it boughtinteractive
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🏭Its industry’s money flow (input-output)interactive
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Customers and suppliers named in filings
Sells to
- Medicare & Medicaid — 25% of its revenue · Stated in 10-K (sentence) · source
About Ensign Group
Founded in 1999, The Ensign Group, Inc. (Ensign) is a holding company with independent subsidiaries that provide skilled nursing, senior living and rehabilitative services, as well as other ancillary businesses (including mobile diagnostics and medical transportation), in 17 states. As part of our investment strategy, we also acquire, lease and own healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities in healthcare properties. For the year ended December 31, 2025, we generated approximately 95.6% of our revenue from our skilled nursing facilities. The remainder of our revenue is primarily generated from our real estate properties, senior living services and other ancillary services.
In its own words, from its 10-K, filed Feb 4, 2026.
Ensign Group against its Services-Skilled Nursing Care Facilities peers
The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +14% against the peers' median +12%. Operating margin: 9.3% against the peers' median 9.3%.
| Company | Quarter | Revenue | Y/Y | Op. margin |
|---|---|---|---|---|
| ENSG Ensign Group | Q3 2026 | $1.5B | +14% | 9.3% |
| PACS Pacs Group | Q3 2026 | $1.5B | +12% | 6.7% |
| NHC National Healthcare | Q3 2026 | $408M | +7% | 10.0% |
Source: Ensign Group 10-Q on SEC EDGAR · CIK 1125376 · Services-Skilled Nursing Care Facilities
Guidance and outlook
13F: who owns ENSG and who is buying
More on ENSG
History
Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results