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Ensign Group (ENSG) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 4, 2026

Ensign Group (ENSG) reported revenue of $1.4B for the fourth quarter 2025 (Q4 2025), +20% from a year earlier and +5% from the quarter before. Operating margin was 9.1%, net earnings $95.5M (7.0% of revenue).

Revenue$1.4B
Year over year+20%
Quarter over quarter+5%
Operating margin9.1%
Net earnings$95.5M

Ensign Group, Q4 2025: revenue $1.4B (+20% year over year), operating margin 9.1%, net earnings $95.5M, operating cash flow $183M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$1.4B+5%+20%
Operating profit$124M+29%+23%
Net earnings$95.5M+14%+20%
Operating cash flow$183M+20%+82%
Free cash flow$133M—+155%

What changed

Revenue was $1.4B in Q4 2025, up 20% year over year and up 5% from the previous quarter.

Operating profit was $0.12B, a 9.1% margin (up 0.2 points year over year). Of the extra revenue versus a year earlier, 10% reached operating profit, above the 9% margin then. Total costs grew 20% against revenue growth of 20%. The fastest-growing cost line was General & admin (+27%). Net earnings were $0.10B, up 20% year over year. The effective tax rate was 26.6%.

Operating cash flow was $0.18B (up 82% year over year), 192% of net earnings. Non-cash charges added back $0.03B of depreciation and amortization and $0.01B of share-based compensation. Working capital and other items added $0.05B. Capital expenditures of $0.05B left free cash flow of $0.13B.

Questions

What was Ensign Group's revenue in the fourth quarter 2025?

Ensign Group (ENSG) reported revenue of $1.4B for the fourth quarter 2025 (Q4 2025), +20% from a year earlier and +5% from the quarter before.

Was Ensign Group profitable in the fourth quarter 2025?

Operating profit was $124M (9.1% of revenue) and net earnings $95.5M.

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Source: Ensign Group 10-K on SEC EDGAR.