The Ensign Group, Inc. announced record operating results for the fiscal year and fourth quarter ended December 31, 2024. For the full year, GAAP diluted earnings per share were $5.12 and adjusted earnings per share were $5.50. For the fourth quarter, GAAP diluted earnings per share were $1.36 and adjusted earnings per share were $1.49, surpassing analyst expectations.
The company reported strong operational metrics, with same-store and transitioning occupancy increasing to 81.7% and 77.5% respectively in Q4. Skilled days increased by 3.8% for same-store and 10.9% for transitioning operations, while managed care census grew by 6.6% and 27.7% respectively over the prior year quarter.
Ensign issued its annual 2025 earnings guidance of $6.16 to $6.34 per diluted share, representing a 13.8% increase over 2024 results at the midpoint. Annual revenue guidance for 2025 was set at $4.83 billion to $4.91 billion, reflecting confidence in continued operational momentum and contributions from acquisitions.
The company continued its growth trajectory, adding twelve new operations, including six real estate assets, during and since the fourth quarter, bringing the total acquired during 2024 and since to 38. Standard Bearer, the captive REIT, added 18 new assets during the year and since, comprising 129 owned properties and generating $25.1 million in rental revenue for the quarter.
Ensign's liquidity remains robust with approximately $464.6 million of cash on hand and $572.1 million of available capacity under its line-of-credit. The company also paid a quarterly cash dividend of $0.0625 per share, marking its 22nd consecutive annual dividend increase in December 2024.
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