ENSIGN GROUP, INC
For the period ended Dec 31, 2025. Filed Feb 4, 2026.
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FY2025 · Filed Feb 4, 2026
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Item 2. Properties
Service Center— Our primary Service Center is located at our San Juan Capistrano, California campus, which we acquired for a purchase price of $31.0 million to accommodate our growing Service Center team. The property consists of approximately 108,058 square feet of usable office space. In addition, we lease a portion of the space within the campus to third-party tenants. We also have service centers located in Tempe, Arizona; San Antonio, Texas; Dallas, Texas and Salt Lake City, Utah.
Operating Facilities—We operate 373 independent subsidiaries in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin, with the operational capacity to serve approximately 41,000 patients as of December 31, 2025. Of the 373 facilities, we operate 253 facilities under long-term lease arrangements and have options to purchase 8 of those 253 facilities. The results of our independent subsidiaries are reflected in our skilled services segment for our skilled nursing operations and in the "All Other" category for our senior living operations. For more information about our subsequent acquisitions, see Part II., Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations.
The following table sets forth the location of our facilities and the number of operational beds and units located at our skilled nursing, senior living and campus facilities as of December 31, 2025:
| Facility Counts · Bed / Unit Counts | |||||||
|---|---|---|---|---|---|---|---|
| Skilled Operations | Senior Living Communities | Campus Operations(1) | Total | Skilled Operational Beds | Senior Living Units | Total Beds / Units | |
| Texas | 79 | 1 | 5 | 85 | 10,242 | 605 | 10,847 |
| California | 78 | 4 | 3 | 85 | 8,198 | 378 | 8,576 |
| Arizona | 34 | 1 | 6 | 41 | 5,170 | 891 | 6,061 |
| Colorado | 33 | 5 | 1 | 39 | 3,541 | 633 | 4,174 |
| Utah | 26 | 2 | 1 | 29 | 2,412 | 163 | 2,575 |
| Washington | 17 | 1 | — | 18 | 1,608 | 98 | 1,706 |
| Idaho | 14 | — | 1 | 15 | 1,301 | 21 | 1,322 |
| Kansas | 4 | — | 8 | 12 | 883 | 251 | 1,134 |
| Tennessee | 11 | — | — | 11 | 1,122 | — | 1,122 |
| South Carolina | 9 | — | — | 9 | 1,126 | — | 1,126 |
| Iowa | 7 | — | 2 | 9 | 602 | 31 | 633 |
| Nebraska | 4 | 1 | 3 | 8 | 496 | 199 | 695 |
| Wisconsin | 4 | — | — | 4 | 302 | — | 302 |
| Nevada | 3 | — | — | 3 | 483 | — | 483 |
| Alaska | 1 | 1 | — | 2 | 146 | 82 | 228 |
| Alabama | 2 | — | — | 2 | 181 | — | 181 |
| Oregon | — | — | 1 | 1 | 98 | 50 | 148 |
| 326 | 16 | 31 | 373 | 37,911 | 3,402 | 41,313 | |
| (1) Campuses represent facilities that offer both skilled nursing and senior living services. | |||||||
The following table provides summary information regarding the location of our facilities, operational beds and units by property type as of December 31, 2025:
| Operated Facilities | ||||||||
|---|---|---|---|---|---|---|---|---|
| Leased without a Purchase Option | Leased with a Purchase Option | Owned | Total | |||||
| Facilities | Beds/Units | Facilities | Beds/Units | Facilities | Beds/Units | Facilities | Beds/Units | |
| Texas | 56 | 6,975 | 2 | 220 | 27 | 3,652 | 85 | 10,847 |
| California | 73 | 7,243 | — | — | 12 | 1,333 | 85 | 8,576 |
| Arizona | 24 | 3,515 | — | — | 17 | 2,546 | 41 | 6,061 |
| Colorado | 29 | 3,088 | 1 | 125 | 9 | 961 | 39 | 4,174 |
| Utah | 12 | 1,314 | 2 | 159 | 15 | 1,102 | 29 | 2,575 |
| Washington | 12 | 1,085 | — | — | 6 | 621 | 18 | 1,706 |
| Idaho | 9 | 732 | — | — | 6 | 590 | 15 | 1,322 |
| Kansas | 2 | 147 | 3 | 325 | 7 | 662 | 12 | 1,134 |
| Tennessee | 8 | 822 | — | — | 3 | 300 | 11 | 1,122 |
| South Carolina | 4 | 582 | — | — | 5 | 544 | 9 | 1,126 |
| Iowa | 6 | 399 | — | — | 3 | 234 | 9 | 633 |
| Nebraska | 5 | 364 | — | — | 3 | 331 | 8 | 695 |
| Wisconsin | — | — | — | — | 4 | 302 | 4 | 302 |
| Nevada | 3 | 483 | — | — | — | — | 3 | 483 |
| Alaska | — | — | — | — | 2 | 228 | 2 | 228 |
| Alabama | 2 | 181 | — | — | — | — | 2 | 181 |
| Oregon | — | — | — | — | 1 | 148 | 1 | 148 |
| 245 | 26,930 | 8 | 829 | 120 | 13,554 | 373 | 41,313 | |
Real Estate Properties— As of December 31, 2025, we owned 158 real estate properties in Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin, which include 120 of the 373 facilities that we operate and manage. Of our 158 real estate properties, 38 operations are leased to and operated by third-party operators. One senior living facility is located on the same real estate property as a skilled nursing facility that we own and operate. We further own the real estate property of our Service Center's California location and continue to lease a portion of the office space to third-party tenants. Our Standard Bearer segment reflects the results of operations for 152 of the 158 owned real estate properties.
The following table provides summary information regarding the location of our owned and operated real estate properties as of December 31, 2025:
| Facility Counts · Bed / Unit Counts | |||||||
|---|---|---|---|---|---|---|---|
| Skilled Operations | Senior Living Communities | Campus Operations(1) | Total | Skilled Operational Beds | Senior Living Units | Total Beds / Units | |
| Texas | 22 | 1 | 4 | 27 | 3,077 | 575 | 3,652 |
| Arizona | 12 | — | 5 | 17 | 2,052 | 494 | 2,546 |
| Utah | 15 | — | — | 15 | 1,102 | — | 1,102 |
| California | 11 | — | 1 | 12 | 1,291 | 42 | 1,333 |
| Colorado | 6 | 3 | — | 9 | 592 | 369 | 961 |
| Kansas | 2 | — | 5 | 7 | 495 | 167 | 662 |
| Washington | 6 | — | — | 6 | 621 | — | 621 |
| Idaho | 6 | — | — | 6 | 590 | — | 590 |
| South Carolina | 5 | — | — | 5 | 544 | — | 544 |
| Wisconsin | 4 | — | — | 4 | 302 | — | 302 |
| Nebraska | 1 | 1 | 1 | 3 | 171 | 160 | 331 |
| Tennessee | 3 | — | — | 3 | 300 | — | 300 |
| Iowa | 3 | — | — | 3 | 234 | — | 234 |
| Alaska | 1 | 1 | — | 2 | 146 | 82 | 228 |
| Oregon | — | — | 1 | 1 | 98 | 50 | 148 |
| 97 | 6 | 17 | 120 | 11,615 | 1,939 | 13,554 | |
| (1) Campuses represent facilities that offer both skilled nursing and senior living services. | |||||||
The following table provides summary information regarding the location of our owned real estate properties as of December 31, 2025:
| Owned and Operated by Ensign(1) | Owned and Leased to Third-Party Operators(1) | Service Center | Total Properties(1) | |
|---|---|---|---|---|
| Texas(1) | 27 | 9 | — | 35 |
| Wisconsin | 4 | 22 | — | 26 |
| Arizona | 17 | 1 | — | 18 |
| Utah | 15 | — | — | 15 |
| California | 12 | 2 | 1 | 15 |
| Colorado | 9 | — | — | 9 |
| Washington | 6 | 3 | — | 9 |
| Kansas | 7 | — | — | 7 |
| Idaho | 6 | — | — | 6 |
| South Carolina | 5 | — | — | 5 |
| Iowa | 3 | — | — | 3 |
| Nebraska | 3 | — | — | 3 |
| Tennessee | 3 | — | — | 3 |
| Alaska | 2 | — | — | 2 |
| Oregon | 1 | — | — | 1 |
| Nevada | — | 1 | — | 1 |
| 120 | 38 | 1 | 158 |
(1) One senior living operation in Texas, which is owned by an independent subsidiary of Ensign and leased to a third-party operator, is located on the same real estate property as a skilled nursing facility that we own and operate. In this situation, the senior living operation is included in the total under "Owned and Leased to Third Party Operators" and the skilled nursing operation is included in the total under "Owned and Operated by Ensign", however, the amount reflected under "Total Properties" only recognizes the operation as a single property.
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