Ensign Group Expands Portfolio with Four Skilled Nursing Facility Acquisitions Across Kansas, Arizona, and Colorado

ENSG
December 03, 2025

Ensign Group, Inc. (NASDAQ: ENSG) completed the acquisition of four skilled nursing facilities on December 1, 2025, adding 361 beds to its portfolio. The new properties include Willow Point Rehabilitation and Nursing Center, a 45‑bed facility in Kansas City, Kansas; Santa Rosa Care Center, a 144‑bed center in Tucson, Arizona; The Rehabilitation Center at Sandalwood, a 103‑bed facility in Wheat Ridge, Colorado; and Edgewater Health and Rehabilitation, a 69‑bed center in Lakewood, Colorado. All four facilities are operated by Ensign‑affiliated tenants under long‑term triple‑net leases.

The acquisitions bring Ensign’s total operations to 373 healthcare sites across 17 states, with 47 senior‑living locations. Standard Bearer Healthcare REIT, Inc., Ensign’s captive real‑estate vehicle, acquired the real‑estate assets for the Kansas and Colorado facilities, increasing its owned portfolio to 156 properties. The deal reinforces Ensign’s dual‑model strategy of owning the real estate while delegating day‑to‑day operations to local managers, a structure that has delivered consistent scale and margin protection.

Ensign’s management has positioned these purchases as a continuation of its growth strategy in high‑demand markets. The Kansas and Arizona acquisitions tap mature, high‑revenue regions where the company already has a strong presence, while the Colorado additions expand its footprint in a state that has seen rapid growth in skilled nursing demand. By acquiring both the facilities and the underlying real‑estate, Ensign can capture operating income and property appreciation, while the triple‑net lease structure limits capital outlay and aligns incentives with local operators.

The acquisitions arrive on the back of a strong Q3 2025 earnings report in which Ensign reported revenue of $1.30 billion, up 19.8% year‑over‑year, and GAAP diluted EPS of $1.42, beating analyst expectations by $0.05 per share. The company raised its full‑year 2025 guidance for revenue to $5.05–$5.07 billion and EPS to $6.48–$6.54, reflecting confidence in continued demand and disciplined cost management. The new facilities are expected to contribute incremental revenue and operating income in the coming quarters, supporting the upward revision of guidance.

CEO Barry Port highlighted the strategic fit of each acquisition: “We are excited to add another operation to one of our more mature and thriving markets in Arizona,” he said regarding Santa Rosa Care Center. “The Kansas acquisition strengthens our presence in a high‑growth region, and the Colorado facilities complete our expansion in a state that is experiencing rapid demand for skilled nursing services.” These comments underscore Ensign’s focus on geographic diversification and operational leverage.

The market has responded positively to Ensign’s continued expansion, with analysts noting the company’s ability to generate consistent earnings growth while adding new assets that fit its decentralized operating model. The acquisitions are viewed as a reinforcement of Ensign’s long‑term growth trajectory and a demonstration of its disciplined approach to real‑estate ownership and operator partnership.

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