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The Ensign Group Announces Expansion in California

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The Ensign Group (Nasdaq: ENSG) has significantly expanded its healthcare portfolio through multiple acquisitions effective August 1, 2025. The company acquired operations of eight skilled nursing and assisted living facilities in California, plus three additional facilities under management agreements, totaling over 1,200 operational beds/units.

Additionally, Ensign acquired real estate and operations of two facilities through its Standard Bearer Healthcare REIT subsidiary: a 120-bed facility in Wisconsin and a 72-bed facility in Iowa. These acquisitions expand Ensign's portfolio to 361 healthcare operations across 17 states, including 47 senior living operations, with ownership of 148 real estate assets.

The Ensign Group (Nasdaq: ENSG) ha ampliato significativamente il suo portafoglio sanitario attraverso numerose acquisizioni a partire dal 1° agosto 2025. L'azienda ha acquisito le operazioni di otto strutture di assistenza infermieristica specializzata e residenze assistite in California, oltre a tre ulteriori strutture gestite tramite accordi, per un totale di oltre 1.200 posti letto/unità operative.

Inoltre, Ensign ha acquisito immobili e operazioni di due strutture tramite la sua controllata Standard Bearer Healthcare REIT: una struttura da 120 posti letto in Wisconsin e una da 72 posti letto in Iowa. Queste acquisizioni portano il portafoglio di Ensign a 361 strutture sanitarie distribuite in 17 stati, inclusi 47 servizi di assistenza agli anziani, con la proprietà di 148 immobili.

The Ensign Group (Nasdaq: ENSG) ha ampliado significativamente su cartera de servicios de salud mediante varias adquisiciones efectivas desde el 1 de agosto de 2025. La compañía adquirió operaciones de ocho centros de enfermería especializada y residencias asistidas en California, además de tres instalaciones adicionales bajo acuerdos de gestión, sumando más de 1,200 camas/unidades operativas.

Además, Ensign adquirió bienes raíces y operaciones de dos instalaciones a través de su subsidiaria Standard Bearer Healthcare REIT: una instalación de 120 camas en Wisconsin y otra de 72 camas en Iowa. Estas adquisiciones amplían la cartera de Ensign a 361 operaciones de salud en 17 estados, incluyendo 47 servicios para personas mayores, con la propiedad de 148 activos inmobiliarios.

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The Ensign Group (Nasdaq : ENSG) a considérablement élargi son portefeuille de soins de santé grâce à plusieurs acquisitions effectives au 1er août 2025. L'entreprise a acquis les opérations de huit établissements de soins infirmiers spécialisés et de résidences assistées en Californie, ainsi que trois établissements supplémentaires sous contrats de gestion, totalisant plus de 1 200 lits/unités opérationnels.

De plus, Ensign a acquis les biens immobiliers et les opérations de deux établissements via sa filiale Standard Bearer Healthcare REIT : un établissement de 120 lits dans le Wisconsin et un autre de 72 lits dans l’Iowa. Ces acquisitions portent le portefeuille d’Ensign à 361 opérations de santé dans 17 États, incluant 47 établissements pour personnes âgées, avec la propriété de 148 actifs immobiliers.

The Ensign Group (Nasdaq: ENSG) hat sein Gesundheitsportfolio durch mehrere Übernahmen zum 1. August 2025 erheblich erweitert. Das Unternehmen erwarb den Betrieb von acht Pflege- und betreuten Wohnanlagen in Kalifornien sowie drei weitere Einrichtungen unter Managementverträgen, insgesamt über 1.200 Betten/Einheiten.

Zusätzlich erwarb Ensign über seine Tochtergesellschaft Standard Bearer Healthcare REIT Immobilien und den Betrieb von zwei Einrichtungen: eine 120-Betten-Anlage in Wisconsin und eine 72-Betten-Anlage in Iowa. Diese Übernahmen erweitern Ensigns Portfolio auf 361 Gesundheitseinrichtungen in 17 Bundesstaaten, darunter 47 Seniorenwohnanlagen, mit Eigentum an 148 Immobilien.

Positive
  • None.
Negative
  • Complex integration required for multiple facilities simultaneously
  • Subject to pending state regulatory reviews for three facilities
  • Increased operational complexity with expansion into new markets

Insights

Ensign Group substantially expands its healthcare portfolio with 13 new facilities, deepening its California presence and adding 1,200+ operational beds.

The Ensign Group's acquisition of 13 healthcare facilities (11 in California, plus facilities in Wisconsin and Iowa) represents a significant operational expansion that strengthens its market position. These acquisitions add over 1,200 operational beds/units to Ensign's portfolio, which now includes 361 healthcare operations across 17 states.

This expansion follows Ensign's established growth strategy of acquiring both well-performing and struggling healthcare facilities. The company's approach involves implementing building-by-building transition plans that have been in preparation for months, suggesting a methodical integration process that could minimize operational disruptions.

Particularly notable is Ensign's deepening commitment to California, which management refers to as their "home" state. By expanding in key California markets like Fresno, Modesto, and Davis, Ensign is positioning itself to serve California's growing senior population—a strategic demographic move considering the state's aging trends.

The deal's structure is financially interesting: most California facilities operate under triple-net lease arrangements with CareTrust REIT and International Equity Partners, while the Wisconsin and Iowa properties were acquired outright through Ensign's captive REIT, Standard Bearer Healthcare. This mixed approach allows Ensign to balance asset ownership with operational growth.

With this expansion, Ensign continues demonstrating its long-term commitment strategy, explicitly noting they've "never sold a skilled nursing operation" in their 26-year history—a reassuring signal of operational stability for patients, staff, and investors alike.

SAN JUAN CAPISTRANO, Calif., Aug. 04, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign™ group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that it acquired the operations of the following skilled and assisted living facilities in California:

  • Courtyard Health Care Center, a 112-bed skilled nursing facility located in Davis, California;
  • Pacific Gardens Nursing and Rehabilitation Center, a 171-bed skilled nursing facility located in Fresno, California;
  • Vintage Faire Residential, a 31-unit assisted living facility located in Modesto, California;
  • Vintage Faire Nursing & Rehabilitation Center, a 99-bed skilled nursing facility located in Modesto, California;
  • Arbor Place, a 48-unit assisted living facility located in Lodi, California;
  • Arbor Rehabilitation & Nursing Center, a 149-bed skilled nursing facility located in Lodi, California;
  • Turlock Residential, a 30-unit assisted living facility located in Turlock, California;
  • Turlock Nursing and Rehabilitation Center, a 144-bed skilled nursing facility located in Turlock, California.

These acquisitions were effective on August 1, 2025, and are subject to new triple net lease arrangements with affiliates of CareTrust REIT Inc., (NYSE: CTRE) and International Equity Partners.

“We are thrilled to get this deal across the finish line after many months of preparing to transition these operations. We are very excited about each of these new additions and look forward to working together with so many talented individuals at these operations,� said Barry Port, Ensign's Chief Executive Officer. “As long-term operators, we’ve never sold a skilled nursing operation. When we agree to operate a new facility, we make a commitment to the staff, patients and the larger healthcare community that we are there for the long-haul. Since the very beginning of our organization’s 26-year history, we have been serving patients and families in this great state. We consider California our home and these additions only serve to deepen our commitment to the growing population of seniors that will benefit from our high-quality healthcare services over the coming decades. We are honored to have these operations join our collective cause.�

Adam Willits, President of Flagstone Healthcare North LLC, Flagstone Healthcare Central LLC, and Flagstone Healthcare South LLC, Ensign’s California-based subsidiaries, added “These new acquisitions allow us to serve in new areas of California that we’ve been looking to enter for years. As with other similar transactions we recently completed in California, our local teams have been preparing to execute on their specialized, building-by-building transition plans for the last several months. We are excited to work with these amazing teams and can’t wait to build on their legacy in each of these communities.�

In addition to the aforementioned eight facilities, this acquisition also included three additional facilities: (i) Shoreline Care Center, a 193-bed skilled nursing facility located in Oxnard, California; (ii) Buena Vista Care Center, a 150-bed skilled nursing facility in Santa Barbara, California; and (iii) Huntington Park Nursing Center, a 99-bed skilled nursing facility in Huntington Park, California, which are being operated under management agreements pending certain state regulatory reviews. In total, Ensign-affiliates added over 1,200 operational beds/units to Ensign’s growing portfolio.

Also, in separate transactions on the same day, Ensign announced that it acquired the real estate and operations of Pine Crest Health and Memory Care, a 120-bed skilled nursing facility located in Merrill, Wisconsin and Crystal Heights Care Center, a 72-bed skilled nursing facility located in Oskaloosa, Iowa. Subsidiaries of Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company, acquired the real estate for both facilities. Both facilities are operated by Ensign-affiliated tenants.

These acquisitions are effective as of August 1, 2025, and bring Ensign's growing portfolio to 361 healthcare operations, which includes 47 senior living operations, across 17 states.  Ensign subsidiaries, including Standard Bearer, own 148 real estate assets.   Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and to lease both well-performing and struggling skilled nursing, senior living and other healthcare related businesses throughout the United States.

About Ensign�

The Ensign Group, Inc.'s independent operating subsidiaries provide a broad spectrum of skilled nursing and senior living services, physical, occupational and speech therapies and other rehabilitative and healthcare services at 361 healthcare facilities in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin. More information about Ensign is available at .

Contact Information

The Ensign Group, Inc., (949) 487-9500, [email protected]

SOURCE: The Ensign Group, Inc.


FAQ

How many facilities did Ensign Group (ENSG) acquire in California in August 2025?

Ensign Group acquired operations of 8 skilled nursing and assisted living facilities in California, plus 3 additional facilities under management agreements, totaling 11 facilities.

What is the total number of healthcare operations in Ensign Group's portfolio after the August 2025 acquisitions?

After the August 2025 acquisitions, Ensign Group's portfolio includes 361 healthcare operations across 17 states, including 47 senior living operations.

How many operational beds/units did Ensign add through the California expansion?

Ensign added over 1,200 operational beds/units to its portfolio through the California expansion.

What additional acquisitions did Ensign make outside of California in August 2025?

Ensign acquired a 120-bed facility in Merrill, Wisconsin and a 72-bed facility in Oskaloosa, Iowa through its Standard Bearer Healthcare REIT subsidiary.

How many real estate assets does Ensign own through its subsidiaries?

Through its subsidiaries, including Standard Bearer, Ensign owns 148 real estate assets.
Ensign Group Inc

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Medical Care Facilities
Services-skilled Nursing Care Facilities
United States
SAN JUAN CAPISTRANO