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FORM10-Q ☑QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the quarterly period endedJune30, 2025.OR TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.For the transi on period fromto. ☐ Commissionfile number:001-33757 THEENSIGN GROUP, INC. (Exact Name of Registrant as Specified in Its Charter) 33-0861263(I.R.S. EmployerIden fica on No.) Delaware (State or Other Jurisdic on ofIncorpora on or Organiza on) 29222 Rancho Viejo Road, Suite 127San Juan Capistrano,CA92675(Address of Principal Execu ve Offices and Zip Code) (949)487-9500(Registrant’s Telephone Number, Including Area Code)_____________________________ Securi es registered pursuant to Sec on 12(b) of the Act: Trading Symbol(s)ENSG THE ENSIGN GROUP, INC.QUARTERLY REPORT ON FORM 10-QFOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2025TABLE OF CONTENTS PART I. Financial Informa on Item1. Financial Statements (unaudited):Condensed Consolidated Balance Sheets as ofJune 30,2025 and December 31, 20241Condensed Consolidated Statements of Income for the threeand sixmonths endedJune 30, 2025 and 20242Condensed Consolidated Statements of Stockholders' Equity for the threeand sixmonths endedJune30, 2025 and20243Condensed Consolidated Statements of Cash Flows for thesixmonths endedJune 30, 2025 and 20245Notes totheCondensed Consolidated Financial Statements7Item2. Management’s Discussion and Analysis of Financial Condi on and Results of Opera ons31Item3. Quan ta ve and Qualita ve Disclosures About Market Risk72Item4. Controls and Procedures72 Item 1. Legal Proceedings72Item 1A. Risk Factors75Item 2. Unregistered Sales of Equity Securi es and Use of Proceeds105Item5. Other Informa on105Item6. Exhibits106Signatures THE ENSIGN GROUP, INC.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS THE ENSIGN GROUP, INC.NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Dollars, shares and op ons in thousands, except per share data) 1.DESCRIPTION OF BUSINESS The Company—The Ensign Group, Inc. (collec vely, Ensign or the Company), is a holding company with no direct opera ngassets, employees or revenue. The Company's independent subsidiaries provide health care services across the post-acute carecon nuum and engage in the ownership, acquisi on, development and leasing of skilled nursing, senior living and other healthcare-related proper es and ancillary businesses. As of June30, 2025, the Company's independent subsidiaries operated347facili es andother ancillary opera ons located in17states. The Company's independent subsidiaries have a collec ve capacity of approximately35,500opera onal skilled nursing beds and3,300senior living units. As of June30, 2025, the Company's independent subsidiariesoperated238facili es under long-term lease arrangements and had op ons to purchaseeightof those238facili es. The Company'sreal estate por olio consists of144owned real estate proper es, which includes109facili es operated and managed by theCompany's independent subsidiaries,35opera ons leased to and operated by third-party operators and the Service Center (definedbelow) loca on. Of those35third-party opera ons,onesenior living opera on is located on the same real estate property as askilled nursing opera on that an independent subsidiary operates. Certain of the Company’s wholly-owned independent subsidiaries, collec vely referred to as the Service Center, providespecific accoun ng, payroll, human resources, informa on technology, legal, risk management and other centralized services to theother independent subsidiaries. The Company also has a wholly-owned cap ve insurance subsidiary that provides some claims-madecoverage to the Company’s independent subsidiaries for general and professional liabili es, as well as coverage for certain workers’compensa on insurance liabili es. The Company's cap ve real estate investment trust (REIT), Standard Bearer Healthcare REIT, Inc. (Standard Bearer), owns andmanages its real estate business. The REIT structure provides the Company with an efficient vehicle for future acquisi ons ofproper es that could be operated by Ensign's independent subsidiaries or other third par es. Standard Bearer has elected to betaxed as a REIT for U.S. federal income tax purposes. Refer to Note 6,Standard Bearerfor addi onal informa on on Standard Bearer. Each of the Company's independent subsidiaries are operated by wholly-owned subsidiaries that have their own management,employees and assets. References herein to the consolidated “Company” and “its” assets and ac vi es in this Quarterly Report arenot meant to imply, nor should it be construed as meaning that The Ensign Group, Inc. has direct opera ng assets, employees orrevenue, or that any of the subsidiaries are operated by The Ensign Group, Inc. Other Informa on—The accompanying condensed consolidatedfinancial statements as of June30, 2025, and for the threeand six months ended June 30, 2025 an