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The Ensign Group Adds Two Operations in California

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The Ensign Group (ENSG) has expanded its healthcare portfolio with multiple acquisitions effective April 1, 2025. The company acquired operations of two Los Alamitos, California facilities: Alamitos West Health and Rehabilitation, a 142-bed skilled nursing facility, and Katella Senior Living Community, a 68-unit senior living facility, both under long-term triple net leases.

In a separate transaction, ENSG acquired Pacific Haven Subacute and Healthcare Center, a 99-bed facility in Garden Grove, California. Additionally, their real estate arm, Standard Bearer Healthcare REIT, purchased properties in Washington: Emilie Court Assisted Living (60 units) in Spokane and Mother Joseph Care Center (152 beds) in Olympia.

These acquisitions expand Ensign's portfolio to 343 healthcare operations, including 44 senior living facilities across 17 states. The company owns 143 real estate assets through its subsidiaries.

Il Gruppo Ensign (ENSG) ha ampliato il suo portafoglio sanitario con molteplici acquisizioni, effettive dal 1 aprile 2025. L'azienda ha acquisito le operazioni di due strutture a Los Alamitos, California: Alamitos West Health and Rehabilitation, una struttura di assistenza infermieristica con 142 letti, e Katella Senior Living Community, una struttura di vita assistita con 68 unità, entrambe sotto contratti di locazione triple net a lungo termine.

In una transazione separata, ENSG ha acquisito Pacific Haven Subacute and Healthcare Center, una struttura con 99 letti a Garden Grove, California. Inoltre, il loro braccio immobiliare, Standard Bearer Healthcare REIT, ha acquistato proprietà nello stato di Washington: Emilie Court Assisted Living (60 unità) a Spokane e Mother Joseph Care Center (152 letti) a Olympia.

Queste acquisizioni espandono il portafoglio di Ensign a 343 operazioni sanitarie, comprese 44 strutture di vita assistita in 17 stati. L'azienda possiede 143 beni immobili attraverso le sue filiali.

El Grupo Ensign (ENSG) ha ampliado su cartera de atención médica con múltiples adquisiciones efectivas a partir del 1 de abril de 2025. La empresa adquirió las operaciones de dos instalaciones en Los Alamitos, California: Alamitos West Health and Rehabilitation, una instalación de enfermería especializada con 142 camas, y Katella Senior Living Community, una instalación de vivienda para personas mayores con 68 unidades, ambas bajo arrendamientos netos triples a largo plazo.

En una transacción separada, ENSG adquirió Pacific Haven Subacute and Healthcare Center, una instalación de 99 camas en Garden Grove, California. Además, su brazo inmobiliario, Standard Bearer Healthcare REIT, compró propiedades en Washington: Emilie Court Assisted Living (60 unidades) en Spokane y Mother Joseph Care Center (152 camas) en Olympia.

Estas adquisiciones expanden el portafolio de Ensign a 343 operaciones de atención médica, incluyendo 44 instalaciones de vida asistida en 17 estados. La empresa posee 143 activos inmobiliarios a través de sus subsidiarias.

엔사인 그룹(ENSG)은 2025년 4월 1일부로 여러 인수로 의료 포트폴리오를 확장했습니다. 이 회사는 캘리포니아 로스 알라미토스에 있는 두 개의 시설의 운영을 인수했습니다: 알라미토스 웨스트 건강 및 재활, 142병상 숙련 간호 시설, 그리고 카텔라 시니어 리빙 커뮤니티, 68개 유닛의 노인 생활 시설로, 두 시설 모두 장기적인 트리플 넷 임대 계약 하에 있습니다.

별도의 거래에서 ENSG는 캘리포니아 가든 그로브에 있는 퍼시픽 헤이븐 서브어큐트 및 헬스케어 센터를 인수했습니다. 또한, 그들의 부동산 부문인 스탠다드 베어러 헬스케어 REIT는 워싱턴주에서 에밀리 코트 보조 생활 (60 유닛) 스포캔과 마더 조셉 케어 센터 (152병상) 올림피아의 부동산을 구입했습니다.

이러한 인수로 엔사인의 포트폴리오는 343개의 의료 운영으로 확장되었으며, 17개 주에서 44개의 노인 생활 시설을 포함하고 있습니다. 이 회사는 자회사를 통해 143개의 부동산 자산을 보유하고 있습니다.

Le Groupe Ensign (ENSG) a élargi son portefeuille de soins de santé avec plusieurs acquisitions effectives à partir du 1er avril 2025. L'entreprise a acquis les opérations de deux établissements à Los Alamitos, Californie : Alamitos West Health and Rehabilitation, un établissement de soins infirmiers spécialisés de 142 lits, et Katella Senior Living Community, une résidence pour personnes âgées de 68 unités, toutes deux sous des baux nets triples à long terme.

Dans une transaction distincte, ENSG a acquis le Pacific Haven Subacute and Healthcare Center, un établissement de 99 lits à Garden Grove, Californie. De plus, leur branche immobilière, Standard Bearer Healthcare REIT, a acheté des propriétés dans l'État de Washington : Emilie Court Assisted Living (60 unités) à Spokane et Mother Joseph Care Center (152 lits) à Olympia.

Ces acquisitions portent le portefeuille d'Ensign à 343 opérations de soins de santé, dont 44 établissements de vie pour personnes âgées dans 17 États. L'entreprise possède 143 actifs immobiliers par l'intermédiaire de ses filiales.

Die Ensign Group (ENSG) hat ihr Gesundheitsportfolio mit mehreren Akquisitionen, die am 1. April 2025 wirksam werden, erweitert. Das Unternehmen erwarb die Betriebsstätten von zwei Einrichtungen in Los Alamitos, Kalifornien: Alamitos West Health and Rehabilitation, eine Einrichtung mit 142 Betten für qualifizierte Pflege, und Katella Senior Living Community, eine Seniorenwohnanlage mit 68 Einheiten, beide unter langfristigen Triple-Net-Leasingverträgen.

In einer separaten Transaktion erwarb ENSG das Pacific Haven Subacute and Healthcare Center, eine Einrichtung mit 99 Betten in Garden Grove, Kalifornien. Darüber hinaus kaufte ihre Immobilienabteilung, Standard Bearer Healthcare REIT, Immobilien in Washington: Emilie Court Assisted Living (60 Einheiten) in Spokane und Mother Joseph Care Center (152 Betten) in Olympia.

Diese Akquisitionen erweitern das Portfolio von Ensign auf 343 Gesundheitsbetriebe, darunter 44 Seniorenwohnanlagen in 17 Bundesstaaten. Das Unternehmen besitzt 143 Immobilien durch seine Tochtergesellschaften.

Positive
  • Strategic expansion with 5 new facility acquisitions
  • Strengthening presence in mature California market
  • Diversification of portfolio with both operations and real estate assets
  • Growth in real estate holdings through Standard Bearer Healthcare REIT
Negative
  • None.

Insights

Ensign Group's multi-facility acquisition strategy demonstrates a calculated expansion of its healthcare portfolio through a sophisticated mix of operational takeovers and real estate investments. The company has added two operational leases in Los Alamitos (142-bed skilled nursing and 68-unit senior living), while simultaneously acquiring both real estate and operations of a 99-bed Garden Grove facility through its captive REIT structure.

The company's dual-pronged approach—operating leased facilities while strategically owning select real estate assets—optimizes capital deployment and creates multiple revenue streams. By utilizing Standard Bearer Healthcare REIT for property ownership, Ensign establishes a capital-efficient structure that separates real estate from operations, potentially enhancing returns on invested capital while maintaining operational control.

Particularly noteworthy is Ensign's cluster strategy in California, adding these facilities to an "already strong operating cluster" as mentioned by CEO Barry Port. This geographical concentration typically yields operational synergies through shared administrative resources, consolidated vendor relationships, and enhanced local market leverage.

With its portfolio now encompassing 343 healthcare operations across 17 states, including 143 owned real estate assets, Ensign continues executing its disciplined growth strategy. The variety of transaction structures—from triple-net leases to complete ownership—demonstrates flexibility in capital allocation while maintaining their core skilled nursing and senior living focus.

Ensign's latest acquisition moves reveal a sophisticated real estate strategy leveraging both operational control and property ownership. By securing triple-net leases for the Los Alamitos facilities, they've gained operational control while avoiding large capital outlays for real estate acquisition. These lease structures typically transfer maintenance, insurance, and tax obligations to the operator while providing predictable returns to landlords.

The simultaneous transaction through Standard Bearer Healthcare REIT demonstrates their hybrid model's versatility. By acquiring Pacific Haven's real estate and operations while simultaneously purchasing two additional properties in Washington for third-party operations, Ensign creates diversified income streams: operational profits from facilities they manage and steady rental income from properties leased to others.

This transaction pattern suggests Ensign is strategically balancing its portfolio between owned and leased assets based on individual market dynamics and facility characteristics. The California acquisitions strengthen their West Coast presence, where they likely have operational infrastructure that can absorb these facilities with minimal marginal cost increases.

The expansion to 143 owned real estate assets represents significant intrinsic value beyond operational cash flows. In the healthcare facility sector, real estate typically appreciates over time while providing tax advantages through depreciation. Ensign's willingness to continue acquisitions indicates confidence in both the operational environment for skilled nursing and the underlying real estate values, despite industry-wide staffing challenges and regulatory pressures.

SAN JUAN CAPISTRANO, Calif., April 02, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the EnsignTM 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 Alamitos West Health and Rehabilitation, a 142-bed skilled nursing facility, and Katella Senior Living Community, a 68-unit senior living facility. Both facilities are located in Los Alamitos, California and subject to a long-term, triple net lease with a third-party landlord. This acquisition was effective as of April 1, 2025.

“We are thrilled to add these two operations in one of our most mature markets,” said Barry Port, Ensign's Chief Executive Officer. “These operations join an already strong operating cluster, and we can’t wait to build on what’s already been created here,” he added.

Adam Willits, President of Flagstone Healthcare South LLC, Ensign’s California-based subsidiary, commented, “These two facilities have such an incredible team of caregivers and we look forward to working together to serve this healthcare community with both post-acute and senior living services. As we strive to follow proven operating principles, we believe these operations can reach new heights in clinical excellence.”

In a separate transaction on the same day, Ensign announced that it acquired the real estate and operations of Pacific Haven Subacute and Healthcare Center, a 99-bed skilled nursing facility located in Garden Grove, California. The real estate assets were purchased by Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company and operations were leased to an Ensign-affiliated operator, subject to a long-term lease.

Standard Bearer also acquired the real estate to Emilie Court Assisted Living, a 60-unit senior living facility located in Spokane, Washington; and Mother Joseph Care Center, a 152-bed skilled nursing facility located in Olympia, Washington. Each of these facilities will be operated by a third-party operator and are subject to long-term triple-net leases.

All of these acquisitions are effective as of April 1, 2025 and bring Ensign's growing portfolio to 343 healthcare operations, which includes 44 senior living operations, across 17 states. Ensign subsidiaries, including Standard Bearer, own 143 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 EnsignTM

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 343 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 http://www.ensigngroup.net.

Contact Information

The Ensign Group, Inc., (949) 487-9500, ir@ensignservices.net

SOURCE: The Ensign Group, Inc.


FAQ

How many facilities did The Ensign Group (ENSG) acquire in April 2025?

ENSG acquired operations of 5 facilities: 2 in Los Alamitos, CA, 1 in Garden Grove, CA, and 2 in Washington state.

What is the total number of healthcare operations in ENSG's portfolio after the April 2025 acquisitions?

After the April 2025 acquisitions, ENSG's portfolio includes 343 healthcare operations across 17 states.

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

ENSG owns 143 real estate assets through its subsidiaries, including Standard Bearer Healthcare REIT.

What types of facilities did ENSG acquire in Los Alamitos, California?

ENSG acquired Alamitos West Health and Rehabilitation (142-bed skilled nursing facility) and Katella Senior Living Community (68-unit senior living facility).
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