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The Ensign Group Continues Growth in Arizona

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The Ensign Group (NASDAQ: ENSG) has announced significant expansion through multiple acquisitions effective March 1, 2025. In Arizona, the company acquired two Mesa facilities: the 204-bed Citrus Heights Respiratory and Rehabilitation and the 122-bed Springdale Village Post Acute.

In concurrent transactions, ENSG also acquired facilities in Alaska, Oregon, and Washington, including: a 146-bed facility and 90-unit senior living facility in Anchorage, a healthcare campus in Mt. Angel with 98 skilled nursing beds and 50 senior living units, and a 113-bed facility in Spokane.

These acquisitions expand Ensign's portfolio to 340 healthcare operations, including 43 senior living operations across 17 states. The company's real estate subsidiary, Standard Bearer Healthcare REIT, now owns 140 real estate assets. The company continues to seek opportunities for acquiring both performing and struggling healthcare facilities nationwide.

The Ensign Group (NASDAQ: ENSG) ha annunciato una significativa espansione attraverso diverse acquisizioni che entreranno in vigore il 1° marzo 2025. In Arizona, l'azienda ha acquisito due strutture a Mesa: il Citrus Heights Respiratory and Rehabilitation con 204 letti e il Springdale Village Post Acute con 122 letti.

In transazioni concomitanti, ENSG ha anche acquisito strutture in Alaska, Oregon e Washington, tra cui: una struttura con 146 letti e una struttura per anziani con 90 unità ad Anchorage, un campus sanitario a Mt. Angel con 98 letti di assistenza qualificata e 50 unità per anziani, e una struttura con 113 letti a Spokane.

Queste acquisizioni espandono il portafoglio di Ensign a 340 operazioni sanitarie, comprese 43 operazioni per anziani in 17 stati. La sussidiaria immobiliare dell'azienda, Standard Bearer Healthcare REIT, possiede ora 140 beni immobili. L'azienda continua a cercare opportunità per acquisire sia strutture sanitarie performanti che in difficoltà in tutto il paese.

The Ensign Group (NASDAQ: ENSG) ha anunciado una expansión significativa a través de múltiples adquisiciones que entrarán en vigor el 1 de marzo de 2025. En Arizona, la empresa adquirió dos instalaciones en Mesa: el Citrus Heights Respiratory and Rehabilitation con 204 camas y el Springdale Village Post Acute con 122 camas.

En transacciones concurrentes, ENSG también adquirió instalaciones en Alaska, Oregón y Washington, incluyendo: una instalación con 146 camas y una instalación de vida para personas mayores con 90 unidades en Anchorage, un campus de atención médica en Mt. Angel con 98 camas de enfermería especializada y 50 unidades de vida para personas mayores, y una instalación con 113 camas en Spokane.

Estas adquisiciones expanden el portafolio de Ensign a 340 operaciones de atención médica, incluyendo 43 operaciones de vida para personas mayores en 17 estados. La subsidiaria inmobiliaria de la empresa, Standard Bearer Healthcare REIT, ahora posee 140 activos inmobiliarios. La empresa sigue buscando oportunidades para adquirir tanto instalaciones de atención médica en funcionamiento como en dificultades en todo el país.

The Ensign Group (NASDAQ: ENSG)는 2025년 3월 1일부터 시행되는 여러 인수를 통해 상당한 확장을 발표했습니다. 애리조나에서 이 회사는 메사에 있는 두 개의 시설을 인수했습니다: 204병상 규모의 Citrus Heights Respiratory and Rehabilitation과 122병상 규모의 Springdale Village Post Acute입니다.

동시에 ENSG는 알래스카, 오리건, 워싱턴의 시설도 인수했으며, 여기에는 앵커리지에 있는 146병상 시설과 90개 유닛의 노인 생활 시설, Mt. Angel의 98개 숙련 간호 병상과 50개 노인 생활 유닛이 있는 의료 캠퍼스, 그리고 스포캔에 있는 113병상 시설이 포함됩니다.

이러한 인수로 Ensign의 포트폴리오는 340개의 의료 운영으로 확장되었으며, 17개 주에서 43개의 노인 생활 운영이 포함됩니다. 회사의 부동산 자회사인 Standard Bearer Healthcare REIT는 현재 140개의 부동산 자산을 소유하고 있습니다. 회사는 전국적으로 성과가 좋은 의료 시설과 어려움을 겪고 있는 의료 시설 모두를 인수할 기회를 계속해서 찾고 있습니다.

The Ensign Group (NASDAQ: ENSG) a annoncé une expansion significative à travers plusieurs acquisitions qui entreront en vigueur le 1er mars 2025. En Arizona, l'entreprise a acquis deux établissements à Mesa : le Citrus Heights Respiratory and Rehabilitation avec 204 lits et le Springdale Village Post Acute avec 122 lits.

Lors de transactions simultanées, ENSG a également acquis des établissements en Alaska, en Oregon et dans l'État de Washington, y compris : un établissement de 146 lits et une résidence pour personnes âgées de 90 unités à Anchorage, un campus de santé à Mt. Angel avec 98 lits de soins qualifiés et 50 unités de vie pour seniors, et un établissement de 113 lits à Spokane.

Ces acquisitions élargissent le portefeuille d'Ensign à 340 opérations de santé, y compris 43 opérations de vie pour seniors dans 17 États. La filiale immobilière de l'entreprise, Standard Bearer Healthcare REIT, possède désormais 140 actifs immobiliers. L'entreprise continue de rechercher des opportunités d'acquisition d'établissements de santé performants et en difficulté à l'échelle nationale.

The Ensign Group (NASDAQ: ENSG) hat eine bedeutende Expansion durch mehrere Akquisitionen angekündigt, die am 1. März 2025 wirksam werden. In Arizona hat das Unternehmen zwei Einrichtungen in Mesa erworben: die 204-Betten Citrus Heights Respiratory and Rehabilitation und das 122-Betten Springdale Village Post Acute.

In zeitgleichen Transaktionen hat ENSG auch Einrichtungen in Alaska, Oregon und Washington erworben, darunter: eine 146-Betten-Einrichtung und eine 90-Einheiten Seniorenwohnanlage in Anchorage, einen Gesundheitscampus in Mt. Angel mit 98 Pflegebetten und 50 Seniorenwohnheiten sowie eine 113-Betten-Einrichtung in Spokane.

Diese Akquisitionen erweitern das Portfolio von Ensign auf 340 Gesundheitsbetriebe, einschließlich 43 Seniorenwohnanlagen in 17 Bundesstaaten. Die Immobilien-Tochtergesellschaft des Unternehmens, Standard Bearer Healthcare REIT, besitzt nun 140 Immobilien. Das Unternehmen sucht weiterhin nach Möglichkeiten, sowohl leistungsstarke als auch struggling Gesundheitsanlagen landesweit zu erwerben.

Positive
  • Major expansion with acquisition of 6 new facilities
  • Geographic diversification across 4 states
  • Addition of 823 total beds/units to portfolio
  • Real estate ownership through Standard Bearer REIT increases
Negative
  • None.

Insights

The Ensign Group's latest acquisition spree represents strategic geographic expansion and vertical integration through their captive REIT model. The company has acquired seven healthcare facilities across four states, adding approximately 823 beds/units to their portfolio.

The Arizona acquisitions strengthen Ensign's position in what management describes as "one of our most mature and strongest platforms," suggesting optimization of regional operational synergies. Simultaneously expanding in Alaska, Oregon, and Washington demonstrates commitment to multi-state growth.

The transaction structure is notable - employing Standard Bearer Healthcare REIT (Ensign's captive real estate company) to acquire the physical assets while Ensign-affiliated operators manage the facilities. This model offers dual benefits: real estate appreciation potential plus operational income streams. With this expansion, Ensign now operates 340 healthcare facilities across 17 states, including 43 senior living operations, while Standard Bearer owns 140 real estate assets.

While lacking financial specifics about purchase prices or expected revenue contributions, these acquisitions align with Ensign's explicitly stated growth strategy. The expansion into skilled nursing and senior living facilities diversifies their service offerings while potentially creating economies of scale in established markets.

Ensign's facility acquisitions reflect a sophisticated operational expansion strategy in the post-acute care sector. The purchased facilities span multiple care models - from the respiratory-focused Citrus Heights facility to traditional skilled nursing and senior living operations.

The Mesa, Arizona acquisitions (326 combined beds) complement Ensign's established footprint through their Arizona subsidiary Bandera Healthcare This regional concentration likely enables administrative efficiencies, staff sharing during shortages, and coordinated care networks.

The simultaneous expansion into Alaska represents market diversification, as do the additional Oregon and Washington facilities. This multi-state approach balances growth with risk management across different regulatory environments and reimbursement systems.

Operationally, integrating multiple facilities simultaneously presents challenges but demonstrates Ensign's confidence in their onboarding and standardization processes. The company's hub-and-spoke model allows successful regional leadership teams to absorb new facilities while maintaining quality standards.

The incorporation of respiratory rehabilitation capacity specifically addresses high-acuity care needs, potentially commanding stronger reimbursement rates. With 340 facilities now in operation, Ensign has achieved significant scale advantages in purchasing, compliance systems, and specialized clinical program development across their network.

SAN JUAN CAPISTRANO, Calif., March 03, 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 real estate and operations of Citrus Heights Respiratory and Rehabilitation, a 204-bed skilled nursing facility; and Springdale Village Post Acute, a 122-bed skilled nursing facility, both located in Mesa, Arizona. The real estate was acquired by a subsidiary of Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company, and the acquisition is effective as of March 1, 2025.

“Arizona continues to be one of our most mature and strongest platforms within the Ensign family and we are so pleased that we were able to further strengthen our presence in the greater Phoenix area,” said Barry Port, Ensign's Chief Executive Officer. “We are also thrilled to add to Standard Bearer’s growing footprint with high-quality real estate assets in very strategic market for us,” he added.

Forrest Peterson, Director of Bandera Healthcare LLC, Ensign’s Arizona-based subsidiary, had this to say about the transaction, “We welcome the amazing team of caregivers at these facilities to the Bandera family and can’t wait to join forces to provide excellent care to the residents that we have been entrusted to serve.”

In a separate transaction on the same day, Ensign announced it acquired the real estate and operations of Polaris Extended Care and Polaris Transitional Care a skilled nursing facility with 146 beds located in Anchorage, Alaska; Horizon House, a 90-unit senior living facility located in Anchorage, Alaska; Mt. Angel Health and Rehabilitation, and Mt. Angel Orchard House, a healthcare campus with 98 skilled nursing beds and 50 senior living units located in Mt. Angel, Oregon; and South Hill Rehabilitation and Care Center, a 113-bed skilled nursing facility located in Spokane, Washington. The real estate assets were acquired by Standard Bearer and both facilities will be operated by an Ensign affiliated operator.

These acquisitions bring Ensign's growing portfolio to 340 healthcare operations, which includes 43 senior living operations, across 17 states.  Ensign subsidiaries, including Standard Bearer, own 140 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 340 healthcare facilities in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Oregon, Nebraska, Nevada, 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 Ensign Group (ENSG) acquire in March 2025?

Ensign Group acquired 6 facilities: 2 in Mesa, Arizona, 2 in Anchorage, Alaska, 1 healthcare campus in Mt. Angel, Oregon, and 1 facility in Spokane, Washington.

What is the total bed capacity of ENSG's new Arizona acquisitions?

The Arizona acquisitions total 326 beds: 204 beds at Citrus Heights Respiratory and Rehabilitation and 122 beds at Springdale Village Post Acute.

How many healthcare facilities does Ensign Group now operate after the March 2025 acquisitions?

Ensign Group now operates 340 healthcare facilities, including 43 senior living operations across 17 states.

How many real estate assets does Ensign's Standard Bearer Healthcare REIT own?

Standard Bearer Healthcare REIT, Ensign's real estate subsidiary, owns 140 real estate assets.

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