Record Occupancy and Census Momentum
Same-store occupancy reached a record 84.3% and transitioning occupancy 85.1% in Q1; same-store and transitioning managed care and Medicare census increased sequentially by 6.2% and 8.3% (Q4 to Q1), demonstrating strong demand and sequential growth.
Improved Skilled Mix and Medicare Revenue
Same-store and transitioning operations: skilled revenue and skilled days increased by 9.6% and 5.1% year-over-year; Medicare revenue increased 9.8% (same-store) and 9.2% (transitioning) versus prior-year quarter.
Strong Financial Results (Q1 FY2026)
GAAP diluted EPS $1.67, up 21.9%; adjusted diluted EPS $1.85, up 21.7%. Consolidated GAAP and adjusted revenues of $1.4 billion, up 18.4%. GAAP net income $99.7 million, up 24.2%; adjusted net income $110.2 million, up 23.9%.
Raised Full-Year Guidance
2026 earnings guidance increased to $7.48–$7.62 per diluted share (from $7.41–$7.61) and revenue guidance to $5.81–$5.86 billion (from $5.77–$5.84B). Midpoint of earnings guidance implies ~15% growth over 2025 and 37% over 2024.
Robust M&A and Portfolio Growth
Added 22 operations during the quarter (21 real estate assets); since 2025 total acquisitions noted at 71 and since 2024 referenced as 99 closed/transitions. Added 2,662 skilled nursing beds, 100 senior living units and 55 independent living units; portfolio expansion weighted to high-growth markets (notably Texas).
High Clinical Quality and Outcomes
Same-store affiliated facilities outperformed peers by 22% (state-level) and 31% (county-level) in annual survey results; outperformed in 5-star quality measures by 24% nationally and 20% at state level. 85% of operations at 4- or 5-star quality measures.
Notable Facility Turnarounds Driving Growth
Sun West (Phoenix): revenue +10% YoY, skilled mix days +21%, managed care +37%, EBIT +43% YoY. Mystic Park (San Antonio): skilled mix days +61% YoY, revenue +19% YoY, earnings +163% YoY and now 5-star in quality measures/top 10% CMS discharge function scores.
Strong Balance Sheet and Liquidity
Cash and cash equivalents $539.5 million, cash flow from operations $100.2 million. Spent >$60 million on growth in Q1 while keeping lease-adjusted net debt-to-EBITDA at 1.73x. More than $592 million available on line of credit; combined with cash gives >$1 billion available for investments.
Standard Bearer REIT Performance
Standard Bearer generated rental revenue of $36.1 million in the quarter ($30.8 million from Ensign-affiliated operations), FFO $21.6 million, and EBITDAR-to-rent coverage of 2.7x; REIT now comprises 173 owned properties (diversifying tenant base with 37 third-party leases).
Operational Improvements in Labor & Retention
Reduced reliance on agency staffing, stable wage growth, improved turnover metrics including a 32% decline in directors of nursing turnover over the past two years; overtime and labor-management metrics noted as improving.