The Ensign Group, Inc. (ENSG) shares climbed Tuesday after the healthcare operator unveiled a fresh round of acquisitions that beef up its skilled nursing presence in Colorado, Kansas, and Arizona. The company's growth strategy is clearly alive and well, adding facilities that strengthen existing clusters while expanding into attractive regional markets.
All the deals closed on December 1, 2025, bringing new operations and real estate into Ensign's nationwide network. The moves show how the company continues to hunt for both well-performing facilities and distressed properties that fit its turnaround model.
Colorado Gets Two New Facilities
In Colorado, Ensign picked up the operations of The Rehabilitation Center at Sandalwood in Wheat Ridge and Edgewater Health and Rehabilitation in Lakewood. The Sandalwood facility brings 103 beds to the table, while Edgewater adds 69 beds. Both centers will operate under long-term triple net leases with a third-party landlord, meaning Ensign runs the show while someone else owns the real estate.
CEO Barry Port highlighted that these acquisitions line up nicely with the company's recent growth trajectory in Colorado. The state has proven to be fertile ground for Ensign's expansion plans, and these two facilities deepen the company's presence there.
Dave Jorgensen, president of Endura Healthcare (Ensign's Colorado subsidiary), praised the existing staff at both locations and stressed the importance of working closely with residents and their families. It's the kind of local leadership approach Ensign emphasizes across its network.
Kansas Acquisition Includes Real Estate
The Kansas deal looks a bit different. Ensign secured both the real estate and operations of Willow Point Rehabilitation and Nursing Center in Kansas City, Kansas. This 45-bed property was purchased by Standard Bearer Healthcare REIT, which is Ensign's captive real estate investment trust. An Ensign-affiliated operator now runs the facility under a long-term lease arrangement.
Port noted that Willow Point enhances Ensign's Kansas portfolio and expands the range of services available in the region. Jorgensen, who also serves as president of Gateway Healthcare (Ensign's Kansas subsidiary), said the team plans to collaborate closely with existing caregivers to improve post-acute care quality.
Arizona Facility Bolsters Tucson Market
Down in Arizona, Ensign acquired the operations of Santa Rosa Care Center in Tucson. This is the largest of the bunch at 144 beds, and it operates under a long-term triple net lease with an Ensign-affiliated operator at the helm.
Port called the location a solid addition to an already mature Arizona market where Ensign has established operations. Christie Jones, a leader at Bandera Healthcare (Ensign's Arizona-based subsidiary), expressed enthusiasm about combining local market knowledge with Ensign's broader service standards.
The Bigger Picture
These December acquisitions push Ensign's total count to 373 healthcare operations spread across 17 states. That figure includes 47 senior living locations alongside the skilled nursing facilities. Standard Bearer and other subsidiaries now own 156 real estate assets within the network.
Port reiterated that Ensign's strategy involves pursuing both performing facilities and distressed properties in skilled nursing and senior living sectors nationwide. It's a dual approach that lets the company expand through traditional acquisitions while also targeting turnaround opportunities that might offer better value.
ENSG Price Action: Ensign Group (ENSG) shares were up 0.30% at $184.18 at the time of publication on Tuesday.