| Cash Flow | 2026-03-31 | 2025-12-31 | 2025-09-30 | 2025-06-30 |
|---|---|---|---|---|
| Non-cash leasing arrangement | NaN | NaN | 225 | 407 |
| Impairment of long-lived assets | NaN | NaN | 1,073 | 0 |
| Deferred income taxes | NaN | -27,013 | 10,156 | 0 |
| Provision for doubtful accounts | NaN | NaN | 637 | 872 |
| Litigation | NaN | NaN | NaN | 0 |
| Net income | 99,756 | 95,534 | 83,911 | 164,819 |
| Depreciation and amortization | 28,801 | 27,721 | 26,633 | 49,973 |
| Amortization of deferred financing fees | 264 | 264 | 263 | 530 |
| Stock-based compensation | 13,895 | 12,924 | 12,989 | 22,386 |
| Cash received from insurance proceeds | NaN | NaN | 2,877 | 1,000 |
| Insurance proceeds and (gain) loss on long-lived assets, net | -1,915 | -885 | NaN | NaN |
| (gain) loss on insurance claims, other investments and asset disposals | NaN | NaN | 5,953 | NaN |
| Other operating activities, net | 613 | 4,371 | NaN | NaN |
| Accounts receivable | 24,009 | 26,077 | 35,331 | 9,025 |
| Prepaid income taxes | -1,878 | -30,686 | 9,054 | 10,453 |
| Prepaid expenses and other assets | 986 | 8,725 | 7,247 | 469 |
| Cash surrender value of life insurance policy premiums | 7,490 | 2,024 | 4,037 | 12,295 |
| Deferred compensation liability | 6,926 | 2,155 | 4,170 | 12,162 |
| Operating lease obligations | -183 | -124 | -96 | -3,169 |
| Accounts payable | 18,705 | -8,369 | 497 | 4,952 |
| Accrued wages and related liabilities | -97,663 | 55,263 | 45,072 | -17,523 |
| Other accrued liabilities | 27,283 | 14,643 | 25,264 | 1,817 |
| (gain) loss on insurance claims and asset disposals | NaN | NaN | NaN | 598 |
| Accrued self-insurance liabilities | 30,449 | 12,344 | 353 | 22,564 |
| Net cash provided by operating activities | 100,154 | 183,320 | 153,000 | 227,950 |
| Purchase of property and equipment | 35,473 | 49,843 | 51,193 | 92,521 |
| Cash payments for acquisitions | 28,737 | 82,958 | 35,691 | 204,609 |
| Escrow deposits | NaN | NaN | -9,002 | 9,002 |
| Cash from insurance proceeds | NaN | NaN | 3,567 | NaN |
| Cash proceeds from the sale of assets | NaN | NaN | 124 | NaN |
| Cash proceeds from insurance recoveries and sale of assets | 83 | 11,236 | NaN | 2,990 |
| Purchases of investments | 36,866 | 18,932 | 29,113 | 62,678 |
| Maturities of investments | 29,717 | 17,392 | 29,029 | 53,249 |
| Other investing activities, net | -89 | 134 | 48 | -647 |
| Net cash used in investing activities | -71,187 | -123,940 | -77,313 | -311,924 |
| Proceeds from debt (note 13) | NaN | 0 | 0 | NaN |
| Payments on debt | 1,042 | 1,036 | 1,025 | 2,025 |
| Issuance of common stock upon exercise of options | 11,490 | 6,318 | 9,024 | 13,702 |
| Non-controlling interest distribution | NaN | NaN | 0 | 0 |
| Repurchase of shares of common stock to satisfy tax withholding obligations | 23 | 363 | 0 | 1,071 |
| Repurchase of shares of common stock (note 19) | 0 | 0 | 0 | 20,000 |
| Dividends paid | 3,775 | 3,619 | 3,605 | 7,186 |
| Purchase of non-controlling interest | NaN | NaN | 382 | 75 |
| Other financing activities | 0 | -924 | NaN | NaN |
| Net cash provided by (used in) financing activities | 6,650 | 833 | 4,012 | -16,655 |
| Net increase (decrease) in cash and cash equivalents | 35,617 | 60,213 | 79,699 | -100,629 |
| Cash and cash equivalents beginning of period | 503,881 | 443,668 | 464,598 | NaN |
| Cash and cash equivalents end of period | 539,498 | 503,881 | 443,668 | NaN |
ENSIGN GROUP, INC (ENSG)
ENSIGN GROUP, INC (ENSG)