Medicaid was Ensign’s largest revenue line in fiscal 2025, bringing in $2.00B of $5.08B (39%).
| Customer | FY 2017 | FY 2018 | FY 2019 | FY 2020 | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 |
|---|---|---|---|---|---|---|---|---|---|
| Medicaid | $1.18B | $1.46B | $1.68B | $2.00B | |||||
| Medicare | $832.16M | $985.75M | $1.06B | $1.19B | |||||
| Managed Care | $525.71M | $666.13M | $789.64M | $944.32M | |||||
| Private & Other Payors | $266.81M | $351.08M | $443.57M | $590.12M | |||||
| Medicaid-Skilled | — | $245.66M | $266.74M | $301.12M | |||||
| Medicaid — Skilled | $200.88M | — | — | — | |||||
| Total Medicaid & Medicare | — | $29.98M | $35.92M | $49.87M | |||||
| Total Medicare & Medicaid | $24.85M | — | — | — | |||||
| Total | $3.03B | $3.74B | $4.27B | $5.08B |
Ensign brought in $5.08B from its six revenue lines in fiscal 2025, the year ended December 31, 2025. That was up 18.9% from $4.27B in fiscal 2024. Medicaid was the largest at $2.00B (39.4%), ahead of Medicare at $1.19B (23.5%) and Managed Care at $944.32M (18.6%). The other three revenue lines brought in $941.11M combined.
Compared with fiscal 2024, Private & Other Payors grew fastest, up 33.0% to $590.12M. Every revenue line above 2% of revenue grew.
Ensign began breaking out Medicaid-Skilled in fiscal 2023 and Total Medicaid & Medicare in fiscal 2023. Ensign stopped reporting Medicaid — Skilled ($200.88M in fiscal 2022) and Total Medicare & Medicaid ($24.85M in fiscal 2022) as separate revenue lines.
Health Care, Patient Service was Ensign’s largest product and service line in fiscal 2016, bringing in $1.37B of $1.50B (92%).
| Product and Service | FY 2016 |
|---|---|
| Health Care, Patient Service | $1.37B |
| Health Care, Resident Service | $123.64M |
| Total | $1.50B |
Ensign brought in $1.50B from its two product and service lines in fiscal 2016, the year ended December 31, 2016. Health Care, Patient Service was the largest at $1.37B (91.7%), ahead of Health Care, Resident Service at $123.64M (8.3%).
Medicaid was Ensign’s largest revenue line in fiscal 2011, bringing in $277.74M of $758.28M (37%).
| Health Care Organization, Revenue Sources | FY 2010 | FY 2011 |
|---|---|---|
| Medicaid | $259.71M | $277.74M |
| Medicare | $219.22M | $272.28M |
| Managed Care | $84.36M | $94.27M |
| Private & Other Payors | $68.67M | $93.70M |
| Medicaid — Skilled | $17.57M | $20.29M |
| Total | $649.53M | $758.28M |
Ensign brought in $758.28M from its five revenue lines in fiscal 2011, the year ended December 31, 2011. That was up 16.7% from $649.53M in fiscal 2010. Medicaid was the largest at $277.74M (36.6%), ahead of Medicare at $272.28M (35.9%) and Managed Care at $94.27M (12.4%). The other two revenue lines brought in $113.99M combined.
Compared with fiscal 2010, Private & Other Payors grew fastest, up 36.5% to $93.70M. Every revenue line above 2% of revenue grew.
Ensign (ENSG) reports its revenue by customer, by product and service and by health care organization, revenue sources. In fiscal 2025, Medicaid was its largest revenue line, bringing in $2.00B (39.4% of the total), followed by Medicare at $1.19B (23.5%).
Medicaid was Ensign's largest revenue line in fiscal 2025, bringing in $2.00B, or 39.4% of the $5.08B total across its six revenue lines.
Health Care, Patient Service was Ensign's largest product and service line in fiscal 2016, bringing in $1.37B, or 91.7% of the $1.50B total across its two product and service lines.
Among Ensign's revenue lines that make up at least 2% of revenue, Private & Other Payors grew fastest in fiscal 2025, up 33.0% from $443.57M to $590.12M.
Every figure comes from Ensign's annual financial filings, as reported. Each line keeps the name Ensign gives it, and years follow its fiscal calendar.
Ensign's revenue by customer goes back to fiscal 2017, with figures through fiscal 2025. The latest four fiscal years are free to view, and the full history is available with a Business Quant subscription.