Investor Presentaiton

Organizational Focus on Clinical Quality Leads to Superior Financial Results Clinical Quality Translates to Organic Growth SNF Count by CMS Star Rating 1-Star 2-Star ■3-Star 300 4-Star ■ 5-Star 250 200 150 100 50 0 14 21 38 45 60 77 72 2009 2010 2011 2012 2013 2014 2015 86 2016 100 2017 91 102 116 114 113(2) 133 2018 2019 2020 2021 2022 09'23 (1) Ensign 1-Star Facility % Trend Ensign Adjusted EBITDAR Trend 41.3% $537 13.5% $87 $ in millions 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Sep 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 11 Refer to pages 53-54 for end notes. Source: Data as of Q3'23.

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