Investor Presentaiton

A Disciplined Approach to Acquisitions & Track Record of Improving Operations to Drive Continued Growth 25.5% of Ensign's skilled nursing operations have been operated less than three full years Proven track record of achieving significant improvement in just 5 quarters 8.0% 74.5% 17.5% ■Same Facility ■Transitioning ■Recently Acquired EBITDAR Margin Skilled Mix Revenue Occupancy 369 bps 487 bps 420 bps Significant impact from growth in EBITDAR margins (5) Significant improvement beyond 5th quarter to 45th quarter 2200 Skilled Mix Rev EBITDAR % 1700 1200 487 691 700 369 598 200 5th Quarter 15th Quarter 2099 711 45th Quarter 15.9% 12.2% 14 Refer to pages 53-54 for end notes. Source: Data as of 11/1/2023.

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