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 300 250 200 150 100 50 2-Star 14 21 38 45 60 77 72 2009 2010 2011 2012 2013 2014 2015 Ensign 1-Star Facility % Trend 41.3% 3-Star 4-Star 5-Star (2) 134 86 100 91 102 116 114 113 2016 2017 2018 2019 2020 2021 2022 2023 13.1% $87 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 (1) Ensign Adjusted EBITDAR Trend $617 $ in millions 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 Q4'23.

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