The Ensign Group, Inc. entered into a Fourth Amended and Restated Credit Agreement on August 19, 2026, increasing its revolving credit facility by $200 million to an aggregate principal amount of up to $800 million. The transaction extends the maturity date to August 19, 2031, providing enhanced liquidity to support acquisitions and capital investments. Borrowings are secured by liens on assets and guaranteed by domestic subsidiaries, with interest rates based on SOFR or base rate plus applicable margins determined by leverage ratios. Truist Bank serves as administrative agent for the lending syndicate. The Ensign Group operates in the post-acute healthcare sector, providing skilled nursing, senior living, and rehabilitative therapy services.
