The Ensign Group, Inc ENSG delivered adjusted operating earnings of 55 cents per share in first-quarter 2019, beating the Zacks Consensus Estimate of 54 cents by 1.9%. Moreover, the metric improved 22.3% year over year on the back of higher revenues.Adjusted net income in the quarter under review was $30.8 million, up 28% year over year.Operational UpdateTotal revenues of $549 million increased 11.6% year over year in the reported quarter. This upside was driven by solid segmental performances. However, the metric missed the Zacks Consensus Estimate by 1.3%. Total Transitional and Skilled Services segment income was $58.8 million for the quarter under consideration, up 27.2% from the prior-year period.Total Home Health and Hospice Services segment’s revenues were up 16% year over year to $46.1 million.Segmental revenues for Senior Living Services rose 12.7% year over year to $40.7 million.Total expenses escalated 11.4% year over year to $511.4 million due to higher cost of services plus general and administrative expenses.The Ensign Group, Inc. Price, Consensus and EPS Surprise The Ensign Group, Inc. Price, Consensus and EPS Surprise | The Ensign Group, Inc. QuoteQuarterly Segment UpdateTransitional and Skilled ServicesThis segment generated revenues of $449.2 million, up 10.4% year over year. Notably, the segment accounted for 81.8% of total revenues in the reported quarter.Senior Living ServicesThis segment generated operating revenues of $40.7 million, up 12.7% year over year with the segment contributing 7.4% to the company’s top line.Home Health & Hospice ServicesTotal operating revenues in this segment were $46 billion, up 16% year over year. The same represented 8.4% of the total revenues.Other ServicesThis segment delivered revenues of $13.1 million, surging 42.2% from the prior-year quarter and reflecting 2.4% of the total revenue base.Financial UpdateTotal cash and cash equivalents increased 21.7% to $38 million from the level as of 2018 end.As of Mar 31, 2019, long-term debt less current maturities was $240 million, up 3.2% from the level at 2018 end.Cash from operations in the first three months of 2019 was $24 million, down 39% year over year.Dividend UpdateEnsign Group paid a quarterly cash dividend of 4.75 cents per share during the first quarter. The company has been hiking its dividend for the last 16 years.2019 OutlookFollowing solid first-quarter earnings, management now expects the metric in the range of $2.22-$2.30, up from the previous guidance of $2.17-$2.26. It also anticipates annual revenues between $2.34 billion and $2.40 billion, higher than the prior projection of $2.29-$2.35 billion.Zacks RankEnsign Group carries a Zacks Rank #3 (Hold). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.Among other players from the medical sector, havingalready reported first-quarter earnings, the bottom-line figures of Anthem Inc. ANTM, Centene Corporation CNC and UnitedHealth Group Inc. UNH beat the respective Zacks Consensus Estimate.Radical New Technology Creates $12.3 Trillion OpportunityImagine buying Microsoft stock in the early days of personal computers… or Motorola after it released the world’s first cell phone. These technologies changed our lives and created massive profits for investors.Today, we’re on the brink of the next quantum leap in technology. 7 innovative companies are leading this “4th Industrial Revolution” - and early investors stand to earn the biggest profits.See the 7 breakthrough stocks now>>Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Anthem, Inc. (ANTM): Free Stock Analysis Report UnitedHealth Group Incorporated (UNH): Free Stock Analysis Report Centene Corporation (CNC): Free Stock Analysis Report The Ensign Group, Inc. (ENSG): Free Stock Analysis Report To read this article on Zacks.com click here.