The Ensign Group’s annual results for 2013 came in just under management’s guidance for the first time in the company’s history, the provider announced. 

Separating the company’s real estate and healthcare operations created “distractions” in the third and fourth quarters, President and CEO Christopher Christensen said. Still, Ensign had a strong fourth quarter, he noted, with consolidated revenues hitting a record $237 million.

Also, in early March, Ensign acquired a skilled nursing facility in Arizona for an undisclosed price.