A Business at a Glance
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Founded in 1999, The Ensign Group, Inc. (Ensign) is a holding company with independent subsidiaries that provide skilled nursing, senior living and rehabilitative services, as well as other ancillary businesses (including mobile diagnostics and medical transportation), in 17 states. As part of our investment strategy, we also acquire, lease and own healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities in healthcare properties. For the year ended December 31, 2025, we generated approximately 95.6% of our revenue from our skilled nursing facilities. The remainder of our revenue is primarily generated from our real estate properties, senior living services and other ancillary services. As of December 31, 2025, we offered skilled nursing, senior living and rehabilitative care services through 373 skilled nursing and senior living facilities.
| Metric | TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 |
|---|---|---|---|---|---|---|
| Revenue | 5.1B | 5.1B | 4.3B | 3.7B | 3.0B | 2.6B |
| Net Income | 344M | 344M | 298M | 209M | 225M | 195M |
| EPS | $5.84 | $5.84 | $5.12 | $3.65 | $3.95 | $3.42 |
| Free Cash Flow | 555M | 555M | 339M | 372M | 268M | 272M |
| ROIC | 17.2% | 19.7% | 21.5% | 17.9% | 23.3% | 25.0% |
| Gross Margin | 20.5% | 20.5% | 20.7% | 21.1% | 22.2% | 23.1% |
| Debt/Equity | 0.06 | 0.06 | 0.08 | 0.10 | 0.13 | 0.16 |
| Dividends/Share | $0.24 | $0.25 | $0.24 | $0.23 | $0.22 | $0.21 |
| Operating Income | 425M | 425M | 358M | 255M | 297M | 260M |
| Operating Margin | 8.4% | 8.4% | 8.4% | 6.8% | 9.8% | 9.9% |
| ROE | 15.4% | 16.9% | 17.9% | 15.3% | 19.8% | 21.2% |
| Shares Outstanding | 59M | 59M | 58M | 57M | 57M | 57M |
ENSIGN GROUP, INC passes 6 of 9 quality checks, suggesting mixed fundamentals.
ENSIGN GROUP, INC trades at 34.0x trailing earnings, compared to its 15-year median P/E of 24.3x, suggesting it is currently Expensive relative to its historical range. On a free-cash-flow basis, the stock trades at 20.8x vs a median of 18.7x. The company's 5-year average ROIC is 21.5% with a gross margin of 21.5%. Total shareholder yield (dividends + buybacks) is 0.3%. At current prices, the estimated annualized return to fair value is +11.1%.
ENSIGN GROUP, INC (ENSG) has a current P/E ratio of 34.0, compared to its historical median P/E of 24.3. The stock is currently considered Expensive based on its historical valuation range.
ENSIGN GROUP, INC (ENSG) has a 5-year average return on invested capital (ROIC) of 21.5%. This indicates strong capital allocation and a potential competitive advantage.
ENSIGN GROUP, INC (ENSG) has a market capitalization of $11.7B. It is classified as a large-cap stock.
Yes, ENSIGN GROUP, INC (ENSG) pays a dividend with a trailing twelve-month yield of 0.12%. The company also returns capital through share buybacks, with a buyback yield of 0.17%.
Based on historical P/E analysis, ENSIGN GROUP, INC (ENSG) appears expensive. The current P/E of 34.0 is 40% above its historical median of 24.3. The estimated fair value CAGR (P/E method) is 18.2%.
ENSIGN GROUP, INC (ENSG) operates in the Services-Skilled Nursing Care Facilities industry, within the Healthcare sector.
ENSIGN GROUP, INC (ENSG) reported annual revenue of $5.1 billion in its most recent fiscal year, based on SEC EDGAR filings.
ENSIGN GROUP, INC (ENSG) has a net profit margin of 6.8%. This is a modest margin.
ENSIGN GROUP, INC (ENSG) generated $555 million in free cash flow in its most recent fiscal year. Positive free cash flow supports dividends, buybacks, and debt reduction.
ENSIGN GROUP, INC (ENSG) has a debt-to-equity ratio of 0.06. This indicates a conservatively financed balance sheet.
ENSIGN GROUP, INC (ENSG) reported earnings per share (EPS) of $5.84 in its most recent fiscal year.
ENSIGN GROUP, INC (ENSG) has a return on equity (ROE) of 16.9%. This indicates the company generates strong returns for shareholders.
ENSIGN GROUP, INC (ENSG) has a 5-year average gross margin of 21.5%. This lower margin is typical of capital-intensive or commodity businesses.
The Ledger Terminal provides 15 years of financial data for ENSIGN GROUP, INC (ENSG), sourced directly from SEC EDGAR filings. This includes income statements, balance sheets, cash flow statements, and key financial ratios.
ENSIGN GROUP, INC (ENSG) has a book value per share of $37.89, based on its most recent annual SEC filing.
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