Educational research only—not investment advice or a recommendation. Scores and estimates may use delayed, incomplete, restated, or corrected market and filing data. Independently verify information before making an investment decision.
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Primary reporting period: 2025-12-31 · Research updated Oct 12, 2026. A research update is not a new financial filing.
Who they are
The Ensign Group, Inc. operates as a healthcare provider, primarily concentrating on post-acute care services, alongside other supporting business ventures. The company's activities are organized into two main divisions: Skilled Services and Real Estate. Within its Skilled Services segment, Ensign provides extensive short-term and long-term nursing care tailored for patients recovering from extended illnesses, managing chronic health conditions, or requiring elder care.
How they make money
The Ensign Group operates as a holding company whose independent subsidiaries provide post-acute healthcare services, including skilled nursing, senior living, and rehabilitative care. Revenue is primarily generated through reimbursement from government programs like Medicare and Medicaid, as well as private pay sources for senior living and ancillary services.
Products & services
Skilled nursing, senior living, rehabilitative services, mobile diagnostics, and medical transportation.
Brands & revenue mix
No separate brand or brand-level revenue disclosure was confirmed in the reviewed sources. This does not mean the company has no brands.
Calculated from reported segment revenue. Check the source period and revenue basis before comparing shares. Categories can overlap and may not add to 100%.
Geographic revenue
No reconciled geographic revenue breakdown was confirmed for the current research period.
The company is highly dependent on government reimbursement programs, specifically Medicare and Medicaid, which constitute a significant portion of its revenue.
Suppliers, materials & equipment
Medical supply and pharmaceutical distributors — The company relies on various third-party vendors for medical supplies, pharmaceuticals, and therapy services; specific supplier names are not disclosed.Source
Overall investment score · Quality, value, risk and opportunity
51
Fair
PoorElite
View category scores →
Company Quality
How good is the actual business—regardless of today’s stock price?
64
Fair
Financial Strength
38
Business Quality / Moat
95
Management
55
Growth Quality
54
Risk / Durability
95
Cheap for a Reason · Review the Risks
Uses financial strength, moat, management, growth quality and durability. It excludes share price, P/E, market cap, intrinsic value and margin of safety.
Opportunity
Opportunity Score · How does the current price compare with estimated value?
64
Fully Valued
Based on current valuation, company quality, recent trends, and available market signals.
View score details →
Model Outlook
12-month model · What does the model think happens next?
65/100
Building Historical Record
Model Score 65/100 — estimates relative performance potential, distinct from the overall Wall Street Score and the separate Company Quality score.
Probability unavailable — the model has not produced a calibrated probability yet.
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WSS View
The quick read
The overall Wall Street Score is mixed across its combined quality, valuation and risk inputs. Review the category scores to identify what is helping or hurting the result.
At today’s price, the WSS valuation framework currently reads as moderate rather than unusually attractive.
The model outlook is currently moderate.
What we like
•Valuation scores attractively
•Recent buyback activity is present
What to watch
•Revenue fundamentals are weak
•Debt / balance-sheet profile needs attention
Company-specific research
Questions worth answering for ENSG
Research inputs 100% complete
These questions are generated from this company's current financial and score data so the page adds context instead of treating the headline score as a stand-alone conclusion.
•Can ENSG maintain its current revenue growth rate and improve the amount of that revenue that turns into earnings and cash?
•Is ENSG's positive free cash flow repeatable, or is the current level being helped by temporary working-capital or spending changes?
•Is ENSG's debt load manageable relative to cash generation, interest costs and upcoming maturities?
•Is ENSG's valuation discount tied to a temporary concern or to a longer-term business risk?
Two different market-behavior signals. Momentum measures direction and trend strength. Volatility measures how large and unstable the price moves are, regardless of direction.
A high momentum score means price has been trending upward with confirming short- and medium-term strength. A low score means downward or weakening momentum.
Volatility = How violently is it moving?
A high volatility score means larger, less stable price swings. It can happen while a stock is rising or falling, so high volatility is not automatically bullish or bearish.
Important: the volatility score above is based on realized price volatility. Implied volatility (IV) comes from options prices and represents the market's expected future movement. Wall Street Score will keep IV separate and will only display it when a verified options-chain feed is available.
Notices for ENSG
Detected from reported data — verify before acting.
Dividend history reported
Dividend payments are recorded. Review the dates and regular/special classification below; past payments do not guarantee future dividends.
Historical repurchase activity
Reported cash flows or share-count measures indicate past repurchase activity. This does not verify an active buyback authorization or future purchases.
Community Sentiment
0 active · 0 total calls
0% Bullish (0) 0% Bearish (0)
No personal call yet on ENSG.
Potential upside factors
+Growth opportunities may come from revenue expansion, margin improvement, new products, market-share gains, and stronger cash flow.
+Decentralized operating model.
+Strong acquisition and integration capabilities.
+Positive free cash flow may provide capacity to invest in growth.
Potential downside factors
−Key risks may include competition, margin pressure, debt levels, valuation risk, and changes in demand within the Medical - Care Facilities industry.
−Government reimbursement rate changes.
−Labor shortages and rising wage costs.
−Regulatory compliance and litigation risks.
These research factors come from saved company research and financial data, not community votes. They are starting points to verify against filings, not buy or sell recommendations.
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Scores
Click any score for full breakdown
Wall Street Score
Fair51/ 100
Weak (0–50)Fair (51–71)Strong (72+)
Debt
Poor
33
Debt Cost0.2%
Debt Reduction YoY-110.4%
Debt / Equity1.86x
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Revenue
Poor
34
Revenue YoY8.5%
Revenue CAGR16.5%
Net Margin6.9%
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Asset
Fair
52
Asset Growth YoY17.0%
Liquidation/Share$41.54
Net Assets/MCap0.35x
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Capital
Poor
32
Earnings Yield3.8%
Buyback Yield0.1%
Debt Cost0.2%
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Management
Fair
55
ROIC7.3%
ROE15.5%
ROA6.6%
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Moat
Elite
95
EPS Growth15.7%
FCF/Share Growth33.1%
Rev/Share Growth15.5%
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Valuation
Strong
73
Intrinsic Value$252.95
Value Reference$151.77
MOS30.0%
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Buffett
Fair
52
Revenue34
Moat95
Valuation73
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MOS
Strong
80
MOS %30.0%
Value Reference$151.77
Deep Discount Reference$101.18
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Financial
Poor
36
Interest Coverage53.2x
ROIC7.3%
FCF Yield3.7%
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Master
Fair
50
Financial36
Valuation73
Debt33
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Resilience
Fair
67
Survival Years2.0 yrs
Current Ratio1.42x
FCF Margin7.3%
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Score Changes
6 historical score records available
Previous Score
50
Sep 21, 2026
Change
+0.3
points
Current Score
51
Oct 1, 2026
Category Changes
Revenue+0.1
Debt0
Assets+0.1
Capital+1.0
Management0
Moat0
Valuation+1.3
Buffett+0.2
ENSG increased 0.3 points because overall fundamentals improved.
Projected Score
Projected Score
54
Projected Change
+3.0 points
Preliminary comparable-period financial changes suggest improvement of approximately 3.0 points. This is a projected estimate, not the official WallStreetScore.
Monetary values in USD. Share counts in raw units.
Income StatementBalance SheetCash Flow
AnnualQuarterlyTTM + Annual
All rows
Free includes 3 annual periods plus available TTM; Premium includes up to 10 annual periods. History depends on available company filings. Swipe the table horizontally to see older periods. A dash means unavailable, not zero.
Line Item
TTM
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
Revenue
$5.49B
$5.06B
$4.26B
$3.73B
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Cost of Revenue
$4.71B
$4.26B
$3.59B
$3.14B
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Gross Profit
$775.9M
$799.5M
$667.6M
$590.8M
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Research & Development
$0.00
$0.00
$0.00
$0.00
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SG&A Expenses
$298.3M
$269.8M
$225.1M
$263.0M
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Operating Expenses
$308.5M
$374.1M
$309.3M
$335.4M
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EBITDA
$621.3M
$567.9M
$478.5M
$353.2M
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Operating Income
$467.4M
$425.3M
$358.3M
$255.4M
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Interest Expense
$7.8M
$8.0M
$8.3M
$8.1M
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Income Before Tax
$498.9M
$455.6M
$386.1M
$272.8M
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Income Tax Expense
$119.9M
$111.4M
$87.6M
$62.9M
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Net Income
$378.7M
$344.0M
$298.0M
$209.4M
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Basic EPS
$6.57
$6.00
$5.26
$3.76
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Basic Shares
57.96M
57.31M
56.66M
55.71M
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Diluted Shares
59.48M
58.87M
58.24M
57.32M
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Upgrade to Premium for up to 10 annual periods, where available.
Debt and cash show percentage changes versus the comparison period; margin shows the change in percentage points (pp). These are company-wide changes, not per-share amounts.
Financial Changes Since Prior Period
What Improved
Margins expanded
What Weakened
Cash position declined
Debt increased
Potential Score Impact
Positive indicators included revenue growth, EPS growth, net income margin. Pressure indicators included cash levels, debt levels. These factors may support or pressure the Revenue, Management, Financial, and Debt categories; this summary does not claim that the stored scores changed.
Stored Earnings Analysis
Revenue increased 17.3%. EPS increased 16.7%. Cash declined 27.9%. Total debt increased 10.3%. Net income margin improved by 0.1 percentage points.
Earnings-Call Transcript
Earnings-call transcript analysis is not currently available.
These results may influence future scores when the next evaluation is completed.
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Government disclosed trading activity is available on the Smart Money directory. Filings may be delayed and may not represent complete current holdings.
Dividend HistoryShare
Dividend History
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Predictions & Historical PerformanceShare
Conservative Projected Values
3 Years
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5 Years
$———.——
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10 Years
$———.——
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Conservative Projection Rate
——%
Premium
Conservative Projected Values — price projections derived from actual 10-year adjusted historical returns, conservatively adjusted and capped at 8% annually. These are distinct from the Outperformance Model Score and WallStreetScore.
Conservative Projected Values
Premium unlocks the 3-year, 5-year, and 10-year conservative projected values with full calculation breakdowns based on actual historical returns.
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