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.

The Ensign Group, Inc.

ENSGNASDAQ
Wall Street Score · overall investment51/100
$184.11USD+$14.61 (+8.62%)
Company website ensigngroup.net
Headquarters29222 Rancho Viejo Road, San Juan Capistrano, CA, 92675, US
Financial statement currencyUSD · no FX conversion applied
Healthcare · Medical - Care Facilities
Price updated todayFinancials updated Oct 1, 2026

ENSG · Price history

Price at last available close

$184.11

+$7.75 (+4.39%) 1M

2026-10-28

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Company & revenue

About The Ensign Group, Inc.

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.

Product / operating segments

Skilled Services SegmentUSD 4.84B95.7%

Period ended 2025-12-31Source

Standard Bearer SegmentUSD 126.93M2.5%

Period ended 2025-12-31Source

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.

Customer types

Customer concentration

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

Strengths

  • Decentralized operating modelSource
  • Strong acquisition and integration capabilitiesSource

Risks

  • Government reimbursement rate changesSource
  • Labor shortages and rising wage costsSource
  • Regulatory compliance and litigation risksSource

Wall Street Score

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.

Click for full breakdown →

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?
Business analysis: 16 days ago · Fresh

Essential Investment Snapshot

Wall Street Score

51

0–100 · Fair

Opportunity Score

64

0–100 · Fair

Market Cap

$10.73B

P/E Ratio

26.2

EPS

$6.57

52-Week High

$218.00

52-Week Low

$141.58

Beta

0.69

Intrinsic Value

$252.95

Analyst Target

$215.00

Shares Outstanding

58.9M

Total Revenue

$5.49B

Total Debt

$2.25B

Dividend Yield (TTM)

0.14%

View dividend history

Liquidation Value / Share

$41.54

Estimated net asset value per share

Dividend / Share (TTM)

$0.26

Trailing 12 months by ex-date; not a forecast

Momentum & Volatility Signals

Two different market-behavior signals. Momentum measures direction and trend strength. Volatility measures how large and unstable the price moves are, regardless of direction.

0–100 market signals
Momentum
69/ 100
+22 pts / 5d

Building upward momentum

5D +6.2% · 20D +7.0% · RSI 63 · Price vs 20D avg +5.7%
Volatility
43/ 100
+24 pts / 5d

Normal movement

20D realized vol 39.9% · 60D 27.5% · Acceleration 1.45x
Momentum = Where is it going?

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.

Create a free account to make a call.

Scores

Click any score for full breakdown
Wall Street Score
Fair51/ 100
Weak (0–50)Fair (51–71)Strong (72+)

Fair

51

Tap for breakdown →

Poor

33

Debt Cost0.2%
Debt Reduction YoY-110.4%
Debt / Equity1.86x

Tap for breakdown →

Poor

34

Revenue YoY8.5%
Revenue CAGR16.5%
Net Margin6.9%

Tap for breakdown →

Fair

52

Asset Growth YoY17.0%
Liquidation/Share$41.54
Net Assets/MCap0.35x

Tap for breakdown →

Poor

32

Earnings Yield3.8%
Buyback Yield0.1%
Debt Cost0.2%

Tap for breakdown →

Fair

55

ROIC7.3%
ROE15.5%
ROA6.6%

Tap for breakdown →

Elite

95

EPS Growth15.7%
FCF/Share Growth33.1%
Rev/Share Growth15.5%

Tap for breakdown →

Strong

73

Intrinsic Value$252.95
Value Reference$151.77
MOS30.0%

Tap for breakdown →

Fair

52

Revenue34
Moat95
Valuation73

Tap for breakdown →

Strong

80

MOS %30.0%
Value Reference$151.77
Deep Discount Reference$101.18

Tap for breakdown →

Poor

36

Interest Coverage53.2x
ROIC7.3%
FCF Yield3.7%

Tap for breakdown →

Fair

50

Financial36
Valuation73
Debt33

Tap for breakdown →

Fair

67

Survival Years2.0 yrs
Current Ratio1.42x
FCF Margin7.3%

Tap for breakdown →

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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.

Price vs. Value

Undervalued

Current Price

$184.11

Model Intrinsic Value

$252.95

Difference

−$68.84

-27.2% vs IV

Margin of Safety

27.2%

UndervaluedFair ValueOvervalued
Value Reference: $151.77
Deep Discount Reference: $101.18

Financial Charts

Revenue

201420152016201720182019202020212022202320242025$0$1.5B$3.0B$4.5B$6.0B

Additional Metrics

Operating Cash Flow

201520172019202120232025$0$150M$300M$450M$600M

Total Debt

201520172019202120232025$0$1.5B$3.0B$4.5B$6.0B

Total Assets

201520172019202120232025$0$1.5B$3.0B$4.5B$6.0B

Net Margin %

No data
Monetary values in USD. Share counts in raw units.

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 ItemTTM2025202420232022202120202019201820172016
Revenue$5.49B$5.06B$4.26B$3.73B····························
Cost of Revenue$4.71B$4.26B$3.59B$3.14B····························
Gross Profit$775.9M$799.5M$667.6M$590.8M····························
Research & Development$0.00$0.00$0.00$0.00····························
SG&A Expenses$298.3M$269.8M$225.1M$263.0M····························
Operating Expenses$308.5M$374.1M$309.3M$335.4M····························
EBITDA$621.3M$567.9M$478.5M$353.2M····························
Operating Income$467.4M$425.3M$358.3M$255.4M····························
Interest Expense$7.8M$8.0M$8.3M$8.1M····························
Income Before Tax$498.9M$455.6M$386.1M$272.8M····························
Income Tax Expense$119.9M$111.4M$87.6M$62.9M····························
Net Income$378.7M$344.0M$298.0M$209.4M····························
Basic EPS$6.57$6.00$5.26$3.76····························
Basic Shares57.96M57.31M56.66M55.71M····························
Diluted Shares59.48M58.87M58.24M57.32M····························
Upgrade to Premium for up to 10 annual periods, where available.
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Earnings Summary

Estimated earnings date:Nov 2, 2026
Estimated EPS: $1.96Estimated revenue: $1.51B
Jun 30, 2026Q2FY2026

Revenue

$1.44B

Estimate unavailable.

Revenue Beat/Miss

Not available (no estimate stored)

EPS

$1.68

Estimate unavailable.

EPS Beat/Miss

Not available (no estimate stored)

Debt Change

+10.3%

Cash Change

-27.9%

Margin Change

+0.1 pp

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.

Upgrade to Premium to unlock all earnings history.View plans
Earnings data: 120 days ago · Stale

Insider Activity

Guru / Smart Money

Guru Score

Smart Money

Number of Gurus

Total Guru Value

Avg Portfolio Weight

Largest Holder

Largest Holder %

New Positions

Increased Positions

Reduced Positions

Exited Positions

Net Guru Sentiment

Loading data...

Short Interest

Government disclosed trading activity is available on the Smart Money directory. Filings may be delayed and may not represent complete current holdings.

Dividend History

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Conservative Projected Values

3 Years

$———.——

Premium

5 Years

$———.——

Premium

10 Years

$———.——

Premium

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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Historical Outperformance Record

Premium includes stored forecasts and any available evaluated results. Completed results, win rates and calibrated probabilities are shown only when supported records exist; access does not create historical outcomes.

Start 7-Day Free Trial

Historical Trends

6 historical records
Jul 23, 26Aug 13, 26Sep 4, 26Sep 7, 26Sep 21, 26Oct 1, 260255075100

Historical Score Chart

3 of 6 records shown
3 historical score records are shown. Start your seven-day free trial to unlock 3 more records and the complete score history.Start Free Trial

Wall Street Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Debt Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Revenue Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Asset Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Capital Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Management Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Moat Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Valuation Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Buffett Score

Sep 7, 26Sep 21, 26Oct 1, 260255075100

Intrinsic Value

Sep 7, 26Sep 21, 26Oct 1, 26$250.00$251.00$252.00$253.00$254.00

Value Reference

Sep 7, 26Sep 21, 26Oct 1, 26$149.00$150.00$151.00$152.00$153.00

Margin of Safety %

Sep 7, 26Sep 21, 26Oct 1, 260.3%0.3%0.3%0.3%0.3%

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News

Rumor Mill · ENSG

Corporate developments & opportunities

Explore market →

No reviewed developments match this filter.

Evidence credibility is not a forecast of stock performance. Rumor Mill is separate from the WSS score.

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