ENSG
ENSIGN GROUP, INC
Next earnings Jul 22, 2026 · consensus $1.88 EPS, $1.47B rev
Last earnings +0.2% on 2026-04-30
$168.22
▲ +6.34%$168.22▲ +9.86%
over 1Y
L $136.22H $215.76
Earnings Dividend Split Congress buy Congress sellGrouped by date · hover a pin to expand
Today+6.3%
1W+1.5%
1M+1.5%
3M-14.4%
YTD-3.2%
1Y+9.9%
Buy
Conviction
Horizon
Long (>12mo)
12-mo target
$•••
Street · 11 analysts
Buy
Best-in-class skilled-nursing operator compounding revenue ~18% with 15.4% ROE, low debt and surging cash flow — quality growth at 26.3x.
Revenue $5.03B · FY2025
The read
Quality fundamentals and an attractive price line up (~19% below fair value) — the rarer case where both the business and the entry look good.
The Ensign Group is a serial-acquirer operator of skilled-nursing and senior-living facilities with one of the most consistent growth records in healthcare services. FY2025 revenue grew 18.8% to $5.03B — roughly doubling from $2.63B in FY2021 — with net income up 15.4% to $344M and operating income up 18.7% to $425M. Crucially, operating cash flow surged 62.5% to $564M, well ahead of earnings, signaling high-quality conversion as acquired facilities mature and occupancy/skilled-mix improve under Ensign's decentralized operating model.
The balance sheet is a standout for the sector. Long-term debt is just $138M against $2.23B of equity (up 21.5%) and $504M of cash, with leverage of only 1.45x liabilities/equity (most of which is operating lease-related, not financial debt). Return on equity of 15.4% on such low financial leverage indicates genuine operating quality rather than balance-sheet engineering. Retained earnings rose 23.1%, and the company returns modest capital ($20M buybacks, $14.4M dividends) while reinvesting most cash into accretive facility acquisitions.
AI-generated analysis, produced by our proprietary engine from SEC filing data.
Investment recommendation produced by TENK/calls (tenkcalls.com), Luxembourg. Completed Jun 21, 2026, 4:51 PM ET. Ratings & methodology: definitions · All recommendations to date: track record · Conflicts: disclosures. Not investment advice.
Financials · annual, by fiscal year
| Line item | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| Revenue | $2.63B | $3.03B | $3.71B | $4.24B | $5.03B |
| Gross profit | — | — | — | — | — |
| Operating income | $260M | $297M | $255M | $358M | $425M |
| Net income | $195M | $225M | $209M | $298M | $344M |
| Diluted EPS | $3.42 | $3.95 | $3.65 | $5.12 | $5.84 |
| Net margin | 7.4% | 7.4% | 5.6% | 7.0% | 6.8% |
Annual figures from SEC 10-K XBRL filings. Open the filing links below for full statement detail.
Key statistics
Valuation
Enterprise value$9.47B
EV / EBITDA17.9
EV / Sales1.9
EV / FCF19.2
P / FCF20.0
PEG (trailing)1.87
Earnings yield3.5%
FCF yield5.0%
Quality & risk
ROIC (est.)14.2%
Free cash flow$493M
Total debt$142M
Net cash$362M
Altman Z-Score3.54 safe
Piotroski F-Score5/8
Capital returns
Buyback yield0.2%
Dividend yield (est.)0.1%
Shareholder yield0.3%
Shares Δ YoY+1.1%
Computed from SEC XBRL annual figures + the current quote. EV and ROIC use long-term + current debt where filed; estimates, not investment advice.
Disclosure timeline
SEC · 8-Ks + reportsRoutine disclosure cadence — no material red flags in recent filings.
Recent filings
all on EDGAR ↗8-KPeriod ending 2026-06-122026-06-15open ↗8-KPeriod ending 2026-05-132026-06-10open ↗4Period ending 2026-06-022026-06-04open ↗144Filing2026-06-02open ↗4Period ending 2026-05-262026-05-28open ↗4Period ending 2026-05-262026-05-28open ↗4Period ending 2026-05-262026-05-28open ↗4Period ending 2026-05-262026-05-28open ↗4Period ending 2026-05-262026-05-28open ↗4Period ending 2026-05-152026-05-19open ↗4Period ending 2026-05-182026-05-19open ↗4Period ending 2026-05-182026-05-19open ↗
Frequently asked
- Is ENSIGN GROUP, INC (ENSG) a buy?
- ENSG currently carries a Buy rating with 4/5 conviction, derived from its latest SEC filings. Best-in-class skilled-nursing operator compounding revenue ~18% with 15.4% ROE, low debt and surging cash flow — quality growth at 26.3x.
- What is ENSG's fair value?
- A Modified-Graham model based on ENSG's SEC fundamentals estimates a fair value of about $199.38. It is an estimate from reported earnings, not a price target.
- Is ENSG overvalued or undervalued?
- Against a Modified-Graham fair-value estimate, ENSG currently appears undervalued relative to its SEC-grounded earnings power.
- What is ENSIGN GROUP, INC's quality score?
- ENSG scores 70.3514919831947/100 (grade B) on a SEC-grounded quality model spanning value, growth, profitability, financial health and momentum.
Sources: SEC EDGAR (CIK 0001125376, latest 10-Q filed 2026-04-30) · EODHD · Proprietary analysis · as of 6/21/2026, 8:51:48 PM.
Research and education only — not financial advice. TENKis not a registered investment adviser or broker-dealer and gives no personalized advice. Every call is impersonal — identical for all users, generated on a schedule from SEC filings plus a delayed/third-party price feed — may be wrong or out of date, and is not a recommendation to buy or sell any security. The operator and an affiliated trading operation may hold or trade the securities TENK rates; see Disclosures. Past performance does not guarantee future results. Do your own research.