The Ensign Group, Inc.

NasdaqGS:ENSG Stock Report

Market Cap: US$10.0b

Ensign Group Past Earnings Performance

Past criteria checks 4/6

Ensign Group has been growing earnings at an average annual rate of 13.6%, while the Healthcare industry saw earnings growing at 4% annually. Revenues have been growing at an average rate of 15.9% per year. Ensign Group's return on equity is 15.3%, and it has net margins of 6.9%.

Key information

13.56%

Earnings growth rate

12.18%

EPS growth rate

Healthcare Industry Growth8.50%
Revenue growth rate15.85%
Return on equity15.35%
Net Margin6.89%
Last Earnings Update31 Mar 2026

Recent past performance updates

Recent updates

Seeking Alpha Feb 12

The Ensign Group: Real Estate Value Anchors A Growth Story

Summary The Ensign Group sustains premium valuation through consistent growth, operational excellence, and strategic distressed asset acquisitions. ENSG's decentralized cluster model drives superior occupancy, rapid turnaround of new facilities, and regulatory outperformance, supporting compounding cash flow. Standard Bearer, ENSG's captive REIT, captures real estate value and provides a valuation floor, with 2025 FFO up 33.9% year-over-year. Despite sector risks from reimbursement changes and wage inflation, ENSG's robust balance sheet and double-digit earnings guidance underpin its long-term growth thesis. Read the full article on Seeking Alpha
Analysis Article Jan 04

Is Ensign Group (NASDAQ:ENSG) Using Too Much Debt?

Legendary fund manager Li Lu (who Charlie Munger backed) once said, 'The biggest investment risk is not the volatility...
Analysis Article Oct 28

Estimating The Intrinsic Value Of The Ensign Group, Inc. (NASDAQ:ENSG)

Key Insights Ensign Group's estimated fair value is US$165 based on 2 Stage Free Cash Flow to Equity Ensign Group's...
Narrative Update Oct 08

Rising US Eldercare Demand And Acquisitions Will Drive Expansion

Narrative Update: Analyst Price Target Increased for Ensign Group Analysts have raised their price target on Ensign Group by $3 to $180, citing a continued recovery and positive operating momentum in the skilled nursing facility sector. Analyst Commentary Recent analyst discussions and price target adjustments reflect a renewed optimism in Ensign Group’s prospects as well as a careful eye on sector dynamics.
Analysis Article Sep 27

What Does The Ensign Group, Inc.'s (NASDAQ:ENSG) Share Price Indicate?

The Ensign Group, Inc. ( NASDAQ:ENSG ), is not the largest company out there, but it saw a significant share price rise...
Narrative Update Sep 20

Rising US Eldercare Demand And Acquisitions Will Drive Expansion

With both Ensign Group’s future P/E and consensus revenue growth forecasts holding steady, analysts have made only a marginal upward adjustment to the fair value target, raising the consensus price target from $174.67 to $177.40. What's in the News Ensign Group settled a whistleblower case for over $47.3 million, resolving allegations of Medicare and Medicaid fraud, kickbacks to physicians, and violations of the False Claims Acts and Anti-Kickback Statutes.
Narrative Update Sep 05

Rising US Eldercare Demand And Acquisitions Will Drive Expansion

With no changes observed in either Ensign Group’s future P/E ratio or net profit margin, the consensus analyst price target remains stable at $174.67. What's in the News Ensign Group settled a whistleblower lawsuit for over $47.3 million, resolving allegations of nationwide Medicare and Medicaid fraud, kickbacks, and violations of federal and state laws, as well as breaching a prior Corporate Integrity Agreement.
Analysis Article Jul 25

Ensign Group (NASDAQ:ENSG) Has A Pretty Healthy Balance Sheet

Howard Marks put it nicely when he said that, rather than worrying about share price volatility, 'The possibility of...
Analysis Article Jun 24

When Should You Buy The Ensign Group, Inc. (NASDAQ:ENSG)?

The Ensign Group, Inc. ( NASDAQ:ENSG ), might not be a large cap stock, but it led the NASDAQGS gainers with a...
Seeking Alpha Nov 18

Ensign Group: Expensive Despite Excellent Growth Prospects

Summary The Ensign Group's unique local, field-driven management structure contributes to high service quality and leadership retention. Astonishing revenue growth at a 15% CAGR over 10 years, but rising costs and capex hinder free cash flow, making the stock expensive. Recent strategic acquisitions of distressed assisted living facilities in Wisconsin and Nebraska signal sustainable growth and value-add opportunities. Shares are a hold with a price target of $150. Read the full article on Seeking Alpha
User avatar
New Narrative Aug 27

Calculated Acquisitions And Market Expansion Fuel Robust Growth Prospects

Ensign Group's strategy for growth involves acquisitions, geographical expansion, and operational efficiency, indicating a potential for increased revenue and margins.
Seeking Alpha Jun 12

Ensign Group: Priced On Asset Growth, Supported By Fundamentals

Summary ENSG continues to show growth in same-facility operations and reinvestment of earnings to build assets. Q1 FY 2024 earnings breakdown shows continued top-line growth and affirmed guidance for the year. Factors supporting additional price change include market pricing on asset growth vs. earnings and growth in earnings power. Read the full article on Seeking Alpha

Revenue & Expenses Breakdown

How Ensign Group makes and spends money. Based on latest reported earnings, on an LTM basis.


Earnings and Revenue History

NasdaqGS:ENSG Revenue, expenses and earnings (USD Millions)
DateRevenueEarningsG+A ExpensesR&D Expenses
31 Mar 265,2743633090
31 Dec 255,0583442970
30 Sep 254,8293282810
30 Jun 254,6153232690
31 Mar 254,4233092550
31 Dec 244,2602982490
30 Sep 244,1092402990
30 Jun 243,9682252930
31 Mar 243,8532182900
31 Dec 233,7292092830
30 Sep 233,5592482180
30 Jun 233,3882402050
31 Mar 233,1992341890
31 Dec 223,0252251760
30 Sep 222,9092131750
30 Jun 222,8082041730
31 Mar 222,7141961720
31 Dec 212,6271951660
30 Sep 212,5631921570
30 Jun 212,4941881510
31 Mar 212,4401791450
31 Dec 202,4031701430
30 Sep 202,3341521410
30 Jun 202,2471311350
31 Mar 202,1551111280
31 Dec 192,037921230
30 Sep 191,728581060
30 Jun 191,730561020
31 Mar 191,73458960
31 Dec 181,75559910
30 Sep 181,99177950
30 Jun 181,94871900
31 Mar 181,90061850
31 Dec 171,59817740
30 Sep 171,79548730
30 Jun 171,75145710
31 Mar 171,71344730
31 Dec 161,65550690
30 Sep 161,59545720
30 Jun 161,51848710
31 Mar 161,41949670
31 Dec 151,34255640
30 Sep 151,24653590
30 Jun 151,15549550

Quality Earnings: ENSG has high quality earnings.

Growing Profit Margin: ENSG's current net profit margins (6.9%) are lower than last year (7%).


Free Cash Flow vs Earnings Analysis


Past Earnings Growth Analysis

Earnings Trend: ENSG's earnings have grown by 13.6% per year over the past 5 years.

Accelerating Growth: ENSG's earnings growth over the past year (17.4%) exceeds its 5-year average (13.6% per year).

Earnings vs Industry: ENSG earnings growth over the past year (17.4%) exceeded the Healthcare industry 17%.


Return on Equity

High ROE: ENSG's Return on Equity (15.3%) is considered low.


Return on Assets


Return on Capital Employed


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Company Analysis and Financial Data Status

DataLast Updated (UTC time)
Company Analysis2026/05/26 10:20
End of Day Share Price 2026/05/22 00:00
Earnings2026/03/31
Annual Earnings2025/12/31

Data Sources

The data used in our company analysis is from S&P Global Market Intelligence LLC. The following data is used in our analysis model to generate this report. Data is normalised which can introduce a delay from the source being available.

PackageDataTimeframeExample US Source *
Company Financials10 years
  • Income statement
  • Cash flow statement
  • Balance sheet
Analyst Consensus Estimates+3 years
  • Forecast financials
  • Analyst price targets
Market Prices30 years
  • Stock prices
  • Dividends, Splits and Actions
Ownership10 years
  • Top shareholders
  • Insider trading
Management10 years
  • Leadership team
  • Board of directors
Key Developments10 years
  • Company announcements

* Example for US securities, for non-US equivalent regulatory forms and sources are used.

Unless specified all financial data is based on a yearly period but updated quarterly. This is known as Trailing Twelve Month (TTM) or Last Twelve Month (LTM) Data. Learn more.

Analysis Model and Snowflake

Details of the analysis model used to generate this report is available on our Github page, we also have guides on how to use our reports and tutorials on Youtube.

Learn about the world class team who designed and built the Simply Wall St analysis model.

Industry and Sector Metrics

Our industry and section metrics are calculated every 6 hours by Simply Wall St, details of our process are available on Github.

Analyst Sources

The Ensign Group, Inc. is covered by 14 analysts. 5 of those analysts submitted the estimates of revenue or earnings used as inputs to our report. Analysts submissions are updated throughout the day.

AnalystInstitution
Tao QiuBerenberg
Joseph FranceCantor Fitzgerald & Co.
Peter MartinCitizens JMP Securities, LLC