The Ensign Group, Inc. (ENSG)

Price$197.72

Favorite Metrics

Price vs S&P 500 (26W)8.25%

Price vs S&P 500 (4W)-9.26%

Market Capitalization$11.47B

P/E Ratio (Annual)33.36x

Indicated Dividend Yield (Annual)0.13%

All Metrics

P/CF (Annual)20.33x

Book Value / Share (Quarterly)$38.42

P/TBV (Annual)4.53x

Indicated Dividend (Annual)$0.25

Revenue Growth (3Y)18.68%

Cash Flow / Share (Quarterly)$6.38

Payout Ratio (TTM)4.19%

Price vs S&P 500 (YTD)10.97%

Gross Margin (TTM)21.07%

Net Profit Margin (TTM)6.80%

EPS (TTM)$5.84

10-Day Avg Trading Volume0.30M

EPS Excl Extra (TTM)$5.84

Revenue Growth (5Y)16.05%

EPS (Annual)$5.84

Dividend / Share (Annual)$0.25

ROI (Annual)14.49%

Gross Margin (Annual)21.07%

Net Profit Margin (5Y Avg)6.85%

Cash / Share (Quarterly)$9.85

P/E Basic Excl Extra (TTM)33.36x

Revenue Growth QoQ (YoY)20.17%

EPS Growth (5Y)13.84%

P/E Normalized (Annual)33.36x

ROA (Last FY)6.30%

Revenue Growth TTM (YoY)18.72%

EBITD / Share (TTM)$9.23

ROE (5Y Avg)16.55%

Operating Margin (TTM)8.41%

Cash Flow / Share (Annual)$6.38

P/B Ratio5.14x

P/B Ratio (Quarterly)4.52x

Net Income / Employee (Annual)$0

EV / Revenue (TTM)2.20x

Net Interest Coverage (TTM)34.73x

ROA (TTM)6.75%

EPS Growth QoQ (YoY)18.61%

EV / EBITDA (TTM)20.45x

EPS Incl Extra (Annual)$5.84

Current Ratio (Annual)1.42x

Quick Ratio (Quarterly)1.35x

3-Month Avg Trading Volume0.37M

52-Week Price Return52.32%

EV / Free Cash Flow (Annual)29.97x

P/E Incl Extra (TTM)33.36x

Revenue / Employee (TTM)$0

Tangible BV / Share (Quarterly)$38.31

P/S Ratio (Annual)2.27x

Asset Turnover (Annual)0.93x

52-Week High$218.00

Operating Margin (5Y Avg)8.68%

EPS Excl Extra (Annual)$5.84

CapEx CAGR (5Y)20.78%

Tangible BV CAGR (5Y)22.36%

26-Week Price Return12.23%

Quick Ratio (Annual)1.35x

13-Week Price Return11.99%

Total Debt / Equity (Annual)0.06x

Current Ratio (Quarterly)1.42x

Enterprise Value$11,111.662

Revenue / Share Growth (5Y)14.82%

Asset Turnover (TTM)0.99x

Book Value / Share Growth (5Y)20.72%

Revenue / Employee (Annual)$0

Pretax Margin (Annual)9.01%

Cash / Share (Annual)$9.85

3-Month Return Std Dev35.02%

Gross Margin (5Y Avg)22.10%

Net Income / Employee (TTM)$0

EBITDA CAGR (5Y)14.37%

EBITDA Interim CAGR (5Y)17.21%

ROE (Last FY)15.41%

Net Interest Coverage (Annual)36.64x

EPS Basic Excl Extra (Annual)$5.84

P/FCF (TTM)30.95x

Receivables Turnover (TTM)8.38x

EV / Free Cash Flow (TTM)29.97x

Total Debt / Equity (Quarterly)0.06x

EPS Incl Extra (TTM)$5.84

Receivables Turnover (Annual)8.38x

ROI (TTM)15.51%

Dividend Growth Rate (5Y)4.66%

P/S Ratio (TTM)2.27x

Pretax Margin (5Y Avg)8.95%

Revenue / Share (Annual)$85.91

Tangible BV / Share (Annual)$38.31

Forward P/E26.34x

Free OCF CAGR (5Y)4.46%

Price vs S&P 500 (52W)22.49%

P/E Ratio (TTM)33.36x

EPS Growth TTM (YoY)14.27%

Year-to-Date Return13.62%

5-Day Price Return-1.81%

EPS Normalized (Annual)$5.84

ROA (5Y Avg)6.21%

Net Profit Margin (Annual)6.80%

Month-to-Date Return-1.78%

Cash Flow / Share (TTM)$5.57

EBITD / Share (Annual)$9.23

EPS Growth (3Y)13.95%

Operating Margin (Annual)8.41%

LT Debt / Equity (Annual)0.06x

P/CF (TTM)20.33x

ROI (5Y Avg)14.97%

P/E Excl Extra (TTM)33.36x

LT Debt / Equity (Quarterly)0.06x

EPS Basic Excl Extra (TTM)$5.84

P/TBV (Quarterly)4.53x

Payout Ratio (Annual)4.19%

P/B Ratio (Annual)4.52x

Dividend / Share (TTM)$0.25

Pretax Margin (TTM)9.01%

Book Value / Share (Annual)$38.42

Price vs S&P 500 (13W)11.30%

Net Margin Growth (5Y)-0.86%

Dividend Yield (TTM)0.13%

Beta0.82x

P/FCF (Annual)30.95x

Revenue / Share (TTM)$85.22

ROE (TTM)16.59%

52-Week Low$118.73

Analyst Recommendations

Jan 2026

Feb 2026

Mar 2026

Apr 2026

4.18

Industry Peers — Skilled Nursing Care Facilities(2)

Symbol	P/E Ratio (Annual)	Revenue Growth TTM (YoY)	Operating Margin (TTM)	ROE (TTM)	Price
ENSGThe Ensign Group, Inc.	33.36x	18.72%	8.41%	16.59%	$197.72
PACSPACS Group, Inc.	28.59x	—	5.85%	22.70%	$34.33
NHCNational Healthcare Corp.	20.82x	16.09%	8.46%	11.57%	$161.31

About

Ensign Group Inc is a diversified post-acute healthcare provider operating skilled nursing facilities, assisted living communities, home health and hospice services, and urgent care clinics across the United States. The company operates two segments: Skilled Services, which generates the majority of revenue, and Standard Bearer, a captive REIT that owns and leases properties to healthcare operations. Revenue is predominantly derived from Medicare and Medicaid reimbursement programs.