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Home CompaniesThe Ensign Group Inc

The Ensign Group Inc

Healthcare Medical Care Facilities
PortfolioPortfolio WatchlistWatchlist
Company price
187.73 USD 1.54 ( 0.83%)
Last update at 2026-11-12T15:39:00Z
VOLUME
21490
Market Cap
6769.85M
P/E
31.38

Momentum Score

…

The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services. It operates through two segments: Skilled Services and Standard Bearer. The company's Skilled Services segment engages in the operation of skilled nursing facilities and rehabilitation therapy services for patients with chronic conditions, prolonged illness, and the elderly; and offers nursing facilities including specialty care, such as on-site dialysis, ventilator care, cardiac, and pulmonary management, as well as standard services comprising room and board, special nutritional programs, social services, recreational activities, entertainment, and other services. Its Standard Bearer segment is comprised of selected real estate properties owned by Standard Bearer and leased to skilled nursing and senior living operators. In addition, the company provides ancillary services consisting of digital x-ray, ultrasound, electrocardiograms, sub-acute services, dialysis, respiratory, and long-term care pharmacy and patient transportation to people in their homes or at long-term care facilities, as well as mobile diagnostics. It operates in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington and Wisconsin. The company was incorporated in 1999 and is based in San Juan Capistrano, California.

Source: TradingView
The charts and visual representations are sourced from TradingView through embedded widgets. For any issues with chart display, please visit the TradingView website

Day Price Range
186.51
Low
188.84
High
52 Week Price Range
86.94
Low
127.51
High

Momentum Score

…
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A unique technical analysis driven score developed by Kalkine showing momentum in stock prices based on select technical indicators identified.

Score - Rating
>= 1 - Low / > 1 but < 2 - Below Average / > 2 but < 3 - Average / > 3 but < 4 - Above Average / > 4 - High
AI Summary

The Ensign Group operates U.S. post-acute healthcare services, including skilled nursing, inpatient rehabilitation, assisted living, home health, hospice and outpatient therapy. Its long-term growth drivers include demographic aging and rising demand for post-acute and home-based care, a roll-up acquisition strategy and expansion into higher-margin therapy services that may benefit from scale and operational efficiencies. Investors may find the company attractive for its diversified care continuum and recurring cash-flow profile.
Key risks include sensitivity to Medicare/Medicaid reimbursement and regulatory changes, operational and integration risks from ongoing acquisitions, staffing shortages and occupancy volatility that investors should monitor.

Risk Score
Medium

Note: The summary and risk score provided above is created by AI and should not be construed as a recommendation of Kalkine.

Key Metrics*

Previous Close
186.19
Dividend Yield
0.20%
Revenue TTM
3852.69M
Revenue Per Share
68.84
Gross Profit TTM
534.92M
Debt / Equity
1.25
ROE
15.08%
Net Debt
1361.67M
ROCE
8.62%
Diluted EPS TTM
3.79

Key Financials*

Income Statement

Balance Sheet

Change in Cash

Total Operating Cash

Dividends Paid

Breakdown 2022-12-31 2021-12-31 2020-12-31 2019-12-31 2018-12-31
Type yearly yearly yearly yearly yearly
Date 2022-12-31 2021-12-31 2020-12-31 2019-12-31 2018-12-31
Income before tax 289.09M 258.00M 217.61M 116.17M 115.37M
Minority interest -0.03M -3.07M 0.89M -1.15M -0.16M
Net income 224.68M 194.65M 170.48M 110.53M 92.36M
Selling general administrative 158.81M 151.76M 129.74M 110.87M 100.31M
Gross profit 517.99M 468.21M 407.47M 291.11M 274.48M
Reconciled depreciation 62.35M 55.98M 54.57M 51.05M 47.34M
Ebit 296.82M 260.46M 223.16M 129.18M 128.89M
Ebitda 360.38M 320.84M 281.54M 182.88M 176.23M
Depreciation and amortization 63.55M 60.37M 58.38M 53.70M 47.34M
Non operating income net other 1.20M 4.39M -5.55M -13.01M -13.12M
Operating income 296.82M 260.46M 223.16M 129.18M 128.49M
Other operating expenses 2728.64M 2367.00M 2179.44M 1907.34M 1946.64M
Interest expense 8.93M 6.85M 9.36M 15.66M 15.18M
Tax provision 64.44M 60.28M 46.24M 23.95M 22.84M
Interest income - 4.39M 3.81M 2.65M 2.06M
Net interest income -8.93M -2.46M -5.55M -13.01M -13.12M
Extraordinary items - - - 18.84M 32.87M
Non recurring - - - - -1.66M
Income tax expense 64.44M 60.28M 46.24M 23.95M 22.84M
Total revenue 3025.47M 2627.46M 2402.60M 2036.52M 2073.47M
Total operating expenses 221.16M 207.75M 184.31M 161.93M 147.65M
Cost of revenue 2507.48M 2159.25M 1995.13M 1745.42M 1798.99M
Total other income expense net -7.74M -2.46M -5.55M -13.01M 1.66M
Discontinued operations - - - 19.47M 32.87M
Net income from continuing ops 224.65M 197.72M 171.36M 92.21M 92.53M
Net income applicable to common shares 224.68M 194.65M 170.48M 110.53M 92.36M
Breakdown 2023-12-31 2022-12-31 2021-12-31 2020-12-31 2019-12-31
Type yearly yearly yearly yearly yearly
Date 2023-12-31 2022-12-31 2021-12-31 2020-12-31 2019-12-31
Total assets 4177.54M 3452.02M 2850.62M 2545.58M 2361.91M
Intangible assets 6.53M 6.44M 6.38M 6.62M 6.45M
Other current assets 35.04M 36.34M 48777.00M 41.33M 42.92M
Total liab 2680.22M 2203.22M 1828.91M 1727.35M 1705.77M
Total stockholder equity 1491.87M 1248.80M 1021.71M 818.23M 656.14M
Deferred long term liab - 33.27M 1.95M 39.69M 5.28M
Other current liab 544.63M 425.61M 399.67M 450.09M 239.85M
Common stock 0.06M 0.06M 0.06M 0.06M 0.06M
Capital stock 0.06M 0.06M 0.06M 0.06M 0.06M
Retained earnings 1142.65M 946.34M 733.99M 551.05M 391.52M
Other liab - 116.77M 96.44M 102.09M 63.39M
Good will 76.87M 76.87M 60.47M 54.47M 54.47M
Other assets - 76.93M 80.19M 1127.01M 44.88M
Cash 509.63M 316.27M 262.20M 236.56M 59.17M
Total current liabilities 734.75M 582.07M 523.07M 562.40M 343.17M
Current deferred revenue 10.83M 9.70M 9.34M 10.26M 10.69M
Net debt 1361.67M 1257.79M 1003.14M 877.45M 1287.69M
Short term debt 86.48M 69.68M 55.94M 51.15M 47.67M
Short long term debt 3.95M 3.88M 3.76M 2.96M 2.70M
Short long term debt total 1871.30M 1574.06M 1265.34M 1114.01M 1346.87M
Other stockholder equity 349.15M 302.40M 287.66M 267.11M 264.56M
Property plant equipment - 992.01M 2027.31M 778.24M 767.57M
Total current assets 1046.93M 781.12M 639.71M 582.96M 411.08M
Long term investments - - - - 30.57M
Net tangible assets - 1164.03M 953.92M 756.99M 593.28M
Short term investments 17.23M 15.44M 13.76M 13.45M 17.75M
Net receivables 485.04M 408.43M 328.73M 305.06M 308.99M
Long term debt 145.50M 149.27M 152.88M 112.54M 325.22M
Inventory - 4.64M -48741.99M -13.45M -17.75M
Accounts payable 92.81M 77.09M 58.12M 50.90M 44.97M
Noncontrolling interest in consolidated entity - 1.47M 0.95M 0.15M 1.95M
Accumulated other comprehensive income 0.00M - - -249.00M -204.37M
Common stock total equity - 0.06M 0.06M 0.06M 0.06M
Retained earnings total equity - 946.34M 733.99M 551.05M 391.52M
Treasury stock - - -83.04M -71.21M -45.30M
Non currrent assets other 40.20M -67547.06M 47.05M 33.26M 40.26M
Non current assets total 3130.61M 2670.90M 2210.91M 1962.62M 1950.83M
Capital lease obligations 1721.85M 1420.91M 1108.70M 998.51M 1018.95M
Long term debt total - - - - 325.22M
Breakdown 2023-12-31 2022-12-31 2021-12-31 2020-12-31 2019-12-31
Type yearly yearly yearly yearly yearly
Date 2023-12-31 2022-12-31 2021-12-31 2020-12-31 2019-12-31
Investments -180.16M -7.62M -4.78M 2.67M -17.52M
Change to liabilities - 77.65M 7.12M 99.00M 69.48M
Total cashflows from investing activities - -186.18M -173.91M -58.67M -247.01M
Net borrowings - -6.89M 42.16M -212.54M 80.85M
Total cash from financing activities -0.61M -32.26M -76.14M -137.30M 83.28M
Change to operating activities - 26.80M 27.91M 140.73M 54.32M
Net income 209.85M 224.65M 197.72M 171.36M 111.69M
Change in cash 193.36M 54.07M 25.64M 177.39M 28.09M
Begin period cash flow 316.27M 262.20M 236.56M 59.17M 31.08M
End period cash flow 509.63M 316.27M 262.20M 236.56M 59.17M
Total cash from operating activities 376.67M 272.51M 275.68M 373.35M 168.93M
Issuance of capital stock 0.00M 6.69M 0.00M - -
Depreciation 72.39M 62.35M 55.98M 54.57M 51.05M
Other cashflows from investing activities - -91.02M 4.77M -11.01M -157.95M
Dividends paid 12.89M 12.17M 11.55M 10.83M 10.19M
Change to inventory 101.81M - 47.78M 81.69M 55.62M
Change to account receivables -79.82M -82.43M -30.77M 2.17M -60.42M
Sale purchase of stock -1.93M -31.58M -11.83M -25.92M -6.89M
Other cashflows from financing activities -0.28M 8.90M -76.14M -137.30M 83.28M
Change to netincome - 17.02M 23.67M -3.55M 46.62M
Capital expenditures 106.18M 87.55M 69.55M 50.33M 71.54M
Change receivables - -82.43M -30.77M 2.17M -60.42M
Cash flows other operating - -27.77M -41.02M 48.96M -27.29M
Cash and cash equivalents changes - 54.07M 25.64M 177.39M 28.09M
Change in working capital 37.89M -36.94M 24.19M 149.05M 3.95M
Stock based compensation 30.77M 22.72M 18.68M 14.52M 11.32M
Other non cash items 53.25M 6.23M 3.99M 11.65M -12.57M
Free cash flow 270.49M 184.97M 206.13M 323.02M 97.39M

Peer Comparison*

Sector: Healthcare Industry: Medical Care Facilities

Stock Name
Change
(USD)
Price
(USD)
Trailing
PE (x)
Forward
PE (x)
Price Sales
TTM (x)
Price to Book Value (x)
Enterprise Value
to Revenue (x)
Enterprise Value
to EBITDA (x)
ENSG
The Ensign Group Inc		 1.54
0.83%		 187.73 31.38 22.17 1.82 4.55 2.18 23.03
HCA
HCA Healthcare, Inc.		 1.17
0.23%		 507.21 14.27 13.46 1.21 291.34 1.83 8.99
THC
Tenet Healthcare Corporation		 -1.82
0.62%		 291.15 10.08 12.66 0.96 4.57 1.43 5.80
FSNUY
Fresenius SE & Co KGaA ADR		 0.12
0.84%		 14.84 16.87 9.44 0.42 0.78 0.79 5.37
JDHIY
JD Health International Inc		 -
-%		 5.57 62.50 35.97 0.30 2.32 0.16 3.90

Profile*

The Ensign Group Inc

The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services. It operates through two segments: Skilled Services and Standard Bearer. The company's Skilled Services segment engages in the operation of skilled nursing facilities and rehabilitation therapy services for patients with chronic conditions, prolonged illness, and the elderly; and offers nursing facilities including specialty care, such as on-site dialysis, ventilator care, cardiac, and pulmonary management, as well as standard services comprising room and board, special nutritional programs, social services, recreational activities, entertainment, and other services. Its Standard Bearer segment is comprised of selected real estate properties owned by Standard Bearer and leased to skilled nursing and senior living operators. In addition, the company provides ancillary services consisting of digital x-ray, ultrasound, electrocardiograms, sub-acute services, dialysis, respiratory, and long-term care pharmacy and patient transportation to people in their homes or at long-term care facilities, as well as mobile diagnostics. It operates in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington and Wisconsin. The company was incorporated in 1999 and is based in San Juan Capistrano, California.

29222 Rancho Viejo Road, San Juan Capistrano, CA, United States, 92675

949 487 9500

https://ensigngroup.net

35300

Name Title Year Born
Mr. Barry R. Port Pres, CEO & Director 1974
Ms. Suzanne D. Snapper CFO, Exec. VP & Director 1974
Mr. Chad A. Keetch Chief Investment Officer, Exec. VP & Sec. 1978
Mr. Spencer W. Burton Pres & COO of Ensign Services, Inc. 1979
Ms. Beverly B. Wittekind VP & Gen. Counsel 1965
Kevin Reese Pres of Keystone Healthcare Inc NA
Mr. Christopher R. Christensen Co-Founder & Executive Chairman 1969
Mr. Barry R. Port CEO & Director 1974
Ms. Suzanne D. Snapper CFO, Executive VP & Director 1974
Mr. Chad A. Keetch Chief Investment Officer, Executive VP & Secretary 1978

Disclaimer - (*)This information, including any data, is sourced from Unicorn Data Services SAS, trading as EOD Historical Data (“EODHD”) on an ‘as is’ basis, using their API. We cannot guarantee the completeness or validity of the information and data provided on this page, as well as via the API. In some cases, the data may include analyst ratings or recommendations sourced through the EODHD API, which are intended solely for general information purposes.
This information does not consider your personal objectives, financial situation, or needs. Kalkine is not liable for any errors or omissions in the information provided or for any actions taken in reliance on it. You should seek advice from a financial adviser, stockbroker or other professional adviser (including taxation and legal advice) as necessary before acting on this information.

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