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Ensign Group, Inc

ENSG

Services-Skilled Nursing Care Facilities

Mkt Cap

$6.643B

PE

31.72

Debt

$156.3M

Cash

$509.6M

EV

$6.29B

FCF

-

Market Cap

$6.643B

P/E Ratio

31.72

Debt

$156.3M

Cash

$509.6M

EV

$6.29B

FCF

-
Charts data: {"Earnings":[{"time":"2014-12-30","value":33741000},{"time":"2015-12-30","value":55432000},{"time":"2016-12-30","value":49990000},{"time":"2017-12-30","value":40475000},{"time":"2018-12-30","value":92364000},{"time":"2019-12-30","value":110534000},{"time":"2020-12-30","value":170478000},{"time":"2021-12-30","value":194652000},{"time":"2022-12-30","value":224652000},{"time":"2023-12-30","value":209399000}],"Sales":[{"time":"2014-12-30","value":1027406000},{"time":"2015-12-30","value":1341826000},{"time":"2016-12-30","value":1654864000},{"time":"2017-12-30","value":1849317000},{"time":"2018-12-30","value":2040659000},{"time":"2019-12-30","value":2036524000},{"time":"2020-12-30","value":2402596000},{"time":"2021-12-30","value":2627461000},{"time":"2022-12-30","value":3025468000},{"time":"2023-12-30","value":3729355000}],"Net Margins":[{"time":"2014-12-30","value":0.032840960632894885},{"time":"2015-12-30","value":0.04131087041091766},{"time":"2016-12-30","value":0.030207920409169576},{"time":"2017-12-30","value":0.021886458622291365},{"time":"2018-12-30","value":0.0452618492359576},{"time":"2019-12-30","value":0.05427581506527789},{"time":"2020-12-30","value":0.07095574953092405},{"time":"2021-12-30","value":0.0740836876360867},{"time":"2022-12-30","value":0.07425363613166625},{"time":"2023-12-30","value":0.05614885147699803}],"Assets":[{"time":"2014-12-30","value":493916000},{"time":"2015-12-30","value":747759000},{"time":"2016-12-30","value":1001025000},{"time":"2017-12-30","value":1102433000},{"time":"2018-12-30","value":1181958000},{"time":"2019-12-30","value":2361909000},{"time":"2020-12-30","value":2545578000},{"time":"2021-12-30","value":2850623000},{"time":"2022-12-30","value":3452022000},{"time":"2023-12-30","value":4177541000}],"Stockholders Equity":[{"time":"2014-12-30","value":258851000},{"time":"2015-12-30","value":427324000},{"time":"2016-12-30","value":460495000},{"time":"2017-12-30","value":500059000},{"time":"2018-12-30","value":602340000},{"time":"2019-12-30","value":656144000},{"time":"2020-12-30","value":818227000},{"time":"2021-12-30","value":1021714000},{"time":"2022-12-30","value":1248800000},{"time":"2023-12-30","value":1497317000}],"ROE":[{"time":"2014-12-30","value":0.1303491197638796},{"time":"2015-12-30","value":0.12971890181688836},{"time":"2016-12-30","value":0.10855709616825372},{"time":"2017-12-30","value":0.08094044902701482},{"time":"2018-12-30","value":0.1533419663313079},{"time":"2019-12-30","value":0.16845997220122413},{"time":"2020-12-30","value":0.20835049442269687},{"time":"2021-12-30","value":0.1905151539471907},{"time":"2022-12-30","value":0.17989429852658553},{"time":"2023-12-30","value":0.13984947743196666}],"ROA":[{"time":"2014-12-30","value":0.14764453874747932},{"time":"2015-12-30","value":0.12448128340815691},{"time":"2016-12-30","value":0.09175295322294648},{"time":"2017-12-30","value":0.0737323719445989},{"time":"2018-12-30","value":0.10870775442105388},{"time":"2019-12-30","value":0.05469304702255676},{"time":"2020-12-30","value":0.08766378402076071},{"time":"2021-12-30","value":0.09137125463451323},{"time":"2022-12-30","value":0.08598583670671855},{"time":"2023-12-30","value":0.06529247708161333}]}

The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services, as well as other ancillary services. It operates through Skilled Services and Standard Bearer segments. 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 patient transportation to people in their homes or at long-term care facilities. 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 headquartered in San Juan Capistrano, California.

Sector

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In the chart Earnings are multiplied by this value.

Earnings Growth 27%
Earnings Stability 92%


Competitiveness and MOAT

High margins render the company resilient under dire circumstances, hence able to drive competitors out or acquire them. ROE and ROA measure the average flow generated by each invested dollar. Their marginal value is a forecast of future growth, and it is considered by Buffett and Munger the most important single indicator.

Years12-201512-201612-201712-201812-201912-202012-202112-202212-2023TTM
Net Margin4.1%3%2.2%4.5%5.4%7.1%7.4%7.4%5.6%5.6%
ROA12%9.2%7.4%11%5.5%8.8%9.1%8.6%6.5%6.5%
ROE13%11%8.1%15%17%21%19%18%14%14%

What is the average Net Margin?

The average Net Margin over the past 5 years is +6.25%.

What is the trend of Net Margin?

The trend of Net Margin over the past 5 years is +0.34%.

What is the average Return on Assets (ROA)?

The average ROA over the past 5 years is +8.23%.

What is the trend of Return on Assets (ROA)?

The trend of ROA over the past 5 years is -0.34%.

What is the average Return on Equity (ROE)?

The average ROE over the past 5 years is +17.34%.

What is the trend of Return on Equity (ROE)?

The trend of ROE over the past 5 years is -0.15%.


Safety & Stabiliy

Being debt the number one cause of investment losses and company death, the ratio Debt/FCF is of utmost importance to guarantee safety. On the other hand the Graham’s stability measures the drawdown of earnings, hence indicating the reliability of the flow generated by the company.

Years12-201512-201612-201712-201812-201912-202012-202112-202212-2023TTM
Debt FCF-3.7635.6920.651.652.76-----
Debt Equity0.230.630.650.430.510.150.160.130.100.10
MIN
Graham Stability--87%100%100%100%100%100%100%87%

What is the Debt/FCF?

The Debt/FCF trailing twelve month is -.

What is the trend of Debt/FCF?

The trend of Debt/FCF over the past 5 years is 1.11.

What is the Graham’s Stability?

Graham’s Stability measure stands at 0.87.


Growth

Growth can be dangerous when forecasting, simply projecting the current growth is in general wrong. A company passes through multiple phases, from being young and unprofitable, to the first periods of profitability and high growth, until it arrives at a period of regime with limited growth. Identifying in which phase the company is in may help forecasting.

Years12-201612-201812-202012-2022Trend
Revenue12%13%16%23%-0.85%
Net Income23%18%7.1%-6.8%-3.6%
Stockholders Equity18%20%22%20%-1.7%
FCF-----58%

What is the 5 year Revenue CAGR?

The Revenue CAGR over the past 5 years is +12.82%.

What is the trend of Revenue growth?

The trend of Revenue growth rate over the past 5 years is -0.85%.

What is the 5 year Earnings CAGR?

The Earnings CAGR over the past 5 years is +17.79%.

What is the trend of Earnings growth?

The trend of Earnings growth rate over the past 5 years is -3.6%.

What is the 5 year Equity CAGR?

The Equity CAGR over the past 5 years is +19.98%.

What is the trend of Equity growth?

The trend of Equity growth rate over the past 5 years is -1.68%.

What is the 5 year FCF CAGR?

The FCF CAGR over the past 5 years is -.

What is the trend of FCF growth?

The trend of FCF growth rate over the past 5 years is -57.54%.