Ensign Group, Inc

Health Care
Hospital/Nursing Management
www.ensigngroup.net

Earnings Score
Moat Score

Market Cap $7.59B
PE 25
Debt $144.71M
Cash $282.67M
EV $7.45B
FCF -

Earnings

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Sales & Net Margins

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Earnings	$309.42M
EBIT	$403.08M
ROE	16%
ROA	8%
Equity	$1.93B
Growth Stability	100%
PE	24.53
PEG	1.87
PB	3.93
P/S	1.72
Price/Cash	0.04
Debt/Equity	0.07
Net Margins	7%
Gross Margins	21%
Op. Margins	9%
Earnings CAGR	26%
Sales Growth YoY	16%
Sales Growth QoQ	4%
Sales CAGR	12%
FCF CAGR	1%
Equity CAGR	18%
Earnings Stability	0.92
Earnings Growth YoY	17%
Earnings Growth QoQ	1%

Earnings CAGR 5Y	13%
Sales CAGR 5Y	17%
Equity CAGR 5Y	23%
Earnings CAGR 3Y	18%
Sales CAGR 3Y	18%
Equity CAGR 3Y	21%
Market Cap	$7.59B
Revenue	$4.42B
Dividend Yield	0%
Payout Ratio	4%
Assets	$4.76B
Total Debt	$144.71M
Cash	$282.67M
Shares Outstanding	56.93M
EV	7.45B
Earnings Score	95%
Moat Score	89%
Working Capital	281.18M
Current Ratio	1.4
Gross Profit	$917.88M
Shares Growth 3y	2%
Equity Growth QoQ	5%
Equity Growth YoY	22%

Assets & ROA

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Stockholders Equity & ROE

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Ensign Group provides post-acute healthcare services in the United States. Its regional subsidiaries oversee skilled nursing, assisted living, home health and hospice, mobile ancillary, and urgent care operations. Medicare and Medicaid programs contribute a majority of revenue received for Ensign's services. The firm operates through two segments, Skilled services and Real Estate. The skilled services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. The real estate segment comprises of properties owned by the company and leased to skilled nursing and assisted living operations. The majority of the revenue is generated from the services segment.

SEC Filings

Direct access to Ensign Group, Inc (ENSG) Annual Reports (10K) and Quarterly Reports (10Q) from the SEC website.

2025
- 10-Q Mar 31
2024
- 10-K Dec 31
- 10-Q Sep 30
- 10-Q Jun 30
- 10-Q Mar 31
2023
- 10-K Dec 31
- 10-Q Sep 30
- 10-Q Jun 30
- 10-Q Mar 31

Sector Comparison

How does Ensign Group, Inc compare to its competitors?

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Peter Lynch's Chart

This chart shows the current pricing of Ensign Group, Inc compared to its past. The addition of the earnings trend line provides further insights into the company's earnings power.

CAGR 26%

Stability 92%

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Ensign Group, Inc Discounted Cash Flow

Fully customizable DCF calculator online for Ensign Group, Inc.

Years

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	0	1	2	3	4	5	6	7	8	9	10	TV
fcf	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
DCF		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Value	$0

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.

Years	12/2015	12/2016	12/2017	12/2018	12/2019	12/2020	12/2021	12/2022	12/2023	12/2024	TTM
Net Margins	4%	3%	2%	5%	5%	7%	7%	7%	6%	7%	7%
ROA	-	9%	7%	11%	5%	9%	9%	9%	7%	8%	8%
ROE	-	11%	8%	15%	17%	21%	19%	18%	14%	16%	16%

Bad Net Margins (6.84%)

Net Margins are too low to guarantee profitability in case of higher costs or higher interest rates. Furthermore lower margins cause higher earnings’ volatility.

Safety and Stability

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.

Years	12/2015	12/2016	12/2017	12/2018	12/2019	12/2020	12/2021	12/2022	12/2023	12/2024	TTM
Debt over FCF	-	35.69	20.65	1.65	2.76	-	-	-	-	-	-
Debt over Equity	0.23	0.63	0.65	0.43	0.51	0.15	0.16	0.13	0.1	0.08	0.07
Growth Stability	-	-	-	100%	100%	100%	100%	100%	100%	100%	100%

Neutral Debt/FCF ratio (-)

Net Margins are at a level that is not too high nor too low. They are not a competitive advantage but they are not a competitive disadvantage either.

Good Debt/Equity ratio (0.07)

The company is not overleveraged and has a good balance between equity and debt.

Good Graham’s Stability (100%)

The company has a good stability in its earnings, which is a sign of a good competitive advantage.

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.

Years	12/2015	12/2016	12/2017	12/2018	12/2019	12/2020	12/2021	12/2022	12/2023	12/2024	CAGR 5Y
Revenue YoY growth	-	23%	12%	10%	-0%	18%	9%	15%	23%	14%	17%
Earnings YoY growth	-	-10%	-19%	128%	20%	54%	14%	15%	-7%	42%	13%
Equity YoY growth	-	8%	9%	20%	9%	25%	25%	22%	20%	23%	23%
FCF YoY growth	-	-131%	93%	884%	-22%	-	-	-	-	-	-