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ENSG

NEUTRAL
$204.79 Live
The Ensign Group, Inc. · NASDAQ
Target $220.4 (+7.6%)
$118.73 52W Range $218.0

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Apr 09, 2026
Market cap
$11.96B
P/E
34.36
ROE
16.9%
Profit margin
6.8%
Debt/Equity
0.99
Dividend yield
0.13%

AI Analysis

AI-powered fundamental assessment

Confidence
80%
ENSG shows neutral fundamentals based on deterministic rules. Financial strength is stable (F-Score 5/9). Mixed signals with both opportunities and risks present.

Key Strengths

Strong revenue growth of 20.2%
Strong ROE of 16.9%

Key Risks

High valuation with P/E of 34.4
Premium vs Graham Number ($72.05)
AI Fair Value Estimate
Based on comprehensive analysis
$175.82
-14.1% below current price

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
47
Moderate
Value
35
Future
65
Past
60
Health
50
Dividend
25
AI Verdict
ENSG shows neutral fundamentals based on deterministic rules. Financial strength is stable (F-Score 5/9). Mixed signals with both opportunities and risks present.
Key drivers: Strong revenue growth of 20.2%, Strong ROE of 16.9%, High valuation with P/E of 34.4
Confidence
60%
Value
35/100

Rule-based valuation (P/E + Graham).

Positives
  • Insufficient data for clear positives.
Watchpoints
  • Premium 34.4x trailing earnings multiple.
  • Trades above Graham Number.
Future
65/100

Rule-based growth outlook.

Positives
  • Revenue growth running at 20.2%.
Watchpoints
No urgent risks highlighted.
Past
60/100

Historical performance + price trend: Shares moved +121.6% over 5Y and +65.7% over 1Y.

Positives
  • ROE sits at 16.9%.
Watchpoints
No urgent risks highlighted.
Health
50/100

Balance sheet & liquidity (Z-Score: N/A).

Positives
  • Insufficient data for clear positives.
Watchpoints
No urgent risks highlighted.
Dividend
25/100

Dividend policy fallback.

Positives
  • Yield: 0.1%.
Watchpoints
  • Weak dividend profile (Score: 25/100).

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$204.79
Analyst Target
$220.4
Upside/Downside
+7.6%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for ENSG and closest competitors.

Updated 2026-04-08
ENS
The Ensign Group, Inc.
Primary
5Y
+121.6%
3Y
+109.3%
1Y
+65.7%
6M
+16.2%
1M
-2.4%
1W
+2.3%
EXE
Exelixis, Inc.
Peer
5Y
+91.2%
3Y
+119.8%
1Y
+29.5%
6M
+14.4%
1M
+4.3%
1W
+0.4%
ALG
Align Technology, Inc.
Peer
5Y
-70.6%
3Y
-48.8%
1Y
+2.3%
6M
+24.8%
1M
-16.9%
1W
-5.6%
BMR
BioMarin Pharmaceutical Inc.
Peer
5Y
-27.4%
3Y
-41.9%
1Y
-20.1%
6M
+4.3%
1M
-5.4%
1W
+4.4%
NBI
Neurocrine Biosciences, Inc.
Peer
5Y
+34.2%
3Y
+30.1%
1Y
+19.1%
6M
-6.2%
1M
-0.5%
1W
+3.0%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
34.36
Forward P/E
24.86
PEG Ratio
1.75
P/B Ratio
5.29
P/S Ratio
2.37
EV/Revenue
2.66
EV/EBITDA
25.44
Market Cap
$11.96B

Profitability

Profit margins and return metrics

Profit Margin 6.8%
Operating Margin 9.1%
Gross Margin 16.34%
ROE 16.89%
ROA 5.25%

Growth

Revenue and earnings growth rates

Revenue Growth +20.2%
Earnings Growth +18.4%
Q/Q Revenue Growth +20.17%
Q/Q Earnings Growth +19.8%

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
0.99
Moderate
Current Ratio
1.42
Good
Quick Ratio
1.35
Good
Cash/Share
$9.92

Financial Statement Flow

Interactive flow visualization showing how money moves through the company Q4 2025

Revenue
$1.4B
Gross Margin
16.3%
Op. Margin
9.1%
Net Margin
7.0%
Total Assets
$5.5B
Liabilities
$3.2B
Equity
$2.2B
Debt/Equity
1.45x
Operating CF
$0.2B
Free Cash Flow
$0.4B
FCF Yield
204%

Quarterly Earnings History

EPS performance vs analyst estimates

2026-04-28
$N/A
2026-02-04
$1.82
+3.0% surprise
2025-11-03
$1.64
+2.1% surprise
2025-07-24
$1.59
+2.6% surprise

Healthcare Sector Comparison

Comparing ENSG against 189 companies in the Healthcare sector (17 bullish, 63 neutral, 109 bearish)
P/E Ratio
34.36
This Stock
vs
45.52
Sector Avg
-24.5% (Discount)
Return on Equity (ROE)
16.89%
This Stock
vs
-44.08%
Sector Avg
-138.3% (Below Avg)
Profit Margin
6.8%
This Stock
vs
-19.57%
Sector Avg
-134.8% (Weaker)
Debt to Equity
0.99
This Stock
vs
5.1
Sector Avg
-80.6% (Less Debt)
Revenue Growth
20.2%
This Stock
vs
108.17%
Sector Avg
-81.3% (Slower)
Current Ratio
1.42
This Stock
vs
3.39
Sector Avg
-58.0% (Weaker)

Similar Companies

Peer comparison within the same industry

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

SMITH BARRY M
Director
Sell
2026-04-02
700 shares · $137,655
SMITH BARRY M
Director
Sell
2026-03-02
700 shares · $149,114
KEETCH CHAD A
Chief Investment Officer
Stock Award
2026-02-26
8,000 shares
BURTON SPENCER W
President
Stock Award
2026-02-26
8,500 shares
SNAPPER SUZANNE D.
Chief Financial Officer
Stock Award
2026-02-26
9,000 shares
WITTEKIND BEVERLY B
Officer
Stock Award
2026-02-26
1,000 shares
PORT BARRY R
Chief Executive Officer
Stock Award
2026-02-26
12,000 shares
UYCHIAT PISON MARIVIC
Director
Sell
2026-02-20
150 shares · $31,244
WITTEKIND BEVERLY B
Officer
Sell
2026-02-19
500 shares · $105,115
WITTEKIND BEVERLY B
Officer
Option Exercise
2026-02-19
500 shares · $41,820
KEETCH CHAD A
Chief Investment Officer
Stock Award
2026-02-18
8,340 shares · $1,751,066
BURTON SPENCER W
President
Stock Award
2026-02-18
9,701 shares · $2,036,822
SNAPPER SUZANNE D.
Chief Financial Officer
Stock Award
2026-02-18
11,983 shares · $2,515,951
PORT BARRY R
Chief Executive Officer
Stock Award
2026-02-18
13,871 shares · $2,912,355
SHAW DAREN J
Director
Sell
2026-02-17
1,000 shares · $213,430
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
BUY
5 analysts
RBC Capital
2026-02-09
Maintains
Outperform Outperform
Truist Securities
2026-02-06
Maintains
Hold Hold
RBC Capital
2025-11-14
Maintains
Outperform Outperform
Truist Securities
2025-11-10
Maintains
Hold Hold
UBS
2025-11-05
Maintains
Buy Buy
Stephens & Co.
2025-11-05
Maintains
Overweight Overweight

Past News Coverage

Recent headlines mentioning ENSG from our newsroom.

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