Ensign Group Inc Financials

ENSG

Source SEC Filings (10-K/10-Q) Updated Dec 31, 2025 Currency USD FYE December

Financial Health Signals

Financial Profile 65/100

Based on FY2025 annual data. Scores normalized against common benchmarks. How we calculate these scores

Profitability

Ensign Group Inc has an operating margin of 8.4%, meaning the company retains $8 of operating profit per $100 of revenue. This results in a moderate score of 42/100, indicating healthy but not exceptional operating efficiency. This is up from 8.4% the prior year.

Growth

Ensign Group Inc's revenue surged 18.7% year-over-year to $5.1B, reflecting rapid business expansion. This strong growth earns a score of 82/100.

Leverage

100

Ensign Group Inc carries a low D/E ratio of 0.06, meaning only $0.06 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 100/100, indicating a strong balance sheet with room for future borrowing.

Liquidity

Ensign Group Inc's current ratio of 1.42 indicates adequate short-term liquidity, earning a score of 37/100. The company can meet its near-term obligations, though with limited headroom.

Returns

Ensign Group Inc's ROE of 15.4% shows moderate profitability relative to equity, earning a score of 62/100. This is down from 16.2% the prior year.

Altman Z-Score Safe

4.02

Ensign Group Inc scores 4.02, well above the 2.99 safe threshold. The score is driven primarily by a large market capitalization ($12.4B) relative to total liabilities ($3.2B). This indicates low bankruptcy risk based on profitability, leverage, and asset efficiency.

Piotroski F-Score Neutral

5/9

Ensign Group Inc passes 5 of 9 financial strength tests. 3 of 4 profitability signals pass, 1 of 3 leverage/liquidity signals pass, 1 of 2 efficiency signals pass.

Earnings Quality Cash-Backed

1.64x

For every $1 of reported earnings, Ensign Group Inc generates $1.64 in operating cash flow ($564.3M OCF vs $344.0M net income). This indicates profits are well-supported by actual cash generation, not accounting adjustments.

Interest Coverage Safe

53.2x

Ensign Group Inc earns $53.2 in operating income for every $1 of interest expense ($425.3M vs $8.0M). This wide margin provides strong safety for debt servicing, even if earnings decline temporarily.

This page shows Ensign Group Inc (ENSG) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 17 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

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Key Financial Metrics

Revenue

$5.1B

YoY+18.7%

5Y CAGR+16.1%

10Y CAGR+14.2%

Ensign Group Inc generated $5.1B in revenue in fiscal year 2025. This represents an increase of 18.7% from the prior year.

EBITDA

$529.6M

YoY+19.7%

5Y CAGR+13.8%

10Y CAGR+15.9%

Ensign Group Inc's EBITDA was $529.6M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 19.7% from the prior year.

Free Cash Flow

N/A

Net Income

$344.0M

YoY+15.4%

5Y CAGR+15.1%

10Y CAGR+20.0%

Ensign Group Inc reported $344.0M in net income in fiscal year 2025. This represents an increase of 15.4% from the prior year.

EPS (Diluted)

$5.84

YoY+14.1%

5Y CAGR+13.8%

10Y CAGR+18.6%

Ensign Group Inc earned $5.84 per diluted share (EPS) in fiscal year 2025. This represents an increase of 14.1% from the prior year.

Cash & Debt

$503.9M

YoY+8.5%

5Y CAGR+16.3%

10Y CAGR+28.3%

Ensign Group Inc held $503.9M in cash against $137.5M in long-term debt as of fiscal year 2025.

Dividends Per Share

$0.25

YoY+4.1%

5Y CAGR+4.5%

10Y CAGR+5.2%

Ensign Group Inc paid $0.25 per share in dividends in fiscal year 2025. This represents an increase of 4.1% from the prior year.

Shares Outstanding

58M

YoY+1.1%

5Y CAGR+1.2%

10Y CAGR+1.4%

Ensign Group Inc had 58M shares outstanding in fiscal year 2025. This represents an increase of 1.1% from the prior year.

Gross Margin

20.5%

YoY-0.2pp

5Y CAGR-1.8pp

Ensign Group Inc's gross margin was 20.5% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is down 0.2 percentage points from the prior year.

Operating Margin

8.4%

YoY+0.0pp

5Y CAGR-0.9pp

10Y CAGR+1.5pp

Ensign Group Inc's operating margin was 8.4% in fiscal year 2025, reflecting core business profitability. This is up 0.0 percentage points from the prior year.

Net Margin

6.8%

YoY-0.2pp

5Y CAGR-0.3pp

10Y CAGR+2.7pp

Ensign Group Inc's net profit margin was 6.8% in fiscal year 2025, showing the share of revenue converted to profit. This is down 0.2 percentage points from the prior year.

Return on Equity

15.4%

YoY-0.8pp

5Y CAGR-5.4pp

10Y CAGR+2.4pp

Ensign Group Inc's ROE was 15.4% in fiscal year 2025, measuring profit generated per dollar of shareholder equity. This is down 0.8 percentage points from the prior year.

R&D Spending

N/A

Share Buybacks

$20.0M

5Y CAGR-4.4%

Ensign Group Inc spent $20.0M on share buybacks in fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

Capital Expenditures

N/A

ENSG Income Statement

Metric	FY25	FY24	FY23	FY22	FY21	FY20
Revenue	$5.1B+18.7%	$4.3B+14.2%	$3.7B+23.3%	$3.0B+15.1%	$2.6B+9.4%	$2.4B
Cost of Revenue	$4.0B+19.0%	$3.4B+14.8%	$2.9B+24.9%	$2.4B+16.6%	$2.0B+8.3%	$1.9B
Gross Profit	$1.0B+17.6%	$883.6M+12.1%	$788.1M+17.4%	$671.0M+10.4%	$607.6M+13.1%	$537.4M
R&D Expenses	N/A	N/A	N/A	N/A	N/A	N/A
SG&A Expenses	$269.8M+19.8%	$225.1M-14.4%	$263.0M+65.6%	$158.8M+4.6%	$151.8M+17.0%	$129.7M
Operating Income	$425.3M+18.7%	$358.3M+40.3%	$255.4M-14.0%	$296.8M+14.0%	$260.5M+16.7%	$223.2M
Interest Expense	$8.0M-3.6%	$8.3M+2.5%	$8.1M-9.5%	$8.9M+30.4%	$6.8M-26.8%	$9.4M
Income Tax	$111.4M+27.1%	$87.6M+39.3%	$62.9M-2.4%	$64.4M+6.9%	$60.3M+30.4%	$46.2M
Net Income	$344.0M+15.4%	$298.0M+42.3%	$209.4M-6.8%	$224.7M+15.4%	$194.7M+14.2%	$170.5M
EPS (Diluted)	$5.84+14.1%	$5.12+40.3%	$3.65-7.6%	$3.95+15.5%	$3.42+11.8%	$3.06

Metric	Q4'25	Q3'25	Q2'25	Q1'25	Q4'24	Q3'24	Q2'24	Q1'24
Revenue	$1.4B+5.0%	$1.3B+5.6%	$1.2B+4.7%	$1.2B+3.6%	$1.1B+4.7%	$1.1B+4.4%	$1.0B+2.6%	$1.0B
Cost of Revenue	$1.1B+2.9%	$1.0B+7.5%	$971.8M+4.7%	$927.8M+3.4%	$897.3M+4.3%	$860.0M+4.8%	$820.4M+2.6%	$799.3M
Gross Profit	$285.8M+13.5%	$251.7M-1.7%	$256.0M+4.4%	$245.2M+4.3%	$235.0M+6.0%	$221.8M+2.7%	$215.9M+2.4%	$210.9M
R&D Expenses	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
SG&A Expenses	$70.8M+5.1%	$67.4M-2.5%	$69.1M+10.5%	$62.6M+12.5%	$55.6M-1.0%	$56.2M0.0%	$56.2M-1.7%	$57.2M
Operating Income	$123.8M+28.7%	$96.2M-7.4%	$103.9M+2.5%	$101.4M+0.6%	$100.8M+12.8%	$89.3M+3.9%	$86.0M+4.6%	$82.2M
Interest Expense	$2.0M-0.8%	$2.0M-2.7%	$2.0M-0.6%	$2.0M-9.8%	$2.3M+11.6%	$2.0M-0.8%	$2.0M+3.9%	$2.0M
Income Tax	$34.5M+52.3%	$22.7M-18.7%	$27.9M+6.3%	$26.2M+0.8%	$26.0M+29.3%	$20.1M-3.7%	$20.9M+1.2%	$20.6M
Net Income	$95.5M+13.8%	$83.8M-0.7%	$84.4M+5.1%	$80.3M+0.7%	$79.7M+1.6%	$78.4M+10.5%	$71.0M+3.2%	$68.8M
EPS (Diluted)	$1.61+13.4%	$1.42-1.4%	$1.44+5.1%	$1.370.0%	$1.37+2.2%	$1.34+9.8%	$1.22+2.5%	$1.19

ENSG Balance Sheet

Metric	FY25	FY24	FY23	FY22	FY21	FY20
Total Assets	$5.5B+17.0%	$4.7B+11.8%	$4.2B+21.0%	$3.5B+21.1%	$2.9B+12.0%	$2.5B
Current Assets	$1.3B+9.9%	$1.2B+10.6%	$1.0B+34.0%	$781.1M+22.1%	$639.7M+9.7%	$583.0M
Cash & Equivalents	$503.9M+8.5%	$464.6M-8.8%	$509.6M+61.1%	$316.3M+20.6%	$262.2M+10.8%	$236.6M
Inventory	N/A	N/A	N/A	N/A	N/A	N/A
Accounts Receivable	$637.0M+11.8%	$569.9M+17.5%	$485.0M+18.8%	$408.4M+24.2%	$328.7M+7.8%	$305.1M
Goodwill	$98.0M0.0%	$98.0M+27.5%	$76.9M0.0%	$76.9M+27.1%	$60.5M+11.0%	$54.5M
Total Liabilities	$3.2B+14.1%	$2.8B+5.5%	$2.7B+21.7%	$2.2B+20.5%	$1.8B+5.9%	$1.7B
Current Liabilities	$894.3M+20.3%	$743.4M+1.2%	$734.7M+26.2%	$582.1M+11.3%	$523.1M-7.0%	$562.4M
Long-Term Debt	$137.5M-2.9%	$141.6M-2.7%	$145.5M-2.5%	$149.3M-2.4%	$152.9M+29.9%	$117.6M
Total Equity	$2.2B+21.5%	$1.8B+23.1%	$1.5B+19.6%	$1.2B+22.2%	$1.0B+24.8%	$818.1M
Retained Earnings	$1.8B+23.1%	$1.4B+24.9%	$1.1B+20.7%	$946.3M+28.9%	$734.0M+33.2%	$551.1M

Metric	Q4'25	Q3'25	Q2'25	Q1'25	Q4'24	Q3'24	Q2'24	Q1'24
Total Assets	$5.5B+4.5%	$5.2B+6.0%	$4.9B+3.6%	$4.8B+1.9%	$4.7B+0.9%	$4.6B+4.3%	$4.4B+3.0%	$4.3B
Current Assets	$1.3B+5.4%	$1.2B+13.1%	$1.1B+8.2%	$986.4M-14.8%	$1.2B-3.3%	$1.2B+7.3%	$1.1B+2.5%	$1.1B
Cash & Equivalents	$503.9M+13.6%	$443.7M+21.9%	$364.0M+28.8%	$282.7M-39.2%	$464.6M-12.7%	$532.1M+11.5%	$477.3M-6.7%	$511.8M
Inventory	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Accounts Receivable	$637.0M+4.0%	$612.7M+6.0%	$578.0M-1.0%	$584.0M+2.5%	$569.9M+2.9%	$554.1M+1.3%	$547.1M+5.3%	$519.4M
Goodwill	$98.0M0.0%	$98.0M0.0%	$98.0M-7.8%	$106.3M+8.5%	$98.0M+26.9%	$77.2M0.0%	$77.2M0.0%	$77.2M
Total Liabilities	$3.2B+4.0%	$3.1B+6.7%	$2.9B+2.8%	$2.8B0.0%	$2.8B-1.7%	$2.9B+3.7%	$2.8B+1.8%	$2.7B
Current Liabilities	$894.3M+8.4%	$825.2M+9.2%	$755.5M+7.1%	$705.2M-5.1%	$743.4M-3.3%	$768.9M+5.2%	$730.8M+3.0%	$709.7M
Long-Term Debt	$137.5M-0.7%	$138.6M-0.7%	$139.6M-0.7%	$140.6M-0.7%	$141.6M-0.7%	$142.6M-0.7%	$143.6M-0.7%	$144.5M
Total Equity	$2.2B+5.3%	$2.1B+5.0%	$2.0B+4.7%	$1.9B+4.9%	$1.8B+5.1%	$1.7B+5.4%	$1.7B+5.0%	$1.6B
Retained Earnings	$1.8B+5.5%	$1.7B+5.1%	$1.6B+5.4%	$1.5B+5.4%	$1.4B+5.6%	$1.4B+5.9%	$1.3B+5.6%	$1.2B

ENSG Cash Flow Statement

Metric	FY25	FY24	FY23	FY22	FY21	FY20
Operating Cash Flow	$564.3M+62.5%	$347.2M-7.8%	$376.7M+38.2%	$272.5M-1.2%	$275.7M-26.2%	$373.4M
Capital Expenditures	N/A	N/A	N/A	N/A	N/A	N/A
Free Cash Flow	N/A	N/A	N/A	N/A	N/A	N/A
Investing Cash Flow	-$513.2M-31.6%	-$390.1M-113.5%	-$182.7M+1.9%	-$186.2M-7.1%	-$173.9M-196.4%	-$58.7M
Financing Cash Flow	-$11.8M-446.3%	-$2.2M-253.3%	-$612K+98.1%	-$32.3M+57.6%	-$76.1M+44.5%	-$137.3M
Dividends Paid	$14.4M+5.4%	$13.7M+6.1%	$12.9M+5.9%	$12.2M+5.4%	$11.5M+6.6%	$10.8M
Share Buybacks	$20.0M	$0	$0-100.0%	$29.9M+195.3%	$10.1M-59.5%	$25.0M

Metric	Q4'25	Q3'25	Q2'25	Q1'25	Q4'24	Q3'24	Q2'24	Q1'24
Operating Cash Flow	$183.3M+19.8%	$153.0M-1.8%	$155.7M+115.6%	$72.2M-28.1%	$100.5M-25.3%	$134.5M+74.8%	$76.9M+117.9%	$35.3M
Capital Expenditures	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Free Cash Flow	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Investing Cash Flow	-$123.9M-60.3%	-$77.3M-13.5%	-$68.1M+72.1%	-$243.8M-46.4%	-$166.6M-111.1%	-$78.9M+28.2%	-$109.9M-217.2%	-$34.7M
Financing Cash Flow	$833K-79.2%	$4.0M+163.6%	-$6.3M+39.1%	-$10.3M-674.0%	-$1.3M-57.3%	-$850K+44.5%	-$1.5M-198.4%	$1.6M
Dividends Paid	$3.6M0.0%	$3.6M+0.4%	$3.6M+0.4%	$3.6M+4.4%	$3.4M0.0%	$3.4M+0.4%	$3.4M+0.8%	$3.4M
Share Buybacks	$0	$0-100.0%	$9.2M-14.4%	$10.8M	$0	$0	$0	$0

ENSG Financial Ratios

Metric	FY25	FY24	FY23	FY22	FY21	FY20
Gross Margin	20.5%-0.2pp	20.7%-0.4pp	21.1%-1.1pp	22.2%-0.9pp	23.1%+0.7pp	22.4%
Operating Margin	8.4%0.0pp	8.4%+1.6pp	6.9%-3.0pp	9.8%-0.1pp	9.9%+0.6pp	9.3%
Net Margin	6.8%-0.2pp	7.0%+1.4pp	5.6%-1.8pp	7.4%+0.0pp	7.4%+0.3pp	7.1%
Return on Equity	15.4%-0.8pp	16.2%+2.2pp	14.0%-4.0pp	18.0%-1.1pp	19.1%-1.8pp	20.8%
Return on Assets	6.3%-0.1pp	6.4%+1.4pp	5.0%-1.5pp	6.5%-0.3pp	6.8%+0.1pp	6.7%
Current Ratio	1.42-0.1	1.56+0.1	1.42+0.1	1.34+0.1	1.22+0.2	1.04
Debt-to-Equity	0.06-0.0	0.08-0.0	0.10-0.0	0.12-0.0	0.150.0	0.14
FCF Margin	N/A	N/A	N/A	N/A	N/A	N/A

Metric	Q4'25	Q3'25	Q2'25	Q1'25	Q4'24	Q3'24	Q2'24	Q1'24
Gross Margin	21.0%+1.6pp	19.4%-1.4pp	20.8%-0.1pp	20.9%+0.2pp	20.8%+0.3pp	20.5%-0.3pp	20.8%-0.0pp	20.9%
Operating Margin	9.1%+1.7pp	7.4%-1.0pp	8.5%-0.2pp	8.6%-0.3pp	8.9%+0.6pp	8.3%-0.0pp	8.3%+0.2pp	8.1%
Net Margin	7.0%+0.6pp	6.5%-0.4pp	6.9%+0.0pp	6.8%-0.2pp	7.0%-0.2pp	7.2%+0.4pp	6.9%+0.0pp	6.8%
Return on Equity	4.3%+0.3pp	4.0%-0.2pp	4.2%0.0pp	4.2%-0.2pp	4.3%-0.2pp	4.5%+0.2pp	4.3%-0.1pp	4.4%
Return on Assets	1.8%+0.2pp	1.6%-0.1pp	1.7%+0.0pp	1.7%-0.0pp	1.7%+0.0pp	1.7%+0.1pp	1.6%0.0pp	1.6%
Current Ratio	1.42-0.0	1.46+0.0	1.41+0.0	1.40-0.2	1.560.0	1.56+0.0	1.530.0	1.53
Debt-to-Equity	0.060.0	0.070.0	0.070.0	0.070.0	0.080.0	0.080.0	0.090.0	0.09
FCF Margin	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A

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Frequently Asked Questions

What is Ensign Group Inc's annual revenue?

Ensign Group Inc (ENSG) reported $5.1B in total revenue for fiscal year 2025. This represents a 18.7% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

How fast is Ensign Group Inc's revenue growing?

Ensign Group Inc (ENSG) revenue grew by 18.7% year-over-year, from $4.3B to $5.1B in fiscal year 2025.

Is Ensign Group Inc profitable?

Yes, Ensign Group Inc (ENSG) reported a net income of $344.0M in fiscal year 2025, with a net profit margin of 6.8%.

What is Ensign Group Inc's earnings per share (EPS)?

Ensign Group Inc (ENSG) reported diluted earnings per share of $5.84 for fiscal year 2025. This represents a 14.1% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

What is Ensign Group Inc's EBITDA?

Ensign Group Inc (ENSG) had EBITDA of $529.6M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

How much debt does Ensign Group Inc have?

As of fiscal year 2025, Ensign Group Inc (ENSG) had $503.9M in cash and equivalents against $137.5M in long-term debt.

What is Ensign Group Inc's gross margin?

Ensign Group Inc (ENSG) had a gross margin of 20.5% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

What is Ensign Group Inc's operating margin?

Ensign Group Inc (ENSG) had an operating margin of 8.4% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

What is Ensign Group Inc's net profit margin?

Ensign Group Inc (ENSG) had a net profit margin of 6.8% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

Does Ensign Group Inc pay dividends?

Yes, Ensign Group Inc (ENSG) paid $0.25 per share in dividends during fiscal year 2025.

What is Ensign Group Inc's return on equity (ROE)?

Ensign Group Inc (ENSG) has a return on equity of 15.4% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

What is Ensign Group Inc's operating cash flow?

Ensign Group Inc (ENSG) generated $564.3M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.

What are Ensign Group Inc's total assets?

Ensign Group Inc (ENSG) had $5.5B in total assets as of fiscal year 2025, including both current and long-term assets.

Does Ensign Group Inc buy back shares?

Yes, Ensign Group Inc (ENSG) spent $20.0M on share buybacks during fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

How many shares does Ensign Group Inc have outstanding?

Ensign Group Inc (ENSG) had 58M shares outstanding as of fiscal year 2025.

What is Ensign Group Inc's current ratio?

Ensign Group Inc (ENSG) had a current ratio of 1.42 as of fiscal year 2025, which is considered adequate.

What is Ensign Group Inc's debt-to-equity ratio?

Ensign Group Inc (ENSG) had a debt-to-equity ratio of 0.06 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

What is Ensign Group Inc's return on assets (ROA)?

Ensign Group Inc (ENSG) had a return on assets of 6.3% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

What is Ensign Group Inc's Altman Z-Score?

Ensign Group Inc (ENSG) has an Altman Z-Score of 4.02, placing it in the Safe Zone (low bankruptcy risk). The Z-Score combines five financial ratios—working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets—to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

What is Ensign Group Inc's Piotroski F-Score?

Ensign Group Inc (ENSG) has a Piotroski F-Score of 5 out of 9, indicating neutral financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7–9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Are Ensign Group Inc's earnings high quality?

Ensign Group Inc (ENSG) has an earnings quality ratio of 1.64x, considered cash-backed (high quality). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

Can Ensign Group Inc cover its interest payments?

Ensign Group Inc (ENSG) has an interest coverage ratio of 53.2x, meaning it can comfortably cover its interest obligations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.

How financially healthy is Ensign Group Inc?

Ensign Group Inc (ENSG) scores 65 out of 100 on our Financial Profile, indicating strong overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.