A multiple compares the market's price with a filed figure; it says what the market pays, not how the business is doing. The market capitalization is the vendor's as of Oct 14, 2026; every other figure is from the SEC filings on this page. Not financial advice.
Newest figures come from the 10-Q for Q2 FY2026, filed Jul 27, 2026. Each column of the statement tables below links to the filing it was taken from, and every filing is listed on the ENSG SEC filings page.
The Ensign Group, Inc. (ENSG) reported $5.5B in revenue over the twelve months to Jun 30, 2026, up 18.9% from the prior twelve months. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 15 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).
The business is growing again, but margins have plateaued and investing cash use absorbs much of operating cash.
Revenue climbed from$3.7B in FY2023 to$5.1B in FY2025, showing that the recent earnings recovery is supported by substantial expansion rather than cost cutting alone. Operating margin recovered from6.9% to8.4% , but its stability across the latest two years says growth has not produced continuously increasing operating leverage.
Total assets rose from
FY2025 operating cash flow was
Financial Health Signals
Scored against operating companies for FY2025. Each of the six dimensions is a percentile rank within that peer group; the overall is their average, with missing dimensions counted as zero out of six. A high score means strong standing among peers, not absolute cross-industry strength. How this score is calculated →
Health score ≠ stock price. This rates the quality of The Ensign Group, Inc.'s business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.
The Ensign Group, Inc. has an operating margin of 8.4%, meaning the company retains $8 of operating profit per $100 of revenue. This strong profitability earns a score of 69/100, reflecting efficient cost management and pricing power. This is unchanged from the prior year.
The 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 78/100.
The 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 94/100, indicating a strong balance sheet with room for future borrowing.
The Ensign Group, Inc.'s current ratio of 1.42 indicates adequate short-term liquidity, earning a score of 38/100. The company can meet its near-term obligations, though with limited headroom.
Not available for The Ensign Group, Inc., and counted as zero in the overall score.
The Ensign Group, Inc. earns a strong 15.4% return on equity (ROE), meaning it generates $15 of profit for every $100 of shareholders' equity. This efficient capital use earns a returns score of 70/100. This is down from 16.2% the prior year.
The Ensign Group, Inc. scores 3.59, well above the 2.99 safe threshold. The score is driven primarily by a large market capitalization ($10.1B) relative to total liabilities ($3.2B). This indicates low bankruptcy risk based on profitability, leverage, and asset efficiency.
Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.
The 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.
For every $1 of reported earnings, The 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.
The Ensign Group, Inc. earns $53.24 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.
Key Financial Metrics
Earnings & Revenue
The Ensign Group, Inc. generated $1.4B in revenue in Q2 2026. This represents an increase of 17.3% from the same quarter a year earlier. Against the prior quarter it is up 3.7%.
The Ensign Group, Inc.'s EBITDA was $153.9M in Q2 2026, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 18.7% from the same quarter a year earlier. Against the prior quarter it is up 0.2%.
The Ensign Group, Inc. reported $99.7M in net income in Q2 2026. This represents an increase of 18.2% from the same quarter a year earlier. Against the prior quarter it is up 0.1%.
The Ensign Group, Inc. earned $1.68 per diluted share (EPS) in Q2 2026. This represents an increase of 16.7% from the same quarter a year earlier. Against the prior quarter it is up 0.6%.
Cash & Balance Sheet
The Ensign Group, Inc. held $262.3M in cash against $135.6M in long-term debt as of Q2 2026.
The Ensign Group, Inc. paid $0.07 per share in dividends in Q2 2026. This represents an increase of 4.0% from the same quarter a year earlier. It is unchanged from the prior quarter.
Not reported for Q2 2026.
Margins & Returns
The Ensign Group, Inc.'s gross margin was 21.3% in Q2 2026, indicating the percentage of revenue retained after direct costs. This is up 0.4 percentage points from the same quarter a year earlier. Against the prior quarter it is up 0.1 percentage points.
The Ensign Group, Inc.'s operating margin was 8.5% in Q2 2026, reflecting core business profitability. That is unchanged from the same quarter a year earlier. Against the prior quarter it is down 0.5 percentage points.
The Ensign Group, Inc.'s net profit margin was 6.9% in Q2 2026, showing the share of revenue converted to profit. This is up 0.1 percentage points from the same quarter a year earlier. Against the prior quarter it is down 0.3 percentage points.
The Ensign Group, Inc.'s ROE was 4.1% in Q2 2026, measuring profit generated per dollar of shareholder equity. This is down 0.1 percentage points from the same quarter a year earlier. Against the prior quarter it is down 0.1 percentage points.
Capital Allocation
The Ensign Group, Inc. spent $40.0M on share buybacks in Q2 2026, returning capital to shareholders by reducing shares outstanding. This represents an increase of 333.6% from the same quarter a year earlier.
Not reported for Q2 2026.
Not reported for Q2 2026.
ENSG Income Statement
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.
| Metric | Q2'2610-Q | Q1'2610-Q | Q4'2510-Q | Q3'2510-Q | Q2'2510-Q | Q1'2510-Q | Q4'2410-K | Q3'2410-Q |
|---|---|---|---|---|---|---|---|---|
| Revenue | $1.4B+17.3% | $1.4B+18.4% | $1.4B+20.2% | $1.3B+19.8% | $1.2B+18.5% | $1.2B+16.1% | $1.1B+15.5% | $1.1B+15.0% |
| Cost of Revenue | $1.1B+16.7% | $1.1B+18.1% | $1.1B+19.8% | $1.0B+21.5% | $971.8M+18.5% | $927.8M+16.1% | $897.3M+14.9% | $860.0M+16.0% |
| Gross Profit | $306.2M+19.6% | $293.4M+19.6% | $285.8M+21.6% | $251.7M+13.5% | $256.0M+18.6% | $245.2M+16.3% | $235.0M+18.0% | $221.8M+11.0% |
| SG&A Expenses | $85.9M+24.3% | $74.2M+18.6% | $70.8M+27.3% | $67.4M+19.9% | $69.1M+23.0% | $62.6M+9.4% | $55.6M-47.8% | $56.2M+9.9% |
| Operating Income | $122.5M+17.9% | $124.9M+23.2% | $123.8M+22.9% | $96.2M+7.7% | $103.9M+20.9% | $101.4M+23.3% | $100.8M+341.5% | $89.3M+12.0% |
| EBITDA | $153.9M+18.7% | $153.7M+22.4% | $151.5M+22.9% | $122.9M+10.9% | $129.7M+21.8% | $125.6M+23.3% | $123.3M+193.2% | $110.8M+12.8% |
| Interest Expense | $1.9M-4.5% | $1.9M-5.2% | $2.0M-13.4% | $2.0M-2.6% | $2.0M-0.7% | $2.0M+3.7% | $2.3M+12.7% | $2.0M0.0% |
| Income Tax | $33.8M+21.3% | $28.8M+9.9% | $34.5M+32.8% | $22.7M+12.8% | $27.9M+33.6% | $26.2M+27.1% | $26.0M+175.0% | $20.1M+11.2% |
| Net Income | $99.7M+18.2% | $99.7M+24.2% | $95.5M+19.8% | $83.8M+6.9% | $84.4M+18.9% | $80.3M+16.6% | $79.7M+267.4% | $78.4M+22.8% |
| EPS (Basic) | $1.72+16.2% | $1.73+22.7% | $1.66+18.6% | $1.46+5.8% | $1.48+17.5% | $1.41+15.6% | $1.40+268.4% | $1.38+21.1% |
| EPS (Diluted) | $1.68+16.7% | $1.67+21.9% | $1.61+18.4% | $1.42+6.0% | $1.44+18.0% | $1.37+15.1% | $1.36+267.6% | $1.34+20.7% |
| Diluted Shares (Avg) | 59M+1.5% | 60M+1.8% | N/A | 59M+0.9% | 59M+1.0% | 59M+1.0% | N/A | 58M+1.9% |
Not reported in any period shown, so not listed: R&D Expenses.
ENSG Balance Sheet
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.
| Metric | Q2'2610-Q | Q1'2610-Q | Q4'2510-Q | Q3'2510-Q | Q2'2510-Q | Q1'2510-Q | Q4'2410-K | Q3'2410-Q |
|---|---|---|---|---|---|---|---|---|
| Total Assets | $5.7B+16.6% | $5.6B+17.9% | $5.5B+17.0% | $5.2B+12.9% | $4.9B+11.1% | $4.8B+10.5% | $4.7B+11.8% | $4.6B+13.4% |
| Current Assets | $1.1B+0.4% | $1.3B+33.8% | $1.3B+9.9% | $1.2B+0.8% | $1.1B-4.3% | $986.4M-9.4% | $1.2B+10.6% | $1.2B+20.4% |
| Cash & Equivalents | $262.3M-27.9% | $539.5M+90.9% | $503.9M+8.5% | $443.7M-16.6% | $364.0M-23.7% | $282.7M-44.8% | $464.6M-8.8% | $532.1M+13.7% |
| Short-Term Investments | $58.5M+7.5% | $55.7M-9.9% | $68.5M+10.0% | $62.6M+60.7% | $54.5M+125.8% | $61.8M+327.5% | $62.3M+261.3% | $39.0M+137.1% |
| Accounts Receivable | $668.9M+15.7% | $663.2M+13.6% | $637.0M+11.8% | $612.7M+10.6% | $578.0M+5.7% | $584.0M+12.4% | $569.9M+17.5% | $554.1M+17.4% |
| Long-Term Investments | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Goodwill | $98.0M0.0% | $98.0M-7.8% | $98.0M0.0% | $98.0M+26.9% | $98.0M+26.9% | $106.3M+37.6% | $98.0M+27.5% | $77.2M+0.5% |
| Total Liabilities | $3.3B+13.6% | $3.2B+14.6% | $3.2B+14.1% | $3.1B+7.8% | $2.9B+4.9% | $2.8B+3.8% | $2.8B+5.5% | $2.9B+10.0% |
| Current Liabilities | $884.8M+17.1% | $848.0M+20.3% | $894.3M+20.3% | $825.2M+7.3% | $755.5M+3.4% | $705.2M-0.6% | $743.4M+1.2% | $768.9M+14.5% |
| Non-Current Liabilities | $2.4B+12.3% | $2.4B+12.7% | $2.3B+11.9% | $2.3B+8.0% | $2.2B+5.4% | $2.1B+5.4% | $2.1B+7.2% | $2.1B+8.5% |
| Long-Term Debt | $135.6M-2.9% | $136.5M-2.9% | $137.5M-2.9% | $138.6M-2.8% | $139.6M-2.8% | $140.6M-2.7% | $141.6M-2.7% | $142.6M-2.6% |
| Total Equity | $2.4B+21.0% | $2.4B+22.8% | $2.2B+21.5% | $2.1B+21.3% | $2.0B+21.7% | $1.9B+22.1% | $1.8B+23.1% | $1.7B+19.7% |
| Retained Earnings | $1.9B+23.0% | $1.9B+23.2% | $1.8B+23.1% | $1.7B+23.2% | $1.6B+24.2% | $1.5B+24.4% | $1.4B+24.9% | $1.4B+20.1% |
Not reported in any period shown, so not listed: Inventory.
ENSG Cash Flow Statement
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.
| Metric | Q2'2610-Q | Q1'2610-Q | Q4'2510-Q | Q3'2510-Q | Q2'2510-Q | Q1'2510-Q | Q4'2410-K | Q3'2410-Q |
|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | $172.0M+10.4% | $100.2M+38.7% | $183.3M+82.5% | $153.0M+13.8% | $155.7M+102.4% | $72.2M+104.5% | $100.5M+17.8% | $134.5M+9.1% |
| Depreciation & Amortization | $31.4M+21.8% | $28.8M+19.1% | $27.7M+23.1% | $26.6M+24.0% | $25.8M+25.9% | $24.2M+23.1% | $22.5M+17.1% | $21.5M+16.4% |
| Stock-Based Compensation | $16.0M+37.3% | $13.9M+29.6% | N/A | $12.9M+40.2% | $11.6M+29.5% | $10.7M+30.2% | N/A | $9.2M+26.9% |
| Investing Cash Flow | -$407.7M-498.5% | -$71.2M+70.8% | -$123.9M+25.6% | -$77.3M+2.0% | -$68.1M+38.0% | -$243.8M-603.5% | -$166.6M-270.7% | -$78.9M-4.8% |
| Financing Cash Flow | -$41.4M-557.1% | $6.7M+164.3% | $833K+162.3% | $4.0M+572.0% | -$6.3M-312.0% | -$10.3M-765.0% | -$1.3M-193.4% | -$850K-750.0% |
| Dividends Paid | $3.8M+5.1% | $3.8M+5.2% | $3.6M+5.3% | $3.6M+5.3% | $3.6M+5.3% | $3.6M+5.7% | $3.4M+6.0% | $3.4M+6.0% |
| Share Buybacks | $40.0M+333.6% | $0-100.0% | $0 | $0 | $9.2M | $10.8M | $0 | $0 |
Not reported in any period shown, so not listed: Capital Expenditures, Free Cash Flow.
ENSG Financial Ratios
Margins and returns are percentages; the remaining ratios are unitless multiples. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.
| Metric | Q2'2610-Q | Q1'2610-Q | Q4'2510-Q | Q3'2510-Q | Q2'2510-Q | Q1'2510-Q | Q4'2410-K | Q3'2410-Q |
|---|---|---|---|---|---|---|---|---|
| Gross Margin | 21.3%+0.4pp | 21.1%+0.2pp | 21.0%+0.3pp | 19.4%-1.1pp | 20.8%0.0pp | 20.9%0.0pp | 20.8%+0.4pp | 20.5%-0.7pp |
| Operating Margin | 8.5%0.0pp | 9.0%+0.3pp | 9.1%+0.2pp | 7.4%-0.8pp | 8.5%+0.2pp | 8.6%+0.5pp | 8.9%+6.6pp | 8.3%-0.2pp |
| Net Margin | 6.9%+0.1pp | 7.2%+0.3pp | 7.0%0.0pp | 6.5%-0.8pp | 6.9%0.0pp | 6.8%0.0pp | 7.0%+4.8pp | 7.2%+0.5pp |
| Return on Equity | 4.1%-0.1pp | 4.2%0.0pp | 4.3%-0.1pp | 4.0%-0.5pp | 4.2%-0.1pp | 4.2%-0.2pp | 4.3%+2.9pp | 4.5%+0.1pp |
| Return on Assets | 1.7%0.0pp | 1.8%+0.1pp | 1.8%0.0pp | 1.6%-0.1pp | 1.7%+0.1pp | 1.7%+0.1pp | 1.7%+1.2pp | 1.7%+0.1pp |
| Current Ratio | 1.21-0.2x | 1.56+0.2x | 1.42-0.1x | 1.46-0.1x | 1.41-0.1x | 1.40-0.1x | 1.56+0.1x | 1.56+0.1x |
| Debt-to-Equity | 0.060.0x | 0.060.0x | 0.060.0x | 0.070.0x | 0.070.0x | 0.070.0x | 0.080.0x | 0.080.0x |
| Asset Turnover | 0.250.0x | 0.250.0x | 0.250.0x | 0.250.0x | 0.250.0x | 0.250.0x | 0.240.0x | 0.230.0x |
Not reported in any period shown, so not listed: FCF Margin.
Similar Companies
Newest fiscal year on record for each company. The health score is the peer-relative Financial Health Score for that year; a dash means no score is published for it.
| Company | Fiscal year | Revenue | Net income | Net margin | Market cap | Health score |
|---|---|---|---|---|---|---|
| The Ensign Group, Inc. ENSG | FY2025 | $5.1B | $344.0M | 6.8% | $10.1B | 58/100 |
| DaVita Inc. DVA | FY2025 | $13.6B | $1.1B | 7.9% | $11.6B | 56/100 |
| Chemed Corporation CHE | FY2025 | $2.5B | $265K | 0.0% | $6.5B | 64/100 |
| Option Care Health, Inc. OPCH | FY2025 | $5.6B | $207.6M | 3.7% | $4.7B | 56/100 |
| Universal Health Services, Inc. UHS | FY2025 | $17.4B | $1.5B | 8.6% | $10.6B | 54/100 |
| Encompass Health Corporation EHC | FY2025 | $5.9B | $566.2M | 9.5% | $12.3B | 32/100 |
Where The Ensign Group, Inc. Ranks
Frequently Asked Questions
What is The Ensign Group, Inc.'s annual revenue?
The 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 The Ensign Group, Inc.'s revenue growing?
The Ensign Group, Inc. (ENSG) revenue grew by 18.7% year-over-year, from $4.3B to $5.1B in fiscal year 2025.
Is The Ensign Group, Inc. profitable?
Yes, The 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 The Ensign Group, Inc.'s EBITDA?
The 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 The Ensign Group, Inc. have?
As of fiscal year 2025, The Ensign Group, Inc. (ENSG) had $503.9M in cash and equivalents against $137.5M in long-term debt.
What is The Ensign Group, Inc.'s gross margin?
The 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 The Ensign Group, Inc.'s operating margin?
The 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 The Ensign Group, Inc.'s net profit margin?
The 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 The Ensign Group, Inc. pay dividends?
Yes, The Ensign Group, Inc. (ENSG) paid $0.25 per share in dividends during fiscal year 2025.
What is The Ensign Group, Inc.'s return on equity (ROE)?
The 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 The Ensign Group, Inc.'s operating cash flow?
The Ensign Group, Inc. (ENSG) generated $564.3M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.
What are The Ensign Group, Inc.'s total assets?
The Ensign Group, Inc. (ENSG) had $5.5B in total assets as of fiscal year 2025, including both current and long-term assets.
What is The Ensign Group, Inc.'s current ratio?
The Ensign Group, Inc. (ENSG) had a current ratio of 1.42 as of fiscal year 2025, which is considered adequate.
What is The Ensign Group, Inc.'s debt-to-equity ratio?
The 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 The Ensign Group, Inc.'s return on assets (ROA)?
The 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 The Ensign Group, Inc.'s P/E ratio?
The Ensign Group, Inc. (ENSG) trades at 26.7x earnings, its market capitalization divided by net income of $378.7M net income, trailing 12 months to June 30, 2026. The market capitalization is $10.1B as of Oct 14, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.
What is The Ensign Group, Inc.'s price-to-sales ratio?
The Ensign Group, Inc. (ENSG) trades at 1.8x sales, its market capitalization divided by revenue of $5.5B revenue, trailing 12 months to June 30, 2026. The market capitalization is $10.1B as of Oct 14, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.
What is The Ensign Group, Inc.'s Altman Z-Score?
The Ensign Group, Inc. (ENSG) has an Altman Z-Score of 3.59, 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 The Ensign Group, Inc.'s Piotroski F-Score?
The 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 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.
Are The Ensign Group, Inc.'s earnings high quality?
The 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 The Ensign Group, Inc. cover its interest payments?
The Ensign Group, Inc. (ENSG) has an interest coverage ratio of 53.24x, 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 The Ensign Group, Inc.?
The Ensign Group, Inc. (ENSG) scores 58 out of 100 on our Financial Health Score, indicating moderate standing within its operating companies peer group. The score is a 0-100 composite of six dimensions (Profitability, Growth, Leverage, Liquidity, Cash Flow, Returns), each ranked as a percentile relative to companies in the same scoring family (banks against banks, REITs against REITs, and so on) rather than across all industries. It rates the quality of the business, not whether the stock is fairly priced, and is not financial advice. Learn more in our complete guide to financial health indicators.