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ENSG 
The Ensign Group Inc (ENSG)
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Upturn Advisory Summary
11/26/2025: ENSG (2-star) has a low Upturn Star Rating. Not recommended to BUY.
Upturn Star Rating
Below Average Performance
These Stocks/ETFs, based on Upturn Advisory, often underperform the market, warranting careful consideration before investing.
Number of Analysts
6 Analysts rated it
Limited analyst coverage, niche firm, research info may be scarce.
1 Year Target Price $207.2
1 Year Target Price $207.2
| 4 | Strong Buy |
| 1 | Buy |
| 1 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 48.78% | Avg. Invested days 51 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating | Upturn Advisory Performance  3.0 | Stock Returns Performance  3.0 |
| Profits based on simulation | Last Close 11/26/2025 |
Key Highlights
Company Size Large-Cap Stock | Market Capitalization 10.75B USD | Price to earnings Ratio 33.19 | 1Y Target Price 207.2 |
Price to earnings Ratio 33.19 | 1Y Target Price 207.2 | ||
Volume (30-day avg) 6 | Beta 0.85 | 52 Weeks Range 118.64 - 194.00 | Updated Date 11/28/2025 |
52 Weeks Range 118.64 - 194.00 | Updated Date 11/28/2025 | ||
Dividends yield (FY) 0.13% | Basic EPS (TTM) 5.59 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 6.8% | Operating Margin (TTM) 7.42% |
Management Effectiveness
Return on Assets (TTM) 5.13% | Return on Equity (TTM) 16.96% |
Valuation
Trailing PE 33.19 | Forward PE 25.84 | Enterprise Value 12479819429 | Price to Sales(TTM) 2.23 |
Enterprise Value 12479819429 | Price to Sales(TTM) 2.23 | ||
Enterprise Value to Revenue 2.58 | Enterprise Value to EBITDA 23.17 | Shares Outstanding 57924783 | Shares Floating 55482414 |
Shares Outstanding 57924783 | Shares Floating 55482414 | ||
Percent Insiders 3.42 | Percent Institutions 100.18 |
Upturn AI SWOT
The Ensign Group Inc
Company Overview
History and Background
The Ensign Group, Inc. was founded in 1999. It has grown through acquisitions and internal expansion to become a significant provider of skilled nursing, rehabilitative care, and other healthcare services across the United States.
Core Business Areas
- Skilled Nursing: Provides short-term rehabilitation, long-term care, and other medical services in skilled nursing facilities.
- Assisted Living: Offers assisted living services for seniors who require assistance with daily activities.
- Home Health and Hospice: Provides in-home healthcare services, including skilled nursing, therapy, and hospice care.
- Other Healthcare Services: Includes a range of other healthcare-related services and investments.
Leadership and Structure
Barry Port is the CEO. The company operates with a decentralized leadership model, empowering local leaders at each facility.
Top Products and Market Share
Key Offerings
- Skilled Nursing Services: Provision of 24-hour skilled nursing care, rehabilitation services, and specialized medical programs. Market share data not publicly available in precise figures. Competitors include Brookdale Senior Living, Genesis Healthcare, and Life Care Centers of America.
- Rehabilitative Care: Physical, occupational, and speech therapy services to help patients recover from illness, injury, or surgery. Market share data not publicly available. Competitors include DaVita, US Physical Therapy.
- Assisted Living Facilities: Residential care communities that provide assistance with daily living activities, medication management, and social activities. Market share data not publicly available. Competitors include Brookdale Senior Living, Atria Senior Living.
Market Dynamics
Industry Overview
The healthcare industry, specifically skilled nursing and rehabilitative care, is growing due to the aging population. The industry faces challenges such as regulatory changes, staffing shortages, and increasing competition.
Positioning
The Ensign Group focuses on providing high-quality care and improving operational efficiency at its facilities. It emphasizes a decentralized, local leadership model and a culture of continuous improvement.
Total Addressable Market (TAM)
The TAM for skilled nursing facilities and assisted living is in the hundreds of billions of dollars. Ensign is well-positioned for the aging population and is expanding and positioned to take larger market share
Upturn SWOT Analysis
Strengths
- Decentralized operating model
- Strong focus on operational efficiency
- Reputation for quality care
- Experienced leadership team
- Strong cash flow
Weaknesses
- Exposure to regulatory risks and compliance requirements
- Reliance on government reimbursement programs (Medicare, Medicaid)
- Sensitivity to staffing shortages and labor costs
- Acquisition integration challenges
Opportunities
- Growing demand for senior care services due to aging population
- Potential for expansion through acquisitions and new facility development
- Increasing demand for specialized rehabilitation services
- Adoption of new technologies to improve care and efficiency
Threats
- Changes in government reimbursement policies
- Increased competition from other healthcare providers
- Rising labor costs and staffing shortages
- Legal and regulatory challenges
Competitors and Market Share
Key Competitors
- BRO
- NHC
- FIVE
Competitive Landscape
The Ensign Group differentiates itself through its decentralized operating model and focus on operational efficiency. Competition is intense, with numerous national and regional players.
Major Acquisitions
Cambridge Post Acute, LLC
- Year: 2023
- Acquisition Price (USD millions): 65.5
- Strategic Rationale: Expanding its footprint and enhance market presence in the Midwest region.
Growth Trajectory and Initiatives
Historical Growth: Historical growth has been driven by acquisitions and organic growth in existing facilities.
Future Projections: Future growth is expected to continue through acquisitions, new facility development, and expansion of services.
Recent Initiatives: Recent initiatives include strategic acquisitions, investments in technology, and efforts to improve operational efficiency.
Summary
The Ensign Group is a growing healthcare provider with a focus on skilled nursing and rehabilitative care. Its decentralized operating model and focus on efficiency are strengths. Challenges include regulatory risks and labor costs, but opportunities exist with the aging population. Overall, ENSG is a solid and growing organization, but should be wary of competitive labor costs.
Similar Stocks
Sources and Disclaimers
Data Sources:
- Company SEC Filings
- Company Investor Relations
- Market Research Reports
Disclaimers:
This analysis is for informational purposes only and does not constitute financial advice. Market share data may not be precise due to limited public information. All financial figures should be verified independently.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About The Ensign Group Inc
Exchange NASDAQ | Headquaters San Juan Capistrano, CA, United States | ||
IPO Launch date 2007-11-09 | CEO & Chairman of the Board Mr. Barry R. Port | ||
Sector Healthcare | Industry Medical Care Facilities | Full time employees 39300 | Website https://ensigngroup.net |
Full time employees 39300 | Website https://ensigngroup.net | ||
The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services. It operates through two segments: Skilled Services and Standard Bearer. The Skilled Services segment provides short and long-term nursing care services for patients with chronic conditions, prolonged illness, and the elderly; specialty care, such as on-site dialysis, ventilator care, cardiac, and pulmonary management; and standard services, such as room and board, special nutritional programs, social services, recreational activities, entertainment, and other services. The Standard Bearer segment leases post-acute care properties to healthcare operators. In addition, the company operates senior living units; and provides ancillary services consisting of digital x-ray, ultrasound, electrocardiograms, sub-acute services, dialysis, respiratory, and long-term care pharmacy and patient transportation to people in their homes or at long-term care facilities, as well as mobile diagnostics. The company operates healthcare facilities in Alabama, Alaska, Arizona, Colorado, Idaho, Iowa, Kansas, Oregon, Nebraska, Nevada, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin. The company was incorporated in 1999 and is based in San Juan Capistrano, California.
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