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Upturn AI SWOT - About
The Ensign Group Inc (ENSG)
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Upturn Advisory Summary
07/02/2025: 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 $165.17
1 Year Target Price $165.17
| 4 | Strong Buy |
| 1 | Buy |
| 1 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 28.48% | Avg. Invested days 46 | 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 07/02/2025 |
Key Highlights
Company Size Mid-Cap Stock | Market Capitalization 8.67B USD | Price to earnings Ratio 28.5 | 1Y Target Price 165.17 |
Price to earnings Ratio 28.5 | 1Y Target Price 165.17 | ||
Volume (30-day avg) 6 | Beta 1.04 | 52 Weeks Range 118.68 - 158.23 | Updated Date 07/1/2025 |
52 Weeks Range 118.68 - 158.23 | Updated Date 07/1/2025 | ||
Dividends yield (FY) 0.16% | Basic EPS (TTM) 5.29 |
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 7% | Operating Margin (TTM) 8.64% |
Management Effectiveness
Return on Assets (TTM) 5.23% | Return on Equity (TTM) 17.64% |
Valuation
Trailing PE 28.5 | Forward PE 24.51 | Enterprise Value 10536264991 | Price to Sales(TTM) 1.96 |
Enterprise Value 10536264991 | Price to Sales(TTM) 1.96 | ||
Enterprise Value to Revenue 2.38 | Enterprise Value to EBITDA 21.07 | Shares Outstanding 57492400 | Shares Floating 55029340 |
Shares Outstanding 57492400 | Shares Floating 55029340 | ||
Percent Insiders 3.44 | Percent Institutions 94.53 |
Analyst Ratings
Rating 2 | Target Price 165.17 | Buy 1 | Strong Buy 4 |
Buy 1 | Strong Buy 4 | ||
Hold 1 | Sell - | Strong Sell - | |
Strong Sell - |
Upturn AI SWOT
The Ensign Group Inc
Company Overview
History and Background
The Ensign Group, Inc. was founded in 1999. It has grown from a small California-based company into a national provider of healthcare services, primarily focusing on skilled nursing, assisted living, and rehabilitation services. A key milestone was its IPO and subsequent expansion through acquisitions.
Core Business Areas
- Skilled Nursing: Provides skilled nursing care, including medical, rehabilitative, and sub-acute care, primarily in nursing facilities.
- Assisted Living: Offers assisted living services in residential settings, catering to seniors who require assistance with daily living activities.
- Rehabilitation Services: Provides physical, occupational, and speech therapies, often in conjunction with skilled nursing facilities.
- Other Services: Includes home health and other ancillary services.
Leadership and Structure
The leadership team typically consists of a CEO, CFO, COO, and other key executives. The organizational structure is generally hierarchical, with regional and facility-level management reporting to corporate leadership.
Top Products and Market Share
Key Offerings
- Skilled Nursing Care: Provides comprehensive medical care and rehabilitation services for patients requiring 24-hour care. Ensign's market share within specific geographic regions varies, but overall, the skilled nursing market is highly fragmented. Competitors include Genesis Healthcare, Brookdale Senior Living, and HCR ManorCare.
- Rehabilitation Therapy: Offers physical, occupational, and speech therapy services to help patients recover from injuries, illnesses, or surgeries. Competitors include Select Medical and Kindred Healthcare.
- Assisted Living Facilities: Provides residential care for seniors who need assistance with daily activities. Competitors include Brookdale Senior Living, Atria Senior Living, and Holiday Retirement.
Market Dynamics
Industry Overview
The healthcare industry, particularly skilled nursing and senior living, is experiencing increased demand due to the aging population. It's also subject to stringent regulations, reimbursement pressures, and staffing shortages.
Positioning
The Ensign Group positions itself as a provider of high-quality, patient-centered care with a strong focus on rehabilitation and clinical outcomes. Their acquisition strategy and operational focus are aimed at improving facility performance and increasing market share.
Total Addressable Market (TAM)
The total addressable market for skilled nursing and senior care is estimated to be in the hundreds of billions of dollars annually. Ensign is positioned to capture a larger share through strategic acquisitions and organic growth.
Upturn SWOT Analysis
Strengths
- Strong operational focus and efficiency
- Decentralized management model
- Proven track record of acquiring and improving underperforming facilities
- Emphasis on clinical outcomes and patient satisfaction
- Strong employee culture
Weaknesses
- Exposure to regulatory and reimbursement changes
- Dependence on government funding (Medicare and Medicaid)
- Potential for legal and compliance issues
- High employee turnover in the healthcare industry
- Geographic concentration in certain markets
Opportunities
- Growing demand for skilled nursing and senior care services due to aging population
- Potential for expansion into new markets and service lines
- Increased focus on value-based care and quality outcomes
- Consolidation opportunities within the fragmented skilled nursing industry
- Advancements in telehealth and remote monitoring
Threats
- Changes in government regulations and reimbursement policies
- Increased competition from other healthcare providers
- Rising labor costs and staffing shortages
- Potential for lawsuits and liability claims
- Economic downturn affecting occupancy rates and consumer spending
Competitors and Market Share
Key Competitors
- NHC
- FIVE
- LTC
Competitive Landscape
Ensign's competitive advantage lies in its operational expertise and decentralized management model. Competitors may have different strengths, such as scale, brand recognition, or specialized services.
Major Acquisitions
Cambridge Post Acute, LLC
- Year: 2022
- Acquisition Price (USD millions): 67.8
- Strategic Rationale: Ensign acquired Cambridge Post Acute, LLC and its affiliated operations, consisting of eight skilled nursing facilities and one assisted living facility in Texas, to enhance Ensign's market presence and expand its network.
Growth Trajectory and Initiatives
Historical Growth: Ensign has experienced significant growth through acquisitions and organic expansion.
Future Projections: Analysts typically project continued growth for Ensign, driven by the aging population and the company's acquisition strategy. These projections can be found in financial news sources.
Recent Initiatives: Recent strategic initiatives might include acquisitions of new facilities, expansion into new markets, or investments in technology and innovation.
Summary
The Ensign Group is a growing player in the healthcare and senior living market, primarily through strategic acquisitions and efficient operations. Its decentralized management and focus on quality care are significant strengths, while regulatory changes and labor costs pose ongoing challenges. Future growth depends on successful integration of acquisitions and navigating the evolving healthcare landscape. The aging population provides a long-term tailwind.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company Filings (10K, 10Q), Industry Reports, Financial News Outlets
Disclaimers:
This analysis is for informational purposes only and does not constitute investment advice. Market share data is approximate and may vary depending on the source and methodology.
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 & Director 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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