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The Ensign Group Inc(ENSG)
Advisory History & Simulated Performance *
*as per simulation (see disclosures)- ALL
- 1Y
- 1M
- 1W
- BUY Advisory
- SELL Advisory (Profit)
- SELL Advisory (Loss)
- Profit
- Loss
- PASS (Skip)
Stock price based on last close Advisory Performance History (Simulated)
Upturn Advisory & Investor View for ENSG
09/15/2026: ENSG (1-star) is currently NOT-A-BUY. Pass it for now.
The Ensign Group is a leading provider of post-acute care and senior living services, known for its decentralized management model that empowers local facility leaders. The company's primary strength lies in its repeatable strategy of acquiring and optimizing distressed healthcare assets. Its main growth story centers on expanding home health and hospice services alongside its core skilled nursing operations. Key risks include heavy reliance on government healthcare reimbursement rates, exposure to labor shortages, and ongoing regulatory scrutiny. This stock may suit growth-oriented investors who are comfortable with the inherent operational and regulatory complexities of the healthcare facilities industry.
How to Read the Upturn Advisory
The Upturn Star Rating and the current BUY, SELL, or PASS advisory are generated by Upturn’s AI advisory engine based on proprietary signal analysis, price behavior, advisory history, and historical signal performance.
Company fundamentals, valuation, risks, and news provide supporting context about the business.
Investor Fit
| Investor style | Fit | Why |
|---|---|---|
| Growth investor | Strong fit | The company has a proven track record of scaling operations and increasing earnings through a disciplined acquisition strategy. |
| Momentum investor | Strong fit while signal remains positive | Strong operational performance and steady growth often drive favorable price trends for this stock. |
| Value investor | Mixed fit | While the company has strong fundamentals, it often trades at a premium multiple reflecting its growth and execution history. |
| Dividend investor | Weak fit | The company prioritizes reinvestment for growth over high dividend yields. |
| Low-risk investor | Mixed fit | Healthcare regulatory risks and exposure to reimbursement changes introduce volatility that may not suit conservative investors. |
Risk Profile
| Risk factor | Level | Why it matters |
|---|---|---|
| Price volatility | Medium / high | Healthcare stocks can be sensitive to legislative and reimbursement news cycles. |
| Valuation risk | Medium | High expectations for growth mean the stock can experience pullbacks if quarterly earnings miss targets. |
| Competition risk (nursing facility competition) | Medium | Maintaining local competitive advantage requires constant focus on staffing quality and patient outcomes. |
| Business quality | Strong | Ensign's decentralized management model is widely regarded as a competitive advantage in operational turnaround. |
| Dividend income | Low | This is a growth-oriented stock rather than an income-focused investment. |
| Execution risk | Medium | Success relies heavily on the ability to consistently identify and turn around underperforming healthcare assets. |
Price Behavior
Downtrend
The stock has experienced a sustained decline in price over recent periods.
Moderately Choppy
The stock has experienced noticeable price swings while retaining some directional structure.
Analysis of Past Performance
Type Stock | Historic Profit 36.2% | Avg. Invested days 57 | Today’s Advisory PASS |
Upturn Advisory Rating  | Upturn Advisory Performance  3.0 | Stock Returns Performance  3.0 |
| Profits based on simulation | Last Close 09/15/2026 |
Upturn Scorecard
Upturn Star Rating 
Company Fundamentals
Financial Health Rating
Growth Momentum Score
Ownership
Top 5 Institutional Investors
Unit Economics (Per $1K Revenue)
Economic Dimensions
Quantitative Style Profile
Style Classification
Quality Focused
Key Highlights
Company Size Large-Cap Stock | Market Capitalization 10.20B USD | Price to earnings Ratio 27.38 | 1Y Target Price 220 |
Price to earnings Ratio 27.38 | 1Y Target Price 220 | ||
Volume (30-day avg) 310.6K shares | Beta 0.69 | 52 Weeks Range 141.52 - 217.84 | Updated Date 09/14/2026 |
52 Weeks Range 141.52 - 217.84 | Updated Date 09/14/2026 | ||
Dividends yield (FY) 0.15% | Basic EPS (TTM) 6.39 |
How Company Makes Money
| Business area | What it includes | Retail investor read |
|---|---|---|
| Skilled Nursing | Post-acute care and rehabilitative services in nursing facilities. | The primary revenue driver comes from daily care provided to patients transitioning from hospitals. |
| Home Health & Hospice | Clinical and palliative care services delivered at home. | This is a high-growth segment capturing the trend of patients preferring home-based care. |
| Senior Living | Assisted and independent living community services. | Steady revenue generated from residential and personal care services for seniors. |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Revenue by Geography
Geography revenue - Year on Year
Valuation
Trailing PE 27.38 | Forward PE 20.58 | Enterprise Value 12.07B | Price to Sales(TTM) 1.86 |
Enterprise Value 12.07B | Price to Sales(TTM) 1.86 | ||
Enterprise Value to Revenue 2.2 | Enterprise Value to EBITDA 19.43 | Shares Outstanding 58.28M | Shares Floating 55.65M |
Shares Outstanding 58.28M | Shares Floating 55.65M | ||
Percent Insiders 3.53 | Percent Institutions 92.55 |
Upturn AI Summary
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.
Financial Metrics
🧭 Investment Snapshot
Total Revenue (Scale)
Total money earned from selling products or services before any costs. It is needed to understand the scale of the business and its ability to generate income.
Net Income (Profit)
Final profit after all expenses, interest, and taxes are deducted. It is needed to determine the overall profitability available to shareholders.
Free Cash Flow (Cash Strength)
Cash remaining after operating activities and capital expenditures, showing cash available for growth. It is needed to evaluate the company’s ability to invest, pay dividends, or reduce debt.
📈 Growth & Strength
Operating Income (Core Profit)
Profit from core operations after deducting all operating expenses. It is needed to measure how efficiently the company runs its primary business activities.
EBITDA (Cash Earnings)
Earnings before interest, taxes, depreciation, and amortization, indicating operating cash potential. It is needed to compare operating performance across companies without accounting or financing differences.
Gross Profit (Unit Profitability)
Revenue minus cost of revenue, showing profit after direct production costs. It is needed to evaluate core business profitability before overhead expenses.
🛡️ Financial Safety
Cash (Liquidity Buffer)
Total cash and cash equivalents on hand. It is needed to evaluate immediate liquidity and financial flexibility.
Total Debt (Leverage Risk)
Total debt including both short-term and long-term components. It is needed to assess the company’s leverage and financial risk.
Net Working Capital (Short-Term Health)
Current assets minus current liabilities, indicating short-term liquidity strength. It is needed to assess whether the company can meet its short-term obligations.
🧱 Balance Sheet Strength
Stockholder Equity (Net Worth)
Total equity value held by shareholders. It is needed to understand the net worth of the company from the owners’ perspective.
Total Assets (Asset Base)
The full value of everything the company owns, including cash, inventory, equipment, and investments. It is needed to understand the resource base used to generate revenue.
Income Before Tax (Pre-Tax Earnings)
Income before provision for income taxes. It is needed to analyze profitability independent of tax structures.
⚙️ Cost & Drag Factors
Cost of Revenue (Production Cost)
Direct costs required to produce and deliver the products or services sold. It is needed to assess efficiency in production and service delivery.
Total Operating Expenses (Operating Cost)
Indirect costs of running the business such as salaries, marketing, and administration. It is needed to understand how much it costs to sustain ongoing business operations.
Income Tax Expense (Tax Drag)
Amount of taxes paid or payable to the government. It is needed to evaluate the impact of taxation on overall profitability.
About The Ensign Group Inc
Exchange NASDAQ | Headquarters 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 46000 | Website https://ensigngroup.net |
Full time employees 46000 | 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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