Home 
Today's Top Picks 
Top Performers 
Watchlist 
My Robo Portfolios 
ETF Zone - Chart
- Upturn Summary
- Highlights
- Revenue
- Valuation
Upturn AI Summary - About
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
11/13/2026: ENSG (1-star) has a low Upturn Star Rating. Not recommended to BUY.
The Ensign Group is a healthcare company focused on skilled nursing, rehabilitative care, home health, and hospice services. The company has a leading position in the industry, largely due to its decentralized management model and a consistent track record of improving the performance of acquired facilities. The primary growth story revolves around the long-term demand from an aging U.S. population and the continued consolidation of the post-acute care market. Risks include dependency on government reimbursement, labor shortages, and regulatory oversight. The stock may suit growth-oriented investors looking for exposure to the healthcare sector, though it is less suited for those seeking significant dividend income.
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 consistent track record of double-digit revenue growth through strategic acquisitions. |
| Momentum investor | Strong fit while signal remains positive | The stock often tracks positive trends in long-term care demand and successful operational turnarounds. |
| Value investor | Mixed fit | The stock often trades at a premium multiple due to its proven growth engine, which may deter traditional deep-value investors. |
| Dividend investor | Weak fit | The company prioritizes reinvesting capital for growth over providing a high dividend yield. |
| Low-risk investor | Medium fit | While the business model is resilient, the stock is subject to healthcare regulatory and labor market risks. |
Risk Profile
| Risk factor | Level | Why it matters |
|---|---|---|
| Price volatility | Medium / high | The stock can be sensitive to broader healthcare sector sentiment and regulatory news. |
| Valuation risk | Medium | Market expectations for growth are often high, which can lead to valuation sensitivity. |
| Competition risk (labor and service) | High | Competing for qualified nursing staff is a constant challenge that directly impacts operating costs. |
| Business quality | Strong | The company has a long history of operational excellence and effective capital allocation. |
| Dividend income | Low | Income-focused investors may find the low yield and growth-focused payout policy insufficient. |
| Execution risk | Medium | The company's strategy relies on the successful turnaround of new acquisitions, which is not always guaranteed. |
Key Highlights
Company Size Large-Cap Stock | Market Capitalization 10.99B USD | Price to earnings Ratio 28.04 | 1Y Target Price 225.8 |
Price to earnings Ratio 28.04 | 1Y Target Price 225.8 | ||
Volume (30-day avg) 379.2K shares | Beta 0.65 | 52 Weeks Range 141.47 - 217.76 | Updated Date 11/13/2026 |
52 Weeks Range 141.47 - 217.76 | Updated Date 11/13/2026 | ||
Dividends yield (FY) 0.14% | Basic EPS (TTM) 6.72 |
Sector & Industry Intelligence
Sector
Healthcare
Bullish- Sentiment
- Strong Bullish
- Momentum
- Momentum Steady
- BUY participation
- 62.6%
- Active BUY / eligible
- 72 / 115
- 30-Day BUY Count Change
- +35
- Market state
- Strong Bullish
The number of qualifying BUY stocks has remained relatively stable.
Industry
Medical Care Facilities
- BUY participation
- 88.9%
- Active BUY / eligible
- 8 / 9
- 30-Day BUY Count Change
- +6
Sector signal summarizes BUY breadth conditions for the sector. It does not override this stock’s BUY, SELL, or PASS advisory.
Price Behavior
Downtrend
The stock has experienced a sustained decline in price over recent periods.
Smooth
The stock has moved along a generally orderly path with only modest fluctuations.
Analysis of Past Performance
Type Stock | Historic Profit 33.47% | Avg. Invested days 51 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Advisory Rating  | Upturn Advisory Performance  4.0 | Stock Returns Performance  3.0 |
| Profits based on simulation | Last Close 11/13/2026 |
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
How Company Makes Money
| Business area | What it includes | Retail investor read |
|---|---|---|
| Skilled Nursing | Post-acute medical care, rehabilitation, and long-term nursing. | This is the core engine, turning around facilities to provide essential medical care. |
| Home Health & Hospice | Clinical and end-of-life care in patient homes. | This offers higher-margin, scalable services outside of physical facilities. |
| Senior Living | Assisted and independent living residential services. | Provides stable, long-term residential revenue streams. |
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 2026-10-27 | When After Market | Estimate 1.75 | Actual 1.79 |
Profitability
Profit Margin 7.03% | Operating Margin (TTM) 8.85% |
Management Effectiveness
Return on Assets (TTM) 5.59% | Return on Equity (TTM) 17.05% |
Valuation
Trailing PE 28.04 | Forward PE 21.37 | Enterprise Value 12.78B | Price to Sales(TTM) 1.94 |
Enterprise Value 12.78B | Price to Sales(TTM) 1.94 | ||
Enterprise Value to Revenue 2.25 | Enterprise Value to EBITDA 19.33 | Shares Outstanding 58.34M | Shares Floating 55.70M |
Shares Outstanding 58.34M | Shares Floating 55.70M | ||
Percent Insiders 3.53 | Percent Institutions 91.85 |
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.
Note: This website is maintained by Upturn Corporation, which is an investment adviser registered with the U.S. Securities and Exchange Commission. Such registration does not imply a certain level of skill or training. Investing in securities has risks. Past performance is no guarantee of future returns. No assurance is provided as to any particular investment return, and you may lose money using our services. You are strongly advised to consult appropriate counsel before making any investments in companies you learn about through our services. You should obtain appropriate legal, tax, investment, accounting, and other advice that takes into account your investment portfolio and overall financial situation. You are solely responsible for conducting due diligence on a potential investment. We do not affect trades for you. You will select your own broker through which to transact. Investments are not FDIC insured, they are not guaranteed, and they may lose value. Please see the Privacy Policy, Terms of Use, and Disclosure for more information.
All company names, trademarks, logos, and brands are the property of their respective owners and are used for identification and informational purposes only. Use of these names, trademarks, and logos does not imply endorsement by their respective owners.