ENSG

MKT CAP:$11B

The Ensign Group, Inc.

Market Cap

$11B

Healthcare·Medical - Care Facilities·🇺🇸 United States·NASDAQ

Healthcare·Medical·🇺🇸·NASDAQ

Stock Price

$189.34+$15.42 (+8.87%)

Apr 23, 2026

Company Details

The Ensign Group, Inc. provides health care services in the post-acute care continuum and other ancillary businesses. The company operates in two segments, Skilled Services and Real Estate. The company offers skilled services, which include...

CEO

Barry R. Port

IPO Date

Nov 9, 2007

Website

ensigngroup.net

Key Metrics TTM

Revenue

$5.1B

+18.7% YoY

Net Income

$344M

EPS (Diluted)

$5.84

Free Cash Flow

$371M

Revenue / Share

$85.31

Gross Margin

13.7%

Operating Margin

8.4%

Net Margin

6.8%

FCF Margin

7.3%

P/S

2.2x

P/E

32.0x

Earnings Reports

Q1 2026

May 5, 2026

PENDING

FY 2025

Feb 4, 2026

$5.1B+18.7%EPS $5.84

Q4 2025

Feb 4, 2026

$1.4B+20.2%EPS $1.61

Q3 2025

Nov 3, 2025

$1.3B+19.8%EPS $1.42

Q2 2025

Jul 24, 2025

$1.2B+18.5%EPS $1.44

Revenue & Profitability

Quarter	Revenue	Gross Profit	Operating Income
Q4 20	$629M	$103M	$56M
Q4 21	$693M	$122M	$66M
Q2 22	$732M	$132M	$78M
Q3 22	$770M	$129M	$74M
Q4 22	$810M	$135M	$75M
Q1 23	$887M	$144M	$75M
Q2 23	$921M	$149M	$78M
Q3 23	$941M	$149M	$80M
Q1 24	$1.0B	$159M	$82M
Q2 24	$1.0B	$163M	$86M
Q3 24	$1.1B	$167M	$89M
Q4 24	$1.1B	$179M	$101M
Q1 25	$1.2B	$188M	$101M
Q2 25	$1.2B	$199M	$104M
Q3 25	$1.3B	$190M	$96M
Q4 25	$1.4B	$118M	$124M

Valuation

Quarter	P/S	P/E
Q4 20	5.8x	110.9x
Q4 21	5.2x	82.3x
Q2 22	4.6x	61.1x
Q3 22	3.9x	52.6x
Q4 22	3.7x	49.3x
Q1 23	3.4x	47.0x
Q2 23	3.2x	45.7x
Q3 23	3.1x	44.3x
Q1 24	2.9x	42.9x
Q2 24	2.8x	41.1x
Q3 24	2.7x	39.0x
Q4 24	2.6x	36.9x
Q1 25	2.5x	35.5x
Q2 25	2.4x	34.1x
Q3 25	2.3x	33.5x
Q4 25	2.2x	32.0x

Operating Cash Flow

Quarter	Operating CF	Free CF
Q4 20	$91M	$79M
Q4 21	$71M	$52M
Q2 22	$84M	$63M
Q3 22	$93M	$70M
Q4 22	$50M	$22M
Q1 23	$48M	$22M
Q2 23	$120M	$95M
Q3 23	$123M	$98M
Q1 24	$35M	$6M
Q2 24	$77M	$42M
Q3 24	$134M	$89M
Q4 24	$100M	$52M
Q1 25	$72M	$29M
Q2 25	$156M	$106M
Q3 25	$153M	$102M
Q4 25	$183M	$133M

Capital Expenditures

Quarter	CapEx
Q4 20	$13M
Q4 21	$19M
Q2 22	$21M
Q3 22	$23M
Q4 22	$28M
Q1 23	$27M
Q2 23	$25M
Q3 23	$26M
Q1 24	$29M
Q2 24	$35M
Q3 24	$45M
Q4 24	$48M
Q1 25	$43M
Q2 25	$50M
Q3 25	$51M
Q4 25	$50M

CapEx

OpEx vs Revenue Growth (YoY)

Quarter	Revenue Growth	OpEx Growth
Q4 20	+46.9%	+40.5%
Q4 21	+47.0%	+40.7%
Q2 22	+50.2%	+41.7%
Q3 22	+147.5%	+134.6%
Q4 22	+28.7%	+28.1%
Q1 23	+27.9%	+29.4%
Q2 23	+25.8%	+28.9%
Q3 23	+22.2%	+23.8%
Q1 24	+24.8%	+26.4%
Q2 24	+16.9%	+17.0%
Q3 24	+17.4%	+17.7%
Q4 24	+20.4%	+19.8%
Q1 25	+16.1%	+15.5%
Q2 25	+18.5%	+18.3%
Q3 25	+19.8%	+20.9%
Q4 25	+20.2%	+19.9%

Stock-Based Compensation

Quarter	SBC ($)	% of Revenue
Q4 20	$4M	0.6%
Q4 21	$5M	0.7%
Q2 22	$6M	0.8%
Q3 22	$6M	0.8%
Q4 22	$6M	0.7%
Q1 23	$7M	0.7%
Q2 23	$9M	1.0%
Q3 23	$7M	0.8%
Q1 24	$8M	0.8%
Q2 24	$9M	0.9%
Q3 24	$9M	0.8%
Q4 24	$10M	0.9%
Q1 25	$11M	0.9%
Q2 25	$12M	0.9%
Q3 25	$13M	1.0%
Q4 25	$13M	0.9%

OpEx Breakdown

Quarter	G&A
Q4 20	$33M
Q4 21	$42M
Q2 22	$39M
Q3 22	$39M
Q4 22	$43M
Q1 23	$52M
Q2 23	$53M
Q3 23	$51M
Q1 24	$57M
Q2 24	$56M
Q3 24	$56M
Q4 24	$56M
Q1 25	$63M
Q2 25	$69M
Q3 25	$67M
Q4 25	$71M

Revenue Segments

Quarter	Transitional and Skilled Services Segment	Rental	Service	Other Segments	Skilled Services Segment	Standard Bearer Segment
Q4 20	$603M	—	—	—	—	—
Q4 21	—	$4M	$689M	—	—	—
Q2 22	—	$4M	$728M	—	—	—
Q3 22	—	$4M	$766M	—	—	—
Q4 22	—	—	—	$25M	$778M	—
Q1 23	—	$5M	$882M	—	—	—
Q2 23	—	$5M	$916M	—	—	—
Q3 23	—	$5M	$935M	—	—	—
Q1 24	—	$6M	$1.0B	—	—	—
Q2 24	—	$6M	$1.0B	—	—	—
Q3 24	—	$6M	$1.1B	—	—	—
Q1 25	—	$28M	$1.2B	—	—	—
Q2 25	—	—	—	—	$1.2B	$31M
Q3 25	—	—	—	—	$1.2B	$33M

War Chest

Quarter	Cash	Short-term Investments	Total
Q1 22	$249M	$12M	$261M
Q2 22	$286M	$9M	$295M
Q3 22	$309M	$12M	$321M
Q4 22	$316M	$15M	$332M
Q1 23	$327M	$20M	$347M
Q2 23	$420M	$20M	$440M
Q3 23	$468M	$16M	$484M
Q4 23	$510M	$17M	$527M
Q1 24	$512M	$14M	$526M
Q2 24	$477M	$24M	$501M
Q3 24	$532M	$39M	$571M
Q4 24	$465M	$62M	$527M
Q1 25	$283M	$62M	$344M
Q2 25	$364M	$54M	$418M
Q3 25	$444M	$63M	$506M
Q4 25	$504M	$69M	$572M

Shares Outstanding

Quarter	Shares (Diluted)	QoQ Change	YoY Change
Q4 20	56M	+1.0%	+8.2%
Q4 21	57M	+0.9%	+7.6%
Q2 22	57M	+0.0%	+6.9%
Q3 22	57M	-0.2%	+1.8%
Q4 22	56M	-1.9%	-1.1%
Q1 23	57M	+2.6%	+0.5%
Q2 23	57M	+0.3%	+0.7%
Q3 23	57M	+0.1%	+1.0%
Q1 24	58M	+1.0%	+4.1%
Q2 24	58M	+0.2%	+1.6%
Q3 24	58M	+0.7%	+2.1%
Q4 24	59M	+0.2%	+2.2%
Q1 25	59M	-0.1%	+1.0%
Q2 25	59M	+0.2%	+1.0%
Q3 25	59M	+0.6%	+0.9%
Q4 25	59M	+0.6%	+1.2%

Shares Outstanding

Revenue Per Employee

Period	Revenue/Employee	Employees
Q4 20	$25.8K	24K
Q4 21	$26.8K	26K
Q2 22	$28.3K	26K
Q3 22	$29.7K	26K
Q4 22	$27.1K	30K
Q1 23	$29.7K	30K
Q2 23	$30.8K	30K
Q3 23	$31.5K	30K
Q1 24	$28.6K	35K
Q2 24	$29.4K	35K
Q3 24	$30.6K	35K
Q4 24	$28.8K	39K
Q1 25	$29.8K	39K
Q2 25	$31.2K	39K
Q3 25	$33.0K	39K
Q4 25	$29.6K	46K

Revenue / Employee