ENSGThe Ensign Group, Inc.

$171.78+4.7% 1Y

Is the business good?

Mixed

The checks split: nothing decisive, though earnings fully cash-backed (1.7×).

1 good, 3 neutral
Fundamental health (F-score)5 / 9SEC EDGAR · Dec 31, 2025

Mixed fundamental signals. Nine pass/fail tests of year-over-year health from the filings.

Profits arrive as cash1.71×derived · Jun 30, 2026

Operating profit is fully backed by cash. Conversion is improving vs a year ago.

Margin direction, 3 years−0.4 pts

Profits are tracking sales roughly one-for-one, limited operating leverage either way.

Where ROE comes from6% ROA

A balanced mix of margins, efficiency, and leverage. ROE 15% = margin × turnover × leverage.

Unless marked, from derived.

Against the whole market›

Percentile against every name Ryufin tracks. Higher is better; the tick marks the middle of the market. Context, not one of the checks above.

Leverage (Debt/EBITDA)top 7% of the market

Where this answer is blind. The F-score rewards improvement, so an already-elite company can score mid-pack.

How good a business is ENSG?

The Ensign Group, Inc. earns 16% on the capital it employs against a 9.0% cost of capital, so the business is worth more the bigger it gets.

16%

Return on invested capital · cost of capital 9.0% · 7.3 points above what the capital costs: growth creates value

Operating margin
8.6%

Operating margin · Medical Care Facilities median 9.3% · 12 months to Q2 2026

Cash conversion
1.71×

Cash conversion · 1.53× a year ago · operating cash flow covers the operating profit after tax

Share count, year on year
+1.5%

Share count, year on year · shareholders own a smaller slice than a year ago

Operating margin by fiscal year
YearOperating margin
FY20209.3%
FY20219.9%
FY20229.8%
FY20236.9%
FY20248.5%
FY20258.5%
Details›
Gross margin12 months to Q2 2026
20%
Operating margin12 months to Q2 2026
8.6%
Net margin12 months to Q2 2026
6.9%
Revenue, trailing twelve months
$5.46B
Net income, trailing twelve months
$379M
Return on invested capitaloperating profit after tax ÷ debt + equity − cash
16%

Margins, capital and share counts from the statements as filed with the SEC; cash conversion is operating cash flow over operating profit after tax.

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