Ensign Group (ENSG)

Nasdaq Health Care Health Care Facilities S&P MidCap 400

$181.08

-1.31 (-0.72%)

Close of Nov 06, 2026 · end-of-day data

Source: Ensign Group's 10-K / 10-Q XBRL data on SEC EDGAR · fetched Nov 04, 2026

Revenue, net income & free cash flow

Income statement

fiscal years · USD

Fiscal year	FY2016	FY2017	FY2018	FY2019	FY2020	FY2021	FY2022	FY2023	FY2024	FY2025
Revenue	$1.65B	$1.60B	$1.75B	$2.04B	$2.39B	$2.63B	$3.03B	$3.71B	$4.24B	$5.03B
Cost of revenue	$1.34B	$1.31B	$1.42B	$1.62B	$1.87B	$2.02B	$2.35B	$2.94B	$3.38B	$4.02B
Gross profit	$313.05M	$284.88M	$336.35M	$415.90M	$522.24M	$607.58M	$671.03M	$766.83M	$860.64M	$1.01B
Operating income	$91.85M	$43.19M	$84.91M	$129.18M	$223.16M	$260.46M	$296.82M	$255.37M	$358.30M	$425.31M
Interest expense	$7.14M	$13.62M	$15.18M	$15.66M	$9.36M	$6.85M	$8.93M	$8.09M	$8.29M	$7.99M
Pre-tax income	$85.82M	$31.18M	$71.75M	$116.17M	$217.61M	$258.00M	$289.09M	$272.76M	$386.09M	$455.62M
Income tax	$32.98M	$14.21M	$12.69M	$23.95M	$46.24M	$60.28M	$64.44M	$62.91M	$87.64M	$111.36M
Net income	$49.99M	$40.48M	$92.36M	$110.53M	$170.48M	$194.65M	$224.68M	$209.40M	$297.97M	$343.97M
EBITDA	$130.53M	$85.45M	$129.78M	$180.23M	$277.73M	$316.45M	$359.18M	$327.75M	$442.44M	$529.63M
EPS (basic)	$0.99	$0.79	$1.78	$2.07	$3.19	$3.57	$4.09	$3.76	$5.26	$6.00
EPS (diluted)	$0.96	$0.77	$1.70	$1.97	$3.06	$3.42	$3.95	$3.65	$5.12	$5.84
Diluted shares	52.13M	52.83M	54.40M	55.98M	55.79M	56.92M	56.87M	57.32M	58.24M	58.87M
Gross margin	18.9%	17.8%	19.2%	20.4%	21.9%	23.1%	22.2%	20.7%	20.3%	20.1%
Operating margin	5.6%	2.7%	4.8%	6.3%	9.3%	9.9%	9.8%	6.9%	8.5%	8.5%
Net margin	3.0%	2.5%	5.3%	5.4%	7.1%	7.4%	7.4%	5.6%	7.0%	6.8%

Balance sheet

fiscal years · USD

Fiscal year	FY2016	FY2017	FY2018	FY2019	FY2020	FY2021	FY2022	FY2023	FY2024	FY2025
Cash & equivalents	$57.71M	$42.34M	$31.04M	$59.17M	$236.56M	$262.20M	$316.27M	$509.63M	$464.60M	$503.88M
Short-term investments	$11.55M	$13.09M	$8.68M	$17.75M	$13.45M	$13.76M	$15.44M	$17.23M	$62.26M	$68.51M
Receivables	$244.43M	$265.07M	$251.91M	$308.99M	$305.06M	$328.73M	$408.43M	$485.04M	$569.90M	$636.99M
Total current assets	$333.86M	$368.08M	$348.07M	$411.08M	$582.96M	$639.71M	$781.12M	$1.05B	$1.16B	$1.27B
Goodwill	$45.98M	$53.10M	$49.59M	$54.47M	$54.47M	$60.47M	$76.87M	$76.87M	$97.98M	$97.98M
Total assets	$1.00B	$1.10B	$1.18B	$2.36B	$2.55B	$2.85B	$3.45B	$4.18B	$4.67B	$5.46B
Total current liabilities	$211.93M	$225.82M	$269.23M	$343.17M	$562.40M	$523.07M	$582.07M	$734.75M	$743.43M	$894.35M
Short-term debt	$8.13M	$9.94M	$10.11M	$2.70M	$2.96M	$3.76M	$3.88M	$3.95M	$4.09M	$4.23M
Long-term debt	$275.49M	$302.99M	$233.13M	$330.35M	$117.65M	$152.88M	$149.27M	$145.50M	$141.59M	$137.53M
Total debt	$283.62M	$312.93M	$243.24M	$333.05M	$120.61M	$156.64M	$153.15M	$149.45M	$145.67M	$141.76M
Total liabilities	$540.53M	$602.37M	$579.62M	$1.71B	$1.73B	$1.83B	$2.20B	$2.68B	$2.83B	$3.23B
Shareholders' equity	$456.45M	$492.40M	$590.93M	$654.20M	$818.08M	$1.02B	$1.25B	$1.49B	$1.84B	$2.23B

Cash flow

fiscal years · USD

Fiscal year	FY2016	FY2017	FY2018	FY2019	FY2020	FY2021	FY2022	FY2023	FY2024	FY2025
Operating cash flow	$73.89M	$79.54M	$210.30M	$192.22M	$373.35M	$275.68M	$272.51M	$376.67M	$347.19M	$564.27M
Capital expenditures	$65.70M	$54.08M	$50.89M	$71.54M	—	—	—	—	—	—
Free cash flow	$8.19M	$25.46M	$159.41M	$120.68M	$373.35M	$275.68M	$272.51M	$376.67M	$347.19M	$564.27M
Investing cash flow	-$210.64M	-$113.18M	-$151.21M	-$247.01M	-$58.67M	-$173.91M	-$186.18M	-$182.70M	-$390.05M	-$513.18M
Financing cash flow	$152.88M	$18.27M	-$70.34M	$82.88M	-$137.30M	-$76.14M	-$32.26M	-$612.00K	-$2.16M	-$11.81M
Dividends paid	$8.17M	$8.72M	$9.42M	$10.19M	$10.83M	$11.55M	$12.17M	$12.89M	$13.67M	$14.41M
Share buybacks	$30.00M	$7.29M	$0	$6.41M	$25.00M	$10.12M	$29.88M	$0	$0	$20.00M
Stock-based compensation	$9.10M	$7.75M	$8.37M	$11.32M	$14.52M	$18.68M	$22.72M	$30.77M	$36.23M	$48.30M
Depreciation & amortization	$38.68M	$42.27M	$44.86M	$51.05M	$54.57M	$55.98M	$62.35M	$72.39M	$84.14M	$104.33M

Income statement

quarters · USD

Quarter ended	Dec 2023	Mar 2024	Jun 2024	Sep 2024	Dec 2024	Mar 2025	Jun 2025	Sep 2025	Dec 2025	Mar 2026	Jun 2026	Sep 2026
Revenue	$959.09M	$1.01B	$1.03B	$1.08B	$1.13B	$1.17B	$1.22B	$1.29B	$1.35B	$1.38B	$1.43B	$1.48B
Cost of revenue	$781.16M	$799.26M	$820.36M	$859.99M	$897.27M	$927.85M	$971.78M	$1.04B	$1.07B	$1.10B	$1.13B	$1.17B
Gross profit	$177.94M	$210.91M	$210.21M	$216.10M	$229.10M	$239.19M	$249.63M	$245.12M	$279.10M	$286.48M	$298.26M	$310.03M
Operating income	$22.83M	$82.22M	$85.97M	$89.34M	$100.78M	$101.37M	$103.90M	$96.22M	$123.81M	$124.85M	$122.50M	$137.99M
Interest expense	$2.00M	$1.96M	$2.04M	$2.02M	$2.26M	$2.04M	$2.02M	$1.97M	$1.96M	$1.93M	$1.93M	$2.29M
Pre-tax income	$31.28M	$89.60M	$92.06M	$98.67M	$105.76M	$106.58M	$112.36M	$106.60M	$130.08M	$128.57M	$133.67M	$140.20M
Income tax	$9.46M	$20.64M	$20.88M	$20.11M	$26.01M	$26.23M	$27.89M	$22.69M	$34.55M	$28.82M	$33.84M	$35.81M
Net income	$21.69M	$68.83M	$71.01M	$78.44M	$79.69M	$80.28M	$84.40M	$83.84M	$95.45M	$99.67M	$99.74M	$104.26M
EBITDA	$42.06M	$101.88M	$106.46M	$110.81M	$123.30M	$125.56M	$129.69M	$122.85M	$151.53M	$153.65M	$153.91M	$170.63M
EPS (basic)	$0.38	$1.22	$1.26	$1.38	$1.40	$1.41	$1.48	$1.46	$1.66	$1.73	$1.72	$1.80
EPS (diluted)	$0.37	$1.19	$1.22	$1.34	$1.36	$1.37	$1.44	$1.42	$1.61	$1.67	$1.68	$1.76
Diluted shares	78.00K	57.92M	58.01M	58.44M	115.00K	58.50M	58.60M	58.96M	160.00K	59.57M	59.48M	59.30M
Gross margin	18.6%	20.9%	20.4%	20.1%	20.3%	20.5%	20.4%	19.0%	20.6%	20.7%	20.8%	21.0%
Operating margin	2.4%	8.1%	8.3%	8.3%	8.9%	8.7%	8.5%	7.5%	9.1%	9.0%	8.6%	9.3%
Net margin	2.3%	6.8%	6.9%	7.3%	7.1%	6.9%	6.9%	6.5%	7.1%	7.2%	7.0%	7.1%

Balance sheet

quarters · USD

Quarter ended	Dec 2023	Mar 2024	Jun 2024	Sep 2024	Dec 2024	Mar 2025	Jun 2025	Sep 2025	Dec 2025	Mar 2026	Jun 2026	Sep 2026
Cash & equivalents	$509.63M	$511.84M	$477.34M	$532.07M	$464.60M	$282.67M	$363.97M	$443.67M	$503.88M	$539.50M	$262.30M	$337.59M
Short-term investments	$17.23M	$14.46M	$24.13M	$38.97M	$62.26M	$61.80M	$54.47M	$62.64M	$68.51M	$55.68M	$58.54M	$54.10M
Receivables	$485.04M	$519.44M	$547.12M	$554.09M	$569.90M	$584.05M	$578.05M	$612.74M	$636.99M	$663.25M	$668.90M	$664.77M
Total current assets	$1.05B	$1.09B	$1.12B	$1.20B	$1.16B	$986.39M	$1.07B	$1.21B	$1.27B	$1.32B	$1.07B	$1.15B
Goodwill	$76.87M	$77.24M	$77.24M	$77.24M	$97.98M	$106.31M	$97.98M	$97.98M	$97.98M	$97.98M	$97.98M	$97.98M
Total assets	$4.18B	$4.31B	$4.44B	$4.63B	$4.67B	$4.76B	$4.93B	$5.23B	$5.46B	$5.61B	$5.75B	$6.00B
Total current liabilities	$734.75M	$709.72M	$730.77M	$768.94M	$743.43M	$705.21M	$755.54M	$825.23M	$894.35M	$848.05M	$884.80M	$962.91M
Short-term debt	$3.95M	$3.98M	$4.02M	$4.05M	$4.09M	$4.12M	$4.16M	$4.19M	$4.23M	$4.26M	$4.18M	$4.04M
Long-term debt	$145.50M	$144.53M	$143.56M	$142.58M	$141.59M	$140.59M	$139.58M	$138.56M	$137.53M	$136.49M	$135.56M	$194.68M
Total debt	$149.45M	$148.52M	$147.58M	$146.63M	$145.67M	$144.71M	$143.73M	$142.75M	$141.76M	$140.75M	$139.74M	$198.72M
Total liabilities	$2.68B	$2.72B	$2.77B	$2.88B	$2.83B	$2.83B	$2.91B	$3.10B	$3.23B	$3.24B	$3.30B	$3.43B
Shareholders' equity	$1.49B	$1.58B	$1.66B	$1.75B	$1.84B	$1.93B	$2.02B	$2.12B	$2.23B	$2.37B	$2.44B	$2.56B

Cash flow

quarters · USD

Quarter ended	Dec 2023	Mar 2024	Jun 2024	Sep 2024	Dec 2024	Mar 2025	Jun 2025	Sep 2025	Dec 2025	Mar 2026	Jun 2026	Sep 2026
Operating cash flow	$85.27M	$35.31M	$76.94M	$134.48M	$100.46M	$72.22M	$155.73M	$153.00M	$183.32M	$100.15M	$171.95M	$240.24M
Free cash flow	$85.27M	$35.31M	$76.94M	$134.48M	$100.46M	$72.22M	$155.73M	$153.00M	$183.32M	$100.15M	$171.95M	$240.24M
Investing cash flow	-$44.94M	-$34.66M	-$109.91M	-$78.90M	-$166.59M	-$243.80M	-$68.12M	-$77.31M	-$123.94M	-$71.19M	-$407.71M	-$212.04M
Financing cash flow	$1.43M	$1.56M	-$1.53M	-$850.00K	-$1.34M	-$10.35M	-$6.31M	$4.01M	$833.00K	$6.65M	-$41.45M	$47.10M
Dividends paid	$3.24M	$3.40M	$3.41M	$3.42M	$3.44M	$3.59M	$3.60M	$3.60M	$3.62M	$3.77M	$3.80M	$3.79M
Share buybacks	$0	$0	$0	$0	$0	$10.78M	$9.22M	$0	$0	$0	$40.00M	$7.43M
Stock-based compensation	$8.08M	$8.24M	$8.98M	$9.18M	$9.82M	$10.72M	$11.66M	$12.99M	$12.92M	$13.89M	$16.17M	$19.04M
Depreciation & amortization	$19.23M	$19.66M	$20.49M	$21.47M	$22.52M	$24.19M	$25.79M	$26.63M	$27.72M	$28.80M	$31.41M	$32.65M

Quarterly figures are rebuilt from the year-to-date totals companies report — Q4 is the full year minus the first nine months, since no 10-Q is filed for it. Values are as filed; later restatements replace earlier ones. Fiscal years are labelled by the calendar year in which they end.