# The Ensign Group, Inc. (ENSG)

**Exchange:** NASDAQ  
**Sector:** Healthcare  
**Market cap:** $8.93B  
**Price:** $151.65 (-2.32%)

> The Ensign Group, Inc. is a diversified provider of post-acute healthcare services through its independent operating subsidiaries. It delivers skilled nursing, senior living including assisted and independent living, rehabilitative therapies such as physical, occupational, and speech therapy, and other healthcare services. The company operates via two main segments: Skilled Services, offering short- and long-term nursing care for chronic conditions, elderly patients, and specialty care like dialysis, ventilator management, cardiac, and pulmonary services, along with amenities such as nutritional programs, social and recreational activities; and Standard Bearer, which leases post-acute care properties to healthcare operators. Ancillary services include mobile diagnostics like digital x-ray, ultrasound, and electrocardiograms, sub-acute care, respiratory therapy, long-term care pharmacy, and patient transportation for home or facility-based needs. Ensign affiliates serve communities across multiple states in the United States, emphasizing resident-centered care through empowered local teams. Founded in 1999 and headquartered in San Juan Capistrano, California, The Ensign Group, Inc. plays a key role in the healthcare sector by supporting the post-acute care continuum.

## Income Statement (Annual, USD)

| Fiscal Year | Revenue | Gross Profit | Operating Income | Net Income | EPS (dil.) |
| --- | --- | --- | --- | --- | --- |
| 2025 | $5.03B | $1.01B | $425M | $344M | $5.84 |
| 2024 | $4.24B | $861M | $358M | $298M | $5.12 |
| 2023 | $3.71B | $767M | $255M | $209M | $3.65 |
| 2022 | $3.03B | $671M | $297M | $225M | $3.95 |
| 2021 | $2.63B | $608M | $260M | $195M | $3.42 |
| 2020 | $2.39B | $522M | $223M | $170M | $3.06 |
| 2019 | $2.04B | $416M | $129M | $111M | $1.97 |
| 2018 | $1.75B | $336M | $85M | $92M | $1.70 |
| 2017 | $1.60B | $285M | $43M | $40M | $0.77 |
| 2016 | $1.65B | $313M | $92M | $50M | $0.96 |

## Balance Sheet (Annual, USD)

| Fiscal Year | Total Assets | Total Liabilities | Equity | Cash | Long-term Debt |
| --- | --- | --- | --- | --- | --- |
| 2025 | $5.46B | $3.23B | $2.23B | $504M | $144M |
| 2024 | $4.67B | $2.83B | $1.84B | $465M | $148M |
| 2023 | $4.18B | $2.68B | $1.49B | $510M | $152M |
| 2022 | $3.45B | $2.20B | $1.25B | $316M | $156M |
| 2021 | $2.85B | $1.83B | $1.02B | $262M | $160M |
| 2020 | $2.55B | $1.73B | $818M | $237M | $118M |
| 2019 | $2.36B | $1.71B | $654M | $59M | $330M |
| 2018 | $1.18B | $580M | $591M | $31M | $246M |
| 2017 | $1.10B | $602M | $492M | $42M | $316M |
| 2016 | $1.00B | $541M | $456M | $58M | $284M |

## Cash Flow (Annual, USD)

| Fiscal Year | Operating Cash Flow | CapEx | Free Cash Flow |
| --- | --- | --- | --- |
| 2025 | $564M | — | — |
| 2024 | $347M | — | — |
| 2023 | $377M | — | — |
| 2022 | $273M | — | — |
| 2021 | $276M | — | — |
| 2020 | $373M | — | — |
| 2019 | $192M | $72M | $121M |
| 2018 | $210M | $51M | $159M |
| 2017 | $80M | $54M | $25M |
| 2016 | $74M | $66M | $8M |
| 2015 | $33M | $60M | -$27M |
| 2014 | $85M | $54M | $31M |
| 2013 | $37M | $30M | $8M |
| 2012 | $82M | $39M | $43M |
| 2011 | $73M | $41M | $32M |

Source: [CompaniesByCap](https://companiesbycap.com/company/ENSG)