Ensign Group, Inc - Understand $ensg stock

$ENSG Market Cap: $8.343 Billion

Research Board Inbox Deep Research Not Interested Shortlisted

Financial Snapshot

Revenue

$4.109B

TTM

Gross Margin

20.91%

TTM

Net Earnings

$240.0M

TTM

Current Assets

$1.197B

Q3 2024

Current Liabilities

$768.9M

Q3 2024

Current Ratio

155.66%

Q3 2024

Total Assets

$4.629B

Q3 2024

Total Liabilities

$2.878B

Q3 2024

Book Value

$1.751B

Q3 2024

Cash

$532.1M

Q3 2024

P/E

34.77

Nov 29, 2024 EST

Free Cash Flow

$96.05M

TTM

Revenues

Revenue YoY Change

Revenues

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009	2008	2007	2006	2005	2004	2003
Revenue	$3.729B	$3.025B	$2.627B	$2.403B	$2.037B	$1.755B	$1.849B	$1.655B	$1.342B	$1.027B	$904.6M	$823.2M	$758.3M	$649.5M	$542.0M	$469.4M	$411.3M	$358.6M	$300.9M	$244.5M	$158.0M
YoY Change	23.27%	15.15%	9.36%	17.98%	16.07%	-5.12%	11.75%	23.33%	30.6%	13.58%	9.89%	8.56%	16.74%	19.84%	15.47%	14.13%	14.7%	19.18%	23.07%	54.75%	54.75%

Expenses

Cost Of Revenues

Gross Profit

Gross Profit Margin

Gross Profit

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009	2008	2007	2006	2005	2004	2003
Revenue	$3.729B	$3.025B	$2.627B	$2.403B	$2.037B	$1.755B	$1.849B	$1.655B	$1.342B	$1.027B	$904.6M	$823.2M	$758.3M	$649.5M	$542.0M	$469.4M	$411.3M	$358.6M	$300.9M	$244.5M	$158.0M
Cost Of Revenue	$2.941B	$2.354B	$2.020B	$1.865B	$1.621B	$1.418B	$1.313B	$1.342B	$1.068B	$822.7M	$739.6M	$669.7M	$614.5M	$531.1M	$449.0M	$391.7M	$351.7M	$301.3M	$255.5M	$214.8M	$138.5M
Gross Profit	$788.1M	$671.0M	$607.6M	$537.4M	$415.9M	$336.4M	$535.9M	$313.1M	$274.1M	$204.7M	$165.0M	$153.5M	$143.7M	$118.4M	$93.00M	$77.70M	$59.60M	$57.30M	$45.40M	$29.80M	$19.50M
Gross Profit Margin	21.13%	22.18%	23.12%	22.37%	20.42%	19.17%	28.98%	18.92%	20.43%	19.93%	18.24%	18.65%	18.95%	18.23%	17.16%	16.55%	14.49%	15.98%	15.09%	12.19%	12.34%

Selling, General & Admin Expense

Research & Development

Depreciation, Depletion & Amortization

SGA Expense to Gross Profit Ratio

R&D To Gross Profit Ratio

DDA To Gross Profit Ratio

Operating Expenses Total

Operating Profits/Loss

Operational Expenses

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009	2008	2007	2006	2005	2004	2003
Selling, General & Admin	$480.8M	$328.8M	$305.2M	$272.4M	$235.7M	$208.2M	$186.1M	$69.20M	$64.20M	$56.90M	$40.10M	$31.80M	$29.80M	$26.10M	$20.80M	$20.00M	$15.90M	$14.20M	$10.90M	$8.500M	$6.200M
YoY Change	46.24%	7.73%	12.04%	15.57%	13.21%	11.88%	168.93%	7.79%	12.83%	41.9%	26.1%	6.71%	14.18%	25.48%	4.0%	25.79%	11.97%	30.28%	28.24%	37.1%	51.22%
% of Gross Profit	61.01%	49.0%	50.23%	50.69%	56.67%	61.9%	34.73%	22.11%	23.42%	27.79%	24.3%	20.72%	20.74%	22.04%	22.37%	25.74%	26.68%	24.78%	24.01%	28.52%	31.79%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$72.39M	$62.36M	$55.99M	$54.57M	$51.05M	$44.86M	$42.27M	$38.68M	$28.11M	$26.43M	$33.91M	$28.36M	$23.29M	$16.63M	$13.28M	$9.000M	$7.000M	$4.200M	$2.500M	$1.900M	$1.200M
YoY Change	16.09%	11.38%	2.59%	6.89%	13.8%	6.14%	9.27%	37.6%	6.36%	-22.06%	19.57%	21.78%	40.0%	25.29%	47.51%	28.57%	66.67%	68.0%	31.58%	58.33%	33.33%
% of Gross Profit	9.18%	9.29%	9.21%	10.15%	12.28%	13.34%	7.89%	12.36%	10.25%	12.91%	20.55%	18.47%	16.2%	14.05%	14.28%	11.58%	11.74%	7.33%	5.51%	6.38%	6.15%
Operating Expenses	$553.2M	$391.1M	$361.2M	$327.0M	$286.7M	$253.2M	$228.3M	$107.8M	$92.20M	$83.30M	$74.00M	$60.20M	$53.10M	$42.80M	$34.10M	$29.00M	$22.90M	$18.40M	$13.40M	$10.40M	$7.500M
YoY Change	41.43%	8.29%	10.46%	14.06%	13.23%	10.91%	111.78%	16.92%	10.68%	12.57%	22.92%	13.37%	24.07%	25.51%	17.59%	26.64%	24.46%	37.31%	28.85%	38.67%	50.0%
Operating Profit	$255.4M	$296.8M	$260.5M	$223.2M	$129.2M	$84.91M	$43.19M	$91.85M	$93.08M	$72.92M	$57.94M	$78.27M	$90.70M	$75.65M	$58.94M	$48.70M	$36.70M	$38.90M	$32.00M	$19.40M	$12.00M
YoY Change	-13.97%	13.96%	16.72%	72.75%	52.13%	96.62%	-52.98%	-1.33%	27.64%	25.86%	-25.97%	-13.7%	19.88%	28.36%	21.02%	32.7%	-5.66%	21.56%	64.95%	61.67%	103.39%

Interest Expenses

Interest Expenses To Operating Income %

Other Expense/Income

Interest & Other Expense/Income

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009	2008	2007	2006	2005	2004	2003
Interest Expense	$8.087M	$8.931M	$6.849M	$9.362M	$15.66M	$15.18M	$13.62M	$7.136M	$2.828M	$12.98M	$12.79M	$12.23M	$13.78M	$9.123M	$5.691M	-$3.400M	-$3.300M	-$2.200M	-$1.500M	-$1.500M	-$1.300M
YoY Change	-9.45%	30.4%	-26.84%	-40.22%	3.16%	11.5%	90.81%	152.33%	-78.21%	1.48%	4.56%	-11.24%	51.02%	60.31%	-267.38%	3.03%	50.0%	46.67%	0.0%	15.38%	18.18%
% of Operating Profit	3.17%	3.01%	2.63%	4.2%	12.12%	17.88%	31.53%	7.77%	3.04%	17.79%	22.07%	15.62%	15.19%	12.06%	9.66%	-6.98%	-8.99%	-5.66%	-4.69%	-7.73%	-10.83%
Other Income/Expense, Net	$17.40M	-$7.736M	-$2.461M	-$5.549M	-$13.01M	-$13.17M	-$12.01M	-$6.029M	-$1.983M	-$12.38M	-$12.28M	-$11.97M	-$13.53M	-$8.875M	-$5.412M
YoY Change	-324.86%	214.34%	-55.65%	-57.36%	-1.16%	9.65%	99.15%	204.03%	-83.98%	0.82%	2.56%	-11.49%	52.44%	63.99%

Income/Loss

Pretax Income

Income Tax

Net Profits/Loss

Pretax Income YoY Change

Income Tax Rate

Net Profits/Loss YoY Change

Basic EPS

Net Income To Revenue Ratio

Pretax & Net Income

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009	2008	2007	2006	2005	2004	2003
Pretax Income	$272.8M	$289.1M	$258.0M	$217.6M	$116.2M	$71.75M	$31.18M	$85.82M	$91.10M	$60.54M	$45.66M	$66.30M	$77.17M	$66.78M	$53.53M	$45.20M	$33.40M	$36.70M	$30.40M	$17.80M	$10.80M
YoY Change	-5.65%	12.05%	18.56%	87.32%	61.91%	130.11%	-63.67%	-5.8%	50.47%	32.59%	-31.13%	-14.08%	15.56%	24.76%	18.42%	35.33%	-8.99%	20.72%	70.79%	64.81%	125.0%
Income Tax	$62.91M	$64.44M	$60.28M	$46.24M	$23.95M	$12.69M	$14.21M	$32.98M	$35.18M	$26.80M	$20.00M	$25.13M	$29.49M	$26.25M	$21.04M	$17.70M	$12.90M	$14.10M	$12.10M	$6.700M	$4.300M
% Of Pretax Income	23.06%	22.29%	23.36%	21.25%	20.62%	17.68%	45.56%	38.42%	38.62%	44.27%	43.81%	37.91%	38.22%	39.31%	39.31%	39.16%	38.62%	38.42%	39.8%	37.64%	39.81%
Net Earnings	$209.4M	$224.7M	$194.7M	$170.5M	$110.5M	$92.36M	$40.48M	$49.99M	$55.43M	$35.95M	$24.04M	$40.59M	$47.68M	$40.53M	$32.49M	$27.50M	$20.50M	$22.50M	$18.40M	$11.10M	$6.500M
YoY Change	-6.8%	15.43%	14.18%	54.23%	19.67%	128.2%	-19.03%	-9.82%	54.19%	49.54%	-40.78%	-14.86%	17.64%	24.75%	18.13%	34.15%	-8.89%	22.28%	65.77%	70.77%	80.56%
Net Earnings / Revenue	5.61%	7.43%	7.41%	7.1%	5.43%	5.26%	2.19%	3.02%	4.13%	3.5%	2.66%	4.93%	6.29%	6.24%	5.99%	5.86%	4.98%	6.27%	6.11%	4.54%	4.11%
Basic Earnings Per Share	$3.76	$4.09	$3.57	$3.19	$2.07	$1.78	$0.79	$0.99	$1.10	$0.80	$0.55	$1.89	$2.27	$1.95	$1.58
Diluted Earnings Per Share	$3.65	$3.95	$3.42	$3.06	$1.97	$1.70	$0.77	$0.96	$1.06	$0.78	$0.54	$1.85	$2.21	$1.92	$1.55	$664.3K	$587.4K	$669.6K	$449.9K	$271.4K	$158.9K

Assets & Liabilities

Cash & Short-Term Investments

Cash & Equivalents

Cash To Operating Expenses Ratio

Inventory

Receivables

Total Short-Term Assets

Property, Plant And Equipment

Long-Term Investments

Total Long-Term Assets

Total Assets

Net Income To Total Assets Percentage

Accounts Payable

Short-Term Debt

Long Term Debt Due

Total Short-Term Liabilities

Long-Term Debt

Other Long-Term Liabilities

Total Long-Term Liabilities

Total Liabilities

Short-Term To Long-Term Debt Ratio

Short-Term Assets To Debt Ratio

Long-Term Debt To Net Income Ratio

Assets & Liabilities

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009	2008	2007	2006	2005
Cash & Short-Term Investments	$526.9M	$331.7M	$276.0M	$250.0M	$76.90M	$39.80M	$55.40M	$69.30M	$43.60M	$56.50M	$71.30M	$45.90M	$29.60M	$72.10M	$38.90M	$41.30M	$51.70M	$25.50M	$11.60M
YoY Change	58.83%	20.2%	10.39%	225.1%	93.22%	-28.16%	-20.06%	58.94%	-22.83%	-20.76%	55.34%	55.07%	-58.95%	85.35%	-5.81%	-20.12%	102.75%	119.83%
Cash & Equivalents	$509.6M	$316.3M	$262.2M	$236.6M	$59.20M	$31.10M	$42.30M	$57.70M	$41.60M	$50.40M	$65.80M	$40.70M	$29.60M	$72.10M	$38.90M	$41.30M	$51.70M	$25.50M	$11.60M
Short-Term Investments	$17.23M	$15.44M	$13.76M	$13.40M	$17.80M	$8.700M	$13.10M	$11.60M	$2.000M	$6.100M	$5.500M	$5.200M
Other Short-Term Assets	$35.04M	$40.98M	$35.01M	$27.90M	$25.20M	$32.20M	$47.60M	$20.20M	$27.00M	$27.10M	$28.30M	$27.50M	$24.70M	$18.50M	$15.80M	$13.90M	$18.10M	$13.00M	$8.800M
YoY Change	-14.51%	17.04%	25.5%	10.71%	-21.74%	-32.35%	135.64%	-25.19%	-0.37%	-4.24%	2.91%	11.34%	33.51%	17.09%	13.67%	-23.2%	39.23%	47.73%
Inventory
Prepaid Expenses
Receivables	$485.0M	$408.4M	$328.7M	$305.1M	$309.0M	$276.1M	$265.1M	$244.4M	$209.0M	$130.1M	$111.4M	$94.20M	$86.30M	$69.40M	$62.60M	$49.20M	$50.60M	$45.30M	$43.40M
Other Receivables	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Total Short-Term Assets	$1.047B	$781.1M	$639.7M	$583.0M	$411.1M	$348.1M	$368.1M	$333.9M	$279.6M	$213.6M	$211.0M	$167.6M	$140.6M	$160.0M	$117.3M	$104.4M	$120.4M	$83.80M	$63.70M
YoY Change	34.03%	22.11%	9.73%	41.81%	18.1%	-5.43%	10.24%	19.42%	30.9%	1.23%	25.89%	19.2%	-12.13%	36.4%	12.36%	-13.29%	43.68%	31.55%
Property, Plant & Equipment	$2.847B	$2.443B	$2.027B	$1.804B	$1.815B	$618.9M	$537.1M	$484.5M	$299.6M	$149.7M	$479.8M	$447.9M	$403.9M	$262.5M	$230.8M	$157.0M	$124.9M	$87.10M	$43.60M
YoY Change	16.55%	20.5%	12.39%	-0.59%	193.18%	15.23%	10.86%	61.72%	100.13%	-68.8%	7.12%	10.89%	53.87%	13.73%	47.01%	25.7%	43.4%	99.77%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments	$92.69M	$67.65M	$36.57M	$32.10M	$30.60M	$36.20M	$28.70M	$23.60M	$32.70M	$17.90M	$16.90M	$18.50M	$16.80M	$16.40M	$13.80M	$11.70M	$8.800M	$8.500M	$4.500M
YoY Change	37.01%	85.01%	13.92%	4.9%	-15.47%	26.13%	21.61%	-27.83%	82.68%	5.92%	-8.65%	10.12%	2.44%	18.84%	17.95%	32.95%	3.53%	88.89%
Other Assets	$107.3M	$76.93M	$80.19M	$65.70M	$44.80M	$39.70M	$29.50M	$37.30M	$30.90M	$34.50M	$13.30M	$25.60M	$14.10M	$25.90M	$17.50M	$17.80M	$9.900M	$8.100M	$6.400M
YoY Change	39.51%	-4.06%	22.06%	46.65%	12.85%	34.58%	-20.91%	20.71%	-10.43%	159.4%	-48.05%	81.56%	-45.56%	48.0%	-1.69%	79.8%	22.22%	26.56%
Total Long-Term Assets	$3.131B	$2.671B	$2.211B	$1.963B	$1.951B	$833.9M	$734.3M	$667.1M	$468.2M	$280.3M	$549.3M	$523.3M	$455.7M	$319.9M	$274.0M	$192.5M	$147.0M	$106.7M	$55.70M
YoY Change	17.21%	20.81%	12.65%	0.6%	133.94%	13.56%	10.07%	42.48%	67.04%	-48.97%	4.97%	14.83%	42.45%	16.75%	42.34%	30.95%	37.77%	91.56%
Total Assets	$4.178B	$3.452B	$2.851B	$2.546B	$2.362B	$1.182B	$1.102B	$1.001B	$747.8M	$493.9M	$760.3M	$690.9M	$596.3M	$479.9M	$391.3M	$296.9M	$267.4M	$190.5M	$119.4M
YoY Change
Accounts Payable	$92.81M	$77.09M	$58.12M	$50.90M	$45.00M	$44.20M	$39.00M	$39.00M	$36.00M	$33.20M	$23.80M	$26.10M	$21.20M	$17.90M	$15.50M	$12.70M	$14.70M	$12.30M	$11.00M
YoY Change	20.4%	32.64%	14.18%	13.11%	1.81%	13.33%	0.0%	8.33%	8.43%	39.5%	-8.81%	23.11%	18.44%	15.48%	22.05%	-13.61%	19.51%	11.82%
Accrued Expenses	$623.8M	$488.2M	$448.8M	$393.4M	$282.1M	$197.2M	$160.9M	$149.5M	$128.6M	$90.40M	$73.40M	$80.40M	$68.40M	$59.90M	$52.10M	$40.40M	$37.10M	$38.30M	$29.70M
YoY Change	27.77%	8.77%	14.09%	39.45%	43.05%	22.56%	7.63%	16.25%	42.26%	23.16%	-8.71%	17.54%	14.19%	14.97%	28.96%	8.89%	-3.13%	28.96%
Deferred Revenue
YoY Change
Short-Term Debt	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$3.950M	$3.883M	$3.760M	$3.000M	$2.700M	$10.10M	$9.900M	$8.100M	$600.0K	$100.0K	$7.400M	$7.200M	$6.300M	$3.100M	$2.100M	$1.100M	$3.000M	$900.0K	$500.0K
YoY Change	1.73%	3.27%	25.33%	11.11%	-73.27%	2.02%	22.22%	1250.0%	500.0%	-98.65%	2.78%	14.29%	103.23%	47.62%	90.91%	-63.33%	233.33%	80.0%
Total Short-Term Liabilities	$734.7M	$582.1M	$523.1M	$562.4M	$343.2M	$269.2M	$225.8M	$211.9M	$179.9M	$130.4M	$112.5M	$121.3M	$100.4M	$83.40M	$71.80M	$57.60M	$57.40M	$55.50M	$44.60M
YoY Change	26.23%	11.28%	-6.99%	63.87%	27.49%	19.22%	6.56%	17.79%	37.96%	15.91%	-7.25%	20.82%	20.38%	16.16%	24.65%	0.35%	3.42%	24.44%
Long-Term Debt	$145.5M	$149.3M	$152.9M	$112.5M	$325.2M	$233.1M	$303.0M	$275.5M	$99.10M	$68.30M	$251.9M	$200.5M	$181.6M	$139.5M	$107.4M	$59.50M	$60.60M	$63.60M	$25.50M
YoY Change	-2.53%	-2.36%	35.9%	-65.41%	39.51%	-23.07%	9.98%	178.0%	45.1%	-72.89%	25.64%	10.41%	30.18%	29.89%	80.5%	-1.82%	-4.72%	149.41%
Other Long-Term Liabilities	$1.800B	$1.472B	$1.153B	$1.052B	$1.037B	$77.30M	$73.60M	$53.10M	$41.90M	$37.40M	$38.70M	$41.10M	$36.90M	$28.90M	$24.60M	$23.80M	$19.70M	$17.50M	$13.90M
YoY Change	22.29%	27.66%	9.56%	1.45%	1242.04%	5.03%	38.61%	26.73%	12.03%	-3.36%	-5.84%	11.38%	27.68%	17.48%	3.36%	20.81%	12.57%	25.9%
Total Long-Term Liabilities	$1.945B	$1.621B	$1.306B	$1.165B	$1.363B	$310.4M	$376.6M	$328.6M	$141.0M	$105.7M	$290.6M	$241.6M	$218.5M	$168.4M	$132.0M	$83.30M	$80.30M	$81.10M	$39.40M
YoY Change	20.01%	24.15%	12.1%	-14.51%	338.98%	-17.58%	14.61%	133.05%	33.4%	-63.63%	20.28%	10.57%	29.75%	27.58%	58.46%	3.74%	-0.99%	105.84%
Total Liabilities	$2.686B	$2.205B	$1.830B	$1.728B	$1.708B	$591.0M	$610.0M	$544.6M	$320.4M	$235.1M	$404.2M	$364.4M	$318.9M	$251.7M	$203.8M	$140.9M	$137.7M	$136.7M	$84.00M
YoY Change	21.82%	20.48%	5.93%	1.16%	188.95%	-3.11%	12.01%	69.98%	36.28%	-41.84%	10.92%	14.27%	26.7%	23.5%	44.64%	2.32%	0.73%	62.74%

Ownership

Basic Shares Outstanding

Diluted Shares Outstanding

Preferred Stock

Treasury Stock Shares

Stock Issuance & Repurchase

Ownership Data

Concept	2023	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013	2012	2011	2010	2009
Basic Shares Outstanding	55.71M shares	54.89M shares	54.49M shares	53.43M shares	53.45M shares	52.02M shares	50.93M shares	50.56M shares	50.32M shares	44.68M shares	43.80M shares	21.43M shares	20.97M shares	20.74M shares	20.60M shares
Diluted Shares Outstanding	57.32M shares	56.87M shares	56.93M shares	55.79M shares	55.98M shares	54.40M shares	52.83M shares	52.13M shares	52.21M shares	46.19M shares	44.73M shares	21.94M shares	21.58M shares	21.16M shares	20.93M shares
Preferred Stock
Treasury Stock Shares

Return On Shareholders' Equity

Book Value

Free Cash Flow

Free Cash Flow YoY

Free Cash Flow Margin

Dividends

Stock Price

Market Cap: $8.3434 Billion

About ENSIGN GROUP, INC

The Ensign Group, Inc. engages in providing skilled nursing, senior living, and rehabilitative care services. The company is headquartered in San Juan Capistrano, California and currently employs 35,300 full-time employees. The company went IPO on 2007-11-12. Its segments include Skilled Services and Standard Bearer. The Skilled Services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. The Standard Bearer segment comprises selected real estate properties owned by Standard Bearer and leased to skilled nursing and senior living operators. The company offers services at 325 healthcare facilities in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin. The company acquires, leases and owns healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities in healthcare properties.

Industry: Services-Skilled Nursing Care Facilities Peers: Acadia Healthcare Company, Inc. Cano Health, Inc. HCA Healthcare, Inc. Encompass Health Corp NATIONAL HEALTHCARE CORP TENET HEALTHCARE CORP SELECT MEDICAL HOLDINGS CORP Surgery Partners, Inc. UNIVERSAL HEALTH SERVICES INC