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Ensign Group vs HCA HealthcareEnsign Group vs Tenet HealthcareEnsign Group vs Universal HealthEnsign Group vs Encompass HealthEnsign Group vs DaVitaEnsign Group vs S&P 500 | Market

TL;DR: Financial Overview - Revenue, Profits & Key Metrics

Latest Quarterly: Dec 2025

Income Metrics

Revenue 1.4B
Gross Profit 222.3M 16.34%
Operating Income 123.8M 9.10%
Net Income 95.5M 7.02%
EPS (Diluted) $1.61

Balance Sheet Metrics

Total Assets 5.5B
Total Liabilities 3.2B
Shareholders Equity 2.2B
Debt to Equity 1.44

Cash Flow Metrics

Operating Cash Flow 75.6M
Free Cash Flow 373.8M

Revenue & Profitability Trend

Quarter Income Flow i

Annual Income Flow i

Ensign Group Income Statement From 2021 to 2025

Metric 2025 2024 2023 2022 2021
Revenue i 5.1B 4.3B 3.7B 3.0B 2.6B
Cost of Goods Sold i 4.3B 3.6B 3.1B 2.5B 2.2B
Gross Profit i 799.5M 667.6M 590.8M 518.0M 468.2M
Gross Margin % i 15.8% 15.7% 15.8% 17.1% 17.8%
Operating Expenses
Research & Development i - - - - -
Selling, General & Administrative i 269.8M 225.1M 263.0M 158.8M 151.8M
Other Operating Expenses i - - - - -
Total Operating Expenses i 269.8M 225.1M 263.0M 158.8M 151.8M
Operating Income i 425.3M 358.3M 255.4M 296.8M 260.5M
Operating Margin % i 8.4% 8.4% 6.8% 9.8% 9.9%
Non-Operating Items
Interest Income i 24.5M 28.7M - - 4.4M
Interest Expense i 8.0M 8.3M 8.1M 8.9M 6.8M
Other Non-Operating Income 13.8M 7.3M 25.5M 1.2M 4.4M
Pre-tax Income i 455.6M 386.1M 272.8M 289.1M 258.0M
Income Tax i 111.4M 87.6M 62.9M 64.4M 60.3M
Effective Tax Rate % i 24.4% 22.7% 23.1% 22.3% 23.4%
Net Income i 344.3M 298.5M 209.8M 224.7M 197.7M
Net Margin % i 6.8% 7.0% 5.6% 7.4% 7.5%
Key Metrics
EBITDA i 567.9M 478.5M 353.2M 360.4M 320.8M
EPS (Basic) i - $5.26 $3.76 $4.09 $3.57
EPS (Diluted) i - $5.12 $3.65 $3.95 $3.42
Basic Shares Outstanding i - 56655000 55708000 54887000 54486000
Diluted Shares Outstanding i - 56655000 55708000 54887000 54486000

Income Statement Trend

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Ensign Group Balance Sheet From 2021 to 2025

Metric 2025 2024 2023 2022 2021
Assets
Current Assets
Cash & Equivalents i 503.9M 464.6M 509.6M 316.3M 262.2M
Short-term Investments i 68.5M 62.3M 17.2M 15.4M 13.8M
Accounts Receivable i 637.0M 569.9M 485.0M 408.4M 328.7M
Inventory i - - - - -
Other Current Assets 62.9M 60.9M 35.0M 41.0M 29.6M
Total Current Assets i 1.3B 1.2B 1.0B 781.1M 639.7M
Non-Current Assets
Property, Plant & Equipment i 2.6B 2.3B 2.1B 1.7B 1.4B
Goodwill i 202.3M 203.3M 160.3M 160.2M 127.3M
Intangible Assets i 6.4M 7.3M 6.5M 6.4M 6.4M
Long-term Investments - - - - -
Other Non-Current Assets 124.7M 112.8M 104.7M 74.4M 60.1M
Total Non-Current Assets i 4.2B 3.5B 3.1B 2.7B 2.2B
Total Assets i 5.5B 4.7B 4.2B 3.5B 2.9B
Liabilities
Current Liabilities
Accounts Payable i 97.3M 98.9M 92.8M 77.1M 58.1M
Short-term Debt i 119.0M 97.6M 86.5M 69.7M 55.9M
Current Portion of Long-term Debt - - - - -
Other Current Liabilities - - - - -
Total Current Liabilities i 894.3M 743.4M 734.7M 582.1M 523.1M
Non-Current Liabilities
Long-term Debt i 2.1B 1.9B 1.8B 1.5B 1.2B
Deferred Tax Liabilities i - - - - -
Other Non-Current Liabilities 82.3M 64.2M 49.4M 33.3M 27.1M
Total Non-Current Liabilities i 2.3B 2.1B 1.9B 1.6B 1.3B
Total Liabilities i 3.2B 2.8B 2.7B 2.2B 1.8B
Equity
Common Stock i 62.0K 61.0K 60.0K 59.0K 58.0K
Retained Earnings i 1.8B 1.4B 1.1B 946.3M 734.0M
Treasury Stock i 139.2M 117.8M 116.6M 114.6M 83.0M
Other Equity - - - - -
Total Shareholders Equity i 2.2B 1.8B 1.5B 1.2B 1.0B
Key Metrics
Total Debt i 2.2B 2.0B 1.9B 1.6B 1.3B
Working Capital i 378.0M 414.2M 312.2M 199.1M 116.6M

Balance Sheet Composition

Ensign Group Cash Flow Statement From 2021 to 2025

Metric 2025 2024 2023 2022 2021
Operating Activities
Net Income i 344.3M 298.5M 209.8M 224.7M 197.7M
Depreciation & Amortization i 104.3M 84.1M 72.4M 62.4M 56.0M
Stock-Based Compensation i 48.3M 36.2M 30.8M 22.7M 18.7M
Working Capital Changes i -76.6M -80.2M -70.5M -88.4M -53.6M
Operating Cash Flow i 409.7M 338.1M 265.0M 222.1M 220.8M
Investing Activities
Capital Expenditures i -193.6M -158.2M -106.2M -87.5M -69.6M
Acquisitions i -323.3M -156.5M 0 -16.4M -8.0M
Investment Purchases i -110.7M -105.1M -29.6M -22.0M -32.3M
Investment Sales i 99.7M 26.4M 18.9M 14.4M 27.5M
Investing Cash Flow i -513.2M -390.1M -182.7M -186.2M -173.8M
Financing Activities
Share Repurchases i -21.4M -1.2M -1.9M -31.6M -11.8M
Dividends Paid i -14.4M -13.7M -12.9M -12.2M -11.5M
Debt Issuance i 0 400.0K 150.0K 411.0K 45.2M
Debt Repayment i -4.1M -4.4M -4.0M -4.1M -3.1M
Financing Cash Flow i -40.9M -24.4M -19.0M -44.9M -43.2M
Free Cash Flow i 370.7M 188.9M 270.5M 185.0M 206.0M
Net Change in Cash i -144.3M -76.4M 63.3M -9.0M 3.9M

Cash Flow Trend

Ensign Group Key Financial Ratios

Valuation Ratios

P/E Ratio (TTM) 32.78
Forward P/E 23.27
Price to Book 4.95
Price to Sales 2.21
PEG Ratio 1.76

Profitability Ratios

Profit Margin 6.80%
Operating Margin 9.10%
Return on Equity 16.90%
Return on Assets 5.25%

Financial Health

Current Ratio 1.42
Debt to Equity 98.70
Beta 0.82

Per Share Data

EPS (TTM) $5.85
Book Value per Share $38.71
Revenue per Share $88.26

Peer Financial Comparison

Company Market Cap P/E Ratio P/B Ratio ROE Profit Margin Debt/Equity
ENSG 11.1B 32.78 4.95 16.90% 6.80% 98.70
HCA Healthcare 106.0B 16.86 -38.44 -244.82% 8.97% -17.57
Tenet Healthcare 16.5B 12.17 3.88 27.02% 6.60% 160.79
Universal Health 11.1B 7.84 1.52 21.33% 8.57% 69.73
Encompass Health 10.2B 18.52 4.21 24.82% 9.54% 82.85
DaVita 10.0B 16.32 9.13 64.85% 5.47% 1,111.35
Nippun Rana

Nippun Rana

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Hi, I’m Nippun, a tech enthusiast from Haryana, India. I have been coding since 2010 and using my coding skills in the share market since 2020. I have been coding scripts in Pinescript that work on Tradingview app/web. I love learning about new technology and applying it to solve real-world problems. Coding and share-market are my passions, and I enjoy finding and fixing bugs in code. I aim to share my skill set and experience that can positively impact society. Feel free to connect with me, an...

Financial data is updated regularly. All figures are in the company's reporting currency.