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Companies / Health Care / The Ensign Group, Inc.
ENSG

The Ensign Group, Inc.

Health CareHealth Services
Ticker ENSGSAN JUAN CAPISTRANO, CAFiscal year ends DecemberBook value per share $43.05Diluted shares 59.5M

The Ensign Group, Inc. (Nasdaq: ENSG) is a holding company whose independent subsidiaries provide skilled nursing, senior living, rehabilitation and ancillary healthcare services, and acquire, own and lease healthcare properties. Its skilled nursing facilities serve short- and long-term patients, including older… From the company’s description.

Over the twelve months to Sep 30, 2026, The Ensign Group, Inc. reported revenue of $5.67B, up 17.5% from a year earlier, and net income of $399.51M. Its operating margin was 9.0%, and operations generated $695.67M in cash. In fiscal 2025, it reported revenue of $5.06B, up 18.7% from fiscal 2024, and net income of $344.26M.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-09-30
Sales & profitability
$5.06BFY2025
+18.7% year over year
Last 12 mo $5.67B
8.41%FY2025
No change, year over year
Last 12 mo 8.97%
$344.26MFY2025
+15.3% year over year
Last 12 mo $399.51M
15.41%FY2025
−0.8 percentage points
Last 12 mo 15.59%
Cash & financing
$564.27MFY2025
+62.5% year over year
Last 12 mo $695.67M
$370.71MFY2025
+96.2% year over year
Last 12 mo $509.91M
0.06FY2025
Was 0.08× a year earlier
Last 12 mo 0.08
58.9MFY2025
+1.1% year over year
Last 12 mo 59.5M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What The Ensign Group, Inc. does

In the company’s own words

The Ensign Group, Inc. (Nasdaq: ENSG) is a holding company whose independent subsidiaries provide skilled nursing, senior living, rehabilitation and ancillary healthcare services, and acquire, own and lease healthcare properties. Its skilled nursing facilities serve short- and long-term patients, including older adults and people recovering from illness or surgery; services include nursing care, rehabilitation and specialty care such as dialysis and ventilator care. Customers and payors include Medicaid and Medicare programs, managed-care organizations, commercial insurers and private-pay patients. The company has two reportable segments: skilled services, which includes skilled nursing and rehabilitation, and Standard Bearer, its healthcare real estate business. Skilled nursing facilities generated approximately 95.6% of 2025 revenue. Other activities include senior living, mobile diagnostics and medical transportation. At December 31, 2025, the company offered care through 373 skilled nursing and senior living facilities, with 37,911 operational skilled nursing beds and 3,402 senior living units. Standard Bearer owns and leases properties to the company’s subsidiaries and third-party healthcare operators. Its website is www.ensigngroup.net.

Company details
Sector
Health Care
Industry (SIC)
Health Services
Headquarters
SAN JUAN CAPISTRANO, CA
Fiscal year end
December
CIK
1125376
SIC
8051

Financial performance, year by year

Fiscal 2011–2025 · USD
$-567.43M$1.13B$2.84B$4.54B$6.24B201120122013201420152016201720182019202020212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns The Ensign Group, Inc. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

479
funds hold it
0 of 35
superinvestors hold it
$4.31B
held by funds, at market
44.3%
of shares held by funds

Largest fund holders · The Ensign Group, Inc.’s weight in each

iShares Core S&P Mid-Cap ETF
IJH · iShares Trust
0.26%of fund net assets
0.33%of fund net assets
VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.01%of fund net assets
VANGUARD U.S. GROWTH FUND
VWUSX · VANGUARD WORLD FUND
—of fund net assets
VANGUARD SMALL-CAP INDEX FUND
VB · VANGUARD INDEX FUNDS
0.11%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

Put this business in context.

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  • “How do The Ensign Group, Inc. and its peers compare on margins and cash generation over ten years?”
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