Ensign (ENSG) Stock Analysis

November 11, 2026

This is a peer-relative look at Ensign (ENSG): its performance, risk, profitability, growth, financial strength, dividend, and valuation are each measured against its Health Care Equipment & Services peers, so every number reads in context rather than in isolation.

Company Profile

Company profile fields for Ensign (ENSG)
Profile Item	ENSG
Name	The Ensign Group, Inc.
Country/Region	United States
GICS Sector	Health Care
GICS Industry Group	Health Care Equipment & Services
GICS Industry	Health Care Providers & Services
GICS Sub-Industry	Health Care Facilities
Market Capitalization	10.56 billion USD
Currency	USD
Exchange	Nasdaq
Listing Date	November 9, 2007
Security Type	Common Stock

Price Performance

Cumulative Growth

ENSG

GSPC

Ensign (ENSG) vs. S&P 500 (GSPC): Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

Loading price history…

Trailing total returns for Ensign (ENSG) and S&P 500 (GSPC). Returns over one year are annualized.

Calendar-Year Returns

Loading price history…

Calendar-year total returns for Ensign (ENSG) and S&P 500 (GSPC). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
Total Return (1Y)	1.36%	21.53%
Total Return (3Y, Annualized)	21.65%	9.81%
Total Return (5Y, Annualized)	17.48%	-2.76%

Risk Profile

Drawdown History

ENSG

GSPC

Ensign (ENSG) vs. S&P 500 (GSPC): Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

Loading price history…

Distribution of monthly total returns for Ensign (ENSG) and S&P 500 (GSPC). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
Volatility (1Y, Annualized)	29.85%	50.93%
Beta (5Y)	0.65	0.85
Max Drawdown (5Y)	-31.81%	-70.34%

Risk-Adjusted Performance

Risk-Return Positioning

Each dot is a stock plotted by 1-year volatility (risk) and 1-year return. ENSG is highlighted; the dashed line is the Capital Allocation Line from the risk-free rate through the industry median — dots above it are stronger on a risk-adjusted basis.

Risk-Adjusted Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
Sharpe Ratio (1Y)	-0.10	0.34
Sortino Ratio (1Y)	-0.16	0.54

Profitability

ROE (TTM)

Ensign (ENSG) posts ROE of 17.05%, in the upper peer quartile. That suggests the company earns more from each dollar of shareholders’ equity than most industry peers, a useful capital-efficiency signal.

ENSG

Health Care Equipment & Services industry group

17.05%

Group distribution

Max: 47.61%
ENSG: 17.05%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Largest peers

ISRG: 17.93%
ENSG: 17.05%
SYK: 16.02%
UNH: 15.77%
MDT: 10.65%
ABT: 9.14%
MCK: --

Where Ensign (ENSG) stands on ROE within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Net Margin (TTM)

Ensign (ENSG) keeps 7.03% of revenue as net profit, roughly in line with the peer group’s normal net margin range. Its full cost stack is taking a typical share of sales for the industry.

ENSG

Health Care Equipment & Services industry group

7.03%

Group distribution

Max: 29.35%
Q3: 9.33%
ENSG: 7.03%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

Largest peers

ISRG: 25.54%
MDT: 13.93%
SYK: 13.78%
ABT: 9.75%
ENSG: 7.03%
UNH: 3.53%
MCK: 1.12%

Where Ensign (ENSG) stands on net margin within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Operating Margin (TTM)

Ensign (ENSG) turns 9.23% of revenue into operating profit, roughly in line with the peer group’s normal operating margin range. Its core cost structure looks typical for the industry.

ENSG

Health Care Equipment & Services industry group

9.23%

Group distribution

Max: 35.43%
Q3: 14.14%
ENSG: 9.23%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

Largest peers

ISRG: 33.29%
SYK: 22.96%
MDT: 19.33%
ABT: 11.66%
ENSG: 9.23%
UNH: 5.82%
MCK: 1.48%

Where Ensign (ENSG) stands on operating margin within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Profitability Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
ROE (TTM)	17.05%	5.45%
ROA (TTM)	5.59%	3.17%
Net Margin (TTM)	7.03%	2.18%
Operating Margin (TTM)	9.23%	6.81%
Gross Margin (TTM)	17.10%	55.21%

Growth

Revenue Growth

Ensign (ENSG) grew revenue 18.72%, roughly around the peer group's normal range. Top-line momentum looks broadly typical for the industry.

Ensign (ENSG): Revenue Growth across different time periods, set against Health Care Equipment & Services industry-group medians.

EPS Growth

Ensign (ENSG) grew earnings per share 14.06%, roughly around the peer group's normal range. Bottom-line momentum looks broadly typical for the industry.

Ensign (ENSG): EPS Growth across different time periods, set against Health Care Equipment & Services industry-group medians.

Growth Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
Revenue Growth (YoY)	18.72%	11.55%
Revenue Growth (3Y CAGR)	18.68%	10.83%
EPS Growth (YoY)	14.06%	4.88%
EPS Growth (3Y CAGR)	13.92%	14.59%

Financial Strength

Current Ratio (MRQ)

Ensign (ENSG) has current ratio of 1.20, in the tighter-liquidity quartile for its industry. The short-term cushion is thinner than most peers carry, even if the absolute comfort level still depends on the business model.

ENSG

Health Care Equipment & Services industry group

1.20

Group distribution

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
ENSG: 1.20
Min: 0.30

Largest peers

ISRG: 3.33
SYK: 2.18
MDT: 2.07
ABT: 1.46
ENSG: 1.20
MCK: 0.90
UNH: 0.74

Where Ensign (ENSG) stands on current ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Debt / Equity (MRQ)

Ensign (ENSG) has debt-to-equity ratio of 0.89, roughly in line with the peer group’s normal leverage range. Its mix of debt and equity looks typical for the industry.

ENSG

Health Care Equipment & Services industry group

0.89

Group distribution

Max: 1.88
Q3: 0.91
ENSG: 0.89
Median: 0.58
Q1: 0.16
Min: 0.00

Largest peers

ENSG: 0.89
UNH: 0.70
SYK: 0.66
ABT: 0.61
MDT: 0.55
ISRG: --
MCK: --

Where Ensign (ENSG) stands on debt-to-equity ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Financial Strength Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
Current Ratio (MRQ)	1.20	1.98
Debt / Equity (MRQ)	0.89	0.58
Net Debt / EBITDA	3.05	2.04

Dividends

Dividend Yield (TTM)

Ensign (ENSG) has dividend yield of 0.14%, above the entire industry range. That headline income is large, but yields this far above peers often come from a falling share price or an at-risk payout, so dividend safety matters more than the percentage itself.

ENSG

Health Care Equipment & Services industry group

0.14%

Group distribution

ENSG: 0.14%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Largest peers

MDT: 2.72%
UNH: 2.29%
ABT: 2.22%
SYK: 1.05%
MCK: 0.32%
ENSG: 0.14%
ISRG: 0.00%

Where Ensign (ENSG) stands on dividend yield within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Dividend Payout Ratio (TTM)

Ensign (ENSG) has payout ratio of 3.87%, above the peer distribution for its industry. The dividend consumes more reported earnings than peers normally do, leaving unusually thin earnings cover.

ENSG

Health Care Equipment & Services industry group

3.87%

Group distribution

ENSG: 3.87%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Largest peers

ABT: 92.54%
MDT: 70.02%
UNH: 51.71%
SYK: 37.49%
MCK: 8.77%
ENSG: 3.87%
ISRG: 0.00%

Where Ensign (ENSG) stands on payout ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Dividend Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
Dividend Yield (TTM)	0.14%	0.00%
Dividend Payout Ratio (TTM)	3.87%	0.00%

Valuation

P/E Ratio (TTM)

Ensign (ENSG) trades at P/E ratio of 26.95, near the industry’s usual earnings multiple. The stock is not showing a clear peer discount or premium on trailing earnings.

ENSG

Health Care Equipment & Services industry group

26.95

Group distribution

Max: 80.41
Q3: 47.62
Median: 29.93
ENSG: 26.95
Q1: 21.19
Min: 4.21

Largest peers

ISRG: 54.75
ABT: 41.02
SYK: 34.70
MCK: 27.36
ENSG: 26.95
MDT: 25.01
UNH: 22.50

Where Ensign (ENSG) stands on P/E ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

P/S Ratio (TTM)

Ensign (ENSG) trades at 1.86 on P/S ratio, roughly in the peer group’s normal range. The market is not making a strong cheap-or-rich statement about its revenue base.

ENSG

Health Care Equipment & Services industry group

1.86

Group distribution

Max: 8.80
Q3: 4.32
Median: 2.13
ENSG: 1.86
Q1: 1.10
Min: 0.03

Largest peers

ISRG: 13.82
SYK: 4.72
ABT: 3.95
MDT: 3.47
ENSG: 1.86
UNH: 0.78
MCK: 0.29

Where Ensign (ENSG) stands on P/S ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

P/B Ratio (MRQ)

Ensign (ENSG) trades at 4.09 on P/B ratio, roughly in line with the industry’s normal price-to-book range. Its balance sheet is not being priced at a clear discount or premium versus peers.

ENSG

Health Care Equipment & Services industry group

4.09

Group distribution

Max: 11.68
Q3: 6.12
ENSG: 4.09
Median: 3.00
Q1: 1.73
Min: -1.31

Largest peers

ISRG: 9.82
SYK: 5.29
ENSG: 4.09
ABT: 3.73
UNH: 3.60
MDT: 2.59
MCK: -30.85

Where Ensign (ENSG) stands on P/B ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Valuation Metrics

Ensign (ENSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: ENSG	Industry group median
P/E Ratio (TTM)	26.95	29.93
P/S Ratio (TTM)	1.86	2.13
P/B Ratio (MRQ)	4.09	3.00
Free Cash Flow Yield (TTM)	3.52%	3.50%