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OverviewAnalysisPriceRevenueEarningsP/ERatiosDividendTargets

The Ensign Group, Inc. (ENSG) Quarterly Financial Ratios

Last 48 quarters of trend data · Healthcare · Medical - Care Facilities

← View 30-Year Annual Ratios

Valuation Multiples

Quarterly valuation ratios — annualised for comparability. YoY Δ shows same-quarter-prior-year change.

The Ensign Group, Inc.'s quarterly P/E stands at 30.2x, up 27.7% year-over-year — indicating the stock has re-rated higher or earnings have softened. EV/EBITDA has expanded 19.3% YoY to 22.1x, reflecting rising market expectations or slowing EBITDA growth.

MetricTTMQ1 '26Q4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23
P/E Ratio →30.1330.1627.0530.4226.7823.6124.4226.8325.3526.1473.8220.9321.31
—+27.7%+10.8%+13.4%+5.7%-9.7%-66.9%+28.2%+19.0%+14.9%+240.2%+4.3%+17.2%
P/S Ratio2.032.161.901.961.841.611.721.941.731.781.651.421.48
—+33.9%+10.4%+1.1%+6.3%-9.5%+4.3%+37.2%+16.7%+16.0%+1.3%-3.4%+4.0%
P/B Ratio4.635.074.624.804.473.924.234.804.314.554.313.643.92
—+29.1%+9.3%-0.1%+3.7%-13.8%-2.0%+32.0%+10.0%+10.1%+2.3%-4.8%+5.3%
P/FCF27.7246.3919.3525.0121.2964.6037.2123.6042.98306.6628.6013.6514.42
—-28.2%-48.0%+6.0%-50.5%-78.9%+30.1%+72.9%+198.1%+387.8%-51.4%-15.4%-13.4%
EV / EBITDA25.8822.0823.0624.2120.6618.5118.8422.3220.3321.1846.4817.1818.16
—+19.3%+22.4%+8.5%+1.6%-12.6%-59.5%+29.9%+11.9%+10.8%+162.4%+9.2%+27.0%
EV / EBIT32.11—26.4727.4023.4221.4021.5124.5622.9923.5758.7320.0720.87
——+23.1%+11.6%+1.9%-9.2%-63.4%+22.3%+10.2%+7.8%+186.4%+5.4%+18.6%

Profitability

Quarterly margins and returns. Watch for margin compression across consecutive quarters.

The Ensign Group, Inc.'s operating margin was 9.0% in Q1 2026, down 0.1 pp QoQ and up 0.3 pp YoY. Gross margin expanded 31.7% YoY, indicating pricing power or improving input costs.

Margins

MetricTTMQ1 '26Q4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23
Gross Margin13.7%21.1%8.7%14.7%16.2%16.0%15.8%15.4%15.7%15.7%15.2%15.9%16.2%
—+31.7%-45.1%-4.9%+3.2%+1.9%+4.2%-2.8%-2.9%-3.0%-9.0%-5.6%-10.1%
Operating Margin8.6%9.0%9.1%7.4%8.5%8.6%8.9%8.3%8.3%8.1%2.3%8.5%8.5%
—+4.0%+2.2%-10.1%+2.0%+6.2%+282.3%-2.6%-1.8%-3.6%-74.9%-12.1%-20.9%
Net Margin6.8%7.2%7.0%6.5%6.9%6.8%7.0%7.3%6.9%6.8%2.2%6.8%6.9%
—+4.8%-0.3%-10.8%+0.3%+0.4%+218.1%+6.8%-1.3%+1.0%-70.4%-7.0%-11.8%

Return on Capital

MetricTTMQ1 '26Q4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23
ROE16.9%4.3%4.4%4.0%4.3%4.3%4.4%4.6%4.4%4.5%1.5%4.5%4.7%
—+1.7%-1.3%-11.9%-2.3%-4.7%+203.1%+2.9%-7.3%-4.1%-70.6%-8.4%-10.4%
ROA6.8%1.8%1.8%1.7%1.7%1.7%1.7%1.7%1.6%1.6%0.5%1.6%1.6%
—+5.7%+4.2%-4.6%+7.3%+5.0%+226.4%+8.8%-0.9%-0.9%-70.8%-9.6%-12.4%
ROIC7.0%1.9%1.9%1.9%2.1%2.2%2.3%2.1%2.1%2.1%0.6%2.1%2.0%
—-12.2%-16.8%-8.8%+1.1%+3.2%+285.1%+0.9%+3.4%+1.2%-74.4%-13.8%-22.1%

Leverage & Debt

Quarterly solvency trend — watch for debt spikes or covenant pressure.

The Ensign Group, Inc.'s Debt/EBITDA ratio is 13.7x, down from 27.4x last quarter — elevated, raising questions about debt serviceability. The current ratio has improved 11.3% YoY to 1.56x, strengthening the short-term liquidity position.

MetricTTMQ1 '26Q4 '25Q3 '25Q2 '25Q1 '25Q4 '24Q3 '24Q2 '24Q1 '24Q4 '23Q3 '23Q2 '23
Debt / Equity1.860.891.861.021.011.041.071.151.181.221.251.291.35
—-14.5%+73.3%-11.9%-14.2%-14.9%-14.2%-10.6%-13.1%-15.4%-0.8%+3.3%+6.2%
Debt / EBITDA7.7213.7227.4217.5515.7316.0016.0118.2118.3819.0044.4919.2319.77
—-14.3%+71.2%-3.6%-14.4%-15.8%-64.0%-5.3%-7.0%-8.3%+160.3%+17.7%+28.7%
Current Ratio1.421.561.421.461.411.401.561.561.531.531.421.481.50
—+11.3%-8.6%-6.1%-7.4%-8.8%+9.3%+5.2%+1.8%+8.1%+6.2%+15.5%+16.8%
Quick Ratio1.421.561.421.461.411.401.561.561.531.531.421.481.50
—+11.3%-8.6%-6.1%-7.4%-8.8%+9.3%+5.2%+1.8%+8.1%+6.2%+15.5%+16.8%
Interest Coverage54.3164.6267.5455.0856.4953.3247.8449.7546.1346.6216.6141.5441.07
—————————————

Download Financial Ratios Data

Includes 30+ ratios · 48 years · Updated daily

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ENSG — Frequently Asked Questions

Quick answers to the most common questions about buying ENSG stock.

What is The Ensign Group, Inc.'s quarterly P/E ratio trend?

The Ensign Group, Inc.'s current P/E is 30.1x. The average P/E over the last 4 quarters is 28.6x. Quarterly P/E ratios can vary due to seasonal revenue patterns and one-time charges.

How do The Ensign Group, Inc.'s margins change by quarter?

The Ensign Group, Inc.'s current operating margin is 8.6%. Margins have been expanding over recent quarters. Quarterly margins are particularly useful for identifying trend inflections that annual data smooths over.

Why look at ENSG quarterly ratios instead of annual?

Quarterly financial ratios reveal short-term trend shifts — margin compression, debt spikes, or valuation re-ratings — that annual figures smooth over. They're essential for active investors tracking The Ensign Group, Inc.'s business trajectory between earnings reports.

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