Last 48 quarters of trend data · Healthcare · Medical - Care Facilities
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.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P/E Ratio → | 26.31 | 30.16 | 27.05 | 30.42 | 26.78 | 23.61 | 24.42 | 26.83 | 25.35 | 26.14 | 73.82 | 20.93 | 21.31 |
| — | +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 Ratio | 1.77 | 2.16 | 1.90 | 1.96 | 1.84 | 1.61 | 1.72 | 1.94 | 1.73 | 1.78 | 1.65 | 1.42 | 1.48 |
| — | +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 Ratio | 4.05 | 5.07 | 4.62 | 4.80 | 4.47 | 3.92 | 4.23 | 4.80 | 4.31 | 4.55 | 4.31 | 3.64 | 3.92 |
| — | +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/FCF | 24.21 | 46.39 | 19.35 | 25.01 | 21.29 | 64.60 | 37.21 | 23.60 | 42.98 | 306.66 | 28.60 | 13.65 | 14.42 |
| — | -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 / EBITDA | 23.46 | 22.08 | 23.06 | 24.21 | 20.66 | 18.51 | 18.84 | 22.32 | 20.33 | 21.18 | 46.48 | 17.18 | 18.16 |
| — | +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 / EBIT | 29.11 | — | 26.47 | 27.40 | 23.42 | 21.40 | 21.51 | 24.56 | 22.99 | 23.57 | 58.73 | 20.07 | 20.87 |
| — | — | +23.1% | +11.6% | +1.9% | -9.2% | -63.4% | +22.3% | +10.2% | +7.8% | +186.4% | +5.4% | +18.6% |
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.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 13.7% | 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 Margin | 8.6% | 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 Margin | 6.8% | 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% |
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROE | 16.9% | 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% | |
| ROA | 6.8% | 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% | |
| ROIC | 7.0% | 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% |
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.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt / Equity | 1.86 | 0.89 | 1.86 | 1.02 | 1.01 | 1.04 | 1.07 | 1.15 | 1.18 | 1.22 | 1.25 | 1.29 | 1.35 |
| — | -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 / EBITDA | 7.72 | 13.72 | 27.42 | 17.55 | 15.73 | 16.00 | 16.01 | 18.21 | 18.38 | 19.00 | 44.49 | 19.23 | 19.77 |
| — | -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 Ratio | 1.42 | 1.56 | 1.42 | 1.46 | 1.41 | 1.40 | 1.56 | 1.56 | 1.53 | 1.53 | 1.42 | 1.48 | 1.50 |
| — | +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 Ratio | 1.42 | 1.56 | 1.42 | 1.46 | 1.41 | 1.40 | 1.56 | 1.56 | 1.53 | 1.53 | 1.42 | 1.48 | 1.50 |
| — | +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 Coverage | 54.31 | 64.62 | 67.54 | 55.08 | 56.49 | 53.32 | 47.84 | 49.75 | 46.13 | 46.62 | 16.61 | 41.54 | 41.07 |
| — | — | — | — | — | — | — | — | — | — | — | — | — |
Includes 30+ ratios · 48 years · Updated daily
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Quick answers to the most common questions about buying ENSG stock.
The Ensign Group, Inc.'s current P/E is 26.3x. 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.
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.
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.