The Ensign Group, Inc. (ENSG) Revenue History
Annual and quarterly revenue from 2014 to 2025
Compound Annual Growth Rate (CAGR)
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ENSG Revenue Growth
Revenue Breakdown (FY 2025)
ENSG's revenue distribution by segment and geography for fiscal year 2025
By Product/Segment
By Geography
ENSG Revenue Analysis (2014–2025)
As of May 6, 2026, The Ensign Group, Inc. (ENSG) generated trailing twelve-month (TTM) revenue of $5.27 billion, reflecting strong growth of +18.4% year-over-year. The most recent quarter (Q1 2026) recorded $1.39 billion in revenue, up 2.1% sequentially.
Looking at the longer-term picture, ENSG's 5-year compound annual growth rate (CAGR) stands at +16.1%, indicating consistent double-digit revenue growth. The company achieved its highest annual revenue of $5.06 billion in 2025, representing a new all-time high.
Revenue diversification analysis shows ENSG's business is primarily driven by Skilled Services Segment (97%), and Standard Bearer Segment (3%). With over half of revenue concentrated in Skilled Services Segment, the company maintains significant focus in this area while developing other growth vectors.
When compared to Healthcare sector peers including NHC (+22.1% YoY), PNTG (+36.3% YoY), and ADUS (+19.6% YoY), ENSG has underperformed the peer group in terms of revenue growth. Compare ENSG vs NHC →
ENSG Revenue vs Peers
Revenue metrics vs comparable public companies
| Company | TTM Revenue | YoY Growth | 5Y CAGR | Op. Margin | Compare |
|---|---|---|---|---|---|
| ENSGCurrent | $5.3B | +18.4% | +16.1% | 8.6% | |
 NHC | $1.5B | +22.1% | +8.4% | 8.7% | |
 PNTG | $948M | +36.3% | +19.4% | 5.5% | |
 ADUS | $1.4B | +19.6% | +13.2% | 9.7% | |
 CCRN | $1.1B | -21.6% | +4.7% | -0.3% | |
 SEM | $5.5B | +29.2% | -0.3% | 6.1% |
ENSG Historical Revenue Data (2014–2025)
| Year | Revenue | YoY % | Gross Profit | Gross Margin | Op. Income | Op. Margin |
|---|---|---|---|---|---|---|
| 2025 | $5.06B | +18.7% | $695.1M | 13.7% | $433.8M | 8.6% |
| 2024 | $4.26B | +14.2% | $667.6M | 15.7% | $358.3M | 8.4% |
| 2023 | $3.73B | +23.3% | $590.8M | 15.8% | $255.4M | 6.8% |
| 2022 | $3.03B | +15.1% | $518.0M | 17.1% | $296.8M | 9.8% |
| 2021 | $2.63B | +9.4% | $468.2M | 17.8% | $260.5M | 9.9% |
| 2020 | $2.40B | +18.0% | $407.5M | 17.0% | $223.2M | 9.3% |
| 2019 | $2.04B | +16.1% | $291.1M | 14.3% | $129.2M | 6.3% |
| 2018 | $1.75B | +9.8% | $218.7M | 12.5% | $84.9M | 4.8% |
| 2017 | $1.60B | -3.4% | $172.9M | 10.8% | $43.2M | 2.7% |
| 2016 | $1.65B | +23.3% | $188.5M | 11.4% | $91.8M | 5.6% |
Full ENSG Stock Analysis
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Start ComparisonENSG — Frequently Asked Questions
Quick answers to the most common questions about buying ENSG stock.
Is ENSG's revenue growth accelerating or slowing?
ENSG revenue is accelerating at +18.4% year-over-year, exceeding the 5-year CAGR of +16.1%. TTM revenue reached $5.3B. Growth momentum has increased versus prior periods.
What is ENSG's long-term revenue growth rate?
The Ensign Group, Inc.'s 5-year revenue CAGR of +16.1% reflects the sustained expansion pattern. Current YoY growth of +18.4% is above this long-term average.
How is ENSG's revenue distributed by segment?
ENSG reports revenue by product line and geographic region. Annual and quarterly breakdowns from 2014-2025 are available for download. Segment mix reveals concentration and diversification trends.