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ENSG:NASDAQThe Ensign Group, Inc. Analysis

Data as of 2026-06-22 - not real-time

$153.65

Latest Price

6/10Risk

Risk Level: Medium

Executive Summary

The Ensign Group (ENSG) is trading at $153.65, well below its 20‑day, 50‑day and 200‑day SMAs of 161.78, 176.21 and 183.12, indicating a bearish technical backdrop. RSI sits at 36, hinting at modest oversold pressure, while the MACD shows a tiny bullish histogram but the line remains negative. Volatility is elevated at 38% over the past 30 days and beta is exceptionally low (~0.16), suggesting limited market‑wide price swings but high intra‑stock swings. Fundamentally, revenue grew 18% YoY to $5.27 B, yet margins are thin (gross 16.4%, operating 9%) and debt‑to‑equity is high at 95%, offset by a modest dividend yield of 0.17% and a very low payout ratio (4%). The DCF fair value of $111.55 is far beneath the current price, flagging the stock as overvalued relative to intrinsic estimates, though analysts project a 43% upside with a median target of $222. Recent positive catalysts include a new 62‑bed skilled‑nursing acquisition and a $60 M increase to the share‑repurchase program, while the company declared a quarterly dividend of $0.065 per share. Conversely, multiple securities‑fraud investigations and class‑action suits inject significant regulatory and legal risk. The blend of strong top‑line growth, high leverage, legal headwinds, and an overvalued market price creates a nuanced outlook.
Investors should weigh the near‑term technical weakness and litigation exposure against the medium‑term earnings growth and shareholder‑return initiatives. The stock’s low beta and solid cash flow support dividend sustainability, but the elevated volatility and debt burden warrant caution. A cautious stance—holding or modest buying on dips—may be prudent while monitoring the outcome of the investigations and execution of the acquisition and buyback plans.

Market Outlook

Short Term

< 1 year
Neutral
Model confidence: 5/10

Key Factors

  • Price below key moving averages and bearish technical momentum
  • Ongoing securities‑fraud investigations increasing uncertainty
  • Proximity to support level around $141

Medium Term

1–3 years
Positive
Model confidence: 7/10

Key Factors

  • 18% revenue growth and improving forward EPS
  • Recent acquisition expanding skilled‑nursing capacity
  • Expanded $100 M share‑repurchase authorization supporting price

Long Term

> 3 years
Neutral
Model confidence: 6/10

Key Factors

  • Demographic tailwinds for senior‑care services
  • High debt‑to‑equity ratio limiting financial flexibility
  • Regulatory and legal risk from multiple investigations

Key Metrics & Analysis

Financial Health

Revenue Growth18.40%
Profit Margin6.89%
P/E Ratio25.0
ROE16.92%
ROA5.41%
Debt/Equity94.72
P/B Ratio3.8
Op. Cash Flow$592.2M
Free Cash Flow$291.3M
Industry P/E24.1

Technical Analysis

TrendBearish
RSI36.1
Support$141.58
Resistance$176.41
MA 20$161.78
MA 50$176.21
MA 200$183.12
MACDBullish
VolumeIncreasing
Fear & Greed Index91.46

Valuation

Fair Value$111.55
Target Price$220.40
Upside/Downside43.44%
GradeOvervalued
TypeBlend
Dividend Yield0.17%

Risk Assessment

Beta0.16
Volatility37.80%
Sector RiskMedium
Reg. RiskHigh
Geo RiskLow
Currency RiskLow
Liquidity RiskLow

This analysis may contain inaccuracies and is provided for informational and research purposes only. It is not personal investment advice, a recommendation, or an instruction to buy, sell, or hold any asset.