The Ensign Group (ENSG) Stock Analysis & Winston Score

The Ensign Group, Inc. provides health care services in the post-acute care continuum and other ancillary businesses. The company operates in two segments, Skilled Services and Real Estate. The company offers skilled services, which include short and long-term nursing care services for patients with chronic conditions, prolonged illness, and the elderly; and physical, occupational, and speech therapies and other rehabilitative and healthcare services. It also provides standard services, such as

Winston Score History

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Growth Profile

For growth stock investors

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+18.4% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+22.7% YoY

YoY Growth Rate

Steady EPS growth

Insider Activity

3.6%ownership

Relatively low insider ownership

Cash Position

Cash flow positive

$539M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

The Ensign Group is a rare growth stock that's already generating positive cash flow while growing at 18%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Gross Margin

16.4%

Thin — 16.4% gross margin

Operating Margin

9.0%

Modest — 9.0% operating margin

ROCE

5.0%

Weak — 5.0% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales YoY

+19.2%

Fast-growing sales (19.2% YoY)

EPS YoY

+16.1%

Earnings growing fast (16.1% YoY)

Healthy double-digit earnings growth — what compounders look like.

EPS Consistency

8/8 quarters

Every recent quarter grew earnings vs last year

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Cash Flow

Cash Conversion

163%

Turns 163% of profit into real cash

FCF Margin

7.7%

Modest free cash flow (7.7%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

Debt / Equity

0.06

Conservative — low debt load (0.06)

Interest Cover

56.93x

Comfortably covers interest (56.9x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

P/E Ratio (TTM)

26.3x

no trend

Growth-priced — P/E 26.3

P/E above the market average. People are paying up for expected growth.

P/E vs Forward

+6.0

GROWING

Earnings expected to grow meaningfully — cheaper on forward P/E (26.3 → 20.3)

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Dividends

Dividend Yield

0.17%

no trend

Small dividend — 0.17% yield

Modest yield. The bulk of any return needs to come from price appreciation.

Dividend Growth

+4.1%

no trend

Dividend growing modestly (4.1% YoY)

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