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The Ensign Group Inc (ENSG) Financial History

20 years of revenue, earnings, cash-flow and balance-sheet history from public filings.

HEALTHCARE · MEDICAL CARE FACILITIES · DATA UPDATED 2026-07-29

The Ensign Group Inc (ENSG) operates in the MEDICAL CARE FACILITIES industry and is headquartered in San Juan Capistrano, United States with about 46,000 employees. Its market capitalization is roughly $10 billion. In the fiscal year ended 2025-12-31, ENSG reported $5.1B in revenue and $344M in net income.

The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services. It operates through two segments: Skilled Services and Standard Bearer.

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ENSG Revenue & Earnings History — Annual Income Statement

Income statementTTM → 2026-06-302025-12-312024-12-312023-12-312022-12-312021-12-312020-12-312019-12-312018-12-312017-12-312016-12-312015-12-312014-12-312013-12-312012-12-312011-12-312010-12-312009-12-312008-12-312007-12-312006-12-31
Total Revenue$5.5B$5.1B$4.3B$3.7B$3.0B$2.6B$2.4B$2.0B$1.8B$1.6B$1.7B$1.3B$1.0B$905M$823M$758M$650M$542M$469M$411M$359M
Gross Profit$776M$799M$668M$591M$518M$468M$407M$291M$219M$173M$188M$185M$156M$165M$153M$144M$118M$93M$78M$60M$57M
Gross Margin %14.1%15.8%15.7%15.8%17.1%17.8%17.0%14.3%12.5%10.8%11.4%13.8%15.2%18.2%18.6%19.0%18.2%17.2%16.6%14.5%16.0%
Operating Income (EBIT)$467M$425M$358M$255M$297M$260M$223M$129M$85M$43M$92M$93M$73M$58M$78M$91M$76M$59M$49M$37M$39M
Operating Margin %8.5%8.4%8.4%6.9%9.8%9.9%9.3%6.3%4.8%2.7%5.5%6.9%7.1%6.4%9.5%12.0%11.7%10.9%10.4%8.9%10.8%
Net Income$379M$344M$298M$209M$225M$195M$170M$111M$92M$40M$50M$55M$36M$24M$41M$48M$41M$32M$28M$21M$23M
Net Margin %6.9%6.8%7.0%5.6%7.4%7.4%7.1%5.4%5.3%2.5%3.0%4.1%3.5%2.7%4.9%6.3%6.2%6.0%5.9%5.0%6.3%
EBITDA$621M$568M$479M$353M$360M$321M$282M$183M$132M$87M$132M$122M$100M$92M$107M$114M$93M$72M$59M$44M$43M
Earnings Per Share (EPS)$6.38$5.84$5.12$3.65$3.95$3.42$3.06$1.97$1.70$0.77$0.96$1.06$0.78$0.54$0.92$1.10$0.96$0.78$0.66$0.59$0.67
Shares Outstanding (M)59M59M58M57M57M57M56M56M54M53M52M52M46M45M44M43M42M42M41M35M34M

USD; $M / $B as marked. Newest period first. Source: public company filings (via Yahoo Finance aggregation).

ENSG Quarterly Revenue & Earnings — Last 8 Quarters

Quarterly income statement2026-06-302026-03-312025-12-312025-09-302025-06-302025-03-312024-12-312024-09-30
Total Revenue$1.4B$1.4B$1.4B$1.3B$1.2B$1.2B$1.1B$1.1B
Gross Profit$240M$228M$118M$190M$199M$188M$179M$167M
Gross Margin %16.7%16.4%8.7%14.7%16.2%16.0%15.8%15.4%
Operating Income (EBIT)$123M$125M$124M$96M$104M$101M$101M$89M
Operating Margin %8.5%9.0%9.1%7.4%8.5%8.6%8.9%8.3%
Net Income$100M$100M$95M$84M$84M$80M$80M$78M
Net Margin %6.9%7.2%7.0%6.5%6.9%6.8%7.0%7.2%
EBITDA$167M$159M$160M$135M$140M$133M$131M$122M
Earnings Per Share (EPS)$1.68$1.67$1.61$1.42$1.44$1.37$1.36$1.34
Shares Outstanding (M)59M60M59M59M59M58M59M58M

USD; $M / $B as marked. Newest period first. Source: public company filings (via Yahoo Finance aggregation).

ENSG Free Cash Flow History

Cash flowTTM → 2026-06-302025-12-312024-12-312023-12-312022-12-312021-12-312020-12-312019-12-312018-12-312017-12-312016-12-312015-12-312014-12-312013-12-312012-12-312011-12-312010-12-312009-12-312008-12-312007-12-312006-12-31
Cash from Operations (CFO)$608M$564M$347M$377M$273M$276M$373M$169M$210M$73M$74M$33M$85M$37M$82M$73M$61M$46M$47M$19M$31M
Capital Expenditures (CapEx)$189M$194M$158M$106M$88M$70M$50M$72M$55M$57M$66M$60M$54M$30M$39M$41M$29M$22M$20M$36M$14M
Free Cash Flow (FCF)$419M$371M$189M$270M$185M$206M$323M$97M$155M$16M$8M($27M)$31M$8M$43M$32M$32M$24M$27M($17M)$17M
FCF Margin %7.6%7.3%4.4%7.2%6.1%7.8%13.4%4.8%8.8%1.0%0.5%-2.0%3.0%0.9%5.2%4.2%4.9%4.5%5.7%-4.1%4.7%
Dividends Paid$15M$14M$14M$13M$12M$12M$11M$10M$9M$9M$8M$7M$6M$4M$7M$5M$4M$4M$3M$3M$2M

USD; $M / $B as marked. Newest period first. Source: public company filings (via Yahoo Finance aggregation).

ENSG Quarterly Free Cash Flow — Last 8 Quarters

Quarterly cash flow2026-06-302026-03-312025-12-312025-09-302025-06-302025-03-312024-12-312024-09-30
Cash from Operations (CFO)$172M$100M$183M$153M$156M$72M$100M$134M
Capital Expenditures (CapEx)$53M$35M$50M$51M$50M$43M$48M$45M
Free Cash Flow (FCF)$119M$65M$133M$102M$106M$29M$52M$89M
FCF Margin %8.3%4.7%9.8%7.8%8.6%2.5%4.6%8.2%
Dividends Paid$4M$4M$4M$4M$4M$4M$3M$3M

USD; $M / $B as marked. Newest period first. Source: public company filings (via Yahoo Finance aggregation).

ENSG Balance Sheet History

Balance sheet2026-06-302025-12-312024-12-312023-12-312022-12-312021-12-312020-12-312019-12-312018-12-312017-12-312016-12-312015-12-312014-12-312013-12-312012-12-312011-12-312010-12-312009-12-312008-12-312007-12-312006-12-31
Total Assets$5.7B$5.5B$4.7B$4.2B$3.5B$2.9B$2.5B$2.4B$1.2B$1.1B$1.0B$748M$494M$760M$691M$596M$480M$391M$297M$267M$191M
Cash & Cash Equivalents$262M$504M$465M$510M$316M$262M$237M$59M$31M$42M$58M$42M$50M$66M$41M$30M$72M$39M$41M$52M$25M
Total Liabilities$3.3B$3.2B$2.8B$2.7B$2.2B$1.8B$1.7B$1.7B$580M$602M$541M$321M$236M$403M$363M$319M$252M$204M$141M$138M$139M
Total Debt (Short + Long-Term)$125M$257M$239M$232M$219M$209M$164M$373M$257M$313M$318M$100M$68M$261M$208M$190M$143M$109M$64M$64M$65M
Total Shareholders' Equity$2.4B$2.2B$1.8B$1.5B$1.2B$1.0B$818M$654M$591M$492M$456M$427M$259M$357M$326M$277M$228M$188M$156M$130M$51M

USD; $M / $B as marked. Newest period first. Source: public company filings (via Yahoo Finance aggregation).

Quarterly statements, profitability ratios, price history, insider activity and institutional holders are in the interactive ENSG viewer.

ENSG Metric Deep Dives

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