The Ensign Group, Inc.
ENSG Healthcare Medical Care Facilities
The Ensign Group, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $5.1 billion, up 18.7% from fiscal 2024.
- Revenue
- +14.5%
- EPS
- +23.6%
- Free cash flow
- +89.2%
- Total debt
- +39.2%
Quarter to September 2026, against a year earlier
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The Ensign Group, Inc. (ENSG) Operating cash flow
The Ensign Group, Inc.'s operating cash flow for fiscal 2025 was $564.3M, up 62.5% from $347.2M in fiscal 2024. Over the twelve months to 30 September 2026 it was $695.7M. Over the past ten years it has ranged from $33.4M (fiscal 2015) to $564.3M (fiscal 2025) — the current reading is the highest in ten years. The Ensign Group, Inc. ranks 7th of 50 Medical Care Facilities companies by operating cash flow.
Operating cash flow, annual
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Annual newest first
| Period | Operating cash flow | Change |
|---|---|---|
| FY2025 | $564.3M | 62.53% |
| FY2024 | $347.2M | (7.83%) |
| FY2023 | $376.7M | 38.22% |
| FY2022 | $272.5M | (1.15%) |
| FY2021 | $275.7M | (26.16%) |
| FY2020 | $373.4M | 94.23% |
| FY2019 | $192.2M | (8.60%) |
| FY2018 | $210.3M | 164.39% |
| FY2017 | $79.5M | 7.65% |
| FY2016 | $73.9M | 121.43% |
Quarterly newest first
| Period | Operating cash flow | Change |
|---|---|---|
| Sep 2026 | $240.2M | 39.71% |
| Jun 2026 | $172.0M | 71.69% |
| Mar 2026 | $100.2M | (45.37%) |
| Dec 2025 | $183.3M | 19.82% |
| 43 more quarters | Free account |
Against its own ten years
Operating cash flow against peers
| Company | Operating cash flow |
|---|---|
| FMS Fresenius Medical Care AG & Co. KGaA compare | $3.2B |
| UHS Universal Health Services, Inc. compare | $2.1B |
| DVA DaVita Inc. compare | $1.9B |
| EHC Encompass Health Corporation compare | $1.3B |
| ENSG The Ensign Group, Inc. | $695.7M |
| PACS PACS Group, Inc. compare | $579.7M |
| CHE Chemed Corporation compare | $363.2M |
| CON Concentra Group Holdings Parent, Inc. compare | $326.8M |
| LFST LifeStance Health Group, Inc. compare | $227.6M |
What Operating cash flow is
Operating Cash Flow shows how much cash a company’s day-to-day business actually brings in, after paying suppliers, staff and taxes.
Reported line item
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- Net income
- EPS (diluted)
- EBITDA
- Free cash flow
- Gross margin
- Operating margin
- Net margin
- Free cash flow margin
- P/E ratio
- P/S ratio
- P/B ratio
- Price to free cash flow
- EV/EBITDA
- EV/Sales
- EV/FCF
- Return on equity
- Return on assets
- Return on invested capital
- Debt to equity
- Current ratio
- Total debt
- Shares outstanding
- Book value per share
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