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- Ensign Group
Ensign Group Valuation Multiples
Discover revenue and EBITDA valuation multiples for Ensign Group and similar public comparables like BrightSpring Health, Chemed, Hinge Health, Brookdale Senior Living and more.
Ensign Group Overview
About Ensign Group
Ensign Group Inc provides post-acute healthcare services in the United States. Its regional subsidiaries oversee skilled nursing, assisted living, home health and hospice, mobile ancillary, and urgent care operations. Medicare and Medicaid programs contribute majority of revenue received for Ensign's services. The firm operates through two segments, Skilled services, and Standard Bearer. The skilled services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. The Standard Bearer segment comprises of properties owned by the company through its captive REIT and leased to skilled nursing and assisted living operations. The majority of the revenue is generated from the skilled services segment.
Founded
1999
HQ

Employees
46.0K
Website
Sectors
Financials (LTM)
EV
$13B
Ensign Group Financials
Ensign Group reported last 12-month revenue of $5B and EBITDA of $627M.
In the same LTM period, Ensign Group generated $1B in gross profit, $627M in EBITDA, and $406M in net income.
Revenue (LTM)
Ensign Group P&L
In the most recent fiscal year, Ensign Group reported revenue of $5B and EBITDA of $600M.
Ensign Group expects next 12-month revenue of XXX and NTM EBITDA of XXX
| LTM | NTM | Last FY | FY 2026 | FY 2027 | FY 2028 | |
|---|---|---|---|---|---|---|
| Revenue | $5B | XXX | $5B | XXX | XXX | XXX |
| Gross Profit | $1B | XXX | $799M | XXX | XXX | XXX |
| Gross Margin | 21% | XXX | 16% | XXX | XXX | XXX |
| EBITDA | $627M | XXX | $600M | XXX | XXX | XXX |
| EBITDA Margin | 12% | XXX | 12% | XXX | XXX | XXX |
| EBIT Margin | 10% | XXX | 9% | XXX | XXX | XXX |
| Net Profit | $406M | XXX | $387M | XXX | XXX | XXX |
| Net Margin | 8% | XXX | 8% | XXX | XXX | XXX |
Financial data powered by Morningstar, Inc.
Ensign Group Stock Performance
Ensign Group has current market cap of $12B, and enterprise value of $13B.
Market Cap Evolution
Ensign Group's stock price is $200.10.
| EV | Market Cap | Price 1D | Price 1M | Price 3M | Price 12M | EPS |
|---|---|---|---|---|---|---|
| $13B | $12B | 0.0% | XXX | XXX | XXX | $6.62 |
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Start Free TrialEnsign Group Valuation Multiples
Ensign Group trades at 2.5x EV/Revenue multiple, and 21.3x EV/EBITDA.
EV / Revenue (LTM)
Ensign Group Financial Valuation Multiples
As of April 19, 2026, Ensign Group has market cap of $12B and EV of $13B.
Equity research analysts estimate Ensign Group's 2025E EV/Revenue multiple at XXX and 2025E EV/EBITDA multiple at XXX
Ensign Group has a P/E ratio of 28.8x.
| LTM | NTM | Last FY | FY 2026 | FY 2027 | FY 2028 | |
|---|---|---|---|---|---|---|
| Market cap (current) | $12B | XXX | $12B | XXX | XXX | XXX |
| EV (current) | $13B | XXX | $13B | XXX | XXX | XXX |
| EV/Revenue | 2.5x | XXX | 2.6x | XXX | XXX | XXX |
| EV/EBITDA | 21.3x | XXX | 22.2x | XXX | XXX | XXX |
| EV/EBIT | 26.5x | XXX | 28.0x | XXX | XXX | XXX |
| EV/Gross Profit | 12.1x | XXX | 16.7x | XXX | XXX | XXX |
| P/E | 28.8x | XXX | 30.2x | XXX | XXX | XXX |
| EV/FCF | — | XXX | 35.9x | XXX | XXX | XXX |
Valuation data powered by FactSet, Inc. and Morningstar, Inc.
Verified Ensign Group Valuation Multiples
Access all public comps and forward-looking valuation multiples like EV/Revenue in 2027, based on consensus analyst estimates. Powered by FactSet and Morningstar.


Ensign Group Margins & Growth Rates
Ensign Group's revenue in the last 12 month grew by 13%.
Ensign Group's revenue per employee in the last FY averaged $0.1M, while opex per employee averaged $0.0M for the same period.
Ensign Group's rule of 40 is 26% (metric relevant for SaaS companies only, counted as combined revenue growth rate and EBITDA margin).
Ensign Group's rule of X is 48% (created by Bessemer, rule of X is another metric to measure SaaS companies, ~1.5x stronger vs. the traditional Rule of 40, counted as revenue growth rate multiplied by 2.5 plus EBITDA margin).
Ensign Group Operational Valuation Multiples
| LTM | NTM | Last FY | FY 2026 | FY 2027 | FY 2028 | |
|---|---|---|---|---|---|---|
| Revenue Growth | 13% | XXX | 15% | XXX | XXX | XXX |
| EBITDA Margin | 12% | XXX | 12% | XXX | XXX | XXX |
| EBITDA Growth | 14% | XXX | 15% | XXX | XXX | XXX |
| Rule of 40 | — | XXX | 26% | XXX | XXX | XXX |
| Bessemer Rule of X | — | XXX | 48% | XXX | XXX | XXX |
| Revenue per Employee | — | XXX | $0.1M | XXX | XXX | XXX |
| Opex per Employee | — | XXX | $0.0M | XXX | XXX | XXX |
| G&A Expenses to Revenue | 5% | XXX | 5% | XXX | XXX | XXX |
| Opex to Revenue | — | XXX | 7% | XXX | XXX | XXX |
Valuation data powered by FactSet, Inc. and Morningstar, Inc.
Ensign Group Public Comps
See public comps and valuation multiples for other Long-Term Care comps.
| EV/Revenue | EV/EBITDA | |||||
|---|---|---|---|---|---|---|
| LTM | 2026E | 2027E | LTM | 2026E | 2027E | |
| Ensign Group | XXX | XXX | XXX | XXX | XXX | XXX |
| BrightSpring Health | XXX | XXX | XXX | XXX | XXX | XXX |
| Chemed | XXX | XXX | XXX | XXX | XXX | XXX |
| Hinge Health | XXX | XXX | XXX | XXX | XXX | XXX |
| Brookdale Senior Living | XXX | XXX | XXX | XXX | XXX | XXX |
| Emeis | XXX | XXX | XXX | XXX | XXX | XXX |
| XXXXXXXX | XXX | XXX | XXX | XXX | XXX | XXX |
| XXXXXXXX | XXX | XXX | XXX | XXX | XXX | XXX |
Valuation data powered by FactSet, Inc.
Ensign Group M&A Activity
Ensign Group acquired XXX companies to date.
Last acquisition by Ensign Group was on XXXXXXXX, XXXXX. Ensign Group acquired XXXXXXXX for XXX (EV/Revenue multiple of XXX).
Latest Acquisitions by Ensign Group
| Acquired Company | Valuation | EV/Revenue | EV/EBITDA |
|---|---|---|---|
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
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Start Free TrialEnsign Group Investment Activity
Ensign Group invested in XXX companies to date.
Ensign Group made its latest investment on XXXXXXXX, XXXXX. Ensign Group invested in XXXXXXXX for XXX (EV/Revenue multiple of XXX).
Latest Investments by Ensign Group
| Company | Valuation | EV/Revenue | EV/EBITDA |
|---|---|---|---|
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
| XXXXXXXXXXXX | XXX | XXX | XXX |
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Start Free TrialAbout Ensign Group
| When was Ensign Group founded? | Ensign Group was founded in 1999. |
| Where is Ensign Group headquartered? | Ensign Group is headquartered in United States. |
| How many employees does Ensign Group have? | As of today, Ensign Group has over 46K employees. |
| Who is the CEO of Ensign Group? | Ensign Group's CEO is Barry R. Port. |
| Is Ensign Group publicly listed? | Yes, Ensign Group is a public company listed on Nasdaq. |
| What is the stock symbol of Ensign Group? | Ensign Group trades under ENSG ticker. |
| When did Ensign Group go public? | Ensign Group went public in 2007. |
| Who are competitors of Ensign Group? | Ensign Group main competitors are BrightSpring Health, Chemed, Hinge Health, Brookdale Senior Living. |
| What is the current market cap of Ensign Group? | Ensign Group's current market cap is $12B. |
| What is the current revenue of Ensign Group? | Ensign Group's last 12 months revenue is $5B. |
| What is the current revenue growth of Ensign Group? | Ensign Group revenue growth (NTM/LTM) is 13%. |
| What is the current EV/Revenue multiple of Ensign Group? | Current revenue multiple of Ensign Group is 2.5x. |
| Is Ensign Group profitable? | Yes, Ensign Group is EBITDA-positive (as of the last 12 months). |
| What is the current EBITDA of Ensign Group? | Ensign Group's last 12 months EBITDA is $627M. |
| What is Ensign Group's EBITDA margin? | Ensign Group's last 12 months EBITDA margin is 12%. |
| What is the current EV/EBITDA multiple of Ensign Group? | Current EBITDA multiple of Ensign Group is 21.3x. |
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