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Ensign Group Valuation Multiples

Discover revenue and EBITDA valuation multiples for Ensign Group and similar public comparables like Addus HomeCare, Regis Healthcare, and National Healthcare Corp.

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

United States of America
Employees

39.3K+

Website

ensigngroup.net

Sectors

Long-Term Care

Financials

LTM Revenue $4.5B

LTM EBITDA $521M

EV

$10.1B

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Ensign Group Financials

Ensign Group has a last 12-month revenue (LTM) of $4.5B and a last 12-month EBITDA of $521M.

In the most recent fiscal year, Ensign Group achieved revenue of $4.3B and an EBITDA of $479M.

Ensign Group expects next 12-month revenue of  XXX    and NTM EBITDA of  XXX

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Ensign Group P&L

LTM NTM Last FY FY 2025 FY 2026 FY 2027
Revenue $4.5B XXX $4.3B XXX XXX XXX
Gross Profit $959M XXX $668M XXX XXX XXX
Gross Margin 21% XXX 16% XXX XXX XXX
EBITDA $521M XXX $479M XXX XXX XXX
EBITDA Margin 12% XXX 11% XXX XXX XXX
EBIT $438M XXX $358M XXX XXX XXX
EBIT Margin 10% XXX 8% XXX XXX XXX
Net Profit $342M XXX $298M XXX XXX XXX
Net Margin 8% XXX 7% XXX XXX XXX
Net Debt XXX XXX n/a XXX XXX XXX

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Ensign Group Stock Performance

As of May 30, 2025, Ensign Group's stock price is $147.

Ensign Group has current market cap of $8.5B, and EV of $10.1B.

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Ensign Group Stock Data

EV Market Cap Price 1D Price 1M Price 3M Price 12M EPS
$10.1B $8.5B XXX XXX XXX XXX $5.83

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Ensign Group Valuation Multiples

As of May 30, 2025, Ensign Group has market cap of $8.5B and EV of $10.1B.

Ensign Group's trades at 2.4x EV/Revenue multiple, and 21.2x EV/EBITDA.

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 24.8x.

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Ensign Group Financial Valuation Multiples

LTM NTM Last FY FY 2025 FY 2026 FY 2027
Market cap (current) $8.5B XXX $8.5B XXX XXX XXX
EV (current) $10.1B XXX $10.1B XXX XXX XXX
EV/Revenue 2.2x XXX 2.4x XXX XXX XXX
EV/EBITDA 19.4x XXX 21.2x XXX XXX XXX
EV/EBIT 23.1x XXX 28.3x XXX XXX XXX
EV/Gross Profit 10.6x XXX n/a XXX XXX XXX
P/E 24.8x XXX 28.4x XXX XXX XXX
EV/FCF n/a XXX 53.6x XXX XXX XXX

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Ensign Group Margins & Growth Rates

Ensign Group's last 12 month revenue growth is 13%

Ensign Group's revenue per employee in the last FY averaged $0.1M, while opex per employee averaged $8K for the same period.

Ensign Group's rule of 40 is 22% (metric relevant for SaaS companies only, counted as combined revenue growth rate and EBITDA margin).

Ensign Group's rule of X is 44% (created by Bessemer, rule of X is another metric relevant for SaaS companies only, ~1.5x stronger vs. the traditional Rule of 40, counted as revenue growth rate multiplied by 2.5 plus EBITDA margin).

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Ensign Group Operational Valuation Multiples

LTM NTM Last FY FY 2025 FY 2026 FY 2027
Revenue Growth 13% XXX 13% XXX XXX XXX
EBITDA Margin 12% XXX 11% XXX XXX XXX
EBITDA Growth 14% XXX 27% XXX XXX XXX
Rule of 40 22% XXX 24% XXX XXX XXX
Bessemer Rule of X XXX XXX 44% XXX XXX XXX
Revenue per Employee XXX XXX $0.1M XXX XXX XXX
Opex per Employee XXX XXX $8K XXX XXX XXX
S&M Expenses to Revenue XXX XXX n/a XXX XXX XXX
G&A Expenses to Revenue XXX XXX n/a XXX XXX XXX
R&D Expenses to Revenue XXX XXX n/a XXX XXX XXX
Opex to Revenue XXX XXX 7% XXX XXX XXX

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Ensign Group Public Comps

See public comps and valuation multiples for Long-Term Care comps
EV/Revenue EV/EBITDA
2025E 2026E 2027E 2025E 2026E 2027E
National Healthcare Corp XXX XXX XXX XXX XXX XXX
Regis Healthcare XXX XXX XXX XXX XXX XXX
Maternus-Kliniken XXX XXX XXX XXX XXX XXX
Addus HomeCare XXX XXX XXX XXX XXX XXX
Amedisys XXX XXX XXX XXX XXX XXX
XXXXXXXX XXX XXX XXX XXX XXX XXX
XXXXXXXX XXX XXX XXX XXX XXX XXX

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Ensign Group M&A and Investment Activity

Ensign Group acquired  XXX companies to date.

Last acquisition by Ensign Group was  XXXXXXXX, XXXXX XXXXX XXXXXX . Ensign Group acquired  XXXXXXXX for  XXX (EV/Revenue multiple of  XXX ).

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Latest Acquisitions by Ensign Group

Acquired Company EV EV/Revenue EV/EBITDA
XXXXXXXXX XXX XXX XXX
XXXXXXXXX XXX XXX XXX
XXXXXXXXX XXX XXX XXX
XXXXXXXXX XXX XXX XXX
XXXXXXXXX XXX XXX XXX

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About 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 of America.
How many employees does Ensign Group have? As of today, Ensign Group has 39.3K+ employees.
Who is the CEO of Ensign Group? Ensign Group's CEO is Mr. Barry R. Port.
Is Ensign Group publicy listed? Yes, Ensign Group is a public company listed on NAS.
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? Similar companies to Ensign Group include e.g. National Healthcare Corp, Regis Healthcare, Maternus-Kliniken, Addus HomeCare.
What is the current market cap of Ensign Group? Ensign Group's current market cap is $8.5B
What is the current revenue of Ensign Group? Ensign Group's last 12 months revenue is $4.5B.
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 2.2x.
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 $521M.
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 19.4x.

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