The Ensign Group currently trades at $156.85 and has been a dream stock for shareholders. It’s returned 272% since June 2020, nearly tripling the S&P 500’s 92.3% gain. The company has also beaten the index over the past six months as its stock price is up 16.5% thanks to its solid quarterly results.
Is now still a good time to buy ENSG? Or are investors being too optimistic? Find out in our full research report, it’s free.
Why Does The Ensign Group Spark Debate?
Founded in 1999 and named after a naval term for a flag-bearing ship, The Ensign Group (NASDAQ: ENSG) operates skilled nursing facilities, senior living communities, and rehabilitation services across 15 states, primarily serving high-acuity patients recovering from various medical conditions.
Two Things to Like:
1. Elevated Demand Drives Higher Sales Volumes
Revenue growth can be broken down into changes in price and volume (the number of units sold). While both are important, volume is the lifeblood of a successful Specialized Medical & Nursing Services company because there’s a ceiling to what customers will pay.
The Ensign Group’s units sold punched in at 2.54 million in the latest quarter, and over the last two years, averaged 13.2% year-on-year growth. This performance was impressive and shows its offerings have a unique value proposition (and perhaps some degree of customer loyalty). 
2. Outstanding Long-Term EPS Growth
Analyzing the long-term change in earnings per share (EPS) shows whether a company's incremental sales were profitable – for example, revenue could be inflated through excessive spending on advertising and promotions.
The Ensign Group’s EPS grew at an astounding 18.4% compounded annual growth rate over the last five years, higher than its 15.5% annualized revenue growth. This tells us the company became more profitable on a per-share basis as it expanded.
One Reason to be Careful:
New Investments Fail to Bear Fruit as ROIC Declines
A company’s ROIC, or return on invested capital, shows how much operating profit it makes compared to the money it has raised (debt and equity).
We like to invest in businesses with high returns, but the trend in a company’s ROIC is what often surprises the market and moves the stock price. Over the last few years, The Ensign Group’s ROIC has unfortunately decreased. Only time will tell if its new bets can bear fruit and potentially reverse the trend.
Final Judgment
The Ensign Group’s positive characteristics outweigh the negatives, and with its shares beating the market recently, the stock trades at 24.3× forward P/E (or $156.85 per share). Is now a good time to buy? See for yourself in our comprehensive research report, it’s free.
Stocks We Like Even More Than The Ensign Group
The market surged in 2024 and reached record highs after Donald Trump’s presidential victory in November, but questions about new economic policies are adding much uncertainty for 2025.
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Stocks that made our list in 2020 include now familiar names such as Nvidia (+1,545% between March 2020 and March 2025) as well as under-the-radar businesses like the once-small-cap company Comfort Systems (+782% five-year return). Find your next big winner with StockStory today.
