The Ensign Group, Inc. (ENSG) Stock Analysis
Healthcare · Medical Care Facilities
Sell if holding. At $183.53, A.R:R 0.6:1 is below the 1.5:1 minimum. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: Negative momentum; Thin upside margin: 3.4%.
Ensign Group operates 373 skilled nursing and senior living facilities in 17 states through independent subsidiaries, generating approximately 95.6% of 2025 revenue from SNFs. Revenue is primarily Medicaid (45.8%) and Medicare (23.7%) reimbursements. Standard Bearer REIT... Read more
Sell if holding. At $183.53, A.R:R 0.6:1 is below the 1.5:1 minimum. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: Negative momentum; Thin upside margin: 3.4%. Chart setup: No recognized chart pattern (not a breakout, bounce, continuation, recovery, falling knife, or range) — technicals mixed. Score 5.1/10, moderate confidence.
Passes 5/7 gates (clean insider activity, no SEC red flags, news boost earnings 0.70, earnings proximity no date, semi cycle peak clear). Fails on weak momentum and favorable risk/reward ratio. Suitability: moderate.
Thesis
Key Metrics
Quality Signals
Options Flow
Concentration Risks(10-K Item 1A)
- MEDIUMCustomerMedicaid46%10-K Item 1A: 'Medicaid is our largest source of revenue, accounting for 45.8% and 46.0% of our revenue for the years ended December 31, 2025 and 2024, respectively'
- LOWCustomerMedicare24%10-K Item 1A: 'We derived 23.7% and 24.9% of our service revenue from the Medicare programs for the years ended December 31, 2025 and 2024, respectively'
- MEDIUMGeographicCalifornia, Texas and Arizona10-K Item 1A: 'a significant portion of our revenue is generated from our skilled nursing independent subsidiaries in California, Texas and Arizona'
Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. Full disclaimer
Rating Breakdown
2 floor-breakers
Momentum below the gate floor. Component breakdown shows what dragged the score down.static
Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static
Price Targets
Position Sizing
Risk Alerts
Earnings
Verdict History
Frequently Asked Questions
Sell if holding. At $183.53, A.R:R 0.6:1 is below the 1.5:1 minimum. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: Negative momentum; Thin upside margin: 3.4%. Chart setup: No recognized chart pattern (not a breakout, bounce, continuation, recovery, falling knife, or range) — technicals mixed. Prior stop was $176.55. Score 5.1/10, moderate confidence.
Take-profit target: $191.75 (+3.4% upside). Prior stop was $176.55. Stop-loss: $176.55.
Thin upside margin: 3.4%; Negative momentum.
The Ensign Group, Inc. trades at a P/E of 32.0 (forward 22.7). TrendMatrix value score: 4.8/10. Verdict: Sell.
11 analysts cover ENSG with a consensus score of 4.2/5. Average price target: $220.
What does The Ensign Group, Inc. do?Ensign Group operates 373 skilled nursing and senior living facilities in 17 states through independent subsidiaries,...
Ensign Group operates 373 skilled nursing and senior living facilities in 17 states through independent subsidiaries, generating approximately 95.6% of 2025 revenue from SNFs. Revenue is primarily Medicaid (45.8%) and Medicare (23.7%) reimbursements. Standard Bearer REIT subsidiary owns 158 healthcare real estate properties, leasing 38 to third-party operators.