The Ensign Group, Inc. (EGB)
XETRA 
Summary
EGB Chart
Here's Why Investors Continue to Hold Ensign Group Stock
Ensign Group is riding on rising occupancy, acquisitions and real estate growth, with strong cash flow and low debt supporting long-term expansion.
ENSG Expands Healthcare Footprint With Iowa, California Acquisitions
With new acquisitions in California and Iowa, Ensign Group has grown its portfolio to 396 healthcare operations and 181 owned real estate properties.
Ensign Energy Services: Venezuela Exposure Is The Wild Card
Ensign Energy Services remains attractive despite a weak Q1, with cash flow expected to accelerate in H2 and 2027. Q1 revenue declined over 4%, and EBIT shrank to C$0.2 million, but normalized sustaining free cash flow was approximately C$32 million. Net debt is targeted to fall by C$125 million in 2024, with a lease-adjusted EBITDA ratio below 2 expected by end-2025.
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The Ensign Group, Inc. Profile
| Health Care Providers & Services Industry | Healthcare Sector | Barry R. Port CEO | XETRA Exchange | US29358P1012 ISIN |
| US Country | 39,300 Employees | 31 Mar 2026 Last Dividend | 1 Oct 2019 Last Split | 9 Nov 2007 IPO Date |
Overview
The Ensign Group, Inc. is an established provider that offers a comprehensive range of skilled nursing, senior living, and rehabilitative services. Founded in 1999, the company is headquartered in San Juan Capistrano, California. The Ensign Group, Inc. operates across several states in the United States, including Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington, and Wisconsin. It functions through two main segments: Skilled Services and Standard Bearer. The Skilled Services segment focuses on the operation of skilled nursing facilities and the provision of rehabilitation therapy services catered to patients with chronic conditions, prolonged illness, and the elderly. Meanwhile, the Standard Bearer segment encompasses the ownership and leasing of selected real estate properties related to skilled nursing and senior living operations.
Products and Services
- Skilled Nursing Facilities and Rehabilitation Therapy Services
The Skilled Services segment is dedicated to offering comprehensive care and rehabilitation therapy for patients with chronic conditions, prolonged illnesses, or those requiring elderly care. This includes specialized care such as on-site dialysis, ventilator care, and cardiac and pulmonary management, in addition to standard offerings like room and board, special nutritional programs, social services, recreational activities, and entertainment.
- Real Estate Lease Operations
The Standard Bearer segment involves the company in owning and leasing real estate properties to operators of skilled nursing and senior living facilities. This segment plays a crucial role in supporting the infrastructure for the company’s healthcare services.
- Ancillary Services
Apart from the main healthcare services, The Ensign Group, Inc. also provides a wide range of ancillary services to enhance patient care. These services include digital x-ray, ultrasound, electrocardiograms (ECGs), sub-acute services, dialysis, respiratory care, and long-term care pharmacy. The company also offers patient transportation services to individuals at home or in long-term care facilities, alongside mobile diagnostics, ensuring comprehensive healthcare solutions are readily accessible.
