Moatly / Stocks / ENSG

The Ensign Group, Inc. (ENSG) — what is it worth?

$169.63 · $9.9B market cap · Medical - Care Facilities
Scored from reported financial statements. Data as of 2026-10-02.
Moat
96
Durability of advantage
Management
53
Returns and capital use
Margin of safety
56
Price against value
Buy price
$126.29
Consensus of three methods
Intrinsic value
$190.40
What the business is worth
Margin of safety price
$95.20
Intrinsic value less 50%
10-CAP price
$80.00
Ten times owner earnings
Payback time price
$126.29
Eight years of free cash flow
What the numbers say

On the four Ms, The Ensign Group, Inc. earns 53 for management and 96 for moat. The management score rests on a return on invested capital of 6.9% and a gross margin of 15.8% — figures that describe returns closer to the cost of the capital behind them. Debt sits at 1.86x equity. A wide moat alongside mixed management is a combination worth understanding before the price matters at all.

The valuation runs on assumptions chosen to understate rather than flatter. Growth is modelled at 15.0% a year, below the 16.0% actually measured over the last decade — the model caps growth rather than extrapolating a good run forwards. The exit multiple assumed is 29.8x. That produces an intrinsic value of $190.40, a 10-CAP price of $80.00 and a payback time price of $126.29, with the value zone set at the highest of the three, $126.29. Today's price of $169.63 is 34% above it.

A wonderful business at the wrong price is still the wrong price. The Ensign Group, Inc. scores well on the business and poorly on the entry point, which is the most common shape in a long bull market.

Key figures

Price$169.63
Market cap$9.9B
P/E ratio26.6x
Return on invested capital6.9%
Gross margin15.8%
Debt to equity1.86x
Free cash flow yield3.7%
Growth rate used15.0%
Growth rate measured16.0%
Exit multiple assumed29.8x

How it compares

CompanyMoatBuy price
Henry Schein (HSIC)35$52.50
Molina Healthcare Inc (MOH)39$92.07
Align Technology (ALGN)51$134.51
Universal Health Services (UHS)79$219.14

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Run your own assumptions

Every number above is built on assumptions that can be changed. In Moatly you can move the growth rate, the exit multiple and the margin of safety and watch every figure recalculate, so you are testing your own view of The Ensign Group, Inc. rather than accepting ours.

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Not investment advice. Estimates only, built on stated assumptions that could be wrong. Figures are drawn from reported financial statements and were current as of the date shown. Do your own research.