ENSG (Ensign Group) Cyclically Adjusted Book per Share: $22.83 (As of Jun. 2026)

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ENSG Ensign Group Inc ENSG
91 GF Score
Price $182.53
GF Value $183.09
Valuation Fairly Valued
! 3 Warning Signs
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What is Ensign Group Cyclically Adjusted Book per Share?

Ensign Group ENSG 91 Cyclically Adjusted Book per Share is $22.83 as of Jun. 2026. GuruFocus rates ENSG with a GF Score™ of 91/100 and a GF Value™ of $183.09 (Fairly Valued). The stock has 3 warning signs investors should review.

E10 is a concept invented by Prof. Robert Shiller, who uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted Book per Share and the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted Book Value per Share of a company over the past 10 years.

Ensign Group's adjusted book value per share for the three months ended in Jun. 2026 was $41.902. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is $22.83 for the trailing ten years ended in Jun. 2026.

During the past 12 months, Ensign Group's average Cyclically Adjusted Book Growth Rate was 18.30% per year. During the past 3 years, the average Cyclically Adjusted Book Growth Rate was 16.30% per year. During the past 5 years, the average Cyclically Adjusted Book Growth Rate was 16.50% per year. During the past 10 years, the average Cyclically Adjusted Book Growth Rate was 13.90% per year. Please click Growth Rate Calculation Example (GuruFocus) to see how GuruFocus calculates Wal-Mart Stores Inc (WMT)'s revenue growth rate. You can apply the same method to get the Cyclically Adjusted Book Growth Rate using Cyclically Adjusted Book per Share data.

During the past 13 years, the highest 3-Year average Cyclically Adjusted Book Growth Rate of Ensign Group was 16.40% per year. The lowest was 10.30% per year. And the median was 13.10% per year.

As of today (2026-08-20), Ensign Group's current stock price is $182.53. Ensign Group's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 was $22.83. Ensign Group's Cyclically Adjusted PB Ratio of today is 8.00.

During the past 13 years, the highest Cyclically Adjusted PB Ratio of Ensign Group was 10.35. The lowest was 2.62. And the median was 6.73.


Ensign Group  (NAS:ENSG) Cyclically Adjusted Book per Share Explanation

If a company grows much fast than inflation, Cyclically Adjusted Book per Share may underestimate the company's equity. Cyclically Adjusted PB Ratio can seem to be too high even the actual PB Ratio is low.

For the Cyclically Adjusted PB Ratio, the book value of the past 10 years are inflation-adjusted and averaged. The result is used for P/B calculation. Since it looks at the average over the last 10 years, the Cyclically Adjusted PB Ratio is also called CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

Ensign Group's Cyclically Adjusted PB Ratio of today is calculated as

Cyclically Adjusted PB Ratio=Share Price/Cyclically Adjusted Book per Share
=182.53/22.83
=8.00

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

During the past 13 years, the highest Cyclically Adjusted PB Ratio of Ensign Group was 10.35. The lowest was 2.62. And the median was 6.73.


Be Aware

Cyclically Adjusted PB Ratio works better for cyclical companies. It gives you a better idea on the company's real book value.


Ensign Group Cyclically Adjusted Book per Share Related Terms


Ensign Group Cyclically Adjusted Book per Share Historical Data

* Premium members only.

The historical data trend for Ensign Group's Cyclically Adjusted Book per Share can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Ensign Group Cyclically Adjusted Book per Share Chart

Ensign Group Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted Book per Share
Get a 7-Day Free Trial Premium Member Only Premium Member Only 11.25 13.15 15.11 17.71 20.70

Ensign Group Quarterly Data
Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26 Jun26
Cyclically Adjusted Book per Share Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 19.30 20.07 20.70 21.83 22.83

ENSG vs UHS, EHC, PACS: Cyclically Adjusted Book per Share Comparison

For the Medical Care Facilities subindustry, Ensign Group's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Ensign Group Cyclically Adjusted PB Ratio vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, Ensign Group's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where Ensign Group's Cyclically Adjusted PB Ratio falls into.


ENSG
91GF Score
Ensign Group Inc ENSG
Cyclically Adjusted Book per Share is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

Ensign Group Cyclically Adjusted Book per Share Calculation

E10 is a concept invented by Prof. Robert Shiller, who uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted Book per Share and the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted Book Value per Share of a company over the past 10 years.

What is Cyclically Adjusted Book per Share? How do we calculate Cyclically Adjusted Book per Share?

Cyclically Adjusted Book per Share is the average of the inflation adjusted Book Value per Share of a company over the past 10 years. Let's use an example to explain.

If we want to calculate the Cyclically Adjusted Book per Share of Wal-Mart (WMT) for Dec. 31, 2010, we need to have the inflation data and the book value per share from 2001 through 2010.

We adjusted the 2001 book value per share data with the total inflation from 2001 through 2010 to the equivalent book value in 2010. If the total inflation from 2001 to 2010 is 40%, and Wal-Mart's book value is $1 a share in 2001, then the 2001's equivalent book value in 2010 is $1.4 a share. If Wal-Mart's book value is $1 again in 2002, and the total inflation from 2002 through 2010 is 35%, then the equivalent 2002 book value in 2010 is $1.35. So on and so forth, you get the equivalent book value per share of past 10 years. Then you add them together and divided the sum by the count to get Cyclically Adjusted Book per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

For example, Ensign Group's adjusted Book Value per Share data for the three months ended in Jun. 2026 was:

Adj_Book= Book Value per Share /CPI of Jun. 2026 (Change)*Current CPI (Jun. 2026)
=41.902/333.9520*333.9520
=41.902

Current CPI (Jun. 2026) = 333.9520.

Ensign Group Quarterly Data

Book Value per Share CPI Adj_Book
201609 8.621 241.428 11.925
201612 8.979 241.432 12.420
201703 8.959 243.801 12.272
201706 9.141 244.955 12.462
201709 9.396 246.819 12.713
201712 9.587 246.524 12.987
201803 10.007 249.554 13.391
201806 10.262 251.989 13.600
201809 10.754 252.439 14.226
201812 11.238 251.233 14.938
201903 11.948 254.202 15.696
201906 12.428 256.143 16.203
201909 12.859 256.759 16.725
201912 12.231 256.974 15.895
202003 12.582 258.115 16.279
202006 13.320 257.797 17.255
202009 14.127 260.280 18.126
202012 14.976 260.474 19.201
202103 15.942 264.877 20.099
202106 16.844 271.696 20.704
202109 17.724 274.310 21.578
202112 18.496 278.802 22.155
202203 19.375 287.504 22.505
202206 20.264 296.311 22.838
202209 21.276 296.808 23.939
202212 22.409 296.797 25.214
202303 23.578 301.836 26.087
202306 24.697 305.109 27.032
202309 25.876 307.789 28.076
202312 26.359 306.746 28.697
202403 27.729 312.332 29.648
202406 29.052 314.175 30.881
202409 30.504 315.301 32.308
202412 31.984 315.605 33.843
202503 33.482 319.799 34.964
202506 34.983 322.561 36.218
202509 36.608 324.800 37.640
202512 38.422 324.054 39.596
202603 40.502 330.213 40.961
202606 41.902 333.952 41.902

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book per Share.

What does a Cyclically Adjusted Book per Share of $22.83 mean?
Ensign Group (ENSG) has a Cyclically Adjusted Book per Share of $22.83 as of Jun. 2026. Cyclically adjusted book value per share represents the company's inflation-adjusted book value per share over a 10-year period. View historical data on Ensign Group and its competitors.
Is Ensign Group's Cyclically Adjusted Book per Share too high?
Ensign Group's current Cyclically Adjusted Book per Share is $22.83. Overall, Ensign Group has a GF Score™ of 91/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Ensign Group's Cyclically Adjusted Book per Share compare to UHS and EHC?
Ensign Group's Cyclically Adjusted Book per Share of $22.83 can be compared against companies in the Healthcare Providers & Services industry. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted Book per Share for a Healthcare Providers & Services company?
A good Cyclically Adjusted Book per Share depends on the Healthcare Providers & Services industry context. However, Cyclically Adjusted Book per Share should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted Book per Share mean?
A high Cyclically Adjusted Book per Share can signal that a stock is expensive relative to its fundamentals. Cyclically adjusted book value per share represents the company's inflation-adjusted book value per share over a 10-year period. View historical data on Ensign Group and its competitors. Ensign Group's current Cyclically Adjusted Book per Share is $22.83. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Ensign Group stock overvalued right now?
Based on GuruFocus' analysis, Ensign Group (ENSG) is currently considered Fairly Valued. The stock's GF Value™ is $183.09, compared to a current price of $182.53 — trading 0.3% below its estimated fair value. The current Cyclically Adjusted Book per Share is $22.83. Ensign Group's overall GF Score™ is 91/100 with 3 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted Book per Share calculated?
Cyclically Adjusted Book per Share is calculated from a company's financial statements. For Ensign Group (ENSG), the current Cyclically Adjusted Book per Share is $22.83 as of Jun. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Ensign Group (ENSG) Overvalued in 2026?

Based on GuruFocus' analysis, Ensign Group stock appears to be undervalued. The current stock price of $182.53 is trading 0.3% below its estimated GF Value™ of $183.09. GuruFocus considers Ensign Group to be Fairly Valued.

Key valuation signals for ENSG:

  • Cyclically Adjusted Book per Share: $22.83
  • GF Value™: $183.09 vs. price of $182.53 (0.3% below fair value)
  • GF Score™: 91/100 with 3 warning signs

No single metric tells the full story. See the ENSG stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Ensign Group Business Description

Other Exchanges 1ENSG:ItalyEGB:Germany
Address 29222 Rancho Viejo Road, Suite 127, San Juan Capistrano, CA, USA, 92675
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.
91GF Score

Get the complete analysis for ENSG

Cyclically Adjusted Book per Share is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

$182.53
Price
$183.09
GF Value