Ensign GroupENSG +3.29%95 EV-to-FCF is 27.68 as of Jun. 25, 2026, which is 13% below its 10-year median of 31.88. GuruFocus rates ENSG with a GF Score™ of 95/100 and a GF Value™ of $175.69 (Fairly Valued). The stock has 3 warning signs investors should review. Among 410 Healthcare Providers & Services companies, Ensign Group ranks worse than 68.54% on this metric.
EV-to-FCF is calculated as enterprise value divided by its free cash flow. As of today, Ensign Group's Enterprise Value is $11,242 Mil.
Ensign Group's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 was $406 Mil. Therefore, Ensign Group's EV-to-FCF for today is 27.68.
The historical rank and industry rank for Ensign Group's EV-to-FCF or its related term are showing as below:
ENSG'
s EV-to-FCF Range Over the Past 10 Years
Min: -282.79 Med: 31.88 Max: 150.66
Current: 27.68
During the past 13 years, the highest EV-to-FCF of Ensign Group was 150.66. The lowest was -282.79. And the median was 31.88.
ENSG's EV-to-FCF is ranked worse than 68.54% of 410
companies
in the Healthcare Providers & Services industry
Industry Median: 17.47
vs ENSG: 27.68
EV-to-FCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
EV-to-FCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
Ensign Group's PE Ratio (TTM) for today is calculated as:
Ensign Group's share price for today is $164.07.
Ensign Group's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $6.140.
* 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.
Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Free Cash Flow is an important financial metric because it represents the actual amount of cash at a company's disposal. Companies with a low EV-to-FCF ratio, combined with a strong balance sheet are generally considered as undervalued.
Ensign Group EV-to-FCF Related Terms
Ensign Group EV-to-FCF Historical Data
* Premium members only.
The historical data trend for Ensign Group's EV-to-FCF 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.
For the Medical Care Facilities subindustry, Ensign Group's EV-to-FCF, along with its competitors' market caps and EV-to-FCF 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 EV-to-FCF vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, Ensign Group's EV-to-FCF distribution charts can be found below:
* The bar in red indicates where Ensign Group's EV-to-FCF falls into.
Ensign Group's current Enterprise Value is $11,242 Mil.
Ensign Group's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $406 Mil.
* 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 (ENSG) has a EV-to-FCF of 27.68 as of Jun. 25, 2026. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on Ensign Group and its competitors. This is 13% below median its historical median of 31.88. According to the industry distribution chart, Ensign Group ranks #281 out of 410 companies in the Healthcare Providers & Services industry, placing it in the top 68.5%.
Is Ensign Group's EV-to-FCF too high?
Ensign Group's current EV-to-FCF of 27.68 is 13% below median its 10-year median of 31.88. The Healthcare Providers & Services industry median EV-to-FCF is 17.47. Ensign Group's value of 27.68 is 58.4% above this industry median. Based on the distribution chart, Ensign Group ranks #281 out of 410 companies in the Healthcare Providers & Services industry, which is below the industry midpoint. Overall, Ensign Group has a GF Score™ of 95/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Ensign Group's EV-to-FCF compare to EHC and UHS?
According to the Healthcare Providers & Services industry distribution chart, Ensign Group ranks #281 out of 410 companies for EV-to-FCF. This places Ensign Group in the lower half of its industry. The industry median EV-to-FCF is 17.47. Ensign Group's value of 27.68 is 58.4% above this benchmark. While the company's 10-year median is 31.88 vs. the industry median of 17.47, Ensign Group has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good EV-to-FCF for a Healthcare Providers & Services company?
The median EV-to-FCF among Healthcare Providers & Services companies is 17.47, based on 410 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-FCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-FCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Ensign Group's current EV-to-FCF of 27.68 is 58.4% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high EV-to-FCF mean?
A high EV-to-FCF can signal that a stock is expensive relative to its fundamentals. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on Ensign Group and its competitors. For the Healthcare Providers & Services industry, the median EV-to-FCF is 17.47 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Ensign Group's current EV-to-FCF is 27.68, which is 13% below median its own 10-year median of 31.88. 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 $175.69, compared to a current price of $164.07 — trading 6.6% below its estimated fair value. The current EV-to-FCF is 27.68, which is 13% below median its 10-year median of 31.88 and 58.4% above the Healthcare Providers & Services industry median of 17.47. Ensign Group's overall GF Score™ is 95/100 with 3 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is EV-to-FCF calculated?
EV-to-FCF is calculated from a company's financial statements. For Ensign Group (ENSG), the current EV-to-FCF is 27.68 as of Jun. 25, 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 $164.07 is trading 6.6% below its estimated GF Value™ of $175.69.
GuruFocus considers Ensign Group to be Fairly Valued.
Key valuation signals for ENSG:
EV-to-FCF: 27.68 (13% below median its 10-year median of 31.88)
GF Value™: $175.69 vs. price of $164.07 (6.6% below fair value)
Industry Position: 58.4% above the Healthcare Providers & Services median (#281 of 410)
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 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.
95GF Score
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