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Ensign GroupMIL:1ENSG 72 Gross Margin % is 16.40% as of Mar. 2026, which is 4% above its 10-year median of 15.74. GuruFocus rates MIL:1ENSG with a GF Score™ of 72/100 and a GF Value™ of €141.50 (Fairly Valued). The stock has 3 warning signs investors should review. Among 629 Healthcare Providers & Services companies, Ensign Group ranks worse than 89.51% on this metric.
Ensign Group Inc gross margin has been in long-term decline. The average rate of decline per year is -2.3%.
The historical rank and industry rank for Ensign Group's Gross Margin % or its related term are showing as below:
MIL:1ENSG'
s Gross Margin % Range Over the Past 10 Years
Min: 10.82 Med: 15.74 Max: 17.82
Current: 15.91
During the past 13 years, the highestGross Margin % of Ensign Group was 17.82%. The lowest was 10.82%. And the median was 15.74%.
MIL:1ENSG's Gross Margin % is ranked worse than 89.51% of 629
companies
in the Healthcare Providers & Services industry
Industry Median: 40.06
vs MIL:1ENSG: 15.91
Ensign Group had a gross margin of 16.40% for the quarter that ended in Mar. 2026 => No sustainable competitive advantage
The 5-Year average Growth Rate of Gross Margin for Ensign Group was -2.30% per year.
Ensign Group (MIL:1ENSG) Gross Margin % Explanation
Warren Buffett believes that firms with excellent long term economics tend to have consistently higher margins.
Durable competitive advantage creates a high Gross Margin % because of the freedom to price in excess of cost. Companies can be categorized by their Gross Margin %
1. Greater than 40% = Durable competitive advantage
2. Less than 40% = Competition eroding margins
3. Less than 20% = no sustainable competitive advantage
Consistency of Gross Margin is key
Ensign Group had a gross margin of 16.40% for the quarter that ended in Mar. 2026 => No sustainable competitive advantage
Be Aware
If a company loses its competitive advantages, usually its gross margin declines well before its sales declines. Watching Gross Margin % and Operating Margin % closely helps avoid value trap situations.
Ensign Group Gross Margin % Related Terms
Ensign Group Gross Margin % Historical Data
* Premium members only.
The historical data trend for Ensign Group's Gross Margin % 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.
MIL:1ENSG vs EHC, UHS, PACS: Gross Margin % Comparison
For the Medical Care Facilities subindustry, Ensign Group's Gross Margin %, along with its competitors' market caps and Gross Margin % 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 Gross Margin % vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, Ensign Group's Gross Margin % distribution charts can be found below:
* The bar in red indicates where Ensign Group's Gross Margin % falls into.
* 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.
A positive Gross Profit is only the first step for a company to make a net profit. The gross profit needs to be big enough to also cover related labor, equipment, rental, marketing/advertising, research and development and a lot of other costs in selling the products.
Ensign Group (MIL:1ENSG) has a Gross Margin % of 16.40% as of Mar. 2026. Gross margin is the ratio of total gross profit to net sales. View historical data on Ensign Group and its competitors. This is near median its historical median of 15.74. Over the past decade, Ensign Group's Gross Margin % has ranged from 10.82 to 17.82. According to the industry distribution chart, Ensign Group ranks #563 out of 629 companies in the Healthcare Providers & Services industry, placing it in the top 89.5%.
Is Ensign Group's Gross Margin % too high?
Ensign Group's current Gross Margin % of 16.40% is near median its 10-year median of 15.74. Over the past 10 years, this metric has ranged from a low of 10.82 to a high of 17.82. The Healthcare Providers & Services industry median Gross Margin % is 40.06. Ensign Group's value of 16.40% is 59.1% below this industry median. Based on the distribution chart, Ensign Group ranks #563 out of 629 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, Ensign Group has a GF Score™ of 72/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Ensign Group's Gross Margin % compare to EHC and UHS?
According to the Healthcare Providers & Services industry distribution chart, Ensign Group ranks #563 out of 629 companies for Gross Margin %. This places Ensign Group in the lower half of its industry. The industry median Gross Margin % is 40.06. Ensign Group's value of 16.40% is 59.1% below this benchmark. Historically, Ensign Group's own Gross Margin % has ranged from 10.82 to 17.82 over the past decade. While the company's 10-year median is 15.74 vs. the industry median of 40.06, Ensign Group has consistently been below 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 Gross Margin % for a Healthcare Providers & Services company?
The median Gross Margin % among Healthcare Providers & Services companies is 40.06, based on 629 companies in the industry. Companies in the top quartile (top 25%) have a Gross Margin % significantly above this median, while those in the bottom quartile fall well below. However, Gross Margin % should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Ensign Group's current Gross Margin % of 16.40% is 59.1% below 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 Gross Margin % mean?
A high Gross Margin % can signal that a stock is expensive relative to its fundamentals. Gross margin is the ratio of total gross profit to net sales. View historical data on Ensign Group and its competitors. For the Healthcare Providers & Services industry, the median Gross Margin % is 40.06 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Ensign Group's current Gross Margin % is 16.40%, which is near median its own 10-year median of 15.74. 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 (MIL:1ENSG) is currently considered Fairly Valued. The stock's GF Value™ is €141.50, compared to a current price of €152.45 — trading 7.7% above its estimated fair value. The current Gross Margin % is 16.40%, which is near median its 10-year median of 15.74 and 59.1% below the Healthcare Providers & Services industry median of 40.06. Ensign Group's overall GF Score™ is 72/100 with 3 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Gross Margin % calculated?
Gross Margin % is calculated from a company's financial statements. For Ensign Group (MIL:1ENSG), the current Gross Margin % is 16.40% as of Mar. 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 (MIL:1ENSG) Overvalued in 2026?
Based on GuruFocus' analysis, Ensign Group stock appears to be overvalued.
The current stock price of €152.45 is trading 7.7% above its estimated GF Value™ of €141.50.
GuruFocus considers Ensign Group to be Fairly Valued.
Key valuation signals for MIL:1ENSG:
Gross Margin %: 16.40% (near median its 10-year median of 15.74)
GF Value™: €141.50 vs. price of €152.45 (7.7% above fair value)
Industry Position: 59.1% below the Healthcare Providers & Services median (#563 of 629)
No single metric tells the full story. See the MIL:1ENSG 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.
72GF Score
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