The Ensign Group (ENSG) Stock: Buy, Sell, or Hold?

ENSG - The Ensign Group, Inc.

SERVICES-SKILLED NURSING CARE FACILITIES
$171.78
2.15 (1.27%) ▲
5d: -1.94%
30d: -0.53%
90d: +2.97%
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LOW Confidence
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Analysis Updated: Oct 2, 2026 12:00 AM ET
Earnings: Nov 02, 2026 29d

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Interactive Price Chart (1 Month)

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💡
Bottom Line:
â„šī¸ NEUTRAL: ENSG is fairly priced but lacks strong directional signals. At -3.6% expected growth, valuation appears cheap. Wait for clearer setup or better entry on dips.
See Forward Earnings Fair Value & Price Prediction →

Long-Term Wealth Forecast (2031)

Based on Analyst Consensus Growth & Historical Valuation

0% (Stagnation) 50% (Hyper Growth)
EST. PRICE IN 2031
$266.58
Based on 6.8% avg growth
INTRINSIC VALUE TODAY
$165.53
Trading above historical range

How this is calculated: We use a Growth Decay Model: starting with analyst consensus growth (adjusted above) and gradually slowing it down to a long-term terminal rate (4%) by Year 5. This provides a more realistic valuation than assuming constant hyper-growth. We then apply a 22.4x Exit PE.

In-depth Analysis How we analyze

Valuation Analysis: ENSG is currently trading at $171.78, which is considered slightly low relative to its 30-day fair value range of $171.47 to $176.43. From a valuation perspective, the stock is trading at a discount (Forward PE: 20.1) compared to its historical average (22.4). Remarkably, the market is currently pricing in an annual earnings decline of 3.6% over the next few years. This pessimistic expectation contrasts with the company's recent 16.7% earnings growth, suggesting potential undervaluation if the company simply maintains stability.

Technical Outlook: Technically, ENSG is in a uptrend. The price is currently testing key support at $168.46. A bounce from this level would confirm strength, while a break below could signal further downside.

Market Sentiment: The stock scores a mixed 59/100 on our bottoming-setup gauge, with only partial signs of a stabilized entry point. In the options market, Implied Volatility is low (0th percentile), suggesting options premiums are relatively cheap. This makes it an attractive time for long options strategies if you have a directional bias. Wall Street analysts see significant upside, with an average price target of $220.00 (+28.1%). Current signals suggest waiting for a better entry point before initiating new positions.

Quick Decision Summary

Current Position SLIGHTLY LOW
Historical Trading Range $171.47 - $176.43
Company Quality Score 50/100 (HOLD)
Volume Confirmation HIGH
Confidence Score 83.5%

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All Signals

  • BULLISH: Price oversold vs 30-day range
  • BULLISH: Options cheap (IV 0th percentile)
  • NEUTRAL: Mixed technical signals (59/100)
  • BULLISH: High volume confirmation
  • BULLISH: Trading 28.1% below Wall St target ($220.00)
  • WARNING: Composite score 50/100 in the bottom quintile — this cohort historically lags the market

Trading Range Analysis

30-Day Trading Range $171.47 - $176.43
Current vs Trading Range SLIGHTLY LOW
Expected Move (7 Days) Âą$6.95 (4.0%)

Support & Resistance Levels

Support Level $168.46
Resistance Level $178.38
Current Trend Uptrend
Technical data as of Oct 2, 2026

Fundamental Context

Forward P/E (Next Year Est.) 20.09
Wall Street Target $220.00 (+28.1%)
Revenue Growth (YoY) 17.3%
Earnings Growth (YoY) 16.7%
Profit Margin 6.9%
Valuation Discount vs History -3.6% cheaper
PE vs Historical 20.1 vs 22.4 CHEAP
Market-Implied Price Targets If current PE multiple persists
Implied Growth (YoY): -3.6% (market-implied from PE analysis)
1-Year Target $165.60 (-4%)
2-Year Target $159.63 (-7%)
3-Year Target $153.89 (-10%)
3-Yr Target (if PE normalizes) (PE: 20→22) $171.62 (0%)
3-Year Scenarios Using analyst projected EPS growth
Bull: (PE: 20.4, Growth: 9.7%) $230.51 (+34%)
Base: (SPY PE: 20.1, Growth: 9.7%) $226.95 (+32%)
Bear: (PE: 17.1, Growth: 9.7%) $192.91 (+12%)
📈 Valuation based on Current Earnings
RECOVERY PLAY: Stock looks expensive now (27x PE), but valuation improves significantly next year (20x PE) as earnings recover.
Trailing PE: 26.97 | Current EPS (TTM): $6.29
Bull Case $253.71 (+48%)
Analyst growth 36.0%, PE expands to 29.7
Base Case $230.65 (+34%)
Market implied 36.0%, PE stable at 27.0
Bear Case $115.35 (-33%)
Severe decline -20.0%, PE contracts to 22.9
These are projections based on PE multiples and EPS growth scenarios, not predictions. Actual results may vary significantly.
💡 Upside Surprise Potential
If earnings stabilize (0% growth), PE could expand from 20.1 to 22.4
Stabilization Target: $191.58 (+11.5%)
PE Expansion Potential: +11.5%
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Last updated: October 03, 2026 11:16 AM ET
Data refreshes hourly during market hours. Next update: 12:16 PM
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Ticker Score Recommendation Change %
Insider Activity (6 Months)
0
Buys
2
Sells
Net
INSIDERS SELLING
Recent Transactions
John O Agwunobi SELL 392 shares 2026-04-20
Mark Vincent Parkinson SELL 100 shares 2026-04-16

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Advanced ENSG Option Strategies

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