ENSG Stock Analysis: Buy, Sell, or Hold?

ENSG - The Ensign Group, Inc.

SERVICES-SKILLED NURSING CARE FACILITIES
$177.23
-0.93 (-0.52%) ▼
5d: -0.47%
30d: +5.36%
90d: -3.53%
BUY
MODERATE Confidence
Analysis Updated: Jul 31, 2026 12:00 AM ET
Earnings: Jul 23, 2026 0d

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Interactive Price Chart (1 Month)

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💡
Bottom Line:
💡 BUY OPPORTUNITY: ENSG shows positive signals but monitor for confirmation. Market pricing in 3.3% decline. Moderate conviction.
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
$272.53
Based on 6.8% avg growth
INTRINSIC VALUE TODAY
$169.22
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 22.9x Exit PE.

In-depth Analysis How we analyze

Valuation Analysis: ENSG is currently trading at $177.23, which is considered extended relative to its 30-day fair value range of $164.60 to $176.65. The stock's valuation (Forward PE: 20.7) is in line with its historical norms (22.9). Remarkably, the market is currently pricing in an annual earnings decline of 3.3% 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 strong downtrend. Immediate support is located at $166.88, while resistance sits at $186.00.

Market Sentiment: ENSG has a strong technical setup (75/100), with favorable trendlines, momentum, and price action for short-term traders. In the options market, Implied Volatility is low (21th 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 (+24.1%). Combining these factors, the current setup offers a favorable risk/reward ratio for buyers.

Quick Decision Summary

Current Position EXTENDED
Historical Trading Range $164.60 - $176.65
Company Quality Score 49/100 (HOLD)
Options IV Signal 21th percentile (LOW)
Volume Confirmation HIGH
Confidence Score 69.2%

All Signals

  • BEARISH: Price extended above range
  • BULLISH: Options cheap (IV 21th percentile)
  • BULLISH: Strong technical setup (75/100)
  • BULLISH: High volume confirmation
  • BULLISH: Trading 24.1% below Wall St target ($220.00)

Trading Range Analysis

30-Day Trading Range $164.60 - $176.65
Current vs Trading Range EXTENDED
Expected Move (7 Days) ±$10.42 (5.9%)

Support & Resistance Levels

Support Level $166.88
Resistance Level $186.00
Current Trend Strong Downtrend
Technical data as of Aug 3, 2026

Fundamental Context

Forward P/E (Next Year Est.) 20.72
Wall Street Target $220.00 (+24.1%)
Revenue Growth (YoY) 17.3%
Earnings Growth (YoY) 16.7%
Profit Margin 6.9%
Valuation Discount vs History -3.3% cheaper
PE vs Historical 20.7 vs 22.9 FAIR
Market-Implied Price Targets If current PE multiple persists
Implied Growth (YoY): -3.3% (market-implied from PE analysis)
1-Year Target $171.38 (-3%)
2-Year Target $165.73 (-7%)
3-Year Target $160.26 (-10%)
3-Yr Target (if PE normalizes) (PE: 21→23) $177.10 (0%)
3-Year Scenarios Using analyst projected EPS growth
Bull: (PE: 20.7, Growth: 9.7%) $234.24 (+32%)
Base: (SPY PE: 20.7, Growth: 9.7%) $234.15 (+32%)
Bear: (PE: 17.6, Growth: 9.7%) $199.03 (+12%)
📈 Valuation based on Current Earnings
RECOVERY PLAY: Stock looks expensive now (28x PE), but valuation improves significantly next year (21x PE) as earnings recover.
Trailing PE: 27.92 | Current EPS (TTM): $6.38
Bull Case $262.71 (+48%)
Analyst growth 34.1%, PE expands to 30.7
Base Case $238.83 (+35%)
Market implied 34.1%, PE stable at 27.9
Bear Case $121.15 (-32%)
Severe decline -20.0%, PE contracts to 23.7
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 20.7 to 22.9
Stabilization Target: $195.85 (+10.5%)
PE Expansion Potential: +10.5%
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Last updated: August 04, 2026 12:09 AM ET
Data refreshes hourly during market hours. Next update: 1:09 AM
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Ticker Score Recommendation Change %
Insider Activity (6 Months)
0
Buys
10
Sells
Net
INSIDERS SELLING
Recent Transactions
John O Agwunobi SELL 392 shares 2026-04-20
Mark Vincent Parkinson SELL 100 shares 2026-04-16
Barry M Smith SELL 700 shares 2026-04-02

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Advanced ENSG Option Strategies

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