NASDAQ · STOCK
Ensign Group
$178.21
52W $141.58 – $218.00
58/100
$10.38B
27.1
0.69
Is ENSG Bullish or Bearish?
Bullish.
Innellis AI committee rates Ensign Group (ENSG) Buy with a composite score of 58/100
, based on 7 analysts with 71% agreement.
Last updated July 31, 2026.
What Would Change This View
- Upgrade to Strong Buy
- Requires a committee score of 75.0 — +16.83 from today. Applies on the first day at or above the line; upgrades are never dampened.
- Downgrade to Watch
- Requires the score to fall below 55.0 — -3.17 from today. The band boundary is 60.0, but a one-step downgrade must clear a further margin first. A score oscillating around the line should not change the rating every night.
Executive Summary
Some positive signals exist — low leverage (debt-to-equity 0.06) -- balance sheet can absorb a shock — but they are not yet strong enough to justify a Buy. The committee is monitoring for confirmation.
Bull & Bear Case
Bull Case
- ROE of 16.5% shows genuine earnings power backing the valuation — Value
- MACD histogram positive -- bullish momentum — Technical
- Weekly trend (sideways) confirms the daily trend -- multi-timeframe agreement — Technical
- Low leverage (debt-to-equity 0.06) -- balance sheet can absorb a shock — Risk
- Market regime is bullish (Bull market -- normal position sizing) — Macro
Bear Case
- P/E of 27.3 is moderate-to-rich — Value
- Price-to-book of 4.5x prices in significant intangible value — Value
- Growth rate is decelerating quarter over quarter -- the trend line matters more than the level — Growth
Both cases are generated from quantitative data signals, not qualitative or
forward-looking judgement. They summarise what the numbers say today.
Price History (6M)
AI Investment Committee
Committee Consensus
As of July 31, 2026
Overall Committee Score
58/100
Agreement
71%
Analysts
7
Conviction
Moderate
Sector Rank
Top 23%
of 93 Healthcare peers
Value Analyst
neutral
54
/ 100 · High confidence
Fair value -- neither a bargain nor obviously overpriced
+ ROE of 16.5% shows genuine earnings power backing the valuation
− P/E of 27.3 is moderate-to-rich
Growth Analyst
neutral
50
/ 100 · Moderate confidence
Moderate growth -- present but not remarkable
− Growth rate is decelerating quarter over quarter -- the trend line matters more than the level
Technical Analyst
bullish
61
/ 100 · High confidence
Price action is constructive -- trend and momentum agree
+ MACD histogram positive -- bullish momentum
Risk Analyst
bullish
80
/ 100 · Low confidence
Risk profile is manageable -- leverage, volatility, and event exposure all look contained
+ Low leverage (debt-to-equity 0.06) -- balance sheet can absorb a shock
Macro Analyst
neutral
58
/ 100 · Moderate confidence
Macro backdrop is mixed or neutral -- not a strong tailwind or headwind either way
+ Market regime is bullish (Bull market -- normal position sizing)
News Analyst
neutral
60
/ 100 · Low confidence
News flow is mixed or quiet -- no strong signal either way right now
Portfolio Manager
neutral
45
/ 100 · High confidence
Portfolio-level factors are mixed -- worth a deliberate sizing decision, not a default-size position
+ Portfolio position concentration is currently healthy
− Sector concentration is already high (HHI 2744.14)
Investment Thesis Evolution
Committee score moved marginally from 58.2 to 58.2.
- New bearish signals: 3 appeared.
- New bullish signals: 1 appeared.
- Bearish pressure eased: 5 signal(s) disappeared.
- Analyst(s) changed stance: Macro Analyst, Technical Analyst.
Analyst-level changes:
- Macro Analyst: stance bullish->neutral; score 65->58 (-8); +1 bullish signal(s).
- Portfolio Manager: +2 bearish signal(s).
- Technical Analyst: stance neutral->bullish; score 54->61 (+8).
- Value Analyst: +1 bearish signal(s).
Comparing 2026-07-30 to 2026-07-31 (1 day apart).
Technical Analysis
RSI (14)
61.0
Neutral
MACD Histogram
0.986
Bullish Momentum
Trend Direction
Sideways
Weekly: Sideways
Market Structure
Lh Ll
Support
$167.57
Resistance
$193.68
Bollinger %B
0.80
Inside Bands
Price vs Moving Averages
EMA 9
$176.56
Above
EMA 21
$172.56
Above
EMA 50
$171.51
Above
EMA 200
$175.64
Above
Fundamental Analysis
Valuation
58
Growth
68
Profitability
0
Financial Health
57
Cash Flow
37
Valuation
P/E Ratio
27.1×
P/B Ratio
4.23×
PEG Ratio
1.71
Dividend Yield
0.00%
52W High
$218.00
52W Low
$141.58
Quality & Growth
ROE
15.4%
ROA
6.3%
Gross Margin
14.1%
Operating Margin
8.5%
Revenue Growth YoY
—
Debt / Equity
0.92
AI Fundamental Assessment
P/E ratio of 27.1 (moderate relative to a 15-40x range); Price-to-book of 4.2x; PEG ratio of 1.7 (under 1.0 suggests growth is undervalued relative to price); Return on equity of 0.2%; Return on assets of 0.1%; Net margin of 0.1%; Gross margin of 0.1%; Current ratio of 1.21 (tight short-term liquidity); Debt-to-equity of 0.92; Free cash flow margin of 0.7% (thin cash generation); Free cash flow per share is positive (7.23); Most recent quarter beat estimates by 2.2%; EPS growth accelerating (+1.6% -> +3.8% QoQ); Average YoY EPS growth of 20.8%; Analyst estimates rising over recent quarters
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