ROARABLE // PRO
GLOBAL DESKS // NYC --:--:-- NYSE
US TAPE
ROAR ▸

ENSG // The Ensign Group Inc.

DES <GO> NASDAQ RQD COCKPIT → CIK 0001125376 ↗
Health Care • Hospital/Nursing Management
$179.06 ▼ -2.46 (-1.35%)
MKT CAP: $10.45B • VOL: 408.4K
ENSG // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
▼ DOWNGRADE // B (RQD 72) -> C+ (RQD 68)
ROARABLE C+
RQD CONFIDENCE
68 / 100 -4D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Hold — Upper Neutral / Watch for Breakout
01 MASSIVE / SEC XBRL
Forensic Fundamentals
17 / 20
STRONG
FCF +115.9% vs NI +15.4% • ROIC-WACC +8.9% • Z 3.73
02 INSTITUTIONAL TAPE & TREND
Whale & Options Flow
12 / 20
NEUTRAL
52W RANGE 52% • VS 200D -0.1% • RSI 54.1
03 SEC XBRL CAPITAL ALLOCATION
Insider & Capital Conviction
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
04 FRED 90D r-MATRIX
Macro Regime Fit
[LOCKED] FLAGGED
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05 10-K REDLINE AUDIT
Forensic 10-K Risk
16 / 20
STRONG
20 BASE - 4 DEDUCT • 0 CRIT / 0 MED • STABLE
ALERT

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ENSG // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +1.77%📐 HORIZONTAL RANGE
2026-11-04O $181.5H $181.5L $179.1C $179.1VOL 408.4K
RES: $189.2SUP: $168.7SMA50: $175.1SMA200: $181.7
$204.9$187.8$170.6$153.4$136.3RES $189.2SUP $168.7$179.12026-05-052026-06-222026-08-062026-09-222026-11-04
ENSG // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
ACCUMULATE CONVICTION: 61/100
BEAR 0
100 BULL

The Ensign Group Inc. (ENSG) exhibits 20.1% gross margins and 18.0% return on invested capital within Health Care (Hospital/Nursing Management), balanced against a 17.0x enterprise multiple and 4.8% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 20.1% gross profitability converts into 8.5% operating margin and 18.0% ROIC, outpacing sector cost of capital.

ROIC: 18.0% // GM: 20.1%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of +18.8% paired with 3.11% free cash flow yield supports self-funded R&D and capital return.

REV YOY: +18.8% // FCF YLD: 3.11%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 3.73 and Piotroski F-Score of 8/9 indicate low near-term refinancing stress.

ALTMAN Z: 3.73 // F-SCORE: 8/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 31.6x trailing P/E (26.5x Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 31.6x // EV/EBITDA: 17.0x
02. Options Skew & Event Volatility Risk

Options market prices a ±5.2% implied move with a 0.85 put/call ratio around $179.06 max pain.

IMPL MOVE: ±5.2% // P/C: 0.85
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Hospital/Nursing Management require continuous execution to defend 6.8% net margins.

NET MARGIN: 6.8% // D/E: 0.06x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs 26.5x forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 0.89).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E 31.6x
FORWARD P/E 26.5x
EV / EBITDA 17.0x
FCF YIELD 3.11%
GROSS MARGIN 20.1%
OPERATING MARGIN 8.5%
NET MARGIN 6.8%
ROIC % 18.0%
REV GROWTH YOY +18.8%
DILUTED EPS TTM $5.90
DEBT / EQUITY 0.06x
DIVIDEND YIELD 0.13%
RSI-14 MOMENTUM 51.3
5Y EQUITY BETA 0.89
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // ENSGPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $163.85
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

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HEAD-TO-HEAD PEER COMPARISONS COMP <GO>