ENSG Stock Analysis: Buy, Sell, or Hold?

ENSG - The Ensign Group, Inc.

SERVICES-SKILLED NURSING CARE FACILITIES
$188.30
-1.64 (-0.86%) ▼
5d: -1.79%
30d: -6.16%
90d: +9.48%
HOLD
MODERATE Confidence
Protect Your ENSG Gains
Analysis Updated: Apr 28, 2026 12:00 AM ET
Earnings: May 05, 2026 5d
Smart Money Accumulation

ENSG is down 3.9% this week, but smart money is accumulating calls. Top strike: $200 2026-06-18 with 53 OI. Call ratio: 100% View Scanner →

Strength: 6.9/10

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Interactive Price Chart (1 Month)

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💡
Bottom Line:
📊 HOLD: ENSG shows mixed signals. Fine to hold existing positions. Not urgent to buy or sell.
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
$281.37
Based on 6.8% avg growth
INTRINSIC VALUE TODAY
$174.71
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 24.6x Exit PE.

In-depth Analysis How we analyze

Valuation Analysis: ENSG is currently trading at $188.30, which is considered oversold relative to its 30-day fair value range of $192.58 to $202.88. The stock's valuation (Forward PE: 22.9) is in line with its historical norms (24.6). Remarkably, the market is currently pricing in an annual earnings decline of 2.4% over the next few years. This pessimistic expectation contrasts with the company's recent 18.4% earnings growth, suggesting potential undervaluation if the company simply maintains stability.

Technical Outlook: Technically, ENSG is in a strong uptrend. The price is currently testing key support at $185.00. A bounce from this level would confirm strength, while a break below could signal further downside.

Market Sentiment: ENSG has a weak technical setup (25/100), with bearish trendlines and momentum suggesting caution for short-term entries. Wall Street analysts see significant upside, with an average price target of $220.40 (+17.0%). The stock is fairly positioned - fine to hold existing positions or accumulate slowly on dips, but not an urgent buy.

Quick Decision Summary

Current Position OVERSOLD
Historical Trading Range $192.58 - $202.88
Company Quality Score 54/100 (HOLD)
Options IV Signal 45th percentile (NORMAL)
Volume Confirmation HIGH
Confidence Score 57.7%

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All Signals

  • BULLISH: Price oversold vs 30-day range
  • NEUTRAL: Options fairly priced (IV 45th percentile)
  • BEARISH: Weak technical setup (25/100)
  • BULLISH: High volume confirmation
  • BULLISH: Trading below Wall St target ($220.40)

Trading Range Analysis

30-Day Trading Range $192.58 - $202.88
Current vs Trading Range OVERSOLD
Expected Move (7 Days) ±$11.48 (6.1%)

Support & Resistance Levels

Support Level $185.00
Resistance Level $203.85
Current Trend Strong Uptrend
Technical data as of Apr 28, 2026

Fundamental Context

Forward P/E (Next Year Est.) 22.86
Wall Street Target $220.40 (+17.0%)
Revenue Growth (YoY) 20.2%
Earnings Growth (YoY) 18.4%
Profit Margin 6.8%
Valuation Discount vs History -2.4% cheaper
PE vs Historical 22.9 vs 24.6 FAIR
Market-Implied Price Targets If current PE multiple persists
Implied Growth (YoY): -2.4% (market-implied from PE analysis)
1-Year Target $183.78 (-2%)
2-Year Target $179.37 (-5%)
3-Year Target $175.07 (-7%)
3-Yr Target (if PE normalizes) (PE: 23→25) $188.43 (+0%)
3-Year Scenarios Using analyst projected EPS growth
Bull: (PE: 22.9, Growth: 9.6%) $247.91 (+32%)
Base: (SPY PE: 20.6, Growth: 9.6%) $223.55 (+19%)
Bear: (PE: 17.5, Growth: 9.6%) $190.02 (+1%)
📈 Valuation based on Current Earnings
RECOVERY PLAY: Stock looks expensive now (32x PE), but valuation improves significantly next year (23x PE) as earnings recover.
Trailing PE: 32.47 | Current EPS (TTM): $5.85
Bull Case $294.25 (+56%)
Analyst growth 40.8%, PE expands to 35.7
Base Case $267.50 (+42%)
Market implied 40.8%, PE stable at 32.5
Bear Case $129.16 (-31%)
Severe decline -20.0%, PE contracts to 27.6
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 22.9 to 24.6
Stabilization Target: $202.67 (+7.6%)
PE Expansion Potential: +7.6%
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Last updated: April 29, 2026 4:37 AM ET
Data refreshes hourly during market hours. Next update: 5:37 AM
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Ticker Score Recommendation Change %
Insider Activity (6 Months)
0
Buys
20
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

Professional options setups generated by AI based on today's ENSG price and gamma walls.

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