The Ensign Group Inc (ENSG) — Cash Flow Quality Index

Latest as of June 2026: 1.72x

The Ensign Group Inc (ENSG) has a Cash Flow Quality Index of 1.72x as of June 2026. Operating cash flow of $171.95 Million exceeds net income of $99.83 Million, indicating high earnings quality where cash backs reported profits. Explore The Ensign Group Inc (ENSG) cash flow to debt to assess how comfortably operating cash covers total debt obligations.

Cash Flow Quality Index

1.72x
Operating CF / Net Income

Operating Cash Flow

$171.95 Million
USD

Net Income

$99.83 Million
USD

Data as of

Jun 2026
Most recent filing

The Ensign Group Inc Cash Flow Quality Index (2005–2025)

Historical Cash Flow Quality Index for The Ensign Group Inc across 21 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see how efficiently does The Ensign Group Inc generate cash.

Annual Cash Flow Quality Index for The Ensign Group Inc (2005–2025)

Year-by-year earnings quality comparison for The Ensign Group Inc.

Year Quality Index Operating CF (USD) Net Income YoY Change
2025 1.64x $564.27 Million $344.26 Million ▲ +40.9%
2024 1.16x $347.19 Million $298.46 Million ▼ -35.2%
2023 1.79x $376.67 Million $209.85 Million ▲ +48.0%
2022 1.21x $272.51 Million $224.65 Million ▼ -13.0%
2021 1.39x $275.68 Million $197.72 Million ▼ -36.0%
2020 2.18x $373.35 Million $171.36 Million ▲ +44.0%
2019 1.51x $168.93 Million $111.69 Million ▼ -33.5%
2018 2.27x $210.30 Million $92.53 Million ▲ +27.2%
2017 1.79x $72.95 Million $40.83 Million ▲ +27.8%
2016 1.40x $73.89 Million $52.84 Million ▲ +134.3%
2015 0.60x $33.37 Million $55.92 Million ▼ -76.3%
2014 2.52x $84.88 Million $33.74 Million ▲ +60.3%
2013 1.57x $37.42 Million $23.85 Million ▼ -23.9%
2012 2.06x $82.05 Million $39.81 Million ▲ +35.2%
2011 1.52x $72.69 Million $47.67 Million ▲ +2.1%
2010 1.49x $60.50 Million $40.53 Million ▲ +4.8%
2009 1.42x $46.27 Million $32.49 Million ▼ -16.0%
2008 1.70x $46.67 Million $27.51 Million ▲ +86.7%
2007 0.91x $18.65 Million $20.53 Million ▼ -33.8%
2006 1.37x $30.95 Million $22.55 Million ▲ +23.4%
2005 1.11x $20.45 Million $18.39 Million
Cash Flow Quality Index = Operating Cash Flow / Net Income. Ratios above 1.0x indicate cash-backed earnings.