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The Ensign Group ENSG Health Liability Insurance — Self insurance reserve

Other product segments

Accrued general liability and professional malpractice liabilities
$186.78M+16.6%
Workers' Compensation
$47.61M+22.0%
General Liability
$22.55M+7.6%
Health Insurance Product Line
$17.51M+22.4%

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$50.3M-4.7%
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$7.5M+47.1%

Other financials

Income statement

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Revenue$1.4B+17.3%
Gross profit$306.2M+19.6%
Operating income$122.5M+17.9%
Net income$99.7M+18.2%
EPS (diluted)$1.68+16.7%

Balance sheet

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Cash & equivalents$262.3M-27.9%
Total debt$2.3B+10.3%
Total equity$2.4B+21.0%
Total assets$5.7B+16.6%

Cash flow

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Operating cash flow$172.0M+10.4%
CapEx$900.0K
Free cash flow$171.1M+9.1%

Valuation

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Market cap$10.41B+14.1%
Enterprise value$12.4B+14.8%
P/E27.5×-0.8×
P/S1.9×-0.1×

Profitability

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Gross margin20.7%0.0pp
Operating margin8.5%0.0pp
Net margin6.9%-0.1pp
FCF margin10.8%+1.0pp

Returns & leverage

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Return on equity17%-0.6pp
Debt / equity0.9×-0.1×
Current ratio1.2×-0.2×

Where this comes from

Reported directly by The Ensign Group in its filing.

Tagged under the XBRL concept us-gaap:SelfInsuranceReserve.

The source filing: The Ensign Group’s 10-Q, filed July 27, 2026.

Filed
Jul 27, 2026, 6:02 AM EDT
Fiscal quarter
Q2 FY2026
Calendar quarter
Q2 2026
Accession
0001125376-26-000034

The Company self-funds medical (including prescription drugs) and dental healthcare benefits for the majority of its employees. The Company is fully liable for all financial and legal aspects of these benefit plans. To protect itself against loss exposure with this policy, the Company has purchased individual stop-loss insurance coverage that insures individual claims that exceed $525 for each covered person for fiscal year 2026.

Item 1. FINANCIAL STATEMENTS

FAQ

What is The Ensign Group's health liability insurance — self insurance reserve?
The Ensign Group (ENSG) reported health liability insurance — self insurance reserve of $525K in Q2 2026.
How has The Ensign Group's health liability insurance — self insurance reserve changed year-over-year?
The Ensign Group's health liability insurance — self insurance reserve decreased by 0.0% year-over-year, from $525K to $525K.
What is the long-term trend for The Ensign Group's health liability insurance — self insurance reserve?
Over 4 years (2021 to 2025), The Ensign Group's health liability insurance — self insurance reserve has grown at a 1.2% compound annual growth rate (CAGR), from $2M to $2.1M.
What does health liability insurance — self insurance reserve mean?
This metric represents the estimated liability for claims incurred but not yet reported or settled related to health and professional liability risks. It reflects the company's internal provision for potential legal and medical claims arising from its healthcare service operations. Maintaining this reserve is critical for managing the financial impact of litigation and regulatory risks inherent in the post-acute care industry.

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