The Ensign Group (ENSG) Cash Flow: Operating & Free Cash Flow

The Ensign Group Cash Flow Statement Analysis

Operating, investing, and financing activities in millions USD

Income Statement Balance Sheet Cash Flow Ratios

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Cash flow statement showing operating, investing, and financing activities for The Ensign Group, Inc. (ENSG) - Annual data in millions USD
Breakdown	FY 2025	FY 2024	FY 2023	FY 2022	FY 2021	FY 2020	FY 2019	FY 2018	FY 2017
Period Ending	Dec 2025	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020	Dec 2019	Dec 2018	Dec 2017
Operating Activities
Net Income	343.97	298.46	209.85	224.65	194.65	171.36	111.69	92.53	40.83
Depreciation & Amortization	104.33	84.14	72.39	62.36	55.99	54.57	51.05	47.34	44.47
Deferred Income Tax	-16.86	0.64	-27.48	-30.65	-24.88	-27.81	3.49	1.10	10.33
Stock Based Compensation	48.30	36.23	30.77	22.72	18.68	14.52	11.32	10.34	9.70
Change in Working Capital	77.92	-79.45	37.89	-12.79	0.03	149.05	3.95	33.96	-64.88
Change in Accounts Receivable	-70.43	-84.40	-79.82	-82.43	-30.77	2.17	-60.42	-13.10	-52.30
Change in Inventory	0.00	0.00	0.00	0.00	0.00	0.00	55.62	44.01	-9.80
Change in Accounts Payable	-2.92	2.84	15.92	17.87	7.12	6.63	4.46	3.08	3.33
Change in Other Working Capital	140.10	7.18	101.79	7.30	27.92	140.73	4.30	-0.03	-6.11
Other Operating Activities	-12.19	7.18	53.25	7.30	3.75	11.66	10.72	25.04	32.51
Net Cash from Operating Activities	559.01	347.19	376.67	272.51	275.68	373.35	192.22	210.30	72.95
Investing Activities
Capital Expenditures	-193.56	-158.24	-106.18	-87.55	-69.55	-50.33	-71.54	-54.95	-57.17
Acquisitions	-323.26	-156.55	0.00	-101.14	-6.00	47.56	-6.46	-4.73	-77.51
Purchases of Investments	-11.05	-105.15	-30.82	-21.98	-4.78	-21.71	-12.33	-10.35	0.00
Sales/Maturities of Investments	99.67	26.40	18.85	14.36	27.48	24.48	8.86	0.14	1.58
Other Investing Activities	14.69	-153.06	-64.55	-74.62	4.77	-58.67	-165.54	-0.53	23.41
Net Cash from Investing Activities	-513.18	-390.05	-182.70	-186.18	-173.91	-58.67	-247.02	-151.21	-106.59
Financing Activities
Debt Repayment	-4.09	-4.35	-3.88	-4.11	42.16	-212.55	83.35	-69.94	31.86
Common Stock Issued	29.04	0.00	0.00	6.69	9.18	0.00	0.00	1.97	0.00
Common Stock Repurchased	-21.43	-1.21	-1.93	-31.58	-11.83	-25.92	-6.89	-1.97	-7.29
Dividends Paid	-14.41	-13.67	-12.89	-12.17	-11.55	-10.83	-10.19	-9.42	-8.72
Other Financing Activities	-0.92	-5.62	18.09	-4.19	-104.10	111.99	16.62	9.01	2.42
Net Cash from Financing Activities	-10.89	-2.16	-0.61	-32.26	-76.14	-137.30	82.88	-70.35	18.27
Summary
Effect of Forex Changes on Cash	0.00	0.00	0.00	0.00	0.00	0.00	-0.08	0.00	0.00
Net Change in Cash	39.28	-45.03	193.36	54.07	25.64	177.39	28.09	-11.25	-15.37
Cash at Beginning of Period	464.60	509.63	316.27	262.20	236.56	59.18	31.08	42.34	57.71
Cash at End of Period	503.88	464.60	509.63	316.27	262.20	236.56	59.18	31.08	42.34
Free Cash Flow	365.46	188.95	270.49	184.97	206.13	323.03	120.68	155.35	15.79
Supplemental Disclosures
Interest Paid	6.91	7.06	7.03	7.60	5.69	0.00	0.00	0.00	0.00
Income Taxes Paid	116.20	96.34	89.73	70.06	65.55	0.00	0.00	0.00	0.00

Frequently Asked Questions About The Ensign Group Cash Flow

What is a cash flow statement?

A cash flow statement tracks the actual cash moving in and out of a company during a period. It's divided into three sections: operating activities (core business), investing activities (assets and investments), and financing activities (debt and equity). Unlike the income statement, it shows real cash rather than accounting profits.

What is operating cash flow?

Operating cash flow is the cash generated from a company's core business operations. It adjusts net income for non-cash items like depreciation and changes in working capital. Strong operating cash flow indicates the business can fund operations without external financing.

What is free cash flow (FCF)?

Free cash flow is operating cash flow minus capital expenditures. It represents the cash available for dividends, share buybacks, debt repayment, or reinvestment. FCF is considered one of the most important metrics for evaluating a company's financial health.

What are capital expenditures?

Capital expenditures (CapEx) are funds spent on acquiring or maintaining physical assets like property, equipment, and technology. CapEx appears in the investing activities section and is subtracted from operating cash flow to calculate free cash flow.

How is ENSG's cash generation trending?

Review The Ensign Group's operating cash flow and free cash flow figures in the quarterly and annual data above. Consistent growth in operating cash flow relative to net income indicates high-quality earnings.

The Ensign Group (ENSG) Cash Flow Statement

The Ensign Group Cash Flow Statement Analysis

Frequently Asked Questions About The Ensign Group Cash Flow

Free Cash Flow (FCF)

FCF Per Share

Cash Flow to Debt

Dividend Payout Ratio

EBITDA

Return on Invested Capital (ROIC)

The Ensign Group Cash Flow Statement Analysis

Frequently Asked Questions About The Ensign Group Cash Flow

Metrics Derived from the Cash Flow Statement

Free Cash Flow (FCF)

FCF Per Share

Cash Flow to Debt

Dividend Payout Ratio

EBITDA

Return on Invested Capital (ROIC)