Ensign (ENSG) Net Cash Flow (2010 - 2026)
Ensign's Net Cash Flow came in at -$277.2 million for Q2 2026, compared with $81.3 million a year earlier.
Ensign (ENSG) Net Cash Flow (2010 - 2026) Analysis & Trends
Over the trailing twelve months to Jun 30, 2026, Ensign reported Net Cash Flow of -$101.67 million; for FY2025, it came in at $39.28 million.
- Net Cash Flow carries a five-year compound annual growth rate of -26.0% (FY2020 to FY2025).
- Going back by year, Net Cash Flow was -$45.03 million in FY2024, $193.36 million in FY2023 (+257.6%), $54.07 million in FY2022 (+110.9%) and $25.64 million in FY2021 (-85.5%).
- The Q2 2026 figure represents the lowest quarterly Net Cash Flow in data going back to Q3 2010.
- The fastest year-over-year change in Net Cash Flow over five years came in Q4 2023 (growth of 463.8%), and the weakest in Q1 2024 (a decline of 79.3%).
- Business Quant data shows ENSG's Net Cash Flow at $35.62 million (Q1 2026), $60.21 million (Q4 2025) and $79.7 million (Q3 2025) in the three quarters before Q2 2026.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | NCF (Qtr) |
|---|---|---|---|---|---|
| 1 | HCA Healthcare | 93.06 Bn | 92.50 Bn | - | 74.00 Mn |
| 2 | Natera | 59.36 Bn | 55.04 Bn | 485.19 Mn | 3.57 Mn |
| 3 | Quest Diagnostics | 25.72 Bn | 24.15 Bn | 1.03 Bn | 234.00 Mn |
| 4 | Labcorp Holdings | 24.93 Bn | 22.69 Bn | 1.11 Bn | -840.60 Mn |
| 5 | Guardant Health | 23.83 Bn | 19.89 Bn | 219.03 Mn | 66.71 Mn |
| 6 | Tenet Healthcare | 20.58 Bn | 11.72 Bn | - | -797.00 Mn |
| 7 | Tempus AI | 14.35 Bn | 11.38 Bn | 246.50 Mn | 78.50 Mn |
| 8 | Encompass Health | 11.99 Bn | 12.46 Bn | - | -29.90 Mn |
| 9 | BrightSpring Health Services | 11.21 Bn | 9.55 Bn | 492.75 Mn | -338.42 Mn |
| 10 | Ensign | 10.02 Bn | 8.03 Bn | 306.24 Mn | -277.20 Mn |
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | -277.20 Mn |
| Mar 31, 2026 | 35.62 Mn |
| Dec 31, 2025 | 60.21 Mn |
| Sep 30, 2025 | 79.70 Mn |
| Jun 30, 2025 | 81.30 Mn |
| Mar 31, 2025 | -181.93 Mn |
| Dec 31, 2024 | -67.47 Mn |
| Sep 30, 2024 | 54.73 Mn |
| Jun 30, 2024 | -34.50 Mn |
| Mar 31, 2024 | 2.21 Mn |
| Dec 31, 2023 | 41.76 Mn |
| Sep 30, 2023 | 47.90 Mn |
| Jun 30, 2023 | 93.01 Mn |
| Mar 31, 2023 | 10.70 Mn |
| Dec 31, 2022 | 7.41 Mn |
| Sep 30, 2022 | 23.28 Mn |
| Jun 30, 2022 | 37.03 Mn |
| Mar 31, 2022 | -13.66 Mn |
| Dec 31, 2021 | -42.42 Mn |
| Sep 30, 2021 | 106.21 Mn |
Ensign Net Cash Flow API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=net-cash-flow&ticker=ENSG&period=max&api_key=YOUR_API_KEY
import requests
url = "https://data.businessquant.com/historic"
params = {"slug": "net-cash-flow", "ticker": "ENSG", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()
const res = await fetch("https://data.businessquant.com/historic?slug=net-cash-flow&ticker=ENSG&period=max&api_key=YOUR_API_KEY");
const data = await res.json();