The Ensign Group, Inc. provides health care services in the post-acute care continuum and other ancillary businesses in the United States. It operates through three segments: Transitional and Skilled Services; Assisted and Independent Living Services; and Home Health and Hospice Services. The Transitional and Skilled Services segment provides a range of medical, nursing, rehabilitative, and pharmacy services, as well as routine services comprising daily dietary, social, and recreational services to Medicaid, private pay, managed care, and Medicare payors. The Assisted and Independent Living Services segment offers residential accommodation, meal, security, housekeeping, and assistance services in the activities of daily living to independent seniors. The Home Health and Hospice Services segment provides nursing, speech, occupational and physical therapists, medical social workers, and certified home health aide services; and hospice care services, such as physical, spiritual, and psychosocial needs, including palliative and clinical care, education, and counseling for terminally ill individuals and their families. The company also provides mobile ancillary services, such as digital X-ray, ultrasound, electrocardiograms, sub-acute services, and patient transportation. As of December 31, 2016, it had 210 healthcare facilities and 39 home health and home care hospice agencies in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Texas, Utah, Washington, and Wisconsin. The company was founded in 1999 and is based in Mission Viejo, California.
FINANCIAL RATIOS of Ensign Group (ENSG)
|Price to Sales||0.7|
|Price to Book||2.6|
|Price to Tangible Book|
|Price to Cash Flow||15.9|
|Price to Free Cash Flow||-10.4|
|Sales Growth Rate||23.3%|
|Sales - 3 Yr. Growth Rate||%|
|EPS Growth Rate||%|
|EPS - 3 Yr. Growth Rate||%|
|Capital Spending Gr. Rate||139.7%|
|Cap. Spend. - 3 Yr. Gr. Rate||44.2%|
|LT Debt to Equity||60.5%|
|Total Debt to Equity||62.3%|
|Return On Assets||6.1%|
|Ret/ On Assets - 3 Yr. Avg.||7.4%|
|Return On Total Capital||7.9%|
|Ret/ On T. Cap. - 3 Yr. Avg.||9.5%|
|Return On Equity||11.3%|
|Return On Equity - 3 Yr. Avg.||13%|
|Gross Margin - 3 Yr. Avg.||13.4%|
|EBITDA Margin - 3 Yr. Avg.||8.9%|
|Oper. Margin - 3 Yr. Avg.||6.5%|
|Pre-Tax Margin - 3 Yr. Avg.||6%|
|Net Profit Margin||3%|
|Net Profit Margin - 3 Yr. Avg.||3.5%|
|Effective Tax Rate||38.4%|
|Eff/ Tax Rate - 3 Yr. Avg.||40.4%|
ENSG stock valuation input parameters
Revenue. Company's revenue (or sales) is always the starting point of any cash flow forecast. In the ENSG stock intrinsic value calculation we used $1655 million for the last fiscal year's total revenue generated by Ensign Group. The default revenue input number comes from 2016 income statement of Ensign Group. You may change it if you feel that it should be adjusted for some unusual circumstances that are not expected to be repeated in the future or if you already know (from interim financial statements, for example) that this year's revenue is going to be quite different.
Revenue growth rate. Forecasted future revenue growth rate is the most important input parameter for the intrinsic value calculation. Unlike other input parameters that are reasonably expected to be in line with their historic averages or their historic trends, the revenue growth rate by and large is a wild card: nobody really knows what the company's revenue will be in the future. Of course, the level of unpredictability is different for different industries (utility companies being the most predictable and, thus, less risky).
We use three input parameters to forecast the revenue growth rate in our ENSG stock valuation model: a) initial revenue growth rate of 15.4% whose default value is the revenue growth rate in the most recent quarter compared to the quarterly revenue a year ago; b) terminal revenue growth rate of 5% whose default value is chosen to be close to the average nominal (i.e. not adjusted for inflation) GDP growth rate; and c) revenue decline factor of 0.9, which stipulates that revenue growth rate in each forecasted year will be equal to the difference of the revenue growth rate in the preceding year and the terminal revenue growth rate multiplied by this revenue decline factor (with the passage of time the revenue growth rate will be approaching the terminal revenue growth rate, but not quite reaching it - though the difference could be infinitesimally small).
At the revenue decline factor of 1, the future revenue growth rate is forecasted to be constant and equal to the initial revenue growth rate. The smaller the revenue decline factor, the faster the revenue growth rate will approach the terminal revenue growth.
Discount rate. The discount rate is used for determining the present value of future cash flows: future cash flows are "discounted" as at normal conditions (that translate into positive expected return on investment) one dollar today is worth more than the same dollar in the future. Unlike all other valuation models, we use variable discount rate, i.e. it increases for each consecutive year. This is done to account for higher risk of cash flows coming in further in the future.
The initial discount rate of 4.9%, whose default value for ENSG is calculated based on our internal credit rating of Ensign Group, is applied to the cash flow expected to be received a year from now (well, actually, to be precise, in the financial year following the base year - the last year for which we have financial statements). For each consecutive year the discount rate is multiplied by the discount rate multiplier of 1.05, e.i. each year it increases by 5%. Feel free to change this number to correspond to your level of risk assessment of Ensign Group.
By the way, it is easy to set the discount rate to be constant (this would make comparison with other valuation models easier): just set the discount rate multiplier equal to 1 and chose the magnitude of the initial discount rate to your liking.
Variable cost ratio is the ratio of variable costs (i.e. costs that fluctuate with fluctuation of the volume of production) to the revenue expressed as a percentage. In the calculation of intrinsic value of ENSG stock the variable cost ratio is equal to 93.1%.
Fixed operating expenses is just that - expenses that are not dependant on the volume of production. They are set to $0 million in the base year in the intrinsic value calculation for ENSG stock. These expenses increase with the level of inflation in subsequent years.
Interest rate on debt is the average all-in rate of interest paid by the company on its debt. It is set at 3.5% for Ensign Group.
Corporate tax rate of 27% is the nominal tax rate for Ensign Group. In reality, companies find ways to pay much less taxes than that or not to pay them at all.
Cash flow adjustment could be used for any adjustment the investor deems necessary. Most commonly we use this field to account for stock options-related effects in excess of what is reported on the company's income statement. The cash flow adjustment is expressed as a percentage of the revenue, and in the current valuation of the ENSG stock is equal to 0%.
Production assets are the company's assets used for manufacturing products or provision of services. In the valuation model input table they are expressed as a percentage of revenue and for ENSG are equal to 27.3%.
Life of production assets of 13 years is the average useful life of capital assets used in Ensign Group operations. It is used to calculate yearly capital expenditures needed to keep these assets in good order - we call it the maintenance CAPEX.
Working capital is the difference between the company's current assets and liabilities. In the model we use the ratio of working capital to revenue, which for ENSG is equal to 3.7%. A negative number means that the company is apt at using financial resources of its suppliers and customers; a large positive number, on the other hand, means that it either provides in-kind financing to others or is not good at managing its inventories.
Book value of equity - $456 million for Ensign Group - is used in calculation of the "floor" for intrinsic valuation based on the discounted cash flow (DCF) method. Even if the prospects are very bad for a company, its assets could always be sold now for their current fair market value.
Shares outstanding of 50.1 million for Ensign Group is needed to calculate the intrinsic value of one share.
Market capitalization is used here only for reference purposes and as a quick check that the share price and the number of shares outstanding numbers are correct - something especially to be cognizant about at stock splits. So, the market capitalization of Ensign Group at the current share price and the inputted number of shares is $1.1 billion.