Ensign Group Inc
NASDAQ:ENSG
Cash Flow Statement
Cash Flow Statement
Ensign Group Inc
| Mar-2007 | Jun-2007 | Sep-2007 | Dec-2007 | Mar-2008 | Jun-2008 | Sep-2008 | Dec-2008 | Mar-2009 | Jun-2009 | Sep-2009 | Dec-2009 | Mar-2010 | Jun-2010 | Sep-2010 | Dec-2010 | Mar-2011 | Jun-2011 | Sep-2011 | Dec-2011 | Mar-2012 | Jun-2012 | Sep-2012 | Dec-2012 | Mar-2013 | Jun-2013 | Sep-2013 | Dec-2013 | Mar-2014 | Jun-2014 | Sep-2014 | Dec-2014 | Mar-2015 | Jun-2015 | Sep-2015 | Dec-2015 | Mar-2016 | Jun-2016 | Sep-2016 | Dec-2016 | Mar-2017 | Jun-2017 | Sep-2017 | Dec-2017 | Mar-2018 | Jun-2018 | Sep-2018 | Dec-2018 | Mar-2019 | Jun-2019 | Sep-2019 | Dec-2019 | Mar-2020 | Jun-2020 | Sep-2020 | Dec-2020 | Mar-2021 | Jun-2021 | Sep-2021 | Dec-2021 | Mar-2022 | Jun-2022 | Sep-2022 | Dec-2022 | Mar-2023 | Jun-2023 | Sep-2023 | Dec-2023 | Mar-2024 | Jun-2024 | Sep-2024 | Dec-2024 | Mar-2025 | Jun-2025 | Sep-2025 | Dec-2025 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net Income |
27
|
22
|
20
|
21
|
23
|
24
|
26
|
28
|
29
|
31
|
32
|
33
|
34
|
35
|
38
|
41
|
44
|
47
|
49
|
48
|
48
|
47
|
49
|
40
|
15
|
15
|
12
|
24
|
49
|
39
|
36
|
34
|
36
|
47
|
52
|
56
|
50
|
48
|
46
|
53
|
47
|
47
|
51
|
41
|
61
|
71
|
77
|
93
|
97
|
103
|
111
|
112
|
125
|
137
|
153
|
171
|
180
|
190
|
195
|
198
|
198
|
205
|
213
|
225
|
235
|
241
|
249
|
210
|
219
|
226
|
241
|
298
|
310
|
323
|
328
|
344
|
|
| Depreciation & Amortization |
6
|
6
|
6
|
7
|
8
|
8
|
9
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
16
|
17
|
18
|
19
|
21
|
23
|
25
|
27
|
28
|
29
|
29
|
31
|
33
|
34
|
35
|
34
|
30
|
26
|
24
|
23
|
25
|
28
|
30
|
33
|
37
|
39
|
41
|
42
|
42
|
42
|
46
|
46
|
47
|
47
|
48
|
48
|
50
|
51
|
53
|
54
|
55
|
55
|
55
|
55
|
55
|
56
|
57
|
58
|
60
|
62
|
65
|
68
|
70
|
72
|
75
|
78
|
81
|
84
|
89
|
94
|
99
|
104
|
|
| Change in Deffered Taxes |
(5)
|
(5)
|
(8)
|
1
|
1
|
2
|
5
|
(0)
|
1
|
(1)
|
(2)
|
(1)
|
(2)
|
(3)
|
(4)
|
(3)
|
(2)
|
(1)
|
0
|
1
|
3
|
2
|
3
|
(2)
|
(4)
|
(2)
|
(3)
|
3
|
3
|
3
|
3
|
(3)
|
(3)
|
(3)
|
(2)
|
1
|
1
|
1
|
(0)
|
(2)
|
(2)
|
(2)
|
(1)
|
9
|
10
|
10
|
10
|
1
|
1
|
1
|
0
|
4
|
5
|
5
|
5
|
(28)
|
(29)
|
(29)
|
(29)
|
(1)
|
(0)
|
(0)
|
(2)
|
(7)
|
(7)
|
(7)
|
(6)
|
(27)
|
(27)
|
(27)
|
(25)
|
1
|
(0)
|
0
|
9
|
(17)
|
|
| Stock-Based Compensation |
0
|
1
|
1
|
1
|
2
|
2
|
2
|
2
|
2
|
2
|
2
|
2
|
2
|
3
|
3
|
3
|
3
|
3
|
3
|
3
|
3
|
3
|
3
|
5
|
5
|
5
|
5
|
4
|
5
|
5
|
5
|
5
|
6
|
6
|
6
|
7
|
7
|
8
|
9
|
9
|
9
|
9
|
9
|
8
|
8
|
8
|
9
|
8
|
9
|
9
|
9
|
11
|
12
|
13
|
14
|
15
|
15
|
16
|
17
|
19
|
20
|
21
|
22
|
23
|
24
|
27
|
29
|
31
|
32
|
33
|
34
|
36
|
39
|
41
|
45
|
48
|
|
| Other Non-Cash Items |
6
|
4
|
5
|
5
|
5
|
6
|
6
|
5
|
6
|
6
|
6
|
7
|
8
|
9
|
9
|
10
|
11
|
11
|
14
|
13
|
13
|
13
|
11
|
28
|
66
|
66
|
67
|
4
|
(33)
|
(27)
|
(26)
|
21
|
22
|
18
|
20
|
24
|
25
|
29
|
30
|
17
|
30
|
32
|
34
|
44
|
24
|
29
|
28
|
35
|
34
|
24
|
22
|
22
|
26
|
25
|
28
|
26
|
21
|
20
|
15
|
12
|
16
|
20
|
21
|
21
|
17
|
17
|
19
|
68
|
70
|
69
|
66
|
24
|
27
|
30
|
32
|
36
|
|
| Cash Taxes Paid |
21
|
20
|
20
|
20
|
17
|
13
|
13
|
11
|
19
|
19
|
24
|
25
|
23
|
27
|
27
|
29
|
30
|
33
|
34
|
32
|
24
|
26
|
23
|
25
|
25
|
23
|
23
|
19
|
19
|
23
|
17
|
22
|
22
|
26
|
33
|
36
|
36
|
29
|
21
|
23
|
23
|
31
|
42
|
38
|
38
|
32
|
23
|
20
|
0
|
19
|
20
|
20
|
0
|
10
|
52
|
74
|
0
|
107
|
71
|
66
|
0
|
73
|
78
|
70
|
0
|
34
|
21
|
90
|
0
|
140
|
163
|
96
|
0
|
105
|
100
|
116
|
|
| Cash Interest Paid |
4
|
4
|
4
|
5
|
5
|
5
|
5
|
5
|
5
|
5
|
5
|
5
|
6
|
7
|
8
|
9
|
10
|
10
|
13
|
14
|
14
|
14
|
13
|
12
|
12
|
13
|
13
|
13
|
13
|
14
|
16
|
14
|
11
|
8
|
2
|
3
|
3
|
4
|
6
|
6
|
9
|
11
|
11
|
13
|
13
|
13
|
15
|
16
|
15
|
16
|
16
|
14
|
16
|
14
|
11
|
10
|
7
|
6
|
6
|
6
|
6
|
7
|
7
|
8
|
7
|
7
|
7
|
7
|
7
|
7
|
7
|
7
|
7
|
7
|
7
|
7
|
|
| Change in Working Capital |
2
|
(1)
|
(4)
|
(14)
|
(12)
|
(3)
|
(2)
|
5
|
2
|
(6)
|
(7)
|
(6)
|
(7)
|
(14)
|
(7)
|
(4)
|
(2)
|
(3)
|
(5)
|
(13)
|
(29)
|
(19)
|
(19)
|
(13)
|
(8)
|
(27)
|
(21)
|
(27)
|
(18)
|
(1)
|
4
|
7
|
(10)
|
(31)
|
(64)
|
(76)
|
(66)
|
(49)
|
(22)
|
(32)
|
(35)
|
(57)
|
(60)
|
(57)
|
(47)
|
(8)
|
4
|
34
|
11
|
(1)
|
2
|
4
|
(9)
|
79
|
102
|
149
|
154
|
72
|
59
|
11
|
17
|
15
|
1
|
(29)
|
(34)
|
(7)
|
10
|
54
|
27
|
(25)
|
(30)
|
(60)
|
(42)
|
16
|
13
|
96
|
|
| Cash from Operating Activities |
35
N/A
|
26
-27%
|
20
-24%
|
19
-5%
|
24
+28%
|
36
+52%
|
43
+19%
|
47
+8%
|
48
+2%
|
41
-14%
|
40
-2%
|
46
+16%
|
46
0%
|
43
-8%
|
52
+23%
|
61
+16%
|
69
+14%
|
73
+6%
|
79
+8%
|
73
-8%
|
59
-18%
|
70
+19%
|
71
+1%
|
82
+15%
|
99
+20%
|
84
-15%
|
88
+5%
|
37
-57%
|
37
-1%
|
48
+29%
|
47
-2%
|
85
+81%
|
69
-18%
|
55
-21%
|
32
-42%
|
33
+6%
|
40
+20%
|
63
+58%
|
91
+44%
|
74
-19%
|
81
+9%
|
62
-23%
|
66
+6%
|
80
+21%
|
94
+18%
|
149
+59%
|
167
+12%
|
210
+26%
|
190
-10%
|
176
-7%
|
185
+5%
|
192
+4%
|
200
+4%
|
299
+50%
|
342
+14%
|
373
+9%
|
381
+2%
|
308
-19%
|
296
-4%
|
276
-7%
|
287
+4%
|
297
+3%
|
294
-1%
|
273
-7%
|
275
+1%
|
311
+13%
|
342
+10%
|
377
+10%
|
364
-3%
|
321
-12%
|
332
+4%
|
347
+4%
|
384
+11%
|
463
+21%
|
481
+4%
|
564
+17%
|
|
| Investing Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Capital Expenditures |
(17)
|
(17)
|
(19)
|
(36)
|
(39)
|
(47)
|
(43)
|
(38)
|
(38)
|
(31)
|
(31)
|
(22)
|
(23)
|
(24)
|
(26)
|
(29)
|
(39)
|
(41)
|
(54)
|
(64)
|
(55)
|
(55)
|
(57)
|
(50)
|
(48)
|
(47)
|
(34)
|
(30)
|
(41)
|
(57)
|
(58)
|
(62)
|
(58)
|
(66)
|
(70)
|
(78)
|
(83)
|
(70)
|
(73)
|
(187)
|
(181)
|
(173)
|
(174)
|
(54)
|
(61)
|
(114)
|
(113)
|
(140)
|
(143)
|
(136)
|
(170)
|
(213)
|
(224)
|
(179)
|
(149)
|
(75)
|
(61)
|
(73)
|
(70)
|
(168)
|
(185)
|
(183)
|
(238)
|
(172)
|
(166)
|
(170)
|
(178)
|
(174)
|
(179)
|
(252)
|
(236)
|
(158)
|
(170)
|
(121)
|
(109)
|
(194)
|
|
| Other Items |
(39)
|
(24)
|
(13)
|
(10)
|
(1)
|
(3)
|
(3)
|
(13)
|
(25)
|
(23)
|
(39)
|
(59)
|
(46)
|
(58)
|
(41)
|
(29)
|
(51)
|
(49)
|
(98)
|
(92)
|
(80)
|
(79)
|
(35)
|
(34)
|
(37)
|
(49)
|
(46)
|
(36)
|
(33)
|
(49)
|
(50)
|
(111)
|
(123)
|
(109)
|
(124)
|
(91)
|
(69)
|
(109)
|
(88)
|
(24)
|
(31)
|
13
|
(8)
|
(59)
|
(50)
|
(25)
|
(6)
|
(11)
|
(3)
|
(27)
|
(30)
|
(34)
|
(18)
|
(3)
|
(3)
|
17
|
6
|
2
|
2
|
(6)
|
(25)
|
(26)
|
(22)
|
(14)
|
(8)
|
(2)
|
(2)
|
(9)
|
(3)
|
(13)
|
(32)
|
(232)
|
(430)
|
(436)
|
(448)
|
(320)
|
|
| Cash from Investing Activities |
(56)
N/A
|
(41)
+27%
|
(32)
+22%
|
(46)
-43%
|
(39)
+15%
|
(50)
-27%
|
(46)
+7%
|
(51)
-11%
|
(63)
-23%
|
(54)
+15%
|
(71)
-32%
|
(81)
-14%
|
(70)
+13%
|
(82)
-17%
|
(68)
+17%
|
(57)
+16%
|
(90)
-56%
|
(90)
-1%
|
(151)
-68%
|
(156)
-3%
|
(135)
+13%
|
(134)
+1%
|
(91)
+32%
|
(85)
+7%
|
(85)
-1%
|
(96)
-12%
|
(80)
+17%
|
(65)
+18%
|
(74)
-14%
|
(106)
-42%
|
(108)
-2%
|
(173)
-61%
|
(181)
-5%
|
(175)
+4%
|
(194)
-11%
|
(169)
+13%
|
(152)
+10%
|
(179)
-18%
|
(160)
+10%
|
(211)
-31%
|
(212)
-1%
|
(159)
+25%
|
(181)
-14%
|
(113)
+38%
|
(111)
+2%
|
(139)
-26%
|
(119)
+15%
|
(151)
-27%
|
(146)
+3%
|
(163)
-12%
|
(200)
-23%
|
(247)
-23%
|
(242)
+2%
|
(182)
+25%
|
(151)
+17%
|
(59)
+61%
|
(55)
+6%
|
(71)
-29%
|
(68)
+4%
|
(174)
-155%
|
(210)
-21%
|
(210)
+0%
|
(260)
-24%
|
(186)
+28%
|
(174)
+7%
|
(172)
+1%
|
(180)
-5%
|
(183)
-1%
|
(181)
+1%
|
(265)
-46%
|
(268)
-1%
|
(390)
-46%
|
(599)
-54%
|
(557)
+7%
|
(556)
+0%
|
(513)
+8%
|
|
| Financing Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net Issuance of Common Stock |
(2)
|
0
|
0
|
57
|
57
|
57
|
57
|
0
|
0
|
0
|
0
|
1
|
1
|
1
|
1
|
1
|
2
|
2
|
2
|
3
|
4
|
5
|
5
|
5
|
4
|
3
|
3
|
4
|
3
|
4
|
4
|
4
|
117
|
117
|
117
|
117
|
(25)
|
(25)
|
(24)
|
(23)
|
(2)
|
(3)
|
(2)
|
(2)
|
6
|
8
|
7
|
9
|
9
|
10
|
6
|
2
|
(24)
|
(26)
|
(19)
|
(12)
|
15
|
18
|
14
|
(1)
|
(12)
|
(25)
|
(24)
|
(11)
|
(1)
|
15
|
17
|
18
|
22
|
20
|
24
|
22
|
10
|
6
|
7
|
9
|
|
| Net Issuance of Debt |
32
|
31
|
20
|
(1)
|
(1)
|
(3)
|
(3)
|
(3)
|
(3)
|
(1)
|
(1)
|
36
|
36
|
35
|
35
|
33
|
33
|
32
|
65
|
44
|
59
|
59
|
25
|
20
|
3
|
13
|
13
|
52
|
52
|
145
|
146
|
165
|
101
|
40
|
55
|
20
|
131
|
129
|
101
|
185
|
121
|
109
|
125
|
32
|
27
|
(12)
|
(37)
|
(70)
|
(40)
|
(1)
|
19
|
83
|
95
|
(132)
|
(160)
|
(213)
|
(233)
|
(33)
|
29
|
42
|
42
|
42
|
10
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
|
| Cash Paid for Dividends |
0
|
0
|
0
|
(3)
|
(3)
|
(4)
|
(5)
|
(3)
|
(3)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(4)
|
(5)
|
(5)
|
(5)
|
(5)
|
(5)
|
(7)
|
(5)
|
(5)
|
(6)
|
(4)
|
(6)
|
(6)
|
(6)
|
(6)
|
(6)
|
(7)
|
(7)
|
(8)
|
(8)
|
(8)
|
(8)
|
(8)
|
(8)
|
(9)
|
(9)
|
(9)
|
(9)
|
(9)
|
(9)
|
(9)
|
(10)
|
(10)
|
(10)
|
(10)
|
(10)
|
(11)
|
(11)
|
(11)
|
(11)
|
(11)
|
(11)
|
(12)
|
(12)
|
(12)
|
(12)
|
(12)
|
(12)
|
(13)
|
(13)
|
(13)
|
(13)
|
(13)
|
(13)
|
(14)
|
(14)
|
(14)
|
(15)
|
(14)
|
|
| Other |
(4)
|
(3)
|
(5)
|
0
|
1
|
1
|
3
|
(0)
|
(0)
|
(0)
|
0
|
(1)
|
(1)
|
(1)
|
(1)
|
0
|
0
|
0
|
(2)
|
(1)
|
(1)
|
(1)
|
1
|
(4)
|
(5)
|
(4)
|
(4)
|
2
|
3
|
(90)
|
(90)
|
(89)
|
(95)
|
(2)
|
(1)
|
(2)
|
2
|
2
|
0
|
(0)
|
1
|
(0)
|
1
|
(3)
|
(3)
|
(3)
|
(3)
|
(0)
|
0
|
(1)
|
(1)
|
8
|
7
|
214
|
130
|
98
|
(4)
|
(213)
|
(130)
|
(106)
|
(3)
|
(5)
|
(4)
|
(6)
|
(6)
|
(3)
|
(3)
|
(2)
|
(2)
|
(2)
|
(6)
|
(7)
|
(7)
|
(6)
|
(2)
|
(2)
|
|
| Cash from Financing Activities |
26
N/A
|
28
+9%
|
15
-47%
|
53
+261%
|
53
0%
|
51
-4%
|
53
+3%
|
(6)
N/A
|
(6)
-2%
|
(4)
+29%
|
(4)
+5%
|
32
N/A
|
32
+1%
|
32
-1%
|
31
-1%
|
30
-4%
|
30
+1%
|
29
-4%
|
61
+109%
|
41
-33%
|
58
+41%
|
58
+1%
|
26
-55%
|
14
-49%
|
(3)
N/A
|
7
N/A
|
6
-9%
|
53
+782%
|
52
-2%
|
53
+2%
|
54
+2%
|
73
+35%
|
117
+61%
|
148
+27%
|
163
+10%
|
126
-23%
|
101
-20%
|
99
-2%
|
70
-29%
|
153
+120%
|
111
-27%
|
97
-12%
|
115
+18%
|
18
-84%
|
21
+12%
|
(16)
N/A
|
(43)
-161%
|
(70)
-65%
|
(41)
+42%
|
(1)
+97%
|
14
N/A
|
83
+514%
|
68
-18%
|
46
-33%
|
(60)
N/A
|
(137)
-130%
|
(233)
-70%
|
(240)
-3%
|
(98)
+59%
|
(76)
+23%
|
16
N/A
|
(0)
N/A
|
(29)
-14 600%
|
(32)
-10%
|
(23)
+30%
|
(4)
+81%
|
(2)
+45%
|
(1)
+75%
|
3
N/A
|
1
-50%
|
1
-58%
|
(2)
N/A
|
(14)
-551%
|
(19)
-34%
|
(14)
+26%
|
(12)
+15%
|
|
| Change in Cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net Change in Cash |
5
N/A
|
13
+172%
|
2
-83%
|
26
+1 091%
|
38
+45%
|
38
N/A
|
50
+32%
|
(10)
N/A
|
(21)
-107%
|
(17)
+19%
|
(35)
-103%
|
(3)
+93%
|
8
N/A
|
(7)
N/A
|
16
N/A
|
33
+114%
|
10
-71%
|
12
+23%
|
(11)
N/A
|
(43)
-273%
|
(18)
+57%
|
(5)
+72%
|
7
N/A
|
11
+71%
|
10
-10%
|
(5)
N/A
|
14
N/A
|
25
+81%
|
15
-41%
|
(5)
N/A
|
(7)
-34%
|
(15)
-130%
|
5
N/A
|
28
+451%
|
1
-98%
|
(9)
N/A
|
(11)
-27%
|
(17)
-53%
|
1
N/A
|
16
+3 140%
|
(20)
N/A
|
0
N/A
|
(0)
N/A
|
(15)
-3 750%
|
4
N/A
|
(6)
N/A
|
6
N/A
|
(11)
N/A
|
3
N/A
|
12
+325%
|
(1)
N/A
|
28
N/A
|
26
-9%
|
163
+538%
|
131
-19%
|
177
+35%
|
92
-48%
|
(3)
N/A
|
129
N/A
|
26
-80%
|
93
+262%
|
87
-6%
|
4
-95%
|
54
+1 156%
|
78
+45%
|
134
+72%
|
159
+18%
|
193
+22%
|
185
-4%
|
57
-69%
|
65
+15%
|
(45)
N/A
|
(229)
-409%
|
(113)
+51%
|
(89)
+21%
|
39
N/A
|
|
| Free Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Free Cash Flow |
18
N/A
|
9
-50%
|
1
-95%
|
(17)
N/A
|
(15)
+15%
|
(11)
+26%
|
(0)
+98%
|
8
N/A
|
10
+19%
|
10
N/A
|
9
-14%
|
24
+184%
|
23
-7%
|
19
-19%
|
26
+39%
|
32
+24%
|
30
-5%
|
32
+6%
|
26
-20%
|
9
-67%
|
4
-48%
|
16
+259%
|
15
-8%
|
32
+119%
|
50
+57%
|
37
-27%
|
54
+47%
|
8
-86%
|
(4)
N/A
|
(9)
-121%
|
(11)
-28%
|
23
N/A
|
12
-51%
|
(12)
N/A
|
(38)
-232%
|
(44)
-16%
|
(43)
+3%
|
(7)
+84%
|
19
N/A
|
(113)
N/A
|
(100)
+11%
|
(111)
-11%
|
(108)
+3%
|
25
N/A
|
33
+32%
|
35
+7%
|
54
+53%
|
70
+29%
|
46
-34%
|
40
-13%
|
15
-62%
|
(21)
N/A
|
(25)
-19%
|
120
N/A
|
193
+61%
|
298
+54%
|
320
+7%
|
235
-27%
|
226
-4%
|
108
-52%
|
102
-5%
|
114
+11%
|
56
-51%
|
100
+80%
|
109
+8%
|
141
+30%
|
164
+16%
|
203
+24%
|
185
-9%
|
69
-63%
|
96
+40%
|
189
+96%
|
214
+13%
|
342
+60%
|
372
+9%
|
371
0%
|
|