Ensign Group [ENSG] vs HCA Healthcare [HCA] Detailed Stock Comparison

Ensign Group, Inc.

NASDAQ
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HCA Healthcare Inc.

NYSE
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TLDR: Quick Comparison Summary

Based on 21 vital metrics comparison: Ensign Group, Inc. wins in 4 metrics, HCA Healthcare Inc. wins in 17 metrics, with 0 ties. HCA Healthcare Inc. appears stronger overall.

View Metrics Details

Vital Metrics Comparison

Metric Ensign Group, Inc. HCA Healthcare Inc. Better
P/E Ratio (TTM) 32.78 16.86 HCA Healthcare Inc.
Price-to-Book Ratio 4.95 -38.44 Ensign Group, Inc.
Debt-to-Equity Ratio 98.70 -17.57 Ensign Group, Inc.
PEG Ratio 1.76 0.37 HCA Healthcare Inc.
EV/EBITDA 24.01 10.08 HCA Healthcare Inc.
Profit Margin (TTM) 6.80% 8.97% HCA Healthcare Inc.
Operating Margin (TTM) 9.10% 16.29% HCA Healthcare Inc.
EBITDA Margin (TTM) 9.10% 16.29% HCA Healthcare Inc.
Return on Equity 16.90% -244.82% Ensign Group, Inc.
Return on Assets (TTM) 5.25% 12.44% HCA Healthcare Inc.
Free Cash Flow (TTM) $370.71M $7.69B HCA Healthcare Inc.
Dividend Yield 0.16% 0.59% HCA Healthcare Inc.
1-Year Return -1.24% 4.31% HCA Healthcare Inc.
Price-to-Sales Ratio (TTM) 2.21 1.39 HCA Healthcare Inc.
Enterprise Value $12.70B $156.18B HCA Healthcare Inc.
EV/Revenue Ratio 2.51 2.07 HCA Healthcare Inc.
Gross Profit Margin (TTM) 16.34% 41.90% HCA Healthcare Inc.
Revenue per Share (TTM) $88 $320 HCA Healthcare Inc.
Earnings per Share (Diluted) $5.85 $27.94 HCA Healthcare Inc.
Beta (Stock Volatility) 0.82 1.37 Ensign Group, Inc.
Short % of Float 2.93% 2.45% HCA Healthcare Inc.

Ensign Group, Inc. vs HCA Healthcare Inc. Stock Performance Analysis

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ENSG
HCA

Performance Comparison

Short-term Returns

Stock1D1W1M3M6MYTD
Ensign Group, Inc.0.90%-3.65%-15.17%-28.05%-14.90%-13.35%
HCA Healthcare Inc.0.72%7.93%-7.81%-25.75%-18.24%-17.10%

Long-term Returns

Stock1Y3Y5Y10Y15Y20Y
Ensign Group, Inc.-1.24%57.98%79.14%733.07%1,721.59%3,525.49%
HCA Healthcare Inc.4.31%33.47%92.28%400.04%1,019.34%1,144.15%

Performance & Financial Health Analysis: Ensign Group, Inc. vs HCA Healthcare Inc.

MetricENSGHCA
Market Information
Market Cap i$11.06B$106.00B
Market Cap CategoryLarge capLarge cap
10 Day Avg. Volume i313,976795,641
90 Day Avg. Volume i348,765974,074
Last Close$150.71$389.97
52 Week Range$134.79 - $218.00$330.00 - $556.52
% from 52W High-30.87%-29.93%
All-Time High$218.00 (Mar 02, 2026)$556.52 (Mar 12, 2026)
% from All-Time High-30.87%-29.93%
Growth Metrics
Quarterly Revenue Growth0.20%0.07%
Quarterly Earnings Growth0.20%0.31%
Financial Health
Profit Margin (TTM) i0.07%0.09%
Operating Margin (TTM) i0.09%0.16%
Return on Equity (TTM) i0.17%-2.45%
Debt to Equity (MRQ) i98.70-17.57
Cash & Liquidity
Book Value per Share (MRQ)$38.71$-26.83
Cash per Share (MRQ)$9.92$5.11
Operating Cash Flow (TTM) i$564.27M$12.64B
Levered Free Cash Flow (TTM) i$281.25M$5.82B
Dividends
Last 12-Month Dividend Yield i0.16%0.59%
Last 12-Month Dividend i$0.32$2.94

Valuation & Enterprise Metrics Analysis: Ensign Group, Inc. vs HCA Healthcare Inc.

MetricENSG (Apr 24, 2026)HCA (Apr 23, 2026)
Price Ratios
P/E Ratio (TTM) i32.7816.86
Forward P/E i23.2714.13
PEG Ratio i1.760.37
Price to Sales (TTM) i2.211.39
Price to Book (MRQ) i4.95-38.44
Market Capitalization
Market Capitalization i$11.06B$106.00B
Enterprise Value i$12.70B$156.18B
Enterprise Value Metrics
Enterprise to Revenue i2.512.07
Enterprise to EBITDA i24.0110.08
Risk & Other Metrics
Beta i0.821.37
Book Value per Share (MRQ) i$38.71$-26.83

Financial Statements Comparison: Ensign Group, Inc. vs HCA Healthcare Inc.

Financial Metrics

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Revenue

Operating Margin

Profit Margin

Long Term Debt

Income Flow Analysis

Financial Statements Comparison

Income Statement

MetricENSG (2025)HCA (2025)
Revenue/Sales i5.06B75.60B
Cost of Goods Sold i4.26B44.23B
COGS % of Revenue i84.2%58.5%
Gross Profit i799.45M31.37B
Gross Margin i15.8%41.5%
Research & Development iN/AN/A
Operating Income (EBIT) i425.31M11.97B
Operating Margin i8.4%15.8%
EBITDA i567.94M15.57B
EBITDA Margin i11.2%20.6%
Pre-Tax Income i455.62M9.83B
Pre-Tax Income % of Revenue i9.0%13.0%
Income Tax i111.36M2.05B
Income Tax % of Revenue i2.2%2.7%
Net Income (Profit) i344.26M7.78B
Profit Margin i6.8%10.3%

Balance Sheet & Liquidity Metrics

MetricENSG (2025)HCA (2025)
Cash & Equivalents i503.88M1.04B
Total Current Assets i1.27B15.78B
Total Current Assets % of Revenue i25.2%20.9%
Total Current Liabilities i894.35M16.35B
Total Current Liabilities % of Revenue i17.7%21.6%
Long-Term Debt i2.09B43.46B
Long-Term Debt % of Revenue i41.3%57.5%
Total Shareholders Equity i2.23B-2.77B
Retained Earnings i1.76B-5.72B
Retained Earnings % of Revenue i34.7%-7.6%
Property, Plant & Equipment i2.58B39.12B

Cash Flow Statement Comparison

MetricENSG (2025)HCA (2025)
Operating Cash Flow i409.74M12.01B
Operating Cash Flow % of Revenue i8.1%15.9%
Capital Expenditures i-193.56M-4.94B
Free Cash Flow i370.71M7.69B
FCF Margin i7.3%10.2%
Debt Repayment i-4.09M-7.39B
Common Stock Repurchase i-21.43M-10.07B

Short Interest & Institutional Ownership Analysis

MetricENSGHCA
Shares Short i1.44M3.63M
Short Ratio i4.153.37
Short % of Float i2.93%2.45%
Shares Outstanding i58.09M224.61M
Float Shares i55.59M151.19M
% Held by Insiders i3.54%16.16%
% Held by Institutions i93.84%78.70%
% Held by Public i2.62%5.14%

Dividend Analysis & Yield Comparison: Ensign Group, Inc. vs HCA Healthcare Inc.

MetricENSGHCA
Last 12-Month Dividend i$0.32$2.94
Last 12-Month Dividend Yield i0.16%0.59%
3-Year Avg Annual Dividend i$0.27$2.70
3-Year Avg Dividend Yield i0.05%0.19%
3-Year Total Dividends i$0.80$8.10
Ex-Dividend DateMar 31, 2026Mar 17, 2026