BTSG vs ADUS vs ENSG Stock Comparison

BrightSpring Health Services, Addus HomeCare and Ensign Prices as of Oct 28, 2026 Peers: Industry group
ADUS Addus HomeCare Corp
$122.18 +9.2% 1M +1.4% 1Y
Market cap
$2.28B
P/E
21.2x
Revenue (TTM)
$1.48B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins
ENSG Ensign Group, Inc
$184.11 +4.4% 1M -0.8% 1Y
Market cap
$10.74B
P/E
26.7x
Revenue (TTM)
$5.67B
Div. yield
0.15%
Home Health and Senior Care Healthcare
3 wins

Head to Head

11 decided of 12

Addus HomeCare leads on 5 of the 12 questions below (Addus HomeCare 5, BrightSpring Health Services 3, Ensign 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGADUSENSGLeader
Larger companyMarket capitalisation $11.74B $2.28B $10.74B BTSG
Cheaper on earningsLower P/E, profitable companies only 33.5x 21.2x 26.7x ADUS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 34.4x 17.0x 22.2x ADUS
Faster revenue growthRevenue growth, trailing twelve months +26.4% +15.9% +17.5% BTSG
More profitableNet margin, trailing twelve months 2.5% 7.1% 7.0% ADUS
Better return on capitalReturn on invested capital 8.6% 9.2% 14.3% ENSG
Less leveragedLower net debt / EBITDA 2.6x -0.2x -0.3x ENSG
Higher dividend yieldTrailing dividend yield — — 0.15% –
Better 1-year returnPrice return, last 12 months +74.9% +1.4% -0.8% BTSG
Better 5-year returnAnnualised price return, 5 years — +5.5%/yr +18.8%/yr ENSG
Less volatileAnnualised volatility, 1 year 44.6% 29.2% 29.3% ADUS
Higher overall scoreMean of the five percentile scores vs peers 64/100 69/100 64/100 ADUS

Percentile Scorecard

BTSGADUSENSG

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisBTSGADUSENSG
Valuation 66 #32 of 92 87 #13 of 92 69 #29 of 92
Growth 93 #7 of 87 61 #35 of 87 63 #33 of 87
Profitability 58 #37 of 86 73 #24 of 86 75 #22 of 86
Financial Health 40 #59 of 97 87 #14 of 97 72 #28 of 97
Shareholder Returns 63 #21 of 55 41 #33 of 55 43 #32 of 55
Overall 64 69 64
  • BTSG ranked among 102 companies in Healthcare Providers
  • ADUS ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodBTSGADUSENSGSPY
1 month +5.2%+9.2%+4.4% +0.9%
3 months -14.3%+2.6%+1.2% +5.9%
6 months +23.5%+26.0%-1.2% +8.5%
Year to date +58.8%+13.8%+5.7% +13.3%
1 year +74.9%+1.4%-0.8% +12.4%
3 years —+49.1%+89.2% +88.1%
3 years, per year —+14.3%+23.7% +23.5%
5 years —+30.7%+136.0% +68.2%
5 years, per year —+5.5%+18.8% +11.0%
10 years —+389.5%+980.5% +263.4%
10 years, per year —+17.2%+26.9% +13.8%

Risk

MeasureBTSGADUSENSGSPY
Volatility, 1Y 44.6%29.2%29.3% 12.7%
Downside volatility, 1Y 51.5%30.9%24.9% 12.7%
Beta vs S&P 500, 1Y 1.300.18-0.06 1.00
Return / volatility, 1Y 1.680.05-0.03 0.98
Max drawdown, 5Y -35.6%-34.9%-31.8% -25.4%
From 52-week high -18.4%-0.5%-14.7% -0.9%
52-week high $72.91$122.75$215.83 $779.14
52-week low $31.36$88.49$147.13 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleBTSGADUSENSG
P/E now vs peer median 33.5xmedian 25.6x 21.2xmedian 25.6x 26.7xmedian 25.6x
P/S now vs peer median 0.8xmedian 1.6x 1.5xmedian 1.6x 1.9xmedian 1.6x
EV/EBITDA now vs peer median 21.6xmedian 16.3x 13.5xmedian 16.3x 16.7xmedian 16.3x
P/FCF now vs peer median 29.2xmedian 21.3x 14.7xmedian 21.3x 21.1xmedian 21.3x
P/B now vs peer median 5.7xmedian 3.3x 2.0xmedian 3.3x 4.2xmedian 3.3x
PEG now vs peer median —median 0.68 1.07median 0.68 1.68median 0.68

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsBTSGADUSENSG
Revenue $14.37B $1.48B $5.67B
Gross profit $1.78B $477.75M $1.20B
Operating income $447.80M $148.23M $509.16M
Net income $365.85M $105.31M $399.32M
Free cash flow $402.35M $154.77M $509.91M
EPS (diluted) $1.66 $5.70 $6.73
Cash & equivalents $550.38M $99.57M $337.59M
Total debt $2.19B $61.60M $198.72M
Shares (diluted) 220.28M 18.47M 59.30M
Enterprise value $10.09B $1.90B $8.87B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricBTSGADUSENSG
P/E 33.5x 21.2x 26.7x
P/FCF 29.2x 14.7x 21.1x
P/Operating cash flow 23.2x 14.0x 15.4x
P/S 0.8x 1.5x 1.9x
P/B 5.7x 2.0x 4.2x
P/Tangible book 7.7x 2.2x 4.2x
EV/EBITDA 21.6x 13.5x 16.7x
EV/EBIT 29.9x 15.1x 20.7x
EV/Revenue 0.9x 1.5x 1.9x
EV/FCF 33.3x 14.5x 20.7x
EV/Operating cash flow 26.4x 13.8x 15.2x
PEG (3Y EPS CAGR) – 1.07 1.68

Growth

14 metrics
MetricBTSGADUSENSG
Revenue growth (1Y) 26.4% 15.9% 17.5%
Revenue CAGR (3Y) – 13.9% 16.8%
Gross profit growth (1Y) 29.4% 15.1% 21.7%
Gross profit CAGR (3Y) – 14.9% 16.3%
Operating income growth (1Y) 143.5% 27.5% 26.6%
Operating income CAGR (3Y) – 23.6% 18.3%
Net income growth (1Y) 472.6% 26.9% 21.6%
Net income CAGR (3Y) – 25.1% 17.2%
EPS growth (1Y) 448.6% 26.0% 20.9%
EPS CAGR (3Y) – 19.9% 15.9%
Operating cash flow growth (1Y) 88.6% 61.7% 44.5%
Operating cash flow CAGR (3Y) – 16.4% 26.8%
Free cash flow growth (1Y) 110.5% 65.3% 76.1%
Free cash flow CAGR (3Y) – 17.9% 29.2%

Profitability

14 metrics
MetricBTSGADUSENSG
Gross margin 12.4% 32.4% 21.2%
EBITDA margin 4.3% 11.3% 11.1%
Operating margin 3.1% 10.0% 9.0%
Pretax margin 2.1% 9.5% 9.4%
Net margin 2.5% 7.1% 7.0%
FCF margin 2.8% 10.5% 9.0%
Operating cash flow margin 3.5% 11.0% 12.3%
Return on equity 18.2% 9.3% 16.0%
Return on assets 6.0% 7.3% 6.8%
Return on invested capital 8.6% 9.2% 14.3%
Return on capital employed 9.9% 11.6% 10.4%
Asset turnover 2.4x 1.0x 1.0x
Cash conversion (OCF / net income) 1.4x 1.5x 1.7x
Stock comp / revenue 0.4% 1.2% 1.1%

Financial Health

11 metrics
MetricBTSGADUSENSG
Debt / assets 36.6% 4.2% 3.3%
Debt / equity 1.1x 0.1x 0.1x
Net debt / EBITDA 2.6x -0.2x -0.3x
Debt / FCF 5.4x 0.4x 0.4x
Liabilities / assets 65.8% 21.2% 57.3%
Equity / assets 34.2% 78.8% 42.7%
Interest coverage 2.9x 14.9x 62.8x
Current ratio 1.6x 1.7x 1.2x
Quick ratio 1.1x 1.5x 1.1x
Cash ratio 0.4x 0.6x 0.4x
Altman Z-score 4.63 6.39 3.62

Shareholder Returns

7 metrics
MetricBTSGADUSENSG
Dividend yield – – 0.1%
Net buyback yield 0.6% -0.1% 0.2%
Shareholder yield 0.6% -0.1% 0.3%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusBTSGADUSENSG
Forward P/E 34.4xFY2026 17.0xFY2026 22.2xFY2026
EPS, next fiscal year $1.73FY2026 $7.20FY2026 $8.29FY2026
EPS growth, next FY +73.0%FY2026 +15.6%FY2026 +26.2%FY2026
EPS growth, the year after +42.2% +11.1% -1.8%
Revenue, next fiscal year $16.01BFY2026 $1.57BFY2026 $5.76BFY2026
Revenue growth, next FY +24.0%FY2026 +10.8%FY2026 +13.9%FY2026
Revenue growth, the year after +1.4% +6.1% +16.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGADUSENSG
Held by institutions 100.0% 100.0% 89.8%
Institutions holding 421 303 547
Change in shares held, QoQ -0.7% +0.8% -1.2%
Institutions buying 309 162 250
Institutions selling 83 94 213
Buyers to sellers 3.72 1.72 1.17

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

BTSGADUSENSG
BTSG 1.00 0.21 0.16
ADUS 0.21 1.00 0.35
ENSG 0.16 0.35 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, ADUS and ENSG?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $11.74B, Addus HomeCare (ADUS) $2.28B, Ensign (ENSG) $10.74B.

Which stock is cheaper, BTSG, ADUS and ENSG?

Addus HomeCare (ADUS) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 33.5x, Addus HomeCare (ADUS) 21.2x, Ensign (ENSG) 26.7x). On next year's consensus earnings, Addus HomeCare (ADUS) is cheapest (BrightSpring Health Services (BTSG) 34.4x, Addus HomeCare (ADUS) 17.0x, Ensign (ENSG) 22.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

BrightSpring Health Services (BTSG) grew revenue fastest over the trailing twelve months: BrightSpring Health Services (BTSG) +26.4%, Addus HomeCare (ADUS) +15.9%, Ensign (ENSG) +17.5%.

Which company is more profitable?

Addus HomeCare (ADUS) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Addus HomeCare (ADUS) 7.1%, Ensign (ENSG) 7.0%). On return on invested capital, Ensign (ENSG) leads (BrightSpring Health Services (BTSG) 8.6%, Addus HomeCare (ADUS) 9.2%, Ensign (ENSG) 14.3%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +74.9%, Addus HomeCare (ADUS) +1.4%, Ensign (ENSG) -0.8%. Over five years, Ensign (ENSG) compounded fastest (Addus HomeCare (ADUS) +5.5%/yr, Ensign (ENSG) +18.8%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Ensign (ENSG) 0.15%. BrightSpring Health Services (BTSG) and Addus HomeCare (ADUS) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (BrightSpring Health Services (BTSG) 44.6%, Addus HomeCare (ADUS) 29.2%, Ensign (ENSG) 29.3%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BTSG, ADUS and ENSG?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Addus HomeCare (ADUS) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.