BTSG vs ENSG vs SNDA Stock Comparison

BrightSpring Health Services, Ensign and Sonida Senior Living Prices as of Nov 2, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$179.06 +4.2% 1M -0.6% 1Y
Market cap
$10.45B
P/E
25.9x
Revenue (TTM)
$5.67B
Div. yield
0.15%
Home Health and Senior Care Healthcare
8 wins
SNDA Sonida Senior Living, Inc.
$33.87 -10.3% 1M +30.8% 1Y
Market cap
$1.60B
P/E
–
Revenue (TTM)
$525.97M
Div. yield
–
Home Health and Senior Care Healthcare
1 win

Head to Head

11 decided of 12

Ensign leads on 8 of the 12 questions below (Ensign 8, BrightSpring Health Services 2, Sonida Senior Living 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGENSGSNDALeader
Larger companyMarket capitalisation $13.09B $10.45B $1.60B BTSG
Cheaper on earningsLower P/E, profitable companies only 37.3x 25.9x -10.9x ENSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 38.3x 21.6x — ENSG
Faster revenue growthRevenue growth, trailing twelve months +26.4% +17.5% +49.4% SNDA
More profitableNet margin, trailing twelve months 2.5% 7.0% -27.6% ENSG
Better return on capitalReturn on invested capital 8.6% 14.3% -2.7% ENSG
Less leveragedLower net debt / EBITDA 2.6x -0.3x 52.8x ENSG
Higher dividend yieldTrailing dividend yield — 0.15% — –
Better 1-year returnPrice return, last 12 months +100.5% -0.6% +30.8% BTSG
Better 5-year returnAnnualised price return, 5 years — +18.0%/yr +3.0%/yr ENSG
Less volatileAnnualised volatility, 1 year 45.6% 29.4% 37.5% ENSG
Higher overall scoreMean of the five percentile scores vs peers 63/100 64/100 19/100 ENSG

Percentile Scorecard

BTSGENSGSNDA

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

AxisBTSGENSGSNDA
Valuation 62 #36 of 94 71 #28 of 94 26 #70 of 94
Growth 93 #7 of 87 63 #33 of 87 19 #71 of 87
Profitability 57 #38 of 86 73 #24 of 86 26 #64 of 86
Financial Health 42 #58 of 99 74 #27 of 99 18 #81 of 99
Shareholder Returns 62 #22 of 56 42 #33 of 56 6 #53 of 56
Overall 63 64 19
  • BTSG ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers
  • SNDA ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBTSGENSGSNDASPY
1 month +10.0%+4.2%-10.3% -2.3%
3 months +9.6%+1.0%-15.9% -0.7%
6 months +23.8%-1.6%-9.5% +4.8%
Year to date +76.9%+2.8%+3.9% +10.3%
1 year +100.5%-0.6%+30.8% +10.3%
3 years —+75.5%+276.3% +73.0%
3 years, per year —+20.6%+55.6% +20.1%
5 years —+128.6%+16.0% +61.9%
5 years, per year —+18.0%+3.0% +10.1%
10 years —+942.9%-82.8% +258.6%
10 years, per year —+26.4%-16.1% +13.6%

Risk

MeasureBTSGENSGSNDASPY
Volatility, 1Y 45.6%29.4%37.5% 12.8%
Downside volatility, 1Y 51.1%25.2%35.0% 12.8%
Beta vs S&P 500, 1Y 1.14-0.040.30 1.00
Return / volatility, 1Y 2.21-0.020.82 0.80
Max drawdown, 5Y -35.6%-31.8%-82.1% -25.4%
From 52-week high -9.1%-17.0%-21.5% -3.5%
52-week high $72.91$215.83$43.17 $779.14
52-week low $31.36$147.13$25.62 $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.

MultipleBTSGENSGSNDA
P/E now vs peer median 37.3xmedian 25.3x 25.9xmedian 25.3x -10.9xmedian 25.3x
P/S now vs peer median 0.9xmedian 1.5x 1.8xmedian 1.5x 3.1xmedian 1.5x
EV/EBITDA now vs peer median 23.8xmedian 14.6x 16.3xmedian 14.6x 108.4xmedian 14.6x
P/FCF now vs peer median 32.5xmedian 21.6x 20.5xmedian 21.6x -23.5xmedian 21.6x
P/B now vs peer median 6.4xmedian 3.1x 4.1xmedian 3.1x 1.9xmedian 3.1x
PEG now vs peer median —median 0.83 1.64median 0.83 -1.21median 0.83

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 monthsBTSGENSGSNDA
Revenue $14.37B $5.67B $525.97M
Gross profit $1.78B $1.20B –
Operating income $447.80M $509.16M –
Net income $365.85M $399.32M -$123.67M
Free cash flow $402.35M $509.91M -$68.36M
EPS (diluted) $1.66 $6.73 $-3.11
Cash & equivalents $550.38M $337.59M $48.71M
Total debt $2.19B $198.72M $1.57B
Shares (diluted) 220.28M 59.30M 46.81M
Enterprise value $11.43B $8.57B $1.45B

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
MetricBTSGENSGSNDA
P/E 37.3x 25.9x -10.9x
P/FCF 32.5x 20.5x -23.5x
P/Operating cash flow 25.8x 15.0x -103.1x
P/S 0.9x 1.8x 3.1x
P/B 6.4x 4.1x 1.9x
P/Tangible book 8.5x 4.1x 2.3x
EV/EBITDA 23.8x 16.3x 108.4x
EV/EBIT 32.9x 20.1x -46.2x
EV/Revenue 1.0x 1.8x 5.9x
EV/FCF 36.6x 20.1x -45.7x
EV/Operating cash flow 29.1x 14.7x -201.0x
PEG (3Y EPS CAGR) – 1.64 -1.21

Growth

14 metrics
MetricBTSGENSGSNDA
Revenue growth (1Y) 26.4% 17.5% 49.4%
Revenue CAGR (3Y) – 16.8% 29.0%
Gross profit growth (1Y) 29.4% 21.7% –
Gross profit CAGR (3Y) – 16.3% –
Operating income growth (1Y) 143.5% 26.6% –
Operating income CAGR (3Y) – 18.3% –
Net income growth (1Y) 472.6% 21.6% -243.6%
Net income CAGR (3Y) – 17.2% -88.8%
EPS growth (1Y) 448.6% 20.9% -44.1%
EPS CAGR (3Y) – 15.9% 9.0%
Operating cash flow growth (1Y) 88.6% 44.5% -223.5%
Operating cash flow CAGR (3Y) – 26.8% -72.1%
Free cash flow growth (1Y) 110.5% 76.1% 66.2%
Free cash flow CAGR (3Y) – 29.2% -58.8%

Profitability

14 metrics
MetricBTSGENSGSNDA
Gross margin 12.4% 21.2% –
EBITDA margin 4.3% 11.1% 5.5%
Operating margin 3.1% 9.0% –
Pretax margin 2.1% 9.4% -23.4%
Net margin 2.5% 7.0% -27.6%
FCF margin 2.8% 9.0% -13.0%
Operating cash flow margin 3.5% 12.3% -3.0%
Return on equity 18.2% 16.0% -14.1%
Return on assets 6.0% 6.8% -4.8%
Return on invested capital 8.6% 14.3% -2.7%
Return on capital employed 9.9% 10.4% -2.7%
Asset turnover 2.4x 1.0x 0.2x
Cash conversion (OCF / net income) 1.4x 1.7x 0.1x
Stock comp / revenue 0.4% 1.1% 1.4%

Financial Health

11 metrics
MetricBTSGENSGSNDA
Debt / assets 36.6% 3.3% 61.7%
Debt / equity 1.1x 0.1x 1.8x
Net debt / EBITDA 2.6x -0.3x 52.8x
Debt / FCF 5.4x 0.4x -23.0x
Liabilities / assets 65.8% 57.3% 66.0%
Equity / assets 34.2% 42.7% 34.0%
Interest coverage 2.9x 62.8x -1.2x
Current ratio 1.6x 1.2x 0.9x
Quick ratio 1.1x 1.1x 0.6x
Cash ratio 0.4x 0.4x 0.4x
Altman Z-score 4.83 3.57 0.38

Shareholder Returns

7 metrics
MetricBTSGENSGSNDA
Dividend yield – 0.2% –
Net buyback yield 0.5% 0.2% -6.8%
Shareholder yield 0.5% 0.3% -6.8%
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.

ConsensusBTSGENSGSNDA
Forward P/E 38.3xFY2026 21.6xFY2026 –
EPS, next fiscal year $1.73FY2026 $8.29FY2026 $-3.72FY2026
EPS growth, next FY +73.0%FY2026 +26.2%FY2026 –
EPS growth, the year after +42.2% -1.8% –
Revenue, next fiscal year $16.01BFY2026 $5.76BFY2026 $682.14MFY2026
Revenue growth, next FY +24.0%FY2026 +13.9%FY2026 +79.0%FY2026
Revenue growth, the year after +1.4% +16.9% +17.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGENSGSNDA
Held by institutions 100.0% 89.8% 79.1%
Institutions holding 423 549 230
Change in shares held, QoQ -0.7% -1.2% +44.5%
Institutions buying 309 250 132
Institutions selling 83 215 55
Buyers to sellers 3.72 1.16 2.40

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.

BTSGENSGSNDA
BTSG 1.00 0.13 0.18
ENSG 0.13 1.00 0.30
SNDA 0.18 0.30 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, ENSG and SNDA?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $13.09B, Ensign (ENSG) $10.45B, Sonida Senior Living (SNDA) $1.60B.

Which stock is cheaper, BTSG, ENSG and SNDA?

Ensign (ENSG) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 37.3x, Ensign (ENSG) 25.9x, Sonida Senior Living (SNDA) -10.9x). On next year's consensus earnings, Ensign (ENSG) is cheapest (BrightSpring Health Services (BTSG) 38.3x, Ensign (ENSG) 21.6x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Sonida Senior Living (SNDA) grew revenue fastest over the trailing twelve months: BrightSpring Health Services (BTSG) +26.4%, Ensign (ENSG) +17.5%, Sonida Senior Living (SNDA) +49.4%.

Which company is more profitable?

Ensign (ENSG) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Ensign (ENSG) 7.0%, Sonida Senior Living (SNDA) -27.6%). On return on invested capital, Ensign (ENSG) leads (BrightSpring Health Services (BTSG) 8.6%, Ensign (ENSG) 14.3%, Sonida Senior Living (SNDA) -2.7%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +100.5%, Ensign (ENSG) -0.6%, Sonida Senior Living (SNDA) +30.8%. Over five years, Ensign (ENSG) compounded fastest (Ensign (ENSG) +18.0%/yr, Sonida Senior Living (SNDA) +3.0%/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 Sonida Senior Living (SNDA) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (BrightSpring Health Services (BTSG) 45.6%, Ensign (ENSG) 29.4%, Sonida Senior Living (SNDA) 37.5%). Volatility measures how widely the price swings, not the risk of the business.

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

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Ensign (ENSG) leads on 8. 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.