BTSG vs SBRA vs ENSG Stock Comparison

BrightSpring Health Services, Sabra Health Care REIT and Ensign Prices as of Oct 29, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$186.32 +6.1% 1M +2.0% 1Y
Market cap
$10.87B
P/E
27.0x
Revenue (TTM)
$5.67B
Div. yield
0.15%
Home Health and Senior Care Healthcare
6 wins

Head to Head

12 decided of 12

Ensign leads on 6 of the 12 questions below (Ensign 6, BrightSpring Health Services 3, Sabra Health Care REIT 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGSBRAENSGLeader
Larger companyMarket capitalisation $11.89B $5.01B $10.87B BTSG
Cheaper on earningsLower P/E, profitable companies only 33.9x 75.6x 27.0x ENSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 34.8x 47.8x 22.5x ENSG
Faster revenue growthRevenue growth, trailing twelve months +26.4% +17.3% +17.5% BTSG
More profitableNet margin, trailing twelve months 2.5% 7.6% 7.0% SBRA
Better return on capitalReturn on invested capital 8.6% 4.2% 14.3% ENSG
Less leveragedLower net debt / EBITDA 2.6x 2.5x -0.3x ENSG
Higher dividend yieldTrailing dividend yield — 6.12% 0.15% SBRA
Better 1-year returnPrice return, last 12 months +76.9% +13.8% +2.0% BTSG
Better 5-year returnAnnualised price return, 5 years — +6.7%/yr +19.0%/yr ENSG
Less volatileAnnualised volatility, 1 year 44.6% 24.5% 29.3% SBRA
Higher overall scoreMean of the five percentile scores vs peers 65/100 48/100 65/100 ENSG

Percentile Scorecard

BTSGSBRAENSG

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

AxisBTSGSBRAENSG
Valuation 66 #32 of 92 35 #94 of 145 70 #28 of 92
Growth 93 #7 of 87 46 #78 of 143 63 #33 of 87
Profitability 57 #38 of 86 51 #67 of 136 74 #23 of 86
Financial Health 41 #58 of 97 83 #25 of 138 72 #28 of 97
Shareholder Returns 67 #19 of 55 23 #101 of 131 44 #31 of 55
Overall 65 48 65
  • BTSG ranked among 102 companies in Healthcare Providers
  • SBRA ranked among 149 companies in Property REITs
  • 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

PeriodBTSGSBRAENSGSPY
1 month +8.1%-0.9%+6.1% +0.7%
3 months -17.4%-8.0%+4.2% +3.7%
6 months +25.5%-5.1%-0.2% +7.1%
Year to date +60.8%+3.5%+7.0% +12.8%
1 year +76.9%+13.8%+2.0% +11.9%
3 years —+44.7%+95.5% +85.2%
3 years, per year —+13.1%+25.1% +22.8%
5 years —+38.6%+138.8% +67.6%
5 years, per year —+6.7%+19.0% +10.9%
10 years —-14.8%+993.4% +262.0%
10 years, per year —-1.6%+27.0% +13.7%

Risk

MeasureBTSGSBRAENSGSPY
Volatility, 1Y 44.6%24.5%29.3% 12.7%
Downside volatility, 1Y 51.5%22.6%24.9% 12.6%
Beta vs S&P 500, 1Y 1.30-0.24-0.06 1.00
Return / volatility, 1Y 1.720.560.07 0.94
Max drawdown, 5Y -35.6%-38.7%-31.8% -25.4%
From 52-week high -17.4%-12.4%-13.7% -1.2%
52-week high $72.91$22.39$215.83 $779.14
52-week low $31.36$17.23$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.

MultipleBTSGSBRAENSG
P/E now vs peer median 33.9xmedian 26.0x 75.6xmedian 25.7x 27.0xmedian 26.0x
P/S now vs peer median 0.8xmedian 1.6x 5.8xmedian 4.1x 1.9xmedian 1.6x
EV/EBITDA now vs peer median 21.8xmedian 15.4x 15.2xmedian 14.3x 16.9xmedian 15.4x
P/FCF now vs peer median 29.6xmedian 21.5x -13.7xmedian 23.5x 21.3xmedian 21.5x
P/B now vs peer median 5.8xmedian 3.2x 1.8xmedian 1.3x 4.2xmedian 3.2x
PEG now vs peer median —median 0.87 2.13median 1.86 1.70median 0.87

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 monthsBTSGSBRAENSG
Revenue $14.37B $859.56M $5.67B
Gross profit $1.78B – $1.20B
Operating income $447.80M – $509.16M
Net income $365.85M $65.40M $399.32M
Free cash flow $402.35M -$365.86M $509.91M
EPS (diluted) $1.66 $0.26 $6.73
Cash & equivalents $550.38M $231.58M $337.59M
Total debt $2.19B $4.94B $198.72M
Shares (diluted) 220.28M 252.27M 59.30M
Enterprise value $10.24B $4.39B $9.00B

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
MetricBTSGSBRAENSG
P/E 33.9x 75.6x 27.0x
P/FCF 29.6x -13.7x 21.3x
P/Operating cash flow 23.5x 13.5x 15.6x
P/S 0.8x 5.8x 1.9x
P/B 5.8x 1.8x 4.2x
P/Tangible book 7.8x 1.9x 4.3x
EV/EBITDA 21.8x 15.2x 16.9x
EV/EBIT 30.2x 34.1x 21.0x
EV/Revenue 0.9x 7.0x 1.9x
EV/FCF 33.6x -16.4x 20.9x
EV/Operating cash flow 26.7x 16.2x 15.4x
PEG (3Y EPS CAGR) – 2.13 1.70

Growth

14 metrics
MetricBTSGSBRAENSG
Revenue growth (1Y) 26.4% 17.3% 17.5%
Revenue CAGR (3Y) – 11.0% 16.8%
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% -64.1% 21.6%
Net income CAGR (3Y) – 36.3% 17.2%
EPS growth (1Y) 448.6% -65.7% 20.9%
EPS CAGR (3Y) – 35.5% 15.9%
Operating cash flow growth (1Y) 88.6% 9.7% 44.5%
Operating cash flow CAGR (3Y) – 5.7% 26.8%
Free cash flow growth (1Y) 110.5% -372.1% 76.1%
Free cash flow CAGR (3Y) – -68.7% 29.2%

Profitability

14 metrics
MetricBTSGSBRAENSG
Gross margin 12.4% – 21.2%
EBITDA margin 4.3% 46.0% 11.1%
Operating margin 3.1% – 9.0%
Pretax margin 2.1% 7.0% 9.4%
Net margin 2.5% 7.6% 7.0%
FCF margin 2.8% -42.6% 9.0%
Operating cash flow margin 3.5% 43.2% 12.3%
Return on equity 18.2% 2.4% 16.0%
Return on assets 6.0% 1.2% 6.8%
Return on invested capital 8.6% 4.2% 14.3%
Return on capital employed 9.9% – 10.4%
Asset turnover 2.4x 0.2x 1.0x
Cash conversion (OCF / net income) 1.4x 5.7x 1.7x
Stock comp / revenue 0.4% 1.5% 1.1%

Financial Health

11 metrics
MetricBTSGSBRAENSG
Debt / assets 36.6% 22.4% 3.3%
Debt / equity 1.1x 0.4x 0.1x
Net debt / EBITDA 2.6x 2.5x -0.3x
Debt / FCF 5.4x -3.4x 0.4x
Liabilities / assets 65.8% 50.1% 57.3%
Equity / assets 34.2% 49.9% 42.7%
Interest coverage 2.9x 1.5x 62.8x
Current ratio 1.6x – 1.2x
Quick ratio 1.1x – 1.1x
Cash ratio 0.4x – 0.4x
Altman Z-score 4.65 – 3.64

Shareholder Returns

7 metrics
MetricBTSGSBRAENSG
Dividend yield – 6.1% 0.1%
Net buyback yield 0.6% -5.0% 0.2%
Shareholder yield 0.6% 1.1% 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.

ConsensusBTSGSBRAENSG
Forward P/E 34.8xFY2026 47.8xFY2026 22.5xFY2026
EPS, next fiscal year $1.73FY2026 $0.41FY2026 $8.29FY2026
EPS growth, next FY +73.0%FY2026 -35.9%FY2026 +26.2%FY2026
EPS growth, the year after +42.2% +90.2% -1.8%
Revenue, next fiscal year $16.01BFY2026 $876.78MFY2026 $5.76BFY2026
Revenue growth, next FY +24.0%FY2026 +13.2%FY2026 +13.9%FY2026
Revenue growth, the year after +1.4% +13.0% +16.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGSBRAENSG
Held by institutions 100.0% 100.0% 89.8%
Institutions holding 422 463 548
Change in shares held, QoQ -0.7% +0.7% -1.2%
Institutions buying 309 228 250
Institutions selling 83 147 214
Buyers to sellers 3.72 1.55 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.

BTSGSBRAENSG
BTSG 1.00 0.07 0.16
SBRA 0.07 1.00 0.36
ENSG 0.16 0.36 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, SBRA and ENSG?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $11.89B, Sabra Health Care REIT (SBRA) $5.01B, Ensign (ENSG) $10.87B.

Which stock is cheaper, BTSG, SBRA and ENSG?

Ensign (ENSG) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 33.9x, Sabra Health Care REIT (SBRA) 75.6x, Ensign (ENSG) 27.0x). On next year's consensus earnings, Ensign (ENSG) is cheapest (BrightSpring Health Services (BTSG) 34.8x, Sabra Health Care REIT (SBRA) 47.8x, Ensign (ENSG) 22.5x). 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%, Sabra Health Care REIT (SBRA) +17.3%, Ensign (ENSG) +17.5%.

Which company is more profitable?

Sabra Health Care REIT (SBRA) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Sabra Health Care REIT (SBRA) 7.6%, Ensign (ENSG) 7.0%). On return on invested capital, Ensign (ENSG) leads (BrightSpring Health Services (BTSG) 8.6%, Sabra Health Care REIT (SBRA) 4.2%, Ensign (ENSG) 14.3%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +76.9%, Sabra Health Care REIT (SBRA) +13.8%, Ensign (ENSG) +2.0%. Over five years, Ensign (ENSG) compounded fastest (Sabra Health Care REIT (SBRA) +6.7%/yr, Ensign (ENSG) +19.0%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Sabra Health Care REIT (SBRA) has the highest dividend yield: Sabra Health Care REIT (SBRA) 6.12%, Ensign (ENSG) 0.15%. BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Sabra Health Care REIT (SBRA) has been the steadiest (BrightSpring Health Services (BTSG) 44.6%, Sabra Health Care REIT (SBRA) 24.5%, Ensign (ENSG) 29.3%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BTSG, SBRA 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, Ensign (ENSG) leads on 6. 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.