CTRE vs ENSG vs HR Stock Comparison

CareTrust REIT, Ensign and Healthcare Realty Trust Prices as of Oct 29, 2026 Peers: Industry group
CTRE CareTrust REIT, Inc.
$36.24 -2.6% 1M +6.6% 1Y
Market cap
$8.47B
P/E
23.8x
Revenue (TTM)
$571.43M
Div. yield
0.04%
Healthcare REITs Real Estate
6 wins
ENSG Ensign Group, Inc
$186.32 +6.1% 1M +2.0% 1Y
Market cap
$10.51B
P/E
26.3x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins

Head to Head

12 decided of 12

CareTrust REIT leads on 6 of the 12 questions below (CareTrust REIT 6, Ensign 4, Healthcare Realty Trust 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionCTREENSGHRLeader
Larger companyMarket capitalisation $8.47B $10.51B $6.30B ENSG
Cheaper on earningsLower P/E, profitable companies only 23.8x 26.3x -140.1x CTRE
Cheaper on forward earningsLower price / next fiscal year consensus EPS 22.4x 22.5x — CTRE
Faster revenue growthRevenue growth, trailing twelve months +53.0% +17.5% -5.8% CTRE
More profitableNet margin, trailing twelve months 62.2% 7.0% -4.0% CTRE
Better return on capitalReturn on invested capital 8.4% 14.3% — ENSG
Less leveragedLower net debt / EBITDA 0.8x -0.3x — ENSG
Higher dividend yieldTrailing dividend yield 0.04% 0.00% 0.05% HR
Better 1-year returnPrice return, last 12 months +6.6% +2.0% +2.4% CTRE
Better 5-year returnAnnualised price return, 5 years +11.8%/yr +19.0%/yr -11.3%/yr ENSG
Less volatileAnnualised volatility, 1 year 25.0% 29.3% 19.9% HR
Higher overall scoreMean of the five percentile scores vs peers 72/100 65/100 40/100 CTRE

Percentile Scorecard

CTREENSGHR

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

AxisCTREENSGHR
Valuation 22 #113 of 145 70 #28 of 92 38 #91 of 145
Growth 99 #3 of 143 63 #33 of 87 51 #70 of 143
Profitability 86 #20 of 136 74 #23 of 86 35 #89 of 136
Financial Health 99 #3 of 138 72 #28 of 97 39 #84 of 138
Shareholder Returns 53 #62 of 131 44 #31 of 55 39 #81 of 131
Overall 72 65 40
  • CTRE ranked among 149 companies in Property REITs
  • ENSG ranked among 102 companies in Healthcare Providers
  • HR ranked among 149 companies in Property REITs

Price Performance

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

Returns

PeriodCTREENSGHRSPY
1 month -2.6%+6.1%+1.3% +0.7%
3 months -12.9%+4.2%-15.6% +3.7%
6 months -8.1%-0.2%-2.8% +7.1%
Year to date +0.2%+7.0%+7.2% +12.8%
1 year +6.6%+2.0%+2.4% +11.9%
3 years +69.3%+95.5%+27.6% +85.2%
3 years, per year +19.2%+25.1%+8.5% +22.8%
5 years +74.7%+138.8%-45.0% +67.6%
5 years, per year +11.8%+19.0%-11.3% +10.9%
10 years +162.6%+993.4%-42.0% +262.0%
10 years, per year +10.1%+27.0%-5.3% +13.7%

Risk

MeasureCTREENSGHRSPY
Volatility, 1Y 25.0%29.3%19.9% 12.7%
Downside volatility, 1Y 25.9%24.9%19.3% 12.6%
Beta vs S&P 500, 1Y -0.04-0.060.10 1.00
Return / volatility, 1Y 0.260.070.12 0.94
Max drawdown, 5Y -30.1%-31.8%-61.1% -25.4%
From 52-week high -16.5%-13.7%-17.0% -1.2%
52-week high $43.39$215.83$21.89 $779.14
52-week low $33.99$147.13$16.34 $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.

MultipleCTREENSGHR
P/E now vs peer median 23.8xmedian 25.7x 27.0xmedian 26.0x -137.7xmedian 25.7x
P/S now vs peer median 15.0xmedian 4.1x 1.9xmedian 1.6x 5.4xmedian 4.1x
EV/EBITDA now vs peer median 16.9xmedian 14.3x 16.9xmedian 15.4x —median 14.3x
P/FCF now vs peer median -24.2xmedian 23.5x 21.3xmedian 21.5x 38.2xmedian 23.5x
P/B now vs peer median 1.9xmedian 1.3x 4.2xmedian 3.2x 1.5xmedian 1.3x
PEG now vs peer median 0.37median 1.86 1.70median 0.87 -3.18median 1.86

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 monthsCTREENSGHR
Revenue $571.43M $5.67B $1.13B
Gross profit – $1.20B –
Operating income – $509.16M –
Net income $355.43M $399.32M -$45.27M
Free cash flow -$353.37M $509.91M $161.54M
EPS (diluted) $1.52 $6.73 $-0.13
Cash & equivalents $47.59M $337.59M $17.50M
Total debt $496.81M $198.72M $4.25B
Shares (diluted) 234.24M 59.30M 340.62M
Enterprise value $7.29B $8.63B $6.21B

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
MetricCTREENSGHR
P/E 23.8x 27.0x -137.7x
P/FCF -24.2x 21.3x 38.2x
P/Operating cash flow 19.1x 15.6x 13.7x
P/S 15.0x 1.9x 5.4x
P/B 1.9x 4.2x 1.5x
P/Tangible book 1.9x 4.3x 1.5x
EV/EBITDA 16.9x 16.9x –
EV/EBIT 21.7x 21.0x –
EV/Revenue 15.8x 1.9x 9.2x
EV/FCF -25.5x 20.9x 64.4x
EV/Operating cash flow 20.1x 15.4x 23.1x
PEG (3Y EPS CAGR) 0.37 1.70 -3.18

Growth

14 metrics
MetricCTREENSGHR
Revenue growth (1Y) 53.0% 17.5% -5.8%
Revenue CAGR (3Y) 40.9% 16.8% -5.7%
Gross profit growth (1Y) – 21.7% –
Gross profit CAGR (3Y) – 16.3% –
Operating income growth (1Y) – 26.6% –
Operating income CAGR (3Y) – 18.3% –
Net income growth (1Y) 61.6% 21.6% 87.8%
Net income CAGR (3Y) 119.0% 17.2% 45.3%
EPS growth (1Y) 33.0% 20.9% 87.4%
EPS CAGR (3Y) 64.4% 15.9% 43.2%
Operating cash flow growth (1Y) 42.1% 44.5% -2.8%
Operating cash flow CAGR (3Y) 46.2% 26.8% -4.6%
Free cash flow growth (1Y) 68.6% 76.1% 28.9%
Free cash flow CAGR (3Y) -107.8% 29.2% -1.8%

Profitability

14 metrics
MetricCTREENSGHR
Gross margin – 21.2% –
EBITDA margin 93.2% 11.1% –
Operating margin – 9.0% –
Pretax margin 63.6% 9.4% –
Net margin 62.2% 7.0% -4.0%
FCF margin -61.8% 9.0% 14.2%
Operating cash flow margin 78.2% 12.3% 39.7%
Return on equity 8.2% 16.0% -1.1%
Return on assets 6.4% 6.8% -0.5%
Return on invested capital 8.4% 14.3% –
Return on capital employed – 10.4% –
Asset turnover 0.1x 1.0x 0.1x
Cash conversion (OCF / net income) 1.3x 1.7x -9.9x
Stock comp / revenue 2.0% 1.1% 1.6%

Financial Health

11 metrics
MetricCTREENSGHR
Debt / assets 8.4% 3.3% 47.4%
Debt / equity 0.1x 0.1x 1.0x
Net debt / EBITDA 0.8x -0.3x –
Debt / FCF -1.4x 0.4x 26.3x
Liabilities / assets 24.1% 57.3% 53.9%
Equity / assets 75.9% 42.7% 46.1%
Interest coverage 8.2x 62.8x –
Current ratio – 1.2x –
Quick ratio – 1.1x –
Cash ratio – 0.4x –
Altman Z-score – 3.64 –

Shareholder Returns

7 metrics
MetricCTREENSGHR
Dividend yield 4.2% 0.1% 5.3%
Net buyback yield -13.9% 0.2% 3.7%
Shareholder yield -9.8% 0.3% 9.0%
Payout ratio (earnings) 85.9% – -735.1%
Payout ratio (FCF) -86.4% – 206.0%
Dividend growth (1Y) 44.0% – -19.3%
Dividend CAGR (3Y) 41.1% – -11.0%

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.

ConsensusCTREENSGHR
Forward P/E 22.4xFY2026 22.5xFY2026 –
EPS, next fiscal year $1.62FY2026 $8.29FY2026 $-0.11FY2026
EPS growth, next FY +3.2%FY2026 +26.2%FY2026 –
EPS growth, the year after +8.6% -1.8% –
Revenue, next fiscal year $532.91MFY2026 $5.76BFY2026 $1.17BFY2026
Revenue growth, next FY +44.7%FY2026 +13.9%FY2026 -0.7%FY2026
Revenue growth, the year after +14.6% +16.9% -8.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCTREENSGHR
Held by institutions 100.0% 89.8% 100.0%
Institutions holding 516 548 459
Change in shares held, QoQ +8.8% -1.2% +0.8%
Institutions buying 283 250 226
Institutions selling 163 214 145
Buyers to sellers 1.74 1.17 1.56

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.

CTREENSGHR
CTRE 1.00 0.42 0.53
ENSG 0.42 1.00 0.21
HR 0.53 0.21 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, CTRE, ENSG and HR?

Ensign (ENSG) is the largest by market capitalisation: CareTrust REIT (CTRE) $8.47B, Ensign (ENSG) $10.51B, Healthcare Realty Trust (HR) $6.30B.

Which stock is cheaper, CTRE, ENSG and HR?

CareTrust REIT (CTRE) trades on the lowest price-to-earnings ratio (CareTrust REIT (CTRE) 23.8x, Ensign (ENSG) 26.3x, Healthcare Realty Trust (HR) -140.1x). On next year's consensus earnings, CareTrust REIT (CTRE) is cheapest (CareTrust REIT (CTRE) 22.4x, 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?

CareTrust REIT (CTRE) grew revenue fastest over the trailing twelve months: CareTrust REIT (CTRE) +53.0%, Ensign (ENSG) +17.5%, Healthcare Realty Trust (HR) -5.8%.

Which company is more profitable?

CareTrust REIT (CTRE) has the highest net margin (CareTrust REIT (CTRE) 62.2%, Ensign (ENSG) 7.0%, Healthcare Realty Trust (HR) -4.0%). On return on invested capital, Ensign (ENSG) leads (CareTrust REIT (CTRE) 8.4%, Ensign (ENSG) 14.3%).

Which stock has performed better?

Over the past year CareTrust REIT (CTRE) returned the most: CareTrust REIT (CTRE) +6.6%, Ensign (ENSG) +2.0%, Healthcare Realty Trust (HR) +2.4%. Over five years, Ensign (ENSG) compounded fastest (CareTrust REIT (CTRE) +11.8%/yr, Ensign (ENSG) +19.0%/yr, Healthcare Realty Trust (HR) -11.3%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Healthcare Realty Trust (HR) has the highest dividend yield: CareTrust REIT (CTRE) 0.04%, Ensign (ENSG) 0.00%, Healthcare Realty Trust (HR) 0.05%. Ensign (ENSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Healthcare Realty Trust (HR) has been the steadiest (CareTrust REIT (CTRE) 25.0%, Ensign (ENSG) 29.3%, Healthcare Realty Trust (HR) 19.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, CTRE, ENSG and HR?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, CareTrust REIT (CTRE) 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.