ENSG vs BTSG vs CHE Stock Comparison

Ensign, BrightSpring Health Services and Chemed Prices as of Oct 27, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$169.50 -3.2% 1M -9.1% 1Y
Market cap
$10.67B
P/E
26.7x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
6 wins
CHE Chemed Corp
$508.35 -0.6% 1M +16.4% 1Y
Market cap
$7.37B
P/E
26.1x
Revenue (TTM)
$2.66B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

11 decided of 12

Ensign leads on 6 of the 12 questions below (Ensign 6, BrightSpring Health Services 3, Chemed 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionENSGBTSGCHELeader
Larger companyMarket capitalisation $10.67B $12.07B $7.37B BTSG
Cheaper on earningsLower P/E, profitable companies only 26.7x 33.0x 26.1x CHE
Cheaper on forward earningsLower price / next fiscal year consensus EPS 20.4x 33.7x 19.2x CHE
Faster revenue growthRevenue growth, trailing twelve months +17.5% +26.4% +5.2% BTSG
More profitableNet margin, trailing twelve months 7.0% 2.5% — ENSG
Better return on capitalReturn on invested capital 14.3% 8.6% — ENSG
Less leveragedLower net debt / EBITDA -0.3x 2.6x — ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -9.1% +72.5% +16.4% BTSG
Better 5-year returnAnnualised price return, 5 years +17.4%/yr — +2.6%/yr ENSG
Less volatileAnnualised volatility, 1 year 28.1% 44.6% 29.8% ENSG
Higher overall scoreMean of the five percentile scores vs peers 65/100 64/100 43/100 ENSG

Percentile Scorecard

ENSGBTSGCHE

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

AxisENSGBTSGCHE
Valuation 73 #26 of 92 66 #32 of 92 45 #51 of 92
Growth 62 #34 of 87 93 #7 of 87 14 #75 of 87
Profitability 75 #22 of 86 57 #38 of 86 62 #33 of 86
Financial Health 72 #28 of 97 41 #58 of 97 48 #51 of 97
Shareholder Returns 42 #33 of 56 62 #22 of 56 47 #30 of 56
Overall 65 64 43
  • ENSG ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • CHE ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodENSGBTSGCHESPY
1 month -3.2%+3.1%-0.6% -0.2%
3 months -7.4%-19.5%-1.6% +3.9%
6 months -10.0%+22.9%+20.7% +8.2%
Year to date -2.7%+55.8%+18.8% +12.9%
1 year -9.1%+72.5%+16.4% +12.3%
3 years +74.2%—-10.0% +87.4%
3 years, per year +20.3%—-3.4% +23.3%
5 years +122.5%—+13.7% +67.9%
5 years, per year +17.4%—+2.6% +10.9%
10 years +887.2%—+266.9% +261.1%
10 years, per year +25.7%—+13.9% +13.7%

Risk

MeasureENSGBTSGCHESPY
Volatility, 1Y 28.1%44.6%29.8% 12.7%
Downside volatility, 1Y 24.9%51.5%33.2% 12.7%
Beta vs S&P 500, 1Y -0.071.300.00 1.00
Return / volatility, 1Y -0.321.630.55 0.97
Max drawdown, 5Y -31.8%-35.6%-43.4% -25.4%
From 52-week high -21.5%-20.0%-8.0% -1.2%
52-week high $215.83$72.91$552.43 $779.14
52-week low $147.13$31.36$368.59 $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.

MultipleENSGBTSGCHE
P/E now vs peer median 24.6xmedian 24.6x 32.9xmedian 24.6x 23.7xmedian 24.6x
P/S now vs peer median 1.7xmedian 1.6x 0.8xmedian 1.6x 2.5xmedian 1.6x
EV/EBITDA now vs peer median 15.4xmedian 14.6x 21.2xmedian 14.6x —median 14.6x
P/FCF now vs peer median 19.4xmedian 21.6x 28.6xmedian 21.6x 20.7xmedian 21.6x
P/B now vs peer median 3.9xmedian 3.2x 5.6xmedian 3.2x 7.7xmedian 3.2x
PEG now vs peer median 1.55median 0.66 —median 0.66 2.38median 0.66

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 monthsENSGBTSGCHE
Revenue $5.67B $14.37B $2.66B
Gross profit $1.20B $1.78B –
Operating income $509.16M $447.80M $370.86M
Net income $399.32M $365.85M $282.40M
Free cash flow $509.91M $402.35M –
EPS (diluted) $6.73 $1.66 $21.40
Cash & equivalents $337.59M $550.38M $48.43M
Total debt $198.72M $2.19B –
Shares (diluted) 59.30M 220.28M 13.20M
Enterprise value $8.79B $10.41B $7.37B

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
MetricENSGBTSGCHE
P/E 24.6x 32.9x 23.7x
P/FCF 19.4x 28.6x 20.7x
P/Operating cash flow 14.2x 22.8x 18.3x
P/S 1.7x 0.8x 2.5x
P/B 3.9x 5.6x 7.7x
P/Tangible book 3.9x 7.5x 8.5x
EV/EBITDA 15.4x 21.2x –
EV/EBIT 19.0x 29.4x –
EV/Revenue 1.7x 0.9x 2.5x
EV/FCF 19.0x 32.7x –
EV/Operating cash flow 13.9x 26.0x 18.3x
PEG (3Y EPS CAGR) 1.55 – 2.38

Growth

14 metrics
MetricENSGBTSGCHE
Revenue growth (1Y) 17.5% 26.4% 5.2%
Revenue CAGR (3Y) 16.8% – 6.1%
Gross profit growth (1Y) 21.7% 29.4% –
Gross profit CAGR (3Y) 16.3% – –
Operating income growth (1Y) 26.6% 143.5% 5.5%
Operating income CAGR (3Y) 18.3% – 6.1%
Net income growth (1Y) 21.6% 472.6% 1.3%
Net income CAGR (3Y) 17.2% – 4.9%
EPS growth (1Y) 20.9% 448.6% 10.6%
EPS CAGR (3Y) 15.9% – 10.0%
Operating cash flow growth (1Y) 44.5% 88.6% -13.5%
Operating cash flow CAGR (3Y) 26.8% – 4.1%
Free cash flow growth (1Y) 76.1% 110.5% –
Free cash flow CAGR (3Y) 29.2% – –

Profitability

14 metrics
MetricENSGBTSGCHE
Gross margin 21.2% 12.4% –
EBITDA margin 11.1% 4.3% –
Operating margin 9.0% 3.1% –
Pretax margin 9.4% 2.1% –
Net margin 7.0% 2.5% –
FCF margin 9.0% 2.8% –
Operating cash flow margin 12.3% 3.5% 13.6%
Return on equity 16.0% 18.2% –
Return on assets 6.8% 6.0% –
Return on invested capital 14.3% 8.6% –
Return on capital employed 10.4% 9.9% –
Asset turnover 1.0x 2.4x 1.6x
Cash conversion (OCF / net income) 1.7x 1.4x 1.3x
Stock comp / revenue 1.1% 0.4% 1.2%

Financial Health

11 metrics
MetricENSGBTSGCHE
Debt / assets 3.3% 36.6% –
Debt / equity 0.1x 1.1x –
Net debt / EBITDA -0.3x 2.6x –
Debt / FCF 0.4x 5.4x –
Liabilities / assets 57.3% 65.8% 49.9%
Equity / assets 42.7% 34.2% 50.1%
Interest coverage 62.8x 2.9x –
Current ratio 1.2x 1.6x 1.1x
Quick ratio 1.1x 1.1x –
Cash ratio 0.4x 0.4x –
Altman Z-score 3.47 4.60 –

Shareholder Returns

7 metrics
MetricENSGBTSGCHE
Dividend yield 0.2% – 0.5%
Net buyback yield 0.2% 0.6% –
Shareholder yield 0.4% 0.6% 0.5%
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.

ConsensusENSGBTSGCHE
Forward P/E 20.4xFY2026 33.7xFY2026 19.2xFY2026
EPS, next fiscal year $8.29FY2026 $1.73FY2026 $26.52FY2026
EPS growth, next FY +26.2%FY2026 +73.0%FY2026 +23.1%FY2026
EPS growth, the year after -1.8% +42.2% +8.0%
Revenue, next fiscal year $5.76BFY2026 $16.01BFY2026 $2.66BFY2026
Revenue growth, next FY +13.9%FY2026 +24.0%FY2026 +5.1%FY2026
Revenue growth, the year after +16.9% +1.4% +15.2%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersENSGBTSGCHE
Held by institutions 89.8% 100.0% 100.0%
Institutions holding 547 421 527
Change in shares held, QoQ -1.2% -0.7% +2.8%
Institutions buying 250 309 276
Institutions selling 213 83 186
Buyers to sellers 1.17 3.72 1.48

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.

ENSGBTSGCHE
ENSG 1.00 0.16 0.34
BTSG 0.16 1.00 0.13
CHE 0.34 0.13 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ENSG, BTSG and CHE?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Ensign (ENSG) $10.67B, BrightSpring Health Services (BTSG) $12.07B, Chemed (CHE) $7.37B.

Which stock is cheaper, ENSG, BTSG and CHE?

Chemed (CHE) trades on the lowest price-to-earnings ratio (Ensign (ENSG) 26.7x, BrightSpring Health Services (BTSG) 33.0x, Chemed (CHE) 26.1x). On next year's consensus earnings, Chemed (CHE) is cheapest (Ensign (ENSG) 20.4x, BrightSpring Health Services (BTSG) 33.7x, Chemed (CHE) 19.2x). 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: Ensign (ENSG) +17.5%, BrightSpring Health Services (BTSG) +26.4%, Chemed (CHE) +5.2%.

Which company is more profitable?

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

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Ensign (ENSG) -9.1%, BrightSpring Health Services (BTSG) +72.5%, Chemed (CHE) +16.4%. Over five years, Ensign (ENSG) compounded fastest (Ensign (ENSG) +17.4%/yr, Chemed (CHE) +2.6%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Ensign (ENSG) 28.1%, BrightSpring Health Services (BTSG) 44.6%, Chemed (CHE) 29.8%). Volatility measures how widely the price swings, not the risk of the business.

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

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.