OPCH vs ADUS vs ENSG Stock Comparison

Option Care Health, Addus HomeCare and Ensign Prices as of Nov 4, 2026 Peers: Industry group
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OPCH Option Care Health, Inc.
$31.65 +35.4% 1M +17.1% 1Y
Market cap
$4.85B
P/E
23.1x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins
ADUS Addus HomeCare Corp
$127.94 +13.2% 1M +14.0% 1Y
Market cap
$2.34B
P/E
21.1x
Revenue (TTM)
$1.50B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins
ENSG Ensign Group, Inc
$188.31 +8.9% 1M +2.4% 1Y
Market cap
$10.73B
P/E
26.9x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins

Head to Head

11 decided of 12

Addus HomeCare leads on 5 of the 12 questions below (Addus HomeCare 5, Ensign 4, Option Care Health 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionOPCHADUSENSGLeader
Larger companyMarket capitalisation $4.85B $2.34B $10.73B ENSG
Cheaper on earningsLower P/E, profitable companies only 23.1x 21.1x 26.9x ADUS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 16.3x 17.8x 22.7x OPCH
Faster revenue growthRevenue growth, trailing twelve months +5.9% +11.5% +17.5% ENSG
More profitableNet margin, trailing twelve months 3.7% 7.4% 7.0% ADUS
Better return on capitalReturn on invested capital 9.9% 9.6% 14.3% ENSG
Less leveragedLower net debt / EBITDA 2.4x -0.4x -0.3x ADUS
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +17.1% +14.0% +2.4% OPCH
Better 5-year returnAnnualised price return, 5 years +2.5%/yr +4.6%/yr +17.8%/yr ENSG
Less volatileAnnualised volatility, 1 year 51.1% 28.3% 29.6% ADUS
Higher overall scoreMean of the five percentile scores vs peers 53/100 71/100 64/100 ADUS

Percentile Scorecard

OPCHADUSENSG

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

AxisOPCHADUSENSG
Valuation 79 #21 of 95 86 #14 of 95 69 #30 of 95
Growth 24 #67 of 88 56 #39 of 88 62 #34 of 88
Profitability 66 #30 of 87 73 #24 of 87 74 #23 of 87
Financial Health 43 #57 of 100 88 #13 of 100 72 #29 of 100
Shareholder Returns – 51 #29 of 58 44 #33 of 58
Overall 53 71 64
  • OPCH 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

PeriodOPCHADUSENSGSPY
1 month +35.4%+13.2%+8.9% -1.0%
3 months +33.5%+9.9%+5.4% -0.4%
6 months +54.8%+32.4%+7.0% +4.5%
Year to date -0.7%+19.1%+8.1% +12.4%
1 year +17.1%+14.0%+2.4% +13.6%
3 years +10.7%+51.1%+84.6% +76.4%
3 years, per year +3.4%+14.8%+22.7% +20.8%
5 years +13.4%+25.4%+126.5% +63.7%
5 years, per year +2.5%+4.6%+17.8% +10.4%
10 years —+399.8%+1,024.9% +267.7%
10 years, per year —+17.5%+27.4% +13.9%

Risk

MeasureOPCHADUSENSGSPY
Volatility, 1Y 51.1%28.3%29.6% 12.8%
Downside volatility, 1Y 48.6%29.5%25.2% 12.7%
Beta vs S&P 500, 1Y 0.000.110.00 1.00
Return / volatility, 1Y 0.330.500.08 1.06
Max drawdown, 5Y -46.7%-34.9%-31.8% -25.4%
From 52-week high -13.5%0.0%-12.8% -1.6%
52-week high $36.59$127.94$215.83 $779.14
52-week low $19.52$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.

MultipleOPCHADUSENSG
P/E now vs peer median 23.1xmedian 25.6x 21.1xmedian 25.6x 27.3xmedian 25.6x
P/S now vs peer median 0.8xmedian 1.6x 1.6xmedian 1.6x 1.9xmedian 1.6x
EV/EBITDA now vs peer median 14.0xmedian 16.0x 13.3xmedian 16.0x 17.1xmedian 16.0x
P/FCF now vs peer median 15.6xmedian 21.6x 16.5xmedian 21.6x 21.5xmedian 21.6x
P/B now vs peer median 3.8xmedian 3.4x 2.0xmedian 3.4x 4.3xmedian 3.4x
PEG now vs peer median 22.36median 0.74 1.11median 0.74 1.72median 0.74

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 monthsOPCHADUSENSG
Revenue $5.69B $1.50B $5.67B
Gross profit $1.09B $485.44M $1.20B
Operating income $333.69M $155.11M $509.16M
Net income $209.58M $111.05M $399.32M
Free cash flow $303.85M $144.23M $509.91M
EPS (diluted) $1.37 $5.98 $6.73
Cash & equivalents $193.77M $98.48M $337.59M
Total debt $1.16B $21.92M $198.72M
Shares (diluted) 153.49M 18.57M 59.30M
Enterprise value $3.93B $1.96B $8.85B

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
MetricOPCHADUSENSG
P/E 23.1x 21.1x 27.3x
P/FCF 15.6x 16.5x 21.5x
P/Operating cash flow 13.7x 15.7x 15.8x
P/S 0.8x 1.6x 1.9x
P/B 3.8x 2.0x 4.3x
P/Tangible book 4.9x 2.2x 4.3x
EV/EBITDA 14.0x 13.3x 17.1x
EV/EBIT 17.1x 14.9x 21.2x
EV/Revenue 1.0x 1.5x 1.9x
EV/FCF 18.8x 16.0x 21.2x
EV/Operating cash flow 16.5x 15.2x 15.5x
PEG (3Y EPS CAGR) 22.36 1.11 1.72

Growth

14 metrics
MetricOPCHADUSENSG
Revenue growth (1Y) 5.9% 11.5% 17.5%
Revenue CAGR (3Y) 11.3% 13.4% 16.8%
Gross profit growth (1Y) 2.6% 10.4% 21.7%
Gross profit CAGR (3Y) 5.3% 14.2% 16.3%
Operating income growth (1Y) -0.1% 25.8% 26.6%
Operating income CAGR (3Y) 6.3% 22.8% 18.3%
Net income growth (1Y) -0.8% 29.7% 21.6%
Net income CAGR (3Y) -4.4% 24.4% 17.2%
EPS growth (1Y) 6.1% 28.4% 20.9%
EPS CAGR (3Y) 1.0% 19.1% 15.9%
Operating cash flow growth (1Y) 24.0% 47.4% 44.5%
Operating cash flow CAGR (3Y) -3.8% 12.6% 26.8%
Free cash flow growth (1Y) 26.0% 49.6% 76.1%
Free cash flow CAGR (3Y) -4.7% 14.2% 29.2%

Profitability

14 metrics
MetricOPCHADUSENSG
Gross margin 19.1% 32.3% 21.2%
EBITDA margin 7.2% 11.5% 11.1%
Operating margin 5.9% 10.3% 9.0%
Pretax margin 5.0% 10.0% 9.4%
Net margin 3.7% 7.4% 7.0%
FCF margin 5.3% 9.6% 9.0%
Operating cash flow margin 6.1% 10.1% 12.3%
Return on equity 16.0% 9.5% 16.0%
Return on assets 6.2% 7.6% 6.8%
Return on invested capital 9.9% 9.6% 14.3%
Return on capital employed 13.0% 12.1% 10.4%
Asset turnover 1.7x 1.0x 1.0x
Cash conversion (OCF / net income) 1.7x 1.4x 1.7x
Stock comp / revenue 0.7% 1.1% 1.1%

Financial Health

11 metrics
MetricOPCHADUSENSG
Debt / assets 34.3% 1.5% 3.3%
Debt / equity 0.9x 0.0x 0.1x
Net debt / EBITDA 2.4x -0.4x -0.3x
Debt / FCF 3.8x 0.2x 0.4x
Liabilities / assets 62.7% 18.6% 57.3%
Equity / assets 37.3% 81.4% 42.7%
Interest coverage 6.2x 19.7x 62.8x
Current ratio 1.5x 1.6x 1.2x
Quick ratio 1.0x 1.5x 1.1x
Cash ratio 0.2x 0.6x 0.4x
Altman Z-score 3.89 7.30 3.66

Shareholder Returns

7 metrics
MetricOPCHADUSENSG
Dividend yield – – 0.1%
Net buyback yield – -0.1% 0.2%
Shareholder yield – -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.

ConsensusOPCHADUSENSG
Forward P/E 16.3xFY2026 17.8xFY2026 22.7xFY2026
EPS, next fiscal year $1.94FY2026 $7.20FY2026 $8.29FY2026
EPS growth, next FY +12.8%FY2026 +15.6%FY2026 +26.2%FY2026
EPS growth, the year after +12.9% +11.1% -1.8%
Revenue, next fiscal year $5.93BFY2026 $1.57BFY2026 $5.76BFY2026
Revenue growth, next FY +5.0%FY2026 +10.8%FY2026 +13.9%FY2026
Revenue growth, the year after -2.1% +6.1% +16.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersOPCHADUSENSG
Held by institutions 100.0% 100.0% 89.8%
Institutions holding 374 305 549
Change in shares held, QoQ -4.6% +0.8% -1.2%
Institutions buying 213 162 250
Institutions selling 122 94 215
Buyers to sellers 1.75 1.72 1.16

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.

OPCHADUSENSG
OPCH 1.00 0.25 0.15
ADUS 0.25 1.00 0.34
ENSG 0.15 0.34 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, OPCH, ADUS and ENSG?

Ensign (ENSG) is the largest by market capitalisation: Option Care Health (OPCH) $4.85B, Addus HomeCare (ADUS) $2.34B, Ensign (ENSG) $10.73B.

Which stock is cheaper, OPCH, ADUS and ENSG?

Addus HomeCare (ADUS) trades on the lowest price-to-earnings ratio (Option Care Health (OPCH) 23.1x, Addus HomeCare (ADUS) 21.1x, Ensign (ENSG) 26.9x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (Option Care Health (OPCH) 16.3x, Addus HomeCare (ADUS) 17.8x, Ensign (ENSG) 22.7x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Ensign (ENSG) grew revenue fastest over the trailing twelve months: Option Care Health (OPCH) +5.9%, Addus HomeCare (ADUS) +11.5%, Ensign (ENSG) +17.5%.

Which company is more profitable?

Addus HomeCare (ADUS) has the highest net margin (Option Care Health (OPCH) 3.7%, Addus HomeCare (ADUS) 7.4%, Ensign (ENSG) 7.0%). On return on invested capital, Ensign (ENSG) leads (Option Care Health (OPCH) 9.9%, Addus HomeCare (ADUS) 9.6%, Ensign (ENSG) 14.3%).

Which stock has performed better?

Over the past year Option Care Health (OPCH) returned the most: Option Care Health (OPCH) +17.1%, Addus HomeCare (ADUS) +14.0%, Ensign (ENSG) +2.4%. Over five years, Ensign (ENSG) compounded fastest (Option Care Health (OPCH) +2.5%/yr, Addus HomeCare (ADUS) +4.6%/yr, Ensign (ENSG) +17.8%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Option Care Health (OPCH) 51.1%, Addus HomeCare (ADUS) 28.3%, Ensign (ENSG) 29.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, OPCH, 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.