OPCH vs CHE vs ENSG Stock Comparison

Option Care Health, Chemed and Ensign Prices as of Oct 27, 2026 Peers: Industry group
OPCH Option Care Health, Inc.
$31.29 +35.6% 1M +12.4% 1Y
Market cap
$4.78B
P/E
22.8x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins
CHE Chemed Corp
$508.35 -0.6% 1M +16.4% 1Y
Market cap
$7.25B
P/E
25.7x
Revenue (TTM)
$2.66B
Div. yield
–
Home Health and Senior Care Healthcare
1 win
ENSG Ensign Group, Inc
$169.50 -3.2% 1M -9.1% 1Y
Market cap
$10.72B
P/E
26.8x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
8 wins

Head to Head

11 decided of 12

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

QuestionOPCHCHEENSGLeader
Larger companyMarket capitalisation $4.78B $7.25B $10.72B ENSG
Cheaper on earningsLower P/E, profitable companies only 22.8x 25.7x 26.8x OPCH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 16.1x 19.2x 20.4x OPCH
Faster revenue growthRevenue growth, trailing twelve months +5.9% +5.2% +17.5% ENSG
More profitableNet margin, trailing twelve months 3.7% — 7.0% ENSG
Better return on capitalReturn on invested capital 9.9% — 14.3% ENSG
Less leveragedLower net debt / EBITDA 2.4x — -0.3x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +12.4% +16.4% -9.1% CHE
Better 5-year returnAnnualised price return, 5 years +3.0%/yr +2.6%/yr +17.4%/yr ENSG
Less volatileAnnualised volatility, 1 year 52.0% 29.8% 28.1% ENSG
Higher overall scoreMean of the five percentile scores vs peers 53/100 43/100 65/100 ENSG

Percentile Scorecard

OPCHCHEENSG

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

AxisOPCHCHEENSG
Valuation 80 #19 of 92 45 #51 of 92 73 #26 of 92
Growth 24 #66 of 87 14 #75 of 87 62 #34 of 87
Profitability 67 #29 of 86 62 #33 of 86 75 #22 of 86
Financial Health 42 #57 of 97 48 #51 of 97 72 #28 of 97
Shareholder Returns – 47 #30 of 56 42 #33 of 56
Overall 53 43 65
  • OPCH ranked among 102 companies in Healthcare Providers
  • CHE 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

PeriodOPCHCHEENSGSPY
1 month +35.6%-0.6%-3.2% -0.2%
3 months +39.2%-1.6%-7.4% +3.9%
6 months +12.7%+20.7%-10.0% +8.2%
Year to date -1.8%+18.8%-2.7% +12.9%
1 year +12.4%+16.4%-9.1% +12.3%
3 years +17.5%-10.0%+74.2% +87.4%
3 years, per year +5.5%-3.4%+20.3% +23.3%
5 years +15.8%+13.7%+122.5% +67.9%
5 years, per year +3.0%+2.6%+17.4% +10.9%
10 years —+266.9%+887.2% +261.1%
10 years, per year —+13.9%+25.7% +13.7%

Risk

MeasureOPCHCHEENSGSPY
Volatility, 1Y 52.0%29.8%28.1% 12.7%
Downside volatility, 1Y 50.4%33.2%24.9% 12.7%
Beta vs S&P 500, 1Y 0.050.00-0.07 1.00
Return / volatility, 1Y 0.240.55-0.32 0.97
Max drawdown, 5Y -46.7%-43.4%-31.8% -25.4%
From 52-week high -14.5%-8.0%-21.5% -1.2%
52-week high $36.59$552.43$215.83 $779.14
52-week low $19.52$368.59$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.

MultipleOPCHCHEENSG
P/E now vs peer median 22.8xmedian 24.6x 23.7xmedian 24.6x 24.6xmedian 24.6x
P/S now vs peer median 0.8xmedian 1.6x 2.5xmedian 1.6x 1.7xmedian 1.6x
EV/EBITDA now vs peer median 13.8xmedian 14.6x —median 14.6x 15.4xmedian 14.6x
P/FCF now vs peer median 15.4xmedian 21.6x 20.7xmedian 21.6x 19.4xmedian 21.6x
P/B now vs peer median 3.7xmedian 3.2x 7.7xmedian 3.2x 3.9xmedian 3.2x
PEG now vs peer median 22.11median 0.66 2.38median 0.66 1.55median 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 monthsOPCHCHEENSG
Revenue $5.69B $2.66B $5.67B
Gross profit $1.09B – $1.20B
Operating income $333.69M $370.86M $509.16M
Net income $209.58M $282.40M $399.32M
Free cash flow $303.85M – $509.91M
EPS (diluted) $1.37 $21.40 $6.73
Cash & equivalents $193.77M $48.43M $337.59M
Total debt $1.16B – $198.72M
Shares (diluted) 153.49M 13.20M 59.30M
Enterprise value $3.87B $7.25B $8.84B

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
MetricOPCHCHEENSG
P/E 22.8x 23.7x 24.6x
P/FCF 15.4x 20.7x 19.4x
P/Operating cash flow 13.5x 18.3x 14.2x
P/S 0.8x 2.5x 1.7x
P/B 3.7x 7.7x 3.9x
P/Tangible book 4.8x 8.5x 3.9x
EV/EBITDA 13.8x – 15.4x
EV/EBIT 16.9x – 19.0x
EV/Revenue 1.0x 2.5x 1.7x
EV/FCF 18.6x – 19.0x
EV/Operating cash flow 16.3x 18.3x 13.9x
PEG (3Y EPS CAGR) 22.11 2.38 1.55

Growth

14 metrics
MetricOPCHCHEENSG
Revenue growth (1Y) 5.9% 5.2% 17.5%
Revenue CAGR (3Y) 11.3% 6.1% 16.8%
Gross profit growth (1Y) 2.6% – 21.7%
Gross profit CAGR (3Y) 5.3% – 16.3%
Operating income growth (1Y) -0.1% 5.5% 26.6%
Operating income CAGR (3Y) 6.3% 6.1% 18.3%
Net income growth (1Y) -0.8% 1.3% 21.6%
Net income CAGR (3Y) -4.4% 4.9% 17.2%
EPS growth (1Y) 6.1% 10.6% 20.9%
EPS CAGR (3Y) 1.0% 10.0% 15.9%
Operating cash flow growth (1Y) 24.0% -13.5% 44.5%
Operating cash flow CAGR (3Y) -3.8% 4.1% 26.8%
Free cash flow growth (1Y) 26.0% – 76.1%
Free cash flow CAGR (3Y) -4.7% – 29.2%

Profitability

14 metrics
MetricOPCHCHEENSG
Gross margin 19.1% – 21.2%
EBITDA margin 7.2% – 11.1%
Operating margin 5.9% – 9.0%
Pretax margin 5.0% – 9.4%
Net margin 3.7% – 7.0%
FCF margin 5.3% – 9.0%
Operating cash flow margin 6.1% 13.6% 12.3%
Return on equity 16.0% – 16.0%
Return on assets 6.2% – 6.8%
Return on invested capital 9.9% – 14.3%
Return on capital employed 13.0% – 10.4%
Asset turnover 1.7x 1.6x 1.0x
Cash conversion (OCF / net income) 1.7x 1.3x 1.7x
Stock comp / revenue 0.7% 1.2% 1.1%

Financial Health

11 metrics
MetricOPCHCHEENSG
Debt / assets 34.3% – 3.3%
Debt / equity 0.9x – 0.1x
Net debt / EBITDA 2.4x – -0.3x
Debt / FCF 3.8x – 0.4x
Liabilities / assets 62.7% 49.9% 57.3%
Equity / assets 37.3% 50.1% 42.7%
Interest coverage 6.2x – 62.8x
Current ratio 1.5x 1.1x 1.2x
Quick ratio 1.0x – 1.1x
Cash ratio 0.2x – 0.4x
Altman Z-score 3.88 – 3.47

Shareholder Returns

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

ConsensusOPCHCHEENSG
Forward P/E 16.1xFY2026 19.2xFY2026 20.4xFY2026
EPS, next fiscal year $1.94FY2026 $26.52FY2026 $8.29FY2026
EPS growth, next FY +12.8%FY2026 +23.1%FY2026 +26.2%FY2026
EPS growth, the year after +12.9% +8.0% -1.8%
Revenue, next fiscal year $5.93BFY2026 $2.66BFY2026 $5.76BFY2026
Revenue growth, next FY +5.0%FY2026 +5.1%FY2026 +13.9%FY2026
Revenue growth, the year after -2.1% +15.2% +16.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersOPCHCHEENSG
Held by institutions 100.0% 100.0% 89.8%
Institutions holding 372 527 547
Change in shares held, QoQ -4.6% +2.8% -1.2%
Institutions buying 212 276 250
Institutions selling 121 186 213
Buyers to sellers 1.75 1.48 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.

OPCHCHEENSG
OPCH 1.00 0.25 0.17
CHE 0.25 1.00 0.36
ENSG 0.17 0.36 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, OPCH, CHE and ENSG?

Ensign (ENSG) is the largest by market capitalisation: Option Care Health (OPCH) $4.78B, Chemed (CHE) $7.25B, Ensign (ENSG) $10.72B.

Which stock is cheaper, OPCH, CHE and ENSG?

Option Care Health (OPCH) trades on the lowest price-to-earnings ratio (Option Care Health (OPCH) 22.8x, Chemed (CHE) 25.7x, Ensign (ENSG) 26.8x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (Option Care Health (OPCH) 16.1x, Chemed (CHE) 19.2x, Ensign (ENSG) 20.4x). 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%, Chemed (CHE) +5.2%, Ensign (ENSG) +17.5%.

Which company is more profitable?

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

Which stock has performed better?

Over the past year Chemed (CHE) returned the most: Option Care Health (OPCH) +12.4%, Chemed (CHE) +16.4%, Ensign (ENSG) -9.1%. Over five years, Ensign (ENSG) compounded fastest (Option Care Health (OPCH) +3.0%/yr, Chemed (CHE) +2.6%/yr, Ensign (ENSG) +17.4%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Option Care Health (OPCH) 52.0%, Chemed (CHE) 29.8%, Ensign (ENSG) 28.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, OPCH, CHE 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 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.