The Filing Desk

Acadia Healthcare vs Ensign Group

Acadia Healthcare ACHC · Ensign Group ENSG · Health Care Facilities

Ensign Group reported revenue of $5.1 billion in fiscal 2025, 1.5 times Acadia Healthcare's $3.3 billion in fiscal 2025. Acadia Healthcare's revenue grew 5.0% in its latest year, and Ensign Group's grew 18.7%.

Side by side

Acadia HealthcareEnsign Group
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$3.3B$5.1B
Revenue growth5.0%18.7%
Revenue growth a year, last 5 years9.7%16.1%
Gross margin—20.5%
Operating margin—8.4%
Net margin−33.3%6.8%
Free cash flow−$440M—
Free cash flow margin−13.3%—
Return on capital−16.0%19.7%
Net debt to EBITDA—−0.8x
Dividends and buybacks$50M$34M
Change in diluted share count−1.5%1.1%
Last close$31.34$176.92
P/E at the last close—27.7×
Insider trades, last 12 months—sold $13.6 million
Piotroski F-score4 of 86 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
Acadia HealthcareEnsign Group
Operating margin
Percent of revenue
Acadia HealthcareEnsign Group
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Acadia HealthcareEnsign Group

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Acadia Healthcare and Ensign Group pages.