The Filing Desk

Ensign Group vs National Healthcare

Ensign Group ENSG · National Healthcare NHC · Health Care Facilities

Ensign Group reported revenue of $5.1 billion in fiscal 2025, 3.3 times National Healthcare's $1.5 billion in fiscal 2025. Ensign Group's revenue grew 18.7% in its latest year, and National Healthcare's grew 16.1%. Ensign Group had an operating margin of 8.4%, against 8.5% at National Healthcare.

Side by side

Ensign GroupNational Healthcare
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$5.1B$1.5B
Revenue growth18.7%16.1%
Revenue growth a year, last 5 years16.1%8.1%
Gross margin20.5%—
Operating margin8.4%8.5%
Net margin6.8%7.9%
Free cash flow—$149M
Free cash flow margin—9.8%
Return on capital19.7%9.4%
Net debt to EBITDA−0.8x−0.3x
Dividends and buybacks$34M$53M
Change in diluted share count1.1%0.3%
Last close$181.08$208.85
P/E at the last close26.9×28.9×
Insider trades, last 12 monthssold $13.4 millionbought $174,863, sold $11.2 million
Piotroski F-score6 of 96 of 8
Amounts in each company's own currency, US$ 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
Ensign GroupNational Healthcare
Operating margin
Percent of revenue
Ensign GroupNational Healthcare
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Ensign GroupNational Healthcare

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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 Ensign Group and National Healthcare pages.