The Filing Desk

Ensign Group vs Universal Health Services

Ensign Group ENSG · Universal Health Services UHS · Health Care Facilities

Universal Health Services reported revenue of $17.4 billion in fiscal 2025, 3.4 times Ensign Group's $5.1 billion in fiscal 2025. Ensign Group's revenue grew 18.7% in its latest year, and Universal Health Services' grew 9.7%. Ensign Group had an operating margin of 8.4%, against 11.5% at Universal Health Services.

Side by side

Ensign GroupUniversal Health Services
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$5.1B$17.4B
Revenue growth18.7%9.7%
Revenue growth a year, last 5 years16.1%8.5%
Gross margin20.5%—
Operating margin8.4%11.5%
Net margin6.8%8.6%
Free cash flow—$849M
Free cash flow margin—4.9%
Return on capital19.7%13.1%
Net debt to EBITDA−0.8x1.8x
Dividends and buybacks$34M$1.0B
Change in diluted share count1.1%−5.1%
Last close$176.92$185.71
P/E at the last close27.7×7.6×
Insider trades, last 12 monthssold $13.6 millionsold $1.2 million
Piotroski F-score6 of 96 of 8
Amounts in each company's own currency, US$ 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 GroupUniversal Health Services
Operating margin
Percent of revenue
Ensign GroupUniversal Health Services
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Ensign GroupUniversal Health Services

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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 Universal Health Services pages.