BTSG vs. ENSG: BrightSpring Health Services vs. Ensign Stock Comparison
How do BrightSpring Health Services (BTSG) and Ensign (ENSG) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.
Company Profile
BrightSpring Health Services (BTSG) and Ensign (ENSG) both belong to the Health Care Providers & Services industry, though BTSG is classified under Health Care Services while ENSG falls under Health Care Facilities.
Ensign (ENSG) has been public since November 9, 2007, giving it a longer listed trading history, while BrightSpring Health Services (BTSG) listed on January 26, 2024 and still has a shorter public-market record.
| Profile Item | BTSG | ENSG |
|---|---|---|
| Name | BrightSpring Health Services, Inc. | The Ensign Group, Inc. |
| Country/Region | United States | United States |
| GICS Sector | Health Care | Health Care |
| GICS Industry Group | Health Care Equipment & Services | Health Care Equipment & Services |
| GICS Industry | Health Care Providers & Services | Health Care Providers & Services |
| GICS Sub-Industry | Health Care Services | Health Care Facilities |
| Market Capitalization | 13.36 billion USD | 10.56 billion USD |
| Currency | USD | USD |
| Exchange | Nasdaq | Nasdaq |
| Listing Date | January 26, 2024 | November 9, 2007 |
| Security Type | Common Stock | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| Total Return (1Y) | 106.02% | 1.36% |
| Total Return (3Y, Annualized) | -- | 21.65% |
| Total Return (5Y, Annualized) | -- | 17.48% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
BrightSpring Health Services (BTSG) has an aggressive beta of 1.75, indicating higher sensitivity to broad-market moves, while Ensign (ENSG) is defensive at 0.65 and tends to be less market-sensitive — they sit on opposite ends of the beta spectrum.
| Metric | BTSG | ENSG |
|---|---|---|
| Volatility (1Y, Annualized) | 45.20% | 29.85% |
| Beta (5Y) | 1.75 | 0.65 |
| Max Drawdown (5Y) | -35.56% | -31.81% |
| Avg. Volume (3M) | 2.47M | 353.46K |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| Sharpe Ratio (1Y) | 2.25 | -0.10 |
| Sortino Ratio (1Y) | 3.25 | -0.16 |
Profitability
ROE (TTM)
Both BrightSpring Health Services (BTSG) at 15.54% and Ensign (ENSG) at 17.05% sit in the top peer quartile for ROE, suggesting each generates more profit from shareholders’ equity than typical industry peers.
BTSG
Health Care Equipment & Services industry group
15.54%
- Max
- 47.61%
- BTSG
- 15.54%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
ENSG
Health Care Equipment & Services industry group
17.05%
- Max
- 47.61%
- ENSG
- 17.05%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Both BrightSpring Health Services (BTSG) at 2.69% and Ensign (ENSG) at 7.03% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.
BTSG
Health Care Equipment & Services industry group
2.69%
- Max
- 29.35%
- Q3
- 9.33%
- BTSG
- 2.69%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
ENSG
Health Care Equipment & Services industry group
7.03%
- Max
- 29.35%
- Q3
- 9.33%
- ENSG
- 7.03%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Both BrightSpring Health Services (BTSG) at 3.81% and Ensign (ENSG) at 9.23% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.
BTSG
Health Care Equipment & Services industry group
3.81%
- Max
- 35.43%
- Q3
- 14.14%
- Median
- 6.81%
- BTSG
- 3.81%
- Q1
- -0.28%
- Min
- -16.29%
ENSG
Health Care Equipment & Services industry group
9.23%
- Max
- 35.43%
- Q3
- 14.14%
- ENSG
- 9.23%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| ROE (TTM) | 15.54% | 17.05% |
| ROA (TTM) | 5.44% | 5.59% |
| Net Margin (TTM) | 2.69% | 7.03% |
| Operating Margin (TTM) | 3.81% | 9.23% |
| Gross Margin (TTM) | 12.50% | 17.10% |
Growth
Revenue Growth
BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Ensign (ENSG) at 18.72% is closer to the peer norm — faster top-line expansion for BTSG.
EPS Growth
Only one side can be read here: Ensign (ENSG) reports EPS growth of 14.06%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.
Growth Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| Revenue Growth (YoY) | 28.18% | 18.72% |
| Revenue Growth (3Y CAGR) | 18.69% | 18.68% |
| EPS Growth (YoY) | -- | 14.06% |
| EPS Growth (3Y CAGR) | -- | 13.92% |
Financial Strength
Current Ratio (MRQ)
BrightSpring Health Services (BTSG) at 1.62 keeps current ratio within its industry’s typical mid-range, while Ensign (ENSG) at 1.20 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for ENSG.
BTSG
Health Care Equipment & Services industry group
1.62
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- BTSG
- 1.62
- Q1
- 1.37
- Min
- 0.30
ENSG
Health Care Equipment & Services industry group
1.20
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- Q1
- 1.37
- ENSG
- 1.20
- Min
- 0.30
Debt / Equity (MRQ)
Ensign (ENSG) at 0.89 carries an industry-typical debt-to-equity mix, while BrightSpring Health Services (BTSG) at 1.09 uses more debt funding than most peers.
BTSG
Health Care Equipment & Services industry group
1.09
- Max
- 1.88
- BTSG
- 1.09
- Q3
- 0.91
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
ENSG
Health Care Equipment & Services industry group
0.89
- Max
- 1.88
- Q3
- 0.91
- ENSG
- 0.89
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| Current Ratio (MRQ) | 1.62 | 1.20 |
| Debt / Equity (MRQ) | 1.09 | 0.89 |
| Net Debt / EBITDA | 2.39 | 3.05 |
Dividends
Dividend Yield (TTM)
BrightSpring Health Services (BTSG) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Ensign (ENSG) reports a yield of 0.14%, ranking against industry peers normally.
BTSG
Health Care Equipment & Services industry group
0.00%
- BTSG
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
ENSG
Health Care Equipment & Services industry group
0.14%
- ENSG
- 0.14%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
BrightSpring Health Services (BTSG) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Ensign (ENSG) reports a payout of 3.87%, ranking against industry peers normally.
BTSG
Health Care Equipment & Services industry group
0.00%
- BTSG
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
ENSG
Health Care Equipment & Services industry group
3.87%
- ENSG
- 3.87%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| Dividend Yield (TTM) | 0.00% | 0.14% |
| Dividend Payout Ratio (TTM) | 0.00% | 3.87% |
Valuation
P/E Ratio (TTM)
Both BrightSpring Health Services (BTSG) at 47.62 and Ensign (ENSG) at 26.95 land around their industries’ usual P/E ratio levels — neither is getting a clear earnings-multiple discount or premium versus peers.
BTSG
Health Care Equipment & Services industry group
47.62
- Max
- 80.41
- BTSG
- 47.62
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- Min
- 4.21
ENSG
Health Care Equipment & Services industry group
26.95
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- ENSG
- 26.95
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
BrightSpring Health Services (BTSG) at 0.88 sits in the cheaper P/S ratio quartile while Ensign (ENSG) at 1.86 prices around its industry’s middle — BTSG costs less per dollar of sales, though read it alongside growth and margins.
BTSG
Health Care Equipment & Services industry group
0.88
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- BTSG
- 0.88
- Min
- 0.03
ENSG
Health Care Equipment & Services industry group
1.86
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- ENSG
- 1.86
- Q1
- 1.10
- Min
- 0.03
P/B Ratio (MRQ)
Ensign (ENSG) at 4.09 is valued about in line with its industry on P/B ratio, while BrightSpring Health Services (BTSG) at 6.39 carries an above-peer premium to book — BTSG is pricier on assets.
BTSG
Health Care Equipment & Services industry group
6.39
- Max
- 11.68
- BTSG
- 6.39
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
ENSG
Health Care Equipment & Services industry group
4.09
- Max
- 11.68
- Q3
- 6.12
- ENSG
- 4.09
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
Valuation Metrics
| Metric | BTSG | ENSG |
|---|---|---|
| P/E Ratio (TTM) | 47.62 | 26.95 |
| P/S Ratio (TTM) | 0.88 | 1.86 |
| P/B Ratio (MRQ) | 6.39 | 4.09 |
| Free Cash Flow Yield (TTM) | 8.30% | 3.52% |