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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.

Company profile comparison for BrightSpring Health Services (BTSG) and Ensign (ENSG)
Profile ItemBTSGENSG
NameBrightSpring Health Services, Inc.The Ensign Group, Inc.
Country/RegionUnited StatesUnited States
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Providers & Services
GICS Sub-IndustryHealth Care ServicesHealth Care Facilities
Market Capitalization13.36 billion USD10.56 billion USD
CurrencyUSDUSD
ExchangeNasdaqNasdaq
Listing DateJanuary 26, 2024November 9, 2007
Security TypeCommon StockCommon Stock

Price Performance

Cumulative Growth

BTSG
ENSG
GSPC
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for BrightSpring Health Services (BTSG) and Ensign (ENSG). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for BrightSpring Health Services (BTSG) and Ensign (ENSG). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
Total Return (1Y)106.02%1.36%
Total Return (3Y, Annualized)--21.65%
Total Return (5Y, Annualized)--17.48%

Risk Profile

Drawdown History

BTSG
ENSG
GSPC
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for BrightSpring Health Services (BTSG) and Ensign (ENSG). Each bar is the share of months whose return fell in that 5% bucket.

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.

Risk profile metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
Volatility (1Y, Annualized)45.20%29.85%
Beta (5Y)1.750.65
Max Drawdown (5Y)-35.56%-31.81%
Avg. Volume (3M)2.47M353.46K

Risk-Adjusted Performance

Risk-Return Positioning

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BTSG and ENSG are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
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%
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

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%
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

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%
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
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.

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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their Revenue Growth across different time periods.

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.

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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
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
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

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
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
Current Ratio (MRQ)1.621.20
Debt / Equity (MRQ)1.090.89
Net Debt / EBITDA2.393.05

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%
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

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%
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
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
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

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
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

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
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BrightSpring Health Services (BTSG) vs. Ensign (ENSG): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for BrightSpring Health Services (BTSG) and Ensign (ENSG)
MetricBTSGENSG
P/E Ratio (TTM)47.6226.95
P/S Ratio (TTM)0.881.86
P/B Ratio (MRQ)6.394.09
Free Cash Flow Yield (TTM)8.30%3.52%