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ELV vs. ENSG: Elevance Health vs. Ensign Stock Comparison

How do Elevance Health (ELV) 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

Elevance Health (ELV) and Ensign (ENSG) both belong to the Health Care Providers & Services industry, though ELV is classified under Managed Health Care while ENSG falls under Health Care Facilities.

Company profile comparison for Elevance Health (ELV) and Ensign (ENSG)
Profile ItemELVENSG
NameElevance Health, 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-IndustryManaged Health CareHealth Care Facilities
Market Capitalization91.96 billion USD10.56 billion USD
CurrencyUSDUSD
ExchangeNYSENasdaq
Listing DateOctober 30, 2001November 9, 2007
Security TypeCommon StockCommon Stock

Price Performance

Cumulative Growth

ELV
ENSG
GSPC
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Elevance Health (ELV) 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 Elevance Health (ELV) and Ensign (ENSG). Returns over one year are annualized.

Calendar-Year Returns

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

Performance Metrics

Price performance metrics for Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
Total Return (1Y)35.51%1.36%
Total Return (3Y, Annualized)-0.68%21.65%
Total Return (5Y, Annualized)1.10%17.48%

Risk Profile

Drawdown History

ELV
ENSG
GSPC
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Elevance Health (ELV) 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 Elevance Health (ELV) and Ensign (ENSG). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
Volatility (1Y, Annualized)35.05%29.85%
Beta (5Y)0.610.65
Max Drawdown (5Y)-50.38%-31.81%
Avg. Volume (3M)1.19M353.46K

Risk-Adjusted Performance

Risk-Return Positioning

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ELV 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 Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
Sharpe Ratio (1Y)0.89-0.10
Sortino Ratio (1Y)1.25-0.16

Profitability

ROE (TTM)

Ensign (ENSG) at 17.05% sits in the top ROE quartile, while Elevance Health (ELV) at 11.48% is closer to the peer norm — stronger capital efficiency for ENSG.

ELV

Health Care Equipment & Services industry group

11.48%

Max
47.61%
Q3
14.36%
ELV
11.48%
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both Elevance Health (ELV) at 2.55% 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.

ELV

Health Care Equipment & Services industry group

2.55%

Max
29.35%
Q3
9.33%
ELV
2.55%
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both Elevance Health (ELV) at 4.22% and Ensign (ENSG) at 9.23% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

ELV

Health Care Equipment & Services industry group

4.22%

Max
35.43%
Q3
14.14%
Median
6.81%
ELV
4.22%
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
ROE (TTM)11.48%17.05%
ROA (TTM)4.01%5.59%
Net Margin (TTM)2.55%7.03%
Operating Margin (TTM)4.22%9.23%
Gross Margin (TTM)26.43%17.10%

Growth

Revenue Growth

Both Elevance Health (ELV) at 12.62% and Ensign (ENSG) at 18.72% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their Revenue Growth across different time periods.

EPS Growth

Both Elevance Health (ELV) at -1.83% and Ensign (ENSG) at 14.06% land near their industries' usual EPS growth ranges, so bottom-line momentum looks broadly in line with peers on both sides.

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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
Revenue Growth (YoY)12.62%18.72%
Revenue Growth (3Y CAGR)8.34%18.68%
EPS Growth (YoY)-1.83%14.06%
EPS Growth (3Y CAGR)0.53%13.92%

Financial Strength

Current Ratio (MRQ)

Elevance Health (ELV) at 1.47 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.

ELV

Health Care Equipment & Services industry group

1.47

Max
7.59
Q3
4.00
Median
1.98
ELV
1.47
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Both Elevance Health (ELV) at 0.69 and Ensign (ENSG) at 0.89 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

ELV

Health Care Equipment & Services industry group

0.69

Max
1.88
Q3
0.91
ELV
0.69
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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Elevance Health (ELV) 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 Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
Current Ratio (MRQ)1.471.20
Debt / Equity (MRQ)0.690.89
Net Debt / EBITDA-0.813.05

Dividends

Dividend Yield (TTM)

Both Elevance Health (ELV) at 1.59% and Ensign (ENSG) at 0.14% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.

ELV

Health Care Equipment & Services industry group

1.59%

ELV
1.59%
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Both Elevance Health (ELV) at 29.17% and Ensign (ENSG) at 3.87% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.

ELV

Health Care Equipment & Services industry group

29.17%

ELV
29.17%
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
Dividend Yield (TTM)1.59%0.14%
Dividend Payout Ratio (TTM)29.17%3.87%

Valuation

P/E Ratio (TTM)

Elevance Health (ELV) at 18.07 sits in the cheaper P/E ratio quartile, while Ensign (ENSG) at 26.95 is closer to its industry’s usual earnings multiple — a discount for ELV, though growth and earnings durability still matter.

ELV

Health Care Equipment & Services industry group

18.07

Max
80.41
Q3
47.62
Median
29.93
Q1
21.19
ELV
18.07
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

Elevance Health (ELV) at 0.46 sits in the cheaper P/S ratio quartile while Ensign (ENSG) at 1.86 prices around its industry’s middle — ELV costs less per dollar of sales, though read it alongside growth and margins.

ELV

Health Care Equipment & Services industry group

0.46

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
ELV
0.46
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

On P/B ratio, both Elevance Health (ELV) at 2.06 and Ensign (ENSG) at 4.09 are valued close to their industries’ norm against book — neither stands out from peers.

ELV

Health Care Equipment & Services industry group

2.06

Max
11.68
Q3
6.12
Median
3.00
ELV
2.06
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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Elevance Health (ELV) vs. Ensign (ENSG): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Elevance Health (ELV) and Ensign (ENSG)
MetricELVENSG
P/E Ratio (TTM)18.0726.95
P/S Ratio (TTM)0.461.86
P/B Ratio (MRQ)2.064.09
Free Cash Flow Yield (TTM)8.69%3.52%