ENSG vs. GH: Ensign vs. Guardant Health Stock Comparison

November 11, 2026

How do Ensign (ENSG) and Guardant Health (GH) 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

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

Company profile comparison for Ensign (ENSG) and Guardant Health (GH)
Profile Item	ENSG	GH
Name	The Ensign Group, Inc.	Guardant Health, 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 Facilities	Health Care Services
Market Capitalization	10.56 billion USD	20.41 billion USD
Currency	USD	USD
Exchange	Nasdaq	Nasdaq
Listing Date	November 9, 2007	October 4, 2018
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ENSG

GSPC

Ensign (ENSG) vs. Guardant Health (GH), 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

Loading price history…

Trailing total returns for Ensign (ENSG) and Guardant Health (GH). Returns over one year are annualized.

Calendar-Year Returns

Loading price history…

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

Performance Metrics

Price performance metrics for Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
Total Return (1Y)	1.36%	66.53%
Total Return (3Y, Annualized)	21.65%	92.76%
Total Return (5Y, Annualized)	17.48%	8.36%

Risk Profile

Drawdown History

ENSG

GSPC

Ensign (ENSG) vs. Guardant Health (GH), 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

Loading price history…

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

Risk Metrics

Guardant Health (GH) has an aggressive beta of 1.69, 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 Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
Volatility (1Y, Annualized)	29.85%	53.23%
Beta (5Y)	0.65	1.69
Max Drawdown (5Y)	-31.81%	-85.09%
Avg. Volume (3M)	353.46K	1.97M

Risk-Adjusted Performance

Risk-Return Positioning

ENSG and GH 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 Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
Sharpe Ratio (1Y)	-0.10	1.17
Sortino Ratio (1Y)	-0.16	1.84

Profitability

ROE (TTM)

Capital efficiency shows on one side only: Ensign (ENSG) earns 17.05% on shareholders’ equity, ranked against its industry; Guardant Health (GH) has no ROE this period.

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%

GH

Health Care Equipment & Services industry group

Max: 47.61%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%
GH: --

Ensign (ENSG) vs. Guardant Health (GH): GH does not report ROE, so it has no value marker; ENSG is benchmarked against the Health Care Equipment & Services industry group.

Net Margin (TTM)

Guardant Health (GH) reports a negative net margin of -37.93%, usually indicating a net loss over the period. Meanwhile Ensign (ENSG) reports 7.03%, ranking against industry peers normally.

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%

GH

Health Care Equipment & Services industry group

-37.93%

Max: 29.35%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%
GH: -37.93%

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

Operating Margin (TTM)

Guardant Health (GH) reports a negative operating margin of -37.06%, usually indicating that operating costs exceeded revenue at the operating-income line. Meanwhile Ensign (ENSG) reports 9.23%, ranking against industry peers normally.

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%

GH

Health Care Equipment & Services industry group

-37.06%

Max: 35.43%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%
GH: -37.06%

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

Profitability Metrics

Profitability metrics for Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
ROE (TTM)	17.05%	--
ROA (TTM)	5.59%	-19.92%
Net Margin (TTM)	7.03%	-37.93%
Operating Margin (TTM)	9.23%	-37.06%
Gross Margin (TTM)	17.10%	65.19%

Growth

Revenue Growth

Guardant Health (GH) at 32.88% sits in the top revenue growth quartile, while Ensign (ENSG) at 18.72% is closer to the peer norm — faster top-line expansion for GH.

Ensign (ENSG) vs. Guardant Health (GH): 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; Guardant Health (GH) has no EPS growth figure this period.

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

Growth Metrics

Growth metrics for Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
Revenue Growth (YoY)	18.72%	32.88%
Revenue Growth (3Y CAGR)	18.68%	29.75%
EPS Growth (YoY)	14.06%	--
EPS Growth (3Y CAGR)	13.92%	--

Financial Strength

Current Ratio (MRQ)

Guardant Health (GH) at 3.60 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.

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

GH

Health Care Equipment & Services industry group

3.60

Max: 7.59
Q3: 4.00
GH: 3.60
Median: 1.98
Q1: 1.37
Min: 0.30

Ensign (ENSG) vs. Guardant Health (GH): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Only one side’s leverage can be read here: Ensign (ENSG) carries debt-to-equity ratio of 0.89 against its industry range, while Guardant Health (GH) reports no figure this period.

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

GH

Health Care Equipment & Services industry group

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00
GH: --

Ensign (ENSG) vs. Guardant Health (GH): GH does not report debt-to-equity ratio, so it has no value marker; ENSG is benchmarked against the Health Care Equipment & Services industry group.

Financial Strength Metrics

Financial strength metrics for Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
Current Ratio (MRQ)	1.20	3.60
Debt / Equity (MRQ)	0.89	--
Net Debt / EBITDA	3.05	--

Dividends

Dividend Yield (TTM)

Guardant Health (GH) 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.

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%

GH

Health Care Equipment & Services industry group

0.00%

GH: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Payout Ratio (TTM)

Guardant Health (GH) 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.

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%

GH

Health Care Equipment & Services industry group

0.00%

GH: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Metrics

Dividend metrics for Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
Dividend Yield (TTM)	0.14%	0.00%
Dividend Payout Ratio (TTM)	3.87%	0.00%

Valuation

P/E Ratio (TTM)

An earnings multiple is available for just one side: Ensign (ENSG) trades at 26.95 times trailing earnings, ranked against its peers, while Guardant Health (GH) has no P/E ratio this period.

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

GH

Health Care Equipment & Services industry group

Max: 80.41
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21
GH: --

Ensign (ENSG) vs. Guardant Health (GH): GH does not report P/E ratio, so it has no value marker; ENSG is benchmarked against the Health Care Equipment & Services industry group.

P/S Ratio (TTM)

Ensign (ENSG) at 1.86 prices around its industry’s typical P/S ratio, while Guardant Health (GH) at 15.96 clears its benchmark range — GH looks notably rich on sales.

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

GH

Health Care Equipment & Services industry group

15.96

GH: 15.96
Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

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

P/B Ratio (MRQ)

Guardant Health (GH) reports a negative P/B ratio of -73.67, meaning negative book equity — the multiple itself is not meaningful for valuation. Meanwhile Ensign (ENSG) reports 4.09, ranking against industry peers normally.

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

GH

Health Care Equipment & Services industry group

-73.67

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31
GH: -73.67

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

Valuation Metrics

Valuation metrics for Ensign (ENSG) and Guardant Health (GH)
Metric	ENSG	GH
P/E Ratio (TTM)	26.95	--
P/S Ratio (TTM)	1.86	15.96
P/B Ratio (MRQ)	4.09	-73.67
Free Cash Flow Yield (TTM)	3.52%	-0.30%