ENSG vs. ISRG: Ensign vs. Intuitive Surgical Stock Comparison
How do Ensign (ENSG) and Intuitive Surgical (ISRG) 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 Intuitive Surgical (ISRG) both fall under the Health Care Equipment & Services industry group, but ENSG is classified in Health Care Providers & Services while ISRG is classified in Health Care Equipment & Supplies.
| Profile Item | ENSG | ISRG |
|---|---|---|
| Name | The Ensign Group, Inc. | Intuitive Surgical 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 Equipment & Supplies |
| GICS Sub-Industry | Health Care Facilities | Health Care Equipment |
| Market Capitalization | 10.56 billion USD | 159.96 billion USD |
| Currency | USD | USD |
| Exchange | Nasdaq | Nasdaq |
| Listing Date | November 9, 2007 | June 16, 2000 |
| Security Type | Common Stock | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| Total Return (1Y) | 1.36% | -17.61% |
| Total Return (3Y, Annualized) | 21.65% | 19.20% |
| Total Return (5Y, Annualized) | 17.48% | 4.85% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
Intuitive Surgical (ISRG) has an aggressive beta of 1.41, 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 | ENSG | ISRG |
|---|---|---|
| Volatility (1Y, Annualized) | 29.85% | 35.53% |
| Beta (5Y) | 0.65 | 1.41 |
| Max Drawdown (5Y) | -31.81% | -49.88% |
| Avg. Volume (3M) | 353.46K | 2.43M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| Sharpe Ratio (1Y) | -0.10 | -0.62 |
| Sortino Ratio (1Y) | -0.16 | -0.83 |
Profitability
ROE (TTM)
Both Ensign (ENSG) at 17.05% and Intuitive Surgical (ISRG) at 17.93% sit in the top peer quartile for ROE, suggesting each generates more profit from shareholders’ equity than typical industry peers.
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%
ISRG
Health Care Equipment & Services industry group
17.93%
- Max
- 47.61%
- ISRG
- 17.93%
- Q3
- 14.36%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Intuitive Surgical (ISRG) at 25.54% retains a top-quartile share of revenue as profit, ahead of Ensign (ENSG) at 7.03%, which keeps about the industry-typical share.
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%
ISRG
Health Care Equipment & Services industry group
25.54%
- Max
- 29.35%
- ISRG
- 25.54%
- Q3
- 9.33%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Intuitive Surgical (ISRG) at 33.29% operates in the top operating margin quartile, ahead of Ensign (ENSG) at 9.23%, which runs around its industry’s norm.
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%
ISRG
Health Care Equipment & Services industry group
33.29%
- Max
- 35.43%
- ISRG
- 33.29%
- Q3
- 14.14%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| ROE (TTM) | 17.05% | 17.93% |
| ROA (TTM) | 5.59% | 11.86% |
| Net Margin (TTM) | 7.03% | 25.54% |
| Operating Margin (TTM) | 9.23% | 33.29% |
| Gross Margin (TTM) | 17.10% | 66.64% |
Growth
Revenue Growth
Intuitive Surgical (ISRG) at 20.51% sits in the top revenue growth quartile, while Ensign (ENSG) at 18.72% is closer to the peer norm — faster top-line expansion for ISRG.
EPS Growth
Both Ensign (ENSG) at 14.06% and Intuitive Surgical (ISRG) at 22.59% land near their industries' usual EPS growth ranges, so bottom-line momentum looks broadly in line with peers on both sides.
Growth Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| Revenue Growth (YoY) | 18.72% | 20.51% |
| Revenue Growth (3Y CAGR) | 18.68% | 17.39% |
| EPS Growth (YoY) | 14.06% | 22.59% |
| EPS Growth (3Y CAGR) | 13.92% | 29.19% |
Financial Strength
Current Ratio (MRQ)
Intuitive Surgical (ISRG) at 3.33 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
ISRG
Health Care Equipment & Services industry group
3.33
- Max
- 7.59
- Q3
- 4.00
- ISRG
- 3.33
- Median
- 1.98
- Q1
- 1.37
- Min
- 0.30
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 Intuitive Surgical (ISRG) 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
ISRG
Health Care Equipment & Services industry group
--
- Max
- 1.88
- Q3
- 0.91
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
- ISRG
- --
Financial Strength Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| Current Ratio (MRQ) | 1.20 | 3.33 |
| Debt / Equity (MRQ) | 0.89 | -- |
| Net Debt / EBITDA | 3.05 | -0.90 |
Dividends
Dividend Yield (TTM)
Intuitive Surgical (ISRG) 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%
ISRG
Health Care Equipment & Services industry group
0.00%
- ISRG
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
Intuitive Surgical (ISRG) 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%
ISRG
Health Care Equipment & Services industry group
0.00%
- ISRG
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| Dividend Yield (TTM) | 0.14% | 0.00% |
| Dividend Payout Ratio (TTM) | 3.87% | 0.00% |
Valuation
P/E Ratio (TTM)
Ensign (ENSG) at 26.95 is near its industry’s usual P/E ratio, while Intuitive Surgical (ISRG) at 54.75 sits in the richer quartile — ISRG needs stronger growth or earnings quality to justify the premium.
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
ISRG
Health Care Equipment & Services industry group
54.75
- Max
- 80.41
- ISRG
- 54.75
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
Ensign (ENSG) at 1.86 prices around its industry’s typical P/S ratio, while Intuitive Surgical (ISRG) at 13.82 clears its benchmark range — ISRG 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
ISRG
Health Care Equipment & Services industry group
13.82
- ISRG
- 13.82
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- 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 Intuitive Surgical (ISRG) at 9.82 carries an above-peer premium to book — ISRG is pricier on assets.
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
ISRG
Health Care Equipment & Services industry group
9.82
- Max
- 11.68
- ISRG
- 9.82
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- Min
- -1.31
Valuation Metrics
| Metric | ENSG | ISRG |
|---|---|---|
| P/E Ratio (TTM) | 26.95 | 54.75 |
| P/S Ratio (TTM) | 1.86 | 13.82 |
| P/B Ratio (MRQ) | 4.09 | 9.82 |
| Free Cash Flow Yield (TTM) | 3.52% | 2.15% |