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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.

Company profile comparison for Ensign (ENSG) and Intuitive Surgical (ISRG)
Profile ItemENSGISRG
NameThe Ensign Group, Inc.Intuitive Surgical Inc.
Country/RegionUnited StatesUnited States
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Equipment & Supplies
GICS Sub-IndustryHealth Care FacilitiesHealth Care Equipment
Market Capitalization10.56 billion USD159.96 billion USD
CurrencyUSDUSD
ExchangeNasdaqNasdaq
Listing DateNovember 9, 2007June 16, 2000
Security TypeCommon StockCommon Stock

Price Performance

Cumulative Growth

ENSG
ISRG
GSPC
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Ensign (ENSG) vs. Intuitive Surgical (ISRG), 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 Ensign (ENSG) and Intuitive Surgical (ISRG). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Ensign (ENSG) and Intuitive Surgical (ISRG). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Ensign (ENSG) and Intuitive Surgical (ISRG)
MetricENSGISRG
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

ENSG
ISRG
GSPC
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Ensign (ENSG) vs. Intuitive Surgical (ISRG), 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 Ensign (ENSG) and Intuitive Surgical (ISRG). Each bar is the share of months whose return fell in that 5% bucket.

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.

Risk profile metrics for Ensign (ENSG) and Intuitive Surgical (ISRG)
MetricENSGISRG
Volatility (1Y, Annualized)29.85%35.53%
Beta (5Y)0.651.41
Max Drawdown (5Y)-31.81%-49.88%
Avg. Volume (3M)353.46K2.43M

Risk-Adjusted Performance

Risk-Return Positioning

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ENSG and ISRG 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 Intuitive Surgical (ISRG)
MetricENSGISRG
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%
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Ensign (ENSG) vs. Intuitive Surgical (ISRG): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

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

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

Profitability Metrics

Profitability metrics for Ensign (ENSG) and Intuitive Surgical (ISRG)
MetricENSGISRG
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.

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Ensign (ENSG) vs. Intuitive Surgical (ISRG): A comparison of their Revenue Growth across different time periods.

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.

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Ensign (ENSG) vs. Intuitive Surgical (ISRG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Ensign (ENSG) and Intuitive Surgical (ISRG)
MetricENSGISRG
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
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Ensign (ENSG) vs. Intuitive Surgical (ISRG): 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 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
--
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Ensign (ENSG) vs. Intuitive Surgical (ISRG): ISRG 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 Intuitive Surgical (ISRG)
MetricENSGISRG
Current Ratio (MRQ)1.203.33
Debt / Equity (MRQ)0.89--
Net Debt / EBITDA3.05-0.90

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

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

Dividend Metrics

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

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

Valuation Metrics

Valuation metrics for Ensign (ENSG) and Intuitive Surgical (ISRG)
MetricENSGISRG
P/E Ratio (TTM)26.9554.75
P/S Ratio (TTM)1.8613.82
P/B Ratio (MRQ)4.099.82
Free Cash Flow Yield (TTM)3.52%2.15%