ENSG vs. PEN: Ensign vs. Penumbra Stock Comparison

November 11, 2026

How do Ensign (ENSG) and Penumbra (PEN) 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 Penumbra (PEN) both fall under the Health Care Equipment & Services industry group, but ENSG is classified in Health Care Providers & Services while PEN is classified in Health Care Equipment & Supplies.

Company profile comparison for Ensign (ENSG) and Penumbra (PEN)
Profile Item	ENSG	PEN
Name	The Ensign Group, Inc.	Penumbra 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	12.58 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	November 9, 2007	September 18, 2015
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ENSG

PEN

GSPC

Ensign (ENSG) vs. Penumbra (PEN), 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 Penumbra (PEN). Returns over one year are annualized.

Calendar-Year Returns

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

Performance Metrics

Price performance metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
Total Return (1Y)	1.36%	20.52%
Total Return (3Y, Annualized)	21.65%	20.38%
Total Return (5Y, Annualized)	17.48%	3.15%

Risk Profile

Drawdown History

ENSG

PEN

GSPC

Ensign (ENSG) vs. Penumbra (PEN), 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 Penumbra (PEN). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
Volatility (1Y, Annualized)	29.85%	19.78%
Beta (5Y)	0.65	0.68
Max Drawdown (5Y)	-31.81%	-59.60%
Avg. Volume (3M)	353.46K	348.64K

Risk-Adjusted Performance

Risk-Return Positioning

ENSG and PEN 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 Penumbra (PEN)
Metric	ENSG	PEN
Sharpe Ratio (1Y)	-0.10	0.82
Sortino Ratio (1Y)	-0.16	1.56

Profitability

ROE (TTM)

Ensign (ENSG) at 17.05% sits in the top ROE quartile, while Penumbra (PEN) at 10.67% is closer to the peer norm — stronger capital efficiency for ENSG.

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%

PEN

Health Care Equipment & Services industry group

10.67%

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

Ensign (ENSG) vs. Penumbra (PEN): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Penumbra (PEN) at 10.06% 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%

PEN

Health Care Equipment & Services industry group

10.06%

Max: 29.35%
PEN: 10.06%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

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

Operating Margin (TTM)

Both Ensign (ENSG) at 9.23% and Penumbra (PEN) at 12.37% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

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%

PEN

Health Care Equipment & Services industry group

12.37%

Max: 35.43%
Q3: 14.14%
PEN: 12.37%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

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

Profitability Metrics

Profitability metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
ROE (TTM)	17.05%	10.67%
ROA (TTM)	5.59%	6.28%
Net Margin (TTM)	7.03%	10.06%
Operating Margin (TTM)	9.23%	12.37%
Gross Margin (TTM)	17.10%	67.99%

Growth

Revenue Growth

Both Ensign (ENSG) at 18.72% and Penumbra (PEN) at 17.50% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

Ensign (ENSG) vs. Penumbra (PEN): A comparison of their Revenue Growth across different time periods.

EPS Growth

Penumbra (PEN) at 1,155.56% clears its industry range for EPS growth, a much stronger earnings trajectory than Ensign (ENSG) at 14.06%, which is closer to a typical peer reading.

Ensign (ENSG) vs. Penumbra (PEN): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
Revenue Growth (YoY)	18.72%	17.50%
Revenue Growth (3Y CAGR)	18.68%	18.33%
EPS Growth (YoY)	14.06%	1,155.56%
EPS Growth (3Y CAGR)	13.92%	--

Financial Strength

Current Ratio (MRQ)

Penumbra (PEN) at 5.89 carries current ratio above its industry’s typical mid-range, while Ensign (ENSG) at 1.20 runs in the tighter-liquidity quartile — different working-capital profiles, both worth examining.

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

PEN

Health Care Equipment & Services industry group

5.89

Max: 7.59
PEN: 5.89
Q3: 4.00
Median: 1.98
Q1: 1.37
Min: 0.30

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

Debt / Equity (MRQ)

Penumbra (PEN) at 0.13 keeps leverage in the lower industry quartile, while Ensign (ENSG) at 0.89 runs a more typical debt-to-equity mix.

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

PEN

Health Care Equipment & Services industry group

0.13

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
PEN: 0.13
Min: 0.00

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

Financial Strength Metrics

Financial strength metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
Current Ratio (MRQ)	1.20	5.89
Debt / Equity (MRQ)	0.89	0.13
Net Debt / EBITDA	3.05	-2.22

Dividends

Dividend Yield (TTM)

Penumbra (PEN) 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%

PEN

Health Care Equipment & Services industry group

0.00%

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

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

Dividend Payout Ratio (TTM)

Penumbra (PEN) 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%

PEN

Health Care Equipment & Services industry group

0.00%

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

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

Dividend Metrics

Dividend metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
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 Penumbra (PEN) at 80.41 sits in the richer quartile — PEN 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

PEN

Health Care Equipment & Services industry group

80.41

PEN: 80.41
Max: 80.41
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

Ensign (ENSG) vs. Penumbra (PEN): 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 is priced about in line with its industry on P/S ratio, while Penumbra (PEN) at 8.06 sits in the pricier quartile — PEN costs more per dollar of 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

PEN

Health Care Equipment & Services industry group

8.06

Max: 8.80
PEN: 8.06
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

Ensign (ENSG) vs. Penumbra (PEN): 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 Penumbra (PEN) at 7.95 carries an above-peer premium to book — PEN 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

PEN

Health Care Equipment & Services industry group

7.95

Max: 11.68
PEN: 7.95
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

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

Valuation Metrics

Valuation metrics for Ensign (ENSG) and Penumbra (PEN)
Metric	ENSG	PEN
P/E Ratio (TTM)	26.95	80.41
P/S Ratio (TTM)	1.86	8.06
P/B Ratio (MRQ)	4.09	7.95
Free Cash Flow Yield (TTM)	3.52%	1.32%