ENSG vs. SNN: Ensign vs. Smith & Nephew Stock Comparison

November 11, 2026

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

Ensign (ENSG) trades as ordinary local shares, while Smith & Nephew (SNN) trades as an ADR — compare with FX exposure, depositary-program fees, and dividend-withholding-tax differences in mind.

Company profile comparison for Ensign (ENSG) and Smith & Nephew (SNN)
Profile Item	ENSG	SNN
Name	The Ensign Group, Inc.	Smith & Nephew plc Sponsored ADR
Country/Region	United States	United Kingdom
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	13.04 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	November 9, 2007	November 16, 1999
Security Type	Common Stock	ADR

Price Performance

Cumulative Growth

ENSG

SNN

GSPC

Ensign (ENSG) vs. Smith & Nephew (SNN), 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 Smith & Nephew (SNN). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Ensign (ENSG) and Smith & Nephew (SNN). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Ensign (ENSG) and Smith & Nephew (SNN)
Metric	ENSG	SNN
Total Return (1Y)	1.36%	-4.20%
Total Return (3Y, Annualized)	21.65%	11.34%
Total Return (5Y, Annualized)	17.48%	-0.34%

Risk Profile

Drawdown History

ENSG

SNN

GSPC

Ensign (ENSG) vs. Smith & Nephew (SNN), 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 Smith & Nephew (SNN). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Ensign (ENSG) and Smith & Nephew (SNN)
Metric	ENSG	SNN
Volatility (1Y, Annualized)	29.85%	27.31%
Beta (5Y)	0.65	0.49
Max Drawdown (5Y)	-31.81%	-38.80%
Avg. Volume (3M)	353.46K	1.49M

Risk-Adjusted Performance

Risk-Return Positioning

ENSG and SNN 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 Smith & Nephew (SNN)
Metric	ENSG	SNN
Sharpe Ratio (1Y)	-0.10	-0.31
Sortino Ratio (1Y)	-0.16	-0.46

Profitability

ROE (TTM)

Ensign (ENSG) at 17.05% sits in the top ROE quartile, while Smith & Nephew (SNN) at 11.85% 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%

SNN

Health Care Equipment & Services industry group

11.85%

Max: 47.61%
Q3: 14.36%
SNN: 11.85%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

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

Net Margin (TTM)

Smith & Nephew (SNN) at 10.08% 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%

SNN

Health Care Equipment & Services industry group

10.08%

Max: 29.35%
SNN: 10.08%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

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

Operating Margin (TTM)

Smith & Nephew (SNN) at 14.47% 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%

SNN

Health Care Equipment & Services industry group

14.47%

Max: 35.43%
SNN: 14.47%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

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

Profitability Metrics

Profitability metrics for Ensign (ENSG) and Smith & Nephew (SNN)
Metric	ENSG	SNN
ROE (TTM)	17.05%	11.85%
ROA (TTM)	5.59%	5.16%
Net Margin (TTM)	7.03%	10.08%
Operating Margin (TTM)	9.23%	14.47%
Gross Margin (TTM)	17.10%	68.44%

Growth

Revenue Growth

Both Ensign (ENSG) at 18.72% and Smith & Nephew (SNN) at 6.09% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

Ensign (ENSG) vs. Smith & Nephew (SNN): A comparison of their Revenue Growth across different time periods.

EPS Growth

Smith & Nephew (SNN) at 52.34% sits in the top EPS growth quartile, while Ensign (ENSG) at 14.06% is closer to the peer norm — faster per-share earnings growth for SNN.

Ensign (ENSG) vs. Smith & Nephew (SNN): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Ensign (ENSG) and Smith & Nephew (SNN)
Metric	ENSG	SNN
Revenue Growth (YoY)	18.72%	6.09%
Revenue Growth (3Y CAGR)	18.68%	5.73%
EPS Growth (YoY)	14.06%	52.34%
EPS Growth (3Y CAGR)	13.92%	42.01%

Financial Strength

Current Ratio (MRQ)

Smith & Nephew (SNN) at 2.14 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

SNN

Health Care Equipment & Services industry group

2.14

Max: 7.59
Q3: 4.00
SNN: 2.14
Median: 1.98
Q1: 1.37
Min: 0.30

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

Debt / Equity (MRQ)

Both Ensign (ENSG) at 0.89 and Smith & Nephew (SNN) at 0.73 fund their balance sheets with roughly industry-typical debt-to-equity mixes.

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

SNN

Health Care Equipment & Services industry group

0.73

Max: 1.88
Q3: 0.91
SNN: 0.73
Median: 0.58
Q1: 0.16
Min: 0.00

Ensign (ENSG) vs. Smith & Nephew (SNN): 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 Smith & Nephew (SNN)
Metric	ENSG	SNN
Current Ratio (MRQ)	1.20	2.14
Debt / Equity (MRQ)	0.89	0.73
Net Debt / EBITDA	3.05	2.19

Dividends

Dividend Yield (TTM)

Both Ensign (ENSG) at 0.14% and Smith & Nephew (SNN) at 1.24% yield above their industries’ entire benchmark ranges — high enough that dividend safety, not income, becomes the first question.

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%

SNN

Health Care Equipment & Services industry group

1.24%

SNN: 1.24%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Payout Ratio (TTM)

Both Ensign (ENSG) at 3.87% and Smith & Nephew (SNN) at 53.20% pay out more of their earnings than any of their industry peers — the thinnest cover in their groups, so dividend headroom deserves attention.

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%

SNN

Health Care Equipment & Services industry group

53.20%

SNN: 53.20%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Metrics

Dividend metrics for Ensign (ENSG) and Smith & Nephew (SNN)
Metric	ENSG	SNN
Dividend Yield (TTM)	0.14%	1.24%
Dividend Payout Ratio (TTM)	3.87%	53.20%

Valuation

P/E Ratio (TTM)

Both Ensign (ENSG) at 26.95 and Smith & Nephew (SNN) at 21.19 land around their industries’ usual P/E ratio levels — neither is getting a clear earnings-multiple discount or premium versus peers.

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

SNN

Health Care Equipment & Services industry group

21.19

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

Ensign (ENSG) vs. Smith & Nephew (SNN): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

On P/S ratio, both Ensign (ENSG) at 1.86 and Smith & Nephew (SNN) at 2.07 are priced roughly in line with their industries — neither looks cheap nor rich on a sales basis.

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

SNN

Health Care Equipment & Services industry group

2.07

Max: 8.80
Q3: 4.32
Median: 2.13
SNN: 2.07
Q1: 1.10
Min: 0.03

Ensign (ENSG) vs. Smith & Nephew (SNN): 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 sits near its industry’s typical P/B ratio, while Smith & Nephew (SNN) at 12.80 prices above its benchmark range — SNN looks rich relative to book.

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

SNN

Health Care Equipment & Services industry group

12.80

SNN: 12.80
Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

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

Valuation Metrics

Valuation metrics for Ensign (ENSG) and Smith & Nephew (SNN)
Metric	ENSG	SNN
P/E Ratio (TTM)	26.95	21.19
P/S Ratio (TTM)	1.86	2.07
P/B Ratio (MRQ)	4.09	12.80
Free Cash Flow Yield (TTM)	3.52%	8.12%