ENSG vs. ZBH: Ensign vs. Zimmer Biomet Stock Comparison

November 11, 2026

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

Company profile comparison for Ensign (ENSG) and Zimmer Biomet (ZBH)
Profile Item	ENSG	ZBH
Name	The Ensign Group, Inc.	Zimmer Biomet Holdings 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	19.98 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	November 9, 2007	July 25, 2001
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ENSG

ZBH

GSPC

Ensign (ENSG) vs. Zimmer Biomet (ZBH), 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 Zimmer Biomet (ZBH). Returns over one year are annualized.

Calendar-Year Returns

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

Performance Metrics

Price performance metrics for Ensign (ENSG) and Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
Total Return (1Y)	1.36%	24.04%
Total Return (3Y, Annualized)	21.65%	2.38%
Total Return (5Y, Annualized)	17.48%	-2.74%

Risk Profile

Drawdown History

ENSG

ZBH

GSPC

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

Risk Metrics

Risk profile metrics for Ensign (ENSG) and Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
Volatility (1Y, Annualized)	29.85%	32.39%
Beta (5Y)	0.65	0.42
Max Drawdown (5Y)	-31.81%	-43.94%
Avg. Volume (3M)	353.46K	2.09M

Risk-Adjusted Performance

Risk-Return Positioning

ENSG and ZBH 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 Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
Sharpe Ratio (1Y)	-0.10	0.61
Sortino Ratio (1Y)	-0.16	0.93

Profitability

ROE (TTM)

Ensign (ENSG) at 17.05% sits in the top ROE quartile, while Zimmer Biomet (ZBH) at 6.03% 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%

ZBH

Health Care Equipment & Services industry group

6.03%

Max: 47.61%
Q3: 14.36%
ZBH: 6.03%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

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

Net Margin (TTM)

Both Ensign (ENSG) at 7.03% and Zimmer Biomet (ZBH) at 8.95% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.

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%

ZBH

Health Care Equipment & Services industry group

8.95%

Max: 29.35%
Q3: 9.33%
ZBH: 8.95%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

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

Operating Margin (TTM)

Zimmer Biomet (ZBH) at 17.35% 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%

ZBH

Health Care Equipment & Services industry group

17.35%

Max: 35.43%
ZBH: 17.35%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

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

Profitability Metrics

Profitability metrics for Ensign (ENSG) and Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
ROE (TTM)	17.05%	6.03%
ROA (TTM)	5.59%	3.81%
Net Margin (TTM)	7.03%	8.95%
Operating Margin (TTM)	9.23%	17.35%
Gross Margin (TTM)	17.10%	69.33%

Growth

Revenue Growth

Both Ensign (ENSG) at 18.72% and Zimmer Biomet (ZBH) at 7.20% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

Ensign (ENSG) vs. Zimmer Biomet (ZBH): A comparison of their Revenue Growth across different time periods.

EPS Growth

Both Ensign (ENSG) at 14.06% and Zimmer Biomet (ZBH) at -19.86% land near their industries' usual EPS growth ranges, so bottom-line momentum looks broadly in line with peers on both sides.

Ensign (ENSG) vs. Zimmer Biomet (ZBH): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Ensign (ENSG) and Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
Revenue Growth (YoY)	18.72%	7.20%
Revenue Growth (3Y CAGR)	18.68%	5.85%
EPS Growth (YoY)	14.06%	-19.86%
EPS Growth (3Y CAGR)	13.92%	47.78%

Financial Strength

Current Ratio (MRQ)

Zimmer Biomet (ZBH) at 1.46 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

ZBH

Health Care Equipment & Services industry group

1.46

Max: 7.59
Q3: 4.00
Median: 1.98
ZBH: 1.46
Q1: 1.37
Min: 0.30

Ensign (ENSG) vs. Zimmer Biomet (ZBH): 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 Zimmer Biomet (ZBH) at 0.60 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

ZBH

Health Care Equipment & Services industry group

0.60

Max: 1.88
Q3: 0.91
ZBH: 0.60
Median: 0.58
Q1: 0.16
Min: 0.00

Ensign (ENSG) vs. Zimmer Biomet (ZBH): 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 Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
Current Ratio (MRQ)	1.20	1.46
Debt / Equity (MRQ)	0.89	0.60
Net Debt / EBITDA	3.05	2.85

Dividends

Dividend Yield (TTM)

Both Ensign (ENSG) at 0.14% and Zimmer Biomet (ZBH) at 0.90% 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%

ZBH

Health Care Equipment & Services industry group

0.90%

ZBH: 0.90%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Ensign (ENSG) vs. Zimmer Biomet (ZBH): 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 Zimmer Biomet (ZBH) at 24.24% 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%

ZBH

Health Care Equipment & Services industry group

24.24%

ZBH: 24.24%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Metrics

Dividend metrics for Ensign (ENSG) and Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
Dividend Yield (TTM)	0.14%	0.90%
Dividend Payout Ratio (TTM)	3.87%	24.24%

Valuation

P/E Ratio (TTM)

Both Ensign (ENSG) at 26.95 and Zimmer Biomet (ZBH) at 26.66 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

ZBH

Health Care Equipment & Services industry group

26.66

Max: 80.41
Q3: 47.62
Median: 29.93
ZBH: 26.66
Q1: 21.19
Min: 4.21

Ensign (ENSG) vs. Zimmer Biomet (ZBH): 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 Zimmer Biomet (ZBH) at 2.33 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

ZBH

Health Care Equipment & Services industry group

2.33

Max: 8.80
Q3: 4.32
ZBH: 2.33
Median: 2.13
Q1: 1.10
Min: 0.03

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

P/B Ratio (MRQ)

Zimmer Biomet (ZBH) at 1.58 sits in the lower P/B ratio quartile against book while Ensign (ENSG) at 4.09 is valued near its industry’s middle — ZBH is cheaper on assets, though weigh it against ROE and asset quality.

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

ZBH

Health Care Equipment & Services industry group

1.58

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
ZBH: 1.58
Min: -1.31

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

Valuation Metrics

Valuation metrics for Ensign (ENSG) and Zimmer Biomet (ZBH)
Metric	ENSG	ZBH
P/E Ratio (TTM)	26.95	26.66
P/S Ratio (TTM)	1.86	2.33
P/B Ratio (MRQ)	4.09	1.58
Free Cash Flow Yield (TTM)	3.52%	7.22%