The Ensign Group, Inc. (ENSG) vs Fresenius Medical Care AG & Co. KGaA (FMS)

The Ensign Group, Inc. and Fresenius Medical Care AG & Co. KGaA are both Medical Care Facilities companies. Fresenius Medical Care AG & Co. KGaA is the larger, with a market value of $11.9B against $10.1B — 1.2× the size. Fresenius Medical Care AG & Co. KGaA trades at the lower P/E: 11.8× against 26.7×. The Ensign Group, Inc. grew revenue faster over the last twelve months: 18.9% against 6.74%. The Ensign Group, Inc. has the higher net margin (6.90% vs 4.78%) and the higher return on invested capital (12.9% vs 5.78%). Both pay a dividend; Fresenius Medical Care AG & Co. KGaA yields more (2.67% vs 0.20%). Across the 23 metrics below, Fresenius Medical Care AG & Co. KGaA leads on 13 and The Ensign Group, Inc. on 10.

Valuation

Metric ENSG FMS Medical Care Facilities median
P/E 26.66 11.76 19.16
P/S 1.85 0.54 0.90
P/B 4.15 0.77 2.91
Price to free cash flow 24.23 5.93 12.62
EV/EBITDA 17.10 4.95 10.06
EV/Sales 1.82 0.85 1.35
Earnings yield 3.75% 8.51% 2.30%
Free cash flow yield 4.13% 16.85% 4.14%

Profitability

Metric ENSG FMS Medical Care Facilities median
Gross margin 16.04% 26.32% 30.78%
Operating margin 8.52% 9.31% 5.74%
Net margin 6.90% 4.78% 2.32%
Free cash flow margin 7.64% 9.05% 5.46%
Return on equity 16.96% 6.77% 8.76%
Return on assets 7.09% 3.01% 2.18%
Return on invested capital 12.90% 5.78% 5.40%

Growth

Metric ENSG FMS Medical Care Facilities median
Revenue growth (TTM) 18.89% 6.74% 7.12%
EPS growth (last fiscal year) 14.06% 93.88% —
Revenue growth, 5-year CAGR 16.05% 1.71% 9.58%
Net income growth, 5-year CAGR 15.07% (3.61%) 0.00%

Health

Metric ENSG FMS Medical Care Facilities median
Debt to equity 0.06 0.56 0.30
Current ratio 1.21 1.07 1.22
Net debt to EBITDA (0.81) 1.58 1.32

Dividend

Metric ENSG FMS Medical Care Facilities median
Dividend yield 0.20% 2.67% 0.85%
Payout ratio 0.05 0.00 0.00

Size

Metric ENSG FMS Medical Care Facilities median
Market cap 10.10b 11.90b 1.34b

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