The Ensign Group, Inc. (ENSG) vs HCA Healthcare, Inc. (HCA)

The Ensign Group, Inc. and HCA Healthcare, Inc. are both Medical Care Facilities companies. HCA Healthcare, Inc. is the larger, with a market value of $101.4B against $10.4B — 9.8× the size. HCA Healthcare, Inc. trades at the lower P/E: 15.3× against 26.9×. The Ensign Group, Inc. grew revenue faster over the last twelve months: 18.9% against 7.31%. HCA Healthcare, Inc. has the higher net margin (8.77% vs 6.90%) and the higher return on invested capital (16.7% vs 12.9%). Both pay a dividend; HCA Healthcare, Inc. yields more (0.67% vs 0.15%). Across the 22 metrics below, HCA Healthcare, Inc. leads on 15 and The Ensign Group, Inc. on 7.

Valuation

Metric ENSG HCA Medical Care Facilities median
P/E 26.88 15.32 20.56
P/S 1.87 1.29 0.85
P/B 4.19 n/m 2.84
Price to free cash flow 24.43 16.83 13.73
EV/EBITDA 17.25 9.44 10.21
EV/Sales 1.83 1.92 1.32
Earnings yield 3.72% 6.53% 2.25%
Free cash flow yield 4.09% 5.94% 4.16%

Profitability

Metric ENSG HCA Medical Care Facilities median
Gross margin 16.04% 85.26% 30.78%
Operating margin 8.52% 15.56% 5.74%
Net margin 6.90% 8.77% 2.32%
Free cash flow margin 7.64% 7.69% 5.46%
Return on equity 16.96% (307.62%) 8.76%
Return on assets 7.09% 11.14% 2.18%
Return on invested capital 12.90% 16.68% 5.01%

Growth

Metric ENSG HCA Medical Care Facilities median
Revenue growth (TTM) 18.89% 7.31% 7.12%
EPS growth (last fiscal year) 14.06% 28.77% 17.46%
Revenue growth, 5-year CAGR 16.05% 7.97% 9.58%
Net income growth, 5-year CAGR 15.07% 12.56% 0.00%

Health

Metric ENSG HCA Medical Care Facilities median
Debt to equity 0.06 (15.49) 0.37
Current ratio 1.21 0.99 1.20
Net debt to EBITDA (0.81) 2.91 1.07

Dividend

Metric ENSG HCA Medical Care Facilities median
Dividend yield 0.15% 0.67% 0.63%
Payout ratio 0.04 0.10 0.13

Size

Metric ENSG HCA Medical Care Facilities median
Market cap 10.38b 101.43b 1.47b

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