Ensign Group (ENSG) vs Fresenius Medical Care (FMS)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Ensign Group (ENSG) has outperformed Fresenius Medical Care (FMS) over the past year, losing 2.3% versus a loss of 22.9%. Over five years, ENSG leads with a +135.4% price change compared with -41.1% for FMS. Fresenius Medical Care is the larger company by market cap ($11.21 billion vs $10.01 billion), about 1.1 times the size, while Ensign Group is growing revenue faster (+18.7% vs -64.0%).
On valuation, Fresenius Medical Care trades at a lower forward P/E (7.0x vs 20.1x for Ensign Group). Fresenius Medical Care offers the higher dividend yield (7.08% vs 0.15%). Fresenius Medical Care converts more of its revenue into profit, with a net margin of 22.3% versus 6.8%.
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | ENSG | FMS |
|---|---|---|
| Share price | $171.80 | $21.06 |
| Market cap | $10.01B | $11.21B |
| 1-day change | +0.18% | +0.86% |
| YTD return | -1.38% | -12.34% |
| 1-year return | -2.35% | -22.87% |
| 5-year return | +135.43% | -41.12% |
| P/E ratio (TTM) | 26.89 | 10.80 |
| Forward P/E | 20.07 | 7.04 |
| EPS (TTM) | $6.39 | $1.95 |
| Dividend yield | 0.15% | 7.08% |
| Annual dividend | $0.258 | $1.49 |
| Revenue (latest FY) | $5.06B | $4.97B |
| Revenue growth (YoY) | +18.72% | -63.98% |
| Net income (latest FY) | $343.97M | $1.11B |
| Gross margin | 20.54% | 95.33% |
| Operating margin | 8.41% | 45.39% |
| Net margin | 6.80% | 22.33% |
| 52-week high | $218.00 | $27.54 |
| 52-week low | $141.58 | $20.02 |
| Distance from 52-week high | -21.19% | -23.53% |
| Analyst consensus | buy | hold |
| Avg. price target upside | +28.06% | +11.25% |
| Average volume | 375.95K | 756.94K |
| Shares outstanding | 58.28M | 532.22M |
| Employees | 46,000 | 107,226 |
| Sector | Health Care | Health Care |
| Industry | Hospital/Nursing Management | Misc Health and Biotechnology Services |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- ENSG has outperformed FMS by 20.5 percentage points over the past year.
- Ensign Group trades at a higher earnings multiple (26.9x vs 10.8x trailing P/E).
- Fresenius Medical Care offers a meaningfully higher dividend yield (7.08% vs 0.15%).
- Fresenius Medical Care is more profitable, keeping 22.3 cents of every revenue dollar as net income versus 6.8 cents for Ensign Group.
- Ensign Group grew revenue faster in its latest fiscal year (+18.72% vs -63.98%).
About Ensign Group
ENSG stock →The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services.
Health Care · Hospital/Nursing Management · 46,000 employees
About Fresenius Medical Care
FMS stock →Fresenius Medical Care AG provides dialysis and related services for individuals with renal diseases in Germany, the United States, and internationally. The company offers dialysis treatment and related laboratory and diagnostic services through a network of outpatient dialysis clinics; materials, training, and patient support services comprising clinical monitoring, follow-up assistance, and arranging for delivery of the supplies to the patient's residence; and dialysis services under contract to hospitals in the United States for the hospitalized end-stage renal disease (ESRD) patients and for patients suffering from acute kidney failure.
Health Care · Misc Health and Biotechnology Services · 107,226 employees
ENSG vs FMS FAQ
Which is bigger, Ensign Group or Fresenius Medical Care?
Fresenius Medical Care (FMS) is larger, with a market capitalization of $11.21B compared with $10.01B for Ensign Group (ENSG).
Which stock has performed better over the past year, ENSG or FMS?
ENSG returned -2.35% over the past 12 months, compared with -22.87% for FMS (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, ENSG or FMS?
FMS has the lower trailing P/E at 10.8, versus 26.9 for ENSG. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.
Which pays a higher dividend, Ensign Group or Fresenius Medical Care?
Fresenius Medical Care has the higher yield at 7.08%, compared with 0.15% for Ensign Group.
Are Ensign Group and Fresenius Medical Care in the same industry?
Both are in the Health Care sector, but in different industries: Hospital/Nursing Management for Ensign Group and Misc Health and Biotechnology Services for Fresenius Medical Care.