Ensign Group (ENSG) vs Healthcare Services Group (HCSG)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Healthcare Services Group (HCSG) has outperformed Ensign Group (ENSG) over the past year, gaining 29.1% versus a loss of 2.8%. Over five years, ENSG leads with a +135.4% price change compared with -9.1% for HCSG. Ensign Group is the larger company by market cap ($10.06 billion vs $1.42 billion), about 7.1 times the size.
On valuation, Healthcare Services Group trades at a lower forward P/E (17.0x vs 20.2x for Ensign Group). Ensign Group pays a dividend yielding 0.15%, while Healthcare Services Group does not currently pay one.
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 | HCSG |
|---|---|---|
| Share price | $172.56 | $20.71 |
| Market cap | $10.06B | $1.42B |
| 1-day change | +0.62% | +0.24% |
| YTD return | -1.56% | +8.05% |
| 1-year return | -2.76% | +29.13% |
| 5-year return | +135.43% | -9.07% |
| P/E ratio (TTM) | 27.05 | 12.11 |
| Forward P/E | 20.16 | 17.04 |
| EPS (TTM) | $6.38 | $1.71 |
| Dividend yield | 0.15% | 0.00% |
| Annual dividend | $0.258 | $0.00 |
| Revenue (latest FY) | $5.06B | — |
| Revenue growth (YoY) | +18.72% | — |
| Net income (latest FY) | $343.97M | — |
| Gross margin | 20.54% | — |
| Operating margin | 8.41% | — |
| Net margin | 6.80% | — |
| 52-week high | $218.00 | $25.75 |
| 52-week low | $141.58 | $15.13 |
| Distance from 52-week high | -20.84% | -19.57% |
| Analyst consensus | buy | buy |
| Avg. price target upside | +27.49% | +30.37% |
| Average volume | 375.95K | 726.06K |
| Shares outstanding | 58.28M | 68.63M |
| Employees | 46,000 | 36,000 |
| Sector | Health Care | Health Care |
| Industry | Hospital/Nursing Management | Hospital/Nursing Management |
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
- Ensign Group is about 7.1 times larger than Healthcare Services Group by market value ($10.06B vs $1.42B).
- HCSG has outperformed ENSG by 31.9 percentage points over the past year.
- Ensign Group trades at a higher earnings multiple (27.0x vs 12.1x trailing P/E).
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 Healthcare Services Group
HCSG stock →Healthcare Services Group, Inc. provides management, administrative, and operating services to the housekeeping, laundry, linen, facility maintenance, and dietary service departments of nursing homes, retirement complexes, rehabilitation centers, and hospitals in the United States.
Health Care · Hospital/Nursing Management · 36,000 employees
ENSG vs HCSG FAQ
Which is bigger, Ensign Group or Healthcare Services Group?
Ensign Group (ENSG) is larger, with a market capitalization of $10.06B compared with $1.42B for Healthcare Services Group (HCSG).
Which stock has performed better over the past year, ENSG or HCSG?
HCSG returned +29.13% over the past 12 months, compared with -2.76% for ENSG (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, ENSG or HCSG?
HCSG has the lower trailing P/E at 12.1, versus 27.0 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 Healthcare Services Group?
Ensign Group pays a dividend yielding 0.15%, while Healthcare Services Group does not currently pay a regular dividend.
Are Ensign Group and Healthcare Services Group in the same industry?
Yes. Both are classified in the Hospital/Nursing Management industry within the Health Care sector.