Ensign Group (ENSG) vs Tenet Healthcare (THC)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 8, 2026.
Summary
Tenet Healthcare (THC) has outperformed Ensign Group (ENSG) over the past year, gaining 26.9% versus a loss of 4.1%. Over five years, THC leads with a +308.8% price change compared with +132.3% for ENSG. Tenet Healthcare is the larger company by market cap ($20.93 billion vs $9.87 billion), about 2.1 times the size, while Ensign Group is growing revenue faster (+18.7% vs +3.1%).
On valuation, Tenet Healthcare trades at a lower forward P/E (12.3x vs 19.8x for Ensign Group). Ensign Group pays a dividend yielding 0.15%, while Tenet Healthcare does not currently pay one. Tenet Healthcare converts more of its revenue into profit, with a net margin of 11.1% 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 | THC |
|---|---|---|
| Share price | $169.30 | $259.93 |
| Market cap | $9.87B | $20.93B |
| 1-day change | +0.05% | +0.04% |
| YTD return | -2.86% | +30.75% |
| 1-year return | -4.12% | +26.85% |
| 5-year return | +132.32% | +308.79% |
| P/E ratio (TTM) | 26.54 | 10.04 |
| Forward P/E | 19.78 | 12.33 |
| EPS (TTM) | $6.38 | $25.88 |
| Dividend yield | 0.15% | 0.00% |
| Annual dividend | $0.258 | $0.00 |
| Revenue (latest FY) | $5.06B | $21.31B |
| Revenue growth (YoY) | +18.72% | +3.07% |
| Net income (latest FY) | $343.97M | $2.37B |
| Gross margin | 20.54% | — |
| Operating margin | 8.41% | 16.46% |
| Net margin | 6.80% | 11.11% |
| 52-week high | $218.00 | $283.05 |
| 52-week low | $141.58 | $157.58 |
| Distance from 52-week high | -22.34% | -8.17% |
| Analyst consensus | buy | buy |
| Avg. price target upside | +29.95% | +9.77% |
| Average volume | 376.93K | 970.16K |
| Shares outstanding | 58.28M | 80.52M |
| Employees | 46,000 | 77,000 |
| 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
- Tenet Healthcare is about 2.1 times larger than Ensign Group by market value ($20.93B vs $9.87B).
- THC has outperformed ENSG by 31.0 percentage points over the past year.
- Ensign Group trades at a higher earnings multiple (26.5x vs 10.0x trailing P/E).
- Ensign Group grew revenue faster in its latest fiscal year (+18.72% vs +3.07%).
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 Tenet Healthcare
THC stock →Tenet Healthcare Corporation operates as a diversified healthcare services company in the United States. The company operates through two segments: Hospital Operations and Services, and Ambulatory Care.
Health Care · Hospital/Nursing Management · 77,000 employees
ENSG vs THC FAQ
Which is bigger, Ensign Group or Tenet Healthcare?
Tenet Healthcare (THC) is larger, with a market capitalization of $20.93B compared with $9.87B for Ensign Group (ENSG).
Which stock has performed better over the past year, ENSG or THC?
THC returned +26.85% over the past 12 months, compared with -4.12% for ENSG (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, ENSG or THC?
THC has the lower trailing P/E at 10.0, versus 26.5 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 Tenet Healthcare?
Ensign Group pays a dividend yielding 0.15%, while Tenet Healthcare does not currently pay a regular dividend.
Are Ensign Group and Tenet Healthcare in the same industry?
Yes. Both are classified in the Hospital/Nursing Management industry within the Health Care sector.