Medical - Care Facilities
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5 / 10Stock Comparison
CHE vs HCSG vs ADUS vs ENSG vs PNTG
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Care Facilities
Medical - Care Facilities
Medical - Care Facilities
Medical - Care Facilities
CHE vs HCSG vs ADUS vs ENSG vs PNTG — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Care Facilities | Medical - Care Facilities | Medical - Care Facilities | Medical - Care Facilities | Medical - Care Facilities |
| Market Cap | $5.82B | $1.60B | $1.81B | $10.18B | $1.24B |
| Revenue (TTM) | $2.54B | $1.84B | $1.45B | $5.27B | $1.02B |
| Net Income (TTM) | $260M | $59M | $100M | $363M | $30M |
| Gross Margin | 22.5% | 13.3% | 32.5% | 15.2% | 11.1% |
| Operating Margin | 12.9% | 3.0% | 9.8% | 8.5% | 5.6% |
| Forward P/E | 17.5x | 20.8x | 14.1x | 23.2x | 27.0x |
| Total Debt | $155M | $25M | $209M | $4.15B | $453M |
| Cash & Equiv. | $75M | $161M | $82M | $504M | $17M |
CHE vs HCSG vs ADUS vs ENSG vs PNTG — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Chemed Corporation (CHE) | 100 | 89.0 | -11.0% |
| Healthcare Services… (HCSG) | 100 | 93.3 | -6.7% |
| Addus HomeCare Corp… (ADUS) | 100 | 98.3 | -1.7% |
| The Ensign Group, I… (ENSG) | 100 | 398.7 | +298.7% |
| The Pennant Group, … (PNTG) | 100 | 140.2 | +40.2% |
Price return only. Dividends and distributions are not included.
Quick Verdict: CHE vs HCSG vs ADUS vs ENSG vs PNTG
Each card shows where this stock fits in a portfolio — not just who wins on paper.
CHE carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.
- Dividend streak 18 yrs, beta 0.33, yield 0.5%
- Lower volatility, beta 0.33, Low D/E 15.8%, current ratio 1.05x
- Beta 0.33, yield 0.5%, current ratio 1.05x
- 10.2% margin vs PNTG's 3.0%
HCSG is the #2 pick in this set and the best alternative if momentum is your priority.
- +55.8% vs CHE's -25.9%
ADUS ranks third and is worth considering specifically for valuation efficiency.
- PEG 0.70 vs PNTG's 2.68
- Lower P/E (14.1x vs 27.0x), PEG 0.70 vs 2.68
ENSG is the clearest fit if your priority is long-term compounding.
- 7.5% 10Y total return vs ADUS's 399.9%
PNTG is the clearest fit if your priority is growth exposure.
- Rev growth 36.3%, EPS growth 18.3%, 3Y rev CAGR 26.0%
- 36.3% revenue growth vs CHE's 4.1%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 36.3% revenue growth vs CHE's 4.1% | |
| Value | Lower P/E (14.1x vs 27.0x), PEG 0.70 vs 2.68 | |
| Quality / Margins | 10.2% margin vs PNTG's 3.0% | |
| Stability / Safety | Beta 0.33 vs HCSG's 1.12 | |
| Dividends | 0.5% yield, 18-year raise streak, vs ENSG's 0.1%, (3 stocks pay no dividend) | |
| Momentum (1Y) | +55.8% vs CHE's -25.9% | |
| Efficiency (ROA) | 15.9% ROA vs PNTG's 3.5%, ROIC 23.7% vs 5.6% |
CHE vs HCSG vs ADUS vs ENSG vs PNTG — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
CHE vs HCSG vs ADUS vs ENSG vs PNTG — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
CHE leads in 2 of 6 categories
ADUS leads 1 • HCSG leads 0 • ENSG leads 0 • PNTG leads 0 • 3 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
CHE leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
ENSG is the larger business by revenue, generating $5.3B annually — 5.2x PNTG's $1.0B. CHE is the more profitable business, keeping 10.2% of every revenue dollar as net income compared to PNTG's 3.0%. On growth, PNTG holds the edge at +36.0% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $2.5B | $1.8B | $1.4B | $5.3B | $1.0B |
| EBITDAEarnings before interest/tax | $377M | $72M | $159M | $558M | $66M |
| Net IncomeAfter-tax profit | $260M | $59M | $100M | $363M | $30M |
| Free Cash FlowCash after capex | $377M | $139M | $137M | $406M | $47M |
| Gross MarginGross profit ÷ Revenue | +22.5% | +13.3% | +32.5% | +15.2% | +11.1% |
| Operating MarginEBIT ÷ Revenue | +12.9% | +3.0% | +9.8% | +8.5% | +5.6% |
| Net MarginNet income ÷ Revenue | +10.2% | +3.2% | +6.9% | +6.9% | +3.0% |
| FCF MarginFCF ÷ Revenue | +14.8% | +7.6% | +9.5% | +7.7% | +4.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +1.6% | +6.6% | +7.7% | +18.4% | +36.0% |
| EPS Growth (YoY)Latest quarter vs prior year | -0.2% | +175.0% | +17.2% | +21.9% | +9.1% |
Valuation Metrics
ADUS leads this category, winning 5 of 7 comparable metrics.
Valuation Metrics
At 18.7x trailing earnings, ADUS trades at a 56% valuation discount to PNTG's 42.5x P/E. Adjusting for growth (PEG ratio), ADUS offers better value at 0.93x vs PNTG's 4.23x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $5.8B | $1.6B | $1.8B | $10.2B | $1.2B |
| Enterprise ValueMkt cap + debt − cash | $5.9B | $1.5B | $1.9B | $13.8B | $1.7B |
| Trailing P/EPrice ÷ TTM EPS | 23.12x | 27.54x | 18.67x | 29.85x | 42.54x |
| Forward P/EPrice ÷ next-FY EPS est. | 17.49x | 20.83x | 14.12x | 23.19x | 26.97x |
| PEG RatioP/E ÷ EPS growth rate | — | — | 0.93x | 2.16x | 4.23x |
| EV / EBITDAEnterprise value multiple | 14.65x | 22.38x | 12.52x | 25.71x | 27.97x |
| Price / SalesMarket cap ÷ Revenue | 2.30x | 0.87x | 1.28x | 2.01x | 1.31x |
| Price / BookPrice ÷ Book value/share | 6.26x | 3.19x | 1.65x | 4.59x | 3.37x |
| Price / FCFMarket cap ÷ FCF | 17.89x | 11.49x | 17.48x | 27.46x | 47.16x |
Profitability & Efficiency
CHE leads this category, winning 5 of 9 comparable metrics.
Profitability & Efficiency
CHE delivers a 25.3% return on equity — every $100 of shareholder capital generates $25 in annual profit, vs $8 for PNTG. HCSG carries lower financial leverage with a 0.05x debt-to-equity ratio, signaling a more conservative balance sheet compared to ENSG's 1.86x. On the Piotroski fundamental quality scale (0–9), HCSG scores 7/9 vs PNTG's 3/9, reflecting strong financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | +25.3% | +11.8% | +9.3% | +16.6% | +8.4% |
| ROA (TTM)Return on assets | +15.9% | +7.3% | +7.0% | +6.8% | +3.5% |
| ROICReturn on invested capital | +23.7% | +9.0% | +8.8% | +7.0% | +5.6% |
| ROCEReturn on capital employed | +24.7% | +7.7% | +10.9% | +10.2% | +7.3% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 7 | 7 | 5 | 3 |
| Debt / EquityFinancial leverage | 0.16x | 0.05x | 0.19x | 1.86x | 1.21x |
| Net DebtTotal debt minus cash | $80M | -$136M | $127M | $3.7B | $436M |
| Cash & Equiv.Liquid assets | $75M | $161M | $82M | $504M | $17M |
| Total DebtShort + long-term debt | $155M | $25M | $209M | $4.2B | $453M |
| Interest CoverageEBIT ÷ Interest expense | 107.24x | 33.02x | 14.45x | 88.33x | 16.52x |
Total Returns (Dividends Reinvested)
Evenly matched — HCSG and ENSG and PNTG each lead in 2 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in ENSG five years ago would be worth $20,324 today (with dividends reinvested), compared to $7,888 for HCSG. Over the past 12 months, HCSG leads with a +55.8% total return vs CHE's -25.9%. The 3-year compound annual growth rate (CAGR) favors PNTG at 44.9% vs CHE's -7.9% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | +0.6% | +28.6% | -8.7% | +0.3% | +28.4% |
| 1-Year ReturnPast 12 months | -25.9% | +55.8% | -13.4% | +27.5% | +28.7% |
| 3-Year ReturnCumulative with dividends | -21.9% | +48.6% | +16.3% | +88.9% | +204.1% |
| 5-Year ReturnCumulative with dividends | -11.2% | -21.1% | +0.0% | +103.2% | -6.9% |
| 10-Year ReturnCumulative with dividends | +241.8% | -26.8% | +399.9% | +752.0% | +136.8% |
| CAGR (3Y)Annualised 3-year return | -7.9% | +14.1% | +5.2% | +23.6% | +44.9% |
Risk & Volatility
Evenly matched — CHE and PNTG each lead in 1 of 2 comparable metrics.
Risk & Volatility
CHE is the less volatile stock with a 0.33 beta — it tends to amplify market swings less than HCSG's 1.12 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PNTG currently trades 99.7% from its 52-week high vs CHE's 72.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.33x | 1.12x | 0.58x | 0.42x | 0.79x |
| 52-Week HighHighest price in past year | $583.96 | $24.39 | $124.44 | $218.00 | $35.84 |
| 52-Week LowLowest price in past year | $365.20 | $12.66 | $90.89 | $133.81 | $21.73 |
| % of 52W HighCurrent price vs 52-week peak | +72.9% | +91.5% | +78.2% | +80.0% | +99.7% |
| RSI (14)Momentum oscillator 0–100 | 64.7 | 61.8 | 49.3 | 23.3 | 62.5 |
| Avg Volume (50D)Average daily shares traded | 274K | 676K | 236K | 358K | 245K |
Analyst Outlook
Evenly matched — CHE and HCSG each lead in 1 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: CHE as "Hold", HCSG as "Hold", ADUS as "Buy", ENSG as "Buy", PNTG as "Buy". Consensus price targets imply 32.3% upside for ADUS (target: $129) vs 9.2% for PNTG (target: $39). For income investors, CHE offers the higher dividend yield at 0.52% vs ENSG's 0.14%.
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Hold | Hold | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $475.00 | $24.50 | $128.67 | $222.33 | $39.00 |
| # AnalystsCovering analysts | 9 | 15 | 15 | 13 | 7 |
| Dividend YieldAnnual dividend ÷ price | +0.5% | — | — | +0.1% | — |
| Dividend StreakConsecutive years of raises | 18 | 20 | 2 | 12 | 1 |
| Dividend / ShareAnnual DPS | $2.20 | — | — | $0.24 | — |
| Buyback YieldShare repurchases ÷ mkt cap | +7.4% | +3.9% | 0.0% | +0.2% | 0.0% |
CHE leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). ADUS leads in 1 (Valuation Metrics). 3 tied.
CHE vs HCSG vs ADUS vs ENSG vs PNTG: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is CHE or HCSG or ADUS or ENSG or PNTG a better buy right now?
For growth investors, The Pennant Group, Inc.
(PNTG) is the stronger pick with 36. 3% revenue growth year-over-year, versus 4. 1% for Chemed Corporation (CHE). Addus HomeCare Corporation (ADUS) offers the better valuation at 18. 7x trailing P/E (14. 1x forward), making it the more compelling value choice. Analysts rate Addus HomeCare Corporation (ADUS) a "Buy" — based on 15 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — CHE or HCSG or ADUS or ENSG or PNTG?
On trailing P/E, Addus HomeCare Corporation (ADUS) is the cheapest at 18.
7x versus The Pennant Group, Inc. at 42. 5x. On forward P/E, Addus HomeCare Corporation is actually cheaper at 14. 1x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Addus HomeCare Corporation wins at 0. 70x versus The Pennant Group, Inc. 's 2. 68x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.
03Which is the better long-term investment — CHE or HCSG or ADUS or ENSG or PNTG?
Over the past 5 years, The Ensign Group, Inc.
(ENSG) delivered a total return of +103. 2%, compared to -21. 1% for Healthcare Services Group, Inc. (HCSG). Over 10 years, the gap is even starker: ENSG returned +752. 0% versus HCSG's -26. 8%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — CHE or HCSG or ADUS or ENSG or PNTG?
By beta (market sensitivity over 5 years), Chemed Corporation (CHE) is the lower-risk stock at 0.
33β versus Healthcare Services Group, Inc. 's 1. 12β — meaning HCSG is approximately 243% more volatile than CHE relative to the S&P 500. On balance sheet safety, Healthcare Services Group, Inc. (HCSG) carries a lower debt/equity ratio of 5% versus 186% for The Ensign Group, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — CHE or HCSG or ADUS or ENSG or PNTG?
By revenue growth (latest reported year), The Pennant Group, Inc.
(PNTG) is pulling ahead at 36. 3% versus 4. 1% for Chemed Corporation (CHE). On earnings-per-share growth, the picture is similar: Healthcare Services Group, Inc. grew EPS 52. 8% year-over-year, compared to -7. 4% for Chemed Corporation. Over a 3-year CAGR, PNTG leads at 26. 0% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — CHE or HCSG or ADUS or ENSG or PNTG?
Chemed Corporation (CHE) is the more profitable company, earning 10.
5% net margin versus 3. 1% for The Pennant Group, Inc. — meaning it keeps 10. 5% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: CHE leads at 13. 4% versus 2. 6% for HCSG. At the gross margin level — before operating expenses — ADUS leads at 32. 5%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is CHE or HCSG or ADUS or ENSG or PNTG more undervalued right now?
The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.
By this metric, Addus HomeCare Corporation (ADUS) is the more undervalued stock at a PEG of 0. 70x versus The Pennant Group, Inc. 's 2. 68x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Addus HomeCare Corporation (ADUS) trades at 14. 1x forward P/E versus 27. 0x for The Pennant Group, Inc. — 12. 8x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ADUS: 32. 3% to $128. 67.
08Which pays a better dividend — CHE or HCSG or ADUS or ENSG or PNTG?
In this comparison, CHE (0.
5% yield), ENSG (0. 1% yield) pay a dividend. HCSG, ADUS, PNTG do not pay a meaningful dividend and should not be held primarily for income.
09Is CHE or HCSG or ADUS or ENSG or PNTG better for a retirement portfolio?
For long-horizon retirement investors, Chemed Corporation (CHE) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
33), 0. 5% yield, +241. 8% 10Y return). Both have compounded well over 10 years (CHE: +241. 8%, HCSG: -26. 8%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between CHE and HCSG and ADUS and ENSG and PNTG?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: CHE is a small-cap quality compounder stock; HCSG is a small-cap quality compounder stock; ADUS is a small-cap high-growth stock; ENSG is a mid-cap high-growth stock; PNTG is a small-cap high-growth stock. CHE pays a dividend while HCSG, ADUS, ENSG, PNTG do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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