Medical - Care Facilities
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THC vs ENSG
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Care Facilities
THC vs ENSG — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Care Facilities | Medical - Care Facilities |
| Market Cap | $17.04B | $10.28B |
| Revenue (TTM) | $21.45B | $5.27B |
| Net Income (TTM) | $1.70B | $363M |
| Gross Margin | 42.8% | 15.2% |
| Operating Margin | 16.1% | 8.5% |
| Forward P/E | 11.0x | 23.4x |
| Total Debt | $13.17B | $4.15B |
| Cash & Equiv. | $2.88B | $504M |
THC vs ENSG — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Tenet Healthcare Co… (THC) | 100 | 893.9 | +793.9% |
| The Ensign Group, I… (ENSG) | 100 | 402.4 | +302.4% |
Price return only. Dividends and distributions are not included.
Quick Verdict: THC vs ENSG
Each card shows where this stock fits in a portfolio — not just who wins on paper.
THC is the clearest fit if your priority is sleep-well-at-night and valuation efficiency.
- Lower volatility, beta 0.71, current ratio 1.76x
- PEG 0.33 vs ENSG's 1.70
- Lower P/E (11.0x vs 23.4x), PEG 0.33 vs 1.70
ENSG carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.
- Dividend streak 12 yrs, beta 0.42, yield 0.1%
- Rev growth 18.7%, EPS growth 14.1%, 3Y rev CAGR 18.7%
- 7.7% 10Y total return vs THC's 5.2%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 18.7% revenue growth vs THC's 3.1% | |
| Value | Lower P/E (11.0x vs 23.4x), PEG 0.33 vs 1.70 | |
| Quality / Margins | 7.9% margin vs ENSG's 6.9% | |
| Stability / Safety | Beta 0.42 vs THC's 0.71 | |
| Dividends | 0.1% yield; 12-year raise streak; the other pay no meaningful dividend | |
| Momentum (1Y) | +31.9% vs THC's +28.4% | |
| Efficiency (ROA) | 6.8% ROA vs THC's 5.7%, ROIC 7.0% vs 13.2% |
THC vs ENSG — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
THC vs ENSG — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
THC leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
THC is the larger business by revenue, generating $21.5B annually — 4.1x ENSG's $5.3B. Profitability is closely matched — net margins range from 7.9% (THC) to 6.9% (ENSG). On growth, ENSG holds the edge at +18.4% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $21.5B | $5.3B |
| EBITDAEarnings before interest/tax | $4.3B | $558M |
| Net IncomeAfter-tax profit | $1.7B | $363M |
| Free Cash FlowCash after capex | $3.3B | $406M |
| Gross MarginGross profit ÷ Revenue | +42.8% | +15.2% |
| Operating MarginEBIT ÷ Revenue | +16.1% | +8.5% |
| Net MarginNet income ÷ Revenue | +7.9% | +6.9% |
| FCF MarginFCF ÷ Revenue | +15.6% | +7.7% |
| Rev. Growth (YoY)Latest quarter vs prior year | +2.8% | +18.4% |
| EPS Growth (YoY)Latest quarter vs prior year | +87.6% | +21.9% |
Valuation Metrics
THC leads this category, winning 7 of 7 comparable metrics.
Valuation Metrics
At 12.6x trailing earnings, THC trades at a 58% valuation discount to ENSG's 30.1x P/E. Adjusting for growth (PEG ratio), THC offers better value at 0.38x vs ENSG's 2.18x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | ||
|---|---|---|
| Market CapShares × price | $17.0B | $10.3B |
| Enterprise ValueMkt cap + debt − cash | $27.3B | $13.9B |
| Trailing P/EPrice ÷ TTM EPS | 12.56x | 30.13x |
| Forward P/EPrice ÷ next-FY EPS est. | 10.96x | 23.40x |
| PEG RatioP/E ÷ EPS growth rate | 0.38x | 2.18x |
| EV / EBITDAEnterprise value multiple | 6.35x | 25.88x |
| Price / SalesMarket cap ÷ Revenue | 0.80x | 2.03x |
| Price / BookPrice ÷ Book value/share | 1.97x | 4.63x |
| Price / FCFMarket cap ÷ FCF | 6.74x | 27.72x |
Profitability & Efficiency
THC leads this category, winning 5 of 9 comparable metrics.
Profitability & Efficiency
THC delivers a 19.6% return on equity — every $100 of shareholder capital generates $20 in annual profit, vs $17 for ENSG. THC carries lower financial leverage with a 1.47x debt-to-equity ratio, signaling a more conservative balance sheet compared to ENSG's 1.86x. On the Piotroski fundamental quality scale (0–9), THC scores 7/9 vs ENSG's 5/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | +19.6% | +16.6% |
| ROA (TTM)Return on assets | +5.7% | +6.8% |
| ROICReturn on invested capital | +13.2% | +7.0% |
| ROCEReturn on capital employed | +13.8% | +10.2% |
| Piotroski ScoreFundamental quality 0–9 | 7 | 5 |
| Debt / EquityFinancial leverage | 1.47x | 1.86x |
| Net DebtTotal debt minus cash | $10.3B | $3.7B |
| Cash & Equiv.Liquid assets | $2.9B | $504M |
| Total DebtShort + long-term debt | $13.2B | $4.2B |
| Interest CoverageEBIT ÷ Interest expense | 4.28x | 88.33x |
Total Returns (Dividends Reinvested)
Evenly matched — THC and ENSG each lead in 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in THC five years ago would be worth $29,737 today (with dividends reinvested), compared to $20,770 for ENSG. Over the past 12 months, ENSG leads with a +31.9% total return vs THC's +28.4%. The 3-year compound annual growth rate (CAGR) favors THC at 40.8% vs ENSG's 24.0% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -2.5% | +1.2% |
| 1-Year ReturnPast 12 months | +28.4% | +31.9% |
| 3-Year ReturnCumulative with dividends | +179.1% | +90.7% |
| 5-Year ReturnCumulative with dividends | +197.4% | +107.7% |
| 10-Year ReturnCumulative with dividends | +519.3% | +768.3% |
| CAGR (3Y)Annualised 3-year return | +40.8% | +24.0% |
Risk & Volatility
ENSG leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
ENSG is the less volatile stock with a 0.42 beta — it tends to amplify market swings less than THC's 0.71 beta. A beta below 1.0 means the stock typically moves less than the S&P 500.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.71x | 0.42x |
| 52-Week HighHighest price in past year | $247.21 | $218.00 |
| 52-Week LowLowest price in past year | $146.31 | $129.91 |
| % of 52W HighCurrent price vs 52-week peak | +78.7% | +80.7% |
| RSI (14)Momentum oscillator 0–100 | 46.1 | 23.3 |
| Avg Volume (50D)Average daily shares traded | 1.2M | 352K |
Analyst Outlook
ENSG leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
Wall Street rates THC as "Buy" and ENSG as "Buy". Consensus price targets imply 37.8% upside for THC (target: $268) vs 26.4% for ENSG (target: $222). ENSG is the only dividend payer here at 0.14% yield — a key consideration for income-focused portfolios.
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $268.00 | $222.33 |
| # AnalystsCovering analysts | 32 | 13 |
| Dividend YieldAnnual dividend ÷ price | — | +0.1% |
| Dividend StreakConsecutive years of raises | 0 | 12 |
| Dividend / ShareAnnual DPS | — | $0.24 |
| Buyback YieldShare repurchases ÷ mkt cap | +8.4% | +0.2% |
THC leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). ENSG leads in 2 (Risk & Volatility, Analyst Outlook). 1 tied.
THC vs ENSG: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is THC or ENSG a better buy right now?
For growth investors, The Ensign Group, Inc.
(ENSG) is the stronger pick with 18. 7% revenue growth year-over-year, versus 3. 1% for Tenet Healthcare Corporation (THC). Tenet Healthcare Corporation (THC) offers the better valuation at 12. 6x trailing P/E (11. 0x forward), making it the more compelling value choice. Analysts rate Tenet Healthcare Corporation (THC) a "Buy" — based on 32 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 — THC or ENSG?
On trailing P/E, Tenet Healthcare Corporation (THC) is the cheapest at 12.
6x versus The Ensign Group, Inc. at 30. 1x. On forward P/E, Tenet Healthcare Corporation is actually cheaper at 11. 0x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Tenet Healthcare Corporation wins at 0. 33x versus The Ensign Group, Inc. 's 1. 70x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.
03Which is the better long-term investment — THC or ENSG?
Over the past 5 years, Tenet Healthcare Corporation (THC) delivered a total return of +197.
4%, compared to +107. 7% for The Ensign Group, Inc. (ENSG). Over 10 years, the gap is even starker: ENSG returned +768. 3% versus THC's +519. 3%. 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 — THC or ENSG?
By beta (market sensitivity over 5 years), The Ensign Group, Inc.
(ENSG) is the lower-risk stock at 0. 42β versus Tenet Healthcare Corporation's 0. 71β — meaning THC is approximately 68% more volatile than ENSG relative to the S&P 500. On balance sheet safety, Tenet Healthcare Corporation (THC) carries a lower debt/equity ratio of 147% versus 186% for The Ensign Group, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — THC or ENSG?
By revenue growth (latest reported year), The Ensign Group, Inc.
(ENSG) is pulling ahead at 18. 7% versus 3. 1% for Tenet Healthcare Corporation (THC). On earnings-per-share growth, the picture is similar: The Ensign Group, Inc. grew EPS 14. 1% year-over-year, compared to -52. 6% for Tenet Healthcare Corporation. Over a 3-year CAGR, ENSG leads at 18. 7% 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 — THC or ENSG?
The Ensign Group, Inc.
(ENSG) is the more profitable company, earning 6. 8% net margin versus 6. 6% for Tenet Healthcare Corporation — meaning it keeps 6. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: THC leads at 16. 1% versus 8. 6% for ENSG. At the gross margin level — before operating expenses — THC leads at 82. 3%, 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 THC or ENSG 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, Tenet Healthcare Corporation (THC) is the more undervalued stock at a PEG of 0. 33x versus The Ensign Group, Inc. 's 1. 70x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Tenet Healthcare Corporation (THC) trades at 11. 0x forward P/E versus 23. 4x for The Ensign Group, Inc. — 12. 4x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for THC: 37. 8% to $268. 00.
08Which pays a better dividend — THC or ENSG?
In this comparison, ENSG (0.
1% yield) pays a dividend. THC does not pay a meaningful dividend and should not be held primarily for income.
09Is THC or ENSG better for a retirement portfolio?
For long-horizon retirement investors, The Ensign Group, Inc.
(ENSG) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 42), +768. 3% 10Y return). Both have compounded well over 10 years (ENSG: +768. 3%, THC: +519. 3%), 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 THC and ENSG?
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: THC is a mid-cap deep-value stock; ENSG is a mid-cap high-growth stock. 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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