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XBP
ENSG logo
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NHC logo
NHC
QUAD logo
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PNTG logo
PNTG
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Stock Comparison

XBP vs ENSG vs NHC vs QUAD vs PNTG

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
XBP
XBP Global Holdings, Inc.

Software - Infrastructure

TechnologyNASDAQ • US
Market Cap$23M
5Y Perf.-75.0%
ENSG
The Ensign Group, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$8.73B
5Y Perf.+79.5%
NHC
National HealthCare Corporation

Medical - Care Facilities

HealthcareAMEX • US
Market Cap$3.09B
5Y Perf.+170.1%
QUAD
Quad/Graphics, Inc.

Specialty Business Services

IndustrialsNYSE • US
Market Cap$397M
5Y Perf.+129.3%
PNTG
The Pennant Group, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$1.14B
5Y Perf.-4.1%

XBP vs ENSG vs NHC vs QUAD vs PNTG — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
XBP logoXBP
ENSG logoENSG
NHC logoNHC
QUAD logoQUAD
PNTG logoPNTG
IndustrySoftware - InfrastructureMedical - Care FacilitiesMedical - Care FacilitiesSpecialty Business ServicesMedical - Care Facilities
Market Cap$23M$8.73B$3.09B$397M$1.14B
Revenue (TTM)$653M$5.27B$1.52B$2.37B$1.02B
Net Income (TTM)$1.10B$363M$124M$27M$30M
Gross Margin16.2%15.2%37.2%18.5%11.1%
Operating Margin-2.5%8.5%-0.4%5.0%5.6%
Forward P/E0.0x19.8x24.8x6.2x24.3x
Total Debt$431M$4.15B$87M$444M$453M
Cash & Equiv.$37M$504M$111M$63M$17M

XBP vs ENSG vs NHC vs QUAD vs PNTGLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

XBP
ENSG
NHC
QUAD
PNTG
StockMay 21Jun 26Return
XBP Global Holdings… (XBP)10025.0-75.0%
The Ensign Group, I… (ENSG)100179.5+79.5%
National HealthCare… (NHC)100270.1+170.1%
Quad/Graphics, Inc. (QUAD)100229.3+129.3%
The Pennant Group, … (PNTG)10095.9-4.1%

Price return only. Dividends and distributions are not included.

Quick Verdict: XBP vs ENSG vs NHC vs QUAD vs PNTG

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: XBP leads in 5 of 7 categories (5-stock set), making it the strongest pick for growth and revenue expansion and valuation and capital efficiency. The Ensign Group, Inc. is the stronger pick specifically for capital preservation and lower volatility. QUAD also leads in specific categories worth noting. This set spans 3 sectors — these stocks serve different portfolio roles, not just different price points.
🥇XBP emerged as the overall leader. Track its performance:
XBP
XBP Global Holdings, Inc.
The Growth Play

XBP carries the broadest edge in this set and is the clearest fit for growth exposure.

  • Rev growth 454.1%, EPS growth 230.0%, 3Y rev CAGR 63.6%
  • 454.1% revenue growth vs QUAD's -9.4%
  • Lower P/E (0.0x vs 24.3x)
  • 167.8% margin vs QUAD's 1.2%
Best for: growth exposure
ENSG
The Ensign Group, Inc.
The Defensive Choice

ENSG is the #2 pick in this set and the best alternative if stability is your priority.

  • Beta 0.17 vs XBP's 1.07, lower leverage
Best for: stability
NHC
National HealthCare Corporation
The Income Pick

NHC is the clearest fit if your priority is income & stability and long-term compounding.

  • Dividend streak 21 yrs, beta 0.55, yield 1.3%
  • 242.4% 10Y total return vs ENSG's 7.0%
  • Lower volatility, beta 0.55, Low D/E 8.1%, current ratio 1.77x
  • PEG 1.08 vs PNTG's 2.41
Best for: income & stability and long-term compounding
QUAD
Quad/Graphics, Inc.
The Income Pick

QUAD ranks third and is worth considering specifically for dividends.

  • 3.8% yield, 1-year raise streak, vs NHC's 1.3%, (2 stocks pay no dividend)
Best for: dividends
PNTG
The Pennant Group, Inc.
The Lower-Volatility Pick

Among these 5 stocks, PNTG doesn't own a clear edge in any measured category.

Best for: healthcare exposure
See the full category breakdown
CategoryWinnerWhy
GrowthXBP logoXBP454.1% revenue growth vs QUAD's -9.4%
ValueXBP logoXBPLower P/E (0.0x vs 24.3x)
Quality / MarginsXBP logoXBP167.8% margin vs QUAD's 1.2%
Stability / SafetyENSG logoENSGBeta 0.17 vs XBP's 1.07, lower leverage
DividendsQUAD logoQUAD3.8% yield, 1-year raise streak, vs NHC's 1.3%, (2 stocks pay no dividend)
Momentum (1Y)XBP logoXBP+150.0% vs ENSG's -1.1%
Efficiency (ROA)XBP logoXBP155.0% ROA vs QUAD's 2.2%, ROIC 3.8% vs 17.9%

XBP vs ENSG vs NHC vs QUAD vs PNTG — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

XBPXBP Global Holdings, Inc.

Segment breakdown not available.

ENSGThe Ensign Group, Inc.
FY 2025
Skilled Services Segment
97.4%$4.8B
Standard Bearer Segment
2.6%$127M
NHCNational HealthCare Corporation
FY 2025
Workers' Compensation Insurance
66.0%$2M
Professional Liability Insurance
34.0%$1M
QUADQuad/Graphics, Inc.
FY 2025
Total Products
68.7%$1.9B
Direct Mail And Other Printed Products
22.7%$625M
Logistic Services
8.2%$226M
Other Revenues
0.3%$9M
PNTGThe Pennant Group, Inc.
FY 2025
Home Health And Hospice Services Segment
77.3%$731M
Senior Living Services Segment
22.7%$215M

XBP vs ENSG vs NHC vs QUAD vs PNTG — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLNHCLAGGINGPNTG

Income & Cash Flow (Last 12 Months)

Evenly matched — XBP and ENSG and NHC each lead in 2 of 6 comparable metrics.

ENSG is the larger business by revenue, generating $5.3B annually — 8.1x XBP's $653M. XBP is the more profitable business, keeping 167.8% of every revenue dollar as net income compared to QUAD's 1.2%. On growth, XBP holds the edge at +4.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricXBP logoXBPXBP Global Holdin…ENSG logoENSGThe Ensign Group,…NHC logoNHCNational HealthCa…QUAD logoQUADQuad/Graphics, In…PNTG logoPNTGThe Pennant Group…
RevenueTrailing 12 months$653M$5.3B$1.5B$2.4B$1.0B
EBITDAEarnings before interest/tax$29M$558M$39M$196M$66M
Net IncomeAfter-tax profit$1.1B$363M$124M$27M$30M
Free Cash FlowCash after capex-$164M$406M$168M$44M$47M
Gross MarginGross profit ÷ Revenue+16.2%+15.2%+37.2%+18.5%+11.1%
Operating MarginEBIT ÷ Revenue-2.5%+8.5%-0.4%+5.0%+5.6%
Net MarginNet income ÷ Revenue+167.8%+6.9%+8.1%+1.2%+3.0%
FCF MarginFCF ÷ Revenue-25.2%+7.7%+11.0%+1.9%+4.6%
Rev. Growth (YoY)Latest quarter vs prior year+4.2%+18.4%+1.7%-7.7%+36.0%
EPS Growth (YoY)Latest quarter vs prior year-15.3%+21.9%+9.7%+18.2%+9.1%
Evenly matched — XBP and ENSG and NHC each lead in 2 of 6 comparable metrics.

Valuation Metrics

Evenly matched — XBP and QUAD each lead in 3 of 7 comparable metrics.

At 0.0x trailing earnings, XBP trades at a 100% valuation discount to PNTG's 39.1x P/E. Adjusting for growth (PEG ratio), NHC offers better value at 1.12x vs PNTG's 3.88x — a lower PEG means you pay less per unit of expected earnings growth.

MetricXBP logoXBPXBP Global Holdin…ENSG logoENSGThe Ensign Group,…NHC logoNHCNational HealthCa…QUAD logoQUADQuad/Graphics, In…PNTG logoPNTGThe Pennant Group…
Market CapShares × price$23M$8.7B$3.1B$397M$1.1B
Enterprise ValueMkt cap + debt − cash$418M$12.4B$3.1B$777M$1.6B
Trailing P/EPrice ÷ TTM EPS0.03x25.58x25.78x14.06x39.11x
Forward P/EPrice ÷ next-FY EPS est.19.76x24.81x6.25x24.28x
PEG RatioP/E ÷ EPS growth rate1.85x1.12x3.88x
EV / EBITDAEnterprise value multiple6.89x23.00x16.27x3.94x26.34x
Price / SalesMarket cap ÷ Revenue0.03x1.73x2.04x0.16x1.21x
Price / BookPrice ÷ Book value/share0.33x3.93x2.88x2.95x3.10x
Price / FCFMarket cap ÷ FCF23.54x20.78x7.82x43.43x
Evenly matched — XBP and QUAD each lead in 3 of 7 comparable metrics.

Profitability & Efficiency

NHC leads this category, winning 4 of 9 comparable metrics.

XBP delivers a 17.4% return on equity — every $100 of shareholder capital generates $17 in annual profit, vs $8 for PNTG. NHC carries lower financial leverage with a 0.08x debt-to-equity ratio, signaling a more conservative balance sheet compared to XBP's 4.94x. On the Piotroski fundamental quality scale (0–9), NHC scores 7/9 vs PNTG's 3/9, reflecting strong financial health.

MetricXBP logoXBPXBP Global Holdin…ENSG logoENSGThe Ensign Group,…NHC logoNHCNational HealthCa…QUAD logoQUADQuad/Graphics, In…PNTG logoPNTGThe Pennant Group…
ROE (TTM)Return on equity+17.4%+16.6%+11.6%+25.0%+8.4%
ROA (TTM)Return on assets+155.0%+6.8%+8.0%+2.2%+3.5%
ROICReturn on invested capital+3.8%+7.0%+9.9%+17.9%+5.6%
ROCEReturn on capital employed+4.0%+10.2%+11.2%+19.3%+7.3%
Piotroski ScoreFundamental quality 0–945773
Debt / EquityFinancial leverage4.94x1.86x0.08x3.45x1.21x
Net DebtTotal debt minus cash$394M$3.7B-$24M$381M$436M
Cash & Equiv.Liquid assets$37M$504M$111M$63M$17M
Total DebtShort + long-term debt$431M$4.2B$87M$444M$453M
Interest CoverageEBIT ÷ Interest expense-0.12x88.33x66.14x2.11x16.52x
NHC leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

NHC leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in NHC five years ago would be worth $28,730 today (with dividends reinvested), compared to $2,475 for XBP. Over the past 12 months, XBP leads with a +150.0% total return vs ENSG's -1.1%. The 3-year compound annual growth rate (CAGR) favors NHC at 49.0% vs XBP's -39.1% — a key indicator of consistent wealth creation.

MetricXBP logoXBPXBP Global Holdin…ENSG logoENSGThe Ensign Group,…NHC logoNHCNational HealthCa…QUAD logoQUADQuad/Graphics, In…PNTG logoPNTGThe Pennant Group…
YTD ReturnYear-to-date-65.5%-14.1%+52.1%+34.1%+18.0%
1-Year ReturnPast 12 months+150.0%-1.1%+91.5%+46.8%+18.4%
3-Year ReturnCumulative with dividends-77.4%+60.7%+230.9%+123.5%+160.9%
5-Year ReturnCumulative with dividends-75.3%+78.9%+187.3%+119.3%-15.8%
10-Year ReturnCumulative with dividends-74.8%+701.2%+242.4%-39.2%+117.7%
CAGR (3Y)Annualised 3-year return-39.1%+17.1%+49.0%+30.7%+37.7%
NHC leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — ENSG and NHC each lead in 1 of 2 comparable metrics.

ENSG is the less volatile stock with a 0.17 beta — it tends to amplify market swings less than XBP's 1.07 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. NHC currently trades 96.4% from its 52-week high vs XBP's 28.7% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricXBP logoXBPXBP Global Holdin…ENSG logoENSGThe Ensign Group,…NHC logoNHCNational HealthCa…QUAD logoQUADQuad/Graphics, In…PNTG logoPNTGThe Pennant Group…
Beta (5Y)Sensitivity to S&P 5001.07x0.17x0.55x0.74x0.61x
52-Week HighHighest price in past year$8.55$218.00$205.06$8.64$37.54
52-Week LowLowest price in past year$0.41$134.79$93.54$5.01$21.73
% of 52W HighCurrent price vs 52-week peak+28.7%+68.5%+96.4%+87.8%+87.5%
RSI (14)Momentum oscillator 0–10043.122.760.451.850.5
Avg Volume (50D)Average daily shares traded15K564K109K185K231K
Evenly matched — ENSG and NHC each lead in 1 of 2 comparable metrics.

Analyst Outlook

Evenly matched — NHC and QUAD each lead in 1 of 2 comparable metrics.

Analyst consensus: ENSG as "Buy", QUAD as "Buy", PNTG as "Buy". Consensus price targets imply 48.8% upside for ENSG (target: $222) vs 5.4% for QUAD (target: $8). For income investors, QUAD offers the higher dividend yield at 3.80% vs ENSG's 0.16%.

MetricXBP logoXBPXBP Global Holdin…ENSG logoENSGThe Ensign Group,…NHC logoNHCNational HealthCa…QUAD logoQUADQuad/Graphics, In…PNTG logoPNTGThe Pennant Group…
Analyst RatingConsensus buy/hold/sellBuyBuyBuy
Price TargetConsensus 12-month target$222.33$8.00$39.33
# AnalystsCovering analysts1377
Dividend YieldAnnual dividend ÷ price+0.2%+1.3%+3.8%
Dividend StreakConsecutive years of raises192111
Dividend / ShareAnnual DPS$0.24$2.47$0.29
Buyback YieldShare repurchases ÷ mkt cap0.0%+0.2%+0.5%+2.0%0.0%
Evenly matched — NHC and QUAD each lead in 1 of 2 comparable metrics.
Key Takeaway

NHC leads in 2 of 6 categories — strongest in Profitability & Efficiency and Total Returns. 4 categories are tied.

Best OverallNational HealthCare Corpora… (NHC)Leads 2 of 6 categories
Loading custom metrics...

XBP vs ENSG vs NHC vs QUAD vs PNTG: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is XBP or ENSG or NHC or QUAD or PNTG a better buy right now?

For growth investors, XBP Global Holdings, Inc.

(XBP) is the stronger pick with 454. 1% revenue growth year-over-year, versus -9. 4% for Quad/Graphics, Inc. (QUAD). XBP Global Holdings, Inc. (XBP) offers the better valuation at 0. 0x trailing P/E, making it the more compelling value choice. Analysts rate The Ensign Group, Inc. (ENSG) a "Buy" — based on 13 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.

02

Which has the better valuation — XBP or ENSG or NHC or QUAD or PNTG?

On trailing P/E, XBP Global Holdings, Inc.

(XBP) is the cheapest at 0. 0x versus The Pennant Group, Inc. at 39. 1x. On forward P/E, Quad/Graphics, Inc. is actually cheaper at 6. 2x — notably different from the trailing picture, reflecting expected earnings growth. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: National HealthCare Corporation wins at 1. 08x versus The Pennant Group, Inc. 's 2. 41x — a reasonable growth-adjusted valuation.

03

Which is the better long-term investment — XBP or ENSG or NHC or QUAD or PNTG?

Over the past 5 years, National HealthCare Corporation (NHC) delivered a total return of +187.

3%, compared to -75. 3% for XBP Global Holdings, Inc. (XBP). Over 10 years, the gap is even starker: ENSG returned +701. 2% versus XBP's -74. 8%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — XBP or ENSG or NHC or QUAD or PNTG?

By beta (market sensitivity over 5 years), The Ensign Group, Inc.

(ENSG) is the lower-risk stock at 0. 17β versus XBP Global Holdings, Inc. 's 1. 07β — meaning XBP is approximately 515% more volatile than ENSG relative to the S&P 500. On balance sheet safety, National HealthCare Corporation (NHC) carries a lower debt/equity ratio of 8% versus 5% for XBP Global Holdings, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — XBP or ENSG or NHC or QUAD or PNTG?

By revenue growth (latest reported year), XBP Global Holdings, Inc.

(XBP) is pulling ahead at 454. 1% versus -9. 4% for Quad/Graphics, Inc. (QUAD). On earnings-per-share growth, the picture is similar: XBP Global Holdings, Inc. grew EPS 230. 0% year-over-year, compared to 14. 1% for The Ensign Group, Inc.. Over a 3-year CAGR, XBP leads at 63. 6% 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.

06

Which has better profit margins — XBP or ENSG or NHC or QUAD or PNTG?

XBP Global Holdings, Inc.

(XBP) is the more profitable company, earning 139. 5% net margin versus 1. 1% for Quad/Graphics, Inc. — meaning it keeps 139. 5% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: NHC leads at 9. 5% versus 1. 5% for XBP. At the gross margin level — before operating expenses — NHC leads at 67. 8%, 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.

07

Is XBP or ENSG or NHC or QUAD 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, National HealthCare Corporation (NHC) is the more undervalued stock at a PEG of 1. 08x versus The Pennant Group, Inc. 's 2. 41x. A PEG below 1. 5 suggests fair-to-attractive pricing relative to expected growth. On forward earnings alone, Quad/Graphics, Inc. (QUAD) trades at 6. 2x forward P/E versus 24. 8x for National HealthCare Corporation — 18. 6x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ENSG: 48. 8% to $222. 33.

08

Which pays a better dividend — XBP or ENSG or NHC or QUAD or PNTG?

In this comparison, QUAD (3.

8% yield), NHC (1. 3% yield), ENSG (0. 2% yield) pay a dividend. XBP, PNTG do not pay a meaningful dividend and should not be held primarily for income.

09

Is XBP or ENSG or NHC or QUAD or PNTG 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. 17), +701. 2% 10Y return). Both have compounded well over 10 years (ENSG: +701. 2%, XBP: -74. 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.

10

What are the main differences between XBP and ENSG and NHC and QUAD and PNTG?

These companies operate in different sectors (XBP (Technology) and ENSG (Healthcare) and NHC (Healthcare) and QUAD (Industrials) and PNTG (Healthcare)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

In terms of investment character: XBP is a small-cap high-growth stock; ENSG is a small-cap high-growth stock; NHC is a small-cap high-growth stock; QUAD is a small-cap deep-value stock; PNTG is a small-cap high-growth stock. NHC, QUAD pay a dividend while XBP, 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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