Ensign Group vs HCA Healthcare
HCA Healthcare is the larger business, with $75.60bn of revenue in fiscal 2025 against $5.06bn for Ensign Group (14.9 times as much). Ensign Group grew faster (18.7% against 7.1%). HCA Healthcare kept more of each dollar of sales as profit: a net margin of 9.0% against 6.8%.
| Latest fiscal year | Ensign GroupENSG, 2025 | HCA HealthcareHCA, 2025 |
|---|---|---|
| Revenue | $5.06bn | $75.60bn |
| Revenue growth | 18.7% | 7.1% |
| Net income | $344m | $6.78bn |
| Operating margin | 8.4% | — |
| Net margin | 6.8% | 9.0% |
| Return on equity | 16.9% | — |
| Free cash flow | $564m | $7.69bn |
| Cash | $504m | $1.04bn |
| Total debt | $144m | $46.93bn |
| Debt to equity | 6.5% | — |
| Dividend per share | $0.25 | $2.88 |
| Dividend yield | 0.1% | 0.7% |
| Share buybacks | $20.0m | $10.07bn |
| Employees | 46,000 | 320,000 |
| Market value | $10.72bn | $98.06bn |
| Price vs our value range | Below our value range | — |
| Moat score | 55 (Moderate) | 75 (Strong) |
| Insider trades, 12 months | 0 buys, 49 sales | 0 buys, 13 sales |