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STOCK COMPARISON

Ensign Group vs HCA Healthcare: Fair Value & Quality

Both stocks run through our valuation models. Here is how Ensign Group (ENSG) and HCA Healthcare (HCA) compare, as of Aug 8, 2026.

As of Aug 8, 2026, Fair Value Calculator sees HCA Healthcare as the more attractively valued of the two: Ensign Group trades at $182 versus a fair value of $100 (-45%), while HCA Healthcare trades at $409 versus $555 (+36%).
Ensign Group
ENSG · USD · Health Care
-45%
upside to fair value
overvalued
Price$182
Fair Value$100
Quality57/100
HCA Healthcare
HCA · USD · Health Care
+36%
upside to fair value
undervalued
Price$409
Fair Value$555
Quality62/100

Head-to-head numbers

Green value = the better side for that row (for valuation multiples: lower = cheaper).

Ensign GroupHCA Healthcare
Valuation
27.5×P/E (TTM)12.5×
1.87×P/S (TTM)1.06×
4.42×P/B—
17.0×EV/EBITDA7.8×
1.50×PEG1.18×
0.2%Dividend yield0.8%
$0.26Dividend per share$2.94
Profitability
7%Net margin9%
9%Operating margin15%
17%Return on equity136%
5%Return on assets12%
Growth
18%Revenue growth (YoY)4%
18.7%Avg. growth/yr (3Y)7.9%
16.1%Avg. growth/yr (5Y)8.0%
Balance & size
0.06×Debt / equity—
$10BMarket cap$81B
healthyGrowth qualityhealthy

HCA Healthcare leads: 3 to 9 metric wins.

Dash = not meaningfully computable, for example with negative equity.

Quality in detail

The quality score, broken down into the same factor families as on the stock page, 0 to 100 per family.

Ensign Groupof which business quality 58 · market factors 59 HCA Healthcareof which business quality 66 · market factors 45
ProfitabilityMargins and returns on capital today
47
76
Quality GrowthAre margins and returns improving?
57
61
CashflowEarnings quality: real cash, not paper profit
54
62
Fin. StrengthBalance sheet, leverage, solvency risk
77
39
InvestmentDisciplined investing over empire-building
36
75
Low VolatilityCalm price path (market factor)
79
59
MomentumPrice trend over the last 3–12 months (market factor)
47
38
52W MomentumDistance to the 52-week high (market factor)
56
43
Net IssuanceBuybacks instead of dilution
70
100

What the models say

The median fair value (base case) per model family, each in the currency of its trading venue. Green = above the current price, red = below.

Ensign Group

DCF Models$159
Earnings-Based$92.11
Dividend Discount$4.02
Multiples$109
Asset-Based$25.58
Growth DCF$152
Economic Profit$69.27
Growth Earnings$134

25 of 26 models see the stock below the current price.

HCA Healthcare

DCF Models$519
Earnings-Based$289
Dividend Discount$53.85
Multiples$612
Growth DCF$540
Economic Profit$419
Growth Earnings$478

6 of 23 models see the stock below the current price.

Scenario ranges

From our cautious bear case to the optimistic bull case. The white tick is the current price: left of fair value means room to run.

Ensign Group
Bear $75.04Fair Value $100Bull $182
$182 = current price (white tick)
HCA Healthcare
Bear $270Fair Value $555Bull $841
$409 = current price (white tick)

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Ranked within their sector

Where each stock sits within its sector peer group. Band = middle 50% of peers, tick = median, dot = this stock.

Ensign Group · Health Care

Quality score57 · above median
Fair value upside-45% · below median

HCA Healthcare · Health Care

Quality score62 · Top 25%
Fair value upside+36% · Top 25%

Bottom line

As of Aug 8, 2026, Fair Value Calculator sees HCA Healthcare as the more attractively valued of the two: Ensign Group trades at $182 versus a fair value of $100 (-45%), while HCA Healthcare trades at $409 versus $555 (+36%).

HCA Healthcare has the higher quality score (62/100).

See the full analysis →
Ensign Group · HCA Healthcare

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A model-based valuation snapshot from 21 models. Values change with price and fundamentals; the date shown above applies.