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Side-by-side financial comparison of Align Technology (ALGN) and ENSIGN GROUP, INC (ENSG). Click either name above to swap in a different company.

ENSIGN GROUP, INC is the larger business by last-quarter revenue ($1.3B vs $1.0B, roughly 1.3× Align Technology). Align Technology runs the higher net margin — 13.0% vs 7.1%, a 5.9% gap on every dollar of revenue. On growth, ENSIGN GROUP, INC posted the faster year-over-year revenue change (19.0% vs 5.3%). Over the past eight quarters, ENSIGN GROUP, INC's revenue compounded faster (15.5% CAGR vs 2.5%).

Align Technology, Inc., a medical device company, designs, manufactures, and markets Invisalign clear aligners and iTero intraoral scanners and services for orthodontists and general practitioner dentists, and restorative and aesthetic dentistry. It operates in two segments, Clear Aligner; and Scanners and Services. The Clear Aligner segment consists of comprehensive products, including Invisalign comprehensive treatment that addresses the orthodontic needs of teenage patients, such as mandib...

Ensign Energy Services Inc. is a publicly traded Canadian company that provides oilfield services for the North American and international market. Founded in 1987, Ensign is headquartered in Calgary, Alberta. Ensign's Common Shares are publicly traded though the facilities of the Toronto Stock Exchange under the trading symbol ESI.

ALGN vs ENSG — Head-to-Head

Bigger by revenue
ENSG
ENSG
1.3× larger
ENSG
$1.3B
$1.0B
ALGN
Growing faster (revenue YoY)
ENSG
ENSG
+13.8% gap
ENSG
19.0%
5.3%
ALGN
Higher net margin
ALGN
ALGN
5.9% more per $
ALGN
13.0%
7.1%
ENSG
Faster 2-yr revenue CAGR
ENSG
ENSG
Annualised
ENSG
15.5%
2.5%
ALGN

Income Statement — Q4 2025 vs Q4 2025

Metric
ALGN
ALGN
ENSG
ENSG
Revenue
$1.0B
$1.3B
Net Profit
$135.8M
$95.5M
Gross Margin
65.3%
20.3%
Operating Margin
14.8%
9.2%
Net Margin
13.0%
7.1%
Revenue YoY
5.3%
19.0%
Net Profit YoY
30.8%
19.8%
EPS (diluted)
$1.88
$1.61

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ALGN
ALGN
ENSG
ENSG
Q4 25
$1.0B
$1.3B
Q3 25
$995.7M
$1.3B
Q2 25
$1.0B
$1.2B
Q1 25
$979.3M
$1.2B
Q4 24
$995.2M
$1.1B
Q3 24
$977.9M
$1.1B
Q2 24
$1.0B
$1.0B
Q1 24
$997.4M
$1.0B
Net Profit
ALGN
ALGN
ENSG
ENSG
Q4 25
$135.8M
$95.5M
Q3 25
$56.8M
$83.8M
Q2 25
$124.6M
$84.4M
Q1 25
$93.2M
$80.3M
Q4 24
$103.8M
$79.7M
Q3 24
$116.0M
$78.4M
Q2 24
$96.6M
$71.0M
Q1 24
$105.0M
$68.8M
Gross Margin
ALGN
ALGN
ENSG
ENSG
Q4 25
65.3%
20.3%
Q3 25
64.2%
19.0%
Q2 25
69.9%
20.4%
Q1 25
69.5%
20.9%
Q4 24
70.0%
20.8%
Q3 24
69.7%
20.5%
Q2 24
70.3%
20.8%
Q1 24
70.0%
20.9%
Operating Margin
ALGN
ALGN
ENSG
ENSG
Q4 25
14.8%
9.2%
Q3 25
9.7%
7.5%
Q2 25
16.1%
8.5%
Q1 25
13.4%
8.6%
Q4 24
14.5%
8.9%
Q3 24
16.6%
8.3%
Q2 24
14.3%
8.3%
Q1 24
15.5%
8.1%
Net Margin
ALGN
ALGN
ENSG
ENSG
Q4 25
13.0%
7.1%
Q3 25
5.7%
6.5%
Q2 25
12.3%
6.9%
Q1 25
9.5%
6.8%
Q4 24
10.4%
7.0%
Q3 24
11.9%
7.3%
Q2 24
9.4%
6.9%
Q1 24
10.5%
6.8%
EPS (diluted)
ALGN
ALGN
ENSG
ENSG
Q4 25
$1.88
$1.61
Q3 25
$0.78
$1.42
Q2 25
$1.72
$1.44
Q1 25
$1.27
$1.37
Q4 24
$1.40
$1.37
Q3 24
$1.55
$1.34
Q2 24
$1.28
$1.22
Q1 24
$1.39
$1.19

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ALGN
ALGN
ENSG
ENSG
Cash + ST InvestmentsLiquidity on hand
$1.1B
$572.4M
Total DebtLower is stronger
$144.4M
Stockholders' EquityBook value
$4.0B
$2.2B
Total Assets
$6.2B
$5.5B
Debt / EquityLower = less leverage
0.06×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALGN
ALGN
ENSG
ENSG
Q4 25
$1.1B
$572.4M
Q3 25
$1.0B
$506.3M
Q2 25
$901.2M
$418.4M
Q1 25
$873.0M
$344.5M
Q4 24
$1.0B
$526.9M
Q3 24
$1.0B
$571.0M
Q2 24
$761.4M
$501.5M
Q1 24
$865.8M
$526.3M
Total Debt
ALGN
ALGN
ENSG
ENSG
Q4 25
$144.4M
Q3 25
Q2 25
Q1 25
Q4 24
$148.4M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
ALGN
ALGN
ENSG
ENSG
Q4 25
$4.0B
$2.2B
Q3 25
$4.0B
$2.1B
Q2 25
$3.9B
$2.0B
Q1 25
$3.8B
$1.9B
Q4 24
$3.9B
$1.8B
Q3 24
$3.9B
$1.7B
Q2 24
$3.8B
$1.7B
Q1 24
$3.8B
$1.6B
Total Assets
ALGN
ALGN
ENSG
ENSG
Q4 25
$6.2B
$5.5B
Q3 25
$6.2B
$5.2B
Q2 25
$6.2B
$4.9B
Q1 25
$6.1B
$4.8B
Q4 24
$6.2B
$4.7B
Q3 24
$6.4B
$4.6B
Q2 24
$6.2B
$4.4B
Q1 24
$6.2B
$4.3B
Debt / Equity
ALGN
ALGN
ENSG
ENSG
Q4 25
0.06×
Q3 25
Q2 25
Q1 25
Q4 24
0.08×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ALGN
ALGN
ENSG
ENSG
Operating Cash FlowLast quarter
$223.2M
$183.3M
Free Cash FlowOCF − Capex
$187.3M
FCF MarginFCF / Revenue
17.9%
Capex IntensityCapex / Revenue
3.4%
Cash ConversionOCF / Net Profit
1.64×
1.92×
TTM Free Cash FlowTrailing 4 quarters
$490.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALGN
ALGN
ENSG
ENSG
Q4 25
$223.2M
$183.3M
Q3 25
$188.7M
$153.0M
Q2 25
$128.7M
$155.7M
Q1 25
$52.7M
$72.2M
Q4 24
$286.1M
$100.5M
Q3 24
$263.7M
$134.5M
Q2 24
$159.8M
$76.9M
Q1 24
$28.7M
$35.3M
Free Cash Flow
ALGN
ALGN
ENSG
ENSG
Q4 25
$187.3M
Q3 25
$169.0M
Q2 25
$107.2M
Q1 25
$27.4M
Q4 24
$263.1M
Q3 24
$233.9M
Q2 24
$106.4M
Q1 24
$19.3M
FCF Margin
ALGN
ALGN
ENSG
ENSG
Q4 25
17.9%
Q3 25
17.0%
Q2 25
10.6%
Q1 25
2.8%
Q4 24
26.4%
Q3 24
23.9%
Q2 24
10.3%
Q1 24
1.9%
Capex Intensity
ALGN
ALGN
ENSG
ENSG
Q4 25
3.4%
Q3 25
2.0%
Q2 25
2.1%
Q1 25
2.6%
Q4 24
2.3%
Q3 24
3.0%
Q2 24
5.2%
Q1 24
0.9%
Cash Conversion
ALGN
ALGN
ENSG
ENSG
Q4 25
1.64×
1.92×
Q3 25
3.33×
1.82×
Q2 25
1.03×
1.85×
Q1 25
0.57×
0.90×
Q4 24
2.76×
1.26×
Q3 24
2.27×
1.71×
Q2 24
1.66×
1.08×
Q1 24
0.27×
0.51×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ALGN
ALGN

Segment breakdown not available.

ENSG
ENSG

Skilled Services Segment$1.3B97%
Standard Bearer Segment$34.5M3%

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