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Side-by-side financial comparison of ENSIGN GROUP, INC (ENSG) and NATIONAL HEALTHCARE CORP (NHC). Click either name above to swap in a different company.
ENSIGN GROUP, INC is the larger business by last-quarter revenue ($1.3B vs $386.5M, roughly 3.5× NATIONAL HEALTHCARE CORP). ENSIGN GROUP, INC runs the higher net margin — 7.1% vs 6.4%, a 0.7% gap on every dollar of revenue. On growth, ENSIGN GROUP, INC posted the faster year-over-year revenue change (19.0% vs 4.6%). Over the past eight quarters, ENSIGN GROUP, INC's revenue compounded faster (15.5% CAGR vs 14.0%).
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.
HCA Healthcare, Inc. is an American global for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owned and operated 186 hospitals and approximately 2,400 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 20 states and the United Kingdom. As of 2024, HCA Healthcare is ranked #61 on the Fortune 500 rankings of the largest United States corporations by to...
ENSG vs NHC — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $1.3B | $386.5M |
| Net Profit | $95.5M | $24.8M |
| Gross Margin | 20.3% | — |
| Operating Margin | 9.2% | 8.6% |
| Net Margin | 7.1% | 6.4% |
| Revenue YoY | 19.0% | 4.6% |
| Net Profit YoY | 19.8% | 308.6% |
| EPS (diluted) | $1.61 | $1.58 |
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.
| Q4 25 | $1.3B | $386.5M | ||
| Q3 25 | $1.3B | $382.7M | ||
| Q2 25 | $1.2B | $374.9M | ||
| Q1 25 | $1.2B | $373.7M | ||
| Q4 24 | $1.1B | $369.4M | ||
| Q3 24 | $1.1B | $340.2M | ||
| Q2 24 | $1.0B | $300.7M | ||
| Q1 24 | $1.0B | $297.2M |
| Q4 25 | $95.5M | $24.8M | ||
| Q3 25 | $83.8M | $39.2M | ||
| Q2 25 | $84.4M | $23.7M | ||
| Q1 25 | $80.3M | $32.2M | ||
| Q4 24 | $79.7M | $6.1M | ||
| Q3 24 | $78.4M | $42.8M | ||
| Q2 24 | $71.0M | $26.8M | ||
| Q1 24 | $68.8M | $26.2M |
| Q4 25 | 20.3% | — | ||
| Q3 25 | 19.0% | — | ||
| Q2 25 | 20.4% | — | ||
| Q1 25 | 20.9% | — | ||
| Q4 24 | 20.8% | — | ||
| Q3 24 | 20.5% | — | ||
| Q2 24 | 20.8% | — | ||
| Q1 24 | 20.9% | — |
| Q4 25 | 9.2% | 8.6% | ||
| Q3 25 | 7.5% | 7.9% | ||
| Q2 25 | 8.5% | 9.1% | ||
| Q1 25 | 8.6% | 8.2% | ||
| Q4 24 | 8.9% | 7.8% | ||
| Q3 24 | 8.3% | 6.7% | ||
| Q2 24 | 8.3% | 7.5% | ||
| Q1 24 | 8.1% | 5.3% |
| Q4 25 | 7.1% | 6.4% | ||
| Q3 25 | 6.5% | 10.3% | ||
| Q2 25 | 6.9% | 6.3% | ||
| Q1 25 | 6.8% | 8.6% | ||
| Q4 24 | 7.0% | 1.6% | ||
| Q3 24 | 7.3% | 12.6% | ||
| Q2 24 | 6.9% | 8.9% | ||
| Q1 24 | 6.8% | 8.8% |
| Q4 25 | $1.61 | $1.58 | ||
| Q3 25 | $1.42 | $2.50 | ||
| Q2 25 | $1.44 | $1.52 | ||
| Q1 25 | $1.37 | $2.07 | ||
| Q4 24 | $1.37 | $0.38 | ||
| Q3 24 | $1.34 | $2.73 | ||
| Q2 24 | $1.22 | $1.73 | ||
| Q1 24 | $1.19 | $1.69 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $572.4M | $92.8M |
| Total DebtLower is stronger | $144.4M | $40.0M |
| Stockholders' EquityBook value | $2.2B | $1.1B |
| Total Assets | $5.5B | $1.5B |
| Debt / EquityLower = less leverage | 0.06× | 0.04× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $572.4M | $92.8M | ||
| Q3 25 | $506.3M | $130.6M | ||
| Q2 25 | $418.4M | $111.0M | ||
| Q1 25 | $344.5M | $90.4M | ||
| Q4 24 | $526.9M | $76.1M | ||
| Q3 24 | $571.0M | $84.8M | ||
| Q2 24 | $501.5M | $136.2M | ||
| Q1 24 | $526.3M | $94.0M |
| Q4 25 | $144.4M | $40.0M | ||
| Q3 25 | — | $73.1M | ||
| Q2 25 | — | $110.0M | ||
| Q1 25 | — | $134.0M | ||
| Q4 24 | $148.4M | $137.0M | ||
| Q3 24 | — | $147.0M | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $2.2B | $1.1B | ||
| Q3 25 | $2.1B | $1.1B | ||
| Q2 25 | $2.0B | $1.0B | ||
| Q1 25 | $1.9B | $1.0B | ||
| Q4 24 | $1.8B | $980.2M | ||
| Q3 24 | $1.7B | $983.5M | ||
| Q2 24 | $1.7B | $945.8M | ||
| Q1 24 | $1.6B | $924.7M |
| Q4 25 | $5.5B | $1.5B | ||
| Q3 25 | $5.2B | $1.6B | ||
| Q2 25 | $4.9B | $1.6B | ||
| Q1 25 | $4.8B | $1.5B | ||
| Q4 24 | $4.7B | $1.5B | ||
| Q3 24 | $4.6B | $1.6B | ||
| Q2 24 | $4.4B | $1.3B | ||
| Q1 24 | $4.3B | $1.3B |
| Q4 25 | 0.06× | 0.04× | ||
| Q3 25 | — | 0.07× | ||
| Q2 25 | — | 0.11× | ||
| Q1 25 | — | 0.13× | ||
| Q4 24 | 0.08× | 0.14× | ||
| Q3 24 | — | 0.15× | ||
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $183.3M | $16.8M |
| Free Cash FlowOCF − Capex | — | $6.4M |
| FCF MarginFCF / Revenue | — | 1.7% |
| Capex IntensityCapex / Revenue | — | 2.7% |
| Cash ConversionOCF / Net Profit | 1.92× | 0.68× |
| TTM Free Cash FlowTrailing 4 quarters | — | $148.6M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $183.3M | $16.8M | ||
| Q3 25 | $153.0M | $66.2M | ||
| Q2 25 | $155.7M | $62.8M | ||
| Q1 25 | $72.2M | $39.3M | ||
| Q4 24 | $100.5M | $12.8M | ||
| Q3 24 | $134.5M | $34.2M | ||
| Q2 24 | $76.9M | $50.7M | ||
| Q1 24 | $35.3M | $9.6M |
| Q4 25 | — | $6.4M | ||
| Q3 25 | — | $56.5M | ||
| Q2 25 | — | $52.6M | ||
| Q1 25 | — | $33.1M | ||
| Q4 24 | — | $4.6M | ||
| Q3 24 | — | $28.6M | ||
| Q2 24 | — | $42.8M | ||
| Q1 24 | — | $3.7M |
| Q4 25 | — | 1.7% | ||
| Q3 25 | — | 14.8% | ||
| Q2 25 | — | 14.0% | ||
| Q1 25 | — | 8.9% | ||
| Q4 24 | — | 1.3% | ||
| Q3 24 | — | 8.4% | ||
| Q2 24 | — | 14.2% | ||
| Q1 24 | — | 1.2% |
| Q4 25 | — | 2.7% | ||
| Q3 25 | — | 2.5% | ||
| Q2 25 | — | 2.7% | ||
| Q1 25 | — | 1.6% | ||
| Q4 24 | — | 2.2% | ||
| Q3 24 | — | 1.7% | ||
| Q2 24 | — | 2.6% | ||
| Q1 24 | — | 2.0% |
| Q4 25 | 1.92× | 0.68× | ||
| Q3 25 | 1.82× | 1.69× | ||
| Q2 25 | 1.85× | 2.65× | ||
| Q1 25 | 0.90× | 1.22× | ||
| Q4 24 | 1.26× | 2.10× | ||
| Q3 24 | 1.71× | 0.80× | ||
| Q2 24 | 1.08× | 1.89× | ||
| Q1 24 | 0.51× | 0.37× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ENSG
| Skilled Services Segment | $1.3B | 97% |
| Standard Bearer Segment | $34.5M | 3% |
NHC
| Inpatient Services Segment | $333.7M | 86% |
| Homecare Services Segment | $40.0M | 10% |
| Other | $11.2M | 3% |
| National | $1.6M | 0% |
