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Side-by-side financial comparison of ENSIGN GROUP, INC (ENSG) and Option Care Health, Inc. (OPCH). Click either name above to swap in a different company.

Option Care Health, Inc. is the larger business by last-quarter revenue ($1.4B vs $1.3B, roughly 1.1× ENSIGN GROUP, INC). ENSIGN GROUP, INC runs the higher net margin — 7.1% vs 3.6%, a 3.5% gap on every dollar of revenue. On growth, ENSIGN GROUP, INC posted the faster year-over-year revenue change (19.0% vs 12.2%). Over the past eight quarters, ENSIGN GROUP, INC's revenue compounded faster (15.5% CAGR vs 13.0%).

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.

GE Healthcare Technologies, Inc. is an American health technology company based in Chicago, Illinois. The company, which stylizes its own name as GE HealthCare, operates four divisions: Medical imaging, which includes molecular imaging, computed tomography, magnetic resonance, women’s health screening and X-ray systems; Ultrasound; Patient Care Solutions, which is focused on remote patient monitoring, anesthesia and respiratory care, diagnostic cardiology, and infant care; and Pharmaceutical ...

ENSG vs OPCH — Head-to-Head

Bigger by revenue
OPCH
OPCH
1.1× larger
OPCH
$1.4B
$1.3B
ENSG
Growing faster (revenue YoY)
ENSG
ENSG
+6.8% gap
ENSG
19.0%
12.2%
OPCH
Higher net margin
ENSG
ENSG
3.5% more per $
ENSG
7.1%
3.6%
OPCH
Faster 2-yr revenue CAGR
ENSG
ENSG
Annualised
ENSG
15.5%
13.0%
OPCH

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
ENSG
ENSG
OPCH
OPCH
Revenue
$1.3B
$1.4B
Net Profit
$95.5M
$51.8M
Gross Margin
20.3%
19.0%
Operating Margin
9.2%
5.9%
Net Margin
7.1%
3.6%
Revenue YoY
19.0%
12.2%
Net Profit YoY
19.8%
-3.8%
EPS (diluted)
$1.61
$0.32

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
ENSG
ENSG
OPCH
OPCH
Q4 25
$1.3B
Q3 25
$1.3B
$1.4B
Q2 25
$1.2B
$1.4B
Q1 25
$1.2B
$1.3B
Q4 24
$1.1B
$1.3B
Q3 24
$1.1B
$1.3B
Q2 24
$1.0B
$1.2B
Q1 24
$1.0B
$1.1B
Net Profit
ENSG
ENSG
OPCH
OPCH
Q4 25
$95.5M
Q3 25
$83.8M
$51.8M
Q2 25
$84.4M
$50.5M
Q1 25
$80.3M
$46.7M
Q4 24
$79.7M
$60.1M
Q3 24
$78.4M
$53.9M
Q2 24
$71.0M
$53.0M
Q1 24
$68.8M
$44.8M
Gross Margin
ENSG
ENSG
OPCH
OPCH
Q4 25
20.3%
Q3 25
19.0%
19.0%
Q2 25
20.4%
19.0%
Q1 25
20.9%
19.7%
Q4 24
20.8%
21.3%
Q3 24
20.5%
20.1%
Q2 24
20.8%
20.3%
Q1 24
20.9%
20.8%
Operating Margin
ENSG
ENSG
OPCH
OPCH
Q4 25
9.2%
Q3 25
7.5%
5.9%
Q2 25
8.5%
5.8%
Q1 25
8.6%
5.9%
Q4 24
8.9%
6.9%
Q3 24
8.3%
6.7%
Q2 24
8.3%
6.6%
Q1 24
8.1%
6.0%
Net Margin
ENSG
ENSG
OPCH
OPCH
Q4 25
7.1%
Q3 25
6.5%
3.6%
Q2 25
6.9%
3.6%
Q1 25
6.8%
3.5%
Q4 24
7.0%
4.8%
Q3 24
7.3%
4.2%
Q2 24
6.9%
4.3%
Q1 24
6.8%
3.9%
EPS (diluted)
ENSG
ENSG
OPCH
OPCH
Q4 25
$1.61
Q3 25
$1.42
$0.32
Q2 25
$1.44
$0.31
Q1 25
$1.37
$0.28
Q4 24
$1.37
$0.36
Q3 24
$1.34
$0.31
Q2 24
$1.22
$0.30
Q1 24
$1.19
$0.26

Balance Sheet & Financial Strength

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

Metric
ENSG
ENSG
OPCH
OPCH
Cash + ST InvestmentsLiquidity on hand
$572.4M
$309.8M
Total DebtLower is stronger
$144.4M
$1.2B
Stockholders' EquityBook value
$2.2B
$1.4B
Total Assets
$5.5B
$3.5B
Debt / EquityLower = less leverage
0.06×
0.86×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ENSG
ENSG
OPCH
OPCH
Q4 25
$572.4M
Q3 25
$506.3M
$309.8M
Q2 25
$418.4M
$198.8M
Q1 25
$344.5M
$171.4M
Q4 24
$526.9M
$412.6M
Q3 24
$571.0M
$483.0M
Q2 24
$501.5M
$376.9M
Q1 24
$526.3M
$219.5M
Total Debt
ENSG
ENSG
OPCH
OPCH
Q4 25
$144.4M
Q3 25
$1.2B
Q2 25
$1.1B
Q1 25
$1.1B
Q4 24
$148.4M
$1.1B
Q3 24
$1.1B
Q2 24
$1.1B
Q1 24
$1.1B
Stockholders' Equity
ENSG
ENSG
OPCH
OPCH
Q4 25
$2.2B
Q3 25
$2.1B
$1.4B
Q2 25
$2.0B
$1.4B
Q1 25
$1.9B
$1.4B
Q4 24
$1.8B
$1.4B
Q3 24
$1.7B
$1.4B
Q2 24
$1.7B
$1.4B
Q1 24
$1.6B
$1.4B
Total Assets
ENSG
ENSG
OPCH
OPCH
Q4 25
$5.5B
Q3 25
$5.2B
$3.5B
Q2 25
$4.9B
$3.4B
Q1 25
$4.8B
$3.3B
Q4 24
$4.7B
$3.4B
Q3 24
$4.6B
$3.4B
Q2 24
$4.4B
$3.3B
Q1 24
$4.3B
$3.2B
Debt / Equity
ENSG
ENSG
OPCH
OPCH
Q4 25
0.06×
Q3 25
0.86×
Q2 25
0.82×
Q1 25
0.82×
Q4 24
0.08×
0.79×
Q3 24
0.78×
Q2 24
0.79×
Q1 24
0.74×

Cash Flow & Capital Efficiency

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

Metric
ENSG
ENSG
OPCH
OPCH
Operating Cash FlowLast quarter
$183.3M
$139.4M
Free Cash FlowOCF − Capex
$130.2M
FCF MarginFCF / Revenue
9.1%
Capex IntensityCapex / Revenue
0.6%
Cash ConversionOCF / Net Profit
1.92×
2.69×
TTM Free Cash FlowTrailing 4 quarters
$220.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ENSG
ENSG
OPCH
OPCH
Q4 25
$183.3M
Q3 25
$153.0M
$139.4M
Q2 25
$155.7M
$90.3M
Q1 25
$72.2M
$-7.2M
Q4 24
$100.5M
$36.1M
Q3 24
$134.5M
$160.4M
Q2 24
$76.9M
$195.7M
Q1 24
$35.3M
$-68.8M
Free Cash Flow
ENSG
ENSG
OPCH
OPCH
Q4 25
Q3 25
$130.2M
Q2 25
$81.2M
Q1 25
$-16.6M
Q4 24
$25.8M
Q3 24
$150.7M
Q2 24
$185.9M
Q1 24
$-74.6M
FCF Margin
ENSG
ENSG
OPCH
OPCH
Q4 25
Q3 25
9.1%
Q2 25
5.7%
Q1 25
-1.2%
Q4 24
2.0%
Q3 24
11.8%
Q2 24
15.1%
Q1 24
-6.5%
Capex Intensity
ENSG
ENSG
OPCH
OPCH
Q4 25
Q3 25
0.6%
Q2 25
0.6%
Q1 25
0.7%
Q4 24
0.8%
Q3 24
0.8%
Q2 24
0.8%
Q1 24
0.5%
Cash Conversion
ENSG
ENSG
OPCH
OPCH
Q4 25
1.92×
Q3 25
1.82×
2.69×
Q2 25
1.85×
1.79×
Q1 25
0.90×
-0.15×
Q4 24
1.26×
0.60×
Q3 24
1.71×
2.98×
Q2 24
1.08×
3.69×
Q1 24
0.51×
-1.54×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ENSG
ENSG

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

OPCH
OPCH

Commercial Customer$1.3B87%
Government Customer$172.8M12%
Patient Customer$10.1M1%
Corporate Joint Venture$1.9M0%

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