Acadia Healthcare vs Ensign Group
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KIRA’s take AI analyst
I put Acadia Healthcare and Ensign Group side by side, using each one’s latest annual report. Here is what stands out:
- Ensign Group is the larger business, with $5.1B of revenue in fiscal 2025 against $3.3B for Acadia Healthcare, about 1.5 times as much.
- Ensign Group grew revenue faster (18.7%, against 5.0%).
- Ensign Group earned a higher return on the capital invested in it (19.7%, against −16.0%).
Who comes out ahead
Of the 7 measures where higher (or lower) is clearly better, how many each company leads.
Acadia Healthcare
ACHC
1/7
Share count change
Ensign Group
ENSG
6/7
Revenue growth5-year growthNet marginReturn on capitalReturn on equityPiotroski F-score
Side by side
Best in the row
| Latest fiscal year | ACHC FY25 | ENSG FY25 |
|---|---|---|
| Size | ||
| Market cap | $2.8B | $10.5B |
| Revenue | $3.3B | $5.1B |
| Free cash flow | −$440M | — |
| Net income | −$1.1B | $344M |
| Growth | ||
| Revenue growth | 5.0% | 18.7% |
| 5-year growth | 9.7% | 16.1% |
| Share count change | −1.5% | 1.1% |
| Profitability | ||
| Gross margin | — | 20.5% |
| Operating margin | — | 8.4% |
| Net margin | −33.3% | 6.8% |
| FCF margin | −13.3% | — |
| Return on capital | −16.0% | 19.7% |
| Return on equity | −43.9% | 16.9% |
| Balance sheet | ||
| Net debt | $2.4B | −$428M |
| Net debt / EBITDA | — | −0.8x |
| Dividends and buybacks | $50.0M | $34.4M |
| Valuation & quality | ||
| P/E | — | 27.7x |
| Piotroski F-score | 4 | 6 |
Ten years
Revenue
Operating margin
Free cash flow
Return on capital
Each company's latest fiscal year; fiscal years end in different months. The best value in each row is highlighted where higher (or lower) is clearly better. Not investment advice.