| Profitability | 60/100 |
| Growth | 63/100 |
| Momentum | 86/100 |
| Quality | 79/100 |
| Earnings Quality | 79/100 |
| Balance Sheet | 61/100 |
| Value | 88/100 |
| Risk (safety) | 65/100 |
| Overall | 61.1/100 |
| Symbol | IS Score |
|---|---|
| ENSG | 65 |
| DVA | 44 |
| EHC | 64 |
| PACS | 56 |
| CHE | 61 |
| HIMS | 27 |
| UHS | 61 |
Both readings sit above the midpoint — business quality at 61 and price structure at 78 out of 100 — so they are not in conflict. The fundamentals and the tape are saying the same thing, which is the case in which either one alone would have been enough.
| Trigger | Where it stands now | What it would mean |
|---|---|---|
| IS Score reaches 75 and holds two consecutive quarters | now 61.1 | would move us up one band |
| IS Score stops falling - one quarter higher than the prior | last four: 63 → 65 → 63 → 61 | the direction matters more than the level |
| Technical vote share back above 50% | now 91% | price structure no longer broken |
| Institutional holder count rises two quarters running | peak 691 → now 599 | fewer institutions willing to hold is our clearest warning |
This page is InsiderStreet's own reading, produced from the data in the rest of this document. It is not a price target and not investment advice. Analyst consensus and street price targets appear later under their own heading and are the street's numbers, not ours.
| Quarter | Holders | 13F shares | Value | Reported own% |
|---|---|---|---|---|
| 2026 Q2 | 599 | 52.8M | $7.6B | 88.6% |
| 2026 Q1 | 655 | 51.6M | $9.2B | 86.5% |
| 2025 Q4 | 691 | 51.0M | $11.0B | 85.5% |
| 2025 Q3 | 633 | 52.2M | $10.6B | 87.5% |
| 2025 Q2 | 625 | 53.5M | $9.6B | 89.7% |
| 2025 Q1 | 618 | 54.8M | $10.2B | 91.8% |
| 2024 Q4 | 604 | 54.0M | $9.6B | 90.5% |
| 2024 Q3 | 620 | 53.4M | $12.1B | 89.5% |
| 2024 Q2 | 532 | 54.4M | $9.8B | 91.1% |
| 2024 Q1 | 498 | 55.8M | $9.9B | 93.6% |
| 2023 Q4 | 463 | 57.9M | $8.7B | 97.1% |
| 2023 Q3 | 441 | 57.9M | $7.1B | 97.1% |
| Insider | Role | Date | Type | Shares | Value | Post-Txn Owned |
|---|---|---|---|---|---|---|
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 9,418 | — | 0 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 13,963 | — | 1,810,129 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 9,418 | — | 1,819,547 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 9,418 | — | 1,828,965 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 14,163 | — | 10,132 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 14,163 | — | 1,843,128 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 14,163 | — | 1,857,291 |
| Miller Alan B | director, 10 percent owner, Executive Chairman | 2026-05-27 | J-Other | 14,163 | — | 1,871,454 |
| 6-mo decomposition (Form 4) | Txns | Shares | Value | Signal weight |
|---|---|---|---|---|
| S — Open-market sales | 2 | 674 | $0.1M | Counted |
| M — Exercises (paired A/D) | 8 | 320,124 | $46.7M | None — mechanics |
| F — Tax withholding | 21 | 343,931 | $65.5M | None — compensation |
| P — Open-market purchases | 0 | 0 | $0 | Counted — none occurred |
| Filed | Filer | Shares registered | Est. proceeds |
|---|---|---|---|
| 2026-03-13 | Elliot Sussman | 356 | $0.1M |
| 2026-03-11 | Elliot Sussman | 318 | $0.1M |
| 2025-11-12 | Warren Nimetz | 3,817 | $0.9M |
| 2025-10-29 | Elliot Sussman | 965 | $0.2M |
| Trailing 12 mo | 4 filings | 5,456 | $1M |
| Filed | Form | Reporting person | % of class | Shares |
|---|---|---|---|---|
| 2026-10-08 | SCHEDULE 13G | Dimensional Fund Advisors LP | 5.20% | 2.7M sh |
| 2026-08-06 | SCHEDULE 13G/A | FIRST EAGLE GLOBAL FUND | 5.80% | 3.1M sh |
| 2026-04-30 | SCHEDULE 13G | Vanguard Capital Management | 7.28% | 3.9M sh |
| 2026-03-27 | SCHEDULE 13G/A | The Vanguard Group | — | exit/reporting change |
| Member | Chamber | Trade | Size band | Traded | Disclosed |
|---|---|---|---|---|---|
| Julia Letlow | House | BUY | $1,001 - $15,000 | 2025-10-23 | 2026-01-13 |
| Julia Letlow | House | BUY | $1,001 - $15,000 | 2025-10-22 | 2026-01-13 |
| Ro Khanna | House | SELL | $1,001 - $15,000 | 2023-03-24 | 2023-04-07 |
| Alan Armstrong | Senate | BUY | $1,001 - $15,000 | 2026-03-27 | 2026-07-20 |
| Manager | Shares | Value |
|---|---|---|
| Assenagon Asset Management S.A. | 111,866 | $19M |
| First Citizens Bank & Trust Co | 50,096 | $9M |
| Wedge Capital Management L L P/Nc | 50,043 | $9M |
| Wealth Enhancement Advisory Servic | 45,964 | $7M |
| Ellsworth Advisors, Llc | 40,364 | $7M |
| Ghp Investment Advisors, Inc. | 33,324 | $6M |
| Fund | Weight | Position |
|---|---|---|
| VITSX | 0.0% | $271M |
| VTSAX | 0.0% | $271M |
| VSMPX | 0.0% | $271M |
| VTI | 0.0% | $271M |
| VFINX | 0.0% | $236M |
| VOO | 0.0% | $236M |
| ATS Venue (4-wk) | Shares | Avg trade |
|---|---|---|
| Ubsa Ubs Ats | 0.7M | 29 sh |
| Incr Intelligent Cross Llc | 0.7M | 28 sh |
| Sgmt Sigma X2 | 0.5M | 24 sh |
| Mstx Ms Trajectory Cross (Ats-1) | 0.4M | 18 sh |
| Mspl Ms Pool (Ats-4) | 0.3M | 127 sh |
| Ebxl Level Ats | 0.3M | 16 sh |
Moat score 66/100 — Narrow; primary source Intangible Assets.
| Officer | Title |
|---|---|
| Marc D. Miller | Chief Executive Officer, President & Director |
| Alan Miller | Founder & Executive Chairman of the Board |
| Steve G. Filton | Executive Vice President, Chief Financial Officer & Secretary |
| Edward H. Sim | Executive Vice President & President of Acute Care Division |
| Period | EPS est. | EPS actual | EPS surprise | Rev est. ($M) | Rev actual ($M) | Rev surprise |
|---|
| YoY growth | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| Revenue | +9.4% | +6.0% | +6.6% | +10.8% | +9.7% |
| Gross profit | +9.2% | +6.3% | +6.9% | +11.7% | +10.3% |
| Operating income | +0.3% | -26.4% | +17.1% | +43.1% | +18.6% |
| Net income | +5.0% | -31.9% | +6.2% | +59.1% | +30.4% |
| $B · FY ends | FY21 | FY22 | FY23 | FY24 | FY25 | Trend |
|---|---|---|---|---|---|---|
| Revenue | 12.6 | 13.4 | 14.3 | 15.8 | 17.4 | |
| Cost of revenue | 1.4 | 1.5 | 1.5 | 1.6 | 1.7 | |
| Gross profit | 11.2 | 11.9 | 12.7 | 14.2 | 15.7 | |
| R&D expense | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| SG&A expense | 6.3 | 6.9 | 7.2 | 7.7 | 8.2 | |
| Operating income | 1.4 | 1.0 | 1.2 | 1.7 | 2.0 | |
| EBITDA | 1.9 | 1.6 | 1.7 | 2.3 | 2.7 | |
| D&A | 0.5 | 0.6 | 0.6 | 0.6 | 0.6 | |
| Pretax income | 1.3 | 0.9 | 0.9 | 1.5 | 2.0 | |
| Income tax | 0.3 | 0.2 | 0.2 | 0.3 | 0.5 | |
| Net income | 1.0 | 0.7 | 0.7 | 1.1 | 1.5 | |
| Diluted EPS ($) | 11.82 | 9.14 | 10.23 | 16.82 | 23.10 | |
| Diluted shares (M) | 84 | 74 | 70 | 68 | 64 |
| $B | FY22 | FY23 | FY24 | FY25 | |
|---|---|---|---|---|---|
| Cash & equivalents | 0.1 | 0.1 | 0.1 | 0.1 | |
| ST investments | 0.0 | 0.0 | 0.0 | 0.0 | |
| Receivables (net) | 2.0 | 2.2 | 2.2 | 2.6 | |
| Total current assets | 2.5 | 2.8 | 2.8 | 3.4 | |
| PP&E (net) | 6.4 | 6.6 | 7.0 | 7.4 | |
| Goodwill + intangibles | 3.9 | 3.9 | 4.0 | 4.1 | |
| Total assets | 13.5 | 14.0 | 14.5 | 16.0 | |
| Accounts payable | 0.6 | 0.6 | 0.6 | 0.8 | |
| Short-term debt | 0.1 | 0.1 | 0.0 | 0.8 | |
| Deferred revenue | 0.0 | 0.0 | 0.0 | 0.0 | |
| Total current liabilities | 1.9 | 2.0 | 2.2 | 3.2 | |
| Long-term debt | 4.7 | 4.8 | 4.5 | 4.3 | |
| Total liabilities | 7.5 | 7.8 | 7.7 | 8.5 | |
| Shareholders' equity | 6.0 | 6.2 | 6.8 | 7.4 |
| $B | FY22 | FY23 | FY24 | FY25 | |
|---|---|---|---|---|---|
| Net income | 0.7 | 0.7 | 1.2 | 1.5 | |
| D&A | 0.6 | 0.6 | 0.6 | 0.6 | |
| Stock-based compensation | 0.1 | 0.1 | 0.1 | 0.1 | |
| Working capital change | (0.2) | 0.0 | 0.4 | (0.3) | |
| Operating cash flow | 1.0 | 1.3 | 2.1 | 1.9 | |
| Capital expenditures | (0.7) | (0.7) | (0.9) | (1.0) | |
| Investing cash flow | (0.6) | (0.8) | (0.9) | (1.1) | |
| Buybacks | (0.8) | (0.5) | (0.7) | (1.0) | |
| Dividends paid | (0.1) | (0.1) | (0.1) | (0.1) | |
| Debt issuance / (repay) | 0.6 | 0.1 | (0.4) | 0.2 | |
| Financing cash flow | (0.3) | (0.5) | (1.1) | (0.7) | |
| Free cash flow | 0.3 | 0.5 | 1.1 | 0.8 |
| Ratio | FY21 | FY22 | FY23 | FY24 | FY25 | TTM | Trend |
|---|---|---|---|---|---|---|---|
| PROFITABILITY | |||||||
| ROE | 16.0% | 11.2% | 11.9% | 17.8% | 21.4% | 21% | |
| ROA | 7.4% | 5.1% | 5.2% | 8.0% | 9.8% | 9.6% | |
| ROIC | 9.9% | 6.9% | 7.9% | 11.4% | 12.1% | 11.7% | |
| Gross margin | 88.7% | 89.0% | 89.3% | 90.0% | 90.4% | 90.7% | |
| Operating margin | 10.8% | 7.5% | 8.2% | 10.6% | 11.5% | 11.4% | |
| Net margin | 7.8% | 5.0% | 5.0% | 7.2% | 8.6% | 8.4% | |
| EBITDA margin | 15.1% | 11.8% | 12.0% | 14.3% | 15.8% | 15.6% | |
| FCF margin | 0.2% | 2.0% | 3.7% | 7.1% | 4.8% | — | |
| VALUATION | |||||||
| P/E | 10.23 | 14.77 | 14.44 | 10.49 | 9.44 | 7.5 | |
| P/B | 1.66 | 1.68 | 1.69 | 1.80 | 1.93 | 1.5 | |
| P/S | 0.80 | 0.74 | 0.73 | 0.76 | 0.81 | 0.60 | |
| P/FCF | 361.00 | 38.06 | 19.75 | 10.67 | 16.92 | 13.2 | |
| EV/EBITDA | 7.64 | 9.64 | 9.13 | 7.42 | 7.08 | 5.7 | |
| EV/Revenue | 1.15 | 1.13 | 1.09 | 1.06 | 1.12 | 0.9 | |
| Earnings yield | 9.8% | 6.8% | 6.9% | 9.5% | 10.6% | 13.82% | |
| FCF yield | 0.3% | 2.6% | 5.1% | 9.4% | 5.9% | 7.58% | |
| Ratio | FY21 | FY22 | FY23 | FY24 | FY25 | TTM | Trend |
|---|---|---|---|---|---|---|---|
| LEVERAGE & SOLVENCY | |||||||
| Current ratio | 1.14 | 1.33 | 1.40 | 1.27 | 1.05 | 1.12 | |
| Quick ratio | 1.04 | 1.21 | 1.29 | 1.17 | 0.98 | 1.04 | |
| Debt / equity | 0.75 | 0.89 | 0.87 | 0.74 | 0.76 | 0.70 | |
| Debt / assets | 34.8% | 39.1% | 38.4% | 34.2% | 34.5% | 33.0% | |
| Net debt / EBITDA | 2.33 | 3.29 | 3.07 | 2.13 | 1.96 | 1.82 | |
| Interest coverage | 16.71 | 7.79 | 5.52 | 8.96 | 13.63 | — | |
| Ratio | FY21 | FY22 | FY23 | FY24 | FY25 | TTM | Trend |
|---|---|---|---|---|---|---|---|
| EFFICIENCY | |||||||
| Asset turnover | 0.95 | 1.01 | 1.04 | 1.11 | 1.14 | 1.14 | |
| Receivables turnover | 7.27 | 7.12 | 6.71 | 7.17 | 7.27 | 6.5 | |
| DSO (days) | 50 | 51 | 54 | 51 | 50 | 56 | |
| DPO (days) | 157 | 160 | 149 | 143 | 152 | 530 | |
| Cash conversion cycle | -56 | -56 | -43 | -42 | -52 | -423 | |
| GROWTH (YoY) | |||||||
| Revenue growth | 9.4% | 6.0% | 6.6% | 10.8% | 9.7% | — | |
| Net income growth | 5.2% | -31.8% | 6.3% | 59.1% | 30.4% | — | |
| EPS growth | 13.0% | -24.3% | 11.4% | 62.6% | 35.6% | — | |
| FCF growth | -98.3% | 834.6% | 100.3% | 114.1% | -26.1% | — | |
| PER SHARE ($) | |||||||
| EPS (diluted, TTM) | 12.42 | 9.40 | 10.47 | 17.03 | 23.10 | 25.59 | |
| Book value / share | 76.43 | 82.47 | 89.70 | 99.39 | 112.87 | 128.35 | |
| Revenue / share | 158.67 | 186.64 | 208.34 | 235.98 | 269.38 | 303.72 | |
| FCF / share | 0.35 | 3.65 | 7.65 | 16.75 | 12.88 | 13.86 | |
| Cash / share | 1.45 | 1.43 | 1.74 | 1.88 | 2.14 | 2.33 | |
| SHAREHOLDER RETURN & SCORES | |||||||
| Buyback yield | 12.1% | 8.4% | 5.3% | 5.6% | 6.9% | 12.05% | |
| Altman Z-Score | 2.87 | 2.70 | 2.84 | 3.17 | 3.23 | 3.1 | |
| Piotroski F-Score | 5 | 7 | 9 | 8 | 7 | 8/9 | |
| Beneish M-Score | -2.43 | -2.46 | -2.57 | -2.79 | -2.39 | -2.37 | |
| Model | Score | Zone | Note |
|---|---|---|---|
| Piotroski F-Score | 8 / 9 | Strong | |
| Altman Z-Score | 3.1 | Safe (>2.99) | Safe |
| Income quality | 1.18 | Cash-backed | OCF ÷ net income |
| Beneish M-Score | -2.37 | Non-manipulator | vs −2.22 threshold |
| DuPont Decomposition (TTM) | Value |
|---|---|
| Tax burden | 0.75 |
| Interest burden | 0.93 |
| Operating margin | 12.0% |
| Asset turnover | 1.17× |
| Financial leverage | 2.13× |
| = ROE | 21% |
| Growth Quality (live) | Value |
|---|---|
| Revenue stability | 0.97 |
| Earnings stability | 0.45 |
| Earnings persistence | 0.92 |
| Revenue CAGR 3y | 9.5% |
| EPS CAGR 3y | 37.6% |
| FCF CAGR 3y | 17.5% |
| Company | Mkt cap | P/E | ROE | Net margin | Rev growth | Piotroski | 1-yr ret |
|---|---|---|---|---|---|---|---|
| ENSG | $10.3B | 26.9 | 17% | 6.9% | +18.9% | 7/9 | -1.6% |
| DVA | $12.0B | 16.1 | -149% | 7.5% | +6.4% | 8/9 | +49.5% |
| EHC | $12.6B | 20.6 | 25% | 9.6% | +9.5% | 9/9 | +4.0% |
| PACS | $7.4B | 27.6 | 28% | 5.3% | +15.2% | 8/9 | +276.9% |
| CHE | $6.7B | 25.7 | 27% | 10.1% | +3.3% | 6/9 | — |
| HIMS | $6.3B | -46.0 | -32% | -11.5% | +28.0% | 4/9 | — |
| THC | $21.5B | 10.2 | 53% | 14.7% | +5.4% | 7/9 | — |
| CON | $4.9B | 24.9 | 48% | 10.8% | +14.0% | 9/9 | — |
| Consensus estimates | Revenue mean | High / Low | EPS mean | High / Low | # EPS est. |
|---|---|---|---|---|---|
| FY2026 | $18.60B | $18.88B / $18.47B | $22.56 | $23.18 / $22.10 | 12 |
| FY2027 | $19.48B | $19.97B / $19.19B | $23.93 | $25.81 / $22.11 | 12 |
| FY2028 | $20.37B | $21.06B / $19.35B | $26.22 | $28.00 / $24.03 | 9 |
| Window | Avg Target | vs. Price | # Targets |
|---|---|---|---|
| Last Quarter | $196.50 | +6.2% | 8 |
| Last Year | $223.10 | +20.5% | 29 |
| All Time | $200.20 | +8.2% | 61 |
| Moving Average | Value | Distance | % Distance | Signal |
|---|---|---|---|---|
| SMA 20 | $178.33 | +6.77 | +3.80% | Above |
| SMA 50 | $175.32 | +9.78 | +5.58% | Above |
| SMA 200 | $178.44 | +6.66 | +3.73% | Above |
| EMA 9 | $181.53 | +3.57 | +1.97% | Above |
| EMA 21 | $178.77 | +6.33 | +3.54% | Above |
| EMA 50 | $174.55 | +10.55 | +6.04% | Above |
| EMA 200 | $176.68 | +8.42 | +4.77% | Above |
| Level | Value | Level | Value |
|---|---|---|---|
| Pivot / R1 / R2 | $188.39 / $189.52 / $191.68 | S1 / S2 | $186.23 / $185.10 |
| Bollinger (20,2) | $170.83 – $185.82 | Squeeze | Off |
| 52-wk range | $140.08 – $246.13 | Off 52-wk high | -24.8% |
| ATR (14) | $4.82 (2.6%) | Historical vol | 22.7% |
| Computed from live weekly prices | UHS | S&P 500 |
|---|---|---|
| Weekly volatility (σ, 1y) | 4.65% | 1.83% |
| Best / worst week (1y) | +12.6% / -11.2% | — |
| Max drawdown (5y, monthly) | -49.6% | — |
| 1-week VaR (95%) | -8.7% | — |
| Beta (5y) | 1.06 | 1.00 |
| Reading | UHS | Medical - Care Facilities n=442 | Healthcare n=5,272 | All US symbols n=70,435 |
|---|---|---|---|---|
| Overall | +14.9 | -23.2 | -24.0 | -20.5 |
| Trend | +43.9 | -26.0 | -25.6 | -21.3 |
| Momentum | +45.3 | -20.1 | -28.5 | -15.8 |
| Volume | +12.1 | -25.0 | -25.0 | -3.8 |
| Executive | Total comp | Structure |
|---|---|---|
| Marc D. Miller, Chief Executive Officer and | $16.1M | 89% equity+incentive |
| Alan B. Miller, Executive Chairman | $8.1M | 63% equity+incentive |
| Steve G. Filton, Executive Vice President an | $5.1M | 81% equity+incentive |
| Edward H. Sim, Executive Vice President and | $4.8M | 82% equity+incentive |
| Matthew J. Peterson, Executive Vice Presiden | $4.2M | 81% equity+incentive |
| Pillar (live disclosure scores) | Score |
|---|---|
| Environmental | 53 |
| Social | 53 |
| Governance | 60 |
| Composite ESG | 55 |
| Filed | 8-K contents | Items |
|---|---|---|
| 2026-08-21 | Material Agreement; Financial Obligation; Exhibits | 1.01,2.03,9.01 |
| 2026-08-17 | Financial Obligation; Other Events; Exhibits | 2.03,8.01,9.01 |
| 2026-08-13 | Material Agreement; Exhibits | 1.01,9.01 |
| 2026-07-28 | Earnings Release; Exhibits | 2.02,9.01 |
| 2026-07-21 | Material Agreement; Financial Obligation; Exhibits | 1.01,2.03,9.01 |
| 2026-05-22 | Shareholder Vote | 5.07 |
| 2026-05-21 | Officer/Director Change | 5.02 |
| 2026-04-28 | Earnings Release; Exhibits | 2.02,9.01 |
Methodology. Every figure originates in InsiderStreet's production data layer and is computed deterministically by the same engines that power insiderstreet.ai. This factsheet contains no model-written text. Sections without underlying data are omitted rather than estimated.
| Data domain | Source | Coverage for this report |
|---|---|---|
| Price & volume | market_db.historical_prices | 52 rows |
| Fundamentals | income_statements_annual | 6 rows · 2020 to 2025 |
| Reported vs consensus | fact/earnings_calendar | 24 rows · 2020-10-29 to 2026-07-27 |
| Analyst estimates | dim/forward_estimates | 3 rows · 2026-12-31 to 2028-12-31 |
| Institutional ownership (13F) | holdings_db.institutional_ownership_summary | 114 rows · 1998 to 2026 |
| Insider transactions (Form 4) | edgar/form4 | 12 rows · 2026-05-27 |
| Proposed sales (Form 144) | edgar/form144 | 1 record |
| Beneficial ownership (13D/G) | edgar/13dg | 4 rows · 2026-03-27 to 2026-10-08 |
| Short-sale volume (FINRA) | edgar/short_volume_daily | 60 rows · 2026-07-23 to 2026-10-15 |
| Dark pool (ATS, tier 1) | edgar/darkpool_weekly | 12 rows · 2026-06-15 to 2026-08-31 |
| ETF & fund holding | etf_holdings_changelog (30d) | 1 record |
| Peer set | stock_peers_dynamic | 8 rows |
| Industry medians | industry_medians | 1 record |
| Congressional trades | congress_db (House + Senate) | 1 record |
| ESG | fact/esg_disclosures | 1 record |
Method. Every figure in this factsheet is looked up from a named field computed in code. It contains no model-written text.
Not covered. Short interest as a percent of float and days-to-cover are not in this data set — the short-sale figures above are FINRA volume, a flow, and cannot support squeeze or covering analysis. Options positioning and intraday data are also absent. 13F ownership is filed 45 days after quarter end and congressional trades are disclosed on a lag, so both describe a past position, not a current one.