Astrana Health Inc (ASTH)vsThe Ensign Group Inc (ENSG)
ASTH
Astrana Health Inc
$24.48
+1.92%
HEALTHCARE · Cap: $1.36B
ENSG
The Ensign Group Inc
$203.89
+0.48%
HEALTHCARE · Cap: $11.85B
Smart Verdict
WallStSmart Research — data-driven comparison
The Ensign Group Inc generates 59% more annual revenue ($5.06B vs $3.18B). ASTH leads profitability with a 71.0% profit margin vs 6.8%. ENSG trades at a lower P/E of 35.0x. ENSG earns a higher WallStSmart Score of 57/100 (C).
ASTH
Hold46
out of 100
Grade: D+
ENSG
Buy57
out of 100
Grade: C
Intrinsic Value Comparison
Multi-model valuation · Graham Formula
Margin of Safety
-508.0%
Fair Value
$3.13
Current Price
$24.48
$21.35 premium
Margin of Safety
-0.3%
Fair Value
$211.28
Current Price
$203.89
$7.39 premium
Key Strengths & Concerns
Side-by-side fundamental analysis
Key Strengths
Keeps 71 of every $100 in revenue as profit
Revenue surging 42.9% year-over-year
Reasonable price relative to book value
Revenue surging 20.2% year-over-year
Areas to Watch
Smaller company, higher risk/reward
ROE of 4.5% — below average capital efficiency
Operating margin of 1.9%
Premium valuation, high expectations priced in
Expensive relative to growth rate
Premium valuation, high expectations priced in
6.8% margin — thin
Comparative Analysis Report
WallStSmart ResearchBull Case : ASTH
The strongest argument for ASTH centers on Profit Margin, Revenue Growth, Price/Book. Profitability is solid with margins at 71.0% and operating margin at 1.9%. Revenue growth of 42.9% demonstrates continued momentum.
Bull Case : ENSG
The strongest argument for ENSG centers on Revenue Growth. Revenue growth of 20.2% demonstrates continued momentum.
Bear Case : ASTH
The primary concerns for ASTH are Market Cap, Return on Equity, Operating Margin. A P/E of 53.2x leaves little room for execution misses.
Bear Case : ENSG
The primary concerns for ENSG are PEG Ratio, P/E Ratio, Profit Margin.
Key Dynamics to Monitor
ASTH carries more volatility with a beta of 0.90 — expect wider price swings.
ASTH is growing revenue faster at 42.9% — sustainability is the question.
ENSG generates stronger free cash flow (133M), providing more financial flexibility.
Monitor MEDICAL CARE FACILITIES industry trends, competitive dynamics, and regulatory changes.
Bottom Line
ENSG scores higher overall (57/100 vs 46/100) and 20.2% revenue growth. Both earn "Buy" and "Hold" ratings respectively — the choice depends on your investment horizon and risk tolerance.
This analysis is generated from publicly available financial data. Not financial advice.
Astrana Health Inc
HEALTHCARE · MEDICAL CARE FACILITIES · USA
Astrana Health, Inc., Inc., a physician-centric technology-powered healthcare management company, provides medical care services in the United States. The company is headquartered in Alhambra, California.
The Ensign Group Inc
HEALTHCARE · MEDICAL CARE FACILITIES · USA
The Ensign Group, Inc. provides health care services in the post-acute care continuum and other ancillary businesses. The company is headquartered in San Juan Capistrano, California.
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