Astrana Health Inc (ASTH)vsThe Ensign Group Inc (ENSG)
ASTH
Astrana Health Inc
$24.48
+1.92%
HEALTHCARE · Cap: $1.35B
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). ENSG leads profitability with a 6.8% profit margin vs 0.7%. 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
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
0.7% margin — thin
Operating margin of 1.8%
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 Revenue Growth, Price/Book. 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, Profit Margin. A P/E of 52.7x leaves little room for execution misses. Thin 0.7% margins leave little buffer for downturns.
Bear Case : ENSG
The primary concerns for ENSG are PEG Ratio, P/E Ratio, Profit Margin.
Key Dynamics to Monitor
ASTH profiles as a hypergrowth stock while ENSG is a growth play — different risk/reward profiles.
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.
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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