Astrana Health (ASTH) vs Ensign Group (ENSG)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 10, 2026.
Summary
Astrana Health (ASTH) has outperformed Ensign Group (ENSG) over the past year, gaining 23.4% versus a loss of 2.3%. Over five years, ENSG leads with a +135.9% price change compared with -47.5% for ASTH. Ensign Group is the larger company by market cap ($10.01 billion vs $1.86 billion), about 5.4 times the size, while Astrana Health is growing revenue faster (+56.4% vs +18.7%).
On valuation, Astrana Health trades at a lower forward P/E (10.3x vs 20.1x for Ensign Group). Ensign Group pays a dividend yielding 0.15%, while Astrana Health does not currently pay one. Ensign Group converts more of its revenue into profit, with a net margin of 6.8% versus 0.7%.
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | ASTH | ENSG |
|---|---|---|
| Share price | $37.55 | $171.80 |
| Market cap | $1.86B | $10.01B |
| 1-day change | +4.68% | +0.18% |
| YTD return | +51.35% | -1.38% |
| 1-year return | +23.44% | -2.35% |
| 5-year return | -47.48% | +135.86% |
| P/E ratio (TTM) | 45.24 | 26.93 |
| Forward P/E | 10.33 | 20.07 |
| EPS (TTM) | $0.83 | $6.38 |
| Dividend yield | 0.00% | 0.15% |
| Annual dividend | $0.00 | $0.258 |
| Revenue (latest FY) | $3.18B | $5.06B |
| Revenue growth (YoY) | +56.39% | +18.72% |
| Net income (latest FY) | $22.49M | $343.97M |
| Gross margin | 10.73% | 20.54% |
| Operating margin | 2.47% | 8.41% |
| Net margin | 0.71% | 6.80% |
| 52-week high | $51.60 | $218.00 |
| 52-week low | $18.08 | $141.58 |
| Distance from 52-week high | -27.23% | -21.19% |
| Analyst consensus | strong_buy | buy |
| Avg. price target upside | +37.60% | +28.06% |
| Average volume | 458.06K | 374.06K |
| Shares outstanding | 49.60M | 58.28M |
| Employees | 3,000 | 46,000 |
| Sector | Consumer Discretionary | Health Care |
| Industry | Professional Services | Hospital/Nursing Management |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- Ensign Group is about 5.4 times larger than Astrana Health by market value ($10.01B vs $1.86B).
- ASTH has outperformed ENSG by 25.8 percentage points over the past year.
- Astrana Health trades at a higher earnings multiple (45.2x vs 26.9x trailing P/E).
- Ensign Group is more profitable, keeping 6.8 cents of every revenue dollar as net income versus 0.7 cents for Astrana Health.
- Astrana Health grew revenue faster in its latest fiscal year (+56.39% vs +18.72%).
- The two companies sit in different sectors: Astrana Health in Consumer Discretionary and Ensign Group in Health Care.
About Astrana Health
ASTH stock →Astrana Health, Inc., a healthcare management company, provides medical care services in the United States. The company operates through three segments: Care Partners, Care Delivery, and Care Enablement.
Consumer Discretionary · Professional Services · 3,000 employees
About Ensign Group
ENSG stock →The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services.
Health Care · Hospital/Nursing Management · 46,000 employees
ASTH vs ENSG FAQ
Which is bigger, Astrana Health or Ensign Group?
Ensign Group (ENSG) is larger, with a market capitalization of $10.01B compared with $1.86B for Astrana Health (ASTH).
Which stock has performed better over the past year, ASTH or ENSG?
ASTH returned +23.44% over the past 12 months, compared with -2.35% for ENSG (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, ASTH or ENSG?
ENSG has the lower trailing P/E at 26.9, versus 45.2 for ASTH. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.
Which pays a higher dividend, Astrana Health or Ensign Group?
Ensign Group pays a dividend yielding 0.15%, while Astrana Health does not currently pay a regular dividend.
Are Astrana Health and Ensign Group in the same industry?
No. Astrana Health is in the Consumer Discretionary sector, while Ensign Group is in Health Care.