Astrana Health, Inc. (ASTH) vs Guardian Pharmacy Services, Inc. (GRDN)

Astrana Health, Inc. and Guardian Pharmacy Services, Inc. are both Medical Care Facilities companies. Guardian Pharmacy Services, Inc. is the larger, with a market value of $2.5B against $1.9B — 1.3× the size. Guardian Pharmacy Services, Inc. trades at the lower P/E: 37.8× against 46.8×. Astrana Health, Inc. grew revenue faster over the last twelve months: 58.9% against 4.85%. Guardian Pharmacy Services, Inc. has the higher net margin (5.13% vs 1.05%) and the higher return on invested capital (36.8% vs 4.56%). Across the 20 metrics below, Guardian Pharmacy Services, Inc. leads on 13 and Astrana Health, Inc. on 7.

Valuation

Metric ASTH GRDN Medical Care Facilities median
P/E 46.81 37.83 17.41
P/S 0.50 1.73 0.98
P/B 2.27 8.99 3.12
Price to free cash flow 20.22 26.48 16.05
EV/EBITDA 14.54 20.70 11.86
EV/Sales 0.64 1.67 1.37
Earnings yield 2.14% 2.64% 3.53%
Free cash flow yield 4.95% 3.78% 5.41%

Profitability

Metric ASTH GRDN Medical Care Facilities median
Gross margin 10.46% 22.45% 30.78%
Operating margin 2.61% 6.46% 5.97%
Net margin 1.05% 5.13% 3.05%
Free cash flow margin 2.46% 7.83% 6.97%
Return on equity 5.03% 31.47% 5.03%
Return on assets 2.18% 16.96% 2.78%
Return on invested capital 4.56% 36.76% 5.47%

Growth

Metric ASTH GRDN Medical Care Facilities median
Revenue growth (TTM) 58.91% 4.85% 6.38%
EPS growth (last fiscal year) (48.89%) 144.07% 21.70%
Revenue growth, 5-year CAGR 35.87% — 9.94%
Net income growth, 5-year CAGR (9.81%) — 0.00%

Health

Metric ASTH GRDN Medical Care Facilities median
Debt to equity 1.11 0.00 0.37
Current ratio 1.23 1.65 1.37
Net debt to EBITDA 4.75 (0.69) 1.32

Dividend

Metric ASTH GRDN Medical Care Facilities median
Dividend yield — — 0.57%
Payout ratio — — 0.12

Size

Metric ASTH GRDN Medical Care Facilities median
Market cap 1.94b 2.53b 1.62b

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