Why is Medi Assist Ser. falling/rising?

As of 20-Jun, Medi Assist Healthcare Services Ltd is experiencing a decline in its stock price, currently at 470.00, which reflects a decrease of 8.9 points or 1.86%. The stock has been underperforming, having fallen consecutively for the last three days, resulting in a total decline of 5.22% during this period. Additionally, the stock has shown negative returns over various time frames, including a 1-week drop of 4.36% and a year-to-date decline of 18.97%. Despite having strong long-term fundamentals with an average Return on Equity (ROE) of 16.79% and high institutional holdings at 56.17%, the stock's valuation appears expensive with a Price to Book Value of 6.1. The recent financial performance has also been concerning, with a significant drop in profit after tax (PAT) by 9.1% compared to the previous four-quarter average.
In the broader market context, Medi Assist's performance has been notably weaker than the benchmark, with the Sensex gaining 1.59% over the past week while the stock has declined. This consistent underperformance against the benchmark over the last three years, coupled with a negative return of 19.65% in the past year, indicates a lack of investor confidence. The stock's liquidity remains adequate, but the combination of high interest expenses and low operating profit to interest ratio suggests financial strain, further contributing to the downward pressure on the stock price.