Astrana Health, Inc. (ASTH)

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. The company offers care coordination services to patients, families, primary care physicians, specialists, acute care hospitals, alternative sites of inpatient care, physician groups, and health plans. Its physician network includes primary care physicians, specialist physicians and extenders, and hospitalists. The company serves patients primarily covered by private or public insurance, such as Medicare, Medicaid, and health maintenance organization; and non-insured patients. The company was formerly known as Apollo Medical Holdings, Inc. and changed its name to Astrana Health, Inc. in February 2024. Astrana Health, Inc. was founded in 1992 and is headquartered in Alhambra, California.

Ticker
ASTH
Exchange
Nasdaq
Sector
Healthcare
Industry
Medical Care Facilities
Market cap
$1.70B
52-week range
$18.08 - $51.60

Valuation

Share price
$34.50 (close of Nov 6, 2026)
P/E (TTM)
31.94x
Price to book
1.96x
Price to free cash flow
17.08x
Enterprise value
$2.28B
Book value per share
$17.64

Price performance

PeriodChange
1 day-11.56%
5 days-5.56%
1 month-6.76%
3 months+1.08%
6 months-2.13%
Year to date+39.06%
1 year+3.42%
3 years+17.59%
5 years-59.88%
10 years+666.67%
All time+267.02%

Short interest

As of
Oct 15, 2026
Short % of float
11.56%
Shares short
3.01M
Days to cover
8.85
Change since prior report
-2.49%
Source
FINRA consolidated short interest

Profitability and growth

Return on equity
2.83%
Return on invested capital
3.37%
Return on assets
1.01%
Return on capital employed
4.90%
Gross margin
9.30%
Net margin
0.71%
EBITDA margin
3.91%
Revenue growth
56.39%
Net income growth
-47.89%
Free cash flow growth
136.58%

Cash flow and balance sheet

Free cash flow yield (TTM)
5.85%
Current ratio
1.25x
Net debt to EBITDA
2.81x

Latest reported year

Period end
Dec 31, 2025
Fiscal year
2025
Revenue
$3.18B
Cost of revenue
$2.89B
Gross profit
$295.78M
EBITDA
$124.27M
Net income
$22.49M
Earnings per share
$0.46
Interest expense
$49.93M
Shares outstanding
49.08M

Income statement by year

Period endRevenueGross profitNet incomeEPS
2025-12-31$3.18B$295.78M$22.49M$0.46
2024-12-31$2.03B$243.46M$43.15M$0.91
2023-12-31$1.39B$197.21M$60.72M$1.30
2022-12-31$1.14B$181.94M$45.17M$1.00
2021-12-31$773.91M$177.77M$68.92M$1.57
2020-12-31$687.18M$147.97M$37.69M$1.03
2019-12-31$560.62M$92.81M$14.12M$0.41
2018-12-31$519.91M$158.78M$10.84M$0.33
2017-12-31$356.36M$82.90M$25.80M$1.01
2017-03-31$57.43M$8.69M-$8.97M-$1.49

Margins and returns by year

Period endGross marginNet marginReturn on equityReturn on capital
2025-12-319.30%0.71%2.83%3.37%
2024-12-3111.97%2.12%6.02%4.92%
2023-12-3114.22%4.38%9.85%5.61%
2022-12-3115.90%3.95%8.30%8.19%
2021-12-3122.97%8.91%15.18%10.15%
2020-12-3121.53%5.48%11.44%6.82%
2019-12-3116.56%2.52%7.34%5.40%
2018-12-3130.54%2.08%5.97%33.79%
2017-12-3123.26%7.24%15.72%19.04%
2017-03-3115.14%-15.62%--103.14%

Cash and debt by year

Period endCashDebt
2025-12-31$429.47M$990.90M
2024-12-31$288.45M$425.30M
2023-12-31$293.81M$258.94M
2022-12-31$288.03M$203.39M
2021-12-31$233.10M$182.92M
2020-12-31$193.47M$230.21M
2019-12-31$103.19M$232.17M
2018-12-31$106.89M$5.00M
2017-12-31$99.75M-
2017-03-31$8.66M-

Free cash flow by year

Period endFree cash flowStock-based compensation
2025-12-31$104.49M$38.60M
2024-12-31$44.17M$34.54M
2023-12-31$39.70M$22.04M
2022-12-31$59.19M$16.10M
2021-12-31$51.11M$6.75M
2020-12-31$45.00M$3.38M
2019-12-31$12.63M$1.55M
2018-12-31$24.33M$1.44M
2017-12-31$49.75M$2.74M
2017-03-31-$8.44M$1.11M

Investor relations

Past earnings dates

ReportedFiscal periodEPS estimate
2026-11-05Sep 2026$0.44
2026-08-06Jun 2026$0.31
2026-05-07Mar 2026$0.29
2026-03-02Dec 2025$0.15
2025-11-06Sep 2025$0.47
2025-08-07Jun 2025$0.36
2025-05-08Mar 2025$0.23
2025-02-27Dec 2024$0.09

Filings and sources

Company website
astranahealth.com
SEC filings
10-K, 10-Q and 8-K on EDGAR
Earnings calendar
All upcoming reports

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Price-to-earnings ratio · Short interest · Discounted cash flow · Free cash flow · Earnings per share · Return on equity · Gross margin vs net margin · Reading a balance sheet · Debt and leverage · Dividend yield · Insider transactions and Form 4 · How to read a stock chart

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