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Astrana Health, Inc. (ASTH)

NASDAQ / Healthcare / Medical - Care Facilities

Share price

38.03 USD Market dataClose of Oct 15, 2026

Market capitalisation

1.89B USD Market dataClose of Oct 15, 2026
Market data
Oct 15, 2026
Filed accounts
FY2025, filed Mar 12, 2026
Ratios computed
Oct 15, 2026
Filed years
14, FY2011 to FY2025
Four kinds of sourceSEC filingCompany statementMarket dataComputedWhat each means
SEC filingFiled with the SEC
Read from a statement the company filed with the SEC, with the form, fiscal year, filing date and accession beside it.
Company statementCompany statement
What the company says about itself in a filing: an 8-K item, the auditor, its own segment names.
Market dataMarket data
Prices, market value and what analysts publish, with the date they are as of.
ComputedComputed by ValueScreener
Worked out by us from the other three, with the inputs and the formula one press away. A score is a research output, not a rating or a recommendation.
Reading

1 of 10

Overview

What the business is, what it costs, and how it reads on four questions.

Market dataSEC filingComputed

Four questions, at a glance

Quality

Return on invested capital, after tax

3.3% Computed

From the FY2025 filing

Read quality

Valuation

Price to earnings

82.67x Computed

FY2025 accounts, priced at the latest close

Read valuation

Cash generation

Free cash flow yield

5.6% Computed

FY2025 accounts, priced at the latest close

Read cash generation

Revenue and net income, as filed

FY2016 Revenue: 305.9M USDFY2016 Net income: 11.5M USDFY2017 Revenue: 356.4M USDFY2017 Net income: 25.8M USDFY2018 Revenue: 519.9M USDFY2018 Net income: 10.8M USDFY2019 Revenue: 560.6M USDFY2019 Net income: 14.1M USDFY2020 Revenue: 687.2M USDFY2020 Net income: 37.7M USDFY2021 Revenue: 773.9M USDFY2021 Net income: 68.9M USDFY2022 Revenue: 1.14B USDFY2022 Net income: 45.2M USDFY2023 Revenue: 1.39B USDFY2023 Net income: 60.7M USDFY2024 Revenue: 2.03B USDFY2024 Net income: 43.1M USDFY2025 Revenue: 3.18B USDFY2025 Net income: 22.5M USD
Revenue Net income10 filed fiscal years, from the annual reports; the table in Filings names each document.
Named tests met
1 of 30 Which tests
The business, and the score behind its five axes

The reading, in brief

Is it cheap

Price to earnings is 82.67x at the close of 2026-10-15 on FY2025 figures; the lines are 15.00x (Graham's defensive ceiling) and, by market convention, 10.00x, 25.00x and 40.00x, and this sits above the highest.

Today, against the Healthcare sector (223 companies), 82.67x sits at the 89th percentile; the middle half of that group runs from 13.52x to 42.98x.

Is it good

Return on invested capital was 3.3% in FY2025, in the band labelled "Likely below the cost of capital" (below 8.0%), on lines anchored on Damodaran's cost-of-capital data, suggesting returns below the usual cost of the capital employed.

Today, against the Healthcare sector (233 companies), 3.3% sits at the 49th percentile; the middle half of that group runs from -37.4% to 12.8%.

Is it safe

Interest coverage was 1.57x in FY2025, in the band labelled "Speculative grade" (1.50x to 3.00x), on lines anchored on Damodaran's interest-coverage table.

Year by year against peers
Whether Astrana Health, Inc.'s return on invested capital stayed above the median of the Healthcare sector, year by year. (FY2018 to FY2025, 8 fiscal years of Astrana Health, Inc. with a comparable figure)
The direction
Which way Astrana Health, Inc.'s return on equity has moved, and how steadily. (FY2016 to FY2025, 10 filed years of Astrana Health, Inc.)
What could explain it
What in Astrana Health, Inc.'s filed statements could explain the movements. (7 readings drawn from the statement lines Astrana Health, Inc. filed)
What to check next
What to check next on Astrana Health, Inc., and where in its filings. (6 questions for Astrana Health, Inc.)
In one paragraph
One paragraph on Astrana Health, Inc.'s returns, cash, balance sheet and price. (15 of sixteen figures read for Astrana Health, Inc.)

These are ASTH’s filed figures. The research desk says what they mean, against peers and its own years, with what to check next.

Research ASTHPart of Serious. New accounts start with 30 days of Professional, free, no card.

2 of 10

What changed

The newest filing, what it moved, and when the next one is due.

SEC filingCompany statement

The newest accounts on file are the FY2025 annual report: 10-K, filed Mar 12, 2026, accession 0001193125-26-103128.

3 of 10

Quality

The returns the business earns on its capital, and the margins behind them.

SEC filingComputed

Astrana Health, Inc: returns on capital and margins, each with its source
FigureValue, source and document
Return on invested capital, after tax3.3% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Return on equity2.9% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Return on capital employed, pre-tax4.9% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Return on assets1.0% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Gross margin
Why n/a

Our archived statements for this filer carry no gross profit line, so there is nothing to compute a gross margin from and trace back to source. That may be because the filer presents no cost of revenue, or because we have not captured the concept. We do not guess which.

n/a ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Operating margin2.5% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Net margin0.7% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
ASTH 0.7%
SGRY -2.4%ARDT 2.1%PNTG 3.1%AGL -6.6%AMN -3.5%
-6.6%3.1%
Net margin: ASTH against the 5 companies named under Valuation context, each as filed for its own latest year. Placement only: no average is drawn.

4 of 10

Financial strength

What it owes against what it owns, and whether it can meet what falls due.

SEC filingComputedCompany statement

Astrana Health, Inc: leverage, liquidity and distress, each with its source
FigureValue, source and document
Debt to equity1.38 ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Current ratio1.40 ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Quick ratio1.40 ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Interest coverage1.57x ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Altman Z-score2.56 ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Net debt648.7M ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Total assets 2.22BTotal liabilities 1.66BShareholders' equity 779.3MOwnsOwes, and equity
Total assets Total liabilities Shareholders’ equity
The balance sheet, line by line

Financial health

What Astrana Health, Inc owned and owed at the end of fiscal 2025, from the balance sheet it filed (10-K, filed Mar 12, 2026, 0001193125-26-103128).

Astrana Health, Inc: balance sheet position
Total assets2.22B FiledFY2025 10-K, filed Mar 12, 2026
Total liabilities1.66B FiledFY2025 10-K, filed Mar 12, 2026
Shareholders' equity779.3M FiledFY2025 10-K, filed Mar 12, 2026
Cash429.5M FiledFY2025 10-K, filed Mar 12, 2026
Total debt1.08B FiledFY2025 10-K, filed Mar 12, 2026
Net debt648.7M
Current ratio1.40
Debt to equity1.38

Read from the filed balance sheet for each year, with the income statement of the same year supplying operating profit where a ratio needs it. Nothing here is a view on whether this company is sound.

5 of 10

Valuation context

What the market charges for it, against its own record and companies like it.

Market dataSEC filingComputed

Astrana Health, Inc: what the market charges, each with its source
FigureValue, source and document
Price to earnings82.67x ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
P/E on trailing twelve months39.86x ComputedClose of Oct 15, 2026 · Trailing four quarters, each as known on the day; the quarterly filings are listed under Filings
Price to book2.41x ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Price to sales0.59x ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Enterprise value to EBIT32.17x ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Enterprise value to EBITDA20.33x ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Price to earnings over growth
Why n/a

We do not hold this figure for this company, so there is nothing to show.

n/a ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Diluted earnings per share0.46 USD FiledFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Graham number12.78 USD ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128

We publish no fair value or price target of our own. Value ASTH on your own assumptions in the DCF workbench, starting from the filed figures.

Its own record, and companies like it

Valuation

What the market charges for Astrana Health, Inc today, and the multiples it has carried. No value of ours: the figures are the filings’ and the market’s.

Astrana Health, Inc: valuation
Share price38.03 USD
Market capitalisation1.89B USD
Enterprise value to EBITDA20.33x
Graham number12.78 USD
Diluted earnings per share, FY20250.46 USD

Price to earnings on trailing twelve months, a different basis from the fiscal-year P/E above, since Oct 3, 2016: low 5.67x, median 33.56x, high 1202.67x, latest 39.86x. 2,146 trading days with a meaningful ratio, 375 more on a loss and left out. Each close over the trailing twelve months of earnings as known that day: a quarter counts from the day it was filed.

Companies like Astrana Health, Inc

  1. Surgery Partners, Inc. (SGRY)Market cap 1.93B USD
  2. Ardent Health Partners, LLC (ARDT)Market cap 1.72B USD
  3. The Pennant Group, Inc. (PNTG)Market cap 1.48B USD
  4. Agilon Health, Inc. (AGL)Market cap 1.49B USD
  5. AMN Healthcare Services, Inc. (AMN)Market cap 1.55B USD

Same industry (Medical - Care Facilities) and size band (Small, 300M to 2B), nearest in market value, net margin and current ratio. Each of those counts equally, by how many of the companies considered sit between the two on it. Closest first: the order is likeness and nothing else.

6 of 10

Cash generation

Whether profit arrives as cash, and what is paid back to shareholders.

SEC filingComputed

Astrana Health, Inc: cash generation and what is paid out, each with its source
FigureValue, source and document
Free cash flow yield5.6% ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Free cash flow104.5M USD ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Free cash flow margin3.3% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Dividend yield
Why n/a

The latest year paid at least 1.5 times the year before, which reads as a special distribution rather than a run rate.

n/a ComputedClose of Oct 15, 2026 · FY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Payout ratio35.1% ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
FY2016 Free cash flow: 18.6M USDFY2016 Net income: 11.5M USDFY2017 Free cash flow: 49.7M USDFY2017 Net income: 25.8M USDFY2018 Free cash flow: 24.3M USDFY2018 Net income: 10.8M USDFY2019 Free cash flow: 12.6M USDFY2019 Net income: 14.1M USDFY2020 Free cash flow: 45.0M USDFY2020 Net income: 37.7M USDFY2021 Free cash flow: 51.1M USDFY2021 Net income: 68.9M USDFY2022 Free cash flow: 59.2M USDFY2022 Net income: 45.2M USDFY2023 Free cash flow: 39.7M USDFY2023 Net income: 60.7M USDFY2024 Free cash flow: 44.2M USDFY2024 Net income: 43.1M USDFY2025 Free cash flow: 104.5M USDFY2025 Net income: 22.5M USD
Free cash flow Net incomeProfit that arrives as cash stands level with net income; a gap year after year is worth reading about.

7 of 10

Filings

Every figure, the year it is for and the document it was read from.

SEC filingMarket data

The filed figures

Computed from the accounts this company filed with the SEC and, in a ratio with a price in it, the last close, dated on this page. Every filed figure below carries the fiscal year and the filing date its accounts were read from, and every blank carries the reason it is blank. Nothing here is a view on this company.

Astrana Health, Inc.: the eight ratios, with the fiscal year and filing date behind each.
FigureValueYearAs of
82.67xFY2025Oct 15, 2026
2.41xFY2025Oct 15, 2026
32.17xFY2025Oct 15, 2026
5.6%FY2025Oct 15, 2026
3.3%FY2025Mar 12, 2026
n/aFY2025Oct 15, 2026
n/a The latest year paid at least 1.5 times the year before, which reads as a special distribution rather than a run rate.
1.38FY2025Mar 12, 2026
1.40FY2025Mar 12, 2026
0.59xFY2025Oct 15, 2026
n/aFY2025Oct 15, 2026
n/a This figure compares a year against the one before it, and we hold one filed year for this company.
2.56FY2025Oct 15, 2026
-2.50FY2025Mar 12, 2026
3/9FY2025Mar 12, 2026

The figures are computed from the accounts for fiscal 2025, the newest full year on file. 14 filed fiscal years on record, FY2011 to FY2025, from SEC EDGAR. Prices as of Oct 15, 2026. Ratios recomputed Oct 15, 2026. Two facts, because a recompute is not a fresh quote.

The year and the filing date name the statement each figure’s accounts are read from, and they stand even where the figure itself could not be computed: the line beneath a blank says what that statement did not carry. A figure’s name opens its formula and the filings behind it; a statement that names no SEC filing has no filing date, and reads n/a.

Ten years of filed figures, year by year

Ten years of filed figures

10 filed fiscal years, FY2016 to FY2025, read from the annual reports Astrana Health, Inc filed with the SEC. Each year names its filing. Amounts in USD, as filed.

Astrana Health, Inc: revenue, earnings, free cash flow and returns, by fiscal year, with the filing each year was read from
YearRevenueOperating incomeNet incomeEPS, dilutedFree cash flowOperating marginReturn on equityFiling
FY20253.18B78.5M22.5M0.46104.5M2.5%2.9%10-K, Mar 12, 20260001193125-26-103128
FY20242.03B89.3M43.1M0.9044.2M4.4%6.0%10-K, Mar 14, 20250000950170-25-039122
FY20231.39B84.6M60.7M1.2939.7M6.1%9.9%10-K, Feb 29, 20240001628280-24-008024
FY20221.14B104.3M45.2M0.9959.2M9.1%8.3%10-K, Mar 1, 20230001628280-23-005871
FY2021773.9M98.2M68.9M1.5251.1M12.7%15.4%10-K, Feb 28, 20220001628280-22-004291
FY2020687.2M80.5M37.7M1.0145.0M11.7%11.4%10-K, Mar 15, 20210001628280-21-004679
FY2019560.6M32.4M14.1M0.3912.6M5.8%7.4%10-K, Mar 16, 20200001628280-20-003626
FY2018519.9M88.4M10.8M0.2924.3M17.0%6.0%10-K, Mar 18, 20190001144204-19-014671
FY2017356.4M35.1M25.8M0.9049.7M9.9%16.1%10-K, Apr 2, 20180001144204-18-018690
FY2016305.9M11.7M11.5M0.4118.6M3.8%13.1%10-K, Apr 2, 20180001144204-18-018690
  • Revenue, compound annual growth FY2016 to FY2025: 29.7%
  • Earnings, compound annual growth FY2016 to FY2025: 7.8%
  • Earnings per share, compound annual growth FY2016 to FY2025: 1.3%
  • Free cash flow, compound annual growth FY2016 to FY2025: 21.1%

Every figure in this section is a line of a filed annual statement or a ratio of two of them. Nothing here is estimated or smoothed. Earnings per share filed before a share split are put on today's share count, and say so. Nothing here is a verdict on the company.

8 of 10

Risks and guardrails

The accounting screens, the published tests, and the lines you can set to be told.

ComputedCompany statement

Astrana Health, Inc: accounting screens and published tests, each with its source
FigureValue, source and document
Beneish M-score-2.50 ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Piotroski F-score3/9 ComputedFY2025 10-K, filed Mar 12, 2026, 0001193125-26-103128
Named tests met1 of 30 Computed
Beta1.07 ComputedClose of Oct 15, 2026

The named tests

Of 30 tests value investors published: 1 met, 28 not met, 1 we could not complete. Counts, never a score: a single figure would have to decide that meeting one investor’s criteria and meeting another’s are worth the same.

Which tests, by name(all 30)
Meets
Cash-covered dividend
Does not
Defensive investor (Benjamin Graham); Deep value; Large cap, low P/E; Earnings yield and ROIC (Joel Greenblatt); High F-score, low P/B (Joseph Piotroski); Three forensic scores; Low PEG, low debt (Peter Lynch); High returns and growth; EV/EBITDA and coverage; High yield, low payout; Dividends and buybacks; Low beta, profitable; ROIC at or above WACC; Near the 52-week low; Z-score and coverage (Edward Altman); Two thirds of NCAV (Benjamin Graham); P/E times P/B (Benjamin Graham); High returns, low debt; Owner earnings yield; High return on tangibles; Low P/S, rising earnings (James O'Shaughnessy); Book or below, low debt (Walter Schloss); Tangible book or below; Cash-flow yield and ROIC; Clean books, high ROIC; Cheapest quarter on P/E (David Dreman); Cheapest quarter on P/B (David Dreman); Low P/E, growth, yield (John Neff)
Not measured
Gross margin, turnover (Robert Novy-Marx). A test with a figure we could not read is incomplete, never met and never failed.
Figures we could not read(4)
  • PEG Ratio: We do not hold this figure for this company, so there is nothing to show.
  • Gross Margin: Our archived statements for this filer carry no gross profit line, so there is nothing to compute a gross margin from and trace back to source. That may be because the filer presents no cost of revenue, or because we have not captured the concept. We do not guess which.
  • Dividend Yield: The latest year paid at least 1.5 times the year before, which reads as a special distribution rather than a run rate.
  • Price Tangible Book: We do not hold this figure for this company, so there is nothing to show.

9 of 10

Declared positions

Whether anybody here owns this company.

Positions declared by the founder: no holding in any company shown here, as of October 3, 2026.

10 of 10

Next step

What to do with what you have read.

A thesis is your reason for owning it, in your words, with the figures that must stay true. Checking those figures every night against the newest filed accounts, and telling you once when one breaks, is what the subscription adds.

More on this company

What this cannot tell you

  • 4 figures could not be read on this company, among them PEG Ratio, Gross Margin, Dividend Yield. Each blank in the table above names the rest, with its reason. 1 named test comes back incomplete because of them, which is neither met nor missed.

And the one that is true of all of it: This is what the numbers say today. It cannot tell you the day one of them stops being true. Nothing here can, because the reasons are not written down.

Running this once is arithmetic on public documents and you are welcome to it. Writing down why you own each company, in your own words and with the numbers that have to stay true for it to hold, and then having those numbers re-checked every night against the newest filed accounts, and against the latest close where a rule watches a price, is Professional, the plan a new account starts on for 30 days, one trial per person. It writes to you the day one breaks, and stays quiet when nothing does. The check runs every night at 23:30 UTC. A filing is picked up the night after it is published.

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Analyze your own portfolio

ValueScreener · valuescreener.ai · Computed from accounts filed with the SEC by this company, read from EDGAR, and from dated closing prices. On this page a filed figure opens into its formula, its inputs and the statement, fiscal year and filing date it was read from, and a price into the day of its close. A figure that cannot show that trail says so.

A computation on accounts filed with the SEC, not a recommendation and not advice. Past filings do not indicate future results. Risk disclaimer.

Once a week, what changed in the filings of US-listed companies, why it can matter to a thesis, and what deserves a closer review. Grounded in filings, not market noise.

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Risk disclaimer. This service is provided for research and education only. Nothing on it is investment advice, a recommendation, or an offer to buy or sell any security. Capital is at risk, and past performance does not indicate future results. Figures come from filed accounts and may be incomplete, delayed or later restated, so verify a number against the filing before you act on it.