Astrana Health, Inc.

Astrana Health, Inc.

ASTHยทNASDAQ

$36.70

-2.8%
HealthcareMedical - Care Facilities

Astrana Health, Inc., Inc., a physician-centric technology-powered healthcare management company, provides medical care services in the United States. It operates through three segments: Care Partners, Care Delivery, and Care Enablement. The company is leveraging its proprietary population health management and healthcare delivery platform, operates an integrated, value-based healthcare model which empowers the providers in its network to deliver care to its patients. It offers care coordination services to patients, families, primary care physicians, specialists, acute care hospitals, alternative sites of inpatient care, physician groups, and health plans. The company's physician network consists of primary care physicians, specialist physicians and extenders, and hospitalists. It serves patients, primarily covered by private or public insurance, such as Medicare, Medicaid, and health maintenance organization plans; 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 incorporated in 1985 and is headquartered in Alhambra, California.

At a Glance

Live Snapshot
Market Cap$1.82B
EPS0.4600
P/E Ratio79.78
Earnings Date08/06/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

High confidence

Valuation multiple is elevated (P/E 79.8).

Valuation inputs: P/E 79.8, earnings yield +1.3%, momentum -2.8%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is soft (ROE +2.9%, ROIC +2.9%).

Profitability stack: net margin +0.7%, ROE +2.9%, ROIC +2.9%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Downside profile is elevated and scenario stress-testing is essential.

Risk factors: liabilities/assets +74.8%, momentum -2.8%, net margin +0.7%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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Astrana Health, Inc. Market vs Earnings Trajectory

ASTH ยท NASDAQ

Loading price and EPS data...

Astrana Health, Inc.

Astrana Health, Inc. Fair Value Envelope

ASTH ยท NASDAQ

Our analysis suggests that ASTH has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $36.7, this represents a potential HIDDEN relative to our calculated worth for Astrana Health, Inc..

Intrinsic Value
Current Price: $36.7
3Y-54.0%
5Y-56.0%
10Y-
3Y+178.0%
5Y+759.0%
10Y+7123.0%
3Y-50.0%
5Y-195.0%
10Y-341.0%
3Y+40.0%
5Y+148.0%
10Y-6331.0%
3Y+77.0%
5Y+132.0%
10Y-5073.0%
3Y+130.0%
5Y+171.0%
10Y+11239.0%
Astrana Health, Inc.

Astrana Health, Inc. Profit Bridge

ASTH ยท NASDAQ
Revenue3.18B
Cost of Goods Sold (2.89B)
Gross Profit295.78M
Operating Expenses (217.26M)
Operating Income78.53M
Interest Expense (49.93M)
Other Income/Expense-38.92M
Pretax Income39.61M
Income Tax (15.53M)
Net Income22.49M
Net Income
22.49M

Profitability Analysis

Gross Margin

9.3%

Thin margins leave little room for error. Cost management and pricing strategy are critical.

Operating Margin

2.5%

Minimal operating profit suggests high operating costs or pricing challenges. Scalability is concerning.

Net Profit Margin

0.7%

Minimal profitability after all expenses. Limited financial flexibility for reinvestment or shareholder returns.

Effective Tax Rate

39.2%

Higher tax burden may reflect limited tax optimization or operations in high-tax jurisdictions.

Profitability Insight

Efficient profit conversion: Minimal margin compression from gross to net indicates lean operations and favorable tax/interest environment.

9.30%
Gross Profit Margin
-30%
3Y-47.0%
5Y+59.0%
10Y-58.0%
2.47%
Operating Profit Margin
-44%
3Y-73.0%
5Y+50.0%
10Y-117.0%
0.71%
Net Profit Margin
-67%
3Y-82.0%
5Y-111.0%
10Y-103.0%
2.89%
Return on Equity
-52%
3Y-65.0%
5Y-140.0%
10Y-102.0%
1.01%
Return on Assets
-68%
3Y-78.0%
5Y-135.0%
10Y-102.0%
2.88%
Return on Invested Capital
-48%
3Y-57.0%
5Y-9659.0%
10Y-105.0%
ASTH

Astrana Health, Inc. Cash Conversion Engine

ASTH ยท NASDAQ
Net Income24.08M
Depreciation & Amortization45.75M
Stock-Based Compensation38.60M
Change in Working Capital-3.10M
Others13.56M
Capital Expenditures-10.11M
Free Cash Flow104.49M

Cash Flow Quality Analysis

FCF Conversion Rate

434.0%

Excellent cash generation. The company converts earnings to cash at or above 100%, indicating high-quality earnings.

CapEx Intensity

8.8%

Asset-light business model. Low capital requirements leave more cash available for shareholders and growth investments.

FCF Growth Trend

+136.6%

Strong FCF growth demonstrates improving cash generation and business momentum. Positive signal for sustainability.

Working Capital Impact

-$3.10M

Minimal working capital impact on FCF. Changes in operating assets and liabilities well-managed.

Cash Flow Quality Insight

Exceptional cash generation: High-quality earnings converting to growing free cash flow. The company demonstrates strong pricing power, efficient operations, and disciplined capital allocation.

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Astrana Health, Inc. Funding & Solvency Profile

ASTH ยท NASDAQ
Cash & Cash Equivalents478.38M
Net Receivables570.70M
Inventory0.00
Other Current Assets-44.98M
Total Current Assets1 B
Property, Plant & Equipment93.48M
Goodwill & Intangible Assets1.13B
Long-Term Investments27.26M
Other Non-Current Assets102.07M
Total Non-Current Assets223 M
Total Assets
2.36B

Financial Health Analysis

Current Ratio

1.35x

Acceptable liquidity, but monitor closely. Current assets just barely cover current liabilities.

Debt-to-Equity Ratio

3.08x

High financial leverage. Heavy reliance on debt may indicate increased financial risk and potential solvency concerns.

Working Capital

259 M

Positive working capital, but relatively tight. The company should monitor cash flow carefully.

Asset Composition

43% Current

Balanced asset mix between current and non-current assets, typical of many stable businesses.

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Astrana Health, Inc. Street Expectations Map

ASTH ยท NASDAQ

Wall Street analysts project that ASTH stock may rise significantly over the coming 12 months. The consensus 1-year price target stands at 44.60, with estimates ranging from a low of 40.00 to a high of 50.00.

Lowest Target
40.00
8.99%
Consensus Target
44.60
21.53%
Highest Target
50.00
36.24%

The consensus 1-year price target stands at 44.60, with estimates ranging from a low of 40.00 to a high of 50.00.

Analyst Consensus Analysis

Upside Potential

+21.5%

Strong upside potential. Consensus indicates attractive return opportunity with favorable risk-reward profile.

Analyst Agreement

22.4% spread

Good consensus alignment. Moderate target spread reflects general agreement on value drivers with some variance in assumptions.

Analyst Conviction

Very High

Strong buy conviction: High upside with tight consensus suggests compelling investment opportunity backed by analyst confidence.

Market Sentiment Insight

Rare opportunity: Exceptional upside potential with strong analyst consensus creates a compelling setup. The combination of significant price target premium and tight agreement suggests high-conviction undervaluation that may attract institutional capital.

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Astrana Health, Inc. Insider Positioning

ASTH ยท NASDAQ

During the last 12 months, insiders have purchased $364K worth of ASTH shares, with no selling activity reported.

3 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

3-6 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

6-9 Months

Bought

20.0K

364.00K

Sold

0

0.00

Net Activity

+364K

+$364K

9-12 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

Top Buyers

1
ML

Marsh Linda

Director

20.0K sharesโ€ข1 transactions

$364K

Top Sellers

No selling activity

Insider Activity Analysis

Net Insider Sentiment

Bullish

Strong bullish signal with $364K net buying. Insiders are aggressively accumulating shares, suggesting significant confidence in future prospects.

Buy/Sell Ratio

โˆž:1

Perfect buy/sell ratio. Only buying activity with zero sellingโ€”the most bullish possible insider signal.

Insider Participation

High Buying

1 insider buyers vs. 0 sellers. Broad-based buying across management team suggests widespread confidence.

Insider Activity Insight

Unanimous insider buying: Zero selling combined with active buying is rare and typically very bullish. Insiders appear to see significant upside with limited downside risk.

0.01%
Dividend Yield
-93%
3Y+23.0%
5Y-99.0%
10Y-99.0%
ย 

asth Dividend History

ASTH
10Y CAGR +0%
Latest $0
Annual $0
Stable dividend payments
Last Period: +0%