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Astrana Health, Inc. ASTH

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39.55 USD +2.82 (+7.67%)

Nov 4, 2026, 2:51 PM EST

35.65 Day range 39.88
18.08 52-week range 51.60
YTD
+59.41%
1 year
+19.48%

Financial health

Altman Z-Score

2.82 Grey zone

Bankruptcy-risk model: below 1.81 distress, above 2.99 safe.

Piotroski F-Score

5 / 9 Average

Nine pass/fail tests of profitability, leverage and efficiency.

FMP rating

B3 / 5 overall

  • DCF 5
  • Return on Equity 3
  • Return on Assets 3
  • Debt / Equity 1
  • P/E 1
  • P/B 3

Valuation

P/E 53.9×
FY 2015: -0.0×FY 2017: 23.8×FY 2018: 60.2×FY 2019: 44.9×FY 2020: 17.6×FY 2021: 46.8×FY 2022: 29.6×FY 2023: 29.5×FY 2024: 34.6×FY 2025: 53.9×
FY 2015 5y median 34.6× FY 2025
P/S 0.4×
FY 2015: 0.0×FY 2017: 1.7×FY 2018: 1.3×FY 2019: 1.1×FY 2020: 1.8×FY 2021: 4.2×FY 2022: 1.2×FY 2023: 1.3×FY 2024: 0.7×FY 2025: 0.4×
FY 2015 5y median 1.2× FY 2025
P/B 1.6×
FY 2015: 0.0×FY 2017: 3.8×FY 2018: 3.6×FY 2019: 3.3×FY 2020: 2.0×FY 2021: 7.2×FY 2022: 2.5×FY 2023: 2.9×FY 2024: 2.1×FY 2025: 1.6×
FY 2015 5y median 2.5× FY 2025
P/FCF 11.7×
FY 2015: -0.0×FY 2017: 12.0×FY 2018: 26.2×FY 2019: 50.6×FY 2020: 14.8×FY 2021: 63.0×FY 2022: 22.5×FY 2023: 45.1×FY 2024: 34.0×FY 2025: 11.7×
FY 2015 5y median 34.0× FY 2025
EV/EBITDA 13.8×
FY 2015: 1.2×FY 2017: 7.2×FY 2018: 5.5×FY 2019: 16.2×FY 2020: 24.7×FY 2021: 31.7×FY 2022: 11.3×FY 2023: 14.7×FY 2024: 11.9×FY 2025: 13.8×
FY 2015 5y median 13.8× FY 2025
EV/Sales 0.6×
FY 2015: -0.2×FY 2017: 1.4×FY 2018: 1.1×FY 2019: 1.4×FY 2020: 2.0×FY 2021: 4.1×FY 2022: 1.1×FY 2023: 1.3×FY 2024: 0.8×FY 2025: 0.6×
FY 2015 5y median 1.1× FY 2025
FCF Yield 8.6%
FY 2015: -67973225.1%FY 2017: 8.3%FY 2018: 3.8%FY 2019: 2.0%FY 2020: 6.7%FY 2021: 1.6%FY 2022: 4.4%FY 2023: 2.2%FY 2024: 2.9%FY 2025: 8.6%
FY 2015 5y median 2.9% FY 2025

Profitability

Gross Margin 9.3%
FY 2015: 22.0%FY 2017: 17.9%FY 2018: 26.8%FY 2019: 16.6%FY 2020: 5.9%FY 2021: 23.0%FY 2022: 17.4%FY 2023: 15.5%FY 2024: 13.3%FY 2025: 9.3%
FY 2015 5y median 15.5% FY 2025
Operating Margin 2.5%
FY 2015: -14.9%FY 2017: 10.5%FY 2018: 17.7%FY 2019: 5.8%FY 2020: 1.6%FY 2021: 12.7%FY 2022: 9.1%FY 2023: 6.1%FY 2024: 4.4%FY 2025: 2.5%
FY 2015 5y median 6.1% FY 2025
Net Margin 0.7%
FY 2015: -21.2%FY 2017: 7.2%FY 2018: 2.1%FY 2019: 2.5%FY 2020: -6.4%FY 2021: 8.9%FY 2022: 3.9%FY 2023: 4.4%FY 2024: 2.1%FY 2025: 0.7%
FY 2015 5y median 3.9% FY 2025
ROE 2.9%
FY 2015: -160.9%FY 2017: 16.1%FY 2018: 6.0%FY 2019: 7.4%FY 2020: -7.2%FY 2021: 15.4%FY 2022: 8.3%FY 2023: 9.9%FY 2024: 6.1%FY 2025: 2.9%
FY 2015 5y median 8.3% FY 2025
ROIC 2.9%
FY 2015: -53.0%FY 2017: 9.0%FY 2018: 15.3%FY 2019: 3.5%FY 2020: -0.0%FY 2021: 7.7%FY 2022: 6.7%FY 2023: 7.4%FY 2024: 5.5%FY 2025: 2.9%
FY 2015 5y median 6.7% FY 2025
ROA 1.0%
FY 2015: -47.8%FY 2017: 5.3%FY 2018: 2.1%FY 2019: 1.9%FY 2020: -2.9%FY 2021: 7.9%FY 2022: 4.7%FY 2023: 6.5%FY 2024: 3.2%FY 2025: 1.0%
FY 2015 5y median 4.7% FY 2025

Growth (YoY)

Revenue 56.4%
FY 2015: 0.0%FY 2017: 0.0%FY 2018: 45.3%FY 2019: 7.8%FY 2020: -34.0%FY 2021: 109.0%FY 2022: 47.8%FY 2023: 21.2%FY 2024: 46.7%FY 2025: 56.4%
FY 2015 FY 2025
Operating Income -12.1%
FY 2015: 0.0%FY 2017: 0.0%FY 2018: 145.4%FY 2019: -64.8%FY 2020: -81.2%FY 2021: 1513.2%FY 2022: 6.2%FY 2023: -18.8%FY 2024: 5.6%FY 2025: -12.1%
FY 2015 FY 2025
EPS (diluted) -48.9%
FY 2015: 0.0%FY 2017: 0.0%FY 2018: -67.8%FY 2019: 34.5%FY 2020: 159.0%FY 2021: 50.5%FY 2022: -34.9%FY 2023: 30.3%FY 2024: -30.2%FY 2025: -48.9%
FY 2015 FY 2025
Free Cash Flow 136.6%
FY 2015: 0.0%FY 2017: 0.0%FY 2018: -51.1%FY 2019: -49.3%FY 2020: 256.3%FY 2021: 13.6%FY 2022: 15.8%FY 2023: -32.9%FY 2024: 11.3%FY 2025: 136.6%
FY 2015 FY 2025

Financial Health

Current Ratio 1.4×
FY 2015: 1.8×FY 2017: 1.3×FY 2018: 2.4×FY 2019: 3.1×FY 2020: 2.9×FY 2021: 3.5×FY 2022: 2.9×FY 2023: 2.1×FY 2024: 1.7×FY 2025: 1.4×
FY 2015 5y median 2.1× FY 2025
Quick Ratio 1.4×
FY 2015: 1.8×FY 2017: 1.3×FY 2018: 2.4×FY 2019: 3.1×FY 2020: 2.9×FY 2021: 3.5×FY 2022: 2.9×FY 2023: 2.1×FY 2024: 1.7×FY 2025: 1.4×
FY 2015 5y median 2.1× FY 2025
Debt / Equity 1.4×
FY 2015: 0.0×FY 2017: 0.0×FY 2018: 0.1×FY 2019: 1.3×FY 2020: 0.8×FY 2021: 0.4×FY 2022: 0.4×FY 2023: 0.5×FY 2024: 0.7×FY 2025: 1.4×
FY 2015 5y median 0.5× FY 2025
Net Debt / EBITDA 4.8×
FY 2015: 1.2×FY 2017: -1.6×FY 2018: -0.9×FY 2019: 3.1×FY 2020: 2.3×FY 2021: -0.3×FY 2022: -0.5×FY 2023: 0.2×FY 2024: 1.3×FY 2025: 4.8×
FY 2015 5y median 0.2× FY 2025
Interest Coverage 1.6×
FY 2015: -12.1×FY 2017: 472×FY 2018: 165×FY 2019: 6.8×FY 2020: 2.4×FY 2021: 18.2×FY 2022: 13.2×FY 2023: 5.3×FY 2024: 2.7×FY 2025: 1.6×
FY 2015 5y median 5.3× FY 2025

Dividends

Dividend Yield 0.6%
FY 2015: 0.0%FY 2017: 1.7%FY 2018: 2.7%FY 2019: 9.7%FY 2020: 7.7%FY 2021: 1.0%FY 2022: 1.1%FY 2023: 3.5%FY 2024: 0.3%FY 2025: 0.6%
FY 2015 5y median 1.0% FY 2025
Payout Ratio 35.1%
FY 2015: 0.0%FY 2017: 40.5%FY 2018: 163.9%FY 2019: 437.2%FY 2020: -216.1%FY 2021: 45.1%FY 2022: 31.1%FY 2023: 102.2%FY 2024: 9.4%FY 2025: 35.1%
FY 2015 5y median 35.1% FY 2025

Annual · latest fiscal year ends 2025-12-31