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ASTRANA HEALTH INC (ASTH) Stock Fundamental Analysis

USA - Nasdaq - NASDAQ:ASTH - US03763A2078 - Common Stock

28.43 USD
+0.21 (+0.74%)
Last: 1/9/2026, 8:00:00 PM
28.13 USD
-0.3 (-1.06%)
After Hours: 1/9/2026, 8:00:00 PM
Fundamental Rating

4

We assign a fundamental rating of 4 out of 10 to ASTH. ASTH was compared to 101 industry peers in the Health Care Providers & Services industry. ASTH has a medium profitability rating, but doesn't score so well on its financial health evaluation. ASTH shows excellent growth, but is valued quite expensive already.


Dividend Valuation Growth Profitability Health

4

1. Profitability

1.1 Basic Checks

In the past year ASTH was profitable.
In the past year ASTH had a positive cash flow from operations.
Each year in the past 5 years ASTH has been profitable.
ASTH had a positive operating cash flow in each of the past 5 years.
ASTH Yearly Net Income VS EBIT VS OCF VS FCFASTH Yearly Net Income VS EBIT VS OCF VS FCFYearly Net Income VS EBIT VS OCF VS FCF 2020 2021 2022 2023 2024 20M 40M 60M 80M 100M

1.2 Ratios

ASTH has a Return On Assets (0.43%) which is comparable to the rest of the industry.
ASTH has a Return On Equity of 1.23%. This is comparable to the rest of the industry: ASTH outperforms 56.44% of its industry peers.
ASTH has a Return On Invested Capital (2.95%) which is in line with its industry peers.
Measured over the past 3 years, the Average Return On Invested Capital for ASTH is below the industry average of 9.21%.
The last Return On Invested Capital (2.95%) for ASTH is well below the 3 year average (7.07%), which needs to be investigated, but indicates that ASTH had better years and this may not be a problem.
Industry RankSector Rank
ROA 0.43%
ROE 1.23%
ROIC 2.95%
ROA(3y)4.79%
ROA(5y)5.42%
ROE(3y)8.09%
ROE(5y)10.17%
ROIC(3y)7.07%
ROIC(5y)7.37%
ASTH Yearly ROA, ROE, ROICASTH Yearly ROA, ROE, ROICYearly ROA, ROE, ROIC 2020 2021 2022 2023 2024 5 10 15

1.3 Margins

With a Profit Margin value of 0.33%, ASTH perfoms like the industry average, outperforming 50.49% of the companies in the same industry.
In the last couple of years the Profit Margin of ASTH has declined.
The Operating Margin of ASTH (2.59%) is comparable to the rest of the industry.
ASTH's Operating Margin has declined in the last couple of years.
Looking at the Gross Margin, with a value of 10.25%, ASTH is doing worse than 73.27% of the companies in the same industry.
ASTH's Gross Margin has declined in the last couple of years.
Industry RankSector Rank
OM 2.59%
PM (TTM) 0.33%
GM 10.25%
OM growth 3Y-29.78%
OM growth 5YN/A
PM growth 3Y-38.02%
PM growth 5YN/A
GM growth 3Y-16.57%
GM growth 5YN/A
ASTH Yearly Profit, Operating, Gross MarginsASTH Yearly Profit, Operating, Gross MarginsYearly Profit, Operating, Gross Margins 2020 2021 2022 2023 2024 5 10 15 20

3

2. Health

2.1 Basic Checks

The Return on Invested Capital (ROIC) is below the Cost of Capital (WACC), so ASTH is destroying value.
The number of shares outstanding for ASTH has been increased compared to 1 year ago.
The debt/assets ratio for ASTH is higher compared to a year ago.
ASTH Yearly Shares OutstandingASTH Yearly Shares OutstandingYearly Shares Outstanding 2020 2021 2022 2023 2024 10M 20M 30M 40M
ASTH Yearly Total Debt VS Total AssetsASTH Yearly Total Debt VS Total AssetsYearly Total Debt VS Total Assets 2020 2021 2022 2023 2024 200M 400M 600M 800M 1B

2.2 Solvency

ASTH has an Altman-Z score of 2.31. This is not the best score and indicates that ASTH is in the grey zone with still only limited risk for bankruptcy at the moment.
Looking at the Altman-Z score, with a value of 2.31, ASTH is in line with its industry, outperforming 52.48% of the companies in the same industry.
ASTH has a debt to FCF ratio of 10.83. This is a negative value and a sign of low solvency as ASTH would need 10.83 years to pay back of all of its debts.
Looking at the Debt to FCF ratio, with a value of 10.83, ASTH is in line with its industry, outperforming 42.57% of the companies in the same industry.
A Debt/Equity ratio of 1.29 is on the high side and indicates that ASTH has dependencies on debt financing.
Looking at the Debt to Equity ratio, with a value of 1.29, ASTH is doing worse than 64.36% of the companies in the same industry.
Industry RankSector Rank
Debt/Equity 1.29
Debt/FCF 10.83
Altman-Z 2.31
ROIC/WACC0.33
WACC8.86%
ASTH Yearly LT Debt VS Equity VS FCFASTH Yearly LT Debt VS Equity VS FCFYearly LT Debt VS Equity VS FCF 2020 2021 2022 2023 2024 200M 400M 600M

2.3 Liquidity

ASTH has a Current Ratio of 1.40. This is a normal value and indicates that ASTH is financially healthy and should not expect problems in meeting its short term obligations.
ASTH has a Current ratio (1.40) which is comparable to the rest of the industry.
A Quick Ratio of 1.40 indicates that ASTH should not have too much problems paying its short term obligations.
The Quick ratio of ASTH (1.40) is comparable to the rest of the industry.
Industry RankSector Rank
Current Ratio 1.4
Quick Ratio 1.4
ASTH Yearly Current Assets VS Current LiabilitesASTH Yearly Current Assets VS Current LiabilitesYearly Current Assets VS Current Liabilites 2020 2021 2022 2023 2024 200M 400M 600M

8

3. Growth

3.1 Past

The earnings per share for ASTH have decreased strongly by -85.38% in the last year.
ASTH shows quite a strong growth in Earnings Per Share. Measured over the last years, the EPS has been growing by 19.19% yearly.
Looking at the last year, ASTH shows a very strong growth in Revenue. The Revenue has grown by 68.17%.
Measured over the past years, ASTH shows a very strong growth in Revenue. The Revenue has been growing by 38.01% on average per year.
EPS 1Y (TTM)-85.38%
EPS 3Y-17.24%
EPS 5Y19.19%
EPS Q2Q%-96.97%
Revenue 1Y (TTM)68.17%
Revenue growth 3Y38.01%
Revenue growth 5YN/A
Sales Q2Q%99.71%

3.2 Future

Based on estimates for the next years, ASTH will show a very strong growth in Earnings Per Share. The EPS will grow by 31.87% on average per year.
ASTH is expected to show quite a strong growth in Revenue. In the coming years, the Revenue will grow by 18.29% yearly.
EPS Next Y-43.43%
EPS Next 2Y19.69%
EPS Next 3Y29.02%
EPS Next 5Y31.87%
Revenue Next Year59.13%
Revenue Next 2Y41.37%
Revenue Next 3Y30.62%
Revenue Next 5Y18.29%

3.3 Evolution

The EPS growth rate is accelerating: in the next years the growth will be better than in the last years.
Although the future Revenue growth is still strong, it is not able to hold up the even more excellent growth rate of the past years.
ASTH Yearly Revenue VS EstimatesASTH Yearly Revenue VS EstimatesYearly Revenue VS Estimates 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 1B 2B 3B 4B 5B
ASTH Yearly EPS VS EstimatesASTH Yearly EPS VS EstimatesYearly EPS VS Estimates 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 0 1 2 3 4

3

4. Valuation

4.1 Price/Earnings Ratio

The Price/Earnings ratio is 149.63, which means the current valuation is very expensive for ASTH.
ASTH's Price/Earnings ratio is in line with the industry average.
The average S&P500 Price/Earnings ratio is at 27.19. ASTH is valued rather expensively when compared to this.
A Price/Forward Earnings ratio of 22.30 indicates a rather expensive valuation of ASTH.
Compared to the rest of the industry, the Price/Forward Earnings ratio of ASTH is on the same level as its industry peers.
Compared to an average S&P500 Price/Forward Earnings ratio of 23.88, ASTH is valued at the same level.
Industry RankSector Rank
PE 149.63
Fwd PE 22.3
ASTH Price Earnings VS Forward Price EarningsASTH Price Earnings VS Forward Price Earnings ChartPrice Earnings - Forward Price Earnings PE FPE 50 100

4.2 Price Multiples

ASTH's Enterprise Value to EBITDA ratio is in line with the industry average.
75.25% of the companies in the same industry are more expensive than ASTH, based on the Price/Free Cash Flow ratio.
Industry RankSector Rank
P/FCF 14.71
EV/EBITDA 17.76
ASTH Per share dataASTH EPS, Sales, OCF, FCF, BookValue per sharePer Share Data Per Share 0 20 40

4.3 Compensation for Growth

A more expensive valuation may be justified as ASTH's earnings are expected to grow with 29.02% in the coming years.
PEG (NY)N/A
PEG (5Y)7.8
EPS Next 2Y19.69%
EPS Next 3Y29.02%

0

5. Dividend

5.1 Amount

ASTH does not give a dividend.
Industry RankSector Rank
Dividend Yield 0%

ASTRANA HEALTH INC

NASDAQ:ASTH (1/9/2026, 8:00:00 PM)

After market: 28.13 -0.3 (-1.06%)

28.43

+0.21 (+0.74%)

Chartmill FA Rating
GICS SectorHealth Care
GICS IndustryGroupHealth Care Equipment & Services
GICS IndustryHealth Care Providers & Services
Earnings (Last)11-06 2025-11-06/amc
Earnings (Next)02-25 2026-02-25/amc
Inst Owners55.03%
Inst Owner ChangeN/A
Ins Owners9.86%
Ins Owner Change0.8%
Market Cap1.43B
Revenue(TTM)2.90B
Net Income(TTM)9.54M
Analysts85
Price Target38.42 (35.14%)
Short Float %7.63%
Short Ratio5.59
Dividend
Industry RankSector Rank
Dividend Yield 0%
Yearly Dividend0.09
Dividend Growth(5Y)N/A
DP86.52%
Div Incr Years0
Div Non Decr Years0
Ex-DateN/A
Surprises & Revisions
EPS beat(2)0
Avg EPS beat(2)-73.24%
Min EPS beat(2)-97.78%
Max EPS beat(2)-48.7%
EPS beat(4)0
Avg EPS beat(4)-104%
Min EPS beat(4)-225.16%
Max EPS beat(4)-44.39%
EPS beat(8)4
Avg EPS beat(8)-42.64%
EPS beat(12)7
Avg EPS beat(12)-21.5%
EPS beat(16)10
Avg EPS beat(16)-9.93%
Revenue beat(2)1
Avg Revenue beat(2)-0.53%
Min Revenue beat(2)-1.62%
Max Revenue beat(2)0.57%
Revenue beat(4)2
Avg Revenue beat(4)0.26%
Min Revenue beat(4)-3.56%
Max Revenue beat(4)5.66%
Revenue beat(8)5
Avg Revenue beat(8)0.99%
Revenue beat(12)N/A
Avg Revenue beat(12)N/A
Revenue beat(16)N/A
Avg Revenue beat(16)N/A
PT rev (1m)-11.11%
PT rev (3m)-16.3%
EPS NQ rev (1m)-30.36%
EPS NQ rev (3m)-75.42%
EPS NY rev (1m)-16.19%
EPS NY rev (3m)-58.79%
Revenue NQ rev (1m)0.26%
Revenue NQ rev (3m)-5.38%
Revenue NY rev (1m)0.06%
Revenue NY rev (3m)-1.5%
Valuation
Industry RankSector Rank
PE 149.63
Fwd PE 22.3
P/S 0.49
P/FCF 14.71
P/OCF 13.39
P/B 1.84
P/tB N/A
EV/EBITDA 17.76
EPS(TTM)0.19
EY0.67%
EPS(NY)1.27
Fwd EY4.48%
FCF(TTM)1.93
FCFY6.8%
OCF(TTM)2.12
OCFY7.47%
SpS57.74
BVpS15.46
TBVpS-7.43
PEG (NY)N/A
PEG (5Y)7.8
Graham Number8.13
Profitability
Industry RankSector Rank
ROA 0.43%
ROE 1.23%
ROCE 4.68%
ROIC 2.95%
ROICexc 4.15%
ROICexgc N/A
OM 2.59%
PM (TTM) 0.33%
GM 10.25%
FCFM 3.35%
ROA(3y)4.79%
ROA(5y)5.42%
ROE(3y)8.09%
ROE(5y)10.17%
ROIC(3y)7.07%
ROIC(5y)7.37%
ROICexc(3y)11.13%
ROICexc(5y)11.73%
ROICexgc(3y)50.18%
ROICexgc(5y)49.73%
ROCE(3y)11.21%
ROCE(5y)11.68%
ROICexgc growth 3Y-13.47%
ROICexgc growth 5YN/A
ROICexc growth 3Y-16.27%
ROICexc growth 5YN/A
OM growth 3Y-29.78%
OM growth 5YN/A
PM growth 3Y-38.02%
PM growth 5YN/A
GM growth 3Y-16.57%
GM growth 5YN/A
F-Score3
Asset Turnover1.29
Health
Industry RankSector Rank
Debt/Equity 1.29
Debt/FCF 10.83
Debt/EBITDA 8.9
Cap/Depr 25.55%
Cap/Sales 0.33%
Interest Coverage 2.01
Cash Conversion 94.59%
Profit Quality 1016.69%
Current Ratio 1.4
Quick Ratio 1.4
Altman-Z 2.31
F-Score3
WACC8.86%
ROIC/WACC0.33
Cap/Depr(3y)106.76%
Cap/Depr(5y)87.27%
Cap/Sales(3y)1.49%
Cap/Sales(5y)1.42%
Profit Quality(3y)99.59%
Profit Quality(5y)98.35%
High Growth Momentum
Growth
EPS 1Y (TTM)-85.38%
EPS 3Y-17.24%
EPS 5Y19.19%
EPS Q2Q%-96.97%
EPS Next Y-43.43%
EPS Next 2Y19.69%
EPS Next 3Y29.02%
EPS Next 5Y31.87%
Revenue 1Y (TTM)68.17%
Revenue growth 3Y38.01%
Revenue growth 5YN/A
Sales Q2Q%99.71%
Revenue Next Year59.13%
Revenue Next 2Y41.37%
Revenue Next 3Y30.62%
Revenue Next 5Y18.29%
EBIT growth 1Y-11.33%
EBIT growth 3Y-3.09%
EBIT growth 5YN/A
EBIT Next Year101.88%
EBIT Next 3Y45.68%
EBIT Next 5Y30.45%
FCF growth 1Y11.26%
FCF growth 3Y-4.75%
FCF growth 5YN/A
OCF growth 1Y-23.49%
OCF growth 3Y-9.46%
OCF growth 5YN/A

ASTRANA HEALTH INC / ASTH FAQ

Can you provide the ChartMill fundamental rating for ASTRANA HEALTH INC?

ChartMill assigns a fundamental rating of 4 / 10 to ASTH.


What is the valuation status of ASTRANA HEALTH INC (ASTH) stock?

ChartMill assigns a valuation rating of 3 / 10 to ASTRANA HEALTH INC (ASTH). This can be considered as Overvalued.


How profitable is ASTRANA HEALTH INC (ASTH) stock?

ASTRANA HEALTH INC (ASTH) has a profitability rating of 4 / 10.


What is the valuation of ASTRANA HEALTH INC based on its PE and PB ratios?

The Price/Earnings (PE) ratio for ASTRANA HEALTH INC (ASTH) is 149.63 and the Price/Book (PB) ratio is 1.84.


Can you provide the financial health for ASTH stock?

The financial health rating of ASTRANA HEALTH INC (ASTH) is 3 / 10.