ASTRANA HEALTH INC (ASTH) Fundamental Analysis & Valuation

NASDAQ:ASTH • US03763A2078

Current stock price

24.23 USD
+0.05 (+0.21%)
At close:
24.23 USD
0 (0%)
After Hours:

This ASTH fundamental analysis includes valuation metrics, fair value assessment, financial health analysis, profitability trends, growth metrics and dividend sustainability analysis.

4

1. ASTH Profitability Analysis

1.1 Basic Checks

  • In the past year ASTH was profitable.
  • In the past year ASTH had a positive cash flow from operations.
  • ASTH had positive earnings in each of the past 5 years.
  • Each year in the past 5 years ASTH had a positive operating cash flow.
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 2025 20M 40M 60M 80M 100M

1.2 Ratios

  • ASTH's Return On Assets of 0.43% is in line compared to the rest of the industry. ASTH outperforms 48.51% of its industry peers.
  • With a Return On Equity value of 1.23%, ASTH perfoms like the industry average, outperforming 54.46% of the companies in the same industry.
  • ASTH's Return On Invested Capital of 2.95% is in line compared to the rest of the industry. ASTH outperforms 46.53% of its industry peers.
  • Measured over the past 3 years, the Average Return On Invested Capital for ASTH is in line with the industry average of 8.94%.
  • The 3 year average ROIC (7.07%) for ASTH is well above the current ROIC(2.95%). The reason for the recent decline needs to be investigated.
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 2025 5 10 15

1.3 Margins

  • With a Profit Margin value of 0.33%, ASTH perfoms like the industry average, outperforming 48.51% of the companies in the same industry.
  • In the last couple of years the Profit Margin of ASTH has declined.
  • ASTH has a Operating Margin (2.59%) which is comparable to the rest of the industry.
  • ASTH's Operating Margin has declined in the last couple of years.
  • The Gross Margin of ASTH (10.25%) is worse than 73.27% of its industry peers.
  • In the last couple of years the Gross Margin of ASTH has declined.
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 2025 5 10 15 20

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3

2. ASTH Health Analysis

2.1 Basic Checks

  • ASTH has a Return on Invested Capital (ROIC), which is below the Cost of Capital (WACC), which means it is destroying value.
  • Compared to 1 year ago, ASTH has more shares outstanding
  • ASTH has more shares outstanding than it did 5 years ago.
  • ASTH has a worse debt/assets ratio than last year.
ASTH Yearly Shares OutstandingASTH Yearly Shares OutstandingYearly Shares Outstanding 2020 2021 2022 2023 2024 2025 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 2025 500M 1B 1.5B 2B

2.2 Solvency

  • An Altman-Z score of 2.23 indicates that ASTH is not a great score, but indicates only limited risk for bankruptcy at the moment.
  • ASTH has a Altman-Z score (2.23) which is comparable to the rest of the 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 43.56% 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.
  • ASTH has a Debt to Equity ratio of 1.29. This is in the lower half of the industry: ASTH underperforms 65.35% of its industry peers.
Industry RankSector Rank
Debt/Equity 1.29
Debt/FCF 10.83
Altman-Z 2.23
ROIC/WACC0.35
WACC8.39%
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 2025 200M 400M 600M 800M

2.3 Liquidity

  • A Current Ratio of 1.40 indicates that ASTH should not have too much problems paying its short term obligations.
  • ASTH has a Current ratio (1.40) which is in line with its industry peers.
  • ASTH has a Quick 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 Quick ratio of 1.40. This is comparable to the rest of the industry: ASTH outperforms 59.41% of its industry peers.
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 2025 200M 400M 600M 800M

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WACCDebt/EquityHow to determine the health of a companyAltman-Z scoreShow peers with great health

3

3. ASTH Growth Analysis

3.1 Past

  • The earnings per share for ASTH have decreased strongly by -48.31% in the last year.
  • The earnings per share for ASTH have been decreasing by -24.29% on average. This is quite bad
EPS 1Y (TTM)-48.31%
EPS 3Y-24.29%
EPS 5YN/A
EPS Q2Q%180%
Revenue 1Y (TTM)N/A
Revenue growth 3YN/A
Revenue growth 5YN/A
Sales Q2Q%42.89%

3.2 Future

  • ASTH is expected to show a strong growth in Earnings Per Share. In the coming years, the EPS will grow by 54.34% yearly.
  • ASTH is expected to show quite a strong growth in Revenue. In the coming years, the Revenue will grow by 9.59% yearly.
EPS Next Y174.35%
EPS Next 2Y103.85%
EPS Next 3Y87.86%
EPS Next 5Y54.34%
Revenue Next Year25.22%
Revenue Next 2Y17.78%
Revenue Next 3Y10.21%
Revenue Next 5Y9.59%

3.3 Evolution

  • When comparing the EPS growth rate of the last years to the growth rate of the upcoming years, we see that the growth is accelerating.
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

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4

4. ASTH Valuation Analysis

4.1 Price/Earnings Ratio

  • With a Price/Earnings ratio of 52.67, ASTH can be considered very expensive at the moment.
  • Compared to the rest of the industry, the Price/Earnings ratio of ASTH is on the same level as its industry peers.
  • When comparing the Price/Earnings ratio of ASTH to the average of the S&P500 Index (25.23), we can say ASTH is valued expensively.
  • A Price/Forward Earnings ratio of 19.20 indicates a rather expensive valuation of ASTH.
  • ASTH's Price/Forward Earnings ratio is a bit cheaper when compared to the industry. ASTH is cheaper than 60.40% of the companies in the same industry.
  • Compared to an average S&P500 Price/Forward Earnings ratio of 23.28, ASTH is valued at the same level.
Industry RankSector Rank
PE 52.67
Fwd PE 19.2
ASTH Price Earnings VS Forward Price EarningsASTH Price Earnings VS Forward Price Earnings ChartPrice Earnings - Forward Price Earnings PE FPE 10 20 30 40 50

4.2 Price Multiples

  • Compared to the rest of the industry, the Enterprise Value to EBITDA ratio of ASTH is on the same level as its industry peers.
  • Compared to the rest of the industry, the Price/Free Cash Flow ratio of ASTH indicates a somewhat cheap valuation: ASTH is cheaper than 77.23% of the companies listed in the same industry.
Industry RankSector Rank
P/FCF 12.53
EV/EBITDA 15.97
ASTH Per share dataASTH EPS, Sales, OCF, FCF, BookValue per sharePer Share Data Per Share 0 20 40

4.3 Compensation for Growth

  • The low PEG Ratio(NY), which compensates the Price/Earnings for growth, indicates a rather cheap valuation of the company.
  • ASTH's earnings are expected to grow with 87.86% in the coming years. This may justify a more expensive valuation.
PEG (NY)0.3
PEG (5Y)N/A
EPS Next 2Y103.85%
EPS Next 3Y87.86%

More info and screens

Price/EarningsPrice/FCFFCF per shareEV/EBITDAPEG RATIOShow best valued peers

0

5. ASTH Dividend Analysis

5.1 Amount

  • No dividends for ASTH!.
Industry RankSector Rank
Dividend Yield 0%

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ASTH Fundamentals: All Metrics, Ratios and Statistics

ASTRANA HEALTH INC

NASDAQ:ASTH (3/20/2026, 8:00:01 PM)

After market: 24.23 0 (0%)

24.23

+0.05 (+0.21%)

Chartmill FA Rating
GICS SectorHealth Care
GICS IndustryGroupHealth Care Equipment & Services
GICS IndustryHealth Care Providers & Services
Earnings (Last)03-02
Earnings (Next)05-06
Inst Owners59.72%
Inst Owner ChangeN/A
Ins Owners9.87%
Ins Owner Change0.91%
Market Cap1.20B
Revenue(TTM)N/A
Net Income(TTM)9.54M
Analysts84.71
Price Target36.38 (50.14%)
Short Float %7.49%
Short Ratio5.13
Dividend
Industry RankSector Rank
Dividend Yield 0%
Yearly Dividend0.16
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)-2.13%
PT rev (3m)-11.39%
EPS NQ rev (1m)0%
EPS NQ rev (3m)-30.36%
EPS NY rev (1m)-0.18%
EPS NY rev (3m)-16.34%
Revenue NQ rev (1m)0%
Revenue NQ rev (3m)0.26%
Revenue NY rev (1m)0%
Revenue NY rev (3m)0.06%
Valuation
Industry RankSector Rank
PE 52.67
Fwd PE 19.2
P/S 0.42
P/FCF 12.53
P/OCF 11.41
P/B 1.57
P/tB N/A
EV/EBITDA 15.97
EPS(TTM)0.46
EY1.9%
EPS(NY)1.26
Fwd EY5.21%
FCF(TTM)1.93
FCFY7.98%
OCF(TTM)2.12
OCFY8.77%
SpS57.74
BVpS15.46
TBVpS-7.43
PEG (NY)0.3
PEG (5Y)N/A
Graham Number12.65
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 2.23
F-Score3
WACC8.39%
ROIC/WACC0.35
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)-48.31%
EPS 3Y-24.29%
EPS 5YN/A
EPS Q2Q%180%
EPS Next Y174.35%
EPS Next 2Y103.85%
EPS Next 3Y87.86%
EPS Next 5Y54.34%
Revenue 1Y (TTM)N/A
Revenue growth 3YN/A
Revenue growth 5YN/A
Sales Q2Q%42.89%
Revenue Next Year25.22%
Revenue Next 2Y17.78%
Revenue Next 3Y10.21%
Revenue Next 5Y9.59%
EBIT growth 1Y-11.33%
EBIT growth 3Y-3.09%
EBIT growth 5YN/A
EBIT Next Year101.88%
EBIT Next 3Y45.21%
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 Fundamental Analysis FAQ

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

ChartMill assigns a fundamental rating of 3 / 10 to ASTH.


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

ChartMill assigns a valuation rating of 4 / 10 to ASTRANA HEALTH INC (ASTH). This can be considered as Fairly Valued.


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 52.67 and the Price/Book (PB) ratio is 1.57.


Can you provide the financial health for ASTH stock?

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