ASTRANA HEALTH INC (ASTH) Stock Fundamental Analysis

NASDAQ:ASTH • US03763A2078

20.78 USD
-0.13 (-0.62%)
Last: Feb 27, 2026, 11:09 AM
Fundamental Rating

4

ASTH gets a fundamental rating of 4 out of 10. The analysis compared the fundamentals against 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 is growing strongly while it is still valued neutral. This is a good combination!


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.
  • In the past 5 years ASTH always reported a positive cash flow from operatings.
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

  • The Return On Assets of ASTH (0.43%) is comparable to the rest of the industry.
  • Looking at the Return On Equity, with a value of 1.23%, ASTH is in line with its industry, outperforming 53.47% of the companies in the same industry.
  • ASTH has a Return On Invested Capital of 2.95%. This is comparable to the rest of the industry: ASTH outperforms 46.53% of its industry peers.
  • ASTH had an Average Return On Invested Capital over the past 3 years of 7.07%. This is in line with the industry average of 8.95%.
  • 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 5 10 15

1.3 Margins

  • ASTH has a Profit Margin of 0.33%. This is comparable to the rest of the industry: ASTH outperforms 47.52% of its industry peers.
  • In the last couple of years the Profit Margin of ASTH has declined.
  • ASTH has a Operating Margin of 2.59%. This is comparable to the rest of the industry: ASTH outperforms 53.47% of its industry peers.
  • ASTH's Operating Margin has declined in the last couple of years.
  • ASTH's Gross Margin of 10.25% is on the low side compared to the rest of the industry. ASTH is outperformed by 73.27% of its industry peers.
  • 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

  • ASTH has a Return on Invested Capital (ROIC), which is below the Cost of Capital (WACC), which means it is destroying value.
  • The number of shares outstanding for ASTH has been increased compared to 1 year 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 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 2.16. 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.
  • The Altman-Z score of ASTH (2.16) 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.
  • With a Debt to FCF ratio value of 10.83, ASTH perfoms like the industry average, outperforming 43.56% of the companies in the same industry.
  • ASTH has a Debt/Equity ratio of 1.29. This is a high value indicating a heavy dependency on external financing.
  • ASTH's Debt to Equity ratio of 1.29 is on the low side compared to the rest of the industry. ASTH is outperformed by 65.35% of its industry peers.
Industry RankSector Rank
Debt/Equity 1.29
Debt/FCF 10.83
Altman-Z 2.16
ROIC/WACC0.36
WACC8.1%
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

  • 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.
  • With a Quick ratio value of 1.40, ASTH perfoms like the industry average, outperforming 59.41% of the companies in the same 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

  • ASTH shows a strong negative growth in Earnings Per Share. In the last year the EPS decreased by -85.38%.
  • ASTH shows quite a strong growth in Earnings Per Share. Measured over the last years, the EPS has been growing by 19.19% yearly.
  • ASTH shows a strong growth in Revenue. In the last year, 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

  • ASTH is expected to show a strong growth in Earnings Per Share. In the coming years, the EPS will grow by 31.87% yearly.
  • The Revenue is expected to grow by 18.29% on average over the next years. This is quite good.
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

4

4. Valuation

4.1 Price/Earnings Ratio

  • Based on the Price/Earnings ratio of 109.37, the valuation of ASTH can be described as expensive.
  • Compared to the rest of the industry, the Price/Earnings ratio of ASTH is on the same level as its industry peers.
  • ASTH's Price/Earnings ratio indicates a rather expensive valuation when compared to the S&P500 average which is at 27.11.
  • The Price/Forward Earnings ratio is 16.30, which indicates a correct valuation of ASTH.
  • 72.28% of the companies in the same industry are more expensive than ASTH, based on the Price/Forward Earnings ratio.
  • ASTH's Price/Forward Earnings ratio indicates a valuation a bit cheaper than the S&P500 average which is at 28.13.
Industry RankSector Rank
PE 109.37
Fwd PE 16.3
ASTH Price Earnings VS Forward Price EarningsASTH Price Earnings VS Forward Price Earnings ChartPrice Earnings - Forward Price Earnings PE FPE 20 40 60 80 100

4.2 Price Multiples

  • ASTH's Enterprise Value to EBITDA is on the same level as the industry average.
  • 82.18% 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 10.75
EV/EBITDA 14.51
ASTH Per share dataASTH EPS, Sales, OCF, FCF, BookValue per sharePer Share Data Per Share 0 20 40

4.3 Compensation for Growth

  • ASTH's earnings are expected to grow with 29.02% in the coming years. This may justify a more expensive valuation.
PEG (NY)N/A
PEG (5Y)5.7
EPS Next 2Y19.69%
EPS Next 3Y29.02%

0

5. Dividend

5.1 Amount

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

ASTRANA HEALTH INC

NASDAQ:ASTH (2/27/2026, 11:09:08 AM)

20.78

-0.13 (-0.62%)

Chartmill FA Rating
GICS SectorHealth Care
GICS IndustryGroupHealth Care Equipment & Services
GICS IndustryHealth Care Providers & Services
Earnings (Last)11-06
Earnings (Next)03-02
Inst Owners55.03%
Inst Owner ChangeN/A
Ins Owners9.86%
Ins Owner Change0.95%
Market Cap1.04B
Revenue(TTM)2.90B
Net Income(TTM)9.54M
Analysts84.71
Price Target37.17 (78.87%)
Short Float %6.57%
Short Ratio4.62
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)-1.2%
PT rev (3m)-14%
EPS NQ rev (1m)0%
EPS NQ rev (3m)-67.46%
EPS NY rev (1m)0%
EPS NY rev (3m)-58.79%
Revenue NQ rev (1m)0%
Revenue NQ rev (3m)-1.69%
Revenue NY rev (1m)0%
Revenue NY rev (3m)-1.5%
Valuation
Industry RankSector Rank
PE 109.37
Fwd PE 16.3
P/S 0.36
P/FCF 10.75
P/OCF 9.78
P/B 1.34
P/tB N/A
EV/EBITDA 14.51
EPS(TTM)0.19
EY0.91%
EPS(NY)1.27
Fwd EY6.14%
FCF(TTM)1.93
FCFY9.3%
OCF(TTM)2.12
OCFY10.22%
SpS57.74
BVpS15.46
TBVpS-7.43
PEG (NY)N/A
PEG (5Y)5.7
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 2.16
F-Score3
WACC8.1%
ROIC/WACC0.36
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 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 109.37 and the Price/Book (PB) ratio is 1.34.


Can you provide the financial health for ASTH stock?

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