ASTRANA HEALTH INC (ASTH) Fundamental Analysis & Valuation

NASDAQ:ASTH • US03763A2078

Current stock price

34.89 USD
+0.75 (+2.2%)
At close:
34.89 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.

3

1. ASTH Profitability Analysis

1.1 Basic Checks

  • ASTH had positive earnings in the past year.
  • In the past year ASTH had a positive cash flow from operations.
  • In the past 5 years ASTH has always 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 2025 20M 40M 60M 80M 100M

1.2 Ratios

  • Looking at the Return On Assets, with a value of 1.01%, ASTH is in line with its industry, outperforming 51.00% of the companies in the same industry.
  • ASTH's Return On Equity of 2.89% is in line compared to the rest of the industry. ASTH outperforms 57.00% of its industry peers.
  • The Return On Invested Capital of ASTH (3.75%) is comparable to the rest of the industry.
  • Measured over the past 3 years, the Average Return On Invested Capital for ASTH is below the industry average of 8.40%.
Industry RankSector Rank
ROA 1.01%
ROE 2.89%
ROIC 3.75%
ROA(3y)3.57%
ROA(5y)4.69%
ROE(3y)6.27%
ROE(5y)8.46%
ROIC(3y)5.51%
ROIC(5y)6.5%
ASTH Yearly ROA, ROE, ROICASTH Yearly ROA, ROE, ROICYearly ROA, ROE, ROIC 2020 2021 2022 2023 2024 2025 5 10 15

1.3 Margins

  • ASTH has a Profit Margin (0.71%) which is in line with its industry peers.
  • ASTH's Profit Margin has declined in the last couple of years.
  • ASTH has a Operating Margin (3.08%) which is in line with its industry peers.
  • ASTH's Operating Margin has declined in the last couple of years.
  • ASTH has a worse Gross Margin (10.73%) than 73.00% of its industry peers.
  • ASTH's Gross Margin has declined in the last couple of years.
Industry RankSector Rank
OM 3.08%
PM (TTM) 0.71%
GM 10.73%
OM growth 3Y-30.31%
OM growth 5Y-23.43%
PM growth 3Y-43.64%
PM growth 5Y-33.68%
GM growth 3Y-14.93%
GM growth 5Y-13%
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

  • With a Return on Invested Capital (ROIC) below the Cost of Capital (WACC), ASTH is destroying value.
  • The number of shares outstanding for ASTH has been increased compared to 1 year ago.
  • 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 2.61 indicates that ASTH is not a great score, but indicates only limited risk for bankruptcy at the moment.
  • Looking at the Altman-Z score, with a value of 2.61, ASTH is in line with its industry, outperforming 60.00% of the companies in the same industry.
  • ASTH has a debt to FCF ratio of 9.94. This is a negative value and a sign of low solvency as ASTH would need 9.94 years to pay back of all of its debts.
  • With a Debt to FCF ratio value of 9.94, ASTH perfoms like the industry average, outperforming 41.00% of the companies in the same industry.
  • ASTH has a Debt/Equity ratio of 1.27. This is a high value indicating a heavy dependency on external financing.
  • The Debt to Equity ratio of ASTH (1.27) is worse than 66.00% of its industry peers.
Industry RankSector Rank
Debt/Equity 1.27
Debt/FCF 9.94
Altman-Z 2.61
ROIC/WACC0.46
WACC8.23%
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's Current ratio of 1.40 is in line compared to the rest of the industry. ASTH outperforms 51.00% of 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 58.00% 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 2025 200M 400M 600M 800M

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7

3. ASTH Growth Analysis

3.1 Past

  • The earnings per share for ASTH have decreased strongly by -48.31% in the last year.
  • ASTH shows a very negative growth in Earnings Per Share. Measured over the last years, the EPS has been decreasing by -14.74% yearly.
  • Looking at the last year, ASTH shows a very strong growth in Revenue. The Revenue has grown by 56.39%.
  • ASTH shows a strong growth in Revenue. Measured over the last years, the Revenue has been growing by 35.87% yearly.
EPS 1Y (TTM)-48.31%
EPS 3Y-24.29%
EPS 5Y-14.74%
EPS Q2Q%180%
Revenue 1Y (TTM)56.39%
Revenue growth 3Y40.62%
Revenue growth 5Y35.87%
Sales Q2Q%42.89%

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 54.34% on average per year.
  • Based on estimates for the next years, ASTH will show a quite strong growth in Revenue. The Revenue will grow by 11.36% on average per year.
EPS Next Y173.72%
EPS Next 2Y104.54%
EPS Next 3Y69.85%
EPS Next 5Y54.34%
Revenue Next Year25.71%
Revenue Next 2Y18.01%
Revenue Next 3Y13.68%
Revenue Next 5Y11.36%

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

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4

4. ASTH Valuation Analysis

4.1 Price/Earnings Ratio

  • The Price/Earnings ratio is 75.85, which means the current valuation is very expensive for ASTH.
  • ASTH's Price/Earnings ratio is in line with the industry average.
  • ASTH's Price/Earnings ratio indicates a rather expensive valuation when compared to the S&P500 average which is at 26.64.
  • A Price/Forward Earnings ratio of 27.71 indicates a quite expensive valuation of ASTH.
  • The rest of the industry has a similar Price/Forward Earnings ratio as ASTH.
  • When comparing the Price/Forward Earnings ratio of ASTH to the average of the S&P500 Index (21.36), we can say ASTH is valued slightly more expensively.
Industry RankSector Rank
PE 75.85
Fwd PE 27.71
ASTH Price Earnings VS Forward Price EarningsASTH Price Earnings VS Forward Price Earnings ChartPrice Earnings - Forward Price Earnings PE FPE 20 40 60

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.
  • ASTH's Price/Free Cash Flow ratio is a bit cheaper when compared to the industry. ASTH is cheaper than 72.00% of the companies in the same industry.
Industry RankSector Rank
P/FCF 16.52
EV/EBITDA 15.97
ASTH Per share dataASTH EPS, Sales, OCF, FCF, BookValue per sharePer Share Data Per Share 0 20 40 60

4.3 Compensation for Growth

  • ASTH's low PEG Ratio(NY), which compensates the Price/Earnings for growth, indicates a rather cheap valuation of the company.
  • A more expensive valuation may be justified as ASTH's earnings are expected to grow with 69.85% in the coming years.
PEG (NY)0.44
PEG (5Y)N/A
EPS Next 2Y104.54%
EPS Next 3Y69.85%

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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 (5/1/2026, 8:10:18 PM)

After market: 34.89 0 (0%)

34.89

+0.75 (+2.2%)

Chartmill FA Rating
GICS SectorHealth Care
GICS IndustryGroupHealth Care Equipment & Services
GICS IndustryHealth Care Providers & Services
Industry Strength49.07
Industry Growth86.96
Earnings (Last)03-02
Earnings (Next)05-07
Inst Owners60.09%
Inst Owner ChangeN/A
Ins Owners9.93%
Ins Owner Change4.31%
Market Cap1.73B
Revenue(TTM)3.18B
Net Income(TTM)22.49M
Analysts84.71
Price Target37.63 (7.85%)
Short Float %7.06%
Short Ratio5.57
Dividend
Industry RankSector Rank
Dividend Yield 0%
Yearly Dividend0.16
Dividend Growth(5Y)N/A
DP35.06%
Div Incr Years0
Div Non Decr Years0
Ex-DateN/A
Surprises & Revisions
EPS beat(2)1
Avg EPS beat(2)-43.4%
Min EPS beat(2)-97.78%
Max EPS beat(2)10.99%
EPS beat(4)1
Avg EPS beat(4)-44.97%
Min EPS beat(4)-97.78%
Max EPS beat(4)10.99%
EPS beat(8)4
Avg EPS beat(8)-50.25%
EPS beat(12)7
Avg EPS beat(12)-23.47%
EPS beat(16)10
Avg EPS beat(16)-9.93%
Revenue beat(2)1
Avg Revenue beat(2)-0.74%
Min Revenue beat(2)-1.62%
Max Revenue beat(2)0.15%
Revenue beat(4)2
Avg Revenue beat(4)-1.11%
Min Revenue beat(4)-3.56%
Max Revenue beat(4)0.57%
Revenue beat(8)5
Avg Revenue beat(8)0.83%
Revenue beat(12)7
Avg Revenue beat(12)0.78%
Revenue beat(16)N/A
Avg Revenue beat(16)N/A
PT rev (1m)0.93%
PT rev (3m)-2.41%
EPS NQ rev (1m)-2.4%
EPS NQ rev (3m)25.74%
EPS NY rev (1m)-0.23%
EPS NY rev (3m)-1.24%
Revenue NQ rev (1m)0.29%
Revenue NQ rev (3m)0.48%
Revenue NY rev (1m)0.05%
Revenue NY rev (3m)0.1%
Valuation
Industry RankSector Rank
PE 75.85
Fwd PE 27.71
P/S 0.54
P/FCF 16.52
P/OCF 15.06
P/B 2.21
P/tB N/A
EV/EBITDA 15.97
EPS(TTM)0.46
EY1.32%
EPS(NY)1.26
Fwd EY3.61%
FCF(TTM)2.11
FCFY6.05%
OCF(TTM)2.32
OCFY6.64%
SpS64.32
BVpS15.75
TBVpS-7.22
PEG (NY)0.44
PEG (5Y)N/A
Graham Number12.7688 (-63.4%)
Profitability
Industry RankSector Rank
ROA 1.01%
ROE 2.89%
ROCE 6.12%
ROIC 3.75%
ROICexc 5.12%
ROICexgc 160.26%
OM 3.08%
PM (TTM) 0.71%
GM 10.73%
FCFM 3.28%
ROA(3y)3.57%
ROA(5y)4.69%
ROE(3y)6.27%
ROE(5y)8.46%
ROIC(3y)5.51%
ROIC(5y)6.5%
ROICexc(3y)8.45%
ROICexc(5y)10.18%
ROICexgc(3y)90.21%
ROICexgc(5y)71.8%
ROCE(3y)9%
ROCE(5y)10.61%
ROICexgc growth 3Y64.68%
ROICexgc growth 5Y30.22%
ROICexc growth 3Y-25.1%
ROICexc growth 5Y-14.45%
OM growth 3Y-30.31%
OM growth 5Y-23.43%
PM growth 3Y-43.64%
PM growth 5Y-33.68%
GM growth 3Y-14.93%
GM growth 5Y-13%
F-Score4
Asset Turnover1.43
Health
Industry RankSector Rank
Debt/Equity 1.27
Debt/FCF 9.94
Debt/EBITDA 6.89
Cap/Depr 22.09%
Cap/Sales 0.32%
Interest Coverage 2.14
Cash Conversion 79.65%
Profit Quality 464.67%
Current Ratio 1.4
Quick Ratio 1.4
Altman-Z 2.61
F-Score4
WACC8.23%
ROIC/WACC0.46
Cap/Depr(3y)70.53%
Cap/Depr(5y)90.42%
Cap/Sales(3y)0.92%
Cap/Sales(5y)1.45%
Profit Quality(3y)210.81%
Profit Quality(5y)167.52%
High Growth Momentum
Growth
EPS 1Y (TTM)-48.31%
EPS 3Y-24.29%
EPS 5Y-14.74%
EPS Q2Q%180%
EPS Next Y173.72%
EPS Next 2Y104.54%
EPS Next 3Y69.85%
EPS Next 5Y54.34%
Revenue 1Y (TTM)56.39%
Revenue growth 3Y40.62%
Revenue growth 5Y35.87%
Sales Q2Q%42.89%
Revenue Next Year25.71%
Revenue Next 2Y18.01%
Revenue Next 3Y13.68%
Revenue Next 5Y11.36%
EBIT growth 1Y9.82%
EBIT growth 3Y-2%
EBIT growth 5Y4.04%
EBIT Next Year220.56%
EBIT Next 3Y59.52%
EBIT Next 5Y39.23%
FCF growth 1Y136.58%
FCF growth 3Y20.86%
FCF growth 5Y18.35%
OCF growth 1Y119.54%
OCF growth 3Y11.74%
OCF growth 5Y19.94%

ASTRANA HEALTH INC / ASTH Fundamental Analysis 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.


Can you provide the profitability details for ASTRANA HEALTH INC?

ASTRANA HEALTH INC (ASTH) has a profitability rating of 3 / 10.


Can you provide the expected EPS growth for ASTH stock?

The Earnings per Share (EPS) of ASTRANA HEALTH INC (ASTH) is expected to grow by 173.72% in the next year.


Can you provide the dividend sustainability for ASTH stock?

The dividend rating of ASTRANA HEALTH INC (ASTH) is 0 / 10 and the dividend payout ratio is 35.06%.