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.
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.
- 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.
1.2 Ratios
- ASTH has a Return On Assets (1.01%) which is in line with its industry peers.
- ASTH has a Return On Equity (2.89%) which is in line with its industry peers.
- ASTH has a Return On Invested Capital of 3.75%. This is comparable to the rest of the industry: ASTH outperforms 47.52% of its industry peers.
- The Average Return On Invested Capital over the past 3 years for ASTH is below the industry average of 8.86%.
| Industry Rank | Sector 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%
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 of 3.08%. This is comparable to the rest of the industry: ASTH outperforms 54.46% of its industry peers.
- ASTH's Operating Margin has declined in the last couple of years.
- ASTH has a Gross Margin of 10.73%. This is in the lower half of the industry: ASTH underperforms 73.27% of its industry peers.
- ASTH's Gross Margin has declined in the last couple of years.
| Industry Rank | Sector 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%
2. ASTH Health Analysis
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.
- Compared to 5 years ago, ASTH has more shares outstanding
- The debt/assets ratio for ASTH is higher compared to a year ago.
2.2 Solvency
- ASTH has an Altman-Z score of 2.41. 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.
- With a Altman-Z score value of 2.41, ASTH perfoms like the industry average, outperforming 58.42% of the companies in the same industry.
- The Debt to FCF ratio of ASTH is 9.94, which is on the high side as it means it would take ASTH, 9.94 years of fcf income to pay off all of its debts.
- ASTH has a Debt to FCF ratio (9.94) which is comparable to the rest of the 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 64.36% of its industry peers.
| Industry Rank | Sector Rank | ||
|---|---|---|---|
| Debt/Equity | 1.27 | ||
| Debt/FCF | 9.94 | ||
| Altman-Z | 2.41 |
ROIC/WACC0.45
WACC8.39%
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 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 (1.40) which is in line with its industry peers.
| Industry Rank | Sector Rank | ||
|---|---|---|---|
| Current Ratio | 1.4 | ||
| Quick Ratio | 1.4 |
3. ASTH Growth Analysis
3.1 Past
- ASTH shows a strong negative growth in Earnings Per Share. In the last year the EPS decreased by -48.31%.
- ASTH shows a very negative growth in Earnings Per Share. Measured over the last years, the EPS has been decreasing by -14.74% yearly.
- ASTH shows a strong growth in Revenue. In the last year, 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
- The Earnings Per Share is expected to grow by 54.34% on average over the next years. This is a very strong growth
- Based on estimates for the next years, ASTH will show a quite strong growth in Revenue. The Revenue will grow by 9.59% on average per year.
EPS Next Y174.35%
EPS Next 2Y103.85%
EPS Next 3Y87.86%
EPS Next 5Y54.34%
Revenue Next Year25.65%
Revenue Next 2Y18.01%
Revenue Next 3Y13.68%
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.
- The Revenue growth rate is decreasing: in the next years the growth will be less than in the last years.
4. ASTH Valuation Analysis
4.1 Price/Earnings Ratio
- Based on the Price/Earnings ratio of 52.67, the valuation of ASTH can be described as expensive.
- ASTH's Price/Earnings is on the same level as the industry average.
- Compared to an average S&P500 Price/Earnings ratio of 25.23, ASTH is valued quite expensively.
- The Price/Forward Earnings ratio is 19.20, which indicates a rather expensive current valuation of ASTH.
- The rest of the industry has a similar Price/Forward Earnings ratio as ASTH.
- ASTH is valuated at similar levels of the S&P average when we compare the Price/Forward Earnings ratio to 22.42, which is the current average of the S&P500 Index.
| Industry Rank | Sector Rank | ||
|---|---|---|---|
| PE | 52.67 | ||
| Fwd PE | 19.2 |
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.
- 78.22% of the companies in the same industry are more expensive than ASTH, based on the Price/Free Cash Flow ratio.
| Industry Rank | Sector Rank | ||
|---|---|---|---|
| P/FCF | 11.47 | ||
| EV/EBITDA | 12.56 |
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.
- A more expensive valuation may be justified as ASTH's earnings are expected to grow with 87.86% in the coming years.
PEG (NY)0.3
PEG (5Y)N/A
EPS Next 2Y103.85%
EPS Next 3Y87.86%
5. ASTH Dividend Analysis
5.1 Amount
- No dividends for ASTH!.
| Industry Rank | Sector Rank | ||
|---|---|---|---|
| Dividend Yield | 0% |
ASTH Fundamentals: All Metrics, Ratios and Statistics
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 2026-03-02/bmo
Earnings (Next)05-06 2026-05-06
Inst Owners59.72%
Inst Owner ChangeN/A
Ins Owners9.87%
Ins Owner Change0.91%
Market Cap1.20B
Revenue(TTM)3.18B
Net Income(TTM)22.49M
Analysts84.71
Price Target36.38 (50.14%)
Short Float %7.49%
Short Ratio5.13
Dividend
| Industry Rank | Sector 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)-2.13%
PT rev (3m)-11.39%
EPS NQ rev (1m)29.91%
EPS NQ rev (3m)29.91%
EPS NY rev (1m)-1.02%
EPS NY rev (3m)-8.28%
Revenue NQ rev (1m)0.19%
Revenue NQ rev (3m)0.19%
Revenue NY rev (1m)0.05%
Revenue NY rev (3m)0.2%
Valuation
| Industry Rank | Sector Rank | ||
|---|---|---|---|
| PE | 52.67 | ||
| Fwd PE | 19.2 | ||
| P/S | 0.38 | ||
| P/FCF | 11.47 | ||
| P/OCF | 10.46 | ||
| P/B | 1.54 | ||
| P/tB | N/A | ||
| EV/EBITDA | 12.56 |
EPS(TTM)0.46
EY1.9%
EPS(NY)1.26
Fwd EY5.21%
FCF(TTM)2.11
FCFY8.72%
OCF(TTM)2.32
OCFY9.56%
SpS64.32
BVpS15.75
TBVpS-7.22
PEG (NY)0.3
PEG (5Y)N/A
Graham Number12.77
Profitability
| Industry Rank | Sector 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 Rank | Sector 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 | 2.41 |
F-Score4
WACC8.39%
ROIC/WACC0.45
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 Y174.35%
EPS Next 2Y103.85%
EPS Next 3Y87.86%
EPS Next 5Y54.34%
Revenue 1Y (TTM)56.39%
Revenue growth 3Y40.62%
Revenue growth 5Y35.87%
Sales Q2Q%42.89%
Revenue Next Year25.65%
Revenue Next 2Y18.01%
Revenue Next 3Y13.68%
Revenue Next 5Y9.59%
EBIT growth 1Y9.82%
EBIT growth 3Y-2%
EBIT growth 5Y4.04%
EBIT Next Year220.54%
EBIT Next 3Y60.15%
EBIT Next 5Y39.29%
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 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 1.54.
Can you provide the financial health for ASTH stock?
The financial health rating of ASTRANA HEALTH INC (ASTH) is 3 / 10.