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1. Company Snapshot

1.a. Company Description

Astrana Health, Inc., Inc., a physician-centric technology-powered healthcare management company, provides medical care services in the United States.It operates through three segments: Care Partners, Care Delivery, and Care Enablement.The company is leveraging its proprietary population health management and healthcare delivery platform, operates an integrated, value-based healthcare model which empowers the providers in its network to deliver care to its patients.


It offers care coordination services to patients, families, primary care physicians, specialists, acute care hospitals, alternative sites of inpatient care, physician groups, and health plans.The company's physician network consists of primary care physicians, specialist physicians and extenders, and hospitalists.It serves patients, primarily covered by private or public insurance, such as Medicare, Medicaid, and health maintenance organization plans; and non-insured patients.


The company was formerly known as Apollo Medical Holdings, Inc.and changed its name to Astrana Health, Inc.in February 2024.


Astrana Health, Inc.was incorporated in 1985 and is headquartered in Alhambra, California.

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1.b. Last Insights on ASTH

Breaking News: Astrana Health Inc reported better than expected quarterly earnings, causing shares to gap up. The company announced earnings of $0.54. Prior to the earnings release, the stock closed at $20.33 but opened at $24.04 on Monday. The company's leadership will participate in the TD Cowen 45th Annual Health Care Conference on March 4, 2026. No analyst recommendation is available.

1.c. Company Highlights

2. Astrana Health's Strong Q4 2025 Earnings: A Closer Look

Astrana Health, Inc. reported a robust fourth quarter and full-year 2025 earnings, with total revenue reaching $950.5 million, a 43% year-over-year increase, and adjusted EBITDA of $52.5 million, up 50% year over year. For the full year, revenue hit $3.2 billion, with adjusted EBITDA totaling $205.4 million and non-GAAP adjusted EPS on a fully diluted basis at $2.20. The actual EPS came in at $0.1211, slightly below estimates of $0.15. The company's financial performance demonstrates stability and predictability, with a 34% compound annual growth rate in revenue since 2019.

Publication Date: Mar -03

📋 Highlights
  • Record Financial Performance:: Full-year 2025 revenue reached $3.2 billion (+467% since 2019, 34% CAGR), adjusted EBITDA totaled $205.4 million, and free cash flow was $104.5 million.
  • 2026 Guidance:: Revenue projected at $3.8–4.1 billion, adjusted EBITDA at $285–310 million, and free cash flow at $150–180 million, driven by market expansion and Prospect synergies.
  • Care Enablement Margin:: The Care Enablement business operates at 20–25% EBITDA margin, with automated workflows accelerating profitability in new markets.
  • Medicaid/Exchange Challenges:: Expect ~10% Medicaid disenrollment and low-tens% exchange decline in 2026, offset by improved Medicare Advantage rates and cost discipline.
  • AI Infrastructure:: Over 100 U.S.-based data scientists power AI tools (e.g., automated claims processing), driving operating leverage and real-time clinical insights.

Revenue Growth Drivers

The company's revenue growth is driven by sustained demand from payer and provider partners for coordinated, accountable care. Astrana Health is expanding its membership deliberately, with a focus on cultivating physician leadership and partnering with high-quality payers. The company's care enablement technology platform continues to drive operating leverage, enabling disciplined growth in new markets while expanding margins within existing businesses.

Valuation Metrics

Analyzing Astrana Health's valuation metrics, we see a P/E Ratio of 57.62, indicating a relatively high valuation compared to its earnings. The P/S Ratio is 0.41, suggesting a reasonable valuation relative to its revenue. The EV/EBITDA ratio is 9.81, which is moderate. With an ROE of 2.93% and ROIC of 2.88%, the company's profitability is modest. The Net Debt/EBITDA ratio is -3.43, indicating a healthy debt position. Analysts estimate next year's revenue growth at 11.1%, which may impact the company's valuation multiples.

Guidance and Outlook

For 2026, Astrana Health expects continued revenue growth and adjusted EBITDA expansion, driven by growth across its core and expansion markets, ramping full-risk contracts, and realization of Prospect synergies. The company guides revenue in the range of $3.8 billion to $4.1 billion, adjusted EBITDA in the range of $285 million to $310 million, and free cash flow in the range of $150 million to $180 million. The guidance reflects a prudent planning framework, considering headwinds such as Medicaid and exchange disenrollments and adverse selection.

Operational Highlights

The integration of Prospect remains on track, with the company validating the strategic rationale for the transaction. The Care Enablement business is expected to operate at a 20-25% EBITDA margin range, with a strong pipeline for care enablement clients. The company's AI tools, including automated prior authorizations and claims processing, are expected to drive further G&A improvements and scalability in expansion markets.

3. NewsRoom

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Astrana Health, Inc. to Participate in Upcoming Investor Conferences

Mar -03

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Astrana Health (NASDAQ:ASTH) Shares Gap Up After Earnings Beat

Mar -03

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Astrana Health (ASTH) Surges on Strong Q4 Results and Optimistic Guidance

Mar -02

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Astrana Health, Inc. (ASTH) Q4 2025 Earnings Call Transcript

Mar -02

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Astrana Health, Inc. (ASTH) Q4 Earnings and Revenues Surpass Estimates

Mar -02

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Astrana Health, Inc. Reports Fourth Quarter and Year End 2025 Results

Mar -02

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Head to Head Comparison: Super Nova Resources (OTCMKTS:SNRR) & Astrana Health (NASDAQ:ASTH)

Feb -27

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Astrana Health (NASDAQ:ASTH) versus Super Nova Resources (OTCMKTS:SNRR) Head to Head Analysis

Feb -08

4. Business Breakdown

4.a. Revenues by Country

4.b. Revenues by Segment

5. Expected revenues mid-term growth (10.13%)

6. Segments

Care Partners

Expected Growth: 10%

Care Partners from Astrana Health, Inc. achieves 10% growth driven by increasing demand for value-based care, expansion into new markets, strategic partnerships, and investments in digital health technologies. Additionally, the company's focus on patient-centered care, cost-effective solutions, and strong provider networks contribute to its growth momentum.

Care Delivery

Expected Growth: 11%

Astrana Health's Care Delivery segment growth of 11% is driven by increasing adoption of value-based care models, expansion of Medicare Advantage and Medicaid managed care contracts, and strategic partnerships with healthcare providers to improve patient outcomes and reduce costs.

Care Enablement

Expected Growth: 13%

Astrana Health's Care Enablement segment growth of 13% is driven by increasing adoption of value-based care, rising demand for patient engagement platforms, and expansion into new markets. Additionally, the company's strategic partnerships, innovative care coordination solutions, and investments in AI-powered analytics are contributing to its rapid growth.

Other

Expected Growth: 9%

Astrana Health's 9% growth is driven by increasing demand for its innovative diagnostic solutions, strategic partnerships, and expansion into new markets. Additionally, the company's focus on digital health and AI-powered diagnostics has enabled it to capitalize on the growing trend of personalized medicine, further fueling its growth.

7. Detailed Products

AstranaMD

AstranaMD is a comprehensive telemedicine platform that enables remote consultations between patients and healthcare providers.

AstranaRx

AstranaRx is a digital pharmacy platform that allows patients to manage their prescriptions and medications online.

AstranaCare

AstranaCare is a care coordination platform that enables healthcare providers to manage patient care plans and coordinate care across different settings.

AstranaAnalytics

AstranaAnalytics is a data analytics platform that provides insights and analytics to healthcare providers and payers.

8. Astrana Health, Inc.'s Porter Forces

Forces Ranking

Threat Of Substitutes

Astrana Health, Inc. has a moderate threat of substitutes due to the availability of alternative healthcare services and products.

Bargaining Power Of Customers

Astrana Health, Inc. has a low bargaining power of customers due to the lack of concentration of buyers in the healthcare industry.

Bargaining Power Of Suppliers

Astrana Health, Inc. has a moderate bargaining power of suppliers due to the presence of multiple suppliers in the healthcare industry.

Threat Of New Entrants

Astrana Health, Inc. has a high threat of new entrants due to the growing demand for healthcare services and the ease of entry into the market.

Intensity Of Rivalry

Astrana Health, Inc. operates in a highly competitive industry with many established players, leading to a high intensity of rivalry.

9. SWOT Analysis

10. Capital Structure

10.a. Balance Sheet

10.b. Weighted Average Cost of capital

Value
Debt Weight 34.32%
Debt Cost 7.79%
Equity Weight 65.68%
Equity Cost 9.52%
WACC 8.93%
Leverage 52.26%

11. Quality Control: Astrana Health, Inc. passed 5 out of 9 key points

12.a Historical Valuation

12.b Price/Earnings Ratio

12.c Margin Valuation

12.d Peers Valuation

Peers Group Analysis

Stock-Card
Addus HomeCare

A-Score: 5.0/10

Value: 4.0

Growth: 7.8

Quality: 7.1

Yield: 0.0

Momentum: 4.5

Volatility: 6.7

1-Year Total Return ->

Stock-Card
Cross Country Healthcare

A-Score: 4.9/10

Value: 8.5

Growth: 6.2

Quality: 4.6

Yield: 0.0

Momentum: 6.5

Volatility: 3.3

1-Year Total Return ->

Stock-Card
Cryo-Cell International

A-Score: 4.7/10

Value: 7.2

Growth: 3.7

Quality: 6.4

Yield: 8.0

Momentum: 0.5

Volatility: 2.7

1-Year Total Return ->

Stock-Card
Aveanna Healthcare

A-Score: 3.9/10

Value: 3.7

Growth: 6.4

Quality: 3.9

Yield: 0.0

Momentum: 8.5

Volatility: 1.0

1-Year Total Return ->

Stock-Card
ASHS

A-Score: 3.9/10

Value: 9.3

Growth: 4.6

Quality: 3.7

Yield: 0.0

Momentum: 1.0

Volatility: 4.7

1-Year Total Return ->

Stock-Card
Astrana Health

A-Score: 2.7/10

Value: 4.8

Growth: 5.9

Quality: 2.5

Yield: 0.0

Momentum: 0.5

Volatility: 2.3

1-Year Total Return ->

Peers Metrics

12.e Scoring Insights

12.f DCF BETA

Parameters

Short Term Growth

Short term Time

Long-Term Growth

WACC

Target Price

24.51$

Current Price

24.51$

Potential

-0.00%

Expected Cash-Flows