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Astrana Health Inc. (ASTH)
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Astrana Health (ASTH) AI Stock Analysis

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ASTH

Astrana Health

(NASDAQ:ASTH)

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Neutral 61 (OpenAI - 4o)
Rating:61Neutral
Price Target:
$27.00
▼(-18.16% Downside)
Astrana Health's overall stock score is driven by strong financial performance and positive earnings call highlights, including significant revenue growth and strategic partnerships. However, the high P/E ratio and bearish technical indicators present notable risks. Addressing operational efficiency and valuation concerns could enhance the stock's attractiveness.
Positive Factors
Revenue Growth
The significant revenue growth reflects strong market demand and successful integration of acquisitions, indicating robust business expansion and market penetration.
Cash Generation
Strong cash generation enhances Astrana Health's financial flexibility, enabling reinvestment in growth initiatives and providing a buffer against economic uncertainties.
Strategic Partnerships
Strategic partnerships enhance market presence and service offerings, driving long-term growth and competitive advantage in the healthcare sector.
Negative Factors
Profitability Margins
Eroding profitability margins suggest cost pressures and operational inefficiencies, which could hinder sustainable long-term profitability if not addressed.
Contract Transition Delays
Delays in contract transitions may lead to revenue and profit shortfalls, affecting financial performance and strategic execution in the near term.
Medicaid Headwinds
Regulatory challenges in Medicaid could impact membership and rates, posing risks to revenue stability and growth in these segments.

Astrana Health (ASTH) vs. SPDR S&P 500 ETF (SPY)

Astrana Health Business Overview & Revenue Model

Company DescriptionAstrana Health (ASTH) is a healthcare technology company focused on providing innovative solutions that enhance patient care and streamline healthcare operations. Operating primarily in the health tech sector, Astrana Health develops a suite of digital health products, including telehealth platforms, electronic health record (EHR) systems, and data analytics tools designed to improve healthcare delivery and outcomes across various medical specialties.
How the Company Makes MoneyAstrana Health generates revenue through multiple streams, primarily by offering subscription-based services for its telehealth and EHR platforms to healthcare providers and institutions. Additionally, the company earns income through licensing fees for its analytics tools and by providing consulting services that help healthcare organizations optimize their operations. Significant partnerships with healthcare systems and insurance providers enhance its market reach and create bundled service offerings, further contributing to its revenue. The company may also explore additional income through strategic collaborations and pilot programs that validate its technologies for broader adoption.

Astrana Health Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Positive
Astrana Health's earnings call highlighted significant revenue and EBITDA growth, successful integration of Prospect Health, and technological advancements. However, delays in full risk contract transitions and potential Medicaid headwinds presented challenges. The positive aspects, including strong financial performance and strategic partnerships, were more prominent.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Astrana Health reported total revenues of $956 million for Q3 2025, up 100% year-over-year and 46% sequentially, driven by both the integration of Prospect Health and solid organic growth.
Increased Adjusted EBITDA
The company achieved adjusted EBITDA of $68.5 million, up 52% year-over-year and 42% sequentially, indicating strong profitability despite rapid scaling.
Successful Integration of Prospect Health
The acquisition of Prospect Health was completed in July, contributing positively to the company's financial performance and expanding its scale across Southern California.
AI and Technology Advancements
Astrana Health has been leveraging AI to drive efficiencies and enhance care quality, including predictive models for high-risk patients and AI-driven tools for claims analytics and clinical documentation.
Strategic Partnerships
The company expanded its partnership with Intermountain Health in Nevada and entered a new partnership with a provider group in Southern California, enhancing its market presence and service offerings.
Negative Updates
Delay in Full Risk Contract Transitions
Several payer contracts' transitions from partial risk to full risk have been delayed to the first quarter of 2026, impacting the 2025 revenue and adjusted EBITDA guidance.
Medicaid Headwinds
There are anticipated headwinds in the Medicaid and exchange businesses, with regulatory changes potentially affecting membership and rates.
Company Guidance
During Astrana Health's Q3 2025 earnings call, guidance was updated to reflect timing adjustments regarding full-risk contracts. The company now anticipates 2025 revenue between $3.1 billion and $3.18 billion, with adjusted EBITDA projected at $200 million to $210 million. This revision is a result of several payer contracts transitioning to full-risk arrangements in Q1 2026, instead of mid-2025. Despite this delay, Astrana reported robust Q3 results, including a 100% year-over-year increase in total revenues to $956 million, driven by the integration of Prospect Health and organic growth. Adjusted EBITDA rose 52% year-over-year to $68.5 million. Medical cost trends remained within expectations, with the company achieving a stable 4.5% trend in its legacy business. Looking ahead to 2026, Astrana anticipates positive Medicare Advantage rate adjustments and synergies from the Prospect acquisition, while acknowledging potential headwinds in Medicaid and exchange markets.

Astrana Health Financial Statement Overview

Summary
Astrana Health exhibits a strong growth trajectory with improving cash flow metrics and a healthier balance sheet. However, declining profitability margins and reduced return on equity highlight areas for improvement. The company is well-positioned in terms of leverage and cash generation, but needs to address operational efficiency to enhance profitability.
Income Statement
65
Positive
Astrana Health has shown a consistent revenue growth trend, with a notable 7.49% increase in the TTM period. However, profitability margins such as the gross profit margin and net profit margin have declined over time, indicating potential cost pressures. The EBIT and EBITDA margins have also decreased, suggesting challenges in operational efficiency.
Balance Sheet
72
Positive
The company's debt-to-equity ratio has significantly improved in the TTM period, indicating a stronger balance sheet with reduced leverage. However, the return on equity has decreased, reflecting lower profitability relative to equity. The equity ratio remains stable, showcasing a solid capital structure.
Cash Flow
78
Positive
Astrana Health has demonstrated impressive free cash flow growth of 126.75% in the TTM period, indicating strong cash generation capabilities. The operating cash flow to net income ratio has improved, suggesting better cash conversion. However, the free cash flow to net income ratio remains high, indicating reliance on cash flow for profitability.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.55B2.03B1.39B1.14B773.91M370.25M
Gross Profit205.41M271.39M214.96M199.48M177.77M21.70M
EBITDA50.24M141.84M123.69M112.08M100.66M29.74M
Net Income10.24M43.15M60.72M45.17M68.92M-23.75M
Balance Sheet
Total Assets2.24B1.35B933.36M966.21M867.36M817.49M
Cash, Cash Equivalents and Short-Term Investments463.45M290.83M296.31M293.59M286.51M261.17M
Total Debt85.22M471.84M321.01M229.36M200.98M260.56M
Total Liabilities1.68B840.73M522.59M407.67M356.72M372.34M
Stockholders Equity775.54M712.72M614.22M542.56M448.17M330.82M
Cash Flow
Free Cash Flow93.89M44.17M39.70M59.19M51.11M45.00M
Operating Cash Flow106.53M52.20M68.23M82.13M70.33M46.16M
Investing Cash Flow-571.36M-192.40M-65.52M-7.11M16.54M95.49M
Financing Cash Flow580.39M135.04M3.42M-20.09M-47.75M-51.70M

Astrana Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price32.99
Price Trends
50DMA
30.44
Negative
100DMA
28.08
Negative
200DMA
29.46
Negative
Market Momentum
MACD
0.24
Positive
RSI
29.90
Positive
STOCH
41.46
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ASTH, the sentiment is Negative. The current price of 32.99 is above the 20-day moving average (MA) of 32.02, above the 50-day MA of 30.44, and above the 200-day MA of 29.46, indicating a bearish trend. The MACD of 0.24 indicates Positive momentum. The RSI at 29.90 is Positive, neither overbought nor oversold. The STOCH value of 41.46 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ASTH.

Astrana Health Risk Analysis

Astrana Health disclosed 78 risk factors in its most recent earnings report. Astrana Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Astrana Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$1.86B11.5219.98%-4.21%
72
Outperform
$1.27B32.358.07%6.26%-19.33%
67
Neutral
$1.66B15.355.57%1.79%-22.96%-59.35%
61
Neutral
$1.67B132.651.29%68.17%-85.23%
61
Neutral
$1.34B37.047.30%2.03%17.50%154.28%
54
Neutral
$1.92B114.7615.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ASTH
Astrana Health
25.54
-21.42
-45.61%
HCSG
Healthcare Services
17.26
5.39
45.41%
MD
Pediatrix Medical Group
21.93
6.17
39.15%
SEM
Select Medical
13.33
-7.49
-35.98%
USPH
US Physical Therapy
73.87
-19.13
-20.57%
AVAH
Aveanna Healthcare Holdings
8.75
2.92
50.09%

Astrana Health Corporate Events

Astrana Health Inc. Reports Strong Q3 Earnings Amid Growth
Nov 8, 2025

Astrana Health Inc.’s recent earnings call painted a largely optimistic picture, underscored by significant revenue and EBITDA growth, the successful integration of Prospect Health, and advancements in technology. While the company faces challenges such as delays in transitioning to full risk contracts and potential Medicaid headwinds, the overall sentiment remained positive, buoyed by strong financial performance and strategic partnerships.

Astrana Health Reports Strong Revenue Growth in Q3 2025
Nov 7, 2025

Astrana Health, Inc. is a provider-centric, technology-powered healthcare company that focuses on delivering accessible, high-quality, and high-value care through its scalable care delivery infrastructure and proprietary technology platform. The company operates in the healthcare sector, supporting over 20,000 providers and 1.6 million patients in value-based care arrangements.

Business Operations and StrategyFinancial DisclosuresM&A Transactions
Astrana Health Reports Strong Q3 Revenue Growth
Positive
Nov 6, 2025

On November 6, 2025, Astrana Health announced its third-quarter financial results, reporting a 100% year-over-year increase in total revenue to $956 million, with adjusted EBITDA reaching $68.5 million. The company successfully integrated Prospect Health, exceeding performance expectations and expanding its market reach. Astrana also updated its full-year 2025 guidance to reflect delays in full-risk contract transitions, which are expected to complete in early 2026. The strategic partnerships and acquisitions are set to enhance Astrana’s position in the healthcare industry, focusing on coordinated, high-quality care delivery.

The most recent analyst rating on (ASTH) stock is a Buy with a $37.00 price target. To see the full list of analyst forecasts on Astrana Health stock, see the ASTH Stock Forecast page.

Astrana Health Inc. Shines in Q2 2025 Earnings Call
Aug 13, 2025

Astrana Health Inc. recently held its Q2 2025 earnings call, showcasing a robust financial performance and strategic growth despite facing challenges in Medicaid and health insurance exchanges. The sentiment was overwhelmingly positive, with the company demonstrating confidence in its ability to navigate these hurdles effectively.

Astrana Health Inc. Reports Strong Q2 2025 Results
Aug 8, 2025

Astrana Health Inc. is a technology-driven healthcare company focused on providing high-quality, accessible care through its provider-centric model, operating primarily in the healthcare sector.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 08, 2025