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Astrana Health Inc

astranahealth.com

Astrana Health Inc (NASDAQ: ASTH) is a value-based healthcare management company that coordinates medical care for patients through a network of contracted physicians and risk-bearing organizations. Revenue comes primarily from capitated managed care arrangements, where Astrana receives fixed per-member payments from health plans and government programs and bears financial risk for patient care costs. The company also participates in Medicare's Accountable Care Organization programs, including the MSSP Enhanced risk track, where it earns shared savings or absorbs shared losses based on its efficiency managing beneficiary expenditures against CMS-established benchmarks. As of December 31, 2025, Astrana coordinated care for approximately 1.6 million patients through more than 20,000 contracted physicians, operating primarily in California. Four payers accounted for 59.8% of total net revenue in FY2025, indicating meaningful customer concentration. Net income attributable to Astrana Health was $22.5 million in FY2025, down from $43.1 million in FY2024, while Adjusted EBITDA rose to $205.4 million in FY2025 from $170.4 million in FY2024, partly reflecting the acquisition of Prospect.

Products & Services

Coordinated, outcomes-based medical care delivered through affiliated physician groups; population health management platform; risk-bearing organization (RBO) infrastructure; management services organization (MSO) administrative and technology support; Accountable Care Organization (ACO) participation under the Medicare Shared Savings Program (MSSP) Enhanced track; maternity care services.

Revenue Model

Capitated, risk-bearing managed care contracts with health plans and government programs (Medicare, Medicaid); shared savings from CMS under the MSSP Enhanced track; management services organization (MSO) fees; and other revenue including maternity care and the Hospital Quality Assurance Fee Program. Four payers represented 59.8% of total net revenue in FY2025.

Customers & Markets

Approximately 1.6 million managed care patients as of December 31, 2025, whose coverage comes through employers, directly from health plans, or via Medicaid and Medicare eligibility. End markets are commercial managed care, Medicaid, and Medicare. Four payers accounted for 59.8% of total net revenue in FY2025.

Geographic Exposure

Primarily California, as stated in the FY2025 10-K filed 2026-03-12.

Financial Snapshot

Revenue
TTM
$3.526B
Gross Margin
TTM
10.76%
Net Income
TTM
$30.23M
Current Assets
2026 Q1
Current Liabilities
2026 Q1
Current Ratio
2026 Q1
134.71%
Total Assets
2026 Q1
Total Liabilities
2026 Q1
Book Value
2026 Q1
577.5M
Cash
2026 Q1
P/E
TTM
76.12
Free Cash Flow
TTM
$155.0M

Stock Price

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Market Cap: $2.3012 Billion

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