ASTH Astrana Health, Inc.

bullish track record → $32.55 +1.10 (+3.5%)
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Mkt Cap $2B P/E 68.4 fwd 10.5 52wk $18.08 - $34.80 Earnings 2026-05-07 48d ago
Backed by structured data (insider trades, analyst ratings, or filings)
Factor Model (net +1.2)

Factor Model

net +1.2 2.2 / 10
Est. Revisions
+0.0
Insider Activity
+0.0
Momentum
+0.0
Analyst Rev.
+1.0
Narrative Gap
+0.0

Q4 EPS crushes consensus by 5x, stock pops 30%

Watch: Monitor forward guidance and margin trajectory on the next earnings call. Whether this Q4 beat was one-off or the start of sustained profitability will determine if the stock can hold these gains or if the rally was relief-driven.

Astrana Health delivered a blowout Q4 earnings report, posting $0.54 EPS against consensus expectations of $0.11—a 5x beat. Revenue came in at $950.5 million, modestly above the $930.5 million consensus. The stock responded with a 29.5% single-day jump to $26.32 on Monday, signaling sharp investor relief on profitability.

This isn't just a beat; it's a credibility reset. The magnitude of the EPS surprise suggests either analyst estimates were severely off base or Astrana executed materially better than expected in Q4. A 5x EPS beat paired with an immediate 30% rally points to investor confidence in the underlying business model turning profitable.

Evidence

Fundamentals & Data ▾
Astrana Health, Inc. Healthcare · Medical Care Facilities
Mkt Cap
$2B
P/E
68.4 fwd 10.5
Beta
0.77
52w Range
$18.08 - $34.80
Short Interest
2.9M 8.11%
Days to Cover
5.3 -2%
Technicals downtrend
from 52w Hi
0.0%
1w return
+12.0%
Insiders
mixed 0B / 0S
Analysts
mixed
EPS Estimate
$0.65 1up / 0dn
Est. Dispersion
0% 1 analysts
Analyst Target
$36 $26 - $50
Options P/C
0.04
Fund Convergence
strong D.E. Shaw, Renaissance, Citadel, Two Sigma
Financials
Revenue
$951M +43% YoY
FCF
$-6M
Gross Margin
10%
Op Margin
2%
Momentum: decelerating
Top Holders
D.E. Shaw $18M
Renaissance $2M
Citadel $1M
Two Sigma
Recent Filings & Data
insider trade 43
net selling
12 insiders · 43 transactions (30d)
Recent transactions
SIM KENNETH T · award
SIM BRANDON · award
LAM THOMAS S · award
KUMAR DINESH M · award
SIM BRANDON · exercise · $495,802
SCHMIDT DAVID · exercise · $115,800
LAM THOMAS S · exercise · $524,546
SIM KENNETH T · exercise · $524,546
MAZDYASNI MATTHEW · exercise · $364,000
KITAYAMA MITCHELL W · exercise · $218,400
MARSH LINDA · exercise · $364,000
KITAYAMA MITCHELL W · exercise · $145,600
SCHMIDT DAVID · exercise · $364,000
CHIANG JOHN · exercise · $364,000
CHIANG JOHN · award
MARSH LINDA · award
MAZDYASNI MATTHEW · award
KITAYAMA MITCHELL W · award
DAI WEILI · award
SCHMIDT DAVID · award
SOBOTKA GLENN · award
SIM BRANDON · award
KUMAR DINESH M · award
BASHO CHANDAN · award
KITAYAMA MITCHELL W · exercise · $62,760
CHIANG JOHN · exercise · $27,891
SIM KENNETH T · exercise · $523,058
SIM KENNETH T · award
SIM BRANDON · award
KUMAR DINESH M · award
BASHO CHANDAN · award
LAM THOMAS S · award
MARSH LINDA · exercise · $168,850
KITAYAMA MITCHELL W · exercise · $168,850
CHIANG JOHN · exercise · $168,850
LAM THOMAS S · exercise · $523,058
SCHMIDT DAVID · exercise · $231,610
CHIANG JOHN · award
MARSH LINDA · award
MAZDYASNI MATTHEW · award
KITAYAMA MITCHELL W · award
DAI WEILI · award
SCHMIDT DAVID · award
3 signals · latest 7d ago

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