ASTH Astrana Health Inc. - Common Stock

NASDAQ · Health Care · View on SEC EDGAR ↗
$40.10
Price · Aug 18, 2026
Fundamentals as of Aug 10, 2026

ASTH Stock Snapshot Price, market cap, P/E, EPS, ROE, debt/equity, 52-week range

Price
$40.10
Market Cap
$1.96B
P/E (TTM)
87.2
EPS (TTM)
$0.46
Revenue (TTM)
$3.18B
Div Yield
0.40%
ROE
3.0%
Debt/Equity
1.3
52W Range
$18 – $52

ASTH Stock Price Chart Daily OHLCV with technical indicators — pan, zoom, and customize your view

10-Year Performance Revenue, net income, margins and EPS trends

Revenue & Net Income $3.18B
5-point trend, +311.1%
2021-12-31 2025-12-31
EPS $0.46
5-point trend, -69.7%
2021-12-31 2025-12-31
Free Cash Flow $104M
5-point trend, +104.4%
2021-12-31 2025-12-31
Margins 0.71%

Valuation P/E, P/S, P/B, EV/EBITDA ratios — is the stock expensive or cheap?

Metric
5Y trend
ASTH
Peer Median
P/E (TTM)
5-point trend, +11.6%
87.2
35.7
P/S (TTM)
0.6
1.2
P/B
2.5
3.1
EV / EBITDA
20.7
Price / FCF
18.8

Profitability Gross, operating and net margins; ROE, ROA, ROIC

Metric
5Y trend
ASTH
Peer Median
Operating Margin
5-point trend, -80.5%
2.5%
Net Profit Margin
5-point trend, -92.6%
0.71%
2.3%
ROA
4-point trend, -85.3%
1.3%
4.3%
ROE
4-point trend, -81.9%
3.0%
6.6%
ROIC
4-point trend, -73.0%
2.6%

Financial Health Debt, liquidity, solvency — balance sheet strength

Metric
5Y trend
ASTH
Peer Median
Debt / Equity
4-point trend, +229.9%
1.3
Current Ratio
4-point trend, -59.4%
1.4
1.5
Quick Ratio
4-point trend, -49.3%
1.3

Growth Revenue, EPS and net income growth: YoY, 3Y CAGR, 5Y CAGR

Metric
5Y trend
ASTH
Peer Median
Revenue YoY
5-point trend, +311.1%
56.4%
Revenue CAGR 3Y
5-point trend, +311.1%
40.6%
Revenue CAGR 5Y
5-point trend, +311.1%
35.9%
EPS YoY
5-point trend, -69.7%
-48.9%
Net Income YoY
5-point trend, -67.4%
-47.9%

Per Share Metrics EPS, book value per share, cash flow per share, dividend per share

Metric
5Y trend
ASTH
Peer Median
EPS (Diluted)
5-point trend, -69.7%
$0.46

Capital Efficiency Asset turnover, inventory turnover, receivables turnover

Metric
5Y trend
ASTH
Peer Median
Payout Ratio
5-point trend, -16.7%
35.1%

Dividends Yield, payout ratio, dividend history, 5Y CAGR

Dividend Yield
0.40%
Payout Ratio
35.1%
5Y Div CAGR

ASTH Analyst Consensus Bullish and bearish analyst opinions, 12-month price target, upside

BUY 17 analysts
  • Strong Buy 7 41.2%
  • Buy 8 47.1%
  • Hold 2 11.8%
  • Sell 0 0.0%
  • Strong Sell 0 0.0%

12-Month Price Target

8 analysts · 2026-08-16
Median target $51.50 +28.4%
Mean target $51.50 +28.4%

Earnings History EPS actual vs estimate, surprise %, beat rate, next earnings date

Avg Surprise
-0.11%
Period EPS Actual EPS Est Surprise
June 30, 2026 $0.40 $0.34 0.06%
March 31, 2026 $0.29 $0.30 -0.01%
Dec. 31, 2025 $0.12 $0.11 0.01%
Sept. 30, 2025 $0.01 $0.45 -0.44%
June 30, 2025 $0.19 $0.37 -0.18%
March 31, 2025 $0.14 $0.25 -0.11%

Peer comparison (GICS sub-industry) Key metrics vs sector peers

Ticker Market Cap P/E Rev YoY Net Margin ROE Gross Margin
ASTH $1.21B 53.9 56.4% 0.71% 3.0%
MD $1.77B 11.0 -4.9% 8.6% 20.3%
ADUS 20.6 23.2%
NEO $1.51B -49.0 10.1% -14.8% -12.8% 43.2%
WGS
AGL $7.14B -2.1% -6.6% -146.1%
OMDA $922M -45.1 53.2% -4.9% -5.8% 65.7%
INNV $500M -16.8 11.8% -3.5% -12.0% 18.0%
PNTG $975M 33.5 36.3% 3.1% 8.4%
AMN $606M -6.4 -8.5% -3.5% -15.3% 28.3%

Full Fundamentals All metrics by year — income statement, balance sheet, cash flow

Income Statement 16
Annual Income Statement data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Revenue 10-point trend, +940.0% $3.18B $2.03B $1.39B $1.14B $774M $687M $561M $520M $356M $306M
Cost of Revenue 6-point trend, +134.0% · · · · $596M $539M $468M $361M $273M $255M
SG&A Expense 10-point trend, +932.9% $217M $154M $113M $78M $62M $49M $41M $43M $26M $21M
Operating Expenses 10-point trend, +954.6% $3.10B $1.95B $1.30B $1.04B $676M $607M $528M $431M $321M $294M
Operating Income 10-point trend, +571.8% $79M $89M $85M $104M $98M $81M $32M $88M $35M $12M
Interest Expense 8-point trend, +26044.3% · · $16M $8M $5M $9M $5M $561.0K $79.7K $61.6K
Interest Income 10-point trend, +2308.8% $12M $15M $14M $2M $2M $3M $2M $1M $1M $504.7K
Other Non-op 10-point trend, -1292.8% $-3M $5M $6M $4M $-4M $1M $3M $2M $168.1K $233.7K
Pretax Income 10-point trend, +110.3% $40M $81M $90M $87M $78M $178M $26M $83M $50M $19M
Income Tax 10-point trend, +76.1% $16M $31M $32M $41M $32M $56M $8M $22M $4M $9M
Net Income 10-point trend, +96.3% $22M $43M $61M $45M $69M $38M $14M $11M $26M $11M
EPS (Basic) 10-point trend, +0.0% $0.46 $0.91 $1.30 $1.00 $1.57 $1.03 $0.41 $0.33 $1.01 $0.46
EPS (Diluted) 10-point trend, +12.2% $0.46 $0.90 $1.29 $0.99 $1.52 $1.01 $0.39 $0.29 $0.90 $0.41
Shares (Basic) 10-point trend, +98.9% 49,075,727 47,597,295 46,553,256 44,971,143 43,828,664 36,527,672 34,708,429 32,893,940 25,525,786 24,673,081
Shares (Diluted) 10-point trend, +76.5% 49,369,685 47,974,334 46,943,140 45,602,415 45,403,085 37,448,430 36,403,279 37,914,886 28,661,735 27,970,431
EBITDA 9-point trend, +129.2% $124M $117M $102M $122M $116M $99M $51M $108M $54M ·
Balance Sheet 26
Annual Balance Sheet data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Cash & Equivalents 10-point trend, +683.4% $429M $288M $294M $288M $233M $193M $103M $107M $100M $55M
Short-term Investments 9-point trend, +126.1% · $2M $2M $6M $53M $68M $117M $1M $1M $1M
Receivables 9-point trend, +1581.0% $374M $276M · $50M $11M $7M $11M $8M $8M $22M
Prepaid Expense 10-point trend, +1318.0% $26M $25M $17M $15M $19M $17M $10M $7M $5M $2M
Current Assets 10-point trend, +963.8% $863M $638M $462M $428M $404M $339M $329M $173M $144M $81M
PP&E (Net) 5-point trend, +452.7% $57M $14M · · · · · $13M $14M $10M
PP&E (Gross) 5-point trend, +368.3% $87M $39M · · · · · $27M $26M $19M
Accum. Depreciation 5-point trend, +261.7% $30M $25M · · · · · $14M $12M $8M
Goodwill 10-point trend, +736.8% $865M $419M $279M $269M $246M $232M $239M $186M $190M $103M
Intangibles 10-point trend, +150.7% $271M $118M $72M $77M $83M $87M $103M $87M $104M $108M
Other Non-current Assets 10-point trend, +1491.0% $25M $17M $2M $5M $6M $19M $2M $1M $2M $2M
Total Assets 10-point trend, +533.9% $2.22B $1.35B $933M $966M $867M $817M $729M $513M $491M $350M
Accounts Payable 10-point trend, +13652.3% $196M $106M $60M $50M $44M $36M $27M $4M $4M $1M
Current Liabilities 10-point trend, +1115.3% $615M $366M $219M $149M $115M $115M $105M $72M $110M $51M
Capital Leases 10-point trend, +31552000.00 $32M $31M $36M $20M $13M $16M $11M $517.3K $619.0K $0
Deferred Tax 8-point trend, -72.0% $5M $5M $4M $14M $30M $11M $18M $20M · ·
Other Non-current Liabilities 6-point trend, +17107000.00 $17M $15M $4M $20M $15M $0 · · · ·
Total Liabilities 10-point trend, +1567.7% $1.66B $841M $523M $408M $357M $372M $368M $106M $154M $100M
Long-term Debt 8-point trend, +1038769000.00 $1.04B $435M $278M $204M $184M $241M $232M $0 · ·
Total Debt 6-point trend, +329.8% $1.04B $435M $278M · $184M $241M $242M · · ·
Common Stock 10-point trend, +95.5% $49.0K $48.0K $47.0K $47.0K $45.0K $42.0K $36.0K $34.6K $32.3K $25.1K
Paid-in Capital 10-point trend, +435.3% $471M $426M $371M $360M $311M $261M $160M $163M $158M $88M
Retained Earnings 10-point trend, +39977.7% $308M $286M $243M $182M $137M $70M $32M $18M $2M $-773.3K
Stockholders' Equity 10-point trend, +793.6% $779M $713M $614M $543M $448M $331M $192M $181M $160M $87M
Liabilities + Equity 10-point trend, +533.9% $2.22B $1.35B $933M $966M $867M $817M $729M $513M $491M $350M
Shares Outstanding 9-point trend, +95.0% 48,885,358 47,929,872 · 46,575,699 44,630,873 42,249,137 35,908,057 34,578,040 32,304,876 25,067,953
Cash Flow 18
Annual Cash Flow data for ASTH
Metric Trend 2025202420232022202120202019201820172016
D&A 10-point trend, +152.6% $46M $28M $18M $18M $18M $18M $18M $19M $19M $18M
Stock-based Comp 9-point trend, +1307.2% $39M $35M $22M $16M $7M $3M $2M $1M $3M ·
Deferred Tax 10-point trend, -42.4% $-4M $-4M $-12M $-14M $8M $396.0K $-7M $-8M $-21M $-3M
Amort. of Intangibles 9-point trend, +132.6% $41M $26M $13M $14M $15M $16M $16M $17M $18M ·
Other Non-cash 9-point trend, -56.6% $12M $-49M $-20M $18M $-22M $-7M $-14M $4M $28M ·
Operating Cash Flow 10-point trend, +422.9% $115M $52M $68M $82M $70M $46M $14M $25M $52M $22M
CapEx 10-point trend, +205.7% $10M $8M $29M $23M $19M $1M $1M $1M $2M $3M
Investing Cash Flow 10-point trend, -5917.8% $-539M $-192M $-66M $-7M $17M $95M $-181M $-25M $27M $-9M
Debt Issued 3-point trend, +4900.0% · · · · · · $250M $8M $5M ·
Net Debt Issued 2-point trend, -100.0% · · · · · $0 $248M · · ·
Stock Issued 8-point trend, -100.0% · · $0 $0 $40M $0 $0 $200.0K $2M $11M
Stock Repurchased 10-point trend, +4846.9% $26M $900.0K $10M $9M $6M $537.0K $8M $5M $3M $517.5K
Net Stock Activity 9-point trend, -2421.9% $-26M $-900.0K $-10M $-9M $34M $-537.0K $-7M $-5M $-1M ·
Dividends Paid 10-point trend, -70.4% $8M $4M $62M $14M $31M $51M $62M $18M $10M $27M
Financing Cash Flow 10-point trend, +3420.4% $569M $135M $3M $-20M $-48M $-52M $163M $-11M $-15M $-17M
Net Change in Cash 10-point trend, +3559.2% $145M $-5M $6M $55M $39M $90M $-4M $-11M $64M $-4M
Free Cash Flow 9-point trend, +109.6% $104M $44M $40M $59M $51M $45M $13M $24M $50M ·
Levered FCF 7-point trend, -41.1% · · $29M $55M $48M $38M $9M $24M $50M ·
Profitability 7
Annual Profitability data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Operating Margin 9-point trend, -74.8% 2.5% 4.4% 6.1% 9.1% 12.7% 11.7% 5.8% 17.0% 9.8% ·
Net Margin 9-point trend, -90.2% 0.71% 2.1% 4.4% 4.0% 9.5% 5.5% 2.5% 2.1% 7.2% ·
Pretax Margin 9-point trend, -91.1% 1.2% 4.0% 6.5% 7.6% 10.1% 26.0% 4.6% 15.9% 13.9% ·
EBITDA Margin 9-point trend, -74.2% 3.9% 5.8% 7.4% 10.7% 14.9% 14.4% 9.1% 20.7% 15.2% ·
ROA 8-point trend, -87.5% 1.3% 3.8% 6.4% · 8.6% 4.9% 2.3% 2.2% 10.1% ·
ROE 8-point trend, -90.7% 3.0% 6.5% 10.5% · 16.6% 14.5% 7.6% 6.4% 32.3% ·
ROIC 8-point trend, -87.0% 2.6% 4.8% 6.1% · 9.8% 9.7% 5.1% 35.7% 20.3% ·
Liquidity & Solvency 5
Annual Liquidity & Solvency data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Current Ratio 8-point trend, +6.7% 1.4 1.7 2.1 · 3.5 2.9 3.1 2.4 1.3 ·
Quick Ratio 8-point trend, +18.3% 1.3 0.8 1.4 · 2.6 2.3 2.2 1.6 1.1 ·
Debt / Equity 6-point trend, +5.7% 1.3 0.6 0.5 · 0.4 0.7 1.3 · · ·
LT Debt / Equity 6-point trend, +4.9% 1.3 0.6 0.4 · 0.4 0.7 1.2 · · ·
Interest Coverage 7-point trend, -98.8% · · 5.3 13.2 18.2 8.5 6.8 157.8 441.0 ·
Efficiency 2
Annual Efficiency data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Asset Turnover 8-point trend, +27.2% 1.8 1.8 1.5 · 0.9 0.9 0.9 1.0 1.4 ·
Receivables Turnover 6-point trend, -65.0% 9.8 · · · 87.6 76.1 59.8 67.8 27.9 ·
Per Share 5
Annual Per Share data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Book Value / Share 4-point trend, +222.0% $15.94 · · · · · $5.33 $5.22 $4.95 ·
Revenue / Share 9-point trend, +416.3% $64.45 $42.41 $29.54 $25.09 $17.05 $18.35 $15.40 $13.71 $12.48 ·
Cash Flow / Share 9-point trend, +28.1% $2.32 $1.09 $1.45 $1.80 $1.55 $1.23 $0.38 $0.67 $1.81 ·
Cash / Share 4-point trend, +184.5% $8.79 · · · · · $2.87 $3.09 $3.09 ·
EPS (TTM) 9-point trend, -48.9% $0.46 $0.90 $1.29 $0.99 $1.52 $1.01 $0.39 $0.29 $0.90 ·
Growth Rates 10
Annual Growth Rates data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Revenue YoY 5-point trend, +346.8% 56.4% 46.7% 21.2% 47.8% 12.6% · · · · ·
Revenue CAGR 3Y 3-point trend, +54.0% 40.6% 38.0% 26.4% · · · · · · ·
Revenue CAGR 5Y 35.9% · · · · · · · · ·
EPS YoY 5-point trend, -196.8% -48.9% -30.2% 30.3% -34.9% 50.5% · · · · ·
EPS CAGR 3Y 3-point trend, -365.3% -22.6% -16.0% 8.5% · · · · · · ·
EPS CAGR 5Y -14.5% · · · · · · · · ·
Net Income YoY 5-point trend, -157.8% -47.9% -28.9% 34.4% -34.5% 82.9% · · · · ·
Net Income CAGR 3Y 3-point trend, -220.4% -20.8% -14.4% 17.2% · · · · · · ·
Net Income CAGR 5Y -9.8% · · · · · · · · ·
Dividend CAGR 5Y -31.2% · · · · · · · · ·
Valuation (TTM) 16
Annual Valuation (TTM) data for ASTH
Metric Trend 2025202420232022202120202019201820172016
Revenue TTM 9-point trend, +792.9% $3.18B $2.03B $1.39B $1.14B $774M $687M $561M $520M $356M ·
Net Income TTM 9-point trend, -12.8% $22M $43M $61M $45M $69M $38M $14M $11M $26M ·
Market Cap 4-point trend, +56.4% $1.21B · · · · · $661M $686M $775M ·
Enterprise Value 2-point trend, +166.8% $1.82B · · · · · $683M · · ·
P/E 9-point trend, +102.3% 53.9 35.0 29.7 29.9 48.3 18.1 47.2 68.4 26.7 ·
P/S 4-point trend, -82.5% 0.4 · · · · · 1.2 1.3 2.2 ·
P/B 4-point trend, -67.9% 1.6 · · · · · 3.5 3.8 4.8 ·
P / Cash Flow 4-point trend, -29.1% 10.6 · · · · · 48.3 26.9 14.9 ·
P / FCF 4-point trend, -25.4% 11.6 · · · · · 52.3 28.2 15.6 ·
EV / EBITDA 2-point trend, +9.9% 14.7 · · · · · 13.3 · · ·
EV / FCF 2-point trend, -67.7% 17.4 · · · · · 54.1 · · ·
EV / Revenue 2-point trend, -53.0% 0.6 · · · · · 1.2 · · ·
Dividend Yield 4-point trend, -51.9% 0.65% · · · · · 9.3% 2.6% 1.4% ·
Earnings Yield 9-point trend, -50.7% 1.8% 2.9% 3.4% 3.4% 2.1% 5.5% 2.1% 1.5% 3.8% ·
Payout Ratio 9-point trend, -13.4% 35.1% 9.3% 102.2% 31.1% 42.1% 135.5% 437.2% 163.9% 40.5% ·
Annual Payout 9-point trend, -24.5% $8M $4M $62M $14M $31M $51M $62M $18M $10M ·

Financial Statements Income statement, balance sheet, cash flow — annual, last 5 years

Income Statement
2025-12-312024-12-312023-12-312022-12-312022-09-30
Revenue $3.18B$2.03B$1.39B$1.14B
Operating Margin % 2.5%4.4%6.1%9.1%
Net Income $22M$43M$61M$45M
Diluted EPS $0.46$0.90$1.29$0.99
Balance Sheet
2025-12-312024-12-312023-12-312022-12-312022-09-30
Debt / Equity 1.30.60.5
Current Ratio 1.41.72.1
Quick Ratio 1.30.81.4
Cash Flow
2025-12-312024-12-312023-12-312022-12-312022-09-30
Free Cash Flow $104M$44M$40M$59M

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Institutional owners (13F) 229 filers · $929.4M total · As of June 30, 2026

Institutions that report holding this stock in their quarterly SEC Form 13F. Long positions only; a single filer may appear twice for separate option legs. Large offsetting put/call legs typically reflect market-making or hedged inventory, not directional conviction.

Institutional activity — Q2 2026 vs prior quarter
New positions Exited positions Increased Decreased Net shares change
63 (+37 vs prior Q) 16 (-9 vs prior Q) 74 (+16 vs prior Q) 46 (-8 vs prior Q) +5.2M

Compared to Q1 2026. SEC Form 13F filings are due within 45 days of quarter-end plus a short buffer for late filers — quarters still inside that window are skipped in favor of the most recent fully-reported pair.

Institution Value Shares % of tracked 13F Type
VANGUARD PORTFOLIO MANAGEMENT LLC $120,934,018 2,605,775 13.01% Shares
VANGUARD CAPITAL MANAGEMENT LLC $90,333,863 1,946,431 9.72% Shares
STATE STREET CORP $80,703,741 1,738,930 8.68% Shares
325 CAPITAL LLC $74,898,454 1,613,843 8.06% Shares
DIMENSIONAL FUND ADVISORS LP $63,522,110 1,368,716 6.83% Shares
GEODE CAPITAL MANAGEMENT, LLC $46,705,931 1,006,161 5.03% Shares
FMR LLC $31,822,130 685,674 3.42% Shares
CHARLES SCHWAB INVESTMENT MANAGEMENT INC $30,290,368 652,669 3.26% Shares
AMERIPRISE FINANCIAL INC $23,699,453 510,654 2.55% Shares
WELLINGTON MANAGEMENT GROUP LLP $23,689,103 510,431 2.55% Shares
Diamond Hill Capital Management, LLC (Investment Advisor) $22,088,422 475,941 2.38% Shares
ROYCE & ASSOCIATES LP $21,927,797 472,480 2.36% Shares
SteelPeak Wealth, LLC $21,577,727 464,937 2.32% Shares
VANGUARD FIDUCIARY TRUST CO $14,248,891 307,022 1.53% Shares
PRINCIPAL FINANCIAL GROUP INC $12,262,311 264,217 1.32% Shares
EARNEST PARTNERS LLC $12,019,772 258,991 1.29% Shares
HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC $11,575,118 249,410 1.25% Shares
LPL Financial LLC $10,288,911 221,696 1.11% Shares
683 Capital Management, LLC $9,746,101 210,000 1.05% Shares
MILLENNIUM MANAGEMENT LLC $8,841,244 190,503 0.95% Shares
ENVESTNET ASSET MANAGEMENT INC $8,700,111 187,462 0.94% Shares
JACOBS LEVY EQUITY MANAGEMENT, INC $8,581,255 184,901 0.92% Shares
Public Sector Pension Investment Board $8,342,012 179,746 0.90% Shares
BNP PARIBAS ASSET MANAGEMENT Holding S.A. $7,128,576 153,600 0.77% Shares
1492 Capital Management LLC $6,773,354 145,946 0.73% Shares
Empowered Funds, LLC $6,301,503 135,779 0.68% Shares
AXA Investment Managers S.A. $5,882,030 207,479 0.63% Shares
TOWLE & CO $5,702,072 122,863 0.61% Shares
Rhenman & Partners Asset Management AB $5,517,592 118,888 0.59% Shares
Emerald Investment Advisers, LLC $5,339,238 115,045 0.57% Shares
Bank of New York Mellon Corp $5,139,351 110,738 0.55% Shares
RHUMBLINE ADVISERS $4,970,861 107,108 0.53% Shares
BNP PARIBAS FINANCIAL MARKETS $4,547,902 97,994 0.49% Shares
BlackRock, Inc. $4,403,334 94,879 0.47% Shares
Swiss National Bank $4,151,096 89,444 0.45% Shares
Westmount Partners, LLC $3,608,610 77,755 0.39% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $3,542,847 76,338 0.38% Shares
Insight Wealth Strategies, LLC $3,513,495 143,291 0.38% Shares
RENAISSANCE TECHNOLOGIES LLC $3,464,321 74,646 0.37% Shares
Quantinno Capital Management LP $3,272,972 70,523 0.35% Shares
AMERICAN CENTURY COMPANIES INC $3,059,022 65,913 0.33% Shares
Linden Thomas Advisory Services, LLC $3,058,094 65,893 0.33% Shares
Legal & General Group Plc $3,028,670 65,259 0.33% Shares
BANK OF AMERICA CORP /DE/ $2,666,998 57,466 0.29% Shares
STATE OF WISCONSIN INVESTMENT BOARD $2,228,330 48,014 0.24% Shares
PRUDENTIAL FINANCIAL INC $2,086,594 44,960 0.22% Shares
HUSSMAN STRATEGIC ADVISORS, INC. $1,949,220 42,000 0.21% Shares
ALLIANCEBERNSTEIN L.P. $1,814,725 74,010 0.20% Shares
PEAK6 LLC $1,717,170 37,000 0.18% Call option
Integrated Quantitative Investments LLC $1,713,550 36,922 0.18% Shares
Walleye Capital LLC $1,636,741 35,267 0.18% Shares
FIRST TRUST ADVISORS LP $1,574,923 33,935 0.17% Shares
GOLDMAN SACHS GROUP INC $1,547,959 33,354 0.17% Shares
Savant Capital, LLC $1,529,482 32,957 0.16% Shares
VANGUARD ASSET MANAGEMENT, Ltd $1,505,587 32,441 0.16% Shares
Mutual Advisors, LLC $1,450,220 31,248 0.16% Shares
MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. $1,438,756 31,001 0.15% Shares
CREDIT AGRICOLE S A $1,434,069 30,900 0.15% Shares
State of New Jersey Common Pension Fund D $1,385,942 29,863 0.15% Shares
Cetera Investment Advisers $1,385,292 29,849 0.15% Shares
Horizon Investment Services, LLC $1,382,507 29,789 0.15% Shares
INTECH INVESTMENT MANAGEMENT LLC $1,275,068 27,474 0.14% Shares
CITIGROUP INC $1,259,985 27,149 0.14% Shares
CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM $1,259,617 51,371 0.14% Shares
BLAIR WILLIAM & CO/IL $1,238,497 26,686 0.13% Shares
MetLife Investment Management, LLC $1,234,645 26,603 0.13% Shares
Zurcher Kantonalbank (Zurich Cantonalbank) $1,210,187 26,076 0.13% Shares
SEGALL BRYANT & HAMILL, LLC $1,198,585 25,826 0.13% Shares
CITADEL ADVISORS LLC $1,163,452 25,069 0.13% Shares
Shay Capital LLC $1,160,250 25,000 0.12% Shares
Corient Private Wealth LP $1,155,147 24,890 0.12% Shares
CITADEL ADVISORS LLC $1,062,789 22,900 0.11% Call option
Illinois Municipal Retirement Fund $1,029,931 22,192 0.11% Shares
NorthCrest Asset Manangement, LLC $1,024,999 21,897 0.11% Shares
Engineers Gate Manager LP $988,533 21,300 0.11% Shares
MANUFACTURERS LIFE INSURANCE COMPANY, THE $902,442 19,445 0.10% Shares
Man Group plc $865,036 18,639 0.09% Shares
Louisiana State Employees Retirement System $863,226 18,600 0.09% Shares
JPMORGAN CHASE & CO $851,787 18,916 0.09% Shares
Invesco Ltd. $847,679 18,265 0.09% Shares
LOS ANGELES CAPITAL MANAGEMENT LLC $847,679 18,265 0.09% Shares
GREAT LAKES ADVISORS, LLC $832,224 17,932 0.09% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $816,816 17,600 0.09% Put option
Penn Capital Management Company, LLC $797,185 17,177 0.09% Shares
State of Tennessee, Department of Treasury $791,105 17,046 0.09% Shares
Cubist Systematic Strategies, LLC $790,268 27,876 0.09% Shares
BARCLAYS PLC $778,528 16,775 0.08% Shares
Vanguard Global Advisers, LLC $766,879 16,524 0.08% Shares
NEW YORK STATE COMMON RETIREMENT FUND $743,256 16,015 0.08% Shares
QSV Equity Investors LLC $738,991 29,786 0.08% Shares
&PARTNERS $664,313 14,314 0.07% Shares
SIMPLEX TRADING, LLC $633,403 13,648 0.07% Shares
Police & Firemen's Retirement System of New Jersey $624,586 13,458 0.07% Shares
ExodusPoint Capital Management, LP $591,403 12,743 0.06% Shares
FIFTH THIRD BANCORP $587,094 12,650 0.06% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $584,766 12,600 0.06% Call option
State of Wyoming $578,129 12,457 0.06% Shares
ARIZONA STATE RETIREMENT SYSTEM $570,750 12,298 0.06% Shares
STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM $567,594 12,230 0.06% Shares
TEACHER RETIREMENT SYSTEM OF TEXAS $557,198 12,006 0.06% Shares

Company insiders 30 insiders · 12 officers · 12 directors

Insider Role Last activity Shares owned Buys 12m Sells 12m Net 12m
Brandon Sim CEO and President June 27, 2026 F 1,245,292 0 0 $0
Warren Hosseinion Co-Chief Executive Officer June 14, 2018 S 837,338 0 0 $0
Chandan Basho COO and CFO May 16, 2026 F 159,610 0 0 $0
Mihir Shah Chief Financial Officer Jan. 15, 2018 M 19,932 0 0 $0
Mitchell Creem Chief Financial Officer March 31, 2015 A 0 0 $0
Kyle Francis EVP and CFO Aug. 22, 2013 A 2,100,000 0 0 $0
Hing Ang Chief Operating Officer May 26, 2020 D 38,316 0 0 $0
Kenneth T. Sim Executive Chairman April 6, 2026 A 739,407 0 0 $0
Dinesh M. Kumar Chief Medical Officer April 1, 2026 F 177,655 0 0 $0
John Vong Chief Accounting Officer Nov. 30, 2024 F 17,520 0 0 $0
Adrian Vazquez Chief Medical Officer April 28, 2021 S 371,004 0 0 $0
Mark Meyers Chief Strategy Officer Oct. 22, 2013 A 0 0 $0
David Schmidt Director Aug. 14, 2026 M 36,019 0 0 $0
Matthew Mazdyasni Director June 10, 2026 A 39,288 0 0 $0
John Chiang Director June 10, 2026 A 35,373 0 0 $0
Linda Dong Director June 10, 2026 A 97,133 0 0 $0
Mitchell W Kitayama Director June 10, 2026 A 32,837 0 0 $0
Weili Dai, Director June 10, 2026 A 18,188 0 0 $0
Thomas S. Lam Director April 6, 2026 A 465,657 0 0 $0
Gary Augusta Director Aug. 2, 2013 P 259,457 0 0 $0
Allied Physicians of California, a Professional Medical Corporation 10% owner Feb. 15, 2025 J 6,132,802 0 0 $0
Bradley S Shepherd 10% owner May 20, 2005 S 10,200,000 0 0 $0
Glenn Sobotka Aug. 7, 2026 D 2,246 0 0 $0
Albert Waichow Young Dec. 2, 2022 J 1,184,749 0 0 $0
Eric Chin March 31, 2022 F 20,844 0 0 $0
Michael F. Eng Jan. 20, 2022 A 4,890 0 0 $0
Mark Fawcett Jan. 20, 2022 A 30,000 0 0 $0
BATES ERNEST A Jan. 20, 2022 A 0 0 $0
Li Yu Nov. 11, 2020 A 0 0 $0
Suresh Nihalani Jan. 1, 2012 P 800,000 0 0 $0

Insiders from SEC Form 3/4/5 filings; net = open-market P/S only

Activists & 5%+ owners 11 positions

Investors who filed SEC Schedule 13D — beneficial ownership above 5% with an intent to influence the issuer (activist stakes, board campaigns, M&A). Each row shows the most recent known state of that filer's position.

Filer Filed Stake Status Purpose Filing
Allied Physicians of California, a Professional Medical Corporation ×9 filings Feb. 18, 2025 11.00% Amendment Capital structure SEC
Kenneth T. Sim ×4 filings Feb. 24, 2020 Initial filing SEC
Thomas S. Lam ×4 filings Feb. 24, 2020 Initial filing SEC
Lakhi Sakhrani ×4 filings Feb. 24, 2020 Initial filing SEC
Sept. 16, 2019 Initial filing SEC
Adrian Vazquez, M.D. ×2 filings Dec. 19, 2017 Initial filing SEC
Warren Hosseinion, M.D. ×2 filings Dec. 15, 2017 Initial filing SEC
NNA OF NEVADA, INC., FRESENIUS MEDICAL CARE HOLDINGS, INC., FRESENIUS MEDICAL CARE AG & CO. KGaA ×3 filings Dec. 13, 2017 Initial filing SEC
Network Medical Management, Inc. ×3 filings Dec. 12, 2017 Initial filing SEC
Adrian Vazquez June 25, 2008 Initial filing SEC
Warren Hosseinion June 25, 2008 Initial filing SEC

Purpose is an automated classification of the filer's own stated purpose (SEC Item 4) — not investment advice. "—" means no clear purpose was stated or the text could not be classified.

ETF ownership Held by 62 ETFs

Weight reflects direct equity holdings (N-PORT) only; leveraged or derivative-based funds may hold additional swap exposure not shown.

Fund Weight Units As of Source
HEAL · Global X Funds 1.35% 9,010 NS May 31, 2026 N-PORT
RZV · Invesco Exchange-Traded Fund Trust 0.88% 75,774 SH Aug. 8, 2026 Daily
PSCH · Invesco Exchange-Traded Fund Trust … 0.77% 36,842 SH Aug. 8, 2026 Daily
PTH · Invesco Exchange-Traded Fund Trust 0.70% 48,558 SH Aug. 8, 2026 Daily
DWAS · Invesco Exchange-Traded Fund Trust … 0.35% 44,077 SH Aug. 8, 2026 Daily
QIDX · Spinnaker ETF Series 0.31% 3,428 NS April 30, 2026 N-PORT
IHF · iShares Trust 0.22% 79,088 SH Aug. 8, 2026 Daily
VIOV · VANGUARD ADMIRAL FUNDS 0.21% 90,075 SH Aug. 8, 2026 Daily
RWJ · Invesco Exchange-Traded Fund Trust … 0.20% 117,709 SH Aug. 8, 2026 Daily
IJS · iShares Trust 0.16% 377,645 SH Aug. 8, 2026 Daily
AFSM · First Trust Exchange-Traded Fund VI… 0.15% 4,015 NS May 31, 2026 N-PORT
VTWG · VANGUARD SCOTTSDALE FUNDS 0.12% 48,925 SH Aug. 8, 2026 Daily
JPSE · J.P. Morgan Exchange-Traded Fund Tr… 0.11% 19,047 NS April 30, 2026 N-PORT
VIOO · VANGUARD ADMIRAL FUNDS 0.11% 147,980 SH Aug. 8, 2026 Daily
IWO · iShares Trust 0.10% 414,064 SH Aug. 8, 2026 Daily
QVMS · Invesco Exchange-Traded Fund Trust … 0.09% 6,689 SH Aug. 8, 2026 Daily
EBIT · Harbor ETF Trust 0.09% 306 NS April 30, 2026 N-PORT
XJR · iShares Trust 0.09% 5,035 SH Aug. 8, 2026 Daily
BBSC · J.P. Morgan Exchange-Traded Fund Tr… 0.08% 17,620 NS April 30, 2026 N-PORT
FYX · First Trust Exchange-Traded AlphaDE… 0.08% 28,237 NS April 30, 2026 N-PORT
IJR · iShares Trust 0.08% 2,590,868 SH Aug. 8, 2026 Daily
FNDA · SCHWAB STRATEGIC TRUST 0.08% 180,699 NS May 31, 2026 N-PORT
SAA · ProShares Trust 0.07% 515 NS May 31, 2026 N-PORT
PRFZ · Invesco Exchange-Traded Fund Trust 0.07% 57,478 SH Aug. 8, 2026 Daily
AVSC · AMERICAN CENTURY ETF TRUST 0.07% 52,704 NS May 31, 2026 N-PORT
VBK · VANGUARD INDEX FUNDS 0.06% 591,784 SH Aug. 8, 2026 Daily
VTWO · VANGUARD SCOTTSDALE FUNDS 0.06% 262,660 SH Aug. 8, 2026 Daily
DFSV · Dimensional ETF Trust 0.06% 122,048 NS April 30, 2026 N-PORT
GSSC · Goldman Sachs ETF Trust 0.06% 14,405 NS May 31, 2026 N-PORT
IWM · iShares Trust 0.05% 1,162,625 SH Aug. 8, 2026 Daily
DFAS · Dimensional ETF Trust 0.04% 179,807 NS April 30, 2026 N-PORT
RSSL · Global X Funds 0.04% 17,749 NS April 30, 2026 N-PORT
ISCG · iShares Trust 0.04% 12,295 SH Aug. 8, 2026 Daily
ESML · iShares Trust 0.04% 34,197 SH Aug. 8, 2026 Daily
ITWO · ProShares Trust 0.04% 1,919 NS May 31, 2026 N-PORT
SCHA · SCHWAB STRATEGIC TRUST 0.03% 208,487 NS May 31, 2026 N-PORT
VHT · VANGUARD WORLD FUND 0.03% 134,131 SH Aug. 8, 2026 Daily
FHLC · FIDELITY COVINGTON TRUST 0.03% 20,883 NS April 30, 2026 N-PORT
UWM · ProShares Trust 0.02% 1,502 NS May 31, 2026 N-PORT
DFAT · Dimensional ETF Trust 0.02% 81,879 NS April 30, 2026 N-PORT
VXF · VANGUARD INDEX FUNDS 0.02% 487,188 SH Aug. 8, 2026 Daily
VB · VANGUARD INDEX FUNDS 0.02% 1,022,756 SH Aug. 8, 2026 Daily
ISCB · iShares Trust 0.02% 1,688 SH Aug. 8, 2026 Daily
URTY · ProShares Trust 0.02% 1,519 NS May 31, 2026 N-PORT
WSML · iShares Trust 0.01% 2,729 SH Aug. 8, 2026 Daily
DXUV · Dimensional ETF Trust 0.01% 1,324 NS April 30, 2026 N-PORT
MSSM · MORGAN STANLEY PATHWAY FUNDS 0.01% 1,741 NS May 31, 2026 N-PORT
DFAC · Dimensional ETF Trust 0.01% 98,341 NS April 30, 2026 N-PORT
ONEQ · Fidelity Commonwealth Trust 0.01% 20,440 NS May 31, 2026 N-PORT
HDG · ProShares Trust 0.01% 38 NS May 31, 2026 N-PORT