ASTRANA HEALTH INC ASTH
COM NEW · Common Stock · CUSIP 03763A207
- SectorIndustrials
- IndustryServices-Management Consulting Services
- HeadquartersAlhambra, CA
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($912.1k this quarter). Holder counts are more reliable. Shares outstanding: 56.1m as of 2025-08-07, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $24.91. Options: 5 managers hold calls ($12.9m notional), 4 hold puts ($897.8k).
Trends to Q2 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 155 |
| Q4 2022 | 131 |
| Q1 2023 | 134 |
| Q2 2023 | 131 |
| Q3 2023 | 135 |
| Q4 2023 | 144 |
| Q1 2024 | 160 |
| Q2 2024 | 173 |
| Q3 2024 | 190 |
| Q4 2024 | 181 |
| Q1 2025 | 170 |
| Q2 2025 | 163 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q3 2023 | 68 | 58 |
| Q4 2023 | 63 | 63 |
| Q1 2024 | 76 | 63 |
| Q2 2024 | 92 | 63 |
| Q3 2024 | 99 | 72 |
| Q4 2024 | 94 | 94 |
| Q1 2025 | 77 | 89 |
| Q2 2025 | 82 | 90 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q3 2024 | $35.4m | $1.4m | 0.04 |
| Q4 2024 | $14.4m | $920.7k | 0.06 |
| Q1 2025 | $313.0k | $3.2m | 10.22 |
| Q2 2025 | $12.9m | $897.8k | 0.07 |
Biggest buyers
| ROYAL BANK OF CANADA | Added | +355.6k |
| JACOBS LEVY EQUITY MANAGEMENT, INC | Added | +182.1k |
| MORGAN STANLEY | Added | +165.1k |
| DIMENSIONAL FUND ADVISORS LP | Added | +144.4k |
| AXA S.A. | New | +126.6k |
| MILLENNIUM MANAGEMENT LLC | New | +125.3k |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC | Added | +113.0k |
| Squarepoint Ops LLC | Added | +79.0k |
| Diamond Hill Capital Management, LLC (Investment Advisor) | Added | +60.5k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | Added | +54.3k |
Biggest sellers
| FMR LLC | Reduced | -339.7k |
| BlackRock, Inc. | Reduced | -287.5k |
| Atria Wealth Solutions, Inc. | Sold out | -237.4k |
| Bellevue Group AG | Sold out | -163.2k |
| CITADEL ADVISORS LLC | Reduced | -96.4k |
| RENAISSANCE TECHNOLOGIES LLC | Reduced | -93.1k |
| GOLDMAN SACHS GROUP INC | Reduced | -80.6k |
| VANGUARD GROUP INC | Reduced | -65.6k |
| E. Ohman J:or Asset Management AB | Sold out | -61.3k |
| Invesco Ltd. | Reduced | -51.9k |
Biggest calls
| JANE STREET GROUP, LLC | New | $12.6m505.6k shares |
| CITADEL ADVISORS LLC | Added | $286.1k11.5k shares |
| GROUP ONE TRADING LLC | New | $12.4k500 shares |
| SIMPLEX TRADING, LLC | Reduced | $7.0k300 shares |
| CONCOURSE FINANCIAL GROUP SECURITIES, INC. | Unchanged | $00 shares |
Biggest puts
| CITADEL ADVISORS LLC | Reduced | $791.2k31.8k shares |
| GROUP ONE TRADING LLC | New | $74.6k3.0k shares |
| SIMPLEX TRADING, LLC | Reduced | $32.0k1.3k shares |
| CONCOURSE FINANCIAL GROUP SECURITIES, INC. | Unchanged | $00 shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| BlackRock, Inc. 13G · institution +1.0 pts · filed 2025-04-17 | 12.4% |
ALLIED PHYSICIANS OF CALIFORNIA, A PROFESSIONAL MEDICAL Corp
13D · may seek influence
-1.2 pts · filed 2025-02-18
Stated purposeItem 4 is hereby amended to add the following: On January 15, 2025, the Reporting Person declared a dividend on the Reporting Person's common stock, payable by the pro rata distribution, for no consideration, of an aggregate of 699,896 shares of the Issuer's Common Stock to the Reporting Person's stockholders, including 17,839 shares in the aggregate held for the benefit of disqualified shareholders of the Reporting Person. The shares of Common Stock were distributed on February 15, 2025. The Reporting Person acquired the Common Stock reported in this Statement for investment purposes. The Reporting Person may in the future acquire additional shares of Common Stock or dispose of some or all of the shares of Common Stock beneficially owned by it in open-market transactions or privately ne… Full filing |
11.0% |
| VANGUARD PORTFOLIO MANAGEMENT LLC 13G · institution new · filed 2026-07-31 | 5.3% |
Fell to 5% or below in the last year: VANGUARD GROUP INC (0.0%, 2026-03-26; now reported by VANGUARD PORTFOLIO MANAGEMENT LLC)
Insider purchases and sales in Q2 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
None reported in Q2 2025.
Holders, Q2 2025
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.00% of their portfolio | 6.0m $149.2m | Reduced -287.5k |
| VANGUARD GROUP INC 0.00% of their portfolio | 4.8m $120.3m | Reduced -65.6k |
| STATE STREET CORP 0.00% of their portfolio | 1.6m $39.8m | Added +933 |
| DIMENSIONAL FUND ADVISORS LP 0.01% of their portfolio | 1.3m $31.4m | Added +144.4k |
| FMR LLC 0.00% of their portfolio | 1.2m $29.6m | Reduced -339.7k |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 1.1m $26.2m | Reduced -13.8k |
| 325 CAPITAL LLC 8.71% of their portfolio | 886.9k $22.1m | Unchanged |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 634.2k $15.8m | Added +355.6k |
| SteelPeak Wealth, LLC 0.52% of their portfolio | 538.2k $13.4m | Reduced -30.0k |
| MORGAN STANLEY 0.00% of their portfolio | 508.4k $12.6m | Added +165.1k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 501.6k $12.5m | Added +2.1k |
| NorthCrest Asset Manangement, LLC 0.30% of their portfolio | 448.9k $11.3m | Reduced -10 |
| NORTHERN TRUST CORP 0.00% of their portfolio | 434.5k $10.8m | Reduced -26.3k |
| JACOBS LEVY EQUITY MANAGEMENT, INC 0.04% of their portfolio | 420.1k $10.5m | Added +182.1k |
| ROYCE & ASSOCIATES LP 0.08% of their portfolio | 307.5k $7.7m | Added +16.8k |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC 0.02% of their portfolio | 292.4k $7.3m | Added +113.0k |
| Diamond Hill Capital Management, LLC (Investment Advisor) 0.03% of their portfolio | 271.5k $6.8m | Added +60.5k |
| Bank of New York Mellon Corp 0.00% of their portfolio | 251.9k $6.3m | Reduced -1.3k |
| Invesco Ltd. 0.00% of their portfolio | 240.2k $6.0m | Reduced -51.9k |
| PRINCIPAL FINANCIAL GROUP INC 0.00% of their portfolio | 222.4k $5.5m | Added +478 |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 196.6k $4.9m | Reduced -80.6k |
| Rhenman & Partners Asset Management AB 0.60% of their portfolio | 190.0k $4.7m | Added +40.0k |
| CITADEL ADVISORS LLC 0.00% of their portfolio | 183.9k $4.6m | Reduced -96.4k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 158.4k $3.9m | Added +54.3k |
| Public Sector Pension Investment Board 0.02% of their portfolio | 141.5k $3.5m | Added +9.7k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 133.6k $3.3m | Added +12.4k |
| AXA S.A. 0.01% of their portfolio | 126.6k $3.2m | New |
| HUSSMAN STRATEGIC ADVISORS, INC. 0.72% of their portfolio | 126.0k $3.1m | Added +42.0k |
| MILLENNIUM MANAGEMENT LLC 0.00% of their portfolio | 125.3k $3.1m | New |
| Legal & General Group Plc 0.00% of their portfolio | 116.8k $2.9m | Reduced -4.8k |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 116.5k $2.9m | Added +1.7k |
| RENAISSANCE TECHNOLOGIES LLC 0.00% of their portfolio | 95.6k $2.4m | Reduced -93.1k |
| Squarepoint Ops LLC 0.01% of their portfolio | 95.6k $2.4m | Added +79.0k |
| UBS Group AG 0.00% of their portfolio | 92.7k $2.3m | Added +59 |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 92.2k $2.3m | Added +22.0k |
| Nuveen, LLC 0.00% of their portfolio | 88.4k $2.2m | Reduced -20.3k |
| JANE STREET GROUP, LLC 0.00% of their portfolio | 88.1k $2.2m | Added +50.3k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 86.5k $2.2m | Reduced -14.0k |
| Westmount Partners, LLC 0.59% of their portfolio | 86.0k $2.1m | Reduced -1.9k |
| Swiss National Bank 0.00% of their portfolio | 85.9k $2.1m | Reduced -1.3k |
| BARCLAYS PLC 0.00% of their portfolio | 81.7k $2.0m | Added +23.8k |
| F/m Investments LLC 0.07% of their portfolio | 73.2k $1.8m | Added +102 |
| Balyasny Asset Management L.P. 0.00% of their portfolio | 73.0k $1.8m | Added +4.1k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.00% of their portfolio | 64.7k $1.6m | Added +36.4k |
| INTECH INVESTMENT MANAGEMENT LLC 0.01% of their portfolio | 61.2k $1.5m | Added +16.6k |
| CITIGROUP INC 0.00% of their portfolio | 56.9k $1.4m | Reduced -7.4k |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio | 54.6k $1.4m | Reduced -1.6k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 50.5k $1.3m | Unchanged |
| NEW YORK STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 43.5k $1.1m | Added +100 |
| PRUDENTIAL FINANCIAL INC 0.00% of their portfolio | 43.3k $1.7m | Added +2.3k |
| AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio | 42.1k $1.0m | Reduced -40.3k |
| CANADA LIFE ASSURANCE Co 0.00% of their portfolio | 41.6k $1.0m | Reduced -1.9k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 41.3k $1.0m | Reduced -596 |
| QSV Equity Investors LLC 1.02% of their portfolio | 39.5k $981.7k | Reduced -328 |
| TEACHER RETIREMENT SYSTEM OF TEXAS 0.00% of their portfolio | 39.2k $975.0k | Reduced -4.4k |
| NATIXIS ADVISORS, LLC 0.00% of their portfolio | 39.2k $974.0k | Added +11.5k |
| MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. 0.00% of their portfolio | 37.7k $938.2k | Added +11.9k |
| DEUTSCHE BANK AG\ 0.00% of their portfolio | 35.9k $894.0k | Reduced -4.0k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.00% of their portfolio | 35.6k $886.0k | Reduced -515 |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 31.3k $778.7k | Added +1.6k |
| Thrivent Financial for Lutherans 0.00% of their portfolio | 30.5k $759.0k | Reduced -10 |
| Savant Capital, LLC 0.01% of their portfolio | 30.0k $747.3k | New |
| Russell Investments Group, Ltd. 0.00% of their portfolio | 27.9k $694.3k | Added +7.1k |
| BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio | 27.6k $687.4k | Added +24.6k |
| Linden Thomas Advisory Services, LLC 0.08% of their portfolio | 27.5k $683.4k | Added +10.4k |
| MetLife Investment Management, LLC 0.00% of their portfolio | 25.9k $643.7k | Unchanged |
| Verition Fund Management LLC 0.00% of their portfolio | 25.3k $630.2k | New |
| State of Alaska, Department of Revenue 0.01% of their portfolio | 24.7k $614.0k | Added +1.7k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio | 21.9k $545.1k | Reduced -2.0k |
| CAXTON ASSOCIATES LLP 0.01% of their portfolio | 21.5k $533.9k | New |
| Illinois Municipal Retirement Fund 0.01% of their portfolio | 21.0k $523.6k | Added +3.1k |
| FIRST TRUST ADVISORS LP 0.00% of their portfolio | 20.2k $503.0k | Reduced -19.9k |
| JANUS HENDERSON GROUP PLC 0.00% of their portfolio | 20.1k $500.1k | Unchanged |
| Louisiana State Employees Retirement System 0.01% of their portfolio | 19.4k $482.7k | Reduced -200 |
| State of Tennessee, Department of Treasury 0.00% of their portfolio | 15.5k $384.4k | Reduced -3.3k |
| VICTORY CAPITAL MANAGEMENT INC 0.00% of their portfolio | 14.4k $357.2k | Reduced -24.0k |
| YOUSIF CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 13.6k $337.4k | Reduced -2.3k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.00% of their portfolio | 13.4k $333.8k | Unchanged |
| STIFEL FINANCIAL CORP 0.00% of their portfolio | 13.4k $333.6k | Reduced -216 |
| ARIZONA STATE RETIREMENT SYSTEM 0.00% of their portfolio | 13.1k $326.1k | Added +281 |
| COMERICA BANK 0.00% of their portfolio | 12.9k $320.2k | Reduced -2.6k |
| TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY 0.00% of their portfolio | 12.5k $311.0k | Unchanged |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.00% of their portfolio | 12.2k $304.3k | Unchanged |
| Maryland State Retirement & Pension System 0.01% of their portfolio | 12.1k $301.0k | Unchanged |
| FIRST CITIZENS BANK & TRUST CO 0.01% of their portfolio | 12.1k $300.5k | New |
| AMALGAMATED BANK 0.00% of their portfolio | 11.9k $296.0k | Reduced -47 |
| Petrus Trust Company, LTA 0.03% of their portfolio | 11.9k $296.0k | New |
| VOYA INVESTMENT MANAGEMENT LLC 0.00% of their portfolio | 11.8k $294.1k | Reduced -11.6k |
| Envestnet Portfolio Solutions, Inc. 0.00% of their portfolio | 11.6k $289.5k | New |
| Pathstone Holdings, LLC 0.00% of their portfolio | 11.3k $280.8k | Reduced -1.9k |
| SEI INVESTMENTS CO 0.00% of their portfolio | 11.2k $277.7k | Added +2.7k |
| EntryPoint Capital, LLC 0.14% of their portfolio | 11.2k $277.6k | New |
| Brevan Howard Capital Management LP 0.00% of their portfolio | 11.1k $277.2k | New |
| COMMONWEALTH OF PENNSYLVANIA PUBLIC SCHOOL EMPLS RETRMT SYS 0.00% of their portfolio | 10.7k $265.1k | Added +710 |
| Lido Advisors, LLC 0.00% of their portfolio | 10.2k $254.1k | Added +170 |
| TRUIST FINANCIAL CORP 0.00% of their portfolio | 10.0k $248.8k | Unchanged |
| Police & Firemen's Retirement System of New Jersey 0.00% of their portfolio | 9.9k $247.1k | Added +734 |
| OREGON PUBLIC EMPLOYEES RETIREMENT FUND 0.00% of their portfolio | 9.6k $237.7k | Unchanged |
| WINTON GROUP Ltd 0.01% of their portfolio | 9.4k $233.3k | New |
| ProShare Advisors LLC 0.00% of their portfolio | 9.1k $226.9k | Reduced -999 |