Astrana Health, Inc.
ASTH- Exchange
- Nasdaq
- Industry
- Services-Management Consulting Services
- SEC CIK
- 0001083446
No open-market purchases or sales by Astrana Health, Inc. insiders were filed in the last 90 days; 209 institutions reported holding it in 13F filings for Q2 2026, worth $1.49B in total; no superinvestor holds it.
13F holders, Q4 2025
Institutional positions in Astrana Health, Inc. as of Dec 31, 2025. Investment managers with $100 million or more in US stocks report their long positions on Form 13F within 45 days after each quarter ends. How 13F works
- Institutional holders
- 176
- −5 vs. Q3 2025
- Shares held
- 29.1M
- +2.63M (+9.9%) vs. Q3 2025
- Total value
- $724.4M
- −$27.9M (−3.7%) vs. Q3 2025
- New holders
- 38
- 56 more added
- Sold out
- 43
- 66 more reduced
7 institutions that held it in Q3 2025 haven't filed for Q4 2025 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.
Compare with Q3 2025: new holders, sold out and not filed yet
Holders and value by quarter
Institutions reporting ASTH on Form 13F each quarter since Q1 2021, and the total value they reported. Values are as of each quarter end, so they also move with the share price.
| Quarter | Holders | Value |
|---|---|---|
| Q2 2026 | 209 | $1.49B |
| Q1 2026 | 171 | $733.4M |
| Q4 2025 | 176 | $724.4M |
| Q3 2025 | 188 | $760.9M |
| Q2 2025 | 162 | $649.5M |
| Q1 2025 | 169 | $813.4M |
| Q4 2024 | 180 | $822.0M |
| Q3 2024 | 189 | $1.47B |
| Q2 2024 | 172 | $937.6M |
| Q1 2024 | 159 | $989.4M |
| Q4 2023 | 143 | $867.7M |
| Q3 2023 | 134 | $663.6M |
| Q2 2023 | 130 | $656.2M |
| Q1 2023 | 133 | $730.7M |
| Q4 2022 | 130 | $582.7M |
| Q3 2022 | 155 | $774.1M |
| Q2 2022 | 135 | $718.6M |
| Q1 2022 | 139 | $1.11B |
| Q4 2021 | 149 | $1.26B |
| Q3 2021 | 142 | $1.52B |
| Q2 2021 | 105 | $644.3M |
| Q1 2021 | 76 | $172.3M |
Institutions, Q4 2025
Shares, value and share of portfolio for each institution holding Astrana Health, Inc.; share changes are against Q3 2025.
| Institution | Shares | Value | % of portfolio | Change in shares | Action |
|---|---|---|---|---|---|
| BlackRock, Inc. | 6,157,754 | $152.8M | 0.00% | +150,120+2.5% | Added |
| Vanguard Group Inc | 4,238,192 | $105.1M | 0.00% | −482,884−10.2% | Reduced |
| 325 Capital LLC | 1,839,076 | $45.6M | 15.99% | +645,123+54.0% | Added |
| State Street Corp | 1,675,516 | $41.6M | 0.00% | +98,064+6.2% | Added |
| Dimensional Fund Advisors LP | 1,215,812 | $30.2M | 0.01% | −18,909−1.5% | Reduced |
| FMR LLC | 1,069,809 | $26.5M | 0.00% | −5,914−0.5% | Reduced |
| Geode Capital Management, LLC | 1,028,168 | $25.5M | 0.00% | +12,212+1.2% | Added |
| Wellington Management Group LLP | 738,853 | $18.3M | 0.00% | +596,293+418.3% | Added |
| Steel Peak Wealth Management LLC | 579,937 | $14.4M | 0.47% | 00.0% | Unchanged |
| Charles Schwab Investment Management Inc | 549,152 | $13.6M | 0.00% | −13,162−2.3% | Reduced |
| Bank of America Corp | 507,101 | $12.6M | 0.00% | +334,246+193.4% | Added |
| NorthCrest Asset Manangement, LLC | 450,465 | $12.3M | 0.28% | +2,084+0.5% | Added |
| Jacobs Levy Equity Management, Inc | 473,714 | $11.8M | 0.05% | −26,813−5.4% | Reduced |
| Ameriprise Financial Inc | 437,996 | $10.9M | 0.00% | −4,318−1.0% | Reduced |
| Morgan Stanley | 433,825 | $10.8M | 0.00% | −64,042−12.9% | Reduced |
| Diamond Hill Capital Management Inc | 432,726 | $10.7M | 0.06% | +71,462+19.8% | Added |
| Hotchkis & Wiley Capital Management LLC | 416,930 | $10.3M | 0.03% | −4,780−1.1% | Reduced |
| Northern Trust Corp | 402,463 | $9.99M | 0.00% | −20,786−4.9% | Reduced |
| Invesco Ltd. | 355,216 | $8.81M | 0.00% | +111,980+46.0% | Added |
| Royce & Associates LP | 348,331 | $8.64M | 0.09% | +88,978+34.3% | Added |
| Goldman Sachs Group Inc | 314,691 | $7.81M | 0.00% | −2,305−0.7% | Reduced |
| LPL Financial LLC | 309,125 | $7.67M | 0.00% | +131,091+73.6% | Added |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. | 305,061 | $7.57M | 0.01% | +304,650+74,124.1% | Added |
| Principal Financial Group Inc | 229,798 | $5.70M | 0.00% | +6,813+3.1% | Added |
| Bank of New York Mellon Corp | 229,664 | $5.70M | 0.00% | −15,607−6.4% | Reduced |
| Earnest Partners LLC | 195,493 | $4.85M | 0.02% | +195,493 | New |
| UBS Group AG | 176,100 | $4.37M | 0.00% | +57,432+48.4% | Added |
| 1492 Capital Management LLC | 167,758 | $4.16M | 1.59% | +167,758 | New |
| Public Sector Pension Investment Board | 149,339 | $3.71M | 0.01% | −18,151−10.8% | Reduced |
| Insight Wealth Strategies, LLC | 141,641 | $3.51M | 0.40% | +141,641 | New |
| Envestnet Asset Management Inc | 126,279 | $3.13M | 0.00% | +118,677+1,561.1% | Added |
| Shay Capital LLC | 121,000 | $3.00M | 0.48% | +121,000 | New |
| Wells Fargo & Company | 116,311 | $2.89M | 0.00% | +58,134+99.9% | Added |
| Balyasny Asset Management LLC | 114,009 | $2.83M | 0.01% | +114,009 | New |
| Legal & General Group Plc | 109,023 | $2.70M | 0.00% | −6,432−5.6% | Reduced |
| ExodusPoint Capital Management, LP | 99,964 | $2.48M | 0.03% | +99,964 | New |
| Rhumbline Advisers | 95,894 | $2.38M | 0.00% | −1,448−1.5% | Reduced |
| Renaissance Technologies LLC | 93,146 | $2.31M | 0.00% | +10,346+12.5% | Added |
| Swiss National Bank | 88,444 | $2.19M | 0.00% | +1,500+1.7% | Added |
| Nuveen, LLC | 85,599 | $2.12M | 0.00% | −2,773−3.1% | Reduced |
| UBS Asset Management Americas Inc | 84,712 | $2.10M | 0.00% | −750−0.9% | Reduced |
| Jane Street Group, LLC | 84,446 | $2.10M | 0.00% | +20,998+33.1% | Added |
| Westmount Partners, LLC | 79,423 | $1.97M | 0.49% | −4,266−5.1% | Reduced |
| Lazard Asset Management LLC | 74,285 | $1.84M | 0.00% | +74,285 | New |
| F/M Investments LLC | 70,745 | $1.76M | 0.07% | −1,932−2.7% | Reduced |
| SEI Investments Co | 69,390 | $1.72M | 0.00% | +52,723+316.3% | Added |
| Royal Bank of Canada | 67,994 | $1.69M | 0.00% | −87,891−56.4% | Reduced |
| State of Wisconsin Investment Board | 66,779 | $1.66M | 0.00% | −4,970−6.9% | Reduced |
| Barclays PLC | 63,639 | $1.58M | 0.00% | +5,225+8.9% | Added |
| Hussman Strategic Advisors, Inc. | 63,000 | $1.56M | 0.38% | +42,000+200.0% | Added |
| JPMorgan Chase & Co | 55,603 | $1.38M | 0.00% | −8,695−13.5% | Reduced |
| Alliancebernstein L.P. | 50,500 | $1.25M | 0.00% | 00.0% | Unchanged |
| New York State Teachers Retirement System | 43,701 | $1.08M | 0.00% | +100+0.2% | Added |
| Blair William & Co | 42,901 | $1.06M | 0.00% | +42,901 | New |
| Susquehanna International Group, LLP | 42,812 | $1.06M | 0.00% | +30,794+256.2% | Added |
| Price T Rowe Associates Inc | 42,258 | $1.05M | 0.00% | +1,562+3.8% | Added |
| Citigroup Inc | 42,020 | $1.04M | 0.00% | −4,860−10.4% | Reduced |
| California State Teachers Retirement System | 41,269 | $1.02M | 0.00% | −36−0.1% | Reduced |
| Deutsche Bank AG | 41,265 | $1.02M | 0.00% | +1,550+3.9% | Added |
| Prudential Financial Inc | 40,040 | $993.4K | 0.00% | −3,105−7.2% | Reduced |
| Natixis Advisors, L.P. | 38,347 | $951.0K | 0.00% | −620−1.6% | Reduced |
| Mirae Asset Global ETFs Holdings Ltd. | 38,186 | $947.4K | 0.00% | +1,179+3.2% | Added |
| Quantinno Capital Management LP | 38,091 | $945.0K | 0.00% | +38,091 | New |
| Russell Investments Group, Ltd. | 36,856 | $914.4K | 0.00% | +3,836+11.6% | Added |
| American Century Companies Inc | 36,375 | $902.5K | 0.00% | +6,379+21.3% | Added |
| Great West Life Assurance Co | 35,479 | $879.0K | 0.00% | −8,376−19.1% | Reduced |
| Teacher Retirement System of Texas | 35,263 | $874.9K | 0.00% | −2,108−5.6% | Reduced |
| Franklin Resources Inc | 35,241 | $874.3K | 0.00% | −1,125−3.1% | Reduced |
| Janney Montgomery Scott LLC | 32,644 | $810.0K | 0.00% | +3,094+10.5% | Added |
| SG Capital Management LLC | 32,020 | $794.4K | 0.09% | +32,020 | New |
| Citadel Advisors LLC | 31,504 | $781.6K | 0.00% | −21,014−40.0% | Reduced |
| Credit Agricole S A | 30,900 | $766.6K | 0.00% | +30,900 | New |
| Two Sigma Investments, LP | 30,713 | $762.0K | 0.00% | +30,713 | New |
| State of Alaska, Department of Revenue | 30,546 | $757.0K | 0.01% | +6,071+24.8% | Added |
| Savant Capital, LLC | 30,060 | $745.8K | 0.00% | −618−2.0% | Reduced |
| VARCOV Co. | 30,002 | $744.4K | 0.29% | +30,002 | New |
| QSV Equity Investors LLC | 29,786 | $739.0K | 1.09% | −9,672−24.5% | Reduced |
| Thrivent Financial for Lutherans | 29,646 | $736.0K | 0.00% | −1,331−4.3% | Reduced |
| Linden Thomas Advisory Services, LLC | 28,105 | $697.3K | 0.07% | −560−2.0% | Reduced |
| Squarepoint Ops LLC | 27,814 | $690.1K | 0.00% | −31,290−52.9% | Reduced |
| Legato Capital Management LLC | 27,739 | $688.2K | 0.06% | +27,739 | New |
| AQR Capital Management LLC | 27,227 | $675.5K | 0.00% | +5,640+26.1% | Added |
| BNP Paribas Arbitrage, SA | 26,827 | $665.6K | 0.00% | −19,733−42.4% | Reduced |
| First Trust Advisors LP | 25,789 | $639.8K | 0.00% | −26,350−50.5% | Reduced |
| Verition Fund Management LLC | 25,555 | $634.0K | 0.00% | −4,524−15.0% | Reduced |
| MetLife Investment Management | 23,659 | $587.0K | 0.00% | −2,215−8.6% | Reduced |
| Stifel Financial Corp | 20,882 | $518.1K | 0.00% | +7,631+57.6% | Added |
| Janus Henderson Group PLC | 20,106 | $498.5K | 0.00% | 00.0% | Unchanged |
| Louisiana State Employees Retirement System | 19,800 | $491.2K | 0.01% | +100+0.5% | Added |
| Guggenheim Capital LLC | 19,781 | $490.8K | 0.00% | +19,781 | New |
| Manufacturers Life Insurance Company, The | 18,668 | $463.2K | 0.00% | −843−4.3% | Reduced |
| Cetera Investment Advisers | 18,567 | $460.6K | 0.00% | +18,567 | New |
| Great Lakes Advisors, LLC | 17,932 | $444.9K | 0.00% | +5,563+45.0% | Added |
| Edgestream Partners, L.P. | 16,407 | $407.1K | 0.01% | +16,407 | New |
| Yarbrough Capital, LLC | 15,894 | $394.3K | 0.01% | +15,894 | New |
| Intech Investment Management LLC | 15,567 | $386.2K | 0.00% | −19,404−55.5% | Reduced |
| Zurcher Kantonalbank (Zurich Cantonalbank) | 15,144 | $375.7K | 0.00% | +6,702+79.4% | Added |
| State of Tennessee, Treasury Department | 16,484 | $374.8K | 0.00% | −8,351−33.6% | Reduced |
| Boothbay Fund Management, LLC | 14,481 | $359.3K | 0.01% | −2,583−15.1% | Reduced |
| Millennium Management LLC | 13,479 | $334.4K | 0.00% | +13,479 | New |