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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
$724.1M
−$28.2M (−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.

Institutional holdersQ4 2025: 176 institutions
Q1 2021: 76 institutionsQ2 2021: 105 institutionsQ3 2021: 142 institutionsQ4 2021: 149 institutionsQ1 2022: 139 institutionsQ2 2022: 135 institutionsQ3 2022: 154 institutionsQ4 2022: 130 institutionsQ1 2023: 133 institutionsQ2 2023: 130 institutionsQ3 2023: 134 institutionsQ4 2023: 143 institutionsQ1 2024: 159 institutionsQ2 2024: 172 institutionsQ3 2024: 189 institutionsQ4 2024: 180 institutionsQ1 2025: 169 institutionsQ2 2025: 162 institutionsQ3 2025: 188 institutionsQ4 2025: 176 institutionsQ1 2026: 171 institutionsQ2 2026: 209 institutions
Value heldQ4 2025: $724.1M
Q1 2021: $172.3MQ2 2021: $644.3MQ3 2021: $1.52BQ4 2021: $1.26BQ1 2022: $854.0MQ2 2022: $687.4MQ3 2022: $771.7MQ4 2022: $582.7MQ1 2023: $730.6MQ2 2023: $656.2MQ3 2023: $663.6MQ4 2023: $849.2MQ1 2024: $955.4MQ2 2024: $934.7MQ3 2024: $1.47BQ4 2024: $822.0MQ1 2025: $813.0MQ2 2025: $641.6MQ3 2025: $759.0MQ4 2025: $724.1MQ1 2026: $733.4MQ2 2026: $1.49B
Institutions holding ASTH and their total value by quarter
QuarterHoldersValue
Q2 2026209$1.49B
Q1 2026171$733.4M
Q4 2025176$724.1M
Q3 2025188$759.0M
Q2 2025162$641.6M
Q1 2025169$813.0M
Q4 2024180$822.0M
Q3 2024189$1.47B
Q2 2024172$934.7M
Q1 2024159$955.4M
Q4 2023143$849.2M
Q3 2023134$663.6M
Q2 2023130$656.2M
Q1 2023133$730.6M
Q4 2022130$582.7M
Q3 2022154$771.7M
Q2 2022135$687.4M
Q1 2022139$854.0M
Q4 2021149$1.26B
Q3 2021142$1.52B
Q2 2021105$644.3M
Q1 202176$172.3M

Institutions, Q4 2025

Shares, value and share of portfolio for each institution holding Astrana Health, Inc.; share changes are against Q3 2025.

Institutions holding ASTH in Q4 2025
InstitutionSharesValue% of portfolioChange in sharesAction
Covestor Ltd2$00.00%−3,231−99.9%Reduced
Avion Wealth13$00.00%−17−56.7%Reduced
Dunhill Financial, LLC1$300.00%+1New
IFP Advisors, Inc2$500.00%−3−60.0%Reduced
Flagship Harbor Advisors, LLC3$740.00%+3New
Gilpin Wealth Management, LLC3$750.00%+3New
Ankerstar Wealth, LLC7$1740.00%+7New
CIBC Private Wealth Group, LLC10$2480.00%+10New
Trust Co10$2480.00%+10New
Advisor Group Holdings, Inc.12$2980.00%−259−95.6%Reduced
SBI Securities Co., Ltd.18$4470.00%−2−10.0%Reduced
Annis Gardner Whiting Capital Advisors, LLC22$5460.00%+22New
Parkside Financial Bank & Trust25$6210.00%00.0%Unchanged
Farther Finance Advisors, LLC26$6450.00%−39−60.0%Reduced
Farmers & Merchants Investments Inc27$6700.00%00.0%Unchanged
Tompkins Financial Corp31$7690.00%+31New
Rothschild Investment LLC40$9920.00%−35−46.7%Reduced
Federation des caisses Desjardins du Quebec40$9920.00%+40New
US Bancorp62$1.54K0.00%−54−46.6%Reduced
CWM, LLC98$2.00K0.00%−351−78.2%Reduced
Simplex Trading, LLC81$2.01K0.00%+81New
LRI Investments, LLC81$2.02K0.00%00.0%Unchanged
Steward Partners Investment Advisory, LLC100$2.48K0.00%00.0%Unchanged
Pinnacle Wealth Planning Services, Inc.105$2.60K0.00%+105New
Umb Bank N A176$4.37K0.00%−48−21.4%Reduced
SRS Capital Advisors, Inc.206$5.11K0.00%−2−1.0%Reduced
Harbor Capital Advisors, Inc.237$6.00K0.00%−4−1.7%Reduced
Fifth Third Bancorp251$6.23K0.00%+199+382.7%Added
Aster Capital Management (DIFC) Ltd259$6.43K0.00%+72+38.5%Added
Sterling Capital Management LLC271$6.72K0.00%+172+173.7%Added
Acumen Wealth Advisors, LLC280$6.95K0.00%+280New
Group One Trading, L.P.309$7.67K0.00%+261+543.8%Added
Salomon & Ludwin, LLC321$8.79K0.00%+160+99.4%Added
Hantz Financial Services, Inc.413$10.0K0.00%+249+151.8%Added
Maseco LLP406$10.1K0.00%00.0%Unchanged
Nisa Investment Advisors, LLC489$12.1K0.00%−125−20.4%Reduced
Smartleaf Asset Management LLC528$13.2K0.00%−47−8.2%Reduced
Versant Capital Management, Inc710$17.6K0.00%+364+105.2%Added
Public Employees Retirement System of Ohio869$21.6K0.00%+139+19.0%Added
Larson Financial Group LLC913$22.7K0.00%+478+109.9%Added
Jones Financial Companies LLLP962$23.9K0.00%+498+107.3%Added
Signaturefd, LLC1,058$26.2K0.00%+388+57.9%Added
Tower Research Capital LLC (TRC)1,203$29.8K0.00%−1,896−61.2%Reduced
KBC Group NV1,402$35.0K0.00%00.0%Unchanged
GAMMA Investing LLC1,473$36.5K0.00%+871+144.7%Added
The PNC Financial Services Group, Inc.1,575$39.1K0.00%+387+32.6%Added
STRS Ohio1,600$39.7K0.00%+1,600New
Rockefeller Capital Management L.P.2,808$69.7K0.00%+286+11.3%Added
Ameritas Investment Partners, Inc.3,409$84.6K0.00%00.0%Unchanged
Public Employees Retirement Association of Colorado5,704$142.0K0.00%00.0%Unchanged
Quest Partners LLC7,513$186.4K0.01%+4,306+134.3%Added
SG Americas Securities, LLC7,635$189.0K0.00%−29,825−79.6%Reduced
Handelsbanken Fonder AB8,200$203.0K0.00%00.0%Unchanged
Creative Planning8,308$206.1K0.00%−21,793−72.4%Reduced
Two Sigma Advisers, LP9,500$235.7K0.00%+9,500New
Oregon Public Employees Retirement Fund9,855$244.5K0.00%+200+2.1%Added
Truist Financial Corp10,000$248.1K0.00%00.0%Unchanged
Two Sigma Securities, LLC10,040$249.1K0.03%+10,040New
KLP Kapitalforvaltning AS10,300$255.5K0.00%00.0%Unchanged
State of Wyoming10,473$259.8K0.03%+4,004+61.9%Added
Teachers Retirement System of the State of Kentucky10,644$264.0K0.00%−1,119−9.5%Reduced
Comerica Bank10,658$264.4K0.00%−1,107−9.4%Reduced
Commonwealth of Pennsylvania Public School Empls Retrmt Sys10,681$265.0K0.00%−254−2.3%Reduced
Envestnet Portfolio Solutions, Inc.10,852$269.2K0.00%−546−4.8%Reduced
First Citizens Bank & Trust Co11,206$278.0K0.01%−636−5.4%Reduced
Yousif Capital Management, LLC10,806$283.2K0.00%−245−2.2%Reduced
Wiley Bros.-Aintree Capital, LLC11,664$289.4K0.00%+11,664New
Capstone Capital Management Ltd11,671$289.6K0.28%+11,671New
Los Angeles Capital Management LLC9,208$292.9K0.00%+9,208New
Police & Firemen's Retirement System of New Jersey11,854$294.1K0.00%+528+4.7%Added
State Board of Administration of Florida Retirement System12,230$303.4K0.00%00.0%Unchanged
Amalgamated Bank12,408$308.0K0.00%+83+0.7%Added
Jump Financial, LLC12,486$309.8K0.00%+12,486New
Arizona State Retirement System12,680$314.6K0.00%−564−4.3%Reduced
New York State Common Retirement Fund13,415$332.8K0.00%00.0%Unchanged
Millennium Management LLC13,479$334.4K0.00%+13,479New
Boothbay Fund Management, LLC14,481$359.3K0.01%−2,583−15.1%Reduced
State of Tennessee, Treasury Department16,484$374.8K0.00%−8,351−33.6%Reduced
Zurcher Kantonalbank (Zurich Cantonalbank)15,144$375.7K0.00%+6,702+79.4%Added
Intech Investment Management LLC15,567$386.2K0.00%−19,404−55.5%Reduced
Yarbrough Capital, LLC15,894$394.3K0.01%+15,894New
Edgestream Partners, L.P.16,407$407.1K0.01%+16,407New
Great Lakes Advisors, LLC17,932$444.9K0.00%+5,563+45.0%Added
Cetera Investment Advisers18,567$460.6K0.00%+18,567New
Manufacturers Life Insurance Company, The18,668$463.2K0.00%−843−4.3%Reduced
Guggenheim Capital LLC19,781$490.8K0.00%+19,781New
Louisiana State Employees Retirement System19,800$491.2K0.01%+100+0.5%Added
Janus Henderson Group PLC20,106$498.5K0.00%00.0%Unchanged
Stifel Financial Corp20,882$518.1K0.00%+7,631+57.6%Added
MetLife Investment Management23,659$587.0K0.00%−2,215−8.6%Reduced
Verition Fund Management LLC25,555$634.0K0.00%−4,524−15.0%Reduced
First Trust Advisors LP25,789$639.8K0.00%−26,350−50.5%Reduced
BNP Paribas Arbitrage, SA26,827$665.6K0.00%−19,733−42.4%Reduced
AQR Capital Management LLC27,227$675.5K0.00%+5,640+26.1%Added
Legato Capital Management LLC27,739$688.2K0.06%+27,739New
Squarepoint Ops LLC27,814$690.1K0.00%−31,290−52.9%Reduced
Linden Thomas Advisory Services, LLC28,105$697.3K0.07%−560−2.0%Reduced
Thrivent Financial for Lutherans29,646$736.0K0.00%−1,331−4.3%Reduced
QSV Equity Investors LLC29,786$739.0K1.09%−9,672−24.5%Reduced
VARCOV Co.30,002$744.4K0.29%+30,002New