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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
Savant Capital, LLC30,060$745.8K0.00%−618−2.0%Reduced
State of Alaska, Department of Revenue30,546$757.0K0.01%+6,071+24.8%Added
Two Sigma Investments, LP30,713$762.0K0.00%+30,713New
Credit Agricole S A30,900$766.6K0.00%+30,900New
Citadel Advisors LLC31,504$781.6K0.00%−21,014−40.0%Reduced
SG Capital Management LLC32,020$794.4K0.09%+32,020New
Janney Montgomery Scott LLC32,644$810.0K0.00%+3,094+10.5%Added
Franklin Resources Inc35,241$874.3K0.00%−1,125−3.1%Reduced
Teacher Retirement System of Texas35,263$874.9K0.00%−2,108−5.6%Reduced
Great West Life Assurance Co35,479$879.0K0.00%−8,376−19.1%Reduced
American Century Companies Inc36,375$902.5K0.00%+6,379+21.3%Added
Russell Investments Group, Ltd.36,856$914.4K0.00%+3,836+11.6%Added
Quantinno Capital Management LP38,091$945.0K0.00%+38,091New
Mirae Asset Global ETFs Holdings Ltd.38,186$947.4K0.00%+1,179+3.2%Added
Natixis Advisors, L.P.38,347$951.0K0.00%−620−1.6%Reduced
Prudential Financial Inc40,040$993.4K0.00%−3,105−7.2%Reduced
Deutsche Bank AG41,265$1.02M0.00%+1,550+3.9%Added
California State Teachers Retirement System41,269$1.02M0.00%−36−0.1%Reduced
Citigroup Inc42,020$1.04M0.00%−4,860−10.4%Reduced
Price T Rowe Associates Inc42,258$1.05M0.00%+1,562+3.8%Added
Susquehanna International Group, LLP42,812$1.06M0.00%+30,794+256.2%Added
Blair William & Co42,901$1.06M0.00%+42,901New
New York State Teachers Retirement System43,701$1.08M0.00%+100+0.2%Added
Alliancebernstein L.P.50,500$1.25M0.00%00.0%Unchanged
JPMorgan Chase & Co55,603$1.38M0.00%−8,695−13.5%Reduced
Hussman Strategic Advisors, Inc.63,000$1.56M0.38%+42,000+200.0%Added
Barclays PLC63,639$1.58M0.00%+5,225+8.9%Added
State of Wisconsin Investment Board66,779$1.66M0.00%−4,970−6.9%Reduced
Royal Bank of Canada67,994$1.69M0.00%−87,891−56.4%Reduced
SEI Investments Co69,390$1.72M0.00%+52,723+316.3%Added
F/M Investments LLC70,745$1.76M0.07%−1,932−2.7%Reduced
Lazard Asset Management LLC74,285$1.84M0.00%+74,285New
Westmount Partners, LLC79,423$1.97M0.49%−4,266−5.1%Reduced
Jane Street Group, LLC84,446$2.10M0.00%+20,998+33.1%Added
UBS Asset Management Americas Inc84,712$2.10M0.00%−750−0.9%Reduced
Nuveen, LLC85,599$2.12M0.00%−2,773−3.1%Reduced
Swiss National Bank88,444$2.19M0.00%+1,500+1.7%Added
Renaissance Technologies LLC93,146$2.31M0.00%+10,346+12.5%Added
Rhumbline Advisers95,894$2.38M0.00%−1,448−1.5%Reduced
ExodusPoint Capital Management, LP99,964$2.48M0.03%+99,964New
Legal & General Group Plc109,023$2.70M0.00%−6,432−5.6%Reduced
Balyasny Asset Management LLC114,009$2.83M0.01%+114,009New
Wells Fargo & Company116,311$2.89M0.00%+58,134+99.9%Added
Shay Capital LLC121,000$3.00M0.48%+121,000New
Envestnet Asset Management Inc126,279$3.13M0.00%+118,677+1,561.1%Added
Insight Wealth Strategies, LLC141,641$3.51M0.40%+141,641New
Public Sector Pension Investment Board149,339$3.71M0.01%−18,151−10.8%Reduced
1492 Capital Management LLC167,758$4.16M1.59%+167,758New
UBS Group AG176,100$4.37M0.00%+57,432+48.4%Added
Earnest Partners LLC195,493$4.85M0.02%+195,493New
Bank of New York Mellon Corp229,664$5.70M0.00%−15,607−6.4%Reduced
Principal Financial Group Inc229,798$5.70M0.00%+6,813+3.1%Added
BNP PARIBAS ASSET MANAGEMENT Holding S.A.305,061$7.57M0.01%+304,650+74,124.1%Added
LPL Financial LLC309,125$7.67M0.00%+131,091+73.6%Added
Goldman Sachs Group Inc314,691$7.81M0.00%−2,305−0.7%Reduced
Royce & Associates LP348,331$8.64M0.09%+88,978+34.3%Added
Invesco Ltd.355,216$8.81M0.00%+111,980+46.0%Added
Northern Trust Corp402,463$9.99M0.00%−20,786−4.9%Reduced
Hotchkis & Wiley Capital Management LLC416,930$10.3M0.03%−4,780−1.1%Reduced
Diamond Hill Capital Management Inc432,726$10.7M0.06%+71,462+19.8%Added
Morgan Stanley433,825$10.8M0.00%−64,042−12.9%Reduced
Ameriprise Financial Inc437,996$10.9M0.00%−4,318−1.0%Reduced
Jacobs Levy Equity Management, Inc473,714$11.8M0.05%−26,813−5.4%Reduced
NorthCrest Asset Manangement, LLC450,465$12.3M0.28%+2,084+0.5%Added
Bank of America Corp507,101$12.6M0.00%+334,246+193.4%Added
Charles Schwab Investment Management Inc549,152$13.6M0.00%−13,162−2.3%Reduced
Steel Peak Wealth Management LLC579,937$14.4M0.47%00.0%Unchanged
Wellington Management Group LLP738,853$18.3M0.00%+596,293+418.3%Added
Geode Capital Management, LLC1,028,168$25.5M0.00%+12,212+1.2%Added
FMR LLC1,069,809$26.5M0.00%−5,914−0.5%Reduced
Dimensional Fund Advisors LP1,215,812$30.2M0.01%−18,909−1.5%Reduced
State Street Corp1,675,516$41.6M0.00%+98,064+6.2%Added
325 Capital LLC1,839,076$45.6M15.99%+645,123+54.0%Added
Vanguard Group Inc4,238,192$105.1M0.00%−482,884−10.2%Reduced
BlackRock, Inc.6,157,754$152.8M0.00%+150,120+2.5%Added
Wealth Enhancement Advisory Services, LLC695––+435+167.3%Added
Pacer Advisors, Inc.0$00.00%−181,910−100.0%Sold out
D. E. Shaw & Co., Inc.0$00.00%−145,556−100.0%Sold out
Campbell & CO Investment Adviser LLC0$00.00%−40,705−100.0%Sold out
Quantbot Technologies LP0$00.00%−40,659−100.0%Sold out
Dark Forest Capital Management LP0$00.00%−28,667−100.0%Sold out
Zacks Investment Management0$00.00%−23,270−100.0%Sold out
Bastion Asset Management Inc.0$00.00%−21,358−100.0%Sold out
Jain Global LLC0$00.00%−17,900−100.0%Sold out
Pathstone Holdings, LLC0$00.00%−16,736−100.0%Sold out
Aubrey Capital Management Ltd0$00.00%−15,104−100.0%Sold out
EntryPoint Capital, LLC0$00.00%−13,477−100.0%Sold out
Prelude Capital Management, LLC0$00.00%−12,382−100.0%Sold out
Keebeck Alpha, LP0$00.00%−12,319−100.0%Sold out
Aquatic Capital Management LLC0$00.00%−11,739−100.0%Sold out
Vestcor Inc0$00.00%−10,385−100.0%Sold out
XTX Topco Ltd0$00.00%−9,513−100.0%Sold out
Bridgefront Capital, LLC0$00.00%−7,875−100.0%Sold out
ProShare Advisors LLC0$00.00%−7,724−100.0%Sold out
Voya Investment Management LLC0$00.00%−7,495−100.0%Sold out
Citizens Financial Group Inc0$00.00%−7,200−100.0%Sold out
Pictet Asset Management Holding SA0$00.00%−7,075−100.0%Sold out
South Dakota Investment Council0$00.00%−4,356−100.0%Sold out
Victory Capital Management Inc0$00.00%−3,730−100.0%Sold out
Quarry LP0$00.00%−568−100.0%Sold out