Astrana Health Inc. (ASTH) — RQD Stock Rating Cockpit

$36.62 -0.14% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot)

Astrana Health Inc. (ASTH) carries a Roarable Rating of D+ (Sell) with 58/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

ROARABLE D+ • SELL / AVOID Cap $1.82B
📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
INTERACTIVE SCENARIO DECK:
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RQD QUANT TACHOMETERSELL / AVOID • D+
025507510058
JEV AI Jury Split (Battleground)
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw D+ · Rk C
Cash (13)Whales (9)SEC (12)Macro (14)CEO (10)
Each axis scored 0–20
12M PRICE TARGET CONE+0% Base Target
$54 Bull$37 Base$29 Bear
📬 FREE ASTH RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for ASTH)Realized 20D OHLCV Swing Band: ±8.6%
RSI-14 MOMENTUMNEUTRAL RANGE
46.730 Oversold · 70 Hot
ALTMAN-Z SHIELDWATCH ZONE (1.8–3.0)
2.54>3.0 Fortress Safe
PIOTROSKI F-SCORESOLID CORE (5–6)
6 / 99-Pt Accounting
52-WEEK LASER RANGE55% OF RANGE
L: $18$36.62H: $52
1. Money & Cash Health● MIXED
Are profits real cash in the bank?

Decent core business (steady margins), though cash flow growth is moderate rather than explosive right now.

Factor Grade: CRQD 13 / 20
2. Big Money & Insiders● TRIMMING
Are whales & executives buying or selling?

Insiders and big institutional desks have been trimming shares rather than stepping up to buy.

Factor Grade: DRQD 19 / 40
3. Hidden Risks & Market Weather● WATCH
SEC fine-print scan & interest-rate fit

No major SEC filing blowups, though current interest rates and Fed liquidity call for normal position sizing.

Factor Grade: CRQD 26 / 40
MULTI-MODEL JEV QUANT JURY DELIBERATION

JEV AI Jury Split (Battleground) on ASTH

Cash & Moat Bull AI
ROIC & Free Cash Flow Model
NEUTRAL (65)

4.6% ROIC with 42.0% gross margin and 5.75% FCF yield.

SEC Forensic Auditor AI
10-K Accruals & Altman-Z Guard
NEUTRAL (60)

Altman-Z 2.54 and Piotroski 6/9 pass balance-sheet audit.

Whale & Macro Hawk AI
Options Skew, 13F & Fed NetLiq
NEUTRAL (55)

19/40 institutional & smart-money positioning score with 14/20 macro alignment.

Bull Case: Why Buyers Like ASTH
  • ✓Established market leader in Consumer Discretionary with deep daily trading liquidity.
Bear Case: What Could Go Wrong
  • !Company executives have done more routine share selling than personal cash buying lately.
  • !Priced at 76x earnings—high expectations leave less room for a lukewarm quarter.
  • !Recent SEC filings added new risk-factor disclosures that warrant keeping an eye on margins.
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Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring ASTH)

  • ✓Walkthrough of ASTH's RQD Radar, SEC cash-conversion gap & downside invalidation levels
  • ✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
  • ✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks
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ASTH // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +7.26%▼ DESCENDING CHANNEL
2026-10-30O $36.62H $36.76L $35.84C $36.62VOL 236.7K
RES: $39.48SUP: $30.83SMA50: $37.09SMA200: $33.84
$53.37$46.04$38.71$31.38$24.06RES $39.48SUP $30.83$36.622026-04-302026-06-152026-07-312026-09-162026-10-30
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

ASTH Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
48.0%/yr Implied 5Y Growth

vs. +56.4% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on ASTH today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for ASTH. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for ASTH today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (ASTH)

Consumer Discretionary Rank #443 of 1011 ⚔️ AMN vs ASTH Full Matrix →

1. Head-to-Head Consumer Discretionary Peer Comparison (ASTH vs. AMN, NSP, ICFI, MAN)

Industry: Professional Services (48 Tracked Issuers)

Across 1011 tracked Consumer Discretionary securities in the Roarable RQD universe, Astrana Health Inc. (ASTH) ranks #443 by composite RQD confidence (58/100, grade D+) and #426 by equity capitalization ($1.82B). Within this direct 5-issuer industry benchmark cohort, ICFI leads on earnings valuation at 18.7x trailing P/E, while ICFI leads on capital efficiency and profitability with 8.1% ROIC and 37.2% gross margin. ICFI currently holds the highest overall quantitative score in the immediate peer group at 71/100 (B-) compared with ASTH at 58/100 (D+).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
ASTH ACTIVE
Astrana Health Inc.
D+ 58/100 75.7x — 4.6% -0.14% $1.82B Benchmark Subject
AMN
AMN Healthcare Services Inc
D+ 53/100 — 28.3% -7.2% +0.47% $1.82B /amn-vs-asth →
NSP
Insperity Inc.
E 20/100 — 13.2% -8.9% -10.38% $1.77B /nsp-vs-asth →
ICFI
ICF International Inc.
B- 71/100 18.7x 37.2% 8.1% +1.25% $1.72B /icfi-vs-asth →
MAN
ManpowerGroup
D- 41/100 — 16.7% 5.3% -0.57% $2.12B /man-vs-asth →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001083446

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Astrana Health Inc. (ASTH) reported GAAP revenue of $3.18B (+56.4% vs. FY2024 revenue of $2.03B , and +129.5% cumulative change since FY2023) , GAAP net income of $24.0M, operating cash flow of $114.6M, and free cash flow of $104.5M (+136.6% YoY). On the balance sheet, ASTH closed FY2025 with $2.22B in total assets against $990.9M in total debt (Altman Z-Score: 2.54, Piotroski F-Score: 6/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $3.18B $24.0M $114.6M $104.5M $2.22B $990.9M
FY2024 (FY) 2024-12-31 $2.03B $50.0M $52.2M $44.2M $1.35B $425.3M
FY2023 (FY) 2023-12-31 $1.39B $58.0M $68.2M $68.2M — —

3. ASTH Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is ASTH stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-01, Astrana Health Inc. (NASDAQ: ASTH) is rated D+ (Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 58/100 at a spot price of $36.62 (-0.14% 1D, market cap $1.82B). Pillar breakdown: Fundamental Cash Engine 13/20, Institutional 13F & Options Flow 9/20, Executive Insider Alignment 12/20, FRED Macro Regime Fit 14/20, and SEC Balance-Sheet Forensics 10/20. Across 1011 tracked Consumer Discretionary issuers, ASTH ranks #443 in composite RQD confidence.

How does ASTH compare to AMN and NSP in the Consumer Discretionary sector?

Within the Consumer Discretionary sector (Professional Services), ASTH carries a Roarable D+ (58/100 RQD), trailing P/E of 75.7x, gross margin of —, and ROIC of 4.6%. By comparison, AMN (AMN Healthcare Services Inc) holds a D+ grade (53/100 RQD, P/E N/A, ROIC -7.2%, cap $1.82B) and NSP (Insperity Inc.) posts a E grade (20/100 RQD, P/E N/A, ROIC -8.9%, cap $1.77B). Among the 5-stock peer group, ICFI leads on earnings multiple (18.7x) while ICFI leads on capital efficiency (8.1% ROIC).

What are the biggest fundamental strengths and SEC risk factors for ASTH?

Per ASTH's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001083446), Astrana Health Inc. generated $3.18B in revenue (+56.4% YoY), $24.0M in net income, and $104.5M in free cash flow against $2.22B in total assets and $990.9M in total debt. Key quantitative strengths: Established market leader in Consumer Discretionary with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is ASTH trading relative to its 50-day, 200-day, and 52-week technical levels?

ASTH last traded at $36.62 (-0.14% on volume of 256,163 shares), positioning the stock -1.27% below its 50-day simple moving average ($37.09) and +8.22% above its 200-day simple moving average ($33.84). Across its 52-week range of $18.08 to $51.60, ASTH sits at the 55.3% percentile with a 14-day RSI of 46.7 (NEUTRAL RANGE) and an implied next-earnings move of ±8.6% ($33.47 to $39.77).

ASTH Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

Should I buy, hold, or sell ASTH stock right now?

Astrana Health Inc. (ASTH) currently earns a Roarable Rating of D+ (Sell — SELL) with 58/100 RQD Confidence. Stretched risk/reward at 76x P/E (5% return on capital) under elevated 10-year interest-rate pressure.

What is ASTH's 12-month price target and RQD AI Jury consensus?

ASTH's 12-month base price target is $36.62 (range $28.56 to $54.18), backed by transparent SEC XBRL cash-flow, Form 4 insider, and CBOE options flow analysis.

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