Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

ASTRANA HEALTH INC COM NEW (ASTH)

166 + Investors. Track Smart Money conviction in ASTH. See who's accumulating, reducing, or initiating positions.

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Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↓ -8
Streak
1Q ▼
Buyers last Q
46%

Smart Money Signals — ASTH

Based on 163 hedge funds · latest filing: 2025 Q4 · updated quarterly

📉

Selling streak — 1 quarter in a row

last 6Q
For 1 consecutive quarter, more hedge funds reduced or closed their ASTH positions than added to them. Sustained institutional selling is a meaningful warning sign — these are professionals with deep research teams collectively deciding to exit.
📊

High ownership — 92% of 3.0Y peak

92% of all-time peak
163 funds currently hold this stock — 92% of the 3.0-year high of 178 funds (reached 2024 Q3). Ownership is elevated but not yet at maximum concentration. Room to grow, but watch if the trend reverses.
〰️

Stable — ownership unchanged year-over-year

fund count last 6Q
The number of hedge funds holding ASTH is almost the same as a year ago (-2 funds, -1% change). No significant rush to buy or sell — institutional backing is holding steady.
🟠

More sellers than buyers — 46% buying

92 buying107 selling
Last quarter: 107 funds reduced or exited vs 92 that bought or added. When more than half of active funds are selling, it's a caution flag — especially if the stock price hasn't moved down yet.
⚠️

Fewer new buyers each quarter (-6 vs last Q)

new funds entering per quarter
Funds opening this position for the first time: 22 → 28 → 46 → 40. Each quarter fewer new institutions are entering. This usually means most funds that wanted in are already in — the stock is well-known but the pool of potential new buyers is shrinking.
🔒

53% of holders stayed for 2+ years

53% conviction (2yr+) 23% medium 24% new
87 out of 163 hedge funds have held ASTH for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.
🚀

Acceleration phase — new buyers rushing in

27 → 22 → 28 → 46 → 40 new funds/Q
New funds entering each quarter: 22 → 28 → 46 → 40. The pace of institutional discovery is accelerating sharply. This is the 'hot idea' phase — the thesis is being passed from fund to fund. You are not late — the accumulation wave is still building.
🏛️

Deep conviction — 61% of holders stayed 2+ years

61% veterans 13% 1-2yr 26% new
Of 166 current holders: 101 (61%) have held for over 2 years without selling. These are not momentum buyers — they have lived through drawdowns and stayed. A large veteran base acts as a stabilizing force during selloffs.
🏆

Elite ownership — 51% AUM from top-100 funds

51% from top-100 AUM funds
33 of 163 holders are among the 100 largest funds by AUM, controlling 51% of total institutional value in ASTH. When the biggest players dominate the cap table, it signifies deep institutional support — since mega-funds deploy the most rigorous due diligence and capital.
3.5
out of 10
Low Exit Risk
Exit risk score 3.5/10 — low institutional crowding. Ownership is below peak levels, holder base is relatively sticky, and buying momentum is positive.

Methodology note: these Smart Money cards use consecutive 13F disclosure snapshots, not trade-by-trade execution data. "Buying", "selling", "new holders", and "trimmed" refer to quarter-over-quarter changes in reported holders, aggregate shares, or disclosed position values between filings. They are useful for ownership regime analysis and crowding, but they do not imply exact trade timing on the filing date.

Institutional Sentiment Summary — ASTH

In 2025 Q4, 92 hedge funds were net buyers of ASTH (40 opened a new position, 52 added to an existing one), while 107 reduced or exited (59 trimmed, 48 sold completely) — a 46% buyer ratio, indicating roughly balanced activity. 51% of total institutional value in ASTH is held by top-100 AUM funds, reflecting elite-tier ownership quality. Net fund flow last quarter: -8 funds (more exits than new entries). Total institutional holders: 163.

Hedge Fund Ownership: ASTH

How many hedge funds hold ASTH — quarterly history vs. share price
Quarterly hedge fund ownership of ASTH vs. share price

Market Analysis: ASTH

Analyst Price Targets

Avg. Price Target
--

Analyst Recommendations

Stock Performance

Real-time

Company Profile: ASTH

Healthcare Medical Care Facilities

Institutional ownership data sourced from SEC EDGAR Form 13F-HR filings.

Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

36 top-rated funds 0 high-conviction
Consensus
6.8
/ 10
breadth
×
Elite
0.8
/ 10
conviction
Hedge Fund Positioning: ASTH
2026 Q1 Stats Unlock in 7 days 166 + Investors

Track Smart Money conviction in ASTH. See who's accumulating, reducing, or initiating positions.

Metric All 13F Filers (2025 Q4) Prior (2025 Q3) Change
Funds Holding 166 176 -5.68%
13F Shares 29M 27M 7.91%
Total Value $721M $763M -5.47%
New Positions 40 46 -6
Increased Positions 54 65 -11
Closed Positions 48 22 +26
Reduced Positions 69 57 +12
Total Calls 1 3 -66.67%
Total Puts 2 2 -
PUT/CALL Ratio 2.0 0.67 Bearish

Statistics: ASTH

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Valuation Measures Data as of: --

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PEG Ratio (5yr expected) --
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Enterprise Value/EBITDA --
Beta (5Y Monthly) --
Short Ratio (Days to Cover) --
Short % of Float --

Financial Highlights

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Institutional Holders (2026 Q1)

166 + investors

Explore institutional interest and hedge fund ownership dynamics. Analyze portfolio weights, new positions, and conviction trends in ASTH. Verified SEC 13F-HR filings.

Top 25 institutional holders of ASTH — 2025 Q4 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 1492 Capital Management LLC 1.43% 153,700 $3.8M
2 Westmount Partners, LLC 0.47% 77,755 $1.9M
3 SteelPeak Wealth, LLC 0.42% 559,937 $13.7M
4 Insight Wealth Strategies, LLC 0.39% 143,291 $3.5M
5 HUSSMAN STRATEGIC ADVISORS, INC. 0.33% 63,000 $1.5M
6 Emerald Investment Advisers, LLC 0.15% 69,751 $1.7M
7 Linden Thomas Advisory Services, LLC 0.14% 58,675 $1.4M
8 ROYCE & ASSOCIATES LP 0.10% 396,961 $9.7M
9 DIAMOND HILL CAPITAL MANAGEMENT INC 0.08% 544,034 $13.3M
10 AlphaQuest LLC 0.01% 7,513 $186K
11 FIRST CITIZENS BANK & TRUST CO 0.01% 16,614 $407K
12 Louisiana State Employees Retirement System 0.01% 19,100
13 State of Alaska, Department of Revenue 0.01% 29,868
14 Illinois Municipal Retirement Fund 0.01% 18,492 $453K
15 Savant Capital, LLC 0.00% 31,676 $777K
16 GREAT LAKES ADVISORS, LLC 0.00% 17,932 $440K
17 PRINCIPAL FINANCIAL GROUP INC 0.00% 265,948 $6.5M
18 OREGON PUBLIC EMPLOYEES RETIREMENT FUND 0.00% 9,855 $242K
19 Pinnacle Wealth Planning Services, Inc. 0.00% 1,229 $30K
20 YOUSIF CAPITAL MANAGEMENT, LLC 0.00% 10,493 $257K
21 VANGUARD PORTFOLIO MANAGEMENT LLC 0.00% 2,276,806 $55.8M
22 Police & Firemen's Retirement System of New Jersey 0.00% 11,854 $291K
23 AMALGAMATED BANK 0.00% 12,344
24 INTECH INVESTMENT MANAGEMENT LLC 0.00% 9,403 $231K
25 BLAIR WILLIAM & CO/IL 0.00% 31,870 $781K
Investor Ownership
History
% of Portfolio Prev % Rank Conviction Avg Buy Price 13F Score™ 3Y / 7Y Sell Timing Shares Mkt Value Change Change % Source Quarter Filed

Frequently Asked Questions — ASTRANA HEALTH INC COM NEW (ASTH)

What does the Smart Money Trend signal show for ASTH?

Selling streak — 1 quarter in a row: For 1 consecutive quarter, more hedge funds reduced or closed their ASTH positions than added to them. Sustained institutional selling is a meaningful warning sign — these are professionals with deep research teams collectively deciding to exit.

What is the institutional breadth score for ASTH?

More sellers than buyers — 46% buying: Last quarter: 107 funds reduced or exited vs 92 that bought or added. When more than half of active funds are selling, it's a caution flag — especially if the stock price hasn't moved down yet.

What is the fund quality score for ASTH holders?

Elite ownership — 51% AUM from top-100 funds: 33 of 163 holders are among the 100 largest funds by AUM, controlling 51% of total institutional value in ASTH. When the biggest players dominate the cap table, it signifies deep institutional support — since mega-funds deploy the most rigorous due diligence and capital.

How long have hedge funds held ASTH?

53% of holders stayed for 2+ years: 87 out of 163 hedge funds have held ASTH for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.

Where does this institutional ownership data come from?

All holdings data is sourced from SEC Form 13F filings, which institutional investment managers with over $100 million in assets are required to submit quarterly. Data is parsed directly from SEC EDGAR.

Disclaimer: The information on this page is for informational purposes only and does not constitute investment advice, a recommendation, or an offer to buy or sell any security. Institutional holdings data is sourced from SEC Form 13F filings and reflects positions as of the filing date. Past performance of any fund or portfolio is not indicative of future results. 13Foresight is not a registered investment adviser. Always conduct your own due diligence before making investment decisions.