Astrana Health Inc. (ASTH) is held by institutional investors who disclose positions via SEC 13F filings. View the full list of institutional holders on HoldingsIntel.

Are institutions buying or selling ASTH?

HoldingsIntel tracks quarter-over-quarter changes in institutional positions for Astrana Health Inc., showing new buyers, position increases, decreases, and exits with conviction-weighted sentiment.

What is the Smart Money Verdict on ASTH?

The Smart Money Verdict combines four independent signals (institutional 13F activity, insider trades, activist filings, and congressional trades) into a single assessment for Astrana Health Inc..

Is institutional money flowing into ASTH?

106 institutional investors hold Astrana Health Inc. (ASTH). View detailed buyer/seller breakdown on HoldingsIntel.

What do hedge funds think about ASTH?

Track institutional sentiment and conviction scores for Astrana Health Inc. (ASTH) including Smart Money Verdict and position changes on HoldingsIntel.

Astrana Health Inc.

ASTH·03763A207·US·equity·Healthcare - Medical Care Facilities-13D/G

ASTH (Astrana Health Inc.) is held by 106 institutional investors as of Q4 2025. Largest holders: BlackRock, Inc. ($152.8M), VANGUARD GROUP INC ($105.1M), STATE STREET CORP ($41.6M). Net institutional sentiment: Mixed.

106

Holders

Avg rating(9 Elite)

$613.7M

Total Value

49% (119)

Fund Consensus

55 buying - 57 selling

Smart Money VerdictView all

47Weak MomentumStrong Convergence

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See how ASTH's score breaks down across 4 SEC sources

Held by 106 funds

9 elite

Who's Trading

ActivistThe Vanguard Group0.0%Mar 26, 2026

Activist

13F: Dec 31, 2025Insider & Congress: Updated regularly

Fund	Action	Shares	Value	Weight	Est. P&L	Conviction
BlackRock, Inc.	Increased	6.2M(+2.5%)	$152.8M	0.0%	-22.93%	31
VANGUARD GROUP INC	Decreased	4.2M(-10.2%)	$105.1M	0.0%	-55.67%	0
STATE STREET CORP	Increased	1.7M(+6.2%)	$41.6M	0.0%	-34.48%	31
DIMENSIONAL FUND ADVISORS LP	Decreased	1.2M(-1.5%)	$30.2M	0.0%	-28.39%	0
FMR LLC	Decreased	1.1M(-0.6%)	$26.5M	0.0%	-22.73%	0
GEODE CAPITAL MANAGEMENT, LLC	Increased	1M(+1.2%)	$25.5M	0.0%	-44.75%	29
WELLINGTON MANAGEMENT GROUP LLP	Increased	738,853(+418.3%)	$18.3M	0.0%	-4.79%	46
CHARLES SCHWAB INVESTMENT MANAGEMENT INC	Decreased	549,152(-2.3%)	$13.6M	0.0%	-48.54%	0
BANK OF AMERICA CORP /DE/	Increased	507,101(+193.4%)	$12.6M	0.0%	-8.69%	45
JACOBS LEVY EQUITY MANAGEMENT, INC	Decreased	473,714(-5.4%)	$11.8M	0.0%	-18.89%	0
AMERIPRISE FINANCIAL INC	Decreased	437,996(-1.0%)	$10.9M	0.0%	-40.48%	0
MORGAN STANLEY	Decreased	433,825(-12.9%)	$10.8M	0.0%	-29.08%	0
DIAMOND HILL CAPITAL MANAGEMENT INC	Increased	432,726(+19.8%)	$10.7M	0.1%	-26.33%	33
HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC	Decreased	416,930(-1.1%)	$10.3M	0.0%	-14.01%	0
NORTHERN TRUST CORP	Decreased	402,463(-4.9%)	$10M	0.0%	-36.88%	0
Invesco Ltd.	Increased	355,216(+46.0%)	$8.8M	0.0%	-52.37%	38
ROYCE & ASSOCIATES LP	Increased	348,331(+34.3%)	$8.6M	0.1%	-32.07%	36
GOLDMAN SACHS GROUP INC	Decreased	314,691(-0.7%)	$7.8M	0.0%	-20.53%	0
LPL Financial LLC	Increased	309,125(+73.6%)	$7.7M	0.0%	-10.15%	41
PRINCIPAL FINANCIAL GROUP INC	Increased	229,798(+3.1%)	$5.7M	0.0%	-67.34%	28
Bank of New York Mellon Corp	Decreased	229,664(-6.4%)	$5.7M	0.0%	-59.82%	0
EARNEST PARTNERS LLC	New	195,493	$4.9M	0.0%	-1.84%	37
UBS Group AG	Increased	176,100(+48.4%)	$4.4M	0.0%	-18.43%	37
PUBLIC SECTOR PENSION INVESTMENT BOARD	Decreased	149,339(-10.8%)	$3.7M	0.0%	-47.65%	0
ENVESTNET ASSET MANAGEMENT INC	Increased	126,279(+1561.1%)	$3.1M	0.0%	-4.55%	43
WELLS FARGO & COMPANY/MN	Increased	116,311(+99.9%)	$2.9M	0.0%	-11.88%	42
BALYASNY ASSET MANAGEMENT L.P.	New	114,009	$2.8M	0.0%	-1.84%	36
Legal & General Group Plc	Decreased	109,023(-5.6%)	$2.7M	0.0%	-62.98%	0
ExodusPoint Capital Management, LP	New	99,964	$2.5M	0.0%	-1.84%	36
RHUMBLINE ADVISERS	Decreased	95,894(-1.5%)	$2.4M	0.0%	-54.22%	0
RENAISSANCE TECHNOLOGIES LLC	Increased	93,146(+12.5%)	$2.3M	0.0%	-28.88%	29
Swiss National Bank	Increased	88,444(+1.7%)	$2.2M	0.0%	-13.20%	26
Nuveen, LLC	Decreased	85,599(-3.1%)	$2.1M	0.0%	-19.74%	0
UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC	Decreased	84,712(-0.9%)	$2.1M	0.0%	-30.13%	0
JANE STREET GROUP, LLC	Increased	84,446(+33.1%)	$2.1M	0.0%	-28.82%	33
LAZARD ASSET MANAGEMENT LLC	New	74,285	$1.8M	0.0%	-1.84%	36
SEI INVESTMENTS CO	Increased	69,390(+316.3%)	$1.7M	0.0%	-10.14%	41
ROYAL BANK OF CANADA	Decreased	67,994(-56.4%)	$1.7M	0.0%	-20.99%	0
STATE OF WISCONSIN INVESTMENT BOARD	Decreased	66,779(-6.9%)	$1.7M	0.0%	-10.68%	0
BARCLAYS PLC	Increased	63,639(+8.9%)	$1.6M	0.0%	-43.37%	28
JPMORGAN CHASE & CO	Decreased	55,603(-13.5%)	$1.4M	0.0%	-18.97%	0
ALLIANCEBERNSTEIN L.P.	Unchanged	50,500	$1.3M	0.0%	-49.66%	0
BLAIR WILLIAM & CO/IL	New	42,901	$1.1M	0.0%	-1.84%	35
SUSQUEHANNA INTERNATIONAL GROUP, LLP	Increased	42,812(+256.2%)	$1.1M	0.0%	-8.10%	41
CITIGROUP INC	Decreased	42,020(-10.4%)	$1M	0.0%	-23.14%	0
CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM	Decreased	41,269(-0.1%)	$1M	0.0%	-32.08%	0
DEUTSCHE BANK AG\	Increased	41,265(+3.9%)	$1M	0.0%	-38.34%	26
PRUDENTIAL FINANCIAL INC	Decreased	40,040(-7.2%)	$993,392	0.0%	-63.45%	0
MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd.	Increased	38,186(+3.2%)	$947,395	0.0%	-30.02%	26
Quantinno Capital Management LP	New	38,091	$945,038	0.0%	-1.84%	35
Russell Investments Group, Ltd.	Increased	36,856(+11.6%)	$914,398	0.0%	-14.39%	28
AMERICAN CENTURY COMPANIES INC	Increased	36,375(+21.3%)	$902,464	0.0%	-35.51%	30
TEACHER RETIREMENT SYSTEM OF TEXAS	Decreased	35,263(-5.6%)	$874,875	0.0%	-30.93%	0
FRANKLIN RESOURCES INC	Decreased	35,241(-3.1%)	$874,329	0.0%	-15.42%	0
CITADEL ADVISORS LLC	Decreased	31,504(-40.0%)	$781,614	0.0%	-19.74%	0
CREDIT AGRICOLE S A	New	30,900	$766,629	0.0%	-1.84%	34
TWO SIGMA INVESTMENTS, LP	New	30,713	$761,990	0.0%	-1.84%	34
Savant Capital, LLC	Decreased	30,060(-2.1%)	$745,789	0.0%	-1.25%	0
Squarepoint Ops LLC	Decreased	27,814(-52.9%)	$690,065	0.0%	-5.69%	0
AQR CAPITAL MANAGEMENT LLC	Increased	27,227(+26.1%)	$675,502	0.0%	-12.93%	30
BNP PARIBAS FINANCIAL MARKETS	Decreased	26,827(-42.4%)	$665,578	0.0%	-12.40%	0
FIRST TRUST ADVISORS LP	Decreased	25,789(-50.5%)	$639,825	0.0%	-19.62%	0
Verition Fund Management LLC	Decreased	25,555(-15.0%)	$634,020	0.0%	-3.51%	0
MetLife Investment Management, LLC	Decreased	23,659(-8.6%)	$586,980	0.0%	-33.23%	0
STIFEL FINANCIAL CORP	Increased	20,882(+57.6%)	$518,083	0.0%	-21.31%	34
JANUS HENDERSON GROUP PLC	Unchanged	20,106	$498,528	0.0%	-33.68%	0
GUGGENHEIM CAPITAL LLC	New	19,781	$490,767	0.0%	-1.84%	33
MANUFACTURERS LIFE INSURANCE COMPANY, THE	Decreased	18,668(-4.3%)	$463,153	0.0%	-31.79%	0
Cetera Investment Advisers	New	18,567	$460,648	0.0%	-1.84%	33
GREAT LAKES ADVISORS, LLC	Increased	17,932(+45.0%)	$444,893	0.0%	-11.63%	32
INTECH INVESTMENT MANAGEMENT LLC	Decreased	15,567(-55.5%)	$386,217	0.0%	-25.56%	0
Zurcher Kantonalbank (Zurich Cantonalbank)	Increased	15,144(+79.4%)	$375,723	0.0%	-15.39%	36
State of Tennessee, Department of Treasury	Decreased	16,484(-33.6%)	$374,847	0.0%	-47.14%	0
MILLENNIUM MANAGEMENT LLC	New	13,479	$334,414	0.0%	-1.84%	33
NEW YORK STATE COMMON RETIREMENT FUND	Unchanged	13,415	$332,826	0.0%	-37.98%	0
Arizona State Retirement System	Decreased	12,680(-4.3%)	$314,591	0.0%	-23.29%	0
STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM	Unchanged	12,230	$303,426	0.0%	-56.94%	0
Police & Firemen's Retirement System of New Jersey	Increased	11,854(+4.7%)	$294,098	0.0%	-20.59%	25
LOS ANGELES CAPITAL MANAGEMENT LLC	New	9,208	$292,906	0.0%	-1.84%	32
&PARTNERS	New	11,664	$289,384	0.0%	-1.84%	32
WEALTH ENHANCEMENT ADVISORY SERVICES, LLC	Increased	695(+167.3%)	$285,227	0.0%	-7.40%	38
YOUSIF CAPITAL MANAGEMENT, LLC	Decreased	10,806(-2.2%)	$283,225	0.0%	-65.31%	0
Envestnet Portfolio Solutions, Inc.	Decreased	10,852(-4.8%)	$269,238	0.0%	-0.89%	0
COMMONWEALTH OF PENNSYLVANIA PUBLIC SCHOOL EMPLS RETRMT SYS	Decreased	10,681(-2.3%)	$264,996	0.0%	-57.80%	0
COMERICA BANK	Decreased	10,658(-9.4%)	$264,412	0.0%	-21.12%	0
KLP KAPITALFORVALTNING AS	Unchanged	10,300	$255,543	0.0%	-22.01%	0
TRUIST FINANCIAL CORP	Unchanged	10,000	$248,100	0.0%	-23.36%	0
TWO SIGMA ADVISERS, LP	New	9,500	$235,695	0.0%	-1.84%	32
Creative Planning	Decreased	8,308(-72.4%)	$206,121	0.0%	-16.75%	0
Rockefeller Capital Management L.P.	Increased	2,808(+11.3%)	$69,667	0.0%	-14.22%	24
STRS OHIO	New	1,600	$39,696	0.0%	-1.84%	28
PNC FINANCIAL SERVICES GROUP, INC.	Increased	1,575(+32.6%)	$39,075	0.0%	-29.03%	17
JONES FINANCIAL COMPANIES LLLP	Increased	962(+107.3%)	$23,867	0.0%	-11.27%	21
PUBLIC EMPLOYEES RETIREMENT SYSTEM OF OHIO	Increased	869(+19.0%)	$21,560	0.0%	-27.10%	22
NISA INVESTMENT ADVISORS, LLC	Decreased	489(-20.4%)	$12,132	0.0%	-43.72%	0
GROUP ONE TRADING LLC	Increased	309(+543.8%)	$7,666	0.0%	-4.23%	18
BNP Paribas Asset Management Holding S.A.	Increased	305,061(+741x)	$7,568	0.0%	-1.84%	26
FIFTH THIRD BANCORP	Increased	251(+382.7%)	$6,227	0.0%	-9.45%	17
Steward Partners Investment Advisory, LLC	Unchanged	100	$2,481	0.0%	-74.27%	0
SIMPLEX TRADING, LLC	New	81	$2,009	0.0%	-1.84%	17
US BANCORP \DE\	Decreased	62(-46.5%)	$1,538	0.0%	-19.20%	0
PRICE T ROWE ASSOCIATES INC /MD/	Increased	42,258(+3.8%)	$1,049	0.0%	-21.63%	12
Federation des caisses Desjardins du Quebec	New	40	$992	0.0%	-1.84%	17
Farther Finance Advisors, LLC	Decreased	26(-60.0%)	$645	0.0%	-14.23%	0
OSAIC HOLDINGS, INC.	Decreased	12(-95.6%)	$298	0.0%	-15.24%	0
CIBC Private Wealth Group LLC	New	10	$248	0.0%	-1.84%	17
HUNTINGTON NATIONAL BANK	Exited	0(-100.0%)	$2,495	0.0%	+0.97%	0
VICTORY CAPITAL MANAGEMENT INC	Exited	0(-100.0%)	$105,746	0.0%	-32.18%	0
Pacer Advisors, Inc.	Exited	0(-100.0%)	$5.2M	0.0%	-13.84%	0
Optiver Holding B.V.	Exited	0(-100.0%)	$5,557	0.0%	-13.84%	0
XTX Topco Ltd	Exited	0(-100.0%)	$269,694	0.0%	-13.84%	0
ProShare Advisors LLC	Exited	0(-100.0%)	$218,977	0.0%	-35.29%	0
Pathstone Holdings, LLC	Exited	0(-100.0%)	$474,461	0.0%	-35.18%	0
VOYA INVESTMENT MANAGEMENT LLC	Exited	0(-100.0%)	$212,483	0.0%	-41.55%	0
ZACKS INVESTMENT MANAGEMENT	Exited	0(-100.0%)	$659,725	0.0%	-13.84%	0
Allworth Financial LP	Exited	0(-100.0%)	$3,969	0.0%	-13.84%	0
Pictet Asset Management Holding SA	Exited	0(-100.0%)	$200,576	0.0%	-13.84%	0
D. E. Shaw & Co., Inc.	Exited	0(-100.0%)	$4.1M	0.0%	-13.84%	0
Jain Global LLC	Exited	0(-100.0%)	$507,465	0.0%	-13.84%	0

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