Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

Astrana Health Inc (ASTH)

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

Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↓ -5
Streak
2Q ▼
Buyers last Q
51%

Smart Money Signals — ASTH

Based on 168 hedge funds · latest filing: 2026 Q1 · updated quarterly

📉

Selling streak — 2 quarters in a row

last 6Q
For 2 consecutive quarters, 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 — 90% of 3.0Y peak

90% of all-time peak
168 funds currently hold this stock — 90% of the 3.0-year high of 186 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.
🟡

Slight buying edge — 51% buying

88 buying83 selling
Last quarter: 88 funds bought or added vs 83 that reduced or exited. It's nearly a 50/50 split — some institutions are convinced, others are taking profits. This mixed picture is normal near price highs.
⚠️

Fewer new buyers each quarter (-16 vs last Q)

new funds entering per quarter
Funds opening this position for the first time: 30 → 46 → 40 → 24. 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.
🔒

60% of holders stayed for 2+ years

■ 60% conviction (2yr+) ■ 21% medium ■ 20% new
100 out of 168 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.
📊

Peak discovery — momentum slowing

23 → 30 → 46 → 40 → 24 new funds/Q
New funds entering each quarter: 30 → 46 → 40 → 24. ASTH is well-known in the hedge fund world, but fresh entries are gradually declining. The explosive phase of institutional discovery is likely behind us.
🏛️

Deep conviction — 64% of holders stayed 2+ years

■ 64% veterans ■ 13% 1-2yr ■ 23% new
Of 173 current holders: 110 (64%) 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.
✅

Strong quality — 39% AUM from major funds

39% from top-100 AUM funds
43 of 168 holders rank in the top 100 by AUM, accounting for 39% of total institutional value held. A meaningful share of the ownership value comes from the most well-resourced institutions.
3.0
out of 10
Low Exit Risk
Exit risk score 3.0/10 — 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 2026 Q1, 88 hedge funds were net buyers of ASTH (24 opened a new position, 64 added to an existing one), while 83 reduced or exited (54 trimmed, 29 sold completely) — a 51% buyer ratio, indicating a slight buying edge. Net selling has persisted for two consecutive quarters. 39% of total institutional value in ASTH is held by top-100 AUM funds, reflecting strong institutional quality. Net fund flow last quarter: -5 funds (more exits than new entries). Total institutional holders: 168.

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

-- --

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

Is It Too Late to Buy Astrana Health Inc (ASTH) Based on Hedge Fund 13F Filings?

Signal Freshness measures how much ASTH has moved relative to its sector benchmark (XLV) since the 2026 Q1 13F filing. A stock that has barely outrun its sector is still a relatively fresh entry point — the fund's thesis has not yet been priced in by the broader market.

Since Quarter End March 31, 2026 · 79d ago
ASTH
+55.6%
XLV
+2.8%

ASTH outperformed XLV by +52.8% since March 31, 2026.

Since 13F Filing Date May 15, 2026 · 34d ago
ASTH
-0.3%
XLV
+3.9%

Since the filing became public, ASTH outperformed XLV by -4.2% .

Interpretation: The stock is tracking its sector benchmark closely. The signal remains fresh and the entry point is still near the fund's implied reference. Learn more →

Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

19 top-rated funds 1 high-conviction
Consensus
5.6
/ 10
breadth
×
Elite
1.4
/ 10
conviction
Hedge Fund Positioning: ASTH
168 + Investors

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

Metric All 13F Filers (2026 Q1) Prior (2025 Q4) Change
Funds Holding 168 173 -2.89%
13F Shares 30M 29M 3.35%
Total Value $732M $723M 1.19%
New Positions 24 40 -16
Increased Positions 65 53 +12
Closed Positions 29 48 -19
Reduced Positions 51 64 -13
Total Calls 3 1 200.0%
Total Puts 2 2 -
PUT/CALL Ratio 0.67 2.0 Bullish

Statistics: ASTH

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Short % of Float --

Financial Highlights

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Institutional Holders (2026 Q1)

168 + investors

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

QUARTER:
Top 25 ASTH holders by conviction (% of portfolio weight) — 2026 Q1 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 325 Capital LLC 16.43% 1,839,076 $45.1M
2 1492 Capital Management LLC 1.43% 153,700 $3.8M
3 683 Capital Management, LLC 0.90% 700,000 $17.2M
4 Westmount Partners, LLC 0.47% 77,755 $1.9M
5 SteelPeak Wealth, LLC 0.42% 559,937 $13.7M
6 Insight Wealth Strategies, LLC 0.39% 143,291 $3.5M
7 Hussman Strategic Advisors, INC. 0.33% 63,000 $1.5M
8 Integrated Quantitative Investments LLC 0.19% 42,208 $1.0M
9 Emerald Investment Advisers, LLC 0.15% 69,751 $1.7M
10 Linden Thomas Advisory Services, LLC 0.14% 58,675 $1.4M
11 Royce & Associates LP 0.10% 396,961 $9.7M
12 Diamond Hill Capital Management Inc 0.08% 544,034 $13.3M
13 Shay Capital LLC 0.08% 40,000 $981K
14 Bridgefront Capital, LLC 0.08% 13,206 $324K
15 Jacobs Levy Equity Management, Inc 0.04% 386,424 $9.5M
16 Hotchkis & Wiley Capital Management LLC 0.04% 481,520 $11.8M
17 State of Wyoming 0.03% 9,218 $226K
18 Earnest Partners LLC 0.02% 219,995 $5.4M
19 Edgestream Partners, L.P. 0.02% 27,616 $677K
20 Campbell & CO Investment Adviser LLC 0.02% 14,963 $367K
21 Aquatic Capital Management LLC 0.02% 28,770 $705K
22 Public Sector Pension Investment Board 0.01% 154,298 $3.8M
23 AlphaQuest LLC 0.01% 7,513 $186K
24 BNP Paribas Asset Management Holding S.A. 0.01% 351,630 $8.6M
25 First Citizens Bank & Trust Co 0.01% 16,614 $407K
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 (ASTH)

What does the Smart Money Trend signal show for ASTH?

Selling streak — 2 quarters in a row: For 2 consecutive quarters, 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?

Slight buying edge — 51% buying: Last quarter: 88 funds bought or added vs 83 that reduced or exited. It's nearly a 50/50 split — some institutions are convinced, others are taking profits. This mixed picture is normal near price highs.

What is the fund quality score for ASTH holders?

Strong quality — 39% AUM from major funds: 43 of 168 holders rank in the top 100 by AUM, accounting for 39% of total institutional value held. A meaningful share of the ownership value comes from the most well-resourced institutions.

How long have hedge funds held ASTH?

60% of holders stayed for 2+ years: 100 out of 168 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.

Is it too late to buy Astrana Health Inc (ASTH) following the 2026 Q1 hedge fund 13F filings?

As of today, ASTH has moved -0.3% since the 2026 Q1 13F filing date (May 15, 2026), compared to +3.9% for the XLV sector ETF — an outperformance of -4.2%. Since the quarter end (March 31, 2026), ASTH has gained +55.6% vs +2.8% for XLV. The stock is tracking its sector benchmark closely. The signal remains fresh and the entry point is still near the fund's implied reference.

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.

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