Industrials · Services-Management Consulting Services · Nasdaq · CIK 1083446 · FYE Dec 31 · Prices AT CLOSE 2026-08-21 (USD) Last $39.35 · Day +1.57% · Mkt cap $2.2B · P/E (FY) 85.5× · 1Y +31.3% · Off 52W high −23.7% · Vol (1Y) 67.5% Price2024-02-26 → 2026-08-21 ASTH close: $42.8 on 2024-02-26 to $39.4 on 2026-08-21. Split-adj closes · 240 of 622 · price returnⓘ At a glance | Short interest5.1% of sh out | | Days to cover4.9d | | 13F net flow (QoQ)+0.80% | | Top-10 13F concentration62.6% | | Next report (est.)2026-11-05 |
SI 2026-07-31 · 13F 2026-Q1ⓘ Key fundamentalsFY 2025 | P/E (FY)85.5× | | Sales (TTM)$3.84B | | Earnings (TTM)$40.5M | | ROE3.0% | | Net margin0.7% | | ROIC4.2% | | Debt / equity1.33× | | Total debt / EBITDA8.36× | | EPS growth 3Y−22.5% | | Sales growth 3Y40.6% |
FY ratios · TTM sales/earnings (USD)ⓘ Trailing returns | YTD+58.6% | | 1Y+31.3% | | Since incept. (ann.)−3.3% |
Total return · from 2024-02-26ⓘ Risk | Ann. volatility (1Y)67.5% | | Ann. volatility (3Y)61.9% | | Sharpe (1Y)0.79 | | Sharpe (3Y)0.26 | | Max drawdown (1Y)−46.4% | | Max drawdown (3Y)−71.0% | | Beta (3Y vs SPY)0.75 |
Daily returns, ann.ⓘ Top institutional holders13F 2026-Q1 | Manager | Shares | Value | % sh out | QoQ |
|---|
| BlackRock, Inc. | 6.2M | $151M | 11.09% | +0.1% | | VANGUARD PORTFOLIO MANAGEMENT LLC | 2.3M | $56M | 4.09% | new | | 325 CAPITAL LLC | 1.8M | $45M | 3.31% | +0.0% | | VANGUARD CAPITAL MANAGEMENT LLC | 1.7M | $42M | 3.08% | new | | STATE STREET CORP | 1.7M | $40M | 2.97% | −1.5% | | DIMENSIONAL FUND ADVISORS LP | 1.4M | $34M | 2.46% | +12.5% | | WELLINGTON MANAGEMENT GROUP LLP | 1.3M | $33M | 2.41% | +81.6% | | GEODE CAPITAL MANAGEMENT, LLC | 1.0M | $25M | 1.87% | +1.0% |
Δ vs 2025-Q4ⓘ Latest reported quarterslast report 2026-08-06 | Period end | Reported | EPS | EPS YoY | Revenue | Rev YoY |
|---|
| 2026-06-30 | 2026-08-06 | $0.40 | +110.5% | $972.5M | +48.5% | | 2026-03-31 | 2026-05-07 | $0.29 | +107.1% | $965.1M | +55.6% | | 2025-12-31 | 2026-03-02 | $0.12 | — | $950.5M | +42.9% | | 2025-09-30 | 2025-11-06 | $0.01 | −97.0% | $956.0M | +99.7% |
As-reported XBRL · next 2026-11-05 est.ⓘ Segment mixFY2025 (ended Dec 2025) Health Care Capitation Revenue 92% · Health Care Patient Service 4% · Health Care Other 3% · Management Service 1% · Product And Service Other 1% product & service · TAGGED revenueⓘ Basis & disclosures - EOD closes · nothing imputed or averaged · absent “—”
- As-of differs by block · 13F = US long, 45+d lag, LOWER bound
- Not investment advice · no recommendation, price target or solicitation
- EDGAR + foreign registers · marketstack (licensed EOD) · spzco.com/methodology
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