ASTHAstrana Health, Inc.

$38.63

Is it safe?

Can ASTH take a bad year?

Astrana Health, Inc. carries $549M of net debt at 3.96× EBITDA: a load its earnings can carry.

$549M

Net debt · as at Q1 2026 · between two and four years of EBITDA, normal for a stable business

Net debt / EBITDA
3.96×

Net debt / EBITDA · 1.44× a year ago · the load is going up

Altman Z-score
2.79

Altman Z-score · grey zone, between 1.8 and 3

Interest cover
1.47×

Interest cover · operating profit barely covers the interest bill

Details
Total debtQ1 2026
$1.03B
Cash and short-term investments
$478M
Net debt
$549M
EBITDA, trailing twelve months
$139M
Operating profit, trailing twelve months
$86M
Debt / equity
1.28×
Total debt / EBITDA
7.41×
Annualised volatilitytwo years of daily moves
65%
Worst drawdown on file
−85%
Below its 52-week high
−21%

Balance sheet from SEC filings; drawdown and volatility from end-of-day closes; Altman Z from the filed statements.