ASTHAstrana Health, Inc.
Is it safe?
Forensics clean, with a caveat: a safe balance sheet, but big price swings.
Financially healthy, low distress risk Altman Z-score, a bankruptcy-risk model from five balance-sheet ratios.
Investment-grade balance sheet. A rule of thumb on leverage, not a credit rating.
Large price swings, high volatility. Worst drawdown -85% · now 25% below its 52-week high.
Against the whole market›
Percentile against every name Ryufin tracks. Higher is better; the tick marks the middle of the market. Context, not one of the checks above.
Where this answer is blind. Altman sits structurally low for utilities and pipelines; Beneish runs high for fast growers, since sales growth alone lifts it; banks and REITs are excluded.
Can ASTH take a bad year?
Astrana Health, Inc. carries $536M of net debt at 3.34× EBITDA: a load its earnings can carry.
Net debt · as at Q2 2026 · between two and four years of EBITDA, normal for a stable business
- Net debt / EBITDA
- 3.34×
Net debt / EBITDA · 0.73× a year ago · the load is going up
- Altman Z-score
- 2.76
Altman Z-score · grey zone, between 1.8 and 3
- Interest cover
- 1.49×
Interest cover · operating profit barely covers the interest bill
Details›
- Total debtQ2 2026
- $936M
- Cash and short-term investments
- $401M
- Net debt
- $536M
- EBITDA, trailing twelve months
- $160M
- Operating profit, trailing twelve months
- $100M
- Debt / equity
- 1.13×
- Total debt / EBITDA
- 5.84×
- Annualised volatilitytwo years of daily moves
- 66%
- Worst drawdown on file
- −85%
- Below its 52-week high
- 25%
Balance sheet from SEC filings; drawdown and volatility from end-of-day closes; Altman Z from the filed statements.
The balance sheet
What it owes against what it owns, and how close that comes to trouble.
How far can it fall?
How much the price moves, how deep and how long its falls have run, and what each unit of risk has paid.