Ranked by reported Q1 2026 13F market value
Share of total reported institutional value in ASTH held by the largest 10 / 25 filers.
| # | Institution | Shares Held | Market Value | QoQ Change | Ownership % | % of Fund |
|---|---|---|---|---|---|---|
| 1 | BlackRock, Inc. | 6.2M | $151.1M | +0.1% | 12.431% | 0.00% |
| 2 | VANGUARD PORTFOLIO MANAGEMENT LLC | 2.3M | $55.8M | — | 4.592% | 0.00% |
| 3 | 325 CAPITAL LLC | 1.8M | $45.1M | 0.0% | 3.709% | 16.43% |
| 4 | VANGUARD CAPITAL MANAGEMENT LLC | 1.7M | $41.9M | — | 3.449% | 0.00% |
| 5 | STATE STREET CORP | 1.7M | $40.5M | -1.5% | 3.329% | 0.00% |
| 6 | DIMENSIONAL FUND ADVISORS LP | 1.4M | $33.5M | +12.5% | 2.759% | 0.01% |
| 7 | WELLINGTON MANAGEMENT GROUP LLP | 1.3M | $32.9M | +81.6% | 2.706% | 0.01% |
| 8 | GEODE CAPITAL MANAGEMENT, LLC | 1.0M | $25.5M | +1.0% | 2.094% | 0.00% |
| 9 | 683 Capital Management, LLC | 700K | $17.2M | — | 1.412% | 1.33% |
| 10 | CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 644K | $15.8M | +17.3% | 1.299% | 0.00% |
| 11 | BANK OF AMERICA CORP /DE/ | 575K | $14.1M | +13.3% | 1.159% | 0.00% |
| 12 | Steel Peak Wealth Management LLC | 560K | $13.7M | -3.5% | 1.129% | 0.42% |
| 13 | AMERIPRISE FINANCIAL INC | 552K | $13.5M | +25.9% | 1.113% | 0.00% |
| 14 | DIAMOND HILL CAPITAL MANAGEMENT INC | 544K | $13.3M | +25.7% | 1.097% | 0.08% |
| 15 | HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC | 482K | $11.8M | +15.5% | 0.971% | 0.04% |
| 16 | NORTHERN TRUST CORP | 438K | $10.7M | +8.9% | 0.884% | 0.00% |
| 17 | FMR LLC | 416K | $10.2M | -61.1% | 0.839% | 0.00% |
| 18 | ROYCE & ASSOCIATES LP | 397K | $9.7M | +14.0% | 0.801% | 0.10% |
| 19 | JACOBS LEVY EQUITY MANAGEMENT, INC | 386K | $9.5M | -18.4% | 0.779% | 0.04% |
| 20 | BNP Paribas Asset Management Holding S.A. | 352K | $8.6M | +15.3% | 0.709% | 0.01% |
| 21 | Invesco Ltd. | 351K | $8.6M | -1.2% | 0.708% | 0.00% |
| 22 | MORGAN STANLEY | 339K | $8.3M | -21.9% | 0.683% | 0.00% |
| 23 | LPL Financial LLC | 309K | $7.6M | 0.0% | 0.623% | 0.00% |
| 24 | UBS Group AG | 302K | $7.4M | +71.5% | 0.609% | 0.00% |
| 25 | GOLDMAN SACHS GROUP INC | 295K | $7.2M | -6.2% | 0.596% | 0.00% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). “% of Fund” shows how much of that investor’s total 13F portfolio is invested in ASTH — a direct measure of their conviction.
Filings activity in ASTH during Q1 2026, grouped by how each filer changed its position.
8 quarters of 13F filings · Δ columns show change vs prior quarter
| Quarter | Inst. Holders | Δ Holders | Ownership % | Δ Ownership | Total 13F Value | Δ Value |
|---|---|---|---|---|---|---|
| Q1 2026 | 168 | 4.0% | 37.94% | +0.88 pp | $727M | +2.4% |
| Q4 2025 | 175 | 4.4% | 37.06% | 2.14 pp | $710M | 5.5% |
| Q3 2025 | 183 | +13% | 39.20% | +5.46 pp | $751M | +16% |
| Q2 2025 | 162 | 3.6% | 33.74% | 7.83 pp | $646M | 19% |
| Q1 2025 | 168 | 7.2% | 41.57% | 1.35 pp | $796M | 3.1% |
| Q4 2024 | 181 | 2.7% | 42.92% | 30.43 pp | $822M | 41% |
| Q3 2024 | 186 | +8.1% | 73.35% | +25.37 pp | $1.40B | +53% |
| Q2 2024 | 172 | — | 47.98% | — | $919M | — |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Δ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying ASTH stock.
Based on Q1 2026 13F filings, institutional ownership of Astrana Health, Inc. stands at 37.9%, held across 168 reporting institutions.
BlackRock, Inc. is the largest reported institutional holder of ASTH, with approximately 6,163,727 shares worth $0.15B as of Q1 2026.
No marquee "smart money" managers (Berkshire, Burry, ARK, Tiger Global, Pershing Square, Baupost, etc.) currently appear among the top 25 institutional holders of ASTH.
Our composite Smart Money Score for ASTH is 37 out of 100 (Bearish). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
27 institutions opened new positions in ASTH during Q1 2026, while 34 fully exited. 58 added to existing positions and 82 trimmed.
ASTH institutional ownership rose by 0.88 percentage points quarter-over-quarter, with a net change of -7 holders.
The top 10 institutions account for 63.2% of all reported 13F value in ASTH, and the top 25 account for 84.5%.
All data is sourced from SEC Form 13F filings, which institutional investment managers with at least $100M in assets are required to file each quarter. We process every 13F filing from EDGAR and recompute the aggregates after each cycle. Insider transactions are sourced from Form 4 filings.
Astrana Health, Inc. (ASTH) Institutional Ownership