Astrana Health (ASTH) EV to EBITDA (2015 - 2026)
Astrana Health's EV to EBITDA was 10.04 in Q2 2026, up 54.0% from 6.52 a year earlier and up 192.2% from the prior quarter.
Astrana Health (ASTH) EV to EBITDA (2015 - 2026) Analysis & Trends
On a trailing twelve-month basis, Astrana Health's EV to EBITDA was 1.65 through Jun 30, 2026; for FY2025, it came in at 4.41, down 49.2% from FY2024.
- In earlier years, EV to EBITDA was 8.68 in FY2024 (-31.2%), 12.62 in FY2023 (+41.5%), 8.92 in FY2022 (-66.2%) and 26.36 in FY2021 (+317.4%).
- The Q2 2026 figure marks the highest quarterly EV to EBITDA since Q3 2024.
- Compared with a year earlier, EV to EBITDA was higher in two of the last eight quarters, with an average decline of 15.7%.
- The best year-over-year quarter for EV to EBITDA over five years was Q4 2021 (growth of 317.4%); the worst was Q4 2022 (a decline of 66.2%).
- Per Business Quant data, ASTH's EV to EBITDA in the three quarters before Q2 2026 was 3.44 (Q1 2026), 4.41 (Q4 2025) and 7.14 (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) |
|---|---|---|---|---|
| 1 | Unitedhealth | 341.92 Bn | 226.55 Bn | 36.67 Bn |
| 2 | Cvs Health | 112.26 Bn | 64.87 Bn | 47.23 Bn |
| 3 | Mckesson | 99.84 Bn | 86.30 Bn | 3.69 Bn |
| 4 | Elevance Health | 85.53 Bn | -56.21 Bn | 13.45 Bn |
| 5 | Cigna | 71.85 Bn | 41.39 Bn | 14.97 Bn |
| 6 | Cencora | 57.95 Bn | 47.04 Bn | 3.61 Bn |
| 7 | Cardinal Health | 51.09 Bn | 35.09 Bn | 2.56 Bn |
| 8 | Humana | 46.78 Bn | -41.02 Bn | 5.50 Bn |
| 9 | Centene | 30.87 Bn | -59.41 Bn | 14.55 Bn |
| 10 | Astrana Health | 1.73 Bn | -285.02 Mn | 104.02 Mn |
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | 10.04 |
| Mar 31, 2026 | 3.44 |
| Dec 31, 2025 | 4.41 |
| Sep 30, 2025 | 7.14 |
| Jun 30, 2025 | 6.52 |
| Mar 31, 2025 | 9.38 |
| Dec 31, 2024 | 8.68 |
| Sep 30, 2024 | 20.24 |
| Jun 30, 2024 | 11.92 |
| Mar 31, 2024 | 13.07 |
| Dec 31, 2023 | 12.62 |
| Sep 30, 2023 | 9.99 |
| Jun 30, 2023 | 9.17 |
| Mar 31, 2023 | 12.14 |
| Dec 31, 2022 | 8.92 |
| Sep 30, 2022 | 14.07 |
| Jun 30, 2022 | 13.00 |
| Mar 31, 2022 | 16.17 |
| Dec 31, 2021 | 26.36 |
| Sep 30, 2021 | 27.28 |
Astrana Health EV to EBITDA API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=ev-to-ebitda&ticker=ASTH&period=max&api_key=YOUR_API_KEY
import requests
url = "https://data.businessquant.com/historic"
params = {"slug": "ev-to-ebitda", "ticker": "ASTH", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()
const res = await fetch("https://data.businessquant.com/historic?slug=ev-to-ebitda&ticker=ASTH&period=max&api_key=YOUR_API_KEY");
const data = await res.json();