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 | 378.93 Bn | 257.50 Bn | 36.67 Bn |
| 2 | Mckesson | 122.09 Bn | 105.99 Bn | 3.69 Bn |
| 3 | Cvs Health | 121.23 Bn | 73.64 Bn | 47.23 Bn |
| 4 | Elevance Health | 95.42 Bn | -46.46 Bn | 13.45 Bn |
| 5 | Cigna | 80.67 Bn | 49.92 Bn | 14.97 Bn |
| 6 | Cencora | 66.34 Bn | 55.24 Bn | 3.61 Bn |
| 7 | Cardinal Health | 60.55 Bn | 44.39 Bn | 2.56 Bn |
| 8 | Humana | 51.50 Bn | -36.36 Bn | 5.50 Bn |
| 9 | Centene | 34.97 Bn | -55.38 Bn | 14.55 Bn |
| 10 | Astrana Health | 1.89 Bn | 120.34 Mn | 104.02 Mn |
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | 9.77 |
| Mar 31, 2026 | 3.33 |
| Dec 31, 2025 | 4.27 |
| Sep 30, 2025 | 6.91 |
| Jun 30, 2025 | 6.35 |
| Mar 31, 2025 | 9.21 |
| Dec 31, 2024 | 8.55 |
| Sep 30, 2024 | 19.93 |
| Jun 30, 2024 | 11.77 |
| Mar 31, 2024 | 12.92 |
| Dec 31, 2023 | 12.49 |
| Sep 30, 2023 | 9.91 |
| Jun 30, 2023 | 9.11 |
| Mar 31, 2023 | 12.04 |
| Dec 31, 2022 | 8.85 |
| Sep 30, 2022 | 13.96 |
| Jun 30, 2022 | 12.91 |
| Mar 31, 2022 | 16.05 |
| Dec 31, 2021 | 26.11 |
| Sep 30, 2021 | 27.04 |
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();