Astrana Health (ASTH) Return on Sales [ROS] (2010 - 2026)
Astrana Health (ASTH) recorded Return on Sales [ROS] of 3.53% in Q2 2026, up 0.42 percentage points from 3.11% a year earlier and up 0.57 percentage points from the prior quarter.
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Analysis
Astrana Health (ASTH) Return on Sales [ROS] (2010 - 2026) Analysis & Trends
On a TTM basis, Astrana Health's Return on Sales [ROS] came in at 2.61% as of Jun 30, 2026, down 0.28 percentage points year-over-year; for FY2025, it came in at 2.47%, down 1.92 percentage points from FY2024.
- Annual Return on Sales [ROS] has declined for four straight years, with a five-year change of -9.25 percentage points (FY2020 to FY2025).
- Across earlier years, Return on Sales [ROS] came in at 4.39% in FY2024 (-1.71 pp), 6.10% in FY2023 (-3.01 pp), 9.11% in FY2022 (-3.57 pp) and 12.69% in FY2021 (+0.97 pp).
- The Q2 2026 figure is the highest quarterly Return on Sales [ROS] since Q3 2024.
- On a year-over-year basis, Return on Sales [ROS] rose in three of the last eight quarters, with an average year-over-year change of -1.67 percentage points.
- Peak year-over-year performance for Return on Sales [ROS] in the last five years was a gain of 3.12 percentage points in Q4 2022, against a drop of 13.48 percentage points in Q4 2021 at the low end.
- Per Business Quant, the preceding three quarters came in at 2.96% (Q1 2026), 1.94% (Q4 2025) and 2.01% (Q3 2025).
Peer Set
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | ROS (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 336.54 Bn | 221.18 Bn | 36.67 Bn | 7.13% |
| 2 | Cvs Health | 110.50 Bn | 63.10 Bn | 47.23 Bn | 4.43% |
| 3 | Mckesson | 105.27 Bn | 91.73 Bn | 3.69 Bn | 1.25% |
| 4 | Elevance Health | 83.85 Bn | -57.90 Bn | 13.45 Bn | -69.51% |
| 5 | Cigna | 71.48 Bn | 41.02 Bn | 14.97 Bn | 3.73% |
| 6 | Cencora | 58.97 Bn | 48.06 Bn | 3.61 Bn | 1.32% |
| 7 | Cardinal Health | 53.10 Bn | 37.10 Bn | 2.56 Bn | 1.14% |
| 8 | Humana | 46.62 Bn | -41.18 Bn | 5.50 Bn | 3.33% |
| 9 | Centene | 31.12 Bn | -59.17 Bn | 14.55 Bn | 2.24% |
| 10 | Astrana Health | 1.77 Bn | -248.10 Mn | 104.02 Mn | 3.53% |
Historic Data
Download Data
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | 3.53% |
| Mar 31, 2026 | 2.96% |
| Dec 31, 2025 | 1.94% |
| Sep 30, 2025 | 2.01% |
| Jun 30, 2025 | 3.11% |
| Mar 31, 2025 | 3.32% |
| Dec 31, 2024 | 0.11% |
| Sep 30, 2024 | 5.94% |
| Jun 30, 2024 | 6.18% |
| Mar 31, 2024 | 7.45% |
| Dec 31, 2023 | -1.10% |
| Sep 30, 2023 | 11.23% |
| Jun 30, 2023 | 7.76% |
| Mar 31, 2023 | 6.63% |
| Dec 31, 2022 | 4.28% |
| Sep 30, 2022 | 15.80% |
| Jun 30, 2022 | 5.70% |
| Mar 31, 2022 | 9.96% |
| Dec 31, 2021 | 1.15% |
| Sep 30, 2021 | 23.41% |
API Access
Astrana Health Return on Sales [ROS] 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=return-on-sales-%5Bros%5D&ticker=ASTH&period=max&api_key=YOUR_API_KEYimport requests
url = "https://data.businessquant.com/historic"
params = {"slug": "return-on-sales-[ros]", "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=return-on-sales-%5Bros%5D&ticker=ASTH&period=max&api_key=YOUR_API_KEY");
const data = await res.json();