ASTRANA HEALTH INC (ASTH)
Institutional ownership reported to the SEC as of Q2 2026, across 31 quarters.
195
Reporting holders
$1.5B
Reported value
58.4%
Of shares outstanding
1.7%
Held as options
+37
Holder change
Institutions report 32,570,245 shares against 55,737,168 outstanding. Shares only - option lines are excluded, which is why this can be compared with the company at all. The count comes from the cover page of the company's own most recent report, so it is dated when that was filed rather than at quarter end.
Options share is the part of reported value carried in derivative lines rather than shares. A high figure means institutions are expressing a view on this security without owning much of it.
Holders
| Filer | Value | Shares | Their book | Held | Change |
|---|---|---|---|---|---|
| BlackRock, Inc. | $320.2M | 6,899,990 | 0.00% | 8q | +11.9%+$34.2M |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $120.9M | 2,605,775 | 0.01% | 2q | +14.4%+$15.3M |
| VANGUARD CAPITAL MANAGEMENT LLC | $90.3M | 1,946,431 | 0.00% | 2q | +13.8%+$11.0M |
| STATE STREET CORP | $80.7M | 1,738,930 | 0.00% | 31q | +5.4%+$4.1M |
| 325 CAPITAL LLC | $74.9M | 1,613,843 | 17.85% | 16q | -12.2%-$10.5M |
| DIMENSIONAL FUND ADVISORS LP | $68.1M | 1,468,508 | 0.01% | 31q | +7.3%+$4.7M |
| WELLINGTON MANAGEMENT GROUP LLP | $60.0M | 1,292,573 | 0.01% | 4q | -3.7%-$2.3M |
| GEODE CAPITAL MANAGEMENT, LLC | $54.2M | 1,167,974 | 0.00% | 31q | +12.5%+$6.0M |
| BANK OF AMERICA CORP /DE/ | $39.5M | 852,145 | 0.00% | 31q | +48.3%+$12.9M |
| FMR LLC | $31.8M | 685,922 | 0.00% | 18q | +64.8%+$12.5M |
| WELLS FARGO & COMPANY/MN | $30.9M | 664,940 | 0.00% | 31q | +222.8%+$21.3M |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | $30.3M | 652,669 | 0.00% | 31q | +1.3%+$394.4K |
| Sixth Street Partners Management Company, L.P. | $30.3M | 652,669 | 0.00% | new | NEW |
| AMERIPRISE FINANCIAL INC | $23.8M | 512,110 | 0.00% | 21q | -53.6%-$27.4M |
| NORTHERN TRUST CORP | $23.4M | 505,044 | 0.00% | 31q | +15.3%+$3.1M |
| Diamond Hill Capital Management, LLC (Investment Advisor) | $22.1M | 475,941 | 0.18% | 9q | -12.5%-$3.2M |
| ROYCE & ASSOCIATES LP | $21.9M | 472,480 | 0.18% | 10q | +19.0%+$3.5M |
| SteelPeak Wealth, LLC | $21.6M | 464,937 | 0.56% | 19q | -17.0%-$4.4M |
| IMC-Chicago, LLC | $20.5M | options only | 0.00% | 2q | OPTIONS |
| MORGAN STANLEY | $20.1M | 433,508 | 0.00% | 35q | +28.0%+$4.4M |
| Invesco Ltd. | $17.7M | 381,830 | 0.00% | 22q | +8.7%+$1.4M |
| Public Sector Pension Investment Board | $16.7M | 359,492 | 0.02% | 21q | +133.0%+$9.5M |
| VANGUARD FIDUCIARY TRUST CO | $14.2M | 307,022 | 0.00% | 2q | +4.8%+$650.6K |
| GOLDMAN SACHS GROUP INC | $12.6M | 271,798 | 0.00% | 28q | -8.0%-$1.1M |
| PRINCIPAL FINANCIAL GROUP INC | $12.4M | 267,706 | 0.01% | 21q | +0.7%+$81.6K |
| EARNEST PARTNERS LLC | $12.0M | 258,991 | 0.04% | 3q | +17.7%+$1.8M |
| HOTCHKIS & WILEY CAPITAL MANAGEMENT LLC | $11.6M | 249,410 | 0.03% | 6q | -48.2%-$10.8M |
| Bank of New York Mellon Corp | $10.9M | 234,896 | 0.00% | 31q | +5.9%+$605.8K |
| LPL Financial LLC | $10.3M | 221,696 | 0.00% | 4q | -28.3%-$4.1M |
| 683 Capital Management, LLC | $9.7M | 210,000 | 0.48% | 2q | -70.0%-$22.7M |
| UBS Group AG | $8.9M | 191,956 | 0.00% | 16q | -36.4%-$5.1M |
| MILLENNIUM MANAGEMENT LLC | $8.8M | 190,503 | 0.00% | 3q | +1122.1%+$8.1M |
| ENVESTNET ASSET MANAGEMENT INC | $8.7M | 187,462 | 0.00% | 11q | +35.5%+$2.3M |
| JACOBS LEVY EQUITY MANAGEMENT, INC | $8.6M | 184,901 | 0.03% | 8q | -52.2%-$9.4M |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. | $7.2M | 154,327 | 0.01% | 5q | -56.1%-$9.2M |
| Insight Wealth Strategies, LLC | $7.1M | 143,289 | 0.70% | 3q | HELD |
| 1492 Capital Management LLC | $6.8M | 145,946 | 2.00% | 3q | -5.0%-$359.9K |
| Empowered Funds, LLC | $6.3M | 135,779 | 0.03% | new | NEW |
| Nuveen, LLC | $6.2M | 132,822 | 0.00% | 6q | +54.2%+$2.2M |
| SEI INVESTMENTS CO | $5.7M | 123,214 | 0.01% | 9q | -8.7%-$542.3K |
| TOWLE & CO | $5.7M | 122,863 | 1.93% | new | NEW |
| Rhenman & Partners Asset Management AB | $5.5M | 118,888 | 0.52% | new | NEW |
| Emerald Investment Advisers, LLC | $5.3M | 115,045 | 0.36% | 2q | +64.9%+$2.1M |
| RHUMBLINE ADVISERS | $5.0M | 107,108 | 0.00% | 28q | +6.5%+$301.4K |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | $4.9M | 76,338 | 0.00% | 11q | +117.7%+$2.7M |
| Legal & General Group Plc | $4.6M | 98,152 | 0.00% | 31q | -0.9%-$43.3K |
| BNP PARIBAS FINANCIAL MARKETS | $4.5M | 97,994 | 0.00% | 31q | +946.3%+$4.1M |
| Swiss National Bank | $4.2M | 89,444 | 0.00% | 31q | +1.1%+$46.4K |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | $4.0M | 85,804 | 0.00% | 27q | -9.4%-$414.1K |
| Westmount Partners, LLC | $3.6M | 77,755 | 0.79% | 15q | HELD |
| RENAISSANCE TECHNOLOGIES LLC | $3.5M | 74,646 | 0.00% | 12q | -28.6%-$1.4M |
| Quantinno Capital Management LP | $3.3M | 70,523 | 0.00% | 3q | +9.3%+$279.1K |
| AMERICAN CENTURY COMPANIES INC | $3.1M | 65,913 | 0.00% | 13q | +44.5%+$942.6K |
| Linden Thomas Advisory Services, LLC | $3.1M | 65,893 | 0.25% | 13q | +12.3%+$335.0K |
| CITADEL ADVISORS LLC | $2.7M | 25,069 | 0.00% | 20q | HELD |
| Inspire Investing, LLC | $2.6M | 57,024 | 0.11% | new | NEW |
| DEUTSCHE BANK AG\ | $2.6M | 56,533 | 0.00% | 33q | +23.9%+$506.9K |
| Russell Investments Group, Ltd. | $2.6M | 56,181 | 0.00% | 9q | +71.3%+$1.1M |
| JPMORGAN CHASE & CO | $2.3M | 49,622 | 0.00% | 31q | -11.7%-$306.4K |
| Corient Private Wealth LP | $2.3M | 49,780 | 0.00% | 2q | +103.1%+$1.2M |
| STATE OF WISCONSIN INVESTMENT BOARD | $2.2M | 48,014 | 0.00% | 6q | -42.1%-$1.6M |
| Curated Wealth Partners LLC | $2.1M | 8,174 | 0.13% | new | NEW |
| PRUDENTIAL FINANCIAL INC | $2.1M | 44,960 | 0.00% | 21q | +2.3%+$47.8K |
| HUSSMAN STRATEGIC ADVISORS, INC. | $1.9M | 42,000 | 0.45% | 7q | -33.3%-$974.6K |
| ALLIANCEBERNSTEIN L.P. | $1.8M | 74,010 | 0.00% | 31q | +22.7%+$335.9K |
| PEAK6 LLC | $1.7M | options only | 0.00% | new | OPTIONS |
| Integrated Quantitative Investments LLC | $1.7M | 36,922 | 0.28% | 2q | -12.5%-$245.3K |
| Walleye Capital LLC | $1.6M | 35,267 | 0.01% | new | NEW |
| FIRST TRUST ADVISORS LP | $1.6M | 33,935 | 0.00% | 19q | +5.5%+$82.3K |
| STIFEL FINANCIAL CORP | $1.5M | 33,114 | 0.00% | 14q | +41.5%+$451.1K |
| Savant Capital, LLC | $1.5M | 32,957 | 0.00% | 5q | +4.0%+$59.4K |
| VANGUARD ASSET MANAGEMENT, Ltd | $1.5M | 32,441 | 0.00% | 2q | HELD |
| Mutual Advisors, LLC | $1.5M | 31,248 | 0.03% | new | NEW |
| MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. | $1.4M | 31,001 | 0.00% | 9q | -5.8%-$88.7K |
| CREDIT AGRICOLE S A | $1.4M | 30,900 | 0.00% | 3q | HELD |
| CITIGROUP INC | $1.4M | 30,005 | 0.00% | 31q | -4.4%-$63.6K |
| State of New Jersey Common Pension Fund D | $1.4M | 29,863 | 0.00% | new | NEW |
| Cetera Investment Advisers | $1.4M | 29,849 | 0.00% | 3q | +39.3%+$390.7K |
| Horizon Investment Services, LLC | $1.4M | 29,789 | 0.38% | new | NEW |
| Louisiana State Employees Retirement System | $1.3M | 37,700 | 0.01% | 21q | +97.4%+$656.9K |
| INTECH INVESTMENT MANAGEMENT LLC | $1.3M | 27,474 | 0.01% | 9q | +192.2%+$838.7K |
| BLAIR WILLIAM & CO/IL | $1.2M | 26,686 | 0.00% | 3q | -16.3%-$240.6K |
| MetLife Investment Management, LLC | $1.2M | 26,603 | 0.01% | 24q | +14.1%+$152.7K |
| Zurcher Kantonalbank (Zurich Cantonalbank) | $1.2M | 26,076 | 0.00% | 27q | +29.4%+$274.7K |
| SEGALL BRYANT & HAMILL, LLC | $1.2M | 25,826 | 0.01% | new | NEW |
| Shay Capital LLC | $1.2M | 25,000 | 0.07% | 3q | -37.5%-$696.1K |
| Illinois Municipal Retirement Fund | $1.0M | 22,192 | 0.01% | 2q | +20.0%+$171.7K |
| NorthCrest Asset Manangement, LLC | $1.0M | 21,897 | 0.03% | new | NEW |
| Engineers Gate Manager LP | $988.5K | 21,300 | 0.01% | new | NEW |
| Tidal Investments LLC | $974.0K | 20,987 | 0.00% | new | NEW |
| Jupiter Topco LLC | $932.2K | 20,106 | 0.00% | new | FIRST |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE | $902.4K | 19,445 | 0.00% | 24q | +6.4%+$54.1K |
| BARCLAYS PLC | $876.5K | 18,886 | 0.00% | 31q | +107.2%+$453.5K |
| Man Group plc | $865.0K | 18,639 | 0.00% | 2q | -87.8%-$6.3M |
| LOS ANGELES CAPITAL MANAGEMENT LLC | $847.7K | 18,265 | 0.00% | 3q | +8942.1%+$838.3K |
| GREAT LAKES ADVISORS, LLC | $832.2K | 17,932 | 0.01% | 4q | HELD |
| Vident Advisory, LLC | $826.1K | 17,799 | 0.01% | 2q | -22.4%-$238.4K |
| AQR CAPITAL MANAGEMENT LLC | $818.1K | 17,628 | 0.00% | 4q | -48.7%-$777.4K |
| Penn Capital Management Company, LLC | $797.2K | 17,177 | 0.05% | new | NEW |
| State of Tennessee, Department of Treasury | $791.1K | 17,046 | 0.00% | 21q | -31.2%-$359.1K |
Five percent filings
Anyone crossing 5% of a company must say so within days - far sooner than the next quarterly holdings report. A 13D declares an intent to influence the company; a 13G is the passive version. See all activist filings →
| Filed | Form | Filer | % of class |
|---|---|---|---|
| 2026-07-31 | 13G | Vanguard Portfolio Management | 5.3% |
Quarter by quarter
Coverage begins with the quarter ending 2018-12-31. Earlier filings exist only as occasional late amendments, too sparse to describe a market, so they are not shown.
| Quarter | Holders | Value | Shares | New | Added | Trimmed | Options |
|---|---|---|---|---|---|---|---|
| Q2 2026 | 195 | $1.5B | 32,570,245 | 55 | 74 | 42 | 1.7% |
| Q1 2026 | 158 | $752.0M | 30,270,558 | 22 | 60 | 45 | 1.3% |
| Q4 2025 | 156 | $710.2M | 28,532,223 | 33 | 47 | 56 | 0.2% |
| Q3 2025 | 167 | $768.1M | 26,457,814 | 43 | 54 | 48 | 2.2% |
| Q2 2025 | 144 | $656.4M | 25,797,666 | 29 | 44 | 44 | 2.1% |
| Q1 2025 | 151 | $807.2M | 25,909,182 | 19 | 51 | 49 | 0.4% |
| Q4 2024 | 159 | $814.1M | 25,327,014 | 25 | 58 | 44 | 1.9% |
| Q3 2024 | 165 | $1.5B | 24,510,084 | 25 | 60 | 48 | 2.5% |
| Q2 2024 | 152 | $951.5M | 22,804,653 | 24 | 58 | 40 | 2.8% |
| Q1 2024 | 139 | $1.0B | 23,223,853 | 28 | 41 | 37 | 2.7% |
| Q4 2023 | 120 | $875.7M | 22,270,264 | 13 | 38 | 38 | 2.6% |
| Q3 2023 | 113 | $670.5M | 21,158,241 | 8 | 48 | 38 | 2.8% |
| Q2 2023 | 113 | $665.5M | 20,512,705 | 10 | 49 | 35 | 2.6% |
| Q1 2023 | 109 | $721.8M | 19,479,139 | 14 | 38 | 36 | 1.6% |
| Q4 2022 | 97 | $531.7M | 17,694,840 | 10 | 34 | 27 | 1.6% |
| Q3 2022 | 153 | $783.8M | 19,851,750 | 30 | 57 | 32 | 1.2% |
| Q2 2022 | 131 | $727.9M | 17,994,203 | 15 | 47 | 43 | 1.3% |
| Q1 2022 | 136 | $866.8M | 17,666,361 | 19 | 47 | 45 | 1.3% |
| Q4 2021 | 148 | $1.3B | 17,211,107 | 27 | 51 | 47 | 1.8% |
| Q3 2021 | 141 | $1.5B | 16,678,430 | 47 | 60 | 24 | 1.2% |
| Q2 2021 | 103 | $644.3M | 10,256,748 | 37 | 42 | 18 | 0.0% |
| Q1 2021 | 75 | $172.3M | 6,359,542 | 20 | 20 | 19 | 0.0% |
| Q4 2020 | 60 | $95.2M | 5,211,206 | 7 | 28 | 16 | 0.0% |
| Q3 2020 | 61 | $90.7M | 5,056,817 | 17 | 21 | 14 | 0.0% |
| Q2 2020 | 49 | $69.2M | 4,196,052 | 5 | 23 | 12 | 0.0% |
| Q1 2020 | 50 | $45.4M | 3,513,575 | 4 | 17 | 22 | 0.0% |
| Q4 2019 | 54 | $70.7M | 3,840,883 | 13 | 14 | 25 | 0.0% |
| Q3 2019 | 46 | $98.1M | 5,569,772 | 15 | 24 | 2 | 0.0% |
| Q2 2019 | 36 | $47.6M | 2,846,206 | 6 | 16 | 8 | 0.0% |
| Q1 2019 | 37 | $44.0M | 2,399,644 | 3 | 12 | 11 | 0.0% |
| Q4 2018 | 39 | $51.4M | 2,590,851 | 0 | 0 | 2 | 0.0% |