ASTRANA HEALTH INC (ASTH)
Institutional ownership reported to the SEC as of Q2 2026, across 32 quarters.
Institutions report 32,131,133 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.
Calls and puts are the parts of reported value carried in derivative lines rather than shares, and they point in opposite directions: a manager holding calls is positioned for the security, one holding puts against it - or hedging shares they already own, which is why index funds carry so many. Most sites add the two together and report one figure, which averages away the only interesting part.
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 | +545.6%+$26.1M |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | $30.3M | 652,669 | 0.00% | 31q | +1.3%+$394.4K |
| AMERIPRISE FINANCIAL INC | $23.8M | 512,110 | 0.00% | 21q | -7.2%-$1.8M |
| 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 CALL+PUT | 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 |
| 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 |
| Public Sector Pension Investment Board | $8.3M | 179,746 | 0.02% | 21q | +16.5%+$1.2M |
| 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 incl. $1.4M options CALL+PUT | 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 |
| Penserra Capital Management LLC | $2.9M | 63,424 | 0.02% | new | NEW |
| PRICE T ROWE ASSOCIATES INC /MD/ | $2.9M | 62,163 | 0.00% | 20q | +25.8%+$591.5K |
| CITADEL ADVISORS LLC | $2.7M incl. $1.5M options CALL+PUT | 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 |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | $2.4M | 51,049 | 0.00% | 31q | -0.6%-$14.9K |
| JPMORGAN CHASE & CO | $2.3M | 49,622 | 0.00% | 31q | -11.7%-$306.4K |
| STATE OF WISCONSIN INVESTMENT BOARD | $2.2M | 48,014 | 0.00% | 6q | -42.1%-$1.6M |
| PRUDENTIAL FINANCIAL INC | $2.1M | 44,960 | 0.00% | 21q | +2.3%+$47.8K |
| NEW YORK STATE TEACHERS RETIREMENT SYSTEM | $2.0M | 43,701 | 0.00% | 21q | +3.4%+$66.9K |
| 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 |
| NATIXIS ADVISORS, LLC | $1.8M | 38,127 | 0.00% | 11q | +1.7%+$29.4K |
| PEAK6 LLC | $1.7M CALL | 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 |
| CANADA LIFE ASSURANCE Co | $1.6M | 33,940 | 0.00% | 27q | -4.3%-$71.2K |
| 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 |
| Thrivent Financial for Lutherans | $1.3M | 27,875 | 0.00% | 21q | -3.2%-$42.8K |
| INTECH INVESTMENT MANAGEMENT LLC | $1.3M | 27,474 | 0.01% | 9q | +192.2%+$838.7K |
| Jackson Creek Investment Advisors LLC | $1.3M | 35,417 | 0.42% | new | NEW |
| 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 |
| Corient Private Wealth LP | $1.2M | 24,905 | 0.00% | 2q | +1.6%+$18.5K |
| State of Alaska, Department of Revenue | $1.0M | 22,577 | 0.01% | 21q | -24.4%-$337.8K |
| 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 |
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 |
|---|---|---|---|
| 2026-10-30 | 13G/A | Vanguard Portfolio Management | 4.7% |
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 |
|---|---|---|---|---|---|---|---|
| Q3 2026 | 39 | $34.2M | 959,170 | 8 | 12 | 8 | 0.0% |
| Q2 2026 | 212 | $1.5B | 32,131,133 | 56 | 79 | 48 | 1.7% |
| Q1 2026 | 173 | $743.2M | 29,910,772 | 23 | 61 | 53 | 1.3% |
| Q4 2025 | 173 | $725.2M | 29,136,646 | 33 | 53 | 63 | 0.1% |
| Q3 2025 | 188 | $778.1M | 26,806,139 | 47 | 61 | 53 | 2.2% |
| Q2 2025 | 162 | $663.3M | 26,071,314 | 32 | 47 | 51 | 2.1% |
| Q1 2025 | 168 | $816.9M | 26,216,472 | 19 | 56 | 56 | 0.4% |
| Q4 2024 | 180 | $837.4M | 26,057,927 | 26 | 65 | 50 | 1.8% |
| Q3 2024 | 189 | $1.5B | 25,364,982 | 30 | 66 | 56 | 2.4% |
| Q2 2024 | 172 | $964.4M | 23,112,699 | 28 | 62 | 46 | 2.8% |
| Q1 2024 | 161 | $1.0B | 23,566,576 | 30 | 45 | 48 | 2.8% |
| Q4 2023 | 142 | $890.5M | 22,660,327 | 16 | 41 | 46 | 2.6% |
| Q3 2023 | 135 | $682.1M | 21,503,159 | 16 | 50 | 42 | 2.7% |
| Q2 2023 | 131 | $673.6M | 20,757,071 | 13 | 54 | 41 | 2.6% |
| Q1 2023 | 133 | $742.5M | 20,036,478 | 16 | 43 | 44 | 1.6% |
| Q4 2022 | 131 | $591.3M | 19,689,487 | 14 | 44 | 40 | 1.5% |
| Q3 2022 | 147 | $872.8M | 22,134,591 | 30 | 56 | 29 | 1.1% |
| Q2 2022 | 127 | $831.4M | 20,675,896 | 15 | 44 | 43 | 1.1% |
| Q1 2022 | 131 | $1.0B | 20,487,448 | 18 | 45 | 43 | 1.1% |
| Q4 2021 | 145 | $2.0B | 27,071,127 | 27 | 50 | 46 | 1.1% |
| Q3 2021 | 138 | $3.3B | 36,169,945 | 47 | 58 | 24 | 0.5% |
| Q2 2021 | 100 | $1.3B | 20,585,384 | 37 | 40 | 17 | 0.0% |
| Q1 2021 | 72 | $346.2M | 12,778,271 | 20 | 19 | 18 | 0.0% |
| Q4 2020 | 57 | $212.6M | 11,638,088 | 7 | 27 | 15 | 0.0% |
| Q3 2020 | 58 | $206.0M | 11,486,278 | 16 | 20 | 14 | 0.0% |
| Q2 2020 | 47 | $69.0M | 4,183,483 | 5 | 23 | 10 | 0.0% |
| Q1 2020 | 48 | $45.2M | 3,497,337 | 4 | 15 | 22 | 0.0% |
| Q4 2019 | 52 | $70.5M | 3,827,419 | 12 | 14 | 24 | 0.0% |
| Q3 2019 | 44 | $263.9M | 14,975,002 | 14 | 23 | 2 | 0.0% |
| Q2 2019 | 35 | $47.5M | 2,845,656 | 6 | 16 | 7 | 0.0% |
| Q1 2019 | 36 | $43.9M | 2,398,931 | 3 | 11 | 11 | 0.0% |
| Q4 2018 | 38 | $51.4M | 2,590,615 | 0 | 0 | 2 | 0.0% |
