Astrana Health
ASTH
175 hedge funds and large institutions have $724M invested in Astrana Health in 2025 Q4 according to their latest regulatory filings, with 38 funds opening new positions, 55 increasing their positions, 66 reducing their positions, and 44 closing their positions.
4.04% more ownership
Funds ownership: 47.7% → 51.74% (+4%)
1% more call options, than puts
Call options by funds: $726K | Put options by funds: $719K
0% more funds holding in top 10
Funds holding in top 10: 1 → 1 (0)
5% less capital invested
Capital invested by funds: $759M → $724M (-$35M)
7% less funds holding
Funds holding: 188 → 175 (-13)
14% less first-time investments, than exits
New positions opened: 38 | Existing positions closed: 44
17% less repeat investments, than reductions
Existing positions increased: 55 | Existing positions reduced: 66
Top Buyers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
3C
325 Capital
New York
|
+$17.1M |
| 2 |
Wellington Management Group
Boston,
Massachusetts
|
+$15.8M |
| 3 |
Bank of America
Charlotte,
North Carolina
|
+$8.88M |
| 4 |
BNP Paribas Asset Management
Paris,
France
|
+$8.09M |
| 5 |
EARNEST Partners
Atlanta,
Georgia
|
+$5.19M |
Top Sellers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Vanguard Group
Malvern,
Pennsylvania
|
-$12.8M |
| 2 |
Pacer Advisors
Malvern,
Pennsylvania
|
-$5.16M |
| 3 |
D.E. Shaw & Co
New York
|
-$4.13M |
| 4 |
Royal Bank of Canada
Toronto,
Ontario, Canada
|
-$2.33M |
| 5 |
Morgan Stanley
New York
|
-$1.7M |
ASTH Hedge Fund Activity: Q4 2025 in Review
175 of the 8,267 institutional investors tracked by Wall St. Rank reported a position in Astrana Health (ASTH) for Q4 2025, worth a combined $724M — down 4.6% from $759M a quarter earlier.
Sellers outnumbered buyers: 44 funds closed out of ASTH and 38 opened new positions — a net loss of 6 holders — while 66 trimmed existing stakes and 55 added.
The largest buyer was 325 Capital, adding an estimated $17.1M. The largest seller was Vanguard Group, cutting an estimated $12.8M.
- 175 institutional investors held Astrana Health (ASTH) as of Q4 2025, down from 188 in Q3 2025.
- Funds reported $724M of Astrana Health stock for Q4 2025, down 4.6% quarter-over-quarter.
- 38 funds opened new Astrana Health positions in Q4 2025 and 44 closed out, a net change of -6 holders.
- The largest Astrana Health buyer in Q4 2025 was 325 Capital, an estimated $17.1M added.
- The largest Astrana Health seller in Q4 2025 was Vanguard Group, an estimated $12.8M sold.
Based on aggregated 13F filings for Q4 2025.