ASTH
Astrana Health, Inc.
ASTH has a slight edge over OSCR overall, supported by stronger modeled upside and stronger valuation.
OSCR
Oscar Health, Inc.
OSCR offers stronger fundamentals, but that advantage does not outweigh its weaker overall profile.
ASTH Fundamentals
| Metric | Status |
|---|---|
| Healthy | |
| Healthy | |
| Stable | |
| Stable |
ASTH's revenue and profitability are currently healthy, and its cash flow and balance sheet are stable.
OSCR Fundamentals
| Metric | Status |
|---|---|
| Strong | |
| Healthy | |
| Strong | |
| Strong |
OSCR's revenue, profitability, cash flow and balance sheet are all currently healthy.
ASTH PE Valuation
| Level | PE | Price | Vs current |
|---|---|---|---|
| Forward | 18x | $31.77 | — |
| Cheap | 26x | $28.12 | -11% |
| Current | 30x | $31.77 | — |
| Fair | 34x | $35.99 | +13% |
| Expensive | 61x | $65.79 | +107% |
Historical ranges are pointers, not guarantees.
ASTH's PE is in its cheap range at 30x. If earnings grow as analysts expect, today's price would be 18x next year's earnings.
OSCR PE Valuation
| Level | PE | Price | Vs current |
|---|---|---|---|
| Forward | 12x | $31.94 | — |
| Current | 13x | $31.94 | — |
| Cheap | 21x | $52.73 | +65% |
| Fair | 35x | $87.23 | +173% |
| Expensive | 130x | $322 | +907% |
Historical ranges are pointers, not guarantees.
OSCR has the edge over ASTH in the historical PE scenario, which offers more potential upside but is not a forecast.
ASTH Forward outlook
| Metric | Outlook |
|---|---|
| Strongly improving | |
| Strong growth | |
| Growth | |
| Improving | |
| Limited | |
| Low |
Analysts expect earnings and revenue growth for ASTH, with profitability improving. However, they disagree widely on these estimates.
OSCR Forward outlook
| Metric | Outlook |
|---|---|
| Improving | |
| Strong growth | |
| Strong growth | |
| Strongly improving | |
| Limited | |
| Moderate |
Analysts expect strong earnings and revenue growth for OSCR, with profitability improving.
ASTH Earnings Per Share
| Quarter | TTM EPS | YoY |
|---|---|---|
| Forward | $1.77 | +65% |
| Q3 2026 | $1.07 | +435% |
| Q2 2026 | $0.82 | +58% |
| Q1 2026 | $0.61 | -16% |
| Q4 2025 | $0.46 | -49% |
| Q3 2025 | $0.20 | -85% |
| Q2 2025 | $0.52 | -64% |
| Q1 2025 | $0.73 | -45% |
| Q4 2024 | $0.90 | -30% |
ASTH's earnings per share have fallen from their peak: $1.07 over the past year, against $1.64 in early 2022.
OSCR Earnings Per Share
| Quarter | TTM EPS | YoY |
|---|---|---|
| Forward | $2.61 | +5.6% |
| Q3 2026 | $2.47 | +$3.47 |
| Q2 2026 | $1.45 | +$2.14 |
| Q1 2026 | -$0.54 | -235% |
| Q4 2025 | -$1.69 | -1790% |
| Q3 2025 | -$1.00 | -$0.92 |
| Q2 2025 | -$0.69 | -$0.54 |
| Q1 2025 | $0.40 | +$0.82 |
| Q4 2024 | $0.10 | +$1.32 |
OSCR has the edge over ASTH on earnings, with more consistent year-over-year improvement.
ASTH Quarterly Revenue
| Quarter | Revenue | YoY |
|---|---|---|
| Q3 2026 | $1B | +7.1% |
| Q2 2026 | $972.5M | +49% |
| Q1 2026 | $965.1M | +56% |
| Q4 2025 | $950.5M | +43% |
| Q3 2025 | $956M | +100% |
| Q2 2025 | $654.8M | +35% |
| Q1 2025 | $620.4M | +53% |
| Q4 2024 | $665.2M | +88% |
ASTH has the edge over OSCR on sales, with stronger typical year-over-year growth.
| Quarter | Margin | YoY |
|---|---|---|
| Q3 2026 | 3.9% | +1.9 points |
| Q2 2026 | 3.5% | +0.4 points |
| Q1 2026 | 3% | -0.4 points |
| Q4 2025 | 1.9% | +1.8 points |
| Q3 2025 | 2% | -3.9 points |
| Q2 2025 | 3.1% | -3.1 points |
| Q1 2025 | 3.3% | -4.1 points |
| Q4 2024 | 0.1% | +1.2 points |
ASTH has the edge over OSCR on profitability, with a higher operating margin.
OSCR Quarterly Revenue
| Quarter | Revenue | YoY |
|---|---|---|
| Q3 2026 | $5.1B | +72% |
| Q2 2026 | $4.9B | +70% |
| Q1 2026 | $4.6B | +53% |
| Q4 2025 | $2.8B | +17% |
| Q3 2025 | $3B | +23% |
| Q2 2025 | $2.9B | +29% |
| Q1 2025 | $3B | +42% |
| Q4 2024 | $2.4B | +67% |
OSCR's revenue has grown year over year every quarter since early 2021: $5.1B last quarter, up 72% from the same quarter a year ago.
| Quarter | Margin | YoY |
|---|---|---|
| Q3 2026 | 3.5% | +7.8 points |
| Q2 2026 | 8% | +16 points |
| Q1 2026 | 15% | +5.4 points |
| Q4 2025 | -12% | -5.7 points |
| Q3 2025 | -4.3% | -2.3 points |
| Q2 2025 | -8.1% | -11 points |
| Q1 2025 | 9.8% | +1.1 points |
| Q4 2024 | -6.2% | +4 points |
OSCR's operating margin was 3.5% last quarter, up 7.8 points from the same quarter a year ago.
ASTH Free Cash Flow
| Quarter | Free cash flow | YoY |
|---|---|---|
| Q3 2026 | $12.4M | +68% |
| Q2 2026 | $28.9M | -68% |
| Q1 2026 | $64.1M | +372% |
| Q4 2025 | -$6M | +$7.5M |
| Q3 2025 | $7.4M | -77% |
| Q2 2025 | $89.5M | +340% |
| Q1 2025 | $13.6M | +142% |
| Q4 2024 | -$13.5M | -210% |
ASTH generated $99M in free cash flow over the past year, up 2.5% from the year before.
OSCR Free Cash Flow
| Quarter | Free cash flow | YoY |
|---|---|---|
| Q3 2026 | -$1.2B | -$238.2M |
| Q2 2026 | $2.1B | +316% |
| Q1 2026 | $2.6B | +200% |
| Q4 2025 | $662.8M | +95% |
| Q3 2025 | -$973.7M | -$466M |
| Q2 2025 | $499.8M | +2.1% |
| Q1 2025 | $869.5M | +38% |
| Q4 2024 | $340M | +17% |
OSCR has the edge over ASTH on cash flow, with more consistent year-over-year improvement.
ASTH Total Shares
| Period | Change % | Net change |
|---|---|---|
| Quarterly | +0.3% | +138K shares |
| 1 year | +0.9% | +443K shares |
| 3 years | +6.4% | +3M shares |
| 5 years | +8.9% | +4.1M shares |
| Available history | +33% | +12.5M shares |
ASTH has the edge over OSCR on shareholder dilution, with a more favorable share count trend.
| Quarter | Spent |
|---|---|
| Q3 2026 | $1.1M |
| Q2 2026 | — |
| Q1 2026 | $2.8M |
| Q4 2025 | $15M |
| Q3 2025 | — |
| Q2 2025 | — |
| Q1 2025 | $10.6M |
| Q4 2023 | $503,000 |
ASTH spent $19M buying back its own shares over the past year.
OSCR Total Shares
| Period | Change % | Net change |
|---|---|---|
| Quarterly | +3.9% | +13M shares |
| 1 year | +34% | +87.2M shares |
| 3 years | +55% | +123M shares |
| 5 years | +66% | +138M shares |
| Available history | +71% | +143M shares |
OSCR has 346M diluted shares, up 34% from a year ago.
| Quarter | Spent |
|---|---|
| Q4 2020 | — |
| Q3 2020 | — |
| Q2 2020 | — |
| Q1 2020 | — |
ASTH Net Leverage
| Quarter | Net Leverage | Status |
|---|---|---|
| Q3 2026 | 2.9x | Moderate |
| Q2 2026 | 3.3x | Elevated |
| Q1 2026 | 3.9x | Elevated |
| Q4 2025 | 4.9x | High |
| Q3 2025 | 6.0x | High |
| Q2 2025 | 0.7x | Very low |
| Q1 2025 | 1.4x | Healthy |
| Q4 2024 | 1.3x | Healthy |
ASTH's net debt is about 2.9 years of its operating earnings (EBITDA), down from 6.0 years a year ago.
OSCR Net Leverage
| Quarter | Net Leverage | Status |
|---|---|---|
| Q3 2026 | -4.2x | Net Cash |
| Q2 2026 | -5.5x | Net Cash |
| Q1 2026 | -110.0x | Net Cash |
| Q1 2025 | -9.7x | Net Cash |
| Q4 2024 | -13.7x | Net Cash |
| Q3 2024 | -10.1x | Net Cash |
| Q2 2024 | -24.0x | Net Cash |
| Q1 2024 | -217.7x | Net Cash |
OSCR has the edge over ASTH on leverage, with a lower net debt burden relative to earnings.
ASTH Weekly Momentum
| Metric | Value | Status |
|---|---|---|
| RSI | 40.9 | Neutral |
| Stochastic | 28.8 | Neutral |
ASTH's weekly RSI is 41 (neutral) and its Stochastic is 29 (neutral).
OSCR Weekly Momentum
| Metric | Value | Status |
|---|---|---|
| RSI | 58.7 | Neutral |
| Stochastic | 44.9 | Neutral |
OSCR's weekly RSI is 59 (neutral) and its Stochastic is 45 (neutral).
ASTH PE vs Healthcare Sector
| Metric | ASTH | Sector median | Relative |
|---|---|---|---|
| PE | 30x | 26x | 15% above |
| PE % | 30 | 29 | 1 pt above |
ASTH is trading at 30x earnings, a 15% premium to the Healthcare sector's median of 26x.
OSCR PE vs Healthcare Sector
| Metric | OSCR | Sector median | Relative |
|---|---|---|---|
| PE | 13x | 26x | 50% below |
| PE % | 3 | 35 | 32 pts below |
OSCR has the edge over ASTH on valuation relative to its sector.
ASTH Weekly Moving Averages
| Moving average | MA price | Relative |
|---|---|---|
| 8 week MA | $35.9 | 11% below |
| 20 week MA | $38.4 | 17% below |
| 50 week MA | $32.8 | 3% below |
| 100 week MA | $31.0 | 2.6% above |
| 200 week MA | $35.1 | 9.6% below |
ASTH's trend is mixed: it's above one of its five weekly moving averages, and 9.6% below its 200-week average.
OSCR Weekly Moving Averages
| Moving average | MA price | Relative |
|---|---|---|
| 8 week MA | $31.2 | 2.3% above |
| 20 week MA | $31.1 | 2.8% above |
| 50 week MA | $22.9 | 39% above |
| 100 week MA | $19.3 | 65% above |
| 200 week MA | $15.5 | 106% above |
OSCR has the edge over ASTH on trend strength, trading above more of its moving averages.
ASTH Yearly ROI
| Year | Start price | End price | ROI |
|---|---|---|---|
| 2020 | $18.7 | $17.5 | -6.3% |
| 2021 | $17.5 | $70.8 | +305% |
| 2022 | $70.8 | $29.9 | -58% |
| 2023 | $29.9 | $38.3 | +28% |
| 2024 | $38.3 | $32.7 | -15% |
| 2025 | $32.7 | $25.4 | -22% |
| 2026 YTD | $25.4 | $31.8 | +25% |
ASTH's yearly returns have swung widely, from +305% in 2021 to −58% in 2022. It's up 25% so far in 2026.
OSCR Yearly ROI
| Year | Start price | End price | ROI |
|---|---|---|---|
| 2021 | $31.0 | $8.02 | -74% |
| 2022 | $8.02 | $2.21 | -72% |
| 2023 | $2.21 | $9.15 | +314% |
| 2024 | $9.15 | $13.8 | +51% |
| 2025 | $13.8 | $14.9 | +8% |
| 2026 YTD | $14.9 | $31.9 | +114% |
OSCR has the edge over ASTH on returns for 2026, with the stronger performance.