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Astrana HealthASTH +0.61%85 Cyclically Adjusted PB Ratio is 4.03 as of Aug. 19, 2026, which is 61% below its 10-year median of 10.35. GuruFocus rates ASTH with a GF Score™ of 85/100 and a GF Value™ of $65.92 (Significantly Undervalued). The stock has 5 warning signs investors should review. Among 343 Healthcare Providers & Services companies, Astrana Health ranks worse than 79.01% on this metric.
The historical rank and industry rank for Astrana Health's Cyclically Adjusted PB Ratio or its related term are showing as below:
ASTH'
s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 2.18 Med: 10.35 Max: 204.9
Current: 4
During the past years, Astrana Health's highest Cyclically Adjusted PB Ratio was 204.90. The lowest was 2.18. And the median was 10.35.
ASTH's Cyclically Adjusted PB Ratio is ranked worse than 79.01% of 343
companies
in the Healthcare Providers & Services industry
Industry Median: 1.92
vs ASTH: 4.00
The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.
Astrana Health's adjusted book value per share data for the three months ended in Jun. 2026 was $16.865. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is $9.78 for the trailing ten years ended in Jun. 2026.
Shiller PE for Stocks: The True Measure of Stock Valuation
Astrana Health (NAS:ASTH) Cyclically Adjusted PB Ratio Explanation
Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.
If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.
Astrana Health Cyclically Adjusted PB Ratio Related Terms
Astrana Health Cyclically Adjusted PB Ratio Historical Data
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The historical data trend for Astrana Health's Cyclically Adjusted PB Ratio can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
ASTH vs SNDA, SGRY, AVAH: Cyclically Adjusted PB Ratio Comparison
For the Medical Care Facilities subindustry, Astrana Health's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
Astrana Health Cyclically Adjusted PB Ratio vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, Astrana Health's Cyclically Adjusted PB Ratio distribution charts can be found below:
* The bar in red indicates where Astrana Health's Cyclically Adjusted PB Ratio falls into.
Astrana Health Cyclically Adjusted PB Ratio Calculation
Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.
The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.
Astrana Health's Cyclically Adjusted PB Ratio for today is calculated as
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.
What does a Cyclically Adjusted PB Ratio of 4.03 mean?
Astrana Health (ASTH) has a Cyclically Adjusted PB Ratio of 4.03 as of Aug. 19, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Astrana Health and its competitors. This is 61% below median its historical median of 10.35. Over the past decade, Astrana Health's Cyclically Adjusted PB Ratio has ranged from 2.18 to 204.90. According to the industry distribution chart, Astrana Health ranks #271 out of 343 companies in the Healthcare Providers & Services industry, placing it in the top 79%.
Is Astrana Health's Cyclically Adjusted PB Ratio too high?
Astrana Health's current Cyclically Adjusted PB Ratio of 4.03 is 61% below median its 10-year median of 10.35. Over the past 10 years, this metric has ranged from a low of 2.18 to a high of 204.90. The Healthcare Providers & Services industry median Cyclically Adjusted PB Ratio is 1.92. Astrana Health's value of 4.03 is 109.9% above this industry median. Based on the distribution chart, Astrana Health ranks #271 out of 343 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, Astrana Health has a GF Score™ of 85/100 and is considered Significantly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Astrana Health's Cyclically Adjusted PB Ratio compare to SNDA and SGRY?
According to the Healthcare Providers & Services industry distribution chart, Astrana Health ranks #271 out of 343 companies for Cyclically Adjusted PB Ratio. This places Astrana Health in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.92. Astrana Health's value of 4.03 is 109.9% above this benchmark. Historically, Astrana Health's own Cyclically Adjusted PB Ratio has ranged from 2.18 to 204.90 over the past decade. While the company's 10-year median is 10.35 vs. the industry median of 1.92, Astrana Health has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Healthcare Providers & Services company?
The median Cyclically Adjusted PB Ratio among Healthcare Providers & Services companies is 1.92, based on 343 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Astrana Health's current Cyclically Adjusted PB Ratio of 4.03 is 109.9% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Astrana Health and its competitors. For the Healthcare Providers & Services industry, the median Cyclically Adjusted PB Ratio is 1.92 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Astrana Health's current Cyclically Adjusted PB Ratio is 4.03, which is 61% below median its own 10-year median of 10.35. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Astrana Health stock overvalued right now?
Based on GuruFocus' analysis, Astrana Health (ASTH) is currently considered Significantly Undervalued. The stock's GF Value™ is $65.92, compared to a current price of $39.40 — trading 40.2% below its estimated fair value. The current Cyclically Adjusted PB Ratio is 4.03, which is 61% below median its 10-year median of 10.35 and 109.9% above the Healthcare Providers & Services industry median of 1.92. Astrana Health's overall GF Score™ is 85/100 with 5 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Astrana Health (ASTH), the current Cyclically Adjusted PB Ratio is 4.03 as of Aug. 19, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is Astrana Health (ASTH) Overvalued in 2026?
Based on GuruFocus' analysis, Astrana Health stock appears to be undervalued.
The current stock price of $39.40 is trading 40.2% below its estimated GF Value™ of $65.92.
GuruFocus considers Astrana Health to be Significantly Undervalued.
Key valuation signals for ASTH:
Cyclically Adjusted PB Ratio: 4.03 (61% below median its 10-year median of 10.35)
GF Value™: $65.92 vs. price of $39.40 (40.2% below fair value)
Industry Position: 109.9% above the Healthcare Providers & Services median (#271 of 343)
No single metric tells the full story. See the ASTH stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Astrana Health Inc is a patient-centered, physician-centric integrated population health management company. The company is working to provide coordinated, outcomes-based medical care cost-effectively. It is focused on physicians providing high-quality medical care, population health management, and care coordination for patients, particularly senior patients and patients with multiple chronic conditions. The company's three reportable segments are Care Partners, Care Delivery, and Care Enablement. It generates the majority of its revenue from the Care Partners segment.
85GF Score
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