Astrana Health (ASTH) vs LifeStance Health Group (LFST)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 10, 2026.
Summary
LifeStance Health Group (LFST) has outperformed Astrana Health (ASTH) over the past year, gaining 131.7% versus a gain of 23.4%. Over five years, LFST leads with a +8.0% price change compared with -47.5% for ASTH. LifeStance Health Group is the larger company by market cap ($4.72 billion vs $1.86 billion), about 2.5 times the size, while Astrana Health is growing revenue faster (+56.4% vs +13.9%).
On valuation, Astrana Health trades at a lower forward P/E (10.3x vs 28.8x for LifeStance Health Group). Astrana Health converts more of its revenue into profit, with a net margin of 0.7% versus 0.7%.
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | ASTH | LFST |
|---|---|---|
| Share price | $37.55 | $12.42 |
| Market cap | $1.86B | $4.72B |
| 1-day change | +4.68% | +2.99% |
| YTD return | +51.35% | +76.42% |
| 1-year return | +23.44% | +131.72% |
| 5-year return | -47.48% | +8.00% |
| P/E ratio (TTM) | 45.24 | 95.54 |
| Forward P/E | 10.33 | 28.83 |
| EPS (TTM) | $0.83 | $0.13 |
| Dividend yield | 0.00% | 0.00% |
| Annual dividend | $0.00 | $0.00 |
| Revenue (latest FY) | $3.18B | $1.42B |
| Revenue growth (YoY) | +56.39% | +13.85% |
| Net income (latest FY) | $22.49M | $9.66M |
| Gross margin | 10.73% | — |
| Operating margin | 2.47% | 1.70% |
| Net margin | 0.71% | 0.68% |
| 52-week high | $51.60 | $13.56 |
| 52-week low | $18.08 | $4.77 |
| Distance from 52-week high | -27.23% | -8.41% |
| Analyst consensus | strong_buy | buy |
| Avg. price target upside | +37.60% | +15.94% |
| Average volume | 458.06K | 4.34M |
| Shares outstanding | 49.60M | 380.15M |
| Employees | 3,000 | 8,542 |
| Sector | Consumer Discretionary | Health Care |
| Industry | Professional Services | Medical/Nursing Services |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- LifeStance Health Group is about 2.5 times larger than Astrana Health by market value ($4.72B vs $1.86B).
- LFST has outperformed ASTH by 108.3 percentage points over the past year.
- LifeStance Health Group trades at a higher earnings multiple (95.5x vs 45.2x trailing P/E).
- Astrana Health grew revenue faster in its latest fiscal year (+56.39% vs +13.85%).
- The two companies sit in different sectors: Astrana Health in Consumer Discretionary and LifeStance Health Group in Health Care.
About Astrana Health
ASTH stock →Astrana Health, Inc., a healthcare management company, provides medical care services in the United States. The company operates through three segments: Care Partners, Care Delivery, and Care Enablement.
Consumer Discretionary · Professional Services · 3,000 employees
About LifeStance Health Group
LFST stock →LifeStance Health Group, Inc., through its subsidiaries, provides outpatient mental health services to children, adolescents, adults, and geriatrics in the United States. The company offers patients a multidisciplinary suite of mental health services, psychiatric evaluations and treatment, psychological, and neuropsychological testing, as well as individual, family, and group therapy.
Health Care · Medical/Nursing Services · 8,542 employees
ASTH vs LFST FAQ
Which is bigger, Astrana Health or LifeStance Health Group?
LifeStance Health Group (LFST) is larger, with a market capitalization of $4.72B compared with $1.86B for Astrana Health (ASTH).
Which stock has performed better over the past year, ASTH or LFST?
LFST returned +131.72% over the past 12 months, compared with +23.44% for ASTH (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, ASTH or LFST?
ASTH has the lower trailing P/E at 45.2, versus 95.5 for LFST. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.
Are Astrana Health and LifeStance Health Group in the same industry?
No. Astrana Health is in the Consumer Discretionary sector, while LifeStance Health Group is in Health Care.