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Astrana Health, Inc. (ASTH)

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Astrana Health, Inc. (ASTH) reported revenue of $973 million for Q2 FY2026, the quarter ended 30 June 2026, up 48.5% on the same quarter a year earlier. Net income was $20 million, up 109.5% on the year, and diluted earnings per share $0.40. The figures are the company's own, from the 10-Q it filed with the SEC on 10 August 2026.

Revenue$973 millionup 48.5%
Net income$20 millionup 109.5%
Diluted EPS$0.40
QuarterQ2 FY2026ended 30 June 2026

Astrana Health (ASTH) in brief

Astrana Health (ASTH) reported revenue of $3.2 billion for fiscal 2025, the year ended 31 December 2025, up 56.4% on the year before.
Read moreNet income was $22 million and diluted earnings per share $0.46. Revenue was $2.0 billion in fiscal 2024, $1.4 billion in fiscal 2023, $1.1 billion in fiscal 2022 and $774 million in fiscal 2021. Net income in the same years was $43 million, $61 million, $45 million and $69 million. Over the twelve months to 30 June 2026, Astrana Health reported revenue of $3.8 billion and net income of $41 million. Revenue grew 35.9% a year, compounded, over the five years to fiscal 2025. Astrana Health had 56 million shares outstanding at the latest filed count. At 30 June 2026 it carried $883 million of debt and $401 million of cash. At the close of 9 October 2026 the market cap of Astrana Health was $2.1 billion, 45.8 times its earnings over the last twelve months.

Ratios

From the filings

ROE4.9%
ROCE5.9%
Operating margin2.6%
Net margin1.1%
FCF margin2.5%
Interest cover1.49
Debt to equity1.06
Cash conversion2.66
Share count, 1 year-0.6%
Sales CAGR, 3 years40.6%
Profit CAGR, 3 years-20.7%
EPS, TTM$0.82

At the close of 9 October 2026

Price$37.58
Market cap$2.1 billion
Stock P/E45.83
Price to book2.52
EV / EBITDA15.76
Dividend yieldn/a
Market cap / sales0.54
52-week high$49.81
52-week low$18.16
Price, 1 year23.5%
Price CAGR, 3 years4.2%
Price CAGR, 5 years-12.7%
Worked from the filed figures; hover a name for the formula.
Read moreThe priced ones use the latest price, the last regular-hours trade on IEX. Debt to equity here stands on long-term debt as Astrana Health, Inc. files it, with lease liabilities counted separately and never inside it. Nothing here is a valuation or a view.
ASTHgreeksoup.ai
Daily prices to 9 October 2026, adjusted for splits; from 28 September 2026 each day's price is the last regular-hours trade on IEX.
Read moreData provided for free by IEX. By accessing or using IEX Historical Data, you agree to the IEX Historical Data Terms of Use. Day by day for the last three years; before that one point a week, carrying the week's last close and its average daily volume, so a volume bar means the same thing across the whole series; the bars sit under the price on their own scale, on the right. The moving averages need consecutive days and are drawn from the daily part. P/E is the close over the trailing four quarters' EPS as filed at each filing date, on the current share count; the dashed line is the median over the range shown. Sales and margin are quarterly revenue and the operating margin from the tables above. EV/EBITDA, price to book and market cap to sales use the latest filed balance sheet and share count at each date. Before the quarters on file begin, P/E, price to book and market cap to sales stand on each annual report from the day it was filed. Drawn in your browser; the range and overlay you pick are remembered here only.

The public record on ASTH

Filings26 in twelve months: 15 current reports (8-K), about 10 regulation FD disclosure; 4 results of operations; 3 officer or director change; 2 other events; 1 material cybersecurity incident
Planned insider salesno Form 144 notice in twelve months
Options tapeput/call 0.12 by open interest at the 9 October 2026 close; the straddle prices a 9.4% move to 16 October 2026
13F holders5 of the followed funds hold it; largest Geode Capital Management; 3 Schedule 13D or 13G filings in twelve months
Insider trading0 sales and 0 purchases on Form 4 in twelve months
Congress0 House trades disclosed in six months
Short interest3.1 million shares short, 5.80 days to cover at 30 September 2026
Documentsthe 10-K, the 10-Qs, the proxy and 4 earnings press releases, each linked

Quarterly results, the last 12 quarters

Q3 FY2023Q4 FY2023 * †Q1 FY2024Q2 FY2024Q3 FY2024 †Q4 FY2024 *Q1 FY2025Q2 FY2025Q3 FY2025Q4 FY2025 *Q1 FY2026Q2 FY2026
Revenue348353404486479665620655956951965973
Cost of revenue275314330413405615549577859855859868
Gross profit72.839.074.073.573.550.571.378.097.295.0106104
Gross margin21%11%18%15%15%8%11%12%10%10%11%11%
Operating income39.1-3.930.130.128.40.720.620.319.218.428.534.3
Operating margin11%-1%7%6%6%0%3%3%2%2%3%4%
Interest expense3.85.47.68.68.98.17.37.417.717.516.116.0
Pre-tax income38.00.924.031.926.8-1.99.616.85.77.519.727.2
Tax rate26%110%30%31%29%n/a35%39%81%13%33%32%
Net income22.112.414.819.216.1-7.06.79.40.46.014.419.7
Net margin6%3%4%4%3%-1%1%1%0%1%1%2%
Diluted EPS$0.47$0.26$0.31$0.40$0.33-$0.14$0.14$0.19$0.01$0.12$0.29$0.40
Operating cash flow15.419.36.023.234.0-10.916.690.910.0-2.968.132.7
Capital expenditure4.17.10.42.82.32.53.11.42.63.14.03.9
Free cash flow11.312.25.620.431.7-13.513.689.57.4-6.064.128.9
Buybacks0.10.5n/an/a0.0n/a10.60.00.015.02.80.0
Dividends paid1.459.80.11.80.21.95.50.80.11.60.10.1
Shares outstanding47m55m56m56m56m48m56m56m56m49m56m56m
Filing10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q
Each quarter as filed, linked to its filing.
Read more* The fourth quarter is the full year less the first three quarters, because the company files the year and not the quarter on its own. A fourth quarter's EPS and diluted share count are from the company's results press release for that quarter, used where the release gives the same revenue and net income as the table. A quarter marked † is shown as the company last restated it in a later filing, so it compares with the quarters around it on one basis; rest on a figure for the one first filed. EPS is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and the share count are as they are. Free cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Cash flow lines filed year to date are the difference between two filings. Shares outstanding are at the period end where the balance sheet tags them, otherwise the count on the filing's cover page. A derived fourth-quarter EPS is left blank when a split in the year makes the arithmetic meaningless.

Income statement (profit and loss), 10 fiscal years and the trailing twelve months

FY2016 †FY2017 †FY2018FY2019 †FY2020 †FY2021 †FY2022 †FY2023FY2024 †FY2025TTM
Revenue3063565205616877741,1441,3872,0353,1823,844
Cost of revenue2552733614685395969451,1721,7632,8403,442
Gross profit51.282.915992.8148178199215271342402
Gross margin16.7%23.3%30.5%16.6%21.5%23.0%17.4%15.5%13.3%10.7%10.5%
Operating income11.735.188.432.480.598.210484.689.378.5100
Operating margin3.8%9.9%17.0%5.8%11.7%12.7%9.1%6.1%4.4%2.5%2.6%
Interest expense0.10.10.64.79.55.47.916.133.149.967.3
Pre-tax income18.849.782.625.817877.786.689.880.839.660.1
Income tax8.83.922.48.256.331.740.932.030.915.520.9
Effective tax rate46.8%7.8%27.1%31.6%31.6%40.8%47.2%35.6%38.2%39.2%34.7%
Net income11.525.810.814.137.768.945.260.743.122.540.5
Net margin3.7%7.2%2.1%2.5%5.5%8.9%3.9%4.4%2.1%0.7%1.1%
Diluted EPS$0.41$0.90$0.29$0.39$1.01$1.52$0.99$1.29$0.90$0.46$0.82
Filing10-K10-K10-K10-K10-K10-K10-K10-K10-K10-K
From each year's 10-K, linked; TTM is the last four quarters.
Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are. † The year as the company last restated it in a later filing; rest on a figure for the one first filed. EPS is as filed.

Revenue by product or service

FY2023FY2024FY2025Share
latest year
Health Care Capitation Revenue1,2161,8572,92491.9%
Fee-for-service, net59.762.31133.5%
Risk pool settlements and incentives63.586.286.22.7%
Management fee income38.714.030.41.0%
Other revenue9.215.228.30.9%
Health Care Capitation RevenueFee-for-service, netRisk pool settlements and incentivesManagement fee incomeOther revenue
1,387FY20232,035FY20243,182FY2025

$ million; hover a block for its figure and share

From the latest 10-K, in the company's own words.
Read moreA year is shown only where the parts add up to the revenue above. Fiscal years are labelled by the year they end in.

Cash flow and capital returned

FY2016 †FY2017 †FY2018FY2019 †FY2020 †FY2021 †FY2022 †FY2023FY2024 †FY2025TTM
Operating cash flow21.951.925.513.746.270.382.168.252.2115108
Capital expenditure3.32.11.21.01.219.222.928.58.010.113.5
Free cash flow18.649.824.312.645.051.159.239.744.210494.4
Free cash flow margin6.1%14.0%4.7%2.3%6.5%6.6%5.2%2.9%2.2%3.3%2.5%
Cash from investing-9.026.7-25.2-18195.516.5-7.1-65.5-192-539-545
Cash from financing-17.1-15.0-11.2163-51.7-47.7-20.13.4135569502
Depreciation and amortisation18.119.119.318.318.417.517.517.727.945.763.0
Share-based compensation2.02.71.41.53.46.716.122.034.538.640.8
Buybacks0.53.25.07.60.55.79.210.20.925.617.8
Dividends paid26.710.417.861.751.331.114.062.14.07.91.9
Diluted shares, weighted28m29m38m36m37m45m46m47m48m49m50m
Shares outstanding at period end6m32m35m36m42m45m47mn/a48m49m56m
Filing10-K10-K10-K10-K10-K10-K10-K10-K10-K10-K
Cash paid in the year, from the cash flow statement.
Read moreThe dividend per share is as declared. Diluted shares are the weighted average for the year; a falling count is the buybacks net of issuance. TTM sums the last four quarters; the share counts are the latest quarter's.

Balance sheet at year end

FY2016 †FY2017 †FY2018FY2019 †FY2020 †FY2021 †FY2022 †FY2023FY2024 †FY2025TTM
Funded by
Shareholders' equity87.2160181192331448543614713779830
Non-controlling interest0.44.21.00.80.15.91.72.44.014.010.6
Redeemable equity16317222516911456.514.2n/an/an/an/a
Debtn/an/a0.0232230183203259425991883
Operating lease liabilitiesn/an/a0.011.415.913.219.936.330.731.634.0
Finance lease liabilitiesn/an/a0.50.40.31.01.31.00.6n/an/a
Other liabilities99.615410612412716018320.4182403525
Total liabilities and equity3504915137298178679669331,3552,2192,282
Owned
Fixed assets10.413.812.7n/an/an/an/an/a14.357.362.6
Goodwill103190186239232246269279419865887
Intangible assets10810486.910387.082.876.971.6118271243
Investments1.11.11.111767.753.45.62.52.4n/an/a
Securities held for sale or to maturityn/an/an/an/an/an/an/an/an/a0.11.4
Cash and equivalents54.899.7107103193233288294288429401
Receivables22.37.67.711.07.110.649.6n/a276374465
Other assets50.074.9112156230241277287236221222
Total assets3504915137298178679669331,3552,2192,282
Filing10-K10-K10-K10-K10-K10-K10-K10-K10-K10-K
At the fiscal year end; the TTM column is the latest quarter end.
Read moreBoth totals are the company's own. Other liabilities is the filed total less the rows above it: payables, deferred revenue, taxes, borrowings the rows above do not carry and the rest; other assets is the same on the other side. Investments add the current and non-current lines as filed. Debt is the company's own stated total where it files one, otherwise its long-term debt with the current maturities, never parts added together. A row is left blank in a year where the lines shown overlap and the remainder would fall below nil.

Compounded growth

10 years5 years3 yearsTTM
Sales growth, compoundedn/a35.9%40.6%58.9%
Profit growth, compoundedn/a-9.8%-20.7%60.5%
Return on equity, average9.7%8.5%6.3%2.9%
Yearly growth, compounded; TTM is the last four quarters against the four before.
Read moreReturn on equity is net income over shareholders' equity at each year end, averaged over the window (the TTM column is the latest year alone); equity is the parent's shareholders' equity as tagged in the 10-K. Arithmetic on filed numbers, nothing forecast.

Questions

What was Astrana Health's revenue in fiscal 2025?

Astrana Health (ASTH) reported revenue of $3.2 billion for fiscal 2025, the year ended 31 December 2025, up 56.4% on the year before.

How much did Astrana Health earn in fiscal 2025?

Net income was $22 million for fiscal 2025, and diluted earnings per share $0.46.

What is Astrana Health's P/E ratio?

At the close of 9 October 2026, Astrana Health traded at 45.8 times its earnings over the twelve months to 30 June 2026.

What is Astrana Health's market cap?

The market cap of Astrana Health was $2.1 billion at the close of 9 October 2026.

How much debt does Astrana Health have?

At 30 June 2026 Astrana Health carried $883 million of debt and $401 million of cash.

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ICON plc ICLR *$12.6 billion56.612.5%5.4%0.8%0.37n/a
TransUnion TRU$12.5 billion17.2815.2%18.7%12.4%1.110.7%
Gartner Inc. IT$12.1 billion17.13n/a17.3%0.7%n/an/a
Pinterest, Inc. PINS$12.0 billion62.918.6%4.9%16.6%0.34n/a
Costar Group, Inc. CSGP$12.0 billion148.380.9%2.2%22.0%0.13n/a
Manhattan Associates Inc. MANH$12.0 billion58.76133.5%24.3%6.5%0.00n/a
Hubspot Inc. HUBS$11.3 billion80.678.9%3.8%21.1%0.00n/a
Bentley Systems Inc. BSY$11.2 billion38.4224.1%23.6%12.8%1.010.8%
Maplebear Inc. CART$11.1 billion25.9520.7%14.8%12.6%0.00n/a
Paycom Software, Inc. PAYC$10.3 billion24.6985.3%30.3%9.2%1.570.2%
Factset Research Systems Inc. FDS$10.3 billion18.9127.8%29.6%6.6%0.681.6%
Match Group, Inc. MTCH$9.4 billion14.52n/a28.2%1.7%n/a1.8%
Booz Allen Hamilton Holding Corp. BAH$8.9 billion11.6164.7%9.5%-7.3%3.273.0%
Tetra Tech Inc. TTEK$8.5 billion20.0923.5%12.1%-7.6%0.430.8%
Paylocity Holding Corp. PCTY$8.2 billion31.1122.1%21.8%11.0%0.07n/a
Dropbox, Inc. DBX$7.8 billion19.08n/a26.6%-0.0%n/an/a
Healthequity, Inc. HQY$7.7 billion33.4411.9%25.8%7.3%0.47n/a
Aecom ACM$7.6 billion27.1913.1%4.1%-4.2%1.212.0%
Duolingo, Inc. DUOL$7.5 billion17.6429.1%13.7%29.4%0.00n/a
Appfolio Inc. APPF$7.2 billion46.1829.9%17.5%20.7%0.00n/a
Etsy Inc. ETSY$7.1 billion42.85n/a16.0%0.7%n/an/a
UiPath, Inc. PATH$7.1 billion20.1218.6%8.9%15.0%0.00n/a
Qualys, Inc. QLYS$7.0 billion35.0236.7%34.4%10.4%0.00n/a
RingCentral, Inc. RNG$6.9 billion63.43n/a6.7%5.2%n/an/a
Commvault Systems Inc. CVLT$6.5 billion100.15131.2%6.1%15.5%16.94n/a
Bilibili Inc. BILI *$6.4 billion37.927.7%3.7%13.1%0.62n/a
Lyft, Inc. LYFT$6.1 billion2.3694.8%-1.8%10.8%0.35n/a
WEX Inc. WEX$5.9 billion17.1826.1%25.5%7.5%2.62n/a
Pegasystems Inc. PEGA$5.9 billion20.1557.8%9.9%3.6%0.000.3%
Epam Systems, Inc. EPAM$5.8 billion15.3411.4%10.0%10.8%0.01n/a
Genpact Ltd. G$5.8 billion10.2122.4%14.8%6.5%0.452.1%
ExlService Holdings, Inc. EXLS$5.6 billion23.1428.9%14.9%13.6%0.44n/a
Frontdoor, Inc. FTDR$5.5 billion21.2196.1%n/a9.2%4.08n/a
Doximity, Inc. DOCS$5.5 billion35.8718.2%29.6%11.2%0.00n/a
ACI Worldwide, Inc. ACIW$5.2 billion23.3515.1%18.6%7.0%0.550.0%
Remitly Global, Inc. RELY$5.1 billion17.3527.1%9.5%23.8%0.00n/a
BOX Inc. BOX$5.0 billion52.75n/a9.4%9.6%n/an/a
VSE Corp. VSEC$4.9 billionn/an/an/an/a0.320.2%
Amentum Holdings, Inc. AMTM$4.7 billion23.244.3%4.2%11.4%0.81n/a
Clear Secure, Inc. YOU$4.5 billion29.5271.7%25.1%19.8%0.00n/a
Sezzle Inc. SEZL$4.3 billion27.9669.3%40.4%43.1%0.52n/a
Wix.com Ltd. WIX *$4.2 billion87.09n/a0.1%13.2%n/an/a
Bill Holdings, Inc. BILL$4.1 billionn/a-0.3%-4.4%13.0%0.52n/a
FTI Consulting, Inc. FCN$3.8 billion16.4619.0%9.7%7.1%0.76n/a
monday.com Ltd. MNDY *$3.8 billionn/a9.5%-0.1%26.7%0.00n/a
Q2 Holdings, Inc. QTWO$3.7 billion41.8414.3%10.0%13.9%0.00n/a
Korn Ferry KFY$3.6 billion13.5214.0%12.9%6.9%0.202.8%
Life360, Inc. LIF$3.5 billion25.2324.0%1.1%34.0%0.51n/a
Robert Half Inc. RHI$3.5 billion29.509.5%n/a-4.9%0.007.0%
Exponent Inc. EXPO$3.3 billion31.3038.7%20.2%12.8%0.001.7%
First Advantage Corp. FA$3.3 billion136.001.9%10.7%32.9%1.577.9%
Maximus, Inc. MMS$3.1 billion8.7721.3%11.0%-3.3%0.942.0%
People Inc. PPLI$3.1 billionn/an/an/an/a0.27n/a
WillScot Holdings Corp. WSC$3.1 billionn/a-7.6%6.5%-2.5%3.800.0%
SPS Commerce Inc. SPSC$3.1 billion40.848.3%12.8%9.8%0.00n/a
ABM Industries Inc. ABM$2.9 billion17.919.3%3.5%6.0%0.972.1%
Teradata Corp. TDC$2.8 billion6.4477.2%7.5%1.0%0.00n/a
Alarm.com Holdings, Inc. ALRM$2.7 billion24.6413.6%12.8%8.7%0.570.0%
Five9, Inc. FIVN$2.7 billion52.757.6%4.7%8.9%0.94n/a
CarGurus, Inc. CARG$2.6 billion15.6966.6%n/a13.9%0.00n/a
ManpowerGroup Inc. MAN$2.5 billion24.004.9%1.5%6.7%0.272.7%
Payoneer Global Inc. PAYO$2.4 billion51.007.7%10.4%6.3%0.00n/a
LiveRamp Holdings, Inc. RAMP$2.3 billion15.3915.9%11.6%8.9%0.00n/a
PDF Solutions Inc. PDFS$2.3 billion217.602.8%8.2%23.0%0.18n/a
V2X, Inc. VVX$2.2 billion24.538.1%4.2%13.0%0.92n/a
Astrana Health, Inc. ASTH$2.1 billion45.834.9%2.6%58.9%1.06n/a
Neogenomics Inc. NEO$2.1 billionn/a-6.6%-8.9%11.2%0.48n/a
DoubleVerify Holdings, Inc. DV$2.1 billion37.475.4%12.7%7.6%0.00n/a
Blackbaud Inc. BLKB$2.1 billionn/an/a19.8%0.6%16.820.3%
DXC Technology Co. DXC$2.0 billion17.704.1%7.2%-2.4%0.986.8%
Western Union Co. WU$1.9 billion4.9743.2%15.9%-1.6%2.7415.4%
Insperity, Inc. NSP$1.9 billionn/a-26.2%-0.0%2.6%6.874.9%
Evertec, Inc. EVTC$1.8 billion19.2715.2%17.9%12.4%1.900.7%
Blackline, Inc. BL$1.7 billion52.3011.0%4.3%8.6%2.11n/a
Liquidity Services Inc. LQDT$1.6 billion42.3014.1%9.0%5.2%0.00n/a
Progress Software Corp. PRGS$1.6 billion18.1317.4%17.7%6.4%2.330.0%
Concentrix Corp. CNXC$1.6 billionn/a-135.2%-20.9%2.6%2.22n/a
Everforth Inc. EFOR$1.5 billion19.344.6%4.9%-1.0%0.80n/a
AMN Healthcare Services Inc. AMN$1.4 billion13.5814.2%5.8%24.0%1.00n/a
Certara, Inc. CERT$1.4 billionn/a-7.1%-0.2%0.7%0.30n/a
Arlo Technologies, Inc. ARLO$1.3 billion45.9319.3%2.7%15.6%0.00n/a
Sprinklr, Inc. CXM$1.3 billion55.104.5%5.3%6.3%0.00n/a
Prog Holdings, Inc. PRG$1.2 billionn/an/an/an/a1.101.7%
Donnelley Financial Solutions, Inc. DFIN$1.2 billion33.399.1%18.9%3.0%0.53n/a
ZoomInfo Technologies Inc. GTM$1.1 billionn/a-65.3%-35.2%2.7%1.53n/a
Upwork, Inc. UPWK$1.1 billion11.1816.7%15.1%1.9%0.59n/a
TripAdvisor, Inc. TRIP$1.0 billion867.000.8%2.7%-4.4%1.230.0%
Legalzoom.Com, Inc. LZ$1,000 million66.3313.3%4.1%12.3%0.00n/a
Healthstream Inc. HSTM$969 million46.045.9%8.0%8.8%0.000.4%
Upbound Group, Inc. UPBD$898 million9.9312.3%5.1%5.9%1.9410.1%
Quinstreet, Inc. QNST$888 million11.1525.1%2.7%18.3%0.22n/a
N-able, Inc. NABL$874 millionn/a-0.9%9.5%10.0%0.49n/a
Sabre Corp. SABR$765 millionn/an/an/an/an/a0.0%
ADT Inc. ADTn/an/a17.6%25.0%2.1%2.243.4%
4 companies share its SEC industry code (Services-Management Consulting Services); the rest are the names nearest in size in its wider industry, Business Services, one of the Fama-French 48 industries, a published grouping of SEC industry codes.
Read moreBy market capitalisation; a click on a heading sorts by it, largest first, and a second click turns it round. Each figure is the same arithmetic as the ratio box above, on each company's own filings and latest close; a name marked * is a foreign company that files once a year, on its latest fiscal year.

Filings

FilingPeriodFiledWhere
10-Q30 June 202610 August 2026EDGAR
10-Q31 March 20268 May 2026EDGAR
10-K31 December 202512 March 2026EDGAR
10-Q30 September 202510 November 2025EDGAR
10-Q30 June 20257 August 2025EDGAR
10-Q31 March 20259 May 2025EDGAR
10-K31 December 202414 March 2025EDGAR
10-Q30 September 202412 November 2024EDGAR
10-Q30 June 20249 August 2024EDGAR
10-Q31 March 20249 May 2024EDGAR

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