ASTH vs. GRNY

Last updated Apr 1, 2026

Compare and contrast key facts about Astrana Health Inc (ASTH) and Fundstrat Granny Shots US Large Cap ETF (GRNY).

GRNY is an actively managed fund by Tidal ETFs. It was launched on Nov 7, 2024.

Performance

ASTH vs. GRNY - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Astrana Health Inc (ASTH) and Fundstrat Granny Shots US Large Cap ETF (GRNY). The values are adjusted to include any dividend payments, if applicable.

ASTH vs. GRNY - Yearly Performance Comparison

	2026 (YTD)	2025	2024
ASTH Astrana Health Inc	-1.17%	-21.31%	-46.63%
GRNY Fundstrat Granny Shots US Large Cap ETF	-3.59%	24.05%	-1.09%

Returns By Period

In the year-to-date period, ASTH achieves a -1.17% return, which is significantly higher than GRNY's -3.59% return.

ASTH

• 1D: 0.74%
• 1M: 20.61%
• YTD: -1.17%
• 6M: -13.51%
• 1Y: -20.93%
• 3Y*: -12.40%
• 5Y*: -2.60%
• 10Y*: 12.58%

GRNY

• 1D: 2.98%
• 1M: -4.37%
• YTD: -3.59%
• 6M: -4.48%
• 1Y: 31.33%
• 3Y*: —
• 5Y*: —
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

Return for Risk

ASTH vs. GRNY — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

ASTH

ASTH Risk / Return Rank: 29
ASTH Sharpe Ratio Rank: 28
ASTH Sortino Ratio Rank: 31
ASTH Omega Ratio Rank: 31
ASTH Calmar Ratio Rank: 27
ASTH Martin Ratio Rank: 28

GRNY

GRNY Risk / Return Rank: 78
GRNY Sharpe Ratio Rank: 75
GRNY Sortino Ratio Rank: 78
GRNY Omega Ratio Rank: 74
GRNY Calmar Ratio Rank: 85
GRNY Martin Ratio Rank: 78

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

ASTH vs. GRNY - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Astrana Health Inc (ASTH) and Fundstrat Granny Shots US Large Cap ETF (GRNY). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	ASTH	GRNY	Difference
Sharpe ratio Return per unit of total volatility	-0.28	1.28	-1.57
Sortino ratio Return per unit of downside risk	0.07	1.89	-1.82
Omega ratio Gain probability vs. loss probability	1.01	1.26	-0.25
Calmar ratio Return relative to maximum drawdown	-0.42	2.36	-2.79
Martin ratio Return relative to average drawdown	-0.79	7.80	-8.59
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

ASTH vs. GRNY - Sharpe Ratio Comparison

The current ASTH Sharpe Ratio is -0.28, which is lower than the GRNY Sharpe Ratio of 1.28. The chart below compares the historical Sharpe Ratios of ASTH and GRNY, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	ASTH	GRNY	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.28	1.28	-1.57
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.04	—	—
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.13	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.13	0.54	-0.41

Correlation

The correlation between ASTH and GRNY is 0.21, which is considered to be low. This implies their price changes are not closely related. A low correlation is generally favorable for portfolio diversification, as it helps to reduce overall risk by spreading it across multiple assets with different performance patterns.

Dividends

ASTH vs. GRNY - Dividend Comparison

Neither ASTH nor GRNY has paid dividends to shareholders.

Tickers have no history of dividend payments

Drawdowns

ASTH vs. GRNY - Drawdown Comparison

The maximum ASTH drawdown since its inception was -84.80%, which is greater than GRNY's maximum drawdown of -24.18%. Use the drawdown chart below to compare losses from any high point for ASTH and GRNY.

Drawdown Indicators

	ASTH	GRNY	Difference
Max Drawdown Largest peak-to-trough decline	-84.80%	-24.18%	-60.62%
Max Drawdown (1Y) Largest decline over 1 year	-46.67%	-13.36%	-33.31%
Max Drawdown (5Y) Largest decline over 5 years	-84.80%	—	—
Max Drawdown (10Y) Largest decline over 10 years	-84.80%	—	—
Current Drawdown Current decline from peak	-79.47%	-9.00%	-70.47%
Average Drawdown Average peak-to-trough decline	-46.80%	-4.32%	-42.48%
Ulcer Index Depth and duration of drawdowns from previous peaks	25.07%	4.05%	+21.02%

Volatility

ASTH vs. GRNY - Volatility Comparison

Astrana Health Inc (ASTH) has a higher volatility of 12.93% compared to Fundstrat Granny Shots US Large Cap ETF (GRNY) at 6.34%. This indicates that ASTH's price experiences larger fluctuations and is considered to be riskier than GRNY based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	ASTH	GRNY	Difference
Volatility (1M) Calculated over the trailing 1-month period	12.93%	6.34%	+6.59%
Volatility (6M) Calculated over the trailing 6-month period	58.76%	14.33%	+44.43%
Volatility (1Y) Calculated over the trailing 1-year period	73.90%	24.51%	+49.39%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	65.53%	24.03%	+41.50%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	93.76%	24.03%	+69.73%