Astrana Health (ASTH) had the lowest return in Q2 2009 by a US stock, returning -91.5%.

ASSET	QUARTER	% RETURN
Astrana Health (ASTH)	Q2 2009	-91.49%
INVO Fertility (IVF)	Q2 2009	-89.22%
Applied Digital (APLD)	Q2 2009	-68%
Bimergen Energy (BESS)	Q2 2009	-66.67%
Enveric Biosciences (ENVB)	Q2 2009	-65.11%
Catalyst Pharmaceuticals (CPRX)	Q2 2009	-61.76%
Supercom (SPCB)	Q2 2009	-60.01%
ImmunoPrecise Antibodies (HYFT)	Q2 2009	-57.14%
OPTIMIZERx (OPRX)	Q2 2009	-54.02%
Odyssey Marine Exploration (OMEX)	Q2 2009	-51.81%
Byrna Technologies (BYRN)	Q2 2009	-50%
Red Cat (RCAT)	Q2 2009	-50%
TherapeuticsMD (TXMD)	Q2 2009	-49.5%
Lexaria Bioscience (LEXX)	Q2 2009	-47.5%
Hirequest (HQI)	Q2 2009	-47.06%
Urban One Inc Class D (UONEK)	Q2 2009	-44.44%
Helport AI Limited Ordinary Shares (HPAI)	Q2 2009	-44.44%
Independent Bank (IBCP)	Q2 2009	-43.6%
Usio (USIO)	Q2 2009	-42.86%
Mercantile Bank (MBWM)	Q2 2009	-42.63%
PharmaCyte Biotech (PMCB)	Q2 2009	-41.67%
Live Ventures (LIVE)	Q2 2009	-40.95%
S&T Bancorp (STBA)	Q2 2009	-40.91%
Ageagle Aerial Systems (UAVS)	Q2 2009	-40.3%
Intelligent Protection Management (IPM)	Q2 2009	-40%