NASDAQ : ASTH
Astrana Health, Inc. — Financial statements
Healthcare · Medical Care Facilities · United States
Last price 36.53 USD (Oct 30, 2026, 4:00 PM EST) · Market cap 1.87B
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Financial statements
Astrana Health, Inc. (ASTH) reported revenue of 3.84B USD (TTM). Five years of income statement, balance sheet, cash flow and ratios below.
Income statement
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Operating Revenue | 30.39M | 30.39M | 13.98M | 38.68M | 41.09M | 35.96M |
| Other Revenue | 3.81B | 3.15B | 2.02B | 1.35B | 1.10B | 737.96M |
| Revenue | 3.84B | 3.18B | 2.03B | 1.39B | 1.14B | 773.91M |
| Cost of Revenue | 3.44B | 2.84B | 1.76B | 1.17B | 944.68M | 596.14M |
| Gross Profit | 402.00M | 341.53M | 271.39M | 214.96M | 199.48M | 177.77M |
| Selling, General & Admin | 227.09M | 197.66M | 154.11M | 112.60M | 77.67M | 62.08M |
| Operating Expenses | 290.12M | 243.41M | 182.04M | 130.34M | 95.21M | 79.59M |
| Operating Income | 111.88M | 98.12M | 89.35M | 84.61M | 104.27M | 98.18M |
| Interest Expense | -72.34M | -54.93M | -33.10M | -16.10M | -7.92M | -5.39M |
| Interest & Investment Income | 17.23M | 12.16M | 14.51M | 14.21M | 1.98M | 1.57M |
| Earnings From Equity Investments | 4.46M | 1.71M | 4.45M | 5.58M | 5.62M | -4.31M |
| Other Non Operating Income (Expenses) | 906.00K | -1.39M | 4.88M | 6.12M | 2.57M | 3.92M |
| EBT Excluding Unusual Items | 62.15M | 55.67M | 80.09M | 94.42M | 106.52M | 93.97M |
| Merger & Restructuring Charges | -19.60M | -19.60M | ||||
| Gain (Loss) on Sale of Investments | 5.78M | -68.00K | 731.00K | -4.58M | -19.00M | -18.98M |
| Other Unusual Items | 11.77M | 3.60M | -901.00K | 2.75M | ||
| Pretax Income | 60.10M | 39.61M | 80.82M | 89.84M | 86.62M | 77.75M |
| Income Tax Expense | 20.87M | 15.53M | 30.89M | 31.99M | 40.88M | 31.69M |
| Earnings From Continuing Operations | 39.22M | 24.08M | 49.93M | 57.85M | 45.74M | 46.05M |
| Minority Interest in Earnings | 1.32M | -1.59M | -6.78M | 2.87M | -570.00K | 22.87M |
| Net Income | 40.55M | 22.49M | 43.15M | 60.72M | 45.17M | 68.92M |
| Net Income to Common | 40.55M | 22.49M | 43.15M | 60.72M | 45.17M | 68.92M |
| Shares Outstanding (Basic) | 49.15M | 49.08M | 47.60M | 46.55M | 44.97M | 43.83M |
| Shares Outstanding (Diluted) | 49.50M | 49.37M | 47.97M | 46.94M | 45.60M | 45.40M |
| EPS (Basic) | 0.82 | 0.46 | 0.91 | 1.30 | 1.00 | 1.57 |
| EPS (Diluted) | 0.82 | 0.46 | 0.90 | 1.29 | 0.99 | 1.52 |
| Free Cash Flow | 94.38M | 104.49M | 44.17M | 39.70M | 59.19M | 51.11M |
| Free Cash Flow Per Share | 1.91 | 2.12 | 0.92 | 0.85 | 1.30 | 1.13 |
| Gross Margin | 10.46% | 10.73% | 13.34% | 15.50% | 17.43% | 22.97% |
| Operating Margin | 2.91% | 3.08% | 4.39% | 6.10% | 9.11% | 12.69% |
| Profit Margin | 1.05% | 0.71% | 2.12% | 4.38% | 3.95% | 8.91% |
| Free Cash Flow Margin | 2.46% | 3.28% | 2.17% | 2.86% | 5.17% | 6.60% |
| EBITDA | 174.91M | 143.87M | 117.28M | 102.36M | 121.81M | 115.70M |
| EBITDA Margin | 4.55% | 4.52% | 5.76% | 7.38% | 10.65% | 14.95% |
| D&A For EBITDA | 63.02M | 45.75M | 27.93M | 17.75M | 17.54M | 17.52M |
| EBIT | 111.88M | 98.12M | 89.35M | 84.61M | 104.27M | 98.18M |
| EBIT Margin | 2.91% | 3.08% | 4.39% | 6.10% | 9.11% | 12.69% |
| Effective Tax Rate | 34.73% | 39.21% | 38.22% | 35.61% | 47.19% | 40.76% |
| Revenue as Reported | 3.18B | 3.18B | 2.03B | 1.39B | 1.14B | 773.91M |
Balance sheet
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Cash & Equivalents | 400.79M | 429.47M | 288.45M | 293.81M | 288.03M | 233.10M |
| Short-Term Investments | 115.00K | 2.38M | 2.50M | 5.57M | 53.42M | |
| Cash & Short-Term Investments | 400.79M | 429.59M | 290.83M | 296.31M | 293.59M | 286.51M |
| Accounts Receivable | 465.08M | 374.46M | 275.99M | 135.76M | 114.78M | 79.98M |
| Other Receivables | 24.11M | 28.18M | 48.81M | 11.99M | 1.83M | 15.32M |
| Receivables | 492.51M | 407.57M | 324.80M | 147.75M | 119.73M | 99.31M |
| Prepaid Expenses | 25.86M | 22.65M | 14.66M | 9.75M | 4.80M | 8.14M |
| Other Current Assets | 3.50M | 8.20M | 7.70M | 10.00M | 10.50M | |
| Total Current Assets | 919.16M | 863.31M | 638.50M | 461.51M | 428.12M | 404.46M |
| Property, Plant & Equipment | 101.76M | 93.07M | 46.88M | 44.57M | 128.98M | 68.63M |
| Long-Term Investments | 27.80M | 28.53M | 48.22M | 32.17M | 45.90M | 42.61M |
| Goodwill | 887.00M | 865.30M | 419.25M | 278.83M | 269.05M | 246.42M |
| Other Intangible Assets | 243.31M | 270.97M | 118.18M | 71.65M | 76.86M | 82.81M |
| Long-Term Deferred Charges | 16.41M | 5.20M | 900.00K | |||
| Other Long-Term Assets | 37.36M | 43.55M | 31.71M | 18.16M | 17.30M | 21.87M |
| Total Assets | 2.28B | 2.22B | 1.35B | 933.36M | 966.21M | 867.36M |
| Accounts Payable | 46.52M | 44.84M | 15.17M | 9.07M | 10.47M | 5.51M |
| Accrued Expenses | 571.81M | 405.87M | 247.90M | 135.66M | 103.49M | 69.47M |
| Current Portion of Long-Term Debt | 53.85M | 47.87M | 9.38M | 19.50M | 619.00K | 780.00K |
| Current Portion of Leases | 8.94M | 7.81M | 5.35M | 5.25M | 4.17M | 3.12M |
| Current Income Taxes Payable | 2.08M | 4.28M | ||||
| Current Unearned Revenue | 2.66M | 1.61M | 744.00K | 531.00K | 16.80M | |
| Other Current Liabilities | 64.44M | 106.23M | 86.21M | 48.44M | 25.05M | 19.05M |
| Total Current Liabilities | 747.64M | 615.27M | 365.61M | 218.67M | 148.61M | 114.72M |
| Long-Term Debt | 882.65M | 990.90M | 425.30M | 259.19M | 203.39M | 184.02M |
| Long-Term Leases | 33.98M | 31.55M | 30.65M | 37.32M | 21.19M | 14.17M |
| Long-Term Deferred Tax Liabilities | 8.79M | 5.49M | 4.55M | 4.07M | 14.22M | 30.14M |
| Other Long-Term Liabilities | 10.44M | 17.11M | 14.61M | 3.33M | 20.26M | 13.68M |
| Total Liabilities | 1.68B | 1.66B | 840.73M | 522.59M | 407.67M | 356.72M |
| Common Stock | 49.00K | 49.00K | 48.00K | 47.00K | 47.00K | 45.00K |
| Additional Paid-In Capital | 487.82M | 470.86M | 426.39M | 371.04M | 360.10M | 310.88M |
| Retained Earnings | 342.36M | 308.38M | 286.28M | 243.13M | 182.42M | 137.25M |
| Total Common Equity | 830.22M | 779.29M | 712.72M | 614.22M | 542.56M | 448.17M |
| Minority Interest | -231.65M | -220.96M | -198.55M | -203.45M | 15.99M | 62.48M |
| Shareholders' Equity | 598.58M | 558.33M | 514.17M | 410.77M | 558.55M | 510.64M |
| Total Liabilities & Equity | 2.28B | 2.22B | 1.35B | 933.36M | 966.21M | 867.36M |
| Total Debt | 979.41M | 1.08B | 470.68M | 321.27M | 229.36M | 202.08M |
| Net Cash (Debt) | -578.62M | -648.54M | -179.84M | -24.96M | 64.23M | 84.43M |
| Net Cash Per Share | -11.69 | -13.14 | -3.75 | -0.53 | 1.41 | 1.86 |
| Filing Date Shares Outstanding | 51.17M | 45.03M | 50.12M | 48.29M | 47.14M | 45.03M |
| Total Common Shares Outstanding | 49.23M | 48.89M | 47.93M | 46.84M | 46.58M | 44.63M |
| Working Capital | 171.52M | 248.04M | 272.89M | 242.83M | 279.51M | 289.74M |
| Book Value Per Share | 16.87 | 15.94 | 14.87 | 13.11 | 11.65 | 10.04 |
| Tangible Book Value | -300.08M | -356.98M | 175.29M | 263.74M | 196.65M | 118.94M |
| Tangible Book Value Per Share | -6.10 | -7.30 | 3.66 | 5.63 | 4.22 | 2.67 |
| Land | 20.57M | 32.29M | 20.94M | |||
| Buildings | 9.53M | 58.45M | 21.66M | |||
| Machinery | 29.56M | 19.89M | 18.85M | 17.16M | 15.36M | |
| Construction In Progress | 4.15M | 5.90M | 340.00K | 12.80M | 4.90M | |
| Leasehold Improvements | 10.05M | 7.75M | 5.93M | 7.15M | 7.12M |
Cash flow statement
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Net Income | 40.55M | 22.49M | 43.15M | 60.72M | 45.17M | 68.92M |
| Depreciation & Amortization | 63.02M | 45.75M | 27.93M | 17.75M | 17.54M | 17.52M |
| Other Amortization | 4.59M | 4.05M | 1.83M | 1.06M | 939.00K | 1.08M |
| Loss (Gain) From Sale of Investments | 19.00M | 25.45M | ||||
| Loss (Gain) on Equity Investments | -5.62M | 4.31M | ||||
| Stock-Based Compensation | 40.76M | 38.60M | 34.54M | 22.04M | 16.10M | 6.75M |
| Other Operating Activities | -5.30M | 6.81M | 8.37M | -9.95M | -9.05M | -20.04M |
| Change in Accounts Receivable | -9.42M | -9.42M | -35.77M | -20.57M | -38.19M | -1.52M |
| Change in Accounts Payable | -6.99M | -6.99M | -30.92M | -170.00K | -49.00K | 3.22M |
| Change in Income Taxes | 5.33M | 5.33M | -8.62M | -14.48M | 6.92M | -14.01M |
| Change in Other Net Operating Assets | -24.66M | 7.99M | 11.69M | 11.83M | 29.37M | -21.33M |
| Operating Cash Flow | 107.87M | 114.60M | 52.20M | 68.23M | 82.13M | 70.33M |
| Capital Expenditures | -13.49M | -10.11M | -8.03M | -28.53M | -22.94M | -19.22M |
| Cash Acquisitions | -552.34M | -548.60M | -146.26M | -6.51M | -16.35M | 3.34M |
| Investment in Securities | 15.10M | 15.10M | -5.97M | -325.00K | 27.71M | 32.37M |
| Other Investing Activities | 7.84M | 6.32M | -6.14M | -3.68M | 4.47M | 56.00K |
| Investing Cash Flow | -544.60M | -539.00M | -192.40M | -65.52M | -7.11M | 16.54M |
| Long-Term Debt Issued | 1.12B | 171.88M | 284.53M | 3.60M | 180.57M | |
| Long-Term Debt Repaid | -495.29M | -27.04M | -204.68M | -4.43M | -238.53M | |
| Total Debt Repaid | -167.87M | -495.29M | -27.04M | -204.68M | -4.43M | -238.53M |
| Net Debt Issued (Repaid) | 539.43M | 624.01M | 144.83M | 79.85M | -828.00K | -57.97M |
| Issuance of Common Stock | 8.63M | 9.06M | ||||
| Repurchase of Common Stock | -23.18M | -21.60M | -5.60M | -10.19M | -9.25M | -5.74M |
| Common Dividends Paid | -1.85M | -7.88M | -62.07M | -14.03M | -31.09M | |
| Other Financing Activities | -12.28M | -25.18M | -4.09M | -4.16M | -4.61M | 37.98M |
| Financing Cash Flow | 502.12M | 569.35M | 135.15M | 3.42M | -20.09M | -47.75M |
| Net Cash Flow | 65.39M | 144.94M | -5.05M | 6.12M | 54.93M | 39.13M |
| Free Cash Flow | 94.38M | 104.49M | 44.17M | 39.70M | 59.19M | 51.11M |
| Free Cash Flow Margin | 2.46% | 3.28% | 2.17% | 2.86% | 5.17% | 6.60% |
| Free Cash Flow Per Share | 1.91 | 2.12 | 0.92 | 0.85 | 1.30 | 1.13 |
| Levered Free Cash Flow | 231.19M | 227.95M | 65.92M | 74.56M | 88.27M | 33.57M |
| Unlevered Free Cash Flow | 271.81M | 258.23M | 84.78M | 83.57M | 92.29M | 35.87M |
| Cash Interest Paid | 61.58M | 45.77M | 30.42M | 14.25M | 6.67M | 4.16M |
| Cash Income Tax Paid | -8.85M | 43.94M | 56.57M | 47.31M | 37.20M | |
| Change in Working Capital | -35.75M | -3.10M | -63.61M | -23.39M | -1.96M | -33.64M |
Ratios
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Market Capitalization | 1.87B | 1.24B | 1.55B | 1.71B | 1.35B | 3.28B |
| Enterprise Value | 2.45B | 1.65B | 1.48B | 1.69B | 1.40B | 3.24B |
| Last Close Price | 36.53 | 24.81 | 31.53 | 38.30 | 29.59 | 73.48 |
| PE Ratio | 44.55 | 55.34 | 35.89 | 28.10 | 29.84 | 47.57 |
| Forward PE | 21.68 | 29.95 | 25.02 | 30.62 | 65.76 | 63.34 |
| PS Ratio | 0.49 | 0.39 | 0.76 | 1.23 | 1.18 | 4.24 |
| PB Ratio | 2.17 | 2.23 | 3.01 | 4.15 | 2.41 | 6.42 |
| P/TBV Ratio | 8.84 | 6.47 | 6.85 | 27.57 | ||
| P/FCF Ratio | 19.81 | 11.91 | 35.07 | 42.98 | 22.77 | 64.15 |
| P/OCF Ratio | 17.33 | 10.86 | 29.67 | 25.01 | 16.41 | 46.62 |
| PEG Ratio | 0.89 | 1.36 | 2.14 | 1.49 | 2.50 | |
| EV/Sales Ratio | 0.64 | 0.52 | 0.73 | 1.22 | 1.22 | 4.19 |
| EV/EBITDA Ratio | 14.00 | 11.45 | 12.59 | 16.48 | 11.46 | 28.02 |
| EV/EBIT Ratio | 21.88 | 16.79 | 16.53 | 19.93 | 13.39 | 33.02 |
| EV/FCF Ratio | 25.94 | 15.77 | 33.44 | 42.49 | 23.59 | 63.44 |
| Debt / Equity Ratio | 1.64 | 1.93 | 0.92 | 0.78 | 0.41 | 0.40 |
| Debt / EBITDA Ratio | 5.09 | 6.79 | 3.59 | 2.92 | 1.79 | 1.67 |
| Debt / FCF Ratio | 10.38 | 10.32 | 10.66 | 8.09 | 3.88 | 3.95 |
| Net Debt / Equity Ratio | 0.97 | 1.16 | 0.35 | 0.06 | -0.12 | -0.17 |
| Net Debt / EBITDA Ratio | 3.31 | 4.51 | 1.53 | 0.24 | -0.53 | -0.73 |
| Net Debt / FCF Ratio | 6.13 | 6.21 | 4.07 | 0.63 | -1.08 | -1.65 |
| Asset Turnover | 2.06 | 1.78 | 1.78 | 1.46 | 1.25 | 0.92 |
| Quick Ratio | 1.19 | 1.35 | 1.68 | 2.03 | 2.76 | 3.33 |
| Current Ratio | 1.23 | 1.40 | 1.75 | 2.11 | 2.88 | 3.53 |
| Return on Equity (ROE) | 6.90% | 4.49% | 10.80% | 11.94% | 8.56% | 9.64% |
| Return on Assets (ROA) | 3.75% | 3.43% | 4.88% | 5.57% | 7.11% | 7.28% |
| Return on Invested Capital (ROIC) | 6.24% | 6.28% | 9.77% | 11.72% | 11.96% | 13.36% |
| Return on Capital Employed (ROCE) | 7.30% | 6.10% | 9.00% | 11.80% | 12.80% | 13.00% |
| Earnings Yield | 2.24% | 1.81% | 2.79% | 3.56% | 3.35% | 2.10% |
| FCF Yield | 5.05% | 8.40% | 2.85% | 2.33% | 4.39% | 1.56% |
| Payout Ratio | 35.07% | 102.24% | 31.06% | 45.11% | ||
| Buyback Yield / Dilution | -1.73% | -2.91% | -2.20% | -2.94% | -0.44% | -21.24% |