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Astrana Health ASTH Q4 2025 Annual earnings

Reported March 2, 2026 · Before market open

Revenue$950.5MBeat by $20.1M
EPS$0.54Beat by $0.39
Revenue estimate$930.4M
EPS estimate$0.15

Next report

Nov 5, 2026 (in 2 months)
Revenue estimate$1.0B
EPS estimate$0.42

Financials

Q4 2025

Income statement

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Revenue$950.5M+42.9%
Gross profit$95.0M+88.3%
Operating income$18.4M+2,455%
Net income$6.0M—
EPS (diluted)$0.13—

Balance sheet

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Cash & equivalents$429.5M+48.9%
Total debt$1.1B+128%
Total equity$779.3M+9.3%
Total assets$2.2B+63.8%

Cash flow

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Operating cash flow-—
CapEx$3.1M+21.1%
Free cash flow-—

Valuation & ratios

Valuation

as of 12/31/25
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Market cap$1.24B-13.6%
Enterprise value$1.89B+16.6%
P/E55.3×—
P/S0.4×-0.3×

Profitability

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Gross margin10.7%-2.6pp
Operating margin2.5%-1.9pp
Net margin0.7%—
FCF margin3.5%—

Returns & leverage

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Return on equity3%—
Debt / equity1.4×+0.7×
Current ratio1.4×-0.3×

Segments

By product

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Health Care Capitation Revenue$862.8M+39.9%
Health Care Patient Service$39.8M+414%
Health Care Other$25.5M-11.0%
Management Service$10.3M+85.4%

By segment

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Care Partners$892.5M+37.8%
Care Delivery$92.1M+153%
Care Enablement$78.9M+75.0%

FAQ

When did Astrana Health report Q4 2025 earnings?
Astrana Health (ASTH) reported Q4 2025 earnings on March 2, 2026 before market open.
What were Astrana Health's Q4 2025 revenue and EPS?
Astrana Health reported revenue of $950.5M and eps of $0.54 for Q4 2025.
Did Astrana Health beat estimates in Q4 2025?
Revenue beat the consensus estimate of $930.4M by $20.1M. EPS beat the consensus estimate of $0.15 by $0.39.
How did Astrana Health's Q4 2025 results compare year-over-year?
Compared to the same quarter a year prior, revenue grew 42.9% from $665.2M a year earlier.
Where can I find Astrana Health's Q4 2025 SEC filings?
You can read the 8-K earnings release (0001104659-26-021893) and the 10-K periodic report (0001193125-26-103128) directly on SEC EDGAR. The filing index links above go to sec.gov.