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Astrana Health ASTH Debt-to-equity

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Other financials

Income statement

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Revenue$965.1M+55.6%
Gross profit$105.7M+48.2%
Operating income$28.5M+38.6%
Net income$14.4M+116%
EPS (diluted)$0.29+107%

Balance sheet

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Cash & equivalents$478.4M+85.0%
Total debt$1.1B+136%
Total equity$800.3M+7.4%
Total assets$2.4B+77.2%

Cash flow

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Operating cash flow$68.1M+309%
CapEx$4.0M+30.3%
Free cash flow$64.1M+372%

Valuation

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Market cap$2.04B-3.0%
Enterprise value$2.63B+22.0%
P/E67.6×
P/S0.6×-0.4×

Profitability

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Gross margin10.7%-1.3pp
Operating margin2.5%-1.1pp
Net margin0.9%
FCF margin4.6%

Returns & leverage

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Return on equity3.9%
Current ratio1.3×-0.4×

Where this comes from

Calculated from Astrana Health’s reported figures.

Based on the most recent quarter.

The official record: Astrana Health’s 10-Q, filed May 8, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is Astrana Health's debt-to-equity?
Astrana Health (ASTH) reported debt-to-equity of 1.3× in Q1 2026.
How has Astrana Health's debt-to-equity changed year-over-year?
Astrana Health's debt-to-equity increased by 119.8% year-over-year, from 0.6× to 1.3×.
What is the long-term trend for Astrana Health's debt-to-equity?
Over 5 years (2020 to 2025), Astrana Health's debt-to-equity has grown at a 11.9% compound annual growth rate (CAGR), from 0.8× to 1.4×.
What does debt-to-equity mean?
Total debt (including capitalized leases and financing obligations) divided by shareholders' equity at the quarter end. Measures how much the company is financed by debt relative to equity.