What is Astrana Health's free cash flow margin?

Astrana Health (ASTH) reported free cash flow margin of 4.6% in Q1 2026.

What is the long-term trend for Astrana Health's free cash flow margin?

Over 3 years (2020 to 2025), Astrana Health's free cash flow margin has grown at a -20.9% compound annual growth rate (CAGR), from 7% to 3.5%.

What does free cash flow margin mean?

Free cash flow (operating cash flow minus capital expenditures) as a percentage of revenue, trailing twelve months. Measures how efficiently revenue converts into discretionary cash.

Astrana Health ASTH Free cash flow margin

Free cash flow margin at other companies

CVS HealthCVS

1.8%—

Privia Health Group, Inc.PRVA

4.9%+1.4pp

Agilon HealthAGL

-1.1%—

BrightSpring Health Services, Inc.BTSG

3%—

Surgery Partners, Inc.SGRY

6.2%+0.8pp

Option Care Health, Inc.OPCH

3.8%-2.9pp

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%—

Returns & leverage

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Return on equity3.9%—

Debt / equity1.3×+0.7×

Current ratio1.3×-0.4×

Where this comes from

Calculated from Astrana Health’s reported figures.

free cash flow/total revenue=4.6%

Based on trailing twelve months.

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 free cash flow margin?: Astrana Health (ASTH) reported free cash flow margin of 4.6% in Q1 2026.
What is the long-term trend for Astrana Health's free cash flow margin?: Over 3 years (2020 to 2025), Astrana Health's free cash flow margin has grown at a -20.9% compound annual growth rate (CAGR), from 7% to 3.5%.
What does free cash flow margin mean?: Free cash flow (operating cash flow minus capital expenditures) as a percentage of revenue, trailing twelve months. Measures how efficiently revenue converts into discretionary cash.