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Astrana Health ASTH Operating Cash Flow

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

Valuation

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Market cap$1.69B+68.1%
Enterprise value$2.28B+104%
P/E56×
P/S0.5×+0.1×

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%
Debt / equity1.3×+0.7×
Current ratio1.3×-0.4×

Where this comes from

Reported directly by Astrana Health in its filing.

Tagged under the XBRL concept us-gaap:NetCashProvidedByUsedInOperatingActivities.

The source filing: Astrana Health’s 10-Q, filed May 8, 2026.

Filed
May 8, 2026, 6:01 AM EDT
Fiscal quarter
Q1 FY2026
Calendar quarter
Q1 2026
Accession
0001193125-26-213157
Line itemThree Months Ended March 31, 2026Three Months Ended March 31, 2025
Change in fair value of contingent consideration liabilities5811,407
Other(2,564)729
Changes in operating assets and liabilities, net of business combinations26,488(8,010)
Net cash provided by operating activities68,05616,627
Cash flows from investing activities
Purchases of property and equipment(4,000)(3,070)
Other1,156676
Net cash used in investing activities(2,844)(2,394)

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FAQ

What is Astrana Health's operating cash flow?
Astrana Health (ASTH) reported operating cash flow of $68.06M in Q1 2026.
How has Astrana Health's operating cash flow changed year-over-year?
Astrana Health's operating cash flow increased by 309.3% year-over-year, from $16.63M to $68.06M.
What is the long-term trend for Astrana Health's operating cash flow?
Over 2 years (2022 to 2025), Astrana Health's operating cash flow has grown at a 19.6% compound annual growth rate (CAGR), from $82.13M to $117.48M.
What does operating cash flow mean?
Total cash generated by or used in core business operations — the single most important cash flow metric for assessing business health.

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