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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$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%
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 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 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.