What is Astrana Health's net debt?

Astrana Health (ASTH) reported net debt of $586.81M in Q1 2026.

How has Astrana Health's net debt changed year-over-year?

Astrana Health's net debt increased by 204.3% year-over-year, from $192.83M to $586.81M.

What is the long-term trend for Astrana Health's net debt?

Over 5 years (2020 to 2025), Astrana Health's net debt has grown at a 57.7% compound annual growth rate (CAGR), from $66.59M to $648.66M.

What does net debt mean?

Total debt minus cash and equivalents at the quarter end. The debt that would remain if the company used all its cash to pay down borrowings.

Astrana Health ASTH Net debt

Discontinued — last reported Q1 '26

Net debt at other companies

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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

See full

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.

$1.1Btotal debt−$478.4Mcash and equivalents=$586.81M

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 net debt?: Astrana Health (ASTH) reported net debt of $586.81M in Q1 2026.
How has Astrana Health's net debt changed year-over-year?: Astrana Health's net debt increased by 204.3% year-over-year, from $192.83M to $586.81M.
What is the long-term trend for Astrana Health's net debt?: Over 5 years (2020 to 2025), Astrana Health's net debt has grown at a 57.7% compound annual growth rate (CAGR), from $66.59M to $648.66M.
What does net debt mean?: Total debt minus cash and equivalents at the quarter end. The debt that would remain if the company used all its cash to pay down borrowings.