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Astrana Health, Inc.

ASTH Clue Score47
United States Fiscal year ends December CIK 0001083446
$37.55 +4.68% Close, 9 Oct 2026
Alert on the numbers Alert on insider trades
Price $37.55 −47.42% Close, 9 Oct 2026

Closing prices at the end of each trading day, from 12 Oct 2016. Not a live quote. Adjusted for share splits, so the line has no step at a split; dividends are not added back. P/E and P/FCF are the market value over the last full fiscal year's net income or free cash flow, as public on each day, so they step once a year when the annual report comes out. A hatched band marks a stretch with none: a year of net loss, or of cash burnt.

Revenue and profit

What the business sells, and what is left of it. Point at a year for the detail.
RevenueOperating incomeNet income
Fiscal year 2017Revenue57.4Operating income−10.5Net income−9.0Fiscal year 2017Revenue356.4 +520.5%Operating income35.1Net income25.8EPS, diluted0.90Fiscal year 2018Revenue519.9 +45.9%Operating income88.4Net income10.8 −58.0%EPS, diluted0.29 −67.8%Fiscal year 2019Revenue560.6 +7.8%Operating income32.4Net income14.1 +30.3%EPS, diluted0.39 +34.5%Fiscal year 2020Revenue687.2 +22.6%Operating income80.5Net income37.7 +167.0%EPS, diluted1.01 +159.0%Fiscal year 2021Revenue773.9 +12.6%Operating income98.2Net income68.9 +82.9%EPS, diluted1.52 +50.5%Fiscal year 2022Revenue1,144.2 +47.8%Operating income104.3Net income45.2 −34.5%EPS, diluted0.99 −34.9%Fiscal year 2023Revenue1,386.7 +21.2%Operating income84.6Net income60.7 +34.4%EPS, diluted1.29 +30.3%Fiscal year 2024Revenue2,034.5 +46.7%Operating income89.4Net income43.1 −28.9%EPS, diluted0.90 −30.2%Fiscal year 2025Revenue3,181.8 +56.4%Operating income78.5Net income22.5 −47.9%EPS, diluted0.46 −48.9%
FY2017FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Revenue 57.4 356.4 519.9 560.6 687.2 773.9 1,144.2 1,386.7 2,034.5 3,181.8
Growth +520.5% +45.9% +7.8% +22.6% +12.6% +47.8% +21.2% +46.7% +56.4%
Operating income −10.5 35.1 88.4 32.4 80.5 98.2 104.3 84.6 89.4 78.5
Net income −9.0 25.8 10.8 14.1 37.7 68.9 45.2 60.7 43.1 22.5
Growth −58.0% +30.3% +167.0% +82.9% −34.5% +34.4% −28.9% −47.9%
EPS, diluted n/a 0.90 0.29 0.39 1.01 1.52 0.99 1.29 0.90 0.46
Growth −67.8% +34.5% +159.0% +50.5% −34.9% +30.3% −30.2% −48.9%

Margins

How much of each dollar of revenue it keeps. Point at a year for the detail.
Operating marginNet margin
Fiscal year 2017Operating margin−18.3%Net margin−15.6%Free cash flow margin−14.7%Fiscal year 2017Operating margin9.9%Net margin7.2%Free cash flow margin14.0%Fiscal year 2018Operating margin17.0%Net margin2.1%Free cash flow margin4.7%Fiscal year 2019Operating margin5.8%Net margin2.5%Free cash flow margin2.3%Fiscal year 2020Operating margin11.7%Net margin5.5%Free cash flow margin6.5%Fiscal year 2021Operating margin12.7%Net margin8.9%Free cash flow margin6.6%Fiscal year 2022Operating margin9.1%Net margin3.9%Free cash flow margin5.2%Fiscal year 2023Operating margin6.1%Net margin4.4%Free cash flow margin2.9%Fiscal year 2024Operating margin4.4%Net margin2.1%Free cash flow margin2.2%Fiscal year 2025Operating margin2.5%Net margin0.7%Free cash flow margin3.3%
FY2017FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Operating margin −18.3% 9.9% 17.0% 5.8% 11.7% 12.7% 9.1% 6.1% 4.4% 2.5%
Net margin −15.6% 7.2% 2.1% 2.5% 5.5% 8.9% 3.9% 4.4% 2.1% 0.7%
Free cash flow margin −14.7% 14.0% 4.7% 2.3% 6.5% 6.6% 5.2% 2.9% 2.2% 3.3%

Cash flow

The cash the business makes, what it reinvests, and what it hands back. Point at a year for the detail.
Operating cash flowCapital expenditureFree cash flow
Fiscal year 2017Operating cash flow−8.1Capital expenditure−0.3Free cash flow−8.4Fiscal year 2017Operating cash flow51.8Capital expenditure−2.1Free cash flow49.7Buybacks−3.2Dividends paid−10.4Fiscal year 2018Operating cash flow25.5Capital expenditure−1.2Free cash flow24.3 −51.1%Buybacks−5.0Dividends paid−17.8Fiscal year 2019Operating cash flow13.7Capital expenditure−1.0Free cash flow12.6 −48.1%Buybacks−7.6Dividends paid−61.7Fiscal year 2020Operating cash flow46.2Capital expenditure−1.2Free cash flow45.0 +256.3%Buybacks−0.5Dividends paid−51.3Fiscal year 2021Operating cash flow70.3Capital expenditure−19.2Free cash flow51.1 +13.6%Buybacks−5.7Dividends paid−31.1Fiscal year 2022Operating cash flow82.1Capital expenditure−22.9Free cash flow59.2 +15.8%Buybacks−9.3Dividends paid−14.0Fiscal year 2023Operating cash flow68.2Capital expenditure−28.5Free cash flow39.7 −32.9%Buybacks−10.2Dividends paid−62.1Fiscal year 2024Operating cash flow52.2Capital expenditure−8.0Free cash flow44.2 +11.3%Buybacks−0.9Dividends paid−4.0Fiscal year 2025Operating cash flow114.6Capital expenditure−10.1Free cash flow104.5 +136.6%Buybacks−25.6Dividends paid−7.9
FY2017FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Operating cash flow −8.1 51.8 25.5 13.7 46.2 70.3 82.1 68.2 52.2 114.6
Capital expenditure −0.3 −2.1 −1.2 −1.0 −1.2 −19.2 −22.9 −28.5 −8.0 −10.1
Free cash flow −8.4 49.7 24.3 12.6 45.0 51.1 59.2 39.7 44.2 104.5
Growth −51.1% −48.1% +256.3% +13.6% +15.8% −32.9% +11.3% +136.6%
Buybacks n/a −3.2 −5.0 −7.6 −0.5 −5.7 −9.3 −10.2 −0.9 −25.6
Dividends paid n/a −10.4 −17.8 −61.7 −51.3 −31.1 −14.0 −62.1 −4.0 −7.9

Balance sheet

What it holds against what it owes, at each year end. Point at a year for the detail.
CashTotal debt
Fiscal year 2017Cash8.7Shareholders’ equity−0.4Fiscal year 2017Cash99.7Shareholders’ equity159.9Fiscal year 2018Cash106.9Total debt0.0Net cash (debt)106.9Shareholders’ equity180.5Debt to equity0.00Fiscal year 2019Cash103.2Total debt241.7Net cash (debt)−138.5Shareholders’ equity191.5Debt to equity1.26Fiscal year 2020Cash193.5Total debt241.1Net cash (debt)−47.6Shareholders’ equity330.8Debt to equity0.73Fiscal year 2021Cash233.1Total debt183.7Net cash (debt)49.4Shareholders’ equity448.2Debt to equity0.41Fiscal year 2022Cash288.0Total debt204.0Net cash (debt)84.0Shareholders’ equity542.6Debt to equity0.38Fiscal year 2023Cash293.8Total debt278.4Net cash (debt)15.4Shareholders’ equity614.2Debt to equity0.45Fiscal year 2024Cash288.5Total debt434.7Net cash (debt)−146.2Shareholders’ equity712.7Debt to equity0.61Fiscal year 2025Cash429.5Total debt1,038.8Net cash (debt)−609.3Shareholders’ equity779.3Debt to equity1.33
FY2017FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Cash 8.7 99.7 106.9 103.2 193.5 233.1 288.0 293.8 288.5 429.5
Total debt n/a n/a 0.0 241.7 241.1 183.7 204.0 278.4 434.7 1,038.8
Net cash (debt) n/a n/a 106.9 −138.5 −47.6 49.4 84.0 15.4 −146.2 −609.3
Shareholders’ equity −0.4 159.9 180.5 191.5 330.8 448.2 542.6 614.2 712.7 779.3
Debt to equity n/a n/a 0.00 1.26 0.73 0.41 0.38 0.45 0.61 1.33

In millions of USD, except per-share figures and ratios. Fiscal years, as last filed with the SEC.

Financial statements FY2025 · 10-K

Ratios

Percentages worked out from the filed figures; debt to equity in times. Fiscal years ending December, each column as last filed with the SEC.
Click a line to chart it
Fiscal year FY2016 31 Dec 2016 FY2017 31 Mar 2017 FY2017 31 Dec 2017 FY2018 31 Dec 2018 FY2019 31 Dec 2019 FY2020 31 Dec 2020 FY2021 31 Dec 2021 FY2022 31 Dec 2022 FY2023 31 Dec 2023 FY2024 31 Dec 2024 FY2025 31 Dec 2025
Margins
3.8% −18.3% 9.9% 17.0% 5.8% 11.7% 12.7% 9.1% 6.1% 4.4% 2.5%
6.2% −15.2% 13.9% 15.9% 4.6% 26.0% 10.0% 7.6% 6.5% 4.0% 1.2%
3.7% −15.6% 7.2% 2.1% 2.5% 5.5% 8.9% 3.9% 4.4% 2.1% 0.7%
6.1% −14.7% 14.0% 4.7% 2.3% 6.5% 6.6% 5.2% 2.9% 2.2% 3.3%
Spending
6.9% 32.4% 7.4% 8.3% 7.4% 7.1% 8.0% 6.8% 8.1% 7.6% 6.8%
1.1% 0.5% 0.6% 0.2% 0.2% 0.2% 2.5% 2.0% 2.1% 0.4% 0.3%
46.8% n/a 7.8% 27.1% 31.6% 31.6% 40.8% 47.2% 35.6% 38.2% 39.2%
Returns
13.1% n/a 16.1% 6.0% 7.4% 11.4% 15.4% 8.3% 9.9% 6.1% 2.9%
3.3% −43.4% 5.3% 2.1% 1.9% 4.6% 7.9% 4.7% 6.5% 3.2% 1.0%
Balance and payout
n/a n/a n/a 0.00 1.26 0.73 0.41 0.38 0.45 0.61 1.33
28.4% 98.7% 31.5% 20.7% 50.5% 45.5% 41.1% 42.2% 56.0% 62.1% 74.8%
232.8% n/a 40.5% 163.9% 437.2% 136.2% 45.1% 31.1% 102.2% 9.4% 35.1%
146.1% n/a 27.4% 93.8% 548.5% 115.2% 72.1% 39.3% 182.0% 11.2% 32.0%