Astrana Health, Inc. (ASTH)
NASDAQ: ASTH · Real-Time Price · USD
38.11
+0.15 (0.40%)
Aug 31, 2026, 4:00 PM EDT - Market closed
Astrana Health Cash Flow Statement
Financials in millions USD. Fiscal year is January - December.
Millions USD. Fiscal year is Jan - Dec.
Operating Activities
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Net Income | 40.55 | 22.49 | 43.15 | 60.72 | 45.17 | 68.92 |
Depreciation & Amortization | 63.03 | 45.75 | 27.93 | 17.75 | 17.54 | 17.52 |
Other Amortization | 4.59 | 4.05 | 1.83 | 1.06 | 0.94 | 1.08 |
Loss (Gain) From Sale of Investments | - | - | - | - | 19 | 25.45 |
Loss (Gain) on Equity Investments | - | - | - | - | -5.62 | 4.31 |
Stock-Based Compensation | 40.76 | 38.6 | 34.54 | 22.04 | 16.1 | 6.75 |
Other Operating Activities | -5.31 | 6.81 | 8.37 | -9.95 | -9.05 | -20.04 |
Change in Accounts Receivable | -9.42 | -9.42 | -35.77 | -20.57 | -38.19 | -1.52 |
Change in Accounts Payable | -6.99 | -6.99 | -30.92 | -0.17 | -0.05 | 3.22 |
Change in Income Taxes | 5.33 | 5.33 | -8.62 | -14.48 | 6.92 | -14.01 |
Change in Other Net Operating Assets | -24.66 | 7.99 | 11.69 | 11.83 | 29.37 | -21.33 |
Operating Cash Flow | 107.87 | 114.6 | 52.2 | 68.23 | 82.13 | 70.34 |
Operating Cash Flow Growth | -17.38% | 119.54% | -23.49% | -16.93% | 16.77% | 52.36% |
Investing Activities
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Capital Expenditures | -13.49 | -10.11 | -8.03 | -28.53 | -22.94 | -19.22 |
Cash Acquisitions | -552.34 | -548.6 | -146.26 | -6.51 | -16.35 | 3.34 |
Investment in Securities | 15.1 | 15.1 | -5.97 | -0.33 | 27.71 | 32.37 |
Other Investing Activities | 7.85 | 6.32 | -6.14 | -3.68 | 4.47 | 0.06 |
Investing Cash Flow | -544.6 | -539 | -192.4 | -65.52 | -7.11 | 16.54 |
Financing Activities
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Long-Term Debt Issued | - | 1,119 | 171.88 | 284.53 | 3.6 | 180.57 |
Long-Term Debt Repaid | - | -495.29 | -27.04 | -204.68 | -4.43 | -238.53 |
Total Debt Repaid | -167.87 | -495.29 | -27.04 | -204.68 | -4.43 | -238.53 |
Net Debt Issued (Repaid) | 539.44 | 624.01 | 144.83 | 79.85 | -0.83 | -57.97 |
Issuance of Common Stock | - | - | - | - | 8.63 | 9.06 |
Repurchase of Common Stock | -23.19 | -21.6 | -5.6 | -10.19 | -9.25 | -5.74 |
Common Dividends Paid | -1.85 | -7.89 | - | -62.07 | -14.03 | -31.09 |
Other Financing Activities | -12.28 | -25.18 | -4.09 | -4.16 | -4.61 | 37.98 |
Financing Cash Flow | 502.12 | 569.35 | 135.15 | 3.42 | -20.09 | -47.75 |
Net Cash Flow
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Net Cash Flow | 65.39 | 144.94 | -5.05 | 6.13 | 54.93 | 39.13 |
Free Cash Flow
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Free Cash Flow | 94.38 | 104.49 | 44.17 | 39.7 | 59.19 | 51.11 |
Free Cash Flow Growth | -22.16% | 136.58% | 11.26% | -32.93% | 15.80% | 13.58% |
Free Cash Flow Margin | 2.46% | 3.28% | 2.17% | 2.86% | 5.17% | 6.60% |
Free Cash Flow Per Share | 1.91 | 2.12 | 0.92 | 0.85 | 1.30 | 1.13 |
Levered Free Cash Flow | 231.19 | 227.95 | 65.92 | 74.56 | 88.27 | 33.57 |
Unlevered Free Cash Flow | 271.81 | 258.23 | 84.78 | 83.57 | 92.29 | 35.87 |
Additional Metrics
Fiscal Year | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 |
|---|---|---|---|---|---|---|
Period Ending | Jun '26 Jun 30, 2026 | Dec '25 Dec 31, 2025 | Dec '24 Dec 31, 2024 | Dec '23 Dec 31, 2023 | Dec '22 Dec 31, 2022 | Dec '21 Dec 31, 2021 |
Cash Interest Paid | 61.58 | 45.77 | 30.42 | 14.25 | 6.67 | 4.16 |
Cash Income Tax Paid | - | -8.85 | 43.94 | 56.57 | 47.31 | 37.2 |
Change in Working Capital | -35.75 | -3.1 | -63.61 | -23.39 | -1.96 | -33.64 |