Astrana Health, Inc. (ASTH)

Astrana Health Cash Flow Statement

Financials in millions USD. Fiscal year is January - December.

Fiscal Year	TTM	FY 2025	FY 2024	FY 2023	FY 2022	FY 2021
Period Ending	Mar 31, 2026	Dec 31, 2025	Dec 31, 2024	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021
Net Income	30.99	24.08	49.93	57.85	45.74	46.06
Depreciation & Amortization	54.38	45.75	27.93	17.75	17.54	17.52
Stock-Based Compensation	40.69	38.6	34.54	22.04	16.1	6.75
Other Adjustments	6.1	9.27	3.42	-6.02	4.7	33.66
Change in Receivables	-	-9.42	-35.77	-20.57	-33.97	-21.63
Changes in Accounts Payable	-	-6.99	-30.92	-0.17	-0.05	3.22
Changes in Income Taxes Payable	-	5.33	-8.62	-14.48	6.92	-14.01
Changes in Other Operating Activities	36.83	7.99	11.69	11.83	25.14	-1.22
Operating Cash Flow	166.03	114.6	52.2	68.23	82.13	70.34
Operating Cash Flow Growth	164.17%	119.54%	-23.49%	-16.93%	16.77%	52.36%
Capital Expenditures	-11.04	-10.11	-8.03	-28.53	-22.94	-19.22
Purchases of Investments	-	-	-9.88	-0.33	-1.85	-41.62
Proceeds from Sale of Investments	-	15.1	-	-	32.07	73.99
Payments for Business Acquisitions	-548.6	-548.6	-146.26	-6.51	-16.35	-2.59
Other Investing Activities	4.73	4.61	-28.23	-30.16	1.96	5.98
Investing Cash Flow	-539.45	-539	-192.4	-65.52	-7.11	16.54
Long-Term Debt Issued	707.3	1,119	171.88	284.53	3.6	180.57
Long-Term Debt Repaid	-67.06	-495.29	-18.5	-204.68	-3.87	-238.33
Net Long-Term Debt Issued (Repaid)	640.24	624.01	153.38	79.85	-0.27	-57.76
Issuance of Common Stock	-	-	-	-	8.63	49.2
Repurchase of Common Stock	-6.2	-21.6	-5.6	-10.19	-9.25	-5.74
Net Common Stock Issued (Repurchased)	-6.2	-21.6	-5.6	-10.19	-0.62	43.46
Common Dividends Paid	-2.53	-7.89	-4.04	-62.07	-14.03	-31.09
Other Financing Activities	2.99	-25.18	-8.59	-4.16	-5.17	-2.36
Financing Cash Flow	597.56	569.35	135.15	3.42	-20.09	-47.75
Net Cash Flow	224.13	144.94	-5.05	6.13	54.93	39.13
Free Cash Flow	154.99	104.49	44.17	39.7	59.19	51.11
Free Cash Flow Growth	48.33%	136.58%	11.26%	-32.93%	15.80%	13.58%
FCF Margin	4.40%	3.28%	2.17%	2.86%	5.17%	6.60%
Free Cash Flow Per Share	3.14	2.12	0.92	0.85	1.30	1.13
Levered Free Cash Flow	750.64	688.47	188.57	126.96	71.52	-2.54
Unlevered Free Cash Flow	134.07	89.7	47.25	40.88	81.67	44.45

Updated May 8, 2026. Data Source: Fiscal.ai. Standard template. Financial Sources.

SEC Filings: 10-K · 10-Q