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ASTH logoAstrana Health, Inc.(ASTH)Earnings, Financials & Key Ratios

ASTH•NASDAQ
$35.25
$1.96B mkt cap·76.6× P/E·Price updated May 6, 2026
SectorHealthcareIndustryHealthcare FacilitiesSub-IndustryPhysician platforms and value-based care
AboutAstrana Health, Inc., Inc., a physician-centric technology-powered healthcare management company, provides medical care services in the United States. It operates through three segments: Care Partners, Care Delivery, and Care Enablement. The company is leveraging its proprietary population health management and healthcare delivery platform, operates an integrated, value-based healthcare model which empowers the providers in its network to deliver care to its patients. It offers care coordination services to patients, families, primary care physicians, specialists, acute care hospitals, alternative sites of inpatient care, physician groups, and health plans. The company's physician network consists of primary care physicians, specialist physicians and extenders, and hospitalists. It serves patients, primarily covered by private or public insurance, such as Medicare, Medicaid, and health maintenance organization plans; and non-insured patients. The company was formerly known as Apollo Medical Holdings, Inc. and changed its name to Astrana Health, Inc. in February 2024. Astrana Health, Inc. was incorporated in 1985 and is headquartered in Alhambra, California.Show more
  • Revenue$3.18B+56.4%
  • EBITDA$124M+6.0%
  • Net Income$22M-47.9%
  • EPS (Diluted)0.46-48.9%
  • Gross Margin9.3%-30.3%
  • EBITDA Margin3.91%-32.2%
  • Operating Margin2.47%-43.8%
  • Net Margin0.71%-66.7%
  • ROE4.19%-55.1%
  • ROIC6.18%-47.6%
  • Debt/Equity1.93+110.4%
  • Interest Coverage1.57-54.3%
Technical→

ASTH Key Insights

Astrana Health, Inc. (ASTH) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Momentum leader: RS Rating 87 (top 13%)
  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Strong 5Y sales CAGR of 53.8%
  • ✓Trading near 52-week high
  • ✓Efficient asset utilization: 1.4x turnover

✗Weaknesses

  • ✗Weak Piotroski F-Score: 3/9

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

ASTH Price & Volume

Astrana Health, Inc. (ASTH) stock price & volume — 10-year historical chart

Loading chart...

ASTH Growth Metrics

Astrana Health, Inc. (ASTH) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years53.76%
3 Years40.62%
TTM56.39%

Profit CAGR

10 Years-
5 Years-
3 Years-20.75%
TTM-47.89%

EPS CAGR

10 Years-
5 Years-14.55%
3 Years-22.55%
TTM-49.17%

Return on Capital

10 Years4.87%
5 Years10.87%
3 Years9.2%
Last Year6.06%

ASTH Recent Earnings

Astrana Health, Inc. (ASTH) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 7/12 qtrs (58%)●Beat Revenue 7/12 qtrs (58%)
Q2 2026Latest
Mar 2, 2026
EPS
$0.54
Est $0.15
+260.0%
Revenue
$951M
Est $930M
+2.2%
Q4 2025
Nov 6, 2025
EPS
$0.01
Est $0.47
-97.9%
Revenue
$956M
Est $930M
+2.7%
Q3 2025
Aug 7, 2025
EPS
$0.19
Est $0.36
-47.2%
Revenue
$655M
Est $944M
-30.6%
Q2 2025
May 8, 2025
EPS
$0.14
Est $0.23
-39.1%
Revenue
$620M
Est $631M
-1.6%
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMar 2, 2026
$0.54vs $0.15+260.0%
$951Mvs $930M+2.2%
Q4 2025Nov 6, 2025
$0.01vs $0.47-97.9%
$956Mvs $930M+2.7%
Q3 2025Aug 7, 2025
$0.19vs $0.36-47.2%
$655Mvs $944M-30.6%
Q2 2025May 8, 2025
$0.14vs $0.23-39.1%
$620Mvs $631M-1.6%
Based on last 12 quarters of dataView full earnings history →

ASTH Peer Comparison

Astrana Health, Inc. (ASTH) competitors in Physician platforms and value-based care — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
ALHC logoALHCAlignment Healthcare, Inc.Direct Competitor3.71B18.14-4902.7046.06%0.47%11.5%1.89
CLOV logoCLOVClover Health Investments, Corp.Direct Competitor1.37B2.68-15.7640.34%-2.58%-17.08%
OSCR logoOSCROscar Health, Inc.Direct Competitor5.14B19.84-11.7427.5%-0.3%-3.26%0.44
WELL logoWELLWelltower Inc.Product Competitor151.66B216.47155.7335.82%12.31%3.49%0.49
AGL logoAGLAgilon Health, Inc.Product Competitor463.98M27.85-1.14-2.11%-6.42%-146.01%0.29
DOCS logoDOCSDoximity, Inc.Product Competitor5.17B25.6923.1419.98%37.54%24.45%0.01
PRVA logoPRVAPrivia Health Group, Inc.Product Competitor3.01B23.99133.2822.26%1.08%3.06%0.01
UNH logoUNHUnitedHealth Group IncorporatedSupply Chain333.37B367.2827.7611.81%2.68%11.54%0.77

Compare ASTH vs Peers

Astrana Health, Inc. (ASTH) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs ALHC

Most directly comparable listed peer for ASTH.

Scale Benchmark

vs UNH

Larger-name benchmark to compare ASTH against a more recognizable public peer.

Peer Set

Compare Top 5

vs ALHC, CLOV, OSCR, WELL

ASTH Income Statement

Astrana Health, Inc. (ASTH) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Sales/Revenue357.75M519.91M560.62M370.25M773.91M1.14B1.39B2.03B3.18B
Revenue Growth %712.16%45.33%7.83%-33.96%109.03%47.84%21.19%46.72%56.39%
Cost of Goods Sold293.73M380.44M467.81M348.54M596.14M944.68M1.17B1.76B2.89B
COGS % of Revenue82.11%73.17%83.44%94.14%77.03%82.57%84.5%86.66%90.7%
Gross Profit
64.02M▲ 0%
139.47M▲ 117.9%
92.81M▼ 33.5%
21.7M▼ 76.6%
177.77M▲ 719.0%
199.48M▲ 12.2%
214.96M▲ 7.8%
271.39M▲ 26.3%
295.78M▲ 9.0%
Gross Margin %17.89%26.83%16.56%5.86%22.97%17.43%15.5%13.34%9.3%
Gross Profit Growth %560.19%117.87%-33.45%-76.61%719.04%12.21%7.76%26.25%8.99%
Operating Expenses26.44M47.24M60.39M15.62M79.59M95.21M130.34M182.04M217.26M
OpEx % of Revenue7.39%9.09%10.77%4.22%10.28%8.32%9.4%8.95%6.83%
Selling, General & Admin26.44M47.24M41.48M15.59M62.08M77.67M112.6M154.11M217.26M
SG&A % of Revenue7.39%9.09%7.4%4.21%8.02%6.79%8.12%7.57%6.83%
Research & Development000000000
R&D % of Revenue---------
Other Operating Expenses0018.91M26K17.52M17.54M17.75M27.93M0
Operating Income
37.58M▲ 0%
92.23M▲ 145.4%
32.42M▼ 64.8%
6.09M▼ 81.2%
98.18M▲ 1513.2%
104.27M▲ 6.2%
84.61M▼ 18.8%
89.35M▲ 5.6%
78.53M▼ 12.1%
Operating Margin %10.5%17.74%5.78%1.64%12.69%9.11%6.1%4.39%2.47%
Operating Income Growth %670.91%145.44%-64.85%-81.23%1513.19%6.2%-18.85%5.6%-12.12%
EBITDA56.65M111.53M50.7M24.44M115.7M121.81M102.36M117.28M124.27M
EBITDA Margin %15.84%21.45%9.04%6.6%14.95%10.65%7.38%5.76%3.91%
EBITDA Growth %1009.26%96.87%-54.54%-51.8%373.47%5.28%-15.97%14.57%5.97%
D&A (Non-Cash Add-back)19.08M19.3M18.28M18.35M17.52M17.54M17.75M27.93M45.75M
EBIT49.79M83.19M30.57M11.39M83.14M94.54M105.94M113.92M78.53M
Net Interest Income935.51K698K-2.71M-2.12M-3.82M-5.94M-1.89M-18.59M-37.77M
Interest Income1.02M1.26M2.02M405K1.57M1.98M14.21M14.51M12.16M
Interest Expense79.69K560.51K4.73M2.53M5.39M7.92M16.1M33.1M49.93M
Other Income/Expense12.13M-9.6M-6.58M2.78M-20.43M-17.65M5.22M-8.53M-38.92M
Pretax Income
49.71M▲ 0%
82.63M▲ 66.2%
25.84M▼ 68.7%
8.87M▼ 65.7%
77.75M▲ 776.7%
86.62M▲ 11.4%
89.84M▲ 3.7%
80.82M▼ 10.0%
39.61M▼ 51.0%
Pretax Margin %13.9%15.89%4.61%2.4%10.05%7.57%6.48%3.97%1.24%
Income Tax3.89M22.36M8.17M9.18M31.69M40.88M31.99M30.89M15.53M
Effective Tax Rate %7.82%27.06%31.61%103.54%40.76%47.19%35.61%38.22%39.21%
Net Income
25.8M▲ 0%
10.84M▼ 58.0%
14.12M▲ 30.3%
-23.75M▼ 268.3%
68.92M▲ 390.2%
45.17M▼ 34.5%
60.72M▲ 34.4%
43.15M▼ 28.9%
22.49M▼ 47.9%
Net Margin %7.21%2.08%2.52%-6.42%8.91%3.95%4.38%2.12%0.71%
Net Income Growth %376.13%-58.01%30.28%-268.26%390.18%-34.46%34.42%-28.93%-47.89%
Net Income (Continuing)45.82M60.27M17.67M-314K46.05M45.74M57.85M49.93M24.08M
Discontinued Operations000000000
Minority Interest176.37M226.12M169.51M114.32M62.48M15.99M-203.45M-198.55M-220.96M
EPS (Diluted)
0.90▲ 0%
0.29▼ 67.8%
0.39▲ 34.5%
1.01▲ 159.0%
1.52▲ 50.5%
0.99▼ 34.9%
1.29▲ 30.3%
0.90▼ 30.2%
0.46▼ 48.9%
EPS Growth %150.28%-67.78%34.48%158.97%50.5%-34.87%30.3%-30.23%-48.89%
EPS (Basic)1.010.330.411.041.571.001.300.910.46
Diluted Shares Outstanding28.66M37.91M36.4M37.45M45.4M45.6M47.07M48.22M49.37M
Basic Shares Outstanding25.53M32.89M34.71M36.53M43.83M44.97M46.71M47.69M49.08M
Dividend Payout Ratio40.49%163.9%437.21%-45.11%31.06%102.24%9.35%35.06%

ASTH Balance Sheet

Astrana Health, Inc. (ASTH) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Total Current Assets144.16M172.86M329.07M338.58M404.46M428.13M461.51M638.5M863.31M
Cash & Short-Term Investments120.92M108.02M219.73M261.17M286.51M293.59M296.31M290.83M429.47M
Cash Only119.77M106.89M103.19M193.47M233.1M288.03M293.81M288.45M429.47M
Short-Term Investments1.14M1.13M116.54M67.69M53.42M5.57M2.5M2.38M0
Accounts Receivable20.12M57.46M98.95M60.62M99.31M119.73M147.75M324.8M407.57M
Days Sales Outstanding20.5340.3464.4259.7646.8438.238.8958.2746.76
Inventory000000000
Days Inventory Outstanding---------
Other Current Assets0075K0014.8M17.45M22.86M26.26M
Total Non-Current Assets346.48M340.14M399.64M478.91M462.9M538.09M471.85M716.4M1.36B
Property, Plant & Equipment13.81M12.72M26.38M48.46M68.63M128.98M44.57M46.88M94.43M
Fixed Asset Turnover25.90x40.87x21.25x7.64x11.28x8.87x31.11x43.40x33.69x
Goodwill189.85M185.81M238.5M239.05M246.42M269.05M278.83M419.25M863.94M
Intangible Assets00103.01M86.98M82.81M76.86M71.65M118.18M270.97M
Long-Term Investments37.65M53.53M29.32M80.37M42.61M42.7M32.17M48.22M25.64M
Other Non-Current Assets1.63M1.21M2.43M19.41M22.44M4.56M2.22M63.22M100.37M
Total Assets
490.64M▲ 0%
513M▲ 4.6%
728.71M▲ 42.0%
817.49M▲ 12.2%
867.36M▲ 6.1%
966.21M▲ 11.4%
933.36M▼ 3.4%
1.35B▲ 45.2%
2.22B▲ 63.8%
Asset Turnover0.73x1.01x0.77x0.45x0.89x1.18x1.49x1.50x1.43x
Asset Growth %2407.53%4.56%42.05%12.18%6.1%11.4%-3.4%45.16%63.75%
Total Current Liabilities109.6M72.02M105.42M114.99M114.72M148.61M218.67M365.61M615.27M
Accounts Payable27.18M4.48M6.91M9.55M5.51M10.47M9.07M15.17M3.52M
Days Payables Outstanding33.784.35.3910.013.384.052.833.140.45
Short-Term Debt5.54M40.26K9.5M10.89M780K619K19.5M9.38M55.67M
Deferred Revenue (Current)250K9.02M8.89M12.99M16.8M531K744K1.61M0
Other Current Liabilities68.99M41.75M61.96M67.09M65.89M113.24M164M257.74M556.08M
Current Ratio1.32x2.40x3.12x2.94x3.53x2.88x2.11x1.75x1.40x
Quick Ratio1.32x2.40x3.12x2.94x3.53x2.88x2.11x1.75x1.40x
Cash Conversion Cycle---------
Total Non-Current Liabilities44.72M34.32M262.23M257.35M242M259.06M303.92M475.12M1.05B
Long-Term Debt013M232.17M230.21M182.92M203.39M258.94M425.3M990.9M
Capital Lease Obligations520.26K517.26K11.79M16.18M14.17M21.19M37.32M31.26M31.55M
Deferred Tax Liabilities24.92M19.62M18.27M10.96M30.14M14.22M4.07M4.55M5.49M
Other Non-Current Liabilities19.28M1.19M0014.78M20.26M3.59M14M17.11M
Total Liabilities154.32M106.34M367.65M372.34M356.72M407.67M522.59M840.73M1.66B
Total Debt6.25M13.66M256.55M260.56M200.98M229.36M321.01M471.84M1.08B
Net Debt-113.52M-93.23M153.36M67.08M-32.11M-58.66M27.21M183.38M648.66M
Debt / Equity0.02x0.03x0.71x0.59x0.39x0.41x0.78x0.92x1.93x
Debt / EBITDA0.11x0.12x5.06x10.66x1.74x1.88x3.14x4.02x8.68x
Net Debt / EBITDA-2.00x-0.84x3.02x2.75x-0.28x-0.48x0.27x1.56x5.22x
Interest Coverage624.81x148.41x6.46x4.51x15.41x11.94x6.58x3.44x1.57x
Total Equity
336.31M▲ 0%
406.66M▲ 20.9%
361.06M▼ 11.2%
445.15M▲ 23.3%
510.64M▲ 14.7%
558.55M▲ 9.4%
410.77M▼ 26.5%
514.17M▲ 25.2%
558.33M▲ 8.6%
Equity Growth %3832.9%20.92%-11.21%23.29%14.71%9.38%-26.46%25.17%8.59%
Book Value per Share11.7310.739.9211.8911.2512.258.7310.6611.31
Total Shareholders' Equity159.95M180.55M191.55M330.82M448.17M542.56M614.22M712.72M779.29M
Common Stock32.3K34.58K36K42K45K47K47K48K49K
Retained Earnings1.73M17.79M31.91M69.77M137.25M182.42M243.13M286.28M308.38M
Treasury Stock000000000
Accumulated OCI000000000
Minority Interest176.37M226.12M169.51M114.32M62.48M15.99M-203.45M-198.55M-220.96M

ASTH Cash Flow Statement

Astrana Health, Inc. (ASTH) cash flow — operating, investing & free cash flow history

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Cash from Operations53.07M26.1M13.67M46.16M70.33M82.13M68.23M52.2M114.6M
Operating CF Margin %14.84%5.02%2.44%12.47%9.09%7.18%4.92%2.57%3.6%
Operating CF Growth %2985.82%-50.82%-47.62%237.62%52.36%16.77%-16.93%-23.49%119.54%
Net Income25.8M10.84M17.67M122.08M46.05M45.74M57.85M49.93M24.08M
Depreciation & Amortization19.08M19.3M18.28M18.35M17.52M17.54M17.75M27.93M45.75M
Stock-Based Compensation001.55M3.38M6.75M16.1M22.04M34.54M38.6M
Deferred Taxes-20.68M-8.35M-6.8M396K7.67M-14.28M-12.44M-4.25M-4.29M
Other Non-Cash Items42.15M157.26M5.75M-102.08M25.98M18.98M6.42M7.67M13.56M
Working Capital Changes15.98M-63.05M-22.77M4.04M-33.64M-1.96M-23.39M-63.61M-3.1M
Change in Receivables10.7M-28.63M-5.8M3.01M-21.63M-33.97M-20.57M-11.1M0
Change in Inventory000-7.71M-2.11M27.61M12.15M00
Change in Payables-1.81M-22.67M-4.39M15.82M4.11M-2.52M-498K-30.43M0
Cash from Investing6.73M-25.76M-180.63M95.49M16.54M-7.11M-65.52M-192.4M-539M
Capital Expenditures-2.08M-1.17M-1.04M-1.16M-19.22M-22.94M-28.53M-8.03M-10.11M
CapEx % of Revenue0.58%0.23%0.19%0.31%2.48%2%2.06%0.39%0.32%
Acquisitions0-16.68M-53M31.42M-3.9M-18.46M-7.54M-156.13M-548.6M
Investments---------
Other Investing26.8M-7.5M-11.19M16.41M56K4.47M-23.8M-25.74M4.61M
Cash from Financing-14.98M-11.2M163.33M-51.7M-47.75M-20.09M3.42M135.15M569.35M
Debt Issued (Net)4.9M7.41M234.48M-9.61M-58.69M-828K79.17M152.71M604.81M
Equity Issued (Net)-425.28K-850.97K-6.82M10.27M43.46M-9.25M-8.67M-937K-15.43M
Dividends Paid-10.45M-17.76M-61.72M-51.32M-31.09M-14.03M-62.07M-4.04M-7.88M
Share Repurchases-3.18M-5.05M-7.57M-537K-5.74M-9.25M-10.19M-937K-15.43M
Other Financing-9M323-2.62M-1.04M-1.42M4.02M-5.01M-12.59M-12.15M
Net Change in Cash
110.5M▲ 0%
-12.88M▼ 111.7%
-3.63M▲ 71.8%
89.96M▲ 2580.3%
39.13M▼ 56.5%
54.93M▲ 40.4%
6.13M▼ 88.8%
-5.05M▼ 182.5%
144.94M▲ 2969.6%
Free Cash Flow
50.99M▲ 0%
24.93M▼ 51.1%
12.63M▼ 49.3%
45M▲ 256.3%
51.11M▲ 13.6%
59.19M▲ 15.8%
39.7M▼ 32.9%
44.17M▲ 11.3%
104.49M▲ 136.6%
FCF Margin %14.25%4.8%2.25%12.15%6.6%5.17%2.86%2.17%3.28%
FCF Growth %2526.63%-51.1%-49.34%256.26%13.58%15.8%-32.93%11.26%136.58%
FCF per Share1.780.660.351.201.131.300.840.922.12
FCF Conversion (FCF/Net Income)2.06x2.41x0.97x-1.94x1.02x1.82x1.12x1.21x5.10x
Interest Paid51.04K462K4.26M8.51M4.16M6.67M14.25M30.42M0
Taxes Paid24.36M23.64M20.2M62M37.2M47.31M56.57M43.94M0

ASTH Key Ratios

Astrana Health, Inc. (ASTH) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric2015201720182019202020212022202320242025
Return on Equity (ROE)-109.27%14.96%2.92%3.68%-5.89%14.42%8.45%12.53%9.33%4.19%
Return on Invested Capital (ROIC)-25.36%25.8%5.87%0.89%14.86%15.98%13.53%11.8%6.18%
Gross Margin22.01%17.89%26.83%16.56%5.86%22.97%17.43%15.5%13.34%9.3%
Net Margin-21.21%7.21%2.08%2.52%-6.42%8.91%3.95%4.38%2.12%0.71%
Debt / Equity0.02x0.02x0.03x0.71x0.59x0.39x0.41x0.78x0.92x1.93x
Interest Coverage-14.20x624.81x148.41x6.46x4.51x15.41x11.94x6.58x3.44x1.57x
FCF Conversion0.20x2.06x2.41x0.97x-1.94x1.02x1.82x1.12x1.21x5.10x
Revenue Growth-712.16%45.33%7.83%-33.96%109.03%47.84%21.19%46.72%56.39%

ASTH SEC Filings & Documents

Astrana Health, Inc. (ASTH) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Mar 30, 2026·SEC

Material company update

Mar 4, 2026·SEC

Material company update

Mar 2, 2026·SEC

10-K Annual Reports

2
FY 2026

Mar 12, 2026·SEC

FY 2025

Mar 14, 2025·SEC

10-Q Quarterly Reports

5
FY 2025

Nov 10, 2025·SEC

FY 2025

Aug 7, 2025·SEC

FY 2025

May 9, 2025·SEC

ASTH Frequently Asked Questions

Astrana Health, Inc. (ASTH) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Astrana Health, Inc. (ASTH) reported $3.18B in revenue for fiscal year 2025. This represents a 7123% increase from $44.0M in 2015.

Astrana Health, Inc. (ASTH) grew revenue by 56.4% over the past year. This is strong growth.

Yes, Astrana Health, Inc. (ASTH) is profitable, generating $22.5M in net income for fiscal year 2025 (0.7% net margin).

Dividend & Returns

Yes, Astrana Health, Inc. (ASTH) pays a dividend with a yield of 0.45%. This makes it attractive for income-focused investors.

Astrana Health, Inc. (ASTH) has a return on equity (ROE) of 4.2%. This is below average, suggesting room for improvement.

Astrana Health, Inc. (ASTH) generated $107.6M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

Explore More ASTH

Astrana Health, Inc. (ASTH) financial analysis — history, returns, DCA and operating performance tools

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Revenue History

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Financial Ratios

30 years of market, efficiency and balance-sheet ratios

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Valuation

DCF intrinsic value, peer multiples & estimates

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