Astrana Health, Inc. (ASTH) quarterly cash flow statement — complete operating, investing & financing history
Astrana Health, Inc. (ASTH) cash flow statement — 10-year operating, investing & financing cash flows
| Metric | Q2'26 | Q1'26 | Q4'25 | Q3'25 | Q2'25 | Q1'25 | Q4'24 | Q3'24 | Q2'24 | Q1'24 | Q4'23 | Q3'23 | Q2'23 | Q1'23 | Q4'22 | Q3'22 | Q2'22 | Q1'22 | Q4'21 | Q3'21 |
|---|
| Cash from Operations | 100.8M | 68.06M | -2.89M | 9.96M | 90.9M | 16.63M | -10.95M | 33.98M | 23.19M | 5.98M | 19.3M | 15.4M | 25.8M | 7.72M | 84.94M | -35.87M | 9.02M | 24.04M | -12.19M | 51.24M |
| Operating CF Margin % | 10.37% | 7.05% | -0.3% | 1.04% | 13.88% | 2.68% | -1.65% | 7.1% | 4.77% | 1.48% | 5.47% | 4.42% | 7.41% | 2.29% | 28.87% | -11.32% | 3.34% | 9.13% | -6.25% | 22.56% |
| Operating CF Growth % | 10.9% | 309.31% | 73.64% | -70.7% | 292.01% | 178.18% | -156.73% | 120.58% | -10.13% | -22.58% | -77.28% | 142.95% | 186.02% | -67.88% | 796.79% | -170.01% | -57.72% | - | - | - |
| Net Income | 31.58M | 14.44M | 6.56M | 1.08M | 10.22M | 6.22M | -7.78M | 23.7M | 21.87M | 16.86M | -94K | 27.97M | 17.48M | 12.49M | 471K | 23.9M | 11.28M | 11.45M | 13.77M | -5.38M |
| Depreciation & Amortization | 31.03M | 15.48M | 16.4M | 15.6M | 6.9M | 6.85M | 8.13M | 7.26M | 7.44M | 5.1M | 4.9M | 4.3M | 4.25M | 4.29M | 4.06M | 4.75M | 4.35M | 4.37M | 4.41M | 4.67M |
| Stock-Based Compensation | 21.68M | 9.89M | 11.38M | 7.7M | 11.71M | 7.81M | 15.23M | 6.16M | 7.39M | 5.75M | 8.68M | 5.71M | 4.21M | 3.44M | 5.62M | 3.5M | 3.92M | 3.06M | 0 | 1.42M |
| Deferred Taxes | 2.73M | 1.91M | 637K | -2.96M | -1.6M | -358K | 3.35M | -337K | -11K | -7.25M | -8.51M | -190K | -4.03M | 283K | -5.35M | -6.42M | 1.18M | 2.18M | 824K | -3.44M |
| Other Non-Cash Items | -5.14M | -149K | 1.35M | 3.99M | 4.82M | 4.11M | -349K | -38.92M | -547K | 8.68M | 2.94M | 2.68M | -3.34M | 4.14M | 2.69M | 6.44M | -1.68M | 7.77M | -7.58M | 58.65M |
| Working Capital Changes | 18.92M | 26.49M | -39.22M | -15.45M | 58.85M | -8.01M | -29.53M | 36.11M | -12.95M | -23.16M | 11.38M | -25.07M | 7.23M | -16.93M | 77.44M | -68.05M | -10.03M | -4.79M | -23.61M | -4.68M |
| Change in Receivables | 0 | 0 | 0 | 0 | 0 | -9.76M | 54.67M | 50.69M | -34.32M | -30.91M | 47.49M | -33.09M | 1.13M | -36.1M | 83.38M | -40.21M | -16.78M | -55.15M | -10.46M | 13.22M |
| Change in Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.09M | -1.14M | -4.25M | 16.44M | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | 0 | 0 | 0 | 0 | 0 | -3.38M | -54.6M | 198K | 24.29M | 905K | 2.43M | -601K | 1.28M | -3.61M | 745K | -12.98M | 10.21M | -494K | -10.33M | -2.89M |
| Cash from Investing | -9.07M | -2.84M | -1.06M | -534.47M | -1.05M | -2.39M | -33.32M | -8.11M | -79.92M | -70.91M | -11.43M | -34.88M | -5.19M | -14.04M | 13.2M | -8.09M | 7.5M | -19.73M | 37.61M | -12.74M |
| Capital Expenditures | -7.88M | -4M | -3.06M | -2.55M | -1.42M | -3.07M | -2.53M | -2.29M | -2.84M | -369K | -7.06M | -4.11M | -2.52M | -14.85M | -886K | -3.21M | -1.36M | -17.49M | -2.8M | -9.06M |
| CapEx % of Revenue | 0.81% | 0.41% | 0.32% | 0.27% | 0.22% | 0.49% | 0.38% | 0.48% | 0.58% | 0.09% | 2% | 1.18% | 0.72% | 4.4% | 0.3% | 1.01% | 0.5% | 6.64% | 1.44% | 3.99% |
| Acquisitions | -3.74M | 0 | -51K | -548.55M | 28K | 0 | -34.67M | -1.03M | -73.81M | -50.52M | -1.84M | -5.72M | 350K | -325K | -11.06M | -4.86M | -109K | -2.43M | -1.48M | -7.81M |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 2.54M | 1.16M | 2.06M | 1.53M | 419K | 700K | 0 | -968K | -750K | -19.99M | -997K | -24.94M | 2K | 2.14M | 16K | 21K | 4.21M | 219K | 2.62M | 10K |
| Cash from Financing | -120.03M | -15.96M | -26.34M | 648.49M | -8.67M | -44.17M | -15.27M | -3.19M | 47.25M | 106.23M | 11.99M | -510K | -963K | -7.1M | 5.87M | -6.25M | -20.24M | 532K | 2.91M | -11.02M |
| Debt Issued (Net) | -103.93M | -11.97M | -11.97M | 672.58M | -2.98M | -16.38M | -3.89M | -2.37M | 53M | 106.32M | 76.99M | 1.06M | -191K | 1.31M | 1.32M | -2.9M | 225K | 529K | 370K | -73K |
| Equity Issued (Net) | -4.36M | -2.91M | -15.43M | -509K | 1.01M | -1.32M | 303K | -717K | -3.58M | 0 | -231K | -150K | 0 | -8.29M | 398K | -168K | -9.25M | -230K | 2.46M | -2.76M |
| Dividends Paid | -199K | -104K | -1.56M | -96K | -778K | -5.46M | -1.92M | -218K | 0 | -95K | -59.81M | -1.42M | -722K | -120K | -1.35M | -120K | -11.38M | -1.18M | 0 | -9.98M |
| Share Repurchases | -4.36M | -2.91M | -15.43M | -509K | 1.32M | -1.32M | -220K | -717K | -3.58M | 0 | -503K | -150K | 0 | -9.54M | 398K | -168K | -9.25M | -230K | 0 | -2.76M |
| Other Financing | -11.54M | -983K | 2.61M | -23.48M | -5.92M | -21.02M | -9.76M | 112K | -2.16M | 125K | -4.96M | 0 | -50K | 0 | 5.51M | -3.06M | 166K | 1.41M | 75K | 1.79M |
| Net Change in Cash | -28.3M | 48.91M | -30.28M | 122.52M | 81.19M | -29.94M | -59.54M | 22.68M | -9.48M | 40.99M | 19.87M | -19.98M | 19.65M | -13.41M | 104.01M | -50.21M | -3.72M | 4.84M | 28.33M | 27.48M |
| Free Cash Flow | 92.93M | 64.06M | -5.95M | 7.4M | 89.48M | 13.56M | -13.48M | 31.69M | 20.35M | 5.61M | 12.24M | 11.3M | 23.29M | -7.13M | 84.05M | -39.08M | 7.67M | 6.55M | -14.99M | 42.18M |
| FCF Margin % | 9.56% | 6.64% | -0.63% | 0.77% | 13.67% | 2.19% | -2.03% | 6.62% | 4.19% | 1.39% | 3.47% | 3.25% | 6.69% | -2.11% | 28.57% | -12.33% | 2.84% | 2.49% | -7.68% | 18.57% |
| FCF Growth % | 3.85% | 372.49% | 55.86% | -76.63% | 339.66% | 141.74% | -210.1% | 180.41% | -12.6% | 178.64% | -85.43% | 128.92% | 203.8% | -208.89% | 660.62% | -192.64% | -45.51% | - | - | - |
| FCF per Share | 1.87 | 1.31 | -0.12 | 0.15 | 1.81 | 0.28 | -0.28 | 0.66 | 0.42 | 0.12 | 0.26 | 0.24 | 0.50 | -0.15 | 1.80 | -0.85 | 0.17 | 0.14 | -0.33 | 0.91 |
| FCF Conversion (FCF/Net Income) | 5.11x | 4.71x | -0.48x | 26.69x | 9.65x | 2.48x | 1.58x | 2.11x | 1.21x | 0.40x | 1.56x | 0.70x | 1.96x | 0.59x | -32.67x | -1.55x | 0.75x | 1.75x | -0.89x | 1.49x |
| Interest Paid | 29.35M | 14.72M | 15.58M | 16.65M | 6.17M | 7.36M | 7.23M | 8.58M | 8.18M | 6.43M | 4.58M | 0 | 3.27M | 0 | 2.29M | 2.15M | 1.39M | 845K | 0 | 823K |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 4.34M | 5.67M | 2.53M | 35.55M | 194K | 48.69M | 0 | 7.88M | 0 | 5.5M | 19.5M | 22.31M | 0 | 0 | 1.48M |