Astrana Health, Inc. (ASTH) Earnings History
Earnings Pressure11 years of earnings data (2015–2025) · 5-year EPS trend is negative
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Astrana Health, Inc. (ASTH) Earnings Overview
As of June 23, 2026, Astrana Health, Inc. (ASTH) reported trailing twelve-month net income of $30M, reflecting -48.9% year-over-year growth. The company earned $0.62 per diluted share over the past four quarters, with a net profit margin of 0.7%.
Looking at the long-term picture, ASTH's 5-year EPS compound annual growth rate (CAGR) stands at -14.6%, signaling declining earnings. The company achieved its highest annual net income of $69M in fiscal 2021.
Astrana Health, Inc. maintains positive profitability with a gross margin of 9.3%, operating margin of 2.5%, and net margin of 0.7%. The company continues to generate positive earnings from operations. View revenue history →
Compared to peers including ALHC ($20M net income, -0.0% margin), CLOV (-$57M net income, -4.4% margin), OSCR (-$39M net income, -3.8% margin), ASTH has outperformed on profitability metrics. Compare ASTH vs ALHC →
ASTH Earnings vs Peers
Earnings metrics vs comparable public companies
ASTH Historical Earnings Data (2015–2025)
10 years| Fiscal Year | Net Income | YoY % | Operating Income | EPS (Diluted) | Net Margin | Op. Margin |
|---|---|---|---|---|---|---|
| 2025 | $22M | -47.9% | $79M | $0.46 | 0.7% | 2.5% |
| 2024 | $43M | -28.9% | $89M | $0.90 | 2.1% | 4.4% |
| 2023 | $61M | +34.4% | $85M | $1.29 | 4.4% | 6.1% |
| 2022 | $45M | -34.5% | $104M | $0.99 | 3.9% | 9.1% |
| 2021 | $69M | +390.2% | $98M | $1.52 | 8.9% | 12.7% |
| 2020 | -$24M | -268.3% | $6M | $1.01 | -6.4% | 1.6% |
| 2019 | $14M | +30.3% | $32M | $0.39 | 2.5% | 5.8% |
| 2018 | $11M | -58.0% | $92M | $0.29 | 2.1% | 17.7% |
| 2017 | $26M | +376.1% | $38M | $0.90 | 7.2% | 10.5% |
| 2015 | -$9M | - | -$7M | $-1.79 | -21.2% | -14.9% |
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ASTH — Frequently Asked Questions
Quick answers to the most common questions about buying ASTH stock.
What is ASTH earnings per share (EPS)?
ASTH trailing twelve-month (TTM) diluted EPS is $0.62, reflecting -48.9% year-over-year growth. The 5-year EPS CAGR is -14.6%. Complete EPS history from 2015 to 2025 is available in the table on this page.
What is Astrana Health, Inc.'s net income?
Astrana Health, Inc. (ASTH) trailing twelve-month net income is $30M as of 2025. Earnings declined -48.9% year-over-year. Astrana Health, Inc. has been profitable for 5 consecutive years.
Is ASTH profitable?
Yes, ASTH is profitable with a TTM net income of $30M and a net profit margin of +0.7%. Astrana Health, Inc. has generated profits for 5 consecutive years.
What is ASTH's earnings growth rate?
ASTH compound annual EPS growth rates (CAGR): 1-Year: -48.9%, 3-Year: -22.5%, 5-Year: -14.6%, 10-Year: N/A. These figures measure the annualised rate of diluted EPS growth over each period, based on data from 2015 to 2025.
What are ASTH's profit margins?
Astrana Health, Inc. net profit margin is +0.7%, operating margin is +2.5%, and gross margin is +9.3%. Below-average margins reflect competitive or cost pressures. Return on Equity is +4.2%.
Is ASTH growing earnings?
ASTH earnings are declining — EPS fell -48.9% year-over-year. TTM net income dropped to $30M. This contrasts with the 5-year CAGR of -14.6%.
What was ASTH's best earnings year?
Astrana Health, Inc.'s highest annual net income on record is $69M, achieved in fiscal year 2021. Earnings history on this page spans 2015 to 2025 and includes all annual and quarterly figures.
What were ASTH's earnings last quarter?
ASTH's most recent reported quarter was Q1 2026. Net income was $14M with diluted EPS of $0.29. For a full breakdown of all quarters, see the quarterly earnings table on this page.