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ASTH financial statements

The full income statement, balance sheet, and cash-flow statement for Astrana Health Inc. (ASTH), plus valuation ratios — straight from SEC filings. Switch between annual, quarterly, and trailing-twelve-month figures, pick how far back to look, and flip the time order. Every line has a trend sparkline.

Shares outstanding (point-in-time)

2024-06 48.0M2024-09 48.2M2024-12 56.3M2025-03 48.9M2025-06 49.5M2025-09 49.5M2025-12 55.6M2026-03 49.1M2026-06 49.8M+3.8% over 8 periods

SEC-filed end-of-period counts (cover pages and balance sheets, split-adjusted) — the series realized buyback yield is computed from. The weighted-average share lines in the statements below lag these by design: an average over the year sits near the midpoint of an ongoing buyback.

PeriodRangeOrderChangeFiguresAs-reported fiscal years.
Line itemTrendFY2025FY2024FY2023FY2022FY2021
Income Statementas ofDec 31 ’25as ofDec 31 ’24as ofDec 31 ’23as ofDec 31 ’22as ofDec 31 ’21
Revenue3.18B+56.4%2.03B+46.7%1.39B+21.2%1.14B+47.8%774M+12.6%
Cost of revenue
————596M+10.6%
Selling, general & administrative217M+41.0%154M+36.9%113M+45.0%77.7M+25.1%62.1M+26.4%
General & administrative217M+41.0%154M+36.9%113M+45.0%77.7M+25.1%62.1M+26.4%
Amortization of intangibles40.7M+59.0%25.6M+101.6%12.7M-7.3%13.7M-11.0%15.4M-3.8%
Provision for credit losses
————0.00
Operating income78.5M-12.1%89.3M+5.6%84.6M-18.8%104M+6.2%98.2M+22.0%
Interest expense49.9M+50.9%33.1M+105.5%16.1M+103.3%7.92M+46.8%5.39M-43.2%
Interest & investment income12.2M-16.2%14.5M+2.1%14.2M+619.0%1.98M+25.8%1.57M-44.2%
Other non-operating income-2.79M-157.2%4.88M-20.4%6.12M+55.2%3.94M+205.2%-3.75M-448.2%
Equity-method income1.71M-61.6%4.45M-20.2%5.58M-0.8%5.62M+230.6%-4.31M-216.6%
Gain (loss) on equity securities—-135K+98.0%-6.63M-134.6%19.2M+278.4%-10.7M-97581.8%
Pre-tax income39.6M-51.0%80.8M-10.0%89.8M+3.7%86.6M+11.4%77.7M-56.4%
Income tax15.5M-49.7%30.9M-3.4%32.0M-21.7%40.9M+29.0%31.7M-43.8%
22.5M-47.9%43.1M-28.9%60.7M+34.4%45.2M-34.5%68.9M+82.9%
Net income to non-controlling interest1.59M-76.6%6.78M+336.5%-2.87M-603.2%570K+102.5%-22.9M-127.1%
$0.46-48.9%$0.90-30.2%$1.29+30.3%$0.99-34.9%$1.52+50.5%
EPS (basic)$0.46-49.5%$0.91-30.0%$1.30+30.0%$1.00-36.3%$1.57+52.4%
Weighted-avg shares (basic)49.1M+3.1%47.6M+2.2%46.6M+3.5%45.0M+2.6%43.8M+20.0%
Weighted-avg shares (diluted)49.4M+2.9%48.0M+2.2%46.9M+2.9%45.6M+0.4%45.4M+21.2%
Dividends per share$0.14+97.6%$0.07-93.6%$1.12+358.5%$0.24-56.0%$0.56-40.9%
Balance Sheetas ofDec 31 ’25as ofDec 31 ’24as ofDec 31 ’23as ofDec 31 ’22as ofDec 31 ’21
863M+35.2%638M+38.4%462M+7.8%428M+5.9%404M+19.5%
Cash & equivalents429M+48.9%288M-1.8%294M+2.0%288M+23.6%233M+20.5%
Short-term investments—2.38M-4.8%2.50M-55.1%5.57M-89.6%53.4M-21.1%
Accounts receivable374M+35.7%276M—49.6M+367.9%10.6M+50.3%
Prepaid expenses26.3M+4.1%25.2M+44.6%17.4M+17.9%14.8M-20.6%18.6M+11.0%
2.22B+63.8%1.35B+45.2%933M-3.4%966M+11.4%867M+6.1%
Property, plant & equipment57.3M+301.7%14.3M———
Operating lease right-of-use35.7M+9.6%32.6M-12.8%37.4M+82.9%20.4M+32.4%15.4M-16.9%
Goodwill865M+106.4%419M+50.4%279M+3.6%269M+9.2%246M+6.0%
Intangible assets271M+129.3%118M+64.9%71.6M-6.8%76.9M-7.2%82.8M-4.8%
Other non-current assets25.4M+52.5%16.7M+788.0%1.88M-58.8%4.56M-23.1%5.93M-68.7%
Total non-current assets1.36B+89.2%716M+51.8%472M-12.3%538M+16.2%463M-3.3%
615M+68.3%366M+67.2%219M+47.1%149M+29.5%115M-0.2%
Accounts payable
————9.58M+0.3%
Accrued liabilities196M+84.6%106M+77.1%59.9M+21.0%49.6M+12.8%44.0M+21.6%
Deferred revenue2.66M+65.6%1.61M+115.9%744K+40.1%531K-96.8%16.8M+29.3%
Short-term & current debt47.9M+410.6%9.38M-51.9%19.5M+3050.2%619K-20.6%780K-92.8%
Current lease liability7.81M+46.0%5.35M+16.1%4.61M+29.0%3.57M+35.9%2.63M-17.2%
Other current liabilities24.5M-11.0%27.5M+45.1%18.9M0.00—
Finance lease liability (current)—554K-14.2%646K+8.8%594K+22.2%486K+376.5%
1.66B+97.5%841M+60.9%523M+28.2%408M+14.3%357M-4.2%
Long-term debt991M+133.0%425M+64.2%259M+27.3%203M+11.2%183M-20.5%
Non-current lease liability31.6M+2.9%30.7M-15.5%36.3M+82.2%19.9M+50.9%13.2M-16.8%
Operating lease liability (total)39.4M+9.3%36.0M-12.0%40.9M+74.1%23.5M+48.4%15.8M-16.9%
Finance lease liability (total)—1.16M-30.9%1.68M-10.2%1.87M+28.1%1.46M+253.3%
Finance lease liability—607K-41.2%1.03M-19.0%1.27M+31.0%973K+212.9%
Deferred tax liabilities5.49M+20.5%4.55M+11.9%4.07M-71.4%14.2M-52.8%30.1M+175.0%
Other non-current liabilities17.1M+17.1%14.6M+307.4%3.59M-82.3%20.3M+37.1%14.8M
Total non-current liabilities1.05B+120.0%475M+56.3%304M+17.3%259M+7.0%242M-6.0%
779M+9.3%713M+16.0%614M+13.2%543M+21.1%448M+35.5%
Preferred stock0.000.00———
Common stock49.0K+2.1%48.0K+2.1%47.0K+0.0%47.0K+4.4%45.0K+7.1%
Additional paid-in capital471M+10.4%426M+14.9%371M+3.0%360M+15.8%311M+19.1%
Retained earnings308M+7.7%286M+17.7%243M+33.3%182M+32.9%137M+96.7%
Non-controlling interest14.0M+249.6%4.01M+64.7%2.43M+39.1%1.75M-70.6%5.94M+6727.6%
Total equity incl. non-controlling793M+10.7%717M+16.2%617M+13.3%544M+19.9%454M+37.8%
Total liabilities & equity2.22B+63.8%1.35B+45.2%933M-3.4%966M+11.4%867M+6.1%
Common shares issued48.9M+2.0%47.9M+2.3%46.8M+0.6%46.6M+4.4%44.6M+5.6%
Common shares outstanding48.9M+2.0%47.9M—46.6M+4.4%44.6M+5.6%
Shares outstanding (cover)55.6M-1.2%56.3M+1.5%55.4M-3.5%57.4M+2.6%56.0M+2.5%
Cash Flowas ofDec 31 ’25as ofDec 31 ’24as ofDec 31 ’23as ofDec 31 ’22as ofDec 31 ’21
115M+119.5%52.2M-23.5%68.2M-16.9%82.1M+16.8%70.3M+52.4%
Depreciation & amortization45.7M+63.8%27.9M+57.4%17.7M+1.2%17.5M+0.1%17.5M-4.5%
Intangible amortization40.7M+59.0%25.6M+101.6%12.7M-7.3%13.7M-11.0%15.4M-3.8%
Share-based compensation38.6M+11.8%34.5M+56.7%22.0M+36.9%16.1M+138.7%6.75M+99.4%
Deferred income taxes-4.29M-0.9%-4.25M+65.8%-12.4M+12.8%-14.3M-286.1%7.67M+1837.1%
Change in receivables9.42M-73.7%35.8M+73.9%20.6M-46.1%38.2M+2416.1%1.52M+136.7%
-539M-180.2%-192M-193.6%-65.5M-821.2%-7.11M-143.0%16.5M-82.7%
Capital expenditure10.1M+25.8%8.03M-71.8%28.5M+24.4%22.9M+19.3%19.2M+1551.5%
Free cash flow104M+136.6%44.2M+11.3%39.7M-32.9%59.2M+15.8%51.1M+13.6%
Acquisitions549M+275.1%146M+2146.0%6.51M-60.2%16.4M+532.6%2.58M-77.2%
Proceeds from sale of PP&E———0.000.00-100.0%
Other investing activities-6.32M-383.5%2.23M-39.5%3.68M——
569M+321.3%135M+3850.5%3.42M+117.0%-20.1M+57.9%-47.7M+7.6%
Long-term debt issued1.12B+551.2%172M-39.6%285M0.000.00
Long-term debt repaid0.000.000.000.000.00
Common stock issued0.000.000.000.00-100.0%40.1M
Common stock repurchased25.6M+2744.4%900K-91.2%10.2M+10.2%9.25M+61.2%5.74M+968.7%
Dividends paid7.88M+95.4%4.04M-93.5%62.1M+342.4%14.0M-54.9%31.1M-39.4%
Other financing activities2.31M+395.1%466K-39.4%769K——
Net change in cash145M+2969.6%-5.05M-182.5%6.13M-88.8%54.9M+40.4%39.1M-56.5%
Interest paid45.8M+50.5%30.4M+113.5%14.3M+113.6%6.67M+60.5%4.16M-51.1%
Income taxes paid—43.9M-22.3%56.6M+19.6%47.3M+27.2%37.2M-40.0%
Valuation Ratiosas ofDec 31 ’25as ofDec 31 ’24as ofDec 31 ’23as ofDec 31 ’22as ofDec 31 ’21
Market cap1.38B-22.2%1.77B-0.6%1.79B+34.4%1.33B-59.5%3.28B+324.9%
P/E61.3×+49.2%41.1×+2.8%40.0×+84.2%21.7×-54.4%47.6×+132.3%
P/S0.4×-50.3%0.9×-35.2%1.3×+5.8%1.3×-70.0%4.2×+277.2%
P/B1.8×-28.9%2.5×-17.2%3.0×+14.2%2.6×-64.0%7.3×+213.6%
P/FCF13.2×-67.1%40.2×+150.9%16.0×—64.2×+274.0%
Earnings yield1.6%-33.0%2.4%-2.7%2.5%-45.7%4.6%+119.2%2.1%-57.0%
FCF yield7.6%+204.2%2.5%-60.1%6.2%—1.6%-73.3%
Dividend yield0.57%+151.2%0.23%-92.2%2.9%+254.2%0.83%+9.2%0.76%-85.3%
Source filing10-K10-K10-K10-K/A10-K

About this data

Source: ASTH’s SEC filings (10-K / 10-Q). Annual columns are as-reported fiscal years; quarterly columns are as-reported fiscal quarters (Q4 derived as full-year minus the first three quarters where a company doesn’t file a standalone Q4); TTM (quarterly) rolls the trailing four quarters at every quarter end, TTM (yearly) samples that one year apart; balance-sheet rows show the period-end balance. Valuation ratios are sampled as of each period end. View all ASTH filings on SEC EDGAR → Not investment advice.