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)
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.
| Line item | Trend | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 |
|---|---|---|---|---|---|---|
| Income Statement | as ofDec 31 ’25 | as ofDec 31 ’24 | as ofDec 31 ’23 | as ofDec 31 ’22 | as ofDec 31 ’21 | |
| Revenue | 3.18B+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 & administrative | 217M+41.0% | 154M+36.9% | 113M+45.0% | 77.7M+25.1% | 62.1M+26.4% | |
| General & administrative | 217M+41.0% | 154M+36.9% | 113M+45.0% | 77.7M+25.1% | 62.1M+26.4% | |
| Amortization of intangibles | 40.7M+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 income | 78.5M-12.1% | 89.3M+5.6% | 84.6M-18.8% | 104M+6.2% | 98.2M+22.0% | |
| Interest expense | 49.9M+50.9% | 33.1M+105.5% | 16.1M+103.3% | 7.92M+46.8% | 5.39M-43.2% | |
| Interest & investment income | 12.2M-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 income | 1.71M-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 income | 39.6M-51.0% | 80.8M-10.0% | 89.8M+3.7% | 86.6M+11.4% | 77.7M-56.4% | |
| Income tax | 15.5M-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 interest | 1.59M-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 Sheet | as ofDec 31 ’25 | as ofDec 31 ’24 | as ofDec 31 ’23 | as ofDec 31 ’22 | as ofDec 31 ’21 | |
| 863M+35.2% | 638M+38.4% | 462M+7.8% | 428M+5.9% | 404M+19.5% | ||
| Cash & equivalents | 429M+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 receivable | 374M+35.7% | 276M | — | 49.6M+367.9% | 10.6M+50.3% | |
| Prepaid expenses | 26.3M+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 & equipment | 57.3M+301.7% | 14.3M | — | — | — | |
| Operating lease right-of-use | 35.7M+9.6% | 32.6M-12.8% | 37.4M+82.9% | 20.4M+32.4% | 15.4M-16.9% | |
| Goodwill | 865M+106.4% | 419M+50.4% | 279M+3.6% | 269M+9.2% | 246M+6.0% | |
| Intangible assets | 271M+129.3% | 118M+64.9% | 71.6M-6.8% | 76.9M-7.2% | 82.8M-4.8% | |
| Other non-current assets | 25.4M+52.5% | 16.7M+788.0% | 1.88M-58.8% | 4.56M-23.1% | 5.93M-68.7% | |
| Total non-current assets | 1.36B+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 liabilities | 196M+84.6% | 106M+77.1% | 59.9M+21.0% | 49.6M+12.8% | 44.0M+21.6% | |
| Deferred revenue | 2.66M+65.6% | 1.61M+115.9% | 744K+40.1% | 531K-96.8% | 16.8M+29.3% | |
| Short-term & current debt | 47.9M+410.6% | 9.38M-51.9% | 19.5M+3050.2% | 619K-20.6% | 780K-92.8% | |
| Current lease liability | 7.81M+46.0% | 5.35M+16.1% | 4.61M+29.0% | 3.57M+35.9% | 2.63M-17.2% | |
| Other current liabilities | 24.5M-11.0% | 27.5M+45.1% | 18.9M | 0.00 | — | |
| 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 debt | 991M+133.0% | 425M+64.2% | 259M+27.3% | 203M+11.2% | 183M-20.5% | |
| Non-current lease liability | 31.6M+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 liabilities | 5.49M+20.5% | 4.55M+11.9% | 4.07M-71.4% | 14.2M-52.8% | 30.1M+175.0% | |
| Other non-current liabilities | 17.1M+17.1% | 14.6M+307.4% | 3.59M-82.3% | 20.3M+37.1% | 14.8M | |
| Total non-current liabilities | 1.05B+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 stock | 0.00 | 0.00 | — | — | — | |
| Common stock | 49.0K+2.1% | 48.0K+2.1% | 47.0K+0.0% | 47.0K+4.4% | 45.0K+7.1% | |
| Additional paid-in capital | 471M+10.4% | 426M+14.9% | 371M+3.0% | 360M+15.8% | 311M+19.1% | |
| Retained earnings | 308M+7.7% | 286M+17.7% | 243M+33.3% | 182M+32.9% | 137M+96.7% | |
| Non-controlling interest | 14.0M+249.6% | 4.01M+64.7% | 2.43M+39.1% | 1.75M-70.6% | 5.94M+6727.6% | |
| Total equity incl. non-controlling | 793M+10.7% | 717M+16.2% | 617M+13.3% | 544M+19.9% | 454M+37.8% | |
| Total liabilities & equity | 2.22B+63.8% | 1.35B+45.2% | 933M-3.4% | 966M+11.4% | 867M+6.1% | |
| Common shares issued | 48.9M+2.0% | 47.9M+2.3% | 46.8M+0.6% | 46.6M+4.4% | 44.6M+5.6% | |
| Common shares outstanding | 48.9M+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 Flow | as ofDec 31 ’25 | as ofDec 31 ’24 | as ofDec 31 ’23 | as ofDec 31 ’22 | as ofDec 31 ’21 | |
| 115M+119.5% | 52.2M-23.5% | 68.2M-16.9% | 82.1M+16.8% | 70.3M+52.4% | ||
| Depreciation & amortization | 45.7M+63.8% | 27.9M+57.4% | 17.7M+1.2% | 17.5M+0.1% | 17.5M-4.5% | |
| Intangible amortization | 40.7M+59.0% | 25.6M+101.6% | 12.7M-7.3% | 13.7M-11.0% | 15.4M-3.8% | |
| Share-based compensation | 38.6M+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 receivables | 9.42M-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 expenditure | 10.1M+25.8% | 8.03M-71.8% | 28.5M+24.4% | 22.9M+19.3% | 19.2M+1551.5% | |
| Free cash flow | 104M+136.6% | 44.2M+11.3% | 39.7M-32.9% | 59.2M+15.8% | 51.1M+13.6% | |
| Acquisitions | 549M+275.1% | 146M+2146.0% | 6.51M-60.2% | 16.4M+532.6% | 2.58M-77.2% | |
| Proceeds from sale of PP&E | — | — | — | 0.00 | 0.00-100.0% | |
| 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 issued | 1.12B+551.2% | 172M-39.6% | 285M | 0.00 | 0.00 | |
| Long-term debt repaid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Common stock issued | 0.00 | 0.00 | 0.00 | 0.00-100.0% | 40.1M | |
| Common stock repurchased | 25.6M+2744.4% | 900K-91.2% | 10.2M+10.2% | 9.25M+61.2% | 5.74M+968.7% | |
| Dividends paid | 7.88M+95.4% | 4.04M-93.5% | 62.1M+342.4% | 14.0M-54.9% | 31.1M-39.4% | |
| Other financing activities | 2.31M+395.1% | 466K-39.4% | 769K | — | — | |
| Net change in cash | 145M+2969.6% | -5.05M-182.5% | 6.13M-88.8% | 54.9M+40.4% | 39.1M-56.5% | |
| Interest paid | 45.8M+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 Ratios | as ofDec 31 ’25 | as ofDec 31 ’24 | as ofDec 31 ’23 | as ofDec 31 ’22 | as ofDec 31 ’21 | |
| Market cap | 1.38B-22.2% | 1.77B-0.6% | 1.79B+34.4% | 1.33B-59.5% | 3.28B+324.9% | |
| P/E | 61.3×+49.2% | 41.1×+2.8% | 40.0×+84.2% | 21.7×-54.4% | 47.6×+132.3% | |
| P/S | 0.4×-50.3% | 0.9×-35.2% | 1.3×+5.8% | 1.3×-70.0% | 4.2×+277.2% | |
| P/B | 1.8×-28.9% | 2.5×-17.2% | 3.0×+14.2% | 2.6×-64.0% | 7.3×+213.6% | |
| P/FCF | 13.2×-67.1% | 40.2×+150.9% | 16.0× | — | 64.2×+274.0% | |
| Earnings yield | 1.6%-33.0% | 2.4%-2.7% | 2.5%-45.7% | 4.6%+119.2% | 2.1%-57.0% | |
| FCF yield | 7.6%+204.2% | 2.5%-60.1% | 6.2% | — | 1.6%-73.3% | |
| Dividend yield | 0.57%+151.2% | 0.23%-92.2% | 2.9%+254.2% | 0.83%+9.2% | 0.76%-85.3% | |
| Source filing | 10-K | 10-K | 10-K | 10-K/A | 10-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.
