Astrana Health (ASTH) EV to FCF (2012 - 2026)
Astrana Health's EV to FCF came in at 17.39 for Q2 2026, up 226.0% from 5.34 a year earlier and up 456.9% from the prior quarter.
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Analysis
Astrana Health (ASTH) EV to FCF (2012 - 2026) Analysis & Trends
Over the trailing twelve months to Jun 30, 2026, Astrana Health reported EV to FCF of 2.86; for FY2025, it came in at 5.25, down 77.2% from FY2024.
- Going back by year, EV to FCF was 23.05 in FY2024 (-29.2%), 32.54 in FY2023 (+77.3%), 18.35 in FY2022 (-69.2%) and 59.66 in FY2021 (+330.1%).
- The Q2 2026 figure represents the highest quarterly EV to FCF since Q1 2025.
- Year-over-year, EV to FCF increased in two of the last eight quarters, with growth averaging 4.5%.
- The fastest year-over-year change in EV to FCF over five years came in Q3 2021 (growth of 442.5%), and the weakest in Q1 2026 (a decline of 84.1%).
- Business Quant data shows ASTH's EV to FCF at 3.12 (Q1 2026), 5.25 (Q4 2025) and 7.24 (Q3 2025) in the three quarters before Q2 2026.
Peer Set
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) |
|---|---|---|---|---|
| 1 | Unitedhealth | 356.05 Bn | 236.68 Bn | 35.71 Bn |
| 2 | Mckesson | 123.13 Bn | 104.51 Bn | 3.96 Bn |
| 3 | Cvs Health | 109.04 Bn | 57.80 Bn | 47.21 Bn |
| 4 | Elevance Health | 90.56 Bn | -52.02 Bn | 13.65 Bn |
| 5 | Cigna | 77.41 Bn | 46.27 Bn | 15.09 Bn |
| 6 | Cencora | 66.63 Bn | 55.53 Bn | 3.61 Bn |
| 7 | Cardinal Health | 63.51 Bn | 46.67 Bn | 2.60 Bn |
| 8 | Humana | 50.79 Bn | -37.07 Bn | 5.50 Bn |
| 9 | Centene | 33.94 Bn | -60.76 Bn | 9.52 Bn |
| 10 | Astrana Health | 1.65 Bn | -119.35 Mn | 104.02 Mn |
Historic Data
Download Data
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | 17.39 |
| Mar 31, 2026 | 3.12 |
| Dec 31, 2025 | 5.25 |
| Sep 30, 2025 | 7.24 |
| Jun 30, 2025 | 5.34 |
| Mar 31, 2025 | 19.70 |
| Dec 31, 2024 | 23.05 |
| Sep 30, 2024 | 31.70 |
| Jun 30, 2024 | 28.21 |
| Mar 31, 2024 | 33.25 |
| Dec 31, 2023 | 32.54 |
| Sep 30, 2023 | 10.57 |
| Jun 30, 2023 | 19.42 |
| Mar 31, 2023 | 26.34 |
| Dec 31, 2022 | 18.35 |
| Jun 30, 2022 | 36.06 |
| Mar 31, 2022 | 40.70 |
| Dec 31, 2021 | 59.66 |
| Sep 30, 2021 | 60.40 |
| Jun 30, 2021 | 44.98 |
API Access
Astrana Health EV to FCF API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=ev-to-fcf&ticker=ASTH&period=max&api_key=YOUR_API_KEYimport requests
url = "https://data.businessquant.com/historic"
params = {"slug": "ev-to-fcf", "ticker": "ASTH", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()const res = await fetch("https://data.businessquant.com/historic?slug=ev-to-fcf&ticker=ASTH&period=max&api_key=YOUR_API_KEY");
const data = await res.json();