Astrana Health (ASTH) Free Cash Flow (2010 - 2026)

Astrana Health's (ASTH) quarterly Free Cash Flow came in at $64.1 million in Q1 2026, up 372.49% year-on-year from $13.6 million in Q1 2025, and up 1176.57% quarter-over-quarter from -$5.9 million in Q4 2025.

Astrana Health (ASTH) Free Cash Flow (2010 - 2026) Analysis & Trends

Astrana Health has disclosed Free Cash Flow across 17 years of filings, most recently posting $64.1 million for Q1 2026.

  • Free Cash Flow for Q1 2026 came in at $64.1 million, up 372.49% year-over-year; the trailing twelve-month figure through Mar 2026 was $155.0 million (up 197.39% YoY), and the FY2025 annual result was $104.5 million, up 136.58% from the prior year.
  • Free Cash Flow came in at $64.1 million for Q1 2026 at Astrana Health, up from -$5.9 million in the prior quarter.
  • In the past five years, Free Cash Flow ranged from a high of $89.5 million in Q2 2025 to a low of -$17.0 million in Q3 2022.
  • The 5-year median for Free Cash Flow is $11.3 million (2023), against an average of $18.3 million.
  • Across the five-year window, Free Cash Flow soared 513.52% in 2022 and tumbled 210.1% in 2024, its largest moves.
  • Astrana Health's Free Cash Flow stood at $62.0 million in 2022, then slumped by 80.25% to $12.2 million in 2023, then sank by 210.1% to -$13.5 million in 2024, then jumped by 55.86% to -$5.9 million in 2025, then surged by 1176.57% to $64.1 million in 2026.
  • The last three Free Cash Flow figures came in at $64.1 million (Q1 2026), -$5.9 million (Q4 2025), and $7.4 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn 895.00 Mn
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 1.46 Bn
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn 218.81 Mn
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 150.70 Mn
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 90.18 Mn
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn 184.47 Mn
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 1.65 Bn
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn 71.10 Mn
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 149.82 Mn
10 Astrana Health 1.92 Bn 1.45 Bn 105.74 Mn 64.06 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 64.06 Mn
Mar 31, 2026 64.06 Mn
Dec 31, 2025 -5.95 Mn
Dec 31, 2025 -5.95 Mn
Sep 30, 2025 7.40 Mn
Sep 30, 2025 7.40 Mn
Jun 30, 2025 89.48 Mn
Jun 30, 2025 89.48 Mn
Mar 31, 2025 13.56 Mn
Mar 31, 2025 13.56 Mn
Dec 31, 2024 -13.48 Mn
Dec 31, 2024 -13.48 Mn
Sep 30, 2024 31.69 Mn
Sep 30, 2024 31.69 Mn
Jun 30, 2024 20.35 Mn
Jun 30, 2024 20.35 Mn
Mar 31, 2024 5.61 Mn
Mar 31, 2024 5.61 Mn
Dec 31, 2023 12.24 Mn
Dec 31, 2023 12.24 Mn