Astrana Health (ASTH) Free Cash Flow (2010 - 2026)
Astrana Health's Free Cash Flow came in at $28.87 million for Q2 2026, down 67.7% from $89.48 million a year earlier and down 54.9% from the prior quarter.
Astrana Health (ASTH) Free Cash Flow (2010 - 2026) Analysis & Trends
Over the trailing twelve months to Jun 30, 2026, Astrana Health reported Free Cash Flow of $94.38 million, down 22.2% year-over-year; for FY2025, it was $104.49 million, up 136.6% from FY2024.
- Free Cash Flow carries a five-year compound annual growth rate of 18.4% (FY2020 to FY2025).
- Going back by year, Free Cash Flow was $44.17 million in FY2024 (+11.3%), $39.7 million in FY2023 (-32.9%), $59.19 million in FY2022 (+15.8%) and $51.11 million in FY2021 (+13.6%).
- The five-year range for quarterly Free Cash Flow is -$39.08 million (Q3 2022) to $89.48 million (Q2 2025).
- Year-over-year, Free Cash Flow increased in four of the last six quarters, with growth averaging 148.3%.
- The fastest year-over-year change in Free Cash Flow over five years came in Q1 2026 (growth of 372.5%), and the weakest in Q4 2023 (a decline of 85.4%).
- Business Quant data shows ASTH's Free Cash Flow at $64.06 million (Q1 2026), -$5.95 million (Q4 2025) and $7.4 million (Q3 2025) in the three quarters before Q2 2026.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | FCF (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 332.42 Bn | 217.05 Bn | 36.67 Bn | 10.25 Bn |
| 2 | Cvs Health | 109.55 Bn | 62.16 Bn | 47.23 Bn | 5.65 Bn |
| 3 | Mckesson | 99.61 Bn | 86.08 Bn | 3.69 Bn | -332.00 Mn |
| 4 | Elevance Health | 84.30 Bn | -57.44 Bn | 13.45 Bn | 1.63 Bn |
| 5 | Cigna | 71.83 Bn | 41.37 Bn | 14.97 Bn | -718.00 Mn |
| 6 | Cencora | 57.33 Bn | 46.42 Bn | 3.61 Bn | 2.43 Bn |
| 7 | Cardinal Health | 51.76 Bn | 35.76 Bn | 2.56 Bn | 1.43 Bn |
| 8 | Humana | 45.82 Bn | -41.98 Bn | 5.50 Bn | 1.83 Bn |
| 9 | Centene | 30.70 Bn | -59.59 Bn | 14.55 Bn | 3.42 Bn |
| 10 | Astrana Health | 1.75 Bn | -263.36 Mn | 104.02 Mn | 28.87 Mn |
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | 28.87 Mn |
| Mar 31, 2026 | 64.06 Mn |
| Dec 31, 2025 | -5.95 Mn |
| Sep 30, 2025 | 7.40 Mn |
| Jun 30, 2025 | 89.48 Mn |
| Mar 31, 2025 | 13.56 Mn |
| Dec 31, 2024 | -13.48 Mn |
| Sep 30, 2024 | 31.69 Mn |
| Jun 30, 2024 | 20.35 Mn |
| Mar 31, 2024 | 5.61 Mn |
| Dec 31, 2023 | 12.24 Mn |
| Sep 30, 2023 | 11.30 Mn |
| Jun 30, 2023 | 14.46 Mn |
| Mar 31, 2023 | 1.69 Mn |
| Dec 31, 2022 | 84.05 Mn |
| Sep 30, 2022 | -39.08 Mn |
| Jun 30, 2022 | 7.67 Mn |
| Mar 31, 2022 | 6.55 Mn |
| Dec 31, 2021 | -14.99 Mn |
| Sep 30, 2021 | 42.18 Mn |
Astrana Health Free Cash Flow 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=free-cash-flow&ticker=ASTH&period=max&api_key=YOUR_API_KEY
import requests
url = "https://data.businessquant.com/historic"
params = {"slug": "free-cash-flow", "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=free-cash-flow&ticker=ASTH&period=max&api_key=YOUR_API_KEY");
const data = await res.json();