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| Date | Value |
|---|---|
| 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 |