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

Astrana Health (ASTH) posted Free Cash Flow of $64.1 million for Q1 2026, up 1176.57% sequentially from -$5.9 million in Q4 2025, and up 372.49% YoY from $13.6 million in Q1 2025.

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

Astrana Health (ASTH) has 17 years of Free Cash Flow data on file, last reported at $64.1 million in Q1 2026.

  • Quarterly Free Cash Flow rose 372.49% year-over-year to $64.1 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $155.0 million (up 197.39% YoY) and the FY2025 annual result came in at $104.5 million, up 136.58% from the prior year.
  • Free Cash Flow rose to $64.1 million in Q1 2026 per ASTH's latest filing, from -$5.9 million in the prior quarter.
  • The five-year high for Free Cash Flow was $89.5 million in Q2 2025, with the low at -$17.0 million in Q3 2022.
  • Average Free Cash Flow over 5 years is $18.3 million, with a median of $11.3 million recorded in 2023.
  • Year-over-year, Free Cash Flow jumped 513.52% in 2022 and sank 210.1% in 2024.
  • Astrana Health's Free Cash Flow stood at $62.0 million in 2022, then tumbled by 80.25% to $12.2 million in 2023, then slumped 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.
  • Business Quant data shows ASTH's Free Cash Flow at $64.1 million in Q1 2026, -$5.9 million in Q4 2025, and $7.4 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF (Qtr)
1 HCA Healthcare 87.94 Bn 90.32 Bn 16.26 Bn 895.00 Mn
2 Chemed 18.08 Bn 18.07 Bn 215.76 Mn 71.10 Mn
3 Tenet Healthcare 16.59 Bn 15.76 Bn 4.41 Bn 1.46 Bn
4 Davita 15.37 Bn 16.23 Bn 1.07 Bn 218.81 Mn
5 Encompass Health 10.07 Bn 10.70 Bn 1.34 Bn 150.70 Mn
6 Ensign 9.52 Bn 8.93 Bn 293.37 Mn 90.18 Mn
7 Universal Health Services 9.19 Bn 9.15 Bn 3.21 Bn 184.47 Mn
8 Pacs 6.96 Bn 6.72 Bn 345.96 Mn 149.82 Mn
9 Ww International 6.14 Bn 5.98 Bn -149.29 Mn -40.53 Mn
10 Astrana Health 2.44 Mn -461.02 Mn 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