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| 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 |