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

Astrana Health's (ASTH) quarterly Net Cash Flow came in at $49.3 million in Q1 2026, up 264.52% year-on-year from $13.5 million in Q1 2025, and up 262.66% quarter-over-quarter from -$30.3 million in Q4 2025.

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

Astrana Health has disclosed Net Cash Flow across 17 years of filings, most recently posting $49.3 million for Q1 2026.

  • Net Cash Flow for Q1 2026 came in at $49.3 million, up 264.52% year-over-year; the trailing twelve-month figure through Mar 2026 was $224.1 million (up 393.84% YoY), and the FY2025 annual result was $144.9 million, up 2969.61% from the prior year.
  • Net Cash Flow came in at $49.3 million for Q1 2026 at Astrana Health, up from -$30.3 million in the prior quarter.
  • In the past five years, Net Cash Flow ranged from a high of $124.0 million in Q3 2025 to a low of -$59.5 million in Q4 2024.
  • The 5-year median for Net Cash Flow is $4.8 million (2022), against an average of $14.7 million.
  • Across the five-year window, Net Cash Flow plunged 399.7% in 2024 and jumped 955.93% in 2025, its largest moves.
  • Astrana Health's Net Cash Flow stood at $104.0 million in 2022, then slumped by 80.9% to $19.9 million in 2023, then tumbled by 399.7% to -$59.5 million in 2024, then jumped by 49.14% to -$30.3 million in 2025, then surged by 262.66% to $49.3 million in 2026.
  • The last three Net Cash Flow figures came in at $49.3 million (Q1 2026), -$30.3 million (Q4 2025), and $124.0 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 HCA Healthcare 83.85 Bn 86.23 Bn 16.26 Bn -98.00 Mn
2 Tenet Healthcare 14.98 Bn 14.15 Bn 4.41 Bn 84.00 Mn
3 Davita 13.99 Bn 14.84 Bn 1.07 Bn -31.60 Mn
4 Encompass Health 9.72 Bn 10.34 Bn 1.34 Bn 60.50 Mn
5 Ensign 8.90 Bn 8.31 Bn 293.37 Mn 35.62 Mn
6 Universal Health Services 8.59 Bn 8.55 Bn 3.21 Bn -17.85 Mn
7 Fresenius Medical Care AG 7.67 Bn 5.29 Bn -4.26 Bn 436.96 Mn
8 Chemed 5.97 Bn 5.96 Bn 215.76 Mn -57.66 Mn
9 Pacs 5.74 Bn 5.50 Bn 345.96 Mn 41.66 Mn
10 Astrana Health 1.92 Bn 1.45 Bn 105.74 Mn 49.25 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 49.25 Mn
Mar 31, 2026 49.25 Mn
Dec 31, 2025 -30.28 Mn
Dec 31, 2025 -30.28 Mn
Sep 30, 2025 123.98 Mn
Sep 30, 2025 123.98 Mn
Jun 30, 2025 81.19 Mn
Jun 30, 2025 81.19 Mn
Mar 31, 2025 -29.94 Mn
Mar 31, 2025 -29.94 Mn
Dec 31, 2024 -59.54 Mn
Dec 31, 2024 -59.54 Mn
Sep 30, 2024 22.68 Mn
Sep 30, 2024 22.68 Mn
Jun 30, 2024 -9.49 Mn
Jun 30, 2024 -9.49 Mn
Mar 31, 2024 41.29 Mn
Mar 31, 2024 41.29 Mn
Dec 31, 2023 19.87 Mn
Dec 31, 2023 19.87 Mn