ASTH Nasdaq Health Care Facilities Financials FY2017–FY2025
Astrana Health had $3.2B of revenue in fiscal 2025, up 56.4% on the year before. Over five years, revenue changed +35.9% a year on average.
Hi! I read Astrana Health’s latest annual report (fiscal 2025). Here is what stands out:
Good So-so Weak
Are sales growing?
+56.4%
Yes. Sales grew 56.4% last year.
Does it make a profit?
0.7%
A little. It keeps 0.7% of every sale as profit.
Does profit turn into cash?
3.3%
Partly. 3.3% of sales ends up as free cash.
Is debt under control?
4.9x
Heavy. Repaying its debt would take 4.9 years of operating profit.
How healthy are the accounts?
4 / 8
Mixed. It passes 4 of 8 health tests.
How is the share priced?
45.1x
One share costs 45.1 times its yearly profit per share. Typical for its sector: 27.9x.
Rules of thumb on reported numbers. A starting point, not a recommendation.
About these figures. Astrana's balance sheet shows a negative 'mezzanine' amount for the minority owners of Allied Physicians of California (US$235 million at the end of 2025). Total liabilities plus shareholders' equity therefore exceed total assets by that amount, as filed. In fiscal 2025 the SEC's structured data shows assets that differ from liabilities plus equity by more than 3%, so total liabilities may be incomplete.
Is it selling more, and how much does it keep?
In plain words: Every quarter, companies publish how much they sold and earned. These are the days Astrana Health did it, and the next one. Share prices often move a lot on those days.
Next results
November 5, 2026
Thursday · in 11 days
| Date | Results for | Time | Source |
|---|---|---|---|
| Aug 6, 2026 | Q2 '26 | After the market closes | 8-K ↗ |
| May 7, 2026 | Q1 '26 | After the market closes | 8-K ↗ |
| Mar 2, 2026 | Q4 '25 | Before the market opens | 8-K ↗ |
| Nov 6, 2025 | Q3 '25 | After the market closes | 8-K ↗ |
| Jul 1, 2025 | Q2 '25 | Time not announced | 8-K ↗ |
| May 8, 2025 | Q1 '25 | After the market closes | 8-K ↗ |
| Feb 27, 2025 | Q4 '24 | After the market closes | 8-K ↗ |
| Nov 7, 2024 | Q3 '24 | After the market closes | 8-K ↗ |
From SEC filings: the results press release (8-K) or, without one, the quarterly or annual report.
KIRA · Astrana Health had $3.2B of revenue in fiscal 2025, up 56.4% on the year before. Over five years, revenue changed +35.9% a year on average. Its operating margin was 2.5%, down 1.9 pts: of every 100 in sales, about 2 is left after running the business.
In plain words: Revenue is all the money customers paid. The margins show how many cents of each dollar of sales are left over at each step: after making the product (gross), after running the business (operating) and after everything, tax included (net).
KIRA · Astrana Health made $22.5M of net profit in fiscal 2025. From fiscal 2017 to 2025, diluted EPS grew −8.0% a year.
Loss periods are shown in red.
In plain words: Net income is the profit left after every cost and tax. Earnings per share (EPS) splits that profit across every share, so it shows what one share earned.
How much cash comes in, and where does it go?
KIRA · Free cash flow was $104M in fiscal 2025, 3.3% of revenue.
Cash from operations minus capital spending.
In plain words: Profit on paper is not the same as cash in the bank. Free cash flow is the cash left after paying to run and maintain the business: the money it can hand back to shareholders, save or invest.
KIRA · Astrana Health returned $33.5M to shareholders in fiscal 2025, 32% of free cash flow. The diluted share count rose 2.9%.
In plain words: Companies hand cash back in two ways: dividends (cash paid to shareholders) and buybacks (buying back their own shares, so each remaining share owns a bigger slice).
KIRA · No open-market insider trades in the last 12 months.
Open-market purchases and sales by officers, directors and 10% owners, from Form 4 filings. “Plan” marks trades under a pre-arranged Rule 10b5-1 plan.
In plain words: Insiders are the people who run or own a big part of the company. Buying with their own money can signal confidence; selling often has personal reasons, like taxes or diversifying.
Bought, 12 months
$0.0M
0 insiders
Sold, 12 months
$0.0M
0 insiders
Of sales under plans
—
$0.0M
No open-market insider trades in the last 12 months.
Can it carry its debts, and how well does it use its money?
KIRA · Astrana Health owes $609M more than it holds in cash, about 4.9 years of operating profit.
Cash, debt and the ratios that show how comfortably Astrana Health can carry it.
In plain words: What the company owns and what it owes. More cash than debt is a cushion for bad times; a lot of debt leaves less room when business slows down.
| Fiscal year end | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| Cash and short-term investments | $287M | $294M | $296M | $291M | $430M |
| Debt incl. finance leases | $185M | $206M | $280M | $436M | $1.0B |
| Net debt / EBITDA | −0.9x | −0.7x | −0.2x | 1.2x | 4.9x |
| Debt / equity | 0.4x | 0.4x | 0.5x | 0.6x | 1.3x |
| Interest coverage | 18.2x | 13.2x | 5.3x | 2.7x | 1.6x |
| Current ratio | 3.5x | 2.9x | 2.1x | 1.8x | 1.4x |
| Quick ratio | 3.5x | 2.9x | 2.1x | 1.8x | 1.4x |
| Total assets | $867M | $966M | $933M | $1.4B | $2.2B |
| Total liabilities | $357M | $408M | $523M | $841M | $1.7B |
| Shareholders' equity | $448M | $543M | $614M | $713M | $779M |
| Net debt (− = net cash) | −$101M | −$87.7M | −$16.2M | $145M | $609M |
KIRA · Its return on capital was 4.2%: every 100 invested in the business earned about 4 in a year.
After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.
In plain words: How much profit the business makes on the money put into it. A higher percentage means each dollar invested works harder.
KIRA · Astrana Health passes 4 of 8 financial health tests (Piotroski F-score).
Nine pass/fail tests of profitability, funding and efficiency. 8–9 is strong, 0–2 weak.
In plain words: Nine yes/no tests of financial health, one point each. A green tick is a pass: 7 to 9 points is solid, 0 to 3 is weak.
| Test | FY23 | FY24 | FY25 |
|---|---|---|---|
| Net income is positive | ✓ | ✓ | ✓ |
| Cash from operations is positive | ✓ | ✓ | ✓ |
| Return on assets rose | ✓ | ✕ | ✕ |
| Cash from operations exceeds net income | ✓ | ✓ | ✓ |
| Debt fell relative to assets | ✕ | ✕ | ✕ |
| Current ratio rose | ✕ | ✕ | ✕ |
| Share count didn't rise | ✕ | ✕ | ✕ |
| Gross margin rose | — | — | — |
| Revenue rose relative to assets | ✓ | ✓ | ✓ |
| F-score | 5 / 8 | 4 / 8 | 4 / 8 |
| Accruals ratio | −0.8% | −0.8% | −5.2% |
| Altman Z'' | 4.40 | 3.35 | 1.93 |
What does the share cost, and how does it compare?
KIRA · At $37.45 a share, the company is worth $1.9B: 45.1 times its earnings of the last four quarters.
Change the assumptions and see what they imply per share. These are models, not forecasts or price targets — the answer depends entirely on what you put in.
In plain words: Move the sliders to try your own guesses about growth. The result is what one share would be worth if those guesses came true. Different guesses give very different answers.
Value per share
—
Adds net cash of −$609M and divides by 49.4M diluted shares. Ten years of cash flows plus a terminal value, discounted to today.
Value per share
—
Reference multiples: today 45.1x · peers 24.4x · sector 27.9x.
KIRA · Astrana Health grew sales faster than 4 of its 4 similar companies. Its P/E is higher than 3 of 3.
Each company’s latest fiscal year. Fiscal years end in different months, so periods don’t line up exactly.
In plain words: The same numbers for similar companies, so you can tell whether a figure is high or low for this kind of business.
| Company | Market cap | Growth | Op. margin | FCF margin | ROIC | P/E | F-score | |
|---|---|---|---|---|---|---|---|---|
| Astrana Health ASTH | $1.9B | 56.4% | 2.5% | 3.3% | 4.2% | 45.1x | 4 | |
| Acadia Healthcare ACHC | $2.9B | 5.0% | — | −13.3% | −16.0% | — | 4 | Compare → |
| Ensign Group ENSG | $10.4B | 18.7% | 8.4% | — | 19.7% | 27.5x | 6 | Compare → |
| Option Care Health OPCH | $4.9B | 13.0% | 6.0% | 3.8% | 11.4% | 24.4x | 5 | Compare → |
| Encompass Health EHC | $12.4B | 10.5% | — | 7.4% | 15.8% | 20.2x | 8 | Compare → |
Every number, year by year.
Amounts in USD. Hover a ratio’s name for its definition.
In plain words: Every number we have, year by year. Download it as a spreadsheet if you want to dig deeper.
| Fiscal year | FY17 | FY18 | FY19 | FY20 | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|---|---|---|---|
| Income statement | |||||||||
| Revenue | $356M | $520M | $561M | $687M | $774M | $1.1B | $1.4B | $2.0B | $3.2B |
| Gross profit | $82.9M | $159M | $92.8M | $148M | $178M | — | — | — | — |
| Operating income | $35.1M | $88.4M | $32.4M | $80.5M | $98.2M | $104M | $84.6M | $89.3M | $78.5M |
| Interest expense | $0.1M | $0.6M | $4.7M | $9.5M | $5.4M | $7.9M | $16.1M | $33.1M | $49.9M |
| Pretax income | $49.7M | $82.6M | $25.8M | $178M | $77.7M | $86.6M | $89.8M | $80.8M | $39.6M |
| Income tax | $3.9M | $22.4M | $8.2M | $56.3M | $31.7M | $40.9M | $32.0M | $30.9M | $15.5M |
| Net income | $25.8M | $10.8M | $14.1M | $37.7M | $68.9M | $45.2M | $60.7M | $43.1M | $22.5M |
| Diluted EPS | $0.90 | $0.29 | $0.39 | $1.01 | $1.52 | $0.99 | $1.29 | $0.90 | $0.46 |
| Diluted shares | 0.03B | 0.04B | 0.04B | 0.04B | 0.05B | 0.05B | 0.05B | 0.05B | 0.05B |
| Cash flow | |||||||||
| Cash from operations | $51.8M | $25.5M | $13.7M | $46.2M | $70.3M | $82.1M | $68.2M | $52.2M | $115M |
| Capital expenditure | $2.1M | $1.2M | $1.0M | $1.2M | $19.2M | $22.9M | $28.5M | $8.0M | $10.1M |
| Free cash flow | $49.8M | $24.3M | $12.6M | $45.0M | $51.1M | $59.2M | $39.7M | $44.2M | $104M |
| Depreciation and amortization | $19.1M | $19.3M | $18.3M | $18.3M | $17.5M | $17.5M | $17.7M | $27.9M | $45.7M |
| Stock-based compensation | $2.7M | $1.4M | $1.5M | $3.4M | $6.7M | $16.1M | $22.0M | $34.5M | $38.6M |
| Acquisitions | $0.0M | $0.0M | $49.4M | $11.4M | $2.6M | $16.4M | $6.5M | $146M | $549M |
| Share buybacks | $3.2M | $5.0M | $7.6M | $0.5M | $5.7M | $9.2M | $10.2M | $0.9M | $25.6M |
| Dividends paid | $10.4M | $17.8M | $61.7M | $51.3M | $31.1M | $14.0M | $62.1M | $4.0M | $7.9M |
| Dividends and buybacks | $13.6M | $22.8M | $69.3M | $51.9M | $36.8M | $23.3M | $72.3M | $4.9M | $33.5M |
| Balance sheet | |||||||||
| Cash and short-term investments | $101M | $108M | $220M | $261M | $287M | $294M | $296M | $291M | $430M |
| Total debt | — | $0.0M | $232M | $241M | $184M | $204M | $278M | $435M | $1.0B |
| Finance lease liabilities | $0.0M | $0.0M | $0.5M | $0.4M | $1.5M | $1.9M | $1.7M | $1.2M | $0.0M |
| Current assets | $144M | $173M | $329M | $339M | $405M | $428M | $462M | $639M | $863M |
| Current liabilities | $110M | $72.0M | $105M | $115M | $115M | $149M | $219M | $366M | $615M |
| Inventory | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M |
| Property and equipment, net | $13.8M | $12.7M | $12.1M | $29.9M | $53.2M | $109M | $7.2M | $14.3M | $57.3M |
| Total assets | $491M | $513M | $729M | $818M | $867M | $966M | $933M | $1.4B | $2.2B |
| Total liabilities | $154M | $106M | $368M | $372M | $357M | $408M | $523M | $841M | $1.7B |
| Shareholders' equity | $160M | $181M | $192M | $331M | $448M | $543M | $614M | $713M | $779M |
| Margins | |||||||||
| Gross margin | 23.3% | 30.5% | 16.6% | 21.5% | 23.0% | — | — | — | — |
| Operating margin | 9.9% | 17.0% | 5.8% | 11.7% | 12.7% | 9.1% | 6.1% | 4.4% | 2.5% |
| EBITDA margin | 15.2% | 20.7% | 9.0% | 14.4% | 15.0% | 10.7% | 7.4% | 5.8% | 3.9% |
| Net margin | 7.2% | 2.1% | 2.5% | 5.5% | 8.9% | 4.0% | 4.4% | 2.1% | 0.7% |
| FCF margin | 14.0% | 4.7% | 2.3% | 6.6% | 6.6% | 5.2% | 2.9% | 2.2% | 3.3% |
| Returns | |||||||||
| Return on capital | — | — | 15.9% | 21.4% | 17.6% | 13.6% | 10.3% | 7.6% | 4.2% |
| Return on capital employed | 17.9% | 21.5% | 6.1% | 12.1% | 13.5% | 13.3% | 11.0% | 10.5% | 6.1% |
| Return on equity | 32.5% | 6.4% | 7.6% | 14.4% | 17.7% | 9.1% | 10.5% | 6.5% | 3.0% |
| Return on assets | 10.1% | 2.2% | 2.3% | 4.9% | 8.2% | 4.9% | 6.4% | 3.8% | 1.3% |
| Growth | |||||||||
| Revenue growth | 709.0% | 45.9% | 7.8% | 22.6% | 12.6% | 47.8% | 21.2% | 46.7% | 56.4% |
| Net income growth | — | −58.0% | 30.3% | 167.0% | 82.9% | −34.5% | 34.4% | −28.9% | −47.9% |
| EPS growth | — | −67.8% | 34.5% | 159.0% | 50.5% | −34.9% | 30.3% | −30.2% | −48.9% |
| FCF growth | — | −51.1% | −48.1% | 256.3% | 13.6% | 15.8% | −32.9% | 11.3% | 136.6% |
| Share count change | 449.8% | 32.3% | −4.0% | 2.9% | 21.2% | 0.4% | 2.9% | 2.2% | 2.9% |
| Financial health | |||||||||
| Net debt / EBITDA | — | −1.0x | 0.3x | −0.2x | −0.9x | −0.7x | −0.2x | 1.2x | 4.9x |
| Debt / equity | — | 0.0x | 1.2x | 0.7x | 0.4x | 0.4x | 0.5x | 0.6x | 1.3x |
| Interest coverage | 441.0x | 157.6x | 6.9x | 8.5x | 18.2x | 13.2x | 5.3x | 2.7x | 1.6x |
| Current ratio | 1.3x | 2.4x | 3.1x | 2.9x | 3.5x | 2.9x | 2.1x | 1.8x | 1.4x |
| Quick ratio | 1.3x | 2.4x | 3.1x | 2.9x | 3.5x | 2.9x | 2.1x | 1.8x | 1.4x |
| Capital allocation | |||||||||
| Capex / revenue | 0.6% | 0.2% | 0.2% | 0.2% | 2.5% | 2.0% | 2.1% | 0.4% | 0.3% |
| Stock comp / revenue | 0.8% | 0.3% | 0.3% | 0.5% | 0.9% | 1.4% | 1.6% | 1.7% | 1.2% |
| Payouts / FCF | 27.4% | 93.8% | 548.6% | 115.2% | 72.1% | 39.3% | 182.0% | 11.2% | 32.1% |
| Quality scores | |||||||||
| Piotroski F-score | — | — | 6.0 | 6.0 | 8.0 | 4.0 | 5.0 | 4.0 | 4.0 |
| Altman Z'' | 2.1 | 4.4 | 3.0 | 3.7 | 4.8 | 4.6 | 4.4 | 3.4 | 1.9 |
| Accruals ratio | −10.2% | −2.9% | 0.1% | −1.1% | −0.2% | −4.0% | −0.8% | −0.8% | −5.2% |
Source: SEC EDGAR XBRL filings (CIK 0001083446). Data updated October 22, 2026. Quarterly fourth quarters are the full year minus the first nine months. For information only — not investment advice. Check the original filings before relying on any figure.
