ASTH · XBRL financial data
Astrana Health financial statements, every fiscal year
The same tables from 9 filings, lined up. Matched by XBRL tag: renamed lines keep their history.
How these numbers work
- Every number comes from the company's XBRL financial data filed with the SEC, and each one links to its filing.
- Lines are matched by XBRL tag, so a line renamed between filings keeps its history.
- * marks a quarter worked out from the filing totals: the 10-K year minus the first three quarters, or a year-to-date total minus the earlier one. Fourth-quarter earnings per share is fourth-quarter net income over the fourth-quarter weighted shares.
- 0 means a filing states zero; a dash (—) means no filing states that number.
- “year only” means the 10-K gives the full year but not the quarters needed to work out the fourth. A worked-out quarter of revenue, cost of revenue or operating cash flow more than twice the company's largest quarter of the two years before is shown this way too.
- Gross profit is shown as the company reports it; a worked-out quarter must equal revenue less cost of revenue for that quarter, or it is a dash.
- Operating income can be above gross profit when the company books other operating income between the two, shown on its own line.
- Shares outstanding come from each filing's cover page, as of the date printed there.
- Quarters are fiscal: Q2 FY27 is the second quarter of the company's fiscal 2027.
Income statement
CSVFiscal years (ASTH's year ends in late December)
| In millions of dollars | Dec 31, 2020 | Dec 31, 2021 | Dec 31, 2022 | Dec 31, 2023 | Dec 31, 2024 | Dec 31, 2025 |
|---|---|---|---|---|---|---|
| Revenue from contracts with customers | 687 | 774 | 1,144 | 1,387 | 2,035 | 3,182 |
| Cost of goods and services sold | 539 | 596 | — | — | — | — |
| General and administrative | 49 | 62 | 78 | 113 | 154 | 217 |
| Operating income (loss) | 81 | 98 | 104 | 85 | 89 | 79 |
| Interest income | 3 | 2 | 2 | 14 | 15 | 12 |
| Interest expense | 9 | 5 | 8 | 16 | 33 | 50 |
| Other income (expense) | 1 | (4) | 4 | 6 | 5 | (3) |
| Income tax expense (benefit) | 56 | 28 | 41 | 32 | 31 | 16 |
| Net income (loss) | 38 | 74 | 45 | 61 | 43 | 22 |
| Earnings per share, basic USD per share | 1.04 | 1.69 | 1.00 | 1.30 | 0.91 | 0.46 |
| Earnings per share, diluted USD per share | 1.01 | 1.63 | 0.99 | 1.29 | 0.90 | 0.46 |
| Weighted average shares, basic millions of shares | 37 | 44 | 45 | 47 | 48 | 49 |
| Weighted average shares, diluted millions of shares | 37 | 45 | 46 | 47 | 48 | 49 |
Balance sheet
CSVFiscal years (ASTH's year ends in late December)
| In millions of dollars | Dec 31, 2020 | Dec 31, 2021 | Dec 31, 2022 | Dec 31, 2023 | Dec 31, 2024 | Dec 31, 2025 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 193 | 233 | 288 | 294 | 288 | 429 |
| Marketable securities | 68 | 53 | 6 | 2 | 2 | — |
| Accounts receivable | 7 | 11 | 50 | — | 276 | 374 |
| Prepaid and other current assets | 17 | 19 | 15 | 17 | 23 | 26 |
| Total current assets | 339 | 399 | 428 | 462 | 638 | 863 |
| Property and equipment, net | — | — | — | — | 14 | 57 |
| Right-of-use asset | 19 | 15 | 20 | 37 | 33 | 36 |
| Goodwill | 239 | 253 | 269 | 279 | 419 | 865 |
| Total assets | 817 | 852 | 966 | 933 | 1,355 | 2,219 |
| Accounts payable | 10 | 10 | — | — | — | — |
| Current portion of long-term debt | 11 | 1 | 1 | 20 | 9 | 48 |
| Total current liabilities | 115 | 115 | 149 | 219 | 366 | 615 |
| Long-term debt | 230 | 183 | 203 | 259 | 425 | 991 |
| Lease liability, non-current | 16 | 13 | 20 | 36 | 31 | 32 |
| Total liabilities | 372 | 336 | 408 | 523 | 841 | 1,660 |
| Retained earnings | 70 | 144 | 182 | 243 | 286 | 308 |
| Total stockholders' equity | 331 | 455 | 543 | 614 | 713 | 779 |
| Total liabilities and equity | 817 | 852 | 966 | 933 | 1,355 | 2,219 |
| Common shares outstanding (cover page) millions of shares | 55 | 56 | 57 | 55 | 56 | 56 |
Cash flows
CSVFiscal years (ASTH's year ends in late December)
| In millions of dollars | Dec 31, 2020 | Dec 31, 2021 | Dec 31, 2022 | Dec 31, 2023 | Dec 31, 2024 | Dec 31, 2025 |
|---|---|---|---|---|---|---|
| Net income (loss) | 38 | 74 | 45 | 61 | 43 | 22 |
| Stock-based compensation | 3 | 7 | 16 | 22 | 35 | 39 |
| Depreciation and amortization | 18 | 18 | 18 | 18 | 28 | 46 |
| Net cash from operating activities | 46 | 70 | 82 | 68 | 52 | 115 |
| Purchases of property and equipment | 1 | 19 | 23 | 29 | 8 | 10 |
| Net cash from investing activities | 95 | 17 | (7) | (66) | (192) | (539) |
| Proceeds from issuing common stock | 0 | 40 | 0 | 0 | — | — |
| Share repurchases | 1 | 6 | 9 | 10 | 1 | 26 |
| Dividends paid | 51 | 31 | 14 | 62 | 4 | 8 |
| Repayments of long-term debt | 0 | — | — | — | — | — |
| Net cash from financing activities | (52) | (48) | (20) | 3 | 135 | 569 |
| Net change in cash | 90 | 39 | 55 | 6 | (5) | 145 |
Compare with peers
SIC 8742 and related industry codes, similar size. Each row is the latest quarter reported.
How peers are chosen
- SIC 8742 and related industry codes with public float (or, where float is missing, quarterly revenue) between 0.2x and 5x the company's.
- Each row is the latest quarter the company has reported, named in the Quarter column; when that filing is a 10-K, it is the fourth quarter, never the full year.
- Runway shows only for companies burning cash with under $10B of public float.
- * marks a quarter worked out from the filing totals: for a 10-Q, the year-to-date total less the earlier one.
| Company | Cash ($M) | Revenue, quarter ($M) | Operating cash flow, quarter ($M) | Shares outstanding | Runway | Quarter |
|---|---|---|---|---|---|---|
| Astrana Health | 401 | 973 | 33* | 55.7M | — | 10-QJun 30, 2026 |
| Evolent Health | 116 | 653 | (9.3)* | 113.1M | 12.4 quarters | 10-QJun 30, 2026 |
| ICF International | 4.6 | 474 | 100* | 17.9M | — | 10-QJun 30, 2026 |
| Onterris | 13 | 187 | 6.2* | 35.1M | — | 10-QJun 30, 2026 |
| V2X | 265 | 1,271 | 67* | 31.4M | — | 10-QOct 2, 2026 |
| Premier | 43 | 240 | 16 | 82.7M | — | 10-QSep 30, 2025 |
| TSS | 68 | 35 | 7.6* | 28.2M | — | 10-Q/AJun 30, 2026 |
| Huron Consulting Group | 26 | 491 | 57* | 15.8M | — | 10-QSep 30, 2026 |
| Hackett Group | 14 | 69 | 15* | 24.9M | — | 10-QJun 26, 2026 |
Not investment advice. Not affiliated with the U.S. SEC.