ASTH · CIK 0001083446
ASTRANA HEALTH, INC.
Annual figures as reported, FY2014–FY2025. Ratios and growth rates derived on-page.
Services-Management Consulting Services
Company profile
Revenue
$3.2B
▲ +56.4% vs FY2024
Net income
$22.5M
▼ −47.9% vs FY2024
Free cash flow
$104.5M
▲ +136.6% vs FY2024
Diluted EPS
$0.46
▼ −48.9% vs FY2024
Revenue
Annual, as reported
Net income
Losses shown in terracotta
Recent quarters
momentum · last 12 quartersRevenue — Mar ’26 quarter
$965.1M
▲ +55.6% vs Mar ’25
Net income — Mar ’26 quarter
$14.4M
▲ +115.7% vs Mar ’25
Revenue — trailing 12 months
$3.5B
▲ +56.7% vs Mar ’25
Diluted EPS — trailing 12 months
$0.61
▼ −16.4% vs Mar ’25
Quarterly revenue
Discrete quarters; Q4 derived from the annual figure
Quarterly net income
Losses shown in terracotta
| Quarter | Revenue | Rev. YoY | Gross margin | Net income | Net margin | Diluted EPS |
|---|---|---|---|---|---|---|
| Mar ’26 | $965.1M | 55.6% | — | $14.4M | 1.5% | $0.29 |
| Dec ’25 | $950.5M | 42.9% | — | $6.0M | 0.6% | $0.12 |
| Sep ’25 | $956.0M | 99.7% | — | $373K | 0.0% | $0.01 |
| Jun ’25 | $654.8M | 34.7% | — | $9.4M | 1.4% | $0.19 |
| Mar ’25 | $620.4M | 53.4% | — | $6.7M | 1.1% | $0.14 |
| Dec ’24 | $665.2M | 88.4% | — | −$7.0M | −1.0% | −$0.14 |
| Sep ’24 | $478.7M | 37.5% | — | $16.1M | 3.4% | $0.33 |
| Jun ’24 | $486.3M | 39.6% | — | $19.2M | 3.9% | $0.40 |
Profitability & returns
quality of earningsMargins
Share of revenue kept at each line
Operating marginNet margin
Returns on capital
Net income vs year-end equity and assets
Return on equityReturn on assets
Cash flow
cash generationFree cash flow
Operating cash flow less capital expenditure
Operating cash flow
Net cash from operations
Shareholder returns
capital allocationCapital returned
Cash paid out as dividends and share repurchases
Dividends paidBuybacks
Diluted shares outstanding
Falling count means buybacks outpace dilution
Balance sheet
financial positionStockholders’ equity
At fiscal year end
Net debt
Long-term debt less cash — negative means net cash
Growth rates
compounding, annualizedRevenue CAGR
+40.6%
3y
+35.9%
5y
+57.9%
10y
Net income CAGR
−20.7%
3y
−9.8%
5y
Diluted EPS CAGR
−22.5%
3y
−14.6%
5y
Free cash flow CAGR
+20.9%
3y
+18.4%
5y
Share count change (split-adjusted)
+31.8%
5y
Key ratios
derived per fiscal year| Fiscal year | Op. margin | Net margin | FCF margin | ROE | ROA | Current ratio | Debt / equity |
|---|---|---|---|---|---|---|---|
| FY2025 | 2.5% | 0.7% | 3.3% | 2.9% | 1.0% | 1.40× | 1.27× |
| FY2024 | 4.4% | 2.1% | 2.2% | 6.1% | 3.2% | 1.75× | 0.60× |
| FY2023 | 6.1% | 4.4% | 2.9% | 9.9% | 6.5% | 2.11× | 0.42× |
| FY2022 | 9.1% | 3.9% | 5.2% | 9.6% | 4.9% | 2.86× | 0.43× |
| FY2021 | 12.7% | 8.9% | 6.6% | 19.9% | 8.2% | 3.85× | 0.53× |
| FY2020 | 11.7% | 5.5% | 6.5% | 11.4% | 4.6% | 2.94× | 0.70× |
| FY2019 | 5.8% | 2.5% | 2.3% | 7.3% | — | 3.12× | 1.21× |
| FY2018 | 17.0% | 2.1% | 4.7% | 6.0% | — | 2.40× | 0.00× |
| FY2017 | −3.0% | −2.5% | 14.5% | −3317.6% | — | — | — |
| FY2016 | −16.5% | −21.2% | 49.2% | −634.1% | — | — | — |
| FY2015 | — | — | — | — | — | — | — |
| FY2014 | — | — | — | — | — | — | — |
Annual figures
as reported| Fiscal year | Revenue | Gross profit | Op. income | Net income | Diluted EPS | Op. cash flow | Capex | Total assets | Liabilities | Equity | Cash | LT debt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FY2025 | $3.2B | — | $78.5M | $22.5M | $0.46 | $114.6M | $10.1M | $2.2B | $1.7B | $779.3M | $429.5M | $990.9M |
| FY2024 | $2.0B | — | $89.3M | $43.1M | $0.90 | $52.2M | $8.0M | $1.4B | $840.7M | $712.7M | $288.5M | $425.3M |
| FY2023 | $1.4B | — | $84.6M | $60.7M | $1.29 | $68.2M | $28.5M | $933.4M | $522.6M | $614.2M | $293.8M | $258.9M |
| FY2022 | $1.1B | — | $104.3M | $45.2M | $0.99 | $82.1M | $22.9M | $922.7M | $397.0M | $472.6M | $288.0M | $203.4M |
| FY2021 | $773.9M | — | $98.2M | $68.9M | $1.52 | $70.3M | $19.2M | $843.1M | $382.3M | $347.0M | $233.1M | $182.9M |
| FY2020 | $687.2M | — | $80.5M | $37.7M | $1.01 | $46.2M | $1.2M | $817.5M | $372.3M | $330.8M | $193.5M | $230.2M |
| FY2019 | $560.6M | — | $32.4M | $14.1M | $0.39 | $13.7M | $1.0M | — | — | $192.3M | $103.2M | $232.2M |
| FY2018 | $519.9M | — | $88.4M | $10.8M | $0.29 | $25.5M | $1.2M | — | — | $181.5M | $106.9M | $0 |
| FY2017 | $356.4M | — | −$10.5M | −$9.0M | $0.90 | $51.8M | $298K | — | — | $270K | $8.7M | — |
| FY2016 | $44.0M | — | −$7.3M | −$9.3M | $0.41 | $21.9M | $262K | — | — | $1.5M | $9.3M | — |
| FY2015 | $33.0M | — | — | — | −$0.37 | −$272K | — | — | — | — | — | $10.7M |
| FY2014 | $10.5M | — | — | — | −$1.37 | −$1.5M | — | — | — | — | — | — |
Latest filings
the most recent regulatory filings8-KCurrent report — material event2026-07-01 ↗4OWNERSHIP DOCUMENT2026-06-30 ↗4OWNERSHIP DOCUMENT2026-06-12 ↗4OWNERSHIP DOCUMENT2026-06-12 ↗4OWNERSHIP DOCUMENT2026-06-12 ↗4OWNERSHIP DOCUMENT2026-06-12 ↗4OWNERSHIP DOCUMENT2026-06-12 ↗4OWNERSHIP DOCUMENT2026-06-12 ↗S-8Securities registration2026-06-11 ↗8-KCurrent report — material event2026-06-10 ↗
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