Accessibility Statement Skip Navigation
  • Resources
  • Investor Relations
  • Journalists
  • Agencies
  • Client Login
  • Send a Release
Return to PR Newswire homepage
  • News
  • Products
  • Contact
When typing in this field, a list of search results will appear and be automatically updated as you type.

Searching for your content...

No results found. Please change your search terms and try again.
  • News in Focus
      • Browse News Releases

      • All News Releases
      • All Public Company
      • English-only
      • News Releases Overview

      • Multimedia Gallery

      • All Multimedia
      • All Photos
      • All Videos
      • Multimedia Gallery Overview

      • Trending Topics

      • All Trending Topics
  • Business & Money
      • Auto & Transportation

      • All Automotive & Transportation
      • Aerospace, Defense
      • Air Freight
      • Airlines & Aviation
      • Automotive
      • Maritime & Shipbuilding
      • Railroads and Intermodal Transportation
      • Supply Chain/Logistics
      • Transportation, Trucking & Railroad
      • Travel
      • Trucking and Road Transportation
      • Auto & Transportation Overview

      • View All Auto & Transportation

      • Business Technology

      • All Business Technology
      • Blockchain
      • Broadcast Tech
      • Computer & Electronics
      • Computer Hardware
      • Computer Software
      • Data Analytics
      • Electronic Commerce
      • Electronic Components
      • Electronic Design Automation
      • Financial Technology
      • High Tech Security
      • Internet Technology
      • Nanotechnology
      • Networks
      • Peripherals
      • Semiconductors
      • Business Technology Overview

      • View All Business Technology

      • Entertain­ment & Media

      • All Entertain­ment & Media
      • Advertising
      • Art
      • Books
      • Entertainment
      • Film and Motion Picture
      • Magazines
      • Music
      • Publishing & Information Services
      • Radio & Podcast
      • Television
      • Entertain­ment & Media Overview

      • View All Entertain­ment & Media

      • Financial Services & Investing

      • All Financial Services & Investing
      • Accounting News & Issues
      • Acquisitions, Mergers and Takeovers
      • Banking & Financial Services
      • Bankruptcy
      • Bond & Stock Ratings
      • Conference Call Announcements
      • Contracts
      • Cryptocurrency
      • Dividends
      • Earnings
      • Earnings Forecasts & Projections
      • Financing Agreements
      • Insurance
      • Investments Opinions
      • Joint Ventures
      • Mutual Funds
      • Private Placement
      • Real Estate
      • Restructuring & Recapitalization
      • Sales Reports
      • Shareholder Activism
      • Shareholder Meetings
      • Stock Offering
      • Stock Split
      • Venture Capital
      • Financial Services & Investing Overview

      • View All Financial Services & Investing

      • General Business

      • All General Business
      • Awards
      • Commercial Real Estate
      • Corporate Expansion
      • Earnings
      • Environmental, Social and Governance (ESG)
      • Human Resource & Workforce Management
      • Licensing
      • New Products & Services
      • Obituaries
      • Outsourcing Businesses
      • Overseas Real Estate (non-US)
      • Personnel Announcements
      • Real Estate Transactions
      • Residential Real Estate
      • Small Business Services
      • Socially Responsible Investing
      • Surveys, Polls and Research
      • Trade Show News
      • General Business Overview

      • View All General Business

  • Science & Tech
      • Consumer Technology

      • All Consumer Technology
      • Artificial Intelligence
      • Blockchain
      • Cloud Computing/Internet of Things
      • Computer Electronics
      • Computer Hardware
      • Computer Software
      • Consumer Electronics
      • Cryptocurrency
      • Data Analytics
      • Electronic Commerce
      • Electronic Gaming
      • Financial Technology
      • Mobile Entertainment
      • Multimedia & Internet
      • Peripherals
      • Social Media
      • STEM (Science, Tech, Engineering, Math)
      • Supply Chain/Logistics
      • Wireless Communications
      • Consumer Technology Overview

      • View All Consumer Technology

      • Energy & Natural Resources

      • All Energy
      • Alternative Energies
      • Chemical
      • Electrical Utilities
      • Gas
      • General Manufacturing
      • Mining
      • Mining & Metals
      • Oil & Energy
      • Oil and Gas Discoveries
      • Utilities
      • Water Utilities
      • Energy & Natural Resources Overview

      • View All Energy & Natural Resources

      • Environ­ment

      • All Environ­ment
      • Conservation & Recycling
      • Environmental Issues
      • Environmental Policy
      • Environmental Products & Services
      • Green Technology
      • Natural Disasters
      • Environ­ment Overview

      • View All Environ­ment

      • Heavy Industry & Manufacturing

      • All Heavy Industry & Manufacturing
      • Aerospace & Defense
      • Agriculture
      • Chemical
      • Construction & Building
      • General Manufacturing
      • HVAC (Heating, Ventilation and Air-Conditioning)
      • Machinery
      • Machine Tools, Metalworking and Metallurgy
      • Mining
      • Mining & Metals
      • Paper, Forest Products & Containers
      • Precious Metals
      • Textiles
      • Tobacco
      • Heavy Industry & Manufacturing Overview

      • View All Heavy Industry & Manufacturing

      • Telecomm­unications

      • All Telecomm­unications
      • Carriers and Services
      • Mobile Entertainment
      • Networks
      • Peripherals
      • Telecommunications Equipment
      • Telecommunications Industry
      • VoIP (Voice over Internet Protocol)
      • Wireless Communications
      • Telecomm­unications Overview

      • View All Telecomm­unications

  • Lifestyle & Health
      • Consumer Products & Retail

      • All Consumer Products & Retail
      • Animals & Pets
      • Beers, Wines and Spirits
      • Beverages
      • Bridal Services
      • Cannabis
      • Cosmetics and Personal Care
      • Fashion
      • Food & Beverages
      • Furniture and Furnishings
      • Home Improvement
      • Household, Consumer & Cosmetics
      • Household Products
      • Jewelry
      • Non-Alcoholic Beverages
      • Office Products
      • Organic Food
      • Product Recalls
      • Restaurants
      • Retail
      • Supermarkets
      • Toys
      • Consumer Products & Retail Overview

      • View All Consumer Products & Retail

      • Entertain­ment & Media

      • All Entertain­ment & Media
      • Advertising
      • Art
      • Books
      • Entertainment
      • Film and Motion Picture
      • Magazines
      • Music
      • Publishing & Information Services
      • Radio & Podcast
      • Television
      • Entertain­ment & Media Overview

      • View All Entertain­ment & Media

      • Health

      • All Health
      • Biometrics
      • Biotechnology
      • Clinical Trials & Medical Discoveries
      • Dentistry
      • FDA Approval
      • Fitness/Wellness
      • Health Care & Hospitals
      • Health Insurance
      • Infection Control
      • International Medical Approval
      • Medical Equipment
      • Medical Pharmaceuticals
      • Mental Health
      • Pharmaceuticals
      • Supplementary Medicine
      • Health Overview

      • View All Health

      • Sports

      • All Sports
      • General Sports
      • Outdoors, Camping & Hiking
      • Sporting Events
      • Sports Equipment & Accessories
      • Sports Overview

      • View All Sports

      • Travel

      • All Travel
      • Amusement Parks and Tourist Attractions
      • Gambling & Casinos
      • Hotels and Resorts
      • Leisure & Tourism
      • Outdoors, Camping & Hiking
      • Passenger Aviation
      • Travel Industry
      • Travel Overview

      • View All Travel

  • Policy & Public Interest
      • Policy & Public Interest

      • All Policy & Public Interest
      • Advocacy Group Opinion
      • Animal Welfare
      • Congressional & Presidential Campaigns
      • Corporate Social Responsibility
      • Domestic Policy
      • Economic News, Trends, Analysis
      • Education
      • Environmental
      • European Government
      • FDA Approval
      • Federal and State Legislation
      • Federal Executive Branch & Agency
      • Foreign Policy & International Affairs
      • Homeland Security
      • Labor & Union
      • Legal Issues
      • Natural Disasters
      • Not For Profit
      • Patent Law
      • Public Safety
      • Trade Policy
      • U.S. State Policy
      • Policy & Public Interest Overview

      • View All Policy & Public Interest

  • People & Culture
      • People & Culture

      • All People & Culture
      • Aboriginal, First Nations & Native American
      • African American
      • Asian American
      • Children
      • Diversity, Equity & Inclusion
      • Hispanic
      • Lesbian, Gay & Bisexual
      • Men's Interest
      • People with Disabilities
      • Religion
      • Senior Citizens
      • Veterans
      • Women
      • People & Culture Overview

      • View All People & Culture

      • In-Language News

      • Arabic
      • español
      • português
      • Česko
      • Danmark
      • Deutschland
      • España
      • France
      • Italia
      • Nederland
      • Norge
      • Polska
      • Portugal
      • Россия
      • Slovensko
      • Suomi
      • Sverige
  • Explore Our Platform
  • Plan Campaigns
  • Create with AI
  • Distribute Press Releases
  • Report Results
  • Amplify Content
  • All Products
  • General Inquiries
  • Editorial Bureaus
  • Partnerships
  • Media Inquiries
  • Worldwide Offices
  • Hamburger menu
  • PR Newswire: news distribution, targeting and monitoring
  • Send a Release
    • ALL CONTACT INFO
    • Contact Us

      888-776-0942
      from 8 AM - 10 PM ET

  • Send a Release
  • Client Login
  • Resources
  • Blog
  • Journalists
  • RSS
  • News in Focus
    • Browse All News
    • Multimedia Gallery
    • Trending Topics
  • Business & Money
    • Auto & Transportation
    • Business Technology
    • Entertain­ment & Media
    • Financial Services & Investing
    • General Business
  • Science & Tech
    • Consumer Technology
    • Energy & Natural Resources
    • Environ­ment
    • Heavy Industry & Manufacturing
    • Telecomm­unications
  • Lifestyle & Health
    • Consumer Products & Retail
    • Entertain­ment & Media
    • Health
    • Sports
    • Travel
  • Policy & Public Interest
  • People & Culture
    • People & Culture
  • Send a Release
  • Client Login
  • Resources
  • Blog
  • Journalists
  • RSS
  • Explore Our Platform
  • Plan Campaigns
  • Create with AI
  • Distribute Press Releases
  • Report Results
  • Amplify Content
  • All Products
  • Send a Release
  • Client Login
  • Resources
  • Blog
  • Journalists
  • RSS
  • General Inquiries
  • Editorial Bureaus
  • Partnerships
  • Media Inquiries
  • Worldwide Offices
  • Send a Release
  • Client Login
  • Resources
  • Blog
  • Journalists
  • RSS

Astrana Health, Inc. Reports First Quarter 2026 Results

Astrana Health Logo (PRNewsfoto/Astrana Health, Inc.)

News provided by

Astrana Health, Inc.

May 07, 2026, 16:05 ET

Share this article

Share toX

Share this article

Share toX

Company to Host Conference Call on Thursday, May 7, 2026, at 2:30 p.m. PT/5:30 p.m. ET

  • Reports total revenue of $965.1 million, up 56% year over year
  • Reports adjusted EBITDA(1) of $66.3 million, up 82% year over year and free cash flow(2) of $64.1 million, up 372% year over year

ALHAMBRA, Calif., May 7, 2026 /PRNewswire/ -- Astrana Health, Inc. ("Astrana," and together with its subsidiaries and affiliated entities, the "Company") (NASDAQ: ASTH), a physician-centric, technology-enabled healthcare company empowering providers to deliver accessible, high-quality, and high-value care to all, today announced its consolidated financial results for the first quarter ended March 31, 2026.

"We had a strong start to 2026, delivering disciplined growth, strong medical cost performance, continued operating leverage, and early performance from new full-risk contracts in line with our expectations," said Brandon Sim, President and Chief Executive Officer of Astrana Health. "In an increasingly dynamic healthcare environment, we believe advantage will accrue to organizations that can integrate care delivery, data, and financial accountability into a single operating system. Astrana has built exactly that: a proprietary healthcare operating platform that enables us to embed AI and workflow orchestration directly into clinical and operational workflows across the enterprise. Combined with our longitudinal patient relationships and data continuity, our infrastructure allows us to translate AI into durable clinical and economic value while continuing to improve patient outcomes, operating efficiency, and scalability. We believe Astrana is well positioned to continue widening that advantage over time."

Financial Highlights for First Quarter Ended March 31, 2026:

All comparisons are to the three months ended March 31, 2025 unless otherwise stated.

  • Total revenue of $965.1 million, up 56% from $620.4 million
  • Care Partners revenue of $909.7 million, up 51% from $601.0 million
  • Net income attributable to Astrana of $14.4 million, up 116% from $6.7 million
  • Earnings per share ("EPS") - diluted of $0.29, up 107% from $0.14
  • Adjusted EBITDA(1) of $66.3 million, up 82% from $36.4 million
  • Adjusted EPS - diluted(3) of $0.74, up 76% from $0.42
  • Net cash provided by operating activities of $68.1 million, up 309% from $16.6 million
  • Free cash flow(2) of $64.1 million, up 372% from $13.6 million

(1)

See "Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin" and "Use of Non-GAAP Financial Measures" below for additional information.

(2)

See reconciliation provided with the condensed consolidated statements of cash flow and "Use of Non-GAAP Financial Measures" below for additional information.

(3)

See "Reconciliation of Net Income to Adjusted Net Income Attributable to Astrana and Adjusted EPS - Diluted" and "Use of Non-GAAP Financial Measures" below for additional information.

Recent Operating Highlights

  • Delivered on its commitment to convert key contracts to full-risk arrangements, with approximately 80% of Care Partners capitation revenue and approximately 40% of consolidated membership now in full-risk arrangements.
  • Launched Astrana's delegated full-risk model with a payer partner in Texas, expanding Medicare Advantage membership in the market to more than 14,000 members.
  • Continued deleveraging ahead of schedule, with net leverage declining to approximately 2.3x on a pro forma trailing twelve-month basis and to 2.2x based on the midpoint of the Company's full-year guidance.
  • Foothill Regional Medical Center ("FRMC") received Healthgrades' 2026 Patient Safety Excellence Award™ for the fourth consecutive year and was named among Healthgrades' America's 100 Best Hospitals for Joint Replacement in 2026. FRMC also received the Healthgrades Joint Replacement Excellence Award for the second consecutive year, reflecting continued strength in clinical quality and patient outcomes.

Segment Results for three months ended March 31, 2026:

All comparisons are to the three months ended March 31, 2025 unless otherwise stated.



Three Months Ended March 31, 2026


(in thousands)


Care
Partners



Care
Delivery



Care
Enablement



Intersegment
Elimination



Corporate
Costs



Consolidated
Total


Total revenues


$

909,703



$

85,077



$

87,745



$

(117,425)



$

—



$

965,100


% change vs. prior year quarter



51

%



155

%



122

%





























Cost of services



785,531




72,544




48,704




(47,423)




—




859,356


General and administrative expenses



72,546




14,374




17,259




(69,974)




27,532




61,737


Depreciation and amortization



12,170




1,122




1,629




—




558




15,479


Total expenses



870,247




88,040




67,592




(117,397)




28,090




936,572





















Income (loss) from operations


$

39,456



$

(2,963)



$

20,153



$

(28)


(1)

$

(28,090)



$

28,528


% change vs. prior year quarter



(11)

%



(5)

%



470

%












(1)

Loss from operations for the intersegment elimination represents sublease income between segments. Sublease income is presented within other income, which is not presented in the table. 

2026 Guidance:

Astrana is providing the following guidance for total revenue and Adjusted EBITDA for the quarter ending June 30, 2026 and reiterating guidance for the year ending December 31, 2026 based on the Company's existing business, current view of existing market conditions, and assumptions.



Three Months Ending
June 30, 2026



Year Ending
December 31, 2026




Guidance Range



Guidance Range


($ in millions)


Low



High



Low



High


Total revenue


$

965



$

1,000



$

3,800



$

4,100


Adjusted EBITDA


$

65



$

70



$

250



$

280


Free cash flow








$

105



$

132.5


See "Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA," "Guidance Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow," and "Use of Non-GAAP Financial Measures" below for additional information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See "Forward-Looking Statements" below for additional information.

Conference Call and Webcast Information:

Astrana will host a conference call at 2:30 p.m. PT/5:30 p.m. ET today (Thursday, May 7, 2026), during which management will discuss the results of the first quarter ended March 31, 2026. To participate in the conference call, please use the following dial-in numbers about 5 minutes prior to the scheduled conference call time:

U.S. & Canada (Toll-Free):

+1 (877) 858-9810

International (Toll):

+1 (201) 689-8517

The conference call can also be accessed via webcast at: https://event.choruscall.com/mediaframe/webcast.html?webcastid=HHhCPjaF

An accompanying slide presentation will be available in PDF format on the "IR Calendar" page of the Company's website (https://ir.astranahealth.com/news-events/ir-calendar) after issuance of the earnings release and will be furnished as an exhibit to Astrana's current report on Form 8-K to be filed with the SEC, accessible at www.sec.gov. 

Those who are unable to attend the live conference call may access the recording at the above webcast link, which will be made available shortly after the conclusion of the call.

Note About Consolidated Entities

The Company consolidates entities in which it has a controlling financial interest. The Company consolidates subsidiaries in which it holds, directly or indirectly, more than 50% of the voting rights, and variable interest entities ("VIEs") in which the Company is the primary beneficiary. Non-controlling interests represent third party equity ownership interests in the Company's consolidated entities (including certain VIEs). The amount of net income or loss attributable to non-controlling interests is disclosed in the Company's consolidated statements of income.

About Astrana Health, Inc.

Astrana Health is a physician-centric, AI-powered healthcare company committed to delivering high-quality, patient-centered care. Built from the physician's perspective, Astrana combines its scalable care delivery infrastructure, proprietary technology platform, and aligned provider networks to enable proactive, preventive care at scale - improving patient outcomes, enhancing patient experiences, supporting provider well-being, and driving greater value across the healthcare system.

Today, Astrana supports more than 20,000 providers and approximately 1.55 million patients in value-based care arrangements through its affiliated provider networks, management services organization, and integrated care delivery clinics spanning primary, specialty, and ancillary care. Together, Astrana is building the healthcare system we all deserve - one that delivers better care, better experiences, and better outcomes for all. For more information, visit www.astranahealth.com. 

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements about the Company's guidance for the quarter ending June 30, 2026 and the year ending  December 31, 2026, ability to meet operational goals, ability to meet expectations in deployment of care coordination and management capabilities, ability to decrease cost of care while improving quality and outcomes, ability to deliver sustainable revenue and EBITDA growth as well as long-term value, ability to respond to the changing environment, statements about the Company's liquidity, and successful completion and implementation of strategic growth plans, acquisition strategy, and merger integration efforts, as well as statements regarding the material weakness in internal control over financial reporting and the Company's ability to remediate such material weakness in a timely manner. Forward-looking statements reflect current views with respect to future events and financial performance and therefore cannot be guaranteed. Such statements are based on the current expectations and certain assumptions of the Company's management, and some or all of such expectations and assumptions may not materialize or may vary significantly from actual results. Actual results may also vary materially from forward-looking statements due to risks, uncertainties and other factors, known and unknown, including the risk factors described from time to time in the Company's reports to the SEC, including, without limitation the risk factors discussed in the Company's Annual Report on Form 10-K for the year ended December 31, 2025, and subsequent quarterly reports on Form 10-Q. Any forward-looking statements made by the Company in this release speaks only as of the date on which it is made. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by any applicable securities laws.

FOR MORE INFORMATION, PLEASE CONTACT:

Carolyne Sohn, Investor Relations
[email protected] 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)




March 31,
2026



December 31,
2025




(Unaudited)





Assets














Current assets







Cash and cash equivalents


$

478,383



$

429,474


Receivables, net (including amounts from related parties)



467,395




374,465


Income taxes receivable



—




1,799


Other receivables



28,017




26,385


Prepaid expenses and other current assets



25,647




26,264


Loans receivable



4,658




4,926









Total current assets



1,004,100




863,313









Non-current assets







Property and equipment, net



59,546




57,332


Intangible assets, net



257,118




270,968


Goodwill



874,799




865,305


Income taxes receivable, net of current portion



26,220




26,220


Loans receivable, net of current portion



49,068




48,724


Investments in other entities – equity method



27,257




25,637


Operating lease right-of-use assets



33,933




35,738


Other assets



26,786




25,424









Total non-current assets



1,354,727




1,355,348









Total assets (1)


$

2,358,827



$

2,218,661









Liabilities, Mezzanine Deficit, and Stockholders' Equity














Current liabilities







Accounts payable and accrued expenses


$

221,389



$

195,912


Fiduciary accounts payable



3,706




3,524


Income taxes payable



2,507




—


Medical liabilities



439,259




335,705


Operating lease liabilities



7,557




7,809


Current portion of long-term debt



47,865




47,865


Other liabilities



23,086




24,458









Total current liabilities



745,369




615,273









Non-current liabilities







Deferred tax liability



7,399




5,491


Operating lease liabilities, net of current portion



30,006




31,552


Long-term debt, net of current portion and deferred financing costs



979,764




990,904


Other long-term liabilities



18,833




17,107









Total non-current liabilities



1,036,002




1,045,054









Total liabilities (1)



1,781,371




1,660,327









Mezzanine deficit







Non-controlling interest in Allied Physicians of California, a Professional Medical
Corporation ("APC")



(237,739)




(234,962)









Stockholders' equity







Preferred stock, $0.001 par value per share; 5,000,000 shares authorized; and zero
shares issued and outstanding as of March 31, 2026 and December 31, 2025



—




—


Common stock, $0.001 par value per share; 100,000,000 shares authorized,
48,946,399 and 48,885,358 shares issued and outstanding, excluding 10,695,758
and 10,571,011 treasury shares, as of March 31, 2026 and December 31, 2025,
respectively



49




49


Additional paid-in capital



477,508




470,863


Retained earnings



322,711




308,379


Total stockholders' equity



800,268




779,291









Non-controlling interests



14,927




14,005









Total equity



815,195




793,296









Total liabilities, mezzanine deficit, and stockholders' equity


$

2,358,827



$

2,218,661




(1)

The Company's condensed consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The condensed consolidated balance sheets include (a) total assets of  $1,317.1 million and $1,276.5 million as of March 31, 2026 and December 31, 2025, respectively, that can be used only to settle obligations of the Company's consolidated VIEs and (b) total liabilities of the consolidated VIEs of $394.5 million and $376.0 million as of March 31, 2026 and December 31, 2025, respectively, for which creditors do not have recourse to the general credit of the Company, the VIE's primary beneficiary. These VIE balances do not include $150.4 million of investment in affiliates and $24.4 million of amounts due from affiliates as of March 31, 2026, and $152.2 million of investment in affiliates and $58.3 million of amounts due from affiliates as of December 31, 2025, as these are eliminated upon consolidation and not presented within the condensed consolidated balance sheets.

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)

(UNAUDITED)




Three Months Ended
March 31,




2026



2025


Revenue







Capitation, net


$

892,908



$

583,963


Risk pool settlements and incentives



12,486




14,491


Management fee income



15,685




2,310


Fee-for-service, net



37,831




14,890


Other revenue



6,190




4,736









Total revenue



965,100




620,390









Operating expenses







Cost of services, excluding depreciation and amortization



859,356




549,061


General and administrative expenses



61,737




43,897


Depreciation and amortization



15,479




6,849









Total expenses



936,572




599,807









Income from operations



28,528




20,583









Other (expense) income







Income (loss) from equity method investments



1,720




(867)


Interest expense



(16,101)




(7,308)


Interest income



3,816




2,312


Unrealized gain (loss) on investments



1,084




(44)


Other income (loss)



662




(5,072)









Total other expense, net



(8,819)




(10,979)









Income before provision for income taxes



19,709




9,604









Provision for income taxes



6,578




3,383









Net income



13,131




6,221









Net loss attributable to non-controlling interests



(1,305)




(471)









Net income attributable to Astrana Health, Inc.


$

14,436



$

6,692









Earnings per share – basic


$

0.30



$

0.14









Earnings per share – diluted


$

0.29



$

0.14









Weighted average shares of common stock outstanding – basic



48,853,678




48,470,682









Weighted average shares of common stock outstanding – diluted



49,054,135




48,850,666


ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(UNAUDITED)




Three Months Ended
March 31,




2026



2025


Cash flows from operating activities







Net income


$

13,131



$

6,221


Adjustments to reconcile net income to net cash provided by operating activities:







Depreciation and amortization



15,479




6,849


Amortization of debt issuance cost



1,134




691


Share-based compensation



9,895




7,811


Non-cash lease expense



2,005




1,287


Deferred tax



1,907




(358)


Change in fair value of contingent consideration liabilities



581




1,407


Other



(2,564)




729


Changes in operating assets and liabilities, net of business combinations



26,488




(8,010)


Net cash provided by operating activities



68,056




16,627









Cash flows from investing activities







Purchases of property and equipment



(4,000)




(3,070)


Other



1,156




676


Net cash used in investing activities



(2,844)




(2,394)









Cash flows from financing activities







Dividends paid



(104)




(5,455)


Borrowings on debt



—




412,000


Repayment of debt



(11,967)




(428,232)


Deferred financing cost



—




(17,241)


Taxes paid from net share settlement of restricted stock



(1,172)




(4,052)


Repurchase of treasury shares



(2,906)




—


Other



189




(1,190)


Net cash used in financing activities



(15,960)




(44,170)









Net increase (decrease) in cash, cash equivalents, and restricted cash



49,252




(29,937)









Cash, cash equivalents, and restricted cash, beginning of period



434,045




289,101









Cash, cash equivalents, and restricted cash, end of period


$

483,297



$

259,164









Supplemental disclosures of cash flow information







Cash paid for income taxes


(1)



$

4,338


Cash paid for interest


$

14,723



$

7,360









Supplemental disclosures of non-cash investing and financing activities







Right-of-use assets obtained in exchange for operating lease liabilities


$

350



$

5,729


Dividend paid in the form of common stock


$

—



$

21,935




(1)

Following the adoption of ASC 2023-09 "Income Taxes (Topics 740): Improvements to Income Tax Disclosures", cash paid for income taxes is presented net of tax refunds, for the quarter ended March 31, 2026, under Item 1 of the Company's Quarterly Report on Form 10-Q.

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sum to the total amounts of cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows (in thousands):



March 31,




2026



2025


Cash and cash equivalents


$

478,383



$

258,517


Restricted cash (1)



4,914




647


Total cash, cash equivalents, and restricted cash shown in the statement of cash
flows


$

483,297



$

259,164




(1)

Restricted cash is included in other assets on the condensed consolidated balance sheets. 

Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow




Three Months Ended
March 31,



(in thousands)


2026



2025



Net cash provided by operating activities


$

68,056



$

16,627



Purchases of property and equipment



(4,000)




(3,070)



Free cash flow


$

64,056



$

13,557



Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin

Set forth below are reconciliations of Net Income to EBITDA and Adjusted EBITDA, as well as the reconciliations to Adjusted EBITDA margin for the three months ended March 31, 2026 and 2025. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.



Three Months Ended
March 31,



(in thousands)


2026



2025



Net income


$

13,131



$

6,221



Interest expense



16,101




7,308



Interest income



(3,816)




(2,312)



Provision for income taxes



6,578




3,383



Depreciation and amortization



15,479




6,849



EBITDA



47,473




21,449











(Income) loss from equity method investments



(1,720)




867



Other, net



10,650


(1)


6,259


(2)

Stock-based compensation



9,895




7,811



Adjusted EBITDA


$

66,298



$

36,386











Total revenue


$

965,100



$

620,390











Adjusted EBITDA margin



7

%



6

%




(1)

Other, net, for the three months ended March 31, 2026, relates to an allowance on receivables that the Company plans to recover from the payer, post-acquisition integration costs, and severance fees incurred.

(2)

Other, net, for the three months ended March 31, 2025, relates to debt issuance costs expensed in connection with our Second Amended and Restated Credit Facility, transaction costs for our acquisition of Prospect, certain costs for some of our acquisitions, non-cash changes related to change in the fair value of our call option and collar agreement, and severance fees incurred.

Reconciliation of Net Income to Adjusted Net Income Attributable to Astrana and Adjusted EPS - Diluted

Set forth below are reconciliations of net income to adjusted net income attributable to Astrana as well as the reconciliation to adjusted EPS - diluted for the three months ended March 31, 2026 and 2025.



Three Months Ended
March 31,



(in thousands, except for share and per share data)


2026



2025



Net income


$

13,131



$

6,221



(Income) loss from equity method investments



(1,720)




867



Other, net (1)



10,650




6,259



Stock-based compensation



9,895




7,811



Amortization of intangible assets attributable to acquisitions



13,850




6,263



Tax adjustments



(7,525)


(2)


(4,602)


(3)

Adjusted net income attributable to non-controlling interests



(1,928)


(4)


(2,317)


(5)

Adjusted net income attributable to Astrana Health, Inc.


$

36,353



$

20,502











Weighted average shares of common stock outstanding – diluted



49,054,135




48,850,666











Adjusted earnings per share - diluted


$

0.74



$

0.42





(1)

The components of other, net, as set forth in the table above, are described in the footnotes to the table under "Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin". Please see the footnotes to such table for additional information.

(2)

Tax adjustments for the three months ended March 31, 2026, includes the tax effect for, at a 27.1% statutory blended tax rate, the adjustments made to net income of $8.9 million, partially offset by 162(m) impact of $1.3 million.

(3)

Tax adjustments for the three months ended March 31, 2025, includes the tax effect for, at a 27.1% statutory blended tax rate, the adjustments made to net income of $5.7 million, partially offset by 162(m) impact of $1.1 million.

(4)

Includes net loss attributable to non-controlling interests ("NCI") of $1.3 million, offset by adjustments attributable to NCI of $3.2 million, for the three months ended March 31, 2026.

(5)

Includes net loss attributable to NCI of $0.5 million, offset by adjustments attributable to NCI of $2.8 million, for the three months ended March 31, 2025.

Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA




Year Ending
December 31, 2026




Guidance Range


(in thousands)


Low



High


Net income


$

54,000



$

74,000


Interest expense



51,000




55,000


Provision for income taxes



38,000




44,000


Depreciation and amortization



65,000




65,000


EBITDA



208,000




238,000









Income from equity method investments



(4,000)




(4,000)


Other, net



7,000




7,000


Stock-based compensation



39,000




39,000


Adjusted EBITDA


$

250,000



$

280,000


The Company has not provided a quantitative reconciliation of EBITDA and Adjusted EBITDA for the quarter ending June 30, 2026 to the most comparable GAAP measure on a forward-looking basis within this press release because the Company is unable, without unreasonable efforts, to provide reconciling information with respect to certain line items that cannot be calculated for the three month period. These items, which could materially affect the computation of forward-looking GAAP net income, are inherently uncertain and depend on various factors, some of which are outside of the Company's control.

Guidance Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow




Year Ending
December 31, 2026




Guidance Range


(in thousands)


Low



High


Net cash provided by operating activities


$

125,000



$

145,000


Cash used in purchases of property and equipment



(20,000)




(12,500)


Free cash flow


$

105,000



$

132,500


Use of Non-GAAP Financial Measures

This press release contains the non-GAAP financial measures EBITDA, Adjusted EBITDA, Adjusted EBITDA margin, adjusted net income attributable to Astrana, and adjusted EPS - diluted, of which the most directly comparable financial measure presented in accordance with U.S. generally accepted accounting principles ("GAAP") is net income. This press release also contains the non-GAAP financial measure free cash flow, of which the most directly comparable financial measure presented in accordance with U.S. GAAP is net cash provided by operating activities. These measures are not in accordance with, or alternatives to, GAAP, and may be calculated differently from similar non-GAAP financial measures used by other companies. We use Adjusted EBITDA, Adjusted EBITDA margin, adjusted EPS - diluted, and free cash flow as supplemental performance measures of our operations, for financial and operational decision-making, and as supplemental means of evaluating period-to-period comparisons on a consistent basis and, for free cash flow, to reflect the cash flow trends in our business. Adjusted EBITDA is calculated as earnings before interest expense, interest income, income taxes, depreciation, and amortization, excluding income or loss from equity method investments, non-recurring and non-cash transactions, and stock-based compensation. We define Adjusted EBITDA margin as Adjusted EBITDA over total revenue. Adjusted net income attributable to Astrana is calculated as net income, excluding income or loss from equity method investments, non-recurring and non-cash transactions, stock-based compensation, amortization of intangible assets attributable to acquisitions, certain tax adjustments, and amounts related to net income or loss attributable to non-controlling interests. We define adjusted EPS - diluted as adjusted net income attributable to Astrana over weighted average shares of common stock outstanding - diluted. We define free cash flow as net cash provided by operating activities minus cash used in purchases of property and equipment.

We believe the presentation of these non-GAAP financial measures provides investors with relevant and useful information, as it allows investors to evaluate the operating performance of the business activities without having to account for differences recognized because of non-core or non-recurring financial information. When GAAP financial measures are viewed in conjunction with non-GAAP financial measures, investors are provided with a more meaningful understanding of our ongoing operating performance. In addition, these non-GAAP financial measures are among those indicators we use as a basis for evaluating operational performance, allocating resources, and planning and forecasting future periods. Non-GAAP financial measures are not intended to be considered in isolation, or as a substitute for, GAAP financial measures. Other companies may calculate EBITDA, Adjusted EBITDA, adjusted net income attributable to Astrana, adjusted EPS - diluted, and free cash flow differently, limiting the usefulness of these measures for comparative purposes. To the extent this press release contains historical or future non-GAAP financial measures, we have provided corresponding GAAP financial measures for comparative purposes. The reconciliations between certain GAAP and non-GAAP measures are provided above.

SOURCE Astrana Health, Inc.

21%

more press release views with 
Request a Demo

Modal title

Also from this source

Astrana Health, Inc. Schedules 2026 First Quarter Financial Results Release and Conference Call

Astrana Health, Inc. Schedules 2026 First Quarter Financial Results Release and Conference Call

Astrana Health, Inc. ("Astrana," and together with its subsidiaries and affiliated entities, the "Company") (NASDAQ: ASTH), a physician-centric,...

Astrana Health, Inc. to Participate in Upcoming Investor Conferences

Astrana Health, Inc. to Participate in Upcoming Investor Conferences

Astrana Health, Inc. ("Astrana," and together with its subsidiaries and affiliated entities, the "Company") (NASDAQ: ASTH), a physician-centric,...

More Releases From This Source

Explore

Health Care & Hospitals

Health Care & Hospitals

Computer & Electronics

Computer & Electronics

Earnings

Earnings

Earnings

Earnings

News Releases in Similar Topics

Contact PR Newswire

  • Call PR Newswire at 888-776-0942
    from 8 AM - 9 PM ET
  • Chat with an Expert
  • General Inquiries
  • Editorial Bureaus
  • Partnerships
  • Media Inquiries
  • Worldwide Offices

Products

  • For Marketers
  • For Public Relations
  • For IR & Compliance
  • For Agency
  • All Products

About

  • About PR Newswire
  • About Cision
  • Become a Publishing Partner
  • Become a Channel Partner
  • Careers
  • Accessibility Statement
  • APAC
  • APAC - Simplified Chinese
  • APAC - Traditional Chinese
  • Brazil
  • Canada
  • Czech
  • Denmark
  • Finland
  • France
  • Germany
  • India
  • Indonesia
  • Israel
  • Italy
  • Japan
  • Korea
  • Mexico
  • Middle East
  • Middle East - Arabic
  • Netherlands
  • Norway
  • Poland
  • Portugal
  • Russia
  • Slovakia
  • Spain
  • Sweden
  • United Kingdom
  • Vietnam

My Services

  • All New Releases
  • Platform Login
  • ProfNet
  • Data Privacy

Do not sell or share my personal information:

  • Submit via [email protected] 
  • Call Privacy toll-free: 877-297-8921

Contact PR Newswire

Products

About

My Services
  • All News Releases
  • Platform Login
  • ProfNet
Call PR Newswire at
888-776-0942
  • Terms of Use
  • Privacy Policy
  • Information Security Policy
  • Site Map
  • RSS
  • Cookies
Copyright © 2026 Cision US Inc.