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Astrana Health (ASTH) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 6, 2026 · Astrana Health (ASTH) Q3 2026 earnings results →

Q3 2026 Revenue up 7% year over year to $1.0B · 1¢ of every $1 of revenue kept as net profit · operating margin 3.9%

Astrana Health made $1.0B in Q3 2026 (+7% Y/Y): Health Care Capitation Revenue $937M, Health Care Patient Service $35.1M, Health Care Other $24.3M. Operating margin 3.9%, net earnings $13.0M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 6, 2026.

Revenue$1.0B
Year over year+7%
Operating margin3.9%
Net earnings$13.0M
Operating cash flow$16.3M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $1.0B in Q3 2026, up 7% year over year and up 5% from the previous quarter. Health Care Capitation Revenue was the largest line at 92% of revenue. Health Care Capitation Revenue added $0.07B year over year (up 8%), 108% of the total change. Health Care Other declined 21%.

Operating profit was $0.04B, a 3.9% margin (up 1.9 points year over year). Of the extra revenue versus Q3 2025, 31% reached operating profit, above the 2% margin then. Total costs grew 5% against revenue growth of 7%. Net earnings were $0.01B, up 3372% year over year. The effective tax rate was 37.1%.

Operating cash flow was $0.02B (up 63% year over year), 80% of net income including minority interests. Non-cash charges added back $0.02B of depreciation and amortization and $0.02B of share-based compensation. Working capital and other items used $0.04B. Capital expenditures of $3.8M left free cash flow of $0.01B.

Quarterly history

Astrana Health revenue by quarterAstrana Health revenue by quarter$620MQ1 2025$655MQ2 2025$956MQ3 2025$951MQ4 2025$965MQ1 2026$973MQ2 2026$1.0BQ3 2026
Astrana Health net earnings by quarterAstrana Health net earnings by quarter$6.7MQ1 2025$9.4MQ2 2025$373KQ3 2025$6.0MQ4 2025$14.4MQ1 2026$19.7MQ2 2026$13.0MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 6, 2026$1.0B+7%3.9%$13.0M$16.3M
Q2 202610-QAug 10, 2026$973M+48%3.5%$19.7M$32.7M
Q1 202610-QMay 8, 2026$965M+56%3.0%$14.4M$68.1M
Q4 202510-KMar 12, 2026$951M+43%1.9%$6.0M−$2.9M
Q3 202510-QNov 10, 2025$956M+100%2.0%$373K$10.0M
Q2 202510-QAug 7, 2025$655M+35%3.1%$9.4M$90.9M
Q1 202510-QMay 9, 2025$620M+53%3.3%$6.7M$16.6M

Charts

Astrana Health: revenue growth, year over year and quarter over quarterAstrana Health: revenue growth, year over year and quarter over quarterY/YQ/Q+53%Q1 2025+35%+6%Q2 2025+100%+46%Q3 2025+43%-1%Q4 2025+56%+2%Q1 2026+48%+1%Q2 2026+7%+5%Q3 2026
Latest (Q3 2026): Y/Y +7%, Q/Q +5%.
Astrana Health: where the cash came from (+) and went (−), TTM to Q3 2026Astrana Health: where the cash came from (+) and went (−), TTM to Q3 2026Net borrowing (+) / repaid (−)−$128MOperating cash flow$114MCash drawn (+) / kept (−)$63.1MBuybacks−$18.9MCapital spending−$14.8MAcquisitions−$6.9MOther financing−$6.0MTaxes on employees’ shares−$5.9MOther investing$5.7MDividends−$2.7M
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Astrana Health: profit against cash, quarter by quarterAstrana Health: profit against cash, quarter by quarterNet incomeOperating cash flow−$7.8M−$10.9MQ4 2024$6.2M$16.6MQ1 2025$10.2M$90.9MQ2 2025$1.1M$10.0MQ3 2025$6.6M−$2.9MQ4 2025$13.1M$68.1MQ1 2026$18.5M$32.7MQ2 2026$20.3M$16.3MQ3 2026
Latest (Q3 2026): Net income $20.3M, Operating cash flow $16.3M.
Astrana Health: diluted shares by fiscal yearAstrana Health: diluted shares by fiscal year37MFY202045MFY202146MFY202247MFY202348MFY202449MFY2025
+31.8% since FY2020: more shares outstanding (issuance, stock pay).
Astrana Health: long-term debt falling due (FY2025)Astrana Health: long-term debt falling due (FY2025)$47.9M2026$65.8M2027$71.8M2028$89.7M2029$777M2030
Cash $429M, short-term investments —, long-term debt — at 2025-12-31.
Astrana Health in its industry: growth against margin (30 companies, SIC 8742)Astrana Health in its industry: growth against margin (30 companies, SIC 8742)revenue growth, year over year →↑ operating marginmedian +4%median 2%BAHGFCNHURNICFIONTEXPORMRBWMNHCKTIIIPPHCTSSIMHHAERTCTMCISOACCSPBSVRTBLBRAEUBGELVGGRNQHapi Metaverse Inc.RDSCYSGLCybriatech IncLEENASTH (+7%, 4%)
Services-Management Consulting Services; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

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💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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Customers and suppliers named in filings

Sells to

About Astrana Health

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 1.5 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.

In its own words, from its 8-K, filed Aug 6, 2026.

Astrana Health against its Services-Management Consulting Services peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +7% against the peers' median +6%. Operating margin: 3.9% against the peers' median 8.9%.

CompanyQuarterRevenueY/YOp. margin
ASTH Astrana HealthQ3 2026$1.0B+7%3.9%
BAH Booz Allen Hamilton HoldingQ2 FY27$2.8B-4%8.8%
G GenpactQ3 2026$1.4B+7%15.2%
FCN FTI ConsultingQ3 2026$1.0B+6%8.9%
HURN Huron Consulting GroupQ3 2026$491M+11%12.0%
ICFI ICF InternationalQ3 2026$470M+1%9.3%
ONT OnterrisQ3 2026$203M-10%6.0%
EXPO ExponentQ3 2026$174M+18%24.1%
RMR RMR GroupQ3 FY26$154M-0.8%-6.0%

Source: Astrana Health 10-Q on SEC EDGAR · CIK 1083446 · Services-Management Consulting Services

Guidance and outlook

Astrana Health: what its forward-looking statements are about (10-Q filed 2026-11-06)Astrana Health: what its forward-looking statements are about (10-Q filed 2026-11-06)Costs4Other1Demand1
6 statements; tone +0.00 (−1 all cautious, +1 all confident); 1 hedged.
Astrana Health: outlook statements against the filing beforeAstrana Health: outlook statements against the filing beforeConfident1Cautious1

13F: who owns ASTH and who is buying

Largest holders of ASTH (13F)Largest holders of ASTH (13F)BlackRock$320MVanguard Portfolio Management LLC$121MVanguard Group$105MVanguard Capital Management LLC$90.3MState Street$80.7M325 Capital LLC$74.9MDimensional Fund Advisors LP$68.1MWellington Management Group LLP$60.0MGeode Capital Management, LLC$54.2MBank of America$39.5M
Funds' net buying of ASTH by quarter (13F)Funds' net buying of ASTH by quarter (13F)$64.2M2024-09$25.7M2024-12$8.7M2025-03−$3.2M2025-06$10.7M2025-09$63.3M2025-12$16.4M2026-03$91.8M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on ASTH

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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