Filing Flows › Astrana Health (ASTH) › Q2 2026
Astrana Health (ASTH) Q2 2026 earnings results (second quarter 2026)
10-Q filed Aug 10, 2026
Astrana Health (ASTH) reported revenue of $973M for the second quarter 2026 (Q2 2026), +49% from a year earlier and +0.8% from the quarter before. Operating margin was 3.5%, net earnings $19.7M (2.0% of revenue).
Astrana Health, Q2 2026: revenue $973M (+48% year over year), operating margin 3.5%, net earnings $19.7M, operating cash flow $32.7M. The chart follows the revenue to costs, profit and cash.
| Q2 2026 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $973M | +0.8% | +49% |
| Operating profit | $34.3M | +20% | +69% |
| Net earnings | $19.7M | +37% | +109% |
| Operating cash flow | $32.7M | -52% | -64% |
| Free cash flow | $28.9M | -55% | -68% |
What changed
Revenue was $972.5M in Q2 2026, up 49% year over year and up 1% from the previous quarter. Health Care Capitation Revenue was the largest line at 93% of revenue. Health Care Capitation Revenue added $291.7M year over year (up 47%), 92% of the total change.
Operating profit was $34.3M, a 3.5% margin (up 0.4 points year over year). Of the extra revenue versus Q2 2025, 4% reached operating profit, above the 3% margin then. Total costs grew 48% against revenue growth of 49%. The fastest-growing cost line was Other operating costs (+125%). Net earnings were $19.7M, up 109% year over year ($18.5M including minority interests, which bore $1.3M of losses). The effective tax rate was 32.2%.
Operating cash flow was $32.7M (down 64% year over year), 177% of net income including minority interests. Non-cash charges added back $15.5M of depreciation and amortization and $11.8M of share-based compensation. Working capital and other items used $13.0M. Capital expenditures of $3.9M left free cash flow of $28.9M.
Questions
What was Astrana Health's revenue in the second quarter 2026?
Astrana Health (ASTH) reported revenue of $973M for the second quarter 2026 (Q2 2026), +49% from a year earlier and +0.8% from the quarter before.
Was Astrana Health profitable in the second quarter 2026?
Operating profit was $34.3M (3.5% of revenue) and net earnings $19.7M.
Source: Astrana Health 10-Q on SEC EDGAR.