Astrana Health, Inc.

Annual Trend FY 2016 FY 2017 FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 FY 2024 FY 2025
Cash flows from operating activities:
Adjustments to reconcile net income to net cash provided by operating activities:
Net Income (Loss) Attributable to Parent ($9.3m) $25.8m $10.8m $14.1m $37.9m $73.9m $50.5m $60.7m $43.1m $22.5m
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest ($8.2m) $45.8m $60.3m $17.7m $122.3m $49.3m $57.8m $49.9m $24.1m
Net Income (Loss) Attributable to Noncontrolling Interest $1.2m $20.0m $49.4m $3.6m $84.5m ($24.6m) ($2.9m) $6.8m $1.6m
Depreciation, Depletion and Amortization $351k $19.1m $19.3m $18.8m $18.4m $17.5m $17.5m $17.7m $27.9m $45.7m
Amortization $95k
Amortization of Debt Issuance Costs $0 $473k $1.3m $1.1m $939k $1.1m $1.8m $4.0m
Amortization of Intangible Assets $16.3m $16.0m $15.4m $12.7m $25.6m $40.7m
Deferred Income Tax Expense (Benefit) ($128k) ($20.7m) ($8.3m) ($6.8m) ($6.6m) ($6.0m) ($12.4m) ($4.2m) ($4.3m)
Share-based Payment Arrangement, Noncash Expense $1.5m $3.4m $6.7m $22.0m $34.5m $38.6m
Payment, Tax Withholding, Share-based Payment Arrangement $4.7m $6.2m
Share-based Payment Arrangement, Expense $1.1m $2.7m $1.4m $607k $3.4m $6.7m $22.0m $34.5m $38.6m
Equity Method Investment, Other than Temporary Impairment $0 ($2.8m) $901k $0 $0 $0
Goodwill and Intangible Asset Impairment $207k $2.4m $3.8m $2.0m $0 $0
Goodwill, Impairment Loss $546k $3.8m $3.8m $0 $0 $0 $0 $0
Impairment of Intangible Assets (Excluding Goodwill) $281k $0 $0 $0
Impairment of Intangible Assets, Finite-lived $3.2m $0 $0 $0 $0 $0
Impairment of Intangible Assets, Indefinite-lived (Excluding Goodwill) $2.0m $0 $0 $0 $0 $0
Equity Method Investment, Realized Gain (Loss) on Disposal $99.8m $2.2m $901k $0 $0
Gain (Loss) on Disposition of Assets ($477k)
Gain (Loss) on Disposition of Property Plant Equipment ($42k) $0 ($91k) $0
Gain (Loss) on Extinguishment of Debt ($266k) $0 $0 $0 $2.4m
Income (Loss) from Equity Method Investments ($1.1m) ($8.1m) ($6.9m) $3.7m ($4.3m) $901k $5.6m $4.5m $1.7m
Income Tax Expense (Benefit) ($71k) $3.9m $22.4m $8.2m $56.1m $28.5m $32.0m $30.9m $15.5m
Interest Expense Nonoperating $33.1m $49.9m
Other Nonoperating Income (Expense) $239k $168k $1.6m $3.0m $1.1m ($3.8m) $6.1m $4.9m ($2.8m)
Changes in operating assets and liabilities:
Additional Financial Items
Increase (Decrease) in Accounts Receivable $27k ($10.7m) $263k ($10.7m) ($4.1m) $1.5m $26.7m $44.4m $9.4m
Equity Securities, FV-NI, Gain (Loss) $6.6m ($135k)
Equity Securities, FV-NI, Realized Gain (Loss) ($4.1m) ($146k)
Equity Securities, FV-NI, Unrealized Gain (Loss) $11k ($10.8m) $25.5m $2.6m $11k
Gain (Loss) on Investments $13.7m $0 $0 $99.8m $10.8m $25.5m $4.8m ($731k)
Gain (Loss) on Sale of Financing Receivable $922k $0 $0
General and Administrative Expense $17.0m $26.4m $43.4m $41.5m $49.1m $62.1m $112.6m $154.1m $217.3m
Goodwill $1.6m $189.8m $185.8m $238.5m $239.1m $253.0m $245.8m $278.8m $419.3m $865.3m
Investment Income, Interest $1.0m $1.3m $2.0m $2.8m $1.6m $14.2m $14.5m $12.2m
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims $306.6m $348.3m $852.9m $1.3b $1.9b
Nonoperating Income (Expense) ($978k) $14.6m ($5.8m) ($6.6m) $97.9m ($20.4m) $5.2m ($8.5m) ($38.9m)
Operating Expenses $51.3m $322.6m $431.5m $528.2m
Proceeds from Stock Options Exercised $165k
Unrealized Gain (Loss) on Derivatives $11k $201k $0
Unrealized Gain (Loss) on Investments $86k ($25k) $9k ($11k) ($10.7m) $25.5m ($4.6m) $731k ($68k)
Gain (Loss) on Derivative Instruments, Net, Pretax ($409k) ($45k) $0 $0
Net Cash Provided by (Used in) Operating Activities $21.9m $51.9m $25.5m $13.7m $46.2m $70.3m $82.1m $68.2m $52.2m $114.6m
Cash flows from investing activities:
Payments to Acquire Property, Plant, and Equipment $262k $2.1m $1.2m $1.0m $1.2m $19.2m $22.9m $28.5m $8.0m $10.1m
Payments to Acquire Businesses, Net of Cash Acquired $0 $0 $0 $49.4m $11.4m $2.6m $16.4m $6.5m $146.3m $548.6m
Payments for (Proceeds from) Other Investing Activities ($6.3m)
Net Cash Provided by (Used in) Investing Activities ($247k) $8.0m ($25.2m) ($180.6m) $95.5m $16.5m ($7.1m) ($65.5m) ($192.4m) ($539.0m)
Cash flows from financing activities:
Proceeds from Issuance of Long-term Debt $250.0m
Repayments of Long-term Debt $0 $0 $2.4m $0 $201k $3.9m
Proceeds from Issuance of Common Stock $200k $2.2m $200k $755k $0 $40.1m $0
Payments for Repurchase of Common Stock $3.2m $5.0m $7.6m $537k $5.7m $10.2m $900k $25.6m
Payments of Ordinary Dividends, Common Stock $10.4m $17.8m $61.7m $51.3m $31.1m $62.1m $4.0m $7.9m
Proceeds from Noncontrolling Interests $0
Proceeds from (Payments to) Noncontrolling Interests $0 $27k $28k $0 $48k $0 $150k
Dividends Payable, Current $271k $485k $556k $638k $638k
Dividends Payable $271k $485k $71k $0
Proceeds from (Payments for) Other Financing Activities ($9.0m) $0 $0 $2.3m
Net Cash Provided by (Used in) Financing Activities $6.3m ($15.0m) ($11.2m) $163.3m ($51.7m) ($47.7m) ($20.1m) $3.4m $135.1m $569.3m
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect $63.6m ($10.9m) ($3.6m) $90.0m $39.1m $54.9m $6.1m ($5.1m) $144.9m
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents $63.6m $107.6m $104.0m $194.0m $233.1m $54.9m $294.2m $289.1m $434.0m
Restricted Cash and Investments, Current $530k
Supplemental disclosure of cash flow information:
Interest Paid, Excluding Capitalized Interest, Operating Activities $521k $51k $462k $4.3m $8.5m $4.2m $6.7m $14.3m $30.4m $45.8m

Values abbreviated: b = billions, m = millions, k = thousands. Per share data in USD.