Astrana Health, Inc. (ASTH) Form 8-K — Aug 6, 2026
Astrana Health reported second quarter 2026 revenue of $972.5 million, up 49% year over year, with net income attributable to Astrana of $19.7 million, up 109%, diluted EPS of $0.40, and adjusted EBITDA of $68.9 million, up 43%. Adjusted diluted EPS came in at $0.80, up 45%, which management called a record high. First-half momentum was equally strong, with revenue up 52% to $1,937.6 million, adjusted diluted EPS of $1.54, operating cash flow of $100.8 million, and free cash flow of $92.9 million.
Key figures
- Eps
- $0.40 diluted (Q2 2026), up 111% from $0.19; $0.69 diluted (six months 2026)
- Revenue
- $972.5 million (Q2 2026); $1,937.6 million (six months 2026)
- Guidance
- FY2026 revenue $3,800-$4,100 million (reaffirmed); FY2026 adjusted EBITDA raised to $255-$280 million; FY2026 free cash flow $105-$132.5 million (reaffirmed); Q3 2026 revenue $1,000-$1,030 million and adjusted EBITDA $72.5-$77.5 million
- Net Income
- $19.7 million attributable to Astrana (Q2 2026), up 109%; $34.2 million (six months 2026), up 112%
- Total Debt
- $936.5 million ($53.8 million current portion + $882.7 million long-term)
- Revenue Yoy
- +49% (Q2 2026); +52% (six months 2026)
- Total Assets
- $2,282.1 million
- Cash Position
- $400.8 million (June 30, 2026)
- Shares Outstanding
- 49226943
- Free Cash Flow
- $92.9 million (six months 2026) vs $103.0 million prior year
- Adjusted EBITDA
- $68.9 million (Q2 2026), up 43% YoY; $135.2 million (six months), up 60% YoY
- Interest Expense Q2
- $16.0 million vs $7.4 million prior-year quarter
- Operating Cash Flow
- $100.8 million (six months 2026)
- Adjusted EPSDiluted
- $0.80 (Q2 2026), up 45%; $1.54 (six months), up 59%
- Providers Supported
- more than 20,000
- Care Partners Revenue
- $932.8 million (Q2 2026), up 48%
- Gross Shared Savings2024
- $120.4 million from affiliated ACOs
- Patients In Value Based Care
- approximately 1.5 million
- Care Delivery Operating Loss
- -$3.0 million (Q2 2026), down 238% YoY
- Medicare Advantage Lives Added
- approximately 3,000 via new Texas agreement
Price after filing
Close on the filing date to close N calendar days later (from $35.67). Historical, not a forecast.
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