Astrana Health Inc (ASTH) — Cash Flow Quality Index

Latest as of June 2026: 3.19x

Astrana Health Inc (ASTH) has a Cash Flow Quality Index of 3.19x as of June 2026. Operating cash flow of $100.80 Million exceeds net income of $31.58 Million, indicating high earnings quality where cash backs reported profits. Explore Astrana Health Inc (ASTH) cash flow to debt to assess how comfortably operating cash covers total debt obligations.

Cash Flow Quality Index

3.19x
Operating CF / Net Income

Operating Cash Flow

$100.80 Million
USD

Net Income

$31.58 Million
USD

Data as of

Jun 2026
Most recent filing

Astrana Health Inc Cash Flow Quality Index (2017–2025)

Historical Cash Flow Quality Index for Astrana Health Inc across 9 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see ASTH operating cash flow.

Annual Cash Flow Quality Index for Astrana Health Inc (2017–2025)

Year-by-year earnings quality comparison for Astrana Health Inc.

Year Quality Index Operating CF (USD) Net Income YoY Change
2025 4.76x $114.60 Million $24.08 Million ▲ +355.3%
2024 1.05x $52.20 Million $49.93 Million ▼ -11.4%
2023 1.18x $68.23 Million $57.85 Million ▼ -27.4%
2022 1.63x $82.13 Million $50.53 Million ▲ +13.9%
2021 1.43x $70.33 Million $49.29 Million ▲ +278.1%
2020 0.38x $46.16 Million $122.32 Million ▼ -51.2%
2019 0.77x $13.67 Million $17.67 Million ▼ -67.9%
2018 2.41x $26.10 Million $10.84 Million ▲ +17.1%
2017 2.06x $53.07 Million $25.80 Million
Cash Flow Quality Index = Operating Cash Flow / Net Income. Ratios above 1.0x indicate cash-backed earnings.