Astrana Health, Inc.
ASTHAnalytical Summary
Astrana Health, Inc. faces fundamental challenges with weakness in Debt to Equity. The fundamentals warrant careful consideration of downside risks.
14-Year Financial Trajectory
AnnualBullish Indicators
- No bullish signals detected.
Bearish Risks
- Debt to EquityDebt to Equity is concerning (bottom quartile)
Health Breakdown
Statement lens
Choose the reporting cadence, isolate a period range, or search directly for a metric.
| Metric | FY 2025 Dec 31, 2025 10-K ↗ | FY 2024 Dec 31, 2024 10-K ↗ | FY 2023 Dec 31, 2023 10-K ↗ | FY 2022 Dec 31, 2022 10-K ↗ | FY 2021 Dec 31, 2021 10-K ↗ | FY 2020 Dec 31, 2020 10-K ↗ | FY 2019 Dec 31, 2019 10-K ↗ | FY 2018 Dec 31, 2018 10-K ↗ | FY 2017 Dec 31, 2017 10-K ↗ | FY 2016 Dec 31, 2016 10-K ↗ | FY 2015 Mar 31, 2016 10-K ↗ | FY 2014 Jan 31, 2012 10-K ↗ | FY 2013 Jan 31, 2011 10-K ↗ | FY 2012 Jan 31, 2010 10-K ↗ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue Growth YoY (%) |
56.4%
Excellent
↑
Excellent
Improving
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+1028%)
|
46.7%
Excellent
↑
Excellent
Improving
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+834%)
|
21.2%
Excellent
↓
Excellent
Declining
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+324%)
|
47.8%
Excellent
↑
Excellent
Improving
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+857%)
|
12.6%
Good
↓
Good
Declining
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+152%)
|
22.6%
Excellent
→
Excellent
Stable
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+352%)
|
7.8%
Fair
↓
Fair
Declining
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+57%)
|
45.9%
Excellent
↓
Excellent
Declining
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+818%)
|
16.5%
Good
↓
Good
Declining
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+230%)
|
594.5%
Excellent
↑
Excellent
Improving
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+11791%)
|
761.9%
Excellent
Excellent
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+15137%)
|
31.2%
Excellent
Excellent
Year-over-year change in total revenue
Optimal:
> 10%
vs Sector:
Above avg (+523%)
|
— | — |
| EPS Growth YoY (%) |
-49.5%
Weak
↓
Weak
Declining
Year-over-year change in earnings per share
Optimal:
> 10%
|
-30.0%
Weak
↓
Weak
Declining
Year-over-year change in earnings per share
Optimal:
> 10%
|
30.0%
Excellent
↓
Excellent
Declining
Year-over-year change in earnings per share
Optimal:
> 10%
|
-40.8%
Weak
↓
Weak
Declining
Year-over-year change in earnings per share
Optimal:
> 10%
|
62.5%
Excellent
↑
Excellent
Improving
Year-over-year change in earnings per share
Optimal:
> 10%
|
153.7%
Excellent
↑
Excellent
Improving
Year-over-year change in earnings per share
Optimal:
> 10%
|
24.2%
Good
↓
Good
Declining
Year-over-year change in earnings per share
Optimal:
> 10%
|
-67.3%
Weak
Weak
Year-over-year change in earnings per share
Optimal:
> 10%
|
119.6%
Excellent
Excellent
Year-over-year change in earnings per share
Optimal:
> 10%
|
— | — | — | — | — |
| Net Income Growth YoY (%) |
-47.9%
Weak
↓
Weak
Declining
Year-over-year change in net income |
-28.9%
Weak
↓
Weak
Declining
Year-over-year change in net income |
34.4%
Excellent
↓
Excellent
Declining
Year-over-year change in net income |
-38.8%
Weak
↓
Weak
Declining
Year-over-year change in net income |
95.1%
Excellent
↑
Excellent
Improving
Year-over-year change in net income |
168.2%
Excellent
↑
Excellent
Improving
Year-over-year change in net income |
30.3%
Excellent
↓
Excellent
Declining
Year-over-year change in net income |
-58.0%
Weak
↑
Weak
Improving
Year-over-year change in net income |
125.3%
Excellent
↑
Excellent
Improving
Year-over-year change in net income |
N/M |
-1197.2%
Weak
Weak
Year-over-year change in net income |
-360.8%
Weak
Weak
Year-over-year change in net income |
— | — |
| FCF Growth YoY (%) |
129.5%
Excellent
↑
Excellent
Improving
Year-over-year change in free cash flow |
8.8%
Fair
↑
Fair
Improving
Year-over-year change in free cash flow |
-35.2%
Weak
↓
Weak
Declining
Year-over-year change in free cash flow |
12.9%
Fair
↓
Fair
Declining
Year-over-year change in free cash flow |
-5.3%
Weak
↓
Weak
Declining
Year-over-year change in free cash flow |
238.5%
Excellent
↑
Excellent
Improving
Year-over-year change in free cash flow |
-50.8%
Weak
↓
Weak
Declining
Year-over-year change in free cash flow |
-62.1%
Weak
Weak
Year-over-year change in free cash flow |
158.4%
Excellent
Excellent
Year-over-year change in free cash flow |
— | — | — | — | — |
| Revenue CAGR 3Y (%) |
40.6%
Excellent
↑
Excellent
Improving
Compound annual revenue growth over 3 years |
38.0%
Excellent
↑
Excellent
Improving
Compound annual revenue growth over 3 years |
26.4%
Excellent
↑
Excellent
Improving
Compound annual revenue growth over 3 years |
26.8%
Excellent
↑
Excellent
Improving
Compound annual revenue growth over 3 years |
14.2%
Good
↓
Good
Declining
Compound annual revenue growth over 3 years |
24.5%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 3 years |
22.4%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 3 years |
127.7%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 3 years |
311.6%
Excellent
Excellent
Compound annual revenue growth over 3 years |
328.2%
Excellent
Excellent
Compound annual revenue growth over 3 years |
— | — | — | — |
| Revenue CAGR 5Y (%) |
35.9%
Excellent
↑
Excellent
Improving
Compound annual revenue growth over 5 years |
29.4%
Excellent
↑
Excellent
Improving
Compound annual revenue growth over 5 years |
21.7%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 5 years |
26.3%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 5 years |
20.4%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 5 years |
73.2%
Excellent
↓
Excellent
Declining
Compound annual revenue growth over 5 years |
155.9%
Excellent
Excellent
Compound annual revenue growth over 5 years |
166.1%
Excellent
Excellent
Compound annual revenue growth over 5 years |
— | — | — | — | — | — |
| EPS CAGR 3Y (%) |
-22.8%
Weak
↓
Weak
Declining
Compound annual EPS growth over 3 years |
-18.6%
Weak
↓
Weak
Declining
Compound annual EPS growth over 3 years |
7.7%
Fair
↓
Fair
Declining
Compound annual EPS growth over 3 years |
34.6%
Excellent
↑
Excellent
Improving
Compound annual EPS growth over 3 years |
72.4%
Excellent
↑
Excellent
Improving
Compound annual EPS growth over 3 years |
1.0%
Caution
Caution
Compound annual EPS growth over 3 years |
-3.8%
Weak
Weak
Compound annual EPS growth over 3 years |
— | — | — | — | — | — | — |
| Metric | FY 2025 Dec 31, 2025 10-K ↗ | FY 2024 Dec 31, 2024 10-K ↗ | FY 2023 Dec 31, 2023 10-K ↗ | FY 2022 Dec 31, 2022 10-K ↗ | FY 2021 Dec 31, 2021 10-K ↗ | FY 2020 Dec 31, 2020 10-K ↗ | FY 2019 Dec 31, 2019 10-K ↗ | FY 2018 Dec 31, 2018 10-K ↗ | FY 2017 Dec 31, 2017 10-K ↗ | FY 2016 Dec 31, 2016 10-K ↗ | FY 2015 Mar 31, 2016 10-K ↗ | FY 2014 Jan 31, 2012 10-K ↗ | FY 2013 Jan 31, 2011 10-K ↗ | FY 2012 Jan 31, 2010 10-K ↗ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating Margin (%) (%) |
2.5%
Weak
↓
Weak
Declining
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-79%)
|
4.4%
Weak
↓
Weak
Declining
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-63%)
|
6.1%
Caution
↓
Caution
Declining
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-49%)
|
9.1%
Caution
↓
Caution
Declining
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-24%)
|
12.7%
Fair
↑
Fair
Improving
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Above avg (+6%)
|
11.7%
Caution
↑
Caution
Improving
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
At sector avg
|
5.8%
Weak
↓
Weak
Declining
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-52%)
|
17.0%
Fair
↑
Fair
Improving
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Above avg (+42%)
|
9.9%
Caution
↑
Caution
Improving
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-18%)
|
3.8%
Weak
↑
Weak
Improving
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-68%)
|
-16.5%
Weak
↓
Weak
Declining
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-237%)
|
-8.1%
Weak
Weak
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-167%)
|
0.1%
Weak
Weak
Operating income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-99%)
|
— |
| Effective Tax Rate (%) (%) |
39.2%
Weak
→
Weak
Stable
Actual taxes paid relative to pre-tax income
Optimal:
15-25%
|
38.2%
Weak
→
Weak
Stable
Actual taxes paid relative to pre-tax income
Optimal:
15-25%
|
35.6%
Weak
↓
Weak
Declining
Actual taxes paid relative to pre-tax income
Optimal:
15-25%
|
47.2%
Weak
↑
Weak
Improving
Actual taxes paid relative to pre-tax income
Optimal:
15-25%
|
36.6%
Weak
Weak
Actual taxes paid relative to pre-tax income
Optimal:
15-25%
|
31.4%
Weak
Weak
Actual taxes paid relative to pre-tax income
Optimal:
15-25%
|
— | — | — | — | — | — | — | — |
| Profit Margin (%) (%) |
0.7%
Weak
↓
Weak
Declining
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-91%)
|
2.1%
Weak
↓
Weak
Declining
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-73%)
|
4.4%
Weak
↓
Weak
Declining
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-45%)
|
3.9%
Weak
↓
Weak
Declining
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-51%)
|
9.5%
Caution
↑
Caution
Improving
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Above avg (+19%)
|
5.5%
Caution
↑
Caution
Improving
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-31%)
|
2.5%
Weak
↓
Weak
Declining
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-69%)
|
2.1%
Weak
↑
Weak
Improving
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-74%)
|
7.2%
Caution
↑
Caution
Improving
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-9%)
|
3.7%
Weak
↑
Weak
Improving
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-53%)
|
-21.2%
Weak
↓
Weak
Declining
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-365%)
|
-14.1%
Weak
Weak
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-276%)
|
-4.0%
Weak
Weak
Net income as a percentage of revenue
Optimal:
> 15%
vs Sector:
Below avg (-150%)
|
— |
| FCF Margin (%) (%) |
3.3%
Weak
→
Weak
Stable
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
2.2%
Weak
↓
Weak
Declining
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
2.9%
Weak
↓
Weak
Declining
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
5.2%
Caution
→
Caution
Stable
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
6.6%
Caution
↑
Caution
Improving
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
6.5%
Caution
↓
Caution
Declining
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
2.3%
Weak
↓
Weak
Declining
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
4.7%
Weak
↓
Weak
Declining
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
14.0%
Fair
↑
Fair
Improving
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
6.1%
Caution
↑
Caution
Improving
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
— |
-7.7%
Weak
Weak
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
-6.8%
Weak
Weak
Free cash flow as a percentage of revenue
Optimal:
> 10%
|
— |
| FCF / Net Income (x) |
4.65x
Excellent
↑
Excellent
Improving
Free cash flow relative to reported net income
Optimal:
> 1x
|
1.02x
Fair
↑
Fair
Improving
Free cash flow relative to reported net income
Optimal:
> 1x
|
0.65x
Weak
↓
Weak
Declining
Free cash flow relative to reported net income
Optimal:
> 1x
|
1.31x
Good
↑
Good
Improving
Free cash flow relative to reported net income
Optimal:
> 1x
|
0.69x
Weak
↓
Weak
Declining
Free cash flow relative to reported net income
Optimal:
> 1x
|
1.19x
Fair
↓
Fair
Declining
Free cash flow relative to reported net income
Optimal:
> 1x
|
0.89x
Caution
↓
Caution
Declining
Free cash flow relative to reported net income
Optimal:
> 1x
|
2.25x
Excellent
↑
Excellent
Improving
Free cash flow relative to reported net income
Optimal:
> 1x
|
1.93x
Excellent
↑
Excellent
Improving
Free cash flow relative to reported net income
Optimal:
> 1x
|
1.62x
Excellent
↑
Excellent
Improving
Free cash flow relative to reported net income
Optimal:
> 1x
|
— |
0.55x
Weak
Weak
Free cash flow relative to reported net income
Optimal:
> 1x
|
1.70x
Excellent
Excellent
Free cash flow relative to reported net income
Optimal:
> 1x
|
— |
| Metric | FY 2025 Dec 31, 2025 10-K ↗ | FY 2024 Dec 31, 2024 10-K ↗ | FY 2023 Dec 31, 2023 10-K ↗ | FY 2022 Dec 31, 2022 10-K ↗ | FY 2021 Dec 31, 2021 10-K ↗ | FY 2020 Dec 31, 2020 10-K ↗ | FY 2019 Dec 31, 2019 10-K ↗ | FY 2018 Dec 31, 2018 10-K ↗ | FY 2017 Dec 31, 2017 10-K ↗ | FY 2016 Dec 31, 2016 10-K ↗ | FY 2015 Mar 31, 2016 10-K ↗ | FY 2014 Jan 31, 2012 10-K ↗ | FY 2013 Jan 31, 2011 10-K ↗ | FY 2012 Jan 31, 2010 10-K ↗ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Return on Invested Capital (%) |
2.7%
Weak
↓
Weak
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
4.9%
Caution
↓
Caution
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
6.2%
Caution
↓
Caution
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
7.4%
Fair
↓
Fair
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
9.8%
Fair
↓
Fair
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
9.8%
Fair
↓
Fair
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
6.0%
Caution
↓
Caution
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
38.7%
Excellent
↓
Excellent
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
17.4%
Excellent
↓
Excellent
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
10.6%
Good
↓
Good
Declining
Return earned on debt + equity capital invested
Optimal:
> 10%
|
452.2%
Excellent
↑
Excellent
Improving
Return earned on debt + equity capital invested
Optimal:
> 10%
|
49.5%
Excellent
Excellent
Return earned on debt + equity capital invested
Optimal:
> 10%
|
-1.0%
Weak
Weak
Return earned on debt + equity capital invested
Optimal:
> 10%
|
— |
| Return on Capital (%) (%) |
3.5%
Weak
↓
Weak
Declining
Operating profit relative to total assets
Optimal:
> 10%
|
6.6%
Caution
↓
Caution
Declining
Operating profit relative to total assets
Optimal:
> 10%
|
9.1%
Fair
↓
Fair
Declining
Operating profit relative to total assets
Optimal:
> 10%
|
10.8%
Good
↑
Good
Improving
Operating profit relative to total assets
Optimal:
> 10%
|
11.5%
Good
↑
Good
Improving
Operating profit relative to total assets
Optimal:
> 10%
|
9.8%
Fair
→
Fair
Stable
Operating profit relative to total assets
Optimal:
> 10%
|
4.4%
Caution
↓
Caution
Declining
Operating profit relative to total assets
Optimal:
> 10%
|
17.2%
Excellent
↑
Excellent
Improving
Operating profit relative to total assets
Optimal:
> 10%
|
7.2%
Fair
↑
Fair
Improving
Operating profit relative to total assets
Optimal:
> 10%
|
3.3%
Weak
↑
Weak
Improving
Operating profit relative to total assets
Optimal:
> 10%
|
-37.1%
Weak
↓
Weak
Declining
Operating profit relative to total assets
Optimal:
> 10%
|
-30.3%
Weak
Weak
Operating profit relative to total assets
Optimal:
> 10%
|
0.3%
Weak
Weak
Operating profit relative to total assets
Optimal:
> 10%
|
— |
| Return on Common Equity (%) (%) |
2.9%
Weak
↓
Weak
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-81%)
|
6.1%
Caution
↓
Caution
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-60%)
|
9.9%
Caution
↓
Caution
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-34%)
|
8.3%
Caution
↓
Caution
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-44%)
|
16.2%
Good
↑
Good
Improving
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Above avg (+8%)
|
11.4%
Fair
↑
Fair
Improving
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-24%)
|
7.4%
Caution
↓
Caution
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-51%)
|
6.0%
Caution
↓
Caution
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-60%)
|
16.1%
Good
↓
Good
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Above avg (+8%)
|
13.1%
Fair
↓
Fair
Declining
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Below avg (-12%)
|
— |
109.3%
Excellent
Excellent
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Above avg (+628%)
|
50.2%
Excellent
Excellent
Profit generated per dollar of shareholder equity
Optimal:
> 15%
vs Sector:
Above avg (+235%)
|
— |
| Metric | FY 2025 Dec 31, 2025 10-K ↗ | FY 2024 Dec 31, 2024 10-K ↗ | FY 2023 Dec 31, 2023 10-K ↗ | FY 2022 Dec 31, 2022 10-K ↗ | FY 2021 Dec 31, 2021 10-K ↗ | FY 2020 Dec 31, 2020 10-K ↗ | FY 2019 Dec 31, 2019 10-K ↗ | FY 2018 Dec 31, 2018 10-K ↗ | FY 2017 Dec 31, 2017 10-K ↗ | FY 2016 Dec 31, 2016 10-K ↗ | FY 2015 Mar 31, 2016 10-K ↗ | FY 2014 Jan 31, 2012 10-K ↗ | FY 2013 Jan 31, 2011 10-K ↗ | FY 2012 Jan 31, 2010 10-K ↗ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt to Equity (x) |
1.27x
Caution
↑
Caution
Improving
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Above avg (+82%)
|
0.60x
Good
↑
Good
Improving
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Below avg (-15%)
|
0.42x
Good
↓
Good
Declining
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Below avg (-40%)
|
0.37x
Good
↓
Good
Declining
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Below avg (-46%)
|
0.40x
Good
↓
Good
Declining
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Below avg (-43%)
|
0.70x
Fair
↑
Fair
Improving
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
At sector avg
|
1.21x
Caution
Caution
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Above avg (+73%)
|
0.00x
Excellent
Excellent
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Below avg (-100%)
|
— | — |
-0.16x
Excellent
Excellent
Total debt relative to shareholder equity
Optimal:
< 0.6x
vs Sector:
Below avg (-123%)
|
— | — | — |
| Interest Coverage (x) |
1.72x
Caution
↓
Caution
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
2.94x
Caution
↓
Caution
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
5.25x
Good
↓
Good
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
13.16x
Excellent
↑
Excellent
Improving
Operating income divided by interest expense
Optimal:
> 5x
|
18.20x
Excellent
↓
Excellent
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
8.47x
Good
↓
Good
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
6.85x
Good
↓
Good
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
157.77x
Excellent
↓
Excellent
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
441.04x
Excellent
↑
Excellent
Improving
Operating income divided by interest expense
Optimal:
> 5x
|
189.78x
Excellent
↑
Excellent
Improving
Operating income divided by interest expense
Optimal:
> 5x
|
-13.40x
Weak
↓
Weak
Declining
Operating income divided by interest expense
Optimal:
> 5x
|
-1.36x
Weak
Weak
Operating income divided by interest expense
Optimal:
> 5x
|
0.03x
Weak
Weak
Operating income divided by interest expense
Optimal:
> 5x
|
— |
| Net Debt (USD) | $561.43M | $136.84M | $-34.87M | $-84.64M | $-50.18M | $36.74M | $128.98M | $-106.89M | $-99.75M | $-54.82M | $-9.07M | $-164.36K | $-397.10K | $-665.74K |
| Debt / EBITDA (x) |
7.97x
Weak
↑
Weak
Improving
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
3.63x
Caution
↑
Caution
Improving
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
2.53x
Fair
↑
Fair
Improving
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
1.67x
Good
↓
Good
Declining
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
1.58x
Good
↓
Good
Declining
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
2.33x
Fair
→
Fair
Stable
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
4.54x
Weak
Weak
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
0.00x
Excellent
Excellent
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
— | — |
-0.03x
Excellent
Excellent
Debt relative to earnings before interest, taxes, depreciation
Optimal:
< 2x
|
— | — | — |
| Metric | FY 2025 Dec 31, 2025 10-K ↗ | FY 2024 Dec 31, 2024 10-K ↗ | FY 2023 Dec 31, 2023 10-K ↗ | FY 2022 Dec 31, 2022 10-K ↗ | FY 2021 Dec 31, 2021 10-K ↗ | FY 2020 Dec 31, 2020 10-K ↗ | FY 2019 Dec 31, 2019 10-K ↗ | FY 2018 Dec 31, 2018 10-K ↗ | FY 2017 Dec 31, 2017 10-K ↗ | FY 2016 Dec 31, 2016 10-K ↗ | FY 2015 Mar 31, 2016 10-K ↗ | FY 2014 Jan 31, 2012 10-K ↗ | FY 2013 Jan 31, 2011 10-K ↗ | FY 2012 Jan 31, 2010 10-K ↗ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Working Capital (USD) | $248.04M | $272.89M | $242.83M | $279.51M | $283.41M | $223.59M | $223.64M | $100.84M | $34.56M | $30.53M | $6.13M | $-266.04K | $1.10M | — |
| LT Debt (USD) | $990.90M | $425.30M | $258.94M | $203.39M | $182.92M | $230.21M | $232.17M | $0.00 | — | — | — | — | — | — |
| Total Equity (USD) | $779.29M | $712.72M | $614.22M | $542.56M | $454.55M | $330.82M | $191.55M | $180.55M | $159.95M | $87.21M | $-1.27M | $-659.32K | $-311.31K | — |
| Metric | FY 2025 Dec 31, 2025 10-K ↗ | FY 2024 Dec 31, 2024 10-K ↗ | FY 2023 Dec 31, 2023 10-K ↗ | FY 2022 Dec 31, 2022 10-K ↗ | FY 2021 Dec 31, 2021 10-K ↗ | FY 2020 Dec 31, 2020 10-K ↗ | FY 2019 Dec 31, 2019 10-K ↗ | FY 2018 Dec 31, 2018 10-K ↗ | FY 2017 Dec 31, 2017 10-K ↗ | FY 2016 Dec 31, 2016 10-K ↗ | FY 2015 Mar 31, 2016 10-K ↗ | FY 2014 Jan 31, 2012 10-K ↗ | FY 2013 Jan 31, 2011 10-K ↗ | FY 2012 Jan 31, 2010 10-K ↗ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sales/Revenue/Turnover (USD) | $3.18B | $2.03B | $1.39B | $1.14B | $773.91M | $687.18M | $560.62M | $519.91M | $356.36M | $305.93M | $44.05M | $5.11M | $3.90M | — |
| Depreciation Expense (USD) | $45.75M | $27.93M | $17.75M | $17.54M | $17.52M | $18.35M | $18.75M | $19.30M | $19.08M | $18.11M | $351.40K | $12.59K | $11.20K | — |
| Net Income, GAAP (USD) | $22.49M | $43.15M | $60.72M | $45.17M | $73.86M | $37.87M | $14.12M | $10.84M | $25.80M | $11.45M | $-9.34M | $-720.35K | $-156.33K | — |
| Operating Cash Flow (USD) | $114.60M | $52.20M | $68.23M | $82.13M | $70.33M | $46.16M | $13.67M | $25.50M | $51.83M | $21.91M | — | $-385.45K | $-245.03K | — |
Secondary lens
Benchmark Lens
Compare ASTH against peers after checking the statement evidence.
Open lens
Benchmark Lens
Compare ASTH against peers after checking the statement evidence.
Signals
Key bullish and bearish indicators for ASTH
No bullish signals detected
Debt to Equity is concerning (bottom quartile)
Percentile Rankings
How ASTH compares to all companies
Peer Comparison
ASTH vs similar peers
Compare ASTH with peers
Stack ASTH against similar companies across every metric on this page.
north_east Open comparisonbar_chart Data from SEC EDGAR XBRL filings
Synced 1 week ago 14 years · 54 quarters