$ASTH Cashflow Statement | Understand Stock

$ASTH

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Financial Statements

Income Statement Balance Sheet Cashflow Statement

Consolidated statements of cash flows

In millions of USD, except per-share amounts

	FY2025 12 months to Dec 31, 2025	FY2024 12 months to Dec 31, 2024	FY2023 12 months to Dec 31, 2023	FY2022 12 months to Dec 31, 2022	FY2021 12 months to Dec 31, 2021
Cash flows from operating activities
Net income
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
Amortization of debt issuance cost
Share-based compensation
Gain on sale of equity method investment
Non-cash lease expense
Gain on debt extinguishment
Unrealized (gain) loss on investments
Income from equity method investments, net
Unrealized gain on interest rate swaps
Loss of disposal of property and equipment
Impairment of goodwill and intangible assets
Provision for doubtful accounts
Gain on sale or distribution of investments
Gain on loan assumption
Unrealized loss (gain) from investment in equity securities
Deferred tax
Change in fair value of contingent consideration liabilities
Loss on consolidation of equity method investment
Gain on contingent equity securities
Gain from investment in warrants
Loss in interest rate swaps
Impairment of beneficial interest
Other
Changes in operating assets and liabilities, net of business combinations
Receivables, net
Receivables, net - related parties
Other receivables
Right-of-use assets
Prepaid expenses and other current assets
Other assets
Accounts payable and accrued expenses
Fiduciary accounts payable
Medical liabilities
Income taxes payable/receivable
Operating lease liabilities
Other liabilities

Net cash provided by operating activities
Cash flows from investing activities
Payments for business and asset acquisition, net of cash acquired
Purchases of investments in privately held entities
Proceeds from repayment of promissory notes, including those with related parties
Purchases of marketable securities
Proceeds from sale of marketable securities
Purchases of investments – equity method
Purchase of call option issued in conjunction with equity method investment
Distribution from investment - equity method
Contribution to investment - equity method
Cash recorded from consolidation of VIE
Issuance of loans receivable
Purchases of property and equipment
Proceeds from sale of fixed assets
Purchases of investments –privately held
Proceeds from sale of equity method investment
Other
Net cash used in investing activities

Cash flows from financing activities
Dividends paid
Repayment of term loan
Repayments on long-term debt
Repayments on bank loan and lines of credit
Repayments on debt
Borrowings on debt
Borrowings on long-term debt
Borrowings on line of credit
Payment of finance lease obligations
Proceeds from exercise of stock options and warrants
Proceeds from sale of common stock
Proceeds from common stock offering
Proceeds from ESPP purchases
Taxes paid from net share settlement of restricted stock
Repurchase of treasury shares
Purchase of non-controlling interest
Proceeds from sale of noncontrolling interest
Deferred financing cost
Payment of financing obligation
Payment of contingent consideration liabilities
Other
Net cash provided by financing activities

Net (decrease) increase in cash, cash equivalents, and restricted cash
Cash, cash equivalents, and restricted cash, beginning of year
Cash, cash equivalents, and restricted cash, end of year
Supplemental disclosures of cash flow information
Cash paid for income taxes
Cash paid for interest
Supplemental disclosures of non-cash investing and financing activities
Right-of-use assets obtained in exchange for operating lease liabilities
Common stock issued in business combination
Reclassification of liability for equity shares
Common stock issued for contingent consideration payment
Acquisition of business through loan conversion
Draw on letter of credit through Revolver Loan
Tax impact from APC dividends to APC Shareholders
Distribution of real estate investments
Dividend declared included in dividend payable
Issuance of financing obligation for business combinations
Cashless exercise of warrants
Fixed asset obtained in exchange for finance lease liabilities
Mortgage loan
Deferred tax liability adjustment related to warrant exercises
Preferred shares received from sale of equity method investment
Beneficial interest acquired from sale of equity method investment
Cancellation of Restricted Stock Awards
Effective settlement of note payable upon consolidation
Transfer of investment in privately held to equity method
Repurchase of treasury shares outstanding payable
Dividend paid in form of stock

Reconciliation of cash, cash equivalents, and restricted cash
Cash and cash equivalents
Restricted cash
Restricted cash – short-term

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