vs

Side-by-side financial comparison of American Integrity Insurance Group, Inc. (AII) and Akebia Therapeutics, Inc. (AKBA). Click either name above to swap in a different company.

American Integrity Insurance Group, Inc. is the larger business by last-quarter revenue ($68.1M vs $57.6M, roughly 1.2× Akebia Therapeutics, Inc.). American Integrity Insurance Group, Inc. produced more free cash flow last quarter ($133.2M vs $31.1M).

American International Group, Inc. (AIG) is an American multinational finance and insurance corporation with operations in more than 80 countries and jurisdictions. As of 2023, AIG employed 25,200 people. The company operates through three core businesses: general insurance, life & retirement, and a standalone technology-enabled subsidiary. General Insurance includes Commercial, Personal Insurance, U.S. and International field operations. Life & Retirement includes Group Retirement, Individua...

Akebia Therapeutics is a biopharmaceutical company dedicated to developing and commercializing novel therapies for patients with kidney diseases, particularly anemia linked to chronic kidney disease. It operates across global markets, focusing on addressing unmet medical needs in the nephrology care segment.

AII vs AKBA — Head-to-Head

Bigger by revenue
AII
AII
1.2× larger
AII
$68.1M
$57.6M
AKBA
More free cash flow
AII
AII
$102.1M more FCF
AII
$133.2M
$31.1M
AKBA

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AII
AII
AKBA
AKBA
Revenue
$68.1M
$57.6M
Net Profit
$20.9M
Gross Margin
78.2%
Operating Margin
43.0%
-14.8%
Net Margin
30.7%
Revenue YoY
23.9%
Net Profit YoY
EPS (diluted)
$0.58
$-0.05

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
AII
AII
AKBA
AKBA
Q4 25
$68.1M
$57.6M
Q3 25
$62.0M
$58.8M
Q2 25
$74.5M
$62.5M
Q1 25
$71.9M
$57.3M
Q4 24
$46.5M
Q3 24
$37.4M
Q2 24
$43.6M
Q1 24
$32.6M
Net Profit
AII
AII
AKBA
AKBA
Q4 25
$20.9M
Q3 25
$13.2M
$540.0K
Q2 25
$27.5M
$247.0K
Q1 25
$38.1M
$6.1M
Q4 24
Q3 24
$-20.0M
Q2 24
$-8.6M
Q1 24
$-18.0M
Gross Margin
AII
AII
AKBA
AKBA
Q4 25
78.2%
Q3 25
84.0%
Q2 25
84.1%
Q1 25
86.7%
Q4 24
56.2%
Q3 24
62.2%
Q2 24
60.9%
Q1 24
64.4%
Operating Margin
AII
AII
AKBA
AKBA
Q4 25
43.0%
-14.8%
Q3 25
30.3%
7.6%
Q2 25
32.3%
22.6%
Q1 25
59.7%
23.6%
Q4 24
-30.8%
Q3 24
-33.4%
Q2 24
-20.0%
Q1 24
-45.8%
Net Margin
AII
AII
AKBA
AKBA
Q4 25
30.7%
Q3 25
21.2%
0.9%
Q2 25
36.9%
0.4%
Q1 25
53.0%
10.7%
Q4 24
Q3 24
-53.5%
Q2 24
-19.7%
Q1 24
-55.2%
EPS (diluted)
AII
AII
AKBA
AKBA
Q4 25
$0.58
$-0.05
Q3 25
$0.67
$0.00
Q2 25
$1.62
$0.00
Q1 25
$2.78
$0.03
Q4 24
$-0.10
Q3 24
$-0.10
Q2 24
$-0.04
Q1 24
$-0.09

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AII
AII
AKBA
AKBA
Cash + ST InvestmentsLiquidity on hand
$222.0M
$184.8M
Total DebtLower is stronger
$618.0K
$48.3M
Stockholders' EquityBook value
$337.0M
$32.6M
Total Assets
$1.2B
$376.6M
Debt / EquityLower = less leverage
0.00×
1.48×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AII
AII
AKBA
AKBA
Q4 25
$222.0M
$184.8M
Q3 25
$171.9M
$166.4M
Q2 25
$259.6M
$137.3M
Q1 25
$236.4M
$113.4M
Q4 24
$51.9M
Q3 24
$34.0M
Q2 24
$39.5M
Q1 24
$42.0M
Total Debt
AII
AII
AKBA
AKBA
Q4 25
$618.0K
$48.3M
Q3 25
$721.0K
$47.6M
Q2 25
$824.0K
$47.1M
Q1 25
$926.0K
$46.5M
Q4 24
$38.7M
Q3 24
$38.4M
Q2 24
$38.0M
Q1 24
$30.1M
Stockholders' Equity
AII
AII
AKBA
AKBA
Q4 25
$337.0M
$32.6M
Q3 25
$315.9M
$41.6M
Q2 25
$301.9M
$29.2M
Q1 25
$186.1M
$24.6M
Q4 24
$-49.2M
Q3 24
$-50.4M
Q2 24
$-33.8M
Q1 24
$-27.3M
Total Assets
AII
AII
AKBA
AKBA
Q4 25
$1.2B
$376.6M
Q3 25
$1.4B
$364.2M
Q2 25
$1.6B
$345.6M
Q1 25
$1.1B
$310.2M
Q4 24
$220.7M
Q3 24
$207.1M
Q2 24
$220.2M
Q1 24
$225.5M
Debt / Equity
AII
AII
AKBA
AKBA
Q4 25
0.00×
1.48×
Q3 25
0.00×
1.15×
Q2 25
0.00×
1.61×
Q1 25
0.00×
1.89×
Q4 24
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AII
AII
AKBA
AKBA
Operating Cash FlowLast quarter
$138.2M
$31.1M
Free Cash FlowOCF − Capex
$133.2M
$31.1M
FCF MarginFCF / Revenue
195.6%
53.9%
Capex IntensityCapex / Revenue
7.4%
0.1%
Cash ConversionOCF / Net Profit
6.62×
TTM Free Cash FlowTrailing 4 quarters
$216.1M
$67.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AII
AII
AKBA
AKBA
Q4 25
$138.2M
$31.1M
Q3 25
$-7.5M
$28.1M
Q2 25
$27.4M
$22.3M
Q1 25
$68.1M
$-13.6M
Q4 24
$-4.5M
Q3 24
$-6.7M
Q2 24
$-10.1M
Q1 24
$-19.4M
Free Cash Flow
AII
AII
AKBA
AKBA
Q4 25
$133.2M
$31.1M
Q3 25
$-11.9M
$28.0M
Q2 25
$26.9M
$22.2M
Q1 25
$68.0M
$-13.6M
Q4 24
$-4.5M
Q3 24
$-6.7M
Q2 24
$-10.1M
Q1 24
FCF Margin
AII
AII
AKBA
AKBA
Q4 25
195.6%
53.9%
Q3 25
-19.2%
47.7%
Q2 25
36.1%
35.6%
Q1 25
94.6%
-23.7%
Q4 24
-9.6%
Q3 24
-17.9%
Q2 24
-23.1%
Q1 24
Capex Intensity
AII
AII
AKBA
AKBA
Q4 25
7.4%
0.1%
Q3 25
7.2%
0.1%
Q2 25
0.6%
0.2%
Q1 25
0.2%
0.0%
Q4 24
0.0%
Q3 24
0.0%
Q2 24
0.1%
Q1 24
0.0%
Cash Conversion
AII
AII
AKBA
AKBA
Q4 25
6.62×
Q3 25
-0.57×
52.05×
Q2 25
1.00×
90.47×
Q1 25
1.79×
-2.22×
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

AII
AII

Segment breakdown not available.

AKBA
AKBA

Auryxia$48.1M84%
Vafseo$6.2M11%
License Collaboration And Other Revenue$3.3M6%

Related Comparisons