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Side-by-side financial comparison of ALTA EQUIPMENT GROUP INC. (ALTG) and Astrana Health, Inc. (ASTH). Click either name above to swap in a different company.

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $509.1M, roughly 1.9× ALTA EQUIPMENT GROUP INC.). Astrana Health, Inc. runs the higher net margin — 0.7% vs -2.3%, a 3.0% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 2.2%). ALTA EQUIPMENT GROUP INC. produced more free cash flow last quarter ($32.8M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 7.4%).

The Alta Car and Engineering Company was a British sports and racing car manufacturer, commonly known simply as Alta. Their cars contested five FIA World Championship races between 1950 and 1952, as well as Grand Prix events prior to this. They also supplied engines to a small number of other constructors, most notably the Connaught and HWM teams.

Astrana Health, Inc. is a U.S.-based value-based healthcare services provider that primarily serves Medicare-eligible senior populations across the United States. It offers in-home primary care, chronic disease management, and care coordination services, aiming to improve patient health outcomes and reduce unnecessary medical costs.

ALTG vs ASTH — Head-to-Head

Bigger by revenue
ASTH
ASTH
1.9× larger
ASTH
$950.5M
$509.1M
ALTG
Growing faster (revenue YoY)
ASTH
ASTH
+40.7% gap
ASTH
42.9%
2.2%
ALTG
Higher net margin
ASTH
ASTH
3.0% more per $
ASTH
0.7%
-2.3%
ALTG
More free cash flow
ALTG
ALTG
$38.8M more FCF
ALTG
$32.8M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
7.4%
ALTG

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALTG
ALTG
ASTH
ASTH
Revenue
$509.1M
$950.5M
Net Profit
$-11.7M
$6.6M
Gross Margin
23.5%
Operating Margin
1.0%
1.9%
Net Margin
-2.3%
0.7%
Revenue YoY
2.2%
42.9%
Net Profit YoY
-10.4%
184.4%
EPS (diluted)
$-0.38
$0.12

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
ALTG
ALTG
ASTH
ASTH
Q4 25
$509.1M
$950.5M
Q3 25
$422.6M
$956.0M
Q2 25
$481.2M
$654.8M
Q1 25
$423.0M
$620.4M
Q4 24
$498.1M
$665.2M
Q3 24
$448.8M
$478.7M
Q2 24
$488.1M
$486.3M
Q1 24
$441.6M
$404.4M
Net Profit
ALTG
ALTG
ASTH
ASTH
Q4 25
$-11.7M
$6.6M
Q3 25
$-41.6M
$373.0K
Q2 25
$-6.1M
$9.4M
Q1 25
$-20.9M
$6.7M
Q4 24
$-10.6M
$-7.8M
Q3 24
$-27.7M
$16.1M
Q2 24
$-11.9M
$19.2M
Q1 24
$-11.9M
$14.8M
Gross Margin
ALTG
ALTG
ASTH
ASTH
Q4 25
23.5%
Q3 25
27.9%
Q2 25
25.4%
Q1 25
27.2%
Q4 24
23.4%
Q3 24
27.8%
Q2 24
27.0%
Q1 24
27.3%
Operating Margin
ALTG
ALTG
ASTH
ASTH
Q4 25
1.0%
1.9%
Q3 25
1.1%
2.0%
Q2 25
2.6%
3.1%
Q1 25
0.2%
3.3%
Q4 24
0.5%
0.1%
Q3 24
1.5%
5.9%
Q2 24
2.1%
6.2%
Q1 24
-0.2%
7.5%
Net Margin
ALTG
ALTG
ASTH
ASTH
Q4 25
-2.3%
0.7%
Q3 25
-9.8%
0.0%
Q2 25
-1.3%
1.4%
Q1 25
-4.9%
1.1%
Q4 24
-2.1%
-1.2%
Q3 24
-6.2%
3.4%
Q2 24
-2.4%
3.9%
Q1 24
-2.7%
3.7%
EPS (diluted)
ALTG
ALTG
ASTH
ASTH
Q4 25
$-0.38
$0.12
Q3 25
$-1.31
$0.01
Q2 25
$-0.21
$0.19
Q1 25
$-0.65
$0.14
Q4 24
$-0.34
$-0.14
Q3 24
$-0.86
$0.33
Q2 24
$-0.38
$0.40
Q1 24
$-0.38
$0.31

Balance Sheet & Financial Strength

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

Metric
ALTG
ALTG
ASTH
ASTH
Cash + ST InvestmentsLiquidity on hand
$18.6M
$429.5M
Total DebtLower is stronger
$724.0M
Stockholders' EquityBook value
$-8.8M
$779.3M
Total Assets
$1.3B
$2.2B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALTG
ALTG
ASTH
ASTH
Q4 25
$18.6M
$429.5M
Q3 25
$14.1M
$463.4M
Q2 25
$13.2M
$342.1M
Q1 25
$11.1M
$260.9M
Q4 24
$13.4M
$290.8M
Q3 24
$14.6M
$350.3M
Q2 24
$4.5M
$327.7M
Q1 24
$5.6M
$337.3M
Total Debt
ALTG
ALTG
ASTH
ASTH
Q4 25
$724.0M
Q3 25
$745.6M
Q2 25
$732.6M
Q1 25
$735.0M
Q4 24
$695.3M
Q3 24
$712.6M
Q2 24
$727.3M
Q1 24
$674.4M
Stockholders' Equity
ALTG
ALTG
ASTH
ASTH
Q4 25
$-8.8M
$779.3M
Q3 25
$2.9M
$775.5M
Q2 25
$43.9M
$765.5M
Q1 25
$56.0M
$745.4M
Q4 24
$77.6M
$712.7M
Q3 24
$95.7M
$704.6M
Q2 24
$125.2M
$678.9M
Q1 24
$136.9M
$653.5M
Total Assets
ALTG
ALTG
ASTH
ASTH
Q4 25
$1.3B
$2.2B
Q3 25
$1.4B
$2.2B
Q2 25
$1.4B
$1.4B
Q1 25
$1.5B
$1.3B
Q4 24
$1.5B
$1.4B
Q3 24
$1.5B
$1.3B
Q2 24
$1.6B
$1.3B
Q1 24
$1.6B
$1.2B
Debt / Equity
ALTG
ALTG
ASTH
ASTH
Q4 25
Q3 25
257.10×
Q2 25
16.69×
Q1 25
13.13×
Q4 24
8.96×
Q3 24
7.45×
Q2 24
5.81×
Q1 24
4.93×

Cash Flow & Capital Efficiency

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

Metric
ALTG
ALTG
ASTH
ASTH
Operating Cash FlowLast quarter
$33.9M
$-2.9M
Free Cash FlowOCF − Capex
$32.8M
$-6.0M
FCF MarginFCF / Revenue
6.4%
-0.6%
Capex IntensityCapex / Revenue
0.2%
0.3%
Cash ConversionOCF / Net Profit
-0.44×
TTM Free Cash FlowTrailing 4 quarters
$23.8M
$104.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALTG
ALTG
ASTH
ASTH
Q4 25
$33.9M
$-2.9M
Q3 25
$2.5M
$10.0M
Q2 25
$14.1M
$90.9M
Q1 25
$-17.5M
$16.6M
Q4 24
$34.9M
$-10.9M
Q3 24
$46.3M
$34.0M
Q2 24
$-10.7M
$23.2M
Q1 24
$-13.5M
$6.0M
Free Cash Flow
ALTG
ALTG
ASTH
ASTH
Q4 25
$32.8M
$-6.0M
Q3 25
$-1.7M
$7.4M
Q2 25
$11.9M
$89.5M
Q1 25
$-19.2M
$13.6M
Q4 24
$30.9M
$-13.5M
Q3 24
$42.1M
$31.7M
Q2 24
$-13.5M
$20.4M
Q1 24
$-17.9M
$5.6M
FCF Margin
ALTG
ALTG
ASTH
ASTH
Q4 25
6.4%
-0.6%
Q3 25
-0.4%
0.8%
Q2 25
2.5%
13.7%
Q1 25
-4.5%
2.2%
Q4 24
6.2%
-2.0%
Q3 24
9.4%
6.6%
Q2 24
-2.8%
4.2%
Q1 24
-4.1%
1.4%
Capex Intensity
ALTG
ALTG
ASTH
ASTH
Q4 25
0.2%
0.3%
Q3 25
1.0%
0.3%
Q2 25
0.5%
0.2%
Q1 25
0.4%
0.5%
Q4 24
0.8%
0.4%
Q3 24
0.9%
0.5%
Q2 24
0.6%
0.6%
Q1 24
1.0%
0.1%
Cash Conversion
ALTG
ALTG
ASTH
ASTH
Q4 25
-0.44×
Q3 25
26.69×
Q2 25
9.65×
Q1 25
2.48×
Q4 24
Q3 24
2.11×
Q2 24
1.21×
Q1 24
0.40×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALTG
ALTG

New And Used Equipment Sales$300.9M59%
Parts Sales$68.1M13%
Services$59.3M12%
Rental Equipment Sales$38.0M7%
Design And Build Projects Automated Equipment Installation And System Integration Services$18.5M4%
Design And Build Solutions Automated Equipment Installation And System Integration And Software Services$14.6M3%
Master Distribution Segment$14.0M3%

ASTH
ASTH

Medicare$542.4M57%
Commercial$99.1M10%
Care Delivery$92.1M10%
Care Enablement$78.9M8%
Other Third Parties$58.0M6%
Health Care Patient Service$39.8M4%
Health Care Other$25.5M3%
Other$12.1M1%
Management Service$10.3M1%

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