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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Atmos Energy (ATO). Click either name above to swap in a different company.

Atmos Energy is the larger business by last-quarter revenue ($1.3B vs $950.5M, roughly 1.4× Astrana Health, Inc.). Atmos Energy runs the higher net margin — 30.0% vs 0.7%, a 29.3% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 14.2%). Astrana Health, Inc. produced more free cash flow last quarter ($-6.0M vs $-725.3M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs -9.7%).

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.

Atmos Energy Corporation, headquartered in Dallas, Texas, is one of the United States' largest natural-gas-only distributors, serving about three million natural gas distribution customers in over 1,400 communities in nine states from the Blue Ridge Mountains in the East to the Rocky Mountains in the West.

ASTH vs ATO — Head-to-Head

Bigger by revenue
ATO
ATO
1.4× larger
ATO
$1.3B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+28.7% gap
ASTH
42.9%
14.2%
ATO
Higher net margin
ATO
ATO
29.3% more per $
ATO
30.0%
0.7%
ASTH
More free cash flow
ASTH
ASTH
$719.3M more FCF
ASTH
$-6.0M
$-725.3M
ATO
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
-9.7%
ATO

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ASTH
ASTH
ATO
ATO
Revenue
$950.5M
$1.3B
Net Profit
$6.6M
$403.0M
Gross Margin
Operating Margin
1.9%
38.3%
Net Margin
0.7%
30.0%
Revenue YoY
42.9%
14.2%
Net Profit YoY
184.4%
14.5%
EPS (diluted)
$0.12
$2.44

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
ASTH
ASTH
ATO
ATO
Q4 25
$950.5M
$1.3B
Q3 25
$956.0M
$737.5M
Q2 25
$654.8M
$838.8M
Q1 25
$620.4M
$2.0B
Q4 24
$665.2M
$1.2B
Q3 24
$478.7M
$657.9M
Q2 24
$486.3M
$701.5M
Q1 24
$404.4M
$1.6B
Net Profit
ASTH
ASTH
ATO
ATO
Q4 25
$6.6M
$403.0M
Q3 25
$373.0K
$174.9M
Q2 25
$9.4M
$186.4M
Q1 25
$6.7M
$485.6M
Q4 24
$-7.8M
$351.9M
Q3 24
$16.1M
$134.0M
Q2 24
$19.2M
$165.6M
Q1 24
$14.8M
$432.0M
Gross Margin
ASTH
ASTH
ATO
ATO
Q4 25
Q3 25
Q2 25
Q1 25
60.0%
Q4 24
80.1%
Q3 24
Q2 24
Q1 24
62.1%
Operating Margin
ASTH
ASTH
ATO
ATO
Q4 25
1.9%
38.3%
Q3 25
2.0%
29.8%
Q2 25
3.1%
30.1%
Q1 25
3.3%
32.2%
Q4 24
0.1%
39.1%
Q3 24
5.9%
28.1%
Q2 24
6.2%
31.4%
Q1 24
7.5%
33.4%
Net Margin
ASTH
ASTH
ATO
ATO
Q4 25
0.7%
30.0%
Q3 25
0.0%
23.7%
Q2 25
1.4%
22.2%
Q1 25
1.1%
24.9%
Q4 24
-1.2%
29.9%
Q3 24
3.4%
20.4%
Q2 24
3.9%
23.6%
Q1 24
3.7%
26.2%
EPS (diluted)
ASTH
ASTH
ATO
ATO
Q4 25
$0.12
$2.44
Q3 25
$0.01
$1.04
Q2 25
$0.19
$1.16
Q1 25
$0.14
$3.03
Q4 24
$-0.14
$2.23
Q3 24
$0.33
$0.82
Q2 24
$0.40
$1.08
Q1 24
$0.31
$2.85

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
ATO
ATO
Cash + ST InvestmentsLiquidity on hand
$429.5M
$367.0M
Total DebtLower is stronger
$9.6B
Stockholders' EquityBook value
$779.3M
$14.3B
Total Assets
$2.2B
$29.8B
Debt / EquityLower = less leverage
0.67×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
ATO
ATO
Q4 25
$429.5M
$367.0M
Q3 25
$463.4M
$202.7M
Q2 25
$342.1M
$709.4M
Q1 25
$260.9M
$543.5M
Q4 24
$290.8M
$584.5M
Q3 24
$350.3M
$307.3M
Q2 24
$327.7M
$674.6M
Q1 24
$337.3M
$262.5M
Total Debt
ASTH
ASTH
ATO
ATO
Q4 25
$9.6B
Q3 25
$8.9B
Q2 25
$8.9B
Q1 25
$8.4B
Q4 24
$8.4B
Q3 24
$7.8B
Q2 24
$7.8B
Q1 24
$7.4B
Stockholders' Equity
ASTH
ASTH
ATO
ATO
Q4 25
$779.3M
$14.3B
Q3 25
$775.5M
$13.6B
Q2 25
$765.5M
$13.4B
Q1 25
$745.4M
$13.1B
Q4 24
$712.7M
$12.8B
Q3 24
$704.6M
$12.2B
Q2 24
$678.9M
$12.2B
Q1 24
$653.5M
$11.6B
Total Assets
ASTH
ASTH
ATO
ATO
Q4 25
$2.2B
$29.8B
Q3 25
$2.2B
$28.2B
Q2 25
$1.4B
$27.7B
Q1 25
$1.3B
$27.0B
Q4 24
$1.4B
$26.5B
Q3 24
$1.3B
$25.2B
Q2 24
$1.3B
$24.9B
Q1 24
$1.2B
$24.0B
Debt / Equity
ASTH
ASTH
ATO
ATO
Q4 25
0.67×
Q3 25
0.66×
Q2 25
0.67×
Q1 25
0.64×
Q4 24
0.66×
Q3 24
0.64×
Q2 24
0.64×
Q1 24
0.64×

Cash Flow & Capital Efficiency

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

Metric
ASTH
ASTH
ATO
ATO
Operating Cash FlowLast quarter
$-2.9M
$308.1M
Free Cash FlowOCF − Capex
$-6.0M
$-725.3M
FCF MarginFCF / Revenue
-0.6%
-54.0%
Capex IntensityCapex / Revenue
0.3%
77.0%
Cash ConversionOCF / Net Profit
-0.44×
0.76×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$-1.6B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
ATO
ATO
Q4 25
$-2.9M
$308.1M
Q3 25
$10.0M
$348.1M
Q2 25
$90.9M
$496.4M
Q1 25
$16.6M
$922.9M
Q4 24
$-10.9M
$282.0M
Q3 24
$34.0M
$330.7M
Q2 24
$23.2M
$411.2M
Q1 24
$6.0M
$746.6M
Free Cash Flow
ASTH
ASTH
ATO
ATO
Q4 25
$-6.0M
$-725.3M
Q3 25
$7.4M
$-615.5M
Q2 25
$89.5M
$-370.6M
Q1 25
$13.6M
$83.3M
Q4 24
$-13.5M
$-609.2M
Q3 24
$31.7M
$-477.3M
Q2 24
$20.4M
$-302.4M
Q1 24
$5.6M
$100.7M
FCF Margin
ASTH
ASTH
ATO
ATO
Q4 25
-0.6%
-54.0%
Q3 25
0.8%
-83.5%
Q2 25
13.7%
-44.2%
Q1 25
2.2%
4.3%
Q4 24
-2.0%
-51.8%
Q3 24
6.6%
-72.5%
Q2 24
4.2%
-43.1%
Q1 24
1.4%
6.1%
Capex Intensity
ASTH
ASTH
ATO
ATO
Q4 25
0.3%
77.0%
Q3 25
0.3%
130.7%
Q2 25
0.2%
103.4%
Q1 25
0.5%
43.0%
Q4 24
0.4%
75.8%
Q3 24
0.5%
122.8%
Q2 24
0.6%
101.7%
Q1 24
0.1%
39.2%
Cash Conversion
ASTH
ASTH
ATO
ATO
Q4 25
-0.44×
0.76×
Q3 25
26.69×
1.99×
Q2 25
9.65×
2.66×
Q1 25
2.48×
1.90×
Q4 24
0.80×
Q3 24
2.11×
2.47×
Q2 24
1.21×
2.48×
Q1 24
0.40×
1.73×

Financial Flow Comparison

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

Revenue Breakdown by Segment

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%

ATO
ATO

Distribution Segment$1.3B94%
Transportation Revenue$41.5M3%
Other$39.4M3%
Miscellaneous Revenue$2.8M0%

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