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

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $767.9M, roughly 1.2× AvalonBay Communities). AvalonBay Communities runs the higher net margin — 9040.6% vs 0.7%, a 9039.9% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 3.7%). AvalonBay Communities produced more free cash flow last quarter ($1.4B vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 3.8%).

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.

AvalonBay Communities, Inc. is a publicly traded real estate investment trust that invests in apartments.

ASTH vs AVB — Head-to-Head

Bigger by revenue
ASTH
ASTH
1.2× larger
ASTH
$950.5M
$767.9M
AVB
Growing faster (revenue YoY)
ASTH
ASTH
+39.2% gap
ASTH
42.9%
3.7%
AVB
Higher net margin
AVB
AVB
9039.9% more per $
AVB
9040.6%
0.7%
ASTH
More free cash flow
AVB
AVB
$1.4B more FCF
AVB
$1.4B
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
3.8%
AVB

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
AVB
AVB
Revenue
$950.5M
$767.9M
Net Profit
$6.6M
$166.0M
Gross Margin
Operating Margin
1.9%
64.2%
Net Margin
0.7%
9040.6%
Revenue YoY
42.9%
3.7%
Net Profit YoY
184.4%
-41.2%
EPS (diluted)
$0.12
$1.18

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
AVB
AVB
Q4 25
$950.5M
$767.9M
Q3 25
$956.0M
$766.8M
Q2 25
$654.8M
$760.2M
Q1 25
$620.4M
$745.9M
Q4 24
$665.2M
$740.5M
Q3 24
$478.7M
$734.3M
Q2 24
$486.3M
$726.0M
Q1 24
$404.4M
$712.9M
Net Profit
ASTH
ASTH
AVB
AVB
Q4 25
$6.6M
$166.0M
Q3 25
$373.0K
$381.3M
Q2 25
$9.4M
$268.7M
Q1 25
$6.7M
$236.6M
Q4 24
$-7.8M
$282.1M
Q3 24
$16.1M
$372.5M
Q2 24
$19.2M
$253.9M
Q1 24
$14.8M
$173.4M
Operating Margin
ASTH
ASTH
AVB
AVB
Q4 25
1.9%
64.2%
Q3 25
2.0%
65.7%
Q2 25
3.1%
67.6%
Q1 25
3.3%
68.5%
Q4 24
0.1%
63.1%
Q3 24
5.9%
65.4%
Q2 24
6.2%
66.6%
Q1 24
7.5%
67.2%
Net Margin
ASTH
ASTH
AVB
AVB
Q4 25
0.7%
9040.6%
Q3 25
0.0%
49.7%
Q2 25
1.4%
35.3%
Q1 25
1.1%
31.7%
Q4 24
-1.2%
38.1%
Q3 24
3.4%
50.7%
Q2 24
3.9%
35.0%
Q1 24
3.7%
24.3%
EPS (diluted)
ASTH
ASTH
AVB
AVB
Q4 25
$0.12
$1.18
Q3 25
$0.01
$2.68
Q2 25
$0.19
$1.88
Q1 25
$0.14
$1.66
Q4 24
$-0.14
$1.99
Q3 24
$0.33
$2.61
Q2 24
$0.40
$1.78
Q1 24
$0.31
$1.22

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
AVB
AVB
Cash + ST InvestmentsLiquidity on hand
$429.5M
$187.2M
Total DebtLower is stronger
$9.3B
Stockholders' EquityBook value
$779.3M
$11.6B
Total Assets
$2.2B
$22.2B
Debt / EquityLower = less leverage
0.80×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
AVB
AVB
Q4 25
$429.5M
$187.2M
Q3 25
$463.4M
$123.3M
Q2 25
$342.1M
$102.8M
Q1 25
$260.9M
$53.3M
Q4 24
$290.8M
$108.6M
Q3 24
$350.3M
$552.4M
Q2 24
$327.7M
$545.8M
Q1 24
$337.3M
$287.9M
Total Debt
ASTH
ASTH
AVB
AVB
Q4 25
$9.3B
Q3 25
$8.7B
Q2 25
$8.7B
Q1 25
$8.3B
Q4 24
$8.1B
Q3 24
$8.4B
Q2 24
$8.4B
Q1 24
$8.0B
Stockholders' Equity
ASTH
ASTH
AVB
AVB
Q4 25
$779.3M
$11.6B
Q3 25
$775.5M
$11.9B
Q2 25
$765.5M
$11.9B
Q1 25
$745.4M
$11.9B
Q4 24
$712.7M
$11.9B
Q3 24
$704.6M
$11.9B
Q2 24
$678.9M
$11.7B
Q1 24
$653.5M
$11.7B
Total Assets
ASTH
ASTH
AVB
AVB
Q4 25
$2.2B
$22.2B
Q3 25
$2.2B
$21.9B
Q2 25
$1.4B
$21.8B
Q1 25
$1.3B
$21.2B
Q4 24
$1.4B
$21.0B
Q3 24
$1.3B
$21.3B
Q2 24
$1.3B
$21.0B
Q1 24
$1.2B
$20.6B
Debt / Equity
ASTH
ASTH
AVB
AVB
Q4 25
0.80×
Q3 25
0.73×
Q2 25
0.72×
Q1 25
0.70×
Q4 24
0.68×
Q3 24
0.70×
Q2 24
0.71×
Q1 24
0.68×

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
AVB
AVB
Operating Cash FlowLast quarter
$-2.9M
$1.7B
Free Cash FlowOCF − Capex
$-6.0M
$1.4B
FCF MarginFCF / Revenue
-0.6%
183.5%
Capex IntensityCapex / Revenue
0.3%
34.1%
Cash ConversionOCF / Net Profit
-0.44×
10.07×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$2.5B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
AVB
AVB
Q4 25
$-2.9M
$1.7B
Q3 25
$10.0M
$477.0M
Q2 25
$90.9M
$377.8M
Q1 25
$16.6M
$415.9M
Q4 24
$-10.9M
$1.6B
Q3 24
$34.0M
$486.2M
Q2 24
$23.2M
$380.0M
Q1 24
$6.0M
$412.9M
Free Cash Flow
ASTH
ASTH
AVB
AVB
Q4 25
$-6.0M
$1.4B
Q3 25
$7.4M
$402.2M
Q2 25
$89.5M
$317.1M
Q1 25
$13.6M
$367.5M
Q4 24
$-13.5M
$1.4B
Q3 24
$31.7M
$434.2M
Q2 24
$20.4M
$333.0M
Q1 24
$5.6M
$375.4M
FCF Margin
ASTH
ASTH
AVB
AVB
Q4 25
-0.6%
183.5%
Q3 25
0.8%
52.5%
Q2 25
13.7%
41.7%
Q1 25
2.2%
49.3%
Q4 24
-2.0%
191.0%
Q3 24
6.6%
59.1%
Q2 24
4.2%
45.9%
Q1 24
1.4%
52.7%
Capex Intensity
ASTH
ASTH
AVB
AVB
Q4 25
0.3%
34.1%
Q3 25
0.3%
9.8%
Q2 25
0.2%
8.0%
Q1 25
0.5%
6.5%
Q4 24
0.4%
26.1%
Q3 24
0.5%
7.1%
Q2 24
0.6%
6.5%
Q1 24
0.1%
5.3%
Cash Conversion
ASTH
ASTH
AVB
AVB
Q4 25
-0.44×
10.07×
Q3 25
26.69×
1.25×
Q2 25
9.65×
1.41×
Q1 25
2.48×
1.76×
Q4 24
5.70×
Q3 24
2.11×
1.31×
Q2 24
1.21×
1.50×
Q1 24
0.40×
2.38×

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%

AVB
AVB

Segment breakdown not available.

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