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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
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | ||
|---|---|---|
| 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.
| 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 |
| 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 |
| 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% |
| 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% |
| 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 | ||
|---|---|---|
| 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.
| 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 |
| 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 |
| 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 |
| 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 |
| 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 | ||
|---|---|---|
| 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.
| 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 |
| 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 |
| 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% |
| 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% |
| 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
| Medicare | $542.4M | 57% |
| Commercial | $99.1M | 10% |
| Care Delivery | $92.1M | 10% |
| Care Enablement | $78.9M | 8% |
| Other Third Parties | $58.0M | 6% |
| Health Care Patient Service | $39.8M | 4% |
| Health Care Other | $25.5M | 3% |
| Other | $12.1M | 1% |
| Management Service | $10.3M | 1% |
AVB
Segment breakdown not available.