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

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $748.9M, roughly 1.3× BlueLinx Holdings Inc.). Astrana Health, Inc. runs the higher net margin — 0.7% vs 0.2%, a 0.5% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 0.2%). BlueLinx Holdings Inc. produced more free cash flow last quarter ($52.7M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 2.5%).

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.

BlueLinx Holdings Inc. is a wholesale distributor of building and industrial products in the United States. Headquartered in Atlanta, Georgia, Shyam Reddy serves as its President and CEO.

ASTH vs BXC — Head-to-Head

Bigger by revenue
ASTH
ASTH
1.3× larger
ASTH
$950.5M
$748.9M
BXC
Growing faster (revenue YoY)
ASTH
ASTH
+42.7% gap
ASTH
42.9%
0.2%
BXC
Higher net margin
ASTH
ASTH
0.5% more per $
ASTH
0.7%
0.2%
BXC
More free cash flow
BXC
BXC
$58.6M more FCF
BXC
$52.7M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
2.5%
BXC

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
ASTH
ASTH
BXC
BXC
Revenue
$950.5M
$748.9M
Net Profit
$6.6M
$1.7M
Gross Margin
14.4%
Operating Margin
1.9%
1.3%
Net Margin
0.7%
0.2%
Revenue YoY
42.9%
0.2%
Net Profit YoY
184.4%
-89.7%
EPS (diluted)
$0.12
$0.20

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
BXC
BXC
Q4 25
$950.5M
Q3 25
$956.0M
$748.9M
Q2 25
$654.8M
$780.1M
Q1 25
$620.4M
$709.2M
Q4 24
$665.2M
$710.6M
Q3 24
$478.7M
$747.3M
Q2 24
$486.3M
$768.4M
Q1 24
$404.4M
$726.2M
Net Profit
ASTH
ASTH
BXC
BXC
Q4 25
$6.6M
Q3 25
$373.0K
$1.7M
Q2 25
$9.4M
$4.3M
Q1 25
$6.7M
$2.8M
Q4 24
$-7.8M
Q3 24
$16.1M
$16.0M
Q2 24
$19.2M
$14.3M
Q1 24
$14.8M
$17.5M
Gross Margin
ASTH
ASTH
BXC
BXC
Q4 25
Q3 25
14.4%
Q2 25
15.3%
Q1 25
15.7%
Q4 24
15.9%
Q3 24
16.8%
Q2 24
15.9%
Q1 24
17.6%
Operating Margin
ASTH
ASTH
BXC
BXC
Q4 25
1.9%
Q3 25
2.0%
1.3%
Q2 25
3.1%
1.9%
Q1 25
3.3%
1.5%
Q4 24
0.1%
1.7%
Q3 24
5.9%
3.2%
Q2 24
6.2%
3.1%
Q1 24
7.5%
3.8%
Net Margin
ASTH
ASTH
BXC
BXC
Q4 25
0.7%
Q3 25
0.0%
0.2%
Q2 25
1.4%
0.6%
Q1 25
1.1%
0.4%
Q4 24
-1.2%
Q3 24
3.4%
2.1%
Q2 24
3.9%
1.9%
Q1 24
3.7%
2.4%
EPS (diluted)
ASTH
ASTH
BXC
BXC
Q4 25
$0.12
Q3 25
$0.01
$0.20
Q2 25
$0.19
$0.54
Q1 25
$0.14
$0.33
Q4 24
$-0.14
$0.67
Q3 24
$0.33
$1.87
Q2 24
$0.40
$1.65
Q1 24
$0.31
$2.00

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
BXC
BXC
Cash + ST InvestmentsLiquidity on hand
$429.5M
$429.4M
Total DebtLower is stronger
$598.5M
Stockholders' EquityBook value
$779.3M
$623.0M
Total Assets
$2.2B
$1.6B
Debt / EquityLower = less leverage
0.96×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
BXC
BXC
Q4 25
$429.5M
Q3 25
$463.4M
$429.4M
Q2 25
$342.1M
$386.8M
Q1 25
$260.9M
$449.0M
Q4 24
$290.8M
$505.6M
Q3 24
$350.3M
$526.3M
Q2 24
$327.7M
$491.4M
Q1 24
$337.3M
$481.3M
Total Debt
ASTH
ASTH
BXC
BXC
Q4 25
Q3 25
$598.5M
Q2 25
$596.4M
Q1 25
$596.6M
Q4 24
$575.1M
Q3 24
$576.0M
Q2 24
$574.6M
Q1 24
$574.0M
Stockholders' Equity
ASTH
ASTH
BXC
BXC
Q4 25
$779.3M
Q3 25
$775.5M
$623.0M
Q2 25
$765.5M
$621.3M
Q1 25
$745.4M
$636.1M
Q4 24
$712.7M
$646.4M
Q3 24
$704.6M
$655.6M
Q2 24
$678.9M
$652.3M
Q1 24
$653.5M
$653.2M
Total Assets
ASTH
ASTH
BXC
BXC
Q4 25
$2.2B
Q3 25
$2.2B
$1.6B
Q2 25
$1.4B
$1.6B
Q1 25
$1.3B
$1.6B
Q4 24
$1.4B
$1.6B
Q3 24
$1.3B
$1.6B
Q2 24
$1.3B
$1.6B
Q1 24
$1.2B
$1.6B
Debt / Equity
ASTH
ASTH
BXC
BXC
Q4 25
Q3 25
0.96×
Q2 25
0.96×
Q1 25
0.94×
Q4 24
0.89×
Q3 24
0.88×
Q2 24
0.88×
Q1 24
0.88×

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
BXC
BXC
Operating Cash FlowLast quarter
$-2.9M
$58.6M
Free Cash FlowOCF − Capex
$-6.0M
$52.7M
FCF MarginFCF / Revenue
-0.6%
7.0%
Capex IntensityCapex / Revenue
0.3%
0.8%
Cash ConversionOCF / Net Profit
-0.44×
35.42×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$-25.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
BXC
BXC
Q4 25
$-2.9M
Q3 25
$10.0M
$58.6M
Q2 25
$90.9M
$-26.8M
Q1 25
$16.6M
$-33.9M
Q4 24
$-10.9M
$18.7M
Q3 24
$34.0M
$61.8M
Q2 24
$23.2M
$35.8M
Q1 24
$6.0M
$-31.1M
Free Cash Flow
ASTH
ASTH
BXC
BXC
Q4 25
$-6.0M
Q3 25
$7.4M
$52.7M
Q2 25
$89.5M
$-36.4M
Q1 25
$13.6M
$-39.8M
Q4 24
$-13.5M
$-1.5M
Q3 24
$31.7M
$53.8M
Q2 24
$20.4M
$29.3M
Q1 24
$5.6M
$-36.6M
FCF Margin
ASTH
ASTH
BXC
BXC
Q4 25
-0.6%
Q3 25
0.8%
7.0%
Q2 25
13.7%
-4.7%
Q1 25
2.2%
-5.6%
Q4 24
-2.0%
-0.2%
Q3 24
6.6%
7.2%
Q2 24
4.2%
3.8%
Q1 24
1.4%
-5.0%
Capex Intensity
ASTH
ASTH
BXC
BXC
Q4 25
0.3%
Q3 25
0.3%
0.8%
Q2 25
0.2%
1.2%
Q1 25
0.5%
0.8%
Q4 24
0.4%
2.9%
Q3 24
0.5%
1.1%
Q2 24
0.6%
0.8%
Q1 24
0.1%
0.8%
Cash Conversion
ASTH
ASTH
BXC
BXC
Q4 25
-0.44×
Q3 25
26.69×
35.42×
Q2 25
9.65×
-6.21×
Q1 25
2.48×
-12.09×
Q4 24
Q3 24
2.11×
3.86×
Q2 24
1.21×
2.50×
Q1 24
0.40×
-1.78×

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%

BXC
BXC

Specialty Products$525.5M70%
Structural Products$223.4M30%

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