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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and COMMERCE BANCSHARES INC (CBSH). Click either name above to swap in a different company.
Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $475.7M, roughly 2.0× COMMERCE BANCSHARES INC). COMMERCE BANCSHARES INC runs the higher net margin — 29.8% vs 0.7%, a 29.1% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 11.1%). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 7.1%).
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.
Commerce Bancshares, Inc. is a regional bank holding company headquartered in Missouri, with principal offices in Kansas City and St. Louis. It is the corporate parent of Commerce Bank, which offers a diversified line of financial services, including business and personal banking, wealth management and investments through its affiliated companies.
ASTH vs CBSH — Head-to-Head
Income Statement — Q4 FY2025 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $950.5M | $475.7M |
| Net Profit | $6.6M | $141.6M |
| Gross Margin | — | — |
| Operating Margin | 1.9% | — |
| Net Margin | 0.7% | 29.8% |
| Revenue YoY | 42.9% | 11.1% |
| Net Profit YoY | 184.4% | 10.5% |
| EPS (diluted) | $0.12 | $0.96 |
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.
| Q1 26 | — | $475.7M | ||
| Q4 25 | $950.5M | $449.4M | ||
| Q3 25 | $956.0M | $441.0M | ||
| Q2 25 | $654.8M | $445.8M | ||
| Q1 25 | $620.4M | $428.1M | ||
| Q4 24 | $665.2M | $422.1M | ||
| Q3 24 | $478.7M | $421.4M | ||
| Q2 24 | $486.3M | $414.5M |
| Q1 26 | — | $141.6M | ||
| Q4 25 | $6.6M | $140.7M | ||
| Q3 25 | $373.0K | $141.5M | ||
| Q2 25 | $9.4M | $152.5M | ||
| Q1 25 | $6.7M | $131.6M | ||
| Q4 24 | $-7.8M | $136.1M | ||
| Q3 24 | $16.1M | $138.0M | ||
| Q2 24 | $19.2M | $139.6M |
| Q1 26 | — | — | ||
| Q4 25 | 1.9% | 40.8% | ||
| Q3 25 | 2.0% | 41.9% | ||
| Q2 25 | 3.1% | 44.0% | ||
| Q1 25 | 3.3% | 39.2% | ||
| Q4 24 | 0.1% | 41.2% | ||
| Q3 24 | 5.9% | 42.4% | ||
| Q2 24 | 6.2% | 43.4% |
| Q1 26 | — | 29.8% | ||
| Q4 25 | 0.7% | 31.3% | ||
| Q3 25 | 0.0% | 32.1% | ||
| Q2 25 | 1.4% | 34.2% | ||
| Q1 25 | 1.1% | 30.7% | ||
| Q4 24 | -1.2% | 32.2% | ||
| Q3 24 | 3.4% | 32.8% | ||
| Q2 24 | 3.9% | 33.7% |
| Q1 26 | — | $0.96 | ||
| Q4 25 | $0.12 | $0.86 | ||
| Q3 25 | $0.01 | $1.06 | ||
| Q2 25 | $0.19 | $1.14 | ||
| Q1 25 | $0.14 | $0.98 | ||
| Q4 24 | $-0.14 | $0.83 | ||
| Q3 24 | $0.33 | $1.01 | ||
| Q2 24 | $0.40 | $1.03 |
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 | — |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $779.3M | $4.3B |
| Total Assets | $2.2B | $35.7B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $429.5M | — | ||
| Q3 25 | $463.4M | — | ||
| Q2 25 | $342.1M | — | ||
| Q1 25 | $260.9M | — | ||
| Q4 24 | $290.8M | — | ||
| Q3 24 | $350.3M | — | ||
| Q2 24 | $327.7M | — |
| Q1 26 | — | $4.3B | ||
| Q4 25 | $779.3M | $3.8B | ||
| Q3 25 | $775.5M | $3.8B | ||
| Q2 25 | $765.5M | $3.6B | ||
| Q1 25 | $745.4M | $3.5B | ||
| Q4 24 | $712.7M | $3.3B | ||
| Q3 24 | $704.6M | $3.4B | ||
| Q2 24 | $678.9M | $3.1B |
| Q1 26 | — | $35.7B | ||
| Q4 25 | $2.2B | $32.9B | ||
| Q3 25 | $2.2B | $32.3B | ||
| Q2 25 | $1.4B | $32.3B | ||
| Q1 25 | $1.3B | $32.4B | ||
| Q4 24 | $1.4B | $32.0B | ||
| Q3 24 | $1.3B | $31.5B | ||
| Q2 24 | $1.3B | $30.6B |
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 | — |
| Free Cash FlowOCF − Capex | $-6.0M | — |
| FCF MarginFCF / Revenue | -0.6% | — |
| Capex IntensityCapex / Revenue | 0.3% | — |
| Cash ConversionOCF / Net Profit | -0.44× | — |
| TTM Free Cash FlowTrailing 4 quarters | $104.5M | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $-2.9M | $645.1M | ||
| Q3 25 | $10.0M | $129.0M | ||
| Q2 25 | $90.9M | $111.2M | ||
| Q1 25 | $16.6M | $138.6M | ||
| Q4 24 | $-10.9M | $577.9M | ||
| Q3 24 | $34.0M | $431.7M | ||
| Q2 24 | $23.2M | $147.4M |
| Q1 26 | — | — | ||
| Q4 25 | $-6.0M | $592.4M | ||
| Q3 25 | $7.4M | $113.3M | ||
| Q2 25 | $89.5M | $100.5M | ||
| Q1 25 | $13.6M | $126.0M | ||
| Q4 24 | $-13.5M | $531.7M | ||
| Q3 24 | $31.7M | $419.1M | ||
| Q2 24 | $20.4M | $138.9M |
| Q1 26 | — | — | ||
| Q4 25 | -0.6% | 131.8% | ||
| Q3 25 | 0.8% | 25.7% | ||
| Q2 25 | 13.7% | 22.5% | ||
| Q1 25 | 2.2% | 29.4% | ||
| Q4 24 | -2.0% | 126.0% | ||
| Q3 24 | 6.6% | 99.5% | ||
| Q2 24 | 4.2% | 33.5% |
| Q1 26 | — | — | ||
| Q4 25 | 0.3% | 11.7% | ||
| Q3 25 | 0.3% | 3.6% | ||
| Q2 25 | 0.2% | 2.4% | ||
| Q1 25 | 0.5% | 2.9% | ||
| Q4 24 | 0.4% | 10.9% | ||
| Q3 24 | 0.5% | 3.0% | ||
| Q2 24 | 0.6% | 2.1% |
| Q1 26 | — | — | ||
| Q4 25 | -0.44× | 4.59× | ||
| Q3 25 | 26.69× | 0.91× | ||
| Q2 25 | 9.65× | 0.73× | ||
| Q1 25 | 2.48× | 1.05× | ||
| Q4 24 | — | 4.25× | ||
| Q3 24 | 2.11× | 3.13× | ||
| Q2 24 | 1.21× | 1.06× |
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% |
CBSH
Segment breakdown not available.
