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

Crown Castle is the larger business by last-quarter revenue ($1.0B vs $950.5M, roughly 1.1× Astrana Health, Inc.). Crown Castle runs the higher net margin — 77.2% vs 0.7%, a 76.5% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs -4.8%). Astrana Health, Inc. produced more free cash flow last quarter ($-6.0M vs $-43.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs -4.5%).

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.

Crown Castle Inc. is a real estate investment trust and provider of shared communications infrastructure in the United States headquartered in Houston, Texas. Operating with 100 offices worldwide, its network includes over 40,000 cell towers and approximately 85,000 route miles of fiber supporting small cells and fiber systems.

ASTH vs CCI — Head-to-Head

Bigger by revenue
CCI
CCI
1.1× larger
CCI
$1.0B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+47.7% gap
ASTH
42.9%
-4.8%
CCI
Higher net margin
CCI
CCI
76.5% more per $
CCI
77.2%
0.7%
ASTH
More free cash flow
ASTH
ASTH
$37.0M more FCF
ASTH
$-6.0M
$-43.0M
CCI
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
-4.5%
CCI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ASTH
ASTH
CCI
CCI
Revenue
$950.5M
$1.0B
Net Profit
$6.6M
$780.0M
Gross Margin
Operating Margin
1.9%
Net Margin
0.7%
77.2%
Revenue YoY
42.9%
-4.8%
Net Profit YoY
184.4%
76.0%
EPS (diluted)
$0.12
$1.80

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
CCI
CCI
Q1 26
$1.0B
Q4 25
$950.5M
$1.1B
Q3 25
$956.0M
$1.1B
Q2 25
$654.8M
$1.1B
Q1 25
$620.4M
$1.1B
Q4 24
$665.2M
$1.1B
Q3 24
$478.7M
$1.1B
Q2 24
$486.3M
$1.1B
Net Profit
ASTH
ASTH
CCI
CCI
Q1 26
$780.0M
Q4 25
$6.6M
$294.0M
Q3 25
$373.0K
$323.0M
Q2 25
$9.4M
$291.0M
Q1 25
$6.7M
$-464.0M
Q4 24
$-7.8M
Q3 24
$16.1M
$303.0M
Q2 24
$19.2M
$251.0M
Gross Margin
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
97.4%
Q3 25
97.2%
Q2 25
97.5%
Q1 25
97.4%
Q4 24
97.7%
Q3 24
97.6%
Q2 24
97.7%
Operating Margin
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
1.9%
48.8%
Q3 25
2.0%
49.0%
Q2 25
3.1%
47.7%
Q1 25
3.3%
49.1%
Q4 24
0.1%
51.0%
Q3 24
5.9%
47.5%
Q2 24
6.2%
44.7%
Net Margin
ASTH
ASTH
CCI
CCI
Q1 26
77.2%
Q4 25
0.7%
27.5%
Q3 25
0.0%
30.1%
Q2 25
1.4%
27.5%
Q1 25
1.1%
-43.7%
Q4 24
-1.2%
Q3 24
3.4%
27.1%
Q2 24
3.9%
22.7%
EPS (diluted)
ASTH
ASTH
CCI
CCI
Q1 26
$1.80
Q4 25
$0.12
$0.67
Q3 25
$0.01
$0.74
Q2 25
$0.19
$0.67
Q1 25
$0.14
$-1.07
Q4 24
$-0.14
Q3 24
$0.33
$0.70
Q2 24
$0.40
$0.58

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
CCI
CCI
Cash + ST InvestmentsLiquidity on hand
$429.5M
$55.0K
Total DebtLower is stronger
Stockholders' EquityBook value
$779.3M
Total Assets
$2.2B
$31.4M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
CCI
CCI
Q1 26
$55.0K
Q4 25
$429.5M
$99.0M
Q3 25
$463.4M
$57.0M
Q2 25
$342.1M
$94.0M
Q1 25
$260.9M
$60.0M
Q4 24
$290.8M
$100.0M
Q3 24
$350.3M
$194.0M
Q2 24
$327.7M
$155.0M
Total Debt
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
$21.6B
Q3 25
$21.6B
Q2 25
$22.0B
Q1 25
$22.9B
Q4 24
$23.5B
Q3 24
$23.5B
Q2 24
$22.9B
Stockholders' Equity
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
$779.3M
$-1.6B
Q3 25
$775.5M
$-1.5B
Q2 25
$765.5M
$-1.4B
Q1 25
$745.4M
$-1.3B
Q4 24
$712.7M
$-133.0M
Q3 24
$704.6M
$5.3B
Q2 24
$678.9M
$5.7B
Total Assets
ASTH
ASTH
CCI
CCI
Q1 26
$31.4M
Q4 25
$2.2B
$31.5B
Q3 25
$2.2B
$31.5B
Q2 25
$1.4B
$31.6B
Q1 25
$1.3B
$31.8B
Q4 24
$1.4B
$32.7B
Q3 24
$1.3B
$38.0B
Q2 24
$1.3B
$38.2B
Debt / Equity
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
4.43×
Q2 24
4.04×

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
CCI
CCI
Operating Cash FlowLast quarter
$-2.9M
Free Cash FlowOCF − Capex
$-6.0M
$-43.0M
FCF MarginFCF / Revenue
-0.6%
-4.3%
Capex IntensityCapex / Revenue
0.3%
14.9%
Cash ConversionOCF / Net Profit
-0.44×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$4.3B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
$-2.9M
$3.1B
Q3 25
$10.0M
$714.0M
Q2 25
$90.9M
$832.0M
Q1 25
$16.6M
$641.0M
Q4 24
$-10.9M
$2.9B
Q3 24
$34.0M
$699.0M
Q2 24
$23.2M
$768.0M
Free Cash Flow
ASTH
ASTH
CCI
CCI
Q1 26
$-43.0M
Q4 25
$-6.0M
$2.9B
Q3 25
$7.4M
$671.0M
Q2 25
$89.5M
$792.0M
Q1 25
$13.6M
$601.0M
Q4 24
$-13.5M
$2.8B
Q3 24
$31.7M
$661.0M
Q2 24
$20.4M
$729.0M
FCF Margin
ASTH
ASTH
CCI
CCI
Q1 26
-4.3%
Q4 25
-0.6%
268.4%
Q3 25
0.8%
62.6%
Q2 25
13.7%
74.7%
Q1 25
2.2%
56.6%
Q4 24
-2.0%
247.3%
Q3 24
6.6%
59.0%
Q2 24
4.2%
65.9%
Capex Intensity
ASTH
ASTH
CCI
CCI
Q1 26
14.9%
Q4 25
0.3%
17.0%
Q3 25
0.3%
4.0%
Q2 25
0.2%
3.8%
Q1 25
0.5%
3.8%
Q4 24
0.4%
15.7%
Q3 24
0.5%
3.4%
Q2 24
0.6%
3.5%
Cash Conversion
ASTH
ASTH
CCI
CCI
Q1 26
Q4 25
-0.44×
10.40×
Q3 25
26.69×
2.21×
Q2 25
9.65×
2.86×
Q1 25
2.48×
Q4 24
Q3 24
2.11×
2.31×
Q2 24
1.21×
3.06×

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%

CCI
CCI

Site rental$961.0M95%
Services and other$49.0M5%

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