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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Core Natural Resources, Inc. (CNR). Click either name above to swap in a different company.

Core Natural Resources, Inc. is the larger business by last-quarter revenue ($1.0B vs $950.5M, roughly 1.1× Astrana Health, Inc.). Astrana Health, Inc. runs the higher net margin — 0.7% vs -7.6%, a 8.3% gap on every dollar of revenue. On growth, Core Natural Resources, Inc. posted the faster year-over-year revenue change (81.8% vs 42.9%). Core Natural Resources, Inc. produced more free cash flow last quarter ($26.0M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 38.1%).

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.

Arch Resources, previously known as Arch Coal, was an American coal mining and processing company. The company mined, processed, and marketed bituminous and sub-bituminous coal with low sulfur content in the United States. Arch Resources was the second-largest supplier of coal in the United States, behind Peabody Energy. As of 2011 the company supplied 15% of the domestic market. Demand came mainly from generators of electricity.

ASTH vs CNR — Head-to-Head

Bigger by revenue
CNR
CNR
1.1× larger
CNR
$1.0B
$950.5M
ASTH
Growing faster (revenue YoY)
CNR
CNR
+38.9% gap
CNR
81.8%
42.9%
ASTH
Higher net margin
ASTH
ASTH
8.3% more per $
ASTH
0.7%
-7.6%
CNR
More free cash flow
CNR
CNR
$32.0M more FCF
CNR
$26.0M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
38.1%
CNR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
CNR
CNR
Revenue
$950.5M
$1.0B
Net Profit
$6.6M
$-79.0M
Gross Margin
Operating Margin
1.9%
-9.3%
Net Margin
0.7%
-7.6%
Revenue YoY
42.9%
81.8%
Net Profit YoY
184.4%
-356.3%
EPS (diluted)
$0.12
$-1.51

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
CNR
CNR
Q4 25
$950.5M
$1.0B
Q3 25
$956.0M
$1.0B
Q2 25
$654.8M
$1.1B
Q1 25
$620.4M
$1.0B
Q4 24
$665.2M
$573.6M
Q3 24
$478.7M
$553.4M
Q2 24
$486.3M
$490.7M
Q1 24
$404.4M
$546.7M
Net Profit
ASTH
ASTH
CNR
CNR
Q4 25
$6.6M
$-79.0M
Q3 25
$373.0K
$31.6M
Q2 25
$9.4M
$-36.6M
Q1 25
$6.7M
$-69.3M
Q4 24
$-7.8M
$30.8M
Q3 24
$16.1M
$95.6M
Q2 24
$19.2M
$58.1M
Q1 24
$14.8M
$101.9M
Operating Margin
ASTH
ASTH
CNR
CNR
Q4 25
1.9%
-9.3%
Q3 25
2.0%
-1.2%
Q2 25
3.1%
-1.7%
Q1 25
3.3%
-5.3%
Q4 24
0.1%
6.6%
Q3 24
5.9%
21.2%
Q2 24
6.2%
14.6%
Q1 24
7.5%
22.7%
Net Margin
ASTH
ASTH
CNR
CNR
Q4 25
0.7%
-7.6%
Q3 25
0.0%
3.2%
Q2 25
1.4%
-3.3%
Q1 25
1.1%
-6.8%
Q4 24
-1.2%
5.4%
Q3 24
3.4%
17.3%
Q2 24
3.9%
11.8%
Q1 24
3.7%
18.6%
EPS (diluted)
ASTH
ASTH
CNR
CNR
Q4 25
$0.12
$-1.51
Q3 25
$0.01
$0.61
Q2 25
$0.19
$-0.70
Q1 25
$0.14
$-1.38
Q4 24
$-0.14
$1.04
Q3 24
$0.33
$3.22
Q2 24
$0.40
$1.96
Q1 24
$0.31
$3.39

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
CNR
CNR
Cash + ST InvestmentsLiquidity on hand
$429.5M
$432.2M
Total DebtLower is stronger
$354.2M
Stockholders' EquityBook value
$779.3M
$3.7B
Total Assets
$2.2B
$6.1B
Debt / EquityLower = less leverage
0.10×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
CNR
CNR
Q4 25
$429.5M
$432.2M
Q3 25
$463.4M
$444.7M
Q2 25
$342.1M
$413.2M
Q1 25
$260.9M
$388.5M
Q4 24
$290.8M
$460.2M
Q3 24
$350.3M
$331.7M
Q2 24
$327.7M
$216.1M
Q1 24
$337.3M
$172.6M
Total Debt
ASTH
ASTH
CNR
CNR
Q4 25
$354.2M
Q3 25
$334.5M
Q2 25
$334.0M
Q1 25
$329.8M
Q4 24
$94.8M
Q3 24
$83.7M
Q2 24
$184.9M
Q1 24
$185.5M
Stockholders' Equity
ASTH
ASTH
CNR
CNR
Q4 25
$779.3M
$3.7B
Q3 25
$775.5M
$3.8B
Q2 25
$765.5M
$3.8B
Q1 25
$745.4M
$3.9B
Q4 24
$712.7M
$1.6B
Q3 24
$704.6M
$1.5B
Q2 24
$678.9M
$1.4B
Q1 24
$653.5M
$1.4B
Total Assets
ASTH
ASTH
CNR
CNR
Q4 25
$2.2B
$6.1B
Q3 25
$2.2B
$6.2B
Q2 25
$1.4B
$6.2B
Q1 25
$1.3B
$6.3B
Q4 24
$1.4B
$2.9B
Q3 24
$1.3B
$2.8B
Q2 24
$1.3B
$2.7B
Q1 24
$1.2B
$2.7B
Debt / Equity
ASTH
ASTH
CNR
CNR
Q4 25
0.10×
Q3 25
0.09×
Q2 25
0.09×
Q1 25
0.08×
Q4 24
0.06×
Q3 24
0.05×
Q2 24
0.13×
Q1 24
0.13×

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
CNR
CNR
Operating Cash FlowLast quarter
$-2.9M
$107.3M
Free Cash FlowOCF − Capex
$-6.0M
$26.0M
FCF MarginFCF / Revenue
-0.6%
2.5%
Capex IntensityCapex / Revenue
0.3%
7.8%
Cash ConversionOCF / Net Profit
-0.44×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$21.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
CNR
CNR
Q4 25
$-2.9M
$107.3M
Q3 25
$10.0M
$87.9M
Q2 25
$90.9M
$220.2M
Q1 25
$16.6M
$-109.6M
Q4 24
$-10.9M
$121.3M
Q3 24
$34.0M
$161.3M
Q2 24
$23.2M
$116.3M
Q1 24
$6.0M
$77.5M
Free Cash Flow
ASTH
ASTH
CNR
CNR
Q4 25
$-6.0M
$26.0M
Q3 25
$7.4M
$38.6M
Q2 25
$89.5M
$131.0M
Q1 25
$13.6M
$-174.5M
Q4 24
$-13.5M
$80.5M
Q3 24
$31.7M
$121.9M
Q2 24
$20.4M
$60.9M
Q1 24
$5.6M
$35.1M
FCF Margin
ASTH
ASTH
CNR
CNR
Q4 25
-0.6%
2.5%
Q3 25
0.8%
3.9%
Q2 25
13.7%
11.9%
Q1 25
2.2%
-17.1%
Q4 24
-2.0%
14.0%
Q3 24
6.6%
22.0%
Q2 24
4.2%
12.4%
Q1 24
1.4%
6.4%
Capex Intensity
ASTH
ASTH
CNR
CNR
Q4 25
0.3%
7.8%
Q3 25
0.3%
4.9%
Q2 25
0.2%
8.1%
Q1 25
0.5%
6.4%
Q4 24
0.4%
7.1%
Q3 24
0.5%
7.1%
Q2 24
0.6%
11.3%
Q1 24
0.1%
7.7%
Cash Conversion
ASTH
ASTH
CNR
CNR
Q4 25
-0.44×
Q3 25
26.69×
2.78×
Q2 25
9.65×
Q1 25
2.48×
Q4 24
3.94×
Q3 24
2.11×
1.69×
Q2 24
1.21×
2.00×
Q1 24
0.40×
0.76×

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%

CNR
CNR

Other$397.4M38%
Power Generation$376.5M36%
PRB$183.0M18%
Metallurgical$42.0M4%
Industrial$34.1M3%
Terminal Revenue$6.4M1%
Other Revenue$3.0M0%

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