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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Domino's (DPZ). Click either name above to swap in a different company.
Domino's is the larger business by last-quarter revenue ($1.2B vs $950.5M, roughly 1.2× Astrana Health, Inc.). Domino's runs the higher net margin — 12.2% vs 0.7%, a 11.5% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 3.5%). Domino's produced more free cash flow last quarter ($147.0M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 3.0%).
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.
Domino's Pizza, Inc. is an American multinational pizza restaurant chain founded in 1960. The corporation is Delaware-domiciled and headquartered at the Domino's Farms office park in Ann Arbor Township, near Ann Arbor, Michigan. As of 2018, Domino's had approximately 15,000 stores, with 5,649 in the United States, 1,500 in India, and 1,249 in the United Kingdom. Domino's has stores in more than 83 countries and 5,701 cities worldwide.
ASTH vs DPZ — Head-to-Head
Income Statement — Q4 FY2025 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $950.5M | $1.2B |
| Net Profit | $6.6M | $139.8M |
| Gross Margin | — | 40.4% |
| Operating Margin | 1.9% | 20.0% |
| Net Margin | 0.7% | 12.2% |
| Revenue YoY | 42.9% | 3.5% |
| Net Profit YoY | 184.4% | -6.6% |
| EPS (diluted) | $0.12 | $4.13 |
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 | — | $1.2B | ||
| Q4 25 | $950.5M | — | ||
| Q3 25 | $956.0M | $1.1B | ||
| Q2 25 | $654.8M | $1.1B | ||
| Q1 25 | $620.4M | $1.1B | ||
| Q4 24 | $665.2M | $1.4B | ||
| Q3 24 | $478.7M | $1.1B | ||
| Q2 24 | $486.3M | $1.1B |
| Q1 26 | — | $139.8M | ||
| Q4 25 | $6.6M | — | ||
| Q3 25 | $373.0K | $139.3M | ||
| Q2 25 | $9.4M | $131.1M | ||
| Q1 25 | $6.7M | $149.7M | ||
| Q4 24 | $-7.8M | $169.4M | ||
| Q3 24 | $16.1M | $146.9M | ||
| Q2 24 | $19.2M | $142.0M |
| Q1 26 | — | 40.4% | ||
| Q4 25 | — | — | ||
| Q3 25 | — | 40.1% | ||
| Q2 25 | — | 40.3% | ||
| Q1 25 | — | 39.8% | ||
| Q4 24 | — | 39.2% | ||
| Q3 24 | — | 39.2% | ||
| Q2 24 | — | 39.8% |
| Q1 26 | — | 20.0% | ||
| Q4 25 | 1.9% | — | ||
| Q3 25 | 2.0% | 19.5% | ||
| Q2 25 | 3.1% | 19.7% | ||
| Q1 25 | 3.3% | 18.9% | ||
| Q4 24 | 0.1% | 19.0% | ||
| Q3 24 | 5.9% | 18.4% | ||
| Q2 24 | 6.2% | 17.9% |
| Q1 26 | — | 12.2% | ||
| Q4 25 | 0.7% | — | ||
| Q3 25 | 0.0% | 12.1% | ||
| Q2 25 | 1.4% | 11.4% | ||
| Q1 25 | 1.1% | 13.5% | ||
| Q4 24 | -1.2% | 11.7% | ||
| Q3 24 | 3.4% | 13.6% | ||
| Q2 24 | 3.9% | 12.9% |
| Q1 26 | — | $4.13 | ||
| Q4 25 | $0.12 | — | ||
| Q3 25 | $0.01 | $4.08 | ||
| Q2 25 | $0.19 | $3.81 | ||
| Q1 25 | $0.14 | $4.33 | ||
| Q4 24 | $-0.14 | $4.89 | ||
| Q3 24 | $0.33 | $4.19 | ||
| Q2 24 | $0.40 | $4.03 |
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 | $232.9M |
| Total DebtLower is stronger | — | $4.9B |
| Stockholders' EquityBook value | $779.3M | — |
| Total Assets | $2.2B | $1.8B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $232.9M | ||
| Q4 25 | $429.5M | — | ||
| Q3 25 | $463.4M | $139.7M | ||
| Q2 25 | $342.1M | $272.9M | ||
| Q1 25 | $260.9M | $304.3M | ||
| Q4 24 | $290.8M | $186.1M | ||
| Q3 24 | $350.3M | $189.1M | ||
| Q2 24 | $327.7M | $283.7M |
| Q1 26 | — | $4.9B | ||
| Q4 25 | — | — | ||
| Q3 25 | — | $4.8B | ||
| Q2 25 | — | $3.8B | ||
| Q1 25 | — | $3.8B | ||
| Q4 24 | — | $3.8B | ||
| Q3 24 | — | $5.0B | ||
| Q2 24 | — | $5.0B |
| Q1 26 | — | — | ||
| Q4 25 | $779.3M | — | ||
| Q3 25 | $775.5M | $-4.0B | ||
| Q2 25 | $765.5M | $-4.0B | ||
| Q1 25 | $745.4M | $-3.9B | ||
| Q4 24 | $712.7M | $-4.0B | ||
| Q3 24 | $704.6M | $-4.0B | ||
| Q2 24 | $678.9M | $-3.9B |
| Q1 26 | — | $1.8B | ||
| Q4 25 | $2.2B | — | ||
| Q3 25 | $2.2B | $1.7B | ||
| Q2 25 | $1.4B | $1.8B | ||
| Q1 25 | $1.3B | $1.9B | ||
| Q4 24 | $1.4B | $1.7B | ||
| Q3 24 | $1.3B | $1.8B | ||
| Q2 24 | $1.3B | $1.9B |
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 | $162.0M |
| Free Cash FlowOCF − Capex | $-6.0M | $147.0M |
| FCF MarginFCF / Revenue | -0.6% | 12.8% |
| Capex IntensityCapex / Revenue | 0.3% | 1.3% |
| Cash ConversionOCF / Net Profit | -0.44× | 1.16× |
| TTM Free Cash FlowTrailing 4 quarters | $104.5M | $642.6M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $162.0M | ||
| Q4 25 | $-2.9M | — | ||
| Q3 25 | $10.0M | $185.4M | ||
| Q2 25 | $90.9M | $187.8M | ||
| Q1 25 | $16.6M | $179.1M | ||
| Q4 24 | $-10.9M | $178.0M | ||
| Q3 24 | $34.0M | $172.7M | ||
| Q2 24 | $23.2M | $150.7M |
| Q1 26 | — | $147.0M | ||
| Q4 25 | $-6.0M | — | ||
| Q3 25 | $7.4M | $164.0M | ||
| Q2 25 | $89.5M | $167.3M | ||
| Q1 25 | $13.6M | $164.3M | ||
| Q4 24 | $-13.5M | $135.9M | ||
| Q3 24 | $31.7M | $145.6M | ||
| Q2 24 | $20.4M | $127.2M |
| Q1 26 | — | 12.8% | ||
| Q4 25 | -0.6% | — | ||
| Q3 25 | 0.8% | 14.3% | ||
| Q2 25 | 13.7% | 14.6% | ||
| Q1 25 | 2.2% | 14.8% | ||
| Q4 24 | -2.0% | 9.4% | ||
| Q3 24 | 6.6% | 13.5% | ||
| Q2 24 | 4.2% | 11.6% |
| Q1 26 | — | 1.3% | ||
| Q4 25 | 0.3% | — | ||
| Q3 25 | 0.3% | 1.9% | ||
| Q2 25 | 0.2% | 1.8% | ||
| Q1 25 | 0.5% | 1.3% | ||
| Q4 24 | 0.4% | 2.9% | ||
| Q3 24 | 0.5% | 2.5% | ||
| Q2 24 | 0.6% | 2.1% |
| Q1 26 | — | 1.16× | ||
| Q4 25 | -0.44× | — | ||
| Q3 25 | 26.69× | 1.33× | ||
| Q2 25 | 9.65× | 1.43× | ||
| Q1 25 | 2.48× | 1.20× | ||
| Q4 24 | — | 1.05× | ||
| Q3 24 | 2.11× | 1.18× | ||
| 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% |
DPZ
| Supply chain | $699.0M | 61% |
| U.S. franchise royalties and fees | $158.0M | 14% |
| U.S. franchise advertising | $130.5M | 11% |
| U.S. Company-owned stores | $82.1M | 7% |
| International franchise royalties and fees | $81.0M | 7% |
