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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Distribution Solutions Group, Inc. (DSGR). Click either name above to swap in a different company.

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $518.0M, roughly 1.8× Distribution Solutions Group, Inc.). Distribution Solutions Group, Inc. runs the higher net margin — 1.2% vs 0.7%, a 0.6% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 10.7%). Distribution Solutions Group, Inc. produced more free cash flow last quarter ($32.9M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 13.1%).

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.

Univar Solutions Inc. is a global chemical and ingredients distributor and provider of value-added services.

ASTH vs DSGR — Head-to-Head

Bigger by revenue
ASTH
ASTH
1.8× larger
ASTH
$950.5M
$518.0M
DSGR
Growing faster (revenue YoY)
ASTH
ASTH
+32.2% gap
ASTH
42.9%
10.7%
DSGR
Higher net margin
DSGR
DSGR
0.6% more per $
DSGR
1.2%
0.7%
ASTH
More free cash flow
DSGR
DSGR
$38.8M more FCF
DSGR
$32.9M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
13.1%
DSGR

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
ASTH
ASTH
DSGR
DSGR
Revenue
$950.5M
$518.0M
Net Profit
$6.6M
$6.5M
Gross Margin
32.9%
Operating Margin
1.9%
4.6%
Net Margin
0.7%
1.2%
Revenue YoY
42.9%
10.7%
Net Profit YoY
184.4%
-70.6%
EPS (diluted)
$0.12
$0.14

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
DSGR
DSGR
Q4 25
$950.5M
Q3 25
$956.0M
$518.0M
Q2 25
$654.8M
$502.4M
Q1 25
$620.4M
$478.0M
Q4 24
$665.2M
$480.5M
Q3 24
$478.7M
$468.0M
Q2 24
$486.3M
$439.5M
Q1 24
$404.4M
$416.1M
Net Profit
ASTH
ASTH
DSGR
DSGR
Q4 25
$6.6M
Q3 25
$373.0K
$6.5M
Q2 25
$9.4M
$5.0M
Q1 25
$6.7M
$3.3M
Q4 24
$-7.8M
$-25.9M
Q3 24
$16.1M
$21.9M
Q2 24
$19.2M
$1.9M
Q1 24
$14.8M
$-5.2M
Gross Margin
ASTH
ASTH
DSGR
DSGR
Q4 25
Q3 25
32.9%
Q2 25
33.9%
Q1 25
34.3%
Q4 24
33.3%
Q3 24
33.9%
Q2 24
34.5%
Q1 24
34.5%
Operating Margin
ASTH
ASTH
DSGR
DSGR
Q4 25
1.9%
Q3 25
2.0%
4.6%
Q2 25
3.1%
5.3%
Q1 25
3.3%
4.2%
Q4 24
0.1%
4.2%
Q3 24
5.9%
4.0%
Q2 24
6.2%
3.2%
Q1 24
7.5%
0.7%
Net Margin
ASTH
ASTH
DSGR
DSGR
Q4 25
0.7%
Q3 25
0.0%
1.2%
Q2 25
1.4%
1.0%
Q1 25
1.1%
0.7%
Q4 24
-1.2%
-5.4%
Q3 24
3.4%
4.7%
Q2 24
3.9%
0.4%
Q1 24
3.7%
-1.3%
EPS (diluted)
ASTH
ASTH
DSGR
DSGR
Q4 25
$0.12
Q3 25
$0.01
$0.14
Q2 25
$0.19
$0.11
Q1 25
$0.14
$0.07
Q4 24
$-0.14
$-0.55
Q3 24
$0.33
$0.46
Q2 24
$0.40
$0.04
Q1 24
$0.31
$-0.11

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
DSGR
DSGR
Cash + ST InvestmentsLiquidity on hand
$429.5M
$69.2M
Total DebtLower is stronger
$665.5M
Stockholders' EquityBook value
$779.3M
$653.9M
Total Assets
$2.2B
$1.8B
Debt / EquityLower = less leverage
1.02×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
DSGR
DSGR
Q4 25
$429.5M
Q3 25
$463.4M
$69.2M
Q2 25
$342.1M
$47.4M
Q1 25
$260.9M
$65.4M
Q4 24
$290.8M
$66.5M
Q3 24
$350.3M
$61.3M
Q2 24
$327.7M
$46.8M
Q1 24
$337.3M
$73.1M
Total Debt
ASTH
ASTH
DSGR
DSGR
Q4 25
Q3 25
$665.5M
Q2 25
$675.0M
Q1 25
$712.4M
Q4 24
$693.9M
Q3 24
$704.1M
Q2 24
$573.7M
Q1 24
$535.7M
Stockholders' Equity
ASTH
ASTH
DSGR
DSGR
Q4 25
$779.3M
Q3 25
$775.5M
$653.9M
Q2 25
$765.5M
$649.4M
Q1 25
$745.4M
$636.7M
Q4 24
$712.7M
$640.5M
Q3 24
$704.6M
$680.8M
Q2 24
$678.9M
$653.3M
Q1 24
$653.5M
$654.7M
Total Assets
ASTH
ASTH
DSGR
DSGR
Q4 25
$2.2B
Q3 25
$2.2B
$1.8B
Q2 25
$1.4B
$1.8B
Q1 25
$1.3B
$1.8B
Q4 24
$1.4B
$1.7B
Q3 24
$1.3B
$1.8B
Q2 24
$1.3B
$1.6B
Q1 24
$1.2B
$1.5B
Debt / Equity
ASTH
ASTH
DSGR
DSGR
Q4 25
Q3 25
1.02×
Q2 25
1.04×
Q1 25
1.12×
Q4 24
1.08×
Q3 24
1.03×
Q2 24
0.88×
Q1 24
0.82×

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
DSGR
DSGR
Operating Cash FlowLast quarter
$-2.9M
$38.4M
Free Cash FlowOCF − Capex
$-6.0M
$32.9M
FCF MarginFCF / Revenue
-0.6%
6.3%
Capex IntensityCapex / Revenue
0.3%
1.1%
Cash ConversionOCF / Net Profit
-0.44×
5.95×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$92.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
DSGR
DSGR
Q4 25
$-2.9M
Q3 25
$10.0M
$38.4M
Q2 25
$90.9M
$33.3M
Q1 25
$16.6M
$-4.8M
Q4 24
$-10.9M
$45.7M
Q3 24
$34.0M
$-17.3M
Q2 24
$23.2M
$21.4M
Q1 24
$6.0M
$6.6M
Free Cash Flow
ASTH
ASTH
DSGR
DSGR
Q4 25
$-6.0M
Q3 25
$7.4M
$32.9M
Q2 25
$89.5M
$28.7M
Q1 25
$13.6M
$-10.4M
Q4 24
$-13.5M
$41.1M
Q3 24
$31.7M
$-20.5M
Q2 24
$20.4M
$18.0M
Q1 24
$5.6M
$4.2M
FCF Margin
ASTH
ASTH
DSGR
DSGR
Q4 25
-0.6%
Q3 25
0.8%
6.3%
Q2 25
13.7%
5.7%
Q1 25
2.2%
-2.2%
Q4 24
-2.0%
8.6%
Q3 24
6.6%
-4.4%
Q2 24
4.2%
4.1%
Q1 24
1.4%
1.0%
Capex Intensity
ASTH
ASTH
DSGR
DSGR
Q4 25
0.3%
Q3 25
0.3%
1.1%
Q2 25
0.2%
0.9%
Q1 25
0.5%
1.2%
Q4 24
0.4%
1.0%
Q3 24
0.5%
0.7%
Q2 24
0.6%
0.8%
Q1 24
0.1%
0.6%
Cash Conversion
ASTH
ASTH
DSGR
DSGR
Q4 25
-0.44×
Q3 25
26.69×
5.95×
Q2 25
9.65×
6.66×
Q1 25
2.48×
-1.46×
Q4 24
Q3 24
2.11×
-0.79×
Q2 24
1.21×
11.28×
Q1 24
0.40×

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%

DSGR
DSGR

Test Equity Segment$206.5M40%
Gexpro Services Segment$130.5M25%
Lawson Segment$121.5M23%
Canada Branch Division Segment$60.0M12%

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