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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and National Vision Holdings, Inc. (EYE). Click either name above to swap in a different company.

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $487.3M, roughly 2.0× National Vision Holdings, Inc.). National Vision Holdings, Inc. runs the higher net margin — 0.7% vs 0.7%, a 0.0% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 7.9%). National Vision Holdings, Inc. produced more free cash flow last quarter ($30.3M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 7.6%).

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.

Vision Research is an international company that manufactures high-speed digital cameras based in Wayne, New Jersey. Their cameras are marketed under the Phantom brand, and are used in a broad variety of industries including: defense, industrial product development, manufacturing, automotive, scientific research, and entertainment. Vision Research is a business unit of the Materials Analysis Division of Ametek Inc., a global manufacturer of electronic instruments and electromechanical devices.

ASTH vs EYE — Head-to-Head

Bigger by revenue
ASTH
ASTH
2.0× larger
ASTH
$950.5M
$487.3M
EYE
Growing faster (revenue YoY)
ASTH
ASTH
+35.0% gap
ASTH
42.9%
7.9%
EYE
Higher net margin
EYE
EYE
0.0% more per $
EYE
0.7%
0.7%
ASTH
More free cash flow
EYE
EYE
$36.2M more FCF
EYE
$30.3M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
7.6%
EYE

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
ASTH
ASTH
EYE
EYE
Revenue
$950.5M
$487.3M
Net Profit
$6.6M
$3.4M
Gross Margin
Operating Margin
1.9%
2.0%
Net Margin
0.7%
0.7%
Revenue YoY
42.9%
7.9%
Net Profit YoY
184.4%
139.8%
EPS (diluted)
$0.12
$0.04

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
EYE
EYE
Q4 25
$950.5M
Q3 25
$956.0M
$487.3M
Q2 25
$654.8M
$486.4M
Q1 25
$620.4M
$510.3M
Q4 24
$665.2M
$437.3M
Q3 24
$478.7M
$451.5M
Q2 24
$486.3M
$451.7M
Q1 24
$404.4M
$482.8M
Net Profit
ASTH
ASTH
EYE
EYE
Q4 25
$6.6M
Q3 25
$373.0K
$3.4M
Q2 25
$9.4M
$8.7M
Q1 25
$6.7M
$14.2M
Q4 24
$-7.8M
$-28.6M
Q3 24
$16.1M
$-8.5M
Q2 24
$19.2M
$-3.1M
Q1 24
$14.8M
$11.7M
Operating Margin
ASTH
ASTH
EYE
EYE
Q4 25
1.9%
Q3 25
2.0%
2.0%
Q2 25
3.1%
3.4%
Q1 25
3.3%
5.1%
Q4 24
0.1%
-5.8%
Q3 24
5.9%
-2.0%
Q2 24
6.2%
0.1%
Q1 24
7.5%
4.9%
Net Margin
ASTH
ASTH
EYE
EYE
Q4 25
0.7%
Q3 25
0.0%
0.7%
Q2 25
1.4%
1.8%
Q1 25
1.1%
2.8%
Q4 24
-1.2%
-6.5%
Q3 24
3.4%
-1.9%
Q2 24
3.9%
-0.7%
Q1 24
3.7%
2.4%
EPS (diluted)
ASTH
ASTH
EYE
EYE
Q4 25
$0.12
Q3 25
$0.01
$0.04
Q2 25
$0.19
$0.11
Q1 25
$0.14
$0.18
Q4 24
$-0.14
$-0.36
Q3 24
$0.33
$-0.11
Q2 24
$0.40
$-0.04
Q1 24
$0.31
$0.15

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
EYE
EYE
Cash + ST InvestmentsLiquidity on hand
$429.5M
$56.0M
Total DebtLower is stronger
$236.5M
Stockholders' EquityBook value
$779.3M
$858.8M
Total Assets
$2.2B
$2.0B
Debt / EquityLower = less leverage
0.28×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
EYE
EYE
Q4 25
$429.5M
Q3 25
$463.4M
$56.0M
Q2 25
$342.1M
$48.5M
Q1 25
$260.9M
$80.0M
Q4 24
$290.8M
$73.9M
Q3 24
$350.3M
$81.2M
Q2 24
$327.7M
$179.5M
Q1 24
$337.3M
$150.1M
Total Debt
ASTH
ASTH
EYE
EYE
Q4 25
Q3 25
$236.5M
Q2 25
$255.6M
Q1 25
$244.7M
Q4 24
$248.6M
Q3 24
$252.8M
Q2 24
$143.9M
Q1 24
$448.6M
Stockholders' Equity
ASTH
ASTH
EYE
EYE
Q4 25
$779.3M
Q3 25
$775.5M
$858.8M
Q2 25
$765.5M
$850.6M
Q1 25
$745.4M
$836.2M
Q4 24
$712.7M
$816.3M
Q3 24
$704.6M
$840.0M
Q2 24
$678.9M
$843.4M
Q1 24
$653.5M
$841.3M
Total Assets
ASTH
ASTH
EYE
EYE
Q4 25
$2.2B
Q3 25
$2.2B
$2.0B
Q2 25
$1.4B
$2.0B
Q1 25
$1.3B
$2.0B
Q4 24
$1.4B
$2.0B
Q3 24
$1.3B
$2.0B
Q2 24
$1.3B
$2.1B
Q1 24
$1.2B
$2.2B
Debt / Equity
ASTH
ASTH
EYE
EYE
Q4 25
Q3 25
0.28×
Q2 25
0.30×
Q1 25
0.29×
Q4 24
0.30×
Q3 24
0.30×
Q2 24
0.17×
Q1 24
0.53×

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
EYE
EYE
Operating Cash FlowLast quarter
$-2.9M
$46.6M
Free Cash FlowOCF − Capex
$-6.0M
$30.3M
FCF MarginFCF / Revenue
-0.6%
6.2%
Capex IntensityCapex / Revenue
0.3%
3.4%
Cash ConversionOCF / Net Profit
-0.44×
13.83×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$83.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
EYE
EYE
Q4 25
$-2.9M
Q3 25
$10.0M
$46.6M
Q2 25
$90.9M
$54.3M
Q1 25
$16.6M
$32.2M
Q4 24
$-10.9M
$30.3M
Q3 24
$34.0M
$27.9M
Q2 24
$23.2M
$51.5M
Q1 24
$6.0M
$24.0M
Free Cash Flow
ASTH
ASTH
EYE
EYE
Q4 25
$-6.0M
Q3 25
$7.4M
$30.3M
Q2 25
$89.5M
$42.4M
Q1 25
$13.6M
$12.0M
Q4 24
$-13.5M
$-1.7M
Q3 24
$31.7M
$4.1M
Q2 24
$20.4M
$31.9M
Q1 24
$5.6M
$4.0M
FCF Margin
ASTH
ASTH
EYE
EYE
Q4 25
-0.6%
Q3 25
0.8%
6.2%
Q2 25
13.7%
8.7%
Q1 25
2.2%
2.4%
Q4 24
-2.0%
-0.4%
Q3 24
6.6%
0.9%
Q2 24
4.2%
7.1%
Q1 24
1.4%
0.8%
Capex Intensity
ASTH
ASTH
EYE
EYE
Q4 25
0.3%
Q3 25
0.3%
3.4%
Q2 25
0.2%
2.4%
Q1 25
0.5%
4.0%
Q4 24
0.4%
7.3%
Q3 24
0.5%
5.3%
Q2 24
0.6%
4.3%
Q1 24
0.1%
4.1%
Cash Conversion
ASTH
ASTH
EYE
EYE
Q4 25
-0.44×
Q3 25
26.69×
13.83×
Q2 25
9.65×
6.22×
Q1 25
2.48×
2.27×
Q4 24
Q3 24
2.11×
Q2 24
1.21×
Q1 24
0.40×
2.05×

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%

EYE
EYE

Segment breakdown not available.

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