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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and F&G Annuities & Life, Inc. (FG). Click either name above to swap in a different company.

F&G Annuities & Life, Inc. is the larger business by last-quarter revenue ($1.8B vs $950.5M, roughly 1.9× Astrana Health, Inc.). F&G Annuities & Life, Inc. runs the higher net margin — 7.3% vs 0.7%, a 6.6% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 13.2%). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 6.1%).

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.

F&G Annuities & Life, Inc. is a public company headquartered in Des Moines, Iowa. It primarily provides annuities, life insurance, and pension buyout services. The company was founded in 1959.

ASTH vs FG — Head-to-Head

Bigger by revenue
FG
FG
1.9× larger
FG
$1.8B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+29.7% gap
ASTH
42.9%
13.2%
FG
Higher net margin
FG
FG
6.6% more per $
FG
7.3%
0.7%
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
6.1%
FG

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
FG
FG
Revenue
$950.5M
$1.8B
Net Profit
$6.6M
$128.0M
Gross Margin
Operating Margin
1.9%
Net Margin
0.7%
7.3%
Revenue YoY
42.9%
13.2%
Net Profit YoY
184.4%
-60.9%
EPS (diluted)
$0.12
$0.97

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
FG
FG
Q4 25
$950.5M
$1.8B
Q3 25
$956.0M
$1.7B
Q2 25
$654.8M
$1.4B
Q1 25
$620.4M
$908.0M
Q4 24
$665.2M
$1.6B
Q3 24
$478.7M
$1.4B
Q2 24
$486.3M
$1.2B
Q1 24
$404.4M
$1.6B
Net Profit
ASTH
ASTH
FG
FG
Q4 25
$6.6M
$128.0M
Q3 25
$373.0K
$118.0M
Q2 25
$9.4M
$40.0M
Q1 25
$6.7M
$-21.0M
Q4 24
$-7.8M
$327.0M
Q3 24
$16.1M
$-6.0M
Q2 24
$19.2M
$203.0M
Q1 24
$14.8M
$115.0M
Operating Margin
ASTH
ASTH
FG
FG
Q4 25
1.9%
Q3 25
2.0%
Q2 25
3.1%
Q1 25
3.3%
Q4 24
0.1%
Q3 24
5.9%
Q2 24
6.2%
Q1 24
7.5%
Net Margin
ASTH
ASTH
FG
FG
Q4 25
0.7%
7.3%
Q3 25
0.0%
7.0%
Q2 25
1.4%
2.9%
Q1 25
1.1%
-2.3%
Q4 24
-1.2%
21.0%
Q3 24
3.4%
-0.4%
Q2 24
3.9%
17.3%
Q1 24
3.7%
7.3%
EPS (diluted)
ASTH
ASTH
FG
FG
Q4 25
$0.12
$0.97
Q3 25
$0.01
$0.85
Q2 25
$0.19
$0.26
Q1 25
$0.14
$-0.20
Q4 24
$-0.14
$2.53
Q3 24
$0.33
$-0.08
Q2 24
$0.40
$1.55
Q1 24
$0.31
$0.88

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
FG
FG
Cash + ST InvestmentsLiquidity on hand
$429.5M
$1.5B
Total DebtLower is stronger
$2.2B
Stockholders' EquityBook value
$779.3M
$4.8B
Total Assets
$2.2B
$98.4B
Debt / EquityLower = less leverage
0.47×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
FG
FG
Q4 25
$429.5M
$1.5B
Q3 25
$463.4M
$2.2B
Q2 25
$342.1M
$1.9B
Q1 25
$260.9M
$3.3B
Q4 24
$290.8M
$2.3B
Q3 24
$350.3M
$3.5B
Q2 24
$327.7M
$3.5B
Q1 24
$337.3M
$2.4B
Total Debt
ASTH
ASTH
FG
FG
Q4 25
$2.2B
Q3 25
$2.2B
Q2 25
$2.2B
Q1 25
$2.2B
Q4 24
$2.2B
Q3 24
$2.0B
Q2 24
$2.0B
Q1 24
$1.7B
Stockholders' Equity
ASTH
ASTH
FG
FG
Q4 25
$779.3M
$4.8B
Q3 25
$775.5M
$4.8B
Q2 25
$765.5M
$4.4B
Q1 25
$745.4M
$4.4B
Q4 24
$712.7M
$4.0B
Q3 24
$704.6M
$4.3B
Q2 24
$678.9M
$3.7B
Q1 24
$653.5M
$3.5B
Total Assets
ASTH
ASTH
FG
FG
Q4 25
$2.2B
$98.4B
Q3 25
$2.2B
$96.1B
Q2 25
$1.4B
$91.8B
Q1 25
$1.3B
$88.0B
Q4 24
$1.4B
$85.0B
Q3 24
$1.3B
$84.1B
Q2 24
$1.3B
$78.5B
Q1 24
$1.2B
$74.4B
Debt / Equity
ASTH
ASTH
FG
FG
Q4 25
0.47×
Q3 25
0.46×
Q2 25
0.50×
Q1 25
0.51×
Q4 24
0.55×
Q3 24
0.47×
Q2 24
0.56×
Q1 24
0.49×

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
FG
FG
Operating Cash FlowLast quarter
$-2.9M
$1.2B
Free Cash FlowOCF − Capex
$-6.0M
FCF MarginFCF / Revenue
-0.6%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
-0.44×
9.13×
TTM Free Cash FlowTrailing 4 quarters
$104.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
FG
FG
Q4 25
$-2.9M
$1.2B
Q3 25
$10.0M
$937.0M
Q2 25
$90.9M
$1.6B
Q1 25
$16.6M
$956.0M
Q4 24
$-10.9M
$1.3B
Q3 24
$34.0M
$2.1B
Q2 24
$23.2M
$1.1B
Q1 24
$6.0M
$1.5B
Free Cash Flow
ASTH
ASTH
FG
FG
Q4 25
$-6.0M
Q3 25
$7.4M
Q2 25
$89.5M
Q1 25
$13.6M
Q4 24
$-13.5M
Q3 24
$31.7M
Q2 24
$20.4M
Q1 24
$5.6M
FCF Margin
ASTH
ASTH
FG
FG
Q4 25
-0.6%
Q3 25
0.8%
Q2 25
13.7%
Q1 25
2.2%
Q4 24
-2.0%
Q3 24
6.6%
Q2 24
4.2%
Q1 24
1.4%
Capex Intensity
ASTH
ASTH
FG
FG
Q4 25
0.3%
Q3 25
0.3%
Q2 25
0.2%
Q1 25
0.5%
Q4 24
0.4%
Q3 24
0.5%
Q2 24
0.6%
Q1 24
0.1%
Cash Conversion
ASTH
ASTH
FG
FG
Q4 25
-0.44×
9.13×
Q3 25
26.69×
7.94×
Q2 25
9.65×
40.50×
Q1 25
2.48×
Q4 24
4.04×
Q3 24
2.11×
Q2 24
1.21×
5.20×
Q1 24
0.40×
13.34×

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%

FG
FG

Segment breakdown not available.

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