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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and FIRST HORIZON CORP (FHN). Click either name above to swap in a different company.
Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $888.0M, roughly 1.1× FIRST HORIZON CORP). FIRST HORIZON CORP runs the higher net margin — 29.4% vs 0.7%, a 28.7% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 21.8%). FIRST HORIZON CORP produced more free cash flow last quarter ($389.0M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 20.0%).
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.
First Horizon Corporation, formerly First Tennessee Bank, is a financial services company, founded in 1864, and based in Memphis, Tennessee. Through its banking subsidiary First Horizon Bank, it provides financial services through locations in 12 states across the Southeast, a region in which it is the fourth largest regional bank.
ASTH vs FHN — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $950.5M | $888.0M |
| Net Profit | $6.6M | $261.0M |
| Gross Margin | — | — |
| Operating Margin | 1.9% | 38.5% |
| Net Margin | 0.7% | 29.4% |
| Revenue YoY | 42.9% | 21.8% |
| Net Profit YoY | 184.4% | 57.2% |
| EPS (diluted) | $0.12 | $0.51 |
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.
| Q4 25 | $950.5M | $888.0M | ||
| Q3 25 | $956.0M | $889.0M | ||
| Q2 25 | $654.8M | $830.0M | ||
| Q1 25 | $620.4M | $812.0M | ||
| Q4 24 | $665.2M | $729.0M | ||
| Q3 24 | $478.7M | $827.0M | ||
| Q2 24 | $486.3M | — | ||
| Q1 24 | $404.4M | $819.0M |
| Q4 25 | $6.6M | $261.0M | ||
| Q3 25 | $373.0K | $262.0M | ||
| Q2 25 | $9.4M | $241.0M | ||
| Q1 25 | $6.7M | $218.0M | ||
| Q4 24 | $-7.8M | $166.0M | ||
| Q3 24 | $16.1M | $218.0M | ||
| Q2 24 | $19.2M | — | ||
| Q1 24 | $14.8M | $192.0M |
| Q4 25 | 1.9% | 38.5% | ||
| Q3 25 | 2.0% | 38.7% | ||
| Q2 25 | 3.1% | 37.2% | ||
| Q1 25 | 3.3% | 35.1% | ||
| Q4 24 | 0.1% | 28.8% | ||
| Q3 24 | 5.9% | 34.0% | ||
| Q2 24 | 6.2% | — | ||
| Q1 24 | 7.5% | 31.0% |
| Q4 25 | 0.7% | 29.4% | ||
| Q3 25 | 0.0% | 29.5% | ||
| Q2 25 | 1.4% | 29.0% | ||
| Q1 25 | 1.1% | 26.8% | ||
| Q4 24 | -1.2% | 22.8% | ||
| Q3 24 | 3.4% | 26.4% | ||
| Q2 24 | 3.9% | — | ||
| Q1 24 | 3.7% | 23.4% |
| Q4 25 | $0.12 | $0.51 | ||
| Q3 25 | $0.01 | $0.50 | ||
| Q2 25 | $0.19 | $0.45 | ||
| Q1 25 | $0.14 | $0.41 | ||
| Q4 24 | $-0.14 | $0.29 | ||
| Q3 24 | $0.33 | $0.40 | ||
| Q2 24 | $0.40 | — | ||
| Q1 24 | $0.31 | $0.33 |
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 | — |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $779.3M | $8.8B |
| Total Assets | $2.2B | $83.9B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $429.5M | — | ||
| Q3 25 | $463.4M | — | ||
| Q2 25 | $342.1M | — | ||
| Q1 25 | $260.9M | — | ||
| Q4 24 | $290.8M | — | ||
| Q3 24 | $350.3M | — | ||
| Q2 24 | $327.7M | — | ||
| Q1 24 | $337.3M | — |
| Q4 25 | $779.3M | $8.8B | ||
| Q3 25 | $775.5M | $8.9B | ||
| Q2 25 | $765.5M | $9.0B | ||
| Q1 25 | $745.4M | $8.7B | ||
| Q4 24 | $712.7M | $8.8B | ||
| Q3 24 | $704.6M | $9.0B | ||
| Q2 24 | $678.9M | — | ||
| Q1 24 | $653.5M | $8.9B |
| Q4 25 | $2.2B | $83.9B | ||
| Q3 25 | $2.2B | $83.2B | ||
| Q2 25 | $1.4B | $82.1B | ||
| Q1 25 | $1.3B | $81.5B | ||
| Q4 24 | $1.4B | $82.2B | ||
| Q3 24 | $1.3B | $82.6B | ||
| Q2 24 | $1.3B | — | ||
| Q1 24 | $1.2B | $81.8B |
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 | $396.0M |
| Free Cash FlowOCF − Capex | $-6.0M | $389.0M |
| FCF MarginFCF / Revenue | -0.6% | 43.8% |
| Capex IntensityCapex / Revenue | 0.3% | 0.8% |
| Cash ConversionOCF / Net Profit | -0.44× | 1.52× |
| TTM Free Cash FlowTrailing 4 quarters | $104.5M | $595.0M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-2.9M | $396.0M | ||
| Q3 25 | $10.0M | $-200.0M | ||
| Q2 25 | $90.9M | $83.0M | ||
| Q1 25 | $16.6M | $349.0M | ||
| Q4 24 | $-10.9M | $191.0M | ||
| Q3 24 | $34.0M | $389.0M | ||
| Q2 24 | $23.2M | — | ||
| Q1 24 | $6.0M | $838.0M |
| Q4 25 | $-6.0M | $389.0M | ||
| Q3 25 | $7.4M | $-208.0M | ||
| Q2 25 | $89.5M | $74.0M | ||
| Q1 25 | $13.6M | $340.0M | ||
| Q4 24 | $-13.5M | $174.0M | ||
| Q3 24 | $31.7M | $383.0M | ||
| Q2 24 | $20.4M | — | ||
| Q1 24 | $5.6M | $828.0M |
| Q4 25 | -0.6% | 43.8% | ||
| Q3 25 | 0.8% | -23.4% | ||
| Q2 25 | 13.7% | 8.9% | ||
| Q1 25 | 2.2% | 41.9% | ||
| Q4 24 | -2.0% | 23.9% | ||
| Q3 24 | 6.6% | 46.3% | ||
| Q2 24 | 4.2% | — | ||
| Q1 24 | 1.4% | 101.1% |
| Q4 25 | 0.3% | 0.8% | ||
| Q3 25 | 0.3% | 0.9% | ||
| Q2 25 | 0.2% | 1.1% | ||
| Q1 25 | 0.5% | 1.1% | ||
| Q4 24 | 0.4% | 2.3% | ||
| Q3 24 | 0.5% | 0.7% | ||
| Q2 24 | 0.6% | — | ||
| Q1 24 | 0.1% | 1.2% |
| Q4 25 | -0.44× | 1.52× | ||
| Q3 25 | 26.69× | -0.76× | ||
| Q2 25 | 9.65× | 0.34× | ||
| Q1 25 | 2.48× | 1.60× | ||
| Q4 24 | — | 1.15× | ||
| Q3 24 | 2.11× | 1.78× | ||
| Q2 24 | 1.21× | — | ||
| Q1 24 | 0.40× | 4.36× |
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% |
FHN
| Commercial Consumer And Wealth Segment | $776.0M | 87% |
| Other | $88.0M | 10% |
| Corporate | $24.0M | 3% |
