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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Graham Holdings Co (GHC). Click either name above to swap in a different company.
Graham Holdings Co is the larger business by last-quarter revenue ($1.3B vs $950.5M, roughly 1.3× Astrana Health, Inc.). Graham Holdings Co runs the higher net margin — 8.7% vs 0.7%, a 8.0% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 0.4%). Graham Holdings Co produced more free cash flow last quarter ($5.0M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 4.2%).
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.
Graham Holdings Company is a diversified American conglomerate holding company. Headquartered in Arlington County, Virginia, and incorporated in Delaware, it was formerly the owner of The Washington Post newspaper and Newsweek magazine.
ASTH vs GHC — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $950.5M | $1.3B |
| Net Profit | $6.6M | $108.7M |
| Gross Margin | — | — |
| Operating Margin | 1.9% | 3.8% |
| Net Margin | 0.7% | 8.7% |
| Revenue YoY | 42.9% | 0.4% |
| Net Profit YoY | 184.4% | -80.2% |
| EPS (diluted) | $0.12 | $24.76 |
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 | $1.3B | ||
| Q3 25 | $956.0M | $1.3B | ||
| Q2 25 | $654.8M | $1.2B | ||
| Q1 25 | $620.4M | $1.2B | ||
| Q4 24 | $665.2M | $1.2B | ||
| Q3 24 | $478.7M | $1.2B | ||
| Q2 24 | $486.3M | $1.2B | ||
| Q1 24 | $404.4M | $1.2B |
| Q4 25 | $6.6M | $108.7M | ||
| Q3 25 | $373.0K | $122.9M | ||
| Q2 25 | $9.4M | $36.7M | ||
| Q1 25 | $6.7M | $23.9M | ||
| Q4 24 | $-7.8M | $548.8M | ||
| Q3 24 | $16.1M | $72.5M | ||
| Q2 24 | $19.2M | $-21.0M | ||
| Q1 24 | $14.8M | $124.4M |
| Q4 25 | 1.9% | 3.8% | ||
| Q3 25 | 2.0% | 5.2% | ||
| Q2 25 | 3.1% | 6.0% | ||
| Q1 25 | 3.3% | 4.1% | ||
| Q4 24 | 0.1% | 5.8% | ||
| Q3 24 | 5.9% | 6.8% | ||
| Q2 24 | 6.2% | 2.2% | ||
| Q1 24 | 7.5% | 3.1% |
| Q4 25 | 0.7% | 8.7% | ||
| Q3 25 | 0.0% | 9.6% | ||
| Q2 25 | 1.4% | 3.0% | ||
| Q1 25 | 1.1% | 2.0% | ||
| Q4 24 | -1.2% | 44.1% | ||
| Q3 24 | 3.4% | 6.0% | ||
| Q2 24 | 3.9% | -1.8% | ||
| Q1 24 | 3.7% | 10.8% |
| Q4 25 | $0.12 | $24.76 | ||
| Q3 25 | $0.01 | $27.91 | ||
| Q2 25 | $0.19 | $8.35 | ||
| Q1 25 | $0.14 | $5.45 | ||
| Q4 24 | $-0.14 | $124.05 | ||
| Q3 24 | $0.33 | $16.42 | ||
| Q2 24 | $0.40 | $-4.79 | ||
| Q1 24 | $0.31 | $27.72 |
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 | $267.0M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $779.3M | $4.8B |
| Total Assets | $2.2B | $8.4B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $429.5M | $267.0M | ||
| Q3 25 | $463.4M | $190.8M | ||
| Q2 25 | $342.1M | $176.2M | ||
| Q1 25 | $260.9M | $156.7M | ||
| Q4 24 | $290.8M | $260.9M | ||
| Q3 24 | $350.3M | $244.4M | ||
| Q2 24 | $327.7M | $140.7M | ||
| Q1 24 | $337.3M | $130.9M |
| Q4 25 | $779.3M | $4.8B | ||
| Q3 25 | $775.5M | $4.5B | ||
| Q2 25 | $765.5M | $4.4B | ||
| Q1 25 | $745.4M | $4.3B | ||
| Q4 24 | $712.7M | $4.3B | ||
| Q3 24 | $704.6M | $4.0B | ||
| Q2 24 | $678.9M | $4.0B | ||
| Q1 24 | $653.5M | $4.0B |
| Q4 25 | $2.2B | $8.4B | ||
| Q3 25 | $2.2B | $7.9B | ||
| Q2 25 | $1.4B | $7.6B | ||
| Q1 25 | $1.3B | $7.6B | ||
| Q4 24 | $1.4B | $7.7B | ||
| Q3 24 | $1.3B | $7.4B | ||
| Q2 24 | $1.3B | $7.2B | ||
| Q1 24 | $1.2B | $7.3B |
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 | $28.3M |
| Free Cash FlowOCF − Capex | $-6.0M | $5.0M |
| FCF MarginFCF / Revenue | -0.6% | 0.4% |
| Capex IntensityCapex / Revenue | 0.3% | 1.9% |
| Cash ConversionOCF / Net Profit | -0.44× | 0.26× |
| TTM Free Cash FlowTrailing 4 quarters | $104.5M | $275.3M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-2.9M | $28.3M | ||
| Q3 25 | $10.0M | $178.1M | ||
| Q2 25 | $90.9M | $94.8M | ||
| Q1 25 | $16.6M | $46.0M | ||
| Q4 24 | $-10.9M | $116.3M | ||
| Q3 24 | $34.0M | $237.6M | ||
| Q2 24 | $23.2M | $52.0M | ||
| Q1 24 | $6.0M | $1.1M |
| Q4 25 | $-6.0M | $5.0M | ||
| Q3 25 | $7.4M | $161.8M | ||
| Q2 25 | $89.5M | $78.0M | ||
| Q1 25 | $13.6M | $30.5M | ||
| Q4 24 | $-13.5M | $91.1M | ||
| Q3 24 | $31.7M | $219.4M | ||
| Q2 24 | $20.4M | $33.7M | ||
| Q1 24 | $5.6M | $-20.2M |
| Q4 25 | -0.6% | 0.4% | ||
| Q3 25 | 0.8% | 12.6% | ||
| Q2 25 | 13.7% | 6.4% | ||
| Q1 25 | 2.2% | 2.6% | ||
| Q4 24 | -2.0% | 7.3% | ||
| Q3 24 | 6.6% | 18.2% | ||
| Q2 24 | 4.2% | 2.8% | ||
| Q1 24 | 1.4% | -1.8% |
| Q4 25 | 0.3% | 1.9% | ||
| Q3 25 | 0.3% | 1.3% | ||
| Q2 25 | 0.2% | 1.4% | ||
| Q1 25 | 0.5% | 1.3% | ||
| Q4 24 | 0.4% | 2.0% | ||
| Q3 24 | 0.5% | 1.5% | ||
| Q2 24 | 0.6% | 1.5% | ||
| Q1 24 | 0.1% | 1.8% |
| Q4 25 | -0.44× | 0.26× | ||
| Q3 25 | 26.69× | 1.45× | ||
| Q2 25 | 9.65× | 2.58× | ||
| Q1 25 | 2.48× | 1.93× | ||
| Q4 24 | — | 0.21× | ||
| Q3 24 | 2.11× | 3.28× | ||
| Q2 24 | 1.21× | — | ||
| Q1 24 | 0.40× | 0.01× |
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% |
GHC
| Products | $602.7M | 48% |
| Kaplan International | $251.9M | 20% |
| Manufacturing | $117.8M | 9% |
| Television Broadcasting | $110.5M | 9% |
| Higher Education | $83.8M | 7% |
| Supplemental Education | $74.9M | 6% |
| Related Party | $4.4M | 0% |
