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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Mettler Toledo (MTD). Click either name above to swap in a different company.

Mettler Toledo is the larger business by last-quarter revenue ($1.1B vs $950.5M, roughly 1.2× Astrana Health, Inc.). Mettler Toledo runs the higher net margin — 25.3% vs 0.7%, a 24.6% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 8.1%). Mettler Toledo produced more free cash flow last quarter ($184.1M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 10.5%).

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.

Mettler Toledo, stylized in all caps, is a multinational supplier of precision instruments and services. The company focuses on laboratory, industrial, product inspection, and food retailing applications. Its products are used in research, quality control, and manufacturing processes in life sciences, food, chemical, and many other industries.

ASTH vs MTD — Head-to-Head

Bigger by revenue
MTD
MTD
1.2× larger
MTD
$1.1B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+34.8% gap
ASTH
42.9%
8.1%
MTD
Higher net margin
MTD
MTD
24.6% more per $
MTD
25.3%
0.7%
ASTH
More free cash flow
MTD
MTD
$190.0M more FCF
MTD
$184.1M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
10.5%
MTD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
MTD
MTD
Revenue
$950.5M
$1.1B
Net Profit
$6.6M
$285.8M
Gross Margin
59.8%
Operating Margin
1.9%
29.1%
Net Margin
0.7%
25.3%
Revenue YoY
42.9%
8.1%
Net Profit YoY
184.4%
13.3%
EPS (diluted)
$0.12
$13.91

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
MTD
MTD
Q4 25
$950.5M
$1.1B
Q3 25
$956.0M
$1.0B
Q2 25
$654.8M
$983.2M
Q1 25
$620.4M
$883.7M
Q4 24
$665.2M
$1.0B
Q3 24
$478.7M
$954.5M
Q2 24
$486.3M
$946.8M
Q1 24
$404.4M
$925.9M
Net Profit
ASTH
ASTH
MTD
MTD
Q4 25
$6.6M
$285.8M
Q3 25
$373.0K
$217.5M
Q2 25
$9.4M
$202.3M
Q1 25
$6.7M
$163.6M
Q4 24
$-7.8M
$252.3M
Q3 24
$16.1M
$211.5M
Q2 24
$19.2M
$221.8M
Q1 24
$14.8M
$177.5M
Gross Margin
ASTH
ASTH
MTD
MTD
Q4 25
59.8%
Q3 25
59.2%
Q2 25
59.0%
Q1 25
59.5%
Q4 24
61.2%
Q3 24
60.0%
Q2 24
59.7%
Q1 24
59.2%
Operating Margin
ASTH
ASTH
MTD
MTD
Q4 25
1.9%
29.1%
Q3 25
2.0%
26.1%
Q2 25
3.1%
25.3%
Q1 25
3.3%
22.9%
Q4 24
0.1%
30.1%
Q3 24
5.9%
27.1%
Q2 24
6.2%
25.7%
Q1 24
7.5%
23.8%
Net Margin
ASTH
ASTH
MTD
MTD
Q4 25
0.7%
25.3%
Q3 25
0.0%
21.1%
Q2 25
1.4%
20.6%
Q1 25
1.1%
18.5%
Q4 24
-1.2%
24.1%
Q3 24
3.4%
22.2%
Q2 24
3.9%
23.4%
Q1 24
3.7%
19.2%
EPS (diluted)
ASTH
ASTH
MTD
MTD
Q4 25
$0.12
$13.91
Q3 25
$0.01
$10.57
Q2 25
$0.19
$9.76
Q1 25
$0.14
$7.81
Q4 24
$-0.14
$11.91
Q3 24
$0.33
$9.96
Q2 24
$0.40
$10.37
Q1 24
$0.31
$8.24

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
MTD
MTD
Cash + ST InvestmentsLiquidity on hand
$429.5M
Total DebtLower is stronger
$2.1B
Stockholders' EquityBook value
$779.3M
$-23.6M
Total Assets
$2.2B
$3.7B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
MTD
MTD
Q4 25
$429.5M
Q3 25
$463.4M
$69.1M
Q2 25
$342.1M
$61.8M
Q1 25
$260.9M
Q4 24
$290.8M
$59.4M
Q3 24
$350.3M
$71.6M
Q2 24
$327.7M
$70.8M
Q1 24
$337.3M
Total Debt
ASTH
ASTH
MTD
MTD
Q4 25
$2.1B
Q3 25
$2.1B
Q2 25
$2.1B
Q1 25
Q4 24
$1.8B
Q3 24
$1.9B
Q2 24
$1.7B
Q1 24
Stockholders' Equity
ASTH
ASTH
MTD
MTD
Q4 25
$779.3M
$-23.6M
Q3 25
$775.5M
$-249.2M
Q2 25
$765.5M
$-258.8M
Q1 25
$745.4M
$-182.0M
Q4 24
$712.7M
$-126.9M
Q3 24
$704.6M
$-154.4M
Q2 24
$678.9M
$-152.8M
Q1 24
$653.5M
$-158.7M
Total Assets
ASTH
ASTH
MTD
MTD
Q4 25
$2.2B
$3.7B
Q3 25
$2.2B
$3.5B
Q2 25
$1.4B
$3.4B
Q1 25
$1.3B
$3.2B
Q4 24
$1.4B
$3.2B
Q3 24
$1.3B
$3.3B
Q2 24
$1.3B
$3.2B
Q1 24
$1.2B
$3.3B

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
MTD
MTD
Operating Cash FlowLast quarter
$-2.9M
$225.6M
Free Cash FlowOCF − Capex
$-6.0M
$184.1M
FCF MarginFCF / Revenue
-0.6%
16.3%
Capex IntensityCapex / Revenue
0.3%
3.7%
Cash ConversionOCF / Net Profit
-0.44×
0.79×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$848.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
MTD
MTD
Q4 25
$-2.9M
$225.6M
Q3 25
$10.0M
$299.4M
Q2 25
$90.9M
$236.4M
Q1 25
$16.6M
$194.4M
Q4 24
$-10.9M
$266.2M
Q3 24
$34.0M
$254.7M
Q2 24
$23.2M
$257.5M
Q1 24
$6.0M
$190.0M
Free Cash Flow
ASTH
ASTH
MTD
MTD
Q4 25
$-6.0M
$184.1M
Q3 25
$7.4M
$274.9M
Q2 25
$89.5M
$212.5M
Q1 25
$13.6M
$177.2M
Q4 24
$-13.5M
$224.9M
Q3 24
$31.7M
$233.2M
Q2 24
$20.4M
$233.7M
Q1 24
$5.6M
$172.6M
FCF Margin
ASTH
ASTH
MTD
MTD
Q4 25
-0.6%
16.3%
Q3 25
0.8%
26.7%
Q2 25
13.7%
21.6%
Q1 25
2.2%
20.1%
Q4 24
-2.0%
21.5%
Q3 24
6.6%
24.4%
Q2 24
4.2%
24.7%
Q1 24
1.4%
18.6%
Capex Intensity
ASTH
ASTH
MTD
MTD
Q4 25
0.3%
3.7%
Q3 25
0.3%
2.4%
Q2 25
0.2%
2.4%
Q1 25
0.5%
2.0%
Q4 24
0.4%
3.9%
Q3 24
0.5%
2.2%
Q2 24
0.6%
2.5%
Q1 24
0.1%
1.9%
Cash Conversion
ASTH
ASTH
MTD
MTD
Q4 25
-0.44×
0.79×
Q3 25
26.69×
1.38×
Q2 25
9.65×
1.17×
Q1 25
2.48×
1.19×
Q4 24
1.06×
Q3 24
2.11×
1.20×
Q2 24
1.21×
1.16×
Q1 24
0.40×
1.07×

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%

MTD
MTD

Products$857.0M76%
Services$272.8M24%

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