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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Organon & Co. (OGN). Click either name above to swap in a different company.

Organon & Co. is the larger business by last-quarter revenue ($1.5B vs $950.5M, roughly 1.6× Astrana Health, Inc.). Astrana Health, Inc. runs the higher net margin — 0.7% vs -13.6%, a 14.3% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs -5.3%). Organon & Co. produced more free cash flow last quarter ($96.0M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs -3.6%).

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.

Organon & Co. is an American pharmaceutical company headquartered in Jersey City, New Jersey. Organon specializes in the following core therapeutic fields: reproductive medicine, contraception, psychiatry, hormone replacement therapy (HRT), and anesthesia. Organon produces all its products outside of the United States but receives a third of its revenue from the United States.

ASTH vs OGN — Head-to-Head

Bigger by revenue
OGN
OGN
1.6× larger
OGN
$1.5B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+48.2% gap
ASTH
42.9%
-5.3%
OGN
Higher net margin
ASTH
ASTH
14.3% more per $
ASTH
0.7%
-13.6%
OGN
More free cash flow
OGN
OGN
$102.0M more FCF
OGN
$96.0M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
-3.6%
OGN

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
OGN
OGN
Revenue
$950.5M
$1.5B
Net Profit
$6.6M
$-205.0M
Gross Margin
49.2%
Operating Margin
1.9%
-9.8%
Net Margin
0.7%
-13.6%
Revenue YoY
42.9%
-5.3%
Net Profit YoY
184.4%
-288.1%
EPS (diluted)
$0.12
$-0.78

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
OGN
OGN
Q4 25
$950.5M
$1.5B
Q3 25
$956.0M
$1.6B
Q2 25
$654.8M
$1.6B
Q1 25
$620.4M
$1.5B
Q4 24
$665.2M
$1.6B
Q3 24
$478.7M
$1.6B
Q2 24
$486.3M
$1.6B
Q1 24
$404.4M
$1.6B
Net Profit
ASTH
ASTH
OGN
OGN
Q4 25
$6.6M
$-205.0M
Q3 25
$373.0K
$160.0M
Q2 25
$9.4M
$145.0M
Q1 25
$6.7M
$87.0M
Q4 24
$-7.8M
$109.0M
Q3 24
$16.1M
$359.0M
Q2 24
$19.2M
$195.0M
Q1 24
$14.8M
$201.0M
Gross Margin
ASTH
ASTH
OGN
OGN
Q4 25
49.2%
Q3 25
53.5%
Q2 25
54.8%
Q1 25
55.6%
Q4 24
56.3%
Q3 24
58.3%
Q2 24
58.4%
Q1 24
59.0%
Operating Margin
ASTH
ASTH
OGN
OGN
Q4 25
1.9%
-9.8%
Q3 25
2.0%
15.2%
Q2 25
3.1%
14.4%
Q1 25
3.3%
6.7%
Q4 24
0.1%
8.1%
Q3 24
5.9%
13.1%
Q2 24
6.2%
14.6%
Q1 24
7.5%
14.5%
Net Margin
ASTH
ASTH
OGN
OGN
Q4 25
0.7%
-13.6%
Q3 25
0.0%
10.0%
Q2 25
1.4%
9.1%
Q1 25
1.1%
5.8%
Q4 24
-1.2%
6.8%
Q3 24
3.4%
22.7%
Q2 24
3.9%
12.1%
Q1 24
3.7%
12.4%
EPS (diluted)
ASTH
ASTH
OGN
OGN
Q4 25
$0.12
$-0.78
Q3 25
$0.01
$0.61
Q2 25
$0.19
$0.56
Q1 25
$0.14
$0.33
Q4 24
$-0.14
$0.42
Q3 24
$0.33
$1.38
Q2 24
$0.40
$0.75
Q1 24
$0.31
$0.78

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
OGN
OGN
Cash + ST InvestmentsLiquidity on hand
$429.5M
$574.0M
Total DebtLower is stronger
$8.6B
Stockholders' EquityBook value
$779.3M
$752.0M
Total Assets
$2.2B
$12.9B
Debt / EquityLower = less leverage
11.49×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
OGN
OGN
Q4 25
$429.5M
$574.0M
Q3 25
$463.4M
$672.0M
Q2 25
$342.1M
$599.0M
Q1 25
$260.9M
$547.0M
Q4 24
$290.8M
$675.0M
Q3 24
$350.3M
$763.0M
Q2 24
$327.7M
$704.0M
Q1 24
$337.3M
$575.0M
Total Debt
ASTH
ASTH
OGN
OGN
Q4 25
$8.6B
Q3 25
$8.8B
Q2 25
$8.9B
Q1 25
$9.0B
Q4 24
$8.9B
Q3 24
$8.7B
Q2 24
$8.7B
Q1 24
$8.7B
Stockholders' Equity
ASTH
ASTH
OGN
OGN
Q4 25
$779.3M
$752.0M
Q3 25
$775.5M
$906.0M
Q2 25
$765.5M
$733.0M
Q1 25
$745.4M
$542.0M
Q4 24
$712.7M
$472.0M
Q3 24
$704.6M
$493.0M
Q2 24
$678.9M
$144.0M
Q1 24
$653.5M
$48.0M
Total Assets
ASTH
ASTH
OGN
OGN
Q4 25
$2.2B
$12.9B
Q3 25
$2.2B
$13.6B
Q2 25
$1.4B
$13.5B
Q1 25
$1.3B
$13.2B
Q4 24
$1.4B
$13.1B
Q3 24
$1.3B
$12.8B
Q2 24
$1.3B
$12.2B
Q1 24
$1.2B
$11.9B
Debt / Equity
ASTH
ASTH
OGN
OGN
Q4 25
11.49×
Q3 25
9.74×
Q2 25
12.14×
Q1 25
16.52×
Q4 24
18.81×
Q3 24
17.75×
Q2 24
60.11×
Q1 24
181.54×

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
OGN
OGN
Operating Cash FlowLast quarter
$-2.9M
$141.0M
Free Cash FlowOCF − Capex
$-6.0M
$96.0M
FCF MarginFCF / Revenue
-0.6%
6.4%
Capex IntensityCapex / Revenue
0.3%
3.0%
Cash ConversionOCF / Net Profit
-0.44×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$538.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
OGN
OGN
Q4 25
$-2.9M
$141.0M
Q3 25
$10.0M
$264.0M
Q2 25
$90.9M
$220.0M
Q1 25
$16.6M
$75.0M
Q4 24
$-10.9M
$390.0M
Q3 24
$34.0M
$141.0M
Q2 24
$23.2M
$332.0M
Q1 24
$6.0M
$76.0M
Free Cash Flow
ASTH
ASTH
OGN
OGN
Q4 25
$-6.0M
$96.0M
Q3 25
$7.4M
$218.0M
Q2 25
$89.5M
$181.0M
Q1 25
$13.6M
$43.0M
Q4 24
$-13.5M
$335.0M
Q3 24
$31.7M
$99.0M
Q2 24
$20.4M
$300.0M
Q1 24
$5.6M
$30.0M
FCF Margin
ASTH
ASTH
OGN
OGN
Q4 25
-0.6%
6.4%
Q3 25
0.8%
13.6%
Q2 25
13.7%
11.4%
Q1 25
2.2%
2.8%
Q4 24
-2.0%
21.0%
Q3 24
6.6%
6.3%
Q2 24
4.2%
18.7%
Q1 24
1.4%
1.8%
Capex Intensity
ASTH
ASTH
OGN
OGN
Q4 25
0.3%
3.0%
Q3 25
0.3%
2.9%
Q2 25
0.2%
2.4%
Q1 25
0.5%
2.1%
Q4 24
0.4%
3.5%
Q3 24
0.5%
2.7%
Q2 24
0.6%
2.0%
Q1 24
0.1%
2.8%
Cash Conversion
ASTH
ASTH
OGN
OGN
Q4 25
-0.44×
Q3 25
26.69×
1.65×
Q2 25
9.65×
1.52×
Q1 25
2.48×
0.86×
Q4 24
3.58×
Q3 24
2.11×
0.39×
Q2 24
1.21×
1.70×
Q1 24
0.40×
0.38×

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%

OGN
OGN

Segment breakdown not available.

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