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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and OPEN TEXT CORP (OTEX). Click either name above to swap in a different company.

OPEN TEXT CORP is the larger business by last-quarter revenue ($1.3B vs $950.5M, roughly 1.4× Astrana Health, Inc.). OPEN TEXT CORP runs the higher net margin — 12.7% vs 0.7%, a 12.0% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs -0.6%). OPEN TEXT CORP produced more free cash flow last quarter ($279.4M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs -4.3%).

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.

Open Text Corporation is a global software company that develops and sells information management software.

ASTH vs OTEX — Head-to-Head

Bigger by revenue
OTEX
OTEX
1.4× larger
OTEX
$1.3B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+43.5% gap
ASTH
42.9%
-0.6%
OTEX
Higher net margin
OTEX
OTEX
12.0% more per $
OTEX
12.7%
0.7%
ASTH
More free cash flow
OTEX
OTEX
$285.4M more FCF
OTEX
$279.4M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
-4.3%
OTEX

Income Statement — Q4 FY2025 vs Q2 FY2026

Metric
ASTH
ASTH
OTEX
OTEX
Revenue
$950.5M
$1.3B
Net Profit
$6.6M
$168.1M
Gross Margin
74.0%
Operating Margin
1.9%
22.0%
Net Margin
0.7%
12.7%
Revenue YoY
42.9%
-0.6%
Net Profit YoY
184.4%
-26.9%
EPS (diluted)
$0.12
$0.66

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
OTEX
OTEX
Q4 25
$950.5M
$1.3B
Q3 25
$956.0M
$1.3B
Q2 25
$654.8M
$1.3B
Q1 25
$620.4M
$1.3B
Q4 24
$665.2M
$1.3B
Q3 24
$478.7M
$1.3B
Q2 24
$486.3M
$1.4B
Q1 24
$404.4M
$1.4B
Net Profit
ASTH
ASTH
OTEX
OTEX
Q4 25
$6.6M
$168.1M
Q3 25
$373.0K
$146.6M
Q2 25
$9.4M
$28.8M
Q1 25
$6.7M
$92.8M
Q4 24
$-7.8M
$229.9M
Q3 24
$16.1M
$84.4M
Q2 24
$19.2M
$248.2M
Q1 24
$14.8M
$98.3M
Gross Margin
ASTH
ASTH
OTEX
OTEX
Q4 25
74.0%
Q3 25
72.8%
Q2 25
72.3%
Q1 25
71.6%
Q4 24
73.3%
Q3 24
71.7%
Q2 24
72.5%
Q1 24
73.0%
Operating Margin
ASTH
ASTH
OTEX
OTEX
Q4 25
1.9%
22.0%
Q3 25
2.0%
21.0%
Q2 25
3.1%
13.9%
Q1 25
3.3%
16.7%
Q4 24
0.1%
22.2%
Q3 24
5.9%
16.3%
Q2 24
6.2%
14.2%
Q1 24
7.5%
15.7%
Net Margin
ASTH
ASTH
OTEX
OTEX
Q4 25
0.7%
12.7%
Q3 25
0.0%
11.4%
Q2 25
1.4%
2.2%
Q1 25
1.1%
7.4%
Q4 24
-1.2%
17.2%
Q3 24
3.4%
6.6%
Q2 24
3.9%
18.2%
Q1 24
3.7%
6.8%
EPS (diluted)
ASTH
ASTH
OTEX
OTEX
Q4 25
$0.12
$0.66
Q3 25
$0.01
$0.58
Q2 25
$0.19
$0.11
Q1 25
$0.14
$0.35
Q4 24
$-0.14
$0.87
Q3 24
$0.33
$0.32
Q2 24
$0.40
$0.91
Q1 24
$0.31
$0.36

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
OTEX
OTEX
Cash + ST InvestmentsLiquidity on hand
$429.5M
$1.3B
Total DebtLower is stronger
$6.4B
Stockholders' EquityBook value
$779.3M
$4.0B
Total Assets
$2.2B
$13.6B
Debt / EquityLower = less leverage
1.58×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
OTEX
OTEX
Q4 25
$429.5M
$1.3B
Q3 25
$463.4M
$1.1B
Q2 25
$342.1M
$1.2B
Q1 25
$260.9M
$1.3B
Q4 24
$290.8M
$1.1B
Q3 24
$350.3M
$1.0B
Q2 24
$327.7M
$1.3B
Q1 24
$337.3M
$1.1B
Total Debt
ASTH
ASTH
OTEX
OTEX
Q4 25
$6.4B
Q3 25
$6.4B
Q2 25
$6.4B
Q1 25
$6.4B
Q4 24
$6.4B
Q3 24
$6.4B
Q2 24
$6.4B
Q1 24
$8.4B
Stockholders' Equity
ASTH
ASTH
OTEX
OTEX
Q4 25
$779.3M
$4.0B
Q3 25
$775.5M
$4.0B
Q2 25
$765.5M
$3.9B
Q1 25
$745.4M
$4.1B
Q4 24
$712.7M
$4.2B
Q3 24
$704.6M
$4.1B
Q2 24
$678.9M
$4.2B
Q1 24
$653.5M
$4.1B
Total Assets
ASTH
ASTH
OTEX
OTEX
Q4 25
$2.2B
$13.6B
Q3 25
$2.2B
$13.5B
Q2 25
$1.4B
$13.8B
Q1 25
$1.3B
$13.8B
Q4 24
$1.4B
$13.7B
Q3 24
$1.3B
$13.8B
Q2 24
$1.3B
$14.2B
Q1 24
$1.2B
$16.4B
Debt / Equity
ASTH
ASTH
OTEX
OTEX
Q4 25
1.58×
Q3 25
1.61×
Q2 25
1.62×
Q1 25
1.55×
Q4 24
1.51×
Q3 24
1.55×
Q2 24
1.52×
Q1 24
2.02×

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
OTEX
OTEX
Operating Cash FlowLast quarter
$-2.9M
$318.7M
Free Cash FlowOCF − Capex
$-6.0M
$279.4M
FCF MarginFCF / Revenue
-0.6%
21.1%
Capex IntensityCapex / Revenue
0.3%
3.0%
Cash ConversionOCF / Net Profit
-0.44×
1.90×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$878.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
OTEX
OTEX
Q4 25
$-2.9M
$318.7M
Q3 25
$10.0M
$147.8M
Q2 25
$90.9M
$158.2M
Q1 25
$16.6M
$402.2M
Q4 24
$-10.9M
$348.0M
Q3 24
$34.0M
$-77.8M
Q2 24
$23.2M
$185.2M
Q1 24
$6.0M
$384.7M
Free Cash Flow
ASTH
ASTH
OTEX
OTEX
Q4 25
$-6.0M
$279.4M
Q3 25
$7.4M
$101.2M
Q2 25
$89.5M
$124.0M
Q1 25
$13.6M
$373.8M
Q4 24
$-13.5M
$306.7M
Q3 24
$31.7M
$-117.1M
Q2 24
$20.4M
$145.2M
Q1 24
$5.6M
$348.2M
FCF Margin
ASTH
ASTH
OTEX
OTEX
Q4 25
-0.6%
21.1%
Q3 25
0.8%
7.9%
Q2 25
13.7%
9.5%
Q1 25
2.2%
29.8%
Q4 24
-2.0%
23.0%
Q3 24
6.6%
-9.2%
Q2 24
4.2%
10.7%
Q1 24
1.4%
24.1%
Capex Intensity
ASTH
ASTH
OTEX
OTEX
Q4 25
0.3%
3.0%
Q3 25
0.3%
3.6%
Q2 25
0.2%
2.6%
Q1 25
0.5%
2.3%
Q4 24
0.4%
3.1%
Q3 24
0.5%
3.1%
Q2 24
0.6%
2.9%
Q1 24
0.1%
2.5%
Cash Conversion
ASTH
ASTH
OTEX
OTEX
Q4 25
-0.44×
1.90×
Q3 25
26.69×
1.01×
Q2 25
9.65×
5.49×
Q1 25
2.48×
4.33×
Q4 24
1.51×
Q3 24
2.11×
-0.92×
Q2 24
1.21×
0.75×
Q1 24
0.40×
3.91×

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%

OTEX
OTEX

Transferred At Point In Time$184.2M14%
Cybersecurity Enterprise Product$174.5M13%
Business Network Product$159.8M12%
Business Network Cloud Services And Subscriptions$151.4M11%
Content Cloud Services And Subscriptions$137.9M10%
Cybersecurity SMB Consumer Product$127.6M10%
Application Delivery Management Product$120.1M9%
IT Operations Management Product$113.3M9%
Professional Service And Other$82.5M6%
Analytics Product$58.1M4%
IT Operations Management Cloud Services And Subscriptions$7.8M1%

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