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

PINTEREST, INC. is the larger business by last-quarter revenue ($1.3B vs $950.5M, roughly 1.4× Astrana Health, Inc.). PINTEREST, INC. runs the higher net margin — 21.0% vs 0.7%, a 20.3% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 14.3%). PINTEREST, INC. produced more free cash flow last quarter ($380.4M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 33.5%).

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.

Pinterest is an American social media service for publishing and discovery of information in the form of digital pinboards. This includes recipes, home, style, motivation, and inspiration on the Internet using image sharing. Pinterest, Inc. was founded by Ben Silbermann, Paul Sciarra, and Evan Sharp, and is headquartered in San Francisco.

ASTH vs PINS — Head-to-Head

Bigger by revenue
PINS
PINS
1.4× larger
PINS
$1.3B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+28.6% gap
ASTH
42.9%
14.3%
PINS
Higher net margin
PINS
PINS
20.3% more per $
PINS
21.0%
0.7%
ASTH
More free cash flow
PINS
PINS
$386.3M more FCF
PINS
$380.4M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
33.5%
PINS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
PINS
PINS
Revenue
$950.5M
$1.3B
Net Profit
$6.6M
$277.1M
Gross Margin
82.8%
Operating Margin
1.9%
22.8%
Net Margin
0.7%
21.0%
Revenue YoY
42.9%
14.3%
Net Profit YoY
184.4%
-85.0%
EPS (diluted)
$0.12
$0.41

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
PINS
PINS
Q4 25
$950.5M
$1.3B
Q3 25
$956.0M
$1.0B
Q2 25
$654.8M
$998.2M
Q1 25
$620.4M
$855.0M
Q4 24
$665.2M
$1.2B
Q3 24
$478.7M
$898.4M
Q2 24
$486.3M
$853.7M
Q1 24
$404.4M
$740.0M
Net Profit
ASTH
ASTH
PINS
PINS
Q4 25
$6.6M
$277.1M
Q3 25
$373.0K
$92.1M
Q2 25
$9.4M
$38.8M
Q1 25
$6.7M
$8.9M
Q4 24
$-7.8M
$1.8B
Q3 24
$16.1M
$30.6M
Q2 24
$19.2M
$8.9M
Q1 24
$14.8M
$-24.8M
Gross Margin
ASTH
ASTH
PINS
PINS
Q4 25
82.8%
Q3 25
79.8%
Q2 25
79.7%
Q1 25
76.7%
Q4 24
82.9%
Q3 24
79.1%
Q2 24
78.3%
Q1 24
75.5%
Operating Margin
ASTH
ASTH
PINS
PINS
Q4 25
1.9%
22.8%
Q3 25
2.0%
5.6%
Q2 25
3.1%
-0.4%
Q1 25
3.3%
-4.1%
Q4 24
0.1%
22.7%
Q3 24
5.9%
-0.7%
Q2 24
6.2%
-2.5%
Q1 24
7.5%
-7.4%
Net Margin
ASTH
ASTH
PINS
PINS
Q4 25
0.7%
21.0%
Q3 25
0.0%
8.8%
Q2 25
1.4%
3.9%
Q1 25
1.1%
1.0%
Q4 24
-1.2%
160.1%
Q3 24
3.4%
3.4%
Q2 24
3.9%
1.0%
Q1 24
3.7%
-3.4%
EPS (diluted)
ASTH
ASTH
PINS
PINS
Q4 25
$0.12
$0.41
Q3 25
$0.01
$0.13
Q2 25
$0.19
$0.06
Q1 25
$0.14
$0.01
Q4 24
$-0.14
$2.66
Q3 24
$0.33
$0.04
Q2 24
$0.40
$0.01
Q1 24
$0.31
$-0.04

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
PINS
PINS
Cash + ST InvestmentsLiquidity on hand
$429.5M
$969.3M
Total DebtLower is stronger
Stockholders' EquityBook value
$779.3M
$4.7B
Total Assets
$2.2B
$5.5B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
PINS
PINS
Q4 25
$429.5M
$969.3M
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
$1.4B
Q1 24
$337.3M
$1.6B
Stockholders' Equity
ASTH
ASTH
PINS
PINS
Q4 25
$779.3M
$4.7B
Q3 25
$775.5M
$4.8B
Q2 25
$765.5M
$4.8B
Q1 25
$745.4M
$4.7B
Q4 24
$712.7M
$4.8B
Q3 24
$704.6M
$2.9B
Q2 24
$678.9M
$3.2B
Q1 24
$653.5M
$3.1B
Total Assets
ASTH
ASTH
PINS
PINS
Q4 25
$2.2B
$5.5B
Q3 25
$2.2B
$5.5B
Q2 25
$1.4B
$5.4B
Q1 25
$1.3B
$5.3B
Q4 24
$1.4B
$5.3B
Q3 24
$1.3B
$3.5B
Q2 24
$1.3B
$3.7B
Q1 24
$1.2B
$3.7B

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
PINS
PINS
Operating Cash FlowLast quarter
$-2.9M
$391.2M
Free Cash FlowOCF − Capex
$-6.0M
$380.4M
FCF MarginFCF / Revenue
-0.6%
28.8%
Capex IntensityCapex / Revenue
0.3%
0.8%
Cash ConversionOCF / Net Profit
-0.44×
1.41×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$1.3B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
PINS
PINS
Q4 25
$-2.9M
$391.2M
Q3 25
$10.0M
$321.7M
Q2 25
$90.9M
$207.7M
Q1 25
$16.6M
$363.7M
Q4 24
$-10.9M
$254.0M
Q3 24
$34.0M
$248.0M
Q2 24
$23.2M
$106.4M
Q1 24
$6.0M
$356.1M
Free Cash Flow
ASTH
ASTH
PINS
PINS
Q4 25
$-6.0M
$380.4M
Q3 25
$7.4M
$318.4M
Q2 25
$89.5M
$196.7M
Q1 25
$13.6M
$356.4M
Q4 24
$-13.5M
$250.2M
Q3 24
$31.7M
$244.1M
Q2 24
$20.4M
$101.6M
Q1 24
$5.6M
$344.0M
FCF Margin
ASTH
ASTH
PINS
PINS
Q4 25
-0.6%
28.8%
Q3 25
0.8%
30.3%
Q2 25
13.7%
19.7%
Q1 25
2.2%
41.7%
Q4 24
-2.0%
21.7%
Q3 24
6.6%
27.2%
Q2 24
4.2%
11.9%
Q1 24
1.4%
46.5%
Capex Intensity
ASTH
ASTH
PINS
PINS
Q4 25
0.3%
0.8%
Q3 25
0.3%
0.3%
Q2 25
0.2%
1.1%
Q1 25
0.5%
0.9%
Q4 24
0.4%
0.3%
Q3 24
0.5%
0.4%
Q2 24
0.6%
0.6%
Q1 24
0.1%
1.6%
Cash Conversion
ASTH
ASTH
PINS
PINS
Q4 25
-0.44×
1.41×
Q3 25
26.69×
3.49×
Q2 25
9.65×
5.36×
Q1 25
2.48×
40.77×
Q4 24
0.14×
Q3 24
2.11×
8.12×
Q2 24
1.21×
11.98×
Q1 24
0.40×

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%

PINS
PINS

United States And Canada$944.3M72%
Other$375.0M28%

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