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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Primerica, Inc. (PRI). Click either name above to swap in a different company.
Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $853.7M, roughly 1.1× Primerica, Inc.). Primerica, Inc. runs the higher net margin — 23.1% vs 0.7%, a 22.4% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 11.0%). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 7.2%).
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.
Primerica, Inc. is a multi-level marketing company that provides insurance, investment and financial services to middle-income families in the United States and Canada.
ASTH vs PRI — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $950.5M | $853.7M |
| Net Profit | $6.6M | $197.0M |
| Gross Margin | — | — |
| Operating Margin | 1.9% | 28.9% |
| Net Margin | 0.7% | 23.1% |
| Revenue YoY | 42.9% | 11.0% |
| Net Profit YoY | 184.4% | 17.9% |
| EPS (diluted) | $0.12 | $6.11 |
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 | $853.7M | ||
| Q3 25 | $956.0M | $839.9M | ||
| Q2 25 | $654.8M | $793.3M | ||
| Q1 25 | $620.4M | $804.8M | ||
| Q4 24 | $665.2M | $768.8M | ||
| Q3 24 | $478.7M | $774.1M | ||
| Q2 24 | $486.3M | $803.4M | ||
| Q1 24 | $404.4M | $742.8M |
| Q4 25 | $6.6M | $197.0M | ||
| Q3 25 | $373.0K | $206.8M | ||
| Q2 25 | $9.4M | $178.3M | ||
| Q1 25 | $6.7M | $169.1M | ||
| Q4 24 | $-7.8M | $167.1M | ||
| Q3 24 | $16.1M | $164.4M | ||
| Q2 24 | $19.2M | $1.2M | ||
| Q1 24 | $14.8M | $137.9M |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | 98.0% | ||
| Q1 24 | — | 98.2% |
| Q4 25 | 1.9% | 28.9% | ||
| Q3 25 | 2.0% | 32.3% | ||
| Q2 25 | 3.1% | 29.6% | ||
| Q1 25 | 3.3% | 27.5% | ||
| Q4 24 | 0.1% | 64.7% | ||
| Q3 24 | 5.9% | 32.9% | ||
| Q2 24 | 6.2% | 1.0% | ||
| Q1 24 | 7.5% | 24.1% |
| Q4 25 | 0.7% | 23.1% | ||
| Q3 25 | 0.0% | 24.6% | ||
| Q2 25 | 1.4% | 22.5% | ||
| Q1 25 | 1.1% | 21.0% | ||
| Q4 24 | -1.2% | 21.7% | ||
| Q3 24 | 3.4% | 21.2% | ||
| Q2 24 | 3.9% | 0.1% | ||
| Q1 24 | 3.7% | 18.6% |
| Q4 25 | $0.12 | $6.11 | ||
| Q3 25 | $0.01 | $6.35 | ||
| Q2 25 | $0.19 | $5.40 | ||
| Q1 25 | $0.14 | $5.05 | ||
| Q4 24 | $-0.14 | $4.92 | ||
| Q3 24 | $0.33 | $4.83 | ||
| Q2 24 | $0.40 | $0.03 | ||
| Q1 24 | $0.31 | $3.93 |
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 | $756.2M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $779.3M | $2.4B |
| Total Assets | $2.2B | $15.0B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $429.5M | $756.2M | ||
| Q3 25 | $463.4M | $644.9M | ||
| Q2 25 | $342.1M | $621.2M | ||
| Q1 25 | $260.9M | $625.1M | ||
| Q4 24 | $290.8M | $687.8M | ||
| Q3 24 | $350.3M | $550.1M | ||
| Q2 24 | $327.7M | $627.3M | ||
| Q1 24 | $337.3M | $593.4M |
| Q4 25 | $779.3M | $2.4B | ||
| Q3 25 | $775.5M | $2.3B | ||
| Q2 25 | $765.5M | $2.3B | ||
| Q1 25 | $745.4M | $2.3B | ||
| Q4 24 | $712.7M | $2.3B | ||
| Q3 24 | $704.6M | $1.9B | ||
| Q2 24 | $678.9M | $2.1B | ||
| Q1 24 | $653.5M | $2.2B |
| Q4 25 | $2.2B | $15.0B | ||
| Q3 25 | $2.2B | $14.8B | ||
| Q2 25 | $1.4B | $14.8B | ||
| Q1 25 | $1.3B | $14.6B | ||
| Q4 24 | $1.4B | $14.6B | ||
| Q3 24 | $1.3B | $14.8B | ||
| Q2 24 | $1.3B | $14.6B | ||
| Q1 24 | $1.2B | $14.9B |
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 | $338.2M |
| Free Cash FlowOCF − Capex | $-6.0M | — |
| FCF MarginFCF / Revenue | -0.6% | — |
| Capex IntensityCapex / Revenue | 0.3% | — |
| Cash ConversionOCF / Net Profit | -0.44× | 1.72× |
| TTM Free Cash FlowTrailing 4 quarters | $104.5M | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-2.9M | $338.2M | ||
| Q3 25 | $10.0M | $202.9M | ||
| Q2 25 | $90.9M | $162.6M | ||
| Q1 25 | $16.6M | $197.5M | ||
| Q4 24 | $-10.9M | $270.6M | ||
| Q3 24 | $34.0M | $207.3M | ||
| Q2 24 | $23.2M | $173.3M | ||
| Q1 24 | $6.0M | $210.9M |
| Q4 25 | $-6.0M | — | ||
| Q3 25 | $7.4M | — | ||
| Q2 25 | $89.5M | — | ||
| Q1 25 | $13.6M | — | ||
| Q4 24 | $-13.5M | — | ||
| Q3 24 | $31.7M | — | ||
| Q2 24 | $20.4M | — | ||
| Q1 24 | $5.6M | — |
| Q4 25 | -0.6% | — | ||
| Q3 25 | 0.8% | — | ||
| Q2 25 | 13.7% | — | ||
| Q1 25 | 2.2% | — | ||
| Q4 24 | -2.0% | — | ||
| Q3 24 | 6.6% | — | ||
| Q2 24 | 4.2% | — | ||
| Q1 24 | 1.4% | — |
| Q4 25 | 0.3% | — | ||
| Q3 25 | 0.3% | — | ||
| Q2 25 | 0.2% | — | ||
| Q1 25 | 0.5% | — | ||
| Q4 24 | 0.4% | — | ||
| Q3 24 | 0.5% | — | ||
| Q2 24 | 0.6% | — | ||
| Q1 24 | 0.1% | — |
| Q4 25 | -0.44× | 1.72× | ||
| Q3 25 | 26.69× | 0.98× | ||
| Q2 25 | 9.65× | 0.91× | ||
| Q1 25 | 2.48× | 1.17× | ||
| Q4 24 | — | 1.62× | ||
| Q3 24 | 2.11× | 1.26× | ||
| Q2 24 | 1.21× | 147.98× | ||
| Q1 24 | 0.40× | 1.53× |
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% |
PRI
| Revenues From Sources Other Than Contracts With Customers | $445.9M | 52% |
| Investment And Savings Products Segment Revenues | $340.3M | 40% |
| Other | $56.5M | 7% |
| Segment Revenues From Contracts With Customers | $11.0M | 1% |
