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

PRICESMART INC is the larger business by last-quarter revenue ($1.4B vs $950.5M, roughly 1.5× Astrana Health, Inc.). PRICESMART INC runs the higher net margin — 2.9% vs 0.7%, a 2.2% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 9.9%). PRICESMART INC produced more free cash flow last quarter ($32.6M vs $-6.0M). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs 3.5%).

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.

PriceSmart, Inc. is a United States based operator of membership warehouse clubs in Central America, the Caribbean, and South America. PriceSmart was founded by Sol and Robert Price, founders of Price Club; Robert Price is chairman of the board.

ASTH vs PSMT — Head-to-Head

Bigger by revenue
PSMT
PSMT
1.5× larger
PSMT
$1.4B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+33.0% gap
ASTH
42.9%
9.9%
PSMT
Higher net margin
PSMT
PSMT
2.2% more per $
PSMT
2.9%
0.7%
ASTH
More free cash flow
PSMT
PSMT
$38.6M more FCF
PSMT
$32.6M
$-6.0M
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
3.5%
PSMT

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ASTH
ASTH
PSMT
PSMT
Revenue
$950.5M
$1.4B
Net Profit
$6.6M
$40.2M
Gross Margin
17.7%
Operating Margin
1.9%
4.6%
Net Margin
0.7%
2.9%
Revenue YoY
42.9%
9.9%
Net Profit YoY
184.4%
7.3%
EPS (diluted)
$0.12
$1.29

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
PSMT
PSMT
Q4 25
$950.5M
$1.4B
Q3 25
$956.0M
$1.3B
Q2 25
$654.8M
$1.3B
Q1 25
$620.4M
$1.4B
Q4 24
$665.2M
$1.3B
Q3 24
$478.7M
$1.2B
Q2 24
$486.3M
$1.2B
Q1 24
$404.4M
$1.3B
Net Profit
ASTH
ASTH
PSMT
PSMT
Q4 25
$6.6M
$40.2M
Q3 25
$373.0K
$31.5M
Q2 25
$9.4M
$35.2M
Q1 25
$6.7M
$43.8M
Q4 24
$-7.8M
$37.4M
Q3 24
$16.1M
$29.1M
Q2 24
$19.2M
$32.5M
Q1 24
$14.8M
$39.3M
Gross Margin
ASTH
ASTH
PSMT
PSMT
Q4 25
17.7%
Q3 25
Q2 25
Q1 25
17.1%
Q4 24
17.4%
Q3 24
Q2 24
Q1 24
Operating Margin
ASTH
ASTH
PSMT
PSMT
Q4 25
1.9%
4.6%
Q3 25
2.0%
4.0%
Q2 25
3.1%
4.3%
Q1 25
3.3%
4.8%
Q4 24
0.1%
4.6%
Q3 24
5.9%
4.0%
Q2 24
6.2%
4.1%
Q1 24
7.5%
4.9%
Net Margin
ASTH
ASTH
PSMT
PSMT
Q4 25
0.7%
2.9%
Q3 25
0.0%
2.4%
Q2 25
1.4%
2.7%
Q1 25
1.1%
3.2%
Q4 24
-1.2%
3.0%
Q3 24
3.4%
2.4%
Q2 24
3.9%
2.6%
Q1 24
3.7%
3.0%
EPS (diluted)
ASTH
ASTH
PSMT
PSMT
Q4 25
$0.12
$1.29
Q3 25
$0.01
$1.02
Q2 25
$0.19
$1.14
Q1 25
$0.14
$1.45
Q4 24
$-0.14
$1.21
Q3 24
$0.33
$0.94
Q2 24
$0.40
$1.08
Q1 24
$0.31
$1.31

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
PSMT
PSMT
Cash + ST InvestmentsLiquidity on hand
$429.5M
$320.6M
Total DebtLower is stronger
$180.3M
Stockholders' EquityBook value
$779.3M
$1.3B
Total Assets
$2.2B
$2.4B
Debt / EquityLower = less leverage
0.14×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
PSMT
PSMT
Q4 25
$429.5M
$320.6M
Q3 25
$463.4M
$314.2M
Q2 25
$342.1M
$262.4M
Q1 25
$260.9M
$247.3M
Q4 24
$290.8M
$222.2M
Q3 24
$350.3M
$225.5M
Q2 24
$327.7M
$228.2M
Q1 24
$337.3M
$264.2M
Total Debt
ASTH
ASTH
PSMT
PSMT
Q4 25
$180.3M
Q3 25
$186.6M
Q2 25
$103.1M
Q1 25
$107.1M
Q4 24
$115.6M
Q3 24
$130.4M
Q2 24
$135.1M
Q1 24
$140.0M
Stockholders' Equity
ASTH
ASTH
PSMT
PSMT
Q4 25
$779.3M
$1.3B
Q3 25
$775.5M
$1.2B
Q2 25
$765.5M
$1.2B
Q1 25
$745.4M
$1.2B
Q4 24
$712.7M
$1.2B
Q3 24
$704.6M
$1.1B
Q2 24
$678.9M
$1.1B
Q1 24
$653.5M
$1.1B
Total Assets
ASTH
ASTH
PSMT
PSMT
Q4 25
$2.2B
$2.4B
Q3 25
$2.2B
$2.3B
Q2 25
$1.4B
$2.1B
Q1 25
$1.3B
$2.1B
Q4 24
$1.4B
$2.1B
Q3 24
$1.3B
$2.0B
Q2 24
$1.3B
$2.0B
Q1 24
$1.2B
$2.0B
Debt / Equity
ASTH
ASTH
PSMT
PSMT
Q4 25
0.14×
Q3 25
0.15×
Q2 25
0.08×
Q1 25
0.09×
Q4 24
0.10×
Q3 24
0.12×
Q2 24
0.12×
Q1 24
0.13×

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
PSMT
PSMT
Operating Cash FlowLast quarter
$-2.9M
$71.2M
Free Cash FlowOCF − Capex
$-6.0M
$32.6M
FCF MarginFCF / Revenue
-0.6%
2.4%
Capex IntensityCapex / Revenue
0.3%
2.8%
Cash ConversionOCF / Net Profit
-0.44×
1.77×
TTM Free Cash FlowTrailing 4 quarters
$104.5M
$125.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
PSMT
PSMT
Q4 25
$-2.9M
$71.2M
Q3 25
$10.0M
$82.1M
Q2 25
$90.9M
$52.8M
Q1 25
$16.6M
$87.9M
Q4 24
$-10.9M
$38.5M
Q3 24
$34.0M
$41.8M
Q2 24
$23.2M
$38.1M
Q1 24
$6.0M
$86.6M
Free Cash Flow
ASTH
ASTH
PSMT
PSMT
Q4 25
$-6.0M
$32.6M
Q3 25
$7.4M
$25.6M
Q2 25
$89.5M
$14.0M
Q1 25
$13.6M
$53.2M
Q4 24
$-13.5M
$10.3M
Q3 24
$31.7M
$15.2M
Q2 24
$20.4M
$-308.0K
Q1 24
$5.6M
$16.4M
FCF Margin
ASTH
ASTH
PSMT
PSMT
Q4 25
-0.6%
2.4%
Q3 25
0.8%
1.9%
Q2 25
13.7%
1.1%
Q1 25
2.2%
3.9%
Q4 24
-2.0%
0.8%
Q3 24
6.6%
1.2%
Q2 24
4.2%
-0.0%
Q1 24
1.4%
1.3%
Capex Intensity
ASTH
ASTH
PSMT
PSMT
Q4 25
0.3%
2.8%
Q3 25
0.3%
4.2%
Q2 25
0.2%
2.9%
Q1 25
0.5%
2.5%
Q4 24
0.4%
2.2%
Q3 24
0.5%
2.2%
Q2 24
0.6%
3.1%
Q1 24
0.1%
5.4%
Cash Conversion
ASTH
ASTH
PSMT
PSMT
Q4 25
-0.44×
1.77×
Q3 25
26.69×
2.60×
Q2 25
9.65×
1.50×
Q1 25
2.48×
2.01×
Q4 24
1.03×
Q3 24
2.11×
1.44×
Q2 24
1.21×
1.17×
Q1 24
0.40×
2.20×

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%

PSMT
PSMT

Fresh Foods$454.9M33%
Caribbean Operations Segment$396.5M29%
Colombia Operations Segment$204.1M15%
Hardlines$162.6M12%
Softlines$99.8M7%
ship Income Member$24.5M2%
Health Services$14.5M1%
Other Revenue And Income$4.2M0%
United States Operations Segment$510.0K0%
Export Sales$359.0K0%

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