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

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $644.5M, roughly 1.5× Titan Machinery Inc.). Astrana Health, Inc. runs the higher net margin — 0.7% vs 0.2%, a 0.5% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs -5.2%). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs -13.0%).

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.

Titan Machinery, Inc. is one of the largest dealers of agricultural and construction equipment and claims to be the largest dealer for the CNH Industrial brands in the world. It is based in West Fargo, North Dakota and has locations throughout the Midwestern United States, Australia, Austria, Bulgaria, Germany, Romania and Ukraine. The company is publicly traded on NASDAQ using the symbol TITN. As of 2023, the company reported a total revenue of US$2.209 billion.

ASTH vs TITN — Head-to-Head

Bigger by revenue
ASTH
ASTH
1.5× larger
ASTH
$950.5M
$644.5M
TITN
Growing faster (revenue YoY)
ASTH
ASTH
+48.1% gap
ASTH
42.9%
-5.2%
TITN
Higher net margin
ASTH
ASTH
0.5% more per $
ASTH
0.7%
0.2%
TITN
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
-13.0%
TITN

Income Statement — Q4 FY2025 vs Q3 FY2026

Metric
ASTH
ASTH
TITN
TITN
Revenue
$950.5M
$644.5M
Net Profit
$6.6M
$1.2M
Gross Margin
17.2%
Operating Margin
1.9%
1.6%
Net Margin
0.7%
0.2%
Revenue YoY
42.9%
-5.2%
Net Profit YoY
184.4%
-30.1%
EPS (diluted)
$0.12
$0.05

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
TITN
TITN
Q4 25
$950.5M
$644.5M
Q3 25
$956.0M
$546.4M
Q2 25
$654.8M
$594.3M
Q1 25
$620.4M
$759.9M
Q4 24
$665.2M
$679.8M
Q3 24
$478.7M
$633.7M
Q2 24
$486.3M
$628.7M
Q1 24
$404.4M
$852.1M
Net Profit
ASTH
ASTH
TITN
TITN
Q4 25
$6.6M
$1.2M
Q3 25
$373.0K
$-6.0M
Q2 25
$9.4M
$-13.2M
Q1 25
$6.7M
$-43.8M
Q4 24
$-7.8M
$1.7M
Q3 24
$16.1M
$-4.3M
Q2 24
$19.2M
$9.4M
Q1 24
$14.8M
$24.0M
Gross Margin
ASTH
ASTH
TITN
TITN
Q4 25
17.2%
Q3 25
17.1%
Q2 25
15.3%
Q1 25
6.7%
Q4 24
16.3%
Q3 24
17.7%
Q2 24
19.4%
Q1 24
16.6%
Operating Margin
ASTH
ASTH
TITN
TITN
Q4 25
1.9%
1.6%
Q3 25
2.0%
0.1%
Q2 25
3.1%
-1.0%
Q1 25
3.3%
-6.0%
Q4 24
0.1%
1.7%
Q3 24
5.9%
2.5%
Q2 24
6.2%
3.6%
Q1 24
7.5%
4.8%
Net Margin
ASTH
ASTH
TITN
TITN
Q4 25
0.7%
0.2%
Q3 25
0.0%
-1.1%
Q2 25
1.4%
-2.2%
Q1 25
1.1%
-5.8%
Q4 24
-1.2%
0.3%
Q3 24
3.4%
-0.7%
Q2 24
3.9%
1.5%
Q1 24
3.7%
2.8%
EPS (diluted)
ASTH
ASTH
TITN
TITN
Q4 25
$0.12
$0.05
Q3 25
$0.01
$-0.26
Q2 25
$0.19
$-0.58
Q1 25
$0.14
$-1.92
Q4 24
$-0.14
$0.07
Q3 24
$0.33
$-0.19
Q2 24
$0.40
$0.41
Q1 24
$0.31
$1.04

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
TITN
TITN
Cash + ST InvestmentsLiquidity on hand
$429.5M
Total DebtLower is stronger
$176.6M
Stockholders' EquityBook value
$779.3M
$612.6M
Total Assets
$2.2B
$1.8B
Debt / EquityLower = less leverage
0.29×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
TITN
TITN
Q4 25
$429.5M
Q3 25
$463.4M
Q2 25
$342.1M
Q1 25
$260.9M
Q4 24
$290.8M
Q3 24
$350.3M
Q2 24
$327.7M
Q1 24
$337.3M
Total Debt
ASTH
ASTH
TITN
TITN
Q4 25
$176.6M
Q3 25
$164.5M
Q2 25
$165.3M
Q1 25
$168.7M
Q4 24
$140.6M
Q3 24
$126.6M
Q2 24
$119.3M
Q1 24
$120.1M
Stockholders' Equity
ASTH
ASTH
TITN
TITN
Q4 25
$779.3M
$612.6M
Q3 25
$775.5M
$610.3M
Q2 25
$765.5M
$605.4M
Q1 25
$745.4M
$614.1M
Q4 24
$712.7M
$668.2M
Q3 24
$704.6M
$659.6M
Q2 24
$678.9M
$662.6M
Q1 24
$653.5M
$657.6M
Total Assets
ASTH
ASTH
TITN
TITN
Q4 25
$2.2B
$1.8B
Q3 25
$2.2B
$1.9B
Q2 25
$1.4B
$1.8B
Q1 25
$1.3B
$1.8B
Q4 24
$1.4B
$2.1B
Q3 24
$1.3B
$2.2B
Q2 24
$1.3B
$2.1B
Q1 24
$1.2B
$2.0B
Debt / Equity
ASTH
ASTH
TITN
TITN
Q4 25
0.29×
Q3 25
0.27×
Q2 25
0.27×
Q1 25
0.27×
Q4 24
0.21×
Q3 24
0.19×
Q2 24
0.18×
Q1 24
0.18×

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
TITN
TITN
Operating Cash FlowLast quarter
$-2.9M
$34.0M
Free Cash FlowOCF − Capex
$-6.0M
FCF MarginFCF / Revenue
-0.6%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
-0.44×
28.37×
TTM Free Cash FlowTrailing 4 quarters
$104.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
TITN
TITN
Q4 25
$-2.9M
$34.0M
Q3 25
$10.0M
$43.7M
Q2 25
$90.9M
$6.2M
Q1 25
$16.6M
$126.5M
Q4 24
$-10.9M
$-8.8M
Q3 24
$34.0M
$-15.0M
Q2 24
$23.2M
$-32.4M
Q1 24
$6.0M
$49.8M
Free Cash Flow
ASTH
ASTH
TITN
TITN
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
FCF Margin
ASTH
ASTH
TITN
TITN
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%
Capex Intensity
ASTH
ASTH
TITN
TITN
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%
Cash Conversion
ASTH
ASTH
TITN
TITN
Q4 25
-0.44×
28.37×
Q3 25
26.69×
Q2 25
9.65×
Q1 25
2.48×
Q4 24
-5.15×
Q3 24
2.11×
Q2 24
1.21×
-3.43×
Q1 24
0.40×
2.08×

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%

TITN
TITN

Agriculture Segment$420.9M65%
Sales Of Parts$122.3M19%
Service Sales$48.9M8%
Australia_segment$29.9M5%
Rental And Other$13.3M2%
Rental$10.3M2%
Other Revenue$1.1M0%

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