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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and TSS, Inc. (TSSI). Click either name above to swap in a different company.
Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $60.9M, roughly 15.6× TSS, Inc.). TSS, Inc. runs the higher net margin — 20.0% vs 0.7%, a 19.3% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 21.8%). TSS, Inc. produced more free cash flow last quarter ($15.8M vs $-6.0M). Over the past eight quarters, TSS, Inc.'s revenue compounded faster (95.8% CAGR vs 53.3%).
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.
ASTH vs TSSI — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $950.5M | $60.9M |
| Net Profit | $6.6M | $12.2M |
| Gross Margin | — | 17.6% |
| Operating Margin | 1.9% | 1.5% |
| Net Margin | 0.7% | 20.0% |
| Revenue YoY | 42.9% | 21.8% |
| Net Profit YoY | 184.4% | 535.7% |
| EPS (diluted) | $0.12 | $0.44 |
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 | $60.9M | ||
| Q3 25 | $956.0M | $41.9M | ||
| Q2 25 | $654.8M | $44.0M | ||
| Q1 25 | $620.4M | $99.0M | ||
| Q4 24 | $665.2M | $50.0M | ||
| Q3 24 | $478.7M | $70.1M | ||
| Q2 24 | $486.3M | $12.2M | ||
| Q1 24 | $404.4M | $15.9M |
| Q4 25 | $6.6M | $12.2M | ||
| Q3 25 | $373.0K | $-1.5M | ||
| Q2 25 | $9.4M | $1.5M | ||
| Q1 25 | $6.7M | $3.0M | ||
| Q4 24 | $-7.8M | $1.9M | ||
| Q3 24 | $16.1M | $2.6M | ||
| Q2 24 | $19.2M | $1.4M | ||
| Q1 24 | $14.8M | $15.0K |
| Q4 25 | — | 17.6% | ||
| Q3 25 | — | 11.1% | ||
| Q2 25 | — | 17.8% | ||
| Q1 25 | — | 9.3% | ||
| Q4 24 | — | 14.4% | ||
| Q3 24 | — | 11.3% | ||
| Q2 24 | — | 37.3% | ||
| Q1 24 | — | 17.1% |
| Q4 25 | 1.9% | 1.5% | ||
| Q3 25 | 2.0% | -2.2% | ||
| Q2 25 | 3.1% | 5.1% | ||
| Q1 25 | 3.3% | 4.2% | ||
| Q4 24 | 0.1% | 0.0% | ||
| Q3 24 | 5.9% | 5.4% | ||
| Q2 24 | 6.2% | 14.0% | ||
| Q1 24 | 7.5% | 1.6% |
| Q4 25 | 0.7% | 20.0% | ||
| Q3 25 | 0.0% | -3.6% | ||
| Q2 25 | 1.4% | 3.4% | ||
| Q1 25 | 1.1% | 3.0% | ||
| Q4 24 | -1.2% | 3.8% | ||
| Q3 24 | 3.4% | 3.8% | ||
| Q2 24 | 3.9% | 11.5% | ||
| Q1 24 | 3.7% | 0.1% |
| Q4 25 | $0.12 | $0.44 | ||
| Q3 25 | $0.01 | $-0.06 | ||
| Q2 25 | $0.19 | $0.06 | ||
| Q1 25 | $0.14 | $0.12 | ||
| Q4 24 | $-0.14 | $0.08 | ||
| Q3 24 | $0.33 | $0.10 | ||
| Q2 24 | $0.40 | $0.06 | ||
| Q1 24 | $0.31 | $0.00 |
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 | $85.5M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $779.3M | $76.6M |
| Total Assets | $2.2B | $184.9M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $429.5M | $85.5M | ||
| Q3 25 | $463.4M | $70.7M | ||
| Q2 25 | $342.1M | — | ||
| Q1 25 | $260.9M | — | ||
| Q4 24 | $290.8M | $23.2M | ||
| Q3 24 | $350.3M | $46.4M | ||
| Q2 24 | $327.7M | $8.3M | ||
| Q1 24 | $337.3M | $14.4M |
| Q4 25 | $779.3M | $76.6M | ||
| Q3 25 | $775.5M | $63.4M | ||
| Q2 25 | $765.5M | $9.5M | ||
| Q1 25 | $745.4M | $9.4M | ||
| Q4 24 | $712.7M | $7.1M | ||
| Q3 24 | $704.6M | $7.7M | ||
| Q2 24 | $678.9M | $5.2M | ||
| Q1 24 | $653.5M | $3.7M |
| Q4 25 | $2.2B | $184.9M | ||
| Q3 25 | $2.2B | $165.4M | ||
| Q2 25 | $1.4B | $139.5M | ||
| Q1 25 | $1.3B | $113.5M | ||
| Q4 24 | $1.4B | $96.6M | ||
| Q3 24 | $1.3B | $67.3M | ||
| Q2 24 | $1.3B | $28.9M | ||
| Q1 24 | $1.2B | $26.8M |
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 | $16.3M |
| Free Cash FlowOCF − Capex | $-6.0M | $15.8M |
| FCF MarginFCF / Revenue | -0.6% | 25.9% |
| Capex IntensityCapex / Revenue | 0.3% | 0.9% |
| Cash ConversionOCF / Net Profit | -0.44× | 1.34× |
| TTM Free Cash FlowTrailing 4 quarters | $104.5M | $2.1M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-2.9M | $16.3M | ||
| Q3 25 | $10.0M | $-18.4M | ||
| Q2 25 | $90.9M | $16.3M | ||
| Q1 25 | $16.6M | $20.6M | ||
| Q4 24 | $-10.9M | $-21.6M | ||
| Q3 24 | $34.0M | $38.6M | ||
| Q2 24 | $23.2M | $-4.3M | ||
| Q1 24 | $6.0M | $2.6M |
| Q4 25 | $-6.0M | $15.8M | ||
| Q3 25 | $7.4M | $-24.9M | ||
| Q2 25 | $89.5M | $5.4M | ||
| Q1 25 | $13.6M | $5.8M | ||
| Q4 24 | $-13.5M | $-28.4M | ||
| Q3 24 | $31.7M | $38.6M | ||
| Q2 24 | $20.4M | $-6.0M | ||
| Q1 24 | $5.6M | $2.6M |
| Q4 25 | -0.6% | 25.9% | ||
| Q3 25 | 0.8% | -59.3% | ||
| Q2 25 | 13.7% | 12.3% | ||
| Q1 25 | 2.2% | 5.8% | ||
| Q4 24 | -2.0% | -56.7% | ||
| Q3 24 | 6.6% | 55.1% | ||
| Q2 24 | 4.2% | -49.4% | ||
| Q1 24 | 1.4% | 16.4% |
| Q4 25 | 0.3% | 0.9% | ||
| Q3 25 | 0.3% | 15.3% | ||
| Q2 25 | 0.2% | 24.8% | ||
| Q1 25 | 0.5% | 15.0% | ||
| Q4 24 | 0.4% | 13.4% | ||
| Q3 24 | 0.5% | 0.1% | ||
| Q2 24 | 0.6% | 13.8% | ||
| Q1 24 | 0.1% | 0.2% |
| Q4 25 | -0.44× | 1.34× | ||
| Q3 25 | 26.69× | — | ||
| Q2 25 | 9.65× | 11.02× | ||
| Q1 25 | 2.48× | 6.93× | ||
| Q4 24 | — | -11.32× | ||
| Q3 24 | 2.11× | 14.60× | ||
| Q2 24 | 1.21× | -3.09× | ||
| Q1 24 | 0.40× | 176.40× |
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% |
TSSI
| Procurement Revenues Segment | $43.2M | 71% |
| System Integration Services Segment | $14.2M | 23% |
| Facilities Segment | $3.5M | 6% |
