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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and UMB FINANCIAL CORP (UMBF). Click either name above to swap in a different company.

Astrana Health, Inc. is the larger business by last-quarter revenue ($950.5M vs $739.2M, roughly 1.3× UMB FINANCIAL CORP). UMB FINANCIAL CORP runs the higher net margin — 35.4% vs 0.7%, a 34.7% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 31.1%). Over the past eight quarters, UMB FINANCIAL CORP's revenue compounded faster (73.7% 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.

UMB Financial Corporation is an American financial services company headquartered in Kansas City, Missouri. It offers comprehensive financial services, including deposit solutions like checking and savings accounts, credit services including home mortgages, auto loans, business loans and credit cards, as well as investing and wealth management. UMB serves individuals, companies and institutions across the U.S. and in Ireland.

ASTH vs UMBF — Head-to-Head

Bigger by revenue
ASTH
ASTH
1.3× larger
ASTH
$950.5M
$739.2M
UMBF
Growing faster (revenue YoY)
ASTH
ASTH
+11.8% gap
ASTH
42.9%
31.1%
UMBF
Higher net margin
UMBF
UMBF
34.7% more per $
UMBF
35.4%
0.7%
ASTH
Faster 2-yr revenue CAGR
UMBF
UMBF
Annualised
UMBF
73.7%
53.3%
ASTH

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ASTH
ASTH
UMBF
UMBF
Revenue
$950.5M
$739.2M
Net Profit
$6.6M
$261.4M
Gross Margin
Operating Margin
1.9%
Net Margin
0.7%
35.4%
Revenue YoY
42.9%
31.1%
Net Profit YoY
184.4%
221.4%
EPS (diluted)
$0.12
$3.35

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
UMBF
UMBF
Q1 26
$739.2M
Q4 25
$950.5M
$522.5M
Q3 25
$956.0M
$475.0M
Q2 25
$654.8M
$467.0M
Q1 25
$620.4M
$397.6M
Q4 24
$665.2M
$269.0M
Q3 24
$478.7M
$247.4M
Q2 24
$486.3M
$245.1M
Net Profit
ASTH
ASTH
UMBF
UMBF
Q1 26
$261.4M
Q4 25
$6.6M
$215.4M
Q3 25
$373.0K
$188.3M
Q2 25
$9.4M
$217.4M
Q1 25
$6.7M
$81.3M
Q4 24
$-7.8M
$120.0M
Q3 24
$16.1M
$109.6M
Q2 24
$19.2M
$101.3M
Operating Margin
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
1.9%
51.7%
Q3 25
2.0%
49.8%
Q2 25
3.1%
58.9%
Q1 25
3.3%
23.4%
Q4 24
0.1%
53.8%
Q3 24
5.9%
54.8%
Q2 24
6.2%
51.8%
Net Margin
ASTH
ASTH
UMBF
UMBF
Q1 26
35.4%
Q4 25
0.7%
41.2%
Q3 25
0.0%
39.6%
Q2 25
1.4%
46.5%
Q1 25
1.1%
20.5%
Q4 24
-1.2%
44.6%
Q3 24
3.4%
44.3%
Q2 24
3.9%
41.3%
EPS (diluted)
ASTH
ASTH
UMBF
UMBF
Q1 26
$3.35
Q4 25
$0.12
$2.90
Q3 25
$0.01
$2.36
Q2 25
$0.19
$2.82
Q1 25
$0.14
$1.21
Q4 24
$-0.14
$2.44
Q3 24
$0.33
$2.23
Q2 24
$0.40
$2.07

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
UMBF
UMBF
Cash + ST InvestmentsLiquidity on hand
$429.5M
Total DebtLower is stronger
$477.2M
Stockholders' EquityBook value
$779.3M
$7.8B
Total Assets
$2.2B
$72.7B
Debt / EquityLower = less leverage
0.06×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
$429.5M
$7.8B
Q3 25
$463.4M
$8.8B
Q2 25
$342.1M
$11.0B
Q1 25
$260.9M
$10.6B
Q4 24
$290.8M
$8.4B
Q3 24
$350.3M
$7.3B
Q2 24
$327.7M
$5.0B
Total Debt
ASTH
ASTH
UMBF
UMBF
Q1 26
$477.2M
Q4 25
$474.2M
Q3 25
$471.3M
Q2 25
$657.3M
Q1 25
$654.4M
Q4 24
$385.3M
Q3 24
$384.8M
Q2 24
$384.2M
Stockholders' Equity
ASTH
ASTH
UMBF
UMBF
Q1 26
$7.8B
Q4 25
$779.3M
$7.7B
Q3 25
$775.5M
$7.4B
Q2 25
$765.5M
$7.3B
Q1 25
$745.4M
$6.7B
Q4 24
$712.7M
$3.5B
Q3 24
$704.6M
$3.5B
Q2 24
$678.9M
$3.2B
Total Assets
ASTH
ASTH
UMBF
UMBF
Q1 26
$72.7B
Q4 25
$2.2B
$73.1B
Q3 25
$2.2B
$71.9B
Q2 25
$1.4B
$71.8B
Q1 25
$1.3B
$69.3B
Q4 24
$1.4B
$50.4B
Q3 24
$1.3B
$47.5B
Q2 24
$1.3B
$44.5B
Debt / Equity
ASTH
ASTH
UMBF
UMBF
Q1 26
0.06×
Q4 25
0.06×
Q3 25
0.06×
Q2 25
0.09×
Q1 25
0.10×
Q4 24
0.11×
Q3 24
0.11×
Q2 24
0.12×

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

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
$-2.9M
$106.1M
Q3 25
$10.0M
$272.2M
Q2 25
$90.9M
$285.4M
Q1 25
$16.6M
$363.0M
Q4 24
$-10.9M
$-66.9M
Q3 24
$34.0M
$123.6M
Q2 24
$23.2M
$112.4M
Free Cash Flow
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
$-6.0M
$95.3M
Q3 25
$7.4M
$257.8M
Q2 25
$89.5M
$270.8M
Q1 25
$13.6M
$354.2M
Q4 24
$-13.5M
$-77.1M
Q3 24
$31.7M
$117.7M
Q2 24
$20.4M
$106.7M
FCF Margin
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
-0.6%
18.2%
Q3 25
0.8%
54.3%
Q2 25
13.7%
58.0%
Q1 25
2.2%
89.1%
Q4 24
-2.0%
-28.6%
Q3 24
6.6%
47.6%
Q2 24
4.2%
43.5%
Capex Intensity
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
0.3%
2.1%
Q3 25
0.3%
3.0%
Q2 25
0.2%
3.1%
Q1 25
0.5%
2.2%
Q4 24
0.4%
3.8%
Q3 24
0.5%
2.4%
Q2 24
0.6%
2.3%
Cash Conversion
ASTH
ASTH
UMBF
UMBF
Q1 26
Q4 25
-0.44×
0.49×
Q3 25
26.69×
1.45×
Q2 25
9.65×
1.31×
Q1 25
2.48×
4.46×
Q4 24
-0.56×
Q3 24
2.11×
1.13×
Q2 24
1.21×
1.11×

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%

UMBF
UMBF

Segment breakdown not available.

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