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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and Vulcan Materials Company (VMC). Click either name above to swap in a different company.

Vulcan Materials Company is the larger business by last-quarter revenue ($1.8B vs $950.5M, roughly 1.8× Astrana Health, Inc.). Vulcan Materials Company runs the higher net margin — 9.4% vs 0.7%, a 8.7% gap on every dollar of revenue. On growth, Astrana Health, Inc. posted the faster year-over-year revenue change (42.9% vs 7.4%). Over the past eight quarters, Astrana Health, Inc.'s revenue compounded faster (53.3% CAGR vs -6.6%).

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.

Vulcan Materials Company is an American company based in Birmingham, Alabama. It is principally engaged in the production, distribution and sale of construction materials. Vulcan is the largest producer of construction materials, primarily gravel, crushed stone, and sand, and employs approximately 12,000 people at over 400 facilities. Vulcan serves 22 states, the District of Columbia, Mexico, Canada, Bahamas and the U.S. Virgin Islands.

ASTH vs VMC — Head-to-Head

Bigger by revenue
VMC
VMC
1.8× larger
VMC
$1.8B
$950.5M
ASTH
Growing faster (revenue YoY)
ASTH
ASTH
+35.5% gap
ASTH
42.9%
7.4%
VMC
Higher net margin
VMC
VMC
8.7% more per $
VMC
9.4%
0.7%
ASTH
Faster 2-yr revenue CAGR
ASTH
ASTH
Annualised
ASTH
53.3%
-6.6%
VMC

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ASTH
ASTH
VMC
VMC
Revenue
$950.5M
$1.8B
Net Profit
$6.6M
$165.0M
Gross Margin
24.1%
Operating Margin
1.9%
15.1%
Net Margin
0.7%
9.4%
Revenue YoY
42.9%
7.4%
Net Profit YoY
184.4%
27.9%
EPS (diluted)
$0.12
$1.35

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
VMC
VMC
Q1 26
$1.8B
Q4 25
$950.5M
$1.9B
Q3 25
$956.0M
$2.3B
Q2 25
$654.8M
$2.1B
Q1 25
$620.4M
$1.6B
Q4 24
$665.2M
$1.9B
Q3 24
$478.7M
$2.0B
Q2 24
$486.3M
$2.0B
Net Profit
ASTH
ASTH
VMC
VMC
Q1 26
$165.0M
Q4 25
$6.6M
$252.0M
Q3 25
$373.0K
$374.9M
Q2 25
$9.4M
$320.9M
Q1 25
$6.7M
$128.9M
Q4 24
$-7.8M
$293.6M
Q3 24
$16.1M
$207.6M
Q2 24
$19.2M
$308.0M
Gross Margin
ASTH
ASTH
VMC
VMC
Q1 26
24.1%
Q4 25
25.5%
Q3 25
30.4%
Q2 25
29.7%
Q1 25
22.3%
Q4 24
29.0%
Q3 24
28.2%
Q2 24
29.4%
Operating Margin
ASTH
ASTH
VMC
VMC
Q1 26
15.1%
Q4 25
1.9%
19.8%
Q3 25
2.0%
23.7%
Q2 25
3.1%
22.4%
Q1 25
3.3%
13.9%
Q4 24
0.1%
21.6%
Q3 24
5.9%
16.8%
Q2 24
6.2%
22.5%
Net Margin
ASTH
ASTH
VMC
VMC
Q1 26
9.4%
Q4 25
0.7%
13.2%
Q3 25
0.0%
16.4%
Q2 25
1.4%
15.3%
Q1 25
1.1%
7.9%
Q4 24
-1.2%
15.8%
Q3 24
3.4%
10.4%
Q2 24
3.9%
15.3%
EPS (diluted)
ASTH
ASTH
VMC
VMC
Q1 26
$1.35
Q4 25
$0.12
$1.90
Q3 25
$0.01
$2.82
Q2 25
$0.19
$2.42
Q1 25
$0.14
$0.97
Q4 24
$-0.14
$2.21
Q3 24
$0.33
$1.56
Q2 24
$0.40
$2.31

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
VMC
VMC
Cash + ST InvestmentsLiquidity on hand
$429.5M
$140.2M
Total DebtLower is stronger
$4.4B
Stockholders' EquityBook value
$779.3M
$8.5B
Total Assets
$2.2B
$16.7B
Debt / EquityLower = less leverage
0.51×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
VMC
VMC
Q1 26
$140.2M
Q4 25
$429.5M
$183.3M
Q3 25
$463.4M
$191.3M
Q2 25
$342.1M
$347.4M
Q1 25
$260.9M
$181.3M
Q4 24
$290.8M
$559.7M
Q3 24
$350.3M
$433.2M
Q2 24
$327.7M
$111.0M
Total Debt
ASTH
ASTH
VMC
VMC
Q1 26
$4.4B
Q4 25
$4.4B
Q3 25
$4.4B
Q2 25
$4.4B
Q1 25
$4.9B
Q4 24
$5.3B
Q3 24
$3.3B
Q2 24
$3.3B
Stockholders' Equity
ASTH
ASTH
VMC
VMC
Q1 26
$8.5B
Q4 25
$779.3M
$8.5B
Q3 25
$775.5M
$8.7B
Q2 25
$765.5M
$8.4B
Q1 25
$745.4M
$8.1B
Q4 24
$712.7M
$8.1B
Q3 24
$704.6M
$7.9B
Q2 24
$678.9M
$7.7B
Total Assets
ASTH
ASTH
VMC
VMC
Q1 26
$16.7B
Q4 25
$2.2B
$16.7B
Q3 25
$2.2B
$17.0B
Q2 25
$1.4B
$17.0B
Q1 25
$1.3B
$16.7B
Q4 24
$1.4B
$17.1B
Q3 24
$1.3B
$14.4B
Q2 24
$1.3B
$14.2B
Debt / Equity
ASTH
ASTH
VMC
VMC
Q1 26
0.51×
Q4 25
0.51×
Q3 25
0.50×
Q2 25
0.52×
Q1 25
0.60×
Q4 24
0.65×
Q3 24
0.42×
Q2 24
0.43×

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
VMC
VMC
Operating Cash FlowLast quarter
$-2.9M
$241.1M
Free Cash FlowOCF − Capex
$-6.0M
FCF MarginFCF / Revenue
-0.6%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
-0.44×
1.46×
TTM Free Cash FlowTrailing 4 quarters
$104.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
VMC
VMC
Q1 26
$241.1M
Q4 25
$-2.9M
$543.0M
Q3 25
$10.0M
$676.8M
Q2 25
$90.9M
$341.7M
Q1 25
$16.6M
$251.5M
Q4 24
$-10.9M
$440.1M
Q3 24
$34.0M
$595.0M
Q2 24
$23.2M
$201.1M
Free Cash Flow
ASTH
ASTH
VMC
VMC
Q1 26
Q4 25
$-6.0M
$358.2M
Q3 25
$7.4M
$454.8M
Q2 25
$89.5M
$238.8M
Q1 25
$13.6M
$83.5M
Q4 24
$-13.5M
$277.6M
Q3 24
$31.7M
$498.2M
Q2 24
$20.4M
$9.7M
FCF Margin
ASTH
ASTH
VMC
VMC
Q1 26
Q4 25
-0.6%
18.7%
Q3 25
0.8%
19.8%
Q2 25
13.7%
11.4%
Q1 25
2.2%
5.1%
Q4 24
-2.0%
15.0%
Q3 24
6.6%
24.9%
Q2 24
4.2%
0.5%
Capex Intensity
ASTH
ASTH
VMC
VMC
Q1 26
Q4 25
0.3%
9.7%
Q3 25
0.3%
9.7%
Q2 25
0.2%
4.9%
Q1 25
0.5%
10.3%
Q4 24
0.4%
8.8%
Q3 24
0.5%
4.8%
Q2 24
0.6%
9.5%
Cash Conversion
ASTH
ASTH
VMC
VMC
Q1 26
1.46×
Q4 25
-0.44×
2.15×
Q3 25
26.69×
1.81×
Q2 25
9.65×
1.06×
Q1 25
2.48×
1.95×
Q4 24
1.50×
Q3 24
2.11×
2.87×
Q2 24
1.21×
0.65×

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%

VMC
VMC

Segment breakdown not available.

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