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Side-by-side financial comparison of Astrana Health, Inc. (ASTH) and WHITE MOUNTAINS INSURANCE GROUP LTD (WTM). Click either name above to swap in a different company.

WHITE MOUNTAINS INSURANCE GROUP LTD is the larger business by last-quarter revenue ($1.6B vs $950.5M, roughly 1.7× Astrana Health, Inc.). WHITE MOUNTAINS INSURANCE GROUP LTD runs the higher net margin — 52.1% vs 0.7%, a 51.4% gap on every dollar of revenue. On growth, WHITE MOUNTAINS INSURANCE GROUP LTD posted the faster year-over-year revenue change (348.0% vs 42.9%). Over the past eight quarters, WHITE MOUNTAINS INSURANCE GROUP LTD's revenue compounded faster (57.4% 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.

White Mountains Insurance Group is a diversified insurance and related financial services holding company based in Hamilton, Bermuda. Redomiciled from Delaware, United States, on October 25, 1999, the company conducts most of its business through its insurance subsidiaries and other affiliates.

ASTH vs WTM — Head-to-Head

Bigger by revenue
WTM
WTM
1.7× larger
WTM
$1.6B
$950.5M
ASTH
Growing faster (revenue YoY)
WTM
WTM
+305.1% gap
WTM
348.0%
42.9%
ASTH
Higher net margin
WTM
WTM
51.4% more per $
WTM
52.1%
0.7%
ASTH
Faster 2-yr revenue CAGR
WTM
WTM
Annualised
WTM
57.4%
53.3%
ASTH

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASTH
ASTH
WTM
WTM
Revenue
$950.5M
$1.6B
Net Profit
$6.6M
$835.8M
Gross Margin
97.1%
Operating Margin
1.9%
56.2%
Net Margin
0.7%
52.1%
Revenue YoY
42.9%
348.0%
Net Profit YoY
184.4%
741.0%
EPS (diluted)
$0.12
$325.02

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
WTM
WTM
Q4 25
$950.5M
$1.6B
Q3 25
$956.0M
$864.2M
Q2 25
$654.8M
$689.2M
Q1 25
$620.4M
$577.8M
Q4 24
$665.2M
$358.0M
Q3 24
$478.7M
$839.1M
Q2 24
$486.3M
$395.4M
Q1 24
$404.4M
$647.3M
Net Profit
ASTH
ASTH
WTM
WTM
Q4 25
$6.6M
$835.8M
Q3 25
$373.0K
$113.8M
Q2 25
$9.4M
$122.9M
Q1 25
$6.7M
$33.9M
Q4 24
$-7.8M
$-130.4M
Q3 24
$16.1M
$179.0M
Q2 24
$19.2M
$-54.6M
Q1 24
$14.8M
$236.4M
Gross Margin
ASTH
ASTH
WTM
WTM
Q4 25
97.1%
Q3 25
93.6%
Q2 25
93.8%
Q1 25
98.7%
Q4 24
97.9%
Q3 24
99.1%
Q2 24
98.2%
Q1 24
98.8%
Operating Margin
ASTH
ASTH
WTM
WTM
Q4 25
1.9%
56.2%
Q3 25
2.0%
20.7%
Q2 25
3.1%
25.6%
Q1 25
3.3%
12.5%
Q4 24
0.1%
-33.7%
Q3 24
5.9%
28.5%
Q2 24
6.2%
-8.8%
Q1 24
7.5%
35.9%
Net Margin
ASTH
ASTH
WTM
WTM
Q4 25
0.7%
52.1%
Q3 25
0.0%
13.2%
Q2 25
1.4%
17.8%
Q1 25
1.1%
5.9%
Q4 24
-1.2%
-36.4%
Q3 24
3.4%
21.3%
Q2 24
3.9%
-13.8%
Q1 24
3.7%
36.5%
EPS (diluted)
ASTH
ASTH
WTM
WTM
Q4 25
$0.12
$325.02
Q3 25
$0.01
$44.18
Q2 25
$0.19
$47.75
Q1 25
$0.14
$13.19
Q4 24
$-0.14
$-50.98
Q3 24
$0.33
$69.68
Q2 24
$0.40
$-21.24
Q1 24
$0.31
$92.33

Balance Sheet & Financial Strength

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

Metric
ASTH
ASTH
WTM
WTM
Cash + ST InvestmentsLiquidity on hand
$429.5M
Total DebtLower is stronger
$837.0M
Stockholders' EquityBook value
$779.3M
$5.4B
Total Assets
$2.2B
$12.3B
Debt / EquityLower = less leverage
0.15×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASTH
ASTH
WTM
WTM
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
WTM
WTM
Q4 25
$837.0M
Q3 25
$870.4M
Q2 25
$694.6M
Q1 25
$676.1M
Q4 24
$562.5M
Q3 24
$544.9M
Q2 24
$530.2M
Q1 24
$532.1M
Stockholders' Equity
ASTH
ASTH
WTM
WTM
Q4 25
$779.3M
$5.4B
Q3 25
$775.5M
$4.8B
Q2 25
$765.5M
$4.6B
Q1 25
$745.4M
$4.5B
Q4 24
$712.7M
$4.5B
Q3 24
$704.6M
$4.6B
Q2 24
$678.9M
$4.4B
Q1 24
$653.5M
$4.5B
Total Assets
ASTH
ASTH
WTM
WTM
Q4 25
$2.2B
$12.3B
Q3 25
$2.2B
$12.3B
Q2 25
$1.4B
$11.8B
Q1 25
$1.3B
$11.0B
Q4 24
$1.4B
$9.9B
Q3 24
$1.3B
$10.3B
Q2 24
$1.3B
$10.2B
Q1 24
$1.2B
$9.6B
Debt / Equity
ASTH
ASTH
WTM
WTM
Q4 25
0.15×
Q3 25
0.18×
Q2 25
0.15×
Q1 25
0.15×
Q4 24
0.13×
Q3 24
0.12×
Q2 24
0.12×
Q1 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
WTM
WTM
Operating Cash FlowLast quarter
$-2.9M
$53.9M
Free Cash FlowOCF − Capex
$-6.0M
FCF MarginFCF / Revenue
-0.6%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
-0.44×
0.06×
TTM Free Cash FlowTrailing 4 quarters
$104.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASTH
ASTH
WTM
WTM
Q4 25
$-2.9M
$53.9M
Q3 25
$10.0M
$359.3M
Q2 25
$90.9M
$177.5M
Q1 25
$16.6M
$-40.2M
Q4 24
$-10.9M
$64.1M
Q3 24
$34.0M
$269.4M
Q2 24
$23.2M
$216.8M
Q1 24
$6.0M
$36.5M
Free Cash Flow
ASTH
ASTH
WTM
WTM
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
WTM
WTM
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
WTM
WTM
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
WTM
WTM
Q4 25
-0.44×
0.06×
Q3 25
26.69×
3.16×
Q2 25
9.65×
1.44×
Q1 25
2.48×
-1.19×
Q4 24
Q3 24
2.11×
1.51×
Q2 24
1.21×
Q1 24
0.40×
0.15×

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%

WTM
WTM

Segment breakdown not available.

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