Astrana Health [ASTH] vs HCA Healthcare [HCA] Detailed Stock Comparison

Astrana Health Inc.

NASDAQ
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HCA Healthcare Inc.

NYSE
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TLDR: Quick Comparison Summary

Based on 21 vital metrics comparison: Astrana Health Inc. wins in 7 metrics, HCA Healthcare Inc. wins in 13 metrics, with 0 ties. HCA Healthcare Inc. appears stronger overall.

View Metrics Details

Vital Metrics Comparison

Metric Astrana Health Inc. HCA Healthcare Inc. Better
P/E Ratio (TTM) 73.30 16.86 HCA Healthcare Inc.
Price-to-Book Ratio 2.12 -38.44 Astrana Health Inc.
Debt-to-Equity Ratio 193.10 -17.57 Astrana Health Inc.
PEG Ratio -0.41 0.37 HCA Healthcare Inc.
EV/EBITDA 14.57 10.08 HCA Healthcare Inc.
Profit Margin (TTM) 0.71% 8.97% HCA Healthcare Inc.
Operating Margin (TTM) 1.85% 16.29% HCA Healthcare Inc.
EBITDA Margin (TTM) 1.85% 16.29% HCA Healthcare Inc.
Return on Equity 4.49% -244.82% Astrana Health Inc.
Return on Assets (TTM) 3.43% 12.44% HCA Healthcare Inc.
Free Cash Flow (TTM) $104.49M $7.69B HCA Healthcare Inc.
Dividend Yield N/A 0.59% N/A
1-Year Return 51.75% -0.75% Astrana Health Inc.
Price-to-Sales Ratio (TTM) 0.59 1.39 Astrana Health Inc.
Enterprise Value $2.10B $156.18B HCA Healthcare Inc.
EV/Revenue Ratio 0.66 2.07 Astrana Health Inc.
Gross Profit Margin (TTM) 10.00% 41.90% HCA Healthcare Inc.
Revenue per Share (TTM) $65 $320 HCA Healthcare Inc.
Earnings per Share (Diluted) $0.46 $27.94 HCA Healthcare Inc.
Beta (Stock Volatility) 0.77 1.37 Astrana Health Inc.
Short % of Float 8.35% 2.45% HCA Healthcare Inc.

Astrana Health Inc. vs HCA Healthcare Inc. Stock Performance Analysis

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ASTH
HCA

Performance Comparison

Short-term Returns

Stock1D1W1M3M6MYTD
Astrana Health Inc.-0.65%-4.23%5.52%40.24%61.74%46.35%
HCA Healthcare Inc.-1.10%-6.38%-14.00%-31.06%-26.57%-21.90%

Long-term Returns

Stock1Y3Y5Y10Y15Y20Y
Astrana Health Inc.51.75%11.50%1.87%585.25%637.65%637.65%
HCA Healthcare Inc.-0.75%38.02%77.08%384.44%1,008.79%1,116.39%

Performance & Financial Health Analysis: Astrana Health Inc. vs HCA Healthcare Inc.

MetricASTHHCA
Market Information
Market Cap i$1.88B$106.00B
Market Cap CategorySmall capLarge cap
10 Day Avg. Volume i497,178795,641
90 Day Avg. Volume i435,283974,074
Last Close$36.67$363.30
52 Week Range$18.08 - $39.93$330.00 - $556.52
% from 52W High-8.16%-34.72%
All-Time High$133.23 (Nov 15, 2021)$556.52 (Mar 12, 2026)
% from All-Time High-72.48%-34.72%
Growth Metrics
Quarterly Revenue Growth0.43%0.07%
Quarterly Earnings Growth0.43%0.31%
Financial Health
Profit Margin (TTM) i0.01%0.09%
Operating Margin (TTM) i0.02%0.16%
Return on Equity (TTM) i0.04%-2.45%
Debt to Equity (MRQ) i193.10-17.57
Cash & Liquidity
Book Value per Share (MRQ)$15.94$-26.83
Cash per Share (MRQ)$8.68$5.11
Operating Cash Flow (TTM) i$114.60M$12.64B
Levered Free Cash Flow (TTM) i$227.95M$5.82B
Dividends
Last 12-Month Dividend Yield iN/A0.59%
Last 12-Month Dividend iN/A$2.94

Valuation & Enterprise Metrics Analysis: Astrana Health Inc. vs HCA Healthcare Inc.

MetricASTH (Apr 26, 2026)HCA (Apr 23, 2026)
Price Ratios
P/E Ratio (TTM) i73.3016.86
Forward P/E i10.5014.13
PEG Ratio i-0.410.37
Price to Sales (TTM) i0.591.39
Price to Book (MRQ) i2.12-38.44
Market Capitalization
Market Capitalization i$1.88B$106.00B
Enterprise Value i$2.10B$156.18B
Enterprise Value Metrics
Enterprise to Revenue i0.662.07
Enterprise to EBITDA i14.5710.08
Risk & Other Metrics
Beta i0.771.37
Book Value per Share (MRQ) i$15.94$-26.83

Financial Statements Comparison: Astrana Health Inc. vs HCA Healthcare Inc.

Financial Metrics

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Revenue

Operating Margin

Profit Margin

Long Term Debt

Income Flow Analysis

Financial Statements Comparison

Income Statement

MetricASTH (2025)HCA (2025)
Revenue/Sales i3.18B75.60B
Cost of Goods Sold i2.84B44.23B
COGS % of Revenue i89.3%58.5%
Gross Profit i341.53M31.37B
Gross Margin i10.7%41.5%
Research & Development iN/AN/A
Operating Income (EBIT) i78.53M11.97B
Operating Margin i2.5%15.8%
EBITDA i135.35M15.57B
EBITDA Margin i4.3%20.6%
Pre-Tax Income i39.61M9.83B
Pre-Tax Income % of Revenue i1.2%13.0%
Income Tax i15.53M2.05B
Income Tax % of Revenue i0.5%2.7%
Net Income (Profit) i24.08M7.78B
Profit Margin i0.8%10.3%

Balance Sheet & Liquidity Metrics

MetricASTH (2025)HCA (2025)
Cash & Equivalents i429.47M1.04B
Total Current Assets i863.31M15.78B
Total Current Assets % of Revenue i27.1%20.9%
Total Current Liabilities i615.27M16.35B
Total Current Liabilities % of Revenue i19.3%21.6%
Long-Term Debt i1.02B43.46B
Long-Term Debt % of Revenue i32.1%57.5%
Total Shareholders Equity i558.33M-2.77B
Retained Earnings i308.38M-5.72B
Retained Earnings % of Revenue i9.7%-7.6%
Property, Plant & Equipment i35.74M39.12B

Cash Flow Statement Comparison

MetricASTH (2025)HCA (2025)
Operating Cash Flow i109.88M12.01B
Operating Cash Flow % of Revenue i3.5%15.9%
Capital Expenditures i-10.11M-4.94B
Free Cash Flow i104.49M7.69B
FCF Margin i3.3%10.2%
Debt Repayment i-495.29M-7.39B
Common Stock Repurchase i-15.43M-10.07B

Short Interest & Institutional Ownership Analysis

MetricASTHHCA
Shares Short i2.68M3.63M
Short Ratio i6.863.37
Short % of Float i8.35%2.45%
Shares Outstanding i48.89M224.61M
Float Shares i44.36M151.19M
% Held by Insiders i20.32%16.16%
% Held by Institutions i52.52%78.70%
% Held by Public i27.16%5.14%

Dividend Analysis & Yield Comparison: Astrana Health Inc. vs HCA Healthcare Inc.

MetricASTHHCA
Last 12-Month Dividend iN/A$2.94
Last 12-Month Dividend Yield iN/A0.59%
3-Year Avg Annual Dividend iN/A$2.70
3-Year Avg Dividend Yield iN/A0.19%
3-Year Total Dividends iN/A$8.10
Ex-Dividend DateN/AMar 17, 2026