Astrana Health vs Option Care Health
Option Care Health is the larger business, with $5.65bn of revenue in fiscal 2025 against $3.18bn for Astrana Health (1.8 times as much). Astrana Health grew faster (56.4% against 13.0%). Option Care Health kept more of each dollar of sales as profit: a net margin of 3.7% against 0.7%.
| Latest fiscal year | Astrana HealthASTH, 2025 | Option Care HealthOPCH, 2025 |
|---|---|---|
| Revenue | $3.18bn | $5.65bn |
| Revenue growth | 56.4% | 13.0% |
| Net income | $22.5m | $208m |
| Operating margin | 2.5% | — |
| Net margin | 0.7% | 3.7% |
| Return on equity | 3.0% | 15.2% |
| Free cash flow | $104m | $217m |
| Cash | $429m | $233m |
| Total debt | $1.05bn | $1.18bn |
| Debt to equity | 135.0% | — |
| Dividend per share | — | — |
| Dividend yield | 0.1% | — |
| Share buybacks | $25.6m | $310m |
| Employees | 3,000 | — |
| Market value | $1.78bn | $4.75bn |
| Price vs our value range | Below our value range | Within our value range |
| Moat score | 36 (Weak) | 48 (Moderate) |
| Insider trades, 12 months | 0 buys, 0 sales | 5 buys, 2 sales |