The Filing Desk

Astrana Health vs Encompass Health

Astrana Health ASTH · Encompass Health EHC · Health Care Facilities

Encompass Health reported revenue of $5.9 billion in fiscal 2025, 1.9 times Astrana Health's $3.2 billion in fiscal 2025. Astrana Health's revenue grew 56.4% in its latest year, and Encompass Health's grew 10.5%. Free cash flow was $104 million at Astrana Health and $439 million at Encompass Health.

Side by side

Astrana HealthEncompass Health
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$3.2B$5.9B
Revenue growth56.4%10.5%
Revenue growth a year, last 5 years35.9%10.7%
Gross margin——
Operating margin2.5%—
Net margin0.7%9.5%
Free cash flow$104M$439M
Free cash flow margin3.3%7.4%
Return on capital4.2%15.8%
Net debt to EBITDA4.9x1.7x
Dividends and buybacks$34M$229M
Change in diluted share count2.9%0.0%
Last close$37.23$124.10
P/E at the last close44.9×20.2×
Insider trades, last 12 months—sold $47.8 million
Piotroski F-score4 of 88 of 8
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
Astrana HealthEncompass Health
Operating margin
Percent of revenue
Astrana HealthEncompass Health
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Astrana HealthEncompass Health

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Astrana Health and Encompass Health pages.