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Astrana Health vs ICF International: ASTH and ICFI compared
Astrana Health is the larger company: $1.0B of revenue in its latest quarter (Q3 2026) against $470M for ICF International (Q3 2026). Astrana Health is growing faster (+7% against +1% a year earlier). ICF International is more profitable, with an operating margin of 9.3% against 3.9%.
Where the money goes: ASTH and ICFI
Astrana Health (ASTH) · Q3 2026
Astrana Health, Q3 2026: revenue $1.0B (+7% year over year), operating margin 3.9%, net earnings $13.0M, operating cash flow $16.3M. The chart follows the revenue to costs, profit and cash.
ICF International (ICFI) · Q3 2026
ICF International, Q3 2026: revenue $470M (+1% year over year), operating margin 9.3%, net earnings $31.7M, operating cash flow $35.2M. The chart follows the revenue to costs, profit and cash.
| Astrana Health (ASTH) | ICF International (ICFI) | |
|---|---|---|
| Latest quarter | Q3 2026 | Q3 2026 |
| Revenue | $1.0B | $470M |
| Revenue growth, Y/Y | +7% | +1% |
| Operating margin | 3.9% | 9.3% |
| Net earnings | $13.0M | $31.7M |
| Net margin | 1.3% | 6.7% |
| Operating cash flow | $16.3M | $35.2M |
| Free cash flow | $12.4M | $29.6M |
| Market value | $1.7B | $1.4B |
| P/E | 29.5× | 14.9× |
| Analysts’ mean target | $51.67 | $107.25 |
Where the revenue comes from
Astrana Health
- Health Care Capitation Revenue: $937M (92%)
- Health Care Patient Service: $35.1M (3%)
- Health Care Other: $24.3M (2%)
- Management Service: $14.1M (1%)
ICF International
- US State and International Government: $312M (66%)
- Commercial: $159M (34%)
Questions
Which is bigger, Astrana Health or ICF International?
Astrana Health is the larger company: $1.0B of revenue in its latest quarter (Q3 2026) against $470M for ICF International (Q3 2026).
Is Astrana Health or ICF International growing faster?
Astrana Health is growing faster (+7% against +1% a year earlier).
Which is more profitable, Astrana Health or ICF International?
ICF International is more profitable, with an operating margin of 9.3% against 3.9%.
More: Astrana Health earnings · how Astrana Health makes money · ICF International earnings · how ICF International makes money
From the companies' latest 10-Q, 10-K or earnings release (10-Q filed Nov 6, 2026; 10-Q filed Nov 5, 2026). Fiscal quarters can end on different dates. Not investment advice.