Variable Interest Entities (VIEs) (Tables)

12 Months Ended

Dec. 31, 2025

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Assets and Liabilities, Variable Interest Entities

The following table includes assets that can only be used to settle the liabilities of the Company’s VIEs, and to which the creditors of Astrana have no recourse, and liabilities to which the creditors of the Company’s VIEs have no recourse to the general credit of Astrana, as the primary beneficiary of the VIEs. The assets and liabilities of VIEs acquired in the Prospect Acquisition are included in the accompanying consolidated balance sheet as of December 31, 2025. These assets and liabilities of the Company’s VIEs, with the exception of investments in affiliates and amounts due to, or from, affiliates which are eliminated upon consolidation, are included in the accompanying consolidated balance sheets (in thousands).


	December 31,
	2025		2024
Assets

Current assets
Cash and cash equivalents	$	202,164	$	158,922
Receivables, net (including amounts with related parties)		208,929		132,228
Other receivables		8,907		15,303
Prepaid expenses and other current assets		12,946		12,420
Loans receivable		753		—
Amount due from affiliates (1)		58,265		—

Total current assets		491,964		318,873


	December 31,
	2025		2024
Non-current assets
Property and equipment, net		41,646		5,875
Intangible assets, net		216,594		87,840
Goodwill		524,751		243,283
Income taxes receivable, net of current portion		12,405		15,943
Loans receivable, net of current portion		194		—
Investments in other entities – equity method		17,069		15,442
Investment in a privately held entity		405		405
Investment in affiliates (1)		152,155		224,894
Operating lease right-of-use assets		26,499		21,585
Other assets		3,287		3,059

Total non-current assets		995,005		618,326

Total assets	$	1,486,969	$	937,199

Current liabilities
Accounts payable and accrued expenses	$	108,309	$	43,800
Fiduciary accounts payable		3,524		8,223
Medical liabilities		198,919		105,486
Income taxes payable		15,007		11,041
Operating lease liabilities		5,473		3,487
Other liabilities		6,505		2,509
Amount due to affiliates (1)		—		48,142

Total current liabilities		337,737		222,688

Non-current liabilities
Deferred tax liability		7,159		11,237
Operating lease liabilities, net of current portion		24,241		21,012
Other long-term liabilities		6,855		1,139

Total non-current liabilities		38,255		33,388

Total liabilities	$	375,992	$	256,076

(1)

Investment in affiliates includes APC’s investment in Astrana. While such shares of Astrana’s common stock are legally issued to APC and outstanding, they are treated as treasury shares for accounting purposes and excluded from shares of common stock outstanding in the consolidated financial statements. Amounts due to, or from, affiliates are receivables or payables with Astrana’s subsidiaries. As a result, these balances are eliminated upon consolidation and are not reflected on Astrana’s consolidated balance sheet as of December 31, 2025 and 2024, respectively.

- Definition

Tabular disclosure of the significant judgments and assumptions made in determining whether a variable interest (as defined) held by the entity requires the variable interest entity (VIE) (as defined) to be consolidated and (or) disclose information about its involvement with the VIE, individually or in aggregate (as applicable); the nature of restrictions, if any, on the consolidated VIE's assets and on the settlement of its liabilities reported by an entity in its statement of financial position, including the carrying amounts of such assets and liabilities; the nature of, and changes in, the risks associated with involvement in the VIE; how involvement with the VIE affects the entity's financial position, financial performance, and cash flows; the lack of recourse if creditors (or beneficial interest holders) of the consolidated VIE have no recourse to the general credit of the primary beneficiary (if applicable); the terms of arrangements, giving consideration to both explicit arrangements and implicit variable interests, if any, that could require the entity to provide financial support to the VIE, including events or circumstances that could expose the entity to a loss; the methodology used by the entity for determining whether or not it is the primary beneficiary of the variable interest entity; the significant factors considered and judgments made in determining that the power to direct the activities of a VIE that most significantly impact the VIE's economic performance are shared (as defined); the carrying amounts and classification of assets and liabilities of the VIE included in the statement of financial position; the entity's maximum exposure to loss, if any, as a result of its involvement with the VIE, including how the maximum exposure is determined and significant sources of the entity's exposure to the VIE; a comparison of the carrying amounts of the assets and liabilities and the entity's maximum exposure to loss; information about any liquidity arrangements, guarantees, and (or) other commitments by third parties that may affect the fair value or risk of the entity's variable interest in the VIE; whether or not the entity has provided financial support or other support (explicitly or implicitly) to the VIE that it was not previously contractually required to provide or whether the entity intends to provide that support, including the type and amount of the support and the primary reasons for providing the support; and supplemental information the entity determines necessary to provide.

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