Form: 8-K

Current report

May 8, 2025

Exhibit 99.1

 

 

 

Astrana Health, Inc. Reports First Quarter 2025 Results

Company to Host Conference Call on Thursday, May 8, 2025, at 2:30 p.m. PT/5:30 p.m. ET

 

ALHAMBRA, Calif., May 8, 2025 /PRNewswire/ -- Astrana Health, Inc. (“Astrana,” and together with its subsidiaries and affiliated entities, the “Company”) (NASDAQ: ASTH), a leading provider-centric, technology-powered healthcare company enabling providers to deliver accessible, high-quality, and high-value care to all, today announced its consolidated financial results for the first quarter ended March 31, 2025.

 

“Astrana’s strong start to the year reflects the continued momentum behind our mission to build the nation’s leading patient-centered healthcare platform. Our differentiated clinical capabilities and technology-enabled delegated model continue to drive strong, profitable growth while delivering better outcomes for both patients and providers. Even in a complex regulatory and economic environment, we continue to prove that value-based care can deliver meaningful impact at scale with long-term sustainability,” said Brandon Sim, President and CEO of Astrana Health.

 

Financial Highlights for three months ended March 31, 2025:

 

All comparisons are to the three months ended March 31, 2024 unless otherwise stated.

 

Total revenue of $620.4 million, up 53% from $404.4 million

 

Care Partners revenue of $601.0 million, up 57% from $382.3 million

 

Net income attributable to Astrana of $6.7 million, compared to $14.8 million

 

Earnings per share - diluted (“EPS - diluted”) of $0.14, compared to $0.31

 

Adjusted EBITDA(1) of $36.4 million, compared to $42.2 million

 

(1) See “Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin” and “Use of Non-GAAP Financial Measures” below for additional information.

 

Recent Operating Highlights

 

Astrana announced several additions to its leadership team to support continued growth and execution. The Company welcomes Georgie Sam, Chief Data & Analytics Officer, who will oversee enterprise-wide data and analytics strategy to deliver even faster, more actionable insights to our stakeholders, and Glenn Sobotka, Chief Accounting Officer, who brings deep experience to support Astrana’s continued financial discipline and scalability. Rita Pew was promoted to the role of Chief People Officer, helping Astrana further invest in the talent and culture that drive Astrana forward.

 

Astrana successfully completed the integration of Collaborative Health Systems (“CHS”) and onboarded the entity to the Company’s proprietary technology platform, already resulting in material general and administrative (“G&A”) efficiencies.

 

Astrana received Hart-Scott-Rodino (“HSR”) approval for its pending acquisition of Prospect Health, which remains on track to close this summer.

 

 

 

 

Segment Results for three months ended March 31, 2025:

 

All comparisons are to the three months ended March 31, 2024 unless otherwise stated.

 

    Three Months Ended March 31, 2025  
(in thousands)   Care
Partners
    Care
Delivery
    Care
Enablement
    Intersegment
Elimination
    Corporate
Costs
    Consolidated
Total
 
Total revenues   $ 600,951     $ 33,388     $ 39,562     $ (53,511 )   $     $ 620,390  
% change vs. prior year quarter     57 %     9 %     19 %                  
                                     
Cost of services     512,668       27,139       25,818       (16,564 )           549,061  
General and administrative(1)     44,068       9,357       10,209       (36,950 )     24,062       50,746  
Total expenses     556,736       36,496       36,027       (53,514 )     24,062       599,807  
Income (loss) from operations   $ 44,215     $ (3,108 )   $ 3,535     $ 3 (2) $ (24,062 )   $ 20,583  
% change vs. prior year quarter     2 %   *       1 %                  

 

* Percentage change of over 500%

 

(1) Balance includes general and administrative expenses and depreciation and amortization.

 

(2) Income from operations for the intersegment elimination represents sublease income between segments. Sublease income is presented within other income that is not presented in the table.

2025 Guidance:

 

Astrana is providing the following guidance for total revenue and Adjusted EBITDA for the quarter ended June 30, 2025 and reiterating guidance for the year ended December 31, 2025 based on the Company’s existing business, current view of existing market conditions, and assumptions. The following guidance for the year ended December 31, 2025 includes approximately $15 million in expected costs associated with continued strategic investments in automation and AI, as well as ongoing and expected integration costs associated with planned acquisitions, but does not include contributions from any acquisitions which have not yet closed.

 

($ in millions)   Three Months Ended
June 30, 2025
    Year Ended
December 31, 2025
 
    Guidance Range     Guidance Range  
    Low     High     Low     High  
Total revenue   $ 615     $ 655     $ 2,500     $ 2,700  
Adjusted EBITDA   $ 45     $ 50     $ 170     $ 190  

  

See “Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA” and “Use of Non-GAAP Financial Measures” below for additional information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See “Forward-Looking Statements” below for additional information.

 

Conference Call and Webcast Information:

 

Astrana will host a conference call at 2:30 p.m. PT/5:30 p.m. ET today (Thursday, May 8, 2025), during which management will discuss the results of the first quarter ended March 31, 2025. To participate in the conference call, please use the following dial-in numbers about 5 minutes prior to the scheduled conference call time:

 

U.S. & Canada (Toll-Free): +1 (877) 858-9810

International (Toll): +1 (201) 689-8517

 

The conference call can also be accessed via webcast at: https://event.choruscall.com/mediaframe/webcast.html?webcastid=HE6dr7eJ 

 

An accompanying slide presentation will be available in PDF format on the “IR Calendar” page of the Company’s website (https://ir.astranahealth.com/news-events/ir-calendar) after issuance of the earnings release and will be furnished as an exhibit to Astrana’s current report on Form 8-K to be filed with the SEC, accessible at www.sec.gov.

 

Those who are unable to attend the live conference call may access the recording at the above webcast link, which will be made available shortly after the conclusion of the call.

 

Note About Consolidated Entities

 

The Company consolidates entities in which it has a controlling financial interest. The Company consolidates subsidiaries in which it holds, directly or indirectly, more than 50% of the voting rights, and variable interest entities (“VIEs”) in which the Company is the primary beneficiary. Noncontrolling interests represent third party equity ownership interests in the Company’s consolidated entities (including certain VIEs). The amount of net income attributable to noncontrolling interests is disclosed in the Company’s consolidated statements of income.

 

About Astrana Health, Inc.

 

Astrana Health is a physician-centric, technology-enabled healthcare company committed to delivering access to high-quality, patient-centered care. Through its proprietary end-to-end technology platform, Astrana empowers providers to deliver more proactive, preventive care - improving patient outcomes, elevating patient experiences, improving the well-being of providers, and driving greater value.

 

Today, Astrana supports more than 12,000 providers and over one million Americans in value-based arrangements through its affiliated provider networks, management services organization, and primary, specialty, and ancillary care delivery clinics. Together, Astrana is building what our healthcare system should be - one that delivers better care, better experiences, and better outcomes for all. For more information, visit www.astranahealth.com.

 

 

Forward-Looking Statements

 

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements about the Company’s guidance for the quarter ending June 30, 2025 and the year ending December 31, 2025, ability to meet operational goals, ability to meet expectations in deployment of care coordination and management capabilities, ability to decrease cost of care while improving quality and outcomes, ability to deliver sustainable revenue and EBITDA growth as well as long-term value, ability to respond to the changing environment, statements about the Company’s liquidity, and successful completion and implementation of strategic growth plans, acquisition strategy, and merger integration efforts. Forward-looking statements reflect current views with respect to future events and financial performance and therefore cannot be guaranteed. Such statements are based on the current expectations and certain assumptions of the Company’s management, and some or all of such expectations and assumptions may not materialize or may vary significantly from actual results. Actual results may also vary materially from forward-looking statements due to risks, uncertainties and other factors, known and unknown, including the risk factors described from time to time in the Company’s reports to the SEC, including, without limitation the risk factors discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, and any subsequent quarterly reports on Form 10-Q. Any forward-looking statement made by the Company in this release speaks only as of the date on which it is made. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by any applicable securities laws.

 

 

FOR MORE INFORMATION, PLEASE CONTACT:

 

Investor Relations
(626) 943-6491
investors@astranahealth.com

 

 

 

 

 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

 

    March 31,
2025
    December 31,
2024
 
    (Unaudited)        
Assets                
                 
Current assets                
Cash and cash equivalents   $ 258,517     $ 288,455  
Investment in marketable securities     2,397       2,378  
Receivables, net     241,078       225,733  
Receivables, net – related parties     56,846       50,257  
Income taxes receivable     15,802       19,316  
Other receivables     14,919       29,496  
Prepaid expenses and other current assets     23,711       22,861  
                 
Total current assets     613,270       638,496  
                 
Non-current assets                
Property and equipment, net     16,849       14,274  
Intangible assets, net     111,916       118,179  
Goodwill     416,386       419,253  
Income taxes receivable     15,943       15,943  
Loans receivable, non-current     48,134       51,266  
Investments in other entities – equity method     38,005       39,319  
Investments in privately held entities     8,896       8,896  
Restricted cash     647       646  
Operating lease right-of-use assets     30,698       32,601  
Other assets     30,512       16,021  
                 
Total non-current assets     717,986       716,398  
                 
Total assets(1)   $ 1,331,256     $ 1,354,894  
                 
Liabilities, Mezzanine Deficit, and Stockholders’ Equity                
                 
Current liabilities                
Accounts payable and accrued expenses   $ 105,559     $ 106,142  
Fiduciary accounts payable     4,840       8,223  
Medical liabilities     204,101       209,039  
Dividend payable     638       638  
Finance lease liabilities     471       554  
Operating lease liabilities     4,979       5,350  
Current portion of long-term debt     12,500       9,375  
Other liabilities     28,180       26,287  
                 
Total current liabilities     361,268       365,608  
                 
Non-current liabilities                
Deferred tax liability     4,197       4,555  
Finance lease liabilities, net of current portion     543       607  
Operating lease liabilities, net of current portion     28,963       30,654  
Long-term debt, net of current portion and deferred financing costs     403,894       425,299  
Other long-term liabilities     14,685       14,003  
                 
Total non-current liabilities     452,282       475,118  
                 
Total liabilities(1)     813,550       840,726  
                 
Mezzanine deficit                
Noncontrolling interest in Allied Physicians of California, a Professional Medical Corporation (“APC”)     (232,733 )     (202,558 )
                 
Stockholders’ equity                
Preferred stock, $0.001 par value per share; 5,000,000 shares authorized as of March 31, 2025 and December 31, 2024                
Series A Preferred stock, zero authorized and issued and zero outstanding as of March 31, 2025 and zero authorized and issued and zero outstanding as of December 31, 2024            
Series B Preferred stock, zero authorized and issued and zero outstanding as of March 31, 2025 and zero authorized and issued and zero outstanding as of December 31, 2024            
Common stock, $0.001 par value per share; 100,000,000 shares authorized, 49,028,624(2) and 47,929,872 shares issued and outstanding, excluding 9,903,953 and 10,603,849 treasury shares, as of March 31, 2025 and December 31, 2024, respectively     49       48  
Additional paid-in capital     452,439       426,389  
Retained earnings     292,880       286,283  
Total stockholders’ equity     745,368       712,720  
                 
Non-controlling interest     5,071       4,006  
                 
Total equity     750,439       716,726  
                 
Total liabilities, mezzanine deficit, and stockholders’ equity   $ 1,331,256     $ 1,354,894  

 

(1) The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $678.1 million and $712.3 million as of March 31, 2025 and December 31, 2024, respectively, and total liabilities of the Company’s consolidated VIEs for which creditors do not have recourse to the general credit of the primary beneficiary of $212.1 million and $207.9 million as of March 31, 2025 and December 31, 2024, respectively. These VIE balances do not include $190.2 million of investment in affiliates and $4.5 million of amounts due to affiliates as of March 31, 2025, and $224.9 million of investment in affiliates and $48.1 million of amounts due to affiliates as of December 31, 2024, as these are eliminated upon consolidation and not presented within the condensed consolidated balance sheets.

 

(2) As of May 5, 2025, there were 56,061,712 shares of common stock of the registrant issued and outstanding, which includes 6,132,802 treasury shares that are owned by Allied Physicians of California, a Professional Medical Corporation d.b.a. Allied Pacific of California IPA (“APC”). The shares owned by APC are legally issued and outstanding but excluded from shares of common stock outstanding in the Company’s consolidated financial statements. The shares are treated as treasury shares for accounting purposes and not included in the number of shares of common stock outstanding used to calculate the Company’s earnings per share.

Included in the Company’s common stock as outstanding in the consolidated financial statements are 41,048 holdback shares that have not been issued to certain former shareholders of the Company’s subsidiary, Astrana Health Management, Inc. (“AHM”). The former AHM shareholders, who were AHM shareholders at the time of closing of the merger, have yet to submit properly completed letters of transmittal to Astrana in order to receive their pro rata portion of Astrana’s common stock as contemplated under that certain Agreement and Plan of Merger, dated December 21, 2016, among Astrana, AHM, Apollo Acquisition Corp. (“Merger Subsidiary”) and Kenneth Sim, M.D., as amended, pursuant to which Merger Subsidiary merged with and into AHM, with AHM as the surviving corporation. Pending such receipt, such former AHM shareholders have the right to receive, without interest, their pro rata share of dividends or distributions with a record date after the effectiveness of the merger. The Company’s consolidated financial statements have treated such shares of common stock as outstanding, given the receipt of the letter of transmittal is considered perfunctory and Astrana is legally obligated to issue these shares in connection with the merger.

  

 

 

 

ASTRANA HEALTH, INC.

CONSOLIDATED STATEMENTS OF INCOME

(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

(UNAUDITED)

 

    Three Months Ended
March 31,
 
    2025     2024  
Revenue                
Capitation, net   $ 583,963     $ 365,910  
Risk pool settlements and incentives     14,491       17,377  
Management fee income     2,310       4,078  
Fee-for-service, net     14,890       15,937  
Other revenue     4,736       1,054  
                 
Total revenue     620,390       404,356  
                 
Operating expenses                
Cost of services, excluding depreciation and amortization     549,061       330,399  
General and administrative expenses     43,897       38,722  
Depreciation and amortization     6,849       5,096  
                 
Total expenses     599,807       374,217  
                 
Income from operations     20,583       30,139  
                 
Other expense                
(Loss) income from equity method investments     (867 )     632  
Interest expense     (7,308 )     (7,585 )
Interest income     2,312       3,996  
Unrealized (loss) gain on investments     (44 )     1,099  
Other loss     (5,072 )     (4,277 )
                 
Total other expense, net     (10,979 )     (6,135 )
                 
Income before provision for income taxes     9,604       24,004  
                 
Provision for income taxes     3,383       7,142  
                 
Net income     6,221       16,862  
                 
Net (loss) income attributable to non-controlling interest     (471 )     2,027  
                 
Net income attributable to Astrana Health, Inc.   $ 6,692     $ 14,835  
                 
Earnings per share – basic   $ 0.14     $ 0.31  
                 
Earnings per share – diluted   $ 0.14     $ 0.31  

 

 

 

 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(UNAUDITED)

 

    Three Months Ended
March 31,
 
    2025     2024  
             
Cash flows from operating activities            
Net income   $ 6,221     $ 16,862  
Adjustments to reconcile net income to net cash provided by operating activities:            
Depreciation and amortization     6,849       5,096  
Amortization of debt issuance cost     691       458  
Share-based compensation     7,811       5,748  
Non-cash lease expense     1,287       3,155  
Change in fair value of contingent consideration liabilities     1,407        
Loss on debt extinguishment     375        
Unrealized loss (gain) on investments     44       (1,099 )
Loss (income) from equity method investments     867       (632 )
Deferred tax     (358 )     (7,248 )
Other     (557 )     6,795  
Changes in operating assets and liabilities, net of business combinations:            
Receivables, net     (10,368 )     (26,128 )
Receivables, net – related parties     (6,589 )     (3,374 )
Other receivables     3,688       (1,403 )
Prepaid expenses and other current assets     2,674       (4,255 )
Other assets     (314 )     92  
Accounts payable and accrued expenses     8       905  
Fiduciary accounts payable     (3,383 )     56  
Medical liabilities     3,319       (808 )
Income taxes receivable     3,514       14,542  
Operating lease liabilities     (1,090 )     (3,083 )
Other long-term liabilities     531       298  
Net cash provided by operating activities     16,627       5,977  
             
Cash flows from investing activities            
Payments for business acquisition, net of cash acquired           (50,649 )
Proceeds from repayment of promissory notes, including those with related parties     600       6  
Purchase of marketable securities     (24 )     (27 )
Issuance of loan receivable           (20,000 )
Purchases of property and equipment     (3,070 )     (369 )
Distribution from investment - equity method     100        
Net cash used in investing activities     (2,394 )     (71,039 )
             
Cash flows from financing activities            
Dividends paid     (5,455 )     (95 )
Borrowings on long-term debt     412,000       110,000  
Repayment of long-term debt     (428,232 )     (3,500 )
Payment of finance lease obligations     (147 )     (179 )
Deferred financing cost     (17,241 )      
Proceeds from ESPP purchases     301        
Taxes paid from net share settlement of restricted stock     (4,052 )      
Repurchase of treasury shares     (1,316 )      
Proceeds from sale of non-controlling interest           150  
Purchase of non-controlling interest     (28 )     (25 )
Net cash (used in) provided by financing activities     (44,170 )     106,351  
             
Net (decrease) increase in cash, cash equivalents, and restricted cash     (29,937 )     41,289  
             
Cash, cash equivalents, and restricted cash, beginning of period     289,101       294,152  
             
Cash, cash equivalents, and restricted cash, end of period   $ 259,164     $ 335,441  
             
Supplemental disclosures of cash flow information            
Cash paid for income taxes   $ 4,338     $ 194  
Cash paid for interest   $ 7,360     $ 6,430  
             
Supplemental disclosures of non-cash investing and financing activities            
Business acquisition in accounts payable and accrued liabilities           63,935  
Right-of-use assets obtained in exchange for operating lease liabilities     5,729       4,910  
Common stock issued in business combination           21,952  
Purchase of investments - equity method in accounts payable and accrued liabilities and other liabilities           9,487  
Draw on letter of credit through Revolver Loan           4,759  
Dividend paid in the form of common stock     21,935        

 

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sum to the total amounts of cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows (in thousands):

 

    March 31,  
    2025     2024  
Cash and cash equivalents   $ 258,517     $ 334,796  
Restricted cash     647       645  
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows   $ 259,164     $ 335,441  

 

 

 

 

 

Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin

 

Set forth below are reconciliations of Net Income to EBITDA and Adjusted EBITDA as well as the reconciliation to Adjusted EBITDA margin for the three months ended March 31, 2025 and 2024. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.

 

    Three Months Ended
March 31,
 
(in thousands)   2025     2024  
Net income   $ 6,221     $ 16,862  
Interest expense     7,308       7,585  
Interest income     (2,312 )     (3,996 )
Provision for income taxes     3,383       7,142  
Depreciation and amortization     6,849       5,096  
EBITDA     21,449       32,689  
                 
(Income) loss from equity method investments     867       (632 )
Other, net     6,259 (1)   4,440 (2)
Stock-based compensation     7,811       5,748  
Adjusted EBITDA   $ 36,386     $ 42,245  
                 
Total revenue   $ 620,390     $ 404,356  
                 
Adjusted EBITDA margin     6 %     10 %

 

 

 

(1) Other, net for the three months ended March 31, 2025, relates to debt issuance costs expensed in connection with our Second Amended and Restated Credit Facility, transaction costs for our acquisition of Prospect, data transition costs for our recent acquisitions, certain costs associated with the CHS transaction, non-cash changes related to change in the fair value of our call option and Collar Agreement, and severance fees incurred.

 

(2) Other, net for the three months ended March 31, 2024, relates to financial guarantee via a letter of credit that we provided almost three years ago in support of two local provider-led ACOs, non-cash changes related to change in the fair value of our financing obligation to purchase the remaining equity interests in one of our investments, non-cash changes related to change in the fair value of the Company’s Collar Agreement, and transaction costs incurred for our investments and tax restructuring fees.

 

Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA

 

    2025 Guidance Range  
(in thousands)   Low     High  
Net income   $ 62,500     $ 73,500  
Interest expense     16,000       19,000  
Provision for income taxes     34,000       40,000  
Depreciation and amortization     32,500       32,500  
EBITDA     145,000       165,000  
                 
Income from equity method investments     (5,500 )     (5,500 )
Other, net     9,500       9,500  
Stock-based compensation     21,000       21,000  
Adjusted EBITDA   $ 170,000     $ 190,000  

  

 

 

 

 

The Company has not provided a quantitative reconciliation of EBITDA and Adjusted EBITDA for the quarter ending June 30, 2025 to the most comparable GAAP measure on a forward-looking basis within this press release because the Company is unable, without unreasonable efforts, to provide reconciling information with respect to certain line items that cannot be calculated for the three month period. These items, which could materially affect the computation of forward-looking GAAP net income, are inherently uncertain and depend on various factors, some of which are outside of the Company’s control.

 

Use of Non-GAAP Financial Measures

 

This press release contains the non-GAAP financial measures EBITDA and Adjusted EBITDA, of which the most directly comparable financial measure presented in accordance with U.S. generally accepted accounting principles (“GAAP”) is net income. These measures are not in accordance with, or alternatives to GAAP, and may be calculated differently from similar non-GAAP financial measures used by other companies. The Company uses Adjusted EBITDA as a supplemental performance measure of our operations, for financial and operational decision-making, and as a supplemental means of evaluating period-to-period comparisons on a consistent basis. Adjusted EBITDA is calculated as earnings before interest, taxes, depreciation, and amortization, excluding income or loss from equity method investments, non-recurring and non-cash transactions, and stock-based compensation. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.

 

The Company believes the presentation of these non-GAAP financial measures provides investors with relevant and useful information, as it allows investors to evaluate the operating performance of the business activities without having to account for differences recognized because of non-core or non-recurring financial information. When GAAP financial measures are viewed in conjunction with non-GAAP financial measures, investors are provided with a more meaningful understanding of the Company’s ongoing operating performance. In addition, these non-GAAP financial measures are among those indicators the Company uses as a basis for evaluating operational performance, allocating resources, and planning and forecasting future periods. Non-GAAP financial measures are not intended to be considered in isolation, or as a substitute for, GAAP financial measures. Other companies may calculate both EBITDA and Adjusted EBITDA differently, limiting the usefulness of these measures for comparative purposes. To the extent this release contains historical or future non-GAAP financial measures, the Company has provided corresponding GAAP financial measures for comparative purposes. The reconciliation between certain GAAP and non-GAAP measures is provided above.