Form: 8-K

Current report

May 7, 2026

Exhibit 99.1

 

 

Astrana Health, Inc. Reports First Quarter 2026 Results

Company to Host Conference Call on Thursday, May 7, 2026, at 2:30 p.m. PT/5:30 p.m. ET

 

·Reports total revenue of $965.1 million, up 56% year over year

·Reports adjusted EBITDA(1)  of $66.3 million, up 82% year over year and free cash flow(2)  of $64.1 million, up 372% year over year

 

ALHAMBRA, Calif., May 7, 2026 /PRNewswire/ -- Astrana Health, Inc. (“Astrana,” and together with its subsidiaries and affiliated entities, the “Company”) (NASDAQ: ASTH), a physician-centric, technology-enabled healthcare company empowering 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, 2026.

 

“We had a strong start to 2026, delivering disciplined growth, strong medical cost performance, continued operating leverage, and early performance from new full-risk contracts in line with our expectations,” said Brandon Sim, President and Chief Executive Officer of Astrana Health. “In an increasingly dynamic healthcare environment, we believe advantage will accrue to organizations that can integrate care delivery, data, and financial accountability into a single operating system. Astrana has built exactly that: a proprietary healthcare operating platform that enables us to embed AI and workflow orchestration directly into clinical and operational workflows across the enterprise. Combined with our longitudinal patient relationships and data continuity, our infrastructure allows us to translate AI into durable clinical and economic value while continuing to improve patient outcomes, operating efficiency, and scalability. We believe Astrana is well positioned to continue widening that advantage over time.”

 

Financial Highlights for First Quarter Ended March 31, 2026:

 

All comparisons are to the three months ended March 31, 2025 unless otherwise stated.

 

·Total revenue of $965.1 million, up 56% from $620.4 million

 

·Care Partners revenue of $909.7 million, up 51% from $601.0 million

 

·Net income attributable to Astrana of $14.4 million, up 116% from $6.7 million

 

·Earnings per share (“EPS”) - diluted of $0.29, up 107% from $0.14

 

·Adjusted EBITDA(1)  of $66.3 million, up 82% from $36.4 million

 

·Adjusted EPS - diluted(3)  of $0.74, up 76% from $0.42

 

·Net cash provided by operating activities of $68.1 million, up 309% from $16.6 million

 

·Free cash flow(2)  of $64.1 million, up 372% from $13.6 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.

 

(2)           See reconciliation provided with the condensed consolidated statements of cash flow and “Use of Non-GAAP Financial Measures” below for additional information.

 

(3)           See “Reconciliation of Net Income to Adjusted Net Income Attributable to Astrana and Adjusted EPS - Diluted” and “Use of Non-GAAP Financial Measures” below for additional information.

 

 
 

 

Recent Operating Highlights

 

·Delivered on its commitment to convert key contracts to full-risk arrangements, with approximately 80% of Care Partners capitation revenue and approximately 40% of consolidated membership now in full-risk arrangements.

 

·Launched Astrana’s delegated full-risk model with a payer partner in Texas, expanding Medicare Advantage membership in the market to more than 14,000 members.

 

·Continued deleveraging ahead of schedule, with net leverage declining to approximately 2.3x on a pro forma trailing twelve-month basis and to 2.2x based on the midpoint of the Company’s full-year guidance.

 

·Foothill Regional Medical Center (“FRMC”) received Healthgrades’ 2026 Patient Safety Excellence Award™ for the fourth consecutive year and was named among Healthgrades’ America’s 100 Best Hospitals for Joint Replacement in 2026. FRMC also received the Healthgrades Joint Replacement Excellence Award for the second consecutive year, reflecting continued strength in clinical quality and patient outcomes.

 

Segment Results for three months ended March 31, 2026:

 

All comparisons are to the three months ended March 31, 2025 unless otherwise stated.

 

    Three Months Ended March 31, 2026  
(in thousands)   Care
Partners
    Care
Delivery
    Care
Enablement
    Intersegment
Elimination
    Corporate
Costs
    Consolidated
Total
 
Total revenues   $ 909,703     $ 85,077     $ 87,745     $ (117,425 )   $     $ 965,100  
% change vs. prior year quarter     51 %     155 %     122 %                  
                                     
Cost of services     785,531       72,544       48,704       (47,423 )           859,356  
General and administrative expenses     72,546       14,374       17,259       (69,974 )     27,532       61,737  
Depreciation and amortization     12,170       1,122       1,629             558       15,479  
Total expenses     870,247       88,040       67,592       (117,397 )     28,090       936,572  
                                     
Income (loss) from operations   $ 39,456     $ (2,963 )   $ 20,153     $ (28 )(1) $ (28,090 )   $ 28,528  
% change vs. prior year quarter     (11 )%     (5 )%     470 %                  

 

(1)           Loss from operations for the intersegment elimination represents sublease income between segments. Sublease income is presented within other income, which is not presented in the table.

 

2026 Guidance:

 

Astrana is providing the following guidance for total revenue and Adjusted EBITDA for the quarter ending June 30, 2026 and reiterating guidance for the year ending December 31, 2026 based on the Company’s existing business, current view of existing market conditions, and assumptions.

 

   Three Months Ending
June 30, 2026
   Year Ending
December 31, 2026
 
   Guidance Range   Guidance Range 
($ in millions)  Low   High   Low   High 
Total revenue  $965   $1,000   $3,800   $4,100 
Adjusted EBITDA  $65   $70   $250   $280 
Free cash flow            $105   $132.5 

 

See “Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA,” “Guidance Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow,” 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 7, 2026), during which management will discuss the results of the first quarter ended March 31, 2026. 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=HHhCPjaF

 

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. Non-controlling interests represent third party equity ownership interests in the Company’s consolidated entities (including certain VIEs). The amount of net income or loss attributable to non-controlling interests is disclosed in the Company’s consolidated statements of income.

 

About Astrana Health, Inc.

 

Astrana Health is a physician-centric, AI-powered healthcare company committed to delivering high-quality, patient-centered care. Built from the physician's perspective, Astrana combines its scalable care delivery infrastructure, proprietary technology platform, and aligned provider networks to enable proactive, preventive care at scale - improving patient outcomes, enhancing patient experiences, supporting provider well-being, and driving greater value across the healthcare system.

 

Today, Astrana supports more than 20,000 providers and approximately 1.55 million patients in value-based care arrangements through its affiliated provider networks, management services organization, and integrated care delivery clinics spanning primary, specialty, and ancillary care. Together, Astrana is building the healthcare system we all deserve - 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, 2026 and the year ending December 31, 2026, 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, as well as statements regarding the material weakness in internal control over financial reporting and the Company’s ability to remediate such material weakness in a timely manner. 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, 2025, and subsequent quarterly reports on Form 10-Q. Any forward-looking statements 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:

 

Carolyne Sohn, Investor Relations
investors@astranahealth.com

 

 
 

 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

 

   March 31,
2026
   December 31,
2025
 
   (Unaudited)     
Assets          
           
Current assets          
Cash and cash equivalents  $478,383   $429,474 
Receivables, net (including amounts from related parties)   467,395    374,465 
Income taxes receivable       1,799 
Other receivables   28,017    26,385 
Prepaid expenses and other current assets   25,647    26,264 
Loans receivable   4,658    4,926 
           
Total current assets   1,004,100    863,313 
           
Non-current assets          
Property and equipment, net   59,546    57,332 
Intangible assets, net   257,118    270,968 
Goodwill   874,799    865,305 
Income taxes receivable, net of current portion   26,220    26,220 
Loans receivable, net of current portion   49,068    48,724 
Investments in other entities – equity method   27,257    25,637 
Operating lease right-of-use assets   33,933    35,738 
Other assets   26,786    25,424 
           
Total non-current assets   1,354,727    1,355,348 
           
Total assets (1)  $2,358,827   $2,218,661 
           
Liabilities, Mezzanine Deficit, and Stockholders’ Equity          
           
Current liabilities          
Accounts payable and accrued expenses  $221,389   $195,912 
Fiduciary accounts payable   3,706    3,524 
Income taxes payable   2,507     
Medical liabilities   439,259    335,705 
Operating lease liabilities   7,557    7,809 
Current portion of long-term debt   47,865    47,865 
Other liabilities   23,086    24,458 
           
Total current liabilities   745,369    615,273 
           
Non-current liabilities          
Deferred tax liability   7,399    5,491 
Operating lease liabilities, net of current portion   30,006    31,552 
Long-term debt, net of current portion and deferred financing costs   979,764    990,904 
Other long-term liabilities   18,833    17,107 
           
Total non-current liabilities   1,036,002    1,045,054 
           
Total liabilities (1)   1,781,371    1,660,327 
           
Mezzanine deficit          
Non-controlling interest in Allied Physicians of California, a Professional Medical Corporation (“APC”)   (237,739)   (234,962)
           
Stockholders’ equity          
Preferred stock, $0.001 par value per share; 5,000,000 shares authorized; and zero shares issued and outstanding as of March 31, 2026 and December 31, 2025        
Common stock, $0.001 par value per share; 100,000,000 shares authorized, 48,946,399 and 48,885,358 shares issued and outstanding, excluding 10,695,758 and 10,571,011 treasury shares, as of March 31, 2026 and December 31, 2025, respectively   49    49 
Additional paid-in capital   477,508    470,863 
Retained earnings   322,711    308,379 
Total stockholders’ equity   800,268    779,291 
           
Non-controlling interests   14,927    14,005 
           
Total equity   815,195    793,296 
           
Total liabilities, mezzanine deficit, and stockholders’ equity  $2,358,827   $2,218,661 

 

(1)           The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The condensed consolidated balance sheets include (a) total assets of $1,317.1 million and $1,276.5 million as of March 31, 2026 and December 31, 2025, respectively, that can be used only to settle obligations of the Company’s consolidated VIEs and (b) total liabilities of the consolidated VIEs of $394.5 million and $376.0 million as of March 31, 2026 and December 31, 2025, respectively, for which creditors do not have recourse to the general credit of the Company, the VIE’s primary beneficiary. These VIE balances do not include $150.4 million of investment in affiliates and $24.4 million of amounts due from affiliates as of March 31, 2026, and $152.2 million of investment in affiliates and $58.3 million of amounts due from affiliates as of December 31, 2025, as these are eliminated upon consolidation and not presented within the condensed consolidated balance sheets.

 

 
 

 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)

(UNAUDITED)

 

   Three Months Ended
March 31,
 
   2026   2025 
Revenue          
Capitation, net  $892,908   $583,963 
Risk pool settlements and incentives   12,486    14,491 
Management fee income   15,685    2,310 
Fee-for-service, net   37,831    14,890 
Other revenue   6,190    4,736 
           
Total revenue   965,100    620,390 
           
Operating expenses          
Cost of services, excluding depreciation and amortization   859,356    549,061 
General and administrative expenses   61,737    43,897 
Depreciation and amortization   15,479    6,849 
           
Total expenses   936,572    599,807 
           
Income from operations   28,528    20,583 
           
Other (expense) income          
Income (loss) from equity method investments   1,720    (867)
Interest expense   (16,101)   (7,308)
Interest income   3,816    2,312 
Unrealized gain (loss) on investments   1,084    (44)
Other income (loss)   662    (5,072)
           
Total other expense, net   (8,819)   (10,979)
           
Income before provision for income taxes   19,709    9,604 
           
Provision for income taxes   6,578    3,383 
           
Net income   13,131    6,221 
           
Net loss attributable to non-controlling interests   (1,305)   (471)
           
Net income attributable to Astrana Health, Inc.  $14,436   $6,692 
           
Earnings per share – basic  $0.30   $0.14 
           
Earnings per share – diluted  $0.29   $0.14 
           
Weighted average shares of common stock outstanding – basic   48,853,678    48,470,682 
           
Weighted average shares of common stock outstanding – diluted   49,054,135    48,850,666 

 

 
 

 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(UNAUDITED)

 

   Three Months Ended March 31, 
   2026   2025 
Cash flows from operating activities          
Net income  $13,131   $6,221 
Adjustments to reconcile net income to net cash provided by operating activities:          
Depreciation and amortization   15,479    6,849 
Amortization of debt issuance cost   1,134    691 
Share-based compensation   9,895    7,811 
Non-cash lease expense   2,005    1,287 
Deferred tax   1,907    (358)
Change in fair value of contingent consideration liabilities   581    1,407 
Other   (2,564)   729 
Changes in operating assets and liabilities, net of business combinations   26,488    (8,010)
Net cash provided by operating activities   68,056    16,627 
           
Cash flows from investing activities          
Purchases of property and equipment   (4,000)   (3,070)
Other   1,156    676 
Net cash used in investing activities   (2,844)   (2,394)
           
Cash flows from financing activities          
Dividends paid   (104)   (5,455)
Borrowings on debt       412,000 
Repayment of debt   (11,967)   (428,232)
Deferred financing cost       (17,241)
Taxes paid from net share settlement of restricted stock   (1,172)   (4,052)
Repurchase of treasury shares   (2,906)    
Other   189    (1,190)
Net cash used in financing activities   (15,960)   (44,170)
           
Net increase (decrease) in cash, cash equivalents, and restricted cash   49,252    (29,937)
           
Cash, cash equivalents, and restricted cash, beginning of period   434,045    289,101 
           
Cash, cash equivalents, and restricted cash, end of period  $483,297   $259,164 
           
Supplemental disclosures of cash flow information          
Cash paid for income taxes   (1)  $4,338 
Cash paid for interest  $14,723   $7,360 
           
Supplemental disclosures of non-cash investing and financing activities          
Right-of-use assets obtained in exchange for operating lease liabilities  $350   $5,729 
Dividend paid in the form of common stock  $   $21,935 

 

(1)           Following the adoption of ASC 2023-09 "Income Taxes (Topics 740): Improvements to Income Tax Disclosures", cash paid for income taxes is presented net of tax refunds, for the quarter ended March 31, 2026, under Item 1 of the Company’s Quarterly Report on Form 10-Q.

 

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, 
   2026   2025 
Cash and cash equivalents  $478,383   $258,517 
Restricted cash (1)   4,914    647 
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows  $483,297   $259,164 

 

(1)           Restricted cash is included in other assets on the condensed consolidated balance sheets.

 

Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow

 

   Three Months Ended
March 31,
 
(in thousands)  2026   2025 
Net cash provided by operating activities  $68,056   $16,627 
Purchases of property and equipment   (4,000)   (3,070)
Free cash flow  $64,056   $13,557 

 

 
 

 

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 reconciliations to Adjusted EBITDA margin for the three months ended March 31, 2026 and 2025. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.

 

   Three Months Ended
March 31,
 
(in thousands)  2026   2025 
Net income  $13,131   $6,221 
Interest expense   16,101    7,308 
Interest income   (3,816)    (2,312) 
Provision for income taxes   6,578    3,383 
Depreciation and amortization   15,479    6,849 
EBITDA   47,473    21,449 
           
(Income) loss from equity method investments   (1,720)    867 
Other, net   10,650(1)   6,259(2)
Stock-based compensation   9,895    7,811 
Adjusted EBITDA  $66,298   $36,386 
           
Total revenue  $965,100   $620,390 
           
Adjusted EBITDA margin   7%   6%

 

(1)           Other, net, for the three months ended March 31, 2026, relates to an allowance on receivables that the Company plans to recover from the payer, post-acquisition integration costs, and severance fees incurred.

 

(2)           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, certain costs for some of our acquisitions, non-cash changes related to change in the fair value of our call option and collar agreement, and severance fees incurred.

 

 
 

 

Reconciliation of Net Income to Adjusted Net Income Attributable to Astrana and Adjusted EPS - Diluted

 

Set forth below are reconciliations of net income to adjusted net income attributable to Astrana as well as the reconciliation to adjusted EPS - diluted for the three months ended March 31, 2026 and 2025.

 

   Three Months Ended March 31, 
(in thousands, except for share and per share data)  2026   2025 
Net income  $13,131   $6,221 
(Income) loss from equity method investments   (1,720)   867 
Other, net (1)   10,650    6,259 
Stock-based compensation   9,895    7,811 
Amortization of intangible assets attributable to acquisitions   13,850    6,263 
Tax adjustments   (7,525)(2)   (4,602)(3)  
Adjusted net income attributable to non-controlling interests   (1,928)(4)   (2,317)(5)
Adjusted net income attributable to Astrana Health, Inc.  $36,353   $20,502 
           
Weighted average shares of common stock outstanding – diluted   49,054,135    48,850,666 
           
Adjusted earnings per share - diluted  $0.74   $0.42 

 

(1)           The components of other, net, as set forth in the table above, are described in the footnotes to the table under “Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin”. Please see the footnotes to such table for additional information.

 

(2)           Tax adjustments for the three months ended March 31, 2026, includes the tax effect for, at a 27.1% statutory blended tax rate, the adjustments made to net income of $8.9 million, partially offset by 162(m) impact of $1.3 million.

 

(3)           Tax adjustments for the three months ended March 31, 2025, includes the tax effect for, at a 27.1% statutory blended tax rate, the adjustments made to net income of $5.7 million, partially offset by 162(m) impact of $1.1 million.

 

(4)           Includes net loss attributable to non-controlling interests ("NCI") of $1.3 million, offset by adjustments attributable to NCI of $3.2 million, for the three months ended March 31, 2026.

 

(5)           Includes net loss attributable to NCI of $0.5 million, offset by adjustments attributable to NCI of $2.8 million, for the three months ended March 31, 2025.

 

 
 

 

Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA

 

   Year Ending
December 31, 2026
 
   Guidance Range 
(in thousands)  Low   High 
Net income  $54,000   $74,000 
Interest expense   51,000    55,000 
Provision for income taxes   38,000    44,000 
Depreciation and amortization   65,000    65,000 
EBITDA   208,000    238,000 
           
Income from equity method investments   (4,000)   (4,000)
Other, net   7,000    7,000 
Stock-based compensation   39,000    39,000 
Adjusted EBITDA  $250,000   $280,000 

 

The Company has not provided a quantitative reconciliation of EBITDA and Adjusted EBITDA for the quarter ending June 30, 2026 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.

 

Guidance Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow

 

   Year Ending
December 31, 2026
 
   Guidance Range 
(in thousands)  Low   High 
Net cash provided by operating activities  $125,000   $145,000 
Cash used in purchases of property and equipment   (20,000)   (12,500)
Free cash flow  $105,000   $132,500 

 

 
 

 

Use of Non-GAAP Financial Measures

 

This press release contains the non-GAAP financial measures EBITDA, Adjusted EBITDA, Adjusted EBITDA margin, adjusted net income attributable to Astrana, and adjusted EPS - diluted, of which the most directly comparable financial measure presented in accordance with U.S. generally accepted accounting principles (“GAAP”) is net income. This press release also contains the non-GAAP financial measure free cash flow, of which the most directly comparable financial measure presented in accordance with U.S. GAAP is net cash provided by operating activities. 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. We use Adjusted EBITDA, Adjusted EBITDA margin, adjusted EPS - diluted, and free cash flow as supplemental performance measures of our operations, for financial and operational decision-making, and as supplemental means of evaluating period-to-period comparisons on a consistent basis and, for free cash flow, to reflect the cash flow trends in our business. Adjusted EBITDA is calculated as earnings before interest expense, interest income, income taxes, depreciation, and amortization, excluding income or loss from equity method investments, non-recurring and non-cash transactions, and stock-based compensation. We define Adjusted EBITDA margin as Adjusted EBITDA over total revenue. Adjusted net income attributable to Astrana is calculated as net income, excluding income or loss from equity method investments, non-recurring and non-cash transactions, stock-based compensation, amortization of intangible assets attributable to acquisitions, certain tax adjustments, and amounts related to net income or loss attributable to non-controlling interests. We define adjusted EPS - diluted as adjusted net income attributable to Astrana over weighted average shares of common stock outstanding - diluted. We define free cash flow as net cash provided by operating activities minus cash used in purchases of property and equipment.

 

We believe 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 our ongoing operating performance. In addition, these non-GAAP financial measures are among those indicators we use 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 EBITDA, Adjusted EBITDA, adjusted net income attributable to Astrana, adjusted EPS - diluted, and free cash flow differently, limiting the usefulness of these measures for comparative purposes. To the extent this press release contains historical or future non-GAAP financial measures, we have provided corresponding GAAP financial measures for comparative purposes. The reconciliations between certain GAAP and non-GAAP measures are provided above.