XML 88 R80.htm IDEA: XBRL DOCUMENT
v3.24.2.u1

Segments (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | $ 486,265 | $ 348,209 | $ 890,621 | $ 685,453
Cost of services | 412,805 | 292,876 | 743,204 | 582,273
General and administrative | 43,394 | 28,304 | 87,212 | 53,777
Total expenses | 456,199 | 321,180 | 830,416 | 636,050
Income from operations | 30,066 | 27,029 | 60,205 | 49,403
Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 486,265 | 348,209 | 890,621 | 685,453
Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 0 | 0 | 0
Intersegment Elimination |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | (48,041) | (35,068) | (89,996) | (67,759)
Cost of services | (12,799) | (10,336) | (24,756) | (24,186)
General and administrative | (35,247) | (25,776) | (65,322) | (45,780)
Total expenses | (48,046) | (36,112) | (90,078) | (69,966)
Income from operations | 5 | 1,044 | 82 | 2,207
Intersegment Elimination | Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 0 | 0 | 0
Intersegment Elimination | Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | (48,041) | (35,068) | (89,996) | (67,759)
Corporate Costs |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 0 | 0 | 0
Cost of services | 0 | 0 | 0 | 0
General and administrative | 19,005 | 9,212 | 35,405 | 14,621
Total expenses | 19,005 | 9,212 | 35,405 | 14,621
Income from operations | (19,005) | (9,212) | (35,405) | (14,621)
Corporate Costs | Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 0 | 0 | 0
Corporate Costs | Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 0 | 0 | 0
Care Partners | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 463,277 | 321,776 | 845,595 | 636,413
Cost of services | 379,413 | 266,439 | 679,602 | 533,416
General and administrative | 43,541 | 27,508 | 82,474 | 52,847
Total expenses | 422,954 | 293,947 | 762,076 | 586,263
Income from operations | 40,323 | 27,829 | 83,519 | 50,150
Care Partners | Operating Segments | Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 463,277 | 321,776 | 845,595 | 636,413
Care Partners | Operating Segments | Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 0 | 0 | 0
Care Delivery | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 34,857 | 26,369 | 65,576 | 50,860
Cost of services | 26,252 | 21,541 | 51,046 | 42,127
General and administrative | 6,780 | 4,259 | 12,943 | 9,130
Total expenses | 33,032 | 25,800 | 63,989 | 51,257
Income from operations | 1,825 | 569 | 1,587 | (397)
Care Delivery | Operating Segments | Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 21,218 | 13,603 | 39,096 | 25,866
Care Delivery | Operating Segments | Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 13,639 | 12,766 | 26,480 | 24,994
Care Enablement | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 36,172 | 34,975 | 69,446 | 65,541
Cost of services | 19,939 | 15,162 | 37,312 | 30,783
General and administrative | 9,315 | 12,175 | 21,712 | 21,375
Total expenses | 29,254 | 27,337 | 59,024 | 52,158
Income from operations | 6,918 | 7,638 | 10,422 | 13,383
Care Enablement | Operating Segments | Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 1,770 | 12,719 | 5,930 | 22,858
Care Enablement | Operating Segments | Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 34,402 | 22,256 | 63,516 | 42,683
Other | Operating Segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 157 | 0 | 398
Cost of services | 0 | 70 | 0 | 133
General and administrative | 0 | 926 | 0 | 1,584
Total expenses | 0 | 996 | 0 | 1,717
Income from operations | 0 | (839) | 0 | (1,319)
Other | Operating Segments | Third-Party |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | 0 | 111 | 0 | 316
Other | Operating Segments | Intersegment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total revenue | $ 0 | $ 46 | $ 0 | $ 82

X
- Definition General and Administrative Expenses and Depreciation and Amortization + References No definition available. + Details
Name: | asth_GeneralAndAdministrativeExpensesAndDepreciationAndAmortization
Namespace Prefix: | asth_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Cost of product sold and service rendered, excluding depreciation, depletion, and amortization. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(2)(a)) -SubTopic 10 -Topic 220 -Publisher FASB -URI https://asc.fasb.org/1943274/2147483621/220-10-S99-2 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(2)(d)) -SubTopic 10 -Topic 220 -Publisher FASB -URI https://asc.fasb.org/1943274/2147483621/220-10-S99-2 + Details
Name: | us-gaap_CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Total costs of sales and operating expenses for the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 220 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03) -Publisher FASB -URI https://asc.fasb.org/1943274/2147483621/220-10-S99-2 + Details
Name: | us-gaap_CostsAndExpenses
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The net result for the period of deducting operating expenses from operating revenues. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 30 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 270 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482964/270-10-50-1 Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (ee) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 6: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 7: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 + Details
Name: | us-gaap_OperatingIncomeLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-41 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 270 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482964/270-10-50-1 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (ee) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 4: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 5: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 924 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SAB Topic 11.L) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479941/924-10-S99-1 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-5 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 30 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-42 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-40 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-4 + Details
Name: | us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_SegmentReportingInformationLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_SubsegmentsAxis=us-gaap_HealthCarePatientServiceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_SubsegmentsAxis=us-gaap_ProductAndServiceOtherMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ConsolidationItemsAxis=us-gaap_IntersegmentEliminationMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ConsolidationItemsAxis=us-gaap_CorporateNonSegmentMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=asth_CarePartnersMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_ConsolidationItemsAxis=us-gaap_OperatingSegmentsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=asth_CareDeliveryMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=asth_CareEnablementMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=us-gaap_AllOtherSegmentsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |