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Variable Interest Entities (VIEs) (Tables) | 6 Months Ended
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Jun. 30, 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. These assets and liabilities, with the exception of investments in affiliates and amounts due to, or from, affiliates, which are eliminated upon consolida tion, are included in the accompanying condensed consolidated balance sheets (in thousands).
|  | June 30, 2025 |  |  | December 31, 2024 |
Assets |  |  |  |  |  |
Current assets |  |  |  |  |  |
Cash and cash equivalents |  | $ | 157,097 |  |  | $ | 158,922 |
Investments in marketable securities |  |  | 2,306 |  |  |  | 2,259 |
Receivables, net (including amounts with related parties) |  |  | 135,481 |  |  |  | 132,228 |
Other receivables |  |  | 1,717 |  |  |  | 15,303 |
Prepaid expenses and other current assets |  |  | 7,041 |  |  |  | 10,161 |
Amount due from affiliates(1) |  |  | 35,141 |  |  |  | — |
Total current assets |  |  | 338,783 |  |  |  | 318,873 |
|  | June 30, 2025 |  |  | December 31, 2024 |
Non-current assets |  |  |  |  |  |
Property and equipment, net |  |  | 5,848 |  |  |  | 5,875 |
Intangible assets, net |  |  | 78,952 |  |  |  | 87,840 |
Goodwill |  |  | 241,831 |  |  |  | 243,283 |
Income taxes receivable, non-current |  |  | 15,943 |  |  |  | 15,943 |
Investments in other entities – equity method |  |  | 15,114 |  |  |  | 15,442 |
Investment in a privately held entity |  |  | 405 |  |  |  | 405 |
Investment in affiliates(1) |  |  | 152,584 |  |  |  | 224,894 |
Operating lease right-of-use assets |  |  | 26,197 |  |  |  | 21,585 |
Other assets |  |  | 3,052 |  |  |  | 3,059 |
Total non-current assets |  |  | 539,926 |  |  |  | 618,326 |
Total assets |  | $ | 878,709 |  |  | $ | 937,199 |
Current liabilities |  |  |  |  |  |
Accounts payable and accrued expenses |  | $ | 34,374 |  |  | $ | 43,800 |
Fiduciary accounts payable |  |  | 4,734 |  |  |  | 8,223 |
Medical liabilities |  |  | 116,878 |  |  |  | 105,486 |
Income tax payable |  |  | 19,411 |  |  |  | 11,041 |
Operating lease liabilities |  |  | 4,382 |  |  |  | 3,487 |
Other liabilities |  |  | 12,290 |  |  |  | 2,509 |
Amount due to affiliates(1) |  |  | — |  |  |  | 48,142 |
Total current liabilities |  |  | 192,069 |  |  |  | 222,688 |
Non-current liabilities |  |  |  |  |  |
Deferred tax liability |  |  | 9,642 |  |  |  | 11,237 |
Operating lease liabilities, net of current portion |  |  | 25,004 |  |  |  | 21,012 |
Other long-term liabilities |  |  | 3,538 |  |  |  | 1,139 |
Total non-current liabilities |  |  | 38,184 |  |  |  | 33,388 |
Total liabilities |  | $ | 230,253 |  |  | $ | 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 condensed 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 condensed consolidated balance sheets as of June 30, 2025 and December 31, 2024, respectively.

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- 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. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147481203/810-10-50-3 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 5A -Publisher FASB -URI https://asc.fasb.org/1943274/2147481203/810-10-50-5A Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 9 -Publisher FASB -URI https://asc.fasb.org/1943274/2147481203/810-10-50-9 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 4 -Publisher FASB -URI https://asc.fasb.org/1943274/2147481203/810-10-50-4 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 6 -Publisher FASB -URI https://asc.fasb.org/1943274/2147481203/810-10-50-6 + Details
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