XML 27 R20.htm IDEA: XBRL DOCUMENT v3.25.3
Related-Party Transactions
 9 Months Ended
Sep. 30, 2025
Related Party Transactions [Abstract]  
Related-Party Transactions
12.
Related-Party Transactions

Equity Method Investments

During the three months ended September 30, 2025 and 2024, the Company paid approximately $1.1 million and $1.7 million, respectively, to our equity method investments, for management fee and provider services. During the nine months ended September 30, 2025 and 2024, the Company paid approximately $4.9 million and $4.1 million, respectively, to our equity method investments, for management fee services, provider services, and interest expense. See Note 5 — “Investments in Other Entities — Equity Method”.

Astrana Board Members and Officers

During the three months ended September 30, 2025 and 2024, the Company incurred rent expenses of approximately $1.2 million and $1.3 million, respectively, from certain properties that are managed by Allied Pacific Holdings Investment Management, LLC. During the nine months ended September 30, 2025 and 2024, the Company recognized approximately $3.7 million and $3.0 million, respectively, in rent expense from the same properties. As of September 30, 2025, and December 31, 2024, the Company’s operating right-of-use asset balance included $6.6 million and $2.7 million, respectively, and the Company’s operating lease liabilities included $7.0 million and $2.7 million, respectively, for certain properties that are managed by Allied Pacific Holdings Investment Management, LLC. The chief executive officer of Allied Pacific Holdings Investment Management, LLC, is a member of the Company’s board of directors.

The Company has a Simple Agreement for Future Equity (“SAFE”) with Third Way Health. As of September 30, 2025, and December 31, 2024, the investment was $6.0 million and presented within investments in privately held entities on the condensed consolidated balance sheets. During the three months ended September 30, 2025 and 2024, the Company incurred approximately $0.7 million and $0.4 million, respectively, in expenses payable to Third Way Health for call center and credentialing services. During the nine months ended September 30, 2025 and 2024, the Company incurred approximately $3.9 million and $2.1 million, respectively, in expenses for call center services. One of Astrana’s officers is a board member of Third Way Health.

The Company has an agreement with AHMC Healthcare Inc. (“AHMC”) for services provided to the Company, involving payment for hospital and other inpatient related services, at rates similar to other hospitals which the Company contracts with. Revenue with AHMC consists of capitation, risk pool, and miscellaneous fees, while expenses include claims expenses. One of the Company’s directors is an officer of AHMC.

The following tables set forth revenue recognized and fees incurred related to AHMC for the three and nine months ended September 30, 2025 and 2024 (in thousands):

 

 

Three Months Ended
September 30,

 

 

Nine Months Ended
September 30,

 

 

2025

 

 

2024

 

 

2025

 

 

2024

 

Revenue

 

$

7,286

 

 

$

11,167

 

 

$

18,631

 

 

$

33,944

 

Expenses

 

 

45,874

 

 

 

9,169

 

 

 

123,873

 

 

 

24,134

 

Net

 

$

(38,588

)

 

$

1,998

 

 

$

(105,242

)

 

$

9,810

 

 

The Company and AHMC have a risk-sharing agreement with certain AHMC hospitals to share the surplus and deficits of each of the hospital pools. Under this agreement, during the three months ended September 30, 2025 and 2024, the Company had recognized risk pool revenues of $5.2 million and $9.4 million, respectively. During the nine months ended September 30, 2025 and 2024, the Company had recognized risk pool revenues of $13.1 million and $28.5 million, respectively. As of September 30, 2025 and December 31, 2024, $59.4 million and $47.7 million remained in outstanding risk pool receivables, respectively.

APC Board Members

During the three months ended September 30, 2025 and 2024, the Company paid an aggregate of approximately $5.3 million and $4.6 million, respectively, to board members for provider services, which included approximately $1.2 million and $0.8 million, respectively, to Astrana board members and officers who are also board members and officers of APC. During the nine months ended September 30, 2025 and 2024, the Company paid an aggregate of approximately $14.5 million and $14.1 million, respectively, to board members for provider services, which included approximately $2.4 million and $2.2 million, respectively, to Astrana board members and officers who are also board members and officers of APC.

Intercompany Transactions

Because of corporate practice of medicine laws, the Company uses designated shareholder professional corporations, of which the sole shareholder is a member of the Company’s key personnel, to engage in certain transactions and make intercompany loans from time to time. These corporations are reported on a consolidated basis, together with the Company’s subsidiaries, and therefore, the Company does not separately disclose transactions between such affiliates and the Company’s subsidiaries as related-party transactions.