Variable Interest Entities (VIEs) (Tables)

9 Months Ended

Sep. 30, 2024

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 consolidation, are included in the accompanying condensed consolidated balance sheets (in thousands).

	September 30, 2024		December 31, 2023
Assets
Current assets
Cash and cash equivalents	$	181,340	$	184,078
Investment in marketable securities		2,233		—
Receivables, net		54,356		21,120
Receivables, net – related party		76,010		58,707
Income taxes receivable		—		1,600
Other receivables		385		454
Prepaid expenses and other current assets		9,763		9,991
Total current assets		324,087		275,950
Non-current assets
Land, property and equipment, net		5,619		5,306
Intangible assets, net		82,264		60,906
Goodwill		235,638		140,157
Income taxes receivable, non-current		15,943		15,943
Investments in other entities – equity method		14,338		12,114
Investment in affiliates*		413,269		273,182
Investment in a privately held entity		405		405
Restricted cash		40		40
Operating lease right-of-use assets		21,648		28,796
Other assets		1,147		1,149
Total non-current assets		790,311		537,998
Total assets	$	1,114,398	$	813,948
Current liabilities
Accounts payable and accrued expenses	$	41,416	$	32,707
Fiduciary accounts payable		6,041		7,737
Medical liabilities		75,648		55,157
Dividend payable		638		638
Income tax payable		26,105		—
Finance lease liabilities		520		646
Operating lease liabilities		3,434		3,305
Amount due to affiliates*		76,294		107,340
Other liabilities		11,139		8,542
Total current liabilities		241,235		216,072
Non-current liabilities
Finance lease liabilities, net of current portion		649		1,033
Operating lease liabilities, net of current portion		21,054		28,675
Deferred tax liability		7,198		7,284
Other long-term liabilities		299		230
Total non-current liabilities		29,200		37,222
Total liabilities	$	270,435	$	253,294

*Investment in affiliates includes the Company’s VIEs’ investment in Astrana, which is reflected as treasury shares and eliminated upon consolidation. Amounts due to, or from, affiliates are receivables 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 September 30, 2024 and December 31, 2023.