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Variable Interest Entities (VIEs) (Tables)
12 Months Ended
Dec. 31, 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 consolidated balance sheets (in thousands).

 

 

December 31,

 

 

2024

 

 

2023

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

158,922

 

 

$

184,078

 

Investment in marketable securities

 

 

2,259

 

 

 

 

Receivables, net

 

 

83,977

 

 

 

21,120

 

Receivables, net – related party

 

 

48,251

 

 

 

58,707

 

Income taxes receivable

 

 

 

 

 

1,600

 

Other receivables

 

 

15,303

 

 

 

454

 

Prepaid expenses and other current assets

 

 

10,161

 

 

 

9,991

 

 

 

 

 

 

 

Total current assets

 

 

318,873

 

 

 

275,950

 

 

 

 

 

 

 

Non-current assets

 

 

 

 

 

 

Property and equipment, net

 

 

5,875

 

 

 

5,306

 

Intangible assets, net

 

 

87,840

 

 

 

60,906

 

Goodwill

 

 

243,283

 

 

 

140,157

 

Income taxes receivable, non-current

 

 

15,943

 

 

 

15,943

 

Investments in other entities – equity method

 

 

15,442

 

 

 

12,114

 

Investment in a privately held entity

 

 

405

 

 

 

405

 

Investment in affiliates*

 

 

224,894

 

 

 

273,182

 

Restricted cash

 

 

40

 

 

 

40

 

Operating lease right-of-use assets

 

 

21,585

 

 

 

28,796

 

Other assets

 

 

3,019

 

 

 

1,149

 

 

 

 

 

 

 

Total non-current assets

 

 

618,326

 

 

 

537,998

 

 

 

 

 

 

 

Total assets

 

$

937,199

 

 

$

813,948

 

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable and accrued expenses

 

$

43,800

 

 

$

32,707

 

Fiduciary accounts payable

 

 

8,223

 

 

 

7,737

 

Medical liabilities

 

 

105,486

 

 

 

55,157

 

Dividend payable

 

 

638

 

 

 

638

 

Income taxes payable

 

 

11,041

 

 

 

 

Finance lease liabilities

 

 

520

 

 

 

646

 

Operating lease liabilities

 

 

3,487

 

 

 

3,305

 

Other liabilities

 

 

1,351

 

 

 

8,542

 

Amount due to affiliates*

 

 

48,142

 

 

 

107,340

 

 

 

 

 

 

 

Total current liabilities

 

 

222,688

 

 

 

216,072

 

 

 

 

 

 

 

Non-current liabilities

 

 

 

 

 

 

Deferred tax liability

 

 

11,237

 

 

 

7,284

 

Finance lease liabilities, net of current portion

 

 

520

 

 

 

1,033

 

Operating lease liabilities, net of current portion

 

 

21,012

 

 

 

28,675

 

Other long-term liabilities

 

 

619

 

 

 

230

 

 

 

 

 

 

 

Total non-current liabilities

 

 

33,388

 

 

 

37,222

 

 

 

 

 

 

 

Total liabilities

 

$

256,076

 

 

$

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 consolidated balance sheets as of December 31, 2024 and 2023.