Astrana Health, Inc. Reports Second Quarter 2025 Results

health news

Company to Host Conference Call on Thursday, August 7, 2025, at 2:30 p.m. PT/5:30 p.m. ET

  • Reports total revenue of $654.8 million and adjusted EBITDA of $48.1 million, both at the higher end of guidance
  • Continues to manage medical cost trends effectively, with trend within expectations across all lines of business
  • Reiterates full-year 2025 guidance which is inclusive of the now-closed Prospect Health acquisition

ALHAMBRA, Calif., Aug. 7, 2025 /PRNewswire/ — Astrana Health, Inc. (“Astrana,” and together with its subsidiaries and affiliated entities, the “Company”) (NASDAQ: ASTH), a leading provider-centric, technology-powered healthcare company enabling providers to deliver accessible, high-quality, and high-value care to all, today announced its consolidated financial results for the second quarter ended June 30, 2025.

“Astrana Health’s strong second quarter results underscore the power of our physician-focused, technology-enabled model to drive profitable growth and deliver better outcomes at scale,” said Brandon Sim, President and CEO of Astrana Health. “Our unique ability to build longitudinal relationships with our patients, paired with leading clinical capabilities and a purpose-built technology platform affording us real-time visibility of our patients’ health, allows us to operate from a position of strength in a complex and evolving healthcare landscape. As we look ahead, we remain focused on disciplined execution and expanding access to high-quality, coordinated care for the patients and communities we serve.”

Financial Highlights for Second Quarter Ended June 30, 2025:

All comparisons are to the three months ended June 30, 2024 unless otherwise stated.

  • Total revenue of $654.8 million, up 35% from $486.3 million
  • Care Partners revenue of $631.4 million, up 36% from $463.3 million
  • Net income attributable to Astrana of $9.4 million
  • Earnings per share – diluted (“EPS – diluted”) of $0.19
  • Adjusted EBITDA(1) of $48.1 million

Financial Highlights for Six Months Ended  June 30, 2025:

All comparisons are to the six months ended June 30, 2024 unless otherwise stated.

  • Total revenue of $1,275.2 million, up 43% from $890.6 million
  • Care Partners revenue of $1,232.4 million, up 46% from $845.6 million
  • Net income attributable to Astrana of $16.1 million
  • Earnings per share – diluted (“EPS – diluted”) of $0.33
  • Adjusted EBITDA(1) of $84.5 million

(1) See “Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin” and “Use of Non-GAAP Financial Measures” below for additional information.

Recent Operating Highlights

  • On July 1, 2025, the Company completed its previously announced acquisition of Prospect Health consisting of businesses and assets relating to Prospect Health System, including its California licensed health care service plan (Prospect Health Plan), medical groups in California, Texas, Arizona and Rhode Island (Prospect Medical Groups), management service organization (Prospect Medical Systems), pharmacy (RightRx), and Foothill Regional Medical Center. Concurrently with the close, the Company entered into a side letter agreement that, among other things, reduced the aggregate purchase price from $745.0 million to $707.9 million and removed certain working capital adjustments and related escrow. The acquisition was financed using $707.3 million of proceeds from a five-year delayed draw term loan credit facility.
  • Astrana announced Sherry McBride has joined as Chief Operating Officer of Astrana Health – Management Services Organization, effective Monday, June 2, 2025. Ms. McBride is leading operational integration and execution and working alongside Astrana’s Executive Leadership Team as the Company accelerates the scale of its leading care delivery platform. Ms. McBride’s appointment complements several other strategic additions to the leadership team, including Georgie Sam as Chief Data and Analytics Officer, Glenn Sobotka as Chief Accounting Officer, and the promotion of Rita Pew to Chief People Officer.

Segment Results for three months ended June 30, 2025:

All comparisons are to the three months ended June 30, 2024 unless otherwise stated.

Three Months Ended June 30, 2025

(in thousands)

Care
Partners

Care
Delivery

Care
Enablement

Intersegment
Elimination

Corporate
Costs

Consolidated
Total

Total revenues

$

631,442

$

38,394

$

40,901

$

(55,929)

$

$

654,808

% change vs. prior year quarter

36

%

10

%

13

%

Cost of services

536,266

27,873

31,130

(18,430)

576,839

General and administrative(1)

45,491

8,374

7,930

(37,511)

33,345

57,629

Total expenses

581,757

36,247

39,060

(55,941)

33,345

634,468

Income (loss) from operations

$

49,685

$

2,147

$

1,841

$

12

(2)

$

(33,345)

$

20,340

% change vs. prior year quarter

23

%

18

%

(73)

%

(1) Balance includes general and administrative expenses and depreciation and amortization.

(2) Income from operations for the intersegment elimination represents rental income from segments renting from other segments. Rental income is presented within other income which is not presented in the table.

2025 Guidance:

Astrana is providing the following guidance for total revenue and Adjusted EBITDA for the quarter ending September 30, 2025 and reiterating guidance for the year ending December 31, 2025 based on the Company’s existing business, current view of existing market conditions, and assumptions.

($ in millions)

Three Months Ending
September 30, 2025

Year Ending
December 31, 2025

Guidance Range

Guidance Range

Low

High

Low

High

Total revenue

$

925

$

965

$

3,100

$

3,300

Adjusted EBITDA

$

65

$

70

$

215

$

225

See “Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA” and “Use of Non-GAAP Financial Measures” below for additional information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See “Forward-Looking Statements” below for additional information.

Conference Call and Webcast Information:

Astrana will host a conference call at 2:30 p.m. PT/5:30 p.m. ET today (Thursday, August 7, 2025), during which management will discuss the results of the second quarter ended June 30, 2025. To participate in the conference call, please use the following dial-in numbers about 5 minutes prior to the scheduled conference call time:

U.S. & Canada (Toll-Free):       +1 (877) 858-9810
International (Toll):                   +1 (201) 689-8517

The conference call can also be accessed via webcast at: https://event.choruscall.com/mediaframe/webcast.html?webcastid=4qZoCOiq

An accompanying slide presentation will be available in PDF format on the “IR Calendar” page of the Company’s website (https://ir.astranahealth.com/news-events/ir-calendar) after issuance of the earnings release and will be furnished as an exhibit to Astrana’s current report on Form 8-K to be filed with the SEC, accessible at www.sec.gov.

Those who are unable to attend the live conference call may access the recording at the above webcast link, which will be made available shortly after the conclusion of the call.

Note About Consolidated Entities

The Company consolidates entities in which it has a controlling financial interest. The Company consolidates subsidiaries in which it holds, directly or indirectly, more than 50% of the voting rights, and variable interest entities (“VIEs”) in which the Company is the primary beneficiary. Noncontrolling interests represent third party equity ownership interests in the Company’s consolidated entities (including certain VIEs). The amount of net income attributable to noncontrolling interests is disclosed in the Company’s consolidated statements of income.

About Astrana Health, Inc.

Astrana Health is a physician-centric, AI-powered healthcare company committed to delivering high-quality, patient-centered care. Built from the physician’s perspective, Astrana combines its scalable care delivery infrastructure, proprietary technology platform, and aligned provider networks to enable proactive, preventive care at scale – improving patient outcomes, enhancing patient experiences, supporting provider well-being, and driving greater value across the healthcare system.

Today, Astrana supports more than 20,000 providers and over 1.6 million patients in value-based care arrangements through its affiliated provider networks, management services organization, and integrated care delivery clinics spanning primary, specialty, and ancillary care. Together, Astrana is building the healthcare system we all deserve – one that delivers better care, better experiences, and better outcomes for all. For more information, visit www.astranahealth.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements about the Company’s guidance for the quarter ending September 30, 2025 and the year ending  December 31, 2025, ability to meet operational goals, ability to meet expectations in deployment of care coordination and management capabilities, ability to decrease cost of care while improving quality and outcomes, ability to deliver sustainable revenue and EBITDA growth as well as long-term value, ability to respond to the changing environment, statements about the Company’s liquidity, and successful completion and implementation of strategic growth plans, acquisition strategy, and merger integration efforts. Forward-looking statements reflect current views with respect to future events and financial performance and therefore cannot be guaranteed. Such statements are based on the current expectations and certain assumptions of the Company’s management, and some or all of such expectations and assumptions may not materialize or may vary significantly from actual results. Actual results may also vary materially from forward-looking statements due to risks, uncertainties and other factors, known and unknown, including the risk factors described from time to time in the Company’s reports to the SEC, including, without limitation the risk factors discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, and subsequent quarterly reports on Form 10-Q. Any forward-looking statements made by the Company in this release speaks only as of the date on which it is made. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by any applicable securities laws.

FOR MORE INFORMATION, PLEASE CONTACT:

Grant Hesser, Investor Relations
grant.hesser@astranahealth.com

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

June 30,
2025

December 31,
2024

(Unaudited)

Assets

Current assets

Cash and cash equivalents

$

339,703

$

288,455

Investment in marketable securities

2,417

2,378

Receivables, net (including amounts with related parties)

348,730

275,990

Income taxes receivable

7,893

19,316

Other receivables

8,655

29,496

Prepaid expenses and other current assets

21,754

22,861

Total current assets

729,152

638,496

Non-current assets

Property and equipment, net

17,800

14,274

Intangible assets, net

105,737

118,179

Goodwill

416,917

419,253

Income taxes receivable, non-current

15,943

15,943

Loans receivable, non-current

48,370

51,266

Investments in other entities – equity method

38,454

39,319

Investments in privately held entities

8,896

8,896

Operating lease right-of-use assets

30,631

32,601

Other assets

30,450

16,667

Total non-current assets

713,198

716,398

Total assets(1)

$

1,442,350

$

1,354,894

Liabilities, Mezzanine Deficit, and Stockholders’ Equity

Current liabilities

Accounts payable and accrued expenses

$

119,661

$

106,142

Fiduciary accounts payable

4,734

8,223

Medical liabilities

287,691

209,039

Operating lease liabilities

5,319

5,350

Current portion of long-term debt

12,500

9,375

Other liabilities

29,841

27,479

Total current liabilities

459,746

365,608

Non-current liabilities

Deferred tax liability

2,593

4,555

Operating lease liabilities, net of current portion

28,714

30,654

Long-term debt, net of current portion and deferred financing costs

401,057

425,299

Other long-term liabilities

12,294

14,610

Total non-current liabilities

444,658

475,118

Total liabilities(1)

904,404

840,726

Mezzanine deficit

Noncontrolling interest in Allied Physicians of California, a Professional Medical
Corporation (“APC”)

(233,582)

(202,558)

Stockholders’ equity

Preferred stock, $0.001 par value per share; 5,000,000 shares authorized, and
zero shares issued and outstanding as of June 30, 2025 and December 31, 2024

Common stock, $0.001 par value per share; 100,000,000 shares authorized,
49,138,631 and 47,929,872 shares issued and outstanding, excluding 9,903,953
and 10,603,849 treasury shares, as of June 30, 2025 and December 31, 2024, respectively

49

48

Additional paid-in capital

463,203

426,389

Retained earnings

302,209

286,283

Total stockholders’ equity

765,461

712,720

Non-controlling interest

6,067

4,006

Total equity

771,528

716,726

Total liabilities, mezzanine deficit, and stockholders’ equity

$

1,442,350

$

1,354,894

(1) The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $691.0 million and $712.3 million as of June 30, 2025 and December 31, 2024, respectively, and total liabilities of the Company’s consolidated VIEs for which creditors do not have recourse to the general credit of the primary beneficiary of $230.3 million and $207.9 million as of June 30, 2025 and December 31, 2024, respectively. These VIE balances do not include $152.6 million of investment in affiliates and $35.1 million of amounts due from affiliates as of June 30, 2025, and $224.9 million of investment in affiliates and $48.1 million of amounts due to affiliates as of December 31, 2024, as these are eliminated upon consolidation and not presented within the condensed consolidated balance sheets.

 

ASTRANA HEALTH, INC.

CONSOLIDATED STATEMENTS OF INCOME

(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

(UNAUDITED)

Three Months Ended
June 30,

Six Months Ended
June 30,

2025

2024

2025

2024

Revenue

Capitation, net

$

614,108

$

442,574

$

1,198,071

$

808,484

Risk pool settlements and incentives

15,402

18,408

29,893

35,785

Management fee income

2,577

1,604

4,887

5,682

Fee-for-service, net

17,878

19,959

32,769

35,896

Other revenue

4,843

3,720

9,576

4,774

Total revenue

654,808

486,265

1,275,196

890,621

Operating expenses

Cost of services, excluding depreciation and amortization

576,839

412,805

1,125,900

743,204

General and administrative expenses

50,725

35,953

94,623

74,675

Depreciation and amortization

6,904

7,441

13,752

12,537

Total expenses

634,468

456,199

1,234,275

830,416

Income from operations

20,340

30,066

40,921

60,205

Other income (expense)

Income (loss) from equity method investments

381

902

(486)

1,534

Interest expense

(7,382)

(8,587)

(14,690)

(16,172)

Interest income

2,336

3,513

4,647

7,509

Unrealized gain (loss) on investments

14

(123)

(30)

976

Other income (loss)

1,136

6,126

(3,934)

1,849

Total other (expense) income, net

(3,515)

1,831

(14,493)

(4,304)

Income before provision for income taxes

16,825

31,897

26,428

55,901

Provision for income taxes

6,609

10,031

9,991

17,173

Net income

10,216

21,866

16,437

38,728

Net income attributable to non-controlling interest

793

2,695

322

4,722

Net income attributable to Astrana Health, Inc.

$

9,423

$

19,171

$

16,115

$

34,006

Earnings per share – basic

$

0.19

$

0.40

$

0.33

$

0.72

Earnings per share – diluted

$

0.19

$

0.40

$

0.33

$

0.71

 

ASTRANA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(UNAUDITED)

Six Months Ended
June 30,

2025

2024

Cash flows from operating activities

Net income

$

16,437

$

38,728

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

13,752

12,537

Amortization of debt issuance cost

1,740

917

Share-based compensation

19,519

13,138

Non-cash lease expense

2,559

2,632

Deferred tax

(1,961)

(7,259)

Other

3,910

4,581

Changes in operating assets and liabilities, net of business combinations

51,571

(36,109)

Net cash provided by operating activities

107,527

29,165

Cash flows from investing activities

Payments for business acquisition, net of cash acquired

(114,585)

Purchase of investment – equity method

(5,968)

Purchase of call option issued in conjunction with equity method investment

(3,907)

Issuance of loan receivable

(1,050)

(21,000)

Purchases of property and equipment

(4,490)

(3,205)

Other

2,069

(2,299)

Net cash used in investing activities

(3,471)

(150,964)

Cash flows from financing activities

Dividends paid

(6,233)

(1,896)

Borrowings on long-term debt

412,000

170,320

Repayment of long-term debt

(431,357)

(11,000)

Deferred financing cost

(17,241)

Taxes paid from net share settlement of restricted stock

(5,053)

(3,584)

Other

(4,924)

(237)

Net cash (used in) provided by financing activities

(52,808)

153,603

Net increase in cash, cash equivalents, and restricted cash

51,248

31,804

Cash, cash equivalents, and restricted cash, beginning of period

289,102

294,152

Cash, cash equivalents, and restricted cash, end of period

$

340,350

$

325,956

Supplemental disclosures of cash flow information

Cash paid for income taxes

$

4,728

$

35,742

Cash paid for interest

$

13,535

$

14,613

Supplemental disclosures of non-cash investing and financing activities

Right-of-use assets obtained in exchange for operating lease liabilities

$

7,110

$

7,661

Common stock issued in business combination

$

$

21,952

Draw on letter of credit through Revolver Loan

$

$

4,732

Dividend paid in the form of common stock

$

21,935

$

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sum to the total amounts of cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows (in thousands):

June 30,

2025

2024

Cash and cash equivalents

$

339,703

$

325,310

Restricted cash (1)

647

646

Total cash, cash equivalents, and restricted cash shown in the statement of cash flows

$

340,350

$

325,956

(1)   Restricted cash is included in other assets on the condensed consolidated balance sheets.

Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin

Set forth below are reconciliations of Net Income to EBITDA and Adjusted EBITDA as well as the reconciliation to Adjusted EBITDA margin for the three and six months ended June 30, 2025 and 2024. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.

Three Months Ended
June 30,

Six Months Ended
June 30,

(in thousands)

2025

2024

2025

2024

Net income

$

10,216

$

21,866

$

16,437

$

38,728

Interest expense

7,382

8,587

14,690

16,172

Interest income

(2,336)

(3,513)

(4,647)

(7,509)

Provision for income taxes

6,609

10,031

9,991

17,173

Depreciation and amortization

6,904

7,441

13,752

12,537

EBITDA

28,775

44,412

50,223

77,101

(Income) loss from equity method investments

(381)

(902)

486

(1,534)

Other, net

7,998

(1)

(2,983)

(2)

14,257

(3)

1,457

(4)

Stock-based compensation

11,709

7,390

19,519

13,138

Adjusted EBITDA

$

48,101

$

47,917

$

84,485

$

90,162

Total revenue

$

654,808

$

486,265

$

1,275,196

$

890,621

Adjusted EBITDA margin

7

%

10

%

7

%

10

%

(1)

Other, net for the three months ended June 30, 2025 relates to transaction costs for our acquisition of Prospect Health, certain costs associated with the CHS transaction, non-cash changes related to the change in the fair value of our call option and Collar Agreement, and severance fees incurred.

(2)

Other, net for the three months ended June 30, 2024, relates to non-cash changes related to change in the fair value of the Company’s Collar Agreement, transaction costs incurred for our investments and tax restructuring fees, and reimbursement from a related party of the Company for taxes associated with the Excluded Assets spin-off.

(3)

Other, net for the six months ended June 30, 2025, relates to debt issuance costs expensed in connection with our Second Amended and Restated Credit Facility, transaction costs for our acquisition of Prospect Health, data transition costs for our recent acquisitions, certain costs associated with the CHS transaction, non-cash changes related to change in the fair value of our call option and Collar Agreement, and severance fees incurred.

(4)

Other, net for the six months ended June 30, 2024, relates to financial guarantee via a letter of credit that we provided almost three years ago in support of two local provider-led ACOs, non-cash changes related to change in the fair value of our financing obligation to purchase the remaining equity interests in one of our investments, non-cash changes related to change in the fair value of the Company’s Collar Agreement, and transaction costs incurred for our investments and tax restructuring fees, and reimbursement from a related party of the Company for taxes associated with the Excluded Assets spin-off.

 

Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA

Year Ending
December 31, 2025

Guidance Range

(in thousands)

Low

High

Net income

$

57,500

$

63,500

Interest expense

41,500

42,500

Provision for income taxes

31,000

34,000

Depreciation and amortization

32,000

32,000

EBITDA

162,000

172,000

Income from equity method investments

(2,000)

(2,000)

Other, net

20,000

20,000

Stock-based compensation

35,000

35,000

Adjusted EBITDA

$

215,000

$

225,000

The Company has not provided a quantitative reconciliation of EBITDA and Adjusted EBITDA for the quarter ending September 30, 2025 to the most comparable GAAP measure on a forward-looking basis within this press release because the Company is unable, without unreasonable efforts, to provide reconciling information with respect to certain line items that cannot be calculated for the three month period. These items, which could materially affect the computation of forward-looking GAAP net income, are inherently uncertain and depend on various factors, some of which are outside of the Company’s control.

Use of Non-GAAP Financial Measures

This press release contains the non-GAAP financial measures EBITDA and Adjusted EBITDA, of which the most directly comparable financial measure presented in accordance with U.S. generally accepted accounting principles (“GAAP”) is net income. These measures are not in accordance with, or alternatives to GAAP, and may be calculated differently from similar non-GAAP financial measures used by other companies. The Company uses Adjusted EBITDA as a supplemental performance measure of our operations, for financial and operational decision-making, and as a supplemental means of evaluating period-to-period comparisons on a consistent basis. Adjusted EBITDA is calculated as earnings before interest, taxes, depreciation, and amortization, excluding income or loss from equity method investments, non-recurring and non-cash transactions, and stock-based compensation. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.

The Company believes the presentation of these non-GAAP financial measures provides investors with relevant and useful information, as it allows investors to evaluate the operating performance of the business activities without having to account for differences recognized because of non-core or non-recurring financial information. When GAAP financial measures are viewed in conjunction with non-GAAP financial measures, investors are provided with a more meaningful understanding of the Company’s ongoing operating performance. In addition, these non-GAAP financial measures are among those indicators the Company uses as a basis for evaluating operational performance, allocating resources, and planning and forecasting future periods. Non-GAAP financial measures are not intended to be considered in isolation, or as a substitute for, GAAP financial measures. Other companies may calculate both EBITDA and Adjusted EBITDA differently, limiting the usefulness of these measures for comparative purposes. To the extent this release contains historical or future non-GAAP financial measures, the Company has provided corresponding GAAP financial measures for comparative purposes. The reconciliation between certain GAAP and non-GAAP measures is provided above.

 

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SOURCE Astrana Health, Inc.

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