Astrana Health Inc
For the period ended Dec 31, 2023. Filed Feb 29, 2024.
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A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.
FY2023 · Filed Feb 29, 2024
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
For the fiscal year ended December 31, 2023
OR
| ☐ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF1934 |
|---|
for the transition period from___ to ___ .
Commission file number:001-37392
(Exact name of registrant as specified in its charter)
| Delaware | 95-4472349 |
|---|---|
| (State or other jurisdiction ofincorporation or organization) | (I.R.S. EmployerIdentification No.) |
1668 S. Garfield Avenue,2nd Floor, Alhambra, California 91801
(Address of principal executive offices, including zip code)
Registrant’s telephone number, including area code:(626)282-0288
Securities registered pursuant to Section 12(b) of the Act:
| Title of Each Class | Trading Symbol | Name of Each Exchange on Which Registered |
|---|---|---|
| Common Stock, $0.001 par value per share | ASTH | The Nasdaq Stock Market LLC |
Securities registered pursuant to Section 12(g) of the Act:
None
(Title of class)
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☒ No☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes☐ No ☒
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
| Large accelerated filer | ☒ | Accelerated filer | ☐ |
|---|---|---|---|
| Non-accelerated filer | ☐ | Smaller reporting company | ☐ |
| Emerging growth company | ☐ | ||
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.☒
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.☐
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b).☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).☐ Yes ☒ No
The aggregate market value of common stock held by non-affiliates of the registrant, as of June 30, 2023, the last day of the registrant’s most recently completed second fiscal quarter, was approximately $1.3 billion (based on the closing price for shares of the registrant’s common stock as reported by the Nasdaq Stock Market on June 30, 2023).
As of February 22, 2024, there were 55,423,408 shares of common stock of the registrant, $0.001 par value per share, issued and outstanding, which includes 7,132,698 treasury shares that are owned by Allied Physicians of California, a Professional Medical Corporation d.b.a. Allied Pacific of California IPA (“APC”), a consolidated affiliate of Astrana Health, Inc. These shares are legally issued and outstanding but treated as treasury shares for accounting purposes.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrant’s definitive Proxy Statement for the 2024 annual meeting of the stockholders of the registrant are incorporated herein by reference in Part III of this Annual Report on Form 10-K to the extent stated herein. Such Proxy Statement will be filed with the Securities and Exchange Commission (the “SEC”) within 120 days of the registrant’s fiscal year ended December 31, 2023.
Table of Contents
Form 10-K
Fiscal Year Ended December 31, 2023
| Page | ||
|---|---|---|
| ITEM | ||
| Introductory Note | 4 | |
| Note About Forward-Looking Statements | 5 | |
| PART I | 6 | |
| ITEM 1 | Business | 6 |
| ITEM 1A | Risk Factors | 22 |
| ITEM 1B | Unresolved Staff Comments | 47 |
| ITEM 1C | Cybersecurity | 47 |
| ITEM 2 | Properties | 48 |
| ITEM 3 | Legal Proceedings | 48 |
| ITEM 4 | Mine Safety Disclosures | 48 |
| PART II | 49 | |
| ITEM 5 | Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities | 49 |
| ITEM 6 | [Reserved] | 51 |
| ITEM 7 | Management’s Discussion and Analysis of Financial Condition and Results of Operations | 51 |
| ITEM 7A | Quantitative and Qualitative Disclosures About Market Risk | 72 |
| ITEM 8 | Financial Statements and Supplementary Data | 73 |
| ITEM 9 | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure | 135 |
| ITEM 9A | Controls and Procedures | 135 |
| ITEM 9B | Other Information | 138 |
| ITEM 9C | Disclosure Regarding Foreign Jurisdictions that Prevent Inspections | 138 |
| PART III | 139 | |
| ITEM 10 | Directors, Executive Officers and Corporate Governance | 139 |
| ITEM 11 | Executive Compensation | 139 |
| ITEM 12 | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters | 139 |
| ITEM 13 | Certain Relationships and Related Transactions, and Director Independence | 139 |
| ITEM 14 | Principal Accounting Fees and Services | 139 |
| PART IV | 140 | |
| ITEM 15 | Exhibits and Financial Statement Schedules | 140 |
Glossary
The following abbreviations or acronyms that may be used in this document shall have the adjacent meanings set forth below:
| AAMG | All-American Medical Group |
|---|---|
| ACO REACH | ACO Realizing Equity, Access, and Community Health |
| AHMC | AHMC Healthcare Inc. |
| AHM | Astrana Health Management, Inc. (f/k/a Network Medical Management Inc.) |
| AIPBP | All-Inclusive Population-Based Payments |
| APAACO | APA ACO, Inc. |
| APC | Allied Physicians of California, a Professional Medical Corporation |
| APC-LSMA | APC-LSMA Designated Shareholder Medical Corporation |
| Astrana Medical | Astrana Health Medical Corporation (f/k/a AP-AMH Medical Corporation) |
| Astrana Care Partners Medical | Astrana Care Partners Medical Corporation (f/k/a AP - AMH 2 Medical Corporation) |
| CAIPA MSO | CAIPA MSO, LLC |
| CMS | Centers for Medicare & Medicaid Services |
| DMHC | California Department of Managed Health Care |
| DMG | Diagnostic Medical Group of Southern California |
| GPDC | Global and Professional Direct Contracting |
| HSMSO | Health Source MSO Inc., a California corporation |
| IPA | Independent Practice Association |
| Jade | Jade Health Care Medical Group, Inc. |
| LMA | LaSalle Medical Associates |
| NGACO | Next Generation Accountable Care Organization |
| PMIOC | Pacific Medical Imaging and Oncology Center, Inc. |
| Sun Labs | Sun Clinical Labs |
| VIE | Variable Interest Entity |
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.