Variable Interest Entities (VIEs) (Tables)

12 Months Ended

Dec. 31, 2023

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 the investment in a privately held entity that does not report net asset value per share and amounts due to, or from, affiliates, which are eliminated upon consolidation, are included in the accompanying consolidated balance sheets (in thousands).



	December 31,
	2023		2022

Assets

Current assets
Cash and cash equivalents	$	184,078	$	113,080

Investment in marketable securities	—		4,543
Receivables, net	21,120		14,562
Receivables, net – related party	58,707		62,420
Income taxes receivable	1,600		8,702
Other receivables	454		1,283
Prepaid expenses and other current assets	9,991		9,938
Loans receivable	—		516
Loans receivable — related parties	—		2,125
Amounts due from affiliates*	—		11,609

Total current assets	275,950		228,778

Non-current assets
Land, property and equipment, net	5,306		106,626
Intangible assets, net	60,906		62,951
Goodwill	140,157		133,448
Income taxes receivable, non-current	15,943		15,943

Investments in other entities – equity method	12,114		27,561
Investment in a privately held entity	405		405
Investment in affiliates*	273,182		304,755
Restricted cash	40		—
Operating lease right-of-use assets	28,796		11,408
Other assets	1,149		4,320

Total non-current assets	537,998		667,417

Total assets	$	813,948	$	896,195

Current liabilities
Accounts payable and accrued expenses	$	32,707	$	27,360
Fiduciary accounts payable	7,737		8,065
Medical liabilities	55,157		55,052
Dividend payable	638		638
Finance lease liabilities	646		594
Operating lease liabilities	3,305		2,198
Current portion of long-term debt	8,542		619
Amount due to affiliates*	107,340		—

Total current liabilities	216,072		94,526

Non-current liabilities
Deferred tax liability	7,284		6,540
Finance lease liabilities, net of current portion	1,033		1,275


Operating lease liabilities, net of current portion	28,675		12,035
Long-term debt, net of current portion	—		26,645
Other long-term liabilities	230		8,542

Total non-current liabilities	37,222		55,037

Total liabilities	$	253,294	$	149,563

* Investment in affiliates represents APC’s 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, 2023 and 2022.

- Definition

Tabular disclosure of the significant judgments and assumptions made in determining whether a variable interest (as defined) held by the entity requires the variable interest entity (VIE) (as defined) to be consolidated and (or) disclose information about its involvement with the VIE, individually or in aggregate (as applicable); the nature of restrictions, if any, on the consolidated VIE's assets and on the settlement of its liabilities reported by an entity in its statement of financial position, including the carrying amounts of such assets and liabilities; the nature of, and changes in, the risks associated with involvement in the VIE; how involvement with the VIE affects the entity's financial position, financial performance, and cash flows; the lack of recourse if creditors (or beneficial interest holders) of the consolidated VIE have no recourse to the general credit of the primary beneficiary (if applicable); the terms of arrangements, giving consideration to both explicit arrangements and implicit variable interests, if any, that could require the entity to provide financial support to the VIE, including events or circumstances that could expose the entity to a loss; the methodology used by the entity for determining whether or not it is the primary beneficiary of the variable interest entity; the significant factors considered and judgments made in determining that the power to direct the activities of a VIE that most significantly impact the VIE's economic performance are shared (as defined); the carrying amounts and classification of assets and liabilities of the VIE included in the statement of financial position; the entity's maximum exposure to loss, if any, as a result of its involvement with the VIE, including how the maximum exposure is determined and significant sources of the entity's exposure to the VIE; a comparison of the carrying amounts of the assets and liabilities and the entity's maximum exposure to loss; information about any liquidity arrangements, guarantees, and (or) other commitments by third parties that may affect the fair value or risk of the entity's variable interest in the VIE; whether or not the entity has provided financial support or other support (explicitly or implicitly) to the VIE that it was not previously contractually required to provide or whether the entity intends to provide that support, including the type and amount of the support and the primary reasons for providing the support; and supplemental information the entity determines necessary to provide.

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