Astrana Health, Inc. Segments Disclosure
The Company determined its operating segments in accordance with ASC 280, “Segment Reporting” (“ASC 280”). Factors used in determining the reportable business segments include the nature of operating activities and the type of information presented to the Company's chief operating decision maker (“CODM”) to evaluate all results of operations and allocate resources. The Company currently has three reportable segments consisting of: 1) Care Partners; 2) Care Delivery; and 3) Care Enablement (See Note 1 — “Description of Business”). The Company integrated the Prospect Acquisition into its three reportable segments.
The Company’s Care Partners segment is focused on building and managing high-quality and high-performance provider networks by partnering with, empowering, and investing in strong provider partners with a shared vision for coordinated care delivery. Revenue for this segment is primarily comprised of capitation and risk pool settlements and incentives. The cost of service for this segment is primarily capitation and claims expenses.
The Company’s Care Delivery segment is a patient-centric, data-driven care delivery organization focused on providing high-quality, accessible care to all patients. Revenue for this segment is primarily earned based on fee-for-service reimbursements, capitation, and performance-based incentives. The cost of service for this segment is primarily medical supply costs and salary expenses for medical staff and clinic employees.
The Company’s Care Enablement segment is an integrated, end-to-end clinical and administrative platform powered by the Company’s proprietary technology suite, which provides operational, clinical, financial, technology, management, and strategic services to enable success in the delivery of high-quality, value-based care for providers and payers. Revenue for this segment is primarily comprised of management and software fees, charged as a percentage of gross revenue or on a per-member-per-month basis. The cost of service for this segment is primarily MSO salary expenses.
The Company's CODM is its . The CODM evaluates the performance of the Company’s operating segments based on segment revenue growth and operating income. The CODM uses revenue growth and total segment operating income as a measure of the performance of operating businesses separate from non-operating factors. The Company’s operations are based in the United States. All revenues of the Company are derived from the United States. The CODM does not evaluate the Company’s segments using asset information. The significant segment expenses that comprise operating income, as a measure used by the CODM to evaluate operating segment performance, do not differ from the operating expenses presented in the consolidated statement of income.
In the normal course of business, the Company’s reportable segments enter into transactions with each other. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues recognized by a segment and expenses incurred by the counterparty are eliminated in consolidation and do not affect consolidated results.
Corporate costs are unallocated and primarily include corporate initiatives, corporate infrastructure costs, and corporate shared costs such as finance, human resources, legal, and executives.
Certain amounts disclosed in prior periods have been recast to conform to the current period presentation. Specifically, depreciation and amortization expense is disclosed separately from general and administrative expenses in the accompanying segment table for the years ended December 31, 2024 and 2023.
Additionally, for the prior periods, certain amounts are presented in a column for Other to represent other affiliates of the Company that primarily consisted of real estate operations, which were spun-off on December 26, 2023, and do not represent a reportable segment. On December 26, 2023, APC completed a restructuring transaction to spin-off its real estate investments, a component of Excluded Assets that was solely for the benefit of the APC shareholders. To effect the restructuring, APC contributed its real estate investments to a wholly owned subsidiary in exchange for 100% of the subsidiary’s membership interest units, which membership interests were then distributed to holders of APC’s outstanding common stock as a dividend, with each such stockholder receiving one membership interest unit for each share of outstanding APC common stock held.
The following table presents information about our segments (in thousands):
|
|
Year Ended December 31, 2025 |
|
|||||||||||||||||||||||||
|
|
Care |
|
|
Care |
|
|
Care |
|
|
Other |
|
|
Intersegment |
|
|
Corporate |
|
|
Consolidated |
|
|||||||
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Third Party |
|
$ |
3,020,728 |
|
|
$ |
128,510 |
|
|
$ |
32,531 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
3,181,769 |
|
Intersegment |
|
|
1,874 |
|
|
|
122,232 |
|
|
|
214,129 |
|
|
|
— |
|
|
|
(338,235 |
) |
|
|
— |
|
|
|
— |
|
Total revenues |
|
|
3,022,602 |
|
|
|
250,742 |
|
|
|
246,660 |
|
|
|
— |
|
|
|
(338,235 |
) |
|
|
— |
|
|
|
3,181,769 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Cost of services |
|
|
2,615,578 |
|
|
|
203,895 |
|
|
|
148,629 |
|
|
|
— |
|
|
|
(127,863 |
) |
|
|
— |
|
|
|
2,840,239 |
|
General and administrative |
|
|
217,656 |
|
|
|
45,004 |
|
|
|
52,130 |
|
|
|
— |
|
|
|
(210,400 |
) |
|
|
112,866 |
|
|
|
217,256 |
|
Depreciation and amortization |
|
|
34,401 |
|
|
|
3,858 |
|
|
|
6,185 |
|
|
|
— |
|
|
|
— |
|
|
|
1,305 |
|
|
|
45,749 |
|
Total expenses |
|
|
2,867,635 |
|
|
|
252,757 |
|
|
|
206,944 |
|
|
|
— |
|
|
|
(338,263 |
) |
|
|
114,171 |
|
|
|
3,103,244 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Income (loss) from operations |
|
$ |
154,967 |
|
|
$ |
(2,015 |
) |
|
$ |
39,716 |
|
|
$ |
— |
|
|
$ |
28 |
|
(1) |
$ |
(114,171 |
) |
|
$ |
78,525 |
|
|
|
Year Ended December 31, 2024 |
|
|||||||||||||||||||||||||
|
|
Care |
|
|
Care |
|
|
Care |
|
|
Other |
|
|
Intersegment |
|
|
Corporate |
|
|
Consolidated |
|
|||||||
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Third Party |
|
$ |
1,949,033 |
|
|
$ |
70,000 |
|
|
$ |
15,507 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
2,034,540 |
|
Intersegment |
|
|
— |
|
|
|
66,668 |
|
|
|
139,941 |
|
|
|
— |
|
|
|
(206,609 |
) |
|
|
— |
|
|
|
— |
|
Total revenues |
|
|
1,949,033 |
|
|
|
136,668 |
|
|
|
155,448 |
|
|
|
— |
|
|
|
(206,609 |
) |
|
|
— |
|
|
|
2,034,540 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Cost of services |
|
|
1,633,021 |
|
|
|
109,672 |
|
|
|
83,720 |
|
|
|
— |
|
|
|
(63,261 |
) |
|
|
— |
|
|
|
1,763,152 |
|
General and administrative |
|
|
151,250 |
|
|
|
24,850 |
|
|
|
51,101 |
|
|
|
— |
|
|
|
(143,433 |
) |
|
|
70,343 |
|
|
|
154,111 |
|
Depreciation and amortization |
|
|
23,524 |
|
|
|
2,043 |
|
|
|
2,360 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
27,927 |
|
Total expenses |
|
|
1,807,795 |
|
|
|
136,565 |
|
|
|
137,181 |
|
|
|
— |
|
|
|
(206,694 |
) |
|
|
70,343 |
|
|
|
1,945,190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Income (loss) from operations |
|
$ |
141,238 |
|
|
$ |
103 |
|
|
$ |
18,267 |
|
|
$ |
— |
|
|
$ |
85 |
|
(1) |
$ |
(70,343 |
) |
|
$ |
89,350 |
|
|
|
Year Ended December 31, 2023 |
|
|||||||||||||||||||||||||
|
|
Care |
|
|
Care |
|
|
Care |
|
|
Other |
|
|
Intersegment |
|
|
Corporate |
|
|
Consolidated |
|
|||||||
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Third Party |
|
$ |
1,284,081 |
|
|
$ |
61,600 |
|
|
$ |
40,227 |
|
|
$ |
753 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
1,386,661 |
|
Intersegment |
|
|
— |
|
|
|
56,343 |
|
|
|
95,597 |
|
|
|
184 |
|
|
|
(152,124 |
) |
|
|
— |
|
|
|
— |
|
Total revenues |
|
|
1,284,081 |
|
|
|
117,943 |
|
|
|
135,824 |
|
|
|
937 |
|
|
|
(152,124 |
) |
|
|
— |
|
|
|
1,386,661 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Cost of services |
|
|
1,075,631 |
|
|
|
90,570 |
|
|
|
59,075 |
|
|
|
296 |
|
|
|
(53,869 |
) |
|
|
— |
|
|
|
1,171,703 |
|
General and administrative |
|
|
105,829 |
|
|
|
19,139 |
|
|
|
54,516 |
|
|
|
2,421 |
|
|
|
(102,479 |
) |
|
|
33,171 |
|
|
|
112,597 |
|
Depreciation and amortization |
|
|
10,900 |
|
|
|
2,361 |
|
|
|
3,156 |
|
|
|
1,331 |
|
|
|
— |
|
|
|
— |
|
|
|
17,748 |
|
Total expenses |
|
|
1,192,360 |
|
|
|
112,070 |
|
|
|
116,747 |
|
|
|
4,048 |
|
|
|
(156,348 |
) |
|
|
33,171 |
|
|
|
1,302,048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Income (loss) from operations |
|
$ |
91,721 |
|
|
$ |
5,873 |
|
|
$ |
19,077 |
|
|
$ |
(3,111 |
) |
|
$ |
4,224 |
|
(1) |
$ |
(33,171 |
) |
|
$ |
84,613 |
|
Historical Timeline
| Fiscal Year | Filed | |
|---|---|---|
| 2025 | Mar 12, 2026 | Showing above |
| 2024 | Mar 14, 2025 | |
| 2023 | Feb 29, 2024 | |
About Segments Disclosures
Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.
Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.