Astrana Health, Inc. Reports Fourth Quarter and Year-End 2024 Results
Astrana Health (NASDAQ: ASTH) reported its Q4 and full-year 2024 financial results, demonstrating significant growth. For FY2024, total revenue reached $2,034.5 million, up 47% year-over-year, with Care Partners revenue increasing 52% to $1,949.0 million. However, net income decreased to $43.1 million from $60.7 million in 2023.
Q4 2024 showed mixed results with total revenue up 88% to $665.2 million, but recorded a net loss of $7.0 million compared to income of $12.4 million in Q4 2023. The company secured a new credit agreement with Truist Bank, providing access to $300 million revolving credit, $250 million term loan, and $745 million delayed draw term loan facilities.
Recent highlights include a new Care Enablement partnership with Provider HealthLink in Georgia, expected to serve 10,000 Medicare Advantage members. Additionally, eight Astrana affiliates achieved Elite status in APG's 2024 Standards of Excellence survey.
Astrana Health (NASDAQ: ASTH) ha riportato i risultati finanziari del quarto trimestre e dell'intero anno 2024, dimostrando una crescita significativa. Per l'anno fiscale 2024, il fatturato totale ha raggiunto 2.034,5 milioni di dollari, con un aumento del 47% rispetto all'anno precedente, mentre il fatturato dei Care Partners è aumentato del 52% a 1.949,0 milioni di dollari. Tuttavia, l'utile netto è diminuito a 43,1 milioni di dollari rispetto ai 60,7 milioni di dollari del 2023.
Il quarto trimestre del 2024 ha mostrato risultati misti, con un fatturato totale aumentato dell'88% a 665,2 milioni di dollari, ma ha registrato una perdita netta di 7,0 milioni di dollari rispetto a un utile di 12,4 milioni di dollari nel quarto trimestre del 2023. L'azienda ha ottenuto un nuovo accordo di credito con Truist Bank, che offre accesso a 300 milioni di dollari di credito rotativo, 250 milioni di dollari di prestito a termine e 745 milioni di dollari di prestiti a termine con prelievo posticipato.
I recenti punti salienti includono una nuova partnership per il Care Enablement con Provider HealthLink in Georgia, prevista per servire 10.000 membri di Medicare Advantage. Inoltre, otto affiliati di Astrana hanno raggiunto lo status Elite nel sondaggio 2024 sugli Standard di Eccellenza di APG.
Astrana Health (NASDAQ: ASTH) informó sus resultados financieros del cuarto trimestre y del año completo 2024, demostrando un crecimiento significativo. Para el año fiscal 2024, los ingresos totales alcanzaron $2,034.5 millones, un aumento del 47% en comparación con el año anterior, y los ingresos de Care Partners aumentaron un 52% a $1,949.0 millones. Sin embargo, el ingreso neto disminuyó a $43.1 millones desde $60.7 millones en 2023.
El cuarto trimestre de 2024 mostró resultados mixtos, con un aumento del 88% en los ingresos totales a $665.2 millones, pero registró una pérdida neta de $7.0 millones en comparación con un ingreso de $12.4 millones en el cuarto trimestre de 2023. La empresa aseguró un nuevo acuerdo de crédito con Truist Bank, proporcionando acceso a $300 millones en crédito rotativo, $250 millones en préstamo a plazo y $745 millones en préstamos a plazo con retiro diferido.
Los aspectos destacados recientes incluyen una nueva asociación de Care Enablement con Provider HealthLink en Georgia, que se espera sirva a 10,000 miembros de Medicare Advantage. Además, ocho afiliados de Astrana lograron el estatus Elite en la encuesta de Estándares de Excelencia 2024 de APG.
Astrana Health (NASDAQ: ASTH)는 2024년 4분기 및 연간 재무 결과를 발표하며 상당한 성장을 보여주었습니다. 2024 회계연도 동안 총 수익은 $2,034.5 백만에 달하며, 이는 전년 대비 47% 증가한 수치입니다. Care Partners의 수익은 52% 증가하여 $1,949.0 백만에 이르렀습니다. 그러나 순이익은 2023년 $60.7 백만에서 $43.1 백만으로 감소했습니다.
2024년 4분기에는 총 수익이 88% 증가하여 $665.2 백만에 이르렀지만, 2023년 4분기의 $12.4 백만의 수익과 비교해 $7.0 백만의 순손실을 기록했습니다. 회사는 Truist Bank와 새로운 신용 계약을 체결하여 $300 백만의 회전 신용, $250 백만의 기간 대출, $745 백만의 지연 인출 기간 대출을 제공받았습니다.
최근 하이라이트로는 조지아의 Provider HealthLink와의 새로운 Care Enablement 파트너십이 있으며, 이는 10,000명의 Medicare Advantage 회원에게 서비스를 제공할 것으로 예상됩니다. 또한, 8개의 Astrana 계열사가 APG의 2024년 우수성 기준 조사에서 Elite 등급을 달성했습니다.
Astrana Health (NASDAQ: ASTH) a publié ses résultats financiers du quatrième trimestre et de l'année entière 2024, montrant une croissance significative. Pour l'exercice 2024, le chiffre d'affaires total a atteint 2 034,5 millions de dollars, en hausse de 47 % par rapport à l'année précédente, avec des revenus des Care Partners augmentant de 52 % pour atteindre 1 949,0 millions de dollars. Cependant, le résultat net a diminué à 43,1 millions de dollars contre 60,7 millions de dollars en 2023.
Le quatrième trimestre 2024 a montré des résultats mitigés avec un chiffre d'affaires total en hausse de 88 % à 665,2 millions de dollars, mais a enregistré une perte nette de 7,0 millions de dollars par rapport à un bénéfice de 12,4 millions de dollars au quatrième trimestre 2023. L'entreprise a sécurisé un nouvel accord de crédit avec Truist Bank, fournissant un accès à 300 millions de dollars de crédit renouvelable, 250 millions de dollars de prêt à terme et 745 millions de dollars de prêts à terme avec tirage différé.
Les points forts récents incluent un nouveau partenariat en matière de Care Enablement avec Provider HealthLink en Géorgie, prévu pour servir 10 000 membres de Medicare Advantage. De plus, huit affiliés d'Astrana ont atteint le statut Elite dans l'enquête sur les Normes d'Excellence 2024 d'APG.
Astrana Health (NASDAQ: ASTH) hat seine finanziellen Ergebnisse für das vierte Quartal und das gesamte Jahr 2024 veröffentlicht und ein signifikantes Wachstum gezeigt. Für das Geschäftsjahr 2024 erreichten die Gesamteinnahmen 2.034,5 Millionen Dollar, was einem Anstieg von 47% im Vergleich zum Vorjahr entspricht, während die Einnahmen der Care Partners um 52% auf 1.949,0 Millionen Dollar stiegen. Der Nettogewinn sank jedoch auf 43,1 Millionen Dollar von 60,7 Millionen Dollar im Jahr 2023.
Das vierte Quartal 2024 zeigte gemischte Ergebnisse mit einem Anstieg der Gesamteinnahmen um 88% auf 665,2 Millionen Dollar, jedoch wurde ein Nettoverlust von 7,0 Millionen Dollar im Vergleich zu einem Gewinn von 12,4 Millionen Dollar im vierten Quartal 2023 verzeichnet. Das Unternehmen sicherte sich eine neue Kreditvereinbarung mit der Truist Bank, die den Zugang zu 300 Millionen Dollar revolvierendem Kredit, 250 Millionen Dollar Terminkredit und 745 Millionen Dollar verzögertem Terminkredit ermöglicht.
Zu den aktuellen Höhepunkten gehört eine neue Partnerschaft im Bereich Care Enablement mit Provider HealthLink in Georgia, die voraussichtlich 10.000 Medicare Advantage-Mitglieder bedienen wird. Darüber hinaus erreichten acht Astrana-Partner den Elite-Status in der APG-Umfrage zu den Standards der Exzellenz 2024.
- 47% YoY revenue growth to $2.03B in 2024
- 88% revenue growth in Q4 2024
- Secured $1.295B in new credit facilities
- 73% of capitated revenue from full-risk arrangements
- Eight affiliates achieved Elite status in APG survey
- Net income declined from $60.7M to $43.1M in 2024
- Q4 2024 net loss of $7.0M vs $12.4M profit in Q4 2023
- EPS decreased from $1.29 to $0.90 in 2024
Insights
Astrana Health's Q4 and FY 2024 results reveal a company prioritizing aggressive expansion while managing the short-term financial impacts of integration. Total revenue surged 47% to
The company's strategic pivot toward value-based care is evident with 73% of capitated revenue now coming from full-risk arrangements. This represents a significant bet on Astrana's ability to manage population health effectively while controlling costs – a model that typically requires upfront investment before delivering margin improvements.
Astrana's newly expanded credit facilities are particularly noteworthy, with the company securing
The company's geographic expansion continues with the new Provider HealthLink partnership in Georgia, adding approximately 10,000 Medicare Advantage members to their care enablement platform. This expansion, combined with the eight affiliates achieving Elite five-star status in the APG Standards of Excellence survey, validates their care delivery model's quality even amid rapid growth.
Astrana's 2025 guidance explicitly accounts for
Company to Host Conference Call on Thursday, February 27, 2025, at 2:30 p.m. PT/5:30 p.m. ET
"Astrana Health's strong performance in 2024 highlights the strength of our patient-centered, payer-agnostic platform and our unwavering commitment to delivering high-quality, accessible care. Our significant growth and geographic expansion, alongside robust financial performance, are a direct result of our disciplined execution across the four pillars of the Astrana playbook, " said President and CEO of Astrana, Brandon K. Sim.
"Looking ahead, we remain focused on growing membership sustainably, further improving quality of care for our membership while responsibly managing costs, growing the
Financial Highlights for Year Ended December 31, 2024:
All comparisons are to the year ended December 31, 2023 unless otherwise stated.
- Total revenue of
, up$2,034.5 million 47% from$1,386.7 million - Care Partners revenue of
, up$1,949.0 million 52% from$1,284.1 million - Net income attributable to Astrana of
, compared to$43.1 million $60.7 million - Earnings per share - diluted ("EPS - diluted") of
, compared to$0.90 per share$1.29 - Adjusted EBITDA(1) of
, up$170.4 million 16% from$146.6 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.
Financial Highlights for the Fourth Quarter 2024:
All comparisons are to the quarter ended December 31, 2023 unless otherwise stated.
- Total revenue of
, up$665.2 million 88% from$353.0 million - Care Partners revenue of
, up$647.7 million 98% from$326.8 million - Net loss attributable to Astrana of
, compared to income of$7.0 million $12.4 million - (Loss) earnings per share - basic and diluted ("EPS - basic and diluted") of
, compared to$(0.15) per share$0.26 - Adjusted EBITDA(1) of
, up$35.0 million 21% from$29.0 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
- In late 2024, Astrana began a Care Enablement partnership with Provider HealthLink, or PHL, a provider network in
Georgia . Astrana plans to support PHL in serving approximately 10,000 Medicare Advantage members, and the group is expected to be onboarded onto Astrana's Care Enablement platform in the first half of 2025. - On February 26, 2025, the Company amended its credit agreement with Truist Bank, in its capacities as administrative agent for the lenders (the "Second Amended and Restated Credit Agreement"). The Second Amended and Restated Credit Agreement provides for (a) a five-year revolving credit facility to the Company of
which includes a letter of credit sub-facility of up to$300.0 million and a swingline loan sub-facility of$100.0 million , (b) a five-year term loan A credit facility to the Company of$25.0 million and (c) a five-year delayed draw term loan credit facility to the Company of$250.0 million . The term loan A and revolving credit facilities will be used to, among other things, refinance certain existing indebtedness of the Company and certain subsidiaries, pay transactions costs and expenses arising in connection with the Second Amended and Restated Credit Agreement, and provide for working capital needs and other general corporate purposes, and, in addition to the foregoing, the revolving credit facility will also be used to finance certain future permitted acquisitions and permitted investments and capital expenditures. The delayed draw term loan facility will be used to finance the acquisition of certain assets contemplated by that certain asset and equity purchase agreement, dated November 8, 2024, by and among the Company, Prospect Medical Holdings, Inc., in its capacity as the seller representative, and certain other parties party thereto, and to pay any fees and expenses associated therewith.$745.0 million - Eight of Astrana's affiliates have been recognized as Elite status recipients in the 2024 Standards of Excellence ("SOE") survey by America's Physician Groups ("APG"), attaining the highest Elite five-star status in all categories. This annual comprehensive survey is administered by APG to evaluate which physician groups are best positioned to provide coordinated, patient-centered, and cost-effective care.
- On January 17, 2025, the Company repurchased 300,000 shares of the Company's common stock from Allied Physicians of
California ("APC"), pursuant to a stock repurchase agreement, for an aggregate purchase price of approximately , based on a purchase price per share of$10.6 million , which was the closing price of the Company's common stock on Nasdaq on the date the agreement was executed. APC is a consolidated affiliate of the Company.$35.17
Segment Results for the Year Ended December 31, 2024:
All comparisons are to the year ended December 31, 2023 unless otherwise stated.
Year Ended December 31, 2024 | ||||||||||||||||||||||||||||
(in thousands) | Care | Care | Care | Other | Intersegment | Corporate | Consolidated | |||||||||||||||||||||
Total revenues | $ | 1,949,033 | $ | 136,668 | $ | 155,448 | $ | — | $ | (206,609) | $ | — | $ | 2,034,540 | ||||||||||||||
% change vs. prior year | 52 | % | 16 | % | 14 | % | ||||||||||||||||||||||
Cost of services | 1,633,021 | 109,672 | 83,720 | — | (63,261) | — | 1,763,152 | |||||||||||||||||||||
General and administrative(1) | 174,774 | 26,893 | 53,461 | — | (143,433) | 70,343 | 182,038 | |||||||||||||||||||||
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 | (2) | $ | (70,343) | $ | 89,350 | |||||||||||||
% change vs. prior year | 54 | % | (98) | % | (4) | % |
(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, based on the Company's existing business, current view of existing market conditions and assumptions for the year ending December 31, 2025. The following guidance includes approximately
2025 Guidance Range | ||||||||
($ in millions) | Low | High | ||||||
Total revenue | $ | 2,500 | $ | 2,700 | ||||
Adjusted EBITDA | $ | 170 | $ | 190 |
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 (February 27, 2025), during which management will discuss the results of the fourth quarter and year ended December 31, 2024. To participate in the conference call, please use the following dial-in numbers about 5 minutes prior to the scheduled conference call time:
+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=VvYSvHe6
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
Note About Stockholders' Equity, Certain Treasury Stock and Earnings Per Share
As of the date of this press release, 41,048 holdback shares have not been issued to certain former shareholders of the Company's subsidiary, Astrana Health Management, Inc. ("AHM"), formerly known as Network Medical Management, Inc., who were AHM shareholders at the time of closing of the merger, as they have yet to submit properly completed letters of transmittal to Astrana in order to receive their pro rata portion of Astrana's common stock and warrants as contemplated under that certain Agreement and Plan of Merger, dated December 21, 2016, among Astrana, AHM, Apollo Acquisition Corp. ("Merger Subsidiary") and Kenneth Sim, M.D., as amended, pursuant to which Merger Subsidiary merged with and into AHM, with AHM as the surviving corporation. Pending such receipt, such former AHM shareholders have the right to receive, without interest, their pro rata share of dividends or distributions with a record date after the effectiveness of the merger. The Company's consolidated financial statements have treated such shares of common stock as outstanding, given the receipt of the letter of transmittal is considered perfunctory and Astrana is legally obligated to issue these shares in connection with the merger.
Shares of Astrana's common stock owned by Allied Physicians of
About Astrana Health, Inc.
Astrana Health, Inc. ("Astrana") is a leading physician-centric, technology-powered, risk-bearing healthcare management company. Leveraging its proprietary population health management and healthcare delivery platform, Astrana operates an integrated, value-based healthcare model, which aims to empower the providers in its network to deliver the highest quality of care to its patients in a cost-effective manner. Together with our affiliated physician groups and consolidated entities, we provide coordinated outcomes-based medical care in a cost-effective manner.
Headquartered in
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 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, and successful 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 last Annual Report on Form 10-K and any subsequent quarterly reports on Form 10-Q filed with the SEC. Any forward-looking statement 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:
Investor Relations
(626) 943-6491
Asher Dewhurst, ICR Westwicke
investors@astranahealth.com
ASTRANA HEALTH, INC. | ||||||||
CONDENSED CONSOLIDATED BALANCE SHEETS | ||||||||
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA) | ||||||||
December 31, | December 31, | |||||||
(Unaudited) | ||||||||
Assets | ||||||||
Current assets | ||||||||
Cash and cash equivalents | $ | 288,455 | $ | 293,807 | ||||
Investment in marketable securities | 2,378 | 2,498 | ||||||
Receivables, net | 226,739 | 76,780 | ||||||
Receivables, net – related parties | 50,257 | 58,980 | ||||||
Income taxes receivable | 19,316 | 10,657 | ||||||
Other receivables | 3,656 | 1,335 | ||||||
Prepaid expenses and other current assets | 22,861 | 17,450 | ||||||
Total current assets | 613,662 | 461,507 | ||||||
Non-current assets | ||||||||
Property and equipment, net | 14,274 | 7,171 | ||||||
Intangible assets, net | 126,179 | 71,648 | ||||||
Goodwill | 437,651 | 278,831 | ||||||
Income taxes receivable | 15,943 | 15,943 | ||||||
Loans receivable, non-current | 51,266 | 26,473 | ||||||
Investments in other entities – equity method | 39,319 | 25,774 | ||||||
Investments in privately held entities | 8,896 | 6,396 | ||||||
Restricted cash | 646 | 345 | ||||||
Operating lease right-of-use assets | 32,601 | 37,396 | ||||||
Other assets | 16,021 | 1,877 | ||||||
Total non-current assets | 742,796 | 471,854 | ||||||
Total assets(1) | $ | 1,356,458 | $ | 933,361 | ||||
Liabilities, Mezzanine Deficit, and Stockholders' Equity | ||||||||
Current liabilities | ||||||||
Accounts payable and accrued expenses | $ | 114,650 | $ | 59,949 | ||||
Fiduciary accounts payable | 8,223 | 7,737 | ||||||
Medical liabilities | 209,039 | 106,657 | ||||||
Dividend payable | 638 | 638 | ||||||
Finance lease liabilities | 554 | 646 | ||||||
Operating lease liabilities | 5,350 | 4,607 | ||||||
Current portion of long-term debt | 9,375 | 19,500 | ||||||
Other liabilities | 19,343 | 18,940 | ||||||
Total current liabilities | 367,172 | 218,674 | ||||||
Non-current liabilities | ||||||||
Deferred tax liability | 4,555 | 4,072 | ||||||
Finance lease liabilities, net of current portion | 607 | 1,033 | ||||||
Operating lease liabilities, net of current portion | 30,654 | 36,289 | ||||||
Long-term debt, net of current portion and deferred financing costs | 425,299 | 258,939 | ||||||
Other long-term liabilities | 14,003 | 3,586 | ||||||
Total non-current liabilities | 475,118 | 303,919 | ||||||
Total liabilities(1) | 842,290 | 522,593 | ||||||
Commitments and contingencies | ||||||||
Mezzanine deficit | ||||||||
Non-controlling interest in Allied Physicians of | (202,558) | (205,883) | ||||||
Stockholders' equity | ||||||||
Preferred stock, | ||||||||
Series A Preferred stock, zero authorized and issued and zero outstanding as of | — | — | ||||||
Series B Preferred stock, zero authorized and issued and zero outstanding as of | — | — | ||||||
Common stock, | 48 | 47 | ||||||
Additional paid-in capital | 426,389 | 371,037 | ||||||
Retained earnings | 286,283 | 243,134 | ||||||
Total stockholders' equity | 712,720 | 614,218 | ||||||
Non-controlling interest | 4,006 | 2,433 | ||||||
Total equity | 716,726 | 616,651 | ||||||
Total liabilities, mezzanine deficit, and stockholders' equity | $ | 1,356,458 | $ | 933,361 |
(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 |
ASTRANA HEALTH, INC. | ||||||||||||||||
CONSOLIDATED STATEMENTS OF INCOME | ||||||||||||||||
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) | ||||||||||||||||
(UNAUDITED) | ||||||||||||||||
Three Months Ended | Year Ended | |||||||||||||||
2024 | 2023 | 2024 | 2023 | |||||||||||||
Revenue | ||||||||||||||||
Capitation, net | $ | 616,900 | $ | 309,184 | $ | 1,856,785 | $ | 1,215,614 | ||||||||
Risk pool settlements and incentives | 28,660 | 14,863 | 86,224 | 63,468 | ||||||||||||
Management fee income | 5,550 | 6,390 | 13,979 | 38,677 | ||||||||||||
Fee-for-service, net | 7,743 | 18,442 | 62,331 | 59,658 | ||||||||||||
Other revenue | 6,356 | 4,157 | 15,221 | 9,244 | ||||||||||||
Total revenue | 665,209 | 353,036 | 2,034,540 | 1,386,661 | ||||||||||||
Operating expenses | ||||||||||||||||
Cost of services, excluding depreciation and amortization | 614,730 | 314,055 | 1,763,152 | 1,171,703 | ||||||||||||
General and administrative expenses | 41,633 | 37,949 | 154,111 | 112,597 | ||||||||||||
Depreciation and amortization | 8,126 | 4,902 | 27,927 | 17,748 | ||||||||||||
Total expenses | 664,489 | 356,906 | 1,945,190 | 1,302,048 | ||||||||||||
Income from operations | 720 | (3,870) | 89,350 | 84,613 | ||||||||||||
Other income (expense) | ||||||||||||||||
Income from equity method investments | 1,564 | 2,475 | 4,451 | 5,579 | ||||||||||||
Interest expense | (8,069) | (5,422) | (33,097) | (16,102) | ||||||||||||
Interest income | 3,221 | 4,591 | 14,508 | 14,208 | ||||||||||||
Unrealized gain (loss) on investments | 316 | 1,294 | 731 | (4,581) | ||||||||||||
Other income | 353 | 1,856 | 4,875 | 6,121 | ||||||||||||
Total other (expense) income, net | (2,615) | 4,794 | (8,532) | 5,225 | ||||||||||||
(Loss) income before provision for income taxes | (1,895) | 924 | 80,818 | 89,838 | ||||||||||||
Provision for income taxes | 5,882 | 1,018 | 30,886 | 31,989 | ||||||||||||
Net (loss) income | (7,777) | (94) | 49,932 | 57,849 | ||||||||||||
Net (loss) income attributable to noncontrolling interests | (826) | (12,450) | 6,783 | (2,868) | ||||||||||||
Net (loss) income attributable to Astrana Health, Inc. | $ | (6,951) | $ | 12,356 | $ | 43,149 | $ | 60,717 | ||||||||
(Loss) earnings per share – basic | $ | (0.15) | $ | 0.26 | $ | 0.91 | $ | 1.30 | ||||||||
(Loss) earnings per share – diluted | $ | (0.15) | $ | 0.26 | $ | 0.90 | $ | 1.29 |
EBITDA
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 months and years ended December 31, 2024 and 2023. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.
Three Months Ended | Year Ended | ||||||||||||||||
(in thousands) | 2024 | 2023 | 2024 | 2023 | |||||||||||||
Net (loss) income | $ | (7,777) | $ | (94) | $ | 49,932 | $ | 57,849 | |||||||||
Interest expense | 8,069 | 5,422 | 33,097 | 16,102 | |||||||||||||
Interest income | (3,221) | (4,591) | (14,508) | (14,208) | |||||||||||||
Provision for income taxes | 5,882 | 1,018 | 30,886 | 31,989 | |||||||||||||
Depreciation and amortization | 8,126 | 4,902 | 27,927 | 17,748 | |||||||||||||
EBITDA | $ | 11,079 | $ | 6,657 | $ | 127,334 | $ | 109,480 | |||||||||
Income from equity method | (1,564) | (1,989) | (4,451) | (5,149) | |||||||||||||
Other, net | 10,288 | (4) | 4,721 | (5) | 12,951 | (2) | 6,228 | (3) | |||||||||
Stock-based compensation | 15,235 | 8,676 | 34,536 | 22,040 | |||||||||||||
APC excluded assets costs | — | 10,949 | — | 13,988 | |||||||||||||
Adjusted EBITDA | $ | 35,038 | $ | 29,014 | $ | 170,370 | $ | 146,587 | |||||||||
Total Revenue | $ | 665,209 | $ | 353,036 | $ | 2,034,540 | $ | 1,386,661 | |||||||||
Adjusted EBITDA margin(1) | 5 | % | 8 | % | 8 | % | 11 | % |
(1) | The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue. |
(2) | Other, net for the year ended December 31, 2024 relates to transaction costs incurred for our investments and tax restructuring fees, anticipated recoveries from one time losses relating to third party payer payments associated with the Collaborative Health Systems, LLC ("CHS") transaction, financial guarantee via a letter of credit that we provided almost three years ago in support of two local provider-led ACOs, reimbursement from a related party of the Company for taxes associated with the December 2023 Excluded Assets Spin-off, non-cash gain on debt extinguishment related to one of our promissory note payables, non-cash realized loss from sale of one of our marketable equity securities, non-cash changes related to change in the fair value of our call option, change in the fair value of our financing obligation to purchase the remaining equity interests in one of our investments, changes in the fair value of our contingent liabilities, and changes in the fair value of the Company's Collar Agreement. |
(3) | Other, net for the year ended December 31, 2023 consists of nonrecurring transaction costs and tax restructuring fees incurred, non-cash gains and losses related to the changes in the fair value of our financing obligation to purchase the remaining equity interests, contingent liabilities, and the Company's Collar Agreement relating to interest on the Revolver Loan, and excise tax related to a nonrecurring buyback of the Company's stock from APC. |
(4) | Other, net for the three months ended December 31, 2024 relates to transaction costs incurred for our investments, to anticipated recoveries from one time losses relating to third party payer payments associated with the CHS transaction, and non-cash change in the fair value of our call option. |
(5) | Other, net for the three months and year ended December 31, 2023 consists of nonrecurring transaction costs and tax restructuring fees incurred, non-cash gains and losses related to the changes in the fair value of our financing obligation to purchase the remaining equity interests, contingent liabilities, and the Company's Collar Agreement, and excise tax related to a nonrecurring buyback of the Company's stock from APC. |
Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA | ||||||||
2025 Guidance Range | ||||||||
(in thousands) | Low | High | ||||||
Net income | $ | 62,500 | $ | 73,500 | ||||
Interest expense, net | 16,000 | 19,000 | ||||||
Provision for income taxes | 34,000 | 40,000 | ||||||
Depreciation and amortization | 32,500 | 32,500 | ||||||
EBITDA | 145,000 | 165,000 | ||||||
Income from equity method investments | (5,500) | (5,500) | ||||||
Other, net | 9,500 | 9,500 | ||||||
Stock-based compensation | 21,000 | 21,000 | ||||||
Adjusted EBITDA | $ | 170,000 | $ | 190,000 |
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
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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