Astrana Health, Inc. Reports First Quarter 2025 Results
Astrana Health (NASDAQ: ASTH) reported strong Q1 2025 financial results, with total revenue reaching $620.4 million, up 53% year-over-year. Care Partners revenue increased 57% to $601.0 million. However, net income decreased to $6.7 million from $14.8 million, with diluted EPS of $0.14 compared to $0.31 in Q1 2024.
The company announced key leadership additions, including Georgie Sam as Chief Data & Analytics Officer and Glenn Sobotka as Chief Accounting Officer. Astrana successfully integrated Collaborative Health Systems and received HSR approval for its pending Prospect Health acquisition. For Q2 2025, the company expects revenue between $615-655 million and adjusted EBITDA of $45-50 million. Full-year 2025 guidance projects revenue of $2.5-2.7 billion and adjusted EBITDA of $170-190 million.
Astrana Health (NASDAQ: ASTH) ha riportato solidi risultati finanziari per il primo trimestre del 2025, con un fatturato totale di 620,4 milioni di dollari, in crescita del 53% rispetto all'anno precedente. I ricavi di Care Partners sono aumentati del 57%, raggiungendo 601,0 milioni di dollari. Tuttavia, l'utile netto 猫 diminuito a 6,7 milioni di dollari rispetto ai 14,8 milioni del primo trimestre 2024, con un utile diluito per azione (EPS) di 0,14 dollari rispetto a 0,31 dollari nello stesso periodo dell'anno precedente.
L'azienda ha annunciato importanti nomine nel management, tra cui Georgie Sam come Chief Data & Analytics Officer e Glenn Sobotka come Chief Accounting Officer. Astrana ha completato con successo l'integrazione di Collaborative Health Systems e ha ottenuto l'approvazione HSR per l'acquisizione in corso di Prospect Health. Per il secondo trimestre del 2025, la societ脿 prevede un fatturato compreso tra 615 e 655 milioni di dollari e un EBITDA rettificato tra 45 e 50 milioni di dollari. Le previsioni per l'intero anno 2025 indicano un fatturato tra 2,5 e 2,7 miliardi di dollari e un EBITDA rettificato tra 170 e 190 milioni di dollari.
Astrana Health (NASDAQ: ASTH) report贸 s贸lidos resultados financieros en el primer trimestre de 2025, con ingresos totales que alcanzaron los 620,4 millones de d贸lares, un aumento del 53% interanual. Los ingresos de Care Partners aumentaron un 57%, llegando a 601,0 millones de d贸lares. Sin embargo, la utilidad neta disminuy贸 a 6,7 millones de d贸lares desde 14,8 millones, con una ganancia diluida por acci贸n (EPS) de 0,14 d贸lares frente a 0,31 d贸lares en el primer trimestre de 2024.
La compa帽铆a anunci贸 incorporaciones clave en su liderazgo, incluyendo a Georgie Sam como Chief Data & Analytics Officer y a Glenn Sobotka como Chief Accounting Officer. Astrana integr贸 exitosamente Collaborative Health Systems y recibi贸 la aprobaci贸n HSR para su adquisici贸n pendiente de Prospect Health. Para el segundo trimestre de 2025, la empresa espera ingresos entre 615 y 655 millones de d贸lares y un EBITDA ajustado de 45 a 50 millones de d贸lares. La gu铆a para todo el a帽o 2025 proyecta ingresos de 2,5 a 2,7 mil millones de d贸lares y un EBITDA ajustado de 170 a 190 millones de d贸lares.
Astrana Health (NASDAQ: ASTH)電� 2025雲� 1攵勱赴 臧曤牓頃� 鞛 鞁れ爜鞚� 氚滍憸頄堨溂氅�, 齑� 毵れ稖鞚 6鞏� 2040毵� 雼煬搿� 鞝勲厔 霃欔赴 雽牍� 53% 歃濌皜頄堨姷雼堧嫟. Care Partners 毵れ稖鞚 57% 歃濌皜頃� 6鞏� 100毵� 雼煬毳� 旮半頄堨姷雼堧嫟. 攴鸽煬雮� 靾滌澊鞚奠潃 1,480毵� 雼煬鞐愳劀 670毵� 雼煬搿� 臧愳唽頄堨溂氅�, 頋劃 欤茧嫻靾滌澊鞚�(EPS)鞚 2024雲� 1攵勱赴 0.31雼煬鞐愳劀 0.14雼煬搿� 欷勳棃鞀惦媹雼�.
須岇偓電� 欤检殧 鞛勳洂 鞚胳偓霃� 氚滍憸頄堨溂氅�, Georgie Sam鞚� 斓滉碃 雿办澊韯� 氚� 攵勳劃 毂呾瀯鞛�(Chief Data & Analytics Officer)搿�, Glenn Sobotka臧 斓滉碃 須岅硠 毂呾瀯鞛�(Chief Accounting Officer)搿� 鞛勲獏霅橃棃鞀惦媹雼�. Astrana電� Collaborative Health Systems鞚� 韱淀暕鞚� 靹标车鞝侅溂搿� 鞕勲頄堨溂氅�, Prospect Health 鞚胳垬鞐� 雽頃� HSR 鞀轨澑霃� 氚涭晿鞀惦媹雼�. 2025雲� 2攵勱赴鞐愲姅 毵れ稖 6鞏� 1,500毵寏6鞏� 5,500毵� 雼煬, 臁办爼 EBITDA 4,500毵寏5,000毵� 雼煬毳� 鞓堨儊頃橁碃 鞛堨姷雼堧嫟. 2025雲� 鞝勳泊 臧鞚措崢鞀る姅 毵れ稖 25鞏祣27鞏� 雼煬, 臁办爼 EBITDA 1鞏� 7,000毵寏1鞏� 9,000毵� 雼煬毳� 鞝勲頃╇媹雼�.
Astrana Health (NASDAQ : ASTH) a publi茅 de solides r茅sultats financiers pour le premier trimestre 2025, avec un chiffre d'affaires total atteignant 620,4 millions de dollars, en hausse de 53 % par rapport 脿 l'ann茅e pr茅c茅dente. Les revenus de Care Partners ont augment茅 de 57 %, s'茅tablissant 脿 601,0 millions de dollars. Cependant, le b茅n茅fice net a diminu茅 脿 6,7 millions de dollars contre 14,8 millions, avec un BPA dilu茅 de 0,14 dollar contre 0,31 dollar au premier trimestre 2024.
L'entreprise a annonc茅 des nominations cl茅s au sein de sa direction, notamment Georgie Sam en tant que Chief Data & Analytics Officer et Glenn Sobotka en tant que Chief Accounting Officer. Astrana a int茅gr茅 avec succ猫s Collaborative Health Systems et a obtenu l'approbation HSR pour son acquisition en attente de Prospect Health. Pour le deuxi猫me trimestre 2025, la soci茅t茅 pr茅voit un chiffre d'affaires compris entre 615 et 655 millions de dollars et un EBITDA ajust茅 entre 45 et 50 millions de dollars. Les pr茅visions pour l'ann茅e compl猫te 2025 projettent un chiffre d'affaires de 2,5 脿 2,7 milliards de dollars et un EBITDA ajust茅 de 170 脿 190 millions de dollars.
Astrana Health (NASDAQ: ASTH) meldete starke Finanzergebnisse f眉r das erste Quartal 2025 mit einem Gesamtumsatz von 620,4 Millionen US-Dollar, was einem Anstieg von 53 % im Jahresvergleich entspricht. Die Einnahmen von Care Partners stiegen um 57 % auf 601,0 Millionen US-Dollar. Der Nettogewinn sank jedoch von 14,8 Millionen auf 6,7 Millionen US-Dollar, bei einem verw盲sserten Ergebnis je Aktie (EPS) von 0,14 US-Dollar im Vergleich zu 0,31 US-Dollar im ersten Quartal 2024.
Das Unternehmen gab wichtige F眉hrungspositionen bekannt, darunter Georgie Sam als Chief Data & Analytics Officer und Glenn Sobotka als Chief Accounting Officer. Astrana integrierte erfolgreich Collaborative Health Systems und erhielt die HSR-Zulassung f眉r die bevorstehende 脺bernahme von Prospect Health. F眉r das zweite Quartal 2025 erwartet das Unternehmen einen Umsatz zwischen 615 und 655 Millionen US-Dollar sowie ein bereinigtes EBITDA von 45 bis 50 Millionen US-Dollar. Die Prognose f眉r das Gesamtjahr 2025 sieht einen Umsatz von 2,5 bis 2,7 Milliarden US-Dollar und ein bereinigtes EBITDA von 170 bis 190 Millionen US-Dollar vor.
- Total revenue grew 53% YoY to $620.4 million
- Care Partners revenue increased 57% to $601.0 million
- Successful integration of Collaborative Health Systems with G&A efficiencies
- HSR approval received for Prospect Health acquisition
- Strong guidance with projected 2025 revenue of $2.5-2.7 billion
- Net income declined 54.7% to $6.7 million from $14.8 million YoY
- Diluted EPS decreased to $0.14 from $0.31 YoY
- Adjusted EBITDA fell to $36.4 million from $42.2 million YoY
Insights
Astrana Health shows impressive 53% revenue growth but concerning 55% profit decline; expansion costs temporarily pressuring margins while building scale.
Astrana Health's Q1 2025 financial results present a study in contrasts that demands nuanced interpretation. The company delivered exceptional top-line growth with revenue surging
Despite this revenue acceleration, profitability metrics moved decidedly in the opposite direction. Net income attributable to Astrana declined to
Segment performance reveals the operational dynamics driving these results. Care Partners generated
Forward indicators suggest management expects improving financial metrics, with Q2 2025 Adjusted EBITDA projected between
Recent strategic initiatives 鈥� including leadership additions focused on data analytics and financial discipline, completion of the Collaborative Health Systems integration, and regulatory approval for the Prospect Health acquisition 鈥� align with Astrana's growth trajectory but contribute approximately
The divergence between robust revenue growth and compressed profitability reflects the financial reality of Astrana's expansion strategy 鈥� investing heavily in infrastructure, integration, and acquisitions to build scale while temporarily sacrificing margins. This growth-now, profits-later approach is neither definitively positive nor negative without visibility into whether these investments will deliver sufficient returns over time.
Company to Host Conference Call on Thursday, May 8, 2025, at 2:30 p.m. PT/5:30 p.m. ET
"Astrana's strong start to the year reflects the continued momentum behind our mission to build the nation's leading patient-centered healthcare platform. Our differentiated clinical capabilities and technology-enabled delegated model continue to drive strong, profitable growth while delivering better outcomes for both patients and providers. Even in a complex regulatory and economic environment, we continue to prove that value-based care can deliver meaningful impact at scale with long-term sustainability,"听said Brandon Sim, President and CEO of Astrana Health.听
Financial Highlights for three months ended March听31, 2025:
All comparisons are to the three months ended March听31, 2024 unless otherwise stated.
- Total revenue of
, up$620.4 million 53% from$404.4 million - Care Partners revenue of
, up$601.0 million 57% from$382.3 million - Net income attributable to Astrana of
, compared to$6.7 million $14.8 million - Earnings per share - diluted ("EPS - diluted") of
, compared to$0.14 $0.31 - Adjusted EBITDA(1) of
, compared to$36.4 million $42.2 million
(1)听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
- Astrana announced several additions to its leadership team to support continued growth and execution. The Company welcomes Georgie Sam, Chief Data & Analytics Officer, who will oversee enterprise-wide data and analytics strategy to deliver even faster, more actionable insights to our stakeholders, and Glenn Sobotka, Chief Accounting Officer, who brings deep experience to support Astrana's continued financial discipline and scalability. Rita Pew was promoted to the role of Chief People Officer, helping Astrana further invest in the talent and culture that drive Astrana forward.
- Astrana successfully completed the integration of Collaborative Health Systems ("CHS") and onboarded the entity to the Company's proprietary technology platform, already resulting in material general and administrative ("G&A") efficiencies.
- Astrana received Hart-Scott-Rodino ("HSR") approval for its pending acquisition of Prospect Health, which remains on track to close this summer.
Segment Results for three months ended March 31, 2025:
All comparisons are to the three months ended March听31, 2024 unless otherwise stated.
Three Months Ended March听31, 2025 | ||||||||||||||||||||||||
(in thousands) | Care | Care | Care | Intersegment | Corporate | Consolidated | ||||||||||||||||||
Total revenues | $ | 600,951 | $ | 33,388 | $ | 39,562 | $ | (53,511) | $ | 鈥� | $ | 620,390 | ||||||||||||
% change vs. prior year quarter | 57 | % | 9 | % | 19 | % | ||||||||||||||||||
Cost of services | 512,668 | 27,139 | 25,818 | (16,564) | 鈥� | 549,061 | ||||||||||||||||||
General and administrative(1) | 44,068 | 9,357 | 10,209 | (36,950) | 24,062 | 50,746 | ||||||||||||||||||
Total expenses | 556,736 | 36,496 | 36,027 | (53,514) | 24,062 | 599,807 | ||||||||||||||||||
Income (loss) from operations | $ | 44,215 | $ | (3,108) | $ | 3,535 | $ | 3 | (2) | $ | (24,062) | $ | 20,583 | |||||||||||
% change vs. prior year quarter | 2 | % | * | 1 | % |
* Percentage change of over |
(1)听Balance includes general and administrative expenses and depreciation and amortization. |
(2)听Income from operations for the intersegment elimination represents sublease income between segments. Sublease income is presented within other income that is not presented in the table. |
2025 Guidance:
Astrana is providing the following guidance for total revenue and Adjusted EBITDA for the quarter ended June 30, 2025 and reiterating guidance for the year ended December 31, 2025 based on the Company's existing business, current view of existing market conditions, and assumptions. The following guidance for the year ended December 31, 2025 includes approximately
($ in millions) | Three Months Ended | Year Ended | |||||||||||||
Guidance Range | Guidance Range | ||||||||||||||
Low | High | Low | High | ||||||||||||
Total revenue | $ | 615 | $ | 655 | $ | 2,500 | $ | 2,700 | |||||||
Adjusted EBITDA | $ | 45 | $ | 50 | $ | 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 (Thursday, May 8, 2025), during which management will discuss the results of the first quarter ended March听31, 2025. To participate in the conference call, please use the following dial-in numbers about 5 minutes prior to the scheduled conference call time:
International (Toll):听听听听听听听听听听听听听听听听听听 +1 (201) 689-8517
The conference call can also be accessed via webcast at:听https://event.choruscall.com/mediaframe/webcast.html?webcastid=HE6dr7eJ听
An accompanying slide presentation will be available in PDF format on the "IR Calendar" page of the Company's website () 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 .听
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
About听Astrana Health, Inc.
Astrana Health is a physician-centric, technology-enabled healthcare company committed to delivering access to high-quality, patient-centered care. Through its proprietary end-to-end technology platform, Astrana empowers providers to deliver more proactive, preventive care - improving patient outcomes, elevating patient experiences, improving the well-being of providers, and driving greater value.
Today, Astrana supports more than 12,000 providers and over one million Americans in value-based arrangements through its affiliated provider networks, management services organization, and primary, specialty, and ancillary care delivery clinics. Together, Astrana is building what our healthcare system should be - one that delivers better care, better experiences, and better outcomes for all. For more information, visit .
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 June 30, 2025 and the year ending December听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听Annual Report on Form 10-K for the year ended December听31, 2024, and any subsequent quarterly reports on Form 10-Q. 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
[email protected]听
ASTRANA HEALTH, INC. CONDENSED CONSOLIDATED BALANCE SHEETS (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA) | ||||||||
March听31, | December听31, | |||||||
(Unaudited) | ||||||||
Assets | ||||||||
Current assets | ||||||||
Cash and cash equivalents | $ | 258,517 | $ | 288,455 | ||||
Investment in marketable securities | 2,397 | 2,378 | ||||||
Receivables, net | 241,078 | 225,733 | ||||||
Receivables, net 鈥� related parties | 56,846 | 50,257 | ||||||
Income taxes receivable | 15,802 | 19,316 | ||||||
Other receivables | 14,919 | 29,496 | ||||||
Prepaid expenses and other current assets | 23,711 | 22,861 | ||||||
Total current assets | 613,270 | 638,496 | ||||||
Non-current assets | ||||||||
Property and equipment, net | 16,849 | 14,274 | ||||||
Intangible assets, net | 111,916 | 118,179 | ||||||
Goodwill | 416,386 | 419,253 | ||||||
Income taxes receivable | 15,943 | 15,943 | ||||||
Loans receivable, non-current | 48,134 | 51,266 | ||||||
Investments in other entities 鈥� equity method | 38,005 | 39,319 | ||||||
Investments in privately held entities | 8,896 | 8,896 | ||||||
Restricted cash | 647 | 646 | ||||||
Operating lease right-of-use assets | 30,698 | 32,601 | ||||||
Other assets | 30,512 | 16,021 | ||||||
Total non-current assets | 717,986 | 716,398 | ||||||
Total assets(1) | $ | 1,331,256 | $ | 1,354,894 | ||||
Liabilities, Mezzanine Deficit, and Stockholders' Equity | ||||||||
Current liabilities | ||||||||
Accounts payable and accrued expenses | $ | 105,559 | $ | 106,142 | ||||
Fiduciary accounts payable | 4,840 | 8,223 | ||||||
Medical liabilities | 204,101 | 209,039 | ||||||
Dividend payable | 638 | 638 | ||||||
Finance lease liabilities | 471 | 554 | ||||||
Operating lease liabilities | 4,979 | 5,350 | ||||||
Current portion of long-term debt | 12,500 | 9,375 | ||||||
Other liabilities | 28,180 | 26,287 | ||||||
Total current liabilities | 361,268 | 365,608 | ||||||
Non-current liabilities | ||||||||
Deferred tax liability | 4,197 | 4,555 | ||||||
Finance lease liabilities, net of current portion | 543 | 607 | ||||||
Operating lease liabilities, net of current portion | 28,963 | 30,654 | ||||||
Long-term debt, net of current portion and deferred financing costs | 403,894 | 425,299 | ||||||
Other long-term liabilities | 14,685 | 14,003 | ||||||
Total non-current liabilities | 452,282 | 475,118 | ||||||
Total liabilities(1) | 813,550 | 840,726 | ||||||
Mezzanine deficit | ||||||||
Noncontrolling interest in Allied Physicians of | (232,733) | (202,558) | ||||||
Stockholders' equity | ||||||||
Preferred stock, | ||||||||
Series A Preferred stock, zero authorized and issued and zero outstanding as of | 鈥� | 鈥� | ||||||
Series B Preferred stock, zero authorized and issued and zero outstanding as of | 鈥� | 鈥� | ||||||
Common stock, | 49 | 48 | ||||||
Additional paid-in capital | 452,439 | 426,389 | ||||||
Retained earnings | 292,880 | 286,283 | ||||||
Total stockholders' equity | 745,368 | 712,720 | ||||||
Non-controlling interest | 5,071 | 4,006 | ||||||
Total equity | 750,439 | 716,726 | ||||||
Total liabilities, mezzanine deficit, and stockholders' equity | $ | 1,331,256 | $ | 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 |
(2) As of May 5, 2025, there were 56,061,712 shares of common stock of the registrant issued and outstanding, which includes 6,132,802 treasury shares that are owned by Allied Physicians of |
Included in the Company's common stock as outstanding in the consolidated financial statements are 41,048 holdback shares听that have not been issued to certain former shareholders of the Company's subsidiary, Astrana Health Management, Inc. ("AHM"). The former AHM shareholders, who were AHM shareholders at the time of closing of the merger, have yet to submit properly completed letters of transmittal to Astrana in order to receive their pro rata portion of Astrana's common stock 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.
听
ASTRANA HEALTH, INC. CONSOLIDATED STATEMENTS OF INCOME (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) (UNAUDITED) | ||||||||
Three Months Ended | ||||||||
2025 | 2024 | |||||||
Revenue | ||||||||
Capitation, net | $ | 583,963 | $ | 365,910 | ||||
Risk pool settlements and incentives | 14,491 | 17,377 | ||||||
Management fee income | 2,310 | 4,078 | ||||||
Fee-for-service, net | 14,890 | 15,937 | ||||||
Other revenue | 4,736 | 1,054 | ||||||
Total revenue | 620,390 | 404,356 | ||||||
Operating expenses | ||||||||
Cost of services, excluding depreciation and amortization | 549,061 | 330,399 | ||||||
General and administrative expenses | 43,897 | 38,722 | ||||||
Depreciation and amortization | 6,849 | 5,096 | ||||||
Total expenses | 599,807 | 374,217 | ||||||
Income from operations | 20,583 | 30,139 | ||||||
Other expense | ||||||||
(Loss) income from equity method investments | (867) | 632 | ||||||
Interest expense | (7,308) | (7,585) | ||||||
Interest income | 2,312 | 3,996 | ||||||
Unrealized (loss) gain on investments | (44) | 1,099 | ||||||
Other loss | (5,072) | (4,277) | ||||||
Total other expense, net | (10,979) | (6,135) | ||||||
Income before provision for income taxes | 9,604 | 24,004 | ||||||
Provision for income taxes | 3,383 | 7,142 | ||||||
Net income | 6,221 | 16,862 | ||||||
Net (loss) income attributable to non-controlling interest | (471) | 2,027 | ||||||
Net income attributable to Astrana Health, Inc. | $ | 6,692 | $ | 14,835 | ||||
Earnings per share 鈥� basic | $ | 0.14 | $ | 0.31 | ||||
Earnings per share 鈥� diluted | $ | 0.14 | $ | 0.31 |
听
ASTRANA HEALTH, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (IN THOUSANDS) (UNAUDITED) | ||||||||
Three Months Ended | ||||||||
2025 | 2024 | |||||||
Cash flows from operating activities | ||||||||
Net income | $ | 6,221 | $ | 16,862 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
Depreciation and amortization | 6,849 | 5,096 | ||||||
Amortization of debt issuance cost | 691 | 458 | ||||||
Share-based compensation | 7,811 | 5,748 | ||||||
Non-cash lease expense | 1,287 | 3,155 | ||||||
Change in fair value of contingent consideration liabilities | 1,407 | 鈥� | ||||||
Loss on debt extinguishment | 375 | 鈥� | ||||||
Unrealized loss (gain) on investments | 44 | (1,099) | ||||||
Loss (income) from equity method investments | 867 | (632) | ||||||
Deferred tax | (358) | (7,248) | ||||||
Other | (557) | 6,795 | ||||||
Changes in operating assets and liabilities, net of business combinations: | ||||||||
Receivables, net | (10,368) | (26,128) | ||||||
Receivables, net 鈥� related parties | (6,589) | (3,374) | ||||||
Other receivables | 3,688 | (1,403) | ||||||
Prepaid expenses and other current assets | 2,674 | (4,255) | ||||||
Other assets | (314) | 92 | ||||||
Accounts payable and accrued expenses | 8 | 905 | ||||||
Fiduciary accounts payable | (3,383) | 56 | ||||||
Medical liabilities | 3,319 | (808) | ||||||
Income taxes receivable | 3,514 | 14,542 | ||||||
Operating lease liabilities | (1,090) | (3,083) | ||||||
Other long-term liabilities | 531 | 298 | ||||||
Net cash provided by operating activities | 16,627 | 5,977 | ||||||
Cash flows from investing activities | ||||||||
Payments for business acquisition, net of cash acquired | 鈥� | (50,649) | ||||||
Proceeds from repayment of promissory notes, including those with related parties | 600 | 6 | ||||||
Purchase of marketable securities | (24) | (27) | ||||||
Issuance of loan receivable | 鈥� | (20,000) | ||||||
Purchases of property and equipment | (3,070) | (369) | ||||||
Distribution from investment - equity method | 100 | 鈥� | ||||||
Net cash used in investing activities | (2,394) | (71,039) | ||||||
Cash flows from financing activities | ||||||||
Dividends paid | (5,455) | (95) | ||||||
Borrowings on long-term debt | 412,000 | 110,000 | ||||||
Repayment of long-term debt | (428,232) | (3,500) | ||||||
Payment of finance lease obligations | (147) | (179) | ||||||
Deferred financing cost | (17,241) | 鈥� | ||||||
Proceeds from ESPP purchases | 301 | 鈥� | ||||||
Taxes paid from net share settlement of restricted stock | (4,052) | 鈥� | ||||||
Repurchase of treasury shares | (1,316) | 鈥� | ||||||
Proceeds from sale of non-controlling interest | 鈥� | 150 | ||||||
Purchase of non-controlling interest | (28) | (25) | ||||||
Net cash (used in) provided by financing activities | (44,170) | 106,351 | ||||||
Net (decrease) increase in cash, cash equivalents, and restricted cash | (29,937) | 41,289 | ||||||
Cash, cash equivalents, and restricted cash, beginning of period | 289,101 | 294,152 | ||||||
Cash, cash equivalents, and restricted cash, end of period | $ | 259,164 | $ | 335,441 | ||||
Supplemental disclosures of cash flow information | ||||||||
Cash paid for income taxes | $ | 4,338 | $ | 194 | ||||
Cash paid for interest | $ | 7,360 | $ | 6,430 | ||||
Supplemental disclosures of non-cash investing and financing activities | ||||||||
Business acquisition in accounts payable and accrued liabilities | 鈥� | 63,935 | ||||||
Right-of-use assets obtained in exchange for operating lease liabilities | 5,729 | 4,910 | ||||||
Common stock issued in business combination | 鈥� | 21,952 | ||||||
Purchase of investments - equity method in accounts payable and accrued liabilities and other liabilities | 鈥� | 9,487 | ||||||
Draw on letter of credit through Revolver Loan | 鈥� | 4,759 | ||||||
Dividend paid in the form of common stock | 21,935 | 鈥� |
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):
March听31, | ||||||||
2025 | 2024 | |||||||
Cash and cash equivalents | $ | 258,517 | $ | 334,796 | ||||
Restricted cash | 647 | 645 | ||||||
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows | $ | 259,164 | $ | 335,441 |
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 months ended March听31, 2025 and 2024. The Company defines Adjusted EBITDA margin as Adjusted EBITDA over total revenue.
Three Months Ended | ||||||||||
(in thousands) | 2025 | 2024 | ||||||||
Net income | $ | 6,221 | $ | 16,862 | ||||||
Interest expense | 7,308 | 7,585 | ||||||||
Interest income | (2,312) | (3,996) | ||||||||
Provision for income taxes | 3,383 | 7,142 | ||||||||
Depreciation and amortization | 6,849 | 5,096 | ||||||||
EBITDA | 21,449 | 32,689 | ||||||||
(Income) loss from equity method investments | 867 | (632) | ||||||||
Other, net | 6,259 | (1) | 4,440 | (2) | ||||||
Stock-based compensation | 7,811 | 5,748 | ||||||||
Adjusted EBITDA | $ | 36,386 | $ | 42,245 | ||||||
Total revenue | $ | 620,390 | $ | 404,356 | ||||||
Adjusted EBITDA margin | 6 | % | 10 | % |
(1) Other, net for the three months ended March听31, 2025, relates to debt issuance costs expensed in connection with our Second Amended and Restated Credit Facility, transaction costs for our acquisition of Prospect, 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. |
(2) Other, net for the three months ended March听31, 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. |
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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 | 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 |
The Company has not provided a quantitative reconciliation of EBITDA and Adjusted EBITDA for the quarter ending June 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
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.