Climate Change Data

Astrana Health, Inc.

Climate Impact & Sustainability Data (2023)

Reporting Period: 2023

Environmental Metrics

Social Achievements

  • Astrana contributed to several charitable organizations, including the Children’s Hospital of Los Angeles, American Heart Association, American Red Cross, and a blanket drive dedicated to supporting residents in our nursing homes.
  • In 2023, Astrana’s Wellness and Prevention teams completed over 50% more telehealth and in-person annual visits compared to the prior year. Over 73% of the senior population received an Annual Wellness Visit (AWV), and over 85% visited their primary care provider at least once.

Environmental Challenges

  • Challenging backdrop for the healthcare industry.
  • Potential changes in laws, accounting principles, and regulations related to VIEs.
  • Arrangements with VIEs are not as secure as direct ownership.
  • Substantial portion of revenues derived in California.
  • Complex legal structure may cause tax authorities to question tax filing status.
  • Difficulties in managing growth.
  • Significant losses under capitation contracts if expenses exceed revenues.
  • Agreements with affiliated physician groups deemed invalid or terminated.
  • Revenues and operations dependent on a limited number of key payers.
  • Shift in payer mix.
  • Agreements with hospitals and medical groups have limited durations and may be terminated without cause.
  • Changes to healthcare law.
  • Success of ACO REACH Model not guaranteed.
  • Laws regulating the corporate practice of medicine.
  • Intense regulation at federal, state, and local levels.
  • Controls to reduce inpatient services may reduce revenues.
  • Affiliated physician groups may not satisfy California regulations.
  • Significant influence of principal stockholders, executive officers, and directors.
Mitigation Strategies
  • Increased credit facility to $700.0 million.
  • Restructuring transaction to spin-off real estate investments.
  • Share repurchase.
  • Business and asset acquisitions and partnerships.
  • Continued investment in communities, technology, and providers.

Supply Chain Management

Climate-Related Risks & Opportunities