Kenneth T. Sim - 10 Nov 2025 Form 4 Insider Report for Astrana Health, Inc. (ASTH)

Role: Executive Chairman, Director
Signature: /s/ Kathy Diep, as Attorney-in-Fact
Issuer symbol: ASTH
Transactions as of: 10 Nov 2025
Transactions value $: $524,546
Form type: 4
Filing time: 13 Nov 2025, 16:15:42 UTC
Previous filing: 18 Feb 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Sim Kenneth T.	Executive Chairman, Director	C/O ASTRANA HEALTH, INC., 1668 S. GARFIELD AVENUE, 2ND FLOOR, ALHAMBRA	/s/ Kathy Diep, as Attorney-in-Fact	13 Nov 2025	0001725499

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ASTH	Common Stock	Options Exercise	$525K	+29.5K	+4.84%	$17.78	639K	10 Nov 2025	Direct	F6
holding	ASTH	Common Stock						6.13M	10 Nov 2025	By Allied Physicians of California, a Professional Medical Corporation	F1
holding	ASTH	Common Stock						546K	10 Nov 2025	By Kenneth T & Simone S Sim Family Trust	F4
holding	ASTH	Common Stock						43K	10 Nov 2025	By Kenneth T. Sim Pension Plan Trust	F2
holding	ASTH	Common Stock						231K	10 Nov 2025	By grantor retained annuity trust	F3

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	ASTH	Stock Option (right to buy)	Options Exercise	$0	-29.5K	-100%	$0.00	0	10 Nov 2025	Common Stock	29.5K	$17.78	Direct	F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	These securities are beneficially owned by Allied Physicians of California, a Professional Medical Corporation, of which the Reporting Person is the Chairman and a director and stockholder. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
F2	These securities are held by the Kenneth T. Sim Pension Plan Trust U.A. dated 12/18/2007. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
F3	These securities are held by a grantor retained annuity trust for the benefit of the Reporting Person and his children. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
F4	These securities are held by the Kenneth T & Simone S Sim Family Trust U/A dated 11/07/2013. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
F5	These stock options were fully vested and exercisable.
F6	Includes the following shares of unvested restricted stock, which will vest as follows (in each case subject to continuous employment with the Issuer): (i) 117,501 shares, which will vest in three equal annual installments beginning on March 5, 2026; and (ii) 133,333 shares, which will vest upon achievement of certain pre-established performance goals.