STOCK TITAN

Astrana Health (ASTH) CEO Brandon Sim logs tax-withholding share disposition and updated holdings

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4

Rhea-AI Filing Summary

Astrana Health, Inc. CEO and President Brandon Sim reported routine equity activity related to restricted stock vesting. He surrendered 1,093 shares of Common Stock at $44.51 per share to cover tax withholding obligations tied to vested restricted stock, a non-market, F-code tax-withholding disposition.

After this event, he directly holds 1,245,292 Common Stock shares, which include 34,207 unvested restricted shares and multiple tranches of restricted stock units scheduled to vest in semi-annual installments beginning in late 2026, plus 1,420 shares acquired under the Employee Stock Purchase Plan. Indirectly, trusts associated with Sim hold 392,816 and 258,824 shares, for which he disclaims beneficial ownership except for any pecuniary interest.

Positive

  • None.

Negative

  • None.
Insider Sim Brandon
Role CEO and President
Type Security Shares Price Value
Tax Withholding Common Stock 1,093 $44.51 $49K
holding Common Stock -- -- --
holding Common Stock -- -- --
Holdings After Transaction: Common Stock — 1,245,292 shares (Direct, null); Common Stock — 258,824 shares (Indirect, By Sim Family Irrevocable Trust 2021)
Footnotes (1)
  1. These securities are held by the Sim Family Irrevocable Trust 2021. 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 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. These securities are held by the Brandon Sim 2020 Irrevocable Trust. 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 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. Represents the surrender of shares to offset against tax withholding obligations associated with the vesting of certain shares of restricted stock. Includes 34,207 shares of unvested restricted stock, which will vest in two equal semi-annual installments, beginning September 30, 2026, subject to continuous employment with the Issuer. Also includes the following restricted stock units, which will vest as follows (in each case subject to continuous employment with the Issuer): (i) 60,347 restricted stock units, which will vest in four equal semi-annual installments beginning on October 2, 2026; (ii) 109,232 restricted stock units, which will vest in six equal semi-annual installments beginning on September 5, 2026; and (iii) 201,056 restricted stock units, which will vest in eight equal semi-annual installments beginning on October 6, 2026. Includes 1,420 shares acquired under the Issuer's Employee Stock Purchase Plan.
Tax-withholding shares 1,093 shares Surrendered to cover tax on restricted stock vesting at $44.51
Tax-withholding price $44.51/share Value used for 1,093-share tax-withholding disposition
Direct holdings after transaction 1,245,292 shares Common Stock directly held by Brandon Sim following Form 4 event
Unvested restricted stock 34,207 shares Unvested restricted stock included in direct holdings, vesting from 2026
RSUs tranche 1 60,347 units Restricted stock units vesting in four semi-annual installments from Oct 2, 2026
RSUs tranche 2 109,232 units Restricted stock units vesting in six semi-annual installments from Sep 5, 2026
RSUs tranche 3 201,056 units Restricted stock units vesting in eight semi-annual installments from Oct 6, 2026
ESPP shares 1,420 shares Shares acquired under Astrana Health’s Employee Stock Purchase Plan
Trust holdings 2020 trust 392,816 shares Common Stock held by Brandon Sim 2020 Irrevocable Trust
Trust holdings 2021 trust 258,824 shares Common Stock held by Sim Family Irrevocable Trust 2021
tax-withholding disposition financial
"Represents the surrender of shares to offset against tax withholding obligations"
A tax-withholding disposition is an event or transaction—such as selling or transferring securities, exercising options, or receiving compensation—that triggers a requirement to hold back part of the payment and remit it to tax authorities. It matters to investors because it reduces the cash they receive immediately and can change the timing and amount of taxable income, like a cashier taking a portion of your sale proceeds to pay taxes before you get the rest.
restricted stock financial
"vesting of certain shares of restricted stock"
Shares granted to an individual that carry limits on transfer or sale until certain conditions are met, such as staying with the company for a set time or hitting performance targets. Think of them as a locked gift that gradually opens; for investors they matter because they affect how many shares may enter the market later, signal management incentives and potential dilution, and reveal confidence in future company performance.
restricted stock units financial
"Also includes the following restricted stock units, which will vest as follows"
Restricted stock units are a type of company reward where employees are promised shares of stock, but they only fully own these shares after meeting certain conditions, like staying with the company for a set time. They matter because they can become valuable assets and are often used to motivate employees to help the company succeed.
Employee Stock Purchase Plan financial
"Includes 1,420 shares acquired under the Issuer's Employee Stock Purchase Plan"
An employee stock purchase plan is a company program that lets workers buy shares through small payroll deductions, often at a discount to the market price and after a set offering period. Think of it like a workplace savings plan that turns into ownership: it encourages employees to share in the company’s success and can create predictable buying or selling of stock that investors watch because it affects supply, demand and employee incentives.
pecuniary interest financial
"disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein"
irrevocable trust financial
"These securities are held by the Brandon Sim 2020 Irrevocable Trust"
An irrevocable trust is a legal arrangement where an owner transfers assets into a separate entity managed by a trustee and gives up the power to modify or reclaim those assets. For investors it matters because putting stock or other holdings into such a trust can change who controls and benefits from the assets, affect taxes and creditor protection, and influence how easy it is to sell or value those holdings—like placing valuables in a locked safe overseen by someone else.
See more from StockTitan in Google Search and AI answers. Adds StockTitan as a preferred source · opens Google
Add on Google
Learn about SEC filing dates
SEC Form 4
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Sim Brandon

(Last)(First)(Middle)
C/O ASTRANA HEALTH, INC.
1668 S. GARFIELD AVENUE, 2ND FLOOR

(Street)
ALHAMBRA CALIFORNIA 91801

(City)(State)(Zip)

UNITED STATES

(Country)
2. Issuer Name and Ticker or Trading Symbol
Astrana Health, Inc. [ ASTH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director10% Owner
XOfficer (give title below)Other (specify below)
CEO and President
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
06/27/2026
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock06/27/2026F1,093(3)D$44.511,245,292(4)(5)D
Common Stock258,824IBy Sim Family Irrevocable Trust 2021(1)
Common Stock392,816IBy Brandon Sim 2020 Irrevocable Trust(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Explanation of Responses:
1. These securities are held by the Sim Family Irrevocable Trust 2021. 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 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.
2. These securities are held by the Brandon Sim 2020 Irrevocable Trust. 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 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.
3. Represents the surrender of shares to offset against tax withholding obligations associated with the vesting of certain shares of restricted stock.
4. Includes 34,207 shares of unvested restricted stock, which will vest in two equal semi-annual installments, beginning September 30, 2026, subject to continuous employment with the Issuer. Also includes the following restricted stock units, which will vest as follows (in each case subject to continuous employment with the Issuer): (i) 60,347 restricted stock units, which will vest in four equal semi-annual installments beginning on October 2, 2026; (ii) 109,232 restricted stock units, which will vest in six equal semi-annual installments beginning on September 5, 2026; and (iii) 201,056 restricted stock units, which will vest in eight equal semi-annual installments beginning on October 6, 2026.
5. Includes 1,420 shares acquired under the Issuer's Employee Stock Purchase Plan.
/s/ Kathy Diep, as Attorney-in-Fact06/30/2026
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)

FAQ

What did Astrana Health (ASTH) CEO Brandon Sim report in this Form 4?

Brandon Sim reported a tax-related share disposition, surrendering 1,093 Astrana Health shares to cover withholding on vested restricted stock. This was coded as an F transaction, meaning it was not an open-market sale but a mechanism to satisfy tax obligations.

How many Astrana Health (ASTH) shares does Brandon Sim hold after the reported transaction?

Following the transaction, Brandon Sim directly holds 1,245,292 Astrana Health Common Stock shares. This total includes unvested restricted stock, several tranches of restricted stock units scheduled to vest over time, and shares acquired through the company’s Employee Stock Purchase Plan.

Was the Astrana Health (ASTH) Form 4 transaction an open-market sale by the CEO?

No, the Form 4 shows a tax-withholding disposition of 1,093 shares, not an open-market sale. Shares were surrendered to offset tax obligations from restricted stock vesting, a common administrative step when equity awards vest and create taxable income.

What future vesting of restricted stock and RSUs does Brandon Sim have at Astrana Health (ASTH)?

His holdings include 34,207 unvested restricted shares and restricted stock units of 60,347, 109,232, and 201,056. These RSUs are scheduled to vest in semi-annual installments starting between September and October 2026, contingent on continued employment with Astrana Health.

How were Employee Stock Purchase Plan shares reflected in Brandon Sim’s Astrana Health (ASTH) holdings?

His direct holdings include 1,420 shares acquired under Astrana Health’s Employee Stock Purchase Plan. These ESPP shares are part of his overall 1,245,292 directly held shares reported after the tax-withholding disposition of restricted stock in this Form 4 filing.