STOCK TITAN

Astrana Health (ASTH) awards 100,000 restricted stock units to Executive Chairman Kenneth T. Sim

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

Rhea-AI Filing Summary

Sim Kenneth T. reported acquisition or exercise transactions in this Form 4 filing.

Astrana Health, Inc. Executive Chairman Kenneth T. Sim received a grant of 100,000 restricted stock units of common stock as compensation. Each unit represents one share and vests in eight equal semi-annual installments beginning on October 6, 2026, if he remains employed. After this award, he directly holds 739,407 common shares, including other unvested restricted stock and restricted stock units with vesting schedules extending into 2027. He also has additional indirect holdings through various trusts and entities where he disclaims full beneficial ownership.

Positive

  • None.

Negative

  • None.
Insider Sim Kenneth T.
Role Executive Chairman
Type Security Shares Price Value
Grant/Award Common Stock 100,000 $0.00 --
holding Common Stock -- -- --
holding Common Stock -- -- --
holding Common Stock -- -- --
holding Common Stock -- -- --
Holdings After Transaction: Common Stock — 739,407 shares (Direct); Common Stock — 6,132,802 shares (Indirect, By Allied Physicians of California, a Professional Medical Corporation)
Footnotes (1)
  1. 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 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 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 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 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. 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 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 a grant of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. Provided the Reporting Person is still employed with the Issuer and/or its affiliates on the date of vesting, the shares shall vest in eight equal semi-annual installments beginning on October 6, 2026. Includes the following shares of unvested restricted stock, which will vest as follows (in each case subject to continuous employment with the Issuer and/or its affiliates): (i) 78,334 shares, which will vest in two equal annual installments beginning on March 5, 2027; and (ii) 66,667 shares, which will vest in two equal annual installments beginning on April 1, 2027. Also includes 100,000 restricted stock units, which will vest in eight equal semi-annual installments beginning on October 6, 2026 (subject to continuous employment with the Issuer and/or its affiliates).
RSU grant size 100,000 restricted stock units Grant to Executive Chairman on April 6, 2026
RSU vesting start October 6, 2026 First of eight semi-annual vesting dates
Direct holdings after grant 739,407 shares Common stock directly held after reported transactions
Allied Physicians indirect holding 6,132,802 shares Indirect common stock holding via Allied Physicians of California
Family trust indirect holding 546,349 shares Indirect holding via Kenneth T & Simone S Sim Family Trust
Pension plan trust holding 42,996 shares Indirect holding via Kenneth T. Sim Pension Plan Trust
Grantor retained annuity trust holding 230,688 shares Indirect holding via grantor retained annuity trust
restricted stock units financial
"Represents a grant of restricted stock units. Each restricted stock unit represents a contingent right to receive one share..."
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.
grantor retained annuity trust financial
"These securities are held by a grantor retained annuity trust for the benefit of the Reporting Person and his children."
A grantor retained annuity trust (GRAT) is an estate-planning tool where the person who creates the trust transfers assets into it but receives fixed cash payments (an annuity) from the trust for a set number of years; whatever remains after that term passes to designated beneficiaries. It matters to investors because it can shift future appreciation of assets out of the creator’s taxable estate—like putting an asset into a timed vending machine that pays you fixed amounts while any extra value that grows inside the machine goes to heirs with reduced gift or estate tax consequences.
pecuniary interest financial
"The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein..."
beneficial ownership financial
"the inclusion of these shares in this report is not an admission that the Reporting Person is the beneficial owner of these securities..."
Beneficial ownership means the person or entity that actually enjoys the benefits of owning shares or other assets — such as receiving dividends, voting rights, or price gains — even if the legal title is held in another name. For investors it matters because knowing who truly controls and profits from a company reveals who can influence decisions, exposes potential conflicts of interest or hidden concentration of power, and affects transparency and risk in the stock.
semi-annual installments financial
"the shares shall vest in eight equal semi-annual installments beginning on October 6, 2026."
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 Kenneth T.

(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)
XDirector10% Owner
XOfficer (give title below)Other (specify below)
Executive Chairman
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
04/06/2026
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 Stock04/06/2026A100,000(5)A$0739,407(6)D
Common Stock6,132,802IBy Allied Physicians of California, a Professional Medical Corporation(1)
Common Stock546,349IBy Kenneth T & Simone S Sim Family Trust(4)
Common Stock42,996IBy Kenneth T. Sim Pension Plan Trust(2)
Common Stock230,688IBy grantor retained annuity trust(3)
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 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 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 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 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. 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.
4. 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 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.
5. Represents a grant of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. Provided the Reporting Person is still employed with the Issuer and/or its affiliates on the date of vesting, the shares shall vest in eight equal semi-annual installments beginning on October 6, 2026.
6. Includes the following shares of unvested restricted stock, which will vest as follows (in each case subject to continuous employment with the Issuer and/or its affiliates): (i) 78,334 shares, which will vest in two equal annual installments beginning on March 5, 2027; and (ii) 66,667 shares, which will vest in two equal annual installments beginning on April 1, 2027. Also includes 100,000 restricted stock units, which will vest in eight equal semi-annual installments beginning on October 6, 2026 (subject to continuous employment with the Issuer and/or its affiliates).
/s/ Kenneth T. Sim04/07/2026
** 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) disclose about Kenneth T. Sim’s new equity award?

Astrana Health disclosed that Executive Chairman Kenneth T. Sim received 100,000 restricted stock units of common stock. These units are a compensation grant that vests over time and give him the right to receive one share for each unit once vesting conditions are met.

How do the 100,000 restricted stock units for ASTH’s Kenneth T. Sim vest?

The 100,000 restricted stock units vest in eight equal semi-annual installments starting October 6, 2026. Vesting is contingent on Sim’s continuous employment with Astrana Health or its affiliates on each vesting date, making this a long-term incentive structure.

How many Astrana Health (ASTH) shares does Kenneth T. Sim hold directly after this Form 4?

Following the grant, Kenneth T. Sim directly holds 739,407 shares of Astrana Health common stock. This figure includes both currently vested shares and specified unvested restricted stock and restricted stock units that have future vesting schedules through 2027, subject to continued employment.

What indirect Astrana Health (ASTH) holdings are associated with Kenneth T. Sim?

The filing lists indirect holdings through Allied Physicians of California, a pension plan trust, a family trust, and a grantor retained annuity trust. Sim disclaims beneficial ownership of these indirect shares except to the extent of his pecuniary interest, as noted in the detailed footnotes.

What other unvested restricted stock does Kenneth T. Sim have at Astrana Health (ASTH)?

In addition to the 100,000 restricted stock units, Sim has 78,334 unvested restricted shares vesting in two annual installments beginning March 5, 2027, and 66,667 unvested restricted shares vesting in two annual installments beginning April 1, 2027, all conditioned on continued employment.

Is the 100,000-unit grant to Astrana Health’s Kenneth T. Sim a market purchase or sale?

The 100,000 units are a compensation grant, not a market purchase or sale. They were awarded at a stated price of $0.00 per unit as restricted stock units, which convert into common shares only as they vest over the defined schedule.