Astrana Health (ASTH) CEO exercises options for 21,334 shares

Rhea-AI Filing Summary

Astrana Health, Inc. CEO and President Brandon Sim reported an option exercise converting 21,334 stock options into common shares at a price of $ 23.24 per share on 02/02/2026. Following this transaction, he directly owns 1,045,329 shares of Astrana Health common stock.

In addition to his direct holdings, 258,824 common shares are held by the Sim Family Irrevocable Trust 2021 and 392,816 shares are held by the Brandon Sim 2020 Irrevocable Trust, for which he disclaims beneficial ownership except to the extent of his pecuniary interest. His reported direct holdings also include unvested restricted stock and restricted stock units scheduled to vest between March 2026 and June 2026, subject to continued employment.

SEC Form 4

FORM 4

UNITED 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

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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 CA 91801

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Astrana Health, Inc. [ ASTH ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director		10% Owner
X	Officer (give title below)		Other (specify below)
	CEO and President

3. Date of Earliest Transaction (Month/Day/Year)
02/02/2026

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

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)
			Code	V	Amount	(A) or (D)	Price
Common Stock	02/02/2026		M		21,334	A	$23.24	1,045,329(3)(4)	D
Common Stock								258,824	I	By Sim Family Irrevocable Trust 2021(1)
Common Stock								392,816	I	By 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)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (right to buy)	$23.24	02/02/2026		M			21,334	(5)	02/02/2026	Common Stock	21,334	$0	0	D

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. Includes the following shares of unvested restricted stock, which will vest as follows (in each case subject to continuous employment with the Issuer): (i) 29,919 shares, which will vest on June 27, 2026; and (ii) 51,309 shares, which will vest in three equal semi-annual installments, beginning March 31, 2026. Also includes the following restricted stock units, which will vest as follows (in each case subject to continuous employment with the Issuer): (i) 75,433 restricted stock units, which will vest in five equal semi-annual installments beginning on April 2, 2026; and (ii) 127,437 restricted stock units, which will vest in seven equal semi-annual installments beginning on March 5, 2026.

4. Includes 1,420 shares acquired under the Issuer's Employee Stock Purchase Plan.

5. These stock options were fully vested and exercisable.

	/s/ Kathy Diep, as Attorney-in-Fact	02/03/2026
	** Signature of Reporting Person	Date
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).
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FAQ

What insider transaction did Brandon Sim report for Astrana Health (ASTH)?

Brandon Sim reported exercising 21,334 stock options into Astrana Health common shares at $ 23.24 per share on 02/02/2026. This was coded as an "M" transaction, meaning an option exercise, and did not report any sale of the resulting shares in this filing.

How many Astrana Health shares does Brandon Sim own after this Form 4?

After the reported option exercise, Brandon Sim directly owns 1,045,329 shares of Astrana Health common stock. This figure includes vested shares plus certain unvested restricted stock and restricted stock units scheduled to vest in 2026, all subject to his continued employment with the company.

What was the exercise price of the options in Brandon Sim’s Astrana Health Form 4?

The stock options exercised by Brandon Sim had an exercise price of $ 23.24 per share. He converted 21,334 options into common stock on 02/02/2026, and the options were described as fully vested and exercisable at the time of the transaction.

What Astrana Health shares are held through trusts related to Brandon Sim?

The Sim Family Irrevocable Trust 2021 holds 258,824 Astrana Health common shares, and the Brandon Sim 2020 Irrevocable Trust holds 392,816 shares. Brandon Sim disclaims beneficial ownership of these trust-held shares except to the extent of his pecuniary interest, according to the Form 4 footnotes.

Does Brandon Sim have unvested Astrana Health equity awards outstanding?

Yes. His holdings include unvested restricted stock and restricted stock units, including tranches of 29,919 and 51,309 shares of restricted stock and 75,433 and 127,437 restricted stock units. These are scheduled to vest in installments between March and June 2026, subject to continued employment.

What do the footnotes in Brandon Sim’s Astrana Health Form 4 explain?

The footnotes clarify that certain shares are held by the Sim Family Irrevocable Trust 2021 and the Brandon Sim 2020 Irrevocable Trust. They state that Brandon Sim disclaims beneficial ownership of those trust-held shares beyond his pecuniary interest and confirm that the exercised options were fully vested and exercisable.