Astrana Health director surrenders 2,624 shares for taxes

A director's direct reported balance afterward was 463,033 shares, while separate indirect positions were also listed.

Rhea-AI Filing Summary

Astrana Health, Inc. director Thomas S. Lam reported surrendering 2,624 directly held shares on October 6, 2026, at $37.00 per share, to offset tax withholding on restricted stock units that vested that day. He held 463,033 shares directly afterward. Separate indirect holdings were 6,132,802 shares held by Allied Physicians of California, a Professional Medical Corporation, and 1,133,706 shares held by the Thomas and Jeanette Lam 2002 Family Trust; Lam disclaimed beneficial ownership of Allied Physicians’ shares except to the extent of his pecuniary interest.

Insider Trade Summary

Tax Withholding: 2,624 shares

Tax Withholding 3 txns

Insider Lam Thomas S.

Role Director

Type	Security	Shares	Price	Value
Tax Withholding	Common Stock F2, F3	2,624	$37.00	$97K
holding	Common Stock F1	--	--	--
holding	Common Stock	--	--	--

Holdings After Transaction: Common Stock — 463,033 shares (Direct); Common Stock — 6,132,802 shares (Indirect, By Allied Physicians of California, a Professional Medical Corporation); Common Stock — 1,133,706 shares (Indirect, By the Thomas and Jeanette Lam 2002 Family Trust)

Footnotes (3)

1. F1. These securities are beneficially owned by Allied Physicians of California, a Professional Medical Corporation, of which the Reporting Person is the Chief Executive Officer and Chief Financial Officer 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. F2. Represents the surrender of shares to offset against tax withholding obligations associated with certain restricted stock units that vested on October 6, 2026.
3. F3. Includes the following shares of restricted stock, which will vest as follows (in each case subject to continuous employment with the Issuer and/or its affiliates): (i) 51,667 shares, which will vest in two equal annual installments beginning on March 5, 2027; and (ii) 13,334 shares, which will vest in two equal annual installments beginning on April 1, 2027. Also includes 36,459 restricted stock units, which will vest in seven equal semi-annual installments beginning on April 6, 2027 (subject to continuous employment with the Issuer and/or its affiliates).

Key Figures

Shares surrendered for tax withholding: 2,624 shares Reported price per share: $37.00 per share Direct shares following transaction: 463,033 shares +2 more

5 metrics

Shares surrendered for tax withholding 2,624 shares October 6, 2026; associated with restricted stock units that vested that day

Reported price per share $37.00 per share October 6, 2026 transaction

Direct shares following transaction 463,033 shares Reported after the October 6, 2026 transaction

Shares held by Allied Physicians of California 6,132,802 shares Reported as an indirect holding

Shares held by the Thomas and Jeanette Lam 2002 Family Trust 1,133,706 shares Reported as an indirect holding

Key Terms

restricted stock units, tax withholding obligations, beneficial ownership, pecuniary interest

4 terms

restricted stock units financial

"restricted stock units that vested on October 6, 2026"

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.

tax withholding obligations financial

"offset against tax withholding obligations"

beneficial ownership regulatory

"disclaims beneficial ownership 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.

pecuniary interest financial

"except to the extent of his pecuniary interest therein"

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

How many ASTH shares did Thomas S. Lam surrender for tax withholding?

Thomas S. Lam reported surrendering 2,624 shares on October 6, 2026, at a reported $37.00 per share. The shares offset tax-withholding obligations associated with restricted stock units that vested that day.

What ASTH share holdings were reported after the October 6 transaction?

Lam's reported direct holdings afterward were 463,033 shares. Separate indirect positions were 6,132,802 shares held by Allied Physicians of California, a Professional Medical Corporation, and 1,133,706 shares held by the Thomas and Jeanette Lam 2002 Family Trust.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Available on EDGAR 10/08/2026 - 07:21 PM Accepted by SEC EDGAR 10/08/2026 - 07:21 PM Learn about SEC filing dates

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

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^*

Lam Thomas S.

(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)

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

2a. Foreign Trading Symbol

3. Date of Earliest Transaction (Month/Day/Year)
10/06/2026

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

X	Form 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)
			Code	V	Amount	(A) or (D)	Price
Common Stock	10/06/2026		F		2,624(2)	D	$37	463,033(3)	D
Common Stock								6,132,802	I	By Allied Physicians of California, a Professional Medical Corporation(1)
Common Stock								1,133,706	I	By the Thomas and Jeanette Lam 2002 Family Trust

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

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 Chief Executive Officer and Chief Financial Officer 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. Represents the surrender of shares to offset against tax withholding obligations associated with certain restricted stock units that vested on October 6, 2026.

3. Includes the following shares of restricted stock, which will vest as follows (in each case subject to continuous employment with the Issuer and/or its affiliates): (i) 51,667 shares, which will vest in two equal annual installments beginning on March 5, 2027; and (ii) 13,334 shares, which will vest in two equal annual installments beginning on April 1, 2027. Also includes 36,459 restricted stock units, which will vest in seven equal semi-annual installments beginning on April 6, 2027 (subject to continuous employment with the Issuer and/or its affiliates).

	/s/ Kathy Diep, as Attorney-in-Fact	10/08/2026
	** 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).
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)