CareMax Inc. Announces Third Quarter 2021 Financial Results
CareMax, Inc. (NASDAQ: CMAX; CMAXW) reported a remarkable financial performance for Q3 2021, with GAAP total revenue of $104.6 million, reflecting a 330% year-over-year increase. Year-to-date revenue reached $177.5 million, up 136% year-over-year. Medicare Advantage membership surged by over 340% to 26,500. However, the company reported a net loss of $2.9 million for the quarter. CareMax reaffirmed its 2021 guidance, aiming for $490 million to $525 million in revenue and $30 million to $40 million in Adjusted EBITDA. Key strategic moves included the acquisition of DNF Medical Centers and collaborations to expand medical centers.
- Total revenue of $104.6 million for Q3 2021, up 330% year-over-year.
- Medicare Advantage membership increased over 340% to 26,500.
- Reaffirmed 2021 revenue guidance of $490 million to $525 million.
- Expecting to open at least 15 new medical centers in 2022.
- GAAP net loss of $2.9 million for Q3 2021.
- Medical Expense Ratio increased to 75.4% from 71.4% year-over-year.
Third Quarter 2021 Results1
-
GAAP total revenue was
for the third quarter of 2021 and$104.6 million for the nine-months ended$177.5 million September 30, 2021 , up330% and136% year-over-year, respectively. -
Medicare Advantage membership as of
September 30, 2021 was 26,500, up over340% compared to Medicare Advantage membership as ofSeptember 30, 2020 ; total membership as ofSeptember 30, 2021 was 68,500, up over 1,000% compared to total membership as ofSeptember 30, 2020 . -
Medical Expense Ratio was
75.4% for the third quarter of 2021, compared to71.4% for the third quarter of 2020.2 -
GAAP net loss was
for the third quarter of 2021, or$2.9 million per diluted share, and$(0.03) , or$8.9 million per diluted share, for the nine-months ended$(0.22) September 30, 2021 . -
Adjusted EBITDA was
for the third quarter of 2021 and$1.2 million for the nine-months ended$9.1 million September 30, 2021 , pro forma for the business combination; excluding estimated impacts from COVID of for the third quarter of 2021 and$7.3 million for the nine-months ended$18.5 million September 30, 2021 , Adjusted EBITDA would have been and$8.5 million , respectively, up$27.6 million 4% and12% year-over-year.3 -
Platform Contribution was
for the third quarter of 2021 and$11.0 million for the nine-months ended$33.9 million September 30, 2021 , pro forma for the business combination; excluding the aforementioned estimated impacts from COVID, Platform Contribution would have been and$18.3 million , respectively, up$52.4 million 18% and10% year-over-year.3
Business Highlights
-
Reaffirmed prior guidance of approximately 30,000 Medicare Advantage members by the end of 2021, pro forma 2021 revenue of
to$490 million , and pro forma 2021 Adjusted EBITDA of$525 million to$30 million , which includes a$40 million estimated negative impact from COVID.3,4$23 million -
Acquired DNF Medical Centers on
September 1 , adding approximately 4,000 Medicare Advantage members and six medical centers in centralFlorida . -
Formalized collaboration with
The Related Companies , one of the largest private owners of affordable housing inthe United States , to develop senior medical centers in or near affordable housing units owned or affiliated with Related across the country.-
Initial sites expected to open in
New York City in the first half of 2022, with additional sites expected in the second half of 2022.
-
Initial sites expected to open in
- Announced strategic collaboration with Anthem, with a plan to open approximately 50 de novo medical centers in eight initial states.
- Bolstered core platform and de novo market leadership with the addition of new Market Presidents, a Chief Experience Officer, Chief Compliance Officer, and General Counsel.
- Appointed two new members to the Board of Directors with strong leadership experience in managed care and business process optimization.
1GAAP 2021 financial information includes the activities of
2Medical Expense Ratio equals external provider costs divided by Medicare and Medicaid risk-based revenues.
3Adjusted EBITDA and Platform Contribution are non-GAAP financial metrics. A reconciliation of non-GAAP metrics to GAAP financial statements is included in this release.
4Pro forma revenue and Adjusted EBITDA represent run-rate revenue and Adjusted EBITDA based on expected membership at the end of 2021, including all acquisitions expected to be closed by year-end and an estimated
Management Commentary
“We are pleased that our third quarter continues to illustrate the effectiveness of our model in delivering proactive and personalized primary healthcare,” said
“Our Medical Expense Ratio for the third quarter of 2021 shows that we can grow while maintaining better patient outcomes. As a result, despite headwinds related to COVID and investments in our platform, the fundamentals of our business are performing in line with our forecast, and management is pleased to reaffirm our 2021 guidance. In addition, based on current trends, we expect limited impact to risk-based revenues due to COVID in 2022 and are also optimistic that COVID utilization headwinds will subside in 2022.”
“From a growth perspective, we are pleased to welcome DNF Medical Centers to the
“We expect our base business to continue its strong performance while we maintain clear line of sight to opening at least 15 de novo centers in 2022 in
Conference Call
Management will host a conference call at
(877) 407-9753 (Domestic) or
(201) 493-6739 (International)
The conference call will also be available on the Company's website, ir.caremax.com. Following the live call, a replay will be available on the Company's website.
An investor presentation has also been posted to ir.caremax.com.
About
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth and strategy. Words such as "anticipate," "believe," "budget," "contemplate," "continue," "could," "envision," "estimate," "expect," "guidance," "indicate," "intend," "may," "might," "plan," "possibly," "potential," "predict," "probably," "pro-forma," "project," "seek," "should," "target," or "will," or the negative or other variations thereof, and similar words or phrases or comparable terminology, are intended to identify forward-looking statements. These forward-looking statements reflect the Company’s expectations, plans or forecasts of future events and views as of the date of this press release. These forward-looking statements are not guarantees of future performance, conditions or results, and involve a number of known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside the Company’s control, that could cause actual results or outcomes to differ materially from those discussed in the forward-looking statements.
Important risks and uncertainties that could cause the Company's actual results and financial condition to differ materially from those indicated in forward-looking statements include, among others, the impact of COVID-19 or any variant thereof on the Company's business and results of operation; the availability of sites for medical facilities and the costs of opening such medical facilities; changes in market or industry conditions, regulatory environment, competitive conditions, and receptivity to the Company's services; the Company's ability to continue its growth, including in new markets; changes in laws and regulations applicable to the Company's business, in particular with respect to Medicare Advantage and Medicaid; the Company's ability to maintain its relationships with health plans and other key payers; any delay, modification or cancellation of government contracts; the Company's future capital requirements and sources and uses of cash, including funds to satisfy its liquidity needs; the Company or any other party’s ability to fulfill contractual obligations; and the Company's ability to recruit and retain qualified team members and independent physicians. For a detailed discussion of the risk factors that could affect the Company's actual results, please refer to the risk factors identified in the Company's reports filed with the
Use of Non-GAAP Financial Information
Certain financial information and data contained this press release is unaudited and does not conform to Regulation S-X. Accordingly, such information and data may not be included in, may be adjusted in, or may be presented differently in, any periodic filing, information or proxy statement, or prospectus or registration statement to be filed by the Company with the
The Company believes that the use of these non-GAAP financial measures provides an additional tool for investors to use in evaluating projected operating results and trends in and in comparing the Company’s financial measures with other similar companies, many of which present similar non-GAAP financial measures to investors. Management does not consider these non-GAAP measures in isolation or as an alternative to financial measures determined in accordance with GAAP. The principal limitation of these non-GAAP financial measures is that they exclude significant expenses and income that are required by GAAP to be recorded in the Company’s financial statements. In addition, they are subject to inherent limitations as they reflect the exercise of judgments by management about which expense and income are excluded or included in determining these non-GAAP financial measures. In order to compensate for these limitations, management presents non-GAAP financial measures in connection with GAAP results. You should review the Company’s audited financial statements, which have been filed by the Company with the
A reconciliation for Adjusted EBITDA to the most directly comparable GAAP financial measures is included below.
Use of Pro Forma Financial Information and Pro Forma Non-GAAP Financial Information
The unaudited pro forma statements of operations below are provided for informational purposes only and are not necessarily indicative of the operating results or financial position that would have occurred if the acquisitions of
Additionally, Adjusted EBITDA presented on a pro forma basis gives effect to the acquisitions of
|
|||||||
CONDENSED CONSOLIDATED BALANCE SHEETS |
|||||||
(in thousands, except share and per share data) |
|||||||
(Unaudited) |
|||||||
|
|
|
|
|
|
||
ASSETS |
|
|
|
|
|
||
CURRENT ASSETS |
|
|
|
|
|
||
Cash |
|
$ |
80,451 |
|
|
$ |
4,934 |
Accounts receivable, net |
|
|
33,624 |
|
|
|
9,395 |
Inventory |
|
|
398 |
|
|
|
15 |
Prepaid expenses |
|
|
17,926 |
|
|
|
183 |
Risk settlements due from providers |
|
|
464 |
|
|
|
80 |
Due from related parties |
|
|
- |
|
|
|
274 |
Total Current Assets |
|
|
132,863 |
|
|
|
14,881 |
|
|
|
|
|
|
||
Property and equipment, net |
|
|
16,163 |
|
|
|
4,796 |
|
|
|
449,470 |
|
|
|
10,068 |
Intangible assets, net |
|
|
61,575 |
|
|
|
8,575 |
Deferred debt issuance costs |
|
|
2,084 |
|
|
|
- |
Other assets |
|
|
1,109 |
|
|
|
183 |
Total Assets |
|
$ |
663,264 |
|
|
$ |
38,503 |
|
|
|
|
|
|
||
LIABILITIES AND STOCKHOLDERS'/MEMBERS' EQUITY |
|
|
|
|
|
||
|
|
|
|
|
|
||
CURRENT LIABILITIES |
|
|
|
|
|
||
Accounts payable |
|
$ |
5,677 |
|
|
$ |
1,044 |
Accrued expenses |
|
|
8,346 |
|
|
|
2,572 |
Accrued interest payable |
|
|
- |
|
|
|
149 |
Risk settlements due to providers |
|
|
171 |
|
|
|
643 |
Current portion of long-term debt |
|
|
6,279 |
|
|
|
1,004 |
Due to related parties |
|
|
- |
|
|
|
39 |
Other current liabilities |
|
|
2,831 |
|
|
|
- |
Total Current Liabilities |
|
|
23,304 |
|
|
|
5,451 |
|
|
|
|
|
|
||
Derivative warrant liabilities |
|
|
17,110 |
|
|
|
- |
Long-term debt, less current portion |
|
|
112,890 |
|
|
|
26,325 |
Other liabilities |
|
|
6,032 |
|
|
|
- |
Total Liabilities |
|
|
159,336 |
|
|
|
31,776 |
COMMITMENTS AND CONTINGENCIES (Note 14) |
|
|
|
|
|
||
STOCKHOLDERS'/MEMBER'S EQUITY |
|
|
|
|
|
||
Class A common stock ( |
|
|
9 |
|
|
|
- |
Additional paid-in-capital |
|
|
506,108 |
|
|
|
- |
Accumulated deficit |
|
|
(2,189 |
) |
|
|
- |
Member units (no par value, 200 authorized, issued and outstanding at
|
|
|
- |
|
|
|
223 |
Members' equity |
|
|
- |
|
|
|
6,504 |
Total Stockholders'/Members' Equity |
|
|
503,928 |
|
|
|
6,727 |
|
|
|
|
|
|
||
Total Liabilities and Stockholders'/Members' Equity |
|
$ |
663,264 |
|
|
$ |
38,503 |
|
||||||||||||
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS |
||||||||||||
(Unaudited) |
||||||||||||
(in thousands, except share and per share data) |
||||||||||||
|
Three Months Ended
|
|
Three Months Ended
|
|
Nine Months Ended
|
|
Nine Months Ended
|
|
||||
|
2021 |
|
2020 |
|
2021 |
|
2020 |
|
||||
Revenue |
|
|
|
|
|
|
|
|
||||
Medicare risk-based revenue |
$ |
76,428 |
|
$ |
24,242 |
|
$ |
142,005 |
|
$ |
75,083 |
|
Medicaid risk-based revenue |
|
20,884 |
|
|
- |
|
|
26,333 |
|
|
- |
|
Other revenue |
|
7,308 |
|
|
64 |
|
|
9,118 |
|
|
251 |
|
Total Revenue |
|
104,620 |
|
|
24,306 |
|
|
177,456 |
|
|
75,334 |
|
|
|
|
|
|
|
|
|
|
||||
Operating Expenses |
|
|
|
|
|
|
|
|
||||
External provider costs |
|
73,329 |
|
|
17,304 |
|
|
127,023 |
|
|
49,110 |
|
Cost of care |
|
21,602 |
|
|
4,341 |
|
|
34,822 |
|
|
12,244 |
|
Sales and marketing |
|
1,274 |
|
|
311 |
|
|
2,340 |
|
|
811 |
|
Corporate, general and administrative |
|
13,589 |
|
|
1,885 |
|
|
24,264 |
|
|
4,626 |
|
Depreciation and amortization |
|
5,176 |
|
|
359 |
|
|
7,127 |
|
|
1,072 |
|
Acquisition related costs |
|
879 |
|
|
- |
|
|
1,028 |
|
|
- |
|
Total operating expenses |
|
115,849 |
|
|
24,200 |
|
|
196,604 |
|
|
67,863 |
|
Operating income (loss) |
|
(11,229 |
) |
|
106 |
|
|
(19,148 |
) |
|
7,471 |
|
Interest (expense), net |
|
(1,291 |
) |
|
(387 |
) |
|
(2,587 |
) |
|
(1,117 |
) |
Gain on remeasurement of warrant liabilities |
|
10,227 |
|
|
- |
|
|
12,022 |
|
|
- |
|
Gain on extinguishment of debt, net |
|
279 |
|
|
- |
|
|
1,637 |
|
|
- |
|
Other income (expense), net |
|
(840 |
) |
|
- |
|
|
(840 |
) |
|
- |
|
Income (loss) before income tax |
|
(2,854 |
) |
|
(281 |
) |
|
(8,916 |
) |
|
6,354 |
|
Income tax provision (benefit) |
|
- |
|
|
- |
|
|
- |
|
|
- |
|
Net income (loss) |
$ |
(2,854 |
) |
$ |
(281 |
) |
$ |
(8,916 |
) |
$ |
6,354 |
|
|
|
|
|
|
|
|
|
|
||||
Net income (loss) attributable to non-controlling interest |
|
- |
|
|
34 |
|
|
- |
|
|
26 |
|
Net income (loss) attributable to controlling interest |
$ |
(2,854 |
) |
$ |
(315 |
) |
$ |
(8,916 |
) |
$ |
6,328 |
|
|
|
|
|
|
|
|
|
|
||||
Net income (loss) attributable to |
$ |
(2,854 |
) |
$ |
(315 |
) |
$ |
(8,916 |
) |
$ |
6,328 |
|
Weighted average basic shares outstanding |
|
82,552,520 |
|
|
10,796,069 |
|
|
40,847,294 |
|
|
10,796,069 |
|
Weighted average diluted shares outstanding |
|
82,552,520 |
|
|
10,796,069 |
|
|
40,847,294 |
|
|
10,796,069 |
|
Net income (loss) per share |
|
|
|
|
|
|
|
|
||||
Basic |
$ |
(0.03 |
) |
$ |
(0.03 |
) |
$ |
(0.22 |
) |
$ |
0.59 |
|
Diluted |
$ |
(0.03 |
) |
$ |
(0.03 |
) |
$ |
(0.22 |
) |
$ |
0.59 |
|
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS |
||||||||
(Unaudited) |
||||||||
(in thousands) |
||||||||
|
|
Nine Months Ended
|
|
|
Nine Months Ended
|
|
||
|
|
2021 |
|
|
2020 |
|
||
CASH FLOWS FROM OPERATING ACTIVITIES |
|
|
|
|
|
|
||
Net (Loss)/Income |
|
$ |
(8,916 |
) |
|
$ |
6,354 |
|
Adjustments to reconcile net (loss)/income to net cash |
|
|
|
|
|
|
||
(Used in)/provided by operating activities: |
|
|
|
|
|
|
||
Depreciation expense |
|
|
1,657 |
|
|
|
626 |
|
Amortization expense |
|
|
5,488 |
|
|
|
448 |
|
Amortization of debt issuance costs |
|
|
522 |
|
|
|
52 |
|
Stock compensation expense |
|
|
966 |
|
|
|
- |
|
Change in fair value of warrant liabilities |
|
|
(12,022 |
) |
|
|
- |
|
Gain on extinguishment of debt |
|
|
(1,637 |
) |
|
|
- |
|
Changes in operating assets and liabilities: |
|
|
|
|
|
|
||
Accounts receivable |
|
|
4,296 |
|
|
|
(583 |
) |
Inventory |
|
|
67 |
|
|
|
(3 |
) |
Prepaid expenses |
|
|
(1,371 |
) |
|
|
55 |
|
Risk settlements due from/due to providers |
|
|
(384 |
) |
|
|
(92 |
) |
Due to/from related parties |
|
|
235 |
|
|
|
(141 |
) |
Other assets |
|
|
(312 |
) |
|
|
12 |
|
Accounts payable |
|
|
1,583 |
|
|
|
(347 |
) |
Accrued expenses |
|
|
(3 |
) |
|
|
(381 |
) |
Other liabilities |
|
|
1,178 |
|
|
|
- |
|
Accrued interest |
|
|
(149 |
) |
|
|
- |
|
|
|
|
(8,802 |
) |
|
|
5,998 |
|
|
|
|
|
|
|
|
||
CASH FLOWS FROM INVESTING ACTIVITIES |
|
|
|
|
|
|
||
Purchase of property and equipment |
|
|
(2,967 |
) |
|
|
(1,789 |
) |
Acquisition of businesses |
|
|
(298,344 |
) |
|
|
(2,656 |
) |
Asset Purchase Agreement Holdback Payment |
|
|
- |
|
|
|
(333 |
) |
Purchase of noncontrolling interest ownership |
|
|
- |
|
|
|
(316 |
) |
|
|
|
(301,311 |
) |
|
|
(5,094 |
) |
|
|
|
|
|
|
|
||
CASH FLOWS FROM FINANCING ACTIVITIES |
|
|
|
|
|
|
||
Borrowings under revolving loan commitment |
|
|
- |
|
|
|
2,467 |
|
Loan from Paycheck Protection Program |
|
|
- |
|
|
|
2,164 |
|
Proceeds from issuance of Class A common stock |
|
|
415,000 |
|
|
|
- |
|
Issuance costs of Class A common stock |
|
|
(12,471 |
) |
|
|
- |
|
Reverse recapitalization |
|
|
(108,386 |
) |
|
|
- |
|
Proceeds from borrowings on long-term debt and credit facilities |
|
|
125,000 |
|
|
|
- |
|
Principal payments on long-term debt |
|
|
(26,143 |
) |
|
|
(251 |
) |
Payment of deferred financing costs |
|
|
(6,883 |
) |
|
|
- |
|
Payment of debt prepayment penalties |
|
|
(487 |
) |
|
|
- |
|
Distributions to members |
|
|
- |
|
|
|
(144 |
) |
Net Cash Provided by Financing Activities |
|
|
385,630 |
|
|
|
4,236 |
|
|
|
|
|
|
|
|
||
NET INCREASE IN CASH |
|
|
75,517 |
|
|
|
5,140 |
|
Cash - Beginning of Period |
|
|
4,934 |
|
|
|
4,438 |
|
CASH - END OF PERIOD |
|
$ |
80,451 |
|
|
$ |
9,578 |
|
Non-GAAP Financial Summary (Unaudited*) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
$'000s |
|
|
|
|
September
|
|
December
|
|
|
|
|
|
September
|
|
|||||||
Medicare Risk Revenue |
$ |
63,373 |
|
$ |
62,040 |
|
$ |
63,188 |
|
$ |
65,210 |
|
$ |
65,394 |
|
$ |
66,618 |
|
$ |
76,428 |
|
Medicaid Risk Revenue |
|
10,827 |
|
|
14,828 |
|
|
20,565 |
|
|
19,062 |
|
|
18,897 |
|
|
20,454 |
|
|
20,884 |
|
Other Revenue |
|
4,608 |
|
|
4,126 |
|
|
3,351 |
|
|
3,801 |
|
|
4,127 |
|
|
4,839 |
|
|
7,308 |
|
Total Revenue |
|
78,808 |
|
|
80,994 |
|
|
87,104 |
|
|
88,073 |
|
|
88,418 |
|
|
91,911 |
|
|
104,620 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
External Provider Costs |
|
53,472 |
|
|
52,780 |
|
|
60,158 |
|
|
57,775 |
|
|
60,278 |
|
|
70,466 |
|
|
73,329 |
|
Cost of Care |
|
11,246 |
|
|
10,093 |
|
|
11,417 |
|
|
12,446 |
|
|
13,427 |
|
|
13,246 |
|
|
20,315 |
|
Platform Contribution |
|
14,090 |
|
|
18,121 |
|
|
15,529 |
|
|
17,852 |
|
|
14,712 |
|
|
8,199 |
|
|
10,976 |
|
Platform Contribution Margin (%) |
|
17.9 |
% |
|
22.4 |
% |
|
17.8 |
% |
|
20.3 |
% |
|
16.6 |
% |
|
8.9 |
% |
|
10.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Sales and Marketing |
$ |
1,057 |
|
$ |
1,245 |
|
$ |
1,290 |
|
$ |
1,431 |
|
$ |
391 |
|
$ |
1,688 |
|
$ |
1,274 |
|
Corporate, General and Administrative |
|
7,858 |
|
|
5,667 |
|
|
6,069 |
|
|
6,519 |
|
|
7,197 |
|
|
6,347 |
|
|
8,668 |
|
Adjusted EBITDA |
|
5,175 |
|
|
11,209 |
|
|
8,170 |
|
|
9,901 |
|
|
7,124 |
|
|
163 |
|
|
1,034 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
De Novo Losses |
|
3 |
|
|
24 |
|
|
68 |
|
|
484 |
|
|
184 |
|
|
364 |
|
|
195 |
|
Adjusted EBITDA |
$ |
5,178 |
|
$ |
11,233 |
|
$ |
8,237 |
|
$ |
10,385 |
|
$ |
7,308 |
|
$ |
527 |
|
$ |
1,229 |
|
Adjusted EBITDA Margin (%) |
|
6.6 |
% |
|
13.9 |
% |
|
9.5 |
% |
|
11.8 |
% |
|
8.3 |
% |
|
0.6 |
% |
|
1.2 |
% |
* Figures give effect to the Business Combinations of |
|
*Figures may not sum due to rounding
Nine Months Ended |
|
||||||||||
|
Nine Months Ended |
|
|||||||||
|
|
|
|
|
|
|
Y/Y Change |
|
|||
$'000s |
|
|
|
|
|
|
|
|
|||
Medicare Risk Revenue |
$ |
208,440 |
|
|
$ |
188,601 |
|
|
$ |
19,839 |
|
Medicaid Risk Revenue |
|
60,235 |
|
|
|
46,220 |
|
|
|
14,016 |
|
Other Revenue |
|
16,274 |
|
|
|
12,085 |
|
|
|
4,189 |
|
Total Revenue |
|
284,949 |
|
|
|
246,906 |
|
|
|
38,044 |
|
|
|
|
|
|
|
|
|
|
|||
External Provider Costs |
|
204,073 |
|
|
|
166,411 |
|
|
|
(37,663 |
) |
Cost of Care |
|
46,988 |
|
|
|
32,755 |
|
|
|
(14,233 |
) |
Platform Contribution |
|
33,887 |
|
|
|
47,740 |
|
|
|
(13,853 |
) |
Platform Contribution Margin (%) |
|
11.9 |
% |
|
|
19.3 |
% |
|
|
(7.4 |
%) |
|
|
|
|
|
|
|
|
|
|||
Sales and Marketing |
$ |
3,354 |
|
|
$ |
3,592 |
|
|
$ |
238 |
|
Corporate, General and Administrative |
|
22,212 |
|
|
|
19,594 |
|
|
|
(2,618 |
) |
Adjusted EBITDA |
|
8,321 |
|
|
|
24,554 |
|
|
|
(16,233 |
) |
|
|
|
|
|
|
|
|
|
|||
De Novo Losses |
|
743 |
|
|
|
94 |
|
|
|
649 |
|
Adjusted EBITDA |
$ |
9,064 |
|
|
$ |
24,648 |
|
|
$ |
(15,584 |
) |
Adjusted EBITDA Margin (%) |
|
3.2 |
% |
|
|
10.0 |
% |
|
|
(6.8 |
%) |
* Figures give effect to the Business Combinations of |
|
*Figures may not sum due to rounding
Non-GAAP Operating Metrics* |
|
|
|
|
September
|
|
December
|
|
|
|
|
|
September
|
|
|||||||
Centers |
|
21 |
|
|
21 |
|
|
22 |
|
|
24 |
|
|
24 |
|
|
34 |
|
|
40 |
|
Markets |
|
1 |
|
|
1 |
|
|
1 |
|
|
1 |
|
|
1 |
|
|
1 |
|
|
1 |
|
Patients (MCREM)** |
|
24,800 |
|
|
27,500 |
|
|
29,000 |
|
|
28,400 |
|
|
29,200 |
|
|
35,300 |
|
|
40,400 |
|
At-Risk |
|
84.8 |
% |
|
86.7 |
% |
|
85.6 |
% |
|
87.7 |
% |
|
87.0 |
% |
|
84.1 |
% |
|
87.2 |
% |
Platform Contribution ($, Millions)*** |
$ |
14.1 |
|
$ |
18.1 |
|
$ |
15.5 |
|
$ |
17.9 |
|
$ |
14.7 |
|
$ |
8.2 |
|
$ |
11.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
* Figures give effect to the Business Combinations of |
|
||||||||||||||||||||
** MCREM defined as Medicare Equivalent Members, which assumes the level of support received by a Medicare patient is equivalent to that received by three Medicaid or Commercial patients. |
|
||||||||||||||||||||
*** Platform contribution defined as revenue less external provider costs and cost of care, excluding depreciation and amortization. |
|
*Figures may not sum due to rounding
Reconciliation to Adjusted EBITDA* |
|||||||||||||||||||||
$'000s |
|
|
|
|
September
|
|
|
|
|
|
|
|
|
|
|||||||
Net Income (Loss) |
$ |
3,170 |
|
$ |
3,466 |
|
$ |
(281 |
) |
$ |
1,218 |
|
$ |
1,302 |
|
$ |
(7,363 |
) |
$ |
(2,854 |
) |
GAAP Pro Forma Adjustments |
|
(3,513 |
) |
|
160 |
|
|
(189 |
) |
|
1,912 |
|
|
(2,730 |
) |
|
(6,186 |
) |
|
(0 |
) |
Pro Forma Net Income |
$ |
(343 |
) |
$ |
3,626 |
|
$ |
(470 |
) |
$ |
3,130 |
|
$ |
(1,429 |
) |
$ |
(13,549 |
) |
$ |
(2,854 |
) |
Interest expense, net |
|
1,658 |
|
|
1,689 |
|
|
1,656 |
|
|
1,628 |
|
|
1,400 |
|
|
1,667 |
|
|
1,291 |
|
Depreciation and amortization |
|
3,514 |
|
|
3,244 |
|
|
3,368 |
|
|
3,418 |
|
|
2,979 |
|
|
3,339 |
|
|
5,176 |
|
Loss/(Gain) on remeasurement of warrant liabilities |
|
- |
|
|
- |
|
|
- |
|
|
- |
|
|
- |
|
|
(1,795 |
) |
|
(10,227 |
) |
Loss/(Gain) on extinguishment of debt |
|
- |
|
|
- |
|
|
- |
|
|
451 |
|
|
- |
|
|
806 |
|
|
(279 |
) |
Other expense/(income) |
|
(2 |
) |
|
(12 |
) |
|
100 |
|
|
(997 |
) |
|
212 |
|
|
(2,367 |
) |
|
840 |
|
EBITDA |
$ |
4,827 |
|
$ |
8,547 |
|
$ |
4,653 |
|
$ |
7,630 |
|
$ |
3,162 |
|
$ |
(11,900 |
) |
$ |
(6,053 |
) |
Other adjustments |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
Non-recurring expenses |
|
(309 |
) |
|
1,985 |
|
|
2,763 |
|
|
1,390 |
|
|
2,795 |
|
|
8,257 |
|
|
4,249 |
|
Acquisition costs |
|
656 |
|
|
678 |
|
|
789 |
|
|
893 |
|
|
1,168 |
|
|
3,806 |
|
|
1,871 |
|
Stock based compensation |
|
- |
|
|
- |
|
|
- |
|
|
- |
|
|
- |
|
|
- |
|
|
966 |
|
De novo losses |
|
3 |
|
|
24 |
|
|
68 |
|
|
484 |
|
|
184 |
|
|
364 |
|
|
195 |
|
Discontinued operations |
|
- |
|
|
(0 |
) |
|
(35 |
) |
|
(12 |
) |
|
(1 |
) |
|
(0 |
) |
|
- |
|
Adjusted EBITDA |
$ |
5,178 |
|
$ |
11,233 |
|
$ |
8,237 |
|
$ |
10,385 |
|
$ |
7,308 |
|
$ |
527 |
|
$ |
1,229 |
|
* Pro Forma figures give effect to the Business Combinations of |
|
*Figures may not sum due to rounding
Three and Nine months Ended
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||||||||||
$'000s |
|
September
|
|
|
September
|
|
|
Y/Y Change |
|
|
September
|
|
|
September
|
|
|
Y/Y Change |
|
||||||
Net Income (Loss) |
|
$ |
(2,854 |
) |
|
$ |
(281 |
) |
|
$ |
(2,573 |
) |
|
$ |
(8,916 |
) |
|
$ |
6,354 |
|
|
$ |
(15,269 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
GAAP Pro Forma Adjustments |
|
|
(505 |
) |
|
|
(189 |
) |
|
|
(316 |
) |
|
|
(8,917 |
) |
|
|
(3,541 |
) |
|
|
(5,376 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Pro Forma Net Income (Loss) |
|
|
(3,358 |
) |
|
|
(470 |
) |
|
|
(2,888 |
) |
|
|
(17,832 |
) |
|
|
2,813 |
|
|
|
(20,645 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Interest expense |
|
|
1,291 |
|
|
|
1,656 |
|
|
|
(364 |
) |
|
|
4,358 |
|
|
|
5,002 |
|
|
|
(644 |
) |
Depreciation and amortization |
|
|
5,680 |
|
|
|
3,368 |
|
|
|
2,313 |
|
|
|
11,494 |
|
|
|
10,126 |
|
|
|
1,368 |
|
Loss/(Gain) on remeasurement of warrant liabilities |
|
|
(10,227 |
) |
|
|
- |
|
|
|
(10,227 |
) |
|
|
(12,022 |
) |
|
|
- |
|
|
|
(12,022 |
) |
Loss/(Gain) on extinguishment of debt |
|
|
(279 |
) |
|
|
- |
|
|
|
(279 |
) |
|
|
(1,637 |
) |
|
|
- |
|
|
|
(1,637 |
) |
Other expenses |
|
|
840 |
|
|
|
100 |
|
|
|
740 |
|
|
|
849 |
|
|
|
86 |
|
|
|
763 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
EBITDA |
|
|
(6,052 |
) |
|
|
4,653 |
|
|
|
(10,705 |
) |
|
|
(14,790 |
) |
|
|
18,027 |
|
|
|
(32,817 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Other Adjustments |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Non-recurring expenses |
|
|
4,249 |
|
|
|
2,763 |
|
|
|
1,486 |
|
|
|
15,302 |
|
|
|
4,439 |
|
|
|
10,863 |
|
Acquisition costs |
|
|
1,871 |
|
|
|
789 |
|
|
|
1,083 |
|
|
|
6,844 |
|
|
|
2,123 |
|
|
|
4,721 |
|
Stock based compensation |
|
|
966 |
|
|
|
- |
|
|
|
966 |
|
|
|
966 |
|
|
|
- |
|
|
|
966 |
|
De novo losses |
|
|
195 |
|
|
|
68 |
|
|
|
127 |
|
|
|
743 |
|
|
|
94 |
|
|
|
649 |
|
Discontinued operations |
|
|
- |
|
|
|
(35 |
) |
|
|
35 |
|
|
|
(1 |
) |
|
|
(35 |
) |
|
|
34 |
|
Adjusted EBITDA |
|
$ |
1,229 |
|
|
$ |
8,237 |
|
|
$ |
(7,009 |
) |
|
$ |
9,064 |
|
|
$ |
24,648 |
|
|
$ |
(15,584 |
) |
*Pro Forma figures give effect to the Business Combinations of |
|
*Figures may not sum due to rounding
View source version on businesswire.com: https://www.businesswire.com/news/home/20211115005688/en/
Media
(305) 542-8855
Christine@thinkbsg.com
Investor Relations
(415) 640-3715
ben.quirk@caremax.com
(212) 836-9608
dsullivan@equityny.com
Source:
FAQ
What were CareMax's Q3 2021 financial results for CMAX and CMAXW?
How much is CareMax's Medicare Advantage membership as of September 30, 2021?
What is CareMax's revenue guidance for 2021?
What acquisitions did CareMax complete recently?