LifeStance Reports Second Quarter 2024 Results
LifeStance Health Group (Nasdaq: LFST) reported strong Q2 2024 results, with revenue increasing 20% to $312.3 million. The company's clinician base grew 14% to 6,984, and visit volumes rose 15% to 2.0 million. Despite a net loss of $23.3 million, Adjusted EBITDA improved significantly to $28.6 million, up 103% year-over-year.
LifeStance raised its full-year 2024 guidance, now expecting revenue between $1.2 billion to $1.242 billion, Center Margin of $363 million to $383 million, and Adjusted EBITDA of $90 million to $100 million. The company also reiterated expectations for positive Free Cash Flow for the year.
LifeStance Health Group (Nasdaq: LFST) ha riportato risultati solidi per il secondo trimestre del 2024, con un aumento del 20% dei ricavi, pari a 312,3 milioni di dollari. La base di clinici dell'azienda è cresciuta del 14% raggiungendo 6.984, e il volume delle visite è aumentato del 15% a 2 milioni. Nonostante una perdita netta di 23,3 milioni di dollari, l'EBITDA adeguato è migliorato significativamente a 28,6 milioni di dollari, con un incremento del 103% rispetto all'anno precedente.
LifeStance ha alzato le previsioni per l'intero anno 2024, prevedendo ora ricavi tra 1,2 miliardi e 1,242 miliardi di dollari, un Margine per Centro di 363 milioni a 383 milioni di dollari e un EBITDA adeguato tra 90 milioni e 100 milioni di dollari. L'azienda ha inoltre ribadito le aspettative di un flusso di cassa libero positivo per l'anno.
LifeStance Health Group (Nasdaq: LFST) reportó resultados sólidos para el segundo trimestre de 2024, con un aumento del 20% en los ingresos, alcanzando 312.3 millones de dólares. La base de clínicos de la empresa creció un 14%, alcanzando 6,984, y el volumen de visitas aumentó un 15% a 2.0 millones. A pesar de una pérdida neta de 23.3 millones de dólares, el EBITDA ajustado mejoró significativamente a 28.6 millones de dólares, con un aumento del 103% en comparación con el año anterior.
LifeStance elevó su guía para el año completo 2024, ahora esperando ingresos entre 1.2 mil millones y 1.242 mil millones de dólares, un Margen de Centro de 363 millones a 383 millones de dólares, y un EBITDA ajustado de 90 millones a 100 millones de dólares. La compañía también reiteró las expectativas de un flujo de efectivo libre positivo para el año.
LifeStance Health Group (Nasdaq: LFST)는 2024년 2분기에 강력한 실적을 보고했으며, 수익이 20% 증가하여 3억 1,230만 달러에 이르렀습니다. 회사의 임상가 수는 14% 증가하여 6,984명에 도달했고, 방문 건수는 15% 증가하여 200만 건에 달했습니다. 2,330만 달러의 순손실에도 불구하고, 조정 EBITDA는 2,860만 달러로 크게 개선되어 전년 대비 103% 증가했습니다.
LifeStance는 2024년 전체 연간 가이던스를 상향 조정하여, 현재 12억 달러에서 12억 4,200만 달러 사이의 수익, 센터 마진 3억 6,300만 달러에서 3억 8,300만 달러, 조정 EBITDA 9천만 달러에서 1억 달러를 예상하고 있습니다. 회사는 또한 올해 긍정적인 자유 현금 흐름에 대한 기대를 재확인했습니다.
LifeStance Health Group (Nasdaq: LFST) a annoncé des résultats solides pour le deuxième trimestre 2024, avec une augmentation des revenus de 20% atteignant 312,3 millions de dollars. La base de cliniciens de l'entreprise a crû de 14% pour atteindre 6.984, et le volume des visites a augmenté de 15% pour s'établir à 2 millions. Malgré une perte nette de 23,3 millions de dollars, l'EBITDA ajusté s'est significativement amélioré à 28,6 millions de dollars, soit une augmentation de 103% par rapport à l'année précédente.
LifeStance a relevé ses prévisions pour l'ensemble de l'année 2024, s'attendant désormais à des revenus compris entre 1,2 milliard et 1,242 milliard de dollars, une marge de centre de 363 millions à 383 millions de dollars, et un EBITDA ajusté de 90 millions à 100 millions de dollars. L'entreprise a également réitéré ses attentes concernant un flux de trésorerie libre positif pour l'année.
LifeStance Health Group (Nasdaq: LFST) hat starke Ergebnisse für das zweite Quartal 2024 gemeldet, mit einem Umsatzanstieg von 20% auf 312,3 Millionen Dollar. Die Zahl der Kliniker des Unternehmens wuchs um 14% auf 6.984, und das Besuchsvolumen stieg um 15% auf 2 Millionen. Trotz eines Nettoverlusts von 23,3 Millionen Dollar, verbesserte sich das bereinigte EBITDA erheblich auf 28,6 Millionen Dollar, was einem Anstieg von 103% im Vergleich zum Vorjahr entspricht.
LifeStance hob die Prognose für das Gesamtjahr 2024 an und erwartet nun einen Umsatz zwischen 1,2 Milliarden und 1,242 Milliarden Dollar, eine Center-Marge von 363 Millionen bis 383 Millionen Dollar und ein bereinigtes EBITDA von 90 Millionen bis 100 Millionen Dollar. Das Unternehmen bekräftigte auch die Erwartungen für einen positiven freien Cashflow für das Jahr.
- Revenue growth of 20% year-over-year to $312.3 million
- Clinician base increased 14% to 6,984
- Visit volumes up 15% to 2.0 million
- Adjusted EBITDA grew 103% to $28.6 million
- Center Margin improved to 31.3% of total revenue
- Positive cash flow from operations of $22.2 million for H1 2024
- Raised full-year 2024 guidance for revenue, Center Margin, and Adjusted EBITDA
- Net loss of $23.3 million in Q2 2024
- Loss from operations of $15.9 million
LifeStance's Q2 2024 results show strong growth and improved profitability. Revenue increased by
Notably, Adjusted EBITDA more than doubled to
LifeStance's Q2 results reflect the growing demand for mental healthcare services. The
The company's improved Center Margin and Adjusted EBITDA suggest better operational efficiency and potential for long-term profitability. However, the ongoing net losses, albeit reduced, indicate that LifeStance is still in a growth phase, prioritizing expansion over immediate profitability. The raised full-year guidance points to management's confidence in the company's trajectory and the sustained demand for mental health services.
LifeStance's Q2 performance underscores the robust growth in the outpatient mental healthcare market. The
The improvement in total revenue per visit indicates potential pricing power or a shift towards higher-value services. The positive free cash flow outlook for 2024 is a significant milestone, potentially enhancing LifeStance's ability to fund future growth initiatives or improve its balance sheet. Investors should monitor the company's progress towards sustained profitability and its ability to maintain growth rates in an evolving healthcare landscape.
SCOTTSDALE, Ariz., Aug. 08, 2024 (GLOBE NEWSWIRE) -- LifeStance Health Group, Inc. (Nasdaq: LFST), one of the nation’s largest providers of outpatient mental healthcare, today announced financial results for the second quarter ended June 30, 2024.
(All results compared to prior-year comparative period, unless otherwise noted)
Q2 2024 Highlights and FY 2024 Outlook
- Revenue of
$312.3 million increased20% compared to revenue of$259.6 million - Clinician base increased
14% to 6,984 clinicians, a sequential net increase of 118 in the second quarter - Second quarter visit volumes increased
15% to 2.0 million - Net loss of
$23.3 million , primarily driven by stock-based compensation, compared to net loss of$45.5 million - Adjusted EBITDA of positive
$28.6 million compared to Adjusted EBITDA of positive$14.1 million - For full year 2024, raising revenue expectations to
$1.2 billion to$1.24 2 billion; raising Center Margin expectations to$363 million to$383 million ; raising Adjusted EBITDA expectations to$90 million to$100 million ; and reiterating expectations for positive Free Cash Flow
“We continue to execute on our plan. In the first half of 2024, we achieved revenue growth of
| Financial Highlights | ||||||||||||
| Q2 2024 | Q2 2023 | Y/Y | ||||||||||
| (in millions) | ||||||||||||
| Total revenue | $ | 312.3 | $ | 259.6 | 20 | % | ||||||
| Loss from operations | (15.9 | ) | (48.4 | ) | (67 | %) | ||||||
| Center Margin | 97.8 | 73.0 | 34 | % | ||||||||
| Net loss | (23.3 | ) | (45.5 | ) | (49 | %) | ||||||
| Adjusted EBITDA | 28.6 | 14.1 | 103 | % | ||||||||
| As % of Total revenue: | ||||||||||||
| Loss from operations | (5.1 | %) | (18.6 | %) | ||||||||
| Center Margin | 31.3 | % | 28.1 | % | ||||||||
| Net loss | (7.5 | %) | (17.5 | %) | ||||||||
| Adjusted EBITDA | 9.2 | % | 5.4 | % | ||||||||
(All results compared to prior-year period, unless otherwise noted)
- Revenue grew
20% to$312.3 million . Strong revenue growth in the second quarter was driven primarily by higher visit volumes from net clinician growth and improvements in total revenue per visit. - Loss from operations was
$15.9 million , primarily driven by stock-based compensation. Net loss was$23.3 million . - Center Margin grew
34% to$97.8 million , or31.3% of total revenue. - Adjusted EBITDA increased
103% to$28.6 million , or9.2% of total revenue. Adjusted EBITDA as a percentage of revenue increased in the second quarter as a result of higher total revenue per visit, lower center costs as a percentage of revenue, and improved operating leverage from revenue growing faster than general and administrative expenses.
Balance Sheet, Cash Flow and Capital Allocation
For the six months ended June 30, 2024, LifeStance provided
2024 Guidance
LifeStance is providing the following outlook for 2024:
- The Company is raising full year revenue to
$1.2 billion to$1.24 2 billion; raising Center Margin to$363 million to$383 million ; and raising Adjusted EBITDA to$90 million to$100 million . Additionally, the Company continues to expect to generate positive Free Cash Flow for the full year. - For the third quarter of 2024, the Company expects total revenue of
$290 million to$310 million , Center Margin of$83 million to$95 million , and Adjusted EBITDA of$15 million to$21 million .
Conference Call, Webcast Information, and Presentations
LifeStance will hold a conference call today, August 8, 2024 at 8:30 a.m. Eastern Time to discuss the second quarter 2024 results. Investors who wish to participate in the call should dial 1-800-715-9871, domestically, or 1-646-307-1963, internationally, approximately 10 minutes before the call begins and provide conference ID number 1488997 or ask to be joined into the LifeStance call. A real-time audio webcast can be accessed via the Events and Presentations section of the LifeStance Investor Relations website (https://investor.lifestance.com), where related materials will be posted prior to the conference call.
About LifeStance Health Group, Inc.
Founded in 2017, LifeStance (Nasdaq: LFST) is reimagining mental health. We are one of the nation’s largest providers of virtual and in-person outpatient mental health care for children, adolescents and adults experiencing a variety of mental health conditions. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. LifeStance and its supported practices employ nearly 7,000 psychiatrists, advanced practice nurses, psychologists and therapists and operates across 33 states and more than 550 centers. To learn more, please visit www.LifeStance.com.
We routinely post information that may be important to investors on the “Investor Relations” section of our website at investor.lifestance.com. We encourage investors and potential investors to consult our website regularly for important information about us.
Forward-Looking Statements
Statements in this press release and on the related teleconference that express a belief, expectation or intention, as well as those that are not historical fact, are forward-looking statements. These statements include, but are not limited to, statements with respect to: full year and third quarter guidance and management's related assumptions; the Company’s financial position; business plans and objectives; operating results; working capital and liquidity; and other statements contained in this press release that are not historical facts. When used in this press release and on the related teleconference, words such as “may,” “will,” “should,” “could,” “intend,” “potential,” “continue,” “anticipate,” “believe,” “estimate,” “expect,” “plan,” “target,” “predict,” “project,” “seek” and similar expressions as they relate to us are intended to identify forward-looking statements. They involve a number of risks and uncertainties that may cause actual events and results to differ materially from such forward-looking statements. These risks and uncertainties include, but are not limited to: we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies; if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy; our ability to recruit new clinicians and retain existing clinicians; if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be harmed; we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition; we are dependent on our relationships with supported practices, which we do not own, to provide health care services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges; we operate in a competitive industry, and if we are not able to compete effectively, our business, results of operations and financial condition would be harmed; the impact of health care reform legislation and other changes in the healthcare industry and in health care spending on us is currently unknown, but may harm our business; if our or our vendors’ security measures fail or are breached and unauthorized access to our employees’, patients’ or partners’ data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners; our business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems; actual or anticipated changes or fluctuations in our results of operations; our existing indebtedness could adversely affect our business and growth prospects; and other risks and uncertainties set forth under “Risk Factors” included in the reports we have filed or will file with the Securities and Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2023 and subsequent filings made with the Securities and Exchange Commission. LifeStance does not undertake to update any forward-looking statements made in this press release to reflect any change in management's expectations or any change in the assumptions or circumstances on which such statements are based, except as otherwise required by law.
Non-GAAP Financial Information
This press release contains certain non-GAAP financial measures, including Center Margin, Adjusted EBITDA, and Adjusted EBITDA margin. Tables showing the reconciliation of these non-GAAP financial measures to the comparable GAAP measures are included at the end of this release. Management believes these non-GAAP financial measures are useful in evaluating the Company’s operating performance, and may be helpful to securities analysts, institutional investors and other interested parties in understanding the Company’s operating performance and prospects. This press release also refers to Free Cash Flow, which is calculated as net cash provided by (used in) operating activities less purchases of property and equipment. Management believes Free Cash Flow is a useful indicator of liquidity that provides information to management and investors about the amount of cash generated from our operations that, after investments in property and equipment, can be used for future growth. These non-GAAP financial measures, as calculated, may not be comparable to companies in other industries or within the same industry with similarly titled measures of performance. Therefore, the Company’s non-GAAP financial measures should be considered in addition to, not as a substitute for, or in isolation from, measures prepared in accordance with GAAP, such as net loss or loss from operations.
Center Margin and Adjusted EBITDA anticipated for the third quarter of 2024 and full year 2024 are calculated in a manner consistent with the historical presentation of these measures at the end of this release. Reconciliation for the forward-looking third quarter of 2024 and full year 2024 Center Margin, Adjusted EBITDA guidance and Free Cash Flow is not being provided, as LifeStance does not currently have sufficient data to accurately estimate the variables and individual adjustments for such reconciliation. As such, LifeStance management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results.
Management acknowledges that there are many items that impact a company’s reported results and the adjustments reflected in these non-GAAP measures are not intended to present all items that may have impacted these results.
Consolidated Financial Information and Reconciliations
| CONSOLIDATED BALANCE SHEETS (unaudited) (In thousands, except for par value) | ||||||||
| June 30, 2024 | December 31, 2023 | |||||||
| CURRENT ASSETS | ||||||||
| Cash and cash equivalents | $ | 86,969 | $ | 78,824 | ||||
| Patient accounts receivable, net | 167,220 | 125,405 | ||||||
| Prepaid expenses and other current assets | 23,559 | 21,502 | ||||||
| Total current assets | 277,748 | 225,731 | ||||||
| NONCURRENT ASSETS | ||||||||
| Property and equipment, net | 175,941 | 188,222 | ||||||
| Right-of-use assets | 160,214 | 170,703 | ||||||
| Intangible assets, net | 200,058 | 221,072 | ||||||
| Goodwill | 1,293,346 | 1,293,346 | ||||||
| Other noncurrent assets | 12,044 | 10,895 | ||||||
| Total noncurrent assets | 1,841,603 | 1,884,238 | ||||||
| Total assets | $ | 2,119,351 | $ | 2,109,969 | ||||
| LIABILITIES AND STOCKHOLDERS' EQUITY | ||||||||
| CURRENT LIABILITIES | ||||||||
| Accounts payable | $ | 9,973 | $ | 7,051 | ||||
| Accrued payroll expenses | 122,578 | 102,478 | ||||||
| Other accrued expenses | 38,488 | 35,012 | ||||||
| Contingent consideration | 3,809 | 8,169 | ||||||
| Operating lease liabilities, current | 49,187 | 46,475 | ||||||
| Other current liabilities | 3,624 | 3,688 | ||||||
| Total current liabilities | 227,659 | 202,873 | ||||||
| NONCURRENT LIABILITIES | ||||||||
| Long-term debt, net | 279,459 | 280,285 | ||||||
| Operating lease liabilities, noncurrent | 165,751 | 181,357 | ||||||
| Deferred tax liability, net | 15,884 | 15,572 | ||||||
| Other noncurrent liabilities | 571 | 952 | ||||||
| Total noncurrent liabilities | 461,665 | 478,166 | ||||||
| Total liabilities | $ | 689,324 | $ | 681,039 | ||||
| COMMITMENTS AND CONTINGENCIES | ||||||||
| STOCKHOLDERS’ EQUITY | ||||||||
| Preferred stock – par value June 30, 2024 and December 31, 2023; 0 shares issued and outstanding as of June 30, 2024 and December 31, 2023 | — | — | ||||||
| Common stock – par value June 30, 2024 and December 31, 2023; 383,314 and 378,725 shares issued and outstanding as of June 30, 2024 and December 31, 2023, respectively | 3,833 | 3,789 | ||||||
| Additional paid-in capital | 2,228,771 | 2,183,684 | ||||||
| Accumulated other comprehensive income | 2,643 | 2,303 | ||||||
| Accumulated deficit | (805,220 | ) | (760,846 | ) | ||||
| Total stockholders' equity | 1,430,027 | 1,428,930 | ||||||
| Total liabilities and stockholders’ equity | $ | 2,119,351 | $ | 2,109,969 | ||||
| CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (unaudited) (In thousands, except for Net Loss per Share) | ||||||||||||||||
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
| 2024 | 2023 | 2024 | 2023 | |||||||||||||
| TOTAL REVENUE | $ | 312,331 | $ | 259,578 | $ | 612,768 | $ | 512,167 | ||||||||
| OPERATING EXPENSES | ||||||||||||||||
| Center costs, excluding depreciation and amortization shown separately below | 214,525 | 186,607 | 420,236 | 369,594 | ||||||||||||
| General and administrative expenses | 95,153 | 101,854 | 184,087 | 186,480 | ||||||||||||
| Depreciation and amortization | 18,600 | 19,530 | 41,164 | 38,599 | ||||||||||||
| Total operating expenses | $ | 328,278 | $ | 307,991 | $ | 645,487 | $ | 594,673 | ||||||||
| LOSS FROM OPERATIONS | $ | (15,947 | ) | $ | (48,413 | ) | $ | (32,719 | ) | $ | (82,506 | ) | ||||
| OTHER EXPENSE | ||||||||||||||||
| (Loss) gain on remeasurement of contingent consideration | (55 | ) | 1,539 | 1,960 | 2,576 | |||||||||||
| Transaction costs | (792 | ) | (3 | ) | (792 | ) | (89 | ) | ||||||||
| Interest expense, net | (5,823 | ) | (5,119 | ) | (11,726 | ) | (10,211 | ) | ||||||||
| Other expense | (4 | ) | (24 | ) | (78 | ) | (69 | ) | ||||||||
| Total other expense | $ | (6,674 | ) | $ | (3,607 | ) | $ | (10,636 | ) | $ | (7,793 | ) | ||||
| LOSS BEFORE INCOME TAXES | (22,621 | ) | (52,020 | ) | (43,355 | ) | (90,299 | ) | ||||||||
| INCOME TAX (PROVISION) BENEFIT | (656 | ) | 6,542 | (1,019 | ) | 10,579 | ||||||||||
| NET LOSS | $ | (23,277 | ) | $ | (45,478 | ) | $ | (44,374 | ) | $ | (79,720 | ) | ||||
| NET LOSS PER SHARE, BASIC AND DILUTED | (0.06 | ) | (0.13 | ) | (0.12 | ) | (0.22 | ) | ||||||||
| Weighted-average shares used to compute basic and diluted net loss per share | 379,427 | 363,161 | 377,880 | 362,039 | ||||||||||||
| NET LOSS | $ | (23,277 | ) | $ | (45,478 | ) | $ | (44,374 | ) | $ | (79,720 | ) | ||||
| OTHER COMPREHENSIVE (LOSS) INCOME | ||||||||||||||||
| Unrealized (losses) gains on cash flow hedge, net of tax | (243 | ) | 2,147 | 340 | 877 | |||||||||||
| COMPREHENSIVE LOSS | $ | (23,520 | ) | $ | (43,331 | ) | $ | (44,034 | ) | $ | (78,843 | ) | ||||
| CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (In thousands) | ||||||||
| Six Months Ended June 30, | ||||||||
| 2024 | 2023 | |||||||
| CASH FLOWS FROM OPERATING ACTIVITIES | ||||||||
| Net loss | $ | (44,374 | ) | $ | (79,720 | ) | ||
| Adjustments to reconcile net loss to net cash provided by (used in) operating activities: | ||||||||
| Depreciation and amortization | 41,164 | 38,599 | ||||||
| Non-cash operating lease costs | 19,476 | 20,263 | ||||||
| Stock-based compensation | 45,131 | 56,944 | ||||||
| Amortization of discount and debt issue costs | 844 | 1,076 | ||||||
| Gain on remeasurement of contingent consideration | (1,960 | ) | (2,576 | ) | ||||
| Other, net | 191 | 2,708 | ||||||
| Change in operating assets and liabilities, net of businesses acquired: | ||||||||
| Patient accounts receivable, net | (41,815 | ) | (20,558 | ) | ||||
| Prepaid expenses and other current assets | (2,762 | ) | (15,176 | ) | ||||
| Accounts payable | 3,208 | (5,395 | ) | |||||
| Accrued payroll expenses | 20,100 | 5,158 | ||||||
| Operating lease liabilities | (22,082 | ) | (16,929 | ) | ||||
| Other accrued expenses | 5,101 | 7,282 | ||||||
| Net cash provided by (used in) operating activities | $ | 22,222 | $ | (8,324 | ) | |||
| CASH FLOWS FROM INVESTING ACTIVITIES | ||||||||
| Purchases of property and equipment | (10,214 | ) | (19,310 | ) | ||||
| Acquisitions of businesses, net of cash acquired | — | (19,820 | ) | |||||
| Net cash used in investing activities | $ | (10,214 | ) | $ | (39,130 | ) | ||
| CASH FLOWS FROM FINANCING ACTIVITIES | ||||||||
| Proceeds from long-term debt | — | 25,000 | ||||||
| Payments of debt issue costs | — | (188 | ) | |||||
| Payments of long-term debt | (1,463 | ) | (1,173 | ) | ||||
| Payments of contingent consideration | (2,400 | ) | (5,201 | ) | ||||
| Net cash (used in) provided by financing activities | $ | (3,863 | ) | $ | 18,438 | |||
| NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 8,145 | (29,016 | ) | |||||
| Cash and Cash Equivalents - Beginning of period | 78,824 | 108,621 | ||||||
| CASH AND CASH EQUIVALENTS – END OF PERIOD | $ | 86,969 | $ | 79,605 | ||||
| SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION | ||||||||
| Cash paid for interest, net | $ | 12,626 | $ | 9,830 | ||||
| Cash paid for taxes, net of refunds | $ | (154 | ) | $ | 313 | |||
| SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND FINANCING ACTIVITIES | ||||||||
| Contingent consideration incurred in acquisitions of businesses | $ | — | $ | 1,985 | ||||
| Acquisition of property and equipment included in liabilities | $ | 1,726 | $ | 6,238 | ||||
| RECONCILIATION OF LOSS FROM OPERATIONS TO CENTER MARGIN | ||||||||||||||||
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
| 2024 | 2023 | 2024 | 2023 | |||||||||||||
| (in thousands) | ||||||||||||||||
| Loss from operations | $ | (15,947 | ) | $ | (48,413 | ) | $ | (32,719 | ) | $ | (82,506 | ) | ||||
| Adjusted for: | ||||||||||||||||
| Depreciation and amortization | 18,600 | 19,530 | 41,164 | 38,599 | ||||||||||||
| General and administrative expenses (1) | 95,153 | 101,854 | 184,087 | 186,480 | ||||||||||||
| Center Margin | $ | 97,806 | $ | 72,971 | $ | 192,532 | $ | 142,573 | ||||||||
(1) Represents salaries, wages and employee benefits for our executive leadership, finance, human resources, marketing, billing and credentialing support and technology infrastructure and stock-based compensation for all employees.
| RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA | ||||||||||||||||
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
| 2024 | 2023 | 2024 | 2023 | |||||||||||||
| (in thousands) | ||||||||||||||||
| Net loss | $ | (23,277 | ) | $ | (45,478 | ) | $ | (44,374 | ) | $ | (79,720 | ) | ||||
| Adjusted for: | ||||||||||||||||
| Interest expense, net | 5,823 | 5,119 | 11,726 | 10,211 | ||||||||||||
| Depreciation and amortization | 18,600 | 19,530 | 41,164 | 38,599 | ||||||||||||
| Income tax provision (benefit) | 656 | (6,542 | ) | 1,019 | (10,579 | ) | ||||||||||
| Loss (gain) on remeasurement of contingent consideration | 55 | (1,539 | ) | (1,960 | ) | (2,576 | ) | |||||||||
| Stock-based compensation expense | 24,550 | 33,078 | 45,131 | 56,944 | ||||||||||||
| Loss on disposal of assets | 4 | 24 | 78 | 69 | ||||||||||||
| Transaction costs (1) | 792 | 3 | 792 | 89 | ||||||||||||
| Executive transition costs | 560 | 362 | 591 | 522 | ||||||||||||
| Litigation costs (2) | 292 | 3,446 | 829 | 3,849 | ||||||||||||
| Strategic initiatives (3) | 407 | 2,045 | 1,158 | 2,452 | ||||||||||||
| Real estate optimization and restructuring charges (4) | (103 | ) | 3,720 | (250 | ) | 3,720 | ||||||||||
| Amortization of cloud-based software implementation costs (5) | 169 | — | 180 | — | ||||||||||||
| Other expenses (6) | 77 | 297 | 172 | 589 | ||||||||||||
| Adjusted EBITDA | $ | 28,605 | $ | 14,065 | $ | 56,256 | $ | 24,169 | ||||||||
(1) Primarily includes capital markets advisory, consulting, accounting and legal expenses related to our acquisitions and to the secondary offering completed in the second quarter of 2024.
(2) Litigation costs include only those costs which are considered non-recurring and outside of the ordinary course of business based on the following considerations, which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) the complexity of the case (e.g., complex class action litigation), (iii) the nature of the remedy(ies) sought, including the size of any monetary damages sought, (iv) the counterparty involved, and (v) our overall litigation strategy. During the three and six months ended June 30, 2024 and 2023, litigation costs included cash expenses related to three distinct litigation matters, including (x) a securities class action litigation, (y) a privacy class action litigation and (z) a compensation model class action litigation.
(3) Strategic initiatives consist of expenses directly related to a multi-phase system upgrade in connection with our recent and significant expansion. During each of the three and six months ended June 30, 2024 and 2023, we continued a process of evaluating and adopting critical enterprise-wide systems for (i) human resources management, (ii) clinician credentialing and onboarding process, and for the three and six months ended June 30, 2023, (iii) a scalable electronic health resources system. Strategic initiatives represents costs, such as third-party consulting costs and one-time costs, that are not part of our ongoing operations related to these enterprise-wide systems. We considered the frequency and scale of this multi-part enterprise upgrade when determining that the expenses were not normal, recurring operating expenses.
(4) Real estate optimization and restructuring charges consist of cash expenses and non-cash charges related to our real estate optimization initiative, which include certain asset impairment and disposal costs, certain gains and losses related to early lease terminations, and exit and disposal costs related to our real estate optimization initiative to consolidate our physical footprint during the three and six months ended June 30, 2023. As the decision to close these centers was part of a significant strategic project driven by a historic shift in behavior, the magnitude of center closures has been and is expected to be greater than what would be expected as part of ordinary business operations and do not constitute normal recurring operating activities. During the three and six months ended June 30, 2024, real estate optimization and restructuring charges consisted of certain gains and losses related to early lease terminations of previously abandoned real estate leases in 2023.
(5) Represents amortization of capitalized implementation costs related to cloud-based software arrangements that are included within general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive loss.
(6) Primarily includes costs incurred to consummate or integrate acquired centers, certain of which are wholly-owned and certain of which are supported practices, in addition to the compensation paid to former owners of acquired centers and related expenses that are not reflective of the ongoing operating expenses of our centers. Acquired center integration and other are components of general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive loss. Former owner fees is a component of center costs, excluding depreciation and amortization included in our unaudited consolidated statements of operations and comprehensive loss.
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