MultiPlan Reports First Quarter 2024 Results
MultiPlan reported Q1 2024 revenues of $234.5 million, a net loss of $539.7 million, and an Adjusted EBITDA of $146.8 million. The company identified potential medical cost savings of $5.7 billion. Despite a cybersecurity incident affecting operations, the company remains focused on growth and cost reduction.
Identified potential medical cost savings of approximately $5.7 billion in Q1 2024
Company ended Q1 2024 with $58.7 million of unrestricted cash and cash equivalents
Processed approximately $41.5 billion in claim charges during Q1 2024
Net loss of $539.7 million for Q1 2024, mainly due to an impairment charge of $519.1 million
Decrease in revenues from $236.6 million in Q1 2023 to $234.5 million in Q1 2024
Adjusted EBITDA decreased from $156.3 million in Q1 2023 to $146.8 million in Q1 2024
Insights
– Q1 2024 Revenues of
– Identified potential medical cost savings of approximately
– Repurchased or repaid
“As you heard me say a just few months ago, I joined as CEO because I saw an incredible opportunity to help us follow through on our transformation to a world class public company that is fit to deliver sustainable growth and to fulfill our important mission to bend the cost curve in healthcare,” said Travis Dalton, CEO.
“After engaging with countless employees and clients over the last two months, I have even greater admiration for our exceptional talent, appreciation of our strong customer relationships and our hard-earned reputation for providing world class service, and confidence that we will leverage our unique data and technology assets to innovate products for our existing clients and new market segments.”
“At the same time,” continued Mr. Dalton, “we have work to do to enhance our foundation so that we can execute our strategy with discipline and speed. Among the many steps we are taking, we recently added our Chief Operating Officer, Jerry Hogge, who is focused on enhancing our operating and product development capabilities and intensifying our sales engagement, all of which will help us go to market more efficiently and maximize our potential.”
“Our first quarter was affected by a cybersecurity incident at a major medical claims clearinghouse, which disrupted claims flows across the healthcare industry and ultimately downstream to our platform,” said Mr. Dalton. “Despite this disruption, our first quarter results were just below the low end of our guidance ranges for revenues and Adjusted EBITDA. Excluding an estimated
“We did not allow the disruption to distract us, and I am proud of the progress the team made during the quarter,” said Mr. Dalton. “We remained focused on delivering on our growth initiatives and product roadmap. And moreover, we remained steadfast in the pursuit of our mission to drive down the costs of healthcare for consumers and our clients, while fulfilling our purpose to make healthcare transparent, fair, and affordable for all.”
Business and Financial Highlights
-
Revenues of
$234.5 million 0.9% , compared to revenues of$236.6 million -
Net loss of
$539.7 million $0.2 million $519.1 million -
Adjusted EBITDA of
$146.8 million $156.3 million -
Net cash provided by operating activities of
$49.7 million $64.2 million -
Free Cash Flow of
$19.2 million $41.1 million -
In Q1 2024, the Company used
$18.2 million $24.4 million $21.1 million 6.0% Senior Convertible PIK Notes, and also used$10.4 million $58.7 million -
The Company processed approximately
$41.5 billion $5.7 billion -
Based on the results of an impairment test as of March 31, 2024, the estimated fair values of our goodwill and indefinite-lived assets were less than their carrying values and as a result impairment charges of
$516.4 million $2.7 million
2024 Financial Guidance1
The Company is maintaining its Full Year 2024 guidance, as detailed in the table below.
Financial Metric |
|
|
FY 2024 Guidance |
Revenues |
|
|
|
Adjusted EBITDA1 |
|
|
|
Interest expense |
|
|
|
Cash flow from operations |
|
|
|
Capital expenditures |
|
|
|
Depreciation |
|
|
|
Amortization of intangible assets |
|
|
|
Effective tax rate |
|
|
|
The Company anticipates Q2 2024 revenues between
1 We have not reconciled the forward-looking Adjusted EBITDA guidance included above to the most directly comparable GAAP measure because this cannot be done without unreasonable effort due to the variability and low visibility with respect to certain costs, the most significant of which are incentive compensation (including stock-based compensation), transaction-related expenses, and certain fair value measurements, which are potential adjustments to future earnings. We expect the variability of these items to have a potentially unpredictable, and a potentially significant, impact on our future GAAP financial results.
Conference Call Information
The Company will host a conference call today, Wednesday, May 8, 2024 at 8:00 a.m.
To pre-register, go to: https://www.netroadshow.com/events/login?show=0ebae0ec&confId=63320
A live webcast of the conference call can be accessed through the Investor Relations section of the Company’s website at investors.multiplan.com/events-and-presentations. Participants should join the webcast ten minutes prior to the start of the conference call. This earnings press release and a supplemental slide deck will also be available on this section of the Company’s website.
For those unable to listen to the live conference call, a replay will be available approximately two hours after the call through the archived webcast on the Investor Relations section of the Company’s website. For those requiring operator assistance, please dial (833) 470-1428 or (404) 975-4839. The access code is 298805.
About MultiPlan
MultiPlan is committed to bending the cost curve in healthcare by delivering transparency, fairness, and affordability to the US healthcare system. Our focus is on identifying medical savings, helping to lower out-of-pocket costs, and reducing or eliminating balance billing for healthcare consumers. Leveraging sophisticated technology, data analytics, and a team rich with industry experience, MultiPlan interprets customers’ needs and customizes innovative solutions that combine its payment and revenue integrity, network-based, data and decision science, and analytics-based services. MultiPlan delivers value to more than 700 healthcare payors, over 100,000 employers, 60 million consumers, and 1.4 million contracted providers. For more information, visit multiplan.com.
Forward Looking Statements
This press release includes statements that express our management’s opinions, expectations, beliefs, plans, objectives, assumptions, or projections regarding future events or future results and therefore are, or may be deemed to be, “forward-looking statements”. These forward-looking statements can generally be identified by the use of forward-looking terminology, including the terms “believes,” “estimates,” “anticipates,” “expects,” “seeks,” “projects,” “forecasts,” “intends,” “plans,” “may,” “will,” or “should” or, in each case, their negative or other variations or comparable terminology. These forward-looking statements include all matters that are not historical facts. They appear in a number of places throughout this press release, including the discussion of 2024 outlook and guidance, plans to expand or enhance the Company’s products and service lines, capital allocation strategies, and the long-term prospects of the Company. Such forward-looking statements are based on available current market information and management’s expectations, beliefs and forecasts concerning future events impacting the business. Although we believe that these forward-looking statements are based on reasonable assumptions at the time they are made, you should be aware that these forward-looking statements involve a number of risks, uncertainties (some of which are beyond our control) or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements. These factors include: loss of our customers, particularly our largest customers; interruptions or security breaches of our information technology systems and other cybersecurity attacks; the impact of reduced claims volumes resulting from a nationwide outage by a vendor used by our customers; the ability to achieve the goals of our strategic plans and recognize the anticipated strategic, operational, growth and efficiency benefits when expected; our ability to enter new lines of business and broaden the scope of our services; the loss of key members of management team or inability to maintain sufficient qualified personnel; our ability to continue to attract, motivate and retain a large number of skilled employees, and adapt to the effects of inflationary pressure on wages; trends in the
There can be no assurance that future developments affecting our business will be those that we have anticipated. Forward-looking statements speak only as of the date made.
We do not undertake any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws.
Non-GAAP Financial Measures
In addition to the financial measures prepared in accordance with generally accepted accounting principles in
EBITDA, Adjusted EBITDA, Free Cash Flow, Unlevered Free Cash Flow and Adjusted Cash Conversion Ratio are supplemental measures of MultiPlan’s performance that are not required by or presented in accordance with GAAP. These measures are not measurements of our financial or operating performance under GAAP, have limitations as analytical tools and should not be considered in isolation or as an alternative to net income, cash flows or any other measures of performance prepared in accordance with GAAP.
EBITDA represents net income before interest expense, interest income, income tax provision, depreciation, amortization of intangible assets, and non-income taxes. Adjusted EBITDA is EBITDA as further adjusted by certain items as described in the table below.
In addition, in evaluating EBITDA and Adjusted EBITDA you should be aware that, in the future, we may incur expenses similar to the adjustments in the presentation of EBITDA and Adjusted EBITDA. The presentation of EBITDA and Adjusted EBITDA should not be construed as an inference that our future results will be unaffected by unusual or non-recurring items. The calculations of EBITDA and Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies. Based on our industry and debt financing experience, we believe that EBITDA and Adjusted EBITDA are customarily used by investors, analysts and other interested parties to provide useful information regarding a company’s ability to service and/or incur indebtedness.
We also believe that Adjusted EBITDA is useful to investors and analysts in assessing our operating performance during the periods these charges were incurred on a consistent basis with the periods during which these charges were not incurred. Both EBITDA and Adjusted EBITDA have limitations as analytical tools, and you should not consider either in isolation, or as a substitute for analysis of our results as reported under GAAP. Some of the limitations are:
- EBITDA and Adjusted EBITDA do not reflect changes in, or cash requirements for, our working capital needs;
- EBITDA and Adjusted EBITDA do not reflect interest expense, or the cash requirements necessary to service interest or principal payments on our debt;
- EBITDA and Adjusted EBITDA do not reflect our tax expense or the cash requirements to pay our taxes; and
- Although depreciation and amortization are non-cash charges, the tangible assets being depreciated will often have to be replaced in the future, and EBITDA and Adjusted EBITDA do not reflect any cash requirements for such replacements.
MultiPlan’s presentation of Adjusted EBITDA should not be construed as an inference that our future results and financial position will be unaffected by unusual items.
Free Cash Flow is defined as net cash provided by operating activities less capital expenditures, all as disclosed in the Statements of Cash Flows. Unlevered Free Cash Flow is defined as net cash provided by operating activities less capital expenditures, plus cash interest paid, all as disclosed in the Statements of Cash Flows. Free Cash Flow and Unlevered Free Cash Flow are measures of our operational performance used by management to evaluate our business after purchases of property and equipment and, in the case of Unlevered Free Cash Flow, prior to the impact of our capital structure. Free Cash Flow and Unlevered Free Cash Flow should be considered in addition to, rather than as a substitute for, consolidated net income as a measure of our performance and net cash provided by operating activities as a measure of our liquidity. Additionally, MultiPlan’s definitions of Free Cash Flow and Unlevered Free Cash Flow are limited, in that they do not represent residual cash flows available for discretionary expenditures, due to the fact that the measures do not deduct the payments required for debt service, in the case of Unlevered Free Cash Flow, and other contractual obligations or payments made for business acquisitions.
Adjusted Cash Conversion Ratio is defined as Unlevered Free Cash Flow divided by Adjusted EBITDA. MultiPlan believes that the presentation of the Adjusted Cash Conversion Ratio provides useful information to investors because it is a financial performance measure that shows how much of its Adjusted EBITDA MultiPlan converts into Unlevered Free Cash Flow.
MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Balance Sheets
|
|||||||
|
March 31,
|
|
December 31,
|
||||
Assets |
|
|
|
||||
Current assets: |
|
|
|
||||
Cash and cash equivalents |
$ |
58,695 |
|
|
$ |
71,547 |
|
Restricted cash |
|
10,483 |
|
|
|
9,947 |
|
Trade accounts receivable, net |
|
82,443 |
|
|
|
76,558 |
|
Prepaid expenses |
|
24,377 |
|
|
|
23,432 |
|
Prepaid taxes |
|
— |
|
|
|
1,364 |
|
Other current assets, net |
|
13,512 |
|
|
|
10,745 |
|
Total current assets |
|
189,510 |
|
|
|
193,593 |
|
Property and equipment, net |
|
277,921 |
|
|
|
267,429 |
|
Operating lease right-of-use assets |
|
18,416 |
|
|
|
19,680 |
|
Goodwill |
|
3,312,652 |
|
|
|
3,829,002 |
|
Other intangibles, net |
|
2,544,536 |
|
|
|
2,633,207 |
|
Other assets, net |
|
23,660 |
|
|
|
21,776 |
|
Total assets |
$ |
6,366,695 |
|
|
$ |
6,964,687 |
|
Liabilities and Shareholders’ Equity |
|
|
|
||||
Current liabilities: |
|
|
|
||||
Accounts payable |
$ |
18,038 |
|
|
$ |
19,590 |
|
Accrued interest |
|
75,358 |
|
|
|
56,827 |
|
Accrued taxes |
|
31,627 |
|
|
|
— |
|
Operating lease obligation, short-term |
|
4,718 |
|
|
|
4,792 |
|
Current portion of long-term debt |
|
13,250 |
|
|
|
13,250 |
|
Accrued compensation |
|
22,683 |
|
|
|
44,720 |
|
Accrued legal contingencies |
|
13,123 |
|
|
|
12,123 |
|
Other accrued expenses |
|
15,315 |
|
|
|
15,437 |
|
Total current liabilities |
|
194,112 |
|
|
|
166,739 |
|
Long-term debt |
|
4,511,297 |
|
|
|
4,532,733 |
|
Operating lease obligation, long-term |
|
15,902 |
|
|
|
17,124 |
|
Private Placement Warrants and Unvested Founder Shares |
|
347 |
|
|
|
477 |
|
Deferred income taxes |
|
467,543 |
|
|
|
521,707 |
|
Other liabilities |
|
7,112 |
|
|
|
16,783 |
|
Total liabilities |
|
5,196,313 |
|
|
|
5,255,563 |
|
Shareholders’ equity: |
|
|
|
||||
Shareholder interests |
|
|
|
||||
Preferred stock, |
|
— |
|
|
|
— |
|
Common stock, |
|
67 |
|
|
|
67 |
|
Additional paid-in capital |
|
2,351,280 |
|
|
|
2,348,505 |
|
Accumulated other comprehensive loss |
|
(3,236 |
) |
|
|
(11,778 |
) |
Retained deficit |
|
(1,038,996 |
) |
|
|
(499,307 |
) |
Treasury stock — 29,714,372 and 19,488,917 shares |
|
(138,733 |
) |
|
|
(128,363 |
) |
Total shareholders’ equity |
|
1,170,382 |
|
|
|
1,709,124 |
|
Total liabilities and shareholders’ equity |
$ |
6,366,695 |
|
|
$ |
6,964,687 |
|
MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Statements of (Loss) Income and Comprehensive (Loss) Income
|
|||||||
|
Three Months Ended March 31, |
||||||
|
|
2024 |
|
|
|
2023 |
|
Revenues |
$ |
234,508 |
|
|
$ |
236,594 |
|
Costs of services (exclusive of depreciation and amortization of intangible assets shown below) |
|
60,077 |
|
|
|
54,850 |
|
General and administrative expenses |
|
34,857 |
|
|
|
31,467 |
|
Depreciation |
|
20,989 |
|
|
|
18,206 |
|
Amortization of intangible assets |
|
85,971 |
|
|
|
85,127 |
|
Loss on impairment of goodwill and intangible assets |
|
519,050 |
|
|
|
— |
|
Total expenses |
|
720,944 |
|
|
|
189,650 |
|
Operating (loss) income |
|
(486,436 |
) |
|
|
46,944 |
|
Interest expense |
|
82,198 |
|
|
|
83,428 |
|
Interest income |
|
(926 |
) |
|
|
(3,239 |
) |
Gain on extinguishment of debt |
|
(5,913 |
) |
|
|
(36,778 |
) |
(Gain) loss on change in fair value of Private Placement Warrants and Unvested Founder Shares |
|
(130 |
) |
|
|
1,631 |
|
Net (loss) income before taxes |
|
(561,665 |
) |
|
|
1,902 |
|
(Benefit) provision for income taxes |
|
(21,976 |
) |
|
|
1,693 |
|
Net (loss) income |
$ |
(539,689 |
) |
|
$ |
209 |
|
|
|
|
|
||||
Weighted average shares outstanding – Basic |
|
646,334,247 |
|
|
|
638,721,991 |
|
Weighted average shares outstanding – Diluted |
|
646,334,247 |
|
|
|
640,901,289 |
|
|
|
|
|
||||
Net (loss) income per share – Basic |
$ |
(0.83 |
) |
|
$ |
0.00 |
|
Net (loss) income per share – Diluted |
$ |
(0.83 |
) |
|
$ |
0.00 |
|
|
|
|
|
||||
Net (loss) income |
|
(539,689 |
) |
|
|
209 |
|
Other comprehensive income: |
|
|
|
||||
Change in unrealized losses on interest rate swaps, net of tax |
|
8,542 |
|
|
|
— |
|
Comprehensive (loss) income |
$ |
(531,147 |
) |
|
$ |
209 |
|
MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Statements of Cash Flows (in thousands) |
|||||||
|
Three Months Ended March 31, |
||||||
|
|
2024 |
|
|
|
2023 |
|
Operating activities: |
|
|
|
||||
Net (loss) income |
$ |
(539,689 |
) |
|
$ |
209 |
|
Adjustments to reconcile net income to net cash provided by operating activities: |
|
|
|
||||
Depreciation |
|
20,989 |
|
|
|
18,206 |
|
Amortization of intangible assets |
|
85,971 |
|
|
|
85,127 |
|
Amortization of the right-of-use asset |
|
1,264 |
|
|
|
1,403 |
|
Loss on impairment of goodwill and intangible assets |
|
519,050 |
|
|
|
— |
|
Stock-based compensation |
|
5,694 |
|
|
|
3,695 |
|
Deferred income taxes |
|
(56,874 |
) |
|
|
3,438 |
|
Amortization of debt issuance costs and discounts |
|
2,885 |
|
|
|
2,603 |
|
Gain on extinguishment of debt |
|
(5,913 |
) |
|
|
(36,778 |
) |
Loss on disposal of property and equipment |
|
106 |
|
|
|
172 |
|
(Gain) loss on change in fair value of Private Placement Warrants and Unvested Founder Shares |
|
(130 |
) |
|
|
1,631 |
|
Changes in assets and liabilities: |
|
|
|
||||
Accounts receivable, net |
|
(5,885 |
) |
|
|
11,875 |
|
Prepaid expenses and other assets |
|
(4,223 |
) |
|
|
(144 |
) |
Prepaid taxes |
|
1,364 |
|
|
|
(4,566 |
) |
Operating lease obligation |
|
(1,296 |
) |
|
|
(1,737 |
) |
Accounts payable, accrued taxes, accrued expenses, legal contingencies and other |
|
26,403 |
|
|
|
(20,919 |
) |
Net cash provided by operating activities |
|
49,716 |
|
|
|
64,215 |
|
Investing activities: |
|
|
|
||||
Purchases of property and equipment |
|
(30,544 |
) |
|
|
(23,101 |
) |
Net cash used in investing activities |
|
(30,544 |
) |
|
|
(23,101 |
) |
Financing activities: |
|
|
|
||||
Repurchase of |
|
— |
|
|
|
(99,954 |
) |
Repayments of Term Loan B |
|
(3,313 |
) |
|
|
(3,313 |
) |
Repurchase of Senior Convertible PIK Notes |
|
(14,886 |
) |
|
|
— |
|
Taxes paid on settlement of vested share awards |
|
(3,352 |
) |
|
|
(452 |
) |
Purchase of treasury stock |
|
(10,370 |
) |
|
|
(5,718 |
) |
Proceeds from issuance of common stock under Employee Stock Purchase Plan |
|
433 |
|
|
|
— |
|
Net cash used in financing activities |
|
(31,488 |
) |
|
|
(109,437 |
) |
Net decrease in cash, cash equivalents and restricted cash |
|
(12,316 |
) |
|
|
(68,323 |
) |
Cash, cash equivalents and restricted cash at beginning of period |
|
81,494 |
|
|
|
340,559 |
|
Cash, cash equivalents and restricted cash at end of period |
$ |
69,178 |
|
|
$ |
272,236 |
|
|
|
|
|
||||
Cash and cash equivalents |
$ |
58,695 |
|
|
$ |
265,728 |
|
Restricted cash |
|
10,483 |
|
|
|
6,508 |
|
Cash, cash equivalents and restricted cash at end of period |
$ |
69,178 |
|
|
$ |
272,236 |
|
|
|
|
|
||||
Noncash investing and financing activities: |
|
|
|
||||
Purchases of property and equipment not yet paid |
$ |
9,692 |
|
|
$ |
6,105 |
|
Supplemental disclosure of cash flow information: |
|
|
|
||||
Cash paid during the period for: |
|
|
|
||||
Interest |
$ |
(60,742 |
) |
|
$ |
(61,717 |
) |
Income taxes, net of refunds |
$ |
(2,260 |
) |
|
$ |
(3,133 |
) |
MULTIPLAN CORPORATION
Calculation of EBITDA and Adjusted EBITDA
|
|||||||
|
Three Months Ended March 31, |
||||||
|
|
2024 |
|
|
|
2023 |
|
|
|
|
|
||||
Net (loss) income |
$ |
(539,689 |
) |
|
$ |
209 |
|
Adjustments: |
|
|
|
||||
Interest expense |
|
82,198 |
|
|
|
83,428 |
|
Interest income |
|
(926 |
) |
|
|
(3,239 |
) |
(Benefit) provision for income taxes |
|
(21,976 |
) |
|
|
1,693 |
|
Depreciation |
|
20,989 |
|
|
|
18,206 |
|
Amortization of intangible assets |
|
85,971 |
|
|
|
85,127 |
|
Non-income taxes |
|
528 |
|
|
|
341 |
|
EBITDA |
$ |
(372,905 |
) |
|
$ |
185,765 |
|
Adjustments: |
|
|
|
||||
Other expenses (income), net(1) |
|
641 |
|
|
|
(115 |
) |
Integration expenses |
|
353 |
|
|
|
1,043 |
|
Change in fair value of Private Placement Warrants and unvested founder shares |
|
(130 |
) |
|
|
1,631 |
|
Transaction-related expenses |
|
— |
|
|
|
1,018 |
|
Gain on extinguishment of debt |
|
(5,913 |
) |
|
|
(36,778 |
) |
Loss on impairment of goodwill and intangible assets |
|
519,050 |
|
|
|
— |
|
Stock-based compensation |
|
5,694 |
|
|
|
3,695 |
|
Adjusted EBITDA |
$ |
146,790 |
|
|
$ |
156,259 |
|
(1) "Other expenses (income), net" represent miscellaneous non-recurring income, miscellaneous non-recurring expense, gain or loss on disposal of assets, impairment of other assets, gain or loss on disposal of leases, tax penalties, and non-integration related severance costs. |
|||||||
Calculation of Unlevered Free Cash Flow and Adjusted Cash Conversion Ratio
(in thousands) |
|||||||
|
Three Months Ended March 31, |
||||||
|
|
2024 |
|
|
|
2023 |
|
|
|
|
|
||||
Net cash provided by operating activities |
$ |
49,716 |
|
|
$ |
64,215 |
|
Purchases of property and equipment |
|
(30,544 |
) |
|
|
(23,101 |
) |
Free Cash Flow |
|
19,172 |
|
|
|
41,114 |
|
Interest paid |
|
60,742 |
|
|
|
61,717 |
|
Unlevered Free Cash Flow |
$ |
79,914 |
|
|
$ |
102,831 |
|
|
|
|
|
||||
Adjusted EBITDA |
$ |
146,790 |
|
|
$ |
156,259 |
|
Adjusted Cash Conversion Ratio |
|
54 |
% |
|
|
66 |
% |
|
|
|
|
||||
Net cash used in investing activities |
$ |
(30,544 |
) |
|
|
(23,101 |
) |
Net cash used in financing activities |
$ |
(31,488 |
) |
|
(109,437 |
) |
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20240508772264/en/
Investor Relations
Luke
SVP, Finance & Investor Relations
MultiPlan
866-909-7427
investor@multiplan.com
Shawna Gasik
AVP, Investor Relations
MultiPlan
866-909-7427
investor@multiplan.com
Source: MultiPlan Corporation
FAQ
What were MultiPlan's Q1 2024 revenues?
MultiPlan's Q1 2024 revenues were $234.5 million
What was the net loss for MultiPlan in Q1 2024?
MultiPlan reported a net loss of $539.7 million in Q1 2024
What is MultiPlan's stock symbol?
MultiPlan's stock symbol is MPLN
What is the Full Year 2024 guidance for MultiPlan's Adjusted EBITDA?
MultiPlan's Full Year 2024 guidance for Adjusted EBITDA is $630 million to $650 million
