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MultiPlan Reports Fourth Quarter and Full Year 2020 Results

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MultiPlan Corporation (NYSE: MPLN) reported its fourth-quarter and full-year 2020 financial results, showing a 14.2% increase in revenues to $255.3 million, up from $223.5 million in Q3 2020. The company identified potential savings of $4.9 billion from $29.0 billion in claims processed. Despite a net loss of $182.4 million in Q4, a decrease from $288.4 million in Q3, the company experienced a yearly revenue decline to $937.8 million, primarily due to COVID-19 impacts. MultiPlan is not providing specific guidance for 2021 but anticipates Q1 results to be similar to Q4 2020.

Positive
  • Q4 2020 revenues increased 14.2% from Q3 2020 to $255.3 million.
  • Identified $4.9 billion in potential savings from $29.0 billion claims processed in Q4 2020.
  • Reduction in net loss from $288.4 million in Q3 to $182.4 million in Q4 2020.
Negative
  • Net loss for full year 2020 totaled $529.6 million, a significant decline from a net income of $9.7 million in 2019.
  • Full year 2020 revenues decreased to $937.8 million from $982.9 million in 2019, largely due to COVID-19 impacts.
  • Adjusted EBITDA for full year 2020 decreased to $706.3 million from $750.4 million in 2019.

MultiPlan Corporation (“MultiPlan” or the “Company”) (NYSE: MPLN), a leading value-added provider of data analytics and technology-enabled end-to-end cost management, payment and revenue integrity solutions to the U.S. healthcare industry, today announced financial results for the fourth quarter ended December 31, 2020 and full year 2020.

The Company reported strong consecutive quarterly growth as it continued to execute its growth strategy to enhance its product offerings to payors, extend into new payor customer segments and expand its platform to serve MultiPlan’s 1.2 million providers, its more than 700 payors and 60 plus million consumers. The Company processed a record $29.0 billion in claims during the fourth quarter of 2020, identifying potential medical cost savings of approximately $4.9 billion. For the year ended December 31, 2020, the Company processed $105.4 billion in claims and identified approximately $18.8 billion in potential savings.

“MultiPlan had a milestone fourth quarter in terms of both performance and execution of our growth plan,” said Mark Tabak, CEO of MultiPlan. “After reporting stronger than expected results in the third-quarter, we delivered even stronger fourth quarter results despite pandemic conditions and their impact on elective healthcare service. We also made great strides in achieving the goals of our Extend growth strategy with the integration of HST well underway, and the acquisition of Discovery Health Partners which closed last month. I’m proud of our mission to deliver fairness, efficiency and affordability to the U.S. healthcare system, and the pace at which we are progressing in achieving it.”

Business and Financial Highlights

  • Outperformed initial management expectations from COVID-19 impact with revenues of $255.3 million for Q4 2020, up from $223.5 million for Q3 2020, reflecting a 14.2% quarter-over-quarter increase, and an increase of 3.6% over Q4 2019 revenues of $246.4 million.
  • Net loss of $182.4 million for Q4 of 2020 compared to net loss of $288.4 million for Q3 2020. The reduction in loss was principally due to increased revenues of $31.8 million and reduced stock-based compensation costs of $155.9 million, net of $26.5 million in transaction costs in Q4 2020 primarily related to the transaction with Churchill which closed on October 8, 2020, and $103.0 million of losses on extinguishment of debt in Q4 2020. Net income for Q4 2019 was $11.8 million.
  • Adjusted EBITDA of $195.1 million for Q4 2020 compared to $165.5 million for Q3 2020, and $186.7 million for Q4 2019.
  • Revenues of $937.8 million for full year 2020 compared to $982.9 million for full year 2019. The revenue decline is primarily due to the impact of COVID-19, particularly in the second and third quarters of 2020.
  • Net loss for full year 2020 of $529.6 million compared to net income of $9.7 million for full year 2019. The decline was principally due to stock-based compensation costs of $406.1 million, $31.7 million in transaction costs primarily related to the transaction with Churchill which closed on October 8, 2020, and $103.0 million of losses on extinguishment of debt in Q4 2020 and full year 2020.
  • Adjusted EBITDA of $706.3 million for full year 2020 compared to $750.4 million for full year 2019. The Adjusted EBITDA decline was primarily a result of reduced revenues because of COVID-19.

2021 Outlook

Due to variability in COVID-19 case trends and public policy responses to the COVID-19 pandemic across different regions in MultiPlan’s national footprint, and the uncertainty in evaluating the impact of those dynamics on the Company’s customers and operating and financial results, the Company is not providing annual or quarterly guidance at this time. The Company will continue to monitor the impact of the COVID-19 pandemic on its business and may elect to communicate guidance later in 2021. While the company is not providing guidance, it anticipates Q1 2021 revenues and adjusted EBITDA will reflect substantially similar operating performance as Q4 2020, adjusted for the usual seasonal softness of Q1, the impact of $2 to $3 million of additional public company costs in Q1 2021 as compared to Q4 2020 and the possible impact of operational disruption related to the extreme weather in Texas during February.

Conference Call Information

The Company will host a conference call today, Wednesday, March 10, 2021 at 8:00 a.m. U.S. Eastern Time (ET) to discuss its financial results. To access the live conference call, please dial (833) 423-1182 (domestic) or (236) 714-2584 (international). The conference ID for the live call is 5907987. Interested investors and other parties can also listen to a webcast of the live conference call by logging onto the Investor Relations section of the Company’s website at investors.multiplan.com/events-and-presentations. A supplementary slide presentation will also be available on such 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 MultiPlan website or by dialing (800) 585-8367 or (416) 621-4642. The conference ID for the replay is 5907987.

About MultiPlan

MultiPlan is committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team rich with industry experience, MultiPlan interprets clients' needs and customizes innovative solutions that combine its payment and revenue integrity, network-based and analytics-based services. MultiPlan is a trusted partner to over 700 healthcare payors in the commercial health, government and property and casualty markets. For more information, visit multiplan.com.

Forward Looking Statements

This press release includes statements that express our and our subsidiaries’ 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 2021 outlook, and these forward-looking statements reflect management’s expectations regarding our future growth, results of operations, operational and financial performance and business prospects and opportunities. Such forward-looking statements are based on available current market material 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 many factors could affect our actual financial results, including: the impact from the COVID-19 and its related effects on our projected results of operations, financial performance or other financial metrics; loss of our customers, particularly our largest customers; decreases in our existing market share or the size of our Preferred Provider Organization networks; effects of competition; effects of pricing pressure; the inability of our customers to pay for our services; decreases in discounts from providers; the loss of our existing relationships with providers; the loss of key members of our management team; pressure to limit access to preferred provider networks; 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 identify, complete and successfully integrate acquisitions; changes in our industry; interruptions or security breaches of our information technology systems; our ability to protect proprietary applications; our inability to expand our network infrastructure; our ability to remediate any material weakness or maintain effective internal controls over financial reporting; changes in our regulatory environment, including healthcare law and regulations; the expansion of privacy and security laws; heightened enforcement activity by government agencies; our ability to pay interest and principal on our notes and other indebtedness; the possibility that we may be adversely affected by other political, economic, business, and/or competitive factors; other factors disclosed in our SEC filings; and other factors beyond our control.

The forward-looking statements contained in this press release are based on our current expectations and beliefs concerning future developments and potential effects on our business. There can be no assurance that future developments affecting our business will be those that we have anticipated. 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 risks and uncertainties include, but are not limited to, those factors described indicated in our Registration Statement on Form S-1 filed with the Securities and Exchange Commission (“SEC”) on October 30, 2020, including those under “Risk Factors” therein, and other documents filed or to be filed with the SEC by us. Should one or more of these risks or uncertainties materialize, or should any of the assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. 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 the United States (“GAAP”), this press release contains certain non-GAAP financial measures, including EBITDA and Adjusted EBITDA. A non-GAAP financial measure is generally defined as a numerical measure of a company’s financial performance or financial position that excludes or includes amounts so as to be different than the most directly comparable measure calculated and presented in accordance with GAAP.

EBITDA, and Adjusted EBITDA 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 performance or liquidity under GAAP, have limitations as analytical tools and should not be considered in isolation or as an alternative to net income (loss), cash flows or any other measures of performance or liquidity prepared in accordance with GAAP.

EBITDA represents net income before interest expense, interest income, income tax provision (benefit) and depreciation and amortization of intangible assets. 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.

MultiPlan Corporation
Consolidated Balance Sheets
($ in thousands, except share and per share data)
 
 
Years Ended December 31,

2020

 

2019

Assets      
Current assets:      
Cash and cash equivalents

 $          126,755

 

 $            21,825

Trade accounts receivable, net

                63,198

                77,071

Prepaid expenses

                17,708

 

                14,393

Prepaid taxes

                          -

                  2,130

Other current assets, net

                  1,193

 

                     195

Total current assets

              208,854

              115,614

Property and equipment, net

              187,631

 

              177,992

Operating lease right-of-use assets

                31,339

 

                29,998

Goodwill

           4,257,336

 

           4,142,013

Other intangibles, net

           3,584,187

 

           3,886,643

Other assets

                14,231

 

                  8,151

Total assets

 $       8,283,578

 

 $       8,360,411

Liabilities and Shareholders’ Equity      
Current liabilities:      
Accounts payable

 $            15,261

 

 $              9,565

Accrued interest

                31,528

 

                17,966

Accrued taxes

                10,176

 

                     382

Operating lease obligation, short-term

                  6,439

 

                  9,521

Accrued compensation

                21,843

 

                26,311

Other accrued expenses

                27,251

 

                22,041

Total current liabilities

              112,498

 

                85,786

Long-term debt

           4,578,488

 

           5,397,122

Operating lease obligation, long-term

                27,499

 

                23,086

Unvested founder shares and Private Placement Warrants

                70,544

 

                         -

Deferred income taxes

              900,633

 

              869,199

Total liabilities

           5,689,662

 

           6,375,193

Commitments and contingencies (Note 13)      
Shareholders’ equity:      
Shareholder interests      
Preferred stock, $0.0001 par value — 10,000,000 shares authorized; no shares issued 

                          -

 

                         -

Common stock, $0.0001 par value — 1,500,000,000 shares authorized;
664,183,318 and 415,700,000 issued; 655,075,355 and 415,700,000 outstanding

                       66

 

                       42

Additional paid-in capital

           2,575,524

 

           1,347,613

Retained earnings

              107,936

 

              637,563

Treasury stock — 9,107,963 and 0 shares 

             (89,610)

 

                         -

Shareholders’ equity

           2,593,916

 

           1,985,218

Total liabilities and shareholders’ equity

 $       8,283,578

 

 $       8,360,411

 

MultiPlan Corporation
Consolidated Statements of (Loss) Income and Comprehensive (Loss) Income
($ in thousands, except share and per share data)
 
 
Years Ended December 31,

2020

 

2019

Revenues

$            937,763

 

$            982,901

Costs of services (exclusive of depreciation and amortization of intangible assets shown below)

               318,675

               149,607

General and administrative expenses

               355,635

 

                 75,225

Depreciation

                 60,577

                 55,807

Amortization of intangible assets

               334,697

 

               334,053

Total expenses

            1,069,584

               614,692

Operating (loss) income

             (131,821)

 

               368,209

Interest expense

               335,638

               376,346

Interest income

                    (288)

 

                    (196)

Loss (gain) on extinguishment of debt

               102,993

               (18,450)

Loss on investments

                 12,165

 

                           -

Other income

               (26,360)

                           -

Net (loss) income before income taxes

             (555,969)

 

                 10,509

(Benefit) Provision for income taxes

               (26,343)

                      799

Net (loss) income

             (529,626)

 

                   9,710

 
Weighted average shares outstanding - Basic and Diluted (1)

        470,785,192

 

        415,700,000

 
Net (loss) income per share - Basic and Diluted

$                (1.12)

 

$                  0.02

 
Comprehensive (loss) income

$          (529,626)

 

$                9,710

(1) In accordance with the accounting guidance, the number of shares outstanding prior to the business combination of Polaris Parent Corp. and Churchill Capital Corp III (the “Transactions”) was 415,700,000, which represents the 10 historical shares of Polaris Parent Corp. multiplied by the exchange ratio established in the Transactions (41,570,000:1). At the date of the Transactions, the number of shares outstanding increased to 655,057,192. The increase represents the shares issued by Churchill Capital Corp III prior to the Transactions and the shares issued to PIPE investors at the time of the Transactions, net of shares redeemed and held in treasury upon closing. As of December 31, 2020, the number of shares outstanding is 655,075,355.

MultiPlan Corporation
Consolidated Statements of Cash Flows
($ in thousands)
 
Years Ended December 31,

 

2020

 

 

 

2019

 

Cash flows from operating activities:      
Net (loss) income

$

                (529,626

)

$

                     9,710

 

Adjustments to reconcile net income to net cash provided by operating activities      
Depreciation

 

                      60,577

 

 

                      55,807

 

Amortization of intangible assets

 

                    334,697

 

 

 

                    334,053

 

Amortization of the right-of-use asset

 

                        8,405

 

 

                        9,594

 

Stock-based compensation

 

                    406,054

 

 

 

                    (14,880

)

Deferred tax benefit

 

                    (45,041

)

 

                  (111,404

)

Non-cash interest costs

 

                      22,888

 

 

 

                      13,368

 

Loss (gain) on extinguishment of debt

 

                    102,993

 

 

                    (18,450

)

Losses on investments

 

                      12,165

 

 

 

                                -

 

Loss on disposal of property and equipment

 

                           610

 

 

                           163

 

Other non-cash income

 

                    (26,360

)

 

 

                                -

 

Changes in assets and liabilities, net of acquired balances:
Accounts receivable, net

 

                      14,758

 

 

 

                        5,279

 

Prepaid expenses and other assets

 

                      (7,480

)

 

                      (8,822

)

Prepaid taxes

 

                        2,130

 

 

 

                      (1,426

)

Operating lease obligation

 

                      (8,461

)

 

                      (9,462

)

Accounts payable and accrued expenses and other

 

                      29,065

 

 

 

                      20,783

 

Net cash provided by operating activities

 

                    377,374

 

 

                    284,313

 

Investing activities:      
Purchases of property and equipment

 

                    (70,813

)

 

                    (66,414

)

HST Acquisition, net of cash acquired

 

                  (140,032

)

 

 

                                -

 

Net cash used in investing activities

 

                  (210,845

)

 

                    (66,414

)

Financing activities:      
Repayments of Term Loan G

 

                  (369,000

)

 

                  (100,000

)

Extinguishment of 7.125% Notes

 

               (1,615,583

)

 

 

                                -

 

Extinguishment of Senior PIK Notes

 

               (1,202,302

)

 

                  (101,013

)

Issuance of Senior Convertible PIK Notes

 

                 1,267,500

 

 

 

                                -

 

Issuance of 5.750% Notes

 

                 1,300,000

 

 

                                -

 

Borrowings on revolving credit facility

 

                      98,000

 

 

 

                                -

 

Repayment of revolving credit facility

 

                    (98,000

)

 

                                -

 

Effect of the Transactions (see note 4)

 

                    682,408

 

 

 

                                -

 

Purchase of treasury stock

 

                  (101,123

)

 

                                -

 

Payment of debt issuance costs

 

                    (23,489

)

 

 

                                -

 

Payments on finance leases, net

 

                           (10

)

 

                           (75

)

Net cash used in financing activities

 

                    (61,599

)

 

 

                  (201,088

)

Net increase (decrease) in cash and cash equivalents

 

                    104,930

 

 

                      16,811

 

Cash and cash equivalents at beginning of period

 

                      21,825

 

 

 

                        5,014

 

Cash and cash equivalents at end of period

$

                 126,755

 

$

                   21,825

 

Noncash investing and financing activities:      
Purchases of property and equipment not yet paid

$

                     4,334

 

$

                     3,768

 

Supplemental disclosure of cash flow information:      
Cash paid during the period for:
Interest

$

                (312,349

)

 

$

                (363,907

)

Income taxes, net of refunds

$

                    (3,917

)

$

                (114,569

)

MultiPlan Corporation
Calculation of EBITDA and Adjusted EBITDA
                     
                   
($ in thousands)       For the Year Ended        
      Dec. 31, 2020   Dec. 31, 2019        
Net income (loss) - GAAP      

 $   (529,626)

 

 $      9,710

       
Adjustments:                
Interest expense      

       335,638

 

     376,346

       
Interest income   

            (288)

 

          (196)

       
Income tax (benefit) provision      

       (26,343)

 

            799

       
Depreciation   

         60,577

 

       55,807

       
Amortization of intangible assets       

       334,697

 

     334,053

       
Non-income taxes (a)  

           3,221

 

         1,944

       
EBITDA       

 $    177,876

 

 $   778,463

       
Adjustments:                
Other expense (b)      

           1,896

 

         1,947

       
Other income (c)  

       (26,360)

 

                -

       
Transaction related expenses (d)      

         31,689

 

         3,270

       
Loss on investments (e)  

         12,165

 

                -

       
Loss (gain) on debt extinguishment (f)      

       102,993

 

      (18,450)

       
Stock-based compensation (g)  

       406,054

 

      (14,880)

       
Adjusted EBITDA       

 $    706,313

 

 $   750,350

       
                 
               
                     
                   
($ in thousands)   For the Three Months Ended
    Dec. 31, 2020   Sept. 30, 2020   Jun. 30, 2020   Mar. 31, 2020   Dec. 31, 2019
Net income (loss) - GAAP  

 $   (182,384)

 

 $   (288,402)

 

 $   (56,246)

 

 $      (2,594)

 

 $    11,844

Adjustments:                    
Interest expense  

         76,348

 

         82,275

 

       86,050

 

        90,965

 

       89,908

Interest income   

              (59)

 

              (81)

 

            (77)

 

             (71)

 

            (63)

Income tax (benefit) provision  

       (15,124)

 

         (1,080)

 

        (9,456)

 

            (683)

 

            990

Depreciation   

         15,674

 

         15,262

 

       15,135

 

        14,506

 

       14,084

Amortization of intangible assets   

         84,157

 

         83,513

 

       83,514

 

        83,513

 

       83,513

Non-income taxes (a)  

           1,886

 

             415

 

            481

 

             439

 

            535

EBITDA   

 $     (19,502)

 

 $   (108,098)

 

 $   119,401

 

 $    186,075

 

 $   200,811

Adjustments:                    
Other expense (b)  

             587

 

           1,012

 

            149

 

             148

 

            499

Other income (c)  

       (26,360)

 

                  -

 

                -

 

                 -

 

                -

Transaction related expenses (d)  

         26,527

 

           2,464

 

         2,338

 

             360

 

               3

Loss on investments (e)  

           4,381

 

           7,784

 

                -

 

                 -

 

                -

Loss on debt extinguishment (f)  

       102,993

 

                  -

 

                -

 

                 -

 

                -

Stock-based compensation (g)  

       106,426

 

       262,356

 

       27,911

 

          9,361

 

      (14,572)

Adjusted EBITDA   

 $    195,052

 

 $    165,518

 

 $   149,799

 

 $    195,944

 

 $   186,741

(a) Non-income taxes includes personal property taxes, real estate taxes, sales and use taxes and franchise taxes which are included in costs of services and general and administrative expenses in our consolidated statements of income and comprehensive income.
(b) Represents miscellaneous expenses, gain or loss on disposal of assets, gain or loss on disposal of leases, tax penalties, management fees, and costs associated with the integration of acquired companies into MultiPlan.
(c) Represents the changes in fair value of the unvested founder shares and private placement warrants.
(d) Represents ordinary course transaction costs and transaction costs related to the Transactions, the acquisition of HST and the acquisition of Discovery Health Partners.
(e) Loss on investments primarily reflects the change in fair value of shares purchased prior to the Transaction. These shares are now held in treasury.
(f) Represents the 2019 gain related to the repurchase and cancellation of $121.3 million in aggregate principal amount of Senior PIK Notes and the 2020 loss on debt extinguishment related to the prepayment of $369.0 million of indebtedness under our term loan facility, redemption in full of the 7.125% Senior Notes on October 29, 2020 and redemption in full of the Senior PIK Notes on October 8, 2020.
(g) Includes the cost of employee and non-employee director stock-based compensation plans.

FAQ

What were MultiPlan's Q4 2020 financial results?

MultiPlan reported Q4 2020 revenues of $255.3 million, a 14.2% increase from Q3 2020.

How did COVID-19 impact MultiPlan's revenues in 2020?

COVID-19 contributed to a revenue decline, with full-year 2020 revenues down to $937.8 million from $982.9 million in 2019.

What was the net loss reported by MultiPlan for Q4 2020?

MultiPlan reported a net loss of $182.4 million for Q4 2020, an improvement from a net loss of $288.4 million in Q3.

What is the outlook for MultiPlan in 2021?

MultiPlan is not providing specific guidance for 2021 but expects Q1 2021 performance to be similar to Q4 2020.

How much potential savings did MultiPlan identify in Q4 2020?

The company identified approximately $4.9 billion in potential savings from claims processed in Q4 2020.

MultiPlan Corporation

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