P3 Health Partners Announces Third Quarter 2024 Results
P3 Health Partners (NASDAQ: PIII) announced its financial results for Q3 2024, ending September 30, 2024. Revenue increased by 26% YoY to $362.1 million. Capitated revenue rose by 25% to $357.7 million. However, the company reported a gross profit loss of $39.8 million, compared to a gross profit of $9.1 million in the previous year. The medical margin was $0.5 million, down from $36.2 million last year. Net loss widened to $102.9 million, up from $37.3 million. Adjusted EBITDA loss was $71.0 million, compared to $22.3 million in Q3 2023. Due to lower-than-expected risk adjustments and elevated medical costs, the company is withdrawing its previous FY 2024 guidance. Management will host a conference call on November 12, 2024, at 4:30 PM ET to discuss these results.
P3 Health Partners (NASDAQ: PIII) ha annunciato i risultati finanziari per il terzo trimestre del 2024, conclusosi il 30 settembre 2024. Il fatturato è aumentato del 26% rispetto all'anno precedente, raggiungendo i 362,1 milioni di dollari. Il fatturato capitation è cresciuto del 25%, arrivando a 357,7 milioni di dollari. Tuttavia, l'azienda ha registrato una perdita di utile lordo di 39,8 milioni di dollari, rispetto a un utile lordo di 9,1 milioni di dollari dell'anno precedente. Il margine medico è stato di 0,5 milioni di dollari, in calo rispetto ai 36,2 milioni di dollari dell'anno scorso. La perdita netta è aumentata a 102,9 milioni di dollari, rispetto ai 37,3 milioni di dollari. La perdita di EBITDA rettificato è stata di 71,0 milioni di dollari, rispetto ai 22,3 milioni di dollari del terzo trimestre del 2023. A causa di aggiustamenti dei rischi inferiori alle aspettative e costi medici elevati, l'azienda sta ritirando le precedenti previsioni per l'anno fiscale 2024. La direzione ospiterà una conferenza telefonica il 12 novembre 2024, alle 16:30 ET, per discutere di questi risultati.
P3 Health Partners (NASDAQ: PIII) anunció sus resultados financieros para el tercer trimestre de 2024, finalizado el 30 de septiembre de 2024. Los ingresos aumentaron un 26% interanual, alcanzando los 362.1 millones de dólares. Los ingresos capitados subieron un 25% a 357.7 millones de dólares. Sin embargo, la compañía reportó una pérdida de utilidad bruta de 39.8 millones de dólares, en comparación con una utilidad bruta de 9.1 millones de dólares en el año anterior. El margen médico fue de 0.5 millones de dólares, por debajo de los 36.2 millones de dólares del año pasado. La pérdida neta se amplió a 102.9 millones de dólares, en comparación con 37.3 millones de dólares. La pérdida de EBITDA ajustado fue de 71.0 millones de dólares, en comparación con 22.3 millones de dólares en el tercer trimestre de 2023. Debido a ajustes de riesgo más bajos de lo esperado y a costos médicos elevados, la compañía está retirando su pronóstico previo para el ejercicio fiscal 2024. La dirección realizará una conferencia telefónica el 12 de noviembre de 2024 a las 4:30 PM ET para discutir estos resultados.
P3 Health Partners (NASDAQ: PIII)는 2024년 3분기 재무 결과를 발표했습니다. 이 재무 결과는 2024년 9월 30일에 종료되었습니다. 매출은 전년 대비 26% 증가한 3억 6210만 달러에 도달했습니다. 모금된 매출은 25% 증가하여 3억 5770만 달러에 달했습니다. 하지만 회사는 총 이익 손실이 3980만 달러에 이른다고 보고했으며, 이는 지난해 910만 달러의 총 이익과 비교됩니다. 의료 마진은 50만 달러로, 지난해 3620만 달러에서 하락했습니다. 순손실은 1억 290만 달러로 증가해 지난해 3730만 달러에서 상승했습니다. 조정된 EBITDA 손실은 7100만 달러로, 2023년 3분기의 2230만 달러와 비교됩니다. 예상보다 낮은 위험 조정과 높은 의료 비용으로 인해 회사는 2024 회계 연도에 대한 이전 지침을 철회할 예정입니다. 경영진은 2024년 11월 12일 오후 4:30 ET에 이러한 결과에 대해 논의하기 위한 전화 회의를 개최할 것입니다.
P3 Health Partners (NASDAQ: PIII) a annoncé ses résultats financiers pour le troisième trimestre de 2024, se terminant le 30 septembre 2024. Les revenus ont augmenté de 26 % par rapport à l'année précédente, atteignant 362,1 millions de dollars. Les revenus capités ont augmenté de 25 % pour atteindre 357,7 millions de dollars. Cependant, l'entreprise a signalé une perte brute de 39,8 millions de dollars, comparativement à un bénéfice brut de 9,1 millions de dollars l'année précédente. La marge médicale était de 0,5 million de dollars, en baisse par rapport à 36,2 millions de dollars l'année précédente. La perte nette s'est élargie à 102,9 millions de dollars, contre 37,3 millions de dollars. La perte d'EBITDA ajusté s'élevait à 71,0 millions de dollars, contre 22,3 millions de dollars au troisième trimestre de 2023. En raison d'ajustements de risque inférieurs aux attentes et de coûts médicaux élevés, l'entreprise retire ses prévisions précédentes pour l'exercice financier 2024. La direction organisera une conférence téléphonique le 12 novembre 2024 à 16h30 ET pour discuter de ces résultats.
P3 Health Partners (NASDAQ: PIII) hat seine Finanzzahlen für das 3. Quartal 2024, das am 30. September 2024 endete, bekannt gegeben. Der Umsatz stieg im Jahresvergleich um 26% auf 362,1 Millionen Dollar. Der kapitale Umsatz erhöhte sich um 25% auf 357,7 Millionen Dollar. Das Unternehmen berichtete jedoch von einem Verlust des Bruttoertrags in Höhe von 39,8 Millionen Dollar, im Vergleich zu einem Bruttoertrag von 9,1 Millionen Dollar im Vorjahr. Die medizinische Marge betrug 0,5 Millionen Dollar, ein Rückgang von 36,2 Millionen Dollar im letzten Jahr. Der Nettoverlust weitete sich auf 102,9 Millionen Dollar aus, im Vergleich zu 37,3 Millionen Dollar. Der Verlust von bereinigtem EBITDA betrug 71,0 Millionen Dollar, verglichen mit 22,3 Millionen Dollar im 3. Quartal 2023. Aufgrund von niedriger als erwarteten Risikoanpassungen und erhöhten Gesundheitskosten zieht das Unternehmen seine vorherige Prognose für das Geschäftsjahr 2024 zurück. Das Management wird am 12. November 2024 um 16:30 Uhr ET eine Telefonkonferenz abhalten, um diese Ergebnisse zu besprechen.
- Revenue increased by 26% YoY to $362.1 million.
- Capitated revenue rose by 25% to $357.7 million.
- Gross profit loss of $39.8 million compared to a profit of $9.1 million last year.
- Medical margin decreased to $0.5 million from $36.2 million.
- Net loss widened to $102.9 million from $37.3 million.
- Adjusted EBITDA loss increased to $71.0 million from $22.3 million.
- Withdrew FY 2024 guidance due to lower risk adjustments and elevated medical costs.
Insights
The Q3 results reveal significant operational challenges at P3 Health Partners.
Medical margin collapsed to just
The operational metrics indicate systemic issues in P3's risk management and cost control frameworks. The dramatic decline in medical margin PMPM from
Revenue increased
Third quarter results were affected by lower risk adjustments, higher medical expenses in the current year, and retroactive adjustments
Executing key 2025 initiatives with a focus on improvements in profitability metrics
Management to Host Conference Call and Webcast November 12, 2024 at 4:30 PM ET
“As we execute on our strategic initiatives, we believe P3 will be well-positioned to unlock the value built within our platform and generate sustainable, profitable growth in the medium and long term,” said Aric Coffman, CEO of P3. “We have identified more than
Third Quarter 2024 Financial Results
-
Total revenue was
, an increase of$362.1 million 26% compared to in the third quarter of the prior year$288.4 million -
Capitated revenue was
, an increase of$357.7 million 25% compared to in the third quarter of the prior year$285.2 million -
Gross profit was a loss of
, as compared to gross profit of$39.8 million in the prior year. Gross profit PMPM was a loss of$9.1 million , compared to$103 PMPM in the prior year$29 -
Medical margin(1) was
compared to$0.5 million in the prior year. Medical margin PMPM(1) was$36.2 million , compared to a medical margin PMPM of$1 in the prior year$115 -
Net loss was
compared to a net loss of$102.9 million in the third quarter of the prior year. Net loss PMPM was$37.3 million compared to a net loss PMPM of$267 in the prior year$119 -
Adjusted EBITDA loss(1) was
compared to$71.0 million in the third quarter of the prior year. Adjusted EBITDA loss PMPM(1) was$22.3 million , compared to Adjusted EBITDA loss PMPM of$184 in the third quarter of the prior year$71 - In light of a lower-than-expected 2024 risk adjustment, continued elevated medical cost pressures, and retroactive adjustments, the Company is withdrawing its previous guidance for fiscal year ending December 31, 2024, provided on its second quarter 2024 earnings call on August 7, 2024, and investors should no longer rely on it.
(1) Adjusted EBITDA, Adjusted EBITDA per member, per month (“PMPM”), medical margin, and medical margin PMPM are non-GAAP financial measures. For reconciliations of these measures to the most directly comparable GAAP measures, if applicable, and more information regarding the Company’s use of non-GAAP financial measures, please see the section titled “Non-GAAP Financial Measures.” |
(2) See “Key Performance Metrics” for additional information on how the Company defines “at-risk members.” |
Management to Host Conference Call and Webcast on November 12, 2024 at 4:30 PM ET
Title & Webcast |
|
|
Date & Time |
|
November 12, 2024, 4:30pm Eastern Time |
Conference Call Details |
|
Toll-Free 1-833-316-0546 (US)
|
The conference call will also be webcast live in the "Events & Presentations" section of the Investor page of the P3 website (ir.p3hp.org). The Company’s press release will be available at ir.p3hp.org website in advance of the conference call. An archived recording of the webcast will be available at ir.p3hp.org for a period of 90 days following the conference call. |
About P3 Health Partners (NASDAQ: PIII):
P3 Health Partners Inc. is a leading population health management company committed to transforming healthcare by improving the lives of both patients and providers. Founded and led by physicians, P3 has an expansive network of more than 3,100 affiliated primary care providers across the country. Our local teams of health care professionals manage the care of thousands of patients in 27 counties across five states. P3 supports primary care providers with value-based care coordination and administrative services that improve patient outcomes and lower costs. Through partnerships with these local providers, the P3 care team creates an enhanced patient experience by navigating, coordinating, and integrating the patient’s care within the healthcare system. For more information, visit www.p3hp.org and follow us on @p3healthpartners and Facebook.com/p3healthpartners.
Non-GAAP Financial Measures
In addition to the financial results prepared in accordance with accounting principles generally accepted in the
Medical claims expenses represent costs incurred for medical services provided to our members. As our platform grows and matures over time, we expect medical margin to increase in absolute dollars; however, medical margin PMPM may vary as the percentage of new members brought onto our platform fluctuates. New membership added to the platform is typically dilutive to medical margin PMPM. We do not consider these non‐GAAP measures in isolation or as an alternative to financial measures determined in accordance with GAAP. These non-GAAP financial measures 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 addition, other companies may calculate non-GAAP financial measures differently or may use other measures to evaluate their performance, all of which could reduce the usefulness of our non-GAAP financial measures as tools for comparison. The tables at the end of this press release present a reconciliation of Adjusted EBITDA to net income (loss) and Adjusted EBITDA PMPM to net income (loss) PMPM, medical margin to gross profit, and medical margin PMPM to gross profit PMPM, which are the most directly comparable financial measures calculated in accordance with GAAP.
Key Performance Metrics
In addition to our GAAP and non-GAAP financial information, the Company also monitors “at-risk members” to help us evaluate our business, identify trends affecting our business, formulate business plans and make strategic decisions. At-risk membership represents the approximate number of Medicare members for whom we receive a fixed percentage of premium under capitation arrangements as of the end of a particular period.
Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the safe harbor provisions of the
Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in forward-looking statements include, among others, our ability to continue as a going concern; our potential need to raise additional capital to fund our existing operations or develop and commercialize new services or expand our operations; our ability to achieve or maintain profitability; our ability to maintain compliance with our debt covenants in the future, or obtain required waivers from our lenders if future operating performance were to fall below current projections, and if there are material changes to management’s assumptions, we could be required to recognize non-cash charges to operating earnings for goodwill and/or other intangible asset impairment; our ability to identify and develop successful new geographies, physician partners, payors and patients; changes in market or industry conditions, regulatory environment, competitive conditions, and receptivity to our services; our ability to fund our growth and expand our operations; changes in laws and regulations applicable to our business; our ability to maintain our relationships with health plans and other key payors; the impact of fluctuations in risk adjustments; our ability to establish and maintain effective internal controls and the impact of material weaknesses we have identified; our ability to maintain the listing of our securities on Nasdaq; increased labor costs and medical expense; our ability to recruit and retain qualified team members and independent physicians; and the factors described under Part I, Item 1A. “Risk Factors” and Part II, Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2023, filed with the SEC on March 28, 2024, and in our subsequent filings with the SEC.
All information in this press release is as of the date hereof, and we undertake no duty to update or revise this information unless required by law. You are cautioned not to place undue reliance on any forward-looking statements contained in this press release.
P3 HEALTH PARTNERS INC. and SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (in thousands, except per share amounts) (unaudited) |
|||||||
|
September 30, 2024 |
|
December 31, 2023 |
||||
ASSETS |
|
|
|
||||
CURRENT ASSETS: |
|
|
|
||||
Cash |
$ |
62,962 |
|
|
$ |
36,320 |
|
Restricted cash |
|
5,136 |
|
|
|
4,614 |
|
Health plan receivable, net of allowance for credit losses of |
|
123,325 |
|
|
|
118,497 |
|
Clinic fees, insurance and other receivable |
|
2,495 |
|
|
|
2,973 |
|
Prepaid expenses and other current assets |
|
11,032 |
|
|
|
3,613 |
|
Assets held for sale |
|
10,123 |
|
|
|
— |
|
TOTAL CURRENT ASSETS |
|
215,073 |
|
|
|
166,017 |
|
Property and equipment, net |
|
6,315 |
|
|
|
8,686 |
|
Intangible assets, net |
|
594,865 |
|
|
|
666,733 |
|
Other long-term assets |
|
17,080 |
|
|
|
19,531 |
|
TOTAL ASSETS (1) |
$ |
833,333 |
|
|
$ |
860,967 |
|
LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS’ EQUITY |
|
|
|
||||
CURRENT LIABILITIES: |
|
|
|
||||
Accounts payable |
$ |
13,468 |
|
|
$ |
8,663 |
|
Accrued expenses and other current liabilities |
|
49,205 |
|
|
|
36,884 |
|
Accrued payroll |
|
4,409 |
|
|
|
3,506 |
|
Health plan settlements payable |
|
41,169 |
|
|
|
34,992 |
|
Claims payable |
|
230,736 |
|
|
|
178,009 |
|
Premium deficiency reserve |
|
29,441 |
|
|
|
13,670 |
|
Accrued interest |
|
35,929 |
|
|
|
23,648 |
|
Short-term debt |
|
208 |
|
|
|
— |
|
Liabilities held for sale |
|
753 |
|
|
|
— |
|
TOTAL CURRENT LIABILITIES |
|
405,318 |
|
|
|
299,372 |
|
Operating lease liability |
|
11,158 |
|
|
|
13,622 |
|
Warrant liabilities |
|
19,718 |
|
|
|
1,085 |
|
Contingent consideration |
|
— |
|
|
|
4,907 |
|
Long-term debt, net |
|
133,228 |
|
|
|
108,319 |
|
TOTAL LIABILITIES (1) |
|
569,422 |
|
|
|
427,305 |
|
COMMITMENTS AND CONTINGENCIES |
|
|
|
||||
MEZZANINE EQUITY: |
|
|
|
||||
Redeemable non-controlling interest |
|
143,397 |
|
|
|
291,532 |
|
STOCKHOLDERS’ EQUITY: |
|
|
|
||||
Class A common stock, |
|
16 |
|
|
|
12 |
|
Class V common stock, |
|
20 |
|
|
|
20 |
|
Additional paid in capital |
|
565,054 |
|
|
|
509,442 |
|
Accumulated deficit |
|
(444,576 |
) |
|
|
(367,344 |
) |
TOTAL STOCKHOLDERS’ EQUITY |
|
120,514 |
|
|
|
142,130 |
|
TOTAL LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS’ EQUITY |
$ |
833,333 |
|
|
$ |
860,967 |
|
____________________ |
||
(1) |
The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities (“VIEs”). As discussed in Note 13 “Variable Interest Entities,” P3 LLC is itself a VIE. P3 LLC represents substantially all the assets and liabilities of the Company. As a result, the language and amounts below refer only to VIEs held at the P3 LLC level. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of P3 LLC’s consolidated VIEs totaling |
P3 HEALTH PARTNERS INC. and SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands, except per share amounts) (unaudited) |
|||||||||||||||
|
Three Months Ended
|
|
Nine Months Ended
|
||||||||||||
|
2024 |
|
2023 |
|
2024 |
|
2023 |
||||||||
OPERATING REVENUE: |
|
|
|
|
|
|
|
||||||||
Capitated revenue |
$ |
357,706 |
|
|
$ |
285,153 |
|
|
$ |
1,116,146 |
|
|
$ |
909,473 |
|
Other patient service revenue |
|
4,418 |
|
|
|
3,198 |
|
|
|
13,623 |
|
|
|
10,041 |
|
TOTAL OPERATING REVENUE |
|
362,124 |
|
|
|
288,351 |
|
|
|
1,129,769 |
|
|
|
919,514 |
|
OPERATING EXPENSE: |
|
|
|
|
|
|
|
||||||||
Medical expense |
|
401,920 |
|
|
|
279,220 |
|
|
|
1,149,148 |
|
|
|
867,061 |
|
Premium deficiency reserve |
|
18,168 |
|
|
|
(12,489 |
) |
|
|
15,771 |
|
|
|
(9,361 |
) |
Corporate, general and administrative expense |
|
27,219 |
|
|
|
33,065 |
|
|
|
81,230 |
|
|
|
97,931 |
|
Sales and marketing expense |
|
134 |
|
|
|
654 |
|
|
|
870 |
|
|
|
2,512 |
|
Depreciation and amortization |
|
21,673 |
|
|
|
21,721 |
|
|
|
64,905 |
|
|
|
65,041 |
|
TOTAL OPERATING EXPENSE |
|
469,114 |
|
|
|
322,171 |
|
|
|
1,311,924 |
|
|
|
1,023,184 |
|
OPERATING LOSS |
|
(106,990 |
) |
|
|
(33,820 |
) |
|
|
(182,155 |
) |
|
|
(103,670 |
) |
OTHER INCOME (EXPENSE): |
|
|
|
|
|
|
|
||||||||
Interest expense, net |
|
(5,647 |
) |
|
|
(4,002 |
) |
|
|
(15,339 |
) |
|
|
(11,939 |
) |
Mark-to-market of stock warrants |
|
5,737 |
|
|
|
755 |
|
|
|
14,626 |
|
|
|
(327 |
) |
Other |
|
445 |
|
|
|
190 |
|
|
|
1,073 |
|
|
|
(455 |
) |
TOTAL OTHER INCOME (EXPENSE) |
|
535 |
|
|
|
(3,057 |
) |
|
|
360 |
|
|
|
(12,721 |
) |
LOSS BEFORE INCOME TAXES |
|
(106,455 |
) |
|
|
(36,877 |
) |
|
|
(181,795 |
) |
|
|
(116,391 |
) |
INCOME TAX BENEFIT (PROVISION) |
|
3,605 |
|
|
|
(412 |
) |
|
|
565 |
|
|
|
(928 |
) |
NET LOSS |
|
(102,850 |
) |
|
|
(37,289 |
) |
|
|
(181,230 |
) |
|
|
(117,319 |
) |
LESS: NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTEREST |
|
(56,338 |
) |
|
|
(23,993 |
) |
|
|
(103,998 |
) |
|
|
(85,008 |
) |
NET LOSS ATTRIBUTABLE TO CONTROLLING INTEREST |
$ |
(46,512 |
) |
|
$ |
(13,296 |
) |
|
$ |
(77,232 |
) |
|
$ |
(32,311 |
) |
|
|
|
|
|
|
|
|
||||||||
NET LOSS PER SHARE (Note 9): |
|
|
|
|
|
|
|
||||||||
Basic |
$ |
(0.29 |
) |
|
$ |
(0.12 |
) |
|
$ |
(0.55 |
) |
|
$ |
(0.37 |
) |
Diluted |
$ |
(0.31 |
) |
|
$ |
(0.12 |
) |
|
$ |
(0.64 |
) |
|
$ |
(0.41 |
) |
|
|
|
|
|
|
|
|
||||||||
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (Note 9): |
|
|
|
|
|
|
|
||||||||
Basic |
|
161,890 |
|
|
|
114,198 |
|
|
|
139,292 |
|
|
|
88,010 |
|
Diluted |
|
164,701 |
|
|
|
312,679 |
|
|
|
141,723 |
|
|
|
288,379 |
|
P3 HEALTH PARTNERS INC. and SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) (unaudited) |
|||||||
|
Nine Months Ended September 30, |
||||||
|
2024 |
|
2023 |
||||
CASH FLOWS FROM OPERATING ACTIVITIES: |
|
|
|
||||
Net loss |
$ |
(181,230 |
) |
|
$ |
(117,319 |
) |
Adjustments to reconcile net loss to net cash used in operating activities: |
|
|
|
||||
Depreciation and amortization |
|
64,905 |
|
|
|
65,041 |
|
Equity-based compensation |
|
5,031 |
|
|
|
4,259 |
|
Amortization of original issue discount and debt issuance costs |
|
13 |
|
|
|
405 |
|
Accretion of contingent consideration |
|
— |
|
|
|
113 |
|
Gain on write off of contingent consideration |
|
(4,907 |
) |
|
|
— |
|
Mark-to-market adjustment of stock warrants |
|
(14,626 |
) |
|
|
327 |
|
Premium deficiency reserve |
|
15,771 |
|
|
|
(9,361 |
) |
Changes in operating assets and liabilities: |
|
|
|
||||
Health plan receivable |
|
(4,828 |
) |
|
|
(45,258 |
) |
Clinic fees, insurance, and other receivable |
|
445 |
|
|
|
5,275 |
|
Prepaid expenses and other current assets |
|
(7,402 |
) |
|
|
(429 |
) |
Other long-term assets |
|
(2 |
) |
|
|
(1,214 |
) |
Accounts payable, accrued expenses, and other current liabilities |
|
1,780 |
|
|
|
2,758 |
|
Accrued payroll |
|
903 |
|
|
|
2,405 |
|
Health plan settlements payable |
|
6,177 |
|
|
|
21,814 |
|
Claims payable |
|
52,727 |
|
|
|
4,290 |
|
Accrued interest |
|
12,281 |
|
|
|
7,092 |
|
Operating lease liability |
|
72 |
|
|
|
(348 |
) |
Net cash used in operating activities |
|
(52,890 |
) |
|
|
(60,150 |
) |
CASH FLOWS FROM INVESTING ACTIVITIES: |
|
|
|
||||
Purchases of property and equipment |
|
— |
|
|
|
(2,039 |
) |
Purchase price received in advance of asset sale |
|
15,000 |
|
|
|
— |
|
Net cash provided by (used in) investing activities |
|
15,000 |
|
|
|
(2,039 |
) |
CASH FLOWS FROM FINANCING ACTIVITIES: |
|
|
|
||||
Proceeds from long-term debt, net of original issue discount |
|
25,000 |
|
|
|
14,101 |
|
Payment of debt issuance costs |
|
(100 |
) |
|
|
(173 |
) |
Proceeds from liability-classified warrants and private placement offering, net of offering costs paid |
|
40,547 |
|
|
|
87,244 |
|
Proceeds from at-the-market sales, net of offering costs paid |
|
33 |
|
|
|
— |
|
Deferred offering costs paid |
|
(507 |
) |
|
|
— |
|
Payment of tax withholdings upon settlement of restricted stock unit awards |
|
(127 |
) |
|
|
— |
|
Repayment of short-term and long-term debt |
|
(1,663 |
) |
|
|
— |
|
Proceeds from short-term debt |
|
1,871 |
|
|
|
— |
|
Net cash provided by financing activities |
|
65,054 |
|
|
|
101,172 |
|
Net change in cash and restricted cash |
|
27,164 |
|
|
|
38,983 |
|
Cash and restricted cash, beginning of period |
|
40,934 |
|
|
|
18,457 |
|
Cash and restricted cash, end of period |
$ |
68,098 |
|
|
$ |
57,440 |
|
RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA LOSS (in thousands, except PMPM) (unaudited) |
|||||||||||||||
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||||||
2024 |
|
2023 |
|
2024 |
|
2023 |
|||||||||
Net loss |
$ |
(102,850 |
) |
|
$ |
(37,289 |
) |
|
$ |
(181,230 |
) |
|
$ |
(117,319 |
) |
Interest expense, net |
|
5,647 |
|
|
|
4,002 |
|
|
|
15,339 |
|
|
|
11,939 |
|
Depreciation and amortization |
|
21,673 |
|
|
|
21,721 |
|
|
|
64,905 |
|
|
|
65,041 |
|
Income tax (benefit) provision |
|
(3,605 |
) |
|
|
412 |
|
|
|
(565 |
) |
|
|
928 |
|
Mark-to-market of stock warrants |
|
(5,737 |
) |
|
|
(755 |
) |
|
|
(14,626 |
) |
|
|
327 |
|
Premium deficiency reserve |
|
18,168 |
|
|
|
(12,489 |
) |
|
|
15,771 |
|
|
|
(9,361 |
) |
Equity-based compensation |
|
1,958 |
|
|
|
2,251 |
|
|
|
5,031 |
|
|
|
4,259 |
|
Other(1) |
|
(6,254 |
) |
|
|
(185 |
) |
|
|
(4,242 |
) |
|
|
2,868 |
|
Transaction and other related costs(2) |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
70 |
|
Adjusted EBITDA loss |
$ |
(71,000 |
) |
|
$ |
(22,332 |
) |
|
$ |
(99,617 |
) |
|
$ |
(41,248 |
) |
Adjusted EBITDA loss PMPM |
$ |
(184 |
) |
|
$ |
(71 |
) |
|
$ |
(87 |
) |
|
$ |
(44 |
) |
_____________________________________________ |
||
(1) |
Other during the three and nine months ended September 30, 2024 consisted of (i) interest income and (ii) gain recognized upon the settlement and write-off of contingent consideration related to an acquisition completed in a prior year partially offset by (iii) severance and related expense in connection with our chief executive officer transition and (iv) valuation allowance on our notes receivable. Other during the three and nine months ended September 30, 2023 consisted of (i) interest income offset by (ii) cybersecurity incident loss with respect to the nine months ended September 30, 2023, (iii) restructuring and other charges, including severance and benefits paid to employees pursuant to workforce reduction plans with respect to the nine months ended September 30, 2023, (iv) the disposition of our |
|
(2) | Transaction and other related costs during the nine months ended September 30, 2023 consisted of legal fees incurred related to acquisition-related litigation. |
MEDICAL MARGIN (in thousands, except PMPM) (unaudited) |
|||||||||||||||
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||||||
|
2024 |
|
2023 |
|
2024 |
|
2023 |
||||||||
Capitated revenue |
$ |
357,706 |
|
|
$ |
285,153 |
|
|
$ |
1,116,146 |
|
|
$ |
909,473 |
|
Less: medical claims expense |
|
(357,166 |
) |
|
|
(248,918 |
) |
|
|
(1,037,965 |
) |
|
|
(783,497 |
) |
Medical margin |
$ |
540 |
|
|
$ |
36,235 |
|
|
$ |
78,181 |
|
|
$ |
125,976 |
|
Medical margin PMPM |
$ |
1 |
|
|
$ |
115 |
|
|
$ |
69 |
|
|
$ |
135 |
|
RECONCILIATION OF GROSS PROFIT (LOSS) TO MEDICAL MARGIN (in thousands) (unaudited) |
|||||||||||||||
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||||||
2024 |
|
2023 |
|
2024 |
|
2023 |
|||||||||
Gross profit (loss) |
$ |
(39,796 |
) |
|
$ |
9,131 |
|
|
$ |
(19,379 |
) |
|
$ |
52,453 |
|
Other patient service revenue |
|
(4,418 |
) |
|
|
(3,198 |
) |
|
|
(13,623 |
) |
|
|
(10,041 |
) |
Other medical expense |
|
44,754 |
|
|
|
30,302 |
|
|
|
111,183 |
|
|
|
83,564 |
|
Medical margin |
$ |
540 |
|
|
$ |
36,235 |
|
|
$ |
78,181 |
|
|
$ |
125,976 |
|
RECONCILIATION OF TOTAL OPERATING EXPENSE TO ADJUSTED OPERATING EXPENSE (in thousands) (unaudited) |
|||||||||||||||
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
||||||||||||
2024 |
|
2023 |
|
2024 |
|
2023 |
|||||||||
Total operating expense |
$ |
469,114 |
|
|
$ |
322,171 |
|
|
$ |
1,311,924 |
|
|
$ |
1,023,184 |
|
Medical expense |
|
(401,920 |
) |
|
|
(279,220 |
) |
|
|
(1,149,148 |
) |
|
|
(867,061 |
) |
Depreciation and amortization |
|
(21,673 |
) |
|
|
(21,721 |
) |
|
|
(64,905 |
) |
|
|
(65,041 |
) |
Premium deficiency reserve |
|
(18,168 |
) |
|
|
12,489 |
|
|
|
(15,771 |
) |
|
|
9,361 |
|
Equity-based compensation |
|
(1,958 |
) |
|
|
(2,251 |
) |
|
|
(5,031 |
) |
|
|
(4,259 |
) |
Other |
|
6,157 |
|
|
|
(7 |
) |
|
|
3,564 |
|
|
|
(2,404 |
) |
Transaction and other related costs |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(70 |
) |
Adjusted operating expense |
$ |
31,552 |
|
|
$ |
31,461 |
|
|
$ |
80,633 |
|
|
$ |
93,710 |
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20241112304615/en/
Ryan Halsted
Investor Relations
Gilmartin Group
ir@p3hp.org
Source: P3 Health Partners Inc.
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