Press Release: P3 Health Partners Announces Fourth Quarter and Full Year 2024 Results

Dow Jones
28 Mar

P3 Health Partners Announces Fourth Quarter and Full Year 2024 Results

Revenue increased 18% year-over-year to $1.50 billion

Affirming 2025 guidance

Management to Host Conference Call and Webcast [March 27, 2025] at 4:30 PM ET

HENDERSON, Nev.--(BUSINESS WIRE)--March 27, 2025-- 

P3 Health Partners Inc. ("P3" or the "Company") $(PIII)$, a patient- centered and physician-led population health management company, today announced its financial results for the fourth quarter and full year ended December 31, 2024, and affirmed its 2025 guidance.

"Our business model remains fundamentally strong as we continue to deliver member and top-line growth, quality outcomes, and provider retention," said Aric Coffman, CEO of P3. "With the $130M+ in identified programmatic opportunities advancing our path to financial sustainability, we remain committed to enabling our payor and provider partners to drive high quality, cost-efficient care and long-term market growth."

Fourth Quarter 2024 Financial Results

   -- Total revenue was $370.7 million, an increase of 7% compared to $346.9 
      million in the fourth quarter of the prior year 
 
   -- Capitated revenue was $367.5 million, an increase of 7% compared to 
      $342.8 million in the fourth quarter of the prior year 
 
   -- Gross profit was a loss of $39.5 million, as compared to negative $20.8 
      million in the fourth quarter of the prior year. Gross profit PMPM was a 
      loss of $103, as compared to a loss of $65 in the fourth quarter of the 
      prior year 
 
   -- Medical margin(1) was $7.3 million compared to $9.1 million in the prior 
      year. Medical margin PMPM(1) was $19 compared to a medical margin PMPM of 
      $28 in the prior year 
 
   -- Net loss was $129.1 million compared to a net loss of $69.1 million in 
      the fourth quarter of the prior year. Net loss PMPM was $335 compared to 
      a net loss PMPM of $220 in the prior year 
 
   -- Adjusted EBITDA loss(1) was $67.6 million compared to $44.3 million in 
      the fourth quarter of the prior year. Adjusted EBITDA loss PMPM(1) was 
      $175 compared to Adjusted EBITDA loss PMPM of $138 in the fourth quarter 
      of the prior year 

Full-Year 2024 Financial Results

   -- At-risk membership of 123,800, an increase of approximately 14% compared 
      to 108,900 in the prior year(2) 
 
   -- Total revenue was $1.50 billion, an increase of 18% compared to $1.27 
      billion in the prior year 
 
   -- Capitated revenue was $1.48 billion, an increase of 18% compared to $1.25 
      billion in the prior year 
 
   -- Gross profit was a loss of $58.9 million, as compared to positive $31.6 
      million in the prior year. Gross profit PMPM was a loss of $52, compared 
      to a positive $25 PMPM in the prior year 
 
   -- Medical margin(1) was $85.5 million, an decrease of 37% compared to 
      $135.1 million in the prior year. Medical margin PMPM(1) was $75, a 
      decrease of 48% compared to a medical margin PMPM of $108 in the prior 
      year 
 
   -- Net loss was $310.4 million compared to a net loss of $186.4 million in 
      the prior year 
 
   -- Adjusted EBITDA loss(1) was $167.2 million compared to an Adjusted EBITDA 
      loss(1) of $85.5 million in the prior year. Adjusted EBITDA loss PMPM(1) 
      was $147 compared to Adjusted EBITDA loss PMPM(1) of $68 in the prior 
      year 
 
                                          Fiscal 2025 Guidance 
                                       Year Ended December 31, 2025 
                                      ------------------------------ 
                                           Low             High 
                                      --------------  -------------- 
At-risk Members                          109,000         119,000 
Total Revenues (in millions)              $1,350          $1,500 
Medical Margin(1)(3) (in millions)         $174            $210 
Medical Margin(3) PMPM                     $133            $147 
Adjusted EBITDA(3) (in millions)          $(35)             $5 
 
 
(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." 
(3)    The Company is not able to provide a quantitative reconciliation of 
       guidance for Adjusted EBITDA, medical margin and medical margin PMPM to 
       net income (loss), gross profit and gross profit PMPM, the most 
       directly comparable GAAP measures, respectively, and has not provided 
       forward-looking guidance for net income (loss), because of the 
       uncertainty around certain items that may impact net income (loss), 
       gross profit (loss) or gross profit (loss) PMPM that are not within our 
       control or cannot be reasonably predicted without unreasonable effort. 
       For more information regarding the non-GAAP financial measures 
       discussed in this press release, please see "Non-GAAP Financial 
       Measures" below. 
 

The foregoing 2025 outlook statement represents management's current estimate as of the date of this release. Actual results may differ materially depending on a number of factors. Investors are urged to read the "Cautionary Note Regarding Forward-Looking Statements" included in this release. Management does not assume any obligation to update these estimates.

Management to Host Conference Call and Webcast on [March 27, 2025] at 4:30 PM ET

 
Title & Webcast          P3 Health Fourth Quarter and Full Year 2024 Earnings 
                         Conference Call 
-----------------------  ----------------------------------------------------- 
Date & Time              March 27, 2025, 4:30pm Eastern Time 
-----------------------  ----------------------------------------------------- 
Conference Call Details  Toll-Free 1-833-316-0546 (US) 
                          International 1-412-317-0692 
                          Ask to be joined into the P3 Health Partners call 
-----------------------  ----------------------------------------------------- 
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 U.S. ("GAAP"), this press release contains certain non-GAAP financial measures as defined by the SEC rules, including Adjusted EBITDA and Adjusted EBITDA PMPM, medical margin, and medical margin PMPM. EBITDA is defined as GAAP net income (loss) before (i) interest, (ii) income taxes and (iii) depreciation and amortization. Adjusted EBITDA is defined as EBITDA, further adjusted to exclude the effect of certain supplemental adjustments, such as (i) mark-to-market warrant gain/loss, (ii) premium deficiency reserves, (iii) equity-based compensation expense, (iv) certain transaction and other related costs and (v) certain other items that we believe are not indicative of our core operating performances. Adjusted EBITDA PMPM is defined as Adjusted EBITDA divided by the number of at-risk Medicare members each month divided by the number of months in the period. We believe these non-GAAP financial measures provide an additional tool for investors to use in evaluating ongoing operating results and trends and in comparing our financial measures with other similar companies. Medical margin represents the amount earned from capitation revenue after medical claims expenses are deducted and medical margin PMPM is defined as medical margin divided by the number of Medicare members each month divided by the number of months in the period. 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 U.S. Private Securities Litigation Reform Act of 1995. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended. Words such as "anticipate," "believe," "budget," "contemplate," "continue," "could," "envision," "estimate," "expect," "guidance," "indicate," "intend," "may," "might," "plan," "possibly," "potential," "predict," "probably," "pro-forma," "project," "seek," "should," "target, " or "will," or the negative or other variations thereof, and similar words or phrases or comparable terminology, are intended to identify forward-looking statements. These forward-looking statements address various matters, including the Company's future expected growth strategy and operating performance; and the Company's ability to execute on its identified strategic improvement opportunities, all of which reflect the Company's expectations based upon currently available information and data. Because such statements are based on expectations as to future financial and operating results and are not statements of fact, actual results may differ materially from those projected or estimated and you are cautioned not to place undue reliance on these forward-looking statements. These forward-looking statements are not guarantees of future performance, conditions or results, and involve a number of known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside the Company's control, that could cause actual results or outcomes to differ materially from those discussed in the forward-looking statements.

Important risks and uncertainties that could cause 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, 2024, filed with the SEC on [March 27, 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 
                        CONSOLIDATED BALANCE SHEETS 
                  (in thousands, except per share amounts) 
                                 (unaudited) 
 
 
 
                                  December 31, 2024      December 31, 2023 
                                 -------------------   --------------------- 
ASSETS 
------------------------------- 
CURRENT ASSETS: 
   Cash                           $           38,816    $          36,320 
   Restricted cash                             5,286                4,614 
   Health plan receivable, net 
    of allowance for credit 
    losses of $150                           121,266              118,497 
   Clinic fees, insurance and 
    other receivable                           3,947                2,973 
   Prepaid expenses and other 
    current assets                            14,422                3,613 
   Assets held for sale                          403                   -- 
                                     ---------------       -------------- 
TOTAL CURRENT ASSETS                         184,140              166,017 
Property and equipment, net                    5,734                8,686 
Intangible assets, net                       574,350              666,733 
Other long-term assets                        19,196               19,531 
                                     ---------------       -------------- 
TOTAL ASSETS (1) $ 783,420 $ 860,967 
---------------------------------------------------- 
LIABILITIES, MEZZANINE EQUITY, 
AND STOCKHOLDERS' EQUITY 
------------------------------- 
CURRENT LIABILITIES: 
   Accounts payable               $            8,442    $           8,663 
   Accrued expenses and other 
    current liabilities                       29,416               36,884 
   Accrued payroll                             2,722                3,506 
   Health plan settlements 
    payable                                   55,565               34,992 
   Claims payable                            255,089              178,009 
   Premium deficiency reserve                 67,368               13,670 
   Accrued interest                           12,460               23,648 
   Current portion of long-term 
   debt                                       65,000                   -- 
   Short-term debt                                --                   -- 
   Liabilities held for sale                     353                   -- 
                                     ---------------       -------------- 
TOTAL CURRENT LIABILITIES                    496,415              299,372 
Operating lease liability                     11,339               13,622 
Warrant liabilities                           10,312                1,085 
Contingent consideration                          --                4,907 
Long-term debt, net                           89,824              108,319 
Other Long-Term Liabilities                   26,001                   -- 
                                     ---------------       -------------- 
TOTAL LIABILITIES (1)                        633,891              427,305 
                                     ---------------       -------------- 
COMMITMENTS AND CONTINGENCIES 
(Note 13) 
MEZZANINE EQUITY: 
   Redeemable non-controlling 
    interest                                  73,593              291,532 
STOCKHOLDERS' EQUITY: 
   Class A common stock, 
   $0.0001 par value; 800,000 
   shares authorized; 162,870 
   and 116,588 shares issued 
   and outstanding as of 
   December 31, 2024 and 2023, 
   respectively                                   16                   12 
   Class V common stock, 
   $0.0001 par value; 205,000 
   shares authorized; 195,957 
   and 196,569 shares issued 
   and outstanding as of 
   December 31, 2024 and 2023, 
   respectively                                   20                   20 
   Additional paid in capital                579,093              509,442 
   Accumulated deficit                      (503,193)            (367,344) 
                                     ---------------       -------------- 
TOTAL STOCKHOLDERS' EQUITY                    75,936              142,130 
                                     ---------------       -------------- 
TOTAL LIABILITIES, MEZZANINE 
 EQUITY, AND STOCKHOLDERS' 
 EQUITY                           $          783,420    $         860,967 
 
 
(1)    The Company's consolidated balance sheets include the assets and 
       liabilities of its consolidated variable interest entities ("VIEs"). As 
       discussed in Note 20 "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 consolidated balance sheets include 
       total assets that can be used only to settle obligations of P3 LLC's 
       consolidated VIEs totaling $9.3 million and $8.6 million as of December 
       31, 2024 and 2023, respectively, and total liabilities of P3 LLC's 
       consolidated VIEs for which creditors do not have recourse to the 
       general credit of the Company totaled $14.9 million and $13.6 million 
       as of December 31, 2024 and 2023, respectively. These VIE assets and 
       liabilities do not include $40.3 million and $44.2 million of net 
       amounts due to affiliates as of December 31, 2024 and 2023, 
       respectively, as these are eliminated in consolidation and not 
       presented within the consolidated balance sheets. 
 
 
              P3 HEALTH PARTNERS INC. and SUBSIDIARIES 
                CONSOLIDATED STATEMENTS OF OPERATIONS 
               (in thousands, except per share amounts) 
                             (unaudited) 
 
                     Three Months Ended 
                        December 31,        Year Ended December 31, 
                    ---------------------  -------------------------- 
                       2024       2023        2024         2023 
                     --------    -------    ---------    --------- 
OPERATING REVENUE: 
   Capitated 
    revenue         $ 367,456   $342,836   $1,483,602   $1,252,309 
   Other patient 
    service 
    revenue             3,230     4,025        16,853       14,066 
                     --------    -------    ---------    --------- 
TOTAL OPERATING 
 REVENUE              370,686    346,861    1,500,455    1,266,375 
                     --------    -------    ---------    --------- 
OPERATING EXPENSE: 
   Medical expense    410,224    367,679    1,559,372    1,234,740 
   Premium 
    deficiency 
    reserve            37,927    (3,344 )      53,698      (12,705) 
   Corporate, 
    general and 
    administrative 
    expense            31,366    24,431       112,596      122,362 
   Sales and 
    marketing 
    expense               461      721          1,331        3,233 
   Depreciation 
    and 
    amortization       21,153    21,634        86,058       86,675 
   Impairment of 
    Assets Held 
    for Sale            8,058      --           8,058           -- 
                     --------    -------    ---------    --------- 
TOTAL OPERATING 
 EXPENSE              509,189    411,121    1,821,113    1,434,305 
                     --------    -------    ---------    --------- 
OPERATING LOSS       (138,503)   (64,260)    (320,658)    (167,930) 
OTHER INCOME 
(EXPENSE): 
   Interest 
    expense, net       (6,834)   (4,046 )     (22,173)     (15,985) 
   Mark-to-market 
    of stock 
    warrants            7,488      760         22,114          433 
   Other                  384      206          1,457         (249) 
   Gain on asset 
    sale, net          13,269      --          13,269           -- 
                     --------    -------    ---------    --------- 
   TOTAL OTHER 
    (EXPENSE) 
    INCOME             14,307    (3,080 )      14,667      (15,801) 
                     --------    -------    ---------    --------- 
LOSS BEFORE INCOME 
 TAXES               (124,196)   (67,340)    (305,991)    (183,731) 
PROVISION FOR 
 INCOME TAXES          (4,952)   (1,767 )      (4,387)      (2,695) 
                     --------    -------    ---------    --------- 
NET LOSS             (129,148)   (69,107)    (310,378)    (186,426) 
LESS: NET LOSS 
 ATTRIBUTABLE TO 
 REDEEMABLE NON-      (70,531)   (43,645)    (174,529)    (128,653) 
                     --------    -------    ---------    --------- 
NET LOSS 
 ATTRIBUTABLE TO 
 CONTROLLING 
 INTEREST           $ (58,617)  $(25,462)  $ (135,849)  $  (57,773) 
                     --------    -------    ---------    --------- 
 
NET LOSS PER SHARE 
(Note 16): 
   Basic                (0.36)    (0.22 )       (0.94)       (0.61) 
   Diluted              (0.36)    (0.22 )       (1.08)       (0.63) 
 
WEIGHTED AVERAGE 
COMMON SHARES 
OUTSTANDING (Note 
16): 
   Basic              162,634    115,303      145,175       94,889 
   Diluted            162,634    115,303      146,998      294,590 
 
 
                P3 HEALTH PARTNERS INC. and SUBSIDIARIES 
                 CONSOLIDATED STATEMENTS OF CASH FLOWS 
                             (in thousands) 
                              (unaudited) 
 
                                              Year Ended December 31, 
                                           ----------------------------- 
                                                 2024         2023 
                                               ---------    --------- 
CASH FLOWS FROM OPERATING ACTIVITIES: 
----------------------------------------- 
Net loss                                    $   (310,378)  $ (186,426) 
Adjustments to reconcile net loss to net 
cash used in operating activities: 
   Depreciation and amortization                  86,058       86,675 
   Equity-based compensation                       5,752        5,979 
   Amortization of original issue 
    discount and debt issuance costs                  87          472 
   Accretion of contingent consideration              --          113 
   Gain on write off of contingent 
    consideration                                 (4,907)          -- 
   Gain on asset sale                            (13,269)          -- 
   Impairment of assets held for sale              8,058           -- 
   Mark-to-market adjustment of stock 
    warrants                                     (22,114)        (433) 
   Premium deficiency reserve                     53,698      (12,705) 
   Changes in operating assets and 
   liabilities: 
      Health plan receivable                      (2,769)     (46,555) 
      Clinic fees, insurance, and other 
       receivable                                   (990)       4,560 
      Prepaid expenses and other current 
       assets                                    (10,834)      (1,243) 
      Other long-term assets                         (43)         (58) 
      Accounts payable, accrued expenses, 
       and other current liabilities              (8,101)      15,988 
      Accrued payroll                               (784)         282 
      Health plan settlements payable             20,573       21,384 
      Claims payable                              77,080       26,802 
      Accrued interest                             7,895        9,587 
      Other long-term liabilities                  5,897           -- 
      Deferred income taxes                       (1,090)          -- 
      Operating lease liability                       53         $(450.UK)$ 
                                               ---------    --------- 
Net cash used in operating activities           (110,128)     (76,028) 
CASH FLOWS FROM INVESTING ACTIVITIES: 
----------------------------------------- 
   Purchases of property and equipment                --       (1,827) 
   Proceeds from asset sale                       14,525           -- 
                                               ---------    --------- 
   Net cash provided by (used in) 
    investing activities                          14,525       (1,827) 
CASH FLOWS FROM FINANCING ACTIVITIES: 
----------------------------------------- 
   Proceeds from long-term debt, net of 
    original issue discount                       88,057       14,101 
   Payment of debt issuance costs                   (103)        (173) 
   Proceeds from liability-classified 
    warrants and private placement 
    offering, net of offering costs paid          40,496       86,595 
   Proceeds from at-the-market sales, net 
   of offering costs paid                             33           -- 
   Deferred offering costs paid                     (507)        (175) 
   Payment of tax withholdings upon 
    settlement of restricted stock unit 
    awards                                          (103)         (16) 
   Repayment of short-term and long-term 
    debt                                         (30,973)          -- 
   Proceeds from short-term debt                   1,871           -- 
                                               ---------    --------- 
Net cash provided by financing activities         98,771      100,332 
                                               ---------    --------- 
Net change in cash and restricted cash             3,168       22,477 
Cash and restricted cash, beginning of 
 year                                             40,934       18,457 
                                               ---------    --------- 
Cash and restricted cash, end of year       $     44,102   $   40,934 
 
 
 
                P3 HEALTH PARTNERS INC. and SUBSIDIARIES 
           CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED) 
                             (in thousands) 
 
                                              Year Ended December 31, 
                                           ----------------------------- 
                                                 2024         2023 
                                               ---------    --------- 
Supplemental disclosures of cash flow 
 information: 
   Cash paid for interest                   $     14,191   $    5,813 
   Cash paid for income taxes               $      5,477   $      567 
Supplemental disclosures of non-cash 
 investing and financing information: 
   Operating lease liabilities arising 
    from obtaining new right-of-use 
    assets                                  $        617   $    7,222 
   Operating lease liabilities and 
    right-of-use assets reduced due to 
    lease modification or termination       $        (92)  $       -- 
   Increase in accrued expenses related 
    to debt issuance costs and original 
    issue discount                          $        307   $      212 
   Increase in accounts payable related 
    to private placement offering costs     $        686   $       12 
   Increase in accounts payable related 
    to at-the-market offering costs         $         --   $       19 
   Increase in accrued expenses related 
    to at-the-market offering costs         $         --   $      206 
   Increase in other receivable related 
    to at-the-market sales proceeds         $         --   $       33 
   Restricted stock unit awards issued in 
    satisfaction of executive transaction 
    bonuses                                 $         --   $    5,000 
   Remeasurement adjustment to redeemable 
    noncontrolling interest resulting 
    from ownership changes                  $    (22,831)  $ (117,860) 
   Fair value adjustment to redeemable 
    noncontrolling interest                 $    (20,579)  $   20,579 
   Warrants issued in connection with new 
    debt                                    $     12,127   $       -- 
Reconciliation of cash and restricted 
cash: 
   Cash                                     $     38,816   $   36,320 
   Restricted cash                                 5,286        4,614 
   Total cash and restricted cash           $     44,102   $   40,934 
 
 
 
       RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA LOSS 
                  (in thousands, except PMPM) 
                          (unaudited) 
 
                  Three Months Ended 
                     December 31,       Year Ended December 31, 
                 ---------------------  ------------------------ 
                    2024       2023        2024         2023 
                  --------    -------    --------   ------------ 
Net loss         $(129,148)  $(69,107)  $(310,378)  $(186,426) 
Interest 
 expense, net        6,834      4,046      22,173      15,985 
Depreciation 
 and 
 amortization       21,153     21,634      86,058      86,675 
Income tax 
 (benefit) 
 provision           4,952      1,767       4,387       2,695 
Mark-to-market 
 of stock 
 warrants           (7,488)      (760)    (22,114)       (433) 
Premium 
 deficiency 
 reserve            37,927     (3,344)     53,698     (12,705) 
Equity-based 
 compensation          721      1,720       5,752       5,979 
Other(1)            (2,533)      (212)     (6,775)      2,656 
Transaction and 
 other related 
 costs(2)               --         --          --          70 
                  --------    -------    --------    -------- 
Adjusted EBITDA 
 loss            $ (67,582)  $(44,256)  $(167,199)  $ (85,504) 
                  ========    =======    ========    ======== 
Adjusted EBITDA 
 loss PMPM       $    (175)  $   (138)  $    (147)  $     (68) 
 
 
_____________________________________________ 
(1)    Other during the year ended December 31, 2024 consisted of (i) interest 
       income, (ii) gain recognized upon the settlement and write-off of 
       contingent consideration related to an acquisition completed in a prior 
       year and (iii) gain recognized on asset sale partially offset by (iv) 
       severance and related expense in connection with our chief executive 
       officer transition (v) loss on impairment on assets held for sale, and 
       (vi) valuation allowance on our notes receivable. Other during the year 
       ended December 31, 2023 consisted of (i) interest income offset by (ii) 
       cybersecurity incident loss, (iii) restructuring and other charges, 
       including severance and benefits paid to employees pursuant to 
       workforce reduction plans, (iv) the disposition of our Pahrump 
       operations, (v) expenses for third-party consultants to assist us with 
       the development, implementation, and documentation of new and enhanced 
       internal controls and processes for compliance with Sarbanes-Oxley 
       Section 404(b), (vi) a legal settlement outside of the ordinary course 
       of business, and (vii) valuation allowance on our notes receivable. 
(2)    Transaction and other related costs during the year ended December 31, 
       2023 consisted of legal fees incurred related to acquisition-related 
       litigation. 
 
 
 
                         MEDICAL MARGIN 
                  (in thousands, except PMPM) 
                          (unaudited) 
 
              Three Months Ended 
                 December 31,         Year Ended December 31, 
            ----------------------  ---------------------------- 
               2024        2023         2024          2023 
             --------    --------    ----------    ---------- 
Capitated 
 revenue    $ 367,456   $ 342,836   $ 1,483,602   $ 1,252,309 
Less: 
 medical 
 claims 
 expense     (360,178)   (333,761)   (1,398,143)   (1,117,258) 
             --------    --------    ----------    ---------- 
Medical 
 margin     $   7,278   $   9,075   $    85,459   $   135,051 
             ========    ========    ==========    ========== 
Medical 
 margin 
 PMPM       $      19   $      28   $        75   $       108 
 
 
 
     RECONCILIATION OF GROSS PROFIT (LOSS) TO MEDICAL MARGIN 
                          (in thousands) 
 
              Three Months Ended 
                 December 31,           Year Ended December 31, 
          --------------------------  ---------------------------- 
               2024          2023          2024          2023 
              -------       -------       -------       ------- 
Gross 
 profit 
 (loss)    $  (39,538)     $(20,818)   $  (58,917)     $ 31,635 
Other 
 patient 
 service 
 revenue       (3,230)       (4,025)      (16,853)      (14,066) 
Other 
 medical 
 expense       50,046        33,918       161,229       117,482 
              -------       -------       -------       ------- 
Medical 
 margin    $    7,278      $  9,075    $   85,459      $135,051 
              =======       =======       =======       ======= 
 
 
 
  RECONCILIATION OF TOTAL OPERATING EXPENSE TO ADJUSTED OPERATING 
                              EXPENSE 
                          (in thousands) 
                            (unaudited) 
 
                 Three Months Ended 
                    December 31,         Year Ended December 31, 
               ----------------------  ---------------------------- 
                  2024        2023         2024          2023 
                --------    --------    ----------    ---------- 
Total 
 operating 
 expense       $ 509,189   $ 411,121   $ 1,821,113   $ 1,434,305 
Medical 
 expense        (410,224)   (367,679)   (1,559,372)   (1,234,740) 
Depreciation 
 and 
 amortization    (21,153)    (21,634)      (86,058)      (86,675) 
Premium 
 deficiency 
 reserve         (37,927)      3,344       (53,698)       12,705 
Equity-based 
 compensation       (721)     (1,720)       (5,752)       (5,979) 
Other              2,533         212         6,775        (2,656) 
Transaction 
 and other 
 related 
 costs                --          --            --           (70) 
                --------    --------    ----------    ---------- 
Adjusted 
 operating 
 expense       $  41,697   $  23,644   $   123,008   $   116,890 
                ========    ========    ==========    ========== 
 

View source version on businesswire.com: https://www.businesswire.com/news/home/20250327770787/en/

 
    CONTACT:    Ryan Halsted 

Investor Relations

Gilmartin Group

ir@p3hp.org

 
 

(END) Dow Jones Newswires

March 27, 2025 16:22 ET (20:22 GMT)

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