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Astria Therapeutics
Amneal Pharmaceuticals

P3 Health Partners Announces Third Quarter 2024 Results

November 12, 2024 | Last Trade: US$0.18 0.01 -5.62
  • Revenue increased 26% year-over-year to $362.1 million
  • 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

HENDERSON, Nev. / Nov 12, 2024 / Business Wire / P3 Health Partners Inc. (“P3” or the “Company”) (NASDAQ: PIII), a patient-centered and physician-led population health management company, today announced its financial results for the third quarter ended September 30, 2024.

“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 $130 million of potential improvement opportunities, and while near-term dynamics have negatively affected our financial results, demand for our platform has never been stronger as we continue to deliver value to patients, payors and our PCP partners. Our business model is fundamentally strong, as shown by our member and top-line growth, quality outcomes, and provider retention.”

Third Quarter 2024 Financial Results

  • Total revenue was $362.1 million, an increase of 26% compared to $288.4 million in the third quarter of the prior year
  • Capitated revenue was $357.7 million, an increase of 25% compared to $285.2 million in the third quarter of the prior year
  • Gross profit was a loss of $39.8 million, as compared to gross profit of $9.1 million in the prior year. Gross profit PMPM was a loss of $103, compared to $29 PMPM in the prior year
  • Medical margin(1) was $0.5 million compared to $36.2 million in the prior year. Medical margin PMPM(1) was $1, compared to a medical margin PMPM of $115 in the prior year
  • Net loss was $102.9 million compared to a net loss of $37.3 million in the third quarter of the prior year. Net loss PMPM was $267 compared to a net loss PMPM of $119 in the prior year
  • Adjusted EBITDA loss(1) was $71.0 million compared to $22.3 million in the third quarter of the prior year. Adjusted EBITDA loss PMPM(1) was $184, compared to Adjusted EBITDA loss PMPM of $71 in the third quarter of the prior year
  • 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

 

P3 Health Third Quarter Earnings Conference Call

Date & Time

 

November 12, 2024, 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, 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 $150

 

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, $0.0001 par value; 800,000 shares authorized; 161,972 and 116,588 shares issued and outstanding as of September 30, 2024 and December 31, 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 September 30, 2024 and December 31, 2023, respectively

 

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 $13.0 million and $8.6 million as of September 30, 2024 and December 31, 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 $15.8 million and $13.6 million as of September 30, 2024 and December 31, 2023, respectively. These VIE assets and liabilities do not include $46.9 million and $44.2 million of net amounts due to affiliates as of September 30, 2024 and December 31, 2023, respectively, as these are eliminated in consolidation and not presented within the condensed consolidated balance sheets.

P3 HEALTH PARTNERS INC. and SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

(unaudited)

    

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

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 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) with respect to the nine months ended September 30, 2023, (vi) a legal settlement outside of the ordinary course of business with respect to the nine months ended September 30, 2023, and (vii) valuation allowance on our notes receivable.

(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

 

 

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