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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934

For the quarterly period ended MarchDecember 31, 20212022

or

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934

For the transition period from to  

Commission File Number: 001-40159

GraphicGraphic

InnovAge Holding Corp.

(Exact name of registrant as specified in its charter)

Delaware

81-0710819

(State or Other Jurisdiction of

Incorporation or Organization)

(I.R.S. Employer

Identification Number)

8950 E. Lowry Boulevard

Denver, CO

(Address of Principal Executive Offices)

80230

(Zip Code)

(844) 803-8745

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Securities Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $0.001 par value

INNV

The Nasdaq Stock Market LLC (Nasdaq Global Select Market)

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes  No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes  No  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

Accelerated filer

Non-accelerated filer

Smaller reporting company

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes  No

As of May 10, 2021,February 6, 2023, there were 135,516,513135,596,225 of the registrant’s common stock outstanding.

Table of Contents

TABLE OF CONTENTS

Page

Part I

Financial Information

Item 1.

Financial Statements (Unaudited)

5

Condensed Consolidated Balance Sheets as of MarchDecember 31, 20212022 (Unaudited) and June 30, 2020 (Unaudited)2022

5

Condensed Consolidated Statements of Operations for the three and ninesix months ended MarchDecember 31, 20212022 and 20202021 (Unaudited)

6

Condensed Consolidated Statements of Shareholders’Stockholders’ Equity for the three and ninesix months ended MarchDecember 31, 20212022 and 20202021 (Unaudited)

7

Condensed Consolidated Statements of Cash Flows for the ninesix months ended MarchDecember 31, 20212022 and 20202021 (Unaudited)

98

Notes to Condensed Consolidated Financial Statements as of MarchDecember 31, 20212022 (Unaudited)

109

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

2927

Item 3.

Quantitative and Qualitative Disclosures aboutAbout Market Risk

4542

Item 4.

Controls and Procedures

4543

Part II

Other Information

4644

Item 1.

Legal Proceedings

4644

Item 1A.

Risk Factors

4644

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

4844

Item 3.

Defaults Upon Senior Securities

4844

Item 4.

Mine Safety Disclosures

4844

Item 5.

Other Information

4844

Item 6.

Exhibits

4845

Exhibit Index

4845

Signatures

5146

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InnovAge Holding Corp. and Subsidiaries

Quarterly Report on Form 10-Q

For the quarterly period ended MarchDecember 31, 20212022

Cautionary Note on Forward-Looking Statements

Throughout this Quarterly Report on Form 10-Q, we make “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements describe future expectations, plans, results or strategies and can often be identified by the use of terminology such as “may,” “will,” “estimate,” “intend,” “plan,” “continue,” “believe,” “expect,” “anticipate,” “target,” “should,” “could,” “potential,” “opportunity,” “goal” or similar terminology. Forward-looking statements may be identified by the fact that they do not relate strictly to historical or current facts and may include statements about our expectations with respect to current audits and legal proceedings and actions, relationships and discussions with regulatory agencies, our expectations with respect to correcting deficiencies raised in audits and other processes, and our expectations to increase the number of participants we serve, to grow enrollment and capacity within existing centers, to build de novo centers, and other similar statements. The forward-looking statements contained in this Quarterly Report on Form 10-Q are generally located in the material set forth under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations”Operations,” included in Part I, Item 2, and “Risk Factors,” included in Part II, Item 1A, but may be found in other locations as well. These statements are based upon management’s current expectations, assumptions and estimates and are not guarantees of timing, future results or performance. Therefore, you should not rely on any of these forward-looking statements as predictions of future events. Actual results may differ materially from those contemplated in these statements due to a variety of risks and uncertainties and other factors, including, among other things:

the results of periodic inspections, reviews, audits and investigations under the federal and state government programs, including the sanctions currently in place on our Sacramento center in California and our ability to sufficiently cure any deficiencies identified by the respective federal and state government programs including with respect to the audits of our Albuquerque, New Mexico center and San Bernardino, California center;
the adverse impact of inspections, reviews, audits, investigations, legal proceedings, enforcement actions and litigation, including the current civil investigative demands initiated by federal and state agencies, as well as the litigation and other proceedings initiated by, or on behalf, of our stockholders;
the effects of a pandemic, epidemic or outbreak of an infectious disease, including the ongoing effects of COVID-19;
the risk that the cost of providing services will exceed our compensation under the Program of All Inclusive Care for the Elderly (“PACE”);
the dependence of our revenues and operations upon a limited number of government payors;
changes in the rules governing the Medicare, Medicaid or PACE programs or applicable licensure requirements;
the risk that our submissions to government payors may contain inaccurate or unsupportable information, including regarding risk adjustment scores of participants;
the viability of our business strategy and our ability to realize expected results;
the impact on our business of renegotiation, non-renewal or termination of capitation agreements with government payors;
the impact of state and federal efforts to reduce healthcare spending;
the impact on our business from an economic downturn
our dependence on our senior management team and other key employees;
the effect of sustained inflation on our business;
the impact of failures by our suppliers, sustained material price increases on supplies or limitations on our ability to access new technology or medical products;
the effect of our relatively limited operating history as a for-profit company on investors’ ability to evaluate our current business and future prospects;
our ability to enroll or attract new participants and grow our revenue, especially as a result of the sanctions currently in place on our Sacramento center in California and actions from other states;

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the concentration of our presence in Colorado;
our ability to manage our operations effectively, execute our business plan, maintain effective levels of service and participant satisfaction and adequately address competitive challenges;
our ability to compete in the healthcare industry;
our ability to establish a presence in new geographic markets, especially as a result of the actions taken by certain states and us in light of our ongoing audit processes;
the impact of competition for physicians and other clinical personnel and related increases in our labor costs;
the impact on our business of security breaches, loss of data or other disruptions causing the compromise of sensitive information or preventing us from accessing critical information;
our ability to developeffectively invest in, implement improvements to and properly maintain properthe uninterrupted operation and effective internal control over financial reporting;
the impact ondata integrity of our information technology and other business of disruptions in our disaster recovery systems or management continuity planning;
the impact of any restrictions on our use of or ability to license data or our failure to license data and integrate third-party technologies;systems;
our ability to attract and retain highly qualified personnel;accurately estimate incurred but not reported medical expense or the risk scores of our participants;
risks associated with our management team’s limited experience managing a public company;use of “open-source” software;
the impact on our business of the termination of our leases, increases in rent or inability to renew or extend leases;
the impact of failures by our suppliers, material price increases on supplies, lack of reimbursement for drugs we purchase or limitations on our ability to access new technology or products;
our ability to maintain our corporate culture;
the impact of competition for physicians and nurses, shortages of qualified personnel and related increases in our labor costs;
our ability to attract and retain the services of key primary care physicians;
the risk that our submissions to health plans may contain inaccurate or unsupportable information regarding risk adjustment scores of members;
our ability to accurately estimate incurred but not reported medical expense;
the impact of negative publicity regarding the managed healthcare industry;
the impact of stateweather and federal effortsother factors beyond our control;
our ability to reduce Medicaid spending;adhere to complex and changing government laws and regulations in the healthcare industry, including U.S. Healthcare reform, the regulation of the corporate practice of medicine and the Health Information Technology for Economic and Clinical Health Act of 2009 (the “HITECH Act”), and their implementing regulations (collectively, “HIPAA”), the California Consumer Privacy Act (“CCPA”) and other privacy laws and regulations in the healthcare industry;
our status as a “controlled company”;
our ability to maintain effective internal controls over financial reporting and other enhanced requirements of being a public company;
our ability to maintain and enhance our reputation and brand recognition;
the impact on our centersbusiness of adverse weather conditions and other factors beyonddisruptions in our control; anddisaster recovery systems or business continuity planning;
other factors disclosedchanges in the section entitled “Risk Factors”accounting principles and guidance, resulting in the prospectus dated March 3, 2021, which forms part of the Registration Statement on Form S-1 declared effective as of the same date (the “IPO Prospectus”)unfavorable accounting charges or effects; and in this Quarterly Report on Form 10-Q.
other factors disclosed in the section entitled “Risk Factors” in our Annual Report for the year ended June 30, 2022 filed with the Securities and Exchange Commission (the “SEC”) on September 13, 2022, as supplemented by our subsequent filings with the SEC.

We derive many of our forward-looking statements from our operating budgets and forecasts, which are based on many detailed assumptions. While we believe that our assumptions are reasonable, we caution that it is very difficult to predict the impact of known factors, and it is impossible for us to anticipate all factors that could affect our actual results. Important factors that could cause actual results to differ materially from our expectations, or cautionary statements, are disclosed under the sections entitled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in this Quarterly Report on Form 10-Q and in our IPO Prospectus. All written and oral forward-looking

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statements attributable to us, or persons acting on our behalf, are expressly qualified in their entirety by these cautionary statements as well as other cautionary statements that are made from time to time in our other Securitiespublic communications and Exchange Commission (“SEC”) filings and public communications.with the SEC. You should evaluate all forward-looking statements made in this Quarterly Report on Form 10-Q in the context of these risks and uncertainties.

We caution you that the important factors referenced above may not contain all of the factors that are important to you. In addition, we cannot assure you that we will realize the results or developments we expect or anticipate or, even if substantially realized, that they will result in the consequences or affect us or our operations in the way we expect. The forward-looking statements included in this Quarterly Report on Form 10-Q are made only as of the date hereof. We undertake no obligation to update or revise any forward-looking statement as a result of new information, future events or otherwise, except as otherwise required by law. Unless otherwise mentionedspecified or unless the context requires otherwise, all references in this Quarterly Report on Form 10-Q to “InnovAge,” “Company,“the Company,” “we,” “us,” and “our,” or similar references, refer to InnovAge Holding Corp. and our consolidated subsidiaries.

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PART I —FINANCIAL INFORMATION

Item 1.  Financial Statements

INNOVAGE HOLDING CORP. AND SUBSIDIARIES

Condensed Consolidated Balance Sheets

(In thousands, except per share data)

(Unaudited)

    

March 31, 

    

June 30, 

Assets

2021

2020

Current Assets

 

  

 

  

Cash and cash equivalents

$

201,527

$

112,904

Restricted cash

 

2,236

 

1,661

Accounts receivable, net of allowance ($7,741 – March 31, 2021 and $6,384 – June 30, 2020)

 

44,356

 

46,312

Prepaid expenses and other

 

3,626

 

4,311

Income tax receivable

 

131

 

1,743

Total current assets

 

251,876

 

166,931

Noncurrent Assets

 

  

 

  

Property and equipment, net

 

141,515

 

102,494

Investments

 

2,645

 

2,645

Deposits and other

 

3,611

 

3,003

Equity method investments

 

848

 

13,245

Goodwill

 

124,217

 

116,139

Other intangible assets, net

 

6,683

 

5,177

Total noncurrent assets

 

279,519

 

242,703

Total assets

$

531,395

$

409,634

Liabilities and Stockholders’ Equity

 

  

 

  

Current Liabilities

 

  

 

  

Accounts payable and accrued expenses

$

33,223

$

28,875

Reported and estimated claims

 

30,735

 

30,291

Due to Medicaid and Medicare

 

25,054

 

12,244

Current portion of long-term debt

 

2,852

 

1,938

Current portion of capital lease obligations

 

2,121

 

1,496

Contingent consideration

 

 

1,789

Total current liabilities

 

93,985

 

76,633

Noncurrent Liabilities

 

  

 

  

Deferred tax liability, net

 

5,817

 

9,282

Capital lease obligations

 

5,727

 

4,091

Other non-current liabilities

 

2,390

 

1,446

Long-term debt, net of debt issuance costs

 

72,415

 

210,432

Total liabilities

 

180,334

 

301,884

Commitments and Contingencies (See Note 10)

 

  

 

  

Stockholders’ Equity

 

  

 

  

Common stock, $0.001 par value; 500,000,000 authorized as of March 31, 2021 and June 30, 2020; 135,516,513 and 132,718,461 issued shares as of March 31, 2021 and June 30, 2020, respectively

 

136

 

133

Additional paid-in capital

 

323,127

 

36,338

Retained earnings

 

4,820

 

64,737

Less: Treasury stock (0 and 102,030 shares of common stock at $0.0 and $1.89 per share as of March 31, 2021 and June 30, 2020, respectively)

 

 

(193)

Total InnovAge Holding Corp.

 

328,083

 

101,015

Noncontrolling interests

 

22,978

 

6,735

Total stockholders’ equity

 

351,061

 

107,750

Total liabilities and stockholders’ equity

$

531,395

$

409,634

    

December 31, 

    

June 30, 

2022

2022

Assets

Current Assets

 

  

 

  

Cash and cash equivalents

$

99,460

$

184,429

Short-term investments

45,424

Restricted cash

 

17

 

17

Accounts receivable, net of allowance ($4,202 – December 31, 2022 and $3,403 – June 30, 2022)

 

38,643

 

35,907

Prepaid expenses

 

12,212

 

13,842

Income tax receivable

 

3,733

 

6,761

Total current assets

 

199,489

 

240,956

Noncurrent Assets

 

  

 

  

Property and equipment, net

 

185,774

 

176,260

Operating lease assets

22,223

Investments

 

5,493

 

5,493

Deposits and other

 

3,391

 

2,812

Goodwill

 

124,217

 

124,217

Other intangible assets, net

 

5,528

 

5,858

Total noncurrent assets

 

346,626

 

314,640

Total assets

$

546,115

$

555,596

Liabilities and Stockholders' Equity

 

  

 

  

Current Liabilities

 

  

 

  

Accounts payable and accrued expenses

$

48,901

$

50,562

Reported and estimated claims

 

35,115

 

38,454

Due to Medicaid and Medicare

11,077

9,130

Current portion of long-term debt

 

3,794

 

3,793

Current portion of finance lease obligations

 

3,864

 

3,368

Current portion of operating lease obligations

3,434

Total current liabilities

 

106,185

 

105,307

Noncurrent Liabilities

 

  

 

  

Deferred tax liability, net

 

11,379

 

17,761

Finance lease obligations

9,032

9,440

Operating lease obligations

 

20,034

 

Other noncurrent liabilities

 

1,182

 

1,134

Long-term debt, net of debt issuance costs

 

66,528

 

68,210

Total liabilities

 

214,340

 

201,852

Commitments and Contingencies (See Note 9)

 

  

 

  

Redeemable Noncontrolling Interests (See Note 4)

14,054

15,278

Stockholders’ Equity

 

  

 

  

Common stock, $0.001 par value; 500,000,000 authorized as of December 31, 2022 and June 30, 2022; 135,596,225 and 135,532,811 issued shares as of December 31, 2022 and June 30, 2022, respectively

 

136

 

136

Additional paid-in capital

 

329,777

 

327,499

Retained earnings (deficit)

 

(18,137)

 

4,729

Total InnovAge Holding Corp.

 

311,776

 

332,364

Noncontrolling interests

 

5,945

 

6,102

Total stockholders’ equity

 

317,721

 

338,466

Total liabilities and stockholders’ equity

$

546,115

$

555,596

The accompanying notes are an integral part of these condensed consolidated financial statements.

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INNOVAGE HOLDING CORP. AND SUBSIDIARIES

Condensed Consolidated Statements of Operations

(In thousands, except number of shares and per share data)

(Unaudited)

Three Months Ended

Nine Months Ended

March 31, 

    

March 31, 

    

March 31, 

    

March 31, 

Three Months Ended December 31,

Six Months Ended December 31,

2021

2020

2021

2020

2022

    

2021

    

2022

2021

Revenues

  

 

  

 

  

 

  

  

 

  

 

Capitation revenue

$

155,835

$

144,174

$

464,294

$

412,724

$

167,140

$

174,964

$

338,071

$

347,518

Other service revenue

 

473

 

596

 

1,890

 

1,976

 

316

 

386

 

603

 

902

Total revenues

 

156,308

 

144,770

 

466,184

 

414,700

 

167,456

 

175,350

 

338,674

 

348,420

Expenses

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

External provider costs

 

75,389

 

71,022

 

224,215

 

204,387

 

93,507

 

91,033

 

189,744

 

181,045

Cost of care, excluding depreciation and amortization

 

39,565

 

39,285

 

115,922

 

114,465

 

51,376

 

42,911

 

104,933

 

83,639

Sales and marketing

 

5,592

 

4,628

 

14,335

 

14,405

 

3,774

 

6,679

 

8,187

 

12,972

Corporate, general and administrative

 

18,595

 

14,028

 

105,901

 

42,417

 

28,817

 

28,482

 

58,999

 

49,566

Depreciation and amortization

 

3,311

 

2,769

 

9,262

 

8,310

 

3,662

 

3,292

 

7,095

 

6,585

Equity loss

 

 

163

 

1,343

 

203

Other operating (income) expense

 

19,222

 

(99)

 

18,211

 

(250)

Total expenses

 

161,674

 

131,796

 

489,189

 

383,937

 

181,136

 

172,397

 

368,958

 

333,807

Operating Income (Loss)

 

(5,366)

 

12,974

 

(23,005)

 

30,763

 

(13,680)

 

2,953

 

(30,284)

 

14,613

Other Income (Expense)

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

Interest expense, net

 

(4,876)

 

(2,361)

 

(17,061)

 

(11,287)

 

(223)

 

(674)

 

(826)

 

(1,221)

Loss on extinguishment of debt

 

(13,488)

(14,479)

Gain on equity method investment

10,871

10,871

Other income (expense)

 

(2,267)

 

244

 

(2,222)

 

(735)

 

444

 

28

 

480

 

(465)

Total other expense

 

(9,760)

 

(2,117)

 

(22,891)

 

(12,022)

 

221

 

(646)

 

(346)

 

(1,686)

Income (Loss) Before Income Taxes

 

(15,126)

 

10,857

 

(45,896)

 

18,741

 

(13,459)

 

2,307

 

(30,630)

 

12,927

Provision (Benefit) for Income Taxes

 

(4,264)

 

2,867

 

5,159

 

4,954

 

(2,912)

 

1,201

 

(6,383)

 

4,197

Net Income (Loss)

 

(10,862)

 

7,990

 

(51,055)

 

13,787

 

(10,547)

 

1,106

 

(24,247)

 

8,730

Less: net loss attributable to noncontrolling interests

 

(352)

 

(148)

 

(595)

 

(394)

 

(754)

 

(217)

 

(1,381)

 

(279)

Net Income (Loss) Attributable to InnovAge Holding Corp.

$

(10,510)

$

8,138

$

(50,460)

$

14,181

$

(9,793)

$

1,323

$

(22,866)

$

9,009

Weighted-average number of common shares outstanding - basic

 

121,324,980

 

132,616,431

 

119,619,806

 

132,616,431

 

135,578,888

 

135,516,513

 

135,572,503

 

135,516,513

Weighted-average number of common shares outstanding - diluted

 

121,324,980

 

134,368,002

 

119,619,806

 

133,792,985

 

135,578,888

 

135,516,513

 

135,572,503

 

135,516,513

Net income (loss) per share - basic

$

(0.09)

$

0.06

$

(0.42)

$

0.11

$

(0.07)

$

0.01

$

(0.17)

$

0.07

Net income (loss) per share - diluted

$

(0.09)

$

0.06

$

(0.42)

$

0.11

$

(0.07)

$

0.01

$

(0.17)

$

0.07

The accompanying notes are an integral part of these condensed consolidated financial statements.

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INNOVAGE HOLDING CORP. AND SUBSIDIARIES

Condensed Consolidated Statements of Shareholders’Stockholders’ Equity

(In thousands, except per share data)amounts)

(Unaudited)

    

For the Three Months Ended March 31, 2021

  

  

Additional

  

  

  

  

  

Common Stock

Paid-in

Retained

Treasury Stock

Noncontrolling

    

Shares

    

Amount

    

Capital

    

Earnings

    

Shares

    

Amount

    

Interests

    

Total

Balances, December 31, 2020

 

132,718,461

$

133

$

24,552

$

15,330

 

16,197,849

$

(77,796)

$

6,492

$

(31,289)

Treasury stock retirement

(16,197,849)

(16)

(77,780)

(16,197,849)

77,796

Stock-based compensation

 

 

 

530

 

 

 

 

 

530

Reclassification of warrant liability

2,264

2,264

Initial public offering of common stock, net of offering costs of $25,334

18,995,901

19

373,561

373,580

Consolidation of equity method investment

16,838

16,838

Net loss

 

 

 

 

(10,510)

 

 

 

(352)

 

(10,862)

Balances, March 31, 2021

 

135,516,513

$

136

$

323,127

$

4,820

 

$

$

22,978

$

351,061

    

For the Nine Months Ended March 31, 2021

  

  

Additional

  

  

  

  

  

Common Stock

Paid-in

Retained

Treasury Stock

Noncontrolling

    

Shares

    

Amount

    

Capital

    

Earnings

    

Shares

    

Amount

    

Interests

    

Total

Balances, June 30, 2020

 

132,718,461

$

133

$

36,338

$

64,737

 

102,030

$

(193)

$

6,735

$

107,750

Treasury stock transaction

 

 

 

 

 

16,095,819

 

(77,603)

 

 

(77,603)

Treasury stock retirement

(16,197,849)

(16)

(77,780)

(16,197,849)

77,796

Stock option cancellation

 

 

 

 

(9,457)

 

 

 

 

(9,457)

Time based awards- option cancellation

 

 

 

(32,358)

 

 

 

 

 

(32,358)

Stock-based compensation

 

 

 

1,102

 

 

 

 

 

1,102

Reclassification of warrant liability

2,264

2,264

Capital contribution

 

 

 

20,000

 

 

 

 

 

20,000

Initial public offering of common stock, net of offering costs of $25,334

18,995,901

19

373,561

373,580

Consolidation of equity method investment

16,838

16,838

Net loss

 

 

 

 

(50,460)

 

 

 

(595)

 

(51,055)

Balances, March 31, 2021

 

135,516,513

$

136

$

323,127

$

4,820

 

$

$

22,978

$

351,061

The accompanying notes are an integral part of these condensed consolidated financial statements.

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INNOVAGE HOLDING CORP. AND SUBSIDIARIES

Condensed Consolidated Statements of Shareholders’ Equity

(In thousands, except per share data)

(Unaudited)

For the Three Months Ended December 31, 2022

Additional

  

Retained

Total

  

Redeemable

Capital Stock

Paid-in

Earnings

Noncontrolling

Permanent

Noncontrolling Interests

Net Income

Shares

Amount

Capital

(Deficit)

Interests

Stockholders' Equity

(Temporary Equity)

(Loss)

Balances, September 30, 2022

 

135,570,078

$

136

$

328,708

$

(8,344)

$

6,020

$

326,520

14,734

Stock-based compensation

 

26,147

 

 

1,069

 

 

 

1,069

Adjustments to redemption value

Net loss

 

 

 

 

(9,793)

 

(75)

 

(9,868)

(680)

(10,547)

Balances, December 31, 2022

135,596,225

$

136

$

329,777

$

(18,137)

$

5,945

$

317,721

$

14,054

$

For the Six Months Ended December 31, 2022

  

  

  

Additional

  

Retained

  

  

Total

  

Redeemable

  

Capital Stock

Paid-in

Earnings

Noncontrolling

Permanent

Noncontrolling Interests

Net Income

Shares

Amount

Capital

(Deficit)

Interests

Stockholders' Equity

(Temporary Equity)

(Loss)

Balances, June 30, 2022

 

135,532,811

$

136

$

327,499

$

4,729

$

6,102

$

338,466

15,278

Stock-based compensation

 

63,414

 

 

2,278

 

 

 

2,278

Adjustments to redemption value

Net loss

 

 

 

 

(22,866)

 

(157)

 

(23,023)

(1,224)

(24,247)

Balances, December 31, 2022

135,596,225

$

136

$

329,777

$

(18,137)

$

5,945

$

317,721

$

14,054

$

    

For the Three Months Ended March 31, 2020

Additional

Common Stock

Paid-in

Retained

Treasury Stock

Noncontrolling

    

Shares

    

Amount

    

Capital

    

Earnings

    

Shares

    

Amount

    

Interests

    

Total

Balances, December 31, 2019

 

132,718,461

$

133

$

36,067

$

44,502

 

102,030

$

(193)

$

7,002

$

87,511

Stock-based compensation

 

 

 

135

 

 

 

 

$

135

Net income (loss)

 

 

 

 

8,138

 

 

 

(148)

$

7,990

Balances, March 31, 2020

 

132,718,461

$

133

$

36,202

$

52,640

 

102,030

$

(193)

$

6,854

$

95,636

    

For the Nine Months Ended March 31, 2020

Additional

Common Stock

Paid-in

Retained

Treasury Stock

Noncontrolling

    

Shares

    

Amount

    

Capital

    

Earnings

    

Shares

    

Amount

    

Interests

    

Total

Balances, June 30, 2019

 

132,718,461

$

133

$

35,795

$

38,459

 

102,030

$

(193)

$

7,248

$

81,442

Stock-based compensation

 

 

 

407

 

 

 

 

$

407

Net income (loss)

 

 

 

 

14,181

 

 

 

(394)

$

13,787

Balances, March 31, 2020

 

132,718,461

$

133

$

36,202

$

52,640

 

102,030

$

(193)

$

6,854

$

95,636

For the Three Months Ended December 31, 2021

Additional

  

Retained

Total

  

Redeemable

Capital Stock

Paid-in

Earnings

Noncontrolling

Permanent

Noncontrolling Interests

Net Income

Shares

Amount

Capital

(Deficit)

Interests

Stockholders' Equity

(Temporary Equity)

(Loss)

Balances, September 30, 2021

 

135,516,513

$

136

$

324,718

$

18,936

$

6,326

$

350,116

16,431

Stock-based compensation

 

 

 

783

 

 

 

783

Adjustments to redemption value

 

 

 

 

(2,564)

 

 

(2,564)

2,564

Net income (loss)

 

 

 

 

1,323

 

(72)

 

1,251

(145)

1,106

Balances, December 31, 2021

135,516,513

$

136

$

325,501

$

17,695

$

6,254

$

349,586

$

18,850

$

For the Six Months Ended December 31, 2021

  

  

  

Additional

  

Retained

  

  

Total

  

Redeemable

  

Capital Stock

Paid-in

Earnings

Noncontrolling

Permanent

Noncontrolling Interests

Net Income

Shares

Amount

Capital

(Deficit)

Interests

Stockholders' Equity

(Temporary Equity)

(Loss)

Balances, June 30, 2021

 

135,516,513

$

136

$

323,760

$

10,663

$

6,420

$

340,979

16,986

Stock-based compensation

 

 

 

1,741

 

 

 

1,741

Adjustments to redemption value

 

 

 

 

(1,977)

 

 

(1,977)

1,977

Net income (loss)

 

 

 

 

9,009

 

(166)

 

8,843

(113)

8,730

Balances, December 31, 2021

135,516,513

$

136

$

325,501

$

17,695

$

6,254

$

349,586

$

18,850

$

The accompanying notes are an integral part of these condensed consolidated financial statements.

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INNOVAGE HOLDING CORP. AND SUBSIDIARIES

Condensed Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

    

For the Nine Months Ended

    

March 31, 

    

March 31, 

For the Six Months Ended December 31,

2021

2020

2022

2021

Operating Activities

  

 

  

Net income (loss)

$

(51,055)

$

13,787

$

(24,247)

$

8,730

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

 

  

 

Loss (gain) on disposal of assets

 

2

 

1,021

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities

 

  

 

  

(Gain) loss on disposal of assets

 

(53)

 

465

Provision for uncollectible accounts

 

4,144

 

3,909

 

2,244

 

2,883

Depreciation and amortization

 

9,262

 

8,310

 

7,095

 

6,585

Gain on equity method investment

(10,871)

Loss on extinguishment of long-term debt

 

8,494

 

Operating lease rentals

2,335

Amortization of deferred financing costs

 

948

 

412

 

215

 

215

Stock based compensation

 

1,102

 

407

Change in fair value of warrants

2,264

Stock-based compensation

 

2,278

 

1,741

Deferred income taxes

 

(3,464)

 

313

 

(6,381)

 

3,380

Equity loss

 

1,343

 

203

Change in fair value of contingent consideration

 

 

(250)

Other

(424)

Changes in operating assets and liabilities, net of acquisitions

 

  

 

 

  

 

  

Accounts receivable, net

 

(1,402)

 

(6,929)

 

(4,980)

 

(3,589)

Prepaid expenses and other

 

635

 

274

Income taxes receivable

 

1,613

 

2,562

Prepaid expenses

 

1,631

 

(209)

Income tax receivable

 

3,027

 

757

Deposits and other

 

(606)

 

689

 

(533)

 

(89)

Accounts payable and accrued expenses

 

7,717

 

1,372

 

(544)

 

7,596

Reported and estimated claims

 

114

 

(816)

 

(3,339)

 

1,373

Due to Medicaid and Medicare

 

12,732

 

(5,245)

 

1,946

 

1,739

Deferred revenue

 

 

2

Net cash provided by (used in) operating activities

 

(17,028)

 

20,021

Operating lease liabilities

 

(2,260)

 

Net cash provided (used) by operating activities

 

(21,990)

 

31,577

Investing Activities

 

  

 

 

  

 

  

Purchases of property and equipment

 

(14,083)

 

(9,088)

 

(14,632)

 

(11,681)

Proceeds from the sale of equipment

 

 

169

Proceeds from net working capital settlements

 

 

1,129

Purchase of intangible assets

 

(2,000)

 

Purchases of short-term investments

 

(45,000)

 

Purchase of cost method investment

 

 

(2,000)

Net cash used in investing activities

 

(16,083)

 

(7,790)

$

(59,632)

$

(13,681)

Financing Activities

 

  

 

 

Distribution to owners

 

(9,458)

 

Capital contributions

 

20,000

 

Payments on capital lease obligations

 

(1,685)

 

(850)

Proceeds from long-term debt

 

375,000

 

25,000

Payments for finance lease obligations

 

(1,452)

 

(1,154)

Principal payments on long-term debt

 

(512,649)

 

(1,447)

 

(1,895)

 

(1,894)

Payment of debt issuance costs

 

(8,896)

 

Proceeds from initial public offering of common stock

373,580

Treasury stock purchase

 

(77,603)

 

Payments under acquisition agreements

(3,622)

Payments related to option cancellation

 

(32,358)

 

Net cash provided by financing activities

 

122,309

 

22,703

Net cash used in financing activities

 

(3,347)

 

(3,048)

INCREASE (DECREASE) IN CASH, CASH EQUIVALENTS & RESTRICTED CASH

$

89,198

$

34,934

 

(84,969)

 

14,848

CASH, CASH EQUIVALENTS & RESTRICTED CASH BEGINNING OF PERIOD

 

114,565

 

61,196

CASH, CASH EQUIVALENTS & RESTRICTED CASH END OF PERIOD

$

203,763

$

96,130

CASH, CASH EQUIVALENTS & RESTRICTED CASH, BEGINNING OF PERIOD

 

184,446

 

203,700

CASH, CASH EQUIVALENTS & RESTRICTED CASH, END OF PERIOD

$

99,477

$

218,548

Supplemental Cash Flows Information

 

  

 

 

  

 

  

Interest paid

$

16,251

$

10,330

$

1,726

$

984

Income taxes paid

 

7,047

 

2,080

$

13

$

84

Prepayment penalty on extinguishment of debt

6,000

Property and equipment included in accounts payable

 

224

 

$

53

$

1,004

Property and equipment purchased under capital leases

 

3,517

 

1,115

Property and equipment purchased under finance leases

$

1,541

$

5,653

The accompanying notes are an integral part of these condensed consolidated financial statements.

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INNOVAGE HOLDING CORP. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Dollars in thousands, unless otherwise stated)

(Unaudited)

Note 1:Business

InnovAge Holding Corp. (formerly, TCO Group Holdings, Inc.) and certain wholly owned subsidiaries were formed as for-profit corporations effective May 13, 2016, for the purpose of purchasing all the outstanding common stock of Total Community Options, Inc. d/b/a InnovAge, which was formed in May 2007. In connection with this purchase, Total Community Options, Inc. and certain of its subsidiaries converted from not-for-profit organizations to for-profit corporations, and Total Community Options Foundation, Inc. (“Foundation”) and Johnson Adult Day Program, Inc. (“Johnson”), both not-for-profit organizations, separated from Total Community Options, Inc. In connection with the initial public offering, which occurred in March 2021, we changed the name of our company from TCO Group Holdings, Inc. to InnovAge Holding Corp.

InnovAge Holding Corp. and its subsidiaries, which are headquartered in Denver, Colorado and employ approximately 2,100 people, have a strong record of innovation, quality, and sensitivity to the needs of participants and staff.Colorado. The Company manages, and in many cases directly provides, a broad range of medical and ancillary services for seniors in need of care and support to safely live independently in their homes and communities, including in-home care services (skilled, unskilled and personal care); in-center services such as primary care, physical therapy, occupational therapy, speech therapy, dental services, mental health and psychiatric services, meals, and activities; transportation to the Program of All-Inclusive Care for the Elderly (“PACE”) center and third-party medical appointments; and care management. The Company manages its business as 1one reportable segment, PACE.

TheAs of December 31, 2022, the Company servesserved approximately 6,7006,460 PACE participants, making it the largest PACE provider in the United States of America (the “U.S.”) based upon participants served, and operates 18 PACE centers across Colorado, California, New Mexico, Pennsylvania and Virginia.

PACE is a fully-capitated managed care program, which serves the frail elderly, and predominantly dual-eligible, population in a community-based service model. InnovAge is obligated to provide, and participants receive all needed healthcare services through an all-inclusive, coordinated model of care, and the Company is at risk for 100% of healthcare costs incurred with respect to the care of its participants. PACE programs receive capitation payments directly from Medicare Parts C and D, Medicaid, Veterans Administration (“VA”), and private pay sources. Additionally, under the Medicare Prescription Drug Plan, the Centers for Medicare and Medicaid Services (“CMS”) share part of the risk for providing prescription medication to the Company’s participants.

On March 3, 2021, the Company’s Registration Statement on Form S-1 with respect to the Company’s initial public offering (“IPO”) of shares of common stock, par value $0.001 per share, was declared effective by the Securities and Exchange Commission (“SEC”). The Company’s common stock began trading on March 3, 2021is traded on the Nasdaq Stock Market LLC (“NASDAQ”) under the ticker symbol “INNV”.“INNV.”

On March 8, 2021, we completed our IPO in which we issued and sold 16,666,667 shares of our common stock at an offering price of $21.00 per share. In addition, the underwriters had the option to purchase 2,500,000 additional shares of common stock, and on March 9, 2021, the underwriters exercised the option to purchase 2,329,234 shares of common stock. We received net proceeds of $373.6 million, after deducting underwriting discounts and commissions of $23.9 million and deferred offering costs of $1.4 million. Deferred, direct offering costs were capitalized and consisted of fees and expenses incurred in connection with the sale of our common stock in the IPO, including the legal, accounting, printing and other offering related costs. Upon completion of the IPO, these deferred offering costs were reclassified from current assets to stockholders’ equity and recorded against the net proceeds from the offering.

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Note 2:Summary of Significant Accounting Policies

The Company described its significant accounting policies in Note 2, “Summary of Significant Accounting Policies” of the notesNotes to consolidated financial statementsConsolidated Financial Statements in its Annual Report on Form 10-K for the year ended June 30, 2020, which were included in2022 (“2022 10-K”). With the IPO Prospectus. During the nine months ended March 31, 2021,exception of Recently Adopted Accounting Pronouncements described below, there were no significant changes to those accounting policies. Those policies impacted by the new accounting pronouncements adopted during the period are further described below in “Recent Accounting Pronouncements.”six months ended December 31, 2022.

Basis of Preparation and Principles of Consolidation

The unaudited interim condensed consolidated financial statements and accompanying notes have been prepared in accordance with accounting principles generally accepted in the U.S. (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been omitted pursuant to such regulations. These financial statements have been prepared on a basis consistent with the accounting principles applied for the fiscal year ended June 30, 2020.2022. In the opinion of management, all adjustments (consisting of all normal and recurring adjustments) considered necessary for a fair presentation have been included. The condensed consolidated financial statements include the accounts of InnovAge, its wholly owned subsidiaries, and variable interest entities (“VIEs”)

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for which it is the primary beneficiary and entities for which it has a controlling interest. All intercompany accounts and transactions have been eliminated in consolidation.

The Company does not have any components of comprehensive income and comprehensive income is equal to net income (loss) reported in the statements of operations for all periods presented.

Property and Equipment

Property and equipment were comprised of the following as of MarchDecember 31, 20212022 and June 30, 2020:2022:

    

Estimated

    

Estimated

    

    

(In thousands)

    

Useful Lives

    

March 31, 2021

    

June 30, 2020

dollars in thousands

Useful Lives

December 31, 2022

June 30, 2022

Land

N/A

$

11,980

$

8,580

 

N/A

$

11,980

$

11,980

Buildings and leasehold improvements

10 - 40 years or term of lease

 

104,727

 

79,514

 

10 - 40 years

 

122,885

 

122,076

Software

3 - 5 years

 

12,355

 

11,387

 

3 - 5 years

 

27,532

 

16,264

Equipment and vehicles

3 - 7 years

 

35,201

 

28,814

 

3 - 7 years

 

49,847

 

47,546

Construction in progress

N/A

 

19,257

 

7,069

 

N/A

 

37,091

 

35,479

 

183,520

 

135,364

 

 

249,335

233,345

Less accumulated depreciation and amortization

  

 

(42,005)

 

(32,870)

Less: accumulated depreciation and amortization

 

 

(63,561)

 

(57,085)

Total property and equipment, net

  

$

141,515

$

102,494

$

185,774

$

176,260

Depreciation of $8.8$3.3 million and $7.8$2.8 million was recorded during the ninethree months ended MarchDecember 31, 2022 and 2021, respectively. Depreciation of $6.5 million and 2020,$6.1 million was recorded during the six months ended December 31, 2022 and 2021, respectively.

Revenue RecognitionRecently Adopted Accounting Pronouncements

The Company’s PACE operating unit provides comprehensive health care servicesLeases

In February 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-02 Leases (“ASU 2016-02”), which was intended to participantsincrease transparency and comparability among organizations by recognizing lease assets and liabilities on the balance sheet and disclosing key information about leasing arrangements. Under the new guidance, lessees are required to recognize a right-of-use (“ROU”) asset and a lease liability, measured on a discounted basis, at the commencement date for all leases with terms greater than 12 months. Additionally, this guidance requires enhanced disclosures to help investors and other financial statement users to better understand the amount, timing, and uncertainty of fixed or capitated fees per participant that are paid monthly by Medicare, Medicaid,cash flows arising from leases, including qualitative and quantitative requirements. In June 2020, the VA,FASB issued ASU 2020-05 Revenue from contracts with customers (Topic 606) and private pay sources. Medicaid and Medicare capitation revenues are basedleases (Topic 842) – Effective dates for certain entities which deferred the new lease standard effective date for the Company to interim periods beginning after December 15, 2021, with early adoption permitted.

We adopted the new standard on per-member, per-month capitation ratesJuly 1, 2022 using the modified retrospective transition approach as permitted in ASU 2018-11. In accordance with this approach, the effective date of Topic 842 is also the application date of the new requirements, with prior comparative periods presented in the financial statements with the legacy requirements of ASC Topic 840, Leases. We elected the package of practical expedients which permits us not to reassess under the PACE program. Capitation payments are recognized as revenuenew lease standard our prior conclusions for lease identification and lease classification on expired or existing contracts and whether initial direct costs previously capitalized would qualify for capitalization under the new lease standard. We also elected to adopt the optional transition method which allows an entity to recognize, if necessary, a cumulative-effect adjustment to the opening balance of retained earnings in the period in which they relate.

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Capitation payments received for PACE participants under Medicare Advantage plans are subject to retroactive premium risk adjustments based upon various factors.adoption. The Company estimatesdid not elect the amount of current-year adjustmentspractical expedient to use hindsight in revenues. Any corresponding retroactive adjustments by CMS are recorded as final settlements are determined.

Capitation revenues may be subject to adjustment as a result of examination by government agencies or contractors.

The audit processdetermining the lease term and in assessing impairment conclusions on the resolution of significant related matters as a result of these examinations often are not finalized until several years after the services are rendered. Any adjustments resulting from these examinations are recordedROU assets. Comparative periods presented in the period the Company is notified of them.

At times, the Company accepts participants into the program pending final authorization from Medicaid. If Medicaid coverage is later denied and there are no alternative resources availablefinancial statements continue to pay for services, the participant is disenrolled. Any costs incurred on behalf of these participants were nominal for the nine months ended March 31, 2021 and 2020.

Capitated revenues consisted of the following sources for the nine months ended:

    

March 31, 

March 31, 

 

    

2021

    

2020

 

Medicaid

53

%  

56

%

Medicare

46

%  

43

%

Private pay and other

1

%  

1

%

Total

100

%  

100

%

The Company also provides prescription drug benefitsbe presented in accordance with Medicare Part D. Monthly payments received from CMS andGAAP related to leases prior to transitioning to the participants represent the bid amount for providing prescription drug coverage.new lease standard. The portion received from CMS is subject to risk sharing through Medicare Part D risk-sharing corridor provisions. These risk-sharing corridor provisions compare costs targetedadoption of Topic 842 resulted in the Company’s bidrecognition of operating lease liabilities and ROU assets of $25.1 million and $23.6 million, respectively, while our accounting for capital leases (now referred to actual prescription drug costs.as finance leases) remained substantially unchanged. The Company estimates and records a monthly adjustment to Medicare Part D revenues associated with these risk-sharing corridor provisions.

Laws and regulations governing the Medicare and Medicaid programs are complex and subject to change, as well as government review. Failure to comply with these laws can expose the entity to significant regulatory action, including fines, penalties, and exclusion from the Medicare and Medicaid programs.

Coronavirus Pandemic (“COVID-19”)

In March 2020, the World Health Organization declared COVID-19 a pandemic. The global spread of COVID-19 has created significant volatility, uncertainty, and economic disruption. Governments in affected regions have implemented, and may continue to implement, safety precautions which include quarantines, travel restrictions, business closures, cancellations of public gatherings and other measures as they deem necessary. Many organizations and individuals, including the Company and its employees, continue to take additional steps to avoid or reduce infection, including limiting travel and working from home. These measures are disrupting normal business operations both in and outside of affected areas and have had significant negative impacts on businesses worldwide. As a PACE company, we have been and will continue to be impacted by the effects of COVID-19; however, we remain committed to carrying out our mission of caring for our participants. We continue to closely monitor the impact of COVID-19 on all aspects of our business, including the impactsadopting Topic 842 was not material to our employees, participantsStatements of Operations and suppliers; however, at this time, we are unable to estimate the ultimate impact the pandemic will have on our consolidated financial condition, resultsStatements of operations or cash flows.

On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) was signed into legislation. The CARES Act provides for $100.0 billion to healthcare providers, including hospitals on the frontCash Flows. See Note 7, “Leases.”

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lines of the COVID-19 pandemic. Under the CARES Act, the state of Pennsylvania signed into law the Act 24 of 2020, which allocates $10.0 million of funding from the federal CARES Act to managed long term care organizations. Funding from the Act 24 of 2020 must be used to cover necessary COVID-19 related costs incurred between March 1, 2020 and November 30, 2020 for entities in operation as of March 31, 2020. We received $2.0 million in funding under the Act 24 of 2020. Of this amount, $1.0 million was allocated to InnovAge centers in Pennsylvania and $0.7 million was recognized as of June 20, 2020. The remaining unrecognized balance of $0.3 million was recognized during the nine months ended March 31, 2021 as a reduction of expense within the consolidated statement of operations. The CARES Act also provides for the temporary suspension of the automatic 2% reduction of Medicare claim reimbursements (sequestration) for the period of May 1, 2020 through December 31, 2021.

Recent Accounting Pronouncements Not Yet Adopted

Revenue Recognition

In May 2014, the Financial Accounting Standards Board (“FASB”) issued ASU 2014-09 Revenue from Contracts with Customers (“ASU 2014-09”), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. The guidance will replace most existing revenue recognition guidance when it becomes effective. Subsequent to the issuance of ASU 2014-09, the FASB also issued several updates related to ASU 2014-09 including deferring its adoption date. As per the latest ASU 2020-05, issued by the FASB, the entities who have not yet issued or made available for issuance the financial statements as of June 3, 2020 can defer the new guidance for one year. This guidance is effective for the annual reporting period beginning July 1, 2020, and interim reporting periods within the annual reporting period beginning July 1, 2021. The guidance permits two methods of adoption: retrospectively to each prior reporting period presented (full retrospective method), or retrospectively with the cumulative effect of initially applying the guidance recognized at the date of initial application (modified retrospective method). The Company plans on applying the modified retrospective method of adoption for this guidance. The Company is in the process of evaluating the impact that the pronouncement will have on the consolidated financial statements.

Leases

In February 2016, the FASB issued ASU 2016-02, Leases (“Topic 842”) which outlines a comprehensive lease accounting model and supersedes the current lease guidance. The new guidance requires lessees to recognize almost all of their leases on the balance sheet by recording a lease liability and corresponding right-of-use assets for all leases with lease terms greater than 12 months. It also changes the definition of a lease and expands the disclosure requirements of lease arrangements. As per the latest ASU 2020-05 issued by FASB, the entities who have not yet issued or made available for issuance the financial statements as of June 3, 2020 can defer the new guidance for one year. The Company will be adopting this guidance for the annual reporting period beginning July 1, 2022, and interim reporting periods within the annual reporting period beginning July 1, 2023. This will require application of the new accounting guidance at the beginning of the earliest comparative period presented in the year of adoption. The Company is in the process of evaluating the impact that the pronouncement will have on the consolidated financial statements.

Financial Instruments

In April 2019, the FASB issued ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments—Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments (“ASU 2019-04”), which requires entities to use a current expected credit loss (“CECL”) model to measure impairment for most financial assets that are not recorded at fair value through net income. Under the CECL model, an entity will estimate lifetime expected credit losses considering available relevant information about historical events, current conditions and supportable forecasts. The CECL model does not apply to available-for-sale debt securities. This guidance also expands the required credit loss disclosures and will be applied using a modified retrospective approach by recording a cumulative effect adjustment to retained earnings as of the beginning of the fiscal year of adoption.

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 ASU 2019-04 is effective for the Company for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years. The Company will adopt this guidance for the annual and interim reporting periods beginning July 1, 2023. The Company has not determined the effect of the standard on its ongoingcondensed consolidated financial reporting.statements.

In June 2020, the FASB issued ASU 2020-06, Debt – Debt with Conversion and Other Options (“Subtopic 470-20”) and Derivatives and Hedging – Contracts in Entity’s Own Equity (“Subtopic 815-40”). This ASU amends the guidance for the derivatives scope exception for contracts in an entity’s own equity to reduce form-over-substance-based accounting conclusions. These amendments seek to remove certain requirements from the settlement guidance and clarify scope requirements. The ASU is effective for public companies for fiscal years beginning after December 15, 2021, including interim periods within those fiscal years. The Company will adopt this guidance for the annual and interim reporting periods beginning July 1, 2021. The Company has not determined the effect of the standard on its ongoing financial reporting.

Non-employee awards

In June 2018, the FASB issued ASU 2018-07, Compensation—Stock Compensation: Improvements to Nonemployee Share-Based Payment Accounting (“ASU 2018-07”), which simplifies the accounting for share-based payments granted to nonemployees for goods and services. The Company will be adopting this guidance for the annual reporting period beginning July 1, 2020, and interim reporting periods within the annual reporting period beginning July 1, 2021. The Company has not determined the effect of the standard on its ongoing financial reporting.

We do not expect that any other recently issued accounting guidance will have a significant effect on our condensed consolidated financial statements.

Note 3:Equity  Revenue Recognition

Equity ownerUnder ASC 606, revenue is recognized when a customer obtains control of promised goods or services, in an amount that reflects the consideration which the entity expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that an entity determines are within the scope of ASC 606, the Company performs the following five steps: (i) Identify the contract(s) with a customer; (ii) Identify the performance obligations in the contract; (iii) Determine the transaction price; (iv) Allocate the transaction price to the performance obligations in the contract; and (v) Recognize revenue as the entity satisfies a performance obligation.

On July 27, 2020, InnovAge Holding Corp. (formerly TCO Group Holdings, Inc.), Ignite Aggregator LP (“Purchaser”),Capitation Revenue and Accounts Receivable

Our capitation revenue relates to contracts with participants in which our performance obligation is to provide healthcare services to the former equity holders of InnovAge Holding Corp.participants. Revenues are recorded during the period our obligations to provide healthcare services are satisfied as noted below within each service type. The Company contracts directly with Medicare and Medicaid on a per member, per month (“Sellers”PMPM”) entered into a Securities Purchase Agreement (the “Agreement”), effective July 27, 2020. Under the termsbasis. We receive 100% of the Agreement,pooled capitated payment to directly provide or manage the Sellers soldhealthcare needs of our participants.

Fees are recorded gross in revenues because the Company is acting as a portion of their equity interestprincipal in providing for or overseeing comprehensive care provided to the Purchaser. The Purchaser andparticipants. Neither the Sellers then contributed their equity interestsCompany nor any of its affiliates is a registered insurance company because state law in the Company tostates in which it operates does not require such registration for risk-bearing providers.

In general, a newly formed limited partnership, TCO Group Holdings, L.P. (the “LP”) resultingparticipant enrolls in the PACE program and is considered a customer of InnovAge. The Company being wholly owned byconsiders all contracts with participants as a single performance obligation to provide comprehensive medical, health, and social services that integrate acute and long-term care. The Company identified that contracts with customers in the LP.

Concurrently with the entryPACE program have similar performance obligations and therefore groups them into the Agreement,one portfolio. This performance obligation is satisfied as the Company amended and restatedprovides comprehensive care to its 2016 Credit Agreement (as defined below), see Note 8 for further discussion. A portion ofparticipants.

Our revenues are based on the proceedsestimated PMPM  amounts we expect to be entitled to receive from the 2016 Credit Agreement were usedcapitated fees per participant that are paid monthly by Medicaid, Medicare, the Company to repurchase 16,095,819 shares of its common stock for $77.6 million from certain members of management, including certain members of the Board of Directors,VA, and certain members of our equity partner. The common stock was then recognized as Treasury stock. The Treasury stock was retired in March 2021, see Note 14.

Additionally, as part of the Agreement, the Company executed an Option Cancellation Agreement (the “Cancellation Agreement”), which canceled the Company’s common stock option awards of 16,994,975 grantedprivate pay sources. Medicaid and Medicare capitation revenues are based on PMPM capitation rates under the 2016 Incentive PlanPACE program.  VA is included in “Private Pay and other” and is also capitated.  Private pay includes direct payments from participants who do not qualify for $74.6 million. Such cancellation resulted in a settlement of the awards. Vesting of the contingent performance-based awards was not deemed probable at the time of the settlement resulting in the settlement of the contingent performance-based awards being recorded as Corporate, generalfull capitated rate and administrative. Vesting of the time vesting awards was deemed probable at the time of the settlement resulting inhave to pay all or a portion of the settlementcapitated rate. Costs to obtain contracts consist of the time vesting awards being recorded as Corporate, generalsales commissions for new enrollees and administrative expenseare included in deposits and the remainder being recorded asother. These costs are amortized over a reductionthree-year period which corresponds to Additional paid-in capital. Of the total settlement, $42.2 million was recorded as Corporate, general and administrative expense and $32.4 million was recorded as a reduction to Additional paid-in capital. The Cancellation Agreement resulted in the option holders receiving the same amount of cash that they would have received had they exercised their options, participated in the repurchase described above and sold their remaining shares.

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As part of the transaction, the Company incurred $22.6 million in transaction costs, of which $13.1 million was recognized as Corporate, general and administrative expense and $9.5 million was recognized as a distribution to owner as the costs were paid on behalf of the owners.

Capital Contribution

On October 15, 2020 Finback Pace, LP contributed $20.0 million for an investment in the LP, which in turn contributed the funds to the Company.

the average time a participant is enrolled in the PACE program. As of December 31, 2022 and June 30, 2022 contract assets included within deposits and other were $0.5 million and nil, respectively.

The Company disaggregates capitation revenue from the following sources for the six months ended:

December 31, 

    

2022

    

2021

    

Medicaid

 

55

%

54

%

Medicare

 

45

%

46

%

Private pay and other

 

*

%

*

%

Total

 

100

%

100

%

* Less than 1%

The Company determined the transaction price for these contracts is the amount we expect to be entitled to, which is the most likely amount. For certain capitation payments, the Company is subject to retroactive premium risk adjustments based on various factors. The Company estimates the amount of the adjustment and records it monthly on a straight-line basis. These adjustments are not expected to be material.

The capitation revenues are recognized based on the estimated PMPM transaction price to transfer the service for a distinct increment of the series (i.e. month). We recognize revenue in the month in which participants are entitled to receive comprehensive care benefits during the contract term. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient under ASC 606-10-32-18 and did not adjust for the effects of a significant financing component.

The Company also provides prescription drug benefits in accordance with Medicare Part D. Monthly payments received from CMS and the participants represent the bid amount for providing prescription drug coverage. The portion received from CMS is subject to risk sharing through Medicare Part D risk-sharing corridor provisions. These risk-sharing corridor provisions compare costs targeted in the Company’s bid to actual prescription drug costs. The Company estimates and records a monthly adjustment to Medicare Part D revenues associated with these risk-sharing corridor provisions. Medicare Part D comprised 12% of capitation revenues for each of the three months ended December 31, 2022 and 2021. Medicare Part D comprised 12% of capitation revenues for each of the six months ended December 31, 2022 and 2021.

Our accounts receivable as of December 31, 2022 and June 30, 2022 is primarily from capitation revenue arrangements. The concentration of net receivables from participants and third-party payers was as follows:

December 31, 

June 30,

    

2022

    

2022

 

Medicaid

 

40

%

70

%

Medicare

 

53

%

22

%

Private pay and other

 

7

%

8

%

Total

 

100

%

100

%

The Company records accounts receivable at net realizable value, which includes an allowance for estimated uncollectible accounts. The allowance for uncollectible accounts reflects the Company’s best estimate of probable losses considering eligibility, historical experience, and existing economic conditions. The balance of the allowance for uncollectible accounts was $4.2 million as of December 31, 2022, compared to $3.4 million as of June 30, 2022. Accounts are written off as bad debts when they are deemed uncollectible based upon individual credit evaluations and specific circumstances underlying the accounts.

Other Service Revenue and Accounts Receivable

Other service revenue is comprised of rents earned related to Senior Housing and other fee for service revenue. Other service revenue was 0.2% and 0.2% of total revenue for the three months ended December 31, 2022 and 2021, respectively.

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Other service revenue was 0.2% and 0.3% of total revenue for the six months ended December 31, 2022 and 2021, respectively. Accounts receivable related to other service revenue was not significant as of both December 31, 2022 and June 30, 2022.

Laws and regulations governing the Medicare and Medicaid programs are complex and subject to change, as well as government review. Failure to comply with these laws can expose the entity to significant regulatory action, including fines, penalties, and exclusion from the Medicare and Medicaid programs. See Note 9, “Commitments and Contingencies.”

Note 4:  Investments

The Company holds equity method and cost method investments as of:

December 31, 

June 30,

in thousands

    

2022

    

2022

Cost method investments

$

4,645

$

4,645

Equity method investments

 

848

 

848

Total investments

$

5,493

$

5,493

Nonconsolidated Entities

Cost Method InvestmentsVariable Interest Entity

The Company maintains two investments that are accounted for using the cost method. The investments do not have a readily determinable fair value and the Company has elected to record the investments at cost, less impairment, if any, plus or minus any changes resulting from observable price changes in orderly transactions for the identical or similar investment of the same issuer. During the six months ended December 31, 2022 and 2021, there were no observable price changes or impairments recorded.

Jetdoc

In August 2021, the Company acquired a minority interest equal to 806,481 shares of the outstanding common

stock of Jetdoc, Inc. (“Jetdoc”), a telehealth and virtual urgent care app dedicated to effectively connecting users with medical professionals, for cash consideration of $2.0 million. The balance of the Company’s investment in Jetdoc is $2.0 million which represents the maximum exposure to loss.

DispatchHealth

On June 14, 2019, the Company invested $1.5 million in DispatchHealth Holdings, Inc. ("DispatchHealth"), through the purchase of a portion of its outstanding Series B Preferred Stock. On April 2, 2020, the Company invested an additional $1.1 million through the purchase of a portion of its outstanding Series C Preferred Stock. The balance of the Company’s investment is $2.6 million which represents the maximum exposure to loss.

Equity Method Investments

Pinewood Lodge

The Company’s operations also include a Senior Housing unit that primarily includes the accounts of Continental

Community Housing (“CCH”), the general partner of Pinewood Lodge, LLP (“ PWD”); a 0.01% partnership interest each in PWD and InnovAge Senior Housing Thornton, LLC (“SH1”), both of which werewas organized to develop, construct, own, maintain, and operate certain apartment complexes intended for rental to low-income elderly individuals aged 62 or older.

PWD is a VIE, but the Company is not the primary beneficiary. The Company does not have the power to direct the activities that most significantly impact the economic performance of PWD. Accordingly, the Company does not

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consolidate PWD. PWD is accounted for using the equity method of accounting and is recorded in Equity method investments in the accompanying consolidated balance sheets.accounting. The equity earnings of PWD are insignificant. TheAs of December 31, 2022, the balance of the Company’s investment in PWD is $0.8 million which represents the maximum exposure to loss.

Noncontrolling Interest

Senior Housing

The Company’s operations include a 0.01% partnership interest in InnovAge Senior Housing Thornton, LLC (“SH1”), which was organized to develop, construct, own, maintain, and operate certain apartment complexes intended for rental to low-income elderly individuals aged 62 or older.

SH1 is a VIE. The Company is the primary beneficiary of SH1 and consolidates SH1. The Company is the primary beneficiary of SH1 as it has the power to direct the activities that are most significant to SH1 and has an obligation to absorb losses or the right to receive benefits from SH1. The most significant activity of SH1 is the operation of the senior housing facility. The Company has provided a subordinated loan to SH1 and has provided a guarantee for a convertible term loan held by SH1.

The following table shows the assets and liabilities of SH1 as of March 31, 2021 and June 30, 2020:Redeemable Noncontrolling Interest

In thousands (000’s)InnovAge Sacramento

    

March 31, 

    

June 30, 

Assets/Liabilities

2021

2020

Cash and cash equivalents

$

498

$

435

Accounts receivable

 

3

 

1

Prepaid expenses and other

 

13

 

7

Property, plant and equipment, net

 

10,143

 

10,501

Deposits and other, net

 

386

 

376

Accounts payable and accrued expenses

 

279

 

199

Current portion long-term debt

 

39

 

38

Noncurrent liabilities

 

454

 

454

Long-term debt, net of debt issuance costs

 

3,838

 

3,901

Note 5:Nonconsolidated Entities

Prior to January 1, 2021, the Company had 2 nonconsolidated equity method investments, PWD, see Note 4 for further discussion, and InnovAge California Pace-Sacramento, LLC (“InnovAge Sacramento”).

On March 18, 2019, in connection with the formation of InnovAge Sacramento, the joint venture with Adventist Health System/West (“Adventist”) and Eskaton Properties, Incorporated (“Eskaton”), the Company contributed $9.0 million in cash and land valued at $4.2 million for a 59.9% membership interest in the joint venture,

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InnovAge Sacramento. Further, Adventist contributed $5.8 million in cash and Eskaton contributed $3.0 million in cash for membership interests of 26.41%26.4% and 13.69%13.7%, respectively. TheIn fiscal year 2021, the Company made an additional contribution of $52,000 dollars to obtainand obtained an additional 0.1% membership interest in the joint venture. With the acquisition of the additional 0.1% membership interest,venture, which resulted in the Company obtainedobtaining control ofand consolidating InnovAge Sacramento effectiveas of January 1, 2021. Accordingly, beginning January 1, 2021, the results of InnovAge Sacramento are included in our consolidated results of operations.

The InnovAge California PACE-Sacramento LLC Limited Liability Company Agreement (the “JV Agreement”) includes numerous provisions whereby, if certain conditions are met, the joint ventureJoint Venture may be required to purchase, at fair market value, certain members’ interests or certain members’members may be required to purchase, at fair market value, the interests of certain other members. As of MarchDecember 31, 2021,2022, none of the conditions specified in the JV Agreement had been met.

At the consummation of the JV Agreement, the Company issued warrants (the “Sacramento Warrants”) to purchase 5% of its issued and outstanding common stock to Adventist Health System/West at a par value of $0.001 per share and an exercise price equal to the fair market value per share at the time of exercise of this warrant. The Sacramento Warrants fully vest on the exercise date, which is defined as the date on which Adventist has made aggregate capital contributions in an amount greater than $25.0 million to one or more joint venture entities in which Adventist and the Company hold equity (the “Investment Threshold”).

On February 9, 2021, we entered into an amendment agreement with our joint venture partner Adventist to amend the Sacramento Warrants. The amendment removes the Investment Threshold requirement and grants Adventist the right to purchase up to $15.0 million of our common stock at an exercise price equal to the initial public offering price. The warrant is exercisable for one year beginning on the date of the consummation of the IPO. As of March 31, 2021, Adventist had not exercised any warrants.

At inception, the Sacramento Warrants were initially determined to be equity-based payments to nonemployees and as such the measurement date for these warrants was considered to be the date when the Investment Threshold is reached.  At the time the Company became a publicly traded company these put rights held by the noncontrolling interests of the amendment, due to the removal of the Investment Threshold, the warrantsjoint venture were evaluated under ASC 815-40, Contracts in an Entity’s Own Equity, which resulted in a liability classification from the date of the amendment through completion of our IPO, due to the variable amount of shares which could be issued. Upon completion of the IPO, the number of sharesrequired to be issued were no longer variable, which resulted in the warrants being recorded inpresented as temporary equity. A chargeThe redeemable noncontrolling interest of $2.3$14.1 million representing the fair value of the warrants from inception through the date of completion of the IPO, was recorded in other income (expense) in the condensed consolidated statement of operations.

We obtained control of InnovAge Sacramento through acquisition of an additional 0.1% membership interest, which we consider to be a step acquisition, whereby the Company remeasured the previously held equity method investment to fair value. This resulted in a gain on consolidation of $10.9 million, which is recorded in gain on equity method investment in the condensed consolidated statement of operations. The fairat carrying value of the previously held equity investments was determined using a discounted cash flow model.

We accounted for the transaction as a business combination, which requires that we record the assets acquired and liabilities assumed at fair value. The amount by which the purchase price exceeds the fair value of the net assets acquired is recorded as goodwill.

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The fair value of the assets acquired and net liabilities assumed in the step acquisition are as follows as of January 1, 2021:December 31, 2022.

    

January 1,

(In thousands)

    

2021

Assets:

  

Cash

$

646

Accounts receivable

786

Property and equipment, net

30,667

Goodwill

8,078

Total assets

 

40,177

Liabilities:

 

  

Accounts payable

 

530

Reported and estimated claims

330

Due to Medicaid and Medicare

77

Capital leases

428

Other liabilities

 

48

Total liabilities

$

1,413

The following table sets forth the results of InnovAge Sacramento for the six months ended December 31, 2020. The results of InnovAge Sacramento are consolidated beginning January 1, 2021.

Six Months Ended

(In thousands)

December 31, 2020

Revenue:

  

Total revenue

$

2,297

Less: members’ interest

 

921

The Company’s interest

 

1,376

Cost of operations:

 

  

Total cost of operations

 

4,538

Less: members’ interest

 

1,820

The Company’s interest

 

2,718

The Company’s interest in net income (loss)

$

(1,342)

The overall operations for InnovAge Sacramento were insignificant during the three and nine months ended March 31, 2021.

Note 6:Goodwill and Other Intangible Assets

Goodwill, which represents the excess of cost over the fair value of net assets acquired, amounted to $124.2 million at March 31, 2021 and $116.1 million as of June 30, 2020. The increase of $8.1 million resulted from the consolidation of InnovAge Sacramento beginning on January 1, 2021. Pursuant to ASC 350, “Intangibles – Goodwill and Other,” we review the recoverability of goodwill annually as of April 1 or whenever significant events or changes occur which might impair the recovery of recorded amounts. For purposes of the annual goodwill impairment assessment, the Company has identified 3 reporting units. There were no indicators of impairment identified and 0 goodwill impairments recorded during the nine months ended March 31, 2021 and 2020.

The Company has Other intangible assets, net that are both definite and indefinite lived. Other intangible assets that are definite-lived are amortized over their useful lives. Other intangible assets that are definite-lived amounted to $6.6 million at both March 31, 2021 and June 30, 2020 and associated accumulated amortization amounted to $1.9 million and $1.4 million at March 31, 2021 and June 30, 2020, respectively. The Company

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recorded amortization expense of $0.2 and $0.5 million for both the three and nine months ended March 31, 2021 and 2020, respectively.

On October 20, 2020, the Company paid $2.0 million for the right to serve PACE members in Florida, which was recognized within the consolidated balance sheet as Other intangible assets, net and are indefinite-lived.

We review the recoverability of other intangible assets in conjunction with long-lived assets whenever events or changes in circumstances indicate the carrying amount of such assets may not be recoverable. There were 0 intangible asset impairments recorded during the nine months ended March 31, 2021 and 2020.

Note 7:Leases

Property and equipment includes property under various capital leases. These leases have expiration dates ranging from January 2021 to September 2025, varying interest rates, and generally include an option to purchase the equipment at fair value at the end of the underlying lease period. The Company’s capital leases included the following at March 31, 2021 and June 30, 2020:

In thousands (000’s)

    

March 31, 2021

    

June 30, 2020

Equipment

$

13,777

$

9,845

Less accumulated depreciation

 

(6,848)

 

(4,829)

Balance as of end of period

$

6,929

$

5,016

Certain of the Company’s property and equipment is leased under operating leases. Total rental expense under operating leases was $1.4 million and $3.5 million for the three and nine months ended March 31, 2021, respectively, and $1.5 million and $3.8 million for the three and nine months ended March 31, 2020, respectively.

Future minimum lease payments for fiscal years beginning with remainder of fiscal year 2021 for capital leases having initial terms of more than one year and noncancelable operating leases were as follows:

Operating Leases

Capital Leases

Minimum Lease

(In thousands)

    

Obligations

    

Payments

Amount remaining in 2021

    

$

713

    

$

866

2022

 

2,527

 

 

4,138

2023

 

2,468

 

 

4,410

2024

 

1,941

 

 

4,052

2025

 

1,169

 

 

3,592

Thereafter

 

144

 

 

13,704

Total

 

8,962

 

$

30,762

Less amount representing interest

 

1,114

 

 

  

Total minimum lease payments

 

7,848

 

 

  

Less current maturities

 

2,121

 

 

  

Noncurrent maturities

$

5,727

 

 

  

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Note8. Long Term Debt

Long-term debt consisted of the following at March 31, 2021 and June 30, 2020:

In thousands (000’s)

    

March 31, 2021

    

June 30, 2020

Senior secured borrowings:

 

  

 

  

Senior secured term loan

$

75,000

$

187,625

Revolving credit facility

 

 

25,000

Convertible term loan

 

2,377

 

2,401

Total debt

 

77,377

 

215,026

Less unamortized debt issuance costs

 

2,110

 

2,656

Less current maturities

 

2,852

 

1,938

Long-term debt, net of debt issuance costs

$

72,415

$

210,432

The Company originally entered into a senior secured borrowing agreement (the “2016 Credit Agreement”) on May 13, 2016, that consisted of a senior secured term loan for $75.0 million and a revolving credit facility for $20.0 million. The 2016 Credit Agreement was subsequently amended on May 2, 2019 to increase the senior secured term loan to $190.0 million and a revolving credit facility for $30.0 million and a delayed draw term loan facility (“DDTL”) for $45.0 million. The senior secured term loan and the DDTL had a maturity date of May 2, 2025, and the revolving credit facility had a maturity date of May 2, 2024.

On July 27, 2020, the Company amended and restated the 2016 Credit Agreement once again to increase the senior secured term loan to $300.0 million, the revolving credit facility to $40.0 million and to terminate the DDTL. The maturity date of the revolving credit facility was extended to July 27, 2025, the senior secured term loan was extended to July 27, 2026, and there were updates to certain covenants contained in the existing credit agreement. Principal was paid each calendar quarter in an amount equal to 0.25% of the aggregate outstanding principal amount.

The structure of the amendment to the 2016 Credit Agreement as amended on July 27, 2020 led to an extinguishment of debt for certain lenders and a modification of debt for other lenders. The total debt structure extinguishment for certain lenders was $57.1 million which led to the write off of $1.0 million in debt issuance costs which was recorded in loss on extinguishment of debt for the nine months ended March 31, 2021. The total debt structure that was modified was $250.0 million, while the new debt issued was $50.0 million, which resulted in $9.1 million of debt issuance costs being capitalized.

On March 8, 2021, concurrently with the closing of the IPO, the Company entered into a new credit agreement (the “2021 Credit Agreement”) that replaced the 2016 Credit Agreement. The 2021 Credit Agreement consists of a senior secured term loan of $75.0  million and a revolving credit facility of $100.0 million. The maturity date of the revolving credit facility is March 8, 2026 and of the senior secured term loan, March 8, 2026. The 2021 Credit Agreement includes a more lose set of covenants compared to the 2016 Credit Agreement. Loans under the 2021 Credit Agreement are secured by substantially all of the Company’s assets. Principal on the senior secured term loan is paid each calendar quarter beginning September 2021 in an amount equal to 1.25% of the initial term loan on closing date. Proceeds of the new senior secured loan, together with proceeds from the IPO, were used to repay amounts outstanding under the 2016 Credit Agreement.

The structure of the 2021 Credit Agreement led to a 2.0% prepayment fee as the cancellation of the 2016 Credit Agreement occurred prior to the first anniversary of the July 27, 2020 amendment of the 2016 Credit Agreement, an extinguishment of debt for certain lenders, and a modification of debt for other lenders. The total prepayment fee was $6.0 million and is recorded in loss on extinguishment of debt in the consolidated statements of operations. The total debt structure extinguishment for certain lenders was $250.0 million which led to the write off of $7.5 million in debt issuance costs which was recorded in loss on extinguishment of debt for the three months ended March 31, 2021. The total debt structure that was modified was $25.0 million related to each of

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the term loan and the revolver, while the new debt issued was $50.0 million related to the term loan and $75.0 million related to the revolver. This resulted in $2.1 million of debt issuance costs being capitalized.

Any outstanding principal amounts under the 2021 Credit Agreement accrue interest at a variable interest rate. As of March 31, 2021, the interest rate on the senior secured term loan was 1.94%. At June 30, 2020 the interest rate on the senior secured term loan under the 2016 Credit Agreement was 6.0%. Prior to the entry into the 2021 Credit Agreement, the revolving credit facility fee accrued at 0.5%. Under the terms of the 2021 Credit Agreement, the revolving credit facility fee accrues at 0.25% of the average daily unused amount and is paid quarterly. There is also an immaterial administrative fee.

During fiscal year 2020, the Company borrowed $25.0 million under the revolving credit facility at an interest rate of 3.94%, to ensure sufficient funds available during the unknown time of the COVID-19 pandemic and for general corporate purposes. The Company repaid all outstanding amounts on the revolving credit facility and as of March 31, 2021 had 0 outstanding borrowings. The remaining capacity under the revolving credit facility as of March 31, 2021 is $100.0 million.

The 2021 Credit Agreement requires the Company to meet certain operational and reporting requirements, including, but not limited to, defined leverage and fixed-charge coverage ratios. Additionally, annual capital expenditures and permitted investments, including acquisitions, are limited to amounts specified in the Credit Agreement. The 2021 Credit Agreement also provides certain restrictions on dividend payments and other equity transactions and requires the Company to make prepayments under specified circumstances. The Company was in compliance with the covenants of the 2021 Credit Agreement and the 2016 Credit Agreement as of March 31, 2021 and June 30, 2020, respectively.

The deferred financing costs of $2.1 million are amortized over the term of the underlying debt and unamortized amounts have been offset against long-term debt in the consolidated balance sheets. Total deferred financing costs were $0.9 million and $0.4 million for the nine months ended March 31, 2021 and 2020, respectively.

On June 29, 2015, SH1 entered into a convertible term. Monthly principal and interest payments of $0.02 million commenced on September 1, 2015, and the loan bears interest at an annual rate of 6.68%. The remaining principal balance is due upon maturity, which is August 20, 2030. The loan is secured by a deed of trust to Public Trustee, assignment of leases and rents, security agreements, and SH1’s fixture filing.

Note 9:5:  Fair Value Measurements

Fair value is defined as the price that would be received from selling an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants, at the measurement date. A fair value hierarchy was established that requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. Observable inputs are inputs that reflect the assumptions market participants would use in pricing the asset or liability developed based on market data obtained from sources outside the reporting entity. Unobservable inputs are inputs that reflect the Company’s own assumptions based on market data and assumptions that market participants would use in pricing the asset or liability

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developed based on the best information available in the circumstances. The sensitivity to changes in inputs and their impact on fair value measurements can be significant.

The three levels of inputs that may be used to measure fair value are:

Level 1

Unadjusted quoted prices in active markets for identical assets or liabilities that the entity has the ability to access at the measurement date

Level 2

Quoted prices in markets that are not active or inputs that are observable, either directly or indirectly, for substantially the full term of the assets or liabilities

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Level 3

Unobservable inputs to the valuation techniques that are significant to the fair value measurements of the assets or liabilities

The following table shows the Company’s cash, cash equivalents and marketable securities by significant investment category as of December 31, 2022:

2022

Cash and

Short-

Amortized

Unrealized

Unrealized

Fair

Cash

term

in thousands

Cost

Gains

Losses

Value

Equivalents

Investments

Cash

$

18,858

$

$

$

18,858

$

18,858

$

Level 1

Money market funds

80,602

80,602

80,602

Mutual funds

45,000

424

45,424

45,424

Total

$

144,460

$

424

$

$

144,884

$

99,460

$

45,424

Recurring Measurements

Effective August 7, 2018, the Company finalized the acquisition of New Courtland LIFE Program (“New Courtland”)The Company’s investment in Pennsylvania. The Company paidInnovAge Sacramento includes a base purchase price of $30.0 million, subject to certain net working capital and closing adjustments plus contingent consideration of up to $20.0 million. Such contingent consideration will be paid over a specified period if certain conditions outlined in the Securities Purchase Agreement are met. These conditions are based upon the performance of the PACE centers acquired in the New Courtland acquisitionput right for the two fiscal years following the acquisition, as well as potential paymentsnoncontrolling interest holders to be made in the event of the Company being acquired, selling substantially all of its assets, or selling equity securities pursuant to an effective registration statement under the Securities Act of 1933. If all of the contingent consideration of $20.0 million is paid, the lease payments in certain real estate leases between the Company and New Courtland are reduced from their current amounts and allowrequire the Company to exercise its option to purchaserepurchase the leased buildingsinterest of the noncontrolling interest holders at fair market value, after the initial term of the lease.

On March 8, 2021, we completed our IPO, which satisfied the condition thatmanagement services agreement in 2028. As a result, at each fiscal period end the Company sell equity securities pursuant to an effective registration statement. Accordingly, $20.0 millionreports this put right at the greater of contingent consideration was paid under the terms(i) carrying value of the Securities Purchase Agreement.

redeemable noncontrolling interest or (ii) fair value of the redeemable noncontrolling interest. Because this asset does not have observable inputs, level 3 inputs are used to measure fair value. The fair value of the redeemable noncontrolling interest is determined utilizing a discounted cash flow model. As of MarchDecember 31, 2021, there are 0 amounts2022, the Company’s redeemable noncontrolling interest was recorded at carrying value of contingent consideration outstanding.

Changes in fair value resulted in immaterial amounts recorded in other operating (income) expense within the consolidated statement of for the nine months ended March 31, 2021 and 2020, respectively.$14.1 million.  

There were no transfers in and out of Level 3 during the ninesix months ended MarchDecember 31, 20212022 or 2021.

Note 6:  Goodwill and 2020. The Company’s policyIntangible Assets

Goodwill represents the excess of cost over the fair value of net assets acquired. Goodwill amounted to $124.2 million at each of December 31, 2022 and June 30, 2022. Goodwill is not amortized.

Pursuant to recognize transfersASC 350, “Intangibles – Goodwill and Other,” we review the recoverability of goodwill annually as of April 1 or whenever significant events or changes occur which might impair the actual daterecovery of recorded amounts. For purposes of the eventannual goodwill impairment assessment, the Company has identified three reporting units. There were no indicators of impairment identified and no goodwill impairments recorded during the six months ended December 31, 2022 and 2021.

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Intangible assets consisted of the following as of:

December 31, 

June 30,

in thousands

    

2022

    

2022

Definite-lived intangible assets

$

6,600

$

6,600

Indefinite-lived intangible assets

2,000

2,000

Total intangible assets

8,600

8,600

Accumulated amortization

(3,072)

(2,742)

Balance as of end of period

$

5,528

$

5,858

Intangible assets consist primarily of customer relationships acquired through business acquisitions. The Company recorded amortization expense of $0.2 million and $0.2 million for the three months ended December 31, 2022 and 2021, respectively. The Company recorded amortization expense of $0.3 million and $0.3 million for the six months ended December 31, 2022 and 2021, respectively.

We review the recoverability of other intangible assets in conjunction with long-lived assets whenever events or changechanges in circumstances.circumstances indicate the carrying amount of such assets may not be recoverable. There were no intangible asset impairments recorded during the six months ended December 31, 2022 and 2021.

Nonrecurring Measurements

Note 7:  Leases

In additionLeasing Arrangements as Lessee

The Company leases certain property and equipment under various third-party operating and finance lease agreements. The Company determines if an arrangement is or contains a lease at the lease inception date by evaluating whether the arrangement conveys the right to use an identified asset and whether the Company obtains substantially all of the economic benefits from and has the ability to direct the use of the asset. The leases are noncancelable and expire on various terms from 2023 through 2032. We determine if an arrangement is a lease upon commencement of the contract. If an arrangement is determined to be a long-term lease (greater than 12 months), we recognize an ROU asset and lease liability based on the present value of the future minimum lease payments over the lease term at the commencement date. As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of future payments. Our lease terms may also include options to extend or terminate the lease when it is reasonably certain that we will exercise those options. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term.

We have elected to apply the short-term lease exception for contracts that have a lease term of twelve months or less and do not include an option to purchase the underlying asset. Therefore, we do not recognize a ROU asset or lease liability for such contracts. We recognize short-term lease payments as expense on a straight-line basis over the lease term. Variable lease payments that do not depend on an index or rate are recognized as expense. Certain leases include escalations based on inflation indexes and fair market value adjustments. Operating lease liabilities are calculated using the prevailing index or rate at lease commencement for such leases.

The following table presents the components of our ROU assets and liabilities that are recordedtheir classification in our Balance Sheet at fair value on a recurring basis,December 31, 2022:

Component of Lease Balances

Balance Sheet Line Items

Six months ended December 31, 

2022

in thousands

Assets:

Operating lease assets

Operating lease assets

$

22,223

Finance lease assets

Property and equipment, net

 

11,153

Total leased assets

$

33,376

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The following table presents the Company records certain assetscomponents of our lease cost and liabilities at fair value on a nonrecurring basis. Generally, assets are recorded at fair value on a nonrecurring basisthe classification of such costs in our Statements of Operations for the six months ended December 31, 2022:

Component of Lease Cost

Statements of Operations Line Items

Six months ended December 31, 

2022

in thousands

Operating lease cost

Cost of care excluding depreciation and amortization and Corporate, general and administrative

$

2,557

Finance lease expense:

Amortization of leased assets

Depreciation and amortization

 

1,685

Interest on lease liabilities

Interest expense, net

562

Variable lease cost

Cost of care excluding depreciation and amortization and Corporate, general and administrative

Short-term lease cost

Cost of care excluding depreciation and amortization and Corporate, general and administrative

17

Total lease expense

$

4,821

The following table includes the weighted-average lease terms and discount rates for operating and finance leases as a result of impairment chargesDecember 31, 2022:

Weighted average remaining lease term:

December 31, 

2022

Operating leases

8.8 years

Finance leases

3.8 years

Weighted average discount rate:

December 31, 

2022

Operating leases

6.61

%

Finance leases

8.53

%

The following table includes the future maturities of lease payments for operating leases and finance leases for periods subsequent to December 31, 2022:

Operating

Finance

in thousands

Lease

Lease

Total

Amount remaining in 2023

$

2,552

$

2,580

$

5,132

2024

 

4,542

 

4,263

 

8,805

2025

 

4,136

 

3,480

 

7,616

2026

 

4,061

 

2,456

 

6,517

2027

 

3,764

 

1,760

 

5,524

Thereafter

 

10,302

 

686

 

10,988

Total lease payments

 

29,357

 

15,225

 

44,582

Less liability accretion / imputed interest

 

(5,889)

 

(2,329)

 

(8,218)

Total lease liabilities

 

23,468

 

12,896

 

36,364

Less: Current lease liabilities

 

3,434

 

3,864

 

7,298

Total long-term lease liabilities

$

20,034

$

9,032

$

29,066

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The following table includes the future maturities of minimum rental payments that are required by U.S. GAAP. No such amounts were recorded duringto be paid under all non-cancelable operating and capital lease obligations as previously disclosed in our 2022 Annual Report on Form 10-K as of June 30, 2022, prior to the nine months ended March 31, 2021 and 2020, respectively.adoption of ASC 842:

Operating

Capital

in thousands

Lease

Lease

Amount remaining in 2023

$

4,873

$

4,405

2024

 

4,581

 

3,909

2025

 

4,122

 

3,126

2026

 

4,061

 

2,092

2027

 

3,764

 

1,393

Thereafter

 

10,265

 

535

Total minimal rental payments

 

31,666

 

15,460

Less: Amount representing interest

 

(2,652)

Subtotal

 

12,808

Current portion

 

3,368

Long-term portion

$

9,440

Note8.  Long-Term Debt

Long-term debt consisted of the following at December 31, 2022 and June 30, 2022:

    

December 31, 

    

June 30, 

2022

2022

in thousands

Senior secured borrowings:

Term Loan Facility

$

69,375

$

71,250

Convertible term loan

 

2,306

 

2,327

Total debt

 

71,681

 

73,577

Less: unamortized debt issuance costs

 

1,359

 

1,574

Less: current maturities

 

3,794

 

3,793

Noncurrent maturities

$

66,528

$

68,210

2021 Credit Agreement

On March 8, 2021, the Company entered into a credit agreement (the “2021 Credit Agreement”) that replaced its prior credit agreement. The 2021 Credit Agreement consists of a senior secured term loan (the “Term Loan Facility”) of $75.0 million principal amount and a revolving credit facility (the “Revolving Credit Facility”) of $100.0 million maximum borrowing capacity, each with a maturity date of March 8, 2026. The remaining capacity under the Revolving Credit Facility as of December 31, 2022 was $97.2 million, subject to (i) any issued amounts under our letters of credit, which as of December 31, 2022 was $2.8 million, and (ii) applicable to covenant compliance restrictions and any other conditions precedent to borrowing. Loans under the 2021 Credit Agreement are secured by substantially all of the Company’s assets. Principal on the Term Loan Facility is paid each calendar quarter in an amount equal to 1.25% of the initial term loan on closing date. Proceeds of the Term Loan Facility, together with proceeds from the Company’s initial public offering (“IPO”), were used to repay long term debt amounts then outstanding.

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Outstanding principal amounts under the 2021 Credit Agreement accrue interest at a variable interest rate. As of December 31, 2022, the interest rate on the Term Loan Facility was 6.14%. Under the terms of the 2021 Credit Agreement, the Revolving Credit Facility fee accrues at 0.25% of the average daily unused amount and is paid quarterly. As of December 31, 2022, we had no borrowings outstanding, $2.8 million of letters of credit issued, and $97.2 million of remaining capacity under the Revolving Credit Facility.

The 2021 Credit Agreement requires the Company to meet certain operational and reporting requirements, including, but not limited to, a secured net leverage ratio. Additionally, annual capital expenditures and permitted investments, including acquisitions, are limited to amounts specified in the 2021 Credit Agreement. The 2021 Credit Agreement also provides certain restrictions on dividend payments and other equity transactions and requires the Company to make prepayments under specified circumstances. As of December 31, 2022, the Company was in compliance with the covenants of the 2021 Credit Agreement.

The deferred financing costs of $2.0 million are amortized over the term of the underlying debt and unamortized amounts have been offset against long-term debt in the condensed consolidated balance sheets. Total amortization of deferred financing costs was $0.2 million for the six months ended December 31, 2022.

Convertible Term Loan

On June 29, 2015, SH1 entered into a convertible term loan. Monthly principal and interest payments of $0.02 million commenced on September 1, 2015. The loan bears interest at an annual rate of 6.68%, with the remaining principal balance due upon maturity at August 20, 2030. The loan is secured by a deed of trust to Public Trustee, assignment of leases and rents, security agreements, and SH1’s fixture filing.

Note 10:9:  Commitments and Contingencies

Professional Liability

The Company pays fixed premiums for annual professional liability insurance coverage under a claims-made policy. Under such policy, only claims made and reported to the insurer are covered during the policy term, regardless of when the incident giving rise to the claim occurred. The Company records claim liabilities and expected recoveries, if any, at gross amounts. The Company is not currently aware of any unasserted claims or unreported incidents that are expected to exceed medical malpractice insurance coverage limits.

Litigation

From time to time, in the normal course of business, the Company is involved in or subject to legal proceedings related to its business.business, including those described below. The Company regularly evaluates the status of claims and legal proceedings in which it is involved in order to assess whether a loss is probable or there is a reasonable possibility that a loss may have been incurred, and to determine if accruals are appropriate. In the opinion of management, none of the claims and suits,

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either individually or in the aggregate, are reasonably likely to have a material adverse effect on the Company's operations or consolidated financial statements. The Company expenses legal costs as such costs are incurred.

19

Note 11:Table of Contents Retirement Plans

TheOn October 14, 2021, and subsequently amended on June 21, 2022, the Company offers its eligible employeeswas named as a 401(k) Retirement Savings Plan (the “Plan”). The Company matches 50%defendant in a putative class action complaint filed in the District Court for the District of Colorado on behalf of individuals who purchased or acquired shares of the employee contribution up to 4%Company’s common stock during a specified period. Through the complaint, plaintiffs are asserting claims against the Company, certain of the employee’s compensation. Matching contributions were $0.4 millionCompany’s officers and $1.3 milliondirectors, the Company’s former CEO, Apax Partners, L.P., Welsh, Carson, Anderson & Stowe and the underwriters in the Company’s IPO alleging violations of Sections 11, 12(a)(2) and 15 of the Securities Act of 1933 and Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), for making allegedly inaccurate and misleading statements and omissions in connection with the threeCompany’s IPO and nine months ended March 31, 2021, respectively,subsequent earnings calls and $0.4 millionpublic filings, and $1.3 millionseeking to impose control person liability against the officer and director defendants, Apax Partners, L.P. and Welsh, Carson, Anderson & Stowe. The complaint seeks compensatory damages, among other things. On September 13, 2022, the Company and the officer and director defendants and Apax Partners, L.P. and Welsh, Carson, Anderson & Stowe filed a motion to dismiss the amended complaint for failure to state a claim upon which relief can be granted. We are currently unable to predict the three and nine months ended March 31, 2020, respectively.

Effective January 1, 2016, InnovAge established a 409(a) Deferred Compensation Plan for key employees. Matching contributions were $0.1 million for both the three and nine months ended March 31, 2021 and 0 and $0.1 million for the three and nine months ended March 31, 2020, respectively.outcome of this matter.

In July 2021, the Company received a civil investigative demand from the Attorney General for the State of Colorado under the Colorado Medicaid False Claims Act. The demand requests information and documents regarding Medicaid billing, patient services and referrals in connection with the Company’s PACE program in Colorado. The Company continues to fully cooperate with the Attorney General and produce the requested information and documentation. We are currently unable to predict the outcome of this investigation.

In February 2022, the Company received a civil investigative demand from the Department of Justice (“DOJ”) under the Federal False Claims Act on similar subject matter.  The demand requests information and documents regarding audits, billing, orders tracking, and quality and timeliness of patient services in connection with the Company’s PACE programs in the states where the Company operates (California, Colorado, New Mexico, Pennsylvania, and Virginia).  In December 2022, the Company received a supplemental civil investigative demand requesting supplemental information on the same matters. The Company continues to fully cooperate with the DOJ and produce the requested information and documentation.  We are currently unable to predict the outcome of this investigation.

On April 20, 2022, the Board of Directors of the Company received a books and records demand pursuant to Section 220 of the Delaware General Corporation Law, from a purported stockholder of the Company, in connection with the stockholder’s investigation of, among other matters, potential breaches of fiduciary duty, mismanagement, self-dealing, corporate waste or other violations of law by the Company’s Board with respect to these matters. We are currently unable to predict the outcome of this matter.

Because the results of legal proceedings and claims are inherently unpredictable and uncertain, we are currently unable to predict whether the legal proceedings we are involved in will, either individually or in the aggregate, have a material adverse effect on our business, financial condition, or cash flows. The outcomes of legal proceedings and claims could be material to the Company’s operating results for any particular period, depending in part, upon the operating results of such period. Regardless of the outcome, litigation has the potential to have an adverse impact on us due to any related defense and settlement costs, diversion of management resources, and other factors. 

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Note 12:10:  Stock-based Compensation

2016A summary of our aggregate stock-based compensation expense is set forth below. Stock-based compensation expense is included in corporate, general and administrative expenses on our consolidated statements of operations.

Six months ended December 31, 

Three months ended December 31, 

2022

    

2021

2022

    

2021

in thousands

in thousands

Stock options

$

533

$

90

$

261

$

90

Profits interests units

 

456

 

1,029

 

202

 

439

Restricted stock units

1,523

622

749

254

Total stock-based compensation expense

$

2,512

$

1,741

$

1,212

$

783

2020 Equity Incentive Plan

The Company maintainedProfits Interests

TCO Group Holdings, L.P. (the “LP”), the 2016Company’s largest shareholder and prior to the IPO, the Company’s parent, maintains the 2020 Equity Incentive Plan (the “2016 Incentive Plan”) pursuant to which various stock-based awards mayinterests in the LP in the form of Class B Units (profits interests) could be granted to employees, directors, consultants, and advisers. The totalA maximum number of shares of the Company’s common stock that is16,162,177 Class B Units were authorized for grant under the 20162020 Equity Incentive Plan was 17,836,636.Plan. As of June 30, 2020December 31, 2022, a total of 16,994,976 awards13,009,137 profits interests units had been granted. The 2016 Incentive Plan provided for the following general vesting terms:

(a)Half vested over time (“Time Vesting Awards”). Awards vested on the first anniversary of the grant date in the range of 25% to 62.5%, and the remaining awards that vested over time vest ratably on a semiannual basis thereafter through the fourth anniversary of the grant date.
(b)Half vested upon the attainment of certain performance-based criteria measured at the time the Company experiences a liquidity event, as defined by the 2016 Incentive Plan (“Contingent Performance-Based Awards”).

Stock options were exercisable over a period of time not to exceed 10 years from the date of grant.

Cancellation of Stock Option Awards Under 2016 Equity Incentive Plan

On July 27, 2020, TCO Group Holdings, Inc., Ignite Aggregator LP, and the equity holders of TCO Group Holdings, Inc. entered into a Securities Purchase Agreement, effective July 27, 2020. In addition, the Company amended and restated the 2016 Credit Agreement.

A portion of the proceeds from the 2016 Credit Agreement were used by the Company to repurchase 16,095,819 shares of its common stock from the certain members of management, the Board of Directors, and members of our equity partner. Additionally, as part of the Agreement, the Company executed the Cancellation Agreement which canceled the Company’s 16,994,976 common stock options which were granted under the 20162020 Equity Incentive Plan.

The Cancellation Agreement resulted inCompany used the Monte Carlo option holders receivingmodel to determine the same amountfair value of cash that they would have received had they exercised their options, participated in the repurchase described aboveprofits interests units at the time of the grant. There were no grants following the IPO and sold their remaining shares.during the six months ended December 31, 2022.

A summary of the stock optionprofits interests activity for the ninesix months ended MarchDecember 31, 2021,2022 was as follows:

Number of

Weighted average

Time-based unit awards

units

grant date fair value

Outstanding balance, June 30, 2022

 

2,158,072

$

1.28

Granted

$

Forfeited

 

(49,654)

$

1.28

Vested

(844,081)

$

1.28

Outstanding balance, December 31, 2022

 

1,264,337

$

1.28

Number of

Weighted average

Performance-based unit awards

units

grant date fair value

Outstanding balance, June 30, 2022

 

2,217,865

$

0.57

Granted

$

Forfeited

 

(99,307)

$

0.57

Vested

$

Outstanding balance, December 31, 2022

 

2,118,558

$

0.57

The total unrecognized compensation cost related to profits interests units outstanding as of December 31, 2022 was $2.5 million, comprised (i) $1.3 million related to time-based unit awards expected to be recognized over a weighted-average period of 0.9 years and (ii) $1.2 million related to performance-based unit awards, which will be recorded when it is probable that the performance-based criteria will be met.

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Time Vesting Awards2021 Omnibus Incentive Plan

Weighted-

Average

Number of

Option

Average

Remaining

    

Options

    

Price Range

    

Exercise Price

    

Term (in years)

Outstanding balance, June 30, 2020

    

8,497,488

    

$

1.00 - $ 2.35

    

1.26

    

6.76

Canceled

 

(8,497,488)

$

1.00 - $ 2.35

 

1.26

 

6.76

Outstanding balance, March 31, 2021

 

 

  

 

  

 

  

Contingent Performance-based Awards

Weighted-Average

Number of

Weighted-Average

Remaining

    

Options

    

Exercise Price

    

Term (in years)

Outstanding balance, June 30, 2020

    

8,497,488

    

$

0.78

6.76

Canceled

 

(8,497,488)

$

0.78

6.76

Outstanding balance, March 31, 2021

 

 

  

  

Profits Interests

The LP maintainsIn March 2021, the 2020 Equitycompensation committee of our Board of Directors approved the InnovAge Holding Corp. 2021 Omnibus Incentive Plan (the “2020“2021 Omnibus Incentive Plan”), pursuant to which interests in the LP in the form of Class B Units (profits interests)various stock-based awards may be granted to employees, directors, consultants, and advisers. A maximumThe total number of 16,162,177 Class B Units areshares of the Company’s common stock authorized for grant under the 20202021 Omnibus Incentive Plan. As ofPlan is 14,700,000. The Company has issued time-based restricted stock units under this plan to its employees which generally vest (i) on March 31, 2021, a total of 13,009,137 profits interests units have been granted.

These profits interests represented profits interest ownership in4, 2023, the LP tied solely to the accretion, if any, in the valuesecond anniversary of the LP followinggrant date, or (ii) over a three-year period with one-third vesting on each anniversary of the date of issuance of such profits interests. Profits interests participated in any increase of LP value related to their profits interests after the hurdle value hadgrant. Certain other vesting periods have also been achieved and the LP profits interests received the agreed-upon return on their invested capital.used. The Company granted 13,009,137 and 0 profits interests units during the nine months ended March 31, 2021 and 2020, respectively.

Each profits interests unit contains the following material terms:

(i)The profits interests receive distributions (other than tax distributions) only upon a liquidity event, as defined, that exceed a threshold equivalent to the fair value of the LP, as determined by the Company’s Board of Directors, at the grant date.
(ii)A portion of the units vest over a period of continuous employment or service (service-vesting units) while the other portion of the units only vest based on the level of aggregate multiple of invested capital and internal rate of return achieved by Ignite Aggregator upon a change of control of the Company, (performance-vesting units).

The performance-vesting units are subject to a market condition, which the Company incorporated as part of its determination of the grant date fair value of the units.

For performance-vestingrestricted stock units the Company recognizes unit-based compensation expense when it was probable that the performance condition would be achieved. The Company will analyze if a performance condition was probable for each reporting period through the settlement date for units subject to performance vesting. For service-vesting units, the Company will recognize unit-based compensation expense over the requisite service period for each separately vested portion of the profits interests as if the unit was, in-substance, multiple units. The hurdle value per unit is $5.49 for both the performance-vesting and service-vesting units.

The Company uses the Monte Carlo option model to determine the fair value of the granted profits interests units. The stock pricewith time based vesting is based on the closing market price realized inof our common stock on the equity owner transaction. Expecteddate of grant. Certain awards under this plan vest upon achieving specific share price performance criteria and are determined to have performance-based vesting conditions. The Company has issued time-based stock options under this plan to its employees which generally vest at various intervals over a three-year period. Certain awards under this plan vest upon achieving specific share price volatilityperformance criteria and are determined to have performance-based vesting conditions.

Restricted Stock Units

A summary of time-based vesting restricted stock units activity for the six months ended December 31, 2022 was as follows:

Weighted

    

    

average

Number of

grant-date fair

Restricted stock units - time based

awards

value per share

Outstanding balance, June 30, 2022

 

476,768

$

9.69

Granted

 

986,200

$

5.97

Forfeited

(155,741)

$

5.48

Vested

(97,727)

$

4.50

Outstanding balance, December 31, 2022

 

1,209,500

$

6.41

The total unrecognized compensation cost related to time based restricted stock units outstanding as of December 31, 2022 was $5.1 million and is expected to be recognized over a weighted-average period of 2.3 years.

A summary of performance based on considerationvesting restricted stock units activity for the six months ended December 31, 2022 was as follows:

Weighted

    

average

Number of

grant-date fair

Restricted stock units - performance based

awards

value per share

Outstanding balance, June 30, 2022

 

258,767

$

5.18

Granted

$

Forfeited

$

Vested

 

$

Outstanding balance, December 31, 2022

 

258,767

$

5.18

The total unrecognized compensation cost related to performance based vesting restricted stock units outstanding as of indications observed from several publicly traded peer companies. The risk-free interestDecember 31, 2022 was $1.0 million and is expected to be recognized over a weighted-average period of 2.8 years.

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rate is based on a treasury instrument whose term is consistent with the expected life of the unit. The dividend yield percentage is 0 because the Company neither currently pays dividends nor intends to do so during the expected term. The expected term of the units represents the time the units are expected to be outstanding.Nonqualified Stock Options

The following is aA summary of profits interests transactions and number of units outstanding:

Time Vesting Unitstime-based vesting stock option activity for the six months ended December 31, 2022 was as follows:

Weighted-

Number of

Average

    

Units

    

Grant Date FV

Outstanding balance, June 30, 2020

Granted

6,686,568

1.28

Forfeited

    

(99,307)

    

1.17

Outstanding balance, March 31, 2021

 

6,587,261

 

$

1.28

Performance-Vesting Units

Weighted-

Number of

Average

    

Units

    

Grant Date FV

Outstanding balance, June 30, 2020

Granted

    

6,322,569

    

$

0.57

Forfeited

    

(99,307)

    

0.44

Outstanding balance, March 31, 2021

 

6,223,262

 

$

0.57

The fair value of the profits interests units granted during the nine months ended March 31, 2021 under the 2020 Incentive Plan, was based upon a Monte Carlo option pricing model using the assumptions in the following table (presented on a weighted average basis):

    

2021

 

Expected volatility

    

44

%

Expected life (years) – Time vesting units

 

1.8

Interest rate

 

0.16

%

Dividend yield

 

0

%

Weighted-average fair values

$

1.28

Fair value of underlying stock

$

5.49

Weighted

    

average

Number of

grant-date fair

Stock options - time based

awards

value per share

Outstanding balance, June 30, 2022

 

554,499

$

1.61

Granted

 

81,082

$

0.80

Forfeited

$

Vested

(138,624)

$

0.28

Outstanding balance, December 31, 2022

 

496,957

$

0.90

The total unrecognized compensation cost related to all profits interests unitstime-based vesting stock options outstanding as of December 31, 2022 was $11.1 million. The unrecognized compensation cost related to the Time Vesting Units was $7.5$0.5 million and is expected to be recognized over a weighted-average period of 3.52.4 years.

The fair value of the time-based stock options granted during the six months ended December 31, 2022, was based upon the Black-Scholes option pricing model using the assumptions in the following table:

2022

Expected volatility

34.5

%

Weighted-average expected life (years) - time vesting units

2.9

Interest rate

 

1.56

%

Dividend yield

 

0

%

Weighted-average fair values

$

0.80

Fair value of underlying stock

 

$

3.70

A summary of performance-based vesting stock option activity for the six months ended December 31, 2022 was as follows:

Weighted

    

average

Number of

grant-date fair

Stock options - performance based

awards

value per share

Outstanding balance, June 30, 2022

 

776,299

$

3.08

Granted

 

$

Forfeited

$

Vested

$

Outstanding balance, December 31, 2022

 

776,299

$

3.08

The total unrecognized compensation cost related to the Performance-Vesting Unitsperformance-based vesting stock options outstanding as of December 31, 2022 was $3.6$1.7 million and willis expected to be recorded when it is probable that the performance-based criteria will be met.recognized over a weighted-average period of 2.9 years.

Compensation Expense

Note 11:  Income Taxes

The Company recognizes stock-based compensation expense on a straight-line basis overrecorded an income tax benefit of $2.9 million and an income tax provision of $1.2 million for the vesting periodthree months ended December 31, 2022 and includes such charges in employee benefits in2021, respectively. The Company recorded an income tax benefit of $6.4 million and an income tax provision of $4.2 million for the consolidated statements of operations.

Three Months Ended

Nine Months Ended

March 31, 

March 31, 

(In thousands)

    

2021

    

2020

2021

    

2020

Stock options

    

$

    

$

135

$

45,387

    

$

407

Profits interest units

 

530

 

 

1,102

 

Total share-based compensation expense

$

530

$

135

$

46,489

$

407

six months ended December 31, 2022 and 2021, respectively. This

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represents an effective tax rate of 20.9% and 32.5% for the three months ended December 31, 2022 and 2021, respectively. This represents an effective tax rate of 20.9% and 32.5% for the six months ended December 31, 2022 and 2021, respectively.

The effective rate for the six months ended December 31, 2022 was different from the federal statutory rate primarily due to the Company’s book loss offset partially by disallowed officers’ compensation under Internal Revenue Code (“IRC”) Section 162(m), disallowed stock options related to the profit interest units, exclusion of losses from entities not subject to tax, and lobbying expenses which occurred during the three month period.

The Company assesses the valuation allowance recorded against deferred tax assets at each reporting date. The determination of whether a valuation allowance for deferred tax assets is appropriate requires the evaluation of positive and negative evidence that can be objectively verified. Consideration must be given to all sources of taxable income available to realize deferred tax assets, including, as applicable, the future reversal of existing temporary differences, future taxable income forecasts exclusive of the reversal of temporary differences and carryforwards, taxable income in carryback years and tax planning strategies. In estimating income taxes, the Company assesses the relative merits and risks of the appropriate income tax treatment of transactions taking into account statutory, judicial, and regulatory guidance. As of the six-month period ended December 31, 2022, the Company has determined that it is not “more likely than not” that the deferred tax assets associated with certain state net operating losses will be realized and as such continues to maintain a valuation allowance against these state deferred tax assets. The Company has provided $4.1 million at each of December 31, 2022 and June 30, 2022, as a valuation allowance against its deferred tax assets for state net operating losses where there is not sufficient positive evidence to substantiate that these deferred tax assets will be realized at a more-likely-than-not level of assurance.

Note 13:12:  Earnings per Share

Basic earnings (loss) per share (“EPS”) is computed using the weighted-average number of common shares outstanding during the period. Diluted earnings per share is computed using the weighted-average number of common shares outstanding during the period, plus the dilutive effect of outstanding options, using the treasury stock method and the average market price of the Company’s common stock during the applicable period. When a loss from continuing operations exists, all dilutive securities and potentially dilutive securities are anti-dilutive and are therefore excluded from the computation of diluted earnings per share. When net income from continuing operations exists, performance-based units, are omitted from the calculation of diluted EPS until it is determined that the performance criteria has been met at the end of the reporting period. For the three and six months ended December 31, 2022, 424,316 and 14,076 potentially diluted securities, respectively, were excluded from the weighted-average shares used to calculate the diluted net loss per common share as they would have an anti-dilutive effect. There were no potentially dilutive shares for the three and six months ended December 31, 2021, therefore, there was no difference between basic and diluted net loss per common shares.

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The following table sets forth the computation of basic and diluted net loss per common share:

Three Months Ended March 31, 

Nine Months Ended March 31, 

Three months ended December 31, 

 

Six months ended December 31, 

(In thousands, except share values)

2021

2020

2021

2020

in thousands, except share values

    

2022

    

2021

 

2022

    

2021

Net income (loss) attributable to InnovAge Holding Corp.

    

$

(10,510)

    

$

8,138

$

(50,460)

    

$

14,181

$

(9,793)

$

1,323

$

(22,866)

$

9,009

Weighted average common shares outstanding (basic)

 

121,324,980

 

132,616,431

 

119,619,806

 

132,616,431

 

135,578,888

 

135,516,513

 

135,572,503

 

135,516,513

EPS (basic)

$

(0.09)

$

0.06

$

(0.42)

$

0.11

$

(0.07)

$

0.01

$

(0.17)

$

0.07

Dilutive shares

 

 

1,751,571

 

 

1,176,554

 

 

 

 

Weighted average common shares outstanding (diluted)

 

121,324,980

 

134,368,002

 

119,619,806

 

133,792,985

 

135,578,888

 

135,516,513

 

135,572,503

 

135,516,513

EPS (diluted)

$

(0.09)

$

0.06

$

(0.42)

$

0.11

$

(0.07)

$

0.01

$

(0.17)

$

0.07

Note 14: Treasury Stock

On July 27, 2020, as a part of the amendment and restatement of the 2016 Credit Agreement, a portion of the proceeds were used by the Company to repurchase 16,095,819 shares of its common stock from certain members of management, our Board of Directors and our equity partner, at $4.82 per share. As a result of the repurchase, $77.6 million was recorded as Treasury stock, see Note 3 for further discussion. In March 2021, the Company retired all outstanding shares of Treasury stock and at March 31, 2021 there were 0 shares of treasury stock outstanding.

Note 15: Income Taxes

The Company recorded an income tax benefit of $(4.3) million and a tax provision of $2.9 million for the three months ended March 31, 2021 and 2020, respectively. The Company recorded an income tax provision of $5.2 million and $5.0 million for the nine months ended March 31, 2021 and 2020, respectively. This represents an effective tax rate of 28.2% and 26.4% for the three months ended March 31, 2021 and 2020, respectively. This represents an effective tax rate of (11.2)% and (26.4)% for the nine months ended March 31, 2021 and 2020, respectively.

The effective rate for the nine months ended March 31, 2021 was different from the federal statutory rate primarily due to disallowed officers’ compensation under Internal Revenue Code (“IRC”) Section 162(m), lobbying expenses, transaction costs, and payments of contingent consideration which occurred during the nine month period.

The Company assesses the valuation allowance recorded against deferred tax assets at each reporting date. The determination of whether a valuation allowance for deferred tax assets is appropriate requires the evaluation of positive and negative evidence that can be objectively verified. Consideration must be given to all sources of taxable income available to realize deferred tax assets, including, as applicable, the future reversal of existing

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temporary differences, future taxable income forecasts exclusive of the reversal of temporary differences and carryforwards, taxable income in carryback years and tax planning strategies. In estimating income taxes, the Company assesses the relative merits and risks of the appropriate income tax treatment of transactions taking into account statutory, judicial, and regulatory guidance. As of the nine-month period ended March 31, 2021, the Company has determined that it is not “more likely than not” that the deferred tax assets associated with certain state net operating losses will be realized and as such continues to maintain a valuation allowance against these state deferred tax assets.

The CARES Act, among other things, includes provisions relating to refundable payroll tax credits, deferment of the employer portion of social security payments, net operating loss carryback periods, alternative minimum tax credit refunds, modifications to the net interest deduction limitation and technical corrections to tax depreciation methods for qualified improvement property. The Company continues to examine the impacts that the CARES Act may have on its business. While several of these provisions may impact the Company, there have not been any significant impacts noted through March 31, 2021.

Note 16:13:  Segment Reporting

The Company applies ASC Topic 280, "Segment"Segment Reporting," which establishes requirements to report selected segment information quarterly and to report annually entity-wide disclosures about operations, major customers and the geographies in which the entity holds material assets and reports revenue. An operating segment is defined as a component that engages in business activities whose operating results are reviewed by the Company’s chief executive officer, who is the chief operating decision maker (“CODM”), and for which discrete financial information is available. The Company has determined that it has 5five operating segments, 3three of which are related to the Company’s PACE offering. The PACE-related operating segments are based on 3three geographic divisions, which are West, Central, and East. Due to the similar economic characteristics, nature of services, and customers, we have aggregated our West, Central, and East operating segments into 1one reportable segment for PACE. The company’sCompany’s remaining 2two operating segments relate to Homecare and Senior Housing, which are immaterial operating segments, and are shown below as "Other" along with certain corporate unallocated expenses.

The Company serves approximately 6,700 PACE participants, making it the largest PACE provider in the U.S. based upon participants served, and operates 18 PACE centers across Colorado, California, New Mexico, Pennsylvania and Virginia. PACE, an alternative to nursing homes, is a managed care, capitated program, which serves the frail elderly in a community-based service model. Participants receive all medical services through a comprehensive, consolidated model of care. Capitation payments are received from Medicare parts C and D; Medicaid; VA, and private pay sources. The Company is at risk for all health and allied care costs incurred with respect to the care of its participants, although it does negotiate discounted rates with its provider network consisting of hospitals, nursing homes, assisted living facilities, and medical specialists. Additionally, under the Medicare Prescription Drug Plan, the CMS share part of the risk for providing prescription medication to the Company’s participants.

The Company evaluates performance and allocates capital resources to each segment based on an operating model that is designed to maximize the qualityprovision of careservices provided and profitability. The Company does not review assets by segment and therefore assets by segment are not disclosed below. For the periods presented, all of the Company’s long-lived assets were located in the U.S.United States and all revenue was earned in the U.S.United States.

The Company’s management uses Center-level Contribution Margin as the measure for assessing performance of its segments. Center-level Contribution Margin is defined as total segment revenues less external provider costs and cost of care (excluding depreciation and amortization)., which includes all medical and pharmacy costs. The Company allocates corporate level expenses to its segments with a majority of the allocation going to the PACE segment.

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The following table summarizes the operating results regularly provided to the CODM by reportable segment for the three months ended:ended December 31, 2022 and 2021:

March 31, 2021

March 31, 2020

December 31, 2022

December 31, 2021

(In thousands)

    

PACE

    

All other(1)

    

Totals

    

PACE

    

All other(1)

    

Totals

    

PACE

    

All other(1)

    

Totals

    

PACE

    

All other(1)

    

Totals

Capitation revenue

$

155,835

$

$

155,835

$

144,174

$

$

144,174

$

167,140

$

$

167,140

$

174,964

$

$

174,964

Other service revenue

 

(47)

 

520

 

473

 

(56)

 

652

 

596

 

99

 

217

 

316

 

60

 

326

 

386

Total revenues

 

155,788

 

520

 

156,308

 

144,118

 

652

 

144,770

 

167,239

 

217

 

167,456

 

175,024

 

326

 

175,350

External provider costs

 

75,389

 

 

75,389

 

71,022

 

 

71,022

 

93,507

 

 

93,507

 

91,033

 

 

91,033

Cost of care, excluding depreciation and amortization

 

38,867

 

698

 

39,565

 

38,559

 

726

 

39,285

 

51,184

 

192

 

51,376

 

42,478

 

433

 

42,911

Center-Level Contribution Margin

 

41,532

 

(178)

 

41,354

 

34,537

 

(74)

 

34,463

 

22,548

 

25

 

22,573

 

41,513

 

(107)

41,406

Overhead costs(2)

 

24,217

 

(30)

 

24,187

 

18,614

 

42

 

18,656

 

32,532

 

59

 

32,591

 

35,160

 

1

 

35,161

Depreciation and amortization

 

3,181

 

130

 

3,311

 

2,619

 

150

 

2,769

 

3,555

 

107

 

3,662

 

3,185

 

107

 

3,292

Equity loss

 

 

 

 

163

 

 

163

Other operating (income) expense

 

19,222

 

 

19,222

 

(99)

 

 

(99)

Interest expense, net

 

4,824

 

52

 

4,876

 

2,317

 

44

 

2,361

 

(177)

 

(46)

 

(223)

 

(624)

 

(50)

 

(674)

Loss on extinguishment of debt

 

13,488

 

 

13,488

 

 

 

Gain on equity method investment

 

(10,871)

 

 

(10,871)

 

 

 

Other expense (income)

 

2,267

 

 

2,267

 

(244)

 

 

(244)

 

444

 

 

444

 

29

 

(1)

 

28

Income (Loss) Before Income Taxes

$

(14,796)

$

(330)

$

(15,126)

$

11,167

$

(310)

$

10,857

$

(13,272)

$

(187)

$

(13,459)

$

2,573

$

(266)

$

2,307

The following table summarizes the operating results regularly provided to the CODM by reportable segment for the ninesix months ended:ended December 31, 2022 and 2021:

March 31, 2021

March 31, 2020

(In thousands)

    

PACE

    

All other(1)

    

Totals

    

PACE

    

All other(1)

    

Totals

Capitation revenue

$

464,294

$

$

464,294

$

412,724

$

$

412,724

Other service revenue

 

213

 

1,677

 

1,890

 

(1,112)

 

3,088

 

1,976

Total revenues

 

464,507

 

1,677

 

466,184

 

411,612

 

3,088

 

414,700

External provider costs

 

224,215

 

 

224,215

 

204,387

 

 

204,387

Cost of care, excluding depreciation and amortization

 

113,611

 

2,311

 

115,922

 

111,021

 

3,444

 

114,465

Center-Level Contribution Margin

 

126,681

 

(634)

 

126,047

 

96,204

 

(356)

 

95,848

Overhead costs(2)

 

120,249

 

(13)

 

120,236

 

56,846

 

(24)

 

56,822

Depreciation and amortization

 

8,901

 

361

 

9,262

 

7,525

 

785

 

8,310

Equity loss

 

1,343

 

 

1,343

 

201

 

2

 

203

Other operating (income) expense

 

18,211

 

 

18,211

 

(252)

 

2

 

(250)

Interest expense, net

 

16,919

 

142

 

17,061

 

11,025

 

262

 

11,287

Loss on extinguishment of debt

 

14,479

 

 

14,479

 

 

 

Gain on equity method investment

(10,871)

(10,871)

Other expense (income)

 

2,222

 

 

2,222

 

673

 

62

 

735

Income (Loss) Before Income Taxes

$

(44,772)

$

(1,124)

$

(45,896)

$

20,186

$

(1,445)

$

18,741

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December 31, 2022

December 31, 2021

in thousands

    

PACE

    

All other(1)

    

Totals

    

PACE

    

All other(1)

    

Totals

Capitation revenue

$

338,071

$

$

338,071

$

347,518

$

$

347,518

Other service revenue

 

176

 

427

 

603

 

69

 

833

 

902

Total revenues

 

338,247

 

427

 

338,674

 

347,587

 

833

 

348,420

External provider costs

 

189,744

 

 

189,744

 

181,045

 

 

181,045

Cost of care, excluding depreciation and amortization

 

104,595

 

338

 

104,933

 

82,579

 

1,060

 

83,639

Center-Level Contribution Margin

 

43,908

 

89

 

43,997

 

83,963

 

(227)

 

83,736

Overhead costs(2)

 

67,107

 

79

 

67,186

 

62,551

 

(13)

 

62,538

Depreciation and amortization

 

6,881

 

214

 

7,095

 

6,370

 

215

 

6,585

Interest expense, net

 

(735)

 

(91)

 

(826)

 

(1,120)

 

(101)

 

(1,221)

Other expense (income)

 

480

 

 

480

 

(464)

 

(1)

 

(465)

Income (Loss) Before Income Taxes

$

(30,335)

$

(295)

$

(30,630)

$

13,458

$

(531)

$

12,927

(1)Center-level Contribution Margin from segments below the quantitative thresholds are attributable to two operating segments of the Company. Those segments consist of Homecare and Senior Housing. Neither of those segments has ever met any of the quantitative thresholds for determining reportable segments.
(1)Center-level Contribution Margin from segments below the quantitative thresholds are attributable to 2 operating segments of the Company. Those segments consist of Homecare and Senior Housing. Neither of those segments has ever met any of the quantitative thresholds for determining reportable segments.
(2)Overhead consists of the Sales and marketing and Corporate, general and administrative financial statement line items.

Note 17:14:  Related-partyRelated Party Transactions

Pursuant to the PWD Amended and Restated Agreement of Limited Partnership, the general partner, who is a subsidiary of the Company (the “General Partner”), helped fund operating deficits and shortfalls of PWD in the form of a loan. At Marcheach of December 31, 20212022 and June 30, 2020,2022, $0.7 million and $0.6 million, respectively, was recorded in Deposits and other. Additionally, the general partnerGeneral Partner is paid an administration fee of $35,000 per year.

In accordance with the Management Service Agreement between the Company and the joint venture partner, the Company is responsible for the daily operations of the joint venture InnovAge Sacramento. For the six months ended December 31, 2020, the Company generated $0.3 million in management fee revenue, which was recorded in other service revenue. For the three months ended March 31, 2021, management fee revenue was eliminated in consolidation as the results of InnovAge Sacramento are consolidated effective January 1, 2021. Management fee revenue was insignificant during the nine months ended March 31, 2020.

Note 18:15:  Subsequent Events

On January 23, 2023, CMS and the Colorado Department of Healthcare Policy & Financing (“HCPF”) released the enrollment sanctions for all of our Colorado centers. CMS and HCPF will require the Company to conduct post-sanction corrective action and monitoring activities to address any issues identified during the validation audits. The release of both sanctions permits the Company has evaluated subsequent events through May 11, 2021, the date on which the consolidated financial statements were issued.to resume normal enrollment of eligible Colorado seniors into its PACE program at its six Colorado centers.

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Item 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion of our financial condition and results of operations should be read in conjunction with our condensed consolidated financial statements and the related notes included elsewhere in this Quarterly Report on Form 10-Q. The discussion contains forward-looking statements that are based on the beliefs of management, as well as assumptions made by, and information currently available to, our management. Readers are cautioned not to place undue reliance on any forward-looking statements, as forward-looking statements are not guarantees of future performance and the Company’s actual results may differ significantly due to numerous known and unknown risks and uncertainties, including those discussed below and in the section entitled “Cautionary Note on Forward-Looking Statements.” Those known risks and uncertainties include, but are not limited to, the risk factors identified in the section titled “Risk Factors” in this Quarterly Report on Form 10-Q and in our Annual Report on Form 10-K for the IPO Prospectus.fiscal year ended June 30, 2022 (“2022 10-K”).

Executive Overview

We areInnovAge Holding Corp. (“InnovAge”) became a public company in March 2021. As of December 31, 2022, the leading healthcare delivery platform by number ofCompany served approximately 6,460 PACE participants, focused on providing all-inclusive, capitated care to high-cost, dual-eligible seniors. We directly address twoand operated 18 PACE centers across Colorado, California, New Mexico, Pennsylvania, and Virginia.  

Trends and Uncertainties Affecting the Company

During fiscal year 2022, the U.S. and global economies experienced adverse macroeconomic effects in part resulting from the ongoing effects of the most pressing challenges facingCOVID-19 pandemic, as discussed in more detail below. These effects included inflation and increased wages due to labor shortages. In fiscal year 2022, in response to high levels of inflation, we began to implement various mitigation strategies to reduce costs of operation, including consolidating services and price negotiations with providers and vendors. While inflationary pressures eased slightly during the U.S. healthcare industry: rising coststhree and poor outcomes. Our patient-centered care delivery approach meaningfully improvessix months ended December 31, 2022, inflation has continued during the qualityfirst half of carefiscal 2023 and is expected to continue through the remainder of the fiscal year. As a result, the Company has continued the mitigation strategies discussed during the six months ended December 31, 2022. The effects of inflation, after accounting for these mitigation strategies, were immaterial to our participants receive, while keeping them in their homesfinancial results for as long as safely possiblethe three and reducing over-utilization of high-cost care settings such as hospitals and nursing homes. Our patient-centered approach is led bysix months ended December 31, 2022. Although we expect to continue mitigation efforts, there can be no assurance that our interdisciplinary care teams (“IDTs”), who design, manage and coordinate each participant’s personalized care plan. We directly manage and are responsible for all healthcare needs and associated costs for our participants. We directly contract with government payors, such as Medicare and Medicaid, and do not rely on third-party administrative organizations or health plans. We believe our model aligns with how healthcare is evolving, namely (1) the shift toward value-based care, in which coordinated, outcomes-driven, high-quality care is delivered while reducing unnecessary spend, (2) eliminating excessive administrative costs by contracting directly with the government, (3) focusing on the patient experience and (4) addressing social determinants of health.strategies will be sufficient.

Recent Developments

On March 3, 2021, the Company’s Registration Statement on Form S-1 with respect to the Company’s initial public offering (“IPO”) was declared effective by the Securities and Exchange Commission (“SEC”). The Company’s common stock began trading on March 3, 2021 on Nasdaq Stock Market LLC (“NASDAQ”) under the ticker symbol “INNV.”

On March 8, 2021, we completed our IPO in which we issued and sold 16,666,667 shares of common stock at an offering price of $21.00 per share. In addition, the underwriters exercisedincreased wage pressure, exacerbated by the optionlabor shortage, increased the cost of providing care and our overall operating expenses during the six months ended December 31, 2022. The combination of increased wage pressure and labor shortage amongst healthcare personnel, and specifically, trained personnel, has impacted and may continue to purchase 2,329,234 additional sharesimpact our expenses and ability to adhere to the complex government laws and regulations that apply to our business.

Furthermore, operating expenses increased $35.2 million, or 10.5%, for the six months ended December 31, 2022 compared to 2021 due to, in part, the increased cost of common stock.care and related cost per participant as a result of increased salaries, wages and benefits associated with increased headcount and higher wage rates, third party audit and compliance support, increased fleet and contract transportation, increase in external appointments, and higher fuel costs. We received net proceedsexpect to experience elevated operating expenses for the remainder of $373.6 million, after deducting underwriting discountsfiscal 2023. We continue to evaluate increased costs and commissionsmethods to mitigate or offset such costs.

Impact of $23.9 millionMacroeconomic Conditions and deferred offering costs of $1.4 million. Deferred, direct offering costs were capitalized and consisted of fees and expenses incurred in connection with the sale of our common stock in the IPO, including the legal, accounting, printing and other offering related costs. Upon completion of the IPO, these deferred offering costs were recorded against the net proceeds from the offering.

COVID-19

The Company made an additional contribution of $52,000 to and obtained control of InnovAge California PACE-Sacramento, LLC (“InnovAge Sacramento”), effective January 1, 2021. Accordingly, beginning January 1, 2021, the results of InnovAge Sacramento are included in our consolidated results of operations. This resulted in a gain on consolidation of $10.9 million, which is recorded in gain on equity method investment on the condensed consolidated statement of operations.

Impact of COVID-19

The rapid spread of the novel coronavirus disease (“COVID-19”) around the world and throughout the United States of America (“U.S.”) has pandemic altered the behavior of businesses and people, with significant negativethe effects on

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which, to some extent, continue on federal, state and local economies, the durationincluding as a result of whichnew virus variants that have resulted in renewed mask mandates in certain circumstances.

Expenses. The virus has and continues to be uncertain at this time. The virus disproportionately impactsimpact older adults, especially those with chronic illnesses, which describes our participants. We have experienced or expect to experience the following impacts on our business model due to COVID-19:

Care Model. Though the COVID-19 pandemic has altered the mix of settings where we deliver care, our multimodal model has ensured that our participants continue to receive the care they need. As a result of the COVID-19 pandemic, we have transitioned much of our care to in-home and telehealth services, while increasing participant visit volume and maintaining continuity of care. We closed all our centers on March 18, 2020 and transitioned to a 100% in-home and virtual care model that allowed for a seamless delivery of care. We structured our care teams to deliver in-home services that otherwise would have occurred at our centers. Our physicians are equipped with several telehealth platforms to provide virtual care and utilize the option best suited for each individual participant’s preferences and needs. Our aim is to keep the virtual setting simple to use, convenient and effective. If a participant lacks access to a device or is unable to use technology, we offer to provide them a device or dispatch a team member to their home to assist. For all of these reasons, our telehealth solution has received high satisfaction among participants, caregivers and IDTs. In addition to increased telehealth and in-home care, we have repurposed our existing infrastructure and workforce to support care delivery during the COVID-19 pandemic.

Growth. As a result of the COVID-19 pandemic, at the end of March 2020, we pivoted to a virtual enrollment model due to safety concerns for our employees and participants and to comply with local government ordinances. We also realigned our marketing strategy to increase our focus on digital channels during the COVID-19 pandemic and to reach those searching for senior care alternatives.

Revenue. Our revenue is capitated and not determined by the number of times we interact with our participants face-to-face. As of March 31, 2021, we had not experienced a decline in revenue as a result of the COVID-19 pandemic. The capitation payments we receive from Medicare are risk-adjusted based on documented encounters and diagnosed conditions. Government payors require that participants’ health issues be documented annually regardless of the permanence of the underlying causes. Historically, this documentation has been required to be completed during an in-person visit with a participant, but Centers for Medicare and Medicaid Services (“CMS”) is now allowing documentation of conditions identified during qualifying telehealth visits with participants. Given the disruption caused by the COVID-19 pandemic, it is unclear whether we will be able to document the health conditions of our participants as comprehensively as we did prior to the COVID-19 pandemic, which may adversely impact Medicare risk adjustment factor (“RAF”) scores and our resulting revenue in future periods.

Expenses. Though the distribution of expenses across expense categories changed as a result of the COVID-19 pandemic, we did not experience material changes in our aggregate expenses. Our internal care delivery costs remained largely the same as we remained fully staffed to execute on our participants’ care plans, albeit through a different mix of care settings. Though we experienced fewer emergency room visits than normal in the early months of the COVID-19 pandemic, the frail nature of our participant population necessitates very limited instances of deferrable care otherwise. As a result of the non-deferrable nature of most of our participants’ third-party medical needs, we experienced no material changes to total external provider costs as a result of the COVID-19 pandemic.

The United States continues to experienceexperienced supply chain issues with respect to personal protective equipment (“PPE”) and other medical supplies used to prevent transmissionduring the height of COVID-19. During 2020, we acquired significantly greater quantities of medical supplies at significantlythe pandemic. Global logistics network challenges resulted in higher prices than normal to ensure the safety of our employees and our participants. These incremental costs represent less than 1.4% of our total cost of care for the fiscal year ended June 30, 2020. While the price of PPE may remain higher than historical levels for the foreseeable future, we do not expect these incremental costs to be material as a percentage of our total expenses.

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for medical supplies we require. While supply chain disruptions have adversely affected, and may continue to adversely affect, our business and outlook, supply chain disruptions have improved to almost pre-pandemic level during the course of the first half of fiscal 2023. As a result, prices for most medical supplies have normalized.  

Labor market. The COVID-19 pandemic has and continues to exacerbate difficulties to hire additional healthcare professionals, causing certain of our centers to be understaffed or staffed with personnel that requires training. In fiscal year 2022, we experienced workforce and labor shortages, within all of our centers. This labor pressure has eased slightly during the six months ended December 31, 2022. While the labor pressure and related costs have eased slightly, the Company continues to be affected by the increased competition in the labor market and market adjustments to increase retention and improve our ability to hire. These adjustments contributed, in part, to an increase in cost of care for the six months ended December 31, 2022, further impacted by additional staffing related to compliance and remediation efforts. This increase in conjunction with higher headcount has contributed to increased cost of care for the six months ended December 31, 2022 compared to the six months ended December 31, 2021 as discussed in “Results of Operations” below. We continue to assess key roles and benchmarks to market while monitoring trends in the labor market.

For additional information on the various risks posed by macroeconomic events and the ongoing COVID-19 pandemic, please see the section entitled “Risk Factors” included in Part I, Item 1A of our 2022 10-K.

Key Factors Affecting Our Performance

Our historical financial performance has been, and we expect our financial performance in the future to be, driven by the following factors:

Our participants.
Our ability to effectively implement remediation efforts in our centers as a result of our recent audits. The Company’s priority is to remediate the deficiencies raised in the audit processes in California, Colorado and New Mexico. As part of its actions to do so, the Company has worked with the appropriate authorities to make the necessary changes within the Company to increase care coordination and care documentation among our centers, including working to fill critical personnel gaps at our centers, standardizing the process of our Interdisciplinary Care Teams (“IDTs”), strengthening our home care network and reliability, improving timelines of scheduling and coordinating care with providers outside our centers, among others. See “Audit Processes and Remediation Efforts” below.
Our participants.We focus on providing all-inclusive care to frail, high-cost, dual-eligible seniors. We directly contract with government payors, such as Medicare and Medicaid, through PACE and receive a capitated risk-adjusted payment to manage the totality of a participant’s medical care across all settings. InnovAge manages participants that are, on average, more complex and medically fragile than other Medicare-eligible patients, including those in Medicare Advantage (“MA”) programs. As a result, we receive larger payments for our participants compared to MA participants. This is driven by two factors: (i) we manage a higher acuity population, with an average risk adjustment factor (“RAF”) score of 2.31 based on InnovAge data as of December 31, 2022; and (ii) we manage Medicaid spend in addition to Medicare. Our participants are managed on a capitated, or at-risk basis, where InnovAge is financially responsible for all of participant medical costs. Our comprehensive care model and globally capitated payments are designed to cover participants from enrollment until the end of life, including coverage for participants requiring hospice and palliative care. For dual-eligible participants, we receive per member, per month (“PMPM”) payments directly from Medicare and Medicaid, which provides recurring revenue streams and significant visibility into our revenue. The Medicare portion of our capitated payment is risk-based on the underlying medical conditions and frailty of each participant.
Our ability to grow enrollment and capacity within existing centers. We believe all seniors should have access to the type of all-inclusive care offered by the PACE model. Several factors can affect our ability to grow enrollment and capacity within existing centers, including sanctions issued by regulators. Even though enrollment sanctions have been released in the  State of Colorado, our ability to enroll Medicaid recipients, which is required to enroll seniors with both Medicare and Medicaid, remain suspended at our Sacramento, California center by the Department of Health Care Services (“DHCS”) of the State of California.

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Our ability to maintain high participant satisfaction and retention. We achieved a 79% participant satisfaction rating as of October 1, 2022 and average participant tenure was 3.2 years as of December 31, 2022, measured as tenure from enrollment to disenrollment, among our centers that have been operated by us for at least five years. Furthermore, we experience low levels of voluntary disenrollment, averaging 5.7% annually over the last three fiscal years. Approximately 75% of our historical disenrollments have been involuntary, due primarily to participant death or otherwise due to participants moving out of our service areas.
Effectively managing the cost of care for our participants. We receive capitated payments to manage the totality of a participant’s medical care across all settings. Because our participants are among the most frail and medically complex individuals in the U.S. healthcare system, our external provider costs and cost of care, excluding depreciation and amortization, represented approximately 87% of our revenue in the six months ended December 31, 2022. While we are liable for potentially large medical claims, our care model focuses on delivering high-quality medical care in cost efficient, community-based settings as a means of avoiding costly inpatient and outpatient services. However, our participants retain the freedom to seek care at sites of their choice, including hospitals and emergency rooms; we do not restrict participant access to care.
Center-level Contribution Margin. As we serve more participants in existing centers, we leverage our fixed cost base at those centers and the value of a center to our business increases over time. The enrollment sanctions in Sacramento, California and Colorado limited our ability to grow our participant census and impact Center-level Contribution Margin in fiscal 2022 and the first half of fiscal 2023.
Our ability to expand via acquisition or de novo centers within existing and new markets. Several factors can affect our ability to open de novo centers, including sanctions issued by regulators. On January 7, 2022, DHCS of the State of California notified us that it was suspending the State’s previously provided assurances that it would enter into a PACE program agreement with the Company (State Attestations) with respect to de novo centers in the State of California until such time as the corrective action plans (“CAPs”) and the remediation and validation processes for our Sacramento center have been successfully completed and the enrollment sanctions are lifted. In addition, on February 9, 2022, we received notice from the Cabinet for Health and Family Services of the State of Kentucky informing us that they no longer intend to enter into an agreement with us to be a PACE provider in the State of Kentucky. On February 14, 2022, CMS denied our application to develop the previously announced PACE center in Terre Haute, Indiana, which was projected to open in fiscal year 2024 based on deficiencies detected during CMS’ 2021 audits of our Sacramento and Colorado PACE programs. In addition, we have committed to CMS and the Agency for Healthcare Administration in the State of Florida, that we will proactively pause remaining steps with respect to de novo centers to focus on remediating deficiencies raised in the audit processes.
Execute tuck-in acquisitions. From fiscal year 2019 through fiscal year 2021, we acquired and integrated three PACE organizations, expanding our InnovAge Platform to one new state and four new markets through those acquisitions. We are disciplined in our approach to acquisitions and have executed multiple types of transactions, including turnarounds and non-profit conversions. Historically, when integrating acquired programs, we worked closely with key constituencies, including local governments, health systems and senior housing providers, to enable continuity of high-quality care for participants. Once restrictions on our ability to open de novo centers are lifted or resolved, we intend to resume execution of tuck-in acquisitions.
Contracting with government payors. Our economic model relies on our capitated arrangements with government payors, namely Medicare and Medicaid. We view the government not only as a payor but also as a key partner in our efforts to expand into new geographies and access more participants in our existing markets. Maintaining, supporting and growing these relationships in existing markets as well as new geographies, is critical to our long-term success.
Investing to support growth. We intend to continue investing in our centers, value-based care model, and sales and marketing organization to support long-term growth. We expect our expenses to increase in absolute dollars for the foreseeable future to support our growth and due to additional costs we are incurring

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and expect to incur as a public company, including expenses related to compliance with the rules and regulations of the SEC and the listing standards of Nasdaq, additional corporate and director and officer insurance, investor relations and increased legal, audit, reporting and consulting fees. We also expect to incur additional expenses for the foreseeable future in connection with current and future audits to our centers, remediation plans and current and potential legal and regulatory proceedings. We plan to invest in future growth judiciously and maintain focus on managing our results of operations. Accordingly, in the short term we expect the activities noted above to increase our expenses as a percentage of revenue, but in the longer term, we anticipate that these investments will positively impact our business and results of operations.
Seasonality of our business. Our operational and financial results, including medical costs and per-participant revenue true-ups, will experience some variability depending upon the time of year in which they are measured. Medical costs vary most significantly as a result of (i) the weather, with certain illnesses, such as the influenza virus, being more prevalent during colder months of the year, which generally increases per-participant costs and (ii) the number of business days in a period, with shorter periods generally having lower medical costs all else equal. Per-participant revenue true-ups represent the difference between our estimate of per-participant capitation revenue to be received and actual revenue received by CMS, which is based on CMS’s determination of a participant’s Risk Adjustment Factor score as measured twice per year and is based on the evolving acuity of a participant. Based on the difference between our estimate and the final determination from CMS, we may receive incremental true up revenue or be required to repay certain amounts. Historically, these true-up payments typically occur between May and August, but the timing of these payments is determined by CMS, and we have neither visibility into nor control over the timing of such payments.

Audit Processes and Remediation Efforts

We are routinely subject to, and will continue to be subject to, various governmental inspections, reviews and audits. Set forth below is a summary of the ongoing audits at our centers and updates on such audit processes.

Colorado. In December 2021, each of CMS and the Colorado Department of Health Care Policy & Financing (“HCPF”) suspended new enrollments at the Company’s Colorado centers, based on deficiencies related to participant provision of services detected in the joint audit initiated in May and June 2021. On January 23, 2023, both CMS and HCPF released the enrollment sanctions for all Colorado centers. CMS and HCPF require that we conduct post-sanction corrective action and monitoring activities to address any issues identified during the validation audits.

California. On May 10, 2021, CMS began an audit of our Sacramento, California center. InSeptember 2021, CMS suspended new enrollments at our Sacramento center based on deficiencies detected in the audit related to participant provision of services. In that same month, we were further notified that the DHCS had reached the same determination. In October 2021, we submitted a CAP to each of these agencies and began executing the CAPs. Effective November 21, 2022, CMS released the enrollment sanction for Medicare-eligible participants. The DHCS has not lifted the state sanction. The DHCS audit outcome determines our ability to enroll Medicaid recipients, which is required to enroll seniors with both Medicare and Medicaid. Timing and results of validation from DHCS are uncertain, and there can be no assurance that the agency will agree with us or release us from sanction.

In January 2022, DHCS notified us that it was suspending the State Attestations with respect to de novo centers in the State of California until such time as its enrollment sanctions are lifted.

In March 2022, CMS and DHCS began separate audits of our San Bernardino, California center. On January 11, 2023, CMS closed its audit. There has been no additional activity related to the DHCS audit; however, DHCS has not officially closed the audit.

New Mexico. In November 2021, CMS began an audit of our Albuquerque, NewMexico center. In July 2022, CMS verbally notified us that no enforcement actions will be taken, and in October 2022, CMS issued a final audit report. To address the deficiencies related to participant provision of services identified in the audit, we implemented iCARs and CARs and are currently working with CMS on the audit close out process.

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Kentucky, Indiana and Florida. The States of Kentucky and Indiana have taken actions to suspend our ability to open de novo centers in those states, and we have committed to regulatory agencies in the State of Florida, that we will proactively pause remaining steps with respect to planned de novo centers in that state.

The Company’s priority is to remediate the deficiencies raised in the audit processes and to return to growth as a company, both for the short- and long-term. We continue to work with the appropriate authorities to make the necessary changes within the Company to increase care coordination and care documentation among our centers.

Components of Results of Operations

Revenue

Capitation Revenue.   In order to provide comprehensive services to manage the totality of a participant’s medical care across all settings. InnovAge manages participantssettings, we receive fixed or capitated fees per participant that are on average, more complexpaid monthly by Medicare, Medicaid, Veterans Affairs (“VA”) and medically fragile than other Medicare-eligible patients, including those in Medicare Advantage programs. As a result, we receive larger payments for our participants compared to Medicare Advantage participants. This is driven by two factors: (1) we manage a higher acuity population, with an average Medicare RAF score of 2.39 as of March 31, 2021 compared to an average RAF score of 1.08 for Medicare fee-for-service non-dual enrollees; and (2) we manage Medicaid spend in addition to Medicare.private pay sources.

Our participantsMedicaid and Medicare capitation revenues are managedbased on PMPM capitation rates under the PACE program. The PACE state contracts between us and the respective state Medicaid administering agency are amended annually each June 30 in all states other than California and Pennsylvania, which contract on a capitated, or at-risk, basis, where InnovAge is financially responsiblecalendar-year basis. New amendments have been executed for the periods (i) January 1, 2021 through December 31, 2025 for California and (ii) July 1, 2022 through June 30, 2023 for all other states, except Pennsylvania, for which we are currently operating in good standing under the 2020 amended agreement while the agency finalizes its current amendment. For a discussion of their medical costs, including primaryour revenue recognition policies, please see Critical Accounting Estimates below and specialist care, in-home care, hospital visits, nutrition, transportationNote 2 “Summary of Significant Accounting Policies” to our care centers and to other medical appointments, pharmacy and behavioral health. Our care model and payments are designed to cover participants from enrollment until the end of life, including coverage for participants requiring hospice and palliative care. For dual-eligible participants, we receive a risk-adjusted PMPM payment directly from Medicare and Medicaid, which provides recurring revenue streams and significant visibility intoconsolidated financial statements included in our revenue growth trajectory.

The Medicare portion of our capitated payment is risk-adjusted based on the underlying medical conditions and frailty of each participant. Our IDTs develop an individualized care plan specific to the needs of each participant. Our high touch model involves daily interaction with our participants across multiple settings. This enables us to not only deliver coordinated, high quality care, but also to identify and proactively manage changes to each participant’s conditions, which further supports our ability to more precisely report our participants’ condition to obtain appropriate Medicare RAF scores.2022 10-K.

Our abilityOther Service Revenue. Other service revenue primarily consists of revenues derived from fee-for-service arrangements, state food grants, rent revenues and management fees. Prior to grow enrollmentJune 30, 2022 we generated fee-for-service revenue from providing home-care services to non-PACE patients in their homes, for which we billed the patient or their insurance plan on a fee-for-service basis. We no longer offer in-home care services. For a discussion of our revenue recognition policies, please see Critical Accounting Estimates below and capacity within existing centers. We believe our demonstrated ability to drive sustained, organic census growth is a key indicatorNote 2, “Summary of the attractiveness of the InnovAge PlatformSignificant Accounting Policies” to our key constituents: participants, their families and government payors. Since 2015 and through March 31, 2021, we have achieved 12% annual, organic census growth. Eligible participants can enrollconsolidated financial statements included in our program year-round, allowing us to continuously attract new participants and reducing seasonal variability in our results of operations.2022 10-K.

Awareness of PACE programs remains low among potential participants, despite high levels of patient satisfaction. To improve awareness and attract new participants, our sales and marketing teams educate prospective participants and their families on our powerful value proposition, superior health outcomes and participant satisfaction. Our scale enables us to invest in targeted sales and marketing capabilities, which accelerates census growth. We take a multichannel approach to sales and marketing, relying on a mix of traditional community provider referrals and targeted direct-to-consumer digital marketing. We have realigned our marketing strategy to focus more on digital channels during the COVID-19 pandemic and to reach those searching for senior care alternatives. We are proud of the fact that the “friends and family” of our participants remain one of our largest referral sources.Operating Expenses

Our ability to maintain high participant satisfactionExternal Provider Costs.   External provider costs consist primarily of the costs for medical care provided by non-InnovAge providers. We separate external provider costs into four categories: inpatient (e.g., hospital), housing (e.g., assisted living and retention. Our comprehensive individualized care modelskilled nursing facility), outpatient and frequency of interaction with participants generates high levels of participant satisfaction. We have multiple touch points with participants and their families, which enhances participant receptivity to our services. Furthermore, historically, we have experienced low levels of voluntary disenrollment. Our historical disenrollments have been involuntary, due primarily to participant death and otherwise to participants re-locating outpharmacy. In aggregate, external provider costs represent the largest portion of our service areas.expenses.

Cost of Care, Excluding Depreciation and Amortization. Cost of care, excluding depreciation and amortization, includes the costs we incur to operate our care delivery model. This includes costs related to salaries, wages and benefits for IDT and other center-level staff, participant transportation, medical supplies, occupancy, insurance and other operating costs. IDT employees include medical doctors, registered nurses, social workers, physical, occupational, and speech therapists, nursing assistants, and transportation workers. Other center-level employees include clinic managers, dieticians, activity assistants and certified nursing assistants. Cost of care excludes any expenses associated with sales and marketing activities incurred at a local level as well as any allocation of our corporate, general and administrative expenses. A portion of our cost of care, including our employee-related costs, is directly related to the number of participants cared for in a center. The remainder of our cost of care is fixed relative to the number of participants we serve, such as occupancy and insurance expenses. As a result, as revenue increases due to census growth, cost of care, excluding depreciation and amortization, moderately decreases as a percentage of revenue. As we open new centers, we expect cost of care, excluding depreciation and amortization, to increase in absolute dollars due to higher census and facility related costs.

Sales and Marketing.   Sales and marketing expenses consist of employee-related expenses, including salaries, commissions, and employee benefits costs, for all employees engaged in marketing, sales, community outreach and

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Effectively managingsales support. These employee-related expenses capture all costs for both our field-based and corporate sales and marketing teams. Sales and marketing expenses also include local and centralized advertising costs, as well as the cost of care forinfrastructure required to support our participants. marketing efforts. We receive capitated paymentsexpect these costs to manageincrease in absolute dollars over time as we continue to grow our participant census. We evaluate our sales and marketing expenses relative to our participant growth and will invest more heavily in sales and marketing from time-to-time to the totality of a participant’s medical care across all settings. Our participants are among the most frail and medically complex individuals in the U.S. healthcare system. Our care model focuses on delivering high-quality medical care in cost efficient, community-based settings as a means of avoiding costly inpatient and outpatient services. However,extent we believe such investment can accelerate our participants retain the freedom to seek care at sites of their choice, including hospitals and emergency rooms; we do not restrict participant access to care. Since the Company bears the burden of all participant medical expenses, we are liable for potentially large medical claims, avoidable or not. We believe the risk of such large medical claims is mitigated by (1) our proactive care model, and (2) our scale, which diminishes the financial impact of any unexpected catastrophic care our participants may require.growth without negatively affecting profitability.

Center-level contribution margin. We have a history of achieving profitable Center-level Contribution Margin. We define Center-level Contribution Margin as total revenues less external provider costsCorporate, General and cost of care, excluding depreciation and amortization, which includes all medical and pharmacy costs. For purposes of evaluating Center-level Contribution Margin on a center-by-center basis, we do not allocate our sales and marketing, corporate, orAdministrative.   Corporate, general and administrative expenses acrossinclude employee-related expenses, including salaries and related costs. In addition, general and administrative expenses include all corporate technology and occupancy costs associated with our centers.

Our abilitycorporate office. We expect our general and administrative expenses to build de novo centers within existingincrease in absolute dollars due to the additional legal, accounting, insurance, investor relations and new markets. We have provenother costs that we incur as a public company, as well as other costs associated with continuing to grow our abilitybusiness. However, we anticipate general and administrative expenses to expanddecrease as a percentage of revenue over the long term, although such expenses may fluctuate as a percentage of revenue from period to period due to the timing and operationalize new centers across multiple geographies while generating consistent center-level performance. This performance highlights the predictabilityamount of our model and gives us conviction to continue investing in building new centers to drive long-term value creation.these expenses.

We have a large addressable market with a target populationDepreciation and Amortization. Depreciation and amortization expenses are primarily attributable to our buildings and leasehold improvements and our equipment and vehicles. Depreciation and amortization are recorded using the straight-line method over the shorter of estimated at approximately 2.2 million, representing seniors who we believeuseful life or lease terms, to the extent the assets are dually eligible for Medicare and Medicaid and meet the nursing home level of care criteria for PACE. Based upon our success to date, we believe our innovative care model can scale nationally, and we expect to continue selectively and strategically expanding into new geographies. Our go to market approach prioritizes high-density urban and suburban areas, where there are sizable numbers of frail, dual-eligible seniors who would benefit from our program.being leased.

InFor more information relating to the components of our existing markets, we believe there is significant opportunityresults of operations, see Results of Operations below and Note 2 “Summary of Significant Accounting Policies” to expand our footprint by not only growing the physical footprint and participant census of existing centers, but also by developing new centers. These strategically developed new sites will allow us to leverageconsolidated financial statements included in our established market brand and infrastructure.

We have a successful track record of building de novo centers with compelling unit economics. Once we have identified a location for a new center, it takes, on average, less than 27 months to open. We believe investments in de novo centers generate robust internal rates of return and accretive cash-on-cash returns.

Opening of de novo centers can also result in losses, generally related to pre-opening and start-up ramp, from the time the center opens and its first 24 months of operations. For the three months ended March 31, 2021, de novo losses were approximately $0.3 million, respectively, for our Sacramento center in California and our Pennypack center in Philadelphia.2022 10-K.

Execute tuck-in acquisitions. We believe there is a sizeable landscape of potential tuck-in acquisitions to supplement our organic growth strategy. We are disciplined in our approach to acquisitions and have executed multiple types of transactions, including turnarounds and non-profit conversions. When integrating acquired programs, we work closely with key constituencies, including local governments, health systems and senior housing providers, to ensure continuity of high-quality care for participants. Based on our experience, joining the InnovAge platform enables revenue growth and improved operational efficiency and care delivery post-integration. We believe our track record of and reputation for integrating and improving acquired organizations, while continuing to prioritize high-quality patient care, positions us as the acquirer of choice in this market.

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Contracting with Government Payors. Our economic model relies onResults of Operations

The following table sets forth our capitated arrangements with government payors, namely Medicare and Medicaid. We viewconsolidated results of operations for the government not only as a payor but also as a key partner in our efforts to expand into new geographies and access more participants in our existing markets. Maintaining, supporting and growing these relationships, particularly as we enter new geographies, is critical to our long-term success. Our model is aligned with the interests of our government payors, as we drive better health outcomes for participants at lower costs and enhance participant satisfaction. We believe this alignment of interests and our highly effective care model resonates with government payors and will result in continued opportunities to open and acquire centers.periods presented:

    

Three Months Ended

Six Months Ended

December 31, 

December 31, 

in thousands

    

2022

    

2021

2022

    

2021

Revenues

  

 

  

  

 

  

Capitation revenue

$

167,140

$

174,964

$

338,071

$

347,518

Other service revenue

 

316

 

386

 

603

 

902

Total revenues

 

167,456

 

175,350

 

338,674

 

348,420

Expenses

 

  

 

  

 

  

 

  

External provider costs

 

93,507

 

91,033

 

189,744

 

181,045

Cost of care, excluding depreciation and amortization

 

51,376

 

42,911

 

104,933

 

83,639

Sales and marketing

 

3,774

 

6,679

 

8,187

 

12,972

Corporate, general and administrative

 

28,817

 

28,482

 

58,999

 

49,566

Depreciation and amortization

 

3,662

 

3,292

 

7,095

 

6,585

Total expenses

 

181,136

 

172,397

 

368,958

 

333,807

Operating Income (Loss)

$

(13,680)

$

2,953

$

(30,284)

$

14,613

Other Income (Expense)

 

  

 

  

 

  

 

  

Interest expense, net

 

(223)

 

(674)

 

(826)

 

(1,221)

Other income (expense)

 

444

 

28

 

480

 

(465)

Total other expense

 

221

 

(646)

 

(346)

 

(1,686)

Income (Loss) Before Income Taxes

 

(13,459)

 

2,307

 

(30,630)

 

12,927

Provision (Benefit) for Income Taxes

 

(2,912)

 

1,201

 

(6,383)

 

4,197

Net Income (Loss)

$

(10,547)

$

1,106

$

(24,247)

$

8,730

Less: net loss attributable to noncontrolling interests

 

(754)

 

(217)

 

(1,381)

 

(279)

Net Income (Loss) Attributable to InnovAge Holding Corp.

$

(9,793)

$

1,323

$

(22,866)

$

9,009

Investing to Support Growth. We intend to continue investing in our centers, value-based care model, and sales and marketing organization to support long-term growth. We expect our expenses to increase in absolute dollars for the foreseeable future to support our growth, and due to additional costs we expect to incur as a public company, including expenses related to compliance with the rules and regulations of the SEC and the listing standards of Nasdaq, additional corporate and director and officer insurance, investor relations and increased legal, audit, reporting and consulting fees. We plan to invest in future growth judiciously and maintain focus on managing our results of operations. Accordingly, in the short term we expect the activities noted above to increase our expenses as a percentage of revenue, but in the longer term, we anticipate that these investments will positively impact our business and results of operations.

Revenues

Three Months Ended

    

    

    

    

    

 

Six Months Ended

    

    

    

    

    

 

December 31, 

Change

December 31, 

Change

    

2022

    

2021

    

$

    

%

2022

    

2021

    

$

%

in thousands

 

  

 

  

 

  

 

  

  

 

  

 

  

 

  

Capitation revenue

$

167,140

$

174,964

$

(7,824)

 

(4.5)

%

$

338,071

$

347,518

$

(9,447)

 

(2.7)

%

Other service revenue

 

316

 

386

 

(70)

 

(18.1)

%

 

603

 

902

 

(299)

 

(33.1)

%

Total revenues

$

167,456

$

175,350

$

(7,894)

 

(4.5)

%

$

338,674

$

348,420

$

(9,746)

 

(2.8)

%

SeasonalityCapitation revenue. Capitation revenue was $167.1 million for the three months ended December 31, 2022, a decrease of $7.8 million, or 4.5%, compared to $175.0 million for the three months ended December 31, 2021. This decrease was driven by a 8.1% decrease in member months partially offset by a 4.0% increase in capitation rates. The decrease in member months is primarily due to disenrollments and our business. Our operationalinability to enroll new participants at our Sacramento, California and financial results will experience some variability depending upon the time of year in which they are measured. This variability is most notable in the following areas:

Medical costs. Medical costs will vary seasonally depending on a number of factors, and most significantlyColorado centers as a result of the weather. Certain illnesses, such as the influenza virus, are far more prevalent during colder months of the year, which will result in ansanctions. The increase in medical expenses during these time periods. We therefore expect higher per-participant medical costscapitation rates was primarily driven by an annual increase in our secondMedicaid capitation rates as determined by the States and third fiscal quarters. Medical costs also depend uponMedicare capitation rates as a result of increased risk score and county rates partially offset by the numberreinstatement of business days insequestration.

Capitation revenue was $338.1 million for the six months ended December 31, 2022, a period, and shorter periods will have lower medical costs. Business days can also create year-over-year comparability issues if a period in one year has a different numberdecrease of business days$9.4 million, or 2.7%, compared to $347.5 million for the same period in another. We would also expect medical costs to be impactedsix months ended December 31, 2021. This decrease was driven by a pandemic, such as the COVID-19 pandemic, which may result6.9% decrease in increased or decreased total medical costs depending upon the severity of the relevant infection, the proximity of the spread of the disease to our centers, the duration of the infection and the availability of healthcare services for our participants.

Timing of risk score revenue true-ups. The Medicare portion of the capitated payments we receive for each participant is determinedmember months partially offset by a participant’s RAF score, which is measured twice per year and is based on4.4% increase in capitation rates, primarily due to the evolving acuity of a participant. We estimate and accrue for the expected Medicare RAF scores of our participants. Based on the difference between the Medicare RAF score we estimate and the Medicare RAF score determined by CMS, we may receive incremental true-up revenue or be required to repay certain amounts. Historically, these true-up payments typically occur between May and August, but the timing of these payments is determined by CMS, and we have neither visibility nor control over the timing of such payments.

factors discussed above.

33

Table of Contents

Results of operationsOperating Expenses

The following table sets forth our results of operations

Three Months Ended

    

    

    

    

 

Six Months Ended

    

    

    

    

 

December 31, 

Change

December 31, 

Change

2022

    

2021

    

$

    

%

2022

    

2021

    

$

    

%

in thousands

 

  

 

 

  

 

 

  

 

  

 

  

 

 

  

 

 

  

 

  

External provider costs

$

93,507

$

91,033

$

2,474

 

2.7

%

$

189,744

$

181,045

$

8,699

 

4.8

%

Cost of care (excluding depreciation and amortization)

51,376

42,911

8,465

 

19.7

%

104,933

83,639

21,294

 

25.5

%

Sales and marketing

3,774

6,679

(2,905)

 

(43.5)

%

8,187

12,972

(4,785)

 

(36.9)

%

Corporate, general, and administrative

28,817

28,482

335

 

1.2

%

58,999

49,566

9,433

 

19.0

%

Depreciation and amortization

3,662

3,292

370

 

11.2

%

7,095

6,585

510

 

7.7

%

Total operating expenses

$

181,136

 

$

172,397

 

$

8,739

 

$

368,958

 

$

333,807

 

$

35,151

 

External provider costs. External provider costs were $93.5 million for the periods presentedthree months ended December 31, 2022, an increase of $2.5 million, or 2.7%, compared to $91.0 million for the three months ended December 31, 2021. The increase was primarily driven by an increase of $9.9 million, or 11.8%, in cost per participant partially offset by a decrease of $7.4 million, or 8.1%, in member months. The increase in cost per participant was primarily driven by a $8.3 million increase associated with increased housing utilization and cost per day as mandated by certain states.

External provider costs were $189.7 million for the six months ended December 31, 2022, an increase of $8.7 million, or 4.8%, compared to $181.0 million for the six months ended December 31, 2021. The increase is primarily driven by an increase of $21.1 million, or 12.5%, in cost per participant partially offset by a decrease of $12.4 million, or 6.9%, in member months. The increase in cost per participant is primarily driven by a $14.7 million increase associated with increased housing utilization and cost per day as mandated by certain states.

Cost of care (excluding depreciation and amortization). Cost of care (excluding depreciation and amortization) expense was $51.4 million for the three months ended December 31, 2022, an increase of $8.5 million, or 19.7%, compared to $42.9 million for the three months ended December 31, 2021, primarily due to an increase of $11.9 million, or 30.0%, in cost per participant partially offset by a decrease of $3.5 million, or 8.1%, in member months. The increase was primarily driven by (i) a $5.4 million increase in salaries, wages and benefits associated with increased headcount and higher wage rates due to the ongoing competitive labor market, (ii) $1.0 million in third party audit and compliance support, and (iii) $0.9 million in increased fleet and contract transportation as a percentageresult of our total revenueshigher average daily attendance, increase in external appointments, and higher fuel costs.

Cost of care (excluding depreciation and amortization) expense was $104.9 million for those periods. Percentages presented in the following tables may not sumsix months ended December 31, 2022, an increase of $21.3 million, or 25.5%, compared to $83.6 million for the six months ended December 31, 2021, primarily due to rounding.an increase of $27.0 million, or 34.7%, in cost per participant partially offset by a decrease of $5.7 million, or 6.9%, in member months. The increase was primarily driven by (i) a $13.2 million increase in salaries, wages and benefits associated with increased headcount and higher wage rates due to the ongoing competitive labor market, (ii) $2.1 million in third party audit and compliance support, (iii) $2.2 million in increased fleet and contract transportation as a result of higher average daily attendance, increase in external appointments, and higher fuel costs, and (iv) $0.9 million in de novo costs due primarily to rent expense.

Comparison ofSales and marketing. Sales and marketing expenses were $3.8 million for the three and nine months ended MarchDecember 31, 2022, a decrease of $2.9 million, or 43.5%, compared to $6.7 million for the three months ended December 31, 2021, primarily due to a (i) $1.3 million reduction in marketing spend and 2020$0.6 million reduction in costs associated with fewer headcount within the sales department, both as a result of sanctions in our Colorado and Sacramento centers and (ii) a $0.8 million reduction in sales commission expense due to the deferral of commissions.

Three Months Ended

Nine Months Ended

March 31, 

March 31, 

    

2021

    

2020

    

2021

    

2020

(in thousands)

 

Revenues

Capitation revenue

$

155,835

$

144,174

$

464,294

$

412,724

Other service revenue

 

473

 

596

 

1,890

 

1,976

Total revenues

 

156,308

 

144,770

 

466,184

 

414,700

Expenses

 

  

 

  

 

  

 

  

External provider costs

 

75,389

 

71,022

 

224,215

 

204,387

Cost of care (excluding depreciation and amortization)

 

39,565

 

39,285

 

115,922

 

114,465

Sales and marketing

 

5,592

 

4,628

 

14,335

 

14,405

Corporate, general and administrative

 

18,595

 

14,028

 

105,901

 

42,417

Depreciation and amortization

 

3,311

 

2,769

 

9,262

 

8,310

Equity loss

 

 

163

 

1,343

 

203

Other operating (income) expense

 

19,222

 

(99)

 

18,211

 

(250)

Operating expenses

 

161,674

 

131,796

 

489,189

 

383,937

Income (Loss) from Operations

$

(5,366)

$

12,974

$

(23,005)

$

30,763

Other Income (Expense)

 

  

 

  

 

  

 

  

Interest expense, net

 

(4,876)

 

(2,361)

 

(17,061)

 

(11,287)

Loss on extinguishment of debt

 

(13,488)

 

 

(14,479)

 

Gain on equity method investment

10,871

10,871

Other

 

(2,267)

 

244

 

(2,222)

 

(735)

Total other income (expense)

 

(9,760)

 

(2,117)

 

(22,891)

 

(12,022)

Income (Loss) Before Income Taxes

 

(15,126)

 

10,857

 

(45,896)

 

18,741

Provision (Benefit) for income taxes

 

(4,264)

 

2,867

 

5,159

 

4,954

Net Income (Loss)

$

(10,862)

$

7,990

$

(51,055)

$

13,787

Less: Net Loss attributable to noncontrolling interests

 

(352)

 

(148)

 

(595)

 

(394)

Net Income (Loss) Attributable to the Company

$

(10,510)

$

8,138

$

(50,460)

$

14,181

Sales and marketing expenses were $8.2 million for the six months ended December 31, 2022, a decrease of $4.8 million, or 36.9%, compared to $13.0 million for the six months ended December 31, 2021, primarily due to a $2.6 million

34

Table of Contents

reduction in marketing spend and $1.2 million reduction in costs associated with fewer headcount within the sales department, both as a result of sanctions in our Colorado and Sacramento centers and (ii) a $0.8 million reduction in sales commissions expense due to the deferral of commissions.

Three Months Ended

Nine Months Ended

 

March 31, 

March 31, 

    

2021

2020

2021

2020

Revenues

 

  

 

  

 

  

 

  

Capitation revenue

 

99.7

%  

99.6

%  

99.6

%  

99.5

%

Other service revenue

 

0.3

%  

0.4

%  

0.4

%  

0.5

%

Total revenues

 

100.0

%  

100.0

%  

100.0

%  

100.0

%

Expenses

 

  

 

  

 

  

 

  

External provider costs

 

48.2

%  

49.1

%  

48.1

%  

49.3

%

Cost of care (excluding depreciation and amortization)

 

25.3

%  

27.1

%  

24.9

%  

27.6

%

Sales and marketing

 

3.6

%  

3.2

%  

3.1

%  

3.5

%

Corporate, general and administrative

 

11.9

%  

9.7

%  

22.7

%  

10.2

%

Depreciation and amortization

 

2.1

%  

1.9

%  

2.0

%  

2.0

%

Equity loss

 

 

0.1

%  

0.3

%  

%

Other operating (income) expense

 

12.3

%  

(0.1)

%  

3.9

%  

(0.1)

%

Operating expenses

 

103.4

%  

91.0

%  

104.9

%  

92.6

%

Income (Loss) from Operations

 

(3.4)

%  

9.0

%  

(4.9)

%  

7.4

%

Other Income (Expense)

 

  

 

  

 

  

 

  

Interest expense, net

 

(3.1)

%  

(1.6)

%  

(3.7)

%  

(2.7)

%

Loss on extinguishment of debt

 

(8.6)

%  

%  

(3.1)

%  

%

Gain on equity method investment

7.0

%  

%  

2.3

%  

%

Other

 

(1.5)

%  

0.2

%  

(0.5)

%  

(0.2)

%

Total other income (expense)

 

(6.2)

%  

(1.5)

%  

(4.9)

%  

(2.9)

%

Income (Loss) Before Income Taxes

 

(9.7)

%  

7.5

%  

(9.8)

%  

4.5

%

Provision (Benefit) for income taxes

 

(2.7)

%  

2.0

%  

1.1

%  

1.2

%

Net Income (Loss)

 

(6.9)

%  

5.5

%  

(11.0)

%  

3.3

%

Less: Net Loss attributable to noncontrolling interests

 

*

%  

*

%  

*

%  

*

%

Net Income (Loss) Attributable to the Company

 

(6.7)

%  

5.6

%  

(10.8)

%  

3.4

%

*

Indicates amounts that are not material.

Total revenues

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

 

Revenues

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

Capitation revenue

$

155,835

$

144,174

$

11,661

 

8

%

$

464,294

$

412,724

$

51,570

 

12

%

Other service revenue

 

473

 

596

 

(123)

 

(21)

%

 

1,890

 

1,976

 

(86)

 

(4)

%

Total revenues

$

156,308

$

144,770

$

11,538

 

8

%

$

466,184

$

414,700

$

51,484

 

12

%

Capitation revenue was $155.8Corporate, general and administrative. Corporate, general and administrative expenses were $28.8 million for the three months ended MarchDecember 31, 2021,2022, an increase of $11.7$0.3 million, or 7%1.2%, compared to $144.2$28.5 million for the three months ended MarchDecember 31, 2020. This2021. The increase was driven primarily bydue to (i) a $1.9 million increase in employee compensation and benefits as the result of an increase in censusheadcount, to support compliance and rates, both of which increased Medicaidbolster organizational capabilities, (ii) $2.7 million in third party costs associated with implementing our core provider initiatives, assessing our risk-bearing payor capabilities, and Medicare revenue,strengthening organizational capabilities including the transition to a new EMR, and (iii) a $0.6 million increase in software license and maintenance expense. These increases in cost are partially offset by (i) a low single digit rate decrease related to our participants$0.9 million reduction in Colorado.bad debt expense and (ii) $4.1 million in executive severance and recruiting recognized during the three months ended December 31, 2021.

Capitation revenue was $464.3

Corporate, general and administrative expenses were $59.0 million for the ninesix months ended MarchDecember 31, 2021,2022, an increase of $51.6$9.4 million, or 11%19.0%, compared to $412.7$49.6 million for the ninesix months ended MarchDecember 31, 2020. This2021. The increase was driven primarily bydue to (i) a $5.0 million increase in employee compensation and benefits as the result of an increase in censusheadcount, to support compliance and rates, both of whichbolster organizational capabilities, (ii) $6.8 million in third party costs associated with implementing our core provider initiatives, assessing our risk-bearing payor capabilities, and strengthening organizational capabilities including the transition to a new EMR, (iii) $0.8 million in increased Medicaidlegal spend, and Medicare revenue,(iv) $1.1 million increase in software license and maintenance expense. These increases in cost were partially offset by (i) a low single digit rate$0.6 million reduction in bad debt expense and (ii) $4.1 million in executive severance and recruiting recognized during the six months ended December 31, 2021.

Other Income (Expense)

Three Months Ended

    

    

    

    

    

 

Six Months Ended

    

    

    

    

    

 

December 31, 

Change

December 31, 

Change

    

2022

    

2021

    

$

    

%

2022

    

2021

    

$

    

%

in thousands

 

 

  

 

 

  

 

 

  

 

  

 

  

 

 

  

 

 

  

 

  

Interest expense, net

 

$

(223)

 

$

(674)

 

$

451

 

66.9

%

$

(826)

 

$

(1,221)

 

$

395

 

32.4

%

Other income (expense)

 

444

 

28

 

416

 

1,485.7

%

 

480

 

(465)

 

945

 

203.2

%

Total other expense

 

$

221

 

$

(646)

 

$

867

 

$

(346)

 

$

(1,686)

 

$

1,340

 

Interest expense, net. Interest expense, net, consists primarily of interest payments on our outstanding borrowings, net of interest income earned on our cash and cash equivalents and restricted cash. Interest expense, net was $0.2 million for the three months ended December 31, 2022, a decrease of $0.5 million, or 66.9%, compared to $0.7 million for the three months ended December 31, 2021. The decrease was primarily due to interest income of $0.8 million from money market funds offsetting interest expense of $1.1 million for the three months ended December 31, 2022. Interest income during the three months ended December 31, 2021 was negligible.

Interest expense, net was $0.8 million for the six months ended December 31, 2022, a decrease of $0.4 million, or 32.4%, compared to $1.2 million for the six months ended December 31, 2021. The decrease was primarily due to interest income of $1.2 million from money market funds offsetting interest expense of $2.1 million during the six months ended December 31, 2022. Interest income during the six months ended December 31, 2021 was negligible. For additional information regarding our outstanding indebtedness, see Note 8, “Long-Term Debt” to our condensed consolidated financial statements.

Other income (expense). Other income (expense) consists primarily of  the net proceeds received from the sale of or disposal of property and equipment and unrealized gains and losses related to our participantsshort-term investments. Other income (expense) for the three months ended December 31, 2022 increased $0.4 million, or 1,485.7%, when compared to the three months ended December 31, 2021. The increase is primarily due to the recognition of $0.4 million in Colorado.unrealized gains related to short-term investments. Other income (expense) was $0.5 million for the six months ended December 31, 2022,

35

Table of Contents

Medicare revenue also increased due to the temporary suspension of the automatic 2% reduction of Medicare claim reimbursements (sequestration) for the period of May 1, 2020 through December 31, 2021.

Other service revenue was $0.5 million for the three months ended March 31, 2021, a decrease of $0.1 million, or 26%, from $0.6 million for the three months ended March 31, 2020. Other service revenue was $1.9 million for the nine months ended March 31, 2021, a decrease of $0.1 million, or 5%, from $2.0 million for the nine months ended March 31, 2020.

External provider costs

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

External provider costs

$

75,389

$

71,022

$

4,367

 

6

%

$

224,215

$

204,387

$

19,828

 

10

%

% of total revenues

48

%

49

%

48

%

49

%

External provider costs were $75.4 million for the three months ended March 31, 2021, an increase of $4.4 million, or 6%, compared to $71.0 million for the three months ended March 31, 2020. This change was driven by an increase in census and an increase in the average cost per participant.

External provider costs were $224.2 million for the nine months ended March 31, 2021, an increase of $19.8 million, or 10%, compared to $204.4 million for the nine months ended March 31, 2020. This change was driven by an increase in census and an increase in the average cost per participant.

Cost of care (excluding depreciation and amortization)

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

Cost of care
(excluding depreciation and amortization)

$

39,565

$

39,285

$

280

 

1

%

$

115,922

$

114,465

$

1,457

 

1

%

% of total revenues

25

%

27

%

25

%

28

%

Cost of care (excluding depreciation and amortization) expense was $39.6 million for the three months ended March 31, 2021, an increase of $0.3 million, or 1%, compared to $39.3 million for the three months ended March 31, 2020. This change is primarily driven by an increase in census offset by the decrease in the cost per participant. This decrease in cost per participant was primarily driven by year-over-year cost savings due to the closures of our centers on account of the COVID-19 pandemic.

Cost of care (excluding depreciation and amortization) expense was $115.9 million for the nine months ended March 31, 2021, an increase of $1.5 million, or 1%, compared to $114.5 million for the nine months ended March 31, 2020. This change is primarily driven by an increase in census offset by the decrease in cost per participant. This decrease in cost per participant was primarily driven by year-over-year cost savings due to the closures of our centers due to the COVID-19 pandemic.

Sales and marketing

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

Sales and marketing

$

5,592

$

4,628

$

964

 

21

%

$

14,335

$

14,405

$

(70)

 

(0)

%

% of total revenues

4

%

3

%

3

%

3

%

Sales and marketing expenses were $5.6 million for the three months ended March 31, 2021, an increase of $1.0 million, or 21%203.2%, compared to $4.6a loss of $0.5 million for the six months ended December 31, 2021. The increase is due to the recognition of unrealized gains on short-term investments of $0.4 million during the six months ended December 31, 2022 in addition to the recognition of a loss on disposal of assets of $0.5 million during the six months ended December 31, 2021 related to the write off of certain assets in conjunction with a move to a new facility at our Roanoke, Virginia center.

Provision for Income Taxes

The Company and its subsidiaries calculate federal and state income taxes currently payable and for deferred income taxes arising from temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured pursuant to enacted tax laws and rates applicable to periods in which those temporary differences are expected to be recovered or settled. The impact on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the date of enactment. The members of SH1 and Sacramento have elected to be taxed as partnerships, and no provision for income taxes for SH1 or Sacramento is included in these condensed consolidated financial statements.

A valuation allowance is provided to the extent that it is more likely than not that deferred tax assets will not be realized. Tax benefits from uncertain tax positions are recognized when it is more likely than not that the position will be sustained upon examination based on the technical merits of the position. The amount recognized is measured as the largest amount of benefit that has a greater than 50% likelihood of being realized upon settlement. The Company recognizes interest and penalty expense associated with uncertain tax positions as a component of provision for income taxes.

During the three months ended MarchDecember 31, 2020.2022 and 2021, we reported benefit for income taxes of $2.9 million and a provision for income taxes of $1.2 million, respectively. During the six months ended December 31, 2022 and 2021, we reported benefit for income taxes of $6.4 million and a provision for income taxes of $4.2 million, respectively. The increase wasdecrease of $10.6 million is primarily due (i) our pretax book loss recognized during the six months ended December 31, 2022, as compared to pretax book income recognized during the six months ended December 31, 2021 and (ii) certain permanent differences between the financial and tax accounting treatment of (a) the Section 162(m) limitation on compensation of five highest paid officers, (b) income from entities not subject to tax, and (c) disallowed stock options related to profit unit interests.

Net Loss Attributable to Noncontrolling Interests.

InnovAge Senior Housing Thornton, LLC (“SH1”) is a Variable Interest Entity (“VIE”). The Company is the primary beneficiary of SH1 and consolidates SH1. The Company is the primary beneficiary of SH1 because it has the power to direct the activities that are most significant to SH1 and has an increaseobligation to absorb losses or the right to receive benefits from SH1. The most significant activity of SH1 is the operation of the housing facility. The Company has provided a subordinated loan to SH1 and has provided a guarantee for the convertible term loan held by SH1. The SH1 interest is reflected within equity as noncontrolling interests. Our share of earnings are recorded in headcountthe consolidated statements of operations and the share of the other noncontrolling interest holders’ earnings are recorded as net loss attributable to support enrollment growthnoncontrolling interests.

Our share of earnings are recorded in the consolidated statements of operations and the share of the other noncontrolling interest holders’ earnings are recorded as wellnet loss attributable to noncontrolling interests.

Net Income (Loss)

During the six months ended December 31, 2022 and 2021, we reported net income (loss) of ($24.2 million) and $8.7 million, respectively, consisting of (i) income (loss) from operations of ($30.3 million) and $14.6 million, respectively, (ii) other expense of $0.3 million and $1.7 million, respectively, and (iii) a benefit for income taxes of $6.4 million and provision of $4.2 million, respectively, each as a shift in marketing spend to the second half of fiscal year 2021.described above.   

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Table of Contents

Sales and marketing expenses were $14.3 million for the nine months ended March 31, 2021, a decrease of $0.1 million, or 0.7%, compared to $14.4 million for the three months ended March 31, 2020. We incurred lower marketing and sales expenses in the first half of fiscal year 2021 as a result of shifting marketing spend to the second half of fiscal year 2021.

Corporate, generalKey Business Metrics and administrative

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

Corporate, general and administrative

$

18,595

$

14,028

$

4,567

 

33

%

$

105,901

$

42,417

$

63,484

 

150

%

% of total revenues

12

%

10

%

23

%

10

%

Corporate, general and administrative expenses were $18.6 million for the three months ended March 31, 2021, an increase of $4.6 million, or 33%, compared to $14.0 million for the three months ended March 31, 2020. This increase was primarily related to fees incurred as a result of the IPO.

Corporate, general and administrative expenses were $105.9 million for the nine months ended March 31, 2021, an increase of $63.5 million, or 150%, compared to $42.4 million for the nine months ended March 31, 2020. The increase was primarily due to the fees incurred as a result of the Apax Transaction (as defined below) and the IPO. In connection with the Apax Transaction, $42.2 million was recorded related to the cancellation of stock options outstanding under the Company’s 2016 Equity Incentive Plan (the “2016 Incentive Plan”) and $13.1 million of transaction related costs were recorded as corporate, general and administrative expenses. In connection with the IPO transaction $1.5 million of transaction costs were recorded as corporate, general and administrative expenses.

Depreciation and amortization

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

Depreciation and amortization

$

3,311

$

2,769

$

542

 

20

%

$

9,262

$

8,310

$

952

 

11

%

% of total revenues

2

%

2

%

2

%

2

%

Depreciation and amortization expense was $3.3 million for the three months ended March 31, 2021, an increase of $0.5 million, or 20%, compared to $2.8 million for the three months ended March 31, 2020. Depreciation and amortization expense was $9.3 million for the nine months ended March 31, 2021, an increase of $1.0 million, or 11%, compared to $8.3 million for the nine months ended March 31, 2020. This increase in both periods is the result of capital additions in the normal course of business.

Equity loss

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

Equity loss

$

$

163

$

(163)

 

(100)

%

$

1,343

$

203

$

1,140

 

562

%

% of total revenues

-

%

0

%

0

%

0

%

We did not experience any equity loss for the three-month period ended March 31, 2021, a decrease of $0.2 million compared to $0.2 million for the three months ended March 31, 2020. Equity loss was $1.3 million for the nine months ended March 31, 2021, an increase of $1.1 million compared to $0.2 million for the nine months ended March 31, 2020. The changes related to the equity loss are derived from InnovAge Sacramento, which began operations in July 2020 and was accounted for as an equity method investee and subsequently became a consolidated entity effective January 1, 2021.

Other operating (income) expense

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

 

(dollars in thousands)

2021

    

2020

    

$

    

%

    

2021

    

2020

    

$

    

%

Other operating (income) expense

$

19,222

$

(99)

 

19,321

 

(19,516)

%

 

18,211

 

(250)

 

18,461

 

(7,384)

%

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% of total revenues

12

%

(0)

%

4

%

(0)

%

Other operating expense was $19.2 million for the three months ended March 31, 2021, an increase of $19.3 million compared to other operating income of $(0.1) million for the three months ended March 31, 2020. Other operating expense was $18.2 million for the nine months ended March 31, 2021, an increase of $18.5 million compared to other operating income of $(0.3) million for the nine months ended March 31, 2020. This change primarily represents the change in fair value related to contingent consideration and the payment of $20.0 million made under the acquisition agreement of the New Courtland LIFE Program during the three months ended March 31, 2021. There were no such payments during the nine months ended March 31, 2020.

Other income (expense)

Three Months Ended

 

Nine Months Ended

 

March 31, 

Change

 

March 31, 

Change

(dollars in thousands)

2021

    

2020

    

$

    

%

2021

    

2020

$

    

%

 

Other income (expense)

  

 

  

 

  

 

  

    

  

    

  

    

  

    

  

Interest expense, net

$

(4,876)

$

(2,361)

$

(2,515)

 

107

%

$

(17,061)

$

(11,287)

$

(5,774)

 

34

%

Loss on extinguishment of debt

 

(13,488)

 

 

(13,488)

 

*

 

(14,479)

 

 

(14,479)

 

*

Gain on equity method investment

10,871

10,871

*

10,871

10,871

*

Other

 

(2,267)

 

244

 

(2,511)

 

(1,029)

%

 

(2,222)

 

(735)

 

(1,487)

 

67

%

Total other income (expense)

$

(9,760)

$

(2,117)

$

(7,643)

 

361

%

$

(22,891)

$

(12,022)

$

(10,869)

 

90

%

Interest expense, net. Interest expense, net was $4.9 million for the three months ended March 31, 2021, an increase of $2.5 million, or 52%, compared to $2.4 million for the three months ended March 31, 2020. Interest expense, net was $17.1 million for the nine months ended March 31, 2021, an increase of $5.8 million, or 34%, compared to $11.3 million for the nine months ended March 31, 2020. The increase was primarily due to a higher interest rate of 7.75% for the three months ended March 31, 2021 on the existing Term Loan Facility (as defined below) as a result of the July 27, 2020 amendment and restatement of our 2016 Credit Agreement (as defined below) and higher levels of outstanding borrowings during the nine months ended March 31, 2021.

Loss on extinguishment of debt. Loss on extinguishment of debt was $13.5 million for the three months ended March 31, 2021 and no loss on extinguishment of debt was recorded for the three months ended March 31, 2020. On March 8, 2021, we entered into the 2021 Credit Agreement, which led to an extinguishment of debt of $13.5 million, including $6.0 million of a prepayment penalty.

Loss on extinguishment of debt was $14.5 million for the nine months ended March 31, 2021 and no loss on extinguishment of debt was recorded for the nine months ended March 31, 2020. On July 27, 2020, we amended and restated our 2016 Credit Agreement, which led to an extinguishment of debt for certain lenders and a modification of debt for other lenders. The total debt structure extinguishment for certain lenders led to the write-off of $1.0 million in debt issuance costs. On March 8, 2021, we entered into the 2021 Credit Agreement, which led to an extinguishment of debt of $13.5 million, including $6.0 million of a prepayment penalty.

Gain on equity method investment. Gain on equity method investment was $10.9 for the three and nine months ended March 31, 2021, respectively, and no amounts were recorded for the three and nine months ended March 31, 2020. Gain on equity method investment resulted from InnovAge Sacramento becoming a consolidated entity as of January 1, 2021.

Other. Other expense was less than $2.3 million for the three months ended March 31, 2021, a decrease of $2.5 million, or 111%, compared to other income of $0.2 million for the three months ended March 31, 2020. Other expense was $2.2 million for the nine months ended March 31, 2021, an increase of $1.5 million, or 67%, compared to other income of $0.7 million for the nine months ended March 31, 2020. The impact in 2021 is primarily a result of an amendment to the

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warrants issued by the Company to Adventist Health System/West (“Sacramento Warrants”) which resulted in additional expense of $2.3 million.

Key business metrics and non-GAAP measuresNon-GAAP Measures

In addition to our U.S. generally accepted accounting principles (“U.S. GAAP”)GAAP financial information, we review a number of operating and financial metrics, including the following key metrics and non-GAAP measures, to evaluate our business, measure our performance, identify trends affecting our business, formulate business plans and make strategic decisions. We believe these non-GAAP metrics provide additional perspective and insights when analyzing our core operating performance from period to period and evaluating trends in historical operating results. These key business metrics and non-GAAP measures should not be considered superior to, or a substitute for, and should be read in conjunction with, the U.S. GAAP financial information presented herein. These measures may not be comparable to similarly-titled performance indicators used by other companies.

Nine months ended March 31, 

(dollars in thousands)

    

2021

    

2020

    

Key Business Metrics:

    

  

    

  

    

Centers(1)

 

18

16

 

Census(2)

 

6,655

6,336

 

Total Member Months

 

59,050

55,762

 

Center-level Contribution Margin(3)

 

27.0

%

23.1

%  

Non-GAAP Measures:

 

  

  

 

Adjusted EBITDA(4)

$

65,985

$

42,977

Adjusted EBITDA Margin(4)

14.2

%

 

10.4

%  

Six months ended December 31, 

    

2022

2021

dollars in thousands

Key Business Metrics:

 

  

 

 

  

Centers

 

18

 

 

18

Census(a)

 

6,460

 

 

7,050

Total Member Months(a)

 

39,210

 

 

42,095

Center-level Contribution Margin

$

43,997

$

83,736

Center-level Contribution Margin as a % of revenue

 

13.0

%  

 

24.0

%

 

 

 

GAAP Measures:

Net income (loss)

$

(24,247)

 

$

8,730

Net loss margin

(7.2)

%  

 

2.5

%

Non-GAAP Measures:

Adjusted EBITDA(b)

 

$

(5,768)

 

$

32,962

Adjusted EBITDA Margin(b)

 

(1.7)

%  

 

9.5

%

(1)(a)Includes InnovAge Sacramento, which the Company owns and controls through a joint venture and is now consolidated in our financial statements as of March 31, 2021.
(2)Participant numbersAmounts are approximate.
(3)Expressed as a percentage of revenue.
(4)(b)Adjusted EBITDA and Adjusted EBITDA margin are non-GAAP measures. For a definition and reconciliation of these non-GAAP measures to the most closely comparable U.S. GAAP measures for the periodsperiod indicated, see below under “—“Adjusted EBITDA and Adjusted EBITDA.EBITDA Margin.

Centers

We define our centers as those centers open for business and attending to participants at the end of a particular period.

Census

Census

Our census is comprised of our capitated participants for whom we are financially responsible for their total healthcare costs.

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Total Member Months

Total member months

We define Total Member Months as the total number of participants multiplied by the number of months within a year in which each participant was enrolled in our program. We believe this is a useful metric as it more precisely tracks the number of participants we serve annually.throughout the year.

Center-level contribution marginContribution Margin

We define Center-level Contribution Margin as total revenues less external provider costs and costscost of care, excluding depreciation and amortization, which includes all medical and pharmacy costs. For purposes of evaluating Center-level Contribution Margin on a center-by-center basis, we do not allocate our sales and marketing expense or corporate, general and administrative expenses across our centers.

Center-level Contribution Margin was $41.4$44.0 million and $34.5$83.7 million for the threesix months ended MarchDecember 31, 2022 and 2021, and 2020, respectively, and $126.0 million and $95.8 million for the nine months ended March 31, 2021 and 2020, respectively.

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Adjusted EBITDA and Adjusted EBITDA Margin

We define Adjusted EBITDA as net income (loss) adjusted for interest expense, depreciation and amortization, and provision for income tax as well as addbacks for non-recurring expenses or exceptional items, including charges relating to management equity compensation, final determination of rates, mergerclass action litigation, M&A transaction and acquisition transactions and the corresponding integration, business optimization, and electronic medical records transition, special employee bonuses, consolidation of equity investee, financing-related fees and payment of contingent consideration.

For the three months ended March 31, 2021 and 2020, we had a net loss of $(10.9) million and net income of $8.0 million, respectively, representing a period over period decline of 235%, while Adjusted EBITDA was $20.3 million and $17.6 million, respectively, representing a period over period growth rate of 15%.

For the nine months ended March 31, 2021 and 2020, we had a net loss of $(51.1) million and net income of $13.8 million, respectively, representing a period over period decline of 470%, while Adjusted EBITDA was $65.9 million and $42.9 million, respectively, representing a period over period growth rate of 54%.

A reconciliation of Adjusted EBITDA to net income, the most directly comparable U.S. GAAP measure, for each of the periods is as follows:

Three Months Ended

Nine Months Ended

March 31, 

March 31, 

    

2021

    

2020

    

2021

    

2020

(In thousands)

 

Net income

    

$

(10,862)

    

$

7,990

    

$

(51,055)

    

$

13,787

Interest expense, net

 

4,876

 

2,361

 

17,061

 

11,287

Depreciation and amortization

 

3,311

 

2,769

 

9,262

 

8,310

Provision (benefit) for income tax

 

(4,264)

 

2,867

 

5,159

 

4,954

Management equity plan

 

530

 

135

 

1,102

 

407

Rate determination(a)

 

 

(199)

 

(2,158)

 

(199)

M&A diligence, transaction and integration(b)

 

4,548

 

1,076

 

63,333

 

2,541

Business optimization(c)

 

268

 

390

 

1,127

 

622

EMR transition(d)

 

66

 

123

 

335

 

761

Special employee bonus(e)

204

727

Gain on consolidation of equity investee(f)

 

(10,871)

 

 

(10,871)

 

Financing-related(g)

 

13,488

 

 

14,479

 

30

Contingent consideration (h)

 

19,222

 

(99)

 

18,211

 

(250)

Adjusted EBITDA

$

20,312

$

17,617

$

65,985

$

42,977

(a)For the nine months ended March 31, 2021, this reflects the CMS settlement payment of approximately $2.2 million related to end-stage renal disease beneficiaries for calendar years 2010 through 2020.
(b)For the nine months ended March 31, 2021, this is primarily due to the July 27, 2020 transaction between us, an affiliate of Apax Partners and our existing equity holders entering into a Securities Purchase Agreement (the “Apax Transaction”) which resulted in expense of $58.3 million, relating to $42.2 million from the cancellation of options and the redemption of shares, $1.8 million related to transaction specific bonuses, $13.1 million relates to transaction fees and expenses, $2.2 million related to reclassification of warrant liability and $1.7 million relating to payroll taxes and other administrative items.
(c)Reflects charges related to business optimization initiatives. Such charges relate to one-time investments in projects designed to enhance our technology systems and improve the efficiency of our operations.
(d)Reflects non-recurring expenses relating to the transition to a new electronic medical record vendor.
(e)Reflects non-recurring special bonuses paid to certain of our employees of the Company relating to shareholder dividend transactions that occurred in fiscal years 2018 and 2019.
(f)Reflects non-recurring expense related to the gain on consolidation of InnovAge Sacramento.
(g)Reflects fees and expenses incurred in connection with amendments to our credit agreements.
(h)Reflects the contingent consideration fair value adjustment made during the reporting period associated with its acquisition of New Courtland.

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Adjusted EBITDA margin

record (“EMR”) implementation. Adjusted EBITDA margin is Adjusted EBITDA expressed as a percentage of our total revenue less any exceptional, one-timeone time revenue items.

In For the ninesix months ended MarchDecember 31, 2022 and 2021, we recognized the CMS settlement payment related to end stage renal disease beneficiaries for calendar years 2010-2020 in the amountnet loss was $24.2 million and net income was $8.7 million, respectively, representing a year-over-year decrease of approximately $2.2 million, which is deducted from total revenue solely for purposes of calculating377.7%. Adjusted EBITDA margin.

was ($5.8 million) and $33.0 million, for the six months ended December 31, 2022 and 2021, respectively, representing a year-over-year decrease of 117.5%. For the threesix months ended MarchDecember 31, 2021 and 2020, our2022, net loss margin was 7.2%, as compared to net income margin increased from 5.5%of 2.5% for the six months ended December 31, 2021. For the six months ended December 31, 2022, our Adjusted EBITDA margin was negative 1.7%, as compared to (6.9)%, respectively,our Adjusted EBITDA margin for the six months ended December 31, 2021 of 9.5%. The decrease in Adjusted EBITDA and Adjusted EBITDA Margin expandedmargin is primarily from 12.2%(i) increased center-level headcount and wage rates associated with a competitive labor market, (ii) increased housing utilization and rates as mandated by the states, and (iii) higher corporate, general, and administrative expenses, primarily attributable to 13.0%, respectively.

For the nine months ended March 31, 2021increased headcount to support compliance and 2020,to bolster our net income margin increased from 3.3% to (11.0)%, respectively, and Adjusted EBITDA Margin expanded from 10.4% to 14.2%, respectively.organizational capabilities.

Adjusted EBITDA and Adjusted EBITDA margin are supplemental measures of operating performance monitored by management that are not defined under U.S. GAAP and that do not represent, and should not be considered as, an alternative to net income (loss) and net income (loss) margin, respectively, as determined by U.S. GAAP. We believe that Adjusted EBITDA and Adjusted EBITDA margin are appropriate measures of operating performance because the metrics eliminate the impact of revenue and expenses that do not relate to our ongoing business performance and noncash expenses, allowing us to more effectively evaluate our core operating performance and trends from period to period. We believe that Adjusted EBITDA and Adjusted EBITDA margin help investors and analysts in comparing our results across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. These non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation from, or as a substitute for, the analysis of other U.S. GAAP financial measures, including net income (loss) and net income (loss) margin. In evaluating Adjusted EBITDA, you should be aware that in the future we may incur expenses that are the same as or similar to some of the adjustments in this presentation. Our presentation of Adjusted EBITDA should not be construed to imply that our future results will be unaffected by the types of items excluded from the calculation of Adjusted EBITDA. OurThe use of the term Adjusted EBITDA varies from others in our industry.

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A reconciliation of Adjusted EBITDA to net income, the most directly comparable GAAP measure, for each of the periods is as follows:

Three months ended December 31, 

Six months ended December 31, 

    

2022

    

2021

    

2022

    

2021

 

 

in thousands

Net income (loss)

    

$

(10,547)

    

$

1,106

    

$

(24,247)

    

$

8,730

Interest expense, net

 

223

 

674

 

826

 

1,221

Depreciation and amortization

 

3,662

 

3,292

 

7,095

 

6,585

Provision (benefit) for income tax

 

(2,912)

 

1,201

 

(6,383)

 

4,197

Stock-based compensation

 

1,212

 

783

 

2,512

 

1,741

Executive severance and recruitment(a)

4,123

4,123

Class action litigation(b)

1,282

45

1,238

45

M&A and de novo development(c)

 

336

 

513

 

622

 

840

Business optimization(d)

 

2,846

 

2,671

 

10,035

 

4,788

EMR implementation(e)

 

1,944

 

342

 

2,534

 

692

Adjusted EBITDA

$

(1,954)

$

14,750

$

(5,768)

$

32,962

(a)Reflects charges related to executive severance and recruiting.
(b)Reflects charges/(credits) related to litigation by stockholders.
(c)Reflects charges related to M&A transaction and integrations, and de novo center developments.
(d)Reflects charges related to business optimization initiatives. Such charges related to one-time investments in projects designed to enhance our technology and compliance systems, improve and support the efficiency and effectiveness of our operations, and third party support to address efforts to remediate deficiencies in audits. For the three months ended December 31, 2022 this includes (i) $0.5 million related to consultants and contractors performing audit and other related services at sanctioned centers, (ii) $1.4 million of charges related to government investigations, (iii) $0.8 million of costs associated with third party consultants as we implement our core provider initiatives, assess our risk-bearing payor capabilities, and strengthen our enterprise capabilities, and (iv) $0.1 million related to other non-recurring projects aimed at reducing costs and improving efficiencies. For the six months ended December 31, 2022 this includes (i) $1.2 million related to consultants and contractors performing audit and other related services at sanctioned centers, (ii) $3.0 million of charges related to government investigations, (iii) $5.1 million of costs associated with third party consultants as we implement our core provider initiatives, assess our risk-bearing payor capabilities, and strengthen our enterprise capabilities, and (iv) $0.7 million related to other non-recurring projects aimed at reducing costs and improving efficiencies..
(e)Reflects non-recurring expenses relating to the implementation of a new electronic medical record (“EMR”) vendor.

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Liquidity and capital resourcesCapital Resources

General

To date, we have financed our operations principally through cash flows from operations and through borrowings under our credit facilities, and most recently from the salessale of common stock.stock in our IPO that occurred in March 2021. As of MarchDecember 31, 2021,2022, we had cash and cash equivalents of $201.5$99.5 million. Our cash and cash equivalents primarily consist of highly liquid investments in demand deposit accounts and cash.

Our capital resources are generally used to fund (i) debt service requirements, the majority of which relate to the quarterly principal payments of the Term Loan Facility (as defined in Note 8, “Long Term Debt” to the condensed consolidated financial statements) due 2026, (ii) capital and operating lease obligations, which are generally paid on a monthly basis and include maturities through 2025 and 2032, respectively, (iii) the operations of our business, including special projects such as our transition to a new EMR vendor, with respect to which we expect to incur non-recurring implementation costs over the next six months, and ongoing costs through 2026, and third party support to address remediation efforts, and (iv) income tax payments, which are generally due on a quarterly and annual basis. We also will continue investing in the effective implementation of corrective remediation plans (CAPs) and other corrective initiatives as a result of deficiencies found during audits at some of our centers, and our ability to continually provide necessary and quality services to our participants. We also have and expect to continue using capital resources for capital additions, which include costs relating to the development of de novo centers. Collectively, these obligations are expected to represent a significant liquidity requirement of our Company on both a short-term (next 12 months) and long-term (beyond 12 months) basis.

Our cash obligations consist of repayments of long-term debt and obligations under operating and finance leases. As of December 31, 2022, we had $71.7 million of long-term debt outstanding. As of December 31, 2022, we had future minimum operating lease payments under non-cancellable leases through the year 2032 of $29.4 million. We also had non-cancellable finance lease agreements with third parties through the year 2027 with future minimum payments of $15.2 million. For additional information, see Note 7, “Leases”, Note 8, “Long Term Debt”, and Note 9, “Commitments and Contingencies” in our condensed consolidated financial statements.

We believe that our cash and cash equivalents and our cash flows from operations, available funds, and access to financing sources, including our 2021 Credit Agreement and Revolving Credit Facility (each discussed and defined below), will be sufficient to fund our operating and capital needs for at least the next 12 months.months and beyond. We have based this estimate on assumptions that may prove to be wrong, and we could use our available capital resources sooner than we currently expect. Our actual results could vary because of, and our future capital requirements will depend on, many factors, including our growth rate, our ability to retain and grow the timing and extentnumber of spendingPACE participants, subject to open new centersour ability to effectively remediate deficiencies identified in our Sacramento center and the expansion of sales and marketing activities. We may in the future enter into arrangements to acquire or invest in complementary businesses, services and technologies. We may be required to seek additional equity or debt financing. In the event that additional financing is required from outside sources, we may not be able to raise it on terms acceptable to us or at all. If we are unable to raise additional capital when desired, or if we cannot expand our operations or otherwise capitalize on our business opportunities because we lack sufficient capital, our business, results of operations, and financial condition would be adversely affected.

On May 13, 2016, we entered into a credit agreement with Capital One Financial Corporation (the “2016 Credit Agreement”). The 2016 Credit Agreement was subsequently amended and amended and restated a number of

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times. In March 2020, we borrowed $25.0 million under the revolving credit facility to ensure sufficient funds available due to the uncertainty relating to the COVID-19 pandemic and for general corporate purposes. Those borrowings have been repaid in full.

On March 8, 2021, concurrently with the closing of the IPO, the Company entered into a new credit agreement (the “2021 Credit Agreement”) that replaced the 2016 Credit Agreement. The 2021 Credit Agreement consists of a senior secured term loan (the “Term Loan Facility”) of $75.0 million principal amount and a revolving credit facility (the “Revolving Credit Facility”) of $100.0 million.million maximum borrowing capacity. The borrowing capacity under the Revolving Credit Facility is subject (i) any issued amounts under our letters of credit and (ii) applicable covenant compliance restrictions and any other conditions precedent to borrowing. Principal on the senior secured term loanTerm Loan Facility is paid each calendar quarter beginning September 2021 in an amount equal to 1.25% of the initial term loan on closing date. Proceeds of the new senior secured loan, together with proceeds from the IPO, were used to repay amounts outstanding under the 2016 Credit Agreement.

Any outstanding principal amounts under the 2021 Credit Agreement accrue interest at a variable interest rate. As of MarchDecember 31, 2021,2022, the interest rate on the senior secured term loanTerm Loan Facility was 1.94%6.14%. Under the terms of the 2021 Credit Agreement, the revolving credit facilityRevolving Credit Facility fee accrues at 0.25% of the average daily unused amount and is paid quarterly. There is also an immaterial administrative fee. As of MarchDecember 31, 2021,2022, we had no borrowings outstanding, $2.8 million of letters of credit issued, and $97.2 million of

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remaining capacity under the revolving credit facility and, therefore, had full capacity thereunder.Revolving Credit Facility. As of MarchDecember 31, 2021,2022, we also had $2.4$2.3 million principal amount outstanding under our convertible term loan. Monthly principal and interest payments for the convertible term loan are approximately $0.02 million, and the loan bears interest at an annual rate of 6.68%. The remaining principal balance is due upon maturity, which is August 20, 2030.

For more information about our debt, see Note 8. Long Term Debt,8 “Long-Term Debt” to our Condensed Consolidated Financial Statements included elsewhere in this Quarterly Report on Form 10-Q.condensed consolidated financial statements.

We currently intend to retain all available funds and any future earnings to fund the development and growth of our business and to repay indebtedness and, therefore, we do not anticipate paying anybusiness.

Condensed Consolidated Statements of Cash Flows

Our consolidated statements of cash dividends in the foreseeable future.

Cash, cash equivalents, and restricted cash

The following table presents a summary of our consolidated cash, cash equivalents, and restricted cash from operating, investing and financing activitiesflows for the periods indicated.six months ended December 31, 2022 and 2021 are summarized as follows:

Nine Months Ended

March 31, 

(In thousands)

    

2021

    

2020

Net cash provided by (used in) operating activities

$

(17,028)

$

20,021

Net cash used in investing activities

 

(16,083)

 

(7,790)

Net cash provided by financing activities

 

122,309

 

22,703

Net change in cash

 

89,198

 

34,934

Cash at beginning of period

 

114,565

 

61,196

Cash at end of period

$

203,763

$

96,130

    

Six months ended December 31, 

    

2022

    

2021

$ Change

in thousands

 

  

Net cash provided (used) by operating activities

$

(21,990)

$

31,577

$

(53,567)

Net cash used in investing activities

 

(59,632)

 

(13,681)

(45,951)

Net cash used in financing activities

 

(3,347)

 

(3,048)

(299)

Net change in cash, cash equivalents and restricted cash

$

(84,969)

$

14,848

$

(99,817)

Operating Activities. The change in net cash provided (used) by operating activities was primarily due to the net effect of (i) net loss of $24.2 million in the current year period compared to a net income of $8.7 million in the prior year period, as described further above, and (ii) a net decrease in working capital primarily attributable to payments for operating leases and reported and estimated claims.

For the nine months ended March 31, 2021,Investing Activities. Investing activities were made up of approximately $14.6 million in purchases of property and equipment and $45.0 million for purchases of short-term investments.

Financing activities. The increase in net cash used in operatingfinancing activities was $(17.0) million, a decrease of $37.0 million compared to net cash provided by operating activities of $20.0 million for the nine months ended March 31, 2020. The principal contributors to the year-over-year change in operating cash flows were as follows:

net loss of $(50.5) million for the nine months ended March 31, 2021 as compared to $14.2 million for the nine months ended March 31, 2020 decreased primarily due to expenses related to the Apax Transaction, the IPO, and the $20.0 million payment made under the acquisition agreement of the New Courtland LIFE Program that resulted in a non-reoccurring Corporate, general and administrative expense totaling $55.3 million;

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deferred income taxes for the nine months ended March 31, 2021 of $(3.5) million as compared to $0.3 million for the nine months ended March 31, 2020 changed primarily due to disallowed officers’ compensation under IRC Section 162(m); and
increase in amounts due to Medicare and Medicaid of $12.7 million for the nine months ended March 31, 2021 compared to ($5.2) million for the nine months ended March 31, 2020 due to HCPF reconciliation and settlement process.

Investing activities

For the nine months ended March 31, 2021, net cash used in investing activities was $16.1 million, an increase of $8.3 million compared to net cash used in investing activities of $7.8 million for the nine months ended March 31, 2020 due primarily to growth-related capital expenditures.

Financing activities

Cash provided by financing activities for the nine months ended March 31, 2021 was $122.3 million primarily due to IPO net proceeds of $373.6 million, partially offset by netan increase in principal payments on long-term debt of $137.6 million in debt payments, treasury stock purchases of $77.6 million,finance leases.

Emerging Growth Company and stock option cancellation payments of $32.4 million.

Cash provided by financing activities for the nine months ended March 31, 2020 was $22.7 million primarily due to net borrowings on long-term debt for $23.6 million.

Contractual obligations and commitments

Other than the Long-term debt obligations noted below, there have been no material changes outside of the normal course of business as disclosed in the IPO Prospectus:

Payments due by period

Less than

1-3 

3-5  

More than

(In thousands)

    

Total

    

 1 year

    

 years

    

years

    

 5 years

Long-term debt obligations(1)

$

77,377

 

3,990

 

11,970

 

60,480

$

937

(1)Represents amounts related to the Credit Agreement and the convertible term loan.

Off balance sheet arrangements

We did not have any off balance sheet arrangements as of March 31, 2021.

JOBS ActSmaller Reporting Company

We qualify as an “emerging growth company” pursuant to the provisions of the Jumpstart Our Business Startups (“JOBS”) Act and a “smaller reporting company” as defined by the Exchange Act. For as long as we are an “emerging growth company” or a “smaller reporting company,” we may take advantage of certain exemptions from various reporting requirements that are applicable to other public companies that are not “emerging growth companies” or “smaller reporting companies,” including, but not limited to, not being required to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act, only being required to present two years of audited financial statements, plus unaudited condensed consolidated financial statements for applicable interim periods and the related discussion in the section titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” reduced disclosure obligations regarding executive compensation in our periodic reports, proxy statements and registration statements, exemptions from the requirements of holding non-binding advisory “say-on-pay” votes on executive compensation and shareholderstockholder advisory votes on golden parachute compensation.

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In addition, under the JOBS Act, emerging growth companies can delay adopting new or revised accounting standards until such time as those standards apply to private companies. We intend to take advantage of the longer phase-in periods for the adoption of new or revised financial accounting standards under the JOBS Act until we are no longer an emerging

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growth company. Our election to use the phase-in periods permitted by this election may make it difficult to compare our financial statements to those of non-emerging growth companies and other emerging growth companies that have opted out of the longer phase-in periods permitted under the JOBS Act and who will comply with new or revised financial accounting standards. If we were to subsequently elect instead to comply with public company effective dates, such election would be irrevocable pursuant to the JOBS Act.

Critical accounting policiesAccounting Estimates

OurThe discussion and analysis of our financial condition and results of operations are based upon our condensed consolidated financial statements, and accompanying noteswhich have been prepared in accordance with U.S. GAAP. The preparation of these financial statements requires usmanagement to make estimates and assumptionsjudgments that affect the reported amounts reported of assets and liabilities revenueand disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses and related disclosures. We base our estimates on historical experience and on various other assumptions that we believe are reasonable underduring the circumstances. We evaluate our estimates and assumptions on an ongoing basis. The future effects of the COVID-19 pandemic on our results of operations, cash flows, and financial position are unclear, however, we believe we have made reasonable estimates and assumptions in preparing the financial statements.reporting period. Actual results may differ from these estimates under different assumptions or conditions, impacting our reported results of operations and financial condition.

Certain accounting estimates involve significant judgments and assumptions by management, which have a material impact on the carrying value of assets and liabilities and the recognition of income and expenses. We consider these accounting estimates to be critical accounting estimates. To the extent that there are material differences between theseThe estimates and our actual results, our future financial statements willassumptions used by management are based on historical experience and other factors, which are believed to be affected.

reasonable under the circumstances.

For a description of our policiesestimates regarding our critical accounting policies,estimates, see “Critical Accounting Policies”Estimates” in the IPO Prospectus. There2022 10-K. With the exception of the adoption of ASC 842 – Leases, as more thoroughly described in Note 7 “Leases”, there have been no significant changes in our critical accounting estimate policies, estimates, or methodologies to our condensed consolidated financial statements.statements

Recent accounting pronouncements

See Note 2 “Summary of Significant Accounting Policies—Recent Accounting Pronouncements” in our condensed consolidated financial statements included elsewhere in this report for information on recent accounting pronouncements.

.

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Item 3.  Quantitative and Qualitative Disclosures About Market Risk

Market risk represents the risk of loss that may impact our financial position due to adverse changes in financial market prices and rates. Our market risk exposure is primarily a result of exposure due to potential changes in inflation or interest rates. We do not hold financial instruments for trading purposes.

Interest rate risk

As of MarchDecember 31, 2021,2022, we had total outstanding debt of $75.0$69.4 million in principal amount under the Term Loan Facility, $2.4$2.3 million under the convertible term loan, and no outstanding debt under the Revolving Credit Facility.Facility (each as defined in Note 8, “Long Term Debt” to our condensed consolidated financial statements). As of June 30, 2020,2022, we had total outstanding debt of $190.0$71.3 million in principal amount under the prior Term Loan Facility $25.0 million under the prior Revolving Credit Facility and $2.4$2.3 million under the Convertible Term Loan.  Borrowings underAs of December 31, 2022, the 2016 Credit Agreement bore interest at a floating rate per annum, equal to an applicable margin, plus, at our option, an alternative base rate or Eurodollar rate.

Under the 2016 Credit Agreement, the applicable margin for borrowings was (a) with respect to term loan borrowings, 5.5% for alternate base rate borrowings and 6.5% for Eurodollar borrowings and (b) with respect to revolving loans, 3.5% for alternate base rate borrowings and 4.5% for Eurodollar borrowings. Under the 2021 Credit Agreement, the applicable margin for borrowings is (a) with respect to term loan and revolving loan borrowings, 0.75% for alternate base rate borrowings and 1.75% for Eurodollar borrowings.

Additionally, we are required to pay the following fees pursuant to the terms of the 2021 Credit Agreement:

(a) a commitment fee on the average daily unused portion of the revolving credit commitments of 0.25% effective March 8, 2021 and 0.5% per annum prior to that date;

(b) a customary administrative agent fee to the first lien administrative agent;

(c) a participation fee on the daily amount of letter of credit exposure of each letter of credit issued by each issuing bank at a rate equal to 5.0% with respect to the term loan borrowings after the 2021 Credit Agreement; and

(d) a fronting fee which shall accrue at 0.125% on the actual daily amounts of the exposure determined in the prior subsection (c)Term Loan Facility was 6.14%.

We had cash and cash equivalents of $201.5$99.5 million and $112.9$184.4 million as of MarchDecember 31, 20212022 and June 30, 2020,2022, respectively, which are deposited with high credit quality financial institutions and are primarily in demand deposit accounts.

Our cash and cash equivalents and interest payments in respect of our debt are subject to market risk due to changes in interest rates. We do not believe that an increase or decrease in interest rates of 100 basis points would have a material effect on our business, financial condition or results of operations.

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Inflation risk

Based on our analysis of the periods presented, we believe that inflation has not had a material effect on our operating results. There can be no assurance that future inflation will not have an adverse impact on our operating results and financial condition.

Item 4.  Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Under the supervision and with the participation of our management, including the Chief Executive Officer and Chief Financial Officer, we have evaluated the effectiveness of our disclosure controls and procedures (as defined

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in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this report.Report. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that these disclosure controls and procedures were effective as of MarchDecember 31, 2021.2022.

Changes to our Internal Controls over Financial Reporting

There have been no changes in internal control over financial reporting during the quarter ended MarchDecember 31, 20212022 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II — OTHER INFORMATION

Item 1.  Legal Proceedings

None.For information regarding our material pending legal proceedings, refer to Note 9 “Commitments and Contingencies” to our Condensed Consolidated Financial Statements located in Item 1 of Part I of this Quarterly Report on Form 10-Q.

Item 1.A  Risk Factors

Other than the updates to the risk factor set forth below, thereThere have been no material changes to the risk factors previously disclosed in the “Risk factors” section of the IPO Prospectus.our 2022 10-K.

Risks related to our business

A pandemic, epidemic or outbreak of an infectious disease in the United States or worldwide, including the ongoing outbreak of COVID-19, could adversely affect our business.

The severity, magnitude and duration of the current COVID-19 pandemic is uncertain and rapidly changing. Because of our business model, the full impact of the COVID-19 pandemic may not be fully reflected in our results of operations and overall financial condition until future periods. Additionally, any future pandemic, epidemic or outbreak of an infectious disease may adversely affect our business if one of the geographies we serve is affected by the outbreak, particularly at the onset of any such outbreak before response protocols have been developed. Specifically, if our participants fall ill due to an outbreak, we may experience a high level of unexpected deaths, increased costs, and other effects, including a loss of revenue, negative publicity, litigation and inquiries from government regulators.

Adverse market conditions resulting from the spread of the virus that causes COVID-19 could materially and adversely affect our business and the value of our common stock. Numerous state and local jurisdictions, including some markets where we operate, continue to impose, and others in the future may impose, travel bans and restrictions, “shelter-in-place” orders or shutdowns, quarantines, curfews, executive orders and similar government orders and restrictions for their residents to control the spread of the virus that causes COVID-19. Such orders or restrictions have resulted in largely remote operations at our headquarters and centers, work stoppages among some vendors and suppliers, slowdowns and delays, travel restrictions and cancellation of events and have restricted the ability of our front-line outreach teams to host and attend community events, among other effects, thereby significantly impacting our operations. In addition, the COVID-19 virus disproportionately impacts older adults, especially those with chronic illnesses, which describes many of our participants.

The COVID-19 pandemic has significantly and temporarily increased demand for our telehealth and in-home offerings. The telehealth market is relatively new, and it is uncertain whether it will achieve and sustain high levels of demand, consumer acceptance and market adoption. Although our pivot to telehealth services has been a useful tool for providing remote care during the COVID-19 pandemic, the COVID-19 pandemic has limited our ability to provide in-person care. If our participants do not perceive the benefits of telehealth services, or if our services are not competitive, it could have a material adverse effect on our business, financial condition or results of operations. Similarly, individual and healthcare industry concerns or negative publicity regarding participant confidentiality and privacy in the context of telehealth could limit market acceptance of such healthcare services. In addition, some

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of our participants may lack access to telehealth devices, such as cell phones and/or computers, or may be unable to use the telehealth technology on their own. Because some of our participants may not be comfortable with a team member coming to their home to deliver face-to-face care or entering with a device to assist with using our telehealth services, participants may be reluctant to seek necessary care given their inability to use telehealth services, coupled with preference to stay at home due to the risks of the COVID-19 pandemic. This could have the effect of deferring healthcare costs that we will need to incur at later periods and may also affect the health of participants who defer treatment, which may cause our costs to increase in the future. Further, as a result of the COVID-19 pandemic, we may experience slowed growth or a decline in new participants.

Due to the COVID-19 pandemic, we may not be able to document the health conditions of our participants as completely as we have in the past. Medicare pays capitation using a “risk adjustment model,” which compensates providers based on the health status (acuity) of each individual participant. Participants with higher RAF scores necessitate larger capitated payments, and those with lower RAF scores necessitate smaller capitated payments. Medicare requires that a participant’s health issues be documented annually regardless of the permanence of the underlying causes. Historically, this documentation was required to be completed during an in-person visit with a participant, but CMS is now allowing documentation of conditions identified during qualifying telehealth visits with participants. However, given the disruption caused by the COVID-19 pandemic and the limitations relating to assessing the health needs of our participants through telehealth services described above, it is unclear whether we will be able to document the health conditions of our participants as comprehensively as we have historically, which may adversely impact our revenue in future periods.

The COVID-19 pandemic temporarily forced our centers to close or to perform operations remotely reducing our frequent in-person contact with participants and exacerbated difficulties to hire additional healthcare professionals, causing certain of our centers to be understaffed or staffed with personnel that requires training. The general lack of in-person interaction and the reduction in healthcare personnel, and specifically, trained personnel, has impacted and may continue to impact our ability to adhere to the complex government laws and regulations that apply to our business. PACE regulators require that new participants be assessed within a period of 30 days from enrollment to our programs and for us to provide them a personalized care plan. Recently, we became aware that certain of our centers failed to timely complete a portion of these new participant assessments and care plans.  We are working diligently to remedy this issue. Failure to conduct assessments or produce care plans within the required period of time may subject us to suspension of new enrollment or restrict enrollment at the affected centers and other centers in the affected state. These or future violations of these requirements or other government laws or regulations could result in significant consequences that may have a material adverse effect on our business, results of operations, financial condition and cash flows.

On March 27, 2020, the CARES Act was signed into law. The CARES Act provides for $100.0 billion in funding for healthcare providers, including hospitals on the front lines of the COVID-19 pandemic, and subsequent COVID-19 economic relief legislation authorized additional funding to be distributed to healthcare providers. The state of Pennsylvania enacted Act 24 of 2020 (“Act 24”), which allocates $10.0 million in federal CARES Act funding to Managed Long Term Care Organizations to cover COVID-19 related costs. Our Pennsylvania centers were granted $1.0 million of funding from Act 24. As of June 30, 2020, we recognized $0.7 million of such funds and for the six months ended December 31, 2020, we recognized the remaining funds of $0.3 million. As a result of receiving this funding, we may be subject to audits and oversight by the federal government and Pennsylvania regulators, and there is no guarantee that the funds we received could not be subject to recoupment. Recipients are not required to repay these funds, provided that they attest to and comply with certain terms and conditions, including not using funds received to reimburse expenses or losses that other sources are obligated to reimburse, as well as certain audit and reporting requirements.

As of June 30, 2020, we incurred $3.5 million of COVID-19 related costs, and for the six months ended December 31, 2020, we incurred an additional $2.4 million of COVID-19 related costs. We expect our COVID-19 related expenses to continue to increase, which could have a material adverse effect on our business, results of operations, financial condition and cash flows.

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The extent and continued impact of the COVID-19 pandemic on our business will depend on certain developments, including: the duration and spread of the outbreak; government responses to the pandemic, including responses to state budget shortfalls; the impact on our participants and enrollment; the availability, effectiveness and receipt of vaccines by our participants and our employees; the impact on participant, industry or employee events; and the effect on our supply chains, all of which are uncertain and cannot be predicted. Because of our business model, the full impact of the COVID-19 pandemic may not be fully reflected in our results of operations and overall financial condition until future periods.

To the extent the COVID-19 pandemic adversely affects our business and financial results, it may also have the effect of amplifying many of the other risks described in the “Risk Factors” section of our IPO Prospectus, including but not limited to those relating to our ability to raise additional capital or generate sufficient cash flows necessary to fulfill our obligations under our existing indebtedness or to expand our operations.

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds

Unregistered Sales of Equity Securities

None.

There were no unregistered sales of equity securities during the three months ended March 31, 2021.

Use of Proceeds

On March 8, 2021, we completed the IPO of our common stock pursuant to a Registration Statement on Form S-1 (File No. 333-252853), which was declared effective on March 3, 2021. The Company sold 18,995,901 shares of common stock, including the partial exercise of the underwriters’ option to purchase additional shares of common stock at the IPO price of $21.00 per share. The managing underwriters of the IPO were J.P. Morgan Securities LLC, Barclays Capital Inc., Goldman Sachs & Co. LLC and Citigroup Global Markets Inc.

In aggregate, the shares issued in the IPO generated $373.6 million in net proceeds, which amount is net of $23.9 million in underwriters’ discounts and commissions and offering costs of $1.4 million. No offering expenses were paid directly or indirectly to any of our officers or directors (or their associates) or persons owning 10% or more of any class of our equity securities or to any other affiliates.

During the three months ended March 31, 2021, we used the net proceeds of the IPO, together with proceeds from our 2021 Credit Agreement, to repay all borrowings outstanding under the 2016 Credit Agreement and to fund the related prepayment fees and expenses and to satisfy an earn-out arrangement in connection with the acquisition of New Courtland. There was no material change in the expected use of the net proceeds from the IPO as described in the IPO Prospectus.

Item 3.  Defaults Upon Senior Securities

None.

Item 4.  Mine Safety Disclosures

Not applicable.

Item 5.  Other Information

None.

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Item 6.  Exhibits

The following is a list of all exhibits filed or furnished as part of this report:

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EXHIBIT INDEX

Exhibit

No.

    

Description

3.1

Second Amended and Restated Certificate of Incorporation of InnovAge Holding Corp., filed March 3, 2021 (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed with the SEC on March 8, 2021).

3.2

Amended and Restated Bylaws of InnovAge Holding Corp., effective March 3, 2021 (incorporated by reference to Exhibit 3.2 to the Company’s Current Report on Form 8-K filed with the SEC on March 8, 2021).

4.1

Registration Rights Agreement, dated as of March 8, 2021, by among the Company and the other signatory party thereto (incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K filed with the SEC on March 8, 2021).

10.1

Director Nomination Agreement, dated as of March 8, 2021, by and among the Company and the other signatories party thereto (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the SEC on March 8, 2021).

10.2

InnovAge Holding Corp 2021 Omnibus Incentive Plan (incorporated by reference to Exhibit 10.1 to InnovAge Holding Corp.’s Registration Statement on Form S-8 filed with the Securities and Exchange Commission on March 5, 2021).

10.3

Credit Agreement, dated as of March 8, 2021, by and among Total Community Options, Inc., the Borrower, JPMorgan Chase Bank, N.A., as administrative agent, and the other parties thereto (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the SEC on March 12, 2021).

10.4§

Amended and Restated Amendment to InnovAge Holding Corp. Stock Purchase Agreement, effective as of February 9, 2021, by and between InnovAge Holding Corp. and Adventist health System/West

31.1

Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

31.2

Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

32.1†

Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

32.2†

Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

101.INS

Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document)

101.SCH

Inline XBRL Taxonomy Extension Schema Document

101.CAL

Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

Inline XBRL Taxonomy Extension Label Linkbase Document

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104

Cover Page Interactive Data File (formatted in Inline XBRL and contained in Exhibit 101)

The certifications furnished in Exhibit 32.1 and Exhibit 32.2 hereto are deemed to accompany“furnished” with this Quarterly Report on Form 10-Q and will not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, except to the extent that the registrant specifically incorporates it by reference.

§

Exhibits and schedules have been omitted pursuant to Item 601(a)(5) of Regulation S-K and will be provided on a supplemental basis to the Securities and Exchange Commission upon request.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, duly authorized.

Date: May 11, 2021

INNOVAGE HOLDING CORP.

Date: February 7, 2023

By:

/s/ Barbara Gutierrez

Name:

Barbara Gutierrez

Title:

Chief Financial Officer

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