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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

(Mark One)
x                     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the quarterly period ended MarchDecember 31, 2023
or
o                     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

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InnovAge Holding Corp.
(Exact name of registrant as specified in its charter)

Delaware81-0710819
(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 classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 par valueINNVThe 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 x No o
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 x No o
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 fileroAccelerated filerx
Non-accelerated fileroSmaller reporting companyxEmerging growth companyx
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. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No x
As of May 8, 2023,February 5, 2024, there were 135,630,167135,899,435 of the registrant’s common stock outstanding.


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InnovAge Holding Corp. and Subsidiaries
Quarterly Report on Form 10-Q
For the quarterly period ended MarchDecember 31, 2023
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. All statements other than statements of historical fact included in this Quarterly Report on Form 10-Q are forward-looking statements. Forward-looking statements may be identified by the fact that they do not relate strictlygive our current expectations and projections relating to historical or current factsour financial condition, results of operations, plans, objectives, future performance and may include statements about our expectationsbusiness, including 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 or open 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,” 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, projections, 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 viability of our growth strategy, including our ability to obtain licenses to open our de novo centers in Downey and Bakersfield, California;
our ability to identify and successfully complete and integrate acquisitions;
our ability to attract new participants and retain existing participants and grow our revenue throughout our existing centers;
the results of periodic inspections, reviews, audits and investigations under the federal and state government programs, includingsuch as the audit of our Sacramento, California center and the targeted medical review of our San Bernardino, California center, and our ability to sufficiently cure any new and recurring deficiencies identified by the respective federal and state government programs;
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;
our ability to enroll or attract new participants and grow our revenue throughout our existing centers;
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 audit processes;
the risk that the cost of providing services will exceed our compensation under the Program of All Inclusive Care for the Elderly (“PACE”);
our increased costs and expenditures in the future and our inability to execute or realize the benefits of our clinical value initiatives;
the impact on our business from ongoing macroeconomic related challenges, including labor shortages and inflation;
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, including the effects of the expiration of the national emergency and public health emergency declarations related to the COVID-19 pandemic;
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 difficulty to predict our future results, which could cause such results to fall below any guidance we provide;
the impact of state and federal efforts to reduce healthcare spending;
the impact on our business fromeffects of a pandemic, epidemic or outbreak of an economic downturn or recession;infectious disease, such as COVID-19;
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;
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;
the impact of competition for physicians and other clinical personnel and related increases in our labor costs;
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labor relations matters, including unionization efforts;
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 effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems;
our ability to accurately estimate incurred but not reported medical expense or the risk scores of our participants;
risks associated with our 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;
our ability to maintain our corporate culture;
the impact of negative publicity regarding the managed healthcare industry;
the impact of weather and other factors beyond our control;
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 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 business of disruptions in our disaster recovery systems or business continuity planning;
changes in accounting principlesimpact of negative publicity regarding the managed healthcare industry; and guidance, resulting in unfavorable accounting charges or effects; and
other factors disclosed in the section entitled “Risk Factors” in our Annual Report for the year ended June 30, 20222023 filed with the Securities and Exchange Commission (the “SEC”) on September 13, 2022,12, 2023, and 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. All written and oral forward-looking 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 public communications and filings 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 specified or unless the context requires otherwise, all references in this Quarterly Report on Form 10-Q to “InnovAge,” “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,
2023
June 30,
2022
December 31,
2023
December 31,
2023
June 30,
2023
AssetsAssets
Current AssetsCurrent Assets
Current Assets
Current Assets
Cash and cash equivalents
Cash and cash equivalents
Cash and cash equivalentsCash and cash equivalents$121,706 $184,429 
Short-term investmentsShort-term investments45,847 — 
Restricted cashRestricted cash16 17 
Accounts receivable, net of allowance ($3,936 – March 31, 2023 and $3,403 – June 30, 2022)34,197 35,907 
Accounts receivable, net of allowance ($5,134 – December 31, 2023 and $4,161 – June 30, 2023)
Prepaid expensesPrepaid expenses13,924 13,842 
Income tax receivableIncome tax receivable254 6,761 
Total current assetsTotal current assets215,944 240,956 
Noncurrent AssetsNoncurrent Assets  Noncurrent Assets  
Property and equipment, netProperty and equipment, net192,911 176,260 
Operating lease assetsOperating lease assets21,906 — 
InvestmentsInvestments5,493 5,493 
Deposits and otherDeposits and other3,573 2,812 
GoodwillGoodwill124,217 124,217 
Other intangible assets, netOther intangible assets, net5,363 5,858 
Total noncurrent assetsTotal noncurrent assets353,463 314,640 
Total assetsTotal assets$569,407 $555,596 
Liabilities and Stockholders' EquityLiabilities and Stockholders' Equity  Liabilities and Stockholders' Equity  
Current LiabilitiesCurrent Liabilities  Current Liabilities  
Accounts payable and accrued expensesAccounts payable and accrued expenses$48,198 $50,562 
Reported and estimated claimsReported and estimated claims39,095 38,454 
Due to Medicaid and MedicareDue to Medicaid and Medicare11,001 9,130 
Income tax payableIncome tax payable1,220 — 
Current portion of long-term debtCurrent portion of long-term debt3,795 3,793 
Current portion of finance lease obligationsCurrent portion of finance lease obligations4,946 3,368 
Current portion of operating lease obligationsCurrent portion of operating lease obligations3,402 — 
Deferred revenueDeferred revenue26,032 — 
Total current liabilitiesTotal current liabilities137,689 105,307 
Noncurrent LiabilitiesNoncurrent Liabilities  Noncurrent Liabilities  
Deferred tax liability, netDeferred tax liability, net5,714 17,761 
Finance lease obligationsFinance lease obligations13,381 9,440 
Operating lease obligationsOperating lease obligations20,110 — 
Other noncurrent liabilitiesOther noncurrent liabilities1,183 1,134 
Long-term debt, net of debt issuance costsLong-term debt, net of debt issuance costs65,687 68,210 
Total liabilitiesTotal liabilities243,764 201,852 
Commitments and Contingencies (See Note 9)Commitments and Contingencies (See Note 9)  Commitments and Contingencies (See Note 9)  
Redeemable Noncontrolling Interests (See Note 4)Redeemable Noncontrolling Interests (See Note 4)13,461 15,278 
Stockholders’ EquityStockholders’ Equity  Stockholders’ Equity  
Common stock, $0.001 par value; 500,000,000 authorized as of March 31, 2023 and June 30, 2022; 135,602,464 and 135,532,811 issued shares as of March 31, 2023 and June 30, 2022, respectively136 136 
Common stock, $0.001 par value; 500,000,000 authorized as of December 31, 2023 and June 30, 2023; 135,893,070 and 135,639,845 issued shares as of December 31, 2023 and June 30, 2023, respectively
Additional paid-in capitalAdditional paid-in capital330,955 327,499 
Retained earnings (deficit)(24,767)4,729 
Retained deficit
Total InnovAge Holding Corp.Total InnovAge Holding Corp.306,324 332,364 
Noncontrolling interestsNoncontrolling interests5,858 6,102 
Total stockholders’ equityTotal stockholders’ equity312,182 338,466 
Total liabilities and stockholders’ equityTotal liabilities and stockholders’ equity$569,407 $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 March 31,Nine Months Ended March 31,
2023202220232022
Three Months Ended December 31,Three Months Ended December 31,Six Months Ended December 31,
20232023202220232022
RevenuesRevenues
Capitation revenue
Capitation revenue
Capitation revenueCapitation revenue$172,196 $176,988 $510,268 $524,507 
Other service revenueOther service revenue343 371 945 1,273 
Total revenuesTotal revenues172,539 177,359 511,213 525,780 
ExpensesExpenses    
External provider costs
External provider costs
External provider costsExternal provider costs89,805 103,254 279,550 284,299 
Cost of care, excluding depreciation and amortizationCost of care, excluding depreciation and amortization53,949 46,102 158,881 129,740 
Sales and marketingSales and marketing5,314 6,144 13,502 19,117 
Corporate, general and administrativeCorporate, general and administrative27,648 24,682 86,646 74,248 
Depreciation and amortizationDepreciation and amortization3,992 3,850 11,087 10,435 
Total expensesTotal expenses180,708 184,032 549,666 517,839 
Operating Income (Loss)(8,169)(6,673)(38,453)7,941 
Operating Loss
Other Income (Expense)Other Income (Expense)    
Other Income (Expense)
Other Income (Expense)
Interest expense, netInterest expense, net(405)(709)(1,231)(1,930)
Other income (expense)(101)108 380 (358)
Interest expense, net
Interest expense, net
Other income
Other expense
Total other expenseTotal other expense(506)(601)(851)(2,288)
Income (Loss) Before Income Taxes(8,675)(7,274)(39,304)5,653 
Loss Before Income Taxes
Provision (Benefit) for Income TaxesProvision (Benefit) for Income Taxes(1,365)(4,116)(7,747)81 
Net Income (Loss)(7,310)(3,158)(31,557)5,572 
Net Loss
Less: net loss attributable to noncontrolling interestsLess: net loss attributable to noncontrolling interests(680)(337)(2,061)(616)
Net Income (Loss) Attributable to InnovAge Holding Corp.$(6,630)$(2,821)$(29,496)$6,188 
Net Loss Attributable to InnovAge Holding Corp.
Weighted-average number of common shares outstanding - basic
Weighted-average number of common shares outstanding - basic
Weighted-average number of common shares outstanding - basicWeighted-average number of common shares outstanding - basic135,601,327135,516,608135,581,971135,516,544135,887,613135,578,888135,839,007135,572,503
Weighted-average number of common shares outstanding - dilutedWeighted-average number of common shares outstanding - diluted135,601,327135,516,608135,581,971135,530,793Weighted-average number of common shares outstanding - diluted135,887,613135,578,888135,839,007135,572,503
Net income (loss) per share - basic$(0.05)$(0.02)$(0.22)$0.05 
Net income (loss) per share - diluted$(0.05)$(0.02)$(0.22)$0.05 
Net loss per share - basic
Net loss per share - basic
Net loss per share - basic
Net loss per share - diluted
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 Stockholders’ Equity
(In thousands, except share amounts)
(Unaudited)
For the Three Months Ended March 31, 2023
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, December 31, 2022135,596,225$136 $329,777 $(18,137)$5,945 $317,721 14,054 
Stock-based compensation6,239— 1,178 — — 1,178 — 
Adjustments to redemption value— — — — — — 
Net loss— — (6,630)(87)(6,717)(593)(7,310)
Balances, March 31, 2023135,602,464$136 $330,955 $(24,767)$5,858 $312,182 $13,461 $ 
For the Nine Months Ended March 31, 2023
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, June 30, 2022135,532,811$136 $327,499 $4,729 $6,102 $338,466 15,278 
Stock-based compensation69,653— 3,456 — — 3,456 — 
Adjustments to redemption value— — — — — — 
Net loss— — (29,496)(244)(29,740)(1,817)(31,557)
Balances, March 31, 2023135,602,464$136 $330,955 $(24,767)$5,858 $312,182 $13,461 $ 
For the Three Months Ended December 31, 2023
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, September 30, 2023135,884,840$136 $333,316 $(46,248)$5,705 $292,909 12,138 
Stock-based compensation11,552 — 1,766 — — 1,766 — 
Tax withholding related to net share settlements of stock-based compensation awards(3,322)— (20)— — (20)— 
Net loss— — (3,447)(67)(3,514)(307)(3,821)
Balances, December 31, 2023135,893,070$136 $335,062 $(49,695)$5,638 $291,141 $11,831  
For the Six Months Ended December 31, 2023
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, June 30, 2023135,639,845$136 $332,107 $(35,944)$5,793 $302,092 12,708 
Stock-based compensation359,401 — 3,589 — — 3,589 — 
Tax withholding related to net share settlements of stock-based compensation awards(106,176)— (634)— — (634)— 
Net loss— — (13,751)(155)(13,906)(877)(14,783)
Balances, December 31, 2023135,893,070 $136 $335,062 $(49,695)$5,638 $291,141 $11,831  
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For the Three Months Ended March 31, 2022
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, December 31, 2021135,516,513$136 $325,501 $17,695 $6,254 $349,586 18,850 
Stock-based compensation8,493— 845 — — 845 — 
Adjustments to redemption value— — 2,563 — 2,563 (2,563)
Net income (loss)— — (2,821)(47)(2,868)(290)(3,158)
Balances, March 31, 2022135,525,006$136 $326,346 $17,437 $6,207 $350,126 $15,996 $ 
For the Nine Months Ended March 31, 2022
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, June 30, 2021135,516,513$136 $323,760 $10,663 $6,420 $340,979 16,986 
Stock-based compensation8,493— 2,586 — — 2,586 — 
Adjustments to redemption value— — 586 — 586 (586)
Net income (loss)— — 6,188 (213)5,975 (403)5,572 
Balances, March 31, 2022135,525,006$136 $326,346 $17,437 $6,207 $350,126 $15,996 $ 
For the Three Months Ended December 31, 2022
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, September 30, 2022135,570,078$136 $328,708 $(8,344)$6,020 $326,520 14,734 
Stock-based compensation26,147— 1,069 — — 1,069 — 
Adjustments to redemption value— — — — — — 
Net loss— — (9,793)(75)(9,868)(680)(10,547)
Balances, December 31, 2022135,596,225$136 $329,777 $(18,137)$5,945 $317,721 $14,054 $ 
For the Six Months Ended December 31, 2022
Capital StockAdditional
Paid-in
Capital
Retained
Earnings
(Deficit)
Noncontrolling
Interests
Total
Permanent
Stockholders' Equity
Redeemable
Noncontrolling Interests
(Temporary Equity)
Net Income
(Loss)
SharesAmount
Balances, June 30, 2022135,532,811$136 $327,499 $4,729 $6,102 $338,466 15,278 
Stock-based compensation63,414— 2,278 — — 2,278 — 
Adjustments to redemption value— — — — — — 
Net loss— — (22,866)(157)(23,023)(1,224)(24,247)
Balances, December 31, 2022135,596,225$136 $329,777 $(18,137)$5,945 $317,721 $14,054 $ 

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,
20232022
For the Six Months Ended December 31,For the Six Months Ended December 31,
202320232022
Operating ActivitiesOperating Activities
Net income (loss)$(31,557)$5,572 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities  
(Gain) loss on disposal of assets482 358 
Net loss
Net loss
Net loss
Adjustments to reconcile net loss to net cash used in operating activitiesAdjustments to reconcile net loss to net cash used in operating activities  
Gain on disposal of assets
Provision for uncollectible accountsProvision for uncollectible accounts2,319 4,834 
Depreciation and amortizationDepreciation and amortization11,087 10,435 
Operating lease rentalsOperating lease rentals3,500 — 
Amortization of deferred financing costsAmortization of deferred financing costs322 322 
Stock-based compensationStock-based compensation3,456 2,586 
Loss on minority equity interest investment
Deferred income taxesDeferred income taxes(12,046)81 
OtherOther(726)— 
Changes in operating assets and liabilitiesChanges in operating assets and liabilities  Changes in operating assets and liabilities  
Accounts receivable, netAccounts receivable, net(609)(4,157)
Prepaid expensesPrepaid expenses(81)(4,323)
Income tax receivableIncome tax receivable7,727 (60)
Deposits and otherDeposits and other(836)(1,501)
Accounts payable and accrued expensesAccounts payable and accrued expenses25,161 4,705 
Reported and estimated claimsReported and estimated claims641 2,778 
Due to Medicaid and MedicareDue to Medicaid and Medicare1,870 2,429 
Operating lease liabilitiesOperating lease liabilities(3,625)— 
Net cash provided (used) by operating activities7,085 24,059 
Deferred revenue
Net cash used by operating activities
Investing ActivitiesInvesting Activities  Investing Activities  
Purchases of property and equipmentPurchases of property and equipment(19,329)(20,141)
Purchases of short-term investmentsPurchases of short-term investments(45,000)— 
Purchases of intangible assets— (1,437)
Purchase of cost method investment— (2,000)
Proceeds from sale of short-term investments
Acquisition of business
Net cash used in investing activitiesNet cash used in investing activities$(64,329)$(23,578)
Financing ActivitiesFinancing Activities
Payments for finance lease obligationsPayments for finance lease obligations(2,637)(1,829)
Payments for finance lease obligations
Payments for finance lease obligations
Principal payments on long-term debtPrincipal payments on long-term debt(2,843)(2,841)
Taxes paid related to net share settlements of stock-based compensation awards
Net cash used in financing activitiesNet cash used in financing activities(5,480)(4,670)
INCREASE (DECREASE) IN CASH, CASH EQUIVALENTS & RESTRICTED CASH(62,724)(4,189)
DECREASE IN CASH, CASH EQUIVALENTS & RESTRICTED CASH
DECREASE IN CASH, CASH EQUIVALENTS & RESTRICTED CASH
DECREASE IN CASH, CASH EQUIVALENTS & RESTRICTED CASH
CASH, CASH EQUIVALENTS & RESTRICTED CASH, BEGINNING OF PERIODCASH, CASH EQUIVALENTS & RESTRICTED CASH, BEGINNING OF PERIOD184,446 203,700 
CASH, CASH EQUIVALENTS & RESTRICTED CASH, END OF PERIODCASH, CASH EQUIVALENTS & RESTRICTED CASH, END OF PERIOD$121,722 $199,511 
Supplemental Cash Flows Information
Supplemental Cash Flows Information
Supplemental Cash Flows InformationSupplemental Cash Flows Information    
Interest paidInterest paid$2,826 $1,452 
Income taxes paidIncome taxes paid$13 $84 
Property and equipment included in accounts payableProperty and equipment included in accounts payable$1,811 $4,577 
Property and equipment purchased under finance leasesProperty and equipment purchased under finance leases$8,157 $8,057 
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
(Unaudited)
Note 1: Business
InnovAge Holding Corp. and its subsidiaries (the "Company") are headquartered in Denver, Colorado. The Company manages, and in many cases directly provides,fulfills a broad range of medical and ancillary services for seniors in need of care and support to safely live independently in their communities, including 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 one reportable segment, PACE.
As of MarchDecember 31, 2023, the Company served approximately 6,3106,780 PACE participants, making it the largest PACE provider in the United States of America (the “U.S.”) based upon participants served, and operates 17operated 18 PACE centers across California, Colorado, California, New Mexico, Pennsylvania and Virginia. During the third quarter ended March 31, 2023, the Company consolidated its Germantown LIFE center with its Allegheny and Henry Avenue LIFE centers in Pennsylvania.
PACE is a fully-capitated managed care program, which serves the frail elderly, and predominantly dual-eligible, population in a community-based service model. We define dual-eligible seniors as individuals who are 55+ and qualify for benefits under both Medicare and Medicaid. InnovAge is obligated to provide, and participants receiveprovides 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 Affairs (“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.
The Company’s common stock is traded on the Nasdaq Stock Market LLC (“NASDAQ”) under the ticker symbol “INNV.”“INNV”.
Note 2: Summary of Significant Accounting Policies
The Company described its significant accounting policies in Note 2, “Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements in its Annual Report on Form 10-K for the year ended June 30, 20222023 (“20222023 10-K”). With the exception of Recently Adopted Accounting Pronouncements described below, there were no significant changes to those accounting policies during the ninesix months ended MarchDecember 31, 2023.
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, 2022.2023. 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,the Company, its wholly owned subsidiaries, variable interest entities (“VIEs”) 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)loss reported in the statements of operations for all periods presented.
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Property and Equipment
Property and equipment were comprised of the following as of MarchDecember 31, 2023 and June 30, 2022:2023:
dollars in thousandsdollars in thousandsEstimated
Useful Lives
March 31, 2023June 30, 2022dollars in thousandsEstimated
Useful Lives
December 31, 2023June 30, 2023
LandLandN/A$11,969 $11,980 
Buildings and leasehold improvementsBuildings and leasehold improvements10 - 40 years124,231 122,076 
SoftwareSoftware3 - 5 years26,594 16,264 
Equipment and vehiclesEquipment and vehicles3 - 7 years57,035 47,546 
Construction in progressConstruction in progressN/A40,467 35,479 
260,296 233,345 
275,706
Less: accumulated depreciation and amortizationLess: accumulated depreciation and amortization(67,385)(57,085)
Total property and equipment, netTotal property and equipment, net$192,911 $176,260 
Depreciation of $3.8 million was recorded during both the three months ended March 31, 2023 and 2022. Depreciation of $10.3$4.1 million and $9.9$3.3 million was recorded during the ninethree months ended MarchDecember 31, 2023 and 2022, respectively. Depreciation of $8.2 million and $6.5 million was recorded during the six months ended December 31, 2023 and December 31, 2022, respectively.
Recently Adopted Accounting Pronouncements
Leases
In February 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-02 Leases (“ASU 2016-02”), which was intended to increase 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 cash flows arising from leases, including qualitative and quantitative requirements. In June 2020, the FASB issued ASU 2020-05 Revenue from contracts with customers (Topic 606) and leases (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 July 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 new 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 of adoption. The Company did not elect the practical expedient to use hindsight in determining the lease term and in assessing impairment conclusions on the ROU assets. Comparative periods presented in the financial statements continue to be presented in accordance with GAAP related to leases prior to transitioning to the new lease standard. The adoption of Topic 842 resulted in the recognition 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 as finance leases) remained substantially unchanged. The impact of adopting Topic 842 was not material to our Statements of Operations and Statements of Cash Flows. See Note 7, “Leases.”
Recent Accounting Pronouncements Not Yet Adopted
Financial Instruments
In April 2019, the FASBFinancial Accounting Standards Board ("FASB") issued ASUAccounting Standards Update ("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
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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 expandsThe CECL model is expected to result in more timely recognition of credit losses. The Company adopted the requiredstandard on July 1, 2023. Our adoption of the standard did not have a material impact to the condensed consolidated financial statements. The Company makes estimates of expected credit losslosses based on a combination of factors, including historical losses adjusted for current market conditions, delinquency trends, aging behaviors of receivables and credit and liquidity indicators, and future market and economic conditions and regularly reviews the adequacy of the allowance for credit losses.
Recent Accounting Pronouncements Not Yet Adopted
Segment Reporting
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. ASU 2023-07 improves reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses that are regularly provided to the chief operating decision maker. Additionally, ASU 2023-07 requires that all existing annual segment disclosures be provided on an interim basis and clarifies that single reportable segment entities are subject to the disclosure requirement under Topic 280 in its entirety. ASU 2023-07 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. ASU 2019-04retrospectively and is effective for the Company for fiscal years beginning after December 15, 2022, including2023 and interim periods within those fiscal years.beginning after December 15, 2024. Early adoption is permitted. The Company will adopt this guidanceis evaluating the impact of ASU 2023-07 on our condensed consolidated financial statements.
Income Taxes
In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 requires additional disclosures related to rate reconciliation, income taxes paid, and other disclosures. ASU 2023-09 requires public companies to annually (i) disclose specific categories in the rate reconciliation and (ii) provide additional information for reconciling items that meet a quantitative threshold. Additionally, ASU 2023-09 requires public companies to annually disclose the amount of income taxes paid, disaggregated by federal, state, and
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foreign taxes, as well as the amount of income taxes paid by individual jurisdiction. For public companies, ASU 2023-09 is effective for annual and interim reporting periods beginning July 1, 2023.after December 15, 2024. The Company has not determinedis currently evaluating the effectimpact of the standardASU 2023-09 on itsour condensed consolidated financial statements.
We do not expect that any other recently issued accounting guidance will have a significant effect on our condensed consolidated financial statements.
Note 3: Revenue Recognition
Under ASC 606, revenueRevenue 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.
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 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 (“PMPM”) basis. We receive 100% of the pooled capitated payment to directly provide or manage the healthcare needs of our participants.
Fees are recorded gross in revenues because the Company is acting as a principal in providing for or overseeing comprehensive care provided to the participants. Neither the Company nor any of its affiliates is a registered insurance company because state law in the states in which it operates does not require such registration for risk-bearing providers.
In general, a participant enrolls in the PACE program and is considered a customer of InnovAge. The Company considers 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 PACE program have similar performance obligations and therefore groups them into one portfolio. This performance obligation is satisfied as the Company provides comprehensive care to its participants.
Our revenues are based on the estimated PMPM amounts we expect to be entitled to receive from the capitated fees per participant that are paid monthly by Medicaid, Medicare, the VA, and private pay sources. Medicaid and Medicare capitation revenues are based on PMPM capitation rates under the PACE 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 the full capitated rate and have to pay all or a portion of the capitated rate. Costs to obtain contracts consist of sales commissions for new enrollees and are included in deposits and other.other on our condensed consolidated balance sheets. These costs are amortized over a three-year period which corresponds to the average time a participant is enrolled in the PACE program. As of MarchDecember 31, 2023 and June 30, 20222023, contract assets included within deposits and other were $0.7$1.9 million and nil,$1.0 million, respectively.
The Company disaggregates capitation revenue from the following sources for the ninesix months ended:
March 31,
20232022
December 31,December 31,
202320232022
MedicaidMedicaid55 %53 %Medicaid55 %55 %
MedicareMedicare45 %46 %Medicare45 %45 %
Private pay and otherPrivate pay and other*%%Private pay and other*%*%
TotalTotal100 %100 %Total100 %100 %
* Less than 1%
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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
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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 MarchDecember 31, 2023 and 2022. Medicare Part D comprised of 12% of capitation revenues for each of the ninesix months ended MarchDecember 31, 2023 and 2022.
Our accounts receivable as of MarchDecember 31, 2023 and June 30, 2022 is2023 are primarily from capitation revenue arrangements. The concentration of net receivables from participants and third-party payers was as follows:
March 31,
2023
June 30,
2022
December 31,
2023
December 31,
2023
June 30,
2023
MedicaidMedicaid41 %70 %Medicaid57 %61 %
MedicareMedicare52 %22 %Medicare36 %29 %
Private pay and otherPrivate pay and other%%Private pay and other%10 %
TotalTotal100 %100 %Total100 %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 $3.9$5.1 million as of MarchDecember 31, 2023, compared to $3.4$4.2 million as of June 30, 2022.2023. 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% of total revenue for each of the three months ended December 31, 2023 and 2022. Other service revenue was 0.2% of total revenue for each of the threesix months ended MarchDecember 31, 2023 and 2022, respectively.
Other service revenue was 0.2% and 0.2% of total revenue for the nine months ended March 31, 2023 and 2022, respectively.2022. Accounts receivable related to other service revenue was not significant as of both MarchDecember 31, 2023 and June 30, 2022.2023.
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.”
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Note 4: Cost Method and Equity Method Investments
The Company holds equitycost method and costequity method investments as of:
in thousandsin thousandsMarch 31,
2023
June 30,
2022
in thousandsDecember 31,
2023
June 30,
2023
Cost method investmentsCost method investments$4,645 $4,645 
Equity method investmentsEquity method investments848 848 
Total investmentsTotal investments$5,493 $5,493 
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Nonconsolidated Entities
Cost Method Investments
The Company maintains two investments that are accounted for using the cost method. Our ownership interests are less than 20% of the voting stock of the investments and we do not have the ability to exercise significant influence over the operating and financial policies of the investments. 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 ninethree and six months ended MarchDecember 31, 2023 we noted indicators of impairment in one of our investments, and recognized impairment loss of $1.9 million, respectively, and is presented as other expense on our condensed consolidated Statements of Operation. During the three and six months ended December 31, 2022, 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. Subsequent to December 31, 2023, we noted indicators of impairment in our minority equity investment. We determined that indicators were present as of the reporting date and recognized impairment loss of $1.9 million during the three and six months ended December 31, 2023, which are presented as other expense on our condensed consolidated Statements of Operation. During the three and six months ended December 31, 2022, there were no observable price changes or impairment recorded. The balance of the Company’s investment in Jetdoc as of December 31, 2023 is $2.0$0.1 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 as of December 31, 2023 is $2.6 million, which represents the maximum exposure to loss.
Equity Method Investments
Pinewood Lodge
The Company’s operations include a Senior Housing unit that primarily includes the accounts of Continental Community Housing (“CCH”), the general partner of Pinewood Lodge, LLP (“PWD”), 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.
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 consolidate PWD. PWD is accounted for using the equity method of accounting. The equity earnings of PWD are insignificant. As of MarchDecember 31, 2023, the balance of the Company’s investment in PWD was $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.
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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
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housing facility. The Company has provided a subordinated loan to SH1 and has provided a guarantee for a convertible term loan held by SH1.
Redeemable Noncontrolling Interest
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, InnovAge Sacramento.venture. Further, Adventist contributed $5.8 million in cash and Eskaton contributed $3.0 million in cash for membership interests of 26.4% and 13.7%, respectively. In fiscal year 2021, the Company made an additional contribution of $52,000 and obtained an additional 0.1% membership interest in the joint venture, which resulted in the Company obtaining control and consolidating InnovAge Sacramento as of January 1, 2021.
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 may be required to purchase, at fair market value, the interests of certain other members. As of MarchDecember 31, 2023, none of the conditions specified in the JV Agreement had been met. At the time the Company became a publicly traded company these put rights held by the noncontrolling interests of the joint venture were required to be presented as temporary equity. Theequity and are recorded as redeemable noncontrolling interests on our condensed consolidated Balance Sheets. Redeemable noncontrolling interest of $13.5$11.8 million wasand $12.7 million were recorded at carrying value as of MarchDecember 31, 2023.2023 and June 30, 2023, respectively.
Note 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 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 1Unadjusted quoted prices in active markets for identical assets or liabilities that the entity has the ability to access at the measurement date
Level 2Quoted 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
Level 3Unobservable inputs to the valuation techniques that are significant to the fair value measurements of the assets or liabilities
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The following table shows the Company’s cash, cash equivalents and marketable securities by significant investment category as of MarchDecember 31, 2023 and June 30, 2023:
December 31, 2023
December 31, 2023
December 31, 2023
in thousands
in thousands
in thousandsin thousandsAmortized
Cost
Unrealized
Gains
Unrealized
Losses
Fair
Value
Cash and
Cash
Equivalents
Short-
term
Investments
CashCash$40,221 $— $— $40,221 $40,221 $— 
Cash
Cash
Level 1
Level 1
Level 1Level 1
Money market fundsMoney market funds81,485 — — 81,485 81,485 — 
Money market funds
Money market funds
Mutual funds
Mutual funds
Mutual fundsMutual funds45,000 847 — 45,847 — 45,847 
TotalTotal$166,706 $847 $— $167,553 $121,706 $45,847 
Total
Total
June 30, 2023
June 30, 2023
June 30, 2023
in thousands
in thousands
in thousands
Cash
Cash
Cash
Level 1
Level 1
Level 1
Money market funds
Money market funds
Money market funds
Mutual funds
Mutual funds
Mutual funds
Total
Total
Total
Recurring Measurements
The Company’s investment in InnovAge Sacramento includes a put right for the noncontrolling interest holders to require the Company to repurchase the interest of the noncontrolling interest holders at fair value, after the initial term of the management services agreement in 2028. As a result, at each fiscal period end the Company reports this put right at the greater of (i) carrying value of the redeemable noncontrolling interest or (ii) fair value of the redeemable noncontrolling interest. Because this asset does not have observable inputs, levelLevel 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, 2023 and June 30, 2023, the Company’s redeemable noncontrolling interest was recorded at carrying value of $13.5 million.$11.8 million and $12.7 million, respectively.
There were no transfers in and out of Level 3 during the ninesix months ended MarchDecember 31, 2023 or 2022.
Note 6: Goodwill and Intangible Assets
Goodwill represents the excess of cost over the fair value of net assets acquired. Goodwill amounted to $141.6 million and $124.2 million at each of MarchDecember 31, 2023 and June 30, 2022.2023. Goodwill is not amortized.
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 threetwo reporting units. There were no indicators of impairment identified and no goodwill impairments recorded during the ninesix months ended MarchDecember 31, 2023 and 2022.
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Intangible assets consisted of the following as of:
in thousandsin thousandsMarch 31,
2023
June 30,
2022
in thousandsDecember 31,
2023
June 30,
2023
Definite-lived intangible assetsDefinite-lived intangible assets$6,600 $6,600 
Indefinite-lived intangible assetsIndefinite-lived intangible assets2,000 2,000 
Total intangible assetsTotal intangible assets8,600 8,600 
Accumulated amortizationAccumulated amortization(3,237)(2,742)
Balance as of end of periodBalance as of end of period$5,363 $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 each of the three months ended MarchDecember 31, 2023 and 2022, respectively.2022. The Company recorded amortization expense of $0.5 million and $0.5$0.3 million for each of the ninesix months ended MarchDecember 31, 2023 and 2022, respectively.2022.
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 no intangible asset impairments recorded during the ninesix months ended MarchDecember 31, 2023 and 2022.
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Note 7: Leases
Leasing 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 20232024 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 ROUa right-of-use ("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 aan 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.
On March 20, 2023, we consolidated our Germantown center in Pennsylvania with two of our existing centers. Upon consolidation, we terminated our Germantown center lease and recognized lease termination costs of $0.6 million. Lease termination costs are included in other income (expense) on our consolidated statements of operations.
The following table presents the components of our ROU assets and their classification in our Balance Sheet at MarchDecember 31, 2023:
Component of Lease BalancesBalance Sheet Line ItemsNine months ended March 31,
2023
in thousands
Assets:
Operating lease assetsOperating lease assets$21,906 
Finance lease assetsProperty and equipment, net16,663 
Total leased assets$38,569 
Component of Lease BalancesBalance Sheet Line ItemsDecember 31,
2023
June 30, 2023
in thousands
Assets:
Operating lease assetsOperating lease assets$26,477 $21,210 
Finance lease assetsProperty and equipment, net14,191 16,378 
Total leased assets$40,668 $37,588 
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The following table presents the components of our lease cost and the classification of such costs in our Statements of Operations for the ninesix months ended March 31, 2023:December 31:
Component of Lease CostStatements of Operations Line ItemsNine months ended March 31,
2023
in thousands
Operating lease costCost of care excluding depreciation and amortization and Corporate, general and administrative$3,334 
Finance lease expense:
Amortization of leased assetsDepreciation and amortization2,923 
Interest on lease liabilitiesInterest expense, net901 
Variable lease costCost of care excluding depreciation and amortization and Corporate, general and administrative— 
Short-term lease costCost of care excluding depreciation and amortization and Corporate, general and administrative23 
Total lease expense$7,181 
Six Months Ended December 31,
Component of Lease CostStatements of Operations Line Items20232022
in thousands
Operating lease costCost of care excluding depreciation and amortization and Corporate, general and administrative$2,382 $2,557 
Finance lease expense:
Amortization of leased assetsDepreciation and amortization2,301 1,685 
Interest on lease liabilitiesInterest expense, net— 562 
Variable lease costCost of care excluding depreciation and amortization and Corporate, general and administrative52 — 
Short-term lease costCost of care excluding depreciation and amortization and Corporate, general and administrative94 17 
Total lease expense$4,829 $4,821 
The following table includes the weighted-average lease terms and discount rates for operating and finance leases as of March 31, 2023:December 31:
Weighted average remaining lease term:MarchDecember 31,
2023
December 31,
2022
Operating leases14.7 years8.8 years
Finance leases3.5 years3.8 years
Weighted average discount rate:March 31,
2023
Operating leases6.61 %
Finance leases8.76 %
Weighted average discount rate:December 31,
2023
December 31,
2022
Operating leases12.85 %6.61 %
Finance leases7.95 %8.53 %
The following table includes the future maturities of lease payments for operating leases and finance leases for periods subsequent to MarchDecember 31, 2023:
in thousandsin thousandsOperating
Lease
Finance
Lease
Totalin thousandsOperating
Lease
Finance
Lease
Total
Amount remaining in 2023$1,645 $1,747 $3,392 
20244,651 5,828 10,479 
Amount remaining in 2024
202520254,345 5,045 9,390 
202620264,274 4,021 8,295 
202720273,981 3,325 7,306 
2028
ThereafterThereafter10,173 1,587 11,760 
Total lease paymentsTotal lease payments29,069 21,553 50,622 
Less liability accretion / imputed interestLess liability accretion / imputed interest(5,557)(3,226)(8,783)
Total lease liabilitiesTotal lease liabilities23,512 18,327 41,839 
Less: Current lease liabilitiesLess: Current lease liabilities3,402 4,946 8,348 
Total long-term lease liabilitiesTotal long-term lease liabilities$20,110 $13,381 $33,491 
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The following table includes the future maturities of minimum rental payments that are required to be paid under all non-cancelable operating and capital lease obligations as previously disclosed in our 2022 10-K, prior to the adoption of ASC 842:
in thousandsOperating
Lease
Capital
Lease
Amount remaining in 2023$4,873 $4,405 
20244,581 3,909 
20254,122 3,126 
20264,061 2,092 
20273,764 1,393 
Thereafter10,265 535 
Total minimal rental payments31,666 15,460 
Less: Amount representing interest(2,652)
Subtotal12,808 
Current portion3,368 
Long-term portion$9,440 
Note 8. Long-Term Debt
Long-term debt consisted of the following at MarchDecember 31, 2023 and June 30, 2022:2023:
March 31,
2023
June 30,
2022
in thousands
December 31,
2023
December 31,
2023
June 30,
2023
in thousandsin thousands
Senior secured borrowings:Senior secured borrowings:
Term Loan Facility
Term Loan Facility
Term Loan FacilityTerm Loan Facility$68,438 $71,250 
Convertible term loanConvertible term loan2,296 2,327 
Total debtTotal debt70,734 73,577 
Less: unamortized debt issuance costsLess: unamortized debt issuance costs1,252 1,574 
Less: current maturitiesLess: current maturities3,795 3,793 
Noncurrent maturitiesNoncurrent maturities$65,687 $68,210 
2021 Credit Agreement
On March 8, 2021, the Company entered into a credit agreement (the(as amended, 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 remainingBorrowing capacity under the Revolving Credit Facility as of March 31, 2023 was $97.0 million,is subject to (i) any issued amounts under our letters of credit, which as of MarchDecember 31, 2023 was $3.0$3.1 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.
Outstanding principal amounts under the 2021 Credit Agreement accrue interest at a variable interest rate. As of MarchDecember 31, 2023, the interest rate on the Term Loan Facility was 6.60%7.30%. 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 MarchDecember 31, 2023, we had no borrowings outstanding, $3.0$3.1 million of letters of credit issued, and $97.0$96.9 million of remaining capacity under the Revolving Credit Facility.
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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 MarchDecember 31, 2023, the Company was in compliance with the covenants of the 2021 Credit Agreement.
The deferred financing costs of $1.3$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 $0.1 million for each of the three months ended December 31, 2023 and $0.32022. Total amortization of deferred financing costs was $0.2 million for each of the three and ninesix months ended MarchDecember 31, 2023 respectively.and 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.
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Note 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, 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 ifwhether accruals are appropriate. The Company expenses legal costs as such costs are incurred.
On October 14, 2021, and subsequently amended on June 21, 2022, the Company was named as a 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 Company’s common stock during a specified period. Through the complaint, plaintiffs are asserting claims against the Company, certain of the Company’s officers and directors, 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 Company’s IPO and subsequent earnings calls and public filings, and seeking 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 outcome of this matter.Civil Investigative Demands
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 continuesWe continue 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.
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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.
Stockholder Lawsuits
On October 14, 2021, and subsequently amended on June 21, 2022, the Company was named as a 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 Company’s common stock during a specified period (the "Securities Action"). Through the complaint, plaintiffs are asserting claims against the Company, certain of the Company’s officers and directors, 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 for making allegedly inaccurate and misleading statements and omissions in connection with the Company’s IPO and subsequent earnings calls and public filings, and seeking 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. On December 22, 2023, the District Court granted in part and denied in part the motion to dismiss. The action is now proceeding to discovery.
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, Brian Hall, 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. On May 15, 2023, Mr. Hall filed a lawsuit in the Delaware Court of Chancery asserting derivative claims for breach of fiduciary duty against certain of the Company’s current and former officers and directors generally relating to alleged failures by the defendants to take remedial actions to address the matters that resulted in sanctions by CMS at certain of the Company’s centers, and alleged misstatements in the Company’s public filings relating to those matters. On June 28, 2023, upon stipulation of the parties, the court entered an order staying the litigation pending the resolution of the motion to dismiss in
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the Securities Action or upon fifteen days’ notice by any party to the litigation. On January 22, 2024, upon stipulation of the parties, the court entered an order further staying the litigation pending the close of fact discovery in the Securities Action.
We are currently unable to predict the outcome of this matter.these matters.
Other Matters
In the firstthird fiscal quarter of 2023, the Company agreed to settle a wage and hour class action lawsuit in the State of California for a cash payment of $1.2 million. Subsequently, the Company was notified of certain additional individual claims and has agreed to include such claims within the class. As a result, in October 2023, the Company agreed to increase the settlement amount to a total of $1.3 million. The agreement is subject to court approval.approval, which we expect to occur in the second half of fiscal 2024.
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.
Note 10: Stock-based Compensation
A 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 condensed consolidated statementsStatements of operations.Operations.
Three months ended December 31,Three months ended December 31,Six months ended December 31,
20232023202220232022
in thousandsin thousands
Three months ended March 31,Nine months ended March 31,
2023202220232022
in thousandsin thousands
Stock options
Stock options
Stock optionsStock options$246 $269 $780 $359 
Profits interests unitsProfits interests units205 66 662 1,095 
Restricted stock unitsRestricted stock units757 510 2,279 1,132 
Total stock-based compensation expenseTotal stock-based compensation expense$1,208 $845 $3,721 $2,586 
2020 Equity Incentive Plan
Profits Interests
TCO Group Holdings, L.P. (the “LP”), the Company’s largest shareholder and prior to the IPO, the Company’s parent, maintains the 2020TCO Group Holdings, L.P. Equity Incentive Plan (the "2020 Equity Incentive Plan") pursuant to which interests in the LP in the form of Class B Units (profits interests) couldcan be granted to employees, directors, consultants, advisers, and advisers.other service providers (including partners) of the LP or any of its affiliates, including the Company. A maximum number of 16,162,177 Class B Units wereare authorized for grant under the 2020 Equity Incentive Plan.Plan, and both performance-based and time-based units have been issued under the plan. As of MarchDecember 31, 2023, a total of 13,009,13715,222,837 profits interests units had been granted under the 2020 Equity Incentive Plan.
The Company used the Monte Carlo option model to determine the fair value of the profits interests units at the time of the grant. ThereA total of 2,213,700 Class B Units were no grants awarded during the three and ninesix months ended MarchDecember 31, 2023.2023 to the Company's Chief Executive Officer, Chief Financial Officer, and Chief Legal Officer. The assumptions under the Monte Carlo model related to the profits interests units, presented on a weighted-average basis, are provided below:
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2023
Expected volatility74.0-76.0%
Expected life (years) - time vesting units3.0 - 3.1
Interest rate4.52 - 4.57%
Dividend yield— 
Weighted-average fair value$1.95 - 2.17
Fair value of underlying stock$5.53 - 7.27
A summary of profits interests activity for the ninesix months ended MarchDecember 31, 2023 wasis as follows:
Time-based unit awardsTime-based unit awardsNumber of
units
Weighted average
grant date fair value
Time-based unit awardsNumber of
units
Weighted average
grant date fair value
Outstanding balance, June 30, 20222,158,071$1.28 
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
GrantedGranted$— 
ForfeitedForfeited(49,654)$1.28 
VestedVested(844,081)$1.28 
Outstanding balance, March 31, 20231,264,336$1.28 
Outstanding balance, December 31, 2023
Performance-based unit awardsPerformance-based unit awardsNumber of
units
Weighted average
grant date fair value
Performance-based unit awardsNumber of
units
Weighted average
grant date fair value
Outstanding balance, June 30, 20222,217,865$0.57 
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
GrantedGranted$— 
ForfeitedForfeited(99,307)$0.57 
VestedVested$— 
Outstanding balance, March 31, 20232,118,558$0.57 
Outstanding balance, December 31, 2023
The total unrecognized compensation cost related to profits interests units outstanding as of MarchDecember 31, 2023 was $2.3$4.0 million, comprised (i) $1.1$1.8 million related to time-based unit awards expected to be recognized over a weighted-average period of 0.92.9 years and (ii) $1.2$2.2 million related to performance-based unit awards, which will be recorded when it is probable that the performance-based criteria will be met.
2021 Omnibus Incentive Plan
In March 2021, the compensation committee of our Board of Directors approved the InnovAge Holding Corp. 2021 Omnibus Incentive Plan (the “2021 Omnibus Incentive Plan”), pursuant to which various stock-based awards may be granted to employees, directors, consultants, and advisers. The total number of shares of the Company’s common stock authorized under the 2021 Omnibus Incentive Plan 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 4, 2023, the second anniversary of the grant date, or (ii) over a three-year period with one-third vesting on each anniversary of the date of grant. Certain other vesting periods have also been used. The grant date fair value of restricted stock units with time based vesting is based on the closing market price of our common stock on the date 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 also 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 performance criteria and are determined to have performance-based vesting conditions.
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Restricted Stock Units
A summary of time-based vesting restricted stock units activity for the ninesix months ended MarchDecember 31, 2023 wasis as follows:
Restricted stock units - time basedRestricted stock units - time basedNumber of
awards
Weighted
average
grant-date fair
value per share
Restricted stock units - time basedNumber of
awards
Weighted
average
grant-date fair
value per share
Outstanding balance, June 30, 2022476,768$9.69 
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
GrantedGranted1,048,298$6.07 
ForfeitedForfeited(184,141)$5.44 
VestedVested(124,919)$5.23 
Outstanding balance, March 31, 20231,216,006$6.61 
Outstanding balance, December 31, 2023
The total unrecognized compensation cost related to time based restricted stock units outstanding as of MarchDecember 31, 2023 was $6.2$7.6 million and is expected to be recognized over a weighted-average period of 2.11.9 years.
A summary of performance based vesting restricted stock units activity for the ninesix months ended MarchDecember 31, 2023 wasis as follows:
Restricted stock units - performance basedRestricted stock units - performance basedNumber of
awards
Weighted
average
grant-date fair
value per share
Restricted stock units - performance basedNumber of
awards
Weighted
average
grant-date fair
value per share
Outstanding balance, June 30, 2022258,767$5.18 
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
GrantedGranted$— 
ForfeitedForfeited$— 
VestedVested$— 
Outstanding balance, March 31, 2023258,767$5.18 
Outstanding balance, December 31, 2023
The total unrecognized compensation cost related to performance based vesting restricted stock units outstanding as of MarchDecember 31, 2023 was $0.9$0.6 million and is expected to be recognized over a weighted-average period of 2.61.9 years.
Nonqualified Stock Options
A summary of time-based vesting stock option activity for the ninesix months ended MarchDecember 31, 2023 wasis as follows:
Stock options - time basedStock options - time basedNumber of
awards
Weighted
average
grant-date fair
value per share
Stock options - time basedNumber of
awards
Weighted
average
grant-date fair
value per share
Outstanding balance, June 30, 2022554,499$1.61 
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
GrantedGranted162,162$0.80 
ForfeitedForfeited$— 
ExercisedExercised$— 
ExpiredExpired$— 
Outstanding balance, March 31, 2023716,661$1.21 
Outstanding balance, December 31, 2023
Exercisable balance, March 31, 2023173,280$0.24 
Exercisable balance, December 31, 2023
Exercisable balance, December 31, 2023
Exercisable balance, December 31, 2023
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The total unrecognized compensation cost related to time-based vesting stock options outstanding as of MarchDecember 31, 2023 was $0.4$0.2 million and is expected to be recognized over a weighted-average period of 1.91.8 years.
The fair value of the time-based stock options granted during the nine months ended March 31, 2023, was based upon the Black-Scholes option pricing model using the assumptions in the following table:
2023
Expected volatility34.5 %
Weighted-average expected life (years) - time vesting units2.9
Interest rate1.56 %
Dividend yield%
Weighted-average fair values$0.80 
Fair value of underlying stock$3.70 
A summary of performance-based vesting stock option activity for the ninesix months ended MarchDecember 31, 2023 wasis as follows:
Stock options - performance basedStock options - performance basedNumber of
awards
Weighted
average
grant-date fair
value per share
Stock options - performance basedNumber of
awards
Weighted
average
grant-date fair
value per share
Outstanding balance, June 30, 2022776,299$3.08 
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
Outstanding balance, June 30, 2023
GrantedGranted$— 
ForfeitedForfeited$— 
VestedVested$— 
Outstanding balance, March 31, 2023776,299$3.08 
Outstanding balance, December 31, 2023
The total unrecognized compensation cost related to performance-based vesting stock options outstanding as of MarchDecember 31, 2023 was $1.6$1.1 million and is expected to be recognized over a weighted-average period of 2.72.0 years.
Note 11: Acquisitions
On December 1, 2023, the Company acquired all of the issued and outstanding membership interests of two California-based PACE programs, ConcertoCare PACE of Bakersfield, LLC and ConcertoHealth PACE of Los Angeles, LLC (collectively "Concerto"), from Perfect Health, Inc. d/b/a ConcertoCare, a tech-enabled, value-based provider of at-home, comprehensive care for seniors and other adults with unmet health and social needs, for $23.9 million. We believe the Concerto acquisition compliments our California PACE centers. The acquisition was funded through cash on hand. Results of operations from the acquisition are included in our condensed consolidated Statements of Operations for the three and six months ended December 31, 2023 and were not significant to our results. We incurred costs related to the acquisition of approximately $0.1 million during the six months ended December 31, 2023. Acquisition related costs were expensed as incurred and have been recorded in corporate, general and administrative expenses in our condensed consolidated Statements of Operations.
The Concerto acquisition was accounted for using the purchase method of accounting. The purchase price has been preliminarily allocated to the assets acquired and liabilities assumed based on their estimated fair values at the date of acquisition. The fair values of assets acquired and liabilities assumed may change as the valuation of intangible assets and overall purchase price allocation is being finalized. Goodwill represents the excess of the purchase price over the fair value
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of net assets acquired. Goodwill recognized represents the estimated future economic benefits arising from expected growth opportunities for the Company and is not deductible for income tax purposes.
The following table presents a preliminary allocation of the purchase price to the assets acquired and liabilities assumed as of the acquisition date:
December 1,
2023
in thousands
Cash Consideration$23,916 
Total Consideration$23,916 
Accounts receivable, net$563 
Prepaid expenses330 
Property and equipment, net7,969 
Operating lease assets6,892 
Goodwill17,348 
Deposits and other343 
Accounts payable and accrued expenses(353)
Reported and estimated claims(111)
Operating lease obligations(8,941)
Finance lease obligations(124)
Fair value of assets and liabilities$23,916 
Note 12: Income Taxes
The Company recorded an income tax benefitexpense of $1.4$0.1 million and an income tax benefit of $4.1$2.9 million for the three months ended MarchDecember 31, 2023 and 2022, respectively. The Company recorded an income tax benefitexpense of $7.7$0.3 million and an income tax provisionbenefit of $0.1$6.4 million for the ninesix months ended MarchDecember 31, 2023 and 2022, respectively. This represents an effective tax rate of 17.2%(2.5)% and 56.6%20.9% for the three months ended MarchDecember 31, 2023 and 2022, respectively. This represents an effective tax rate of 19.7%(2.2)% and 1.4%20.9% for the ninesix months ended MarchDecember 31, 2023 and 2022, respectively.
The effective rate for the ninesix months ended MarchDecember 31, 2023 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, and the increase in the Company's valuation allowance against Net operating losses which occurred during the three monththree-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 nine-monthsix-month period ended MarchDecember 31, 2023, 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 also determined it is not "more likely than not" that the deferred tax assets associated with certain federal net operating losses will be realized and as such has
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included a valuation allowance against these federal deferred tax assets. The Company has provided $4.7$16.8 million at MarchDecember 31, 2023 and $4.1$8.3 million at June 30, 2022,2023, as a valuation allowance against its deferred tax assets for federal and 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.
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Note 12:13: 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.EPS. 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 ninesix months ended MarchDecember 31, 2023, 659,761391,598 and 37,901377,025 potentially diluted securities respectively, were excluded from the weighted-average shares used to calculate the diluted net loss per common share, respectively, as they would have an anti-dilutive effect. There were no potentially anti-dilutive shares forDuring the three and ninesix months ended MarchDecember 31, 2022.2022, 424,316 and 14,076 potentially dilutive securities were excluded from the weighted average shares used to calculate the diluted net loss per common share, respectively, as they would have an anti-dilutive effect.
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,
Three months ended December 31,
Three months ended December 31,
in thousands, except share valuesin thousands, except share values2023202220232022
Net income (loss) attributable to InnovAge Holding Corp.$(6,630)$(2,821)$(29,496)$6,188 
in thousands, except share values
in thousands, except share values
Net loss attributable to InnovAge Holding Corp.
Net loss attributable to InnovAge Holding Corp.
Net loss attributable to InnovAge Holding Corp.
Weighted average common shares outstanding (basic)Weighted average common shares outstanding (basic)135,601,327135,516,608135,581,971135,516,544
Weighted average common shares outstanding (basic)
Weighted average common shares outstanding (basic)
EPS (basic)
EPS (basic)
EPS (basic)EPS (basic)$(0.05)$(0.02)$(0.22)$0.05 
Dilutive sharesDilutive shares14,249
Dilutive shares
Dilutive shares
Weighted average common shares outstanding (diluted)
Weighted average common shares outstanding (diluted)
Weighted average common shares outstanding (diluted)Weighted average common shares outstanding (diluted)135,601,327135,516,608135,581,971135,530,793
EPS (diluted)EPS (diluted)$(0.05)$(0.02)$(0.22)$0.05 
EPS (diluted)
EPS (diluted)
Note 13:14: Segment Reporting
The Company applies ASC Topic 280, "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 fivethree operating segments, threetwo of which are related to the Company’s PACE offering. The PACE-related operating segments are based on threetwo geographic divisions, which are West, Central,East and East.West. Due to the similar economic characteristics, nature of services, and customers, we have aggregated our West, Central,East and EastWest operating segments into one reportable segment for PACE. The Company’s remaining two operating segments relatesegment primarily relates to Homecare and Senior Housing, which areis an immaterial operating segments,segment, and are shown below as "Other" along with certain corporate unallocated expenses.
The Company evaluates performance and allocates capital resources to each segment based on an operating model that is designed to maximize the provisionquality of servicescare 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 United States and all revenue was earned in the United States.
The Company’s management uses Center-level Contribution Margin as the measure for assessing performance of its operating 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 MarchDecember 31, 2023 and 2022:
March 31, 2023March 31, 2022
December 31, 2023December 31, 2023December 31, 2022
(In thousands)(In thousands)PACE
All other(1)
TotalsPACE
All other(1)
Totals(In thousands)PACE
All other(1)
TotalsPACE
All other(1)
Totals
Capitation revenueCapitation revenue$172,196 $— $172,196 $176,988 $— $176,988 
Other service revenueOther service revenue87 256 343 166 205 371 
Total revenuesTotal revenues172,283 256 172,539 177,154 205 177,359 
External provider costsExternal provider costs89,805 — 89,805 103,254 — 103,254 
Cost of care, excluding depreciation and amortizationCost of care, excluding depreciation and amortization53,861 88 53,949 45,995 107 46,102 
Center-Level Contribution MarginCenter-Level Contribution Margin28,617 168 28,785 27,905 98 28,003 
Overhead costs(2)
Overhead costs(2)
33,041 (79)32,962 30,911 (85)30,826 
Depreciation and amortizationDepreciation and amortization3,858 134 3,992 3,760 90 3,850 
Interest expense, netInterest expense, net(360)(45)(405)(663)(46)(709)
Other income (expense)(101)— (101)108 — 108 
Income (Loss) Before Income Taxes$(8,743)$68 $(8,675)$(7,321)$47 $(7,274)
Other income
Other expense
Loss Before Income Taxes
The following table summarizes the operating results regularly provided to the CODM by reportable segment for the ninesix months ended MarchDecember 31, 2023 and 2022:
March 31, 2023March 31, 2022
December 31, 2023December 31, 2023December 31, 2022
in thousandsin thousandsPACE
All other(1)
TotalsPACE
All other(1)
Totalsin thousandsPACE
All other(1)
TotalsPACE
All other(1)
Totals
Capitation revenueCapitation revenue$510,268 $— $510,268 $524,507 $— $524,507 
Other service revenueOther service revenue263 682 945 234 1,039 1,273 
Total revenuesTotal revenues510,531 682 511,213 524,741 1,039 525,780 
External provider costsExternal provider costs279,550 — 279,550 284,299 — 284,299 
Cost of care, excluding depreciation and amortizationCost of care, excluding depreciation and amortization158,455 426 158,881 128,573 1,167 129,740 
Center-Level Contribution MarginCenter-Level Contribution Margin72,526 256 72,782 111,869 (128)111,741 
Overhead costs(2)
Overhead costs(2)
100,148 — 100,148 93,463 (98)93,365 
Depreciation and amortizationDepreciation and amortization10,739 348 11,087 10,130 305 10,435 
Interest expense, netInterest expense, net(1,095)(136)(1,231)(1,783)(147)(1,930)
Other income (expense)380 — 380 (357)(1)(358)
Other income
Other expense
Income (Loss) Before Income TaxesIncome (Loss) Before Income Taxes$(39,076)$(228)$(39,304)$6,136 $(483)$5,653 

(1)Center-level Contribution Margin from segments below the quantitative thresholds are primarily attributable to twothe Senior Housing operating segmentssegment of the Company. Those segments consist of Homecare and Senior Housing. Neither of those segmentsThis segment has evernever 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 14:15: Related Party Transactions
Pursuant to the PWD Amended and Restated Agreement of Limited Partnership, the general partner, whowhich is a subsidiary of the Company (the “General Partner”), fundedfunds operating deficits and shortfalls of PWD in the form of a loan. At each of MarchDecember 31, 2023 and June 30, 2022,2023, $0.7 million was recorded in Deposits and other. Additionally, the General Partner is paid an administration fee of $35,000 per year.
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Note 15:16: Subsequent Events
Effective May 1, 2023,
The Company has evaluated subsequent events through the California Department of Health Care Services (“DHCS”) releaseddate on which the Company’s center in Sacramento, California from enrollment sanction. The action by DHCS follows the previously announced release of sanction by the Centers for Medicare and Medicaid Services in November of 2022. The release of both sanctions permits the Company to resume normal enrollment at the Company’s center in Sacramento, California. CMS and DHCS will require the Company to conduct post-sanction corrective action and monitoring activities to address any issues identified during the validation audits.condensed consolidated financial statements were issued.



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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis 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 fiscal year ended June 30, 20222023 (“20222023 10-K”).
Overview
InnovAge Holding Corp. (“InnovAge”) became a public company in March 2021. As of MarchDecember 31, 2023, the Company served approximately 6,3106,780 PACE participants, and operated 1718 PACE centers across California, Colorado, California, New Mexico, Pennsylvania, and Virginia. During the third quarter ended March 31, 2023, the Company consolidated its Germantown LIFE center with its Allegheny and Henry Avenue LIFE centers in Pennsylvania.
Trends and Uncertainties Affecting the Company
Macroeconomic conditions. During fiscal year 2022,2024, the U.S. and global economies experienced adverse macroeconomic effects in part resulting from the ongoing effects of the COVID-19 pandemic, as discussed in more detail below. These effects includedcontinued to wrestle with inflation and increased wages due to labor shortages.shortages and increased competition among healthcare professionals. In fiscal year 2022 and 2023, in response to high levels of inflation, we began to implementimplemented various mitigation strategies to reduce costs of operation, including, consolidating services, and price negotiations with providers and vendors. While inflationary pressures eased slightlyvendors and limiting corporate staffing, effecting a reduction in workforce in December 2022. For example, in fiscal year 2023, we launched and conducted several initiatives intended to lower certain of our costs, including limiting corporate staffing, effecting a reduction in workforce in December 2022, and optimizing working capital. The Company has continued these mitigation strategies during the six months ended December 31, 2023. For example, in October 2023, we conducted an additional planned reduction in workforce involving approximately 1.6% of our workforce. In connection with the planned reduction, we incurred approximately $0.3 million of charges associated with employee severance and benefits costs during the three and nine months ended March 31, 2023, inflation has continued during fiscal 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 nine months ended MarchDecember 31, 2023. The effects of inflation, after accounting for these mitigation strategies, were immaterial to our financial results for the three and ninesix months ended MarchDecember 31, 2023. We expect to continue to experience elevated operating expenses for the remainder of fiscal 2024 for similar reasons. Although we expect to continue mitigation efforts, there can be no assurance that our strategies will be sufficient.
In addition, the increased wage pressure, exacerbated by the labor shortage, increased theIncreased cost of providing care and our overall operating expenses during the nine months ended March 31, 2023. The combination of increased wage pressure and labor shortage amongst healthcare personnel, and specifically, trained personnel, has impacted and may continue to impact our expenses and ability to adhere to the complex government laws and regulations that apply to our business.
Furthermore, operating expenses increased $31.8 million, or 6.1%, for the nine months ended March 31, 2023 compared to 2022 due to, in part, the increased costcare. Cost of care and related cost per participant increased for the six months ended December 31, 2023 compared to 2022, partially as a result of increased salaries, wages and benefits associated with increased headcount and higher wage rates third party audit and compliance support, and increased fleet and contract transportation costs due to an increase in average daily attendnace,center attendance and external appointments as well as increased costs related to growing census. Additionally, external provider costs have increased in the six month period ended December 31, 2023 compared to 2022 associated with annual increases in assisted living and higher fuel costs.nursing facility unit cost and general medical inflation. We expect to experience elevated operating expenses for the remainder of fiscal 2023. Wewill continue to evaluate increased costs and methods to mitigate or offset such costs.increases.
In March 2023, U.S. regionalCensus and global banks faced liquidity issues. Even though regulatory agencies intervened to stabilize the banking system, there is uncertainty in the markets regarding its continued stability, and regulatory agencies may not intervene in future crises. If the banks and financial institutions at which we, or our payors, hold our cash enter receivership or become insolvent, our liquidity may be threatened. Our cash and cash equivalents balance as of March 31, 2023 consisted of cash held in depository accounts, short-term treasuries, and money-market funds at global money-center banks invested in high-quality, short-term investments. While we do hold some regional bank exposure, such cash allocations are immaterial.
Impact of Macroeconomic Conditions and COVID-19
The COVID-19 pandemic altered the behavior of businesses and people, the effects of which, to some extent, continue on federal, state and local economies.capitation revenue. On January 30,May 11, 2023 the President announced an intention to allowallowed the national emergency and public health emergency declarations related to the COVID-19 pandemic to expire on May 11, 2023.expire. While states have resumed processing new Medicaid applications and redeterminations of beneficiary eligibility, the healthcare industry has experienced increased delays in the processing of such applications. The
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declarations have been in place since early 2020, and in addition to various Congress enacted legislation allowed the federal government flexibility to waive or modify certain requirements in a range of areas, including Medicare and Medicaid. We continue to evaluate how the expiration of these emergency declarations may affect our business outlook.

Census and capitation revenue. At this time, we do not believe material census attrition will occur as a result of the expiration of the public health emergency declarations related to COVID-19 and the resumption of Medicaid redetermination.The frailty level of PACE participants coupled with the complexity of Medicaid services needed, result in a comprehensive financial qualifications review compared to the more traditional Medicaid-only population.Additionally, throughout the public health emergency, the Company has continued to completecompletes annual Medicaid redeterminations, with a dedicated team to support these efforts.Our processwhich enables the Company to provide a high degree of service to participants to monitor ongoing eligibility status, assist withParticipant’s through the redetermination process, address potential issues with eligibility in real time, and track future renewal dates.
Expenses. The virus However, as a result of the aforementioned delays, the Company has experienced an increase in gaps of eligibility with redetermination applications. While the participants continue to receive care and remain enrolled with the Company during this time, the effect of such delays temporarily halts Medicaid revenue related to any closed application and simultaneously increases our risk of revenue recovery. In an effort to mitigate these risks, the Company continues to impact older adults, especially those with chronic illnesses, which describes our participants.utilize State approved third-party eligibility partners to expedite applications, escalate delayed cases to State administrators, and pursue safe discharges for individuals who are truly ineligible. Being eight months into the public health emergency unwind period, there has not been a material effect on the Company’s financial statements or operations. The United States experienced supply chain issues with respectCompany is seeing trends of aging report accounts and financial losses normalizing to personal protective equipment (“PPE”) and other medical supplies duringpre-public health emergency levels. We expect these trends to continue for the height of the pandemic. Global logistics network challenges resulted in higher prices 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 nine monthsremainder of fiscal 2023. As a result, prices for most medical supplies have normalized.year 2024.
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Labor market. The healthcare sector is currently experiencing a complex set of challenges in hiring additional professionals. We believe these challenges are a result of a combination of factors beyond the direct impact of the COVID-19 pandemicpandemic. Specifically, the demand for healthcare services has been steadily increasing due to an aging population and continuesa greater focus on health and wellness in society. In addition, there are systemic challenges related to exacerbate difficulties to hire additionalworkforce training and the pipeline of qualified professionals, which have not kept pace with this growing demand. Furthermore, high inflation experienced during fiscal year 2023 and which has continued through fiscal year 2024 has increased the cost of living, and subsequently, wage pressure for healthcare professionals, causing certainwith a shift towards an employee-centric market with an emphasis on competitive compensation, flexibility and professional growth opportunities, which has contributed to an increasingly competitive labor market. In an effort to mitigate the effects of our centersthese challenges, we have adopted strategies to be understaffed or staffed with personnel that requires training. In fiscal year 2022, we experienced workforce and labor shortages, within alloffer competitive compensation packages. Partially as a result of our centers. This labor pressure has eased slightly during the nine months ended March 31, 2023. While the labor pressure and related costs have eased slightly, the Company continues to be affected by the increased competition and other market trends, 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 nine months ended March 31, 2023, further impacted by additionalconjunction with increased staffing related to compliance and remediation efforts. Thisefforts in our centers, there has been an increase in conjunction with higher headcount has contributed to increasedthe cost of care for the ninesix months ended MarchDecember 31, 2023 compared to the nine months ended March 31, 2022comparable period last year, as discussed in “Results"Results of Operations”Operations" below.
Additionally, on October 13, 2023, California passed into law California Senate Bill No. 525 ("SB 525"), which raises the minimum wage for many California healthcare workers, effective as of June 1, 2024. Although PACE centers are not covered by SB 525, many of our contractors and other third-party providers are impacted by SB 525, and they may renegotiate agreements with our centers to cover their increased labor costs. Additionally, competition with other healthcare providers who are required to increase wages under SB 525 could materially increase our labor costs. We will continue to assess key rolesevaluate the impact of this legislation on our business.
Finally, on October 27, 2023, following a demand from a labor union for the Company to recognize it as the collective bargaining representative of the nurses and benchmarkscertified nurse assistants in our Pennsylvania centers, we filed a petition with the National Labor Relations Board to market while monitoring trendsconduct two elections. The National Labor Relations Board conducted the elections on December 6, 2023, at which the nurses and certified nurse assistants in our Pennsylvania centers voted to unionize. These employees represent approximately 1% of our total workforce. Collective bargaining has not yet commenced. While we cannot predict the terms or timing of any resulting collective bargaining agreement, we currently do not expect the impact from any such future negotiated collective bargaining agreements and costs for unionized employees to have a material effect on our costs of labor market.or operations. However, we cannot predict whether other employees will follow a similar course of action.
For additional information on the various risks posed by macroeconomic events, regulation, and the ongoing COVID-19 pandemic,employee matters, please see the section entitled “Risk Factors” included in Part I, Item 1A of our 2022 10-K.2023 10-K and in Part II, Item 1A of this Form 10-Q.
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 ability to effectively implement post-sanction remediation efforts in our centers as a result of our recent audits.audits and maintain high quality of regulatory compliance. The Company’s priority is to continue to remediate the deficiencies raised in audit processes (including recent and new audits) and to implement post-sanction corrective actions, where required.required, as well as maintain high quality of regulatory compliance in all its centers. 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 increaseimprove 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 2.532.42 based on InnovAge data as of MarchDecember 31, 2023; and (ii) we manage Medicaid spend in addition to Medicare. Our
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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
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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, ontaking into account the underlying medical conditions and frailty of each participant. We continue to work on expanding payer capabilities so that our revenue more accurately reflects the acuity of the populations we serve.
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.regulators, such as the ones we were subject to in our Sacramento, California and Colorado centers.
Our ability to maintain high participant satisfaction and retention. We achieved a 74%86% participant satisfaction rating as of January 1,September 30, 2023, measured as composite of participant satisfaction across ten categories, and average participant tenure was 3.2 years as of MarchDecember 31, 2023, 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%5.9% annually over the last three fiscal years. Approximately 75%71% 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 ourOur participants are among the most frail and medically complex individuals in the U.S. healthcare system, and average acuity rises with the passage of time. The risk pool of our population became more acute in fiscal year 2023 as we were not able to replenish our population mix with newer, lower-acuity participants as a result of State sanctions, and as a result, our external provider costs and cost of care, excluding depreciation and amortization, represented approximately 86%84% of our revenue in the ninesix months ended MarchDecember 31, 2023. 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 impactimpacted Center-level Contribution Margin in fiscal 2022 and the first half of fiscal 2023. We were fully released from those sanctions in Colorado in January 2023 and in California in May 2023. The Company continues post-sanction monitoring, and is currently able to enroll new participants at all of its centers. For the six months ended December 31, 2023, census has grown 1.2% compared to the six months ended December 31, 2022.
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, opening costssuch as the ones imposed on our Sacramento, California and availabilityColorado centers in 2021. As a result of qualified and trained personnel. such sanctions, we were precluded from, or voluntarily suspended efforts to, open de novo centers.
On January 7, 2022, the Department of Health Care Services ("DHCS") of the State of California notified us that it was suspending the State’s previously provided assurances that it would enter into1, 2024, we opened 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,Tampa, Florida, which was projectedhas opened enrollment to open in fiscal year 2024 based on deficiencies detected during CMS’ 2021 audits ofvarious surrounding counties, and continue our Sacramento and Colorado PACE programs. In Florida, we are moving forward with pursuit ofefforts to obtain the licensure required to open a PACE center in eachOrlando, Florida.
All new PACE centers are subject to annual federal and state audits for the first three years after opening. In October 2023, CMS and the California Department of TampaHealth Care Services (“DHCS) conducted a joint routine audit of our Sacramento center. On December 27, 2023, we received the final audit report from CMS for which we submitted a routine corrective action plan (CAP) that follows every audit. On January 22, 2024, CMS approved that CAP. On January 23, 2024, DHCS notified us of their preliminary audit findings at our Sacramento center and Orlando, with thethat, based on concerns that it had been alerted to, it will be conducting a medical
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review of our San Bernardino center. In response to both of these matters, DHCS notified us that it is suspending its attestations in support of the Florida Agency for Health Care Servicesplanned de novo center in Downey and CMS.the recently acquired planned de novo center in Bakersfield. On February 1, 2024, we received the final audit results from DHCS notifying us of identified deficiencies at our Sacramento center, some of which fall under the same categories as those that formed the basis of the enrollment freeze in 2021. While these de novo centers are precluded from opening at this time, DHCS notified us that it would consider restoring the State Attestations upon our successful remediation of the deficiencies raised in our Sacramento center and its completion of the medical review (and any potential resultant remediation that may be required) in our San Bernardino center. We believe we have in place the policies, processes and systems to correct the identified deficiencies as we did in connection with the 2021 enrollment freeze.
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. Additionally, in the second fiscal quarter of 2024, we completed an acquisition of two PACE programs in California from ConcertoCare, which included one operating center in the Crenshaw neighborhood of Los Angeles and a second program in the process of its application for licensure in Bakersfield, California. We areremain disciplined in our approach to acquisitions and in the past have executed multiple types of transactions, including turnarounds and non-profit conversions. Historically, whenWhen integrating acquired programs, we workedwork 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
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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 andor 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 our current and future audits to our centers, our post-audit 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. We are building capabilities to increase our sophistication as a payor to drive clinical value, improve outcomes, and manage cost trends. 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, specifically in 2024, we expect to see some increase in inpatient and short stay nursing home utilization as well as increased acuity of our participant mix; 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 FactorRAF score as measured twice per year and is based on the evolving acuity of a participant. Based on theWhere there is a difference between our estimate and the final determination from CMS, we may receive incremental true uptrue-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. On January 23, 2023, both CMS and Colorado Department of Health Care Policy & Financing (“HCPF”) released enrollment sanctions for all Colorado centers and normal enrollment since resumed. CMS and HCPF require that we conduct post-sanction corrective action and monitoring activities to address any issues identified during the validation audits.
California. Effective November 21, 2022, CMS released the enrollment sanction for Medicare-eligible participants, and effective May 1, 2023, the DHCS released the state sanction. CMS and DHCS are requiring the Company to conduct post-sanction corrective action and monitoring activities to address any issues identified during the validation audits. The release of both CMS and DHCS sanctions permits the Company to resume normal enrollment of eligible seniors into its PACE program at its Sacramento, California center.
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.
New Mexico. On April 14, 2023, CMS closed the audit that it had begun in November 2021.
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. In Florida, we are moving forward with pursuit of licensure required to open a PACE center in each of Tampa and Orlando, with the support of the Florida Agency for Health Care Services and CMS.
The Company’s priority is 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.
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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, we receive fixed or capitated fees per participant that are paid monthly by Medicare, Medicaid, Veterans Affairs (“VA”) and private pay sources.
Medicaid and Medicare capitation revenues are based 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 calendar-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 weWe are currently operating in good standing under the 2020 amended agreement while the agency finalizes its current amendment.each of our PACE state contracts. For a discussion of our revenue recognition policies, please see Critical Accounting Estimates below and Note 2 “Summary of Significant Accounting Policies” to our consolidated financial statements included in our 20222023 10-K.
Other 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 June 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.services to non-PACE participants. For a discussion of our revenue recognition policies, please see Critical Accounting Estimates below and Note 2, “Summary of Significant Accounting Policies” to our consolidated financial statements included in our 20222023 10-K.
Operating Expenses
External 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 skilled nursing facility), outpatient and pharmacy. In aggregate, external provider costs represent the largest portion of our 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 sales 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 infrastructure required to support our marketing efforts. We expect these costs to increase in absolute dollars over time as we 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 extent we believe such investment can accelerate our growth without negatively affecting profitability.
Corporate, General and Administrative. Corporate, general and administrative expenses include employee-related expenses, including salaries and related costs. In addition, general and administrative expenses include all corporate technology and occupancy costs associated with our corporate office. We expect our general and administrative expenses to increase in absolute dollars due to the additional legal, accounting, insurance, investor relations and other costs that we incur as a public company, as well as other costs associated with compliance and continuing to grow our business. However, we anticipate
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general and administrative expenses to decrease as a percentage of revenue over the long term,
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although such expenses may fluctuate as a percentage of revenue from period to period due to the timing and amount of these expenses.
Depreciation 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 useful life or lease terms, to the extent the assets are being leased.
For more information relating to the components of our results of operations, see Results of Operations below and Note 2 “Summary of Significant Accounting Policies” to our consolidated financial statements included in our 20222023 10-K.
Results of Operations
The following table sets forth our consolidated results of operations for the periods presented:
Three Months Ended March 31,Nine Months Ended March 31,
Three Months Ended December 31,Three Months Ended December 31,Six Months Ended December 31,
in thousandsin thousands2023202220232022in thousands2023202220232022
RevenuesRevenues
Capitation revenue
Capitation revenue
Capitation revenueCapitation revenue$172,196 $176,988 $510,268 $524,507 
Other service revenueOther service revenue343 371 945 1,273 
Total revenuesTotal revenues172,539 177,359 511,213 525,780 
ExpensesExpenses
External provider costs
External provider costs
External provider costsExternal provider costs89,805 103,254 279,550 284,299 
Cost of care, excluding depreciation and amortizationCost of care, excluding depreciation and amortization53,949 46,102 158,881 129,740 
Sales and marketingSales and marketing5,314 6,144 13,502 19,117 
Corporate, general and administrativeCorporate, general and administrative27,648 24,682 86,646 74,248 
Depreciation and amortizationDepreciation and amortization3,992 3,850 11,087 10,435 
Total expensesTotal expenses180,708 184,032 549,666 517,839 
Operating Income (Loss)$(8,169)$(6,673)$(38,453)$7,941 
Operating Loss
Other Income (Expense)Other Income (Expense)    
Other Income (Expense)
Other Income (Expense)
Interest expense, netInterest expense, net(405)(709)(1,231)(1,930)
Other income (expense)(101)108 380 (358)
Interest expense, net
Interest expense, net
Other income
Other expense
Total other expenseTotal other expense(506)(601)(851)(2,288)
Income (Loss) Before Income Taxes(8,675)(7,274)(39,304)5,653 
Loss Before Income Taxes
Provision (Benefit) for Income TaxesProvision (Benefit) for Income Taxes(1,365)(4,116)(7,747)81 
Net Income (Loss)$(7,310)$(3,158)$(31,557)$5,572 
Net Loss
Less: net loss attributable to noncontrolling interestsLess: net loss attributable to noncontrolling interests(680)(337)(2,061)(616)
Net Income (Loss) Attributable to InnovAge Holding Corp.$(6,630)$(2,821)$(29,496)$6,188 
Net Loss Attributable to InnovAge Holding Corp.
Revenues
Three Months Ended March 31,ChangeNine Months Ended March 31,Change
20232022$%20232022$%
in thousands
Capitation revenue$172,196$176,988$(4,792)(2.7)%$510,268$524,507$(14,239)(2.7)%
Other service revenue343371(28)(7.5)%9451,273(328)(25.8)%
Total revenues$172,539$177,359$(4,820)(2.7)%$511,213$525,780$(14,567)(2.8)%
Capitation revenue. Capitation revenue was $172.2 million for the three months ended March 31, 2023 a decrease of $4.8 million, or 2.7%, compared to $177.0 million for the three months ended March 31, 2022. This decrease was driven
Three Months Ended December 31,ChangeSix Months Ended December 31,Change
20232022$%20232022$%
in thousands
Capitation revenue$188,561$167,140$21,421 12.8 %$370,734$338,071$32,663 9.7 %
Other service revenue33731621 6.6 %64860345 7.5 %
Total revenues$188,898$167,456$21,442 12.8 %$371,382$338,674$32,708 9.7 %
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Capitation revenue. Capitation revenue was $188.6 million for the three months ended December 31, 2023 an increase of $21.4 million, or 12.8%, compared to $167.1 million for the three months ended December 31, 2022. This increase was driven by a 7.6% decrease in member months partially offset by a 5.3%$15.8 million, or 9.1%, increase in capitation rates. The decreaserates coupled with $5.6 million, or 3.4%, increase in member months is primarily due to disenrollments and our inability to enroll new participants at our Sacramento, California center as a result of sanctions, minimally offset by the ramp up of enrollments at our Colorado centers as we resumed the enrollment process.months. The increase in capitation rates was primarily driven by an(i) a 7.0% annual increase in both Medicaid capitation rates as determined by the States and (ii) an 11.8% increase in Medicare capitation rates as a result of increased risk score and county rates partially offset bycoupled with a one-time true up outside of the reinstatement of sequestration.regular payment cycle. The increase in member months is primarily due to the release from sanctions at our Colorado and Sacramento centers.
Capitation revenue was $510.3$370.7 million for the ninesix months ended MarchDecember 31, 2023, a decreasean increase of $14.2$32.7 million, or 2.7%,9.7% compared to $524.5$338.1 million for the ninesix months ended MarchDecember 31, 2022. This decreaseincrease was driven by a 7.1% decrease in member months partially offset by a 4.7%$28.7 million, or 8.4%, increase in capitation rates primarily due to the factors discussed above.coupled with a $3.9 million, or 1.2%, increase in member months. The increase in capitation rates include a 6.9% annual increase in Medicaid rates and a 10.3% increase in Medicare rates.
Operating Expenses
Three Months Ended March 31,ChangeNine Months Ended March 31,Change
20232022$%20232022 $%
Three Months Ended December 31,Three Months Ended December 31,ChangeSix Months Ended December 31,Change
202320232022$%20232022$%
in thousandsin thousands
External provider costs
External provider costs
External provider costsExternal provider costs$89,805$103,254$(13,449)(13.0)%$279,550$284,299$(4,749)(1.7)%$100,964$93,507$7,4578.0%$200,322$189,744$10,5785.6%
Cost of care (excluding depreciation and amortization)Cost of care (excluding depreciation and amortization)53,94946,1027,84717.0%158,881129,74029,14122.5%Cost of care (excluding depreciation and amortization)54,32151,3762,9455.7%109,570104,9334,6374.4%
Sales and marketingSales and marketing5,3146,144(830)(13.5)%13,50219,117(5,616)(29.4)%Sales and marketing5,8593,7742,085 55.2 55.2 %11,2378,1873,050 37.3 37.3 %
Corporate, general, and administrativeCorporate, general, and administrative27,64824,6822,96612.0%86,64674,24812,39816.7%Corporate, general, and administrative25,24928,817(3,568)(12.4)%54,19758,999(4,802)(8.1)%
Depreciation and amortizationDepreciation and amortization3,9923,8501423.7%11,08710,4356526.2%Depreciation and amortization4,2903,66262817.1%8,5597,0951,46420.6%
Total operating expensesTotal operating expenses$180,708$184,032$(3,324)$549,666$517,839$31,827
External provider costs. External provider costs were $89.8$101.0 million for the three months ended MarchDecember 31, 2023, a decreasean increase of $13.4$7.5 million, or 13.0%8.0%, compared to $103.3$93.5 million for the three months ended MarchDecember 31, 2022. The decreaseincrease was primarily driven by a decreasean increase of $7.9$4.3 million, or 7.6%, in member months coupled with a decrease of $5.6 million, or 5.9%4.4%, in cost per participant.participant coupled with an increase of $3.2 million, or 3.4% in member months. The decreaseincrease in cost per participant was primarily driven by a $3.6 million decrease associated with lower inpatientan annual increase in pharmacy cost, per admit as a result of the Omicron spike in the prior year and a $1.3 million net decrease associated with lower short stay skilled nursing facility utilization partially offset by an increase in assisted living utilization and unit cost, and an increase in outpatient services utilization. This was partially offset by a decrease in permanent nursing facility utilization and unit cost.utilization.
External provider costs were $279.5$200.3 million for the ninesix months ended MarchDecember 31, 2023, a decreasean increase of $4.7 million,$10.6, or 1.7%5.6%, compared to $284.3 million$189.7 for the ninesix months ended MarchDecember 31, 2022. The decrease isThis increase was primarily driven by a decrease of $20.2 million, or 7.1%, in member months partially offset by an increase of $15.4$8.4 million, or 5.8%4.4%, in cost per participant.participant coupled with an increase of $2.2 million, or 1.2%, in member months. The increase in cost per participant iswas primarily driven by a $13.3 millionan annual increase associated with increasedin pharmacy cost, an increase in assisted living and nursing facility utilization and unit cost, and an increase in outpatient services utilization. This is partially offset by a $3.0 million reductiondecrease in inpatient cost per admit associated with fewer COVID admissions.permanent and short stay nursing facility utilization.
Cost of care (excluding depreciation and amortization). Cost of care (excluding depreciation and amortization) expense was $53.9$54.3 million for the three months ended MarchDecember 31, 2023, an increase of $7.8$2.9 million, or 17.0%5.7%, compared to $46.1$51.4 million for the three months ended MarchDecember 31, 2022, primarily due to an increase of $11.4$1.2 million, or 26.7%2.3%, in cost per participant partially offset by a decreasecoupled with an increase of $3.5$1.7 million, or 7.6%3.4%, in member months. The increase was primarily driven by (i) a $6.2$3.1 million increase in salaries, wages and benefits associated with increased headcount and higher wage rates, due to the ongoing competitive labor market, (ii) $0.8 million in third party audit and compliance support, (iii) $0.7$0.9 million in increased building maintenance and security, and (iv)(iii) $0.4 million in increased fleet expense and contract transportation a result of higher average dailyan increase in center attendance and an increase in external appointments.appointments, partially offset by $1.0 million reduction in third party audit and compliance support.
Cost of care (excluding depreciation and amortization) expense was $158.9$109.6 million for the ninesix months ended MarchDecember 31, 2023, an increase of $29.1$4.6 million, or 22.5%4.4%, compared to $129.7$104.9 million for the ninesix months ended MarchDecember 31, 2022, primarily due to an increase of $38.4$3.4 million, or 31.8%3.2%, in cost per participant partially offset by a decreasecoupled with an increase of $9.2$1.2 million, or 7.1%1.2%, in member months. The increase was primarily driven by (i) a $19.4$4.5 million increase in salaries, wages and benefits associated with increased headcount and higher wage rates due to the ongoing competitive labor market,rate, (ii) $3.5$1.5 million in increased building maintenance and security, and (iii) $1.8 million in increased fleet expense as a result of an increase in center attendance and an increase in external appointments, partially offset by $2.5 million reduction in third party audit and compliance support, (iii) $3.0 million in increased fleet expense and contract transportation as a result of higher average daily attendance, increase in external appointments, and higher fuel costs, (iv)support.
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$1.5 million in increased building maintenance and security and (v) $0.7 million in de novo costs due primarily to rent expense.
Sales and marketing. Sales and marketing expenses were $5.3$5.9 million for the three months ended MarchDecember 31, 2023, a decreasean increase of $0.8$2.1 million, or 13.5%55.2%, compared to $6.1$3.8 million for the three months ended MarchDecember 31, 2022, primarily due to a $0.6 million reduction in costs associated with fewer salesincreased marketing spend and headcount as a result of sanctionsthe sanction release in our Colorado and Sacramento centers partially offset by $0.4 million in one-time costs related to organizational realignment recorded during the three months ended March 31, 2022.centers.
Sales and marketing expensesexpense were $13.5$11.2 million for the ninesix months ended MarchDecember 31, 2023, a decreasean increase of $5.6$3.1 million, or 29.4%37.3%, compared to $19.1$8.2 million for the ninesix months ended MarchDecember 31, 2022, primarily due to (i) a $2.8 million reduction inincreased marketing spend and $2.0 million reduction in costs associated with fewer headcount within the sales department, both as a result of sanctionsthe sanction release in our Colorado and Sacramento centers and (ii) a $0.9 million reduction in sales commissions expense due to the deferral of commissions.centers.
Corporate, general and administrative. Corporate, general and administrative expenses were $27.6$25.2 million for the three months ended MarchDecember 31, 2023, an increasea decrease of $3.0$3.6 million, or 12.0%12.4%, compared to $24.7$28.8 million for the three months ended MarchDecember 31, 2022. The increasedecrease was primarily due to (i) a $2.7$2.9 million reduction in third party legal expense, (ii) a $0.6 million reduction in insurance expense, (iii) a $1.3 million reduction in consulting expense associated with improving organizational capabilities including the transition to a new electronic medical record ("EMR") system, (iv) $1.0 million reduction in contract staff augmentation, and (iv) $0.9 million reduction in recruiting expense. These decreases in cost were partially offset by (i) $1.5 million increase in employee compensation and benefits as the result of an increase in headcount to support compliance and bolster organizational capabilities, (ii) $2.7$1.1 million in third party legal costs, and (iii) a $2.1 million increase in software license and maintenance expense. These increases in cost are partially offset by (i) a $1.9 million reduction in bad debt expense, and (iii) $0.3 million in license fees.
Corporate, general and administrative expenses were $54.2 million for the six months ended December 31, 2023, a decrease of $4.8 million, or 8.1%, compared to $59.0 million for the six months ended December 31, 2022. This decrease was primarily due to (i) a $2.7 million reduction in third party legal expense, (ii) a $1.0$1.2 million reduction in insurance expense, (iii) $2.9 million reduction in consulting expense associated with improving organizational capabilities.
Corporate, generalcapabilities including the transition to a new EMR, (iv) $1.2 million reduction in contract staff augmentation, and administrative expenses(v) $1.4 million reduction in recruiting expense. These decreases were $86.6 million for the nine months ended March 31, 2023, an increase of $12.4 million, or 16.7%, compared to $74.2 million for the nine months ended March 31, 2022. The increase was primarily due topartially offset by (i) a $7.8$2.1 million increase in employee compensation and benefits as the result of an increase in headcount, to support compliance and bolster organizational capabilities, (ii) $6.4$0.6 million in third partybad debt expense, (iii) $0.5 million in consulting costs associated with implementing our core provider initiatives, assessing our risk-bearing payor capabilities,Sarbanes-Oxley Act of 2002 compliance and strengthening organizational capabilities including the transition to a new electronic medical record ("EMR"), (iii) $3.5 million in increased legal spend,internal audit. and (iv) $3.2$1.2 million increase in software license and maintenance expense. These increases in cost were partially offset by (i) a $2.5 million reduction in bad debt expense, and (ii) $4.1 million in executive severance and recruiting recognized during the nine months ended March 31, 2022.inclusive of Epic license fees.
Other Income (Expense)
Three Months Ended March 31,ChangeNine Months Ended March 31,Change
20232022$%20232022$%
Three Months Ended December 31,Three Months Ended December 31,ChangeSix Months Ended December 31,Change
202320232022$%20232022$%
in thousandsin thousands
Interest expense, netInterest expense, net$(405)$(709)$304(42.8)%$(1,231)$(1,930)$699(36.2)%
Other income (expense)(101)108(209)(193.3)%380(358)738(206.1)%
Interest expense, net
Interest expense, net$(935)$(223)$(712)319.3%$(1,596)$(826)$(770)93.2%
Other incomeOther income87444443096.8%1,517480 1,037216.0%
Other expenseOther expense$(1,882)$— $(1,882)100.0%$(1,882)$— $(1,882)100.0%
Total other expenseTotal other expense$(506)$(601)$95$(851)$(2,288)$1,437
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 $0.4$0.9 million for the three months ended MarchDecember 31, 2023, a decreasean increase of $0.3$0.7 million, or 42.8%319.3%, compared to $0.7$0.2 million for the three months ended MarchDecember 31, 2022. The decreaseincrease was primarily due to interest income of $1.0$0.9 million from money market funds offsetting interest expense of $1.4$1.8 million for the three months ended MarchDecember 31, 2023. Interest expense of $1.1 million was offset by interest income of $0.8 million during the three months ended MarchDecember 31, 2022 was negligible.2022.
Interest expense, net was $1.2$1.6 million for the ninesix months ended MarchDecember 31, 2023, a decreasean increase of $0.7$0.8 million, or 36.2%93.2%, compared to $1.9$0.8 million for the ninesix months ended MarchDecember 31, 2022. The decrease was primarilyThis increase is due to interest expense of $3.6 million offset by interest income of $2.3$2.0 million from money market funds offsettingaccounts during the six months ended December 31, 2023. During the six months ended December 31, 2022, interest expense of $3.5$2.1 million during the nine months ended March 31, 2023. Interestwas offset by interest income during the nine months ended March 31, 2022 was negligible. For additional information regarding our outstanding indebtedness, see Note 8, “Long-Term Debt” to our condensed consolidated financial statements.
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$1.2 million.
Other income (expense).income. 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 short-term investments. Other income (expense) for the three months ended MarchDecember 31, 2023 decreased $0.2increased $0.4 million, or 193.3%96.8%, when compared to the three months ended MarchDecember 31, 2022. The decrease isincrease was primarily due to a lossdividends received from our short-term investments of $0.6 million relatedfor the three months ended December 31, 2023 compared to the terminationdividends of the Germantown, Pennsylvania center lease upon consolidation of the center with other centers, offset by the recognition of $0.4 million in unrealized gains related to short-term investments. Other income (expense) was income of $0.4$0.2 million for the ninethree months ended MarchDecember 31, 2022.
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Other income was $1.5 million for the six months ended December 31, 2023, an increase of $0.8$1.0 million, or 206.0%216.0%, compared to a loss of $0.4$0.5 million for the ninesix months ended MarchDecember 31, 2022. TheThis increase iswas primarily due to the recognitiondividends received of unrealized gains on short-term investments of $0.8 million offset by a loss of $0.6 million due to the termination of the Germantown center lease during the nine months ended March 31, 2023 in addition to the recognition of a loss on disposal of assets of $0.4$1.2 million during the ninesix months ended MarchDecember 31, 2022 related2023 compared to dividends of $0.2 million for the write offsix months ended December 31, 2022.
Other expense. Other expense was $1.9 million for the three and six months endedDecember 31, 2023, an increase of certain assets$1.9 million, or 100.0%, compared to zero for the three and six months ended December 31, 2022. Subsequent to December 31, 2023, we noted indicators of impairment in conjunction with a move to a new facility at our Roanoke, Virginia center.minority equity investment of Jetdoc. We determined that indicators were present as of the reporting date, and recognized impairment losses of $1.9 million during the three and six months ended December 31, 2023. No observable price changes or impairments were recorded during the three and six months ended December 31, 2022.
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 SH1InnovAge Senior Housing Thornton, LLC ("SH1") and InnovAge Sacramento have elected to be taxed as partnerships, and no provision for income taxes for SH1 or InnovAge 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, 2023 and 2022, we reported benefit for income taxes of $1.4 million and $4.1 million, respectively. During the nine months ended March 31, 2023 and 2022, we reported benefit for income taxes of $7.7 million and a provision for income taxes of $0.1 million and benefit of $2.9 million, respectively. During the six months ended December 31, 2023 and 2022, we reported a provision for income taxes of $0.3 million and benefit of $(6.4) million, respectively. The decrease of $7.8$6.7 million is primarily due (i) our pretax book loss recognized during the ninesix months ended MarchDecember 31, 2023, as compared to pretax book incomeloss recognized during the ninesix months ended MarchDecember 31, 2022 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.change in our valuation allowance.
Net Loss Attributable to Noncontrolling Interests.
InnovAge Senior Housing Thornton, LLC (“SH1”)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 obligation 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 areis recorded in the consolidated statementsStatements of operations and the share of the other noncontrolling interest holders’ earnings are recorded as net loss attributable to noncontrolling interests.
Our share of earnings are recorded in the consolidated statements of operationsOperations and the share of the other noncontrolling interest holders’ earnings are recorded as net loss attributable to noncontrolling interests.
Net Income (Loss)Loss
During the ninesix months ended MarchDecember 31, 2023 and 2022, we reported net income (loss)loss of ($31.6 million)$14.8 million and $5.6$24.2 million, respectively, consisting of (i) income (loss)loss from operations of ($38.5 million)$12.5 million and $7.9$30.3 million, respectively, (ii) other expense of $0.9$2.0 million and $2.3$0.3 million, respectively, and (iii) a benefitprovision for income taxes of $7.7$0.3 million and provisionbenefit of $0.1$6.4 million, respectively, each as described above.
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Key Business Metrics and Non-GAAP Measures
In addition to our 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 metrics provide additional perspective and insights when analyzing our core operating performance from period to period and evaluating trends in
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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 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,
20232022
dollars in thousands
Six months ended December 31,Six months ended December 31,
202320232022
dollars in thousandsdollars in thousands
Key Business Metrics:Key Business Metrics:
Centers(a)
Centers(a)
Centers(a)
Centers(a)
17181818
Census(b)
Census(b)
6,3106,800
Census(b)
6,7806,460
Total Member Months(b)
Total Member Months(b)
58,27062,730
Total Member Months(b)
39,67039,210
Center-level Contribution MarginCenter-level Contribution Margin$72,782 $111,741 
Center-level Contribution Margin
Center-level Contribution Margin
Center-level Contribution Margin as a % of revenueCenter-level Contribution Margin as a % of revenue14.2 %21.3 %Center-level Contribution Margin as a % of revenue16.6 %13.0 %
GAAP Measures:GAAP Measures:
GAAP Measures:
GAAP Measures:
Net income (loss)
Net income (loss)
Net income (loss)Net income (loss)$(31,557)$5,572 
Net loss marginNet loss margin(6.2)%1.1 %Net loss margin(4.0)%(7.2)%
Non-GAAP Measures:Non-GAAP Measures:
Non-GAAP Measures:
Non-GAAP Measures:
Adjusted EBITDA(c)
Adjusted EBITDA(c)
Adjusted EBITDA(c)
Adjusted EBITDA(c)
$(1,977)$34,895 
Adjusted EBITDA Margin(c)
Adjusted EBITDA Margin(c)
(0.4)%6.6 %
Adjusted EBITDA Margin(c)
2.7 %(1.7)%
________________________
(a)During the second quarter ended December 31, 2023, the Company acquired two PACE programs in California from ConcertoCare, one of which is operational. With the addition of the operational ConcertoCare PACE program, the Company operated 18 PACE centers as of December 31, 2023. During the third quarter ended March 31, 2023, the Company consolidated its Germantown LIFE center with its Allegheny and Henry Avenue LIFE centers in Pennsylvania.
(b)Amounts are approximate.approximate due to rounding.
(c)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 GAAP measures for the period indicated, see below under “Adjusted EBITDA and Adjusted 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
Our census is comprised of our capitated participants for whom we are financially responsible for their total healthcare costs.
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 throughout the year.
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Center-level Contribution Margin
The Company's management uses Center-level Contribution Margin as the measure for assessing performance of its operating segments. We define Center-level Contribution Margin as total revenues less external provider costs 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 expenseexpenses or corporate, general and administrative expenses across our centers. Center-level Contribution Margin was $72.8$61.5 million and $111.7
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$44.0 million for the ninesix months ended MarchDecember 31, 2023 and 2022, respectively. The increase in Center-level Contribution Margin for the six months ended December 31, 2023 was primarily due to a 9.7% increase in total revenue, offset by a 5.6% increase in external provider costs during the same period. For more information relating to Center-level Contribution Margin, see Note 14 “Segment Reporting” to our consolidated financial statements. A reconciliation of Center-level Contribution Margin to loss before income taxes, the most directly comparable GAAP measure, for each of the periods is as follows:
Six Months Ended December 31, 2023Six Months Ended December 31, 2022
(In thousands)PACEAll otherTotalsPACE
All other(1)
Totals
Capitation revenue$370,734 $— $370,734 $338,071 $— $338,071 
Other service revenue153 495 648 176 427 603 
Total revenues370,887 495 371,382 338,247 427 338,674 
External provider costs200,322 — 200,322 189,744 — 189,744 
Cost of care, excluding depreciation and amortization109,267 303 109,570 104,595 338 104,933 
Center-Level Contribution Margin61,298 192 61,490 43,908 89 43,997 
Overhead costs(a)
65,425 65,434 67,107 79 67,186 
Depreciation and amortization8,334 225 8,559 6,881 214 7,095 
Interest expense, net1,506 90 1,596 735 91 826 
Other income(1,517)— (1,517)(480)— (480)
Other expense1,882 — 1,882 — — — 
Loss Before Income Taxes$(14,332)$(132)$(14,464)$(30,335)$(295)$(30,630)
Loss Before Income Taxes as a % of revenue(3.9)%(9.0)%
Center- Level Contribution Margin as a % of revenue16.6 %13.0 %


(a)Overhead consists of the sales and marketing and corporate, general and administrative financial statement line items.
Adjusted EBITDA and Adjusted EBITDA Margin
We define Adjusted EBITDA as net income (loss) adjusted for interest expense, depreciation and amortization, and provision (benefit) for income tax as well as addbacks for non-recurring expenses or exceptional items, including charges relating to management equity compensation, class action litigation costs and settlements, M&A and de novo center development, business optimization, EMRelectronic medical record ("EMR") implementation and facility expansion, relocation and closure.loss on minority equity interest investment. Adjusted EBITDA margin is Adjusted EBITDA expressed as a percentage of our total revenue less any exceptional, one time revenue items.revenue. For the ninesix months ended MarchDecember 31, 2023 and 2022, net loss was $31.6$14.8 million and net income was $5.6$24.2 million, respectively, representing a year-over-year decrease of 666.3%39.0%. Adjusted EBITDA was ($2.0 million)$10.0 million and $34.9 million,($5.8 million), for the ninesix months ended MarchDecember 31, 2023 and 2022, respectively, representing a year-over-year decreaseincrease of 105.7%273.3%. For the ninesix months ended MarchDecember 31, 2023, net loss margin was 6.2%4.0%, as compared to net incomeloss margin of 1.1%7.2% for the ninesix months ended MarchDecember 31, 2022. For the ninesix months ended MarchDecember 31, 2023, our Adjusted EBITDA margin was negative 0.4%2.7%, as compared to our Adjusted EBITDA margin for the ninesix months ended MarchDecember 31, 2022 of 6.6%negative 1.7%. The decreaseincrease in Adjusted EBITDA and Adjusted EBITDA margin is primarily from (i) increased capitation rates and (ii) lower corporate, general and administrative costs partially offset by, (i) increased center-level headcount and wage rates associated with a competitive labor market, and (ii) increased housing utilization and ratesunit cost as mandated by the states, and (iii) higher corporate, general, and administrative expenses, primarily attributable to increased headcount to support compliance and to bolster our organizational capabilities.states.
Adjusted EBITDA and Adjusted EBITDA margin are supplemental measures of operating performance monitored by management that are not defined under 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 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 certain noncash expenses, allowing us
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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 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. The use of the term Adjusted EBITDA varies from others in our industry.
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A reconciliation of net loss to Adjusted EBITDA, to net income, the most directly comparable GAAP measure, for each of the periods is as follows:
Three months ended March 31,Nine months ended March 31,
2023202220232022
in thousands
Net income (loss)$(7,310)$(3,158)$(31,557)$5,572 
Interest expense, net405 709 1,231 1,930 
Depreciation and amortization3,992 3,850 11,087 10,435 
Provision (benefit) for income tax(1,365)(4,116)(7,747)81 
Stock-based compensation1,208 845 3,721 2,586 
Executive severance and recruitment(a)
— — — 4,123 
Litigation costs and settlement(b)
3,274 377 7,839 2,820 
M&A and de novo center development(c)
146 693 452 1,533 
Business optimization(d)
1,394 2,329 8,418 4,720 
EMR implementation(e)
2,045 402 4,579 1,095 
Adjusted EBITDA$3,789 $1,931 $(1,977)$34,895 
Three months ended December 31,Six months ended December 31,
2023202220232022
Net loss$(3,821)$(10,547)$(14,783)$(24,247)
Interest expense, net935 223 1,596 826 
Depreciation and amortization4,290 3,662 8,559 7,095 
Provision (benefit) for income tax93 (2,912)319 (6,383)
Stock-based compensation1,766 1,212 3,589 2,512 
Litigation costs and settlement(a)
198 1,282 1,905 1,238 
M&A and de novo center development(b)
284 336 693 622 
Business optimization(c)
774 2,846 2,933 10,035 
EMR implementation(d)
1,370 1,944 3,304 2,534 
Loss on minority equity interest(e)
$1,882 $— $1,882 $— 
Adjusted EBITDA$7,771 $(1,954)$9,997 $(5,768)
________________________
(a)Reflects charges related to executive severance and recruiting.
(b)Reflects a $1.2 million reserve for a wage and hour class action settlement for the three and nine months ended March 31, 2023 and charges/(credits) related to litigation by stockholders, litigation related to de novo center development, and civil investigative demands. Refer to Note 9, "Commitments and Contingencies" to our condensed consolidated financial statements for more information regarding litigation by stockholders and civil investigative demands. Costs reflected consist of litigation costs considered one-time in nature and outside of the ordinary course of business based on the following considerations which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) complexity of the case, (iii) nature of the remedies sought, (iv) litigation posture of the Company, (v) counterparty involved, and (vi) the Company's overall litigation strategy.
(c)(b)Reflects charges related to M&A transaction and integrations, and de novo center developments.
(d)(c)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 MarchDecember 31, 2023 this includes (i) $0.3 million related to consultants and contractors performing audit and other related services at sanctioned centers, (ii) $0.2 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 (ii) $0.3 million of costs related to severance and other organizational costs and (iii) $0.6 million in the consolidation of the Germantown, Pennsylvania center, and (iv) $0.3$0.2 million related to other non-recurring projects aimed at reducing costs and improving efficiencies.charges. For the ninethree months ended MarchDecember 31, 20232022 this includes (i) $1.5$0.5 million related to consultants and contractors performing audit and other related services at sanctioned centers, (ii) $5.3$0.8 million of costs associated with third party consultants as we implement our core provider initiatives, assess our risk-bearing capabilities, and strengthen our enterprise capabilities and (iii) $0.1 million for related to other non-recurring projects aimed at reducing costs and improving efficiencies. For the six months ended December 31, 2023 this includes (i) $2.1 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 (ii) $0.3 million of costs related to severance and other organizational costs and (iii) $0.6$0.5 million inrelated to charges for technology improvements, environmental, sustainability, and governance reporting, and other non-recurring charges. For the consolidationsix 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) $5.1 million of the Germantown centercosts associated with third party consultants as we implement our core provider initiatives, assess our risk-bearing payor capabilities, and (iv) $1.0strengthen our enterprise capabilities, and (iii) $0.7 million related to other non-recurring projects aimed at reducing costs and improving efficiencies.
(e)(d)Reflects non-recurring expenses relating to the implementation of a new EMR vendor.
(e)Reflects impairment charges related to our minority equity interest in Jetdoc, Inc.
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Liquidity and Capital Resources
General
To date, we have financed our operations principally through cash flows from operations and through borrowings under our credit facilities, and from the sale of common stock in our IPO that occurred in March 2021. As of MarchDecember 31, 2023, we had cash and cash equivalents of $121.7 million.$54.1 million, a decrease of $73.1 million from June 30, 2023. The decrease in cash and cash equivalents was primarily due to a payment of $23.9 million for the acquisition of the ConcertoCare PACE centers during the second quarter of fiscal year 2024 and timing of cash receipts for services provided. 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“Long-Term Debt” to the condensed consolidated financial statements) due 2026, (ii) capitalfinance and operating lease obligations, which are generally paid on a monthly basis and include maturities through 20252028 and 2032, respectively, (iii) the operations of our business, including
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special projects such as our transition to a new EMR vendor, with respect to which we expect to incurincurred non-recurring implementation costs over the nextlast three months, and expect to incur ongoing costs through 2026,2024 and beyond, and third party support to address remediation efforts, and (iv) income tax payments, which are generally due on a quarterly and annual basis.basis, and (v) capital additions, which included costs relating to the acquisition of the ConcertoCare PACE centers that took place during the second quarter of fiscal year 2024, and the development of de novo centers, including those in Florida and California. We also willinvest and for the foreseeable future expect to continue investing in the effective implementation of post-sanction 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 used and expect to increase the use of capital resources for capital additions, which include costs relating to the development of de novo centers, including those in Florida. 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 MarchDecember 31, 2023, we had $70.7$67.9 million of long-term debt outstanding. As of MarchDecember 31, 2023, we had future minimum operating lease payments under non-cancellable leases through the year 2032 of $29.1$37.5 million. We also had non-cancellable finance lease agreements with third parties through the year 20272028 with future minimum payments of $21.6$18.3 million. For additional information, see Note 7, “Leases”, Note 8, “Long Term“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 the next 12 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 number of PACE participants, subject to our ability to effectively remediate deficiencies identified in audits of our centers and the expansion of sales and marketing activities.activities and other costs of operating the business. 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.
TheOn March 8, 2021, the Company entered into a credit agreement (as amended, the "2021 Credit AgreementAgreement") that 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. 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 Term Loan Facility is paid each calendar quarter in an amount equal to 1.25% of the initial term loan on closing date.
Any outstandingOutstanding principal amounts under the 2021 Credit Agreement accrue interest at a variable interest rate. As of MarchDecember 31, 2023, the interest rate on the Term Loan Facility was 6.60%7.30%. 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 MarchDecember 31, 2023, we had no borrowings outstanding, $3.0$3.1 million of letters of credit issued, and $97.0$96.9 million of remaining borrowing capacity under the Revolving Credit Facility. As of MarchDecember 31, 2023, we also had $2.3 million principal amount outstanding under our convertible term loan. Monthly principal and interest payments for the convertible
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term loan are approximately $0.02 million, and the loan bears interest at an annual rate of 6.68%. The remaining principal balance is due upon maturity, which is August 20, 2030.
For more information about our debt, see Note 8 “Long-Term Debt” to our condensed consolidated financial statements.
We currently intend to retain all available funds and any future earnings to fund the development and growth of our business.
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Condensed Consolidated Statements of Cash Flows
Our consolidated statements of cash flows for the ninesix months ended MarchDecember 31, 2023 and 2022 are summarized as follows:
Nine months ended March 31,
20232022$ Change
Six months ended December 31,
2023
2023
20232022$ Change
in thousandsin thousands
Net cash provided (used) by operating activities$7,085 $24,059 $(16,974)
Net cash used by operating activities
Net cash used by operating activities
Net cash used by operating activities
Net cash used in investing activitiesNet cash used in investing activities(64,329)(23,578)(40,751)
Net cash used in financing activitiesNet cash used in financing activities(5,480)(4,670)(810)
Net change in cash, cash equivalents and restricted cashNet change in cash, cash equivalents and restricted cash$(62,724)$(4,189)$(58,535)
Operating Activities. The change in net cash provided (used) by operating activities was primarily due to the net effect of (i) net loss of $31.6$14.8 million in the current year period compared to a net incomeloss of $5.6$24.2 million in the prior year period, as described further above, and (ii) a net decreasean increase in working capitalaccounts receivable primarily attributable to the timing of receipt of payments for operating leasescertain Medicaid receivables, and reported and estimated claims.(iii) impacts of deferred revenue due to the timing of payments received during prior year.
Investing Activities. Investing activities were made up of approximately $19.3$23.9 million payment for the acquisition of two PACE programs from ConcertoCare, $4.2 million in purchases of property and equipment and $45.0$1.2 million for purchasesreinvested dividends of short-term investments, consisting primarily of managed income funds invested in investment grade short-term fixed and floating rate debt securities aimed at creating income while maintaining low volatility on principal. Our investment in managed income funds regularly pay dividends which are reinvested into the funds.
Financing activities. The increase in net cash used in financing activities was primarily due to an increase in taxes paid related to net share settlements of stock-based compensation awards of $0.6 million and an increase in principal payments on finance leases.leases of $0.7 million.
Emerging Growth Company and Smaller 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 stockholder advisory votes on golden parachute compensation.
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 growth company. Our election to use the phase-in periods permitted by this election may make it difficult to compare our
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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 Estimates
The discussion and analysis of our financial condition and results of operations are based upon our condensed consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of these financial statements requires management to make estimates and judgments that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the
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reported amounts of revenues and expenses during the 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. The estimates and assumptions used by management are based on historical experience and other factors, which are believed to be reasonable under the circumstances.
For a description of our estimates regarding our critical accounting estimates, see “Critical Accounting Estimates” in the 20222023 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 policies, estimates, or methodologies to our condensed consolidated financial statements.
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, 2023, we had total outstanding debt of $68.4$65.6 million in principal amount under the Term Loan Facility, $2.3 million under the convertible term loan, and no outstanding debt under the Revolving Credit Facility (each as defined in Note 8, “Long-Term Debt” to our condensed consolidated financial statements). As of June 30, 2022,2023, we had total outstanding debt of $71.3$67.5 million in principal amount under the Term Loan Facility and $2.3 million under the Convertible Term Loan.convertible term loan. As of MarchDecember 31, 2023, the interest rate on the Term Loan Facility was 6.60%. We plan to amend our 2021 Credit Agreement loan documents to replace the reference rate with the Secured Overnight Financing Rate ("SOFR") prior to the discontinuance of the London Interbank Offered Rate ("LIBOR")7.30%.
We had cash and cash equivalents of $121.7$54.1 million and $184.4$127.2 million as of MarchDecember 31, 2023 and June 30, 2022,2023, 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.
We had short-term investments of $45.8$44.7 million and $—$46.2 million as of MarchDecember 31, 2023 and June 30, 2022,2023, respectively, which are primarily invested in managed income funds managed by major financial institutions. The funds mainly invest in investment grade, U.S. denominated short-term fixed and floating rate debt securities. Securities are subject to market risk and sensitive to changes in interest rates. While the instruments held by the funds are generally less sensitive to interest rate changes than instruments with longer maturities due to their short-term nature, the funds may face a heightened level of interest rate risk due to changes in monetary policy. During periods when interest rates are low or negative, the funds yields, and total returns may also be low, or the funds may be unable to maintain positive returns. We do not believe that an increase or decrease in interest rates of 100 basis points would have a material effect on these short-term investments.
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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 in Rules
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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. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that theseour disclosure controls and procedures were effective as of MarchDecember 31, 2023.
Changes to ourin Internal Controls over Financial Reporting
There have been no changes in internal control over financial reporting during the quarter ended MarchDecember 31, 2023 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
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
ThereExcept as set forth below, there have been no material changes to the risk factors previously disclosed in our 20222023 10-K.
Labor relations matters could have a material adverse effect on our business, reputation, prospects, results of operations and financial condition.
On October 27, 2023, following a demand from a labor union for the Company to recognize it as the collective bargaining representative of the nurses and certified nurse assistants in our Pennsylvania centers, we filed a petition with the National Labor Relations Board to conduct two elections. The National Labor Relations Board conducted the elections on December 6, 2024, at which the nurses and certified nurse assistants in our Pennsylvania centers voted to unionize. These employees represent approximately 1% of our total workforce. Even though we are currently unaware of other unionization efforts, it is possible that additional employees in our Pennsylvania centers or in other geographies may follow. As we negotiate collective bargaining agreements for the two new bargaining units at the Pennsylvania centers, and any other units that may organize in the future, employees may threaten and/or engage in work stoppages and strikes, and our labor costs may continue to increase as a result. The unavailability of staff, or the inability of the Company to control labor costs related to these matters and future efforts to unionize, could have a material adverse effect on our business, reputation, prospects, results of operations and financial condition.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
None.
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:
EXHIBIT INDEX
Exhibit
No.
Description
3.1
3.2
10.1
31.1
31.2
32.1†
32.2†
101.INSInline 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.SCHInline XBRL Taxonomy Extension Schema Document
101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document
101.LABInline XBRL Taxonomy Extension Label Linkbase Document
104Cover 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 “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.
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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.
INNOVAGE HOLDING CORP.
Date: May 9, 2023February 6, 2024By:/s/ Barbara GutierrezBenjamin C. Adams
Name:Barbara GutierrezBenjamin C. Adams
Title:Chief Financial Officer (Duly Authorized Officer and Principal Financial and Accounting Officer)
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