Cover Page
Cover Page | 12 Months Ended |
Dec. 31, 2022 | |
Cover [Abstract] | |
Document Type | S-1 |
Amendment Flag | false |
Entity Registrant Name | P3 Health Partners Inc. |
Entity Central Index Key | 0001832511 |
Entity Filer Category | Accelerated Filer |
Entity Small Business | true |
Entity Emerging Growth Company | true |
Entity Ex Transition Period | false |
CONSOLIDATED BALANCE SHEETS
CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 | |
CURRENT ASSETS: | |||
Cash | $ 17,537 | $ 140,478 | |
Restricted cash | 920 | 356 | |
Health plan receivable | 72,092 | 50,251 | |
Clinic fees and insurance receivable, net | 822 | 1,090 | |
Other receivable | 6,678 | 727 | |
Prepaid expenses and other current assets | 2,643 | 6,959 | |
TOTAL CURRENT ASSETS | 100,692 | 199,861 | |
LONG-TERM ASSETS: | |||
Property and equipment, net | 8,839 | 8,048 | |
Goodwill | 1,309,750 | ||
Intangible assets, net | 751,050 | 835,839 | |
Other long-term assets | 15,990 | 10,611 | |
TOTAL LONG-TERM ASSETS | 775,879 | 2,164,248 | |
TOTAL ASSETS | [1] | 876,571 | 2,364,109 |
CURRENT LIABILITIES: | |||
Accounts payable | 11,542 | 5,469 | |
Accrued expenses and other current liabilities | 16,647 | 12,261 | |
Accrued payroll | 8,224 | 6,304 | |
Health plan settlements payable | 13,608 | 22,549 | |
Claims payable | 151,207 | 101,958 | |
Premium deficiency reserve | 26,375 | 37,836 | |
Accrued interest | 14,061 | 8,771 | |
Current portion of long-term debt | 46 | ||
Short-term debt | 3,579 | ||
TOTAL CURRENT LIABILITIES | 241,664 | 198,773 | |
LONG-TERM LIABILITIES: | |||
Operating lease liability | 11,516 | 6,297 | |
Warrant liabilities | 1,517 | 11,383 | |
Contingent consideration | 4,794 | 3,487 | |
Long-term debt, net | 94,421 | 80,000 | |
TOTAL LONG-TERM LIABILITIES | 112,248 | 101,167 | |
TOTAL LIABILITIES | [1] | 353,912 | 299,940 |
COMMITMENTS AND CONTINGENCIES | |||
MEZZANINE EQUITY | |||
Redeemable non-controlling interest | 516,805 | 1,790,617 | |
STOCKHOLDERS' EQUITY: | |||
Additional paid in capital | 315,375 | 312,946 | |
Accumulated deficit | (309,545) | (39,418) | |
TOTAL STOCKHOLDERS' EQUITY | 5,854 | 273,552 | |
TOTAL LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' EQUITY | 876,571 | 2,364,109 | |
Class A common | |||
STOCKHOLDERS' EQUITY: | |||
Common stock | 4 | 4 | |
Class V common | |||
STOCKHOLDERS' EQUITY: | |||
Common stock | $ 20 | $ 20 | |
[1] The Company’s consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities (“VIEs”). As discussed in Note 23: Variable Interest Entities, P3 LLC is itself a VIE. P3 LLC represents substantially all the assets and liabilities of the Company. As a result, the language and numbers below refer only to VIEs held at the P3 LLC level. The consolidated balance sheets include total assets that can be used only to settle obligations of P3 LLC’s consolidated VIEs totaling $3.1 million and $8.1 million as of December 31, 2022 and 2021, respectively, and total liabilities of P3 LLC’s consolidated VIEs for which creditors do not have recourse to the general credit of the Company totaled $9.9 million and $6.1 million as of December 31, 2022 and 2021, respectively. These VIE assets and liabilities do not include $33.0 million of net amounts due to affiliates as of December 31, 2022 and $6.0 million of investment in affiliates and $24.1 million of amounts due to affiliates as of December 31, 2021 as these are eliminated in consolidation and not presented within the consolidated balance sheets. |
CONSOLIDATED BALANCE SHEETS (Pa
CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
CONSOLIDATED BALANCE SHEETS | ||
Due to affiliates | $ 33 | $ 24.1 |
Investment in affiliates | 6 | |
VIE | ||
CONSOLIDATED BALANCE SHEETS | ||
Assets to settle obligations | 3.1 | 8.1 |
Liabilities without recourse to company assets | $ 9.9 | $ 6.1 |
Class A common | ||
CONSOLIDATED BALANCE SHEETS | ||
Common stock par or stated value per share | $ 0.0001 | $ 0.0001 |
Common stock shares authorized | 800,000,000 | 800,000,000 |
Common stock shares issued | 41,578,890 | 41,578,890 |
Common stock shares outstanding | 41,578,890 | 41,578,890 |
Class V common | ||
CONSOLIDATED BALANCE SHEETS | ||
Common stock par or stated value per share | $ 0.0001 | $ 0.0001 |
Common stock shares authorized | 205,000,000 | 205,000,000 |
Common stock shares issued | 201,592,012 | 196,553,523 |
Common stock shares outstanding | 201,592,012 | 196,553,523 |
CONSOLIDATED STATEMENTS OF OPER
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
OPERATING REVENUE: | |||
TOTAL OPERATING REVENUE | $ 58,762 | $ 578,602 | $ 1,049,471 |
OPERATING EXPENSE: | |||
Medical expense | 66,877 | 592,465 | 1,057,224 |
Premium deficiency reserve | 26,277 | 11,559 | (11,461) |
Corporate, general and administrative expense | 16,983 | 100,243 | 157,284 |
Sales and marketing expense | 364 | 1,818 | 5,096 |
Depreciation and amortization | 7,149 | 1,575 | 87,289 |
Goodwill impairment | 0 | 1,314,952 | |
TOTAL OPERATING EXPENSE | 117,650 | 707,660 | 2,610,384 |
OPERATING LOSS | (58,888) | (129,058) | (1,560,913) |
OTHER INCOME (EXPENSE): | |||
Interest expense, net | (851) | (9,824) | (11,404) |
Mark-to-market of stock warrants | 2,272 | (7,665) | 9,865 |
Other | (471) | 147 | 2,757 |
TOTAL OTHER INCOME (EXPENSE) | 950 | (17,342) | 1,218 |
LOSS BEFORE INCOME TAXES | (57,938) | (146,400) | (1,559,695) |
PROVISION FOR INCOME TAXES | (1,862) | ||
NET LOSS | (57,938) | (146,400) | (1,561,557) |
LESS: NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTERESTS | (47,857) | (1,291,430) | |
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | $ (10,081) | (146,400) | $ (270,127) |
NET LOSS PER SHARE (BASIC) | $ (0.24) | $ (6.50) | |
NET LOSS PER SHARE (DILUTED) | $ (0.24) | $ (6.50) | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | 41,579 | 41,579 | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (DILUTED) | 41,579 | 41,579 | |
Capitated revenue | |||
OPERATING REVENUE: | |||
TOTAL OPERATING REVENUE | $ 57,224 | 567,735 | $ 1,034,800 |
Other patient service revenue | |||
OPERATING REVENUE: | |||
TOTAL OPERATING REVENUE | $ 1,538 | $ 10,867 | $ 14,671 |
CONSOLIDATED STATEMENTS OF STOC
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY - USD ($) $ in Thousands | Common Stock Common Class A [Member] | Common Stock Class V Common [Member] | Additional Paid in Capital | [1] | Accumulated Deficit | Redeemable Non-controlling Interests | Class A Units Subject to Possible Redemption | Class D Units Subject To Possible Redemption | Class B-1 Preferred Units | Class B-2 Preferred Units | Class B-3 Preferred Units | Class C Preferred Units | Class C-1 Preferred Units | Class C-2 Preferred Units | Redemption of Profits Interests | Total |
Financial Designation, Predecessor and Successor [Fixed List] | Predecessor | |||||||||||||||
MEMBERS' DEFICIT at Dec. 31, 2020 | $ (130,485) | $ 380 | $ 67 | $ (180) | $ (130,218) | |||||||||||
MEMBERS' DEFICIT (in shares) at Dec. 31, 2020 | 6,000,000 | 1,302,083 | ||||||||||||||
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY | ||||||||||||||||
Unit Based Compensation | $ 380 | $ 902 | 1,282 | |||||||||||||
Unit Based Compensation (in shares) | 2,000,000 | 660,417 | ||||||||||||||
Accelerated on Merger Date | $ 81 | $ 56 | $ 2,243 | $ 39 | ||||||||||||
Accelerated on Merger Date (in shares) | 4,054,054 | 5,647,438 | 1,035,833 | 1,685,000 | ||||||||||||
Net Loss | (146,400) | (146,400) | ||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 02, 2021 | $ 4 | $ 20 | $ 312,946 | (29,337) | 283,633 | |||||||||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 02, 2021 | 41,578,890 | 196,553,523 | ||||||||||||||
MEMBERS' DEFICIT at Dec. 02, 2021 | (276,885) | $ 897 | $ 3,251 | $ (180) | $ (272,917) | |||||||||||
MEMBERS' DEFICIT (in shares) at Dec. 02, 2021 | 17,701,492 | 4,683,333 | ||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 31, 2020 | $ 43,656 | $ 47,042 | ||||||||||||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 31, 2020 | 43,000,000 | 16,130,034 | ||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 02, 2021 | $ 1,833,838 | $ 43,656 | $ 47,042 | |||||||||||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 02, 2021 | 43,000,000 | 16,130,034 | ||||||||||||||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | |||||||||||||||
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY | ||||||||||||||||
Net Loss | (10,081) | $ (10,081) | ||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 31, 2021 | $ 4 | $ 20 | 312,946 | (39,418) | 273,552 | |||||||||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 31, 2021 | 41,578,890 | 196,553,523 | ||||||||||||||
MEMBERS' DEFICIT at Dec. 31, 2021 | $ 273,552 | |||||||||||||||
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY | ||||||||||||||||
Equity-based compensation | 4,635 | |||||||||||||||
Net Loss | (47,856) | |||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 31, 2021 | 1,790,617 | |||||||||||||||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | |||||||||||||||
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY | ||||||||||||||||
Equity-based compensation | 1,786 | $ 1,786 | ||||||||||||||
Vesting of stock compensation awards (in shares) | 5,038,489 | |||||||||||||||
Class A common stock warrants issued | 643 | 643 | ||||||||||||||
Net Loss | (270,127) | (270,127) | ||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 31, 2022 | $ 4 | $ 20 | $ 315,375 | $ (309,545) | 5,854 | |||||||||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 31, 2022 | 41,578,890 | 201,592,012 | ||||||||||||||
MEMBERS' DEFICIT at Dec. 31, 2022 | $ 5,854 | |||||||||||||||
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY | ||||||||||||||||
Equity-based compensation | 17,618 | |||||||||||||||
Net Loss | (1,291,430) | |||||||||||||||
STOCKHOLDERS' EQUITY at Dec. 31, 2022 | $ 516,805 | |||||||||||||||
[1] Included in the opening balance are transactions completed in connection with the Business Combinations (Note 5), including the PIPE Investment (Note 1) of $195.3 million (net of issuance costs), the equity consideration to P3 shareholders of $80.3 million, and the trust proceeds (net of redemptions) of $37.4 million. |
CONSOLIDATED STATEMENTS OF ST_2
CONSOLIDATED STATEMENTS OF STOCKHOLDERS'/MEMBERS' DEFICIT AND MEZZANINE EQUITY (Parenthetical) $ in Thousands | 12 Months Ended |
Dec. 31, 2022 USD ($) | |
Additional Paid in Capital | |
Business Combinations, including the PIPE investment (net of issuance costs) | $ 195,300 |
Trust proceeds (net of redemptions) | 37,400 |
P3 LLC [Member] | |
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable | 80,301 |
P3 LLC [Member] | Additional Paid in Capital | |
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable | $ 80,300 |
CONSOLIDATED STATEMENTS OF CASH
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) shares in Thousands, $ in Thousands | 1 Months Ended | 3 Months Ended | 11 Months Ended | 12 Months Ended | ||
Dec. 31, 2021 | Dec. 31, 2022 | Jun. 30, 2022 | Dec. 02, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
CONSOLIDATED STATEMENTS OF CASH FLOWS | ||||||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor | |||
Net loss | $ (57,938) | $ (146,400) | $ (1,561,557) | |||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||
Depreciation and amortization | 7,149 | 1,575 | 87,289 | |||
Equity-based compensation | 4,635 | 3,701 | 19,404 | |||
Goodwill impairment | 0 | $ 463,500 | $ 851,500 | 1,314,952 | ||
Amortization of original issue discount and debt issuance costs | 1,798 | |||||
Accretion of contingent consideration | 400 | |||||
Gains on changes in fair value of warrants | (2,272) | 7,665 | (9,865) | |||
Premium deficiency reserve | 26,277 | 11,559 | (11,461) | |||
Changes in operating assets and liabilities: | ||||||
Health plan receivable | 3,236 | (2,770) | (21,841) | |||
Clinic fees, insurance, and other receivables | 1,467 | (1,485) | (5,338) | |||
Prepaid expenses and other current assets | (4,704) | 4,254 | 4,266 | |||
Other long-term assets | 100 | |||||
Accounts payable, accrued expenses, and other current liabilities | 7,732 | 34,224 | 6,082 | |||
Accrued payroll | 3,159 | (1,134) | 1,920 | |||
Health plan settlements payable | (2,592) | 11,265 | (8,941) | |||
Claims payable | (971) | 19,097 | 49,249 | |||
Accrued interest | (498) | 5,216 | 5,290 | |||
Operating lease liability | (22) | 306 | 4,032 | |||
Net cash used in operating activities | (15,342) | (51,129) | (126,019) | |||
CASH FLOWS FROM INVESTING ACTIVITIES: | ||||||
Purchases of property and equipment | (120) | (3,290) | (2,233) | |||
Acquisitions, net of cash acquired | (47,879) | (4,989) | (5,500) | |||
Notes receivable | 143 | 70 | ||||
Net cash used in investing activities | (47,856) | (8,209) | (7,733) | |||
CASH FLOWS FROM FINANCING ACTIVITIES: | ||||||
Proceeds from PIPE, net of issuance costs | 195,308 | |||||
Proceeds from long-term debt, net of original issue discount | 25,000 | 15,000 | ||||
Proceeds from short-term debt | 3,377 | 351 | ||||
Payment of long-term debt | (8) | (186) | (46) | |||
Payment of debt issuance costs | (375) | |||||
Payment of short-term debt | (3,579) | |||||
Net cash provided by financing activities | 198,677 | 24,790 | 11,375 | |||
Net change in cash and restricted cash | 135,479 | (34,548) | (122,377) | |||
Cash and restricted cash at beginning of period | 5,355 | 39,903 | 140,834 | $ 39,903 | ||
Cash and restricted cash at end of period | 140,834 | 18,457 | 5,355 | 18,457 | 140,834 | |
Supplemental disclosure of cash flow information: | ||||||
Cash paid for interest | 1,346 | 2,796 | 5,714 | |||
Supplemental disclosures of non-cash investing and financing information: | ||||||
Operating lease liabilities arising from obtaining new right-of-use assets | 314 | 4,073 | 6,839 | |||
Warrants issued in connection with new debt | $ 643 | |||||
Increase in accrued expenses related to debt issuance costs and original issue discount | 525 | |||||
Reconciliation of cash and restricted cash: | ||||||
Cash | 140,478 | 17,537 | 5,301 | $ 17,537 | 140,478 | |
Restricted cash | 356 | 920 | 54 | 920 | 356 | |
Total Cash Balances | $ 140,834 | $ 18,457 | $ 5,355 | $ 18,457 | $ 140,834 |
Organization
Organization | 12 Months Ended |
Dec. 31, 2022 | |
Organization | |
Organization | Note 1: Organization P3 Health Partners Inc. (“P3”), f/k/a Foresight Acquisition Corp., is a patient-centered and physician-led population health management company and, for accounting purposes, the successor to P3 Health Group Holdings, LLC and its subsidiaries (collectively, “P3 LLC,” and together with P3, the “Company”). P3 LLC was founded on April 12, 2017 and began commercial operations on April 20, 2017 to provide population health management services on an at-risk basis to insurance plans offering medical coverage to Medicare beneficiaries under Medicare Advantage programs. Medicare Advantage programs are insurance products created solely for Medicare beneficiaries. Insurance plans contract directly with the Centers for Medicare and Medicaid Services (“CMS”) to offer Medicare beneficiaries benefits that replace traditional Medicare fee-for-service (“FFS”) coverage. On December 3, 2021, (the “Closing Date”), P3 and P3 LLC consummated a series of business combinations pursuant to which, among other things, P3 LLC merged with and into FAC Merger Sub LLC, a Delaware limited liability company and wholly owned subsidiary of the Company (“Merger Sub”) (the “P3 Merger”), with Merger Sub as the surviving company, which was renamed P3 LLC, and FAC-A Merger Sub Corp., a Delaware corporation and a wholly owned subsidiary of P3, FAC-B Merger Sub Corp., a Delaware corporation and a wholly owned subsidiary of the P3 (together with FAC-A Merger Sub Corp., the “Merger Corps”) merged with and into CPF P3 Blocker-A, LLC, a Delaware limited liability company, CPF P3 Blocker-B, LLC a Delaware limited liability company (together with CPF P3 Blocker-A, LLC, the “Blockers”), with the Blockers as the surviving entities and wholly owned subsidiaries of P3 (collectively, the “Business Combinations”). Upon completion of the Business Combinations (the “Closing”), the Company was organized in an “Up-C” structure in which P3 directly owned approximately 17.1% of the common units of P3 LLC (“Common Units”) and became the sole manager of P3 LLC. Following the Closing, substantially all of the Company’s assets are held and operations are conducted by P3 LLC, and P3’s only assets are equity interests in P3 LLC. Upon closing of the Business Combinations: ● 8.7 million shares of Class A common stock were issued as part of the purchase consideration; ● 3.7 million shares of Class A common stock (after redemptions) were no longer subject to redemption; ● 8.8 million shares of Class A common stock held by the founder holders remained outstanding; and ● 20.4 million shares of Class A common stock were issued in a private placement pursuant to subscription agreements entered into effective as of March 25, 2021 (the “PIPE Investment”). The Company’s contracts with health plans are based on an at-risk shared savings model. Under this model, the Company is financially responsible for the cost of all contractually-covered services provided to members assigned to the Company by health plans in exchange for a fixed monthly “capitation” payment, which is generally a percentage of the payment health plans receive from CMS. Under this arrangement, Medicare beneficiaries generally receive all their healthcare coverage through the Company’s network of employed and affiliated physicians and specialists. The services provided to health plans’ members vary by contract. These may include utilization management, care management, disease education, and maintenance of a quality improvement and quality management program for members assigned to the Company. The Company is also responsible for the credentialing of its providers, processing and payment of claims, and the establishment of a provider network for certain health plans. In addition to the Company’s contracts with health plans, the Company provides primary healthcare services through its employed physician clinic locations. These primary care clinics are reimbursed for services provided under FFS contracts with various payers and through capitated – per member, per month (“PMPM”) arrangements. |
Going Concern and Liquidity
Going Concern and Liquidity | 12 Months Ended |
Dec. 31, 2022 | |
Going Concern and Liquidity | |
Going Concern and Liquidity | Note 2: Going Concern and Liquidity The accompanying consolidated financial statements have been prepared assuming the Company will continue as a going concern. The Company has experienced losses since its inception and net losses of $1,561.6 million for the year ended December 31, 2022, $57.9 million for the Successor Period of 2021 (as defined in Note 3), and $146.4 million for the Predecessor Period of 2021 (as defined in Note 3). Such losses were primarily the result of goodwill impairment charges in 2022 and costs incurred in adding new members, building relationships with physician partners and payors, and developing new services. The Company anticipates operating losses and negative cash flows to continue for the foreseeable future as it continues to grow membership. As of December 31, 2022 and 2021, the Company had $17.5 million and $140.5 million, respectively, in cash available to fund future operations. The Company’s capital requirements will depend on many factors, including the pace of its growth, ability to manage medical costs, the maturity of its members, and its ability to raise capital, and the Company will need to use available capital resources and/or raise additional capital earlier than currently anticipated. When the Company pursues additional debt and/or equity financing, there can be no assurance that such financing will be available on terms commercially acceptable to the Company. If the Company is unable to obtain additional funding when needed, it will need to curtail planned activities in order to reduce costs, which will likely have an unfavorable effect on the Company’s ability to execute on its business plan, and have an adverse effect on its business, results of operations, and future prospects. As a result of these matters, substantial doubt exists about the Company’s ability to continue as a going concern within one year after the date the financial statements are issued. The accompanying consolidated financial statements do not include any adjustments that might result from the outcome of these uncertainties. |
Significant Accounting Policies
Significant Accounting Policies | 12 Months Ended |
Dec. 31, 2022 | |
Significant Accounting Policies | |
Significant Accounting Policies | Note 3: Significant Accounting Policies Basis of Presentation and Principles of Consolidation The accompanying consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) and include the accounts of the Company. All intercompany accounts and transactions have been eliminated. The Company periodically evaluates entities for consolidation either through ownership of a majority voting interest, or through means other than voting interest, in accordance with the Variable Interest Entity (“VIE”) accounting model. This evaluation includes a qualitative review of the design of the entity, its organizational structure, including decision making ability and financial agreements, as well as a quantitative review. The Company consolidates a VIE when it has a variable interest that provides it with a controlling financial interest in the VIE, referred to as the primary beneficiary of the VIE. See Note 23 “Variable Interest Entities.” As the sole managing manager of P3 LLC, P3 has the right to direct the most significant activities of P3 LLC and the obligation to absorb losses and receive benefits. The rights of the non-managing members of P3 LLC are limited and protective in nature and do not give substantive participation rights over the sole managing member. Accordingly, P3 identifies itself as the primary beneficiary of P3 LLC and began consolidating P3 LLC as of the Closing Date resulting in a noncontrolling interest related to the Common Units held by members other than P3. Additionally, as more fully described in Note 23 “Variable Interest Entities,” P3 LLC is the primary beneficiary of the following physician practices (collectively, the “Network”): ● Kahan, Wakefield, Abdou, PLLC ● Bacchus, Wakefield, Kahan, PC ● P3 Health Partners Professional Services, P.C. ● P3 Medical Group, P.C. ● P3 Health Partners California, P.C. (f/k/a Omni IPA Medical Group, Inc.) As a result of the Business Combinations, P3 LLC has been determined to be the predecessor for accounting purposes and, accordingly, the consolidated financial statements and notes to consolidated financial statements of P3 LLC are presented herein as “Predecessor” for the period prior to the Closing Date (the “Predecessor Period”) and the consolidated financial statements and notes to consolidated financial statements of the Company are presented herein as “Successor” for the period after the Closing Date (the “Successor Period”), which include the consolidated operations of P3 LLC. The accompanying consolidated financial statements include a black line division that indicates that the Predecessor and Successor reporting entities shown are presented on a different basis and are, therefore, not comparable. Comprehensive Loss Comprehensive loss includes net loss to common stockholders as well as other changes in equity that result from transactions and economic events other than those with stockholders. There was no difference between comprehensive loss and net loss to common stockholders for the periods presented. Management’s Use of Estimates Preparation of these consolidated financial statements and accompanying footnotes, in conformity with GAAP, requires management to make estimates and assumptions that could affect amounts reported here. Management bases its estimates on the best information available at the time, its experiences and various other assumptions believed to be reasonable under the circumstances, including estimates of the impact of COVID-19. See Note 21 “Commitments and Contingencies” for further discussion on the impact of COVID-19. The areas where significant estimates are used in these accompanying consolidated financial statements include revenue recognition, the liability for unpaid claims, equity-based compensation, premium deficiency reserves, fair value and impairment recognition of long-lived assets (including intangible assets and goodwill), fair value of acquired assets and liabilities in business combinations, fair value of liability classified instruments, and judgments related to deferred income taxes. Actual results could differ from those estimates. Commitments and Contingencies An accrual is established for commitments and contingencies when management, after considering the facts and circumstances of each matter as then known to management, has determined a specific contingency is probable and estimable. The Company also faces contingencies that are reasonably possible to occur that cannot currently be estimated. When only a range of amounts is reasonably estimable and no amount within the range is more likely than another, the low end of the range is recorded. The Company expenses costs associated with loss contingencies, including any related legal fees, as they are incurred. Due to the inherent uncertainties surrounding gain contingencies, the Company does not recognize potential gains until realized. Loss per Share Basic net loss per share attributable to common stockholders is computed by dividing the net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during the period. Diluted earnings per share attributable to common stockholders adjusts basic earnings per share for the potentially dilutive impact of public warrants, private placement warrants, stock options, and Common Units convertible into shares of Class A common stock during the period by applying the treasury stock method or if-converted method, as applicable. Net loss per member unit has not been presented for Predecessor Period as the Company’s management determined it would not be meaningful to the users of these consolidated financial statements. Cash and Restricted Cash Cash includes all cash and liquid investments with an initial maturity of three months or less. Cash deposits held in accounts at each financial institution are insured up to $250,000 by the Federal Deposit Insurance Corporation (“FDIC”). The Company maintains its cash in bank deposit accounts that, at times, may exceed FDIC insured limits. Management does not expect any losses to occur on such accounts. At December 31, 2022 and 2021, the Company had cash of $17.5 million and $140.5 million, respectively, deposited at banking institutions which are subject to the FDIC insured limit. Restricted cash is held for a specific purpose (such as payment of employee healthcare claims) and is thus not available to the Company for immediate or general business use. At December 31, 2022 and 2021, the Company had restricted cash of $0.9 million and $0.4 million, respectively. Revenue Recognition The Company categorizes revenue based on various factors such as the nature of contracts as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, Revenue Type 2022 % of Total 2021 % of Total 2021 % of Total Capitated revenue $ 1,034,800 99 % $ 57,224 97 % $ 567,735 98 % Other patient service revenue: Clinical fees & insurance revenue 6,158 0 % 751 2 % 4,318 1 % Shared risk revenue 351 0 % 181 0 % 602 0 % Care coordination / management fees 7,924 1 % 600 1 % 5,880 1 % Incentive fees 238 0 % 6 0 % 67 0 % Total other patient service revenue 14,671 1 % 1,538 3 % 10,867 2 % Total revenue $ 1,049,471 100 % $ 58,762 100 % $ 578,602 100 % During the year ended December 31, 2022, the Successor Predecessor Capitated Revenue The Company contracts with health plans using an at-risk model. Under the at-risk model, the Company is responsible for the cost of all covered services provided to members assigned by the health plans to the Company in exchange for a fixed premium payment, which generally is a percentage of the payment (“POP”) based on health plans’ premiums received from CMS. Through this capitation arrangement, the Company stands ready to provide assigned Medicare Advantage beneficiaries all their medical care via the Company’s directly employed and affiliated physician/specialist network. The capitated revenue the Company receives is determined via a competitive bidding process with CMS and is based on the costs of care in local markets and the average utilization of services by patients enrolled. Medicare pays capitation using a “risk adjustment model,” which compensates providers based on the health status (acuity) of each individual patient. Medicare Advantage plans with higher acuity patients receive higher premiums. Conversely, Medicare Advantage plans with lower acuity patients receive lesser premiums. Under the risk adjustment model, capitation is paid on an interim basis based on enrollee data submitted for the preceding year and is adjusted in subsequent periods after final data is compiled. The Company generally estimates transaction prices using the most likely methodology. Amounts are only included in the transaction price to the extent any significant uncertainty of reversal on cumulative revenue will not occur and is resolved. In certain contracts, PMPM fees also include adjustments for items such as performance incentives or penalties based on the achievement of certain clinical quality metrics as contracted with payors. Capitated revenue is recognized based on an estimated PMPM transaction price to transfer the service for a distinct increment of the series (e.g., month), net of projected acuity adjustments and performance incentives or penalties as the Company cannot reasonably estimate the ultimate PMPM payment of those contracts. The Company recognizes revenue in the month in which eligible members are entitled to receive healthcare benefits during the contract term. The capitation amount is subject to possible retroactive premium risk adjustments based on the member’s individual acuity. Premium risk adjustments recorded in 2022 which relate to 2021 were $3.3 million. There were no premium risk adjustments recorded in 2021 related to prior years. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient not to adjust for the effects of a significant financing component. The Company’s contracts with health plans may include core functions and services for managing assigned patients’ medical care, the combination of which is offered as a single solution. Capitation contracts have a single performance obligation that is a stand ready obligation to perform healthcare services to the population of enrolled members and constitutes a series for the provision of managed healthcare services for the term of the contract, which is deemed to be one month since the mix of patients-customers can change month over month. The Company does not offer nor price each individual function as a standalone service to health plans; however, the addition or exclusion of certain services may be negotiated and reflected in each health plan’s specific total POP. At December 31, 2022 and 2021, the Company had POP contracts in effect with 24 health plans (across five states) and 17 health plans (across four states), respectively. Each month, in accordance with contractual obligations (for non-delegated health plans; e.g., those for which the Company has not been delegated for claims processing), each plan funds a medical claims payment reserve equal to a defined percentage of premium attributable to members assigned to the Company. In turn, the Company administers and funds medical claims for contractually covered services, for assigned health plan members, from that health plan’s reserve. On a quarterly or monthly basis, health plans conduct a settlement of the reserve to determine any surplus or deficit amount. The reconciliation and distribution of the reserve occur within 120 days following the end of each quarter. An annual settlement reconciliation and distribution from all funds occurs within 21 Three health plan customers accounted for 10% or more of total health plan receivables as of December 31, 2022. Two health plan customers accounted for 10% or more of total health plan receivables as of December 31, 2021. At December 31, 2022 and 2021, Management has deemed the Company’s settlement receivables to be fully collectible from those health plans where the Company is not delegated for claims processing. Accordingly, a constraint on the variable consideration associated with settlement receivables was not recorded. Other Patient Service Revenue – Clinical Fees and Insurance Revenue Clinical fees and insurance revenue relates to net patient fees received from various payors and direct patients under contracts in which the Company’s sole performance obligation is to provide healthcare services through the operation of medical clinics. The Company recognizes clinic fees and insurance revenue in the period in which services are provided. Under FFS payment arrangements, revenue is recognized on the date of service using a portfolio approach. The Company’s performance obligations are typically satisfied in the same day services are provided. All the Company’s contracts with its customers under these arrangements include a single performance obligation. The Company’s contractual relationships with patients, in most cases, also involve third-party payors (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through state-sponsored health insurance exchanges). Transaction prices for services provided are dependent upon specific rules in place with third party payors–specifically, Medicare/Medicaid and pre-negotiated rates with managed care health plans and commercial insurance companies. Contractual arrangements with third parties typically include payments at amounts which are less than standard charges. These charges generally have predetermined rates for diagnostic service codes or discounted FFS rates. The Company perpetually reviews its contractual estimation processes to consider and incorporate updates to laws, regulations, and frequent changes in the managed care system. Contractual terms are negotiated and updated accordingly upon renewal. Clinical fees and insurance revenue is based upon the estimated amounts the Company expects to receive from patients and third-party payors. Estimates of explicit price concessions under managed care and commercial insurance plans are tied to payment terms specified in related contractual agreements. Retroactively calculated explicit price concessions tied to reimbursement agreements with third-party payers are recognized on an estimated basis in the period related services are rendered and adjusted in future periods as final payments are received. Revenue related to uninsured patients, uninsured co-payments, and deductibles (for patients with healthcare coverage) may also be discounted. The Company records implicit price concessions (based on historical collection experience) related to uninsured accounts to recognize self-pay revenue at their most likely amounts to be collected. The Company deems FFS revenue to be variable consideration and its estimates of associated transaction prices will not result in a significant revenue reversal in the future. The Company has elected the practical expedient not to adjust the transaction price for any financing components as those were deemed to be insignificant and to expense all incremental customer contract acquisition costs as incurred as such costs are not material and would be amortized over a period less than one year. Other Patient Service Revenue – Shared Risk Revenue P3 LLC (via one of its wholly owned subsidiaries) receives 30% of the shared risk savings from parties with whom it contracts under four separate arrangements. These arrangements are driven solely by medical cost containment year-over-year (“YoY”) expense reductions. This key performance indicator (“KPI”) is measured by the aggregate change in per member, per year (“PMPY”) medical costs. If the sequential YoY PMPY aggregate change yields a reduction, the Company receives 30% of the associated total cost savings for that year. Conversely, if the sequential YoY PMPY aggregate change yields an increase in medical costs, no monies are due to the Company that year. This KPI is compiled and reviewed on a calendar year basis. The Company recognizes shared risk revenue only upon the receipt of cash. Other Patient Service Revenue – Care Coordination Fees and Management Fees The Company’s delegated health plans may also pay a Care Coordination Fee (“CCF”) or management fee to the Company. CCFs and management fees are intended to fund the costs of delegated services provided to certain health plans. CCFs are specifically identified and separated in each monthly capitation payment the Company receives from these parties. None of the Company’s other health plans bifurcate CCFs nor are any of them contractually required to do so. Based on similarities of the terms of the care coordination and administrative services, the Company uses a portfolio approach to record revenue from CCFs and management fees. Patient Fees Receivable Substantially all client fees and insurance receivables are due under FFS contracts with third party payors, such as commercial insurance companies, government-sponsored healthcare programs, or directly from patients. The Company has agreements with third-party payors that provide for payments at amounts different from the established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Patient fees receivable, where a third-party payor is responsible for the amount due, are recorded at the invoiced amount, net of any expected contractual adjustments and implicit price concessions, and do not bear interest. Contractual adjustments arising under reimbursement arrangements with third-party payors are accrued on an estimated basis in the period the related services are rendered and are adjusted in future periods as final settlements are determined. The Company continuously monitors activities from payors (including patients) and records an implicit price concession based on specific contracts and actual historical collection patterns to reflect the estimated amounts the Company expects to collect. Patient fees receivable of $0.8 million and $0.7 million are included in clinic fees and insurance receivables in the Company’s consolidated balance sheets as of December 31, 2022 and 2021, respectively, and are recorded net of contractual allowances of $5.8 million and $2.0 million as of December 31, 2022 and 2021, respectively. Property and Equipment Property and equipment is carried at acquisition cost, net of accumulated depreciation. Costs for repairs and maintenance of property and equipment, after such property and equipment has been placed in service, are expensed as incurred. Costs and related accumulated depreciation are eliminated when property and equipment is sold or otherwise disposed. Sales and disposals may result in asset-specific gains or losses. Any such gains or losses are included as a component of operations. The Company records depreciation using the straight-line method over the estimated useful lives of the respective assets. The following table summarizes the estimated useful lives of the Company’s property and equipment: Classification Depreciation Cycle Leasehold improvements (cycle: lease term) 1 to 10 Years Furniture and fixtures 7 Years Computer equipment 3 Years Medical equipment 7 Years Software 3 Years The Company capitalizes certain costs incurred in connection with developing its own proprietary technology to serve core functions of its business operations such as revenue and medical cost analysis, care management and various facets that promote impactful utilization. At December 31, 2022 and 2021, the Company has capitalized $3.5 million and $2.4 million, respectively, to property and equipment for these software costs (specifically to work in progress). In 2022 and 2021, $0.7 million and $2.1 million of capitalized costs were placed into service, respectively. All costs associated with internally developed technology following deployment, or that otherwise do not meet capitalization criteria, are expensed as incurred. Fair Value Measurements The Company uses valuation approaches that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible. The Company determines fair value based on assumptions that market participants would use in pricing an asset or liability in the principal or most advantageous market. When considering market participant assumptions in fair value measurements, the following fair value hierarchy distinguishes between observable and unobservable inputs, which are categorized in one of the following levels (see Note 6 “Fair Value Measurements and Hierarchy” for further discussion): Level 1 inputs: Unadjusted quoted prices in active markets for identical assets or liabilities accessible to the reporting entity at the measurement date. Level 2 inputs: Other than quoted prices included in Level 1 inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the asset or liability. Level 3 inputs: Unobservable inputs for the asset or liability used to measure fair value to the extent that observable inputs are not available, thereby allowing for situations in which there is little, if any, market activity for the asset or liability at measurement date. Impairment of Long-Lived Assets The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate their carrying amounts may not be recoverable. Recoverability of an asset or asset group is measured by comparing its carrying amount to the future undiscounted net cash flows the asset or asset group is expected to generate. If such assets are considered impaired (e.g., future undiscounted cash flows are less than net book value), an impairment charge is recognized, measured by the difference between the carrying value and the estimated fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. Goodwill Goodwill represents the excess of the purchase price over the fair value assigned to tangible and identifiable intangible assets acquired and liabilities assumed. Goodwill is tested for impairment at the reporting unit level on an annual basis in the fourth quarter, or more frequently if events or changes in circumstances indicate the carrying value of goodwill may not be recoverable (a “triggering event”). On the occurrence of a triggering event, an entity has the option to first assess qualitative factors to determine whether a quantitative impairment test is necessary. If it is more likely than not that goodwill is impaired, the fair value of the reporting unit is compared with its carrying value. An impairment charge is recognized for the amount by which the carrying amount exceeds the fair value, provided, the loss recognized cannot exceed the total amount of goodwill. Intangible Assets Intangible assets with finite useful lives are amortized on a straight-line basis over their estimated useful lives. In determining the estimated useful lives of definite-lived intangibles, the Company considers the nature, competitive position, life cycle position and historical and expected future operating cash flows of each acquired asset, as well as its commitment to support these assets through continued investment and legal infringement protection. The Company reviews intangible assets for impairment whenever events or changes in circumstances indicate that the related carrying amounts may not be recoverable. Determining whether an impairment loss occurred requires comparing the carrying amount to the sum of undiscounted cash flows expected to be generated by the asset. Such events and circumstances include the occurrence of an adverse change in the market involving the business employing the assets or a situation in which it is more likely than not that the Company will dispose of such assets. If the comparison indicates that there is impairment, the impairment loss to be recognized as a non-cash charge to earnings is measured by the amount by which the carrying amount of the asset exceeds its fair value and the impaired asset is written down to its fair value or, if fair value is not readily determinable, to an estimated fair value based on discounted expected future cash flows. Leases The Company determines whether a contract is or contains a lease at the inception of the contract. For leases with terms greater than 12 months, the Company records the related operating or finance right-of-use asset and lease liability at the present value of lease payments over the lease term. The Company is generally not able to readily determine the implicit rate in the lease and therefore uses the determined incremental borrowing rate at lease commencement to compute the present value of lease payments. The incremental borrowing rate represents an estimate of the market interest rate the Company would incur at lease commencement to borrow an amount equal to the lease payments on a collateralized basis over the term of a lease. Renewal options are not included in the measurement of the right-of-use assets and lease liabilities unless the Company is reasonably certain to exercise the optional renewal periods. Some leases also include early termination options, which can be exercised under specific conditions. Additionally, certain leases contain incentives, such as construction allowances from landlords, which reduce the right-of-use asset related to the lease. Certain of the Company’s leases contain rent escalations over the lease term. The Company recognizes expense for operating leases on a straight-line basis over the lease term. The Company’s lease agreements contain variable payments for common area maintenance and utilities. The Company has elected the practical expedient to combine lease and non-lease components for all asset categories; therefore, the lease payments used to measure the lease liability for these leases include fixed minimum rentals along with fixed non-lease component charges. Variable lease payments are excluded from the measurement of right-of-use assets and lease liabilities and are recognized in the period in which the obligation for those payments is incurred. The Company does not have significant residual value guarantees or restrictive covenants in its lease portfolio. Business Combinations The price tendered in business combinations is allocated using the acquisition method of accounting among the identifiable tangible and intangible assets and assumed liabilities and non-controlling interests, all of which are based on estimates of corresponding fair value as of the acquisition date. The Company applies valuation methods which are ultimately used in the Company’s purchase price allocations. Goodwill is recorded based on the difference between the fair value of consideration exchanged and the fair value of the net assets and liabilities assumed. Such fair values that are not finalized for reporting periods following the acquisition date are estimated and recorded as provisional amounts. Adjustments to these provisional amounts during the measurement period (defined as the date through which all information required to identify and measure the consideration transferred, the assets acquired, the liabilities assumed, and the non-controlling interests obtained, limited to one year from the acquisition date) are recorded when identified. Equity-Based Compensation Equity-based compensation cost is measured at the grant date for all equity-based awards based on the fair value of the awards. For equity awards that vest subject to the satisfaction of service-based conditions, compensation cost is recognized on a straight-line basis over the requisite service period, which varies by award. For equity awards that vest subject to the satisfaction of performance-based conditions, the Company evaluates the probability of achieving each performance-based condition at each reporting date and recognizes compensation cost when it is deemed probable that the performance-based condition will be met on an accelerated basis over the requisite service period, which varies by award. Equity-based compensation is classified in the accompanying consolidated statements of operations based on the function to which the related services are provided. The Company accounts for forfeitures as they occur. P3 LLC used the Black-Scholes option-pricing model to determine the fair value of P3 LLC’s incentive unit awards (“Incentive Units”). The risk-free interest rate estimate was based on constant maturity, which is the theoretical value of a U.S. Treasury that is based on recent values of auctioned U.S. Treasuries with remaining terms similar to the expected term of the incentive unit awards. The expected dividend yield was based on P3 LLC’s expectation of not paying dividends in the foreseeable future. The expected term was calculated primarily based upon the estimated time to a liquidation event. The expected volatility was estimated using company-specific historical information, guideline company information, and implied volatility information. The Company uses the Black-Sholes option-pricing model to determine the fair value of the Company’s stock option awards. The risk-free interest rate estimate was based on constant maturity, which is the theoretical value of a U.S. Treasury that is based on recent values of auctioned U.S. Treasuries with remaining terms similar to the expected term of the stock option awards. The expected dividend yield was based on the Company’s expectation of not paying dividends in the foreseeable future. The expected term was calculated using the “simplified” method; whereby, the expected term equals the arithmetic average of the vesting term and the original contractual term of the stock option due to P3’s lack of sufficient historical data. The expected volatility was estimated using an average of the historical volatilities of a peer group comprised of publicly traded companies in the same industry. The Company assesses the impact of material nonpublic information on its share price or expected volatility, as applicable, at the time of grant. Warrant Liability The Company has public and private placement warrants of Class A common stock classified as liabilities as well as warrants of Class A common stock issued to a lender classified as equity. The Company classifies as equity any equity-linked contracts that (1) require physical settlement or net-share settlement or (2) give the Company a choice of net-cash settlement or settlement in the Company’s own shares (physical settlement or net-share settlement). Warrants classified as equity are initially measured at fair value. Subsequent changes in fair value are not recognized as long as the warrants continue to be classified as equity. The Company classifies as assets or liabilities any equity-linked contracts that (1) require net-cash settlement (including a requirement to net-cash settle the contract if an event occurs and if that event is outside the Company’s control) or (2) give the counterparty a choice of net-cash settlement or settlement in shares (physical settlement or net-share settlement). For equity-linked contracts that are classified as liabilities, the Company records the fair value of the equity-linked contracts at each balance sheet date and records the change in the statements of operations as a gain (loss) from change in fair value of warrant liability. The Company’s public warrant liability is valued using observable market prices for those public warrants. The Company’s private placement warrants are valued using a binomial lattice pricing model when the warrants are subject to the make-whole table, or otherwise are valued using a Black-Scholes pricing model. The Company’s warrants issued to a capital provider are valued using a Black-Scholes-Merton pricing model based on observable market prices for public shares and warrants. The assumptions used in preparing these models include estimates such as volatility, contractual terms, discount rates, dividend yield, expiration dates and risk-free rates. The Company accounts for warrants as either equity-classif |
Recent Accounting Pronouncement
Recent Accounting Pronouncements | 12 Months Ended |
Dec. 31, 2022 | |
Recent Accounting Pronouncements Adopted | |
Recent Accounting Pronouncements | Note 4: Recent Accounting Pronouncements The Company qualifies as an emerging growth company (“EGC”) and as such, has elected the extended transition period for complying with certain new or revised accounting pronouncements. During the extended transition period, the Company is not subject to certain new or revised accounting standards applicable to public companies. The accounting pronouncements pending adoption as described below reflect effective dates for the Company as an EGC with the extended transition period. Recently Adopted Accounting Pronouncements Accounting Standards Update (“ASU”) 2021-10, Government Assistance (Topic 8352), Disclosures by Business Entities about Government Assistance (“ASU 2021-10”) ASU 2021-10 requires annual disclosures about transactions with a government entity that are accounted for by applying a grant or contribution accounting model including (i) information about the nature of the transactions and the related accounting policy used to account for the transaction; (ii) the line items on the balance sheet and income statement that are affected by the transactions, and the amounts applicable to each financial statement line item; and (iii) significant terms and conditions of the transactions, including commitments and contingencies. ASU 2021-10 is effective for annual periods beginning after December 15, 2021. The Company adopted the ASU prospectively on January 1, 2022. The adoption of this standard did not have a material effect on the Company’s consolidated financial statements and related disclosures. ASU 2021-04, Earnings Per Share (Topic 260), Debt—Modifications and Extinguishments (Subtopic 470-50), Compensation—Stock Compensation (Topic 718), and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40), Issuer’s Accounting for Certain Modifications or Exchanges of Freestanding Equity-Classified Written Call Options (“ASU 2021-04”) ASU 2021-04 requires issuers to account for modifications or exchanges of freestanding equity-classified written call options (e.g., warrants) that remain equity classified after the modification or exchange based on the economic substance of the modification or exchange. The Company adopted ASU 2014-04 in the first quarter of 2022 on a prospective basis. The adoption of this standard did not have a material effect on the Company’s consolidated financial statements and related disclosures. ASU 2020-10, Codification Improvements (“ASU 2020-10”) The amendments in ASU 2020-10 improve codification by ensuring that all guidance that includes an option for an entity to provide information in the notes to financial statements is codified within the disclosure section of the codification. The amendments are effective for annual periods beginning after December 15, 2021, and interim periods beginning after December 15, 2022. The Company adopted this guidance retrospectively in the 2022 annual period. The adoption of this guidance did not have a material effect on the Company’s consolidated financial statements. ASU 2019-12, Income Taxes (Topic 740), Simplifying the Accounting for Income Taxes (“ASU 2019-12”) ASU 2019-12 eliminates certain exceptions related to the approach for intra-period tax allocation, the methodology for calculating income taxes in an interim period and the recognition of deferred tax liabilities for outside basis differences. It also clarifies and simplifies other aspects of the accounting for income taxes. It is effective for fiscal years beginning after December 15, 2021, and interim periods within fiscal years beginning after December 15, 2022. The Company adopted the ASU in the first quarter of 2022 on a prospective basis. The adoption of this standard did not have a material effect on the Company’s consolidated financial statements and related disclosures Recent Accounting Pronouncements Not Yet Adopted ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers (“ASU 2021-08”) ASU 2021-08 requires that an entity (acquirer) recognize and measure contract assets and contract liabilities acquired in a business combination in accordance with Topic 606. At the acquisition date, an acquirer should account for the related revenue contracts as if it had originated the contracts. The amendments in this update are effective for fiscal years beginning after December 15, 2023. Early adoption is permitted. Upon adoption, the Company will apply this guidance to future business combinations. ASU 2020-06, Debt – Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging — Contracts in Entity’s Own Equity (Subtopic 815-40), Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity (“ASU 2020-06”) ASU 2020-06 eliminates two of the three models in ASC 470-20 that require issuers to separately account for embedded conversion features and eliminates some of the requirements for equity classification in ASC 815-40-25 for contracts in an entity’s own equity. The guidance also requires entities to use the if-converted method for all convertible instruments in the diluted earnings per share calculation and generally requires them to include the effect of potential share settlement for instruments that may be settled in cash or shares. It is effective for annual periods beginning after December 15, 2023, and interim periods therein. Early adoption is permitted, but the Company must adopt the guidance as of the beginning of a fiscal year. The Company is evaluating the effect ASU 2020-06 will have on its financial statements and related disclosures. ASU 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) ASU 2016-13 introduces a new model for recognizing credit losses on financial instruments based on an estimate of current expected credit losses. The new current expected credit losses model generally calls for the immediate recognition of all expected credit losses and applies to loans, accounts and trade receivables as well as other financial assets measured at amortized cost, loan commitments and off-balance sheet credit exposures, debt securities and other financial assets measured at fair value through other comprehensive income, and beneficial interests in securitized financial assets. The new guidance replaces the current incurred loss model for measuring expected credit losses, requires expected losses on available for sale debt securities to be recognized through an allowance for credit losses rather than as reductions in the amortized cost of the securities, and provides for additional disclosure requirements. In April 2019, the Financial Accounting Standards Board (“FASB”) issued ASU 2019-04, which, among other amendments, allows for certain policy elections and practical expedients related to accrued interest on financial instruments. In May 2019, the FASB issued ASU 2019-05, which granted targeted transition relief by allowing entities to irrevocably elect the fair value option for certain financial assets previously measured at amortized cost. In November 2019, the FASB issued ASU 2019-10 and ASU 2019-11, which addressed certain aspects of the guidance related to effective dates, expected recoveries, troubled debt restructurings, accrued interest receivables, and financial assets secured by collateral. ASU 2016-13 is effective for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years, and is effective for the Company beginning January 1, 2023. The Company is currently evaluating the impact the adoption of this standard will have on its consolidated financial statements. |
Business Combinations
Business Combinations | 12 Months Ended |
Dec. 31, 2022 | |
Business Combinations | |
Business Combinations | Note 5: Business Combinations P3 Business Combinations The Business Combinations represented a forward merger and was accounted for using the acquisition method of accounting under which P3 LLC was the acquired company and P3 was the accounting acquirer for financial reporting purposes. This determination is based primarily on the following: (i) P3 is the sole managing member of P3 LLC subsequent to the Closing, and the managing member conducts, directs, and exercises full control over all activities of P3 LLC. The non-managing members of P3 LLC do not have substantive kick-out or participating rights; and (ii) No one predecessor stakeholder of P3 had a controlling interest in P3 before or has a controlling interest in the combined company after the Business Combinations. The Business Combinations is not a transaction between entities under common control. The following summarizes the purchase price consideration: Equity $ 80,301 Fair value of redeemable non-controlling interest 1,807,428 Stock compensation pre-combination services 26,313 Cash consideration 18,405 Payment of P3 LLC’s transaction costs 19,152 Total purchase consideration $ 1,951,599 The Company recorded the allocation of the purchase consideration to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the Closing Date. The purchase consideration and allocation includes the fair value of assets and liabilities associated with the Company’s acquisitions of three medical practices in the Predecessor Period of 2021 described below. The aggregate purchase price consideration for the Business Combinations has been allocated as follows at the acquisition date: Assets acquired: Cash $ 5,301 Restricted cash 54 Health plan receivables 47,733 Clinic fees and insurance receivables, net 426 Other receivables 1,881 Prepaid expenses and other current assets 939 Property and equipment 7,875 Definite lived intangible assets: Customer relationships 684,000 Provider network 3,700 Trademarks 147,700 Goodwill 1,278,453 Operating lease right-of-use assets (1) 10,604 Total assets acquired 2,188,666 Liabilities assumed: Accounts payable and accrued expenses 25,819 Accrued payroll 2,869 Health plan settlements payable 25,008 Claims payable 76,031 Premium deficiency reserve 11,559 Accrued interest 9,269 Current portion of long-term debt 301 Operating lease liability 6,211 Long-term debt, net of current portion 80,000 Total liabilities assumed 237,067 Net assets acquired $ 1,951,599 (1) Included within other long-term assets on the consolidated balance sheet. Fair value of property and equipment acquired consists of the following at the acquisition date: Leasehold improvements $ 1,537 Furniture and fixtures 1,081 Computer equipment and software 3,066 Medical equipment 414 Software (development in process) 1,777 Total property and equipment $ 7,875 Working capital accounts, property and equipment, and notes receivable were measured at the existing carrying values, which approximated fair values. The fair value of long-term debt was measured at face value, which approximated the fair value. The fair value of customer relationships was measured at the acquisition date under the excess earnings method using Level 3 inputs, such as projected cash flows, annual retention rates attributable to the existing relationships, and a selected discount rate. The fair value of the provider network was measured at the acquisition date under the cost approach using Level 3 inputs, such as estimated direct costs, estimates of allocated overhead costs, and an estimated mark-up percentage to apply to such costs. The fair value of trademarks was measured at the acquisition date under the relief-from-royalty method using Level 3 inputs, such as projected cash flows, benchmark royalty rates, and a selected discount rate. Goodwill arising from the acquisition is primarily attributable to the assembled workforce of P3 LLC and expected future market opportunities. Goodwill of $3.8 million recognized in the Business Combinations is expected to be deductible for tax purposes. The useful life of acquired definite lived intangible assets is 10 years. Other Acquisitions The Company acquired 100% of the outstanding equity interests of Medcore Health Plan, Inc. (“Medcore HP”) on December 31, 2021 and the net assets of Omni The Company also purchased three medical practices during the Predecessor Period of 2021 for a total net cash purchase price of $5.0 million. As referenced above, the assets acquired and liabilities assumed in these acquisitions were included in the purchase consideration and allocation for the Business Combinations. Goodwill arising from the acquisition is primarily attributable to the assembled workforce and expected future market opportunities. Goodwill of $8.1 million recognized in these other acquisitions is expected to be deductible for tax purposes. The useful life of acquired definite lived intangible assets is 10 years. The aggregate purchase price consideration of the other acquisitions in 2021 has been allocated as follows at the acquisition dates: Successor Predecessor Period Period Assets acquired: Cash $ 20,547 $ 3 Restricted cash 302 — Health plan receivables 5,754 — Clinic fees and insurance receivables, net 141 — Other receivables 726 — Prepaid expenses and other current assets 1,190 — Property and equipment 113 6 Definite lived intangible assets: Customer relationships — 2,046 Payor contracts 4,700 — Provider network 1,100 — Trademarks 900 — Indefinite lived intangible assets: Medical licenses 700 — Goodwill 31,298 2,934 Total assets acquired $ 67,471 $ 4,989 Liabilities assumed: Accounts payable 150 — Accrued payroll 277 — Health plan settlements payable 133 — Claims payable 26,898 — Total liabilities assumed 27,458 — Net assets acquired $ 40,013 $ 4,989 In the third quarter of 2022, the Company acquired two medical practices in separate transactions. The total cash purchase price was $5.5 million, net of cash acquired, and was allocated primarily to goodwill. Pro Forma Financial Information (Unaudited) The following unaudited pro forma financial information summarizes the results of operations for the Company as though the Business Combinations and the Medcore Acquisition had occurred on January 1, 2020 and has been derived from the historical consolidated financial statements of the Company’s Predecessor Periods and the Successor Period. The Successor and Predecessor Periods for the year ended December 31, 2021 have been combined. The unaudited pro forma financial information has been presented for illustrative purposes only and is not necessarily indicative of results of operations that would have been achieved had the acquisition taken place on the date indicated, or the future consolidated results of operations of the Company. Year Ended December 31,2021 (Unaudited) Total operating revenue $ 793,447 Net loss $ (259,282) Net loss attributable to non-controlling interest $ (214,167) Net loss attributable to controlling interest $ (45,115) The unaudited pro forma results reflect the step-up amortization adjustments for the fair value of intangible assets acquired, transaction expenses, accelerated vesting of equity-based compensation, debt discount amortization, and income attributable to non-controlling interest holders. |
Fair Value Measurements and Hie
Fair Value Measurements and Hierarchy | 12 Months Ended |
Dec. 31, 2022 | |
Fair Value Measurements and Hierarchy | |
Fair Value Measurements and Hierarchy | Note 6: Fair Value Measurements and Hierarchy Information about the Company’s financial liabilities measured at fair value on a recurring basis is presented below: December 31, 2022 Carrying Value Level 1 Level 2 Level 3 Financial liabilities: Liability for private placement warrants $ 40 $ — $ — $ 40 Liability for public warrants $ 1,477 $ 1,477 $ — $ — December 31, 2021 Carrying Value Level 1 Level 2 Level 3 Financial liabilities: Liability for private placement warrants $ 502 $ — $ — $ 502 Liability for public warrants $ 10,881 $ 10,881 $ — $ — The key Level 3 inputs into the option pricing model related to the private placement warrants to purchase Class A common stock were as follows: December 31, 2022 2021 Volatility 55 % 60 % Risk-free interest rate 4.11 % 1.26 % Exercise price $ 11.50 $ 11.50 Expected term 3.9 Years 4.9 Years Generally, an increase in the market price of the Company’s shares of common stock, an increase in the volatility of the Company’s shares of common stock, and an increase in the remaining term of the warrants would each result in a directionally similar change in the estimated fair value of the Company’s warrant liabilities. Such changes would increase the associated liability while decreases in these assumptions would decrease the associated liability. An increase in the risk-free interest rate would result in a decrease in the estimated fair value measurement and thus a decrease in the associated liability. The Company has not, and does not plan to, declare dividends on its common stock and, as such, there is no change in the estimated fair value of the warrant liabilities due to the dividend assumption. The following table sets forth a summary of changes in the fair value of the Company’s private placement warrants, which are considered to be Level 3 fair value measurements: Successor Predecessor Year December 3, 2021 Ended through December December 31, January 1, 2021 31, 2022 2021 through (Private (Private December 2, 2021 Placement Placement (Class D Warrants) Warrants) Warrants) Beginning balance $ 502 $ 793 $ 6,316 Mark-to-market adjustment of stock warrants (462) (291) 7,665 Ending balance $ 40 $ 502 $ 13,981 The Company recorded gains on the changes in the fair value of public warrants of $9.4 million and $2.3 million during the year ended December 31, 2022 and the Successor Period of 2021, respectively. |
Property and Equipment
Property and Equipment | 12 Months Ended |
Dec. 31, 2022 | |
Property and Equipment | |
Property and Equipment | Note 7: Property and Equipment The Company’s property and equipment balances consisted of the following: December 31, 2022 2021 Leasehold improvements $ 1,810 $ 1,537 Furniture & fixtures 1,262 1,108 Computer equipment & software 3,206 2,701 Medical equipment 1,067 414 Software (development in process) 3,460 2,433 Vehicles 618 — Other 37 37 11,460 8,230 Less: accumulated depreciation (2,621) (182) Property and equipment, net $ 8,839 $ 8,048 Total depreciation of property and equipment recognized on the consolidated statements of operations was $2.4 million, $0.2 million, and $1.5 million for the year ended December 31, 2022, the Successor Period of 2021, and the Predecessor Period of 2021, respectively. |
Goodwill
Goodwill | 12 Months Ended |
Dec. 31, 2022 | |
Goodwill | |
Goodwill | Note 8: Goodwill The following table provides a reconciliation of goodwill and accumulated goodwill impairment losses as of: Balance at December 3, 2021 (1) Goodwill $ 1,278,453 Accumulated goodwill impairment losses — 1,278,453 Acquisitions 31,297 Balance at December 31, 2021 Goodwill 1,309,750 Accumulated goodwill impairment losses — 1,309,750 Acquisitions 5,202 Impairment losses (1,314,952) Balance at December 31, 2022 Goodwill 1,314,952 Accumulated goodwill impairment losses (1,314,952) $ — (1) Represents the opening balance of goodwill due to the Business Combinations (Note 5) In the second quarter of 2022, the Company identified indicators of impairment related to goodwill due to a significant deterioration in the overall market and a sustained decrease in the price of the Company’s Class A common stock. As a result, the Company performed an interim assessment for impairment as of June 30, 2022 and noted that the Company’s share price (i) was significantly lower than its opening price on December 2, 2021, (ii) had not surpassed its opening price since December 15, 2021, and (iii) had steadily declined through the end of the second quarter of 2022, which did not follow the overall rebound pattern in the healthcare industry. Management concluded that, given the macroeconomic and financial market conditions, industry-specific considerations, the decline in the Company’s performance as a result of higher than expected medical expenses due to the COVID-19 pandemic, and the sustained decrease in share price, it was more likely than not that the Company’s fair value was less than its carrying amount at June 30, 2022. Accordingly, management performed the two-step impairment test by estimating the Company’s fair value using a weighted combination of (i) discounted cash flows, using Level 3 inputs such as revenue, profit margin, and discount rate and (ii) market-based approach, using Level 3 inputs such as comparable companies’ market multiples. Based on management’s comparison of the Company’s weighted estimated fair value to its carrying amount, an $851.5 million goodwill impairment charge was recorded for the three-month period ended June 30, 2022. In the fourth quarter of 2022, the Company identified indicators of impairment related to goodwill due to the Company’s overall financial performance and a sustained decrease in the price of the Company’s Class A common stock. As a result, the Company performed an assessment for impairment as of December 31, 2022 and noted that the Company’s share price closed at its lowest price in its trading history and had steadily declined through the end of December 2022, which was not consistent or was significantly worse when compared to the performance of its peers and the healthcare industry as a whole. Management concluded that, given the decline in the Company’s performance and the sustained decrease in its share price, it was more likely than not that the Company’s fair value was less than its carrying amount at December 31, 2022. Accordingly, management performed the two-step impairment test by estimating the Company’s fair value using a weighted combination of (i) discounted cash flows, using Level 3 inputs such as revenue, profit margin, and discount rate; and (ii) market-based approach, using Level 3 inputs such as comparable companies’ market multiples. Based on management’s comparison of the Company’s weighted estimated fair value to its carrying amount, a $463.5 million goodwill impairment charge was recorded for the three-month period ended December 31, 2022. Based on the Company’s qualitative analyses, no goodwill impairment charges were recorded in the Successor Period of 2021 or the Predecessor Period of 2021. |
Intangible Assets, Net
Intangible Assets, Net | 12 Months Ended |
Dec. 31, 2022 | |
Intangible Assets, Net | |
Intangible Assets, Net | Note 9: Intangible Assets, Net Intangible assets, net consisted of the following as of: December 31, 2022 2021 Gross Carrying Accumulated Net Carrying Gross Carrying Gross Carrying Net Carrying Amount Amortization Amount Amount Amount Amount Indefinite lived intangible assets: Medical licenses $ 700 $ — $ 700 $ 700 $ — $ 700 Definite lived intangible assets: Customer relationships 684,000 (74,100) 609,900 684,000 (5,700) 678,300 Trademarks 148,635 (16,704) 131,931 148,600 (1,230) 147,370 Payor contracts 4,700 (470) 4,230 4,700 — 4,700 Provider network 4,800 (511) 4,289 4,800 (31) 4,769 Total $ 842,835 $ (91,785) $ 751,050 $ 842,800 $ (6,961) $ 835,839 Amortization of intangible assets was $84.8 million and $7.0 million during the year ended December 31, 2022, and Successor Period of 2021, respectively. Estimated future amortization of intangible assets is $84.6 million for the year 2023 and $84.2 million for each |
Notes Receivable, Net
Notes Receivable, Net | 12 Months Ended |
Dec. 31, 2022 | |
Notes Receivable, Net | |
Notes Receivable, Net | Note 10: Notes Receivable, Net The Company has entered into Promissory Notes (the “Notes”) with certain family medical practices (each a “Practice”) to fund their working capital needs. The Company simultaneously entered into separate Provider Agreements with each Practice. Each Provider Agreement establishes a preferred, predetermined reimbursement rate for services rendered to the Company’s members and requires that Practice to furnish healthcare services to the Company’s members for the term of the related Notes. As long as the Provider Agreement is in effect on the maturity date of the related Note and has not been terminated by the Practice for any reason, or the Company terminates the Provider Agreement prior to maturity without cause, the Company will forgive the entire principal, plus accrued interest, on the maturity date. Upon early termination of the Provider Agreement by the Practice, all principal and accrued interest will become immediately payable and due to the Company. Due to the probable likelihood of forgiveness at maturity, the Company records a valuation allowance on a straight-line basis following the early termination date through the maturity date, with a full valuation allowance recorded at the maturity date. As of December 31, 2022 and 2021, the Company has recorded notes receivable of $3.5 million and $3.6 million, respectively, accrued interest receivable of $1.0 million and $0.9 million, respectively, and net of valuation allowances of $0.7 million and $0.5 million, respectively, within other long-term assets on the consolidated balance sheets. As of December 31, 2022, the Notes have maturity dates ranging from March 31, 2025 through December 31, 2028 with interest rates ranging from 5.0% to 10.0%. During the Successor Period of 2021, the Company forgave notes receivable on their maturity date of December 31, 2021 comprised of principal and interest of $0.3 million and $0.1 million, respectively, both of which were fully reserved. |
Claims Payable
Claims Payable | 12 Months Ended |
Dec. 31, 2022 | |
Claims Payable. | |
Claims Payable | Note 11: Claims Payable Claims payable includes claims reported as of the end of the reporting period, including estimates for IBNR, due to third parties for health care services provided to members. Activity in the liability for claims payable and healthcare expenses was as follows: December 31, 2022 2021 Claims unpaid, beginning of period $ 101,958 $ 76,031 Incurred, related to: Current period 942,570 55,149 Prior period(s) 882 174 Total incurred 943,452 55,323 Paid, related to: Current period 794,026 53,366 Prior period(s) 100,177 2,928 Total paid 894,203 56,294 Claims unpaid assumed in acquisitions — 26,898 Claims unpaid, end of period $ 151,207 $ 101,958 Estimates for incurred claims are based on historical enrollment and cost trends while also taking into consideration operational changes. Future and actual results typically differ from estimates. Differences could result from an overall change in medical expenses per member, changes in member mix or simply due to the addition of new members. |
Debt
Debt | 12 Months Ended |
Dec. 31, 2022 | |
Debt | |
Debt | Note 12: Debt Long-Term Debt Long-term debt consists of the following: December 31, 2022 2021 Repurchase Promissory Note $ 15,000 $ 15,000 Term Loan Facility 65,000 65,000 Unsecured Promissory Note 15,000 — Other — 46 Long-term debt, gross 95,000 80,046 Less: unamortized debt issuance costs and original issue discount (579) — 94,421 80,046 Less: current portion of long-term debt — (46) Long-term debt, net $ 94,421 $ 80,000 Repurchase Promissory Note In June 2019, the Company issued a share repurchase promissory note (the “Repurchase Promissory Note”) to a former equity investor for $15.0 million, which was subsequently amended in November 2020. The amended agreement stipulated that the Repurchase Promissory Note would automatically mature and be due and payable on the earlier of June 30, 2026, a change in control transaction, or an underwritten primary public offering, each as defined in the agreement. The note accrues paid in-kind (“PIK”) interest of 11.0% per year. The principal balance, accrued interest, and an exit fee of $0.6 million are due at maturity. Accrued interest was $9.0 million and $6.5 million at December 31, 2022 and 2021, respectively. Term Loan Facility In November 2020, the Company entered into a Term Loan Agreement and Security Agreement with a commercial lender (as amended, the “Term Loan Agreement”), which provided funding up to $100.0 million (the “Term Loan Facility”), of which $65.0 million was drawn as of December 31, 2022 and 2021. The Company’s access to additional borrowings under the Term Loan Facility ended upon termination of the commitment period on February 28, 2022. The Term Loan Agreement was amended on November 16, 2021 to provide for certain modifications and to obtain consent from the lenders to consummate the Business Combinations. At Closing, the balance of unamortized debt issuance costs and original issue discount related to the Term Loan Facility was written off and the debt was recorded at face value, which approximated fair value. The Term Loan Agreement was amended on December 21, 2021 to provide for certain modifications and to permit the consummation of the Medcore Acquisition and related transactions. The Term Loan Agreement was amended on December 13, 2022 to provide for certain modifications and to permit the issuance of the Unsecured Promissory Note (as defined below) and related transactions. The Security Agreement provides the lenders collateral in 100% of the Company’s pledged stock, its subsidiaries (including tangible and intangible personal property), and bank accounts. The principal balance is due in full on the maturity date, which is December 31, 2025. This maturity date may be accelerated as a remedy under certain default provisions in the agreement or in the event a mandatory prepayment trigger occurs. Interest is payable at 12.0% per annum on a quarterly cycle (in arrears) beginning March 31, 2021. The Company has elected to pay interest of 8.0% per annum in cash with the remaining 4.0% per annum being added to principal as PIK interest for a period of three years (or 12 payments). The PIK is subject to acceleration in the event certain occurrences in the Term Loan Facility’s agreement are triggered. Accrued interest was $5.0 million and $2.3 million at December 31, 2022 and 2021, respectively. The Term Loan Facility includes certain restrictive covenants, including restrictions on the payment of cash dividends. The Company must remain in compliance with financial covenants such as minimum liquidity of $5.0 million and annual minimum revenue levels. On an annual basis, the Company must post a minimum amount of annual revenue equal to or greater than $460.0 million in 2022, $525.0 million in 2023, $585.0 million in 2024, and $650.0 million in 2025. The Company is also subject to certain restrictions that include indebtedness and liens. As of December 31, 2022, the Company was not in compliance with its Term Loan Facility covenants related to issuance of the 2022 financial statements with an audit opinion free of a “going concern” qualification. The Term Loan Facility lenders granted a waiver of the covenant under the Term Loan Facility related to the existence of a “going concern” qualification in the audit opinion for our audited financial statements for the fiscal year ended December 31, 2022. The Company was in compliance with all other covenants under the Term Loan Facility as of December 31, 2022; however, there can be no assurance that the Company will be able to maintain compliance with these covenants in the future or that the lenders under the Term Loan Facility or the lenders of any future indebtedness the Company may incur will grant any such waiver or forbearance in the future. Unsecured Promissory Note In December 2022, the Company entered into a related party financing transaction (see Note 22 “Related Parties”) with VBC Growth SPV LLC (“VGS”) which included an unsecured promissory note (the “Unsecured Promissory Note”); warrant agreement, pursuant to which the Company issued warrants to purchase 429,180 shares of Class A common stock at an exercise price of $4.26 per share to VGS (see Note 24 “Warrants”); and a subordination agreement (the “Subordination Agreement”), pursuant to which VGS agreed to subordinate its right of payment under the Unsecured Promissory Note to the right of payment and security interests of the lenders under the Term Loan Facility. The Unsecured Promissory Note provides for funding of up to $40.0 million, available for draw by the Company in three tranches as follows: (i) a first tranche of $15.0 million available on December 13, 2022, (ii) a second tranche of up to $15.0 million in a single draw at the Company’s option after January 5, 2023, and (iii) a third tranche of up to $10.0 million available at the Company’s option in a single draw after January 5, 2023 and on or prior to February 3, 2023. The Company will pay VGS an up-front fee of 1.5% at the time of each draw. As of December 31, 2022, $15.0 million had been drawn on the Unsecured Promissory Note and the Company had recorded original issue discount of $0.2 million and debt issuance costs comprising the fair value of the warrants issued to VGS and other costs incurred related to this financing totaling $0.9 million, of which $0.6 million is deferred as other long-term assets until the subsequent tranches are drawn. The Unsecured Promissory Note matures on May 19, 2026. Interest is payable at 14.0% per annum on a quarterly cycle (in arrears) beginning March 31, 2023. The Company may elect to pay interest 6.0% in kind and 8.0% in cash, but if the terms of the Subordination Agreement do not permit the Company to pay interest in cash, interest will be paid entirely in-kind. Accrued interest was $0.1 million at December 31, 2022. The Company will pay VGS a back-end fee at the time the Unsecured Promissory Note is paid as follows: (i) if paid from March 1, 2023 through June 30, 2023, 4.5%; (ii) if paid from July 1, 2023 through December 31, 2023, 6.75%; and (iii) if paid on January 1, 2024 or later, 9.0%. The Unsecured Promissory Note may be prepaid, at the Company’s option, either in whole or in part, without penalty or premium, at any time and from time to time, subject to the payment of the back-end fee; provided that prepayments must be in increments of at least $2.0 million. The Unsecured Promissory Note restricts the Company’s ability and the ability of its subsidiaries to, among other things, incur indebtedness and liens, and make investments and restricted payments. The maturity date may be accelerated as a remedy under the certain default provisions in the agreement, or in the event a mandatory prepayment event occurs. As of December 31, 2022, long-term debt maturities are as follows: 2023 $ — 2024 — 2025 65,000 2026 30,000 95,000 Less: unamortized debt issuance costs and original issue discount (579) $ 94,421 Short-Term Debt In 2021, the Company entered into short term financing agreements totaling $3.7 million for the funding of certain insurance policies. The terms of the agreements ranged from nine |
Income Taxes
Income Taxes | 12 Months Ended |
Dec. 31, 2022 | |
Income Taxes | |
Income Taxes | Note 13: Income Taxes As a result of the Business Combinations, substantially all of the Company’s assets and operations are held and conducted by P3 LLC and its subsidiaries, and the Company’s only assets are equity interests in P3 LLC. P3 LLC is treated as a partnership for U.S. federal and most applicable state and local income tax jurisdictions. As a partnership, P3 LLC is generally not subject to U.S. federal, state, and local income taxes. Any taxable income or loss generated by P3 LLC is passed through to and included within the taxable income or loss of its members in accordance with the terms of the P3 LLC operating agreement. Prior to the Business Combinations, the income and losses of P3 LLC were passed through to its members and nontaxable to P3 LLC. The Company is taxed as a corporation and pays corporate federal, state, and local taxes on income allocated to it from P3 LLC based on the Company’s economic interest held in P3 LLC. While the Company consolidates P3 LLC for financial purposes as a VIE, the Company will not be taxed on the earnings attributed to the non-controlling interests. As a result, the income tax burden on the earnings taxed on the non-controlling interests is not reported by the Company in its consolidated financial statements. The components of loss before income taxes were as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Domestic $ (1,559,695) $ (57,938) $ (146,400) Foreign — — — Total $ (1,559,695) $ (57,938) $ (146,400) The components of income tax expense were as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Current income taxes: Federal $ 111 $ — $ — State 1,751 — — Total current income taxes $ 1,862 $ — $ — Deferred income taxes: Federal — — — State — — — Total deferred income taxes — — — Total income tax expense $ 1,862 $ — $ — A reconciliation of the statutory federal income tax to the Company’s provision for income taxes is as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Tax at federal statutory rate $ (327,536) $ (12,166) $ (30,744) Non-controlling interest and nontaxable income 260,020 8,359 30,744 Change in valuation allowance 33,961 2,832 — Investment in P3 LLC 35,147 1,550 — Other reconciling items 270 (575) — Total $ 1,862 $ — $ — Effective tax rate (0.1) % — % — % The Company’s tax rate is affected primarily by the recognition of a valuation allowance and the portion of income and expense allocated to the non-controlling interest. It is also affected by discrete items that may occur in any given year such as benefits from changes in the fair value of private placement and public warrants. Deferred Income Taxes Deferred income taxes result from differences in the recognition of amounts for tax and financial reporting purposes, as well as operating loss and tax credit carryforwards. Significant components of the Company’s deferred income tax assets and liabilities are as follows: December 31, 2022 2021 Deferred tax assets: Investment in P3 LLC $ 20,684 $ — Net operating loss carryforwards 17,601 6,922 Accrued liabilities 2,764 3,307 Goodwill and identifiable intangible assets 589 — Section 163j interest limitation 1,995 1,232 Other deferred tax assets 94 3 Total deferred tax assets 43,727 11,464 Less: valuation allowance (43,558) (9,621) Net deferred tax assets 169 1,843 Deferred tax liabilities: Other deferred tax liabilities (150) (87) Operating lease, right-of-use assets (19) — Goodwill and identifiable intangible assets — (1,756) Total deferred tax liabilities (169) (1,843) Net deferred tax asset $ — $ — The Company recognizes deferred tax assets to the extent it believes that these assets are more likely than not to be realized. The realization of tax benefits of net deferred tax assets is dependent upon future levels of taxable income, of an appropriate character, in the periods the items are expected to be deductible or taxable. Based on the available evidence as of December 31, 2022, the Company believes that it is more likely than not that the tax benefits of the U.S. losses incurred will not be realized. Accordingly, the Company has recorded a valuation allowance against the tax benefits of the U.S. losses incurred. The Company intends to maintain the valuation allowance on the U.S. net deferred tax assets until sufficient positive evidence exists to support a reversal of, or decrease in, the valuation allowance. The Company has recognized no deferred taxes in connection with the Medcore Acquisition. Because Medcore HP does not file a consolidated corporate income tax return with the Company, the deferred tax assets of Medcore HP are separately assessed for realizability. Based on the weight of all available evidence, including cumulative losses in recent years, the Company believes that it is more likely than not that the tax benefits of the deferred tax assets will not be realized. Accordingly, the Company has recorded a valuation allowance against the tax benefits of the acquired deferred tax assets. The Company has recognized no deferred taxes in connection with the Network VIEs. Because the Network VIEs do not file a consolidated corporate income tax return with the Company, the deferred tax assets are separately assessed for realizability. Based on the weight of all available evidence as of December 31, 2022, including cumulative losses in recent years, the Company believes that it is more likely than not that the tax benefits of the deferred tax assets will not be realized. Accordingly, the Company has recorded a valuation allowance against the tax benefits of the related deferred tax assets. The Company has not recognized a deferred tax liability in connection with its investment in P3 LLC due to the deferred tax liability recognition exception in circumstances where book goodwill exceeds tax-deductible of goodwill. As of December 31, 2022, the Company had net operating loss carryforwards of approximately $31.4 million for federal income tax purposes. Federal net operating losses have an unlimited carryforward period but utilization for a given tax year is limited to 80% of taxable income. The federal and state net operating loss carryforwards may be subject to limitations under Section 382 and Section 383 of the Internal Revenue Code of 1986 (the “Code”) and similar provisions under state law. The Tax Reform Act of 1986 contains provisions that limit the federal net operating loss carryforwards that may be used in any given year in the event of special occurrences, including significant ownership changes. The Company has yet to complete a Section 382 review to determine if its tax attributes will be limited in the future; however, the Company’s federal operating loss carryforwards have an unlimited carryforward life and therefore do not expire. The Company will file income tax returns in the U.S. federal jurisdiction and various state jurisdictions. Generally, federal and state tax authorities provide that the statutes of limitations remain open for three or four years from the tax year in which net operating losses or tax credits are utilized. On March 11, 2021, the American Rescue Plan Act of 2021 (“American Rescue Plan Act”) was passed into law and amended portions of relevant tax laws. The American Rescue Plan Act did not have a significant impact on the provision for income taxes for the year ended December 31, 2021. Tax Receivable Agreement In connection with the Business Combinations, the Company entered into a TRA that provides for the payment by the Company of 85% of the amount of any tax benefits that are realized, or in some cases are deemed to realize, as a result of (i) increases in the Company’s share of the tax basis in the net assets of P3 LLC resulting from any redemptions or exchanges of P3 LLC, (ii) tax basis increases attributable to payments made under the TRA, and (iii) deductions attributable to imputed interest pursuant to the TRA (the “TRA Payments”). The Company expects to benefit from the remaining 15% of any tax benefits that are realized. Pursuant to the Company’s election under Section 754 of the Code, the Company expects to obtain an increase in its share of the tax basis in the net assets of P3 LLC when Common Units are redeemed or exchanged. The Company intends to treat any redemptions and exchanges of Common Units as direct purchases of the units for U.S. federal income tax purposes. These increases in tax basis may reduce the amounts that the Company would otherwise pay in the future to various tax authorities. They may also decrease gains (or increase losses) on future dispositions of certain capital assets to the extent the tax basis is allocated to those capital assets. The estimation of liability under the TRA is, by its nature, imprecise and subject to significant assumptions regarding a number of factors, including the timing and amount of taxable income generated by the Company each year, as well as the tax rate then applicable, among other factors. Actual tax benefits realized by the Company may differ from tax benefits calculated under the TRA as a result of the use of certain assumptions in the TRA, including the use of an assumed weighted-average state and local income tax rate to calculate tax benefits. The payment obligation under the TRA is an obligation of the Company and not of P3 LLC. The payments that the Company will be required to make will generally reduce the amount of the overall cash flow that might have otherwise been available, but the Company expects the cash tax savings realized from the utilization of the related tax benefits will exceed the amount of any required payments. As of December 31, 2022 and 2021, the TRA liability is estimated to be $4.6 million; however, due to the full valuation allowance recorded by the Company, which results in no tax benefits that are to be realized related to the amortization of the step-up, the Company determined that payments to TRA holders are not probable and no TRA liability has been recorded as of December 31, 2022 and 2021. As non-controlling interest holders exercise their right to exchange their Common Units, a TRA liability may be recorded based on 85% of the estimated future tax benefits that the Company may realize as a result of increases in its tax basis of P3 LLC. The amount of the increase in the tax basis, the related estimated tax benefits, and the related TRA liability to be recorded will depend on the price of a share of the Company’s Class A common stock at the time of the relevant redemption or exchange. |
Capitalization
Capitalization | 12 Months Ended |
Dec. 31, 2022 | |
Capitalization | |
Capitalization | Note 14: Capitalization As of December 31, 2022, under the Company’s amended and restated certificate of incorporation dated August 20, 2020, the Company is authorized to issue: (i) 800,000,000 shares of Class A common stock with a par value of $0.0001 per share, (ii) 205,000,000 shares of Class V common stock with a par value of $0.0001 per share, and (iii) 10,000,000 shares of preferred stock with a par value of $0.0001 per share, of which no shares were issued or outstanding vote |
Equity-Based Compensation
Equity-Based Compensation | 12 Months Ended |
Dec. 31, 2022 | |
Equity-Based Compensation | |
Equity-Based Compensation | Note 15: Equity-Based Compensation Predecessor Awards In 2017, the Predecessor Company adopted the Management Incentive Plan (the “Predecessor Equity Plan”). Under the Predecessor Equity Plan, the Predecessor Company granted awards in the form of profits interests to employees, officers, and directors or in the form of common equity to founders. The Predecessor Equity Plan was administered by the Predecessor Company’s board of managers which had full power and authority to select the participants to whom awards were granted, to make any combination of awards to participants, to accelerate the exercisability or vesting of any award, and to determine the specific terms and conditions of each award, subject to the provisions of the Predecessor Equity Plan. Following the Business Combinations, the Predecessor Equity Plan was terminated. Under the Predecessor Equity Plan, 6,845,297 Class C units were authorized and 5,235,833 were issued to non-employee directors and officers as of December 2, 2021. Time-based Class C units generally vested over a period of four On the Closing Date, each Incentive Unit that was outstanding immediately prior to the effective time of the Business Combinations and vested (after taking into account any accelerated vesting that occurred in connection with the Business Combinations) was canceled and converted into the right to receive a portion of the merger consideration, which consisted of Common Units and cash. Additionally, the vesting of Incentive Units totaling 4,319,964 held by two executive officers was accelerated such that all of the merger consideration received by these executive officers was not subject to any vesting restrictions, which resulted in an acceleration of equity-based compensation cost of $2.4 million recognized by the Predecessor Company. Certain of the performance-based Incentive Units issued to directors, executive officers, and employees vested on the Closing Date to the extent the applicable performance hurdles were achieved, and were converted into the right to receive a portion of the merger consideration. To the extent not vested on the Closing Date, each unvested performance-based Incentive Unit was forfeited without consideration. Each Common Unit received as merger consideration was paired with a share of Class V common stock issued in the Successor Company. The acquisition date fair value of the unvested profits interests attributable to post-combination services was $24.0 million which will be expensed over the relevant vesting period by the Successor Company. The acquisition date fair value of the unvested profits interest attributable to pre-combination services was $26.3 million and was included in consideration transferred in connection with the Business Combinations. Successor Awards In connection with the Closing, unvested Incentive Units granted under the Predecessor Equity Plan totaling 587,500 were converted into 5,471,400 Common Units, which were paired with an equal number of shares of the Company’s Class V common stock, and remained subject to the original vesting conditions. If a forfeiture of unvested Common Units occurs, the associated shares of Class V common stock are also forfeited. The following summarizes Common Unit award activity for the year ended December 31, 2022: Weighted Average Number of Grant-Date Units Fair Value (in thousands) Non-vested at December 31, 2021 $ 9.20 5,471 Granted — — Vested 9.20 (5,038) Forfeited 9.20 (53) Non-vested at December 31, 2022 $ 9.20 380 Total fair value of Common Unit awards vested during the year ended December 31, 2022 was $ 17.6 million. There were no Common Unit awards vested during the Successor Period of 2021. The weighted-average grant date fair value for Common Unit awards granted during the Successor Period of 2021 was $ 9.20 per award. The Common Unit awards vest ratably over a period between one month and two years, so long as the grantee stays employed. As of December 31, 2022, there was $1.1 million of unrecognized equity-based compensation cost related to all unvested Common Unit awards, which is expected to be recognized over a weighted-average period of 0.95 years. In connection with the Business Combinations, the Company’s Board of Directors adopted, and its stockholders approved, the 2021 Incentive Award Plan (the “2021 Plan”), effective on its adoption date, in order to facilitate the grant of cash and equity incentives to employees, consultants, and directors of the Company and certain affiliates. The 2021 Plan provides that the initial aggregate number of shares reserved and available for issuance is 14.6 million plus an increase each January 1, beginning on January 1, 2022 and ending on and including January 1, 2031, equal to the lesser of (i) 1% of the aggregate number of shares of Class A common stock and Class V common stock outstanding on the final day of the immediately preceding quarter and (ii) such smaller number of shares of Class A common stock as is determined by the Company’s Board of Directors. The 2021 Plan allows for the grant of (i) stock options, including incentive stock options, (ii) stock appreciation rights, (iii) restricted stock awards, (iv) restricted stock unit awards, or (v) other stock or cash based awards as may be determined by the plan’s administrator from time to time. The term of each option award shall be no more than 10 years from the date of grant. Options exercised under the 2021 Plan provide the purchaser with full rights equivalent to those of existing Class A common stockholders and holders as of the date of exercise. The Company’s policy for issuing shares upon stock option exercise is to issue new shares of Class A common stock. Additionally, the P3 LLC operating agreement states that P3 LLC will maintain at all times a one-to-one ratio between the number of Common Units owned by the Company and the number of outstanding shares of Class A common stock, including those issued as result of stock option exercises and vesting of restricted stock unit awards. The 2021 Plan also provides for dividend equivalent units based on the value of the dividends per share paid on the Company’s Class A common stock, which are accumulated on restricted stock units during the vesting period. The following table summarizes time-based stock option activity for the year ended December 31, 2022: Weighted Average Weighted Remaining Aggregate Number of Average Contractual Intrinsic Stock Options Exercise Life Value (in thousands) Price (in years) (in thousands) Outstanding at December 31, 2021 — $ — Granted 3,589 5.57 Forfeited (187) 5.02 Outstanding at December 31, 2022 3,402 $ 5.60 9.62 $ — Fully vested and expected to vest at December 31, 2022 3,402 $ 5.60 9.62 $ — Exercisable at December 31, 2022 117 $ 5.02 9.22 $ — The following table summarizes performance-based stock option activity for the year ended December 31, 2022: Weighted Average Weighted Remaining Aggregate Number of Average Contractual Intrinsic Stock Options Exercise Life Value (in thousands) Price (in years) (in thousands) Outstanding at December 31, 2021 — $ — Granted 1,500 4.95 Outstanding at December 31, 2022 1,500 $ 4.95 9.83 $ — Fully vested and expected to vest at December 31, 2022 1,500 $ 4.95 9.83 $ — Exercisable at December 31, 2022 — $ — — $ — The vesting criteria for 0.1 million performance-based stock option awards has not yet been achieved; therefore, no expense has been recorded. There were no stock options granted, exercised vested The weighted average assumptions used in estimating the grant date fair value of stock options are listed in the table below: Year Ended December 31, 2022 Expected volatility 51 % Risk-free interest rate 3.2 % Expected term (in years) 7.28 Dividend rate 0.0 % Time-based stock options vest ratably over a period between two Compensation Expense Equity-based compensation recorded within corporate, general and administrative expense on the consolidated statements of operations was $19.4 million, $4.6 million, and $3.5 million during the year ended December 31, 2022, the Successor Period of 2021, and the Predecessor Period of 2021, respectively. The Company did not recognize any tax benefits related to equity-based compensation for the year ended December 31, 2022, the Successor Predecessor |
Loss per Share
Loss per Share | 12 Months Ended |
Dec. 31, 2022 | |
Loss per Share | |
Loss per Share | Note 16: Loss per Share The following table provides the computation of basic and diluted net loss per share: Year Ended December 3, 2021 December 31, through December 31, 2022 2021 Net loss attributable to Class A common stockholders-basic and diluted $ (270,127) $ (10,081) Weighted average Class A common shares outstanding-basic and diluted 41,579 41,579 Loss per share attributable to Class A common stockholders-basic and diluted $ (6.50) $ (0.24) Shares of Class V common stock do not share in the earnings or losses of P3 Health Partners, Inc. and are therefore not participating securities. As such, separate presentation of basic and diluted net income per share for Class V common stock under the two-class method is not required. The following table presents potentially dilutive securities excluded from the computation of diluted net loss per share for the periods presented because their effect would have been anti-dilutive. Year Ended December 3, 2021 December 31, through December 31, 2022 2021 Stock warrants (1) 11,248 10,819 Stock options (1) 3,402 — Shares of Class V common stock (2) 201,972 202,025 Total 216,622 212,844 (1) Represents the number of instruments outstanding at the end of the period. Application of the treasury stock method would reduce this amount if they had a dilutive effect and were included in the computation of diluted net loss per share (2) Shares of Class V common stock at the end of the period, including shares tied to unvested Common Units, are considered potentially dilutive shares of Class A common stock under application of the if-converted method. |
Leases
Leases | 12 Months Ended |
Dec. 31, 2022 | |
Leases | |
Leases | Note 17: Leases The Company leases real estate, in the form of corporate office space and operating facilities, and certain office equipment. The Company’s real estate leases have noncancelable terms expiring in 2023 to 2032, certain of which have one to two renewal options of five Operating lease right-of-use assets of $11.7 million and $7.0 million were included within other long-term assets on the Company’s consolidated balance sheets as of December 31, 2022 and 2021, respectively. Operating lease costs are included within operating expenses on the consolidated statements of operations and were $3.1 million, $0.3 million, and $2.3 million for the year ended December 31, 2022, the Successor Period of 2021, and the Predecessor Period of 2021, respectively. Lease terms and discount rates consisted of the following as of: December 31, 2022 2021 Weighted average remaining lease term (years) 6.22 5.01 Weighted average discount rate 11.7 % 11.1 % Maturities of operating lease liabilities as of December 31, 2022 are as follows: Year Ending December 31, 2023 $ 1,082 2024 3,212 2025 3,382 2026 2,836 2027 2,599 Thereafter 6,539 Total undiscounted future cash flows 19,650 Less: interest (6,860) Present value of operating lease liabilities $ 12,790 The current portions of right-of-use liabilities of $1.6 million and $2.1 million are included in accrued expenses and other current liabilities in the Company’s consolidated balance sheets as of December 31, 2022 and 2021, respectively. Supplemental cash flows and other information related to leases are as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Operating cash flows paid for operating leases $ 3,339 $ 255 $ 2,256 As of December 31, 2022, the Company had entered into an office space lease resulting in an aggregate lease commitment of $0.6 million during the five-year lease term, which commences on February 1, 2023. |
Retirement Plan
Retirement Plan | 12 Months Ended |
Dec. 31, 2022 | |
Retirement Plan | |
Retirement Plan | Note 18: Retirement Plan The Company maintains a retirement savings 401(k) Plan (the “401(k) Plan”) for full-time employees. Participants may elect to contribute to the 401(k) Plan, through payroll deductions, subject to Internal Revenue Service limitations. At its discretion, the Company can make a matching contribution to the 401(k) Plan. The Company recognized expense related to its contributions to the 401(k) Plan of $0.8 million during the year ended December 31, 2022. The Company did not make |
Redeemable Non-Controlling Inte
Redeemable Non-Controlling Interests | 12 Months Ended |
Dec. 31, 2022 | |
Redeemable Non-Controlling Interests. | |
Redeemable Non-Controlling Interests | Note 19: Redeemable Non-controlling Interest Non-controlling interest represents the portion of P3 LLC that the Company controls and consolidates but does not own (i.e., the Common Units held directly by equityholders other than the Company). The ownership of the Common Units is summarized as follows: December 31, 2022 December 31, 2021 Units Ownership % Units Ownership % P3 Health Partners Inc.’s ownership of Common Units 41,578,890 17.1 % 41,578,890 17.5 % Non-controlling interest holders’ ownership of Common Units 201,592,012 82.9 % 196,553,523 82.5 % Total Common Units 243,170,902 100.0 % 238,132,413 100.0 % Common Units participate in net income or loss allocations and distributions and entitle their holder to the right, subject to the terms set forth in the limited liability company agreement, to require the Company to redeem all or a portion of the Common Units held by such participant, together with a corresponding number of shares of Class V common stock, in exchange for Class A common stock or at the Company’s option, and subject to certain limitations, in cash. As the non-controlling interest holders had an approximate 83% voting interest in the Company through their Class V common stock as of the Closing Date and appointed most of the initial members to the Board of Directors, the ability to elect cash settlement upon redemption is outside of the control of the Company. As a result, the Common Units held by outside shareholders have been classified as redeemable non-controlling interest and presented as temporary equity in the Company’s consolidated balance sheets. The redeemable non-controlling interest was initially measured at its fair value on December 3, 2021. Net income or loss is attributed to the redeemable non-controlling interest during each reporting period based on a daily weighted average ownership percentage. In subsequent periods, the redeemable non-controlling interest is measured at its fair value (i.e., based on the five-day volume-weighted average price of a share of Class A common stock) at the end of each reporting period, with the remeasurement amount being no less than the initial value, as adjusted for the redeemable non-controlling interest’s share of net income or loss and ownership changes. The offset of any fair value adjustment is recorded to equity, with no impact to net income or loss. As of December 31, 2022 and 2021, there was no remeasurement adjustment recorded as the fair value of redeemable non-controlling interest was lower than the initial value. There was no Common Unit exchange or redemption activity during the year ended December 31, 2022 or Successor Period of 2021. |
Segment Reporting
Segment Reporting | 12 Months Ended |
Dec. 31, 2022 | |
Segment Reporting | |
Segment Reporting | Note 20: Segment Reporting The Company’s operations are organized under a single reportable segment. The Chief Executive Officer, who is the Company’s CODM, manages the Company’s operations and reviews financial information on a consolidated basis. Decisions regarding resource allocation and assessment of profitability are based on the Company’s responsibility to deliver high quality primary medical care services to its patient population. For the periods presented, all the Company’s revenue was earned in the United States. Likewise, all the Company’s long-lived assets were located in the United States. |
Commitments and Contingencies
Commitments and Contingencies | 12 Months Ended |
Dec. 31, 2022 | |
Commitments and Contingencies. | |
Commitments and Contingencies | Note 21: Commitments and Contingencies The Company is a party to various claims, legal and regulatory proceedings, lawsuits, and administrative actions arising in the ordinary course of business and associated with the Business Combinations. The Company carries general and professional liability insurance coverage to mitigate the Company’s risk of potential loss in such cases. The Company believes that disposition of these matters will not have a material adverse effect on the Company’s consolidated financial position, net loss or cash flows. In 2021, a discrepancy was identified in the service agreement with one of the Company’s health plans resulting in a renegotiation of the agreement. In the Predecessor Period of 2021, the Company recorded a $3.6 million reduction in operating revenue and a $7.0 million charge to operating expense to account for a probable settlement of $11.7 million within health plan settlements payable as of December 31, 2021. In January 2023, the renegotiation was settled and the Company recorded a $3.6 million increase in operating revenue and a $3.1 million reduction in operating expense during the year ended December 31, 2022 to reflect the known settlement of $5.0 million within health plan settlements payable as of December 31, 2022. Uncertainties The healthcare industry is subject to numerous laws and regulations of Federal, state, and local governments. These laws and regulations include, but are not limited to, matters of licensure, accreditation, government healthcare program participation requirements, reimbursement for patient services, and Medicare / Medicaid Fraud, Waste and Abuse Prevention. Recently, government activity has increased with respect to investigations and allegations concerning possible violations of Fraud, Waste and Abuse statutes and regulations by healthcare providers. Violations of these laws and regulations could result in expulsion from government healthcare programs together with imposition of significant fines and penalties as well as significant repayment for patient services billed. Management believes the Company is compliant with Fraud, Waste and Abuse regulations as well as other applicable government laws. While no regulatory inquiries have been made, compliance with such laws and regulations is subject to government review and interpretation, as well as other regulatory actions which might be unknown at this time. Healthcare reform legislation at both the Federal and state levels continues to evolve. Changes continue to impact existing and future laws and rules. Such changes may impact the manner in which the Company conducts business, restrict the Company’s revenue growth in certain eligibility categories, slow down revenue growth rates for certain eligibility categories, increase certain medical, administrative and capital costs, and expose the Company to increased risk of loss or further liabilities. As a result, the Company’s consolidated financial position could be impacted by such changes. COVID-19 Pandemic On March 11, 2020, the World Health Organization designated COVID-19 a global pandemic. The rapid spread of COVID-19 around the world and throughout the U.S. has altered the behavior of businesses and people, with significant negative effects on Federal, state, and local economies, the duration of which continues to remain unknown. Various mandates were implemented by Federal, state, and local governments in response to the pandemic, which caused many people to remain at home along with forced closure of or limitations on certain businesses. This included suspension of elective procedures by healthcare facilities. While some of these restrictions have been eased across the U.S. and most states have lifted moratoriums on non-emergent procedures, some restrictions remain in place, and many state and local governments are re-imposing certain restrictions due to an increase in reported COVID-19 cases. COVID-19 disproportionately impacts older adults, especially those with chronic illnesses, which describes many of the Company’s patients. The COVID-19 pandemic did not have a material impact on the Company’s revenue for the years ended December 31, 2022 and 2021. Nearly 99% of the Company’s total revenue is recurring, consisting of fixed monthly PMPM capitation payments received from Medicare Advantage health plans. Management instituted multiple safety measures for the Company’s employees including a work-from-home policy and access to free vaccinations and personal protective equipment. The full extent to which COVID-19 will directly or indirectly impact the Company, its future results of operations and financial condition will depend on factors which are highly uncertain and cannot be accurately predicted. This includes new and emerging information from the impact of new variants of the virus, the actions taken to contain it or treat its impact and the economic impact on the Company’s markets. Such factors include, but are not limited to, the scope and duration of stay-at-home practices and business closures and restrictions, government- imposed or recommended suspensions of elective procedures, and expenses required for supplies and personal protective equipment. Because of these and other uncertainties, Management cannot estimate the length or severity of the impact of the pandemic on the Company’s business. Furthermore, because of the Company’s business model, the full impact of COVID-19 may not be fully reflected in the Company’s results of operations and overall financial condition until future periods. However, Management will continue to closely evaluate and monitor the nature and extent of these potential impacts to the Company’s business, results of operations, and liquidity. |
Related Parties
Related Parties | 12 Months Ended |
Dec. 31, 2022 | |
Related Parties | |
Related Parties | Note 22: Related Parties Atrio Health Plans Chicago Pacific Founders (“CPF”), a principal equity holder of P3 LLC, has an equity investment in Atrio Health Plans (“Atrio”). The Company has a full-risk capitation agreement in place with Atrio whereby the Company is delegated to perform services on behalf of Atrio’s members assigned to the Company. These delegated services include but are not limited to provider network credentialing, patient authorizations, and medical management (care management, quality management and utilization management). The following tables summarize the Company’s transactions with Atrio: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Capitated revenue $ 158,941 $ 11,483 $ 142,905 Other patient service revenue $ 2,286 $ 181 $ 2,022 Medical expenses $ 178,300 $ 14,684 $ 146,216 December 31, 2022 2021 Health plan receivables $ 177 $ 4,696 Claims payable $ 27,838 $ 16,349 Health plan settlements payable $ 2,536 $ — Unsecured Promissory Note As described in Note 12, in December 2022, the Company issued an Unsecured Promissory Note to VGS, an entity managed by CPF and whose equity holders consist of two members of the Company’s Board of Directors and the Company’s Chief Executive Officer and Chief Medical Officer, among others. The following tables summarize the Company’s transactions with VGS: Year Ended December 31, 2022 Interest expense, net $ 105 December 31, 2022 Long-term debt, net $ 14,421 Accrued interest $ 105 Accrued expenses $ 225 |
Variable Interest Entities
Variable Interest Entities | 12 Months Ended |
Dec. 31, 2022 | |
Variable Interest Entities | |
Variable Interest Entities | Note 23: Variable Interest Entities P3 LLC has Management Services Agreements (“MSAs”) and deficit funding agreements with the Network. The MSAs provide that the P3 LLC will furnish administrative personnel, office supplies and equipment, general business services, contract negotiation, and billing and collection services to the Network. Fees for these services are the excess of the Network’s revenue over expenses. Per the deficit funding agreements, P3 LLC is obligated to advance funds, as needed, to support the Network’s working capital needs to the extent operating expenses exceed gross revenue. These advances accrue interest at a rate of prime plus 2%. Net advances made to the Network and accrued interest on those advances are presented within due to consolidated entities of P3 in the table below. Additionally, P3 LLC entered into stock transfer restriction agreements with the practice shareholders of the Network, which, by way of a call option, unequivocally permit P3 LLC to appoint successor physicians if a practice shareholder vacates their ownership position. Accordingly, P3 LLC identifies itself as the primary beneficiary of the Network. Practice shareholders, who are employees of P3 LLC, retain equity ownership in the Network, which represents nominal non-controlling interests; however, the non-controlling interests do not participate in the profit or loss of the Network. P3 LLC, directly or indirectly via its wholly owned subsidiaries, may not use or access any net assets of these VIEs to settle its obligations or the obligations of its wholly owned subsidiaries. Additionally, the creditors of the VIEs do not have recourse to the net assets of P3 LLC. Since P3 LLC represents substantially all the assets and liabilities of the Company, the following tables provide a summary of the assets, liabilities, and operating performance of only VIEs held at the P3 LLC level. December 31, 2022 2021 ASSETS Cash $ 1,759 $ 7,570 Clinic fees and insurance receivables, net 323 61 Prepaid expenses and other current assets 121 407 Other receivable 855 — Property and equipment, net 44 36 Goodwill — — Due from consolidated entities of P3 3,012 — Investment in other P3 entities — 6,000 TOTAL ASSETS $ 6,114 $ 14,074 LIABILITIES AND MEMBERS’ DEFICIT Accounts payable $ 7,800 $ 4,779 Accrued expenses and other current liabilities 262 26 Accrued payroll 1,885 1,303 Due to consolidated entities of P3 36,025 24,111 TOTAL LIABILITIES 45,972 30,219 MEMBERS’ DEFICIT (39,858) (16,145) TOTAL LIABILITIES AND MEMBERS’ DEFICIT $ 6,114 $ 14,074 Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Revenue $ 55,237 $ 844 $ 7,580 Expenses 69,638 1,203 12,293 Net loss $ (14,401) $ (359) $ (4,713) |
Warrants
Warrants | 12 Months Ended |
Dec. 31, 2022 | |
Warrants | |
Warrants | Note 24: Warrants As of December 31, 2022 and 2021, there were an aggregate of 11,248,285 and 10,819,105 warrants outstanding, respectively, which include the public warrants, private placement warrants, and VGS Warrants (as defined below). Public and Private Placement Warrants Each public and private placement warrant entitles the holder to purchase one share of Class A common stock at a price of $11.50 per share. The public warrants will expire five years after the completion of the Business Combinations. The Company has the right to redeem the public warrants when the price per share of Class A common stock equals or exceeds $18.00 for 20 days within a 30-day The public and private placement warrants are recorded as a liability on the consolidated balance sheets with a balance of $1.5 million and $11.4 million as of December 31, 2022 and 2021, respectively. The Company recorded a gain of $9.9 million, a gain of $2.3 million, and a loss of $7.7 million from the change in fair value of the warrants during the year ended December 31, 2022, the Successor Period of 2021, and the Predecessor Period of 2021, respectively. No warrants were VGS Warrants In connection with the Unsecured Promissory Note issued in December 2022 (see Note 12 “Debt”), the Company and VGS entered into a warrant agreement (the “VGS Warrant Agreement”) pursuant to which the Company issued warrants to purchase 429,180 shares of Class A common stock of the Company at an exercise price of $4.26 per share to VGS (the “VGS Warrants”). The number of shares of common stock for which the VGS Warrants is exercisable and the exercise price may be adjusted upon any event involving subdivisions, combinations, distributions, recapitalizations, and similar transactions. Pursuant to the VGS Warrant Agreement, the warrants and the right to purchase securities upon the exercise of the warrants will terminate upon the earliest to occur of the following: (a) December 13, 2027; and (b) the consummation of (i) a sale, conveyance, consolidation with any other corporation (other than a wholly owned subsidiary corporation) or (ii) any other transaction or series of related transactions in which more than 50% of the voting power of which the Company or P3 LLC is disposed. The Company recorded the fair value of the VGS Warrants of $0.6 million as an increase to additional paid in capital during the year ended December 31, 2022. The key Level 3 inputs into the option pricing model related to the VGS Warrants were as follows: Volatility 49 % Risk-free interest rate 3.80 % Exercise price $ 4.26 Expected term 5.0 Years |
Subsequent Events
Subsequent Events | 12 Months Ended |
Dec. 31, 2022 | |
Subsequent Events | |
Subsequent Events | Note 25: Subsequent Events Between January and March 2023, the Company borrowed a total of $12.9 million under the Unsecured Promissory Note. On March 30, 2023, the Company entered into a Securities Purchase Agreement with the purchasers named therein (the “Purchasers”), certain of which are related parties, pursuant to which the Company will issue approximately 79.9 million units at a price of approximately $1.12 per unit for institutional investors, and a purchase price of approximately $1.19 per unit for employees and consultants. Each unit consists of one share of Class A common stock and 0.75 of a warrant to purchase one share of Class A common stock at an exercise price of $1.13. Certain institutional investors have elected to receive pre-funded warrants to purchase Class A common stock in lieu of a portion of their Class A common stock. In total, the Company agreed to sell (i) an aggregate of approximately 69.2 million shares of its Class A common stock, (ii) warrants to purchase an aggregate of approximately 59.9 million shares of Class A common stock, and (iii) pre-funded warrants to purchase an aggregate of approximately 10.8 million shares of Class A common stock, to the Purchasers for aggregate gross proceeds of approximately $89.5 million (collectively, the “Private Placement”). The Private Placement is subject to certain conditions and is expected to close on April 6, 2023. |
Significant Accounting Polici_2
Significant Accounting Policies (Policies) | 12 Months Ended |
Dec. 31, 2022 | |
Significant Accounting Policies | |
Basis of Presentation and Principles of Consolidation | Basis of Presentation and Principles of Consolidation The accompanying consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) and include the accounts of the Company. All intercompany accounts and transactions have been eliminated. The Company periodically evaluates entities for consolidation either through ownership of a majority voting interest, or through means other than voting interest, in accordance with the Variable Interest Entity (“VIE”) accounting model. This evaluation includes a qualitative review of the design of the entity, its organizational structure, including decision making ability and financial agreements, as well as a quantitative review. The Company consolidates a VIE when it has a variable interest that provides it with a controlling financial interest in the VIE, referred to as the primary beneficiary of the VIE. See Note 23 “Variable Interest Entities.” As the sole managing manager of P3 LLC, P3 has the right to direct the most significant activities of P3 LLC and the obligation to absorb losses and receive benefits. The rights of the non-managing members of P3 LLC are limited and protective in nature and do not give substantive participation rights over the sole managing member. Accordingly, P3 identifies itself as the primary beneficiary of P3 LLC and began consolidating P3 LLC as of the Closing Date resulting in a noncontrolling interest related to the Common Units held by members other than P3. Additionally, as more fully described in Note 23 “Variable Interest Entities,” P3 LLC is the primary beneficiary of the following physician practices (collectively, the “Network”): ● Kahan, Wakefield, Abdou, PLLC ● Bacchus, Wakefield, Kahan, PC ● P3 Health Partners Professional Services, P.C. ● P3 Medical Group, P.C. ● P3 Health Partners California, P.C. (f/k/a Omni IPA Medical Group, Inc.) As a result of the Business Combinations, P3 LLC has been determined to be the predecessor for accounting purposes and, accordingly, the consolidated financial statements and notes to consolidated financial statements of P3 LLC are presented herein as “Predecessor” for the period prior to the Closing Date (the “Predecessor Period”) and the consolidated financial statements and notes to consolidated financial statements of the Company are presented herein as “Successor” for the period after the Closing Date (the “Successor Period”), which include the consolidated operations of P3 LLC. The accompanying consolidated financial statements include a black line division that indicates that the Predecessor and Successor reporting entities shown are presented on a different basis and are, therefore, not comparable. |
Comprehensive Loss | Comprehensive Loss Comprehensive loss includes net loss to common stockholders as well as other changes in equity that result from transactions and economic events other than those with stockholders. There was no difference between comprehensive loss and net loss to common stockholders for the periods presented. |
Management's Use of Estimates | Management’s Use of Estimates Preparation of these consolidated financial statements and accompanying footnotes, in conformity with GAAP, requires management to make estimates and assumptions that could affect amounts reported here. Management bases its estimates on the best information available at the time, its experiences and various other assumptions believed to be reasonable under the circumstances, including estimates of the impact of COVID-19. See Note 21 “Commitments and Contingencies” for further discussion on the impact of COVID-19. The areas where significant estimates are used in these accompanying consolidated financial statements include revenue recognition, the liability for unpaid claims, equity-based compensation, premium deficiency reserves, fair value and impairment recognition of long-lived assets (including intangible assets and goodwill), fair value of acquired assets and liabilities in business combinations, fair value of liability classified instruments, and judgments related to deferred income taxes. Actual results could differ from those estimates. |
Commitments and Contingencies | Commitments and Contingencies An accrual is established for commitments and contingencies when management, after considering the facts and circumstances of each matter as then known to management, has determined a specific contingency is probable and estimable. The Company also faces contingencies that are reasonably possible to occur that cannot currently be estimated. When only a range of amounts is reasonably estimable and no amount within the range is more likely than another, the low end of the range is recorded. The Company expenses costs associated with loss contingencies, including any related legal fees, as they are incurred. Due to the inherent uncertainties surrounding gain contingencies, the Company does not recognize potential gains until realized. |
Loss per Share | Loss per Share Basic net loss per share attributable to common stockholders is computed by dividing the net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during the period. Diluted earnings per share attributable to common stockholders adjusts basic earnings per share for the potentially dilutive impact of public warrants, private placement warrants, stock options, and Common Units convertible into shares of Class A common stock during the period by applying the treasury stock method or if-converted method, as applicable. Net loss per member unit has not been presented for Predecessor Period as the Company’s management determined it would not be meaningful to the users of these consolidated financial statements. |
Cash and Restricted Cash | Cash and Restricted Cash Cash includes all cash and liquid investments with an initial maturity of three months or less. Cash deposits held in accounts at each financial institution are insured up to $250,000 by the Federal Deposit Insurance Corporation (“FDIC”). The Company maintains its cash in bank deposit accounts that, at times, may exceed FDIC insured limits. Management does not expect any losses to occur on such accounts. At December 31, 2022 and 2021, the Company had cash of $17.5 million and $140.5 million, respectively, deposited at banking institutions which are subject to the FDIC insured limit. Restricted cash is held for a specific purpose (such as payment of employee healthcare claims) and is thus not available to the Company for immediate or general business use. At December 31, 2022 and 2021, the Company had restricted cash of $0.9 million and $0.4 million, respectively. |
Revenue Recognition | Revenue Recognition The Company categorizes revenue based on various factors such as the nature of contracts as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, Revenue Type 2022 % of Total 2021 % of Total 2021 % of Total Capitated revenue $ 1,034,800 99 % $ 57,224 97 % $ 567,735 98 % Other patient service revenue: Clinical fees & insurance revenue 6,158 0 % 751 2 % 4,318 1 % Shared risk revenue 351 0 % 181 0 % 602 0 % Care coordination / management fees 7,924 1 % 600 1 % 5,880 1 % Incentive fees 238 0 % 6 0 % 67 0 % Total other patient service revenue 14,671 1 % 1,538 3 % 10,867 2 % Total revenue $ 1,049,471 100 % $ 58,762 100 % $ 578,602 100 % During the year ended December 31, 2022, the Successor Predecessor Capitated Revenue The Company contracts with health plans using an at-risk model. Under the at-risk model, the Company is responsible for the cost of all covered services provided to members assigned by the health plans to the Company in exchange for a fixed premium payment, which generally is a percentage of the payment (“POP”) based on health plans’ premiums received from CMS. Through this capitation arrangement, the Company stands ready to provide assigned Medicare Advantage beneficiaries all their medical care via the Company’s directly employed and affiliated physician/specialist network. The capitated revenue the Company receives is determined via a competitive bidding process with CMS and is based on the costs of care in local markets and the average utilization of services by patients enrolled. Medicare pays capitation using a “risk adjustment model,” which compensates providers based on the health status (acuity) of each individual patient. Medicare Advantage plans with higher acuity patients receive higher premiums. Conversely, Medicare Advantage plans with lower acuity patients receive lesser premiums. Under the risk adjustment model, capitation is paid on an interim basis based on enrollee data submitted for the preceding year and is adjusted in subsequent periods after final data is compiled. The Company generally estimates transaction prices using the most likely methodology. Amounts are only included in the transaction price to the extent any significant uncertainty of reversal on cumulative revenue will not occur and is resolved. In certain contracts, PMPM fees also include adjustments for items such as performance incentives or penalties based on the achievement of certain clinical quality metrics as contracted with payors. Capitated revenue is recognized based on an estimated PMPM transaction price to transfer the service for a distinct increment of the series (e.g., month), net of projected acuity adjustments and performance incentives or penalties as the Company cannot reasonably estimate the ultimate PMPM payment of those contracts. The Company recognizes revenue in the month in which eligible members are entitled to receive healthcare benefits during the contract term. The capitation amount is subject to possible retroactive premium risk adjustments based on the member’s individual acuity. Premium risk adjustments recorded in 2022 which relate to 2021 were $3.3 million. There were no premium risk adjustments recorded in 2021 related to prior years. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient not to adjust for the effects of a significant financing component. The Company’s contracts with health plans may include core functions and services for managing assigned patients’ medical care, the combination of which is offered as a single solution. Capitation contracts have a single performance obligation that is a stand ready obligation to perform healthcare services to the population of enrolled members and constitutes a series for the provision of managed healthcare services for the term of the contract, which is deemed to be one month since the mix of patients-customers can change month over month. The Company does not offer nor price each individual function as a standalone service to health plans; however, the addition or exclusion of certain services may be negotiated and reflected in each health plan’s specific total POP. At December 31, 2022 and 2021, the Company had POP contracts in effect with 24 health plans (across five states) and 17 health plans (across four states), respectively. Each month, in accordance with contractual obligations (for non-delegated health plans; e.g., those for which the Company has not been delegated for claims processing), each plan funds a medical claims payment reserve equal to a defined percentage of premium attributable to members assigned to the Company. In turn, the Company administers and funds medical claims for contractually covered services, for assigned health plan members, from that health plan’s reserve. On a quarterly or monthly basis, health plans conduct a settlement of the reserve to determine any surplus or deficit amount. The reconciliation and distribution of the reserve occur within 120 days following the end of each quarter. An annual settlement reconciliation and distribution from all funds occurs within 21 Three health plan customers accounted for 10% or more of total health plan receivables as of December 31, 2022. Two health plan customers accounted for 10% or more of total health plan receivables as of December 31, 2021. At December 31, 2022 and 2021, Management has deemed the Company’s settlement receivables to be fully collectible from those health plans where the Company is not delegated for claims processing. Accordingly, a constraint on the variable consideration associated with settlement receivables was not recorded. Other Patient Service Revenue – Clinical Fees and Insurance Revenue Clinical fees and insurance revenue relates to net patient fees received from various payors and direct patients under contracts in which the Company’s sole performance obligation is to provide healthcare services through the operation of medical clinics. The Company recognizes clinic fees and insurance revenue in the period in which services are provided. Under FFS payment arrangements, revenue is recognized on the date of service using a portfolio approach. The Company’s performance obligations are typically satisfied in the same day services are provided. All the Company’s contracts with its customers under these arrangements include a single performance obligation. The Company’s contractual relationships with patients, in most cases, also involve third-party payors (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through state-sponsored health insurance exchanges). Transaction prices for services provided are dependent upon specific rules in place with third party payors–specifically, Medicare/Medicaid and pre-negotiated rates with managed care health plans and commercial insurance companies. Contractual arrangements with third parties typically include payments at amounts which are less than standard charges. These charges generally have predetermined rates for diagnostic service codes or discounted FFS rates. The Company perpetually reviews its contractual estimation processes to consider and incorporate updates to laws, regulations, and frequent changes in the managed care system. Contractual terms are negotiated and updated accordingly upon renewal. Clinical fees and insurance revenue is based upon the estimated amounts the Company expects to receive from patients and third-party payors. Estimates of explicit price concessions under managed care and commercial insurance plans are tied to payment terms specified in related contractual agreements. Retroactively calculated explicit price concessions tied to reimbursement agreements with third-party payers are recognized on an estimated basis in the period related services are rendered and adjusted in future periods as final payments are received. Revenue related to uninsured patients, uninsured co-payments, and deductibles (for patients with healthcare coverage) may also be discounted. The Company records implicit price concessions (based on historical collection experience) related to uninsured accounts to recognize self-pay revenue at their most likely amounts to be collected. The Company deems FFS revenue to be variable consideration and its estimates of associated transaction prices will not result in a significant revenue reversal in the future. The Company has elected the practical expedient not to adjust the transaction price for any financing components as those were deemed to be insignificant and to expense all incremental customer contract acquisition costs as incurred as such costs are not material and would be amortized over a period less than one year. Other Patient Service Revenue – Shared Risk Revenue P3 LLC (via one of its wholly owned subsidiaries) receives 30% of the shared risk savings from parties with whom it contracts under four separate arrangements. These arrangements are driven solely by medical cost containment year-over-year (“YoY”) expense reductions. This key performance indicator (“KPI”) is measured by the aggregate change in per member, per year (“PMPY”) medical costs. If the sequential YoY PMPY aggregate change yields a reduction, the Company receives 30% of the associated total cost savings for that year. Conversely, if the sequential YoY PMPY aggregate change yields an increase in medical costs, no monies are due to the Company that year. This KPI is compiled and reviewed on a calendar year basis. The Company recognizes shared risk revenue only upon the receipt of cash. Other Patient Service Revenue – Care Coordination Fees and Management Fees The Company’s delegated health plans may also pay a Care Coordination Fee (“CCF”) or management fee to the Company. CCFs and management fees are intended to fund the costs of delegated services provided to certain health plans. CCFs are specifically identified and separated in each monthly capitation payment the Company receives from these parties. None of the Company’s other health plans bifurcate CCFs nor are any of them contractually required to do so. Based on similarities of the terms of the care coordination and administrative services, the Company uses a portfolio approach to record revenue from CCFs and management fees. Patient Fees Receivable Substantially all client fees and insurance receivables are due under FFS contracts with third party payors, such as commercial insurance companies, government-sponsored healthcare programs, or directly from patients. The Company has agreements with third-party payors that provide for payments at amounts different from the established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Patient fees receivable, where a third-party payor is responsible for the amount due, are recorded at the invoiced amount, net of any expected contractual adjustments and implicit price concessions, and do not bear interest. Contractual adjustments arising under reimbursement arrangements with third-party payors are accrued on an estimated basis in the period the related services are rendered and are adjusted in future periods as final settlements are determined. The Company continuously monitors activities from payors (including patients) and records an implicit price concession based on specific contracts and actual historical collection patterns to reflect the estimated amounts the Company expects to collect. Patient fees receivable of $0.8 million and $0.7 million are included in clinic fees and insurance receivables in the Company’s consolidated balance sheets as of December 31, 2022 and 2021, respectively, and are recorded net of contractual allowances of $5.8 million and $2.0 million as of December 31, 2022 and 2021, respectively. |
Property and Equipment | Property and Equipment Property and equipment is carried at acquisition cost, net of accumulated depreciation. Costs for repairs and maintenance of property and equipment, after such property and equipment has been placed in service, are expensed as incurred. Costs and related accumulated depreciation are eliminated when property and equipment is sold or otherwise disposed. Sales and disposals may result in asset-specific gains or losses. Any such gains or losses are included as a component of operations. The Company records depreciation using the straight-line method over the estimated useful lives of the respective assets. The following table summarizes the estimated useful lives of the Company’s property and equipment: Classification Depreciation Cycle Leasehold improvements (cycle: lease term) 1 to 10 Years Furniture and fixtures 7 Years Computer equipment 3 Years Medical equipment 7 Years Software 3 Years The Company capitalizes certain costs incurred in connection with developing its own proprietary technology to serve core functions of its business operations such as revenue and medical cost analysis, care management and various facets that promote impactful utilization. At December 31, 2022 and 2021, the Company has capitalized $3.5 million and $2.4 million, respectively, to property and equipment for these software costs (specifically to work in progress). In 2022 and 2021, $0.7 million and $2.1 million of capitalized costs were placed into service, respectively. All costs associated with internally developed technology following deployment, or that otherwise do not meet capitalization criteria, are expensed as incurred. |
Fair Value Measurements | Fair Value Measurements The Company uses valuation approaches that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible. The Company determines fair value based on assumptions that market participants would use in pricing an asset or liability in the principal or most advantageous market. When considering market participant assumptions in fair value measurements, the following fair value hierarchy distinguishes between observable and unobservable inputs, which are categorized in one of the following levels (see Note 6 “Fair Value Measurements and Hierarchy” for further discussion): Level 1 inputs: Unadjusted quoted prices in active markets for identical assets or liabilities accessible to the reporting entity at the measurement date. Level 2 inputs: Other than quoted prices included in Level 1 inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the asset or liability. Level 3 inputs: Unobservable inputs for the asset or liability used to measure fair value to the extent that observable inputs are not available, thereby allowing for situations in which there is little, if any, market activity for the asset or liability at measurement date. |
Impairment of Long-Lived Assets | Impairment of Long-Lived Assets The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate their carrying amounts may not be recoverable. Recoverability of an asset or asset group is measured by comparing its carrying amount to the future undiscounted net cash flows the asset or asset group is expected to generate. If such assets are considered impaired (e.g., future undiscounted cash flows are less than net book value), an impairment charge is recognized, measured by the difference between the carrying value and the estimated fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. |
Goodwill | Goodwill Goodwill represents the excess of the purchase price over the fair value assigned to tangible and identifiable intangible assets acquired and liabilities assumed. Goodwill is tested for impairment at the reporting unit level on an annual basis in the fourth quarter, or more frequently if events or changes in circumstances indicate the carrying value of goodwill may not be recoverable (a “triggering event”). On the occurrence of a triggering event, an entity has the option to first assess qualitative factors to determine whether a quantitative impairment test is necessary. If it is more likely than not that goodwill is impaired, the fair value of the reporting unit is compared with its carrying value. An impairment charge is recognized for the amount by which the carrying amount exceeds the fair value, provided, the loss recognized cannot exceed the total amount of goodwill. |
Intangible Assets | Intangible Assets Intangible assets with finite useful lives are amortized on a straight-line basis over their estimated useful lives. In determining the estimated useful lives of definite-lived intangibles, the Company considers the nature, competitive position, life cycle position and historical and expected future operating cash flows of each acquired asset, as well as its commitment to support these assets through continued investment and legal infringement protection. The Company reviews intangible assets for impairment whenever events or changes in circumstances indicate that the related carrying amounts may not be recoverable. Determining whether an impairment loss occurred requires comparing the carrying amount to the sum of undiscounted cash flows expected to be generated by the asset. Such events and circumstances include the occurrence of an adverse change in the market involving the business employing the assets or a situation in which it is more likely than not that the Company will dispose of such assets. If the comparison indicates that there is impairment, the impairment loss to be recognized as a non-cash charge to earnings is measured by the amount by which the carrying amount of the asset exceeds its fair value and the impaired asset is written down to its fair value or, if fair value is not readily determinable, to an estimated fair value based on discounted expected future cash flows. |
Leases | Leases The Company determines whether a contract is or contains a lease at the inception of the contract. For leases with terms greater than 12 months, the Company records the related operating or finance right-of-use asset and lease liability at the present value of lease payments over the lease term. The Company is generally not able to readily determine the implicit rate in the lease and therefore uses the determined incremental borrowing rate at lease commencement to compute the present value of lease payments. The incremental borrowing rate represents an estimate of the market interest rate the Company would incur at lease commencement to borrow an amount equal to the lease payments on a collateralized basis over the term of a lease. Renewal options are not included in the measurement of the right-of-use assets and lease liabilities unless the Company is reasonably certain to exercise the optional renewal periods. Some leases also include early termination options, which can be exercised under specific conditions. Additionally, certain leases contain incentives, such as construction allowances from landlords, which reduce the right-of-use asset related to the lease. Certain of the Company’s leases contain rent escalations over the lease term. The Company recognizes expense for operating leases on a straight-line basis over the lease term. The Company’s lease agreements contain variable payments for common area maintenance and utilities. The Company has elected the practical expedient to combine lease and non-lease components for all asset categories; therefore, the lease payments used to measure the lease liability for these leases include fixed minimum rentals along with fixed non-lease component charges. Variable lease payments are excluded from the measurement of right-of-use assets and lease liabilities and are recognized in the period in which the obligation for those payments is incurred. The Company does not have significant residual value guarantees or restrictive covenants in its lease portfolio. |
Business Combinations | Business Combinations The price tendered in business combinations is allocated using the acquisition method of accounting among the identifiable tangible and intangible assets and assumed liabilities and non-controlling interests, all of which are based on estimates of corresponding fair value as of the acquisition date. The Company applies valuation methods which are ultimately used in the Company’s purchase price allocations. Goodwill is recorded based on the difference between the fair value of consideration exchanged and the fair value of the net assets and liabilities assumed. Such fair values that are not finalized for reporting periods following the acquisition date are estimated and recorded as provisional amounts. Adjustments to these provisional amounts during the measurement period (defined as the date through which all information required to identify and measure the consideration transferred, the assets acquired, the liabilities assumed, and the non-controlling interests obtained, limited to one year from the acquisition date) are recorded when identified. |
Equity-Based Compensation | Equity-Based Compensation Equity-based compensation cost is measured at the grant date for all equity-based awards based on the fair value of the awards. For equity awards that vest subject to the satisfaction of service-based conditions, compensation cost is recognized on a straight-line basis over the requisite service period, which varies by award. For equity awards that vest subject to the satisfaction of performance-based conditions, the Company evaluates the probability of achieving each performance-based condition at each reporting date and recognizes compensation cost when it is deemed probable that the performance-based condition will be met on an accelerated basis over the requisite service period, which varies by award. Equity-based compensation is classified in the accompanying consolidated statements of operations based on the function to which the related services are provided. The Company accounts for forfeitures as they occur. P3 LLC used the Black-Scholes option-pricing model to determine the fair value of P3 LLC’s incentive unit awards (“Incentive Units”). The risk-free interest rate estimate was based on constant maturity, which is the theoretical value of a U.S. Treasury that is based on recent values of auctioned U.S. Treasuries with remaining terms similar to the expected term of the incentive unit awards. The expected dividend yield was based on P3 LLC’s expectation of not paying dividends in the foreseeable future. The expected term was calculated primarily based upon the estimated time to a liquidation event. The expected volatility was estimated using company-specific historical information, guideline company information, and implied volatility information. The Company uses the Black-Sholes option-pricing model to determine the fair value of the Company’s stock option awards. The risk-free interest rate estimate was based on constant maturity, which is the theoretical value of a U.S. Treasury that is based on recent values of auctioned U.S. Treasuries with remaining terms similar to the expected term of the stock option awards. The expected dividend yield was based on the Company’s expectation of not paying dividends in the foreseeable future. The expected term was calculated using the “simplified” method; whereby, the expected term equals the arithmetic average of the vesting term and the original contractual term of the stock option due to P3’s lack of sufficient historical data. The expected volatility was estimated using an average of the historical volatilities of a peer group comprised of publicly traded companies in the same industry. The Company assesses the impact of material nonpublic information on its share price or expected volatility, as applicable, at the time of grant. |
Warrant Liability | Warrant Liability The Company has public and private placement warrants of Class A common stock classified as liabilities as well as warrants of Class A common stock issued to a lender classified as equity. The Company classifies as equity any equity-linked contracts that (1) require physical settlement or net-share settlement or (2) give the Company a choice of net-cash settlement or settlement in the Company’s own shares (physical settlement or net-share settlement). Warrants classified as equity are initially measured at fair value. Subsequent changes in fair value are not recognized as long as the warrants continue to be classified as equity. The Company classifies as assets or liabilities any equity-linked contracts that (1) require net-cash settlement (including a requirement to net-cash settle the contract if an event occurs and if that event is outside the Company’s control) or (2) give the counterparty a choice of net-cash settlement or settlement in shares (physical settlement or net-share settlement). For equity-linked contracts that are classified as liabilities, the Company records the fair value of the equity-linked contracts at each balance sheet date and records the change in the statements of operations as a gain (loss) from change in fair value of warrant liability. The Company’s public warrant liability is valued using observable market prices for those public warrants. The Company’s private placement warrants are valued using a binomial lattice pricing model when the warrants are subject to the make-whole table, or otherwise are valued using a Black-Scholes pricing model. The Company’s warrants issued to a capital provider are valued using a Black-Scholes-Merton pricing model based on observable market prices for public shares and warrants. The assumptions used in preparing these models include estimates such as volatility, contractual terms, discount rates, dividend yield, expiration dates and risk-free rates. The Company accounts for warrants as either equity-classified or liability-classified instruments based on an assessment of the warrant’s specific terms. The assessment considers whether the warrants are freestanding financial instruments, meet the definition of a liability, and whether the warrants meet all of the requirements for equity classification, including whether the warrants are indexed to the Company’s own ordinary shares, among other conditions for equity classification. This assessment, which requires the use of professional judgment, is conducted at the time of warrant issuance and as of each subsequent quarterly period end date while the warrants are outstanding. |
Premium Deficiency Reserve | Premium Deficiency Reserve Premium deficiency reserve (“PDR”) liabilities are established when it is probable that expected future health care costs and maintenance costs under a group of existing contracts will exceed anticipated future premiums and stop-loss insurance recoveries on those contracts. The Company assesses if a PDR liability is needed through review of current results and forecasts. For purposes of determining premium deficiency losses, contracts are grouped consistent with our method of acquiring, servicing, and measuring the profitability of such contracts. The Company grouped its Medicare Advantage health plan contracts together as a single group as it operates in one line of business. The Company further concluded that the costs to administer these contracts are based on centralized and shared service functions. As of December 31, 2022 and 2021, the PDR liability was $26.4 million and $37.8 million, respectively, which represented its estimate of probable contract losses expected to be generated by the Company’s health plans. |
Medical Expense and Claims Payable | Medical Expense and Claims Payable The cost of healthcare services is recognized in the period services are provided. This also includes an estimate of the cost of services that have been incurred, but not yet reported (“IBNR”). Medical expenses also include costs for overseeing the quality of care and programs, which focus on patient wellness. Additionally, healthcare expenses can include, from time to time, remediation of certain claims that might result from periodic reviews conducted by various regulatory agencies. Management estimates the Company’s IBNR by applying standard actuarial methodologies, which utilize historical data, including the period between the date services are rendered and the date claims are received (and paid), denied claims activity, expected medical cost inflation, seasonality patterns, and changes in membership mix. IBNR estimates are made on an accrual basis and adjusted in future periods as required. Any adjustments to prior period estimates are included in the current period. Such estimates are subject to the impact from changes in both the regulatory and economic environments. The Company’s claims payable represents management’s best estimate of its liability for unpaid medical costs as of December 31, 2022 and 2021. |
Income Taxes | Income Taxes The Company uses the asset and liability method of accounting for income taxes. Under this method, deferred tax assets and liabilities are determined based on the differences between the financial reporting and the tax bases of assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. Deferred tax assets are evaluated for future realization and reduced by a valuation allowance to the extent the Company believes it is more likely than not that they will not be realized. The Company considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, carryback potential if permitted under tax law, and results of recent operations. The Company records uncertain tax positions on the basis of a two-step process in which (1) the Company determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Company recognizes the largest amount of tax benefit that is more than 50% likely to be realized upon ultimate settlement with the related tax authority. The Company considers many factors when evaluating its uncertain tax positions during the course of the year through a review of policies and procedures, reviews of customary and regular tax filings, and discussions with third party experts. This review can involve significant judgment and may require periodic adjustments. The resolution of these uncertain tax positions in a manner inconsistent with management’s expectations could have a material impact on the Company’s consolidated financial statements. The Company recognizes interest and penalties related to uncertain tax positions as a component of its provision for income taxes. Accrued interest and penalties are included with the related tax liability. See Note 13 “Income Taxes” for further information. |
Advertising Expense | Advertising Expense The Company uses advertising primarily to promote the health plans with which it conducts business as well as its physician clinics throughout the geographic areas it serves. Advertising costs are charged directly to operations as incurred. Advertising expense totaled $4.5 million, $0.3 million, and $1.8 million in the year ended December 31, 2022, the Successor Period of 2021, and the Predecessor Period of 2021, respectively. |
Reclassifications | Reclassifications Certain amounts in the consolidated balance sheet as of December 31, 2021 and the consolidated statements of operations and cash flows for the Successor Period of 2021 and Predecessor Period of 2021 have been reclassified to be consistent with the current period presentation. These reclassifications were to (i) present notes receivable, net and right-of-use asset collectively as other long-term assets on the consolidated balance sheet; (ii) separately present accounts payable from accrued expenses and other current liabilities on the consolidated balance sheet; (iii) present depreciation expense and amortization of intangible assets collectively as depreciation and amortization expense on the consolidated statements of operations and cash flows; (iv) present amortization of debt origination fees and amortization of discount from issuance of debt collectively as amortization of original issue discount and debt issuance costs on the consolidated statements of cash flows; and (v) present payment of debt issuance costs separately from debt proceeds on the consolidated statements of cash flows. The reclassifications had no impact on the Company’s financial condition, results of operations, or net cash flows. |
Significant Accounting Polici_3
Significant Accounting Policies (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Significant Accounting Policies | |
Summary of sources (by product type) from which the Company's revenues are derived | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, Revenue Type 2022 % of Total 2021 % of Total 2021 % of Total Capitated revenue $ 1,034,800 99 % $ 57,224 97 % $ 567,735 98 % Other patient service revenue: Clinical fees & insurance revenue 6,158 0 % 751 2 % 4,318 1 % Shared risk revenue 351 0 % 181 0 % 602 0 % Care coordination / management fees 7,924 1 % 600 1 % 5,880 1 % Incentive fees 238 0 % 6 0 % 67 0 % Total other patient service revenue 14,671 1 % 1,538 3 % 10,867 2 % Total revenue $ 1,049,471 100 % $ 58,762 100 % $ 578,602 100 % |
Summary of estimated useful lives applicable to PP&E | Classification Depreciation Cycle Leasehold improvements (cycle: lease term) 1 to 10 Years Furniture and fixtures 7 Years Computer equipment 3 Years Medical equipment 7 Years Software 3 Years |
Business Combinations (Tables)
Business Combinations (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Business Combinations | |
Summary of fair value of property and equipment acquired | Leasehold improvements $ 1,537 Furniture and fixtures 1,081 Computer equipment and software 3,066 Medical equipment 414 Software (development in process) 1,777 Total property and equipment $ 7,875 |
Summary of future consolidated results of operations | Year Ended December 31,2021 (Unaudited) Total operating revenue $ 793,447 Net loss $ (259,282) Net loss attributable to non-controlling interest $ (214,167) Net loss attributable to controlling interest $ (45,115) |
P3 LLC | |
Business Combinations | |
Summary of purchase consideration | Equity $ 80,301 Fair value of redeemable non-controlling interest 1,807,428 Stock compensation pre-combination services 26,313 Cash consideration 18,405 Payment of P3 LLC’s transaction costs 19,152 Total purchase consideration $ 1,951,599 |
Summary of purchase price allocation to assets and liabilities | Assets acquired: Cash $ 5,301 Restricted cash 54 Health plan receivables 47,733 Clinic fees and insurance receivables, net 426 Other receivables 1,881 Prepaid expenses and other current assets 939 Property and equipment 7,875 Definite lived intangible assets: Customer relationships 684,000 Provider network 3,700 Trademarks 147,700 Goodwill 1,278,453 Operating lease right-of-use assets (1) 10,604 Total assets acquired 2,188,666 Liabilities assumed: Accounts payable and accrued expenses 25,819 Accrued payroll 2,869 Health plan settlements payable 25,008 Claims payable 76,031 Premium deficiency reserve 11,559 Accrued interest 9,269 Current portion of long-term debt 301 Operating lease liability 6,211 Long-term debt, net of current portion 80,000 Total liabilities assumed 237,067 Net assets acquired $ 1,951,599 (1) Included within other long-term assets on the consolidated balance sheet. |
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | |
Business Combinations | |
Summary of purchase price allocation to assets and liabilities | Successor Predecessor Period Period Assets acquired: Cash $ 20,547 $ 3 Restricted cash 302 — Health plan receivables 5,754 — Clinic fees and insurance receivables, net 141 — Other receivables 726 — Prepaid expenses and other current assets 1,190 — Property and equipment 113 6 Definite lived intangible assets: Customer relationships — 2,046 Payor contracts 4,700 — Provider network 1,100 — Trademarks 900 — Indefinite lived intangible assets: Medical licenses 700 — Goodwill 31,298 2,934 Total assets acquired $ 67,471 $ 4,989 Liabilities assumed: Accounts payable 150 — Accrued payroll 277 — Health plan settlements payable 133 — Claims payable 26,898 — Total liabilities assumed 27,458 — Net assets acquired $ 40,013 $ 4,989 |
Fair Value Measurements and H_2
Fair Value Measurements and Hierarchy (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Fair Value Measurements and Hierarchy | |
Summary of carrying amounts of financial instruments | December 31, 2022 Carrying Value Level 1 Level 2 Level 3 Financial liabilities: Liability for private placement warrants $ 40 $ — $ — $ 40 Liability for public warrants $ 1,477 $ 1,477 $ — $ — December 31, 2021 Carrying Value Level 1 Level 2 Level 3 Financial liabilities: Liability for private placement warrants $ 502 $ — $ — $ 502 Liability for public warrants $ 10,881 $ 10,881 $ — $ — |
Schedule of Level 3 inputs into option pricing model | The key Level 3 inputs into the option pricing model related to the private placement warrants to purchase Class A common stock were as follows: December 31, 2022 2021 Volatility 55 % 60 % Risk-free interest rate 4.11 % 1.26 % Exercise price $ 11.50 $ 11.50 Expected term 3.9 Years 4.9 Years |
Summary of changes in company's Level 3 fair value measurements | Successor Predecessor Year December 3, 2021 Ended through December December 31, January 1, 2021 31, 2022 2021 through (Private (Private December 2, 2021 Placement Placement (Class D Warrants) Warrants) Warrants) Beginning balance $ 502 $ 793 $ 6,316 Mark-to-market adjustment of stock warrants (462) (291) 7,665 Ending balance $ 40 $ 502 $ 13,981 |
Property and Equipment (Tables)
Property and Equipment (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Property and Equipment | |
Schedule of property and equipment balances | December 31, 2022 2021 Leasehold improvements $ 1,810 $ 1,537 Furniture & fixtures 1,262 1,108 Computer equipment & software 3,206 2,701 Medical equipment 1,067 414 Software (development in process) 3,460 2,433 Vehicles 618 — Other 37 37 11,460 8,230 Less: accumulated depreciation (2,621) (182) Property and equipment, net $ 8,839 $ 8,048 |
Goodwill (Tables)
Goodwill (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Goodwill | |
Schedule of reconciliation of goodwill and accumulated goodwill impairment losses | Balance at December 3, 2021 (1) Goodwill $ 1,278,453 Accumulated goodwill impairment losses — 1,278,453 Acquisitions 31,297 Balance at December 31, 2021 Goodwill 1,309,750 Accumulated goodwill impairment losses — 1,309,750 Acquisitions 5,202 Impairment losses (1,314,952) Balance at December 31, 2022 Goodwill 1,314,952 Accumulated goodwill impairment losses (1,314,952) $ — (1) Represents the opening balance of goodwill due to the Business Combinations (Note 5) |
Intangible Assets, Net (Tables)
Intangible Assets, Net (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Intangible Assets, Net | |
Schedule of changes intangible assets | December 31, 2022 2021 Gross Carrying Accumulated Net Carrying Gross Carrying Gross Carrying Net Carrying Amount Amortization Amount Amount Amount Amount Indefinite lived intangible assets: Medical licenses $ 700 $ — $ 700 $ 700 $ — $ 700 Definite lived intangible assets: Customer relationships 684,000 (74,100) 609,900 684,000 (5,700) 678,300 Trademarks 148,635 (16,704) 131,931 148,600 (1,230) 147,370 Payor contracts 4,700 (470) 4,230 4,700 — 4,700 Provider network 4,800 (511) 4,289 4,800 (31) 4,769 Total $ 842,835 $ (91,785) $ 751,050 $ 842,800 $ (6,961) $ 835,839 |
Claims Payable (Tables)
Claims Payable (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Claims Payable. | |
Schedule of activity in the liability for claims payable and healthcare expenses | December 31, 2022 2021 Claims unpaid, beginning of period $ 101,958 $ 76,031 Incurred, related to: Current period 942,570 55,149 Prior period(s) 882 174 Total incurred 943,452 55,323 Paid, related to: Current period 794,026 53,366 Prior period(s) 100,177 2,928 Total paid 894,203 56,294 Claims unpaid assumed in acquisitions — 26,898 Claims unpaid, end of period $ 151,207 $ 101,958 |
Debt (Tables)
Debt (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Debt | |
Schedule of rollforward the long-term debt balances | December 31, 2022 2021 Repurchase Promissory Note $ 15,000 $ 15,000 Term Loan Facility 65,000 65,000 Unsecured Promissory Note 15,000 — Other — 46 Long-term debt, gross 95,000 80,046 Less: unamortized debt issuance costs and original issue discount (579) — 94,421 80,046 Less: current portion of long-term debt — (46) Long-term debt, net $ 94,421 $ 80,000 |
Schedule of long tern debt fiscal maturity disclosures | As of December 31, 2022, long-term debt maturities are as follows: 2023 $ — 2024 — 2025 65,000 2026 30,000 95,000 Less: unamortized debt issuance costs and original issue discount (579) $ 94,421 |
Income Taxes (Tables)
Income Taxes (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Income Taxes | |
Schedule of components of loss before taxes | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Domestic $ (1,559,695) $ (57,938) $ (146,400) Foreign — — — Total $ (1,559,695) $ (57,938) $ (146,400) |
Schedule of components of income tax expense | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Current income taxes: Federal $ 111 $ — $ — State 1,751 — — Total current income taxes $ 1,862 $ — $ — Deferred income taxes: Federal — — — State — — — Total deferred income taxes — — — Total income tax expense $ 1,862 $ — $ — |
Schedule of reconciliation between the income tax provision computed by applying the statutory federal rate and the actual provision | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Tax at federal statutory rate $ (327,536) $ (12,166) $ (30,744) Non-controlling interest and nontaxable income 260,020 8,359 30,744 Change in valuation allowance 33,961 2,832 — Investment in P3 LLC 35,147 1,550 — Other reconciling items 270 (575) — Total $ 1,862 $ — $ — Effective tax rate (0.1) % — % — % |
Schedule of deferred income tax assets and liabilities | December 31, 2022 2021 Deferred tax assets: Investment in P3 LLC $ 20,684 $ — Net operating loss carryforwards 17,601 6,922 Accrued liabilities 2,764 3,307 Goodwill and identifiable intangible assets 589 — Section 163j interest limitation 1,995 1,232 Other deferred tax assets 94 3 Total deferred tax assets 43,727 11,464 Less: valuation allowance (43,558) (9,621) Net deferred tax assets 169 1,843 Deferred tax liabilities: Other deferred tax liabilities (150) (87) Operating lease, right-of-use assets (19) — Goodwill and identifiable intangible assets — (1,756) Total deferred tax liabilities (169) (1,843) Net deferred tax asset $ — $ — |
Equity-Based Compensation (Tabl
Equity-Based Compensation (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Equity-Based Compensation | |
Schedule of weighted average assumptions used in estimating the grant date fair value of stock options | Year Ended December 31, 2022 Expected volatility 51 % Risk-free interest rate 3.2 % Expected term (in years) 7.28 Dividend rate 0.0 % |
Time-based stock options | |
Equity-Based Compensation | |
Schedule of stock option activity | Weighted Average Weighted Remaining Aggregate Number of Average Contractual Intrinsic Stock Options Exercise Life Value (in thousands) Price (in years) (in thousands) Outstanding at December 31, 2021 — $ — Granted 3,589 5.57 Forfeited (187) 5.02 Outstanding at December 31, 2022 3,402 $ 5.60 9.62 $ — Fully vested and expected to vest at December 31, 2022 3,402 $ 5.60 9.62 $ — Exercisable at December 31, 2022 117 $ 5.02 9.22 $ — |
Performance-based stock options | |
Equity-Based Compensation | |
Schedule of stock option activity | Weighted Average Weighted Remaining Aggregate Number of Average Contractual Intrinsic Stock Options Exercise Life Value (in thousands) Price (in years) (in thousands) Outstanding at December 31, 2021 — $ — Granted 1,500 4.95 Outstanding at December 31, 2022 1,500 $ 4.95 9.83 $ — Fully vested and expected to vest at December 31, 2022 1,500 $ 4.95 9.83 $ — Exercisable at December 31, 2022 — $ — — $ — |
Common Unit award | |
Equity-Based Compensation | |
Schedule of common unit award activity | Weighted Average Number of Grant-Date Units Fair Value (in thousands) Non-vested at December 31, 2021 $ 9.20 5,471 Granted — — Vested 9.20 (5,038) Forfeited 9.20 (53) Non-vested at December 31, 2022 $ 9.20 380 |
Loss per Share (Tables)
Loss per Share (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Loss per Share | |
Schedule of computation of basic and diluted net loss per share | Year Ended December 3, 2021 December 31, through December 31, 2022 2021 Net loss attributable to Class A common stockholders-basic and diluted $ (270,127) $ (10,081) Weighted average Class A common shares outstanding-basic and diluted 41,579 41,579 Loss per share attributable to Class A common stockholders-basic and diluted $ (6.50) $ (0.24) |
Schedule of potential dilutive securities excluded from the computation of diluted net loss per share their effect would have been anti-dilutive | Year Ended December 3, 2021 December 31, through December 31, 2022 2021 Stock warrants (1) 11,248 10,819 Stock options (1) 3,402 — Shares of Class V common stock (2) 201,972 202,025 Total 216,622 212,844 (1) Represents the number of instruments outstanding at the end of the period. Application of the treasury stock method would reduce this amount if they had a dilutive effect and were included in the computation of diluted net loss per share (2) Shares of Class V common stock at the end of the period, including shares tied to unvested Common Units, are considered potentially dilutive shares of Class A common stock under application of the if-converted method. |
Leases (Tables)
Leases (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Leases | |
Summary of lease terms and discount rates | December 31, 2022 2021 Weighted average remaining lease term (years) 6.22 5.01 Weighted average discount rate 11.7 % 11.1 % |
Schedule of reconciliation of undiscounted future minimum lease payments | Maturities of operating lease liabilities as of December 31, 2022 are as follows: Year Ending December 31, 2023 $ 1,082 2024 3,212 2025 3,382 2026 2,836 2027 2,599 Thereafter 6,539 Total undiscounted future cash flows 19,650 Less: interest (6,860) Present value of operating lease liabilities $ 12,790 |
Schedule of supplemental cash flows and other information related to leases | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Operating cash flows paid for operating leases $ 3,339 $ 255 $ 2,256 |
Redeemable Non-controlling In_2
Redeemable Non-controlling Interest (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Redeemable Non-Controlling Interests. | |
Summary of ownership of common units | December 31, 2022 December 31, 2021 Units Ownership % Units Ownership % P3 Health Partners Inc.’s ownership of Common Units 41,578,890 17.1 % 41,578,890 17.5 % Non-controlling interest holders’ ownership of Common Units 201,592,012 82.9 % 196,553,523 82.5 % Total Common Units 243,170,902 100.0 % 238,132,413 100.0 % |
Related Parties (Tables)
Related Parties (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Atrio | |
Related Parties | |
Schedule of related party transactions | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Capitated revenue $ 158,941 $ 11,483 $ 142,905 Other patient service revenue $ 2,286 $ 181 $ 2,022 Medical expenses $ 178,300 $ 14,684 $ 146,216 December 31, 2022 2021 Health plan receivables $ 177 $ 4,696 Claims payable $ 27,838 $ 16,349 Health plan settlements payable $ 2,536 $ — |
VBC Growth SPV LLC [Member] | |
Related Parties | |
Schedule of related party transactions | Year Ended December 31, 2022 Interest expense, net $ 105 December 31, 2022 Long-term debt, net $ 14,421 Accrued interest $ 105 Accrued expenses $ 225 |
Variable Interest Entities (Tab
Variable Interest Entities (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Variable Interest Entities | |
Summary of balance sheet and income statement of VIEs | December 31, 2022 2021 ASSETS Cash $ 1,759 $ 7,570 Clinic fees and insurance receivables, net 323 61 Prepaid expenses and other current assets 121 407 Other receivable 855 — Property and equipment, net 44 36 Goodwill — — Due from consolidated entities of P3 3,012 — Investment in other P3 entities — 6,000 TOTAL ASSETS $ 6,114 $ 14,074 LIABILITIES AND MEMBERS’ DEFICIT Accounts payable $ 7,800 $ 4,779 Accrued expenses and other current liabilities 262 26 Accrued payroll 1,885 1,303 Due to consolidated entities of P3 36,025 24,111 TOTAL LIABILITIES 45,972 30,219 MEMBERS’ DEFICIT (39,858) (16,145) TOTAL LIABILITIES AND MEMBERS’ DEFICIT $ 6,114 $ 14,074 Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Revenue $ 55,237 $ 844 $ 7,580 Expenses 69,638 1,203 12,293 Net loss $ (14,401) $ (359) $ (4,713) |
Warrants (Tables)
Warrants (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Warrants | |
Schedule of key Level 3 inputs into the option pricing model related to the VGS Warrants | Volatility 49 % Risk-free interest rate 3.80 % Exercise price $ 4.26 Expected term 5.0 Years |
Organization (Details)
Organization (Details) - shares | Dec. 03, 2021 | Dec. 31, 2022 | Dec. 31, 2021 |
P3 LLC [Member] | |||
Organization | |||
Ownership in P3 LLC common units | 17.10% | ||
Class A common | |||
Organization | |||
Number of shares issued | 8,700,000 | ||
Number of shares no longer subject to redemption | 3,700,000 | ||
Number of shares outstanding | 41,578,890 | 41,578,890 | |
Class A common | Private Placement | |||
Organization | |||
Number of shares issued | 20,400,000 | ||
Class A common | Founder Holders | |||
Organization | |||
Number of shares outstanding | 8,800,000 |
Going Concern and Liquidity (De
Going Concern and Liquidity (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Going Concern and Liquidity | |||
Net loss | $ (57,938) | $ (146,400) | $ (1,561,557) |
Cash | $ 140,478 | $ 5,301 | $ 17,537 |
Significant Accounting Polici_4
Significant Accounting Policies - Consolidation, Cash and Restricted Cash (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 02, 2021 |
Significant Accounting Policies | |||
Amount insured by Federal Deposit Insurance Corporation | $ 250,000 | ||
Cash and Restricted Cash | |||
Unrestricted | 17,537 | $ 140,478 | $ 5,301 |
Restricted | $ 920 | $ 356 | $ 54 |
Significant Accounting Polici_5
Significant Accounting Policies - Revenue Recognition (Details) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 USD ($) plan customer | Dec. 02, 2021 USD ($) customer | Dec. 31, 2022 USD ($) customer plan | |
Significant Accounting Policies | |||
Revenue | $ 58,762 | $ 578,602 | $ 1,049,471 |
Number of health plans percentage of payment contracts entered | customer | 4 | 4 | 4 |
Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 100% | 100% | 100% |
Revenues | Customer Concentration | Four Health Plan Customers | |||
Significant Accounting Policies | |||
Percentage of total revenue | 70% | 78% | 66% |
Capitated revenue | |||
Significant Accounting Policies | |||
Revenue | $ 57,224 | $ 567,735 | $ 1,034,800 |
Number of health plans percentage of payment contracts entered | plan | 17 | 24 | |
Capitated revenue | Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 97% | 98% | 99% |
Clinical fees & insurance revenue | |||
Significant Accounting Policies | |||
Revenue | $ 751 | $ 4,318 | $ 6,158 |
Clinical fees & insurance revenue | Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 2% | 1% | 0% |
Shared risk revenue | |||
Significant Accounting Policies | |||
Revenue | $ 181 | $ 602 | $ 351 |
Shared risk revenue | Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 0% | 0% | 0% |
Care coordination / management fees | |||
Significant Accounting Policies | |||
Revenue | $ 600 | $ 5,880 | $ 7,924 |
Care coordination / management fees | Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 1% | 1% | 1% |
Incentive fees | |||
Significant Accounting Policies | |||
Revenue | $ 6 | $ 67 | $ 238 |
Incentive fees | Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 0% | 0% | 0% |
Other patient service revenue | |||
Significant Accounting Policies | |||
Revenue | $ 1,538 | $ 10,867 | $ 14,671 |
Other patient service revenue | Revenue | Product Concentration Risk [Member] | |||
Significant Accounting Policies | |||
Percentage of total revenue | 3% | 2% | 1% |
Significant Accounting Polici_6
Significant Accounting Policies - Capitated Revenue (Details) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 USD ($) customer plan state | Dec. 31, 2021 USD ($) plan customer state | Dec. 02, 2021 customer | |
Significant Accounting Policies | |||
Additional revenue related to prior year premium risk adjustments | $ | $ 3.3 | $ 0 | |
Term of contract | 1 month | ||
Number of health plans percentage of payment contracts entered | 4 | 4 | 4 |
Number of health plan customers accounting 10% of receivables | 3 | 2 | |
Capitated revenue | |||
Significant Accounting Policies | |||
Number of health plans percentage of payment contracts entered | plan | 24 | 17 | |
Number of states | state | 5 | 4 | |
Term for reconciliation and distribution of the reserve following each year-end | 21 months | ||
Term for reconciliation and distribution of the reserve following end of each quarter | 120 days |
Significant Accounting Polici_7
Significant Accounting Policies - Shared Risk Revenue (Details) - Shared risk revenue | 12 Months Ended |
Dec. 31, 2022 subsidiary agreement | |
Significant Accounting Policies | |
Number of subsidiaries receiving significant shared risk savings | subsidiary | 1 |
Percentage of shared risk savings received | 30% |
Number of separate arrangements | agreement | 4 |
Percentage of total cost savings to be received, if the sequential YoY PMPY aggregate change yields a reduction | 30% |
Significant Accounting Polici_8
Significant Accounting Policies - Patient Fees Receivable (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Significant Accounting Policies | ||
Patient fees receivable | $ 0.8 | $ 0.7 |
Contractual allowances | $ 5.8 | $ 2 |
Significant Accounting Polici_9
Significant Accounting Policies - Property and Equipment (Details) - USD ($) $ in Thousands | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Significant Accounting Policies | ||
Property and equipment, gross | $ 11,460 | $ 8,230 |
Leasehold Improvements (Cycle: Lease Term) | Minimum | ||
Significant Accounting Policies | ||
Estimated useful lives | 1 year | |
Leasehold Improvements (Cycle: Lease Term) | Maximum | ||
Significant Accounting Policies | ||
Estimated useful lives | 10 years | |
Furniture & fixtures | ||
Significant Accounting Policies | ||
Estimated useful lives | 7 years | |
Property and equipment, gross | $ 1,262 | 1,108 |
Computer equipment & software | ||
Significant Accounting Policies | ||
Estimated useful lives | 3 years | |
Property and equipment, gross | $ 3,206 | 2,701 |
Medical equipment | ||
Significant Accounting Policies | ||
Estimated useful lives | 7 years | |
Property and equipment, gross | $ 1,067 | 414 |
Software | ||
Significant Accounting Policies | ||
Estimated useful lives | 3 years | |
Software (Development in Process) | ||
Significant Accounting Policies | ||
Property and equipment, gross | $ 3,460 | 2,433 |
Capitalized costs placed into service | $ 700 | $ 2,100 |
Significant Accounting Polic_10
Significant Accounting Policies - PDR (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 |
Premium Deficiency Reserve ("PDR") | ||
Premium deficiency reserve | $ 26,375 | $ 37,836 |
Significant Accounting Polic_11
Significant Accounting Policies - Advertising Expenses (Details) - USD ($) $ in Millions | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Sales and Marketing Expenses | |||
Advertising expense | $ 0.3 | $ 1.8 | $ 4.5 |
Business Combinations - Purchas
Business Combinations - Purchase Consideration (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Business Combinations | |||
Cash consideration | $ 47,879 | $ 4,989 | $ 5,500 |
P3 LLC | |||
Business Combinations | |||
Equity | 80,301 | ||
Fair value of redeemable non-controlling interest | 1,807,428 | ||
Stock compensation pre-combination services | 26,313 | ||
Cash consideration | 18,405 | ||
Payment of P3 LLC's transaction costs | 19,152 | ||
Total purchase consideration | $ 1,951,599 |
Business Combinations - Purch_2
Business Combinations - Purchase Price Allocation (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 03, 2021 |
Assets Acquired: | |||
Goodwill | $ 1,309,750 | $ 1,278,453 | |
P3 LLC | |||
Assets Acquired: | |||
Cash | 5,301 | ||
Restricted Cash | 54 | ||
Health plan receivables | 47,733 | ||
Clinic fees and insurance receivables, net | 426 | ||
Other receivables | 1,881 | ||
Prepaid expenses and other current assets | 939 | ||
Property and equipment | $ 7,875 | 7,875 | |
Goodwill | 1,278,453 | ||
Operating lease right of use assets | 10,604 | ||
Total assets acquired | 2,188,666 | ||
Liabilities assumed: | |||
Accounts payable and accrued expenses | 25,819 | ||
Accrued payroll | 2,869 | ||
Health plan settlements payable | 25,008 | ||
Claims payable | 76,031 | ||
Premium deficiency reserve | 11,559 | ||
Accrued interest | 9,269 | ||
Current portion of long-term debt | 301 | ||
Operating lease liability | 6,211 | ||
Long-term debt, net of current portion | 80,000 | ||
Total liabilities assumed | 237,067 | ||
Net assets acquired | 1,951,599 | ||
P3 LLC | Customer Relationships | |||
Assets Acquired: | |||
Definite lived intangible assets: | 684,000 | ||
P3 LLC | Provider Network | |||
Assets Acquired: | |||
Definite lived intangible assets: | 3,700 | ||
P3 LLC | Trademarks | |||
Assets Acquired: | |||
Definite lived intangible assets: | $ 147,700 |
Business Combinations - Propert
Business Combinations - Property and Equipment (Details) - P3 LLC - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 03, 2021 |
Business Combinations | ||
Total property and equipment | $ 7,875 | $ 7,875 |
Leasehold improvements | ||
Business Combinations | ||
Total property and equipment | 1,537 | |
Furniture & fixtures | ||
Business Combinations | ||
Total property and equipment | 1,081 | |
Computer equipment & software | ||
Business Combinations | ||
Total property and equipment | 3,066 | |
Medical equipment | ||
Business Combinations | ||
Total property and equipment | 414 | |
Software (development in process) | ||
Business Combinations | ||
Total property and equipment | $ 1,777 |
Business Combinations - Other A
Business Combinations - Other Acquisitions (Details) $ in Thousands | 1 Months Ended | 3 Months Ended | 11 Months Ended | 12 Months Ended | ||
Dec. 31, 2021 USD ($) | Dec. 31, 2021 USD ($) | Sep. 30, 2022 USD ($) item | Dec. 02, 2021 USD ($) item | Dec. 31, 2022 USD ($) | Dec. 03, 2021 USD ($) | |
Business Combinations | ||||||
Goodwill expected to be deductible for tax purposes | $ 3,800 | |||||
Contingent consideration | $ 3,487 | $ 3,487 | $ 4,794 | |||
Cash consideration | 47,879 | $ 4,989 | $ 5,500 | |||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | ||||||
Business Combinations | ||||||
Consideration for acquisition of equity interests | 40,000 | |||||
Goodwill expected to be deductible for tax purposes | 8,100 | 8,100 | ||||
Contingent consideration | 3,500 | $ 3,500 | ||||
Cash consideration | $ 15,700 | |||||
Medcore HP | ||||||
Business Combinations | ||||||
Ownership percentage | 100% | 100% | ||||
Omni IPA Medical Group, Inc. | ||||||
Business Combinations | ||||||
Ownership percentage | 1% | 1% | ||||
Medical practices | ||||||
Business Combinations | ||||||
Number of other medical practice acquired | item | 2 | 3 | ||||
Consideration for acquisition of equity interests | $ 5,500 | $ 5,000 |
Business Combinations - Other_2
Business Combinations - Other Acquisitions Purchase Price Allocation (Details) - USD ($) $ in Thousands | 1 Months Ended | ||
Dec. 03, 2021 | Dec. 31, 2021 | Dec. 02, 2021 | |
Assets Acquired: | |||
Goodwill | $ 1,278,453 | $ 1,309,750 | |
Liabilities assumed: | |||
Goodwill expected to be deductible for tax purposes | $ 3,800 | ||
Useful life of acquired intangibles | 10 years | ||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | |||
Assets Acquired: | |||
Cash | 20,547 | $ 3 | |
Restricted Cash | 302 | ||
Health plan receivables | 5,754 | ||
Clinic fees and insurance receivables, net | 141 | ||
Other receivables | 726 | ||
Prepaid expenses and other current assets | 1,190 | ||
Property and equipment | 113 | 6 | |
Goodwill | 31,298 | 2,934 | |
Total assets acquired | 67,471 | 4,989 | |
Liabilities assumed: | |||
Accounts payable | 150 | ||
Accrued payroll | 277 | ||
Health plan settlements payable | 133 | ||
Claims payable | 26,898 | ||
Total liabilities assumed | 27,458 | ||
Net assets acquired | 40,013 | 4,989 | |
Goodwill expected to be deductible for tax purposes | $ 8,100 | ||
Useful life of acquired intangibles | 10 years | ||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | Customer Relationships | |||
Assets Acquired: | |||
Definite lived intangible assets: | $ 2,046 | ||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | Payor Contracts | |||
Assets Acquired: | |||
Definite lived intangible assets: | $ 4,700 | ||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | Provider Network | |||
Assets Acquired: | |||
Definite lived intangible assets: | 1,100 | ||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | Trademarks | |||
Assets Acquired: | |||
Definite lived intangible assets: | 900 | ||
Medcore Health Plan, Inc and Omni IPA Medical Group, Inc | Medical Licenses | |||
Assets Acquired: | |||
Indefinite lived intangible assets: | $ 700 |
Business Combinations - Pro For
Business Combinations - Pro Forma Financial Information (Details) $ in Thousands | 12 Months Ended |
Dec. 31, 2021 USD ($) | |
Business Combinations | |
Total operating revenue | $ 793,447 |
Net loss | (259,282) |
Net loss attributable to non-controlling interest | (214,167) |
Net loss attributable to controlling interest | $ (45,115) |
Fair Value Measurements and H_3
Fair Value Measurements and Hierarchy - Companys financial liabilities measured at fair value on recurring basis (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 |
Fair Value Measurements and Hierarchy | ||
Financial liabilities | $ 1,517 | $ 11,383 |
Recurring | Public Warrants | ||
Fair Value Measurements and Hierarchy | ||
Financial liabilities | 1,477 | 10,881 |
Recurring | Private Placement Warrants [Member] | ||
Fair Value Measurements and Hierarchy | ||
Financial liabilities | 40 | 502 |
Recurring | Level 1 | Public Warrants | ||
Fair Value Measurements and Hierarchy | ||
Financial liabilities | 1,477 | 10,881 |
Recurring | Level 3 | Private Placement Warrants [Member] | ||
Fair Value Measurements and Hierarchy | ||
Financial liabilities | $ 40 | $ 502 |
Fair Value Measurements and H_4
Fair Value Measurements and Hierarchy - Option Pricing (Details) - Private Placement Warrants - Level 3 | Dec. 31, 2022 $ / shares Y | Dec. 31, 2021 Y $ / shares |
Volatility | ||
Fair Value Measurements and Hierarchy | ||
Warrants, measurement input | 0.55 | 0.60 |
Risk-free interest rate | ||
Fair Value Measurements and Hierarchy | ||
Warrants, measurement input | 0.0411 | 0.0126 |
Exercise price | ||
Fair Value Measurements and Hierarchy | ||
Warrants, measurement input | $ / shares | 11.50 | 11.50 |
Expected term | ||
Fair Value Measurements and Hierarchy | ||
Warrants, measurement input | Y | 3.9 | 4.9 |
Fair Value Measurements and H_5
Fair Value Measurements and Hierarchy - Level 3 Measurements (Details) - USD ($) $ in Thousands | 1 Months Ended | 3 Months Ended | 11 Months Ended | 12 Months Ended | ||
Dec. 02, 2021 | Dec. 31, 2021 | Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
Fair Value Measurements and Hierarchy | ||||||
Gains on changes in fair value of warrants | $ (2,272) | $ 7,665 | $ (9,865) | |||
Private Placement Warrants | Level 3 | ||||||
Fair Value Measurements and Hierarchy | ||||||
Beginning balance | 13,981 | 6,316 | 502 | $ 6,316 | ||
Beginning balance | 793 | |||||
Mark-to-market adjustment of stock warrants | (291) | 7,665 | (462) | |||
Fair Value, Liability, Recurring Basis, Unobservable Input Reconciliation, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] | Operating Expenses. | Operating Expenses. | Operating Expenses. | |||
Ending Balance | $ 13,981 | $ 502 | $ 502 | $ 13,981 | 40 | $ 502 |
Public Warrants | ||||||
Fair Value Measurements and Hierarchy | ||||||
Gains on changes in fair value of warrants | $ 9,400 | $ 2,300 |
Property and Equipment (Details
Property and Equipment (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Property and Equipment | |||
Property and equipment, gross | $ 8,230 | $ 11,460 | |
Less: accumulated depreciation | (182) | (2,621) | |
Property and equipment, net | 8,048 | 8,839 | |
Depreciation of property and equipment recognized | 200 | $ 1,500 | 2,400 |
Leasehold improvements | |||
Property and Equipment | |||
Property and equipment, gross | 1,537 | 1,810 | |
Furniture & fixtures | |||
Property and Equipment | |||
Property and equipment, gross | 1,108 | 1,262 | |
Computer equipment & software | |||
Property and Equipment | |||
Property and equipment, gross | 2,701 | 3,206 | |
Medical equipment | |||
Property and Equipment | |||
Property and equipment, gross | 414 | 1,067 | |
Software (development in process) | |||
Property and Equipment | |||
Property and equipment, gross | 2,433 | 3,460 | |
Vehicles | |||
Property and Equipment | |||
Property and equipment, gross | 618 | ||
Other | |||
Property and Equipment | |||
Property and equipment, gross | $ 37 | $ 37 |
Goodwill - (Details)
Goodwill - (Details) - USD ($) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended | ||
Dec. 31, 2021 | Dec. 31, 2022 | Jun. 30, 2022 | Dec. 31, 2022 | Dec. 03, 2021 | |
Goodwill | |||||
Goodwill, gross | $ 1,309,750 | $ 1,314,952 | $ 1,314,952 | $ 1,278,453 | |
Accumulated goodwill impairment losses | (1,314,952) | (1,314,952) | |||
Goodwill, net | 1,309,750 | $ 1,278,453 | |||
Acquisitions | 31,297 | 5,202 | |||
Impairment losses | $ 0 | $ (463,500) | $ (851,500) | $ (1,314,952) |
Goodwill - Additional Informati
Goodwill - Additional Information (Details) - USD ($) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended | |
Dec. 31, 2021 | Dec. 31, 2022 | Jun. 30, 2022 | Dec. 31, 2022 | |
Goodwill | ||||
Impairment charges | $ 0 | $ 463,500 | $ 851,500 | $ 1,314,952 |
Intangible Assets, Net - (Detai
Intangible Assets, Net - (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 |
Intangible Assets, Net | ||
Definite lived intangible assets, Accumulated Amortization | $ (91,785) | $ (6,961) |
Total, Gross Carrying Amount | 842,835 | 842,800 |
Total, Net Carrying Amount | 751,050 | 835,839 |
Medical Licenses | ||
Intangible Assets, Net | ||
Indefinite lived intangible assets, Gross Carrying Amount | 700 | 700 |
Customer Relationships | ||
Intangible Assets, Net | ||
Definite lived intangible assets, Gross Carrying Amount | 684,000 | 684,000 |
Definite lived intangible assets, Accumulated Amortization | (74,100) | (5,700) |
Definite lived intangible assets, Net Carrying Amount | 609,900 | 678,300 |
Trademarks | ||
Intangible Assets, Net | ||
Definite lived intangible assets, Gross Carrying Amount | 148,635 | 148,600 |
Definite lived intangible assets, Accumulated Amortization | (16,704) | (1,230) |
Definite lived intangible assets, Net Carrying Amount | 131,931 | 147,370 |
Payor Contracts | ||
Intangible Assets, Net | ||
Definite lived intangible assets, Gross Carrying Amount | 4,700 | 4,700 |
Definite lived intangible assets, Accumulated Amortization | (470) | |
Definite lived intangible assets, Net Carrying Amount | 4,230 | 4,700 |
Provider Network | ||
Intangible Assets, Net | ||
Definite lived intangible assets, Gross Carrying Amount | 4,800 | 4,800 |
Definite lived intangible assets, Accumulated Amortization | (511) | (31) |
Definite lived intangible assets, Net Carrying Amount | $ 4,289 | $ 4,769 |
Intangible Assets, Net - Amorti
Intangible Assets, Net - Amortization (Details) - USD ($) $ in Millions | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Anticipated amortization of intangible assets | ||
Amortization of Intangible Assets | $ 7 | $ 84.8 |
Estimated future amortization of intangible assets for the year 2023 | 84.6 | |
Estimated future amortization of intangible assets for the year 2024 | 84.2 | |
Estimated future amortization of intangible assets for the year 2025 | 84.2 | |
Estimated future amortization of intangible assets for the year 2026 | 84.2 | |
Estimated future amortization of intangible assets for the year 2027 | $ 84.2 |
Notes Receivable, Net (Details)
Notes Receivable, Net (Details) - USD ($) $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Notes Receivable, Net | ||
Notes receivable, net | $ 3.5 | $ 3.6 |
Notes receivable accrued interest | 1 | 0.9 |
Notes receivable valuation allowances | 0.7 | 0.5 |
Interest forgiven | $ 0.3 | $ 0.1 |
Minimum | ||
Notes Receivable, Net | ||
Interest rates | 5% | |
Maximum | ||
Notes Receivable, Net | ||
Interest rates | 10% |
Claims Payable (Details)
Claims Payable (Details) - USD ($) $ in Thousands | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Claims Payable. | ||
Claims unpaid, beginning of period | $ 101,958 | $ 76,031 |
Incurred, related to: | ||
Current period | 942,570 | 55,149 |
Prior period(s) | 882 | 174 |
Total incurred | 943,452 | 55,323 |
Paid, related to: | ||
Current period | 794,026 | 53,366 |
Prior period(s) | 100,177 | 2,928 |
Total paid | 894,203 | 56,294 |
Claims unpaid assumed in acquisitions | 26,898 | |
Claims unpaid, end of period | $ 151,207 | $ 101,958 |
Debt - Table summary (Details)
Debt - Table summary (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 |
Debt | ||
Long-term debt, gross | $ 95,000 | $ 80,046 |
Less: unamortized debt issuance costs and original issue discount | (579) | |
Long-term Debt | 94,421 | 80,046 |
Less: current portion of long-term debt | (46) | |
Long-term debt, net | 94,421 | 80,000 |
Repurchase Promissory Note | ||
Debt | ||
Long-term debt, gross | 15,000 | 15,000 |
Term Loan Facility | ||
Debt | ||
Long-term debt, gross | 65,000 | 65,000 |
Unsecured Promissory Note | ||
Debt | ||
Long-term debt, gross | $ 15,000 | |
Other | ||
Debt | ||
Long-term debt, gross | $ 46 |
Debt - Paragraphs - Repurchase
Debt - Paragraphs - Repurchase Promissory Note (Details) - Repurchase Promissory Note - USD ($) $ in Millions | 1 Months Ended | ||
Jun. 30, 2019 | Dec. 31, 2022 | Dec. 31, 2021 | |
Debt | |||
Debt face amount | $ 15 | ||
Paid in kind interest, percentage | 11% | ||
Exit fee | $ 0.6 | ||
Accrued interest | $ 9 | $ 6.5 |
Debt - Term Loan Facility (Deta
Debt - Term Loan Facility (Details) - Term Loan Facility $ in Millions | 1 Months Ended | 12 Months Ended | ||||
Nov. 30, 2020 USD ($) payment | Dec. 31, 2025 USD ($) | Dec. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | |
Debt | ||||||
Funding provided | $ 100 | |||||
Amount drawn | $ 65 | $ 65 | ||||
Percentage of pledged stock, Its subsidiaries and bank accounts | 100% | |||||
Interest rate | 12% | |||||
Paid in cash interest, percentage | 8% | |||||
Interest payment term | 3 years | |||||
Number of payments | payment | 12 | |||||
Accrued interest | 5 | $ 2.3 | ||||
Minimum liquidity | $ 5 | |||||
Minimum annual revenue | $ 650 | $ 585 | $ 525 | $ 460 | ||
Partially paid in kind interest, percentage | 4% |
Debt - Unsecured Promissory Not
Debt - Unsecured Promissory Notey (Details) - Unsecured Promissory Note $ / shares in Units, $ in Millions | 1 Months Ended |
Dec. 31, 2022 USD ($) item $ / shares shares | |
Debt | |
Warrant issued for securities | shares | 429,180 |
Exercise price (in $ per share) | $ / shares | $ 4.26 |
Funding provided | $ 40 |
Number of tranches in which face amount available to draw | item | 3 |
Percentage of upfront-fee | 1.50% |
Amount drawn | $ 15 |
Original issue discount | 0.2 |
Debt issuance costs | 0.9 |
Deferred debt issuance costs | $ 0.6 |
Interest rate | 14% |
Paid in kind interest, percentage | 6% |
Paid in cash interest, percentage | 8% |
Accrued interest | $ 0.1 |
Minimum amount of prepayment at increment | $ 2 |
If paid from March 1, 2023 through June 30, 2023 | |
Debt | |
Percentage of back-end fee | 4.50% |
If paid from July 1, 2023 through December 31, 2023 | |
Debt | |
Percentage of back-end fee | 6.75% |
If paid on January 1, 2024 or later | |
Debt | |
Percentage of back-end fee | 9% |
First tranche | |
Debt | |
Funding provided | $ 15 |
Second tranche | |
Debt | |
Funding provided | 15 |
Third tranche | |
Debt | |
Funding provided | $ 10 |
Debt - Maturity (Details)
Debt - Maturity (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 |
Principal | ||
Principal- 2025 | $ 65,000 | |
Principal- 2026 | 30,000 | |
Total | 95,000 | $ 80,046 |
Less: unamortized debt issuance costs and original issue discount | (579) | |
Long-term Debt | $ 94,421 | $ 80,046 |
Debt - Short-Term Debt (Details
Debt - Short-Term Debt (Details) - Short term financing agreements $ in Millions | 12 Months Ended |
Dec. 31, 2021 USD ($) | |
Short-term Debt [Line Items] | |
Debt face amount | $ 3.7 |
Weighted average interest rate | 2.60% |
Minimum | |
Short-term Debt [Line Items] | |
Debt Instrument, Term | 9 months |
Maximum | |
Short-term Debt [Line Items] | |
Debt Instrument, Term | 10 months |
Income Taxes- Components of Los
Income Taxes- Components of Loss Before Taxes (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Income Taxes | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Domestic | $ (57,938) | $ (146,400) | $ (1,559,695) |
Total | $ (57,938) | $ (146,400) | $ (1,559,695) |
Income Taxes- Components of inc
Income Taxes- Components of income tax expense (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Income Taxes | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Current income taxes: | |||
Federal | $ 111 | ||
State | 1,751 | ||
Total current income taxes | 1,862 | ||
Deferred income taxes: | |||
Total income tax expense | $ 1,862 |
Income Taxes - Reconciliation o
Income Taxes - Reconciliation of income tax provision (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Income Taxes | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Tax at federal statutory rate | $ (12,166) | $ (30,744) | $ (327,536) |
Non-controlling interest and nontaxable income | 8,359 | $ 30,744 | 260,020 |
Change in valuation allowance | 2,832 | 33,961 | |
Investment in P3 LLC | 1,550 | 35,147 | |
Other reconciling items | $ (575) | 270 | |
Total income tax expense | $ 1,862 | ||
Effective tax rate | (0.10%) |
Income Taxes - Deferred income
Income Taxes - Deferred income taxes (Details) - USD ($) | Dec. 31, 2022 | Dec. 31, 2021 |
Deferred tax assets: | ||
Investment in P3 LLC | $ 20,684 | |
Net operating loss carryforwards | 17,601 | $ 6,922 |
Accrued liabilities | 2,764 | 3,307 |
Goodwill and identifiable intangible assets | 589 | |
Section 163j Interest Limitation | 1,995 | 1,232 |
Other deferred tax assets | 94 | 3 |
Total deferred tax assets | 43,727 | 11,464 |
Less: valuation allowance | (43,558) | (9,621) |
Net deferred tax assets | 169 | 1,843 |
Deferred tax liabilities: | ||
Other deferred tax liabilities | (150) | (87) |
Operating lease, right-of-use assets | (19) | |
Goodwill and identifiable intangible assets | (1,756) | |
Total deferred tax liabilities | (169) | (1,843) |
Net deferred tax asset | $ 0 | $ 0 |
Income Taxes - Paragraphs (Deta
Income Taxes - Paragraphs (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 03, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
Income Taxes | |||
Net operating loss carryforwards | $ 31,400 | ||
Maximum percentage of utilization of net operating loss carryforwards of taxable income | 80% | ||
Tax benefit | $ 1,862 | ||
Tax Receivable Agreement with Selling Equity Holders of P3 LLC | |||
Income Taxes | |||
Percentage of estimated future tax benefits that may realize | 85% | 85% | |
Retained percentage of cash savings | 15% | ||
P3 LLC | |||
Income Taxes | |||
TRA liability | $ 0 | $ 0 | |
P3 LLC | Tax Receivable Agreement with Selling Equity Holders of P3 LLC | |||
Income Taxes | |||
TRA liability | 4,600 | $ 4,600 | |
Tax benefit | $ 0 |
Capitalization (Details)
Capitalization (Details) | 12 Months Ended | |
Dec. 31, 2022 Vote $ / shares shares | Dec. 31, 2021 $ / shares shares | |
Capitalization | ||
Preferred stock, shares authorized | 10,000,000 | |
Preferred stock, par value | $ / shares | $ 0.0001 | |
Preferred stock, shares issued | 0 | |
Preferred stock, shares outstanding | 0 | |
Class A common stock | ||
Capitalization | ||
Common stock shares authorized | 800,000,000 | 800,000,000 |
Common stock par or stated value per share | $ / shares | $ 0.0001 | $ 0.0001 |
Number of voting rights per share | Vote | 1 | |
Class V common stock | ||
Capitalization | ||
Common stock shares authorized | 205,000,000 | 205,000,000 |
Common stock par or stated value per share | $ / shares | $ 0.0001 | $ 0.0001 |
Number of voting rights per share | Vote | 1 |
Equity-Based Compensation - Pre
Equity-Based Compensation - Predecessor Equity Plan (Details) $ in Millions | 11 Months Ended | 12 Months Ended | ||
Dec. 02, 2022 shares | Dec. 03, 2021 item shares | Dec. 02, 2021 USD ($) | Dec. 31, 2022 USD ($) | |
Equity-Based Compensation | ||||
Acceleration of equity-based compensation cost | $ | $ 2.4 | |||
Class C Preferred Units | ||||
Equity-Based Compensation | ||||
Number of shares authorized | shares | 6,845,297 | |||
Unvested incentive units vesting accelerated | shares | 4,319,964 | |||
Management Incentive Plan | ||||
Equity-Based Compensation | ||||
Number of executive officers | item | 2 | |||
Fair value attributable to post-combination services | $ | $ 24 | |||
Management Incentive Plan | Class C Preferred Units | ||||
Equity-Based Compensation | ||||
Shares issued | shares | 5,235,833 | |||
Management Incentive Plan | Class C Preferred Units | Minimum | ||||
Equity-Based Compensation | ||||
Vesting period | 4 years | |||
Management Incentive Plan | Class C Preferred Units | Maximum | ||||
Equity-Based Compensation | ||||
Vesting period | 5 years | |||
Management Incentive Plan | Time Based Profits Interest Awards | ||||
Equity-Based Compensation | ||||
Fair value of the unvested profits interest attributable to pre-combination services | $ | $ 26.3 |
Equity-Based Compensation - Suc
Equity-Based Compensation - Successor Awards (Details) - Management Incentive Plan | 12 Months Ended |
Dec. 31, 2022 shares | |
Equity-Based Compensation | |
Unvested incentive units converted to common units | 587,500 |
Common Unit award | |
Equity-Based Compensation | |
Common unit issued | 5,471,400 |
Equity-Based Compensation - Com
Equity-Based Compensation - Common Units activity (Details) - Common Unit award - USD ($) $ / shares in Units, shares in Thousands, $ in Millions | 1 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 31, 2022 | |
Equity-Based Compensation | ||
Fair value of awards vested | $ 0 | $ 17.6 |
Unrecognized equity-based compensation cost | $ 1.1 | |
Weighted-average period to recognize unrecognized compensation expense | 11 months 12 days | |
Weighted Average Grant-Date Fair Value | ||
Non-vested, beginning balance (in US$ per share) | $ 9.20 | |
Granted (in US$ per share) | $ 9.20 | |
Vested (in US$ per share) | 9.20 | |
Forfeited (in US$ per share) | 9.20 | |
Non-vested, ending balance (in US$ per share) | $ 9.20 | $ 9.20 |
Number of Stock Options | ||
Non-vested, beginning balance (in shares) | 5,471 | |
Vested (in shares) | (5,038) | |
Forfeited (in shares) | (53) | |
Non-vested, ending balance (in shares) | 5,471 | 380 |
Minimum | ||
Equity-Based Compensation | ||
Vesting period | 1 month | |
Maximum | ||
Equity-Based Compensation | ||
Vesting period | 2 years |
Equity-Based Compensation - 202
Equity-Based Compensation - 2021 Plan (Details) - 2021 Plan shares in Millions | 12 Months Ended |
Dec. 31, 2021 shares | |
Equity-Based Compensation | |
Aggregate number of shares reserved and available for issuance | 14.6 |
Annual increase, as percent of outstanding shares | 1% |
Ratio of common units owned to Class A common stock to be maintained by P3 LLC | 1 |
Stock options | |
Equity-Based Compensation | |
Option term | 10 years |
Equity-Based Compensation - Opt
Equity-Based Compensation - Options (Details) - USD ($) | 1 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 31, 2022 | |
Time-based stock option | ||
Number of Stock Options | ||
Granted (in shares) | 3,589,000 | |
Forfeited (in shares) | (187,000) | |
Outstanding, ending (in shares) | 3,402,000 | |
Fully vested and expected to vest (in shares) | 3,402,000 | |
Exercisable (in shares) | 117,000 | |
Weighted Average Exercise Price | ||
Granted (in US$ per share) | $ 5.57 | |
Forfeited (in US$ per share) | 5.02 | |
Outstanding, ending (in US$ per share) | 5.60 | |
Fully vested and expected to vest (in US$ per share) | 5.60 | |
Exercisable (in US$ per share) | $ 5.02 | |
Weighted Aggregate Contractual Life (in years) | ||
Outstanding and non-vested | 9 years 7 months 13 days | |
Fully vested and expected to vest | 9 years 7 months 13 days | |
Exercisable | 9 years 2 months 19 days | |
Performance-based stock option | ||
Number of Stock Options | ||
Granted (in shares) | 0 | 1,500,000 |
Outstanding, ending (in shares) | 1,500,000 | |
Fully vested and expected to vest (in shares) | 1,500,000 | |
Weighted Average Exercise Price | ||
Granted (in US$ per share) | $ 4.95 | |
Outstanding, ending (in US$ per share) | 4.95 | |
Fully vested and expected to vest (in US$ per share) | $ 4.95 | |
Weighted Aggregate Contractual Life (in years) | ||
Outstanding and non-vested | 9 years 9 months 29 days | |
Fully vested and expected to vest | 9 years 9 months 29 days | |
Number of options for which vesting criteria not achieved | $ 100,000 | |
Compensation expense | $ 0 | |
Exercised (in shares) | 0 | |
Vested (in shares) | 0 |
Equity-Based Compensation - Sto
Equity-Based Compensation - Stock option valuation assumptions (Details) $ in Millions | 12 Months Ended |
Dec. 31, 2022 USD ($) | |
Stock options | |
Equity-Based Compensation | |
Expected volatility | 51% |
Risk-free interest rate | 3.20% |
Expected term (in years) | 7 years 3 months 10 days |
Dividend rate | 0% |
Time-based stock option | |
Equity-Based Compensation | |
Unrecognized equity-based compensation cost | $ 7.2 |
Weighted-average period to recognize unrecognized compensation expense | 3 years 7 months 28 days |
Time-based stock option | Minimum | |
Equity-Based Compensation | |
Vesting period | 2 years |
Time-based stock option | Maximum | |
Equity-Based Compensation | |
Vesting period | 5 years |
Performance-based stock option | |
Equity-Based Compensation | |
Unrecognized equity-based compensation cost | $ 5.3 |
Weighted-average period to recognize unrecognized compensation expense | 9 years 9 months 29 days |
Equity-Based Compensation - C_2
Equity-Based Compensation - Compensation Expense (Details) - USD ($) | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Equity-Based Compensation | |||
Tax benefits recognized related to stock-based compensation | $ 0 | $ 0 | $ 0 |
General and Administrative Expenses | |||
Equity-Based Compensation | |||
Compensation expense | $ 4,600,000 | $ 3,500,000 | $ 19,400,000 |
Loss per Share - Computation of
Loss per Share - Computation of net loss per share (Details) - USD ($) $ / shares in Units, $ in Thousands | 1 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 31, 2022 | |
Loss per Share | ||
Net loss attributable to Class A common stockholders - basic | $ (10,081) | $ (270,127) |
Net loss attributable to Class A common stockholders - diluted | $ (10,081) | $ (270,127) |
Weighted average Class A common shares outstanding - basic | 41,579 | 41,579 |
Weighted average Class A common shares outstanding - diluted | 41,579 | 41,579 |
Loss per share attributable to Class A common stockholders - basic | $ (0.24) | $ (6.50) |
Loss per share attributable to Class A common stockholders - diluted | $ (0.24) | $ (6.50) |
Loss per Share - Antidilutive s
Loss per Share - Antidilutive securities (Details) - shares | 1 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 31, 2022 | |
Loss per Share | ||
Anti-dilutive securities | 212,844 | 216,622 |
Stock warrants | ||
Loss per Share | ||
Anti-dilutive securities | 10,819 | 11,248 |
Stock options | ||
Loss per Share | ||
Anti-dilutive securities | 3,402 | |
Shares of Class V common stock | ||
Loss per Share | ||
Anti-dilutive securities | 202,025 | 201,972 |
Leases (Details)
Leases (Details) $ in Millions | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 USD ($) | Dec. 02, 2021 USD ($) | Dec. 31, 2022 USD ($) Option | |
Leases | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Operating lease, right of use assets | $ | $ 7 | $ 11.7 | |
Operating Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration] | Assets, Noncurrent | Assets, Noncurrent | |
Operating expenses | |||
Leases | |||
Operating Lease Costs | $ | $ 0.3 | $ 2.3 | $ 3.1 |
Real estate on lease | Minimum | |||
Leases | |||
Number of options to renew | Option | 1 | ||
Extension term of lease | 5 years | ||
Real estate on lease | Maximum | |||
Leases | |||
Number of options to renew | Option | 2 | ||
Extension term of lease | 10 years |
Leases - Lease Terms And Discou
Leases - Lease Terms And Discount Rates (Details) | Dec. 31, 2022 | Dec. 31, 2021 |
Leases | ||
Weighted Average Remaining Lease Term (Years) | 6 years 2 months 19 days | 5 years 3 days |
Weighted Average Discount Rate | 11.70% | 11.10% |
Leases - Future Minimum Lease P
Leases - Future Minimum Lease Payments (Details) $ in Thousands | Dec. 31, 2022 USD ($) |
Leases | |
2023 | $ 1,082 |
2024 | 3,212 |
2025 | 3,382 |
2026 | 2,836 |
2027 | 2,599 |
Thereafter | 6,539 |
Total undiscounted future cash flows | 19,650 |
Less: Interest | (6,860) |
Present value of operating lease liabilities | $ 12,790 |
Leases - Current Portions Of RO
Leases - Current Portions Of ROU Liabilities (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Leases | ||
Right-of-use liabilities | $ 1.6 | $ 2.1 |
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration] | Accrued Expenses and Other Current Liabilities, Current | Accrued Expenses and Other Current Liabilities, Current |
Leases - Supplemental Cash Flow
Leases - Supplemental Cash Flows And Other Information (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Leases | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Operating Cash Flows Paid for Operating Leases | $ 255 | $ 2,256 | $ 3,339 |
Lease commitment | 19,650 | ||
Office space lease | |||
Leases | |||
Lease commitment | $ 600 | ||
Lease term | 5 years |
Retirement Plan (Details)
Retirement Plan (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Retirement Plan | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Employer contribution | $ 0 | $ 0 | $ 800 |
Redeemable Non-Controlling In_3
Redeemable Non-Controlling Interests - (Details) - USD ($) $ in Thousands | 1 Months Ended | 12 Months Ended | |
Dec. 31, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
Redeemable Non-Controlling Interests. | |||
Re-measurement adjustment recorded against fair value of redeemable noncontrolling interest | $ 0 | $ 0 | |
P3 Health Group, LLC | |||
Redeemable Non-Controlling Interests. | |||
Common units | 238,132,413 | 243,170,902 | 238,132,413 |
Ownership % | 100% | 100% | 100% |
Trading period of shares to determine air value of non-controlling interest | 5 days | ||
Common Unit exchange or redemption | 0 | ||
P3 Health Partners Inc. | P3 Health Group, LLC | |||
Redeemable Non-Controlling Interests. | |||
Common units | 41,578,890 | 41,578,890 | 41,578,890 |
Ownership % | 17.50% | 17.10% | 17.50% |
Non-controlling Interest Holders&rsquo | P3 Health Group, LLC | |||
Redeemable Non-Controlling Interests. | |||
Common units | 196,553,523 | 201,592,012 | 196,553,523 |
Ownership % | 82.50% | 82.90% | 82.50% |
Non-controlling Interest Holders&rsquo | P3 Health Partners Inc. | Class V common | |||
Redeemable Non-Controlling Interests. | |||
Ownership % | 83% |
Commitments and Contingencies (
Commitments and Contingencies (Details) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended | |
Dec. 31, 2021 USD ($) | Dec. 02, 2021 USD ($) | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) agreement | |
Commitments and Contingencies | ||||
Number of health plans results in renegotiation | agreement | 1 | |||
Operating Expenses | $ 117,650 | $ 707,660 | $ 2,610,384 | |
Percentage of total revenues recurring | 99% | |||
Renegotiation of Health Plan Agreement | ||||
Commitments and Contingencies | ||||
Reduction in operating revenue | 3,600 | $ 3,600 | ||
Operating Expenses | $ 7,000 | 3,100 | ||
Settlement amount | $ 11,700 | $ 5,000 | $ 11,700 |
Related Parties - Atrio Health
Related Parties - Atrio Health Plans (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Related Parties | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Atrio | Capitated revenue | |||
Related Parties | |||
Transaction amount | $ 11,483 | $ 142,905 | $ 158,941 |
Atrio | Other patient service revenue | |||
Related Parties | |||
Transaction amount | 181 | 2,022 | 2,286 |
Atrio | Medical expenses | |||
Related Parties | |||
Transaction amount | 14,684 | $ 146,216 | 178,300 |
Atrio | Health plans | |||
Related Parties | |||
Receivables | 4,696 | 177 | |
Payables | 2,536 | ||
Atrio | Claims | |||
Related Parties | |||
Payables | $ 16,349 | $ 27,838 |
Related Parties - Unsecured Pro
Related Parties - Unsecured Promissory Note (Details) - VGS $ in Thousands | 12 Months Ended |
Dec. 31, 2022 USD ($) director | |
Related Parties | |
The number of board directors holding equity in a related party | director | 2 |
Unsecured Promissory Note, Related Party | |
Related Parties | |
Interest expense, net | $ 105 |
Long-term debt, net | 14,421 |
Accrued interest | 105 |
Accrued expenses | $ 225 |
Variable Interest Entities - As
Variable Interest Entities - Assets and liabilities (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 03, 2021 | Dec. 02, 2021 | Dec. 31, 2020 | |
ASSETS | ||||||
Cash | $ 17,537 | $ 140,478 | $ 5,301 | |||
Clinic fees and insurance receivable, net | 822 | 1,090 | ||||
Prepaid expenses and other current assets | 2,643 | 6,959 | ||||
Property and equipment, net | 8,839 | 8,048 | ||||
Goodwill | 1,309,750 | $ 1,278,453 | ||||
TOTAL ASSETS | [1] | 876,571 | 2,364,109 | |||
LIABILITIES AND MEMBERS' DEFICIT | ||||||
Accounts payable | 11,542 | 5,469 | ||||
Accrued expenses and other current liabilities | 16,647 | 12,261 | ||||
Accrued payroll | 8,224 | 6,304 | ||||
TOTAL LIABILITIES | [1] | 353,912 | 299,940 | |||
MEMBERS' DEFICIT | 5,854 | 273,552 | $ (272,917) | $ (130,218) | ||
TOTAL LIABILITIES AND MEMBERS' DEFICIT | $ 876,571 | 2,364,109 | ||||
Prime rate | ||||||
Variable Interest Entity | ||||||
Advances interest rate spread (as a percent) | 2% | |||||
VIE | ||||||
ASSETS | ||||||
Cash | $ 1,759 | 7,570 | ||||
Clinic fees and insurance receivable, net | 323 | 61 | ||||
Prepaid expenses and other current assets | 121 | 407 | ||||
Other Receivable | 855 | |||||
Property and equipment, net | 44 | 36 | ||||
Goodwill | 0 | 0 | ||||
Due from consolidated entities of P3 | 3,012 | |||||
Investment in Other P3 Entities | 6,000 | |||||
TOTAL ASSETS | 6,114 | 14,074 | ||||
LIABILITIES AND MEMBERS' DEFICIT | ||||||
Accounts payable | 7,800 | 4,779 | ||||
Accrued expenses and other current liabilities | 262 | 26 | ||||
Accrued payroll | 1,885 | 1,303 | ||||
Due to Consolidated Entities of P3 | 36,025 | 24,111 | ||||
TOTAL LIABILITIES | 45,972 | 30,219 | ||||
MEMBERS' DEFICIT | (39,858) | (16,145) | ||||
TOTAL LIABILITIES AND MEMBERS' DEFICIT | $ 6,114 | $ 14,074 | ||||
[1] The Company’s consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities (“VIEs”). As discussed in Note 23: Variable Interest Entities, P3 LLC is itself a VIE. P3 LLC represents substantially all the assets and liabilities of the Company. As a result, the language and numbers below refer only to VIEs held at the P3 LLC level. The consolidated balance sheets include total assets that can be used only to settle obligations of P3 LLC’s consolidated VIEs totaling $3.1 million and $8.1 million as of December 31, 2022 and 2021, respectively, and total liabilities of P3 LLC’s consolidated VIEs for which creditors do not have recourse to the general credit of the Company totaled $9.9 million and $6.1 million as of December 31, 2022 and 2021, respectively. These VIE assets and liabilities do not include $33.0 million of net amounts due to affiliates as of December 31, 2022 and $6.0 million of investment in affiliates and $24.1 million of amounts due to affiliates as of December 31, 2021 as these are eliminated in consolidation and not presented within the consolidated balance sheets. |
Variable Interest Entities - Op
Variable Interest Entities - Operating Performance (Details) - USD ($) $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Variable Interest Entity | |||
Financial Designation, Predecessor and Successor [Fixed List] | Successor | Predecessor | Successor |
Revenue | $ 58,762 | $ 578,602 | $ 1,049,471 |
Expenses | 117,650 | 707,660 | 2,610,384 |
Net loss | (57,938) | (146,400) | (1,561,557) |
VIE | |||
Variable Interest Entity | |||
Revenue | 844 | 7,580 | 55,237 |
Expenses | 1,203 | 12,293 | 69,638 |
Net loss | $ (359) | $ (4,713) | $ (14,401) |
Warrants (Details)
Warrants (Details) $ / shares in Units, $ in Thousands | 1 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 USD ($) shares | Dec. 02, 2021 USD ($) shares | Dec. 31, 2022 USD ($) D $ / shares shares | |
Warrants | |||
Financial designation, predecessor and successor | Successor | Predecessor | Successor |
Warrants outstanding (shares) | shares | 10,819,105 | 11,248,285 | |
Gain (loss) from change in fair value of warrant liability | $ | $ (2,272) | $ 7,665 | $ (9,865) |
Public and Private Placement Warrants | Class A common | |||
Warrants | |||
Number of shares issuable per warrant | shares | 1 | ||
Exercise price (in $ per share) | $ / shares | $ 11.50 | ||
Expected term of warrants | 5 years | ||
Threshold share price | $ / shares | $ 18 | ||
Threshold trading days | D | 20 | ||
Trading period of shares equal or over $18.00 for 20-days | 30 days | ||
Warrants outstanding | $ | 11,400 | $ 1,500 | |
Gain (loss) from change in fair value of warrant liability | $ | $ 2,300 | $ 7,700 | $ 9,900 |
Number of warrants exercised | shares | 0 | 0 | 0 |
Warrents - VGS Warrants (Detail
Warrents - VGS Warrants (Details) - VGS - Unsecured Promissory Note - VGS Warrant Agreement - Class A common stock $ / shares in Units, $ in Millions | Dec. 31, 2022 USD ($) $ / shares shares |
Warrants | |
Warrants to purchase common stock | shares | 429,180 |
Exercise price (in $ per share) | $ / shares | $ 4.26 |
Voting power disposed percentage | 50% |
Warrants fair value | $ | $ 0.6 |
Warrents - Key Level 3 inputs i
Warrents - Key Level 3 inputs into the option pricing model related toVGS Warrants (Details) - VGS Warrant Agreement - Level 3 | Dec. 31, 2022 Y $ / shares |
Volatility | |
Warrants | |
Warrants, measurement input | 0.49 |
Risk-free interest rate | |
Warrants | |
Warrants, measurement input | 0.0380 |
Exercise price | |
Warrants | |
Warrants, measurement input | $ / shares | 4.26 |
Expected term | |
Warrants | |
Warrants, measurement input | Y | 5 |
Subsequent Events (Details)
Subsequent Events (Details) - Subsequent Event - USD ($) $ / shares in Units, $ in Millions | Mar. 30, 2023 | Mar. 31, 2023 | Jan. 31, 2023 |
Securities Purchase Agreement | |||
Subsequent Events | |||
Number of units to be issued | 79,900,000 | ||
Number of warrants in a unit | 0.75 | ||
Securities Purchase Agreement | Class A common stock | |||
Subsequent Events | |||
Number of shares in a unit | 1 | ||
Number of shares issuable per warrant | 1 | ||
Exercise price | $ 1.13 | ||
Aggregate number of shares agreed to sell | 69,200,000 | ||
Warrants to purchase common stock | 59,900,000 | ||
Securities Purchase Agreement | Private Placement | |||
Subsequent Events | |||
Aggregate gross proceeds | $ 89.5 | ||
Securities Purchase Agreement | Pre-funded warrants | Class A common stock | |||
Subsequent Events | |||
Warrants to purchase common stock | 10,800,000 | ||
Unsecured Promissory Note | |||
Subsequent Events | |||
Amount borrowed | $ 12.9 | $ 12.9 | |
Institutional investors | Securities Purchase Agreement | |||
Subsequent Events | |||
Purchase price per unit | $ 1.12 | ||
Employees and consultants | Securities Purchase Agreement | |||
Subsequent Events | |||
Purchase price per unit | $ 1.19 |
CONSOLIDATED BALANCE SHEETS_2
CONSOLIDATED BALANCE SHEETS - USD ($) | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2020 | |
Current Assets | |||||
Unrestricted | $ 17,537,000 | $ 140,478,000 | $ 5,301,000 | ||
TOTAL CURRENT ASSETS | 100,692,000 | 199,861,000 | |||
TOTAL ASSETS | [1] | 876,571,000 | 2,364,109,000 | ||
Current liabilities | |||||
TOTAL CURRENT LIABILITIES | 241,664,000 | 198,773,000 | |||
TOTAL LIABILITIES | [1] | 353,912,000 | 299,940,000 | ||
Commitments (Note 6) | |||||
Stockholders' (Deficit) Equity | |||||
Additional paid-in capital | 315,375,000 | 312,946,000 | |||
Accumulated deficit | (309,545,000) | (39,418,000) | |||
TOTAL LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' EQUITY | 876,571,000 | 2,364,109,000 | |||
Foresight Acquisition Corp | |||||
Current Assets | |||||
Unrestricted | 100,935 | $ 179,512 | |||
Prepaid expenses | 355,188 | ||||
TOTAL CURRENT ASSETS | 456,123 | 179,512 | |||
Deferred offering costs | 215,448 | ||||
Cash and securities held in Trust Account | 316,267,136 | ||||
TOTAL ASSETS | 316,723,259 | 394,960 | |||
Current liabilities | |||||
Accrued expenses | 21,284,300 | 2,286 | |||
Accrued offering costs | 15,450 | 94,960 | |||
Advance from related parties | 150,000 | ||||
Promissory note - related party | 275,000 | ||||
TOTAL CURRENT LIABILITIES | 21,449,750 | 372,246 | |||
Warrant liabilities | 13,213,259 | ||||
TOTAL LIABILITIES | 34,663,009 | 372,246 | |||
Commitments (Note 6) | |||||
Stockholders' (Deficit) Equity | |||||
Preferred stock, $0.0001 par value; 1,000,000 shares authorized, none issued and outstanding | |||||
Additional paid-in capital | 24,209 | ||||
Accumulated deficit | (34,190,624) | (2,286) | |||
Total Stockholders' (Deficit) Equity | (34,189,750) | 22,714 | |||
TOTAL LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' EQUITY | 316,723,259 | 394,960 | |||
Class A common | |||||
Stockholders' (Deficit) Equity | |||||
Common stock | $ 4,000 | $ 4,000 | |||
Class A common | Foresight Acquisition Corp | |||||
Stockholders' (Deficit) Equity | |||||
Common stock | 874 | ||||
Class A Common Stock subject to possible redemption | Foresight Acquisition Corp | |||||
Current liabilities | |||||
Class A common stock subject to possible redemption, 31,625,000 and no shares at redemption value as of December 2, 2021 and December 31, 2020, respectively | $ 316,250,000 | ||||
Common Class B | Foresight Acquisition Corp | |||||
Stockholders' (Deficit) Equity | |||||
Common stock | $ 791 | ||||
[1] The Company’s consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities (“VIEs”). As discussed in Note 23: Variable Interest Entities, P3 LLC is itself a VIE. P3 LLC represents substantially all the assets and liabilities of the Company. As a result, the language and numbers below refer only to VIEs held at the P3 LLC level. The consolidated balance sheets include total assets that can be used only to settle obligations of P3 LLC’s consolidated VIEs totaling $3.1 million and $8.1 million as of December 31, 2022 and 2021, respectively, and total liabilities of P3 LLC’s consolidated VIEs for which creditors do not have recourse to the general credit of the Company totaled $9.9 million and $6.1 million as of December 31, 2022 and 2021, respectively. These VIE assets and liabilities do not include $33.0 million of net amounts due to affiliates as of December 31, 2022 and $6.0 million of investment in affiliates and $24.1 million of amounts due to affiliates as of December 31, 2021 as these are eliminated in consolidation and not presented within the consolidated balance sheets. |
CONSOLIDATED BALANCE SHEETS (_2
CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2020 |
Preferred stock, par value | $ 0.0001 | |||
Preferred stock authorized | 10,000,000 | |||
Preferred stock issued | 0 | |||
Preferred stock outstanding | 0 | |||
Foresight Acquisition Corp | ||||
Preferred stock, par value | $ 0.0001 | $ 0.0001 | ||
Preferred stock authorized | 1,000,000 | 1,000,000 | ||
Preferred stock issued | 0 | 0 | ||
Preferred stock outstanding | 0 | 0 | ||
Class A common | ||||
Common stock par or stated value per share | $ 0.0001 | $ 0.0001 | ||
Common stock shares authorized | 800,000,000 | 800,000,000 | ||
Common stock shares issued | 41,578,890 | 41,578,890 | ||
Common stock shares outstanding | 41,578,890 | 41,578,890 | ||
Class A common | Foresight Acquisition Corp | ||||
Temporary equity shares outstanding | 31,625,000 | 0 | ||
Common stock par or stated value per share | $ 0.0001 | $ 0.0001 | ||
Common stock shares authorized | 200,000,000 | 200,000,000 | ||
Common stock shares issued | 832,500 | 7,906,250 | ||
Common stock shares outstanding | 832,500 | 7,906,250 | ||
Class A Common Stock subject to possible redemption | Foresight Acquisition Corp | ||||
Temporary equity shares outstanding | 31,625,000 | 0 | ||
Class A common stock not subject to possible redemption | Foresight Acquisition Corp | ||||
Common stock shares issued | 8,738,750 | 8,738,750 | ||
Common stock shares outstanding | 8,738,750 | 8,738,750 | ||
Common Class B | Foresight Acquisition Corp | ||||
Common stock par or stated value per share | $ 0.0001 | $ 0.0001 | ||
Common stock shares authorized | 20,000,000 | 20,000,000 | ||
Common stock shares issued | 7,906,250 | 7,906,250 | ||
Common stock shares outstanding | 7,906,250 | 7,906,250 |
CONSOLIDATED STATEMENTS OF OP_2
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) | 4 Months Ended | 11 Months Ended |
Dec. 31, 2020 | Dec. 02, 2021 | |
General and administrative expenses | $ 100,243,000 | |
OPERATING LOSS | (129,058,000) | |
Other income (expense): | ||
Change in fair value of warrant liabilities | (7,665,000) | |
TOTAL OTHER INCOME (EXPENSE) | (17,342,000) | |
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | (146,400,000) | |
Foresight Acquisition Corp | ||
General and administrative expenses | $ 2,286 | 22,747,817 |
OPERATING LOSS | (2,286) | (22,747,817) |
Other income (expense): | ||
Interest income | 24 | |
Interest earned on marketable securities held in Trust Account | 17,136 | |
Change in fair value of warrant liabilities | (2,074,467) | |
TOTAL OTHER INCOME (EXPENSE) | 2,057,307 | |
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | (2,286) | (24,805,124) |
Class A common | Foresight Acquisition Corp | ||
Other income (expense): | ||
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | $ (24,805,124) | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | 29,692,013 | |
Weighted average Class A common shares outstanding - diluted | 29,692,013 | |
Loss per share attributable to Class A common stockholders - basic | $ (0.84) | |
NET LOSS PER SHARE (DILUTED) | $ (0.84) | |
Common Class B | Foresight Acquisition Corp | ||
Other income (expense): | ||
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | $ (2,286) | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | 6,875,000 | |
Weighted average Class A common shares outstanding - diluted | 6,875,000 | |
Loss per share attributable to Class A common stockholders - basic | $ 0 | |
NET LOSS PER SHARE (DILUTED) | $ 0 |
CONSOLIDATED STATEMENTS OF CHAN
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (DEFICIT) - USD ($) | Common Class B Common Stock Foresight Acquisition Corp | Common Class B Foresight Acquisition Corp | Class A Common Stock subject to possible redemption Common Stock Foresight Acquisition Corp | Additional Paid-in Capital Foresight Acquisition Corp | Accumulated Deficit Foresight Acquisition Corp | Private Placement Foresight Acquisition Corp | Foresight Acquisition Corp | Total |
Beginning balance at Aug. 19, 2020 | $ 0 | $ 0 | $ 0 | $ 0 | $ 0 | |||
STOCKHOLDERS' EQUITY (in shares) at Aug. 19, 2020 | 0 | 0 | ||||||
Issuance of Class B common stock to Sponsor | $ 791 | 24,209 | 25,000 | |||||
Issuance of Class B common stock to Sponsor (in shares) | 7,906,250 | |||||||
Net loss | $ (2,286) | (2,286) | (2,286) | |||||
Ending balance at Dec. 31, 2020 | $ 791 | 24,209 | (2,286) | 22,714 | ||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 31, 2020 | 7,906,250 | |||||||
Accretion for Class A ordinary shares to redemption amount | (8,068,251) | (9,383,214) | (17,451,465) | |||||
Sale of 832,500 Private Placement Units,Net | $ 83 | $ 8,044,042 | 8,044,125 | |||||
Sale of 832,500 Private Placement Units, Net (Shares) | 832,500 | 832,500 | ||||||
October 4, 2021 Class B conversion | $ (791) | $ 791 | ||||||
October 4, 2021 Class B conversion (in shares) | (7,906,250) | 7,906,250 | ||||||
Net loss | (24,805,124) | (24,805,124) | $ (146,400,000) | |||||
Ending balance at Dec. 02, 2021 | $ 874 | $ (34,190,624) | $ (34,189,750) | |||||
STOCKHOLDERS' EQUITY (in shares) at Dec. 02, 2021 | 8,738,750 | |||||||
Net loss | (10,081,000) | |||||||
Net loss | $ (270,127,000) |
CONSOLIDATED STATEMENTS OF CH_2
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (DEFICIT) (Parenthetical) | 11 Months Ended |
Dec. 02, 2021 shares | |
Private Placement | Foresight Acquisition Corp | |
Sale of 832,500 Private Placement Units, Net (Shares) | 832,500 |
CONSOLIDATED STATEMENTS OF CA_2
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) | 1 Months Ended | 4 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 02, 2021 | Dec. 31, 2021 | |
Cash Flows from Operating Activities: | ||||
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | $ (10,081,000) | $ (146,400,000) | ||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||
Gain (loss) from change in fair value of warrant liability | (2,272,000) | 7,665,000 | ||
Changes in operating assets and liabilities: | ||||
Prepaid expenses | (4,704,000) | 4,254,000 | ||
Accounts payable and accrued expenses | 7,732,000 | 34,224,000 | ||
Net cash used in operating activities | (15,342,000) | (51,129,000) | ||
Cash Flows from Investing Activities: | ||||
Net cash used in investing activities | (47,856,000) | (8,209,000) | ||
Cash Flows from Financing Activities: | ||||
Net cash provided by financing activities | 198,677,000 | 24,790,000 | ||
Cash and restricted cash at beginning of period | 5,355,000 | 39,903,000 | $ 39,903,000 | |
Cash and restricted cash at end of period | 140,834,000 | $ 39,903,000 | 5,355,000 | 140,834,000 |
Foresight Acquisition Corp | ||||
Cash Flows from Operating Activities: | ||||
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | (2,286) | (24,805,124) | ||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||
Interest earned on marketable securities held in Trust Account | (17,136) | |||
Gain (loss) from change in fair value of warrant liability | 2,074,467 | |||
Transaction costs incurred in connection with IPO | 234,419 | |||
Changes in operating assets and liabilities: | ||||
Prepaid expenses | (355,188) | |||
Accounts payable and accrued expenses | 2,286 | 21,282,014 | ||
Net cash used in operating activities | (1,586,548) | |||
Cash Flows from Investing Activities: | ||||
Investment of cash into trust Account | (316,250,000) | |||
Net cash used in investing activities | (316,250,000) | |||
Cash Flows from Financing Activities: | ||||
Proceeds from issuance of Class B common stock to Sponsor | 25,000 | |||
Proceeds from sale of Units, net of underwriting discounts paid | 309,924,999 | |||
Proceeds from sale of Private Placements Warrants | 8,325,000 | |||
Proceeds from convertible promissory note - related party | 275,000 | |||
Advances from related party | 150,000 | |||
Repayment of convertible promissory note - related party | (275,000) | |||
Payment of offering costs | (120,488) | (367,028) | ||
Net cash provided by financing activities | 179,512 | 317,757,971 | ||
Net (Decrease) Increase in Cash | 179,512 | (78,577) | ||
Cash and restricted cash at beginning of period | $ 100,935 | 179,512 | $ 179,512 | |
Cash and restricted cash at end of period | 179,512 | 100,935 | ||
Non-cash investing and financing activities: | ||||
Offering costs included in accrued offering cost | $ 94,960 | 15,450 | ||
Initial classification of Class A common stock subject to possible redemption | $ 316,250,000 |
DESCRIPTION OF ORGANIZATION AND
DESCRIPTION OF ORGANIZATION AND BUSINESS OPERATIONS | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp | |
DESCRIPTION OF ORGANIZATION AND BUSINESS OPERATIONS | NOTE 1 — DESCRIPTION OF ORGANIZATION AND BUSINESS OPERATIONS P3 Health Partners Inc. (f/k/a Foresight Acquisition Corp.) (the “Company”) was incorporated in Delaware on August 20, 2020. The Company was formed for the purpose of effecting a merger, capital stock exchange, asset acquisition, stock purchase, reorganization or similar business combination with one or more businesses (the “Business Combination”). The Company has three non-operating, wholly-owned subsidiaries, which were formed to facilitate the merger with P3 Health Group Holdings (see below), FAC Merger Sub LLC, a Delaware limited liability company (“Merger Sub”), FAC-A Merger Sub Corp., a Delaware corporation (“Merger Corp-A”), and FAC-B Merger Sub Corp., a Delaware corporation (“Merger Corp-B” and, together with Merger Corp-A, the “Merger Corps” and each, a “Merger Corp”). The Company is not limited to a particular industry or sector for purposes of consummating a Business Combination. The Company is an early stage and emerging growth company and, as such, the Company is subject to all of the risks associated with early stage and emerging growth companies. Business Combination On December 3, 2021 (the “Closing Date”), the Company consummated the previously announced business combinations (the “Business Combinations”) pursuant to (1) the agreement and plan of merger, dated as of May 25, 2021 (as amended, the “Merger Agreement”), by and among P3 Health Group Holdings (“P3”), and FAC Merger Sub LLC, and (2) the transaction and combination agreement, dated as of May 25, 2021 (as amended, the “Transaction and Combination Agreement” and together with the Merger Agreement, the “Transaction Agreements”), by and among Foresight and the Merger Corps, CPF P3 Blocker-A, LLC, a Delaware limited liability company (“Blocker-A”), CPF P3 Blocker-B, LLC, a Delaware limited liability company (“Blocker-B” and, together with Blocker-A, the “Blockers” and each, a “Blocker”), CPF P3 Splitter, LLC, a Delaware limited liability company (“Splitter”), Chicago Pacific Founders Fund-A, L.P., a Delaware limited partnership (“Blocker A Seller”), and Chicago Pacific Founders Fund-B, L.P., a Delaware limited partnership (“Blocker B Seller” and, together with Blocker A Seller, the “Blocker Sellers” and each, a “Blocker Seller”), pursuant to which, among other things, P3 Health Group Holdings merged with and into Merger Sub (the “P3 Merger”), with Merger Sub as the surviving company, which was renamed P3 Health Group, LLC (“P3 LLC”), and the Merger Corps merged with and into the Blockers, with the Blockers as the surviving entities and wholly-owned subsidiaries of the Company (collectively, the “Business Combinations”). Upon completion of the Business Combinations (the “Closing”), the Company and P3 LLC were organized in an “Up-C” structure in which all of the P3 LLC operating subsidiaries are held directly or indirectly by P3 LLC, and the Company directly owned approximately 17.1% of P3 LLC and became the sole manager of P3 LLC. PIPE Investment On December 3, 2021, certain investors (the “Subscribers”) purchased from the Company an aggregate of 20,370,307 shares of Class A Common Stock (the “PIPE Shares”), for a purchase price of $10.00 per share and an aggregate purchase price of $203.7 million, pursuant to separate subscription agreements (the “Subscription Agreements”) entered into effective as of May 25, 2021, as amended by the Consent and Amendment to Subscription Agreement, entered into on November 19, 2021. Pursuant to the Subscription Agreements, the Company gave certain registration rights to the Subscribers with respect to the PIPE Shares. The sale of PIPE Shares was consummated concurrently with the Closing. In connection with the Closing, the Company also issued (i) 8,732,517 shares of Class A Common Stock to the Blocker Sellers (including 723,291 shares of Class A Common Stock held by the escrow agent) pursuant to the Transaction and Combination Agreement, and (ii) 202,024,923 shares of Class V Common Stock to the P3 Sellers other than the Blocker Sellers (including 17,923,782 shares of Class V Common Stock held by the escrow agent), pursuant to the Merger Agreement. Business Prior to the Business Combination As of December 2, 2021, the Company had not commenced any operations. All activity for the period from August 20, 2020 (inception) through December 2, 2021 relates to the Company’s formation and the initial public offering (“Initial Public Offering”), which is described below, and identifying a target company for a Business Combination. The Company will not generate any operating revenues until after the completion of its initial Business Combination, at the earliest. The Company has generated non-operating income in the form of interest income from the proceeds derived from the Initial Public Offering. The registration statement for the Company’s Initial Public Offering was declared effective on February 9, 2021. On February 12, 2021, the Company consummated the Initial Public Offering of 31,625,000 units (the “Units” and, with respect to the shares of Class A common stock included in the Units sold, the “Public Shares”), which includes the full exercise by the underwriter of its over-allotment option in the amount of 4,125,000 Units, at $10.00 per Unit, generating gross proceeds of $316,250,000, which is described in Note 3. On October 4, 2021, all outstanding shares of Class B Common Stock were converted into shares of Class A Common Stock on a one-for-one basis at the direction of the holders. The transfer restrictions and agreement to waive redemption rights and rights to liquidating distributions apply to the shares of Class A Common Stock received upon conversion of the Class B Common Stock. Simultaneously with the closing of the Initial Public Offering, the Company consummated the sale of 832,500 units (each, a “Private Placement Unit” and, collectively, the “Private Placement Units”) at a price of $10.00 per Private Placement Unit in a private placement to Foresight Sponsor Group, LLC (the “Sponsor”) and FA Co-Investment LLC (an affiliate of one of the underwriters of the Initial Public Offering) ( “FA Co-Investment” and, together with the Sponsor, the “Sponsors”) generating gross proceeds of $8,325,000, which is described in Note 4. Transaction costs amounted to $6,827,967, consisting of $6,325,000 of underwriting fees, and $502,967 of other offering costs. Following the closing of the Initial Public Offering on February 12, 2021, an amount of $316,250,000 ($10.00 per Unit) from the net proceeds of the sale of the Units in the Initial Public Offering and the sale of the Private Placement Warrants was placed in a trust account (the “Trust Account”), invested in U.S. government securities, within the meaning set forth in Section 2(a)(16) of the Investment Company Act of 1940, as amended (the “Investment Company Act”), with a maturity of 185 days or less, or in any open-ended investment company that holds itself out as a money market fund meeting the conditions of Rule 2a-7 of the Investment Company Act, as determined by the Company, until the earlier of: (i) the consummation of a Business Combination or (ii) the distribution of the funds in the Trust Account to the Company’s stockholders, as described below except that interest earned on the Trust Account can be released to the Company to pay its tax obligations. Liquidity and Going Concern As of December 2, 2021, the Company had $100,935 in its operating bank accounts, $316,267,136 in marketable securities held in the Trust Account to be used for a Business Combination or to repurchase or redeem stock in connection therewith and a working capital deficit of $20,793,627, which excludes franchise taxes payable of $200,000. On August 19, 2021, the sponsor committed to provide up to $300,000 in working capital loans as needed by the Company in order to finance transaction costs in connection with a Business Combination. The loans, if issued, will be non-interest bearing, unsecured and will be repaid upon the consummation of an initial business combination. If the Company had not consummated the initial business combination, all amounts loaned to the Company would have been forgiven except to the extent the Company had funds available outside of the Trust Account to repay such loans. On October 27, 2021, the sponsor committed to provide up to an additional $600,000 in working capital loans as needed by the Company in order to finance transaction costs in connection with a Business Combination. The loans will follow the same structure as the $300,000 working capital loans as described above. The total commitment provided by the Sponsor will total $900,000, none of which had been borrowed as of December 2, 2021. Until the consummation of the Business Combination, the Company used the funds not held in the Trust Account for identifying and evaluating target businesses, performing due diligence on prospective target businesses, traveling to and from the offices, plants or similar location of prospective target businesses or their representatives or owners, reviewing corporate documents and material agreements of prospective target businesses and structuring, negotiating and completing a Business Combination, which was the Business Combination with P3. The Company completed its Business Combination with P3 on December 3, 2021. In connection with the Company’s assessment of going concern considerations in accordance with Financial Accounting Standards Board’s (“FASB”) Accounting Standards Update (“ASU”) 2014-15, “Disclosures of Uncertainties about an Entity’s Ability to Continue as a Going Concern,” management has determined that its future capital requirements will depend on many factors, including its rate of growth, ability to manage costs and its ability to raise additional capital when needed. There can be no assurance that such financing will be available on commercially acceptable terms. If the Company is unable to obtain additional funding when needed, it will have to curtail it activities and reduce costs. As a result of these matters, substantial doubt exists about the Company’s ability to continue as a going concern for one year after the date the financial statements are issued. The accompanying financial statements do not include any adjustment that might result from the outcome of these uncertainties. Risks and Uncertainties Management continues to evaluate the impact of the COVID-19 pandemic and has concluded that while it is reasonably possible that the virus could have a negative effect on the Company’s financial position, results of its operations and/or search for a target company, the specific impact is not readily determinable as of the date of the financial statements. The financial statements do not include any adjustments that might result from the outcome of this uncertainty. In February 2022, the Russian Federation and Belarus commenced a military action with the country of Ukraine. As a result of this action, various nations, including the United States, have instituted economic sanctions against the Russian Federation and Belarus. Further, the impact of this action and related sanctions on the world economy is not determinable as of the date of these financial statements. The specific impact on the Company’s financial condition, results of operations, and cash flows is also not determinable as of the date of these financial statements. |
SUMMARY OF SIGNIFICANT ACCOUNTI
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | Note 3: Significant Accounting Policies Basis of Presentation and Principles of Consolidation The accompanying consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) and include the accounts of the Company. All intercompany accounts and transactions have been eliminated. The Company periodically evaluates entities for consolidation either through ownership of a majority voting interest, or through means other than voting interest, in accordance with the Variable Interest Entity (“VIE”) accounting model. This evaluation includes a qualitative review of the design of the entity, its organizational structure, including decision making ability and financial agreements, as well as a quantitative review. The Company consolidates a VIE when it has a variable interest that provides it with a controlling financial interest in the VIE, referred to as the primary beneficiary of the VIE. See Note 23 “Variable Interest Entities.” As the sole managing manager of P3 LLC, P3 has the right to direct the most significant activities of P3 LLC and the obligation to absorb losses and receive benefits. The rights of the non-managing members of P3 LLC are limited and protective in nature and do not give substantive participation rights over the sole managing member. Accordingly, P3 identifies itself as the primary beneficiary of P3 LLC and began consolidating P3 LLC as of the Closing Date resulting in a noncontrolling interest related to the Common Units held by members other than P3. Additionally, as more fully described in Note 23 “Variable Interest Entities,” P3 LLC is the primary beneficiary of the following physician practices (collectively, the “Network”): ● Kahan, Wakefield, Abdou, PLLC ● Bacchus, Wakefield, Kahan, PC ● P3 Health Partners Professional Services, P.C. ● P3 Medical Group, P.C. ● P3 Health Partners California, P.C. (f/k/a Omni IPA Medical Group, Inc.) As a result of the Business Combinations, P3 LLC has been determined to be the predecessor for accounting purposes and, accordingly, the consolidated financial statements and notes to consolidated financial statements of P3 LLC are presented herein as “Predecessor” for the period prior to the Closing Date (the “Predecessor Period”) and the consolidated financial statements and notes to consolidated financial statements of the Company are presented herein as “Successor” for the period after the Closing Date (the “Successor Period”), which include the consolidated operations of P3 LLC. The accompanying consolidated financial statements include a black line division that indicates that the Predecessor and Successor reporting entities shown are presented on a different basis and are, therefore, not comparable. Comprehensive Loss Comprehensive loss includes net loss to common stockholders as well as other changes in equity that result from transactions and economic events other than those with stockholders. There was no difference between comprehensive loss and net loss to common stockholders for the periods presented. Management’s Use of Estimates Preparation of these consolidated financial statements and accompanying footnotes, in conformity with GAAP, requires management to make estimates and assumptions that could affect amounts reported here. Management bases its estimates on the best information available at the time, its experiences and various other assumptions believed to be reasonable under the circumstances, including estimates of the impact of COVID-19. See Note 21 “Commitments and Contingencies” for further discussion on the impact of COVID-19. The areas where significant estimates are used in these accompanying consolidated financial statements include revenue recognition, the liability for unpaid claims, equity-based compensation, premium deficiency reserves, fair value and impairment recognition of long-lived assets (including intangible assets and goodwill), fair value of acquired assets and liabilities in business combinations, fair value of liability classified instruments, and judgments related to deferred income taxes. Actual results could differ from those estimates. Commitments and Contingencies An accrual is established for commitments and contingencies when management, after considering the facts and circumstances of each matter as then known to management, has determined a specific contingency is probable and estimable. The Company also faces contingencies that are reasonably possible to occur that cannot currently be estimated. When only a range of amounts is reasonably estimable and no amount within the range is more likely than another, the low end of the range is recorded. The Company expenses costs associated with loss contingencies, including any related legal fees, as they are incurred. Due to the inherent uncertainties surrounding gain contingencies, the Company does not recognize potential gains until realized. Loss per Share Basic net loss per share attributable to common stockholders is computed by dividing the net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during the period. Diluted earnings per share attributable to common stockholders adjusts basic earnings per share for the potentially dilutive impact of public warrants, private placement warrants, stock options, and Common Units convertible into shares of Class A common stock during the period by applying the treasury stock method or if-converted method, as applicable. Net loss per member unit has not been presented for Predecessor Period as the Company’s management determined it would not be meaningful to the users of these consolidated financial statements. Cash and Restricted Cash Cash includes all cash and liquid investments with an initial maturity of three months or less. Cash deposits held in accounts at each financial institution are insured up to $250,000 by the Federal Deposit Insurance Corporation (“FDIC”). The Company maintains its cash in bank deposit accounts that, at times, may exceed FDIC insured limits. Management does not expect any losses to occur on such accounts. At December 31, 2022 and 2021, the Company had cash of $17.5 million and $140.5 million, respectively, deposited at banking institutions which are subject to the FDIC insured limit. Restricted cash is held for a specific purpose (such as payment of employee healthcare claims) and is thus not available to the Company for immediate or general business use. At December 31, 2022 and 2021, the Company had restricted cash of $0.9 million and $0.4 million, respectively. Revenue Recognition The Company categorizes revenue based on various factors such as the nature of contracts as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, Revenue Type 2022 % of Total 2021 % of Total 2021 % of Total Capitated revenue $ 1,034,800 99 % $ 57,224 97 % $ 567,735 98 % Other patient service revenue: Clinical fees & insurance revenue 6,158 0 % 751 2 % 4,318 1 % Shared risk revenue 351 0 % 181 0 % 602 0 % Care coordination / management fees 7,924 1 % 600 1 % 5,880 1 % Incentive fees 238 0 % 6 0 % 67 0 % Total other patient service revenue 14,671 1 % 1,538 3 % 10,867 2 % Total revenue $ 1,049,471 100 % $ 58,762 100 % $ 578,602 100 % During the year ended December 31, 2022, the Successor Predecessor Capitated Revenue The Company contracts with health plans using an at-risk model. Under the at-risk model, the Company is responsible for the cost of all covered services provided to members assigned by the health plans to the Company in exchange for a fixed premium payment, which generally is a percentage of the payment (“POP”) based on health plans’ premiums received from CMS. Through this capitation arrangement, the Company stands ready to provide assigned Medicare Advantage beneficiaries all their medical care via the Company’s directly employed and affiliated physician/specialist network. The capitated revenue the Company receives is determined via a competitive bidding process with CMS and is based on the costs of care in local markets and the average utilization of services by patients enrolled. Medicare pays capitation using a “risk adjustment model,” which compensates providers based on the health status (acuity) of each individual patient. Medicare Advantage plans with higher acuity patients receive higher premiums. Conversely, Medicare Advantage plans with lower acuity patients receive lesser premiums. Under the risk adjustment model, capitation is paid on an interim basis based on enrollee data submitted for the preceding year and is adjusted in subsequent periods after final data is compiled. The Company generally estimates transaction prices using the most likely methodology. Amounts are only included in the transaction price to the extent any significant uncertainty of reversal on cumulative revenue will not occur and is resolved. In certain contracts, PMPM fees also include adjustments for items such as performance incentives or penalties based on the achievement of certain clinical quality metrics as contracted with payors. Capitated revenue is recognized based on an estimated PMPM transaction price to transfer the service for a distinct increment of the series (e.g., month), net of projected acuity adjustments and performance incentives or penalties as the Company cannot reasonably estimate the ultimate PMPM payment of those contracts. The Company recognizes revenue in the month in which eligible members are entitled to receive healthcare benefits during the contract term. The capitation amount is subject to possible retroactive premium risk adjustments based on the member’s individual acuity. Premium risk adjustments recorded in 2022 which relate to 2021 were $3.3 million. There were no premium risk adjustments recorded in 2021 related to prior years. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient not to adjust for the effects of a significant financing component. The Company’s contracts with health plans may include core functions and services for managing assigned patients’ medical care, the combination of which is offered as a single solution. Capitation contracts have a single performance obligation that is a stand ready obligation to perform healthcare services to the population of enrolled members and constitutes a series for the provision of managed healthcare services for the term of the contract, which is deemed to be one month since the mix of patients-customers can change month over month. The Company does not offer nor price each individual function as a standalone service to health plans; however, the addition or exclusion of certain services may be negotiated and reflected in each health plan’s specific total POP. At December 31, 2022 and 2021, the Company had POP contracts in effect with 24 health plans (across five states) and 17 health plans (across four states), respectively. Each month, in accordance with contractual obligations (for non-delegated health plans; e.g., those for which the Company has not been delegated for claims processing), each plan funds a medical claims payment reserve equal to a defined percentage of premium attributable to members assigned to the Company. In turn, the Company administers and funds medical claims for contractually covered services, for assigned health plan members, from that health plan’s reserve. On a quarterly or monthly basis, health plans conduct a settlement of the reserve to determine any surplus or deficit amount. The reconciliation and distribution of the reserve occur within 120 days following the end of each quarter. An annual settlement reconciliation and distribution from all funds occurs within 21 Three health plan customers accounted for 10% or more of total health plan receivables as of December 31, 2022. Two health plan customers accounted for 10% or more of total health plan receivables as of December 31, 2021. At December 31, 2022 and 2021, Management has deemed the Company’s settlement receivables to be fully collectible from those health plans where the Company is not delegated for claims processing. Accordingly, a constraint on the variable consideration associated with settlement receivables was not recorded. Other Patient Service Revenue – Clinical Fees and Insurance Revenue Clinical fees and insurance revenue relates to net patient fees received from various payors and direct patients under contracts in which the Company’s sole performance obligation is to provide healthcare services through the operation of medical clinics. The Company recognizes clinic fees and insurance revenue in the period in which services are provided. Under FFS payment arrangements, revenue is recognized on the date of service using a portfolio approach. The Company’s performance obligations are typically satisfied in the same day services are provided. All the Company’s contracts with its customers under these arrangements include a single performance obligation. The Company’s contractual relationships with patients, in most cases, also involve third-party payors (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through state-sponsored health insurance exchanges). Transaction prices for services provided are dependent upon specific rules in place with third party payors–specifically, Medicare/Medicaid and pre-negotiated rates with managed care health plans and commercial insurance companies. Contractual arrangements with third parties typically include payments at amounts which are less than standard charges. These charges generally have predetermined rates for diagnostic service codes or discounted FFS rates. The Company perpetually reviews its contractual estimation processes to consider and incorporate updates to laws, regulations, and frequent changes in the managed care system. Contractual terms are negotiated and updated accordingly upon renewal. Clinical fees and insurance revenue is based upon the estimated amounts the Company expects to receive from patients and third-party payors. Estimates of explicit price concessions under managed care and commercial insurance plans are tied to payment terms specified in related contractual agreements. Retroactively calculated explicit price concessions tied to reimbursement agreements with third-party payers are recognized on an estimated basis in the period related services are rendered and adjusted in future periods as final payments are received. Revenue related to uninsured patients, uninsured co-payments, and deductibles (for patients with healthcare coverage) may also be discounted. The Company records implicit price concessions (based on historical collection experience) related to uninsured accounts to recognize self-pay revenue at their most likely amounts to be collected. The Company deems FFS revenue to be variable consideration and its estimates of associated transaction prices will not result in a significant revenue reversal in the future. The Company has elected the practical expedient not to adjust the transaction price for any financing components as those were deemed to be insignificant and to expense all incremental customer contract acquisition costs as incurred as such costs are not material and would be amortized over a period less than one year. Other Patient Service Revenue – Shared Risk Revenue P3 LLC (via one of its wholly owned subsidiaries) receives 30% of the shared risk savings from parties with whom it contracts under four separate arrangements. These arrangements are driven solely by medical cost containment year-over-year (“YoY”) expense reductions. This key performance indicator (“KPI”) is measured by the aggregate change in per member, per year (“PMPY”) medical costs. If the sequential YoY PMPY aggregate change yields a reduction, the Company receives 30% of the associated total cost savings for that year. Conversely, if the sequential YoY PMPY aggregate change yields an increase in medical costs, no monies are due to the Company that year. This KPI is compiled and reviewed on a calendar year basis. The Company recognizes shared risk revenue only upon the receipt of cash. Other Patient Service Revenue – Care Coordination Fees and Management Fees The Company’s delegated health plans may also pay a Care Coordination Fee (“CCF”) or management fee to the Company. CCFs and management fees are intended to fund the costs of delegated services provided to certain health plans. CCFs are specifically identified and separated in each monthly capitation payment the Company receives from these parties. None of the Company’s other health plans bifurcate CCFs nor are any of them contractually required to do so. Based on similarities of the terms of the care coordination and administrative services, the Company uses a portfolio approach to record revenue from CCFs and management fees. Patient Fees Receivable Substantially all client fees and insurance receivables are due under FFS contracts with third party payors, such as commercial insurance companies, government-sponsored healthcare programs, or directly from patients. The Company has agreements with third-party payors that provide for payments at amounts different from the established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Patient fees receivable, where a third-party payor is responsible for the amount due, are recorded at the invoiced amount, net of any expected contractual adjustments and implicit price concessions, and do not bear interest. Contractual adjustments arising under reimbursement arrangements with third-party payors are accrued on an estimated basis in the period the related services are rendered and are adjusted in future periods as final settlements are determined. The Company continuously monitors activities from payors (including patients) and records an implicit price concession based on specific contracts and actual historical collection patterns to reflect the estimated amounts the Company expects to collect. Patient fees receivable of $0.8 million and $0.7 million are included in clinic fees and insurance receivables in the Company’s consolidated balance sheets as of December 31, 2022 and 2021, respectively, and are recorded net of contractual allowances of $5.8 million and $2.0 million as of December 31, 2022 and 2021, respectively. Property and Equipment Property and equipment is carried at acquisition cost, net of accumulated depreciation. Costs for repairs and maintenance of property and equipment, after such property and equipment has been placed in service, are expensed as incurred. Costs and related accumulated depreciation are eliminated when property and equipment is sold or otherwise disposed. Sales and disposals may result in asset-specific gains or losses. Any such gains or losses are included as a component of operations. The Company records depreciation using the straight-line method over the estimated useful lives of the respective assets. The following table summarizes the estimated useful lives of the Company’s property and equipment: Classification Depreciation Cycle Leasehold improvements (cycle: lease term) 1 to 10 Years Furniture and fixtures 7 Years Computer equipment 3 Years Medical equipment 7 Years Software 3 Years The Company capitalizes certain costs incurred in connection with developing its own proprietary technology to serve core functions of its business operations such as revenue and medical cost analysis, care management and various facets that promote impactful utilization. At December 31, 2022 and 2021, the Company has capitalized $3.5 million and $2.4 million, respectively, to property and equipment for these software costs (specifically to work in progress). In 2022 and 2021, $0.7 million and $2.1 million of capitalized costs were placed into service, respectively. All costs associated with internally developed technology following deployment, or that otherwise do not meet capitalization criteria, are expensed as incurred. Fair Value Measurements The Company uses valuation approaches that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible. The Company determines fair value based on assumptions that market participants would use in pricing an asset or liability in the principal or most advantageous market. When considering market participant assumptions in fair value measurements, the following fair value hierarchy distinguishes between observable and unobservable inputs, which are categorized in one of the following levels (see Note 6 “Fair Value Measurements and Hierarchy” for further discussion): Level 1 inputs: Unadjusted quoted prices in active markets for identical assets or liabilities accessible to the reporting entity at the measurement date. Level 2 inputs: Other than quoted prices included in Level 1 inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the asset or liability. Level 3 inputs: Unobservable inputs for the asset or liability used to measure fair value to the extent that observable inputs are not available, thereby allowing for situations in which there is little, if any, market activity for the asset or liability at measurement date. Impairment of Long-Lived Assets The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate their carrying amounts may not be recoverable. Recoverability of an asset or asset group is measured by comparing its carrying amount to the future undiscounted net cash flows the asset or asset group is expected to generate. If such assets are considered impaired (e.g., future undiscounted cash flows are less than net book value), an impairment charge is recognized, measured by the difference between the carrying value and the estimated fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. Goodwill Goodwill represents the excess of the purchase price over the fair value assigned to tangible and identifiable intangible assets acquired and liabilities assumed. Goodwill is tested for impairment at the reporting unit level on an annual basis in the fourth quarter, or more frequently if events or changes in circumstances indicate the carrying value of goodwill may not be recoverable (a “triggering event”). On the occurrence of a triggering event, an entity has the option to first assess qualitative factors to determine whether a quantitative impairment test is necessary. If it is more likely than not that goodwill is impaired, the fair value of the reporting unit is compared with its carrying value. An impairment charge is recognized for the amount by which the carrying amount exceeds the fair value, provided, the loss recognized cannot exceed the total amount of goodwill. Intangible Assets Intangible assets with finite useful lives are amortized on a straight-line basis over their estimated useful lives. In determining the estimated useful lives of definite-lived intangibles, the Company considers the nature, competitive position, life cycle position and historical and expected future operating cash flows of each acquired asset, as well as its commitment to support these assets through continued investment and legal infringement protection. The Company reviews intangible assets for impairment whenever events or changes in circumstances indicate that the related carrying amounts may not be recoverable. Determining whether an impairment loss occurred requires comparing the carrying amount to the sum of undiscounted cash flows expected to be generated by the asset. Such events and circumstances include the occurrence of an adverse change in the market involving the business employing the assets or a situation in which it is more likely than not that the Company will dispose of such assets. If the comparison indicates that there is impairment, the impairment loss to be recognized as a non-cash charge to earnings is measured by the amount by which the carrying amount of the asset exceeds its fair value and the impaired asset is written down to its fair value or, if fair value is not readily determinable, to an estimated fair value based on discounted expected future cash flows. Leases The Company determines whether a contract is or contains a lease at the inception of the contract. For leases with terms greater than 12 months, the Company records the related operating or finance right-of-use asset and lease liability at the present value of lease payments over the lease term. The Company is generally not able to readily determine the implicit rate in the lease and therefore uses the determined incremental borrowing rate at lease commencement to compute the present value of lease payments. The incremental borrowing rate represents an estimate of the market interest rate the Company would incur at lease commencement to borrow an amount equal to the lease payments on a collateralized basis over the term of a lease. Renewal options are not included in the measurement of the right-of-use assets and lease liabilities unless the Company is reasonably certain to exercise the optional renewal periods. Some leases also include early termination options, which can be exercised under specific conditions. Additionally, certain leases contain incentives, such as construction allowances from landlords, which reduce the right-of-use asset related to the lease. Certain of the Company’s leases contain rent escalations over the lease term. The Company recognizes expense for operating leases on a straight-line basis over the lease term. The Company’s lease agreements contain variable payments for common area maintenance and utilities. The Company has elected the practical expedient to combine lease and non-lease components for all asset categories; therefore, the lease payments used to measure the lease liability for these leases include fixed minimum rentals along with fixed non-lease component charges. Variable lease payments are excluded from the measurement of right-of-use assets and lease liabilities and are recognized in the period in which the obligation for those payments is incurred. The Company does not have significant residual value guarantees or restrictive covenants in its lease portfolio. Business Combinations The price tendered in business combinations is allocated using the acquisition method of accounting among the identifiable tangible and intangible assets and assumed liabilities and non-controlling interests, all of which are based on estimates of corresponding fair value as of the acquisition date. The Company applies valuation methods which are ultimately used in the Company’s purchase price allocations. Goodwill is recorded based on the difference between the fair value of consideration exchanged and the fair value of the net assets and liabilities assumed. Such fair values that are not finalized for reporting periods following the acquisition date are estimated and recorded as provisional amounts. Adjustments to these provisional amounts during the measurement period (defined as the date through which all information required to identify and measure the consideration transferred, the assets acquired, the liabilities assumed, and the non-controlling interests obtained, limited to one year from the acquisition date) are recorded when identified. Equity-Based Compensation Equity-based compensation cost is measured at the grant date for all equity-based awards based on the fair value of the awards. For equity awards that vest subject to the satisfaction of service-based conditions, compensation cost is recognized on a straight-line basis over the requisite service period, which varies by award. For equity awards that vest subject to the satisfaction of performance-based conditions, the Company evaluates the probability of achieving each performance-based condition at each reporting date and recognizes compensation cost when it is deemed probable that the performance-based condition will be met on an accelerated basis over the requisite service period, which varies by award. Equity-based compensation is classified in the accompanying consolidated statements of operations based on the function to which the related services are provided. The Company accounts for forfeitures as they occur. P3 LLC used the Black-Scholes option-pricing model to determine the fair value of P3 LLC’s incentive unit awards (“Incentive Units”). The risk-free interest rate estimate was based on constant maturity, which is the theoretical value of a U.S. Treasury that is based on recent values of auctioned U.S. Treasuries with remaining terms similar to the expected term of the incentive unit awards. The expected dividend yield was based on P3 LLC’s expectation of not paying dividends in the foreseeable future. The expected term was calculated primarily based upon the estimated time to a liquidation event. The expected volatility was estimated using company-specific historical information, guideline company information, and implied volatility information. The Company uses the Black-Sholes option-pricing model to determine the fair value of the Company’s stock option awards. The risk-free interest rate estimate was based on constant maturity, which is the theoretical value of a U.S. Treasury that is based on recent values of auctioned U.S. Treasuries with remaining terms similar to the expected term of the stock option awards. The expected dividend yield was based on the Company’s expectation of not paying dividends in the foreseeable future. The expected term was calculated using the “simplified” method; whereby, the expected term equals the arithmetic average of the vesting term and the original contractual term of the stock option due to P3’s lack of sufficient historical data. The expected volatility was estimated using an average of the historical volatilities of a peer group comprised of publicly traded companies in the same industry. The Company assesses the impact of material nonpublic information on its share price or expected volatility, as applicable, at the time of grant. Warrant Liability The Company has public and private placement warrants of Class A common stock classified as liabilities as well as warrants of Class A common stock issued to a lender classified as equity. The Company classifies as equity any equity-linked contracts that (1) require physical settlement or net-share settlement or (2) give the Company a choice of net-cash settlement or settlement in the Company’s own shares (physical settlement or net-share settlement). Warrants classified as equity are initially measured at fair value. Subsequent changes in fair value are not recognized as long as the warrants continue to be classified as equity. The Company classifies as assets or liabilities any equity-linked contracts that (1) require net-cash settlement (including a requirement to net-cash settle the contract if an event occurs and if that event is outside the Company’s control) or (2) give the counterparty a choice of net-cash settlement or settlement in shares (physical settlement or net-share settlement). For equity-linked contracts that are classified as liabilities, the Company records the fair value of the equity-linked contracts at each balance sheet date and records the change in the statements of operations as a gain (loss) from change in fair value of warrant liability. The Company’s public warrant liability is valued using observable market prices for those public warrants. The Company’s private placement warrants are valued using a binomial lattice pricing model when the warrants are subject to the make-whole table, or otherwise are valued using a Black-Scholes pricing model. The Company’s warrants issued to a capital provider are valued using a Black-Scholes-Merton pricing model based on observable market prices for public shares and warrants. The assumptions used in preparing these models include estimates such as volatility, contractual terms, discount rates, dividend yield, expiration dates and risk-free rates. The Company accounts for warrants as either equity-classif | |
Foresight Acquisition Corp | ||
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | NOTE 2 — SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation The accompanying financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) and pursuant to the rules and regulations of the SEC. Emerging Growth Company The Company is an “emerging growth company,” as defined in Section 2(a) of the Securities Act, as modified by the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”), and it may take advantage of certain exemptions from various reporting requirements that are applicable to other public companies that are not emerging growth companies including, but not limited to, not being required to comply with the independent registered public accounting firm attestation requirements of Section 404 of the Sarbanes-Oxley Act of 2002, reduced disclosure obligations regarding executive compensation in its periodic reports and proxy statements, and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved. Further, Section 102(b)(1) of the JOBS Act exempts emerging growth companies from being required to comply with new or revised financial accounting standards until private companies (that is, those that have not had a Securities Act registration statement declared effective or do not have a class of securities registered under the Exchange Act) are required to comply with the new or revised financial accounting standards. The JOBS Act provides that a company can elect to opt out of the extended transition period and comply with the requirements that apply to non-emerging growth companies but any such election to opt out is irrevocable. The Company has elected not to opt out of such extended transition period which means that when a standard is issued or revised and it has different application dates for public or private companies, the Company, as an emerging growth company, can adopt the new or revised standard at the time private companies adopt the new or revised standard. This may make comparison of the Company’s financial statements with another public company which is neither an emerging growth company nor an emerging growth company which has opted out of using the extended transition period difficult or impossible because of the potential differences in accounting standards used. Use of Estimates The preparation of financial statements in conformity with GAAP requires the Company’s management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting period. Making estimates requires management to exercise significant judgment. It is at least reasonably possible that the estimate of the effect of a condition, situation or set of circumstances that existed at the date of the financial statements, which management considered in formulating its estimate, could change in the near term due to one or more future confirming events. One of the more significant accounting estimates included in these financial statements is the determination of the fair value of the private warrant liabilities. Such estimates may be subject to change as more current information becomes available and accordingly the actual results could differ significantly from those estimates. Cash and Cash Equivalents The Company considers all short-term investments with an original maturity of three months or less when purchased to be cash equivalents. The Company did not have any cash equivalents as of December 2, 2021 and December 31, 2020. Cash Held in Trust Account At December 2, 2021, substantially all of the assets held in the Trust Account were held cash. Class A Common Stock Subject to Possible Redemption The Company accounts for its Class A common stock subject to possible redemption in accordance with the guidance in Accounting Standards Codification (“ASC”) Topic 480 “Distinguishing Liabilities from Equity.” Shares of Class A common stock subject to mandatory redemption is classified as a liability instrument and is measured at fair value. Conditionally redeemable common stock (including common stock that features redemption rights that is either within the control of the holder or subject to redemption upon the occurrence of uncertain events not solely within the Company’s control) is classified as temporary equity. At all other times, common stock is classified as stockholders’ equity. The Company’s Class A common stock features certain redemption rights that are considered to be outside of the Company’s control and subject to occurrence of uncertain future events. Accordingly, at December 2, 2021 and December 31, 2020, Class A common stock subject to possible redemption is presented at redemption value as temporary equity, outside of the stockholders’ equity section of the Company’s balance sheets. The Company recognizes changes in redemption value immediately as they occur and adjusts the carrying value of redeemable common stock to equal the redemption value at the end of each reporting period. Increases or decreases in the carrying amount of redeemable common stock are affected by charges against additional paid in capital and accumulated deficit. Warrant Liabilities The Company accounts for warrants as either equity-classified or liability-classified instruments based on an assessment of the warrant’s specific terms and applicable authoritative guidance in Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity (“ASC 480”) and ASC 815, Derivatives and Hedging (“ASC 815”). The assessment considers whether the warrants are freestanding financial instruments pursuant to ASC 480, meet the definition of a liability pursuant to ASC 480, and whether the warrants meet all of the requirements for equity classification under ASC 815, including whether the warrants are indexed to the Company’s own ordinary shares, among other conditions for equity classification. This assessment, which requires the use of professional judgment, is conducted at the time of warrant issuance and as of each subsequent quarterly period end date while the warrants are outstanding. For issued or modified warrants that meet all of the criteria for equity classification, the warrants are required to be recorded as a component of additional paid-in capital at the time of issuance. For issued or modified warrants that do not meet all the criteria for equity classification, the warrants are required to be recorded at their initial fair value on the date of issuance, and each balance sheet date thereafter. Changes in the estimated fair value of the warrants are recognized as a non-cash gain or loss on the statements of operations. The fair value of the private warrants was estimated using a binomial lattice simulation approach (see Note 11). Income Taxes The Company follows the asset and liability method of accounting for income taxes under ASC 740, “Income Taxes.” Deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that included the enactment date. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount expected to be realized. ASC 740 prescribes a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more likely than not to be sustained upon examination by taxing authorities. The Company recognizes accrued interest and penalties related to unrecognized tax benefits as income tax expense. There were no unrecognized tax benefits and no amounts accrued for interest and penalties as of December 2, 2021 and December 31, 2020. The Company is currently not aware of any issues under review that could result in significant payments, accruals or material deviation from its position. The Company is subject to income tax examinations by major taxing authorities since inception The effective tax rate differs from the statutory tax rate of 21% for the year ended December 2, 2021 due to the valuation allowance recorded on the Company’s net operating losses and permanent differences. Net Loss Per Common Share The Company complies with accounting and disclosure requirements of FASB ASC Topic 260, “Earnings Per Share.” Net loss per common share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. The Company applies the two-class method in calculating earnings per share. The Company has not considered the effect of the warrants sold in the Initial Public Offering and private placement to purchase an aggregate of 10,819,167 shares in the calculation of diluted loss per share, since the exercise of the warrants are contingent upon the occurrence of future events and the inclusion of such warrants would be anti-dilutive. The following table reflects the calculation of basic and diluted net loss per common share (in dollars, except per share amounts): For the Period from For the Period from January 1, August 20, 2020 (Inception) 2021 through through December 2, 2021 December 31, 2020 Class A Class B Class A Class B Basic and diluted net loss per common stock Numerator: Allocation of net loss, as adjusted $ (24,805,124) $ — $ — $ (2,286) Denominator: Basic and diluted weighted average stock outstanding 29,692,013 — — 6,875,000 Basic and diluted net loss per common stock $ (0.84) $ — $ — $ (0.00) Concentration of Credit Risk Financial instruments that potentially subject the Company to concentrations of credit risk consist of a cash account in a financial institution, which, at times, may exceed the Federal Depository Insurance Coverage of $250,000. The Company had not experienced losses on this account and management believes the Company is not exposed to significant risks on such account. Fair Value Measurements Fair value is defined as the price that would be received for sale of an asset or paid for transfer of a liability, in an orderly transaction between market participants at the measurement date. GAAP establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). These tiers include: ● Level 1, defined as observable inputs such as quoted prices (unadjusted) for identical instruments in active markets; ● Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable such as quoted prices for similar instruments in active markets or quoted prices for identical or similar instruments in markets that are not active; and ● Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions, such as valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable. In some circumstances, the inputs used to measure fair value might be categorized within different levels of the fair value hierarchy. In those instances, the fair value measurement is categorized in its entirety in the fair value hierarchy based on the lowest level input that is significant to the fair value measurement. Derivative Financial Instruments The Company evaluates its financial instruments to determine if such instruments are derivatives or contain features that qualify as embedded derivatives in accordance with ASC Topic 815, “Derivatives and Hedging.” For derivative financial instruments that are accounted for as liabilities, the derivative instrument is initially recorded at its fair value on the grant date and is then re-valued at each reporting date, with changes in the fair value reported in the statements of operations. The classification of derivative instruments, including whether such instruments should be recorded as liabilities or as equity, is evaluated at the end of each reporting period. Derivative liabilities are classified in the balance sheet as current or non-current based on whether or not net-cash settlement or conversion of the instrument could be required within 12 months of the balance sheet date. Recent Accounting Standards In August 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2020-06, Debt — Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging — Contracts in Entity’s Own Equity (Subtopic 815-40) (“ASU 2020-06”) to simplify accounting for certain financial instruments. ASU 2020-06 eliminates the current models that require separation of beneficial conversion and cash conversion features from convertible instruments and simplifies the derivative scope exception guidance pertaining to equity classification of contracts in an entity’s own equity. The new standard also introduces additional disclosures for convertible debt and freestanding instruments that are indexed to and settled in an entity’s own equity ASU 2020-06 amends the diluted earnings per share guidance, including the requirement to use the if-converted method for all convertible instruments. ASU 2020-06 is effective January 1, 2022 and should be applied on a full or modified retrospective basis, with early adoption permitted beginning on January 1, 2021. The Company is currently assessing the impact, if any, that ASU 2020-06 would have on its financial position, results of operations or cash flows. Management does not believe that any other recently issued, but not yet effective, accounting standards, if currently adopted, would have a material effect on the Company’s financial statements. |
INITIAL PUBLIC OFFERING
INITIAL PUBLIC OFFERING | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp | |
INITIAL PUBLIC OFFERING | NOTE 3 — INITIAL PUBLIC OFFERING Pursuant to the Initial Public Offering, the Company sold 31,625,000 Units, which includes a full exercise by the underwriters of their over-allotment option in the amount of 4,125,000 Units, at a purchase price of $10.00 per Unit. Each Unit consists of one share of Class A common stock and one-third of one redeemable warrant (“Public Warrant”). Each whole Public Warrant entitles the holder to purchase one share of Class A common stock at a price of $11.50 per share, subject to adjustment (see Note 10). |
PRIVATE PLACEMENT
PRIVATE PLACEMENT | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp | |
PRIVATE PLACEMENT | NOTE 4 — PRIVATE PLACEMENT Simultaneously with the closing of the Initial Public Offering, the Sponsors have agreed to purchase an aggregate of 832,500 Private Placement Units at a price of $10.00 per Private Placement Unit, for an aggregate purchase price of $8,325,000, in a private placement. Each Private Placement Unit consists of one share of Class A common stock (“Private Placement Share” or, collectively, “Private Placement Shares”) and one-third of one warrant (each, a “Private Placement Warrant”). Each whole Private Placement Warrant is exercisable to purchase one share of Class A common stock at a price of $11.50 per share, subject to adjustment. A portion of the proceeds from the sale of the Private Placement Units were added to the proceeds from the Initial Public Offering to be held in the Trust Account. |
RELATED PARTY TRANSACTIONS
RELATED PARTY TRANSACTIONS | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Related Party Transaction [Line Items] | ||
RELATED PARTY TRANSACTIONS | Note 22: Related Parties Atrio Health Plans Chicago Pacific Founders (“CPF”), a principal equity holder of P3 LLC, has an equity investment in Atrio Health Plans (“Atrio”). The Company has a full-risk capitation agreement in place with Atrio whereby the Company is delegated to perform services on behalf of Atrio’s members assigned to the Company. These delegated services include but are not limited to provider network credentialing, patient authorizations, and medical management (care management, quality management and utilization management). The following tables summarize the Company’s transactions with Atrio: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Capitated revenue $ 158,941 $ 11,483 $ 142,905 Other patient service revenue $ 2,286 $ 181 $ 2,022 Medical expenses $ 178,300 $ 14,684 $ 146,216 December 31, 2022 2021 Health plan receivables $ 177 $ 4,696 Claims payable $ 27,838 $ 16,349 Health plan settlements payable $ 2,536 $ — Unsecured Promissory Note As described in Note 12, in December 2022, the Company issued an Unsecured Promissory Note to VGS, an entity managed by CPF and whose equity holders consist of two members of the Company’s Board of Directors and the Company’s Chief Executive Officer and Chief Medical Officer, among others. The following tables summarize the Company’s transactions with VGS: Year Ended December 31, 2022 Interest expense, net $ 105 December 31, 2022 Long-term debt, net $ 14,421 Accrued interest $ 105 Accrued expenses $ 225 | |
Foresight Acquisition Corp | ||
Related Party Transaction [Line Items] | ||
RELATED PARTY TRANSACTIONS | NOTE 5 — RELATED PARTY TRANSACTIONS Founder Shares In October 2020, the Sponsors purchased an aggregate of 7,906,250 shares (the “Founder Shares”) of the Company’s Class B common stock for an aggregate price of $25,000. The Founder Shares included an aggregate of up to 1,031,250 shares subject to forfeiture to the extent that the underwriters’ over-allotment option was not exercised in full or in part, so that the number of Founder Shares will equal 20% of the Company’s issued and outstanding shares after the Initial Public Offering (not including the Private Placement Shares). As a result of the underwriters’ election to fully exercise their over-allotment option, no Founder Shares are currently subject to forfeiture. The Sponsors have agreed, subject to limited exceptions, not to transfer, assign or sell any of the Founder Shares until the earlier to occur of: (A) one year after the completion of a Business Combination and (B) subsequent to a Business Combination, (x) if the last sale price of the Class A common stock equals or exceeds $12.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations and the like) for any 20 trading days within any 30-trading day period commencing at least 150 days after a Business Combination, or (y) the date on which the Company completes a liquidation, merger, capital stock exchange or other similar transaction that results in all of the Public Stockholders having the right to exchange their shares of common stock for cash, securities or other property. On October 4, 2021, all outstanding shares of Class B Common Stock were converted into shares of Class A Common Stock on a one Promissory Notes — Related Parties On October 22, 2020 and October 27, 2020, the Sponsors issued unsecured promissory notes to the Company (the “Promissory Notes”), pursuant to which the Company may borrow up to an aggregate principal amount of $300,000. The Promissory Notes are non-interest bearing and payable on the earlier of (i) March 31, 2021 or (ii) the consummation of the Initial Public Offering. The outstanding balance under the Promissory Notes of $275,000 as of December 31, 2020 was repaid at the closing of the Initial Public Offering on February 12, 2021. Borrowings under the Promissory Note are no longer available. On August 19, 2021, our Sponsor committed to provide us with an aggregate of $300,000 in loans. The loans, if issued, would have been non-interest bearing, unsecured and would be repaid upon the consummation of an initial business combination. If the Company had not consummated an initial business combination, all amounts loaned to the Company would have been forgiven except to the extent that the Company had funds available outside of the Trust Account to repay such loans. On October 27, 2021, the sponsor committed to provide up to an additional $600,000 in working capital loans as needed by the Company in order to finance transaction costs in connection with a Business Combination. The total commitment provided by the sponsor will total $900,000, none of which had been borrowed as of December 2, 2021. Advances from Related Party and Due to Sponsor As of December 2, 2021, the Sponsor advanced the Company an aggregate of $150,000 in working capital loans to pay for certain operating costs. The advances are non-interest bearing and are due on demand. Related Party Loans In order to fund working capital deficiencies or finance transaction costs in connection with a Business Combination, the Sponsor or an affiliate of the Sponsor, or certain of the Company’s officers and directors may, but are not obligated to, loan the Company funds as may be required (“Working Capital Loans”). If the Company completes a Business Combination, the Company may repay the Working Capital Loans out of the proceeds of the Trust Account released to the Company. Otherwise, the Working Capital Loans may be repaid only out of funds held outside the Trust Account. In the event that a Business Combination does not close, the Company may use a portion of proceeds held outside the Trust Account to repay the Working Capital Loans but no proceeds held in the Trust Account would be used to repay the Working Capital Loans. The Working Capital Loans would either be repaid upon consummation of a Business Combination, without interest, or, at the lender’s discretion, up to $1,500,000 of such Working Capital Loans may be convertible into units upon consummation of the Business Combination at a price of $10.00 per unit. The units would be identical to the Private Placement Units. Except for the foregoing, the terms of such Working Capital Loans, if any, have not been determined and no written agreements exist with respect to such loans. As of December 2, 2021 and December 31, 2020, there were no amounts outstanding under the Working Capital Loans . Administrative Services Agreement The Company agreed, commencing on February 9, 2021 through the earlier of the Company’s consummation of a Business Combination and its liquidation, to pay the Sponsor a total of up to $10,000 per month for office space, administrative and support services. For the year ended December 2, 2021, the Company incurred and paid $99,745 of such fees. As of December 2, 2021, $20,000 remained unpaid in the accrued expenses line item on the balance sheet. |
COMMITMENTS AND CONTINGENCIES_2
COMMITMENTS AND CONTINGENCIES | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp | |
COMMITMENTS AND CONTINGENCIES | NOTE 6 — COMMITMENTS AND CONTINGENCIES Registration Rights Pursuant to a registration rights agreement entered into on February 9, 2021, the holders of the Founder Shares, Private Placement Units (including securities contained therein) and units (including securities contained therein) that may be issued upon conversion of Working Capital Loans, and any shares of Class A common stock issuable upon the exercise of the Private Placement Warrants or upon the exercise of any warrants included within units issued upon conversion of Working Capital Loans will be entitled to registration rights to be signed prior to or on the effective date of the Initial Public Offering requiring the Company to register such securities for resale (in the case of the Founder Shares, only after conversion to shares of Class A common stock). The holders of these securities will be entitled to make up to three demands, excluding short form registration demands, that the Company register such securities. In addition, the holders have certain “piggy-back” registration rights with respect to registration statements filed subsequent to the completion of a Business Combination and rights to require the Company to register for resale such securities pursuant to Rule 415 under the Securities Act. Notwithstanding the foregoing, FA Co-Investment may not exercise its demand or “piggyback” registration rights after five and seven years, respectively, after the effective date of the registration statement of which this prospectus forms a part and may not exercise its demand rights on more than one occasion. The registration rights agreement does not contain liquidated damages or other cash settlement provisions resulting from delays in registering the Company’s securities. The Company will bear the expenses incurred in connection with the filing of any such registration statements. Business Combination Marketing Agreement The Company engaged the underwriters to act as advisors in connection with its Business Combination to assist the Company in holding meetings with its stockholders to discuss the potential Business Combination and the target business’s attributes, introduce the Company to potential investors that are interested in purchasing the Company’s securities in connection with the potential Business Combination, assist in obtaining stockholder approval for the Business Combination and assist with the Company’s press releases and public filings in connection with the Business Combination. The Company will pay the underwriters a fee for such services upon the consummation of its Business Combination in an amount equal to, in the aggregate, 3.5% of the gross proceeds of the Initial Public Offering, including any proceeds from the full or partial exercise of the over-allotment option. As a result of the Business Combination, Cowen & Company, will be paid $8,500,000 million in relation to the work they performed as described in the aforementioned Business Combination Marketing Agreement. |
CLASS A COMMON STOCK SUBJECT TO
CLASS A COMMON STOCK SUBJECT TO POSSIBLE REDEMPTION | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp | |
CLASS A COMMON STOCK SUBJECT TO POSSIBLE REDEMPTION | NOTE 7 — CLASS A COMMON STOCK SUBJECT TO POSSIBLE REDEMPTION Class A Common Stock issued outstanding Prior to the Company’s initial Business Combination, holders of Class B common stock will have the right to elect all of the Company’s directors and may remove members of the Company’s board of directors for any reason. On any other matter submitted to a vote of the Company’s stockholders, holders of Class A common stock and holders of Class B common stock will vote together as a single class, except as otherwise required by law. The shares of Class B common stock will automatically convert into Class A common stock at the time of a Business Combination, or earlier at the option of the holder, on a one-for-one basis, subject to adjustment. In the case that additional shares of Class A common stock, or equity-linked securities, are issued or deemed issued in excess of the amounts issued in the Initial Public Offering and related to the closing of a Business Combination, the ratio at which shares of Class B common stock shall convert into shares of Class A common stock will be adjusted (unless the holders of a majority of the outstanding shares of the Class B common stock agree to waive such anti-dilution adjustment with respect to any such issuance or deemed issuance) so that the number of shares of Class A common stock issuable upon conversion of all shares of Class B common stock will equal, in the aggregate, on an as-converted basis, 20% of the total number of all shares of common stock outstanding upon completion of the Initial Public Offering (not including the shares of Class A common stock underlying the Private Placement Units) plus all shares of Class A common stock and equity-linked securities issued or deemed issued in connection with a Business Combination (net of the number of shares of Class A common stock redeemed in connection with a Business Combination), excluding any shares or equity-linked securities issued, or to be issued, to any seller in a Business Combination. |
STOCKHOLDERS' EQUITY
STOCKHOLDERS' EQUITY | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp [Member] | |
STOCKHOLDERS' EQUITY | NOTE 8 — STOCKHOLDERS’ EQUITY Preferred Stock — Class A Common Stock — issued outstanding Class B Common Stock — |
INCOME TAX
INCOME TAX | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
INCOME TAX | Note 13: Income Taxes As a result of the Business Combinations, substantially all of the Company’s assets and operations are held and conducted by P3 LLC and its subsidiaries, and the Company’s only assets are equity interests in P3 LLC. P3 LLC is treated as a partnership for U.S. federal and most applicable state and local income tax jurisdictions. As a partnership, P3 LLC is generally not subject to U.S. federal, state, and local income taxes. Any taxable income or loss generated by P3 LLC is passed through to and included within the taxable income or loss of its members in accordance with the terms of the P3 LLC operating agreement. Prior to the Business Combinations, the income and losses of P3 LLC were passed through to its members and nontaxable to P3 LLC. The Company is taxed as a corporation and pays corporate federal, state, and local taxes on income allocated to it from P3 LLC based on the Company’s economic interest held in P3 LLC. While the Company consolidates P3 LLC for financial purposes as a VIE, the Company will not be taxed on the earnings attributed to the non-controlling interests. As a result, the income tax burden on the earnings taxed on the non-controlling interests is not reported by the Company in its consolidated financial statements. The components of loss before income taxes were as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Domestic $ (1,559,695) $ (57,938) $ (146,400) Foreign — — — Total $ (1,559,695) $ (57,938) $ (146,400) The components of income tax expense were as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Current income taxes: Federal $ 111 $ — $ — State 1,751 — — Total current income taxes $ 1,862 $ — $ — Deferred income taxes: Federal — — — State — — — Total deferred income taxes — — — Total income tax expense $ 1,862 $ — $ — A reconciliation of the statutory federal income tax to the Company’s provision for income taxes is as follows: Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Tax at federal statutory rate $ (327,536) $ (12,166) $ (30,744) Non-controlling interest and nontaxable income 260,020 8,359 30,744 Change in valuation allowance 33,961 2,832 — Investment in P3 LLC 35,147 1,550 — Other reconciling items 270 (575) — Total $ 1,862 $ — $ — Effective tax rate (0.1) % — % — % The Company’s tax rate is affected primarily by the recognition of a valuation allowance and the portion of income and expense allocated to the non-controlling interest. It is also affected by discrete items that may occur in any given year such as benefits from changes in the fair value of private placement and public warrants. Deferred Income Taxes Deferred income taxes result from differences in the recognition of amounts for tax and financial reporting purposes, as well as operating loss and tax credit carryforwards. Significant components of the Company’s deferred income tax assets and liabilities are as follows: December 31, 2022 2021 Deferred tax assets: Investment in P3 LLC $ 20,684 $ — Net operating loss carryforwards 17,601 6,922 Accrued liabilities 2,764 3,307 Goodwill and identifiable intangible assets 589 — Section 163j interest limitation 1,995 1,232 Other deferred tax assets 94 3 Total deferred tax assets 43,727 11,464 Less: valuation allowance (43,558) (9,621) Net deferred tax assets 169 1,843 Deferred tax liabilities: Other deferred tax liabilities (150) (87) Operating lease, right-of-use assets (19) — Goodwill and identifiable intangible assets — (1,756) Total deferred tax liabilities (169) (1,843) Net deferred tax asset $ — $ — The Company recognizes deferred tax assets to the extent it believes that these assets are more likely than not to be realized. The realization of tax benefits of net deferred tax assets is dependent upon future levels of taxable income, of an appropriate character, in the periods the items are expected to be deductible or taxable. Based on the available evidence as of December 31, 2022, the Company believes that it is more likely than not that the tax benefits of the U.S. losses incurred will not be realized. Accordingly, the Company has recorded a valuation allowance against the tax benefits of the U.S. losses incurred. The Company intends to maintain the valuation allowance on the U.S. net deferred tax assets until sufficient positive evidence exists to support a reversal of, or decrease in, the valuation allowance. The Company has recognized no deferred taxes in connection with the Medcore Acquisition. Because Medcore HP does not file a consolidated corporate income tax return with the Company, the deferred tax assets of Medcore HP are separately assessed for realizability. Based on the weight of all available evidence, including cumulative losses in recent years, the Company believes that it is more likely than not that the tax benefits of the deferred tax assets will not be realized. Accordingly, the Company has recorded a valuation allowance against the tax benefits of the acquired deferred tax assets. The Company has recognized no deferred taxes in connection with the Network VIEs. Because the Network VIEs do not file a consolidated corporate income tax return with the Company, the deferred tax assets are separately assessed for realizability. Based on the weight of all available evidence as of December 31, 2022, including cumulative losses in recent years, the Company believes that it is more likely than not that the tax benefits of the deferred tax assets will not be realized. Accordingly, the Company has recorded a valuation allowance against the tax benefits of the related deferred tax assets. The Company has not recognized a deferred tax liability in connection with its investment in P3 LLC due to the deferred tax liability recognition exception in circumstances where book goodwill exceeds tax-deductible of goodwill. As of December 31, 2022, the Company had net operating loss carryforwards of approximately $31.4 million for federal income tax purposes. Federal net operating losses have an unlimited carryforward period but utilization for a given tax year is limited to 80% of taxable income. The federal and state net operating loss carryforwards may be subject to limitations under Section 382 and Section 383 of the Internal Revenue Code of 1986 (the “Code”) and similar provisions under state law. The Tax Reform Act of 1986 contains provisions that limit the federal net operating loss carryforwards that may be used in any given year in the event of special occurrences, including significant ownership changes. The Company has yet to complete a Section 382 review to determine if its tax attributes will be limited in the future; however, the Company’s federal operating loss carryforwards have an unlimited carryforward life and therefore do not expire. The Company will file income tax returns in the U.S. federal jurisdiction and various state jurisdictions. Generally, federal and state tax authorities provide that the statutes of limitations remain open for three or four years from the tax year in which net operating losses or tax credits are utilized. On March 11, 2021, the American Rescue Plan Act of 2021 (“American Rescue Plan Act”) was passed into law and amended portions of relevant tax laws. The American Rescue Plan Act did not have a significant impact on the provision for income taxes for the year ended December 31, 2021. Tax Receivable Agreement In connection with the Business Combinations, the Company entered into a TRA that provides for the payment by the Company of 85% of the amount of any tax benefits that are realized, or in some cases are deemed to realize, as a result of (i) increases in the Company’s share of the tax basis in the net assets of P3 LLC resulting from any redemptions or exchanges of P3 LLC, (ii) tax basis increases attributable to payments made under the TRA, and (iii) deductions attributable to imputed interest pursuant to the TRA (the “TRA Payments”). The Company expects to benefit from the remaining 15% of any tax benefits that are realized. Pursuant to the Company’s election under Section 754 of the Code, the Company expects to obtain an increase in its share of the tax basis in the net assets of P3 LLC when Common Units are redeemed or exchanged. The Company intends to treat any redemptions and exchanges of Common Units as direct purchases of the units for U.S. federal income tax purposes. These increases in tax basis may reduce the amounts that the Company would otherwise pay in the future to various tax authorities. They may also decrease gains (or increase losses) on future dispositions of certain capital assets to the extent the tax basis is allocated to those capital assets. The estimation of liability under the TRA is, by its nature, imprecise and subject to significant assumptions regarding a number of factors, including the timing and amount of taxable income generated by the Company each year, as well as the tax rate then applicable, among other factors. Actual tax benefits realized by the Company may differ from tax benefits calculated under the TRA as a result of the use of certain assumptions in the TRA, including the use of an assumed weighted-average state and local income tax rate to calculate tax benefits. The payment obligation under the TRA is an obligation of the Company and not of P3 LLC. The payments that the Company will be required to make will generally reduce the amount of the overall cash flow that might have otherwise been available, but the Company expects the cash tax savings realized from the utilization of the related tax benefits will exceed the amount of any required payments. As of December 31, 2022 and 2021, the TRA liability is estimated to be $4.6 million; however, due to the full valuation allowance recorded by the Company, which results in no tax benefits that are to be realized related to the amortization of the step-up, the Company determined that payments to TRA holders are not probable and no TRA liability has been recorded as of December 31, 2022 and 2021. As non-controlling interest holders exercise their right to exchange their Common Units, a TRA liability may be recorded based on 85% of the estimated future tax benefits that the Company may realize as a result of increases in its tax basis of P3 LLC. The amount of the increase in the tax basis, the related estimated tax benefits, and the related TRA liability to be recorded will depend on the price of a share of the Company’s Class A common stock at the time of the relevant redemption or exchange. | |
Foresight Acquisition Corp | ||
INCOME TAX | NOTE 9 — INCOME TAX The Company’s net deferred tax assets at December 2, 2021 and 2020 is as follows: December 2, December 31, 2021 2020 Deferred tax assets Net operating loss carryforward $ 38,800 $ 480 Startup/Organization Expenses 4,728,629 — Total deferred tax assets, net 4,767,429 480 Valuation Allowance (4,767,429) (480) Deferred tax assets, net of valuation allowance $ — $ — The income tax provision (benefit) for the period from January 1, 2021 through December 2, 2021 and for the period from August 20, 2020 (inception) through December 31, 2020 consists of the following: For the period from For the period from January 1, 2021 through August 20, 2020 (inception) December 2, through December 31, 2021 2020 Federal Current $ — $ — Deferred benefit (4,773,438) (480) State and Local Current — — Deferred — — Change in valuation allowance 4,773,438 480 Income tax provision $ — $ — As of December 2, 2021 and December 31, 2020, the Company had $182,476 and $2,286 of U.S. federal net operating loss carryovers available to offset future taxable income. These net operating loss carryovers do not expire and may offset up to 80% of taxable income in any given year. In assessing the realization of the deferred tax assets, management considers whether it is more likely than not that some portion of all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which temporary differences representing net future deductible amounts become deductible. Management considers the scheduled reversal of deferred tax liabilities, projected future taxable income and tax planning strategies in making this assessment. After consideration of all of the information available, management believes that significant uncertainty exists with respect to future realization of the deferred tax assets and has therefore established a full valuation allowance. For the period from January 1, 2021 through December 2, 2021 and for the period from August 20, 2020 (inception) through December 31, 2020, the change in the valuation allowance was $4,773,438 and $480, respectively. On March 27, 2020, the CARES Act was enacted in response to COVID-19 pandemic. Under ASC 740, the effects of changes in tax rates and laws are recognized in the period which the new legislation is enacted. The CARES Act made various tax law changes including among other things (i) increasing the limitation under Section 163(j) of the Internal Revenue Code of 1986, as amended (the “IRC”) for 2019 and 2020 to permit additional expensing of interest (ii) enacting a technical correction so that qualified improvement property can be immediately expensed under IRC Section 168(k), (iii) making modifications to the federal net operating loss rules including permitting federal net operating losses incurred in 2018, 2019, and 2020 to be carried back to the five preceding taxable years in order to generate a refund of previously paid income taxes and (iv) enhancing the recoverability of alternative minimum tax credits. Given the Company’s full valuation allowance position and capitalization of all costs, the CARES Act did not have an impact on the financial statements. A reconciliation of the federal statutory income tax rate to the Company’s effective tax rate at December 31, 2021 and 2020 is as follows: December 2, December 31, 2021 2020 Statutory federal income tax rate 21.00 % 21.00 % State taxes, net of federal tax benefit 0.00 % 0.00 % Change in fair value of warrant liabilities (1.76) % 0.00 % Transaction costs incurred in connection with IPO 0.00 % 0.00 % Fair value of warrant liability in excess of proceeds from Private Placement 0.00 % 0.00 % Change in valuation allowance (19.24) % (21.00) % Income tax provision 0.00 % 0.00 % The Company files income tax returns in the U.S. federal jurisdiction. The Company’s tax returns since inception remain open to examination by the taxing authorities. |
WARRANT LIABILITIES
WARRANT LIABILITIES | 11 Months Ended |
Dec. 02, 2021 | |
Foresight Acquisition Corp | |
WARRANT LIABILITIES | NOTE 10 — WARRANT LIABILITIES Public Warrants may only be exercised for a whole number of shares. No fractional warrants will be issued upon separation of the Units and only whole warrants will trade. The Public Warrants will become exercisable on the later of (a) 30 days after the completion of a Business Combination and (b) 12 months from the closing of the Initial Public Offering. The Public Warrants will expire five years after the completion of a Business Combination or earlier upon redemption or liquidation. The Company will not be obligated to deliver any shares of Class A common stock pursuant to the exercise of a warrant and will have no obligation to settle such warrant exercise unless a registration statement under the Securities Act with respect to the Class A common stock underlying the warrants is then effective and a current prospectus relating thereto is current, subject to the Company satisfying its obligations with respect to registration. No warrant will be exercisable, and the Company will not be obligated to issue shares of Class A common stock upon exercise of a warrant unless the shares of Class A common stock issuable upon such warrant exercise has been registered, qualified or deemed to be exempt under the securities laws of the state of residence of the registered holder of the warrants. The Company has agreed that as soon as practicable, but in no event later than 20 business days after the closing a Business Combination, the Company will use its commercially reasonable efforts to file with the SEC, and within 60 business days following a Business Combination to have declared effective, a registration statement covering the issuance of the shares of Class A common stock issuable upon exercise of the warrants and to maintain a current prospectus relating to those shares of Class A common stock until the warrants expire or are redeemed. Notwithstanding the above, if the Class A common stock is at the time of any exercise of a warrant not listed on a national securities exchange such that it satisfies the definition of a “covered security” under Section 18(b)(1) of the Securities Act, the Company may, at its option, require holders of Public Warrants who exercise their warrants to do so on a “cashless basis” in accordance with Section 3(a)(9) of the Securities Act and, in the event the Company so elect, the Company will not be required to file or maintain in effect a registration statement, but will use its commercially reasonable efforts to register or qualify the shares under applicable blue sky laws to the extent an exemption is not available. Redemption of warrants when the price per Class A ordinary share equals or exceeds $18.00 . ● in whole and not in part; ● at a price of $0.01 per warrant; ● upon a minimum of 30 days’ prior written notice of redemption (the “30-day redemption period”) to each warrant holder; and ● if, and only if, the last reported sale price of the Class A common stock equals or exceeds $18.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations and the like) for any 20 trading days within a 30 - trading day period ending on the third trading day prior to the date on which the Company sends the notice of redemption to the warrant holders. If and when the warrants become redeemable by the Company, the Company may exercise its redemption right even if it is unable to register or qualify the underlying securities for sale under all applicable state securities laws. Redemption of warrants when the price per Class A ordinary share equals or exceeds $10.00 ● in whole and not in part; ● at a price of $0.10 per warrant provided that holders will be able to exercise their warrants prior to redemption and receive that number of shares of Class A common stock determined based on the redemption date and the fair market value of the Class A common stock; ● upon a minimum of 30 days’ prior written notice of redemption; ● if, and only if, the last reported sale price of our Class A common stock equals or exceeds $10.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations and the like) on the trading day prior to the date on which the Company sends the notice of redemption to the warrant holders; and ● if, and only if, there is an effective registration statement covering the issuance of the shares of Class A common stock issuable upon exercise of the warrants and a current prospectus relating thereto available throughout the 30 - day period after written notice of redemption is given. If the Company calls the Public Warrants for redemption, as described above, its management will have the option to require any holder that wishes to exercise the Public Warrants to do so on a “cashless basis,” as described in the warrant agreement. The exercise price and number of ordinary shares issuable upon exercise of the Public Warrants may be adjusted in certain circumstances including in the event of a share dividend, extraordinary dividend or recapitalization, reorganization, merger, or consolidation. However, except as described below, the Public Warrants will not be adjusted for issuances of ordinary shares at a price below its exercise price. Additionally, in no event will the Company be required to net cash settle the Public Warrants. If the Company is unable to complete a Business Combination within the Combination Period and the Company liquidates the funds held in the Trust Account, holders of Public Warrants will not receive any of such funds with respect to their Public Warrants, nor will they receive any distribution from the Company’s assets held outside of the Trust Account with respect to such Public Warrants. Accordingly, the Public Warrants may expire worthless. In addition, if (x) the Company issues additional shares of Class A common stock or equity-linked securities for capital raising purposes in connection with the closing of a Business Combination at an issue price or effective issue price of less than $9.20 per share of Class A common stock (with such issue price or effective issue price to be determined in good faith by the Company’s board of directors, and, in the case of any such issuance to the Sponsor or its affiliates, without taking into account any Founder Shares held by the Sponsor or its affiliates, as applicable, prior to such issuance) (the “Newly Issued Price”), (y) the aggregate gross proceeds from such issuances represent more than 60% of the total equity proceeds, and interest thereon, available for the funding of a Business Combination on the date of the completion of a Business Combination (net of redemptions), and (z) the volume weighted average trading price of the Company’s Class A common stock during the 20 trading day period starting on the trading day after the day on which the Company completes a Business Combination (such price, the “Market Value”) is below $9.20 per share, the exercise price of the warrants will be adjusted (to the nearest cent) to be equal to 115% of the greater of the Market Value and the Newly Issued Price, and the $18.00 per share redemption trigger price will be adjusted (to the nearest cent) to be equal to 180% of the greater of the Market Value and the Newly Issued Price. The Private Placement Warrants are identical to the Public Warrants underlying the Units sold in the Initial Public Offering, except that the Private Placement Warrants and the Class A ordinary shares issuable upon the exercise of the Private Placement Warrants will not be transferable, assignable or saleable after the completion of a Business Combination, subject to certain limited exceptions. Additionally, the Private Placement Warrants will be exercisable on a cashless basis and be non-redeemable, so long as they are held by the initial purchasers or their permitted transferees. If the Private Placement Warrants are held by someone other than the initial purchasers or their permitted transferees, the Private Placement Warrants will be redeemable by the Company and exercisable by such holders on the same basis as the Public Warrants. |
FAIR VALUE MEASUREMENTS
FAIR VALUE MEASUREMENTS | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
FAIR VALUE MEASUREMENTS | Note 6: Fair Value Measurements and Hierarchy Information about the Company’s financial liabilities measured at fair value on a recurring basis is presented below: December 31, 2022 Carrying Value Level 1 Level 2 Level 3 Financial liabilities: Liability for private placement warrants $ 40 $ — $ — $ 40 Liability for public warrants $ 1,477 $ 1,477 $ — $ — December 31, 2021 Carrying Value Level 1 Level 2 Level 3 Financial liabilities: Liability for private placement warrants $ 502 $ — $ — $ 502 Liability for public warrants $ 10,881 $ 10,881 $ — $ — The key Level 3 inputs into the option pricing model related to the private placement warrants to purchase Class A common stock were as follows: December 31, 2022 2021 Volatility 55 % 60 % Risk-free interest rate 4.11 % 1.26 % Exercise price $ 11.50 $ 11.50 Expected term 3.9 Years 4.9 Years Generally, an increase in the market price of the Company’s shares of common stock, an increase in the volatility of the Company’s shares of common stock, and an increase in the remaining term of the warrants would each result in a directionally similar change in the estimated fair value of the Company’s warrant liabilities. Such changes would increase the associated liability while decreases in these assumptions would decrease the associated liability. An increase in the risk-free interest rate would result in a decrease in the estimated fair value measurement and thus a decrease in the associated liability. The Company has not, and does not plan to, declare dividends on its common stock and, as such, there is no change in the estimated fair value of the warrant liabilities due to the dividend assumption. The following table sets forth a summary of changes in the fair value of the Company’s private placement warrants, which are considered to be Level 3 fair value measurements: Successor Predecessor Year December 3, 2021 Ended through December December 31, January 1, 2021 31, 2022 2021 through (Private (Private December 2, 2021 Placement Placement (Class D Warrants) Warrants) Warrants) Beginning balance $ 502 $ 793 $ 6,316 Mark-to-market adjustment of stock warrants (462) (291) 7,665 Ending balance $ 40 $ 502 $ 13,981 The Company recorded gains on the changes in the fair value of public warrants of $9.4 million and $2.3 million during the year ended December 31, 2022 and the Successor Period of 2021, respectively. | |
Foresight Acquisition Corp | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
FAIR VALUE MEASUREMENTS | NOTE 11 — FAIR VALUE MEASUREMENTS The Company follows the guidance in ASC 820 for its financial assets and liabilities that arere-measured and reported at fair value at each reporting period, and non-financial assets and liabilities that are re-measured and reported at fair value at least annually. The fair value of the Company’s financial assets and liabilities reflects management’s estimate of amounts that the Company would have received in connection with the sale of the assets or paid in connection with the transfer of the liabilities in an orderly transaction between market participants at the measurement date. In connection with measuring the fair value of its assets and liabilities, the Company seeks to maximize the use of observable inputs (market data obtained from independent sources) and to minimize the use of unobservable inputs (internal assumptions about how market participants would price assets and liabilities). The following fair value hierarchy is used to classify assets and liabilities based on the observable inputs and unobservable inputs used in order to value the assets and liabilities: Level 1: Quoted prices in active markets for identical assets or liabilities. An active market for an asset or liability is a market in which transactions for the asset or liability occur with sufficient frequency and volume to provide pricing information on an ongoing basis. Level 2: Observable inputs other than Level 1 inputs. Examples of Level 2 inputs include quoted prices in active markets for similar assets or liabilities and quoted prices for identical assets or liabilities in markets that are not active. Level 3: Unobservable inputs based on our assessment of the assumptions that market participants would use in pricing the asset or liability. The following table presents information about the Company’s assets and liabilities that are measured at fair value on a recurring basis at December 2, 2021 and indicates the fair value hierarchy of the valuation inputs the Company utilized to determine such fair value. December 2, Description Level 2021 Liabilities: Warrant Liability – Public Warrants 1 12,860,834 Warrant Liability – Private Placement Warrants 3 288,925 Warrant Liability – Underwriter Warrants 3 63,500 The Warrants were accounted for as liabilities in accordance with ASC 815-40 and are presented within warrant liabilities on the balance sheet. The warrant liabilities are measured at fair value at inception and remeasured on a recurring basis, with changes in fair value presented within change in fair value of warrant liabilities in the statements of operations. Measurement The Company utilizes a Cox-Ross-Rubenstein lattice model to value the warrants at each reporting period, with changes in fair value recognized in the statements of operations. The estimated fair value of the warrant liability is determined using Level 3 inputs. Inherent in a binomial lattice model are assumptions related to expected share-price volatility, expected life, risk-free interest rate and dividend yield. The Company estimates the volatility of its ordinary shares based on historical volatility that matches the expected remaining life of the warrants. The risk-free interest rate is based on the U.S. Treasury zero-coupon yield curve on the grant date for a maturity similar to the expected remaining life of the warrants. The expected life of the warrants is assumed to be equivalent to their remaining contractual term. The dividend rate is based on the historical rate, which the Company anticipates to remain at zero. The Warrants are measured at fair value on a recurring basis. The subsequent measurement of the Public Warrants as of December 3, 2021 is classified as Level 1 due to the use of an observable market quote in an active market. The key inputs into the binomial lattice simulation model for the Private Placement Warrants and Public Warrants were as follows at initial measurement and December 3, 2021 (Private Placement Warrants only): February 12, 2021 (Initial Measurement) December 3, 2021 Risk-free interest rate 0.56 % 1.13 % Trading days per year 252 252 Expected volatility 17.8 % 21.0 % Exercise price $ 11.50 $ 11.50 Stock Price $ 9.65 $ 9.48 On February 12, 2021, the fair value of the Private Placement Warrants and Public Warrants were determined to be $1.05 and $1.03 per warrant for aggregate values of $0.2 million and $10.8 million, respectively. On December 2, 2021, the fair value of the Private Placement Warrants and Public Warrants were determined to be $1.22 and $1.27 per warrant for aggregate values of $0.3 million and $12.8 million, respectively. The following table presents the changes in the fair value of warrant liabilities: Private Warrant Placement Public Liabilities Fair value as of January 1, 2021 $ — $ — $ — Initial measurement on February 12, 2021 (including over-allotment) 280,875 10,857,917 11,138,792 Change in valuation inputs or other assumptions $ 71,550 $ 2,002,917 $ 2,074,467 Fair value as of December 2, 2021 $ 352,425 $ 12,860,834 $ 13,213,259 Due to the use of quoted prices in an active market (Level 1) to measure the fair value of the Public Warrants, subsequent to initial measurement, the Company had transfers out of Level 3 totaling $12,860,834 during the period from February 12, 2021 through December 2, 2021. |
SUBSEQUENT EVENTS_2
SUBSEQUENT EVENTS | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Subsequent Event [Line Items] | ||
SUBSEQUENT EVENTS | Note 25: Subsequent Events Between January and March 2023, the Company borrowed a total of $12.9 million under the Unsecured Promissory Note. On March 30, 2023, the Company entered into a Securities Purchase Agreement with the purchasers named therein (the “Purchasers”), certain of which are related parties, pursuant to which the Company will issue approximately 79.9 million units at a price of approximately $1.12 per unit for institutional investors, and a purchase price of approximately $1.19 per unit for employees and consultants. Each unit consists of one share of Class A common stock and 0.75 of a warrant to purchase one share of Class A common stock at an exercise price of $1.13. Certain institutional investors have elected to receive pre-funded warrants to purchase Class A common stock in lieu of a portion of their Class A common stock. In total, the Company agreed to sell (i) an aggregate of approximately 69.2 million shares of its Class A common stock, (ii) warrants to purchase an aggregate of approximately 59.9 million shares of Class A common stock, and (iii) pre-funded warrants to purchase an aggregate of approximately 10.8 million shares of Class A common stock, to the Purchasers for aggregate gross proceeds of approximately $89.5 million (collectively, the “Private Placement”). The Private Placement is subject to certain conditions and is expected to close on April 6, 2023. | |
Foresight Acquisition Corp | ||
Subsequent Event [Line Items] | ||
SUBSEQUENT EVENTS | NOTE 12 — SUBSEQUENT EVENTS The Company evaluated subsequent events and transactions that occurred after the balance sheet date up to the date that the financial statements were issued. The Company did not identify any subsequent events that would have required adjustment or disclosure in the financial statements other than as follows: On December 3, 2021, the Company consummated the previously announced business combinations pursuant to (1) the agreement and plan of merger, dated as of May 25, 2021, by and among P3 Health Group Holdings, and FAC Merger Sub LLC, and (2) the transaction and combination agreement, dated as of May 25, 2021, by and among Foresight and the Merger Corps, CPF P3 Blocker-A, LLC, , CPF P3 Blocker-B, LLC, , CPF P3 Splitter, LLC, , Chicago Pacific Founders Fund-A, L.P, and Chicago Pacific Founders Fund-B, L.P., , pursuant to which, among other things, P3 Health Group Holdings merged with and into Merger Sub, with Merger Sub as the surviving company, which was renamed P3 Health Group, LLC, and the Merger Corps merged with and into the Blockers, with the Blockers as the surviving entities and wholly-owned subsidiaries of the Company. Upon completion of the Business Combinations, the Company and P3 LLC were organized in an “Up-C” structure in which all of the P3 LLC operating subsidiaries are held directly or indirectly by P3 LLC, and the Company directly owned approximately 17.1% of P3 LLC and became the sole manager of P3 LLC. Following the Closing, substantially all of the Company’s assets and operations are held and conducted by P3 LLC and its subsidiaries, and the Company’s only assets are equity interests in P3 LLC. In connection with the Closing, the Company changed its name from “Foresight Acquisition Corp.” to “P3 Health Partners Inc.” |
SUMMARY OF SIGNIFICANT ACCOUN_2
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies) | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Basis of Presentation | Basis of Presentation and Principles of Consolidation The accompanying consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) and include the accounts of the Company. All intercompany accounts and transactions have been eliminated. The Company periodically evaluates entities for consolidation either through ownership of a majority voting interest, or through means other than voting interest, in accordance with the Variable Interest Entity (“VIE”) accounting model. This evaluation includes a qualitative review of the design of the entity, its organizational structure, including decision making ability and financial agreements, as well as a quantitative review. The Company consolidates a VIE when it has a variable interest that provides it with a controlling financial interest in the VIE, referred to as the primary beneficiary of the VIE. See Note 23 “Variable Interest Entities.” As the sole managing manager of P3 LLC, P3 has the right to direct the most significant activities of P3 LLC and the obligation to absorb losses and receive benefits. The rights of the non-managing members of P3 LLC are limited and protective in nature and do not give substantive participation rights over the sole managing member. Accordingly, P3 identifies itself as the primary beneficiary of P3 LLC and began consolidating P3 LLC as of the Closing Date resulting in a noncontrolling interest related to the Common Units held by members other than P3. Additionally, as more fully described in Note 23 “Variable Interest Entities,” P3 LLC is the primary beneficiary of the following physician practices (collectively, the “Network”): ● Kahan, Wakefield, Abdou, PLLC ● Bacchus, Wakefield, Kahan, PC ● P3 Health Partners Professional Services, P.C. ● P3 Medical Group, P.C. ● P3 Health Partners California, P.C. (f/k/a Omni IPA Medical Group, Inc.) As a result of the Business Combinations, P3 LLC has been determined to be the predecessor for accounting purposes and, accordingly, the consolidated financial statements and notes to consolidated financial statements of P3 LLC are presented herein as “Predecessor” for the period prior to the Closing Date (the “Predecessor Period”) and the consolidated financial statements and notes to consolidated financial statements of the Company are presented herein as “Successor” for the period after the Closing Date (the “Successor Period”), which include the consolidated operations of P3 LLC. The accompanying consolidated financial statements include a black line division that indicates that the Predecessor and Successor reporting entities shown are presented on a different basis and are, therefore, not comparable. | |
Use of Estimates | Management’s Use of Estimates Preparation of these consolidated financial statements and accompanying footnotes, in conformity with GAAP, requires management to make estimates and assumptions that could affect amounts reported here. Management bases its estimates on the best information available at the time, its experiences and various other assumptions believed to be reasonable under the circumstances, including estimates of the impact of COVID-19. See Note 21 “Commitments and Contingencies” for further discussion on the impact of COVID-19. The areas where significant estimates are used in these accompanying consolidated financial statements include revenue recognition, the liability for unpaid claims, equity-based compensation, premium deficiency reserves, fair value and impairment recognition of long-lived assets (including intangible assets and goodwill), fair value of acquired assets and liabilities in business combinations, fair value of liability classified instruments, and judgments related to deferred income taxes. Actual results could differ from those estimates. | |
Warrant Liabilities | Warrant Liability The Company has public and private placement warrants of Class A common stock classified as liabilities as well as warrants of Class A common stock issued to a lender classified as equity. The Company classifies as equity any equity-linked contracts that (1) require physical settlement or net-share settlement or (2) give the Company a choice of net-cash settlement or settlement in the Company’s own shares (physical settlement or net-share settlement). Warrants classified as equity are initially measured at fair value. Subsequent changes in fair value are not recognized as long as the warrants continue to be classified as equity. The Company classifies as assets or liabilities any equity-linked contracts that (1) require net-cash settlement (including a requirement to net-cash settle the contract if an event occurs and if that event is outside the Company’s control) or (2) give the counterparty a choice of net-cash settlement or settlement in shares (physical settlement or net-share settlement). For equity-linked contracts that are classified as liabilities, the Company records the fair value of the equity-linked contracts at each balance sheet date and records the change in the statements of operations as a gain (loss) from change in fair value of warrant liability. The Company’s public warrant liability is valued using observable market prices for those public warrants. The Company’s private placement warrants are valued using a binomial lattice pricing model when the warrants are subject to the make-whole table, or otherwise are valued using a Black-Scholes pricing model. The Company’s warrants issued to a capital provider are valued using a Black-Scholes-Merton pricing model based on observable market prices for public shares and warrants. The assumptions used in preparing these models include estimates such as volatility, contractual terms, discount rates, dividend yield, expiration dates and risk-free rates. The Company accounts for warrants as either equity-classified or liability-classified instruments based on an assessment of the warrant’s specific terms. The assessment considers whether the warrants are freestanding financial instruments, meet the definition of a liability, and whether the warrants meet all of the requirements for equity classification, including whether the warrants are indexed to the Company’s own ordinary shares, among other conditions for equity classification. This assessment, which requires the use of professional judgment, is conducted at the time of warrant issuance and as of each subsequent quarterly period end date while the warrants are outstanding. | |
Income Taxes | Income Taxes The Company uses the asset and liability method of accounting for income taxes. Under this method, deferred tax assets and liabilities are determined based on the differences between the financial reporting and the tax bases of assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. Deferred tax assets are evaluated for future realization and reduced by a valuation allowance to the extent the Company believes it is more likely than not that they will not be realized. The Company considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, carryback potential if permitted under tax law, and results of recent operations. The Company records uncertain tax positions on the basis of a two-step process in which (1) the Company determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Company recognizes the largest amount of tax benefit that is more than 50% likely to be realized upon ultimate settlement with the related tax authority. The Company considers many factors when evaluating its uncertain tax positions during the course of the year through a review of policies and procedures, reviews of customary and regular tax filings, and discussions with third party experts. This review can involve significant judgment and may require periodic adjustments. The resolution of these uncertain tax positions in a manner inconsistent with management’s expectations could have a material impact on the Company’s consolidated financial statements. The Company recognizes interest and penalties related to uncertain tax positions as a component of its provision for income taxes. Accrued interest and penalties are included with the related tax liability. See Note 13 “Income Taxes” for further information. | |
Net Loss per Common Share | Loss per Share Basic net loss per share attributable to common stockholders is computed by dividing the net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during the period. Diluted earnings per share attributable to common stockholders adjusts basic earnings per share for the potentially dilutive impact of public warrants, private placement warrants, stock options, and Common Units convertible into shares of Class A common stock during the period by applying the treasury stock method or if-converted method, as applicable. Net loss per member unit has not been presented for Predecessor Period as the Company’s management determined it would not be meaningful to the users of these consolidated financial statements. | |
Fair Value Measurements | Fair Value Measurements The Company uses valuation approaches that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible. The Company determines fair value based on assumptions that market participants would use in pricing an asset or liability in the principal or most advantageous market. When considering market participant assumptions in fair value measurements, the following fair value hierarchy distinguishes between observable and unobservable inputs, which are categorized in one of the following levels (see Note 6 “Fair Value Measurements and Hierarchy” for further discussion): Level 1 inputs: Unadjusted quoted prices in active markets for identical assets or liabilities accessible to the reporting entity at the measurement date. Level 2 inputs: Other than quoted prices included in Level 1 inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the asset or liability. Level 3 inputs: Unobservable inputs for the asset or liability used to measure fair value to the extent that observable inputs are not available, thereby allowing for situations in which there is little, if any, market activity for the asset or liability at measurement date. | |
Foresight Acquisition Corp [Member] | ||
Basis of Presentation | Basis of Presentation The accompanying financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) and pursuant to the rules and regulations of the SEC. | |
Emerging Growth Company | Emerging Growth Company The Company is an “emerging growth company,” as defined in Section 2(a) of the Securities Act, as modified by the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”), and it may take advantage of certain exemptions from various reporting requirements that are applicable to other public companies that are not emerging growth companies including, but not limited to, not being required to comply with the independent registered public accounting firm attestation requirements of Section 404 of the Sarbanes-Oxley Act of 2002, reduced disclosure obligations regarding executive compensation in its periodic reports and proxy statements, and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved. Further, Section 102(b)(1) of the JOBS Act exempts emerging growth companies from being required to comply with new or revised financial accounting standards until private companies (that is, those that have not had a Securities Act registration statement declared effective or do not have a class of securities registered under the Exchange Act) are required to comply with the new or revised financial accounting standards. The JOBS Act provides that a company can elect to opt out of the extended transition period and comply with the requirements that apply to non-emerging growth companies but any such election to opt out is irrevocable. The Company has elected not to opt out of such extended transition period which means that when a standard is issued or revised and it has different application dates for public or private companies, the Company, as an emerging growth company, can adopt the new or revised standard at the time private companies adopt the new or revised standard. This may make comparison of the Company’s financial statements with another public company which is neither an emerging growth company nor an emerging growth company which has opted out of using the extended transition period difficult or impossible because of the potential differences in accounting standards used. | |
Use of Estimates | Use of Estimates The preparation of financial statements in conformity with GAAP requires the Company’s management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting period. Making estimates requires management to exercise significant judgment. It is at least reasonably possible that the estimate of the effect of a condition, situation or set of circumstances that existed at the date of the financial statements, which management considered in formulating its estimate, could change in the near term due to one or more future confirming events. One of the more significant accounting estimates included in these financial statements is the determination of the fair value of the private warrant liabilities. Such estimates may be subject to change as more current information becomes available and accordingly the actual results could differ significantly from those estimates. | |
Cash and Cash Equivalents | Cash and Cash Equivalents The Company considers all short-term investments with an original maturity of three months or less when purchased to be cash equivalents. The Company did not have any cash equivalents as of December 2, 2021 and December 31, 2020. | |
Cash Held in Trust Account | Cash Held in Trust Account At December 2, 2021, substantially all of the assets held in the Trust Account were held cash. | |
Class A Common Stock Subject to Possible Redemption | Class A Common Stock Subject to Possible Redemption The Company accounts for its Class A common stock subject to possible redemption in accordance with the guidance in Accounting Standards Codification (“ASC”) Topic 480 “Distinguishing Liabilities from Equity.” Shares of Class A common stock subject to mandatory redemption is classified as a liability instrument and is measured at fair value. Conditionally redeemable common stock (including common stock that features redemption rights that is either within the control of the holder or subject to redemption upon the occurrence of uncertain events not solely within the Company’s control) is classified as temporary equity. At all other times, common stock is classified as stockholders’ equity. The Company’s Class A common stock features certain redemption rights that are considered to be outside of the Company’s control and subject to occurrence of uncertain future events. Accordingly, at December 2, 2021 and December 31, 2020, Class A common stock subject to possible redemption is presented at redemption value as temporary equity, outside of the stockholders’ equity section of the Company’s balance sheets. The Company recognizes changes in redemption value immediately as they occur and adjusts the carrying value of redeemable common stock to equal the redemption value at the end of each reporting period. Increases or decreases in the carrying amount of redeemable common stock are affected by charges against additional paid in capital and accumulated deficit. | |
Warrant Liabilities | Warrant Liabilities The Company accounts for warrants as either equity-classified or liability-classified instruments based on an assessment of the warrant’s specific terms and applicable authoritative guidance in Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity (“ASC 480”) and ASC 815, Derivatives and Hedging (“ASC 815”). The assessment considers whether the warrants are freestanding financial instruments pursuant to ASC 480, meet the definition of a liability pursuant to ASC 480, and whether the warrants meet all of the requirements for equity classification under ASC 815, including whether the warrants are indexed to the Company’s own ordinary shares, among other conditions for equity classification. This assessment, which requires the use of professional judgment, is conducted at the time of warrant issuance and as of each subsequent quarterly period end date while the warrants are outstanding. For issued or modified warrants that meet all of the criteria for equity classification, the warrants are required to be recorded as a component of additional paid-in capital at the time of issuance. For issued or modified warrants that do not meet all the criteria for equity classification, the warrants are required to be recorded at their initial fair value on the date of issuance, and each balance sheet date thereafter. Changes in the estimated fair value of the warrants are recognized as a non-cash gain or loss on the statements of operations. The fair value of the private warrants was estimated using a binomial lattice simulation approach (see Note 11). | |
Income Taxes | Income Taxes The Company follows the asset and liability method of accounting for income taxes under ASC 740, “Income Taxes.” Deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that included the enactment date. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount expected to be realized. ASC 740 prescribes a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more likely than not to be sustained upon examination by taxing authorities. The Company recognizes accrued interest and penalties related to unrecognized tax benefits as income tax expense. There were no unrecognized tax benefits and no amounts accrued for interest and penalties as of December 2, 2021 and December 31, 2020. The Company is currently not aware of any issues under review that could result in significant payments, accruals or material deviation from its position. The Company is subject to income tax examinations by major taxing authorities since inception The effective tax rate differs from the statutory tax rate of 21% for the year ended December 2, 2021 due to the valuation allowance recorded on the Company’s net operating losses and permanent differences. | |
Net Loss per Common Share | Net Loss Per Common Share The Company complies with accounting and disclosure requirements of FASB ASC Topic 260, “Earnings Per Share.” Net loss per common share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. The Company applies the two-class method in calculating earnings per share. The Company has not considered the effect of the warrants sold in the Initial Public Offering and private placement to purchase an aggregate of 10,819,167 shares in the calculation of diluted loss per share, since the exercise of the warrants are contingent upon the occurrence of future events and the inclusion of such warrants would be anti-dilutive. The following table reflects the calculation of basic and diluted net loss per common share (in dollars, except per share amounts): For the Period from For the Period from January 1, August 20, 2020 (Inception) 2021 through through December 2, 2021 December 31, 2020 Class A Class B Class A Class B Basic and diluted net loss per common stock Numerator: Allocation of net loss, as adjusted $ (24,805,124) $ — $ — $ (2,286) Denominator: Basic and diluted weighted average stock outstanding 29,692,013 — — 6,875,000 Basic and diluted net loss per common stock $ (0.84) $ — $ — $ (0.00) | |
Concentration of Credit Risk | Concentration of Credit Risk Financial instruments that potentially subject the Company to concentrations of credit risk consist of a cash account in a financial institution, which, at times, may exceed the Federal Depository Insurance Coverage of $250,000. The Company had not experienced losses on this account and management believes the Company is not exposed to significant risks on such account. | |
Fair Value Measurements | Fair Value Measurements Fair value is defined as the price that would be received for sale of an asset or paid for transfer of a liability, in an orderly transaction between market participants at the measurement date. GAAP establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). These tiers include: ● Level 1, defined as observable inputs such as quoted prices (unadjusted) for identical instruments in active markets; ● Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable such as quoted prices for similar instruments in active markets or quoted prices for identical or similar instruments in markets that are not active; and ● Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions, such as valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable. In some circumstances, the inputs used to measure fair value might be categorized within different levels of the fair value hierarchy. In those instances, the fair value measurement is categorized in its entirety in the fair value hierarchy based on the lowest level input that is significant to the fair value measurement. | |
Derivative Financial Instruments | Derivative Financial Instruments The Company evaluates its financial instruments to determine if such instruments are derivatives or contain features that qualify as embedded derivatives in accordance with ASC Topic 815, “Derivatives and Hedging.” For derivative financial instruments that are accounted for as liabilities, the derivative instrument is initially recorded at its fair value on the grant date and is then re-valued at each reporting date, with changes in the fair value reported in the statements of operations. The classification of derivative instruments, including whether such instruments should be recorded as liabilities or as equity, is evaluated at the end of each reporting period. Derivative liabilities are classified in the balance sheet as current or non-current based on whether or not net-cash settlement or conversion of the instrument could be required within 12 months of the balance sheet date. | |
Recent Accounting Standards | Recent Accounting Standards In August 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2020-06, Debt — Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging — Contracts in Entity’s Own Equity (Subtopic 815-40) (“ASU 2020-06”) to simplify accounting for certain financial instruments. ASU 2020-06 eliminates the current models that require separation of beneficial conversion and cash conversion features from convertible instruments and simplifies the derivative scope exception guidance pertaining to equity classification of contracts in an entity’s own equity. The new standard also introduces additional disclosures for convertible debt and freestanding instruments that are indexed to and settled in an entity’s own equity ASU 2020-06 amends the diluted earnings per share guidance, including the requirement to use the if-converted method for all convertible instruments. ASU 2020-06 is effective January 1, 2022 and should be applied on a full or modified retrospective basis, with early adoption permitted beginning on January 1, 2021. The Company is currently assessing the impact, if any, that ASU 2020-06 would have on its financial position, results of operations or cash flows. Management does not believe that any other recently issued, but not yet effective, accounting standards, if currently adopted, would have a material effect on the Company’s financial statements. |
SUMMARY OF SIGNIFICANT ACCOUN_3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables) | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | Year Ended December 3, 2021 December 31, through December 31, 2022 2021 Net loss attributable to Class A common stockholders-basic and diluted $ (270,127) $ (10,081) Weighted average Class A common shares outstanding-basic and diluted 41,579 41,579 Loss per share attributable to Class A common stockholders-basic and diluted $ (6.50) $ (0.24) | |
Foresight Acquisition Corp | ||
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | The following table reflects the calculation of basic and diluted net loss per common share (in dollars, except per share amounts): For the Period from For the Period from January 1, August 20, 2020 (Inception) 2021 through through December 2, 2021 December 31, 2020 Class A Class B Class A Class B Basic and diluted net loss per common stock Numerator: Allocation of net loss, as adjusted $ (24,805,124) $ — $ — $ (2,286) Denominator: Basic and diluted weighted average stock outstanding 29,692,013 — — 6,875,000 Basic and diluted net loss per common stock $ (0.84) $ — $ — $ (0.00) |
INCOME TAX (Tables)
INCOME TAX (Tables) | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Schedule of net deferred tax assets | December 31, 2022 2021 Deferred tax assets: Investment in P3 LLC $ 20,684 $ — Net operating loss carryforwards 17,601 6,922 Accrued liabilities 2,764 3,307 Goodwill and identifiable intangible assets 589 — Section 163j interest limitation 1,995 1,232 Other deferred tax assets 94 3 Total deferred tax assets 43,727 11,464 Less: valuation allowance (43,558) (9,621) Net deferred tax assets 169 1,843 Deferred tax liabilities: Other deferred tax liabilities (150) (87) Operating lease, right-of-use assets (19) — Goodwill and identifiable intangible assets — (1,756) Total deferred tax liabilities (169) (1,843) Net deferred tax asset $ — $ — | |
Schedule of income tax provision (benefit) | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Current income taxes: Federal $ 111 $ — $ — State 1,751 — — Total current income taxes $ 1,862 $ — $ — Deferred income taxes: Federal — — — State — — — Total deferred income taxes — — — Total income tax expense $ 1,862 $ — $ — | |
Schedule of reconciliation of federal statutory income tax rate | Successor Predecessor Year Ended December 3, 2021 January 1, 2021 December 31, through December 31, through December 2, 2022 2021 2021 Tax at federal statutory rate $ (327,536) $ (12,166) $ (30,744) Non-controlling interest and nontaxable income 260,020 8,359 30,744 Change in valuation allowance 33,961 2,832 — Investment in P3 LLC 35,147 1,550 — Other reconciling items 270 (575) — Total $ 1,862 $ — $ — Effective tax rate (0.1) % — % — % | |
Foresight Acquisition Corp | ||
Schedule of net deferred tax assets | December 2, December 31, 2021 2020 Deferred tax assets Net operating loss carryforward $ 38,800 $ 480 Startup/Organization Expenses 4,728,629 — Total deferred tax assets, net 4,767,429 480 Valuation Allowance (4,767,429) (480) Deferred tax assets, net of valuation allowance $ — $ — | |
Schedule of income tax provision (benefit) | For the period from For the period from January 1, 2021 through August 20, 2020 (inception) December 2, through December 31, 2021 2020 Federal Current $ — $ — Deferred benefit (4,773,438) (480) State and Local Current — — Deferred — — Change in valuation allowance 4,773,438 480 Income tax provision $ — $ — | |
Schedule of reconciliation of federal statutory income tax rate | December 2, December 31, 2021 2020 Statutory federal income tax rate 21.00 % 21.00 % State taxes, net of federal tax benefit 0.00 % 0.00 % Change in fair value of warrant liabilities (1.76) % 0.00 % Transaction costs incurred in connection with IPO 0.00 % 0.00 % Fair value of warrant liability in excess of proceeds from Private Placement 0.00 % 0.00 % Change in valuation allowance (19.24) % (21.00) % Income tax provision 0.00 % 0.00 % |
FAIR VALUE MEASUREMENTS (Tables
FAIR VALUE MEASUREMENTS (Tables) | 11 Months Ended | 12 Months Ended |
Dec. 02, 2021 | Dec. 31, 2022 | |
Summary of Change in the fair value of the warrant liabilities | Successor Predecessor Year December 3, 2021 Ended through December December 31, January 1, 2021 31, 2022 2021 through (Private (Private December 2, 2021 Placement Placement (Class D Warrants) Warrants) Warrants) Beginning balance $ 502 $ 793 $ 6,316 Mark-to-market adjustment of stock warrants (462) (291) 7,665 Ending balance $ 40 $ 502 $ 13,981 | |
Foresight Acquisition Corp [Member] | ||
Summary of assets and liabilities that are measured at fair value on a recurring basis | December 2, Description Level 2021 Liabilities: Warrant Liability – Public Warrants 1 12,860,834 Warrant Liability – Private Placement Warrants 3 288,925 Warrant Liability – Underwriter Warrants 3 63,500 | |
Schedule of quantitative information regarding initial measurement | February 12, 2021 (Initial Measurement) December 3, 2021 Risk-free interest rate 0.56 % 1.13 % Trading days per year 252 252 Expected volatility 17.8 % 21.0 % Exercise price $ 11.50 $ 11.50 Stock Price $ 9.65 $ 9.48 | |
Summary of Change in the fair value of the warrant liabilities | Private Warrant Placement Public Liabilities Fair value as of January 1, 2021 $ — $ — $ — Initial measurement on February 12, 2021 (including over-allotment) 280,875 10,857,917 11,138,792 Change in valuation inputs or other assumptions $ 71,550 $ 2,002,917 $ 2,074,467 Fair value as of December 2, 2021 $ 352,425 $ 12,860,834 $ 13,213,259 |
DESCRIPTION OF ORGANIZATION A_2
DESCRIPTION OF ORGANIZATION AND BUSINESS OPERATIONS (Details) - USD ($) | 11 Months Ended | |||||||
Dec. 03, 2021 | Feb. 12, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | Oct. 27, 2021 | Aug. 19, 2021 | Dec. 31, 2020 | |
Cash | $ 5,301,000 | $ 17,537,000 | $ 140,478,000 | |||||
Foresight Acquisition Corp | ||||||||
Entity incorporation, date of incorporation | Aug. 20, 2020 | |||||||
Proceeds from issuance of IPO | $ 309,924,999 | |||||||
Proceeds from sale of Private Placements Warrants | 8,325,000 | |||||||
Stock issuance costs | $ 6,827,967 | |||||||
Underwriting fees | 6,325,000 | |||||||
Other offering costs | $ 502,967 | |||||||
Restricted investments term | 185 days | |||||||
Aggregate purchase price | 8,044,125 | |||||||
Cash | 100,935 | $ 179,512 | ||||||
Assets held-in-trust, noncurrent | 316,267,136 | |||||||
Net working capital | 20,793,627 | |||||||
Franchise tax payable | 200,000 | |||||||
Foresight Acquisition Corp | P3 Health Group, LLC [Member] | ||||||||
Business acquisition, percentage of voting interest acquired | 17.10% | |||||||
Foresight Acquisition Corp | Sponsor | Working capital loans | ||||||||
Working capital initial commitment amount | $ 300,000 | |||||||
Working capital loans additional commitment amount | $ 600,000 | |||||||
Working capital loans commitment amount | $ 900,000 | |||||||
Foresight Acquisition Corp | Private Placement [Member] | ||||||||
Number of shares issued | 832,500 | |||||||
Foresight Acquisition Corp | Private Placement [Member] | Sponsor | ||||||||
Number of shares issued | 832,500 | |||||||
Shares issued price per share | $ 10 | |||||||
Proceeds from sale of Private Placements Warrants | $ 8,325,000 | |||||||
Common Class A [Member] | ||||||||
Number of shares issued | 8,700,000 | |||||||
Common Class A [Member] | Private Placement [Member] | ||||||||
Number of shares issued | 20,400,000 | |||||||
Common Class A [Member] | Foresight Acquisition Corp | Blocker | Transaction and Combination Agreement | ||||||||
Purchase consideration | 8,732,517 | |||||||
Number of shares held by escrow agent | 723,291 | |||||||
Common Class A [Member] | Foresight Acquisition Corp | Private placement pursuant to subscription agreements | ||||||||
Number of shares issued | 20,370,307 | |||||||
Share price | $ 10 | |||||||
Aggregate purchase price | $ 203,700,000 | |||||||
Common Class A [Member] | Foresight Acquisition Corp | IPO [Member] | ||||||||
Number of shares issued | 31,625,000 | |||||||
Shares issued price per share | $ 10 | |||||||
Proceeds from issuance of IPO | $ 316,250,000 | |||||||
Common Class A [Member] | Foresight Acquisition Corp | Over-Allotment Option [Member] | ||||||||
Number of shares issued | 4,125,000 | |||||||
Class V Common [Member] | Foresight Acquisition Corp | P3 Sellers | Merger Agreement | ||||||||
Purchase consideration | 202,024,923 | |||||||
Number of shares held by escrow agent | 17,923,782 |
SUMMARY OF SIGNIFICANT ACCOUN_4
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Summary of Basic and Diluted Net Income Per Share (Details) - USD ($) | 1 Months Ended | 4 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 02, 2021 | Dec. 31, 2022 | |
Numerator: | ||||
Allocation of net loss, as adjusted | $ (10,081,000) | $ (146,400,000) | $ (270,127,000) | |
Denominator: | ||||
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | 41,579 | 41,579 | ||
Weighted average Class A common shares outstanding - diluted | 41,579 | 41,579 | ||
Loss per share attributable to Class A common stockholders - basic | $ (0.24) | $ (6.50) | ||
NET LOSS PER SHARE (DILUTED) | $ (0.24) | $ (6.50) | ||
Foresight Acquisition Corp | ||||
Numerator: | ||||
Allocation of net loss, as adjusted | $ (2,286) | (24,805,124) | ||
Foresight Acquisition Corp | Common Class A [Member] | ||||
Numerator: | ||||
Allocation of net loss, as adjusted | $ (24,805,124) | |||
Denominator: | ||||
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | 29,692,013 | |||
Weighted average Class A common shares outstanding - diluted | 29,692,013 | |||
Loss per share attributable to Class A common stockholders - basic | $ (0.84) | |||
NET LOSS PER SHARE (DILUTED) | $ (0.84) | |||
Foresight Acquisition Corp | Class B common stock | ||||
Numerator: | ||||
Allocation of net loss, as adjusted | $ (2,286) | |||
Denominator: | ||||
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | 6,875,000 | |||
Weighted average Class A common shares outstanding - diluted | 6,875,000 | |||
Loss per share attributable to Class A common stockholders - basic | $ 0 | |||
NET LOSS PER SHARE (DILUTED) | $ 0 |
SUMMARY OF SIGNIFICANT ACCOUN_5
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Additional Information (Details) - Foresight Acquisition Corp - USD ($) | 4 Months Ended | 11 Months Ended | ||||
Dec. 31, 2020 | Dec. 02, 2021 | Nov. 30, 2021 | Sep. 30, 2021 | Sep. 30, 2020 | Aug. 31, 2020 | |
Cash equivalents | $ 0 | $ 0 | $ 0 | $ 0 | $ 0 | $ 0 |
Unrecognized tax benefits | 0 | 0 | 0 | 0 | 0 | 0 |
Accrued for interest and penalties | $ 0 | $ 0 | $ 0 | $ 0 | $ 0 | $ 0 |
Statutory federal income tax rate | 21% | 21% | ||||
Class A common | ||||||
Warrant issued for securities | 10,819,167 |
INITIAL PUBLIC OFFERING (Detail
INITIAL PUBLIC OFFERING (Details) - $ / shares | Dec. 03, 2021 | Feb. 12, 2021 | Dec. 02, 2021 |
Common Class A [Member] | |||
Number of shares issued | 8,700,000 | ||
Foresight Acquisition Corp | Public Warrants | |||
Exercise price (in $ per share) | $ 1.03 | $ 1.27 | |
Foresight Acquisition Corp | Common Class A [Member] | Public Warrants | |||
Stock conversion basis | Each Unit consists of one share of Class A common stock and one-third of one redeemable warrant (“Public Warrant”). | ||
Shares issuable per warrant | 1 | ||
Exercise price (in $ per share) | $ 11.50 | ||
IPO [Member] | Foresight Acquisition Corp | Common Class A [Member] | |||
Number of shares issued | 31,625,000 | ||
Shares issued price per share | $ 10 | ||
Over-Allotment Option [Member] | Foresight Acquisition Corp | Common Class A [Member] | |||
Number of shares issued | 4,125,000 |
PRIVATE PLACEMENT (Details)
PRIVATE PLACEMENT (Details) - USD ($) | 11 Months Ended | ||
Dec. 03, 2021 | Feb. 12, 2021 | Dec. 02, 2021 | |
Foresight Acquisition Corp | |||
Proceeds from sale of Private Placements Warrants | $ 8,325,000 | ||
Foresight Acquisition Corp | Private Placement Warrants [Member] | |||
Exercise price (in $ per share) | $ 1.05 | $ 1.22 | |
Foresight Acquisition Corp | Private Placement [Member] | |||
Number of shares issued | 832,500 | ||
Sponsor | Foresight Acquisition Corp | Private Placement [Member] | |||
Number of shares issued | 832,500 | ||
Shares issued price per share | $ 10 | ||
Proceeds from sale of Private Placements Warrants | $ 8,325,000 | ||
Common Class A [Member] | |||
Number of shares issued | 8,700,000 | ||
Common Class A [Member] | Private Placement [Member] | |||
Number of shares issued | 20,400,000 | ||
Common Class A [Member] | Foresight Acquisition Corp | Private Placement Warrants [Member] | |||
Shares issuable per warrant | 1 | ||
Exercise price (in $ per share) | $ 11.50 | ||
Common Class A [Member] | Foresight Acquisition Corp | Private Placement [Member] | |||
Stock conversion basis | Each Private Placement Unit consists of one share of Class A common stock (“Private Placement Share” or, collectively, “Private Placement Shares”) and one-third of one warrant (each, a “Private Placement Warrant”). |
RELATED PARTY TRANSACTIONS (Det
RELATED PARTY TRANSACTIONS (Details) - Foresight Acquisition Corp | 1 Months Ended | 4 Months Ended | 11 Months Ended | |||||||
Oct. 04, 2021 | Sep. 02, 2021 USD ($) | Oct. 31, 2020 USD ($) shares | Dec. 31, 2020 USD ($) shares | Dec. 02, 2021 USD ($) $ / shares shares | Oct. 27, 2021 USD ($) | Aug. 19, 2021 USD ($) | Aug. 02, 2021 USD ($) | Feb. 12, 2021 USD ($) | Oct. 27, 2020 USD ($) | |
Related Party Transaction [Line Items] | ||||||||||
Stock shares issued during the period for services value | $ 25,000 | |||||||||
Due to Related Parties | 275,000 | |||||||||
Advance from related party | 275,000 | |||||||||
Related party transaction expenses incurred | $ 99,745 | |||||||||
Promissory Notes | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Debt face amount | $ 300,000 | |||||||||
Debt Instrument Interest Rate | 0% | |||||||||
Debt Instrument Maturity Date Description | payable on the earlier of (i) March 31, 2021 or (ii) the consummation of the Initial Public Offering. | |||||||||
Due to Related Parties | $ 275,000 | |||||||||
Working capital loans | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Due to Related Parties | $ 0 | $ 0 | ||||||||
Debt Instrument Convertible Into Warrants | $ 1,500,000 | |||||||||
Debt Instrument Conversion Price | $ / shares | $ 10 | |||||||||
Sponsor | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Debt face amount | $ 300,000 | |||||||||
Sponsor | Working capital loans | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Working Capital Loans Additional Commitment Amount | $ 600,000 | |||||||||
Working Capital Loans Commitment Amount | $ 900,000 | |||||||||
Advance from related party | 150,000 | |||||||||
Sponsor | Administrative Services Agreement | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Due to Related Parties | $ 20,000 | |||||||||
Related party transaction, amounts | $ 10,000 | |||||||||
Common Class A [Member] | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Temporary equity shares outstanding | shares | 0 | 31,625,000 | ||||||||
Stockholders' Equity Note, Stock Split, Conversion Ratio | 0.01 | |||||||||
Common Class A [Member] | Sponsor | Share price equals or exceeds $12.00 | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Number of consecutive trading days for determining share price | 20 days | |||||||||
Number of trading days for determining share price | 30 days | |||||||||
Threshold Number Of Trading Days For Determining Share PriceFrom Date Of Business Combination | 150 days | |||||||||
Share transfer trigger price per share | $ / shares | $ 12 | |||||||||
Common Class A [Member] | Sponsor | Founder Shares | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Temporary equity shares outstanding | shares | 1,031,250 | 0 | ||||||||
Class B common stock | Founder Shares | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Common stock, threshold percentage on conversion of shares | 20% | |||||||||
Class B common stock | Sponsor | Founder Shares | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Stock shares issued during the period for services Shares | shares | 7,906,250 | |||||||||
Stock shares issued during the period for services value | $ 25,000 |
COMMITMENTS AND CONTINGENCIES_3
COMMITMENTS AND CONTINGENCIES (Details) - Foresight Acquisition Corp [Member] $ in Millions | 11 Months Ended |
Dec. 02, 2021 USD ($) | |
Percentage of Underwriting Fee on IPO Proceeds | 3.50% |
Business combination costs | $ 8,500,000 |
CLASS A COMMON STOCK SUBJECT _2
CLASS A COMMON STOCK SUBJECT TO POSSIBLE REDEMPTION (Details) - Class A common - Foresight Acquisition Corp | Dec. 02, 2021 Vote $ / shares shares | Dec. 31, 2020 shares |
Temporary Equity [Line Items] | ||
Temporary Equity, Shares Authorized | 200,000,000 | |
Temporary Equity, Par or Stated Value Per Share | $ / shares | $ 0.0001 | |
Number of votes per share | Vote | 1 | |
Temporary equity, shares issued | 31,625,000 | 0 |
Temporary equity shares outstanding | 31,625,000 | 0 |
Conversion of Class B To Class A Common Stock [Member] | ||
Temporary Equity [Line Items] | ||
Minimum threshold percentage of common stock outstanding on conversion from one class to another | 20% |
STOCKHOLDERS' EQUITY (Details)
STOCKHOLDERS' EQUITY (Details) | Dec. 02, 2021 $ / shares shares | Oct. 04, 2021 | Dec. 31, 2022 $ / shares shares | Dec. 31, 2021 $ / shares shares | Dec. 31, 2020 $ / shares shares |
Class of Stock [Line Items] | |||||
Preferred stock authorized | 10,000,000 | ||||
Preferred stock, par value | $ / shares | $ 0.0001 | ||||
Preferred stock issued | 0 | ||||
Preferred stock outstanding | 0 | ||||
Foresight Acquisition Corp | |||||
Class of Stock [Line Items] | |||||
Preferred stock authorized | 1,000,000 | 1,000,000 | |||
Preferred stock, par value | $ / shares | $ 0.0001 | $ 0.0001 | |||
Preferred stock issued | 0 | 0 | |||
Preferred stock outstanding | 0 | 0 | |||
Common Class A [Member] | |||||
Class of Stock [Line Items] | |||||
Common stock shares authorized | 800,000,000 | 800,000,000 | |||
Common stock par or stated value per share | $ / shares | $ 0.0001 | $ 0.0001 | |||
Common stock shares issued | 41,578,890 | 41,578,890 | |||
Common stock shares outstanding | 41,578,890 | 41,578,890 | |||
Common Class A [Member] | Foresight Acquisition Corp | |||||
Class of Stock [Line Items] | |||||
Common stock shares authorized | 200,000,000 | 200,000,000 | |||
Common stock par or stated value per share | $ / shares | $ 0.0001 | $ 0.0001 | |||
Common Stock Voting Rights | one vote for each share | ||||
Common stock shares issued | 832,500 | 7,906,250 | |||
Common stock shares outstanding | 832,500 | 7,906,250 | |||
Conversion ratio | 0.01 | ||||
Class B common stock | Foresight Acquisition Corp | |||||
Class of Stock [Line Items] | |||||
Common stock shares authorized | 20,000,000 | 20,000,000 | |||
Common stock par or stated value per share | $ / shares | $ 0.0001 | $ 0.0001 | |||
Common stock shares issued | 7,906,250 | 7,906,250 | |||
Common stock shares outstanding | 7,906,250 | 7,906,250 |
INCOME TAX - Net deferred tax a
INCOME TAX - Net deferred tax assets (Details) - USD ($) | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 02, 2021 | Dec. 31, 2020 |
Deferred tax assets | ||||
Net operating loss carryforward | $ 17,601 | $ 6,922 | ||
Total deferred tax assets | 43,727 | 11,464 | ||
Valuation Allowance | (43,558) | (9,621) | ||
Net deferred tax assets | $ 169 | $ 1,843 | ||
Foresight Acquisition Corp | ||||
Deferred tax assets | ||||
Net operating loss carryforward | $ 38,800 | $ 480 | ||
Startup/Organization Expenses | 4,728,629 | |||
Total deferred tax assets | 4,767,429 | 480 | ||
Valuation Allowance | $ (4,767,429) | $ (480) |
INCOME TAX - Income tax provisi
INCOME TAX - Income tax provision (benefit) (Details) - USD ($) | 4 Months Ended | 11 Months Ended | 12 Months Ended | |
Dec. 31, 2020 | Dec. 02, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
Current | $ 111,000 | |||
Current | 1,751,000 | |||
Total income tax expense | $ 1,862,000 | |||
Foresight Acquisition Corp [Member] | ||||
Deferred benefit | $ (480) | $ (4,773,438) | ||
Change in valuation allowance | $ 480 | $ 4,773,438 | $ 4,773,438 |
INCOME TAX (Details)
INCOME TAX (Details) - USD ($) | 4 Months Ended | 11 Months Ended | 12 Months Ended | |
Dec. 31, 2020 | Dec. 02, 2021 | Dec. 31, 2021 | Dec. 31, 2022 | |
INCOME TAX | ||||
Net operating loss carryovers | $ 31,400,000 | |||
Foresight Acquisition Corp | ||||
INCOME TAX | ||||
Net operating loss carryovers maximum offset percentage | 80% | |||
Change in valuation allowance | $ 480 | $ 4,773,438 | $ 4,773,438 | |
U.S. federal | Foresight Acquisition Corp | ||||
INCOME TAX | ||||
Net operating loss carryovers | $ 2,286 | $ 182,476 |
INCOME TAX - Reconciliation of
INCOME TAX - Reconciliation of federal statutory income tax rate (Details) | 4 Months Ended | 11 Months Ended | 12 Months Ended |
Dec. 31, 2020 | Dec. 02, 2021 | Dec. 31, 2022 | |
Income tax provision | (0.10%) | ||
Foresight Acquisition Corp | |||
Statutory federal income tax rate | 21% | 21% | |
State taxes, net of federal tax benefit | 0% | 0% | |
Change in fair value of warrant liabilities | 0% | (1.76%) | |
Transaction costs incurred in connection with IPO | 0% | 0% | |
Fair value of warrant liability in excess of proceeds from Private Placement | 0% | 0% | |
Change in valuation allowance | (21.00%) | (19.24%) | |
Income tax provision | 0% | 0% |
WARRANT LIABILITIES (Details)
WARRANT LIABILITIES (Details) - Foresight Acquisition Corp [Member] | 11 Months Ended |
Dec. 02, 2021 $ / shares | |
Event Triggering Warrant Redemption [Member] | |
Class of Warrant or Right [Line Items] | |
Share price | $ 9.20 |
Proceeds from equity proceeds from business combination as a percentage of total equity proceeds | 60% |
Number of trading days | 20 days |
Volume weighted average price per share | $ 9.20 |
Event Triggering Warrant Redemption [Member] | Trigger Price One [Member] | |
Class of Warrant or Right [Line Items] | |
Redemption trigger price as a percentage of newly issued price | 115% |
Class of warrants or rights redemption trigger price | $ 18 |
Event Triggering Warrant Redemption [Member] | Trigger Price Two [Member] | |
Class of Warrant or Right [Line Items] | |
Redemption trigger price as a percentage of newly issued price | 180% |
Public Warrants | |
Class of Warrant or Right [Line Items] | |
Number of days from which warrants become exercisable after the completion of business combination | 30 days |
Number of Months from which warrants become exercisable after the completion of Business Combination | 12 months |
Expected term of warrants | 5 years |
Number of business days after the closing of business combination made efforts for SEC registration statement | 20 days |
Number of business days within which registration statement shall be effective on closure of business combination | 60 days |
Private Placement Warrants [Member] | Share Price Equals Or Exceeds 18 Usd [Member] | |
Class of Warrant or Right [Line Items] | |
Class of warrants or rights redemption per share | $ 0.01 |
Warrant redemption,minimum days for prior written notice of redemption | 30 days |
Share price | $ 18 |
Number of consecutive trading days to determine call of warrant redemption | 20 days |
Number of trading days to determine call of warrant redemption | 30 days |
Private Placement Warrants [Member] | Share Price Equals Or Exceeds 10 Usd [Member] | |
Class of Warrant or Right [Line Items] | |
Class of warrants or rights redemption per share | $ 0.10 |
Warrant redemption,minimum days for prior written notice of redemption | 30 days |
Share price | $ 10 |
Threshold period common stock available during the redemption Period | 30 days |
FAIR VALUE MEASUREMENTS - Summa
FAIR VALUE MEASUREMENTS - Summary of Assets and Liabilities that are Measured at Fair Value on a Recurring Basis (Details) - Foresight Acquisition Corp | Dec. 02, 2021 USD ($) |
Public Warrants | |
Liabilities: | |
Warrant Liability | $ 12,860,834 |
Private Placement Warrants [Member] | |
Liabilities: | |
Warrant Liability | 288,925 |
Underwriter Warrants [Member] | |
Liabilities: | |
Warrant Liability | $ 63,500 |
FAIR VALUE MEASUREMENTS - Sum_2
FAIR VALUE MEASUREMENTS - Summary of Fair Value Measurement Inputs and Valuation Techniques (Details) - Private Placement Warrants [Member] - Foresight Acquisition Corp | Dec. 03, 2021 Y item $ / shares | Feb. 12, 2021 Y item $ / shares |
Risk-free interest rate [Member] | ||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | ||
Warrants and Rights Outstanding, Measurement Input | item | 0.0113 | 0.0056 |
Trading days per year [Member] | ||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | ||
Warrants and Rights Outstanding, Measurement Input | Y | 252 | 252 |
Expected volatility [Member] | ||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | ||
Warrants and Rights Outstanding, Measurement Input | item | 0.210 | 0.178 |
Exercise price [Member] | ||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | ||
Warrants and Rights Outstanding, Measurement Input | $ / shares | 11.50 | 11.50 |
Stock Price | ||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | ||
Warrants and Rights Outstanding, Measurement Input | $ / shares | 9.48 | 9.65 |
FAIR VALUE MEASUREMENTS - Sum_3
FAIR VALUE MEASUREMENTS - Summary of Change in the Fair Value of the Warrant Liabilities (Details) - Foresight Acquisition Corp | 11 Months Ended |
Dec. 02, 2021 USD ($) | |
Private Placement Warrants [Member] | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | |
Beginning balance | |
Initial measurement on February 12, 2021 (including over-allotment) | $ 280,875 |
Change in valuation inputs or other assumptions | 71,550 |
Ending Balance | 352,425 |
Public Warrants | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | |
Beginning balance | |
Initial measurement on February 12, 2021 (including over-allotment) | 10,857,917 |
Change in valuation inputs or other assumptions | 2,002,917 |
Ending Balance | 12,860,834 |
Warrant Liabilities [Member] | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | |
Beginning balance | |
Initial measurement on February 12, 2021 (including over-allotment) | 11,138,792 |
Change in valuation inputs or other assumptions | 2,074,467 |
Ending Balance | $ 13,213,259 |
FAIR VALUE MEASUREMENTS - Addit
FAIR VALUE MEASUREMENTS - Additional Information (Details) - USD ($) | 10 Months Ended | 12 Months Ended | ||
Dec. 02, 2021 | Feb. 12, 2021 | Dec. 02, 2021 | Dec. 31, 2022 | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||
Aggregate value of warrants | $ 643,000 | |||
Foresight Acquisition Corp [Member] | ||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||
Transfers out of Level 3 | $ 12,860,834 | |||
Public Warrants | Foresight Acquisition Corp [Member] | ||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||
Exercise price | $ 1.27 | $ 1.03 | $ 1.27 | |
Aggregate value of warrants | $ 12,800,000 | $ 10,800,000 | ||
Private Placement Warrants [Member] | Foresight Acquisition Corp [Member] | ||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||
Exercise price | $ 1.22 | $ 1.05 | $ 1.22 | |
Aggregate value of warrants | $ 300,000 | $ 200,000 |
SUBSEQUENT EVENTS (Details)_2
SUBSEQUENT EVENTS (Details) - P3 Health Group, LLC [Member] - Foresight Acquisition Corp | Dec. 03, 2021 |
Subsequent Event [Line Items] | |
Business acquisition, percentage of voting interest acquired | 17.10% |
Subsequent Event | |
Subsequent Event [Line Items] | |
Business acquisition, percentage of voting interest acquired | 17.10% |