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424B3 Filing
P3 Health Partners (PIII) 424B3Prospectus supplement
Filed: 14 Jun 23, 7:30pm
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| | | | | F-1 | | |
| | | December 31, | | | March 31, 2023 | | | CAGR | | |||||||||||||||
| | | 2022 | | | 2021 | | ||||||||||||||||||
MA at-risk members | | | | | 100,400 | | | | | | 67,000 | | | | | | 103,400 | | | | | | 41% | | |
Year-over-year % change | | | | | 50% | | | | | | 32% | | | | | | 3.4% | | | | | | | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Net loss | | | | $ | (52,448) | | | | | $ | (60,790) | | |
Interest expense, net | | | | | 4,086 | | | | | | 2,755 | | |
Depreciation and amortization expense | | | | | 21,540 | | | | | | 21,752 | | |
Provision for income taxes | | | | | 290 | | | | | | — | | |
Mark-to-market of stock warrants | | | | | (649) | | | | | | 5,861 | | |
Premium deficiency reserve | | | | | 5,140 | | | | | | (1,325) | | |
Equity-based compensation | | | | | 977 | | | | | | 11,711 | | |
Transaction and other related costs(1) | | | | | 70 | | | | | | 1,102 | | |
Other(2) | | | | | 1,861 | | | | | | 6 | | |
Adjusted EBITDA loss | | | | $ | (19,133) | | | | | $ | (18,928) | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Net loss | | | | $ | (1,561,557) | | | | | $ | (57,938) | | | | | | $ | (146,400) | | |
Interest expense, net | | | | | 11,404 | | | | | | 893 | | | | | | | 9,824 | | |
Depreciation and amortization expense | | | | | 87,289 | | | | | | 7,150 | | | | | | | 1,574 | | |
Provision for income taxes | | | | | 1,862 | | | | | | — | | | | | | | — | | |
Mark-to-market of stock warrants | | | | | (9,865) | | | | | | (2,272) | | | | | | | 7,665 | | |
Premium deficiency reserve | | | | | (11,461) | | | | | | 26,277 | | | | | | | 11,559 | | |
Equity-based compensation | | | | | 19,404 | | | | | | 4,635 | | | | | | | 3,701 | | |
Transaction and other related costs(1) | | | | | 14,050 | | | | | | — | | | | | | | 37,563 | | |
Goodwill impairment | | | | | 1,314,952 | | | | | | — | | | | | | | — | | |
Other(2) | | | | | 6,008 | | | | | | 429 | | | | | | | (147) | | |
Adjusted EBITDA loss | | | | $ | (127,914) | | | | | $ | (20,826) | | | | | | $ | (74,661) | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Capitated revenue | | | | $ | 298,704 | | | | | $ | 269,685 | | |
Less: medical claims expenses | | | | | (259,458) | | | | | | (244,858) | | |
Medical margin | | | | $ | 39,246 | | | | | $ | 24,827 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Capitated revenue | | | | $ | 1,034,800 | | | | | $ | 57,224 | | | | | | $ | 567,735 | | |
Less: medical claims expenses | | | | | (972,725) | | | | | | (62,344) | | | | | | | (550,869) | | |
Medical margin | | | | $ | 62,075 | | | | | $ | (5,120) | | | | | | $ | 16,866 | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Operating loss | | | | $ | (48,817) | | | | | $ | (52,168) | | |
Other patient service revenue | | | | | (3,373) | | | | | | (3,859) | | |
Other medical expense | | | | | 26,112 | | | | | | 20,963 | | |
Premium deficiency reserve | | | | | 5,140 | | | | | | (1,325) | | |
Corporate, general and administrative expense | | | | | 37,643 | | | | | | 38,599 | | |
Sales and marketing expense | | | | | 1,001 | | | | | | 865 | | |
Depreciation and amortization | | | | | 21,540 | | | | | | 21,752 | | |
Medical margin | | | | $ | 39,246 | | | | | $ | 24,827 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Operating loss | | | | $ | (1,560,913) | | | | | $ | (58,888) | | | | | | $ | (129,058) | | |
Other patient service revenue | | | | | (14,671) | | | | | | (1,538) | | | | | | | (10,867) | | |
Other medical expenses | | | | | 84,499 | | | | | | 4,533 | | | | | | | 41,596 | | |
Premium deficiency reserve | | | | | (11,461) | | | | | | 26,277 | | | | | | | 11,559 | | |
Corporate, general and administrative expenses | | | | | 157,284 | | | | | | 16,983 | | | | | | | 100,243 | | |
Sales and marketing expenses | | | | | 5,096 | | | | | | 364 | | | | | | | 1,818 | | |
Depreciation and amortization | | | | | 87,289 | | | | | | 7,149 | | | | | | | 1,575 | | |
Goodwill impairment | | | | | 1,314,952 | | | | | | — | | | | | | | — | | |
Medical margin | | | | $ | 62,075 | | | | | $ | (5,120) | | | | | | $ | 16,866 | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Total operating revenue | | | | $ | 302,077 | | | | | $ | 273,544 | | |
Less: medical claims expense | | | | | (259,458) | | | | | | (244,858) | | |
Less: other medical expense | | | | | (26,112) | | | | | | (20,963) | | |
Network contribution | | | | $ | 16,507 | | | | | $ | 7,723 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Total operating revenue | | | | $ | 1,049,471 | | | | | $ | 58,762 | | | | | | $ | 578,602 | | |
Less: medical claims expenses | | | | | (972,725) | | | | | | (62,345) | | | | | | | (550,869) | | |
Less: other medical expenses | | | | | (84,499) | | | | | | (4,532) | | | | | | | (41,596) | | |
Network contribution | | | | $ | (7,753) | | | | | $ | (8,115) | | | | | | $ | (13,863) | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Operating loss | | | | $ | (48,817) | | | | | $ | (52,168) | | |
Premium deficiency reserve | | | | | 5,140 | | | | | | (1,325) | | |
Corporate, general and administrative expense | | | | | 37,643 | | | | | | 38,599 | | |
Sales and marketing expense | | | | | 1,001 | | | | | | 865 | | |
Depreciation and amortization | | | | | 21,540 | | | | | | 21,752 | | |
Network contribution | | | | $ | 16,507 | | | | | $ | 7,723 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Operating loss | | | | $ | (1,560,913) | | | | | $ | (58,888) | | | | | | $ | (129,058) | | |
Premium deficiency reserve | | | | | (11,461) | | | | | | 26,277 | | | | | | | 11,559 | | |
Corporate, general and administrative expenses | | | | | 157,284 | | | | | | 16,983 | | | | | | | 100,243 | | |
Sales and marketing expenses | | | | | 5,096 | | | | | | 364 | | | | | | | 1,818 | | |
Depreciation and amortization | | | | | 87,289 | | | | | | 7,149 | | | | | | | 1,575 | | |
Goodwill impairment | | | | | 1,314,952 | | | | | | — | | | | | | | — | | |
Network contribution | | | | $ | (7,753) | | | | | $ | (8,115) | | | | | | $ | (13,863) | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (dollars in thousands) | | |||||||||
At-risk members | | | | | 103,400 | | | | | | 100,000 | | |
Affiliate PCPs | | | | | 2,800 | | | | | | 2,200 | | |
Platform support costs | | | | $ | 30,479 | | | | | $ | 22,646 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | As of and For the Year Ended December 31, 2022 | | | As of and from December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
MA at-risk members | | | | | 100,400 | | | | | | 67,000 | | | | | | | N/A | | |
Affiliate PCPs | | | | | 2,800 | | | | | | 2,100 | | | | | | | N/A | | |
Platform support costs | | | | $ | 119,167 | | | | | $ | 14,292 | | | | | | $ | 78,293 | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (dollars in thousands) | | |||||||||
Platform support costs | | | | $ | 30,479 | | | | | $ | 22,646 | | |
% of total operating revenue | | | | | 10% | | | | | | 8% | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Platform support costs | | | | $ | 119,167 | | | | | $ | 14,292 | | | | | | $ | 78,293 | | |
% of Total operating revenue | | | | | 11.4% | | | | | | 24.3% | | | | | | | 13.5% | | |
| | | Three Months Ended March 31, 2023 | | | % of Revenue | | | Three Months Ended March 31, 2022 | | | % of Revenue | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Operating revenue: | | | | | | | | | | | | | | | | | | | | | | | | | |
Capitated revenue | | | | $ | 298,704 | | | | | | 99% | | | | | $ | 269,685 | | | | | | 99% | | |
Other patient service revenue | | | | | 3,373 | | | | | | 1 | | | | | | 3,859 | | | | | | 1 | | |
Total operating revenue | | | | | 302,077 | | | | | | 100 | | | | | | 273,544 | | | | | | 100 | | |
Operating expense: | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical expense | | | | | 285,570 | | | | | | 95 | | | | | | 265,821 | | | | | | 97 | | |
Premium deficiency reserve | | | | | 5,140 | | | | | | 2 | | | | | | (1,325) | | | | | | — | | |
Corporate, general and administrative expense | | | | | 37,643 | | | | | | 12 | | | | | | 38,599 | | | | | | 14 | | |
Sales and marketing expense | | | | | 1,001 | | | | | | — | | | | | | 865 | | | | | | — | | |
Depreciation and amortization | | | | | 21,540 | | | | | | 7 | | | | | | 21,752 | | | | | | 8 | | |
Total operating expense | | | | | 350,894 | | | | | | 116 | | | | | | 325,712 | | | | | | 119 | | |
| | | Three Months Ended March 31, 2023 | | | % of Revenue | | | Three Months Ended March 31, 2022 | | | % of Revenue | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Operating loss | | | | | (48,817) | | | | | | (16) | | | | | | (52,168) | | | | | | (19) | | |
Other income (expense): | | | | | | | | | | | | | | | | | | | | | | | | | |
Interest expense, net | | | | | (4,086) | | | | | | (1) | | | | | | (2,755) | | | | | | (1) | | |
Mark-to-market of stock warrants | | | | | 649 | | | | | | — | | | | | | (5,861) | | | | | | (2) | | |
Other | | | | | 96 | | | | | | — | | | | | | (6) | | | | | | — | | |
Total other expense | | | | | (3,341) | | | | | | (1) | | | | | | (8,622) | | | | | | (3) | | |
Loss before income taxes | | | | | (52,158) | | | | | | (17) | | | | | | (60,790) | | | | | | (22) | | |
Provision for income taxes | | | | | (290) | | | | | | — | | | | | | — | | | | | | — | | |
Net loss | | | | | (52,448) | | | | | | (17) | | | | | | (60,790) | | | | | | (22) | | |
Net loss attributable to redeemable non-controlling interests | | | | | (43,249) | | | | | | (14) | | | | | | (50,213) | | | | | | (18) | | |
Net loss attributable to controlling interests | | | | $ | (9,199) | | | | | | (3)% | | | | | $ | (10,577) | | | | | | (4)% | | |
|
| | | Three Months Ended March 31, | | | Change | | ||||||||||||||||||
| | | 2023 | | | 2022 | | | Amount | | | % | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Capitated revenue | | | | $ | 298,704 | | | | | $ | 269,685 | | | | | $ | 29,019 | | | | | | 11% | | |
Other patient service revenue | | | | $ | 3,373 | | | | | $ | 3,859 | | | | | | (486) | | | | | | (13)% | | |
Total operating revenue | | | | $ | 302,077 | | | | | $ | 273,544 | | | | | $ | 28,533 | | | | | | 10% | | |
| | | Three Months Ended March 31, | | | Change | | ||||||||||||||||||
| | | 2023 | | | 2022 | | | Amount | | | % | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Medical expense | | | | $ | 285,570 | | | | | $ | 265,821 | | | | | $ | 19,749 | | | | | | 7% | | |
| | | Three Months Ended March 31, | | | Change | | ||||||||||||||||||
| | | 2023 | | | 2022 | | | Amount | | | % | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Premium deficiency reserve | | | | $ | 5,140 | | | | | $ | (1,325) | | | | | $ | 6,465 | | | | | | 488% | | |
| | | Three Months Ended March 31, | | | Change | | ||||||||||||||||||
| | | 2023 | | | 2022 | | | Amount | | | % | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Corporate, general and administrative expense | | | | $ | 37,643 | | | | | $ | 38,599 | | | | | $ | (956) | | | | | | (2)% | | |
| | | Three Months Ended March 31, | | | Change | | ||||||||||||||||||
| | | 2023 | | | 2022 | | | Amount | | | % | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Other income (expense): | | | | | | | | | | | | | | | | | | | | | | | | | |
Interest expense, net | | | | $ | (4,086) | | | | | $ | (2,755) | | | | | $ | (1,331) | | | | | | 48% | | |
Mark-to-market of stock warrants | | | | $ | 649 | | | | | $ | (5,861) | | | | | | 6,510 | | | | | | (111)% | | |
Other | | | | $ | 96 | | | | | $ | (6) | | | | | | 102 | | | | | | NM | | |
Total other expense | | | | $ | (3,341) | | | | | $ | (8,622) | | | | | $ | 5,281 | | | | | | (61)% | | |
| | | Successor | | | | Predecessor | | ||||||||||||||||||||||||||||||
| | | Year Ended December 31, 2022 | | | % of Revenue(1) | | | December 3, 2021 through December 31, 2021 | | | % of Revenue(1) | | | | January 1, 2021 through December 2, 2021 | | | % of Revenue(1) | | ||||||||||||||||||
Operating revenue: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Capitated revenue | | | | $ | 1,034,800 | | | | | | 99% | | | | | $ | 57,225 | | | | | | 97% | | | | | | $ | 567,735 | | | | | | 98% | | |
Other patient service revenue | | | | | 14,671 | | | | | | 1 | | | | | | 1,538 | | | | | | 3 | | | | | | | 10,867 | | | | | | 2 | | |
Total operating revenue | | | | | 1,049,471 | | | | | | 100 | | | | | | 58,763 | | | | | | 100 | | | | | | | 578,602 | | | | | | 100 | | |
Operating expense: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical expense | | | | | 1,057,224 | | | | | | 101 | | | | | | 66,877 | | | | | | 114 | | | | | | | 592,465 | | | | | | 102 | | |
Premium deficiency reserve | | | | | (11,461) | | | | | | (1) | | | | | | 26,277 | | | | | | 45 | | | | | | | 11,559 | | | | | | 2 | | |
Corporate, general & administrative expense | | | | | 157,284 | | | �� | | | 15 | | | | | | 16,983 | | | | | | 29 | | | | | | | 100,243 | | | | | | 17 | | |
Sales and marketing expense | | | | | 5,096 | | | | | | 0 | | | | | | 364 | | | | | | 1 | | | | | | | 1,818 | | | | | | — | | |
Depreciation and amortization | | | | | 87,289 | | | | | | 8 | | | | | | 7,149 | | | | | | 12 | | | | | | | 1,575 | | | | | | — | | |
Goodwill impairment | | | | | 1,314,952 | | | | | | 125 | | | | | | — | | | | | | — | | | | | | | — | | | | | | — | | |
Total operating expense | | | | | 2,610,384 | | | | | | 248 | | | | | | 117,650 | | | | | | 201 | | | | | | | 707,660 | | | | | | 121 | | |
Operating loss | | | | | (1,560,913) | | | | | | (149) | | | | | | (58,887) | | | | | | (101) | | | | | | | (129,058) | | | | | | (21) | | |
Other income (expense): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Interest expense, net | | | | | (11,404) | | | | | | (1) | | | | | | (851) | | | | | | (2) | | | | | | | (9,824) | | | | | | (2) | | |
Mark-to-market of stock warrants | | | | | 9,865 | | | | | | 1 | | | | | | 2,272 | | | | | | 4 | | | | | | | (7,665) | | | | | | (1) | | |
Other | | | | | 2,757 | | | | | | 0 | | | | | | (471) | | | | | | — | | | | | | | 147 | | | | | | — | | |
Total other income (expense) | | | | | 1,218 | | | | | | 0 | | | | | | 950 | | | | | | 2 | | | | | | | (17,342) | | | | | | (3) | | |
Loss before income taxes | | | | | (1,559,695) | | | | | | (149) | | | | | | (57,937) | | | | | | (99) | | | | | | | (146,400) | | | | | | (24) | | |
Provision for income taxes | | | | | (1,862) | | | | | | 0 | | | | | | — | | | | | | — | | | | | | | — | | | | | | — | | |
Net loss | | | | | (1,561,557) | | | | | | (149) | | | | | | (57,937) | | | | | | (99) | | | | | | | (146,400) | | | | | | (24) | | |
Net loss attributable to redeemable non-controlling interests | | | | | (1,291,430) | | | | | | (123) | | | | | | (47,857) | | | | | | (81) | | | | | | | — | | | | | | — | | |
Net loss attributable to controlling interests | | | | $ | (270,127) | | | | | | (26)% | | | | | $ | (10,080) | | | | | | (18)% | | | | | | $ | (146,400) | | | | | | (24)% | | |
| | | Material Cash Requirements | | |||||||||||||||||||||||||||
| | | Total | | | Less than 1 year | | | 1 – 3 years | | | 3 – 5 years | | | More than 5 years | | |||||||||||||||
Unpaid claims(1) | | | | $ | 151,207 | | | | | $ | 151,207 | | | | | $ | — | | | | | $ | — | | | | | $ | — | | |
Long-term debt, principal(2) | | | | | 95,000 | | | | | | — | | | | | | 65,000 | | | | | | 30,000 | | | | | | — | | |
Long-term debt, interest(3) | | | | | 78,216 | | | | | | 13,429 | | | | | | 42,001 | | | | | | 22,786 | | | | | | — | | |
Operating lease liabilities(4) | | | | | 12,790 | | | | | | 704 | | | | | | 4,292 | | | | | | 3,538 | | | | | | 4,256 | | |
Total | | | | $ | 337,213 | | | | | $ | 165,340 | | | | | $ | 111,293 | | | | | $ | 56,324 | | | | | $ | 4,256 | | |
| | | Successor | | |||||||||
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Net cash used in operating activities | | | | $ | (23,722) | | | | | $ | (27,776) | | |
Net cash used in investing activities | | | | | (464) | | | | | | (1,149) | | |
Net cash provided by (used in) financing activities | | | | | 14,102 | | | | | | (1,207) | | |
Net change in cash | | | | | (10,084) | | | | | | (30,132) | | |
Cash at beginning of period | | | | | 18,457 | | | | | | 140,834 | | |
Cash at end of period | | | | $ | 8,373 | | | | | $ | 110,702 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Net cash used in operating activities | | | | $ | (126,019) | | | | | $ | (15,342) | | | | | | $ | (51,129) | | |
Net cash used in investing activities | | | | | (7,733) | | | | | | (47,856) | | | | | | | (8,209) | | |
Net cash provided by financing activities | | | | | 11,375 | | | | | | 198,677 | | | | | | | 24,790 | | |
Net change in cash | | | | $ | (122,377) | | | | | $ | 135,479 | | | | | | $ | (34,548) | | |
Name | | | Age | | | Position | |
Executive Officers | | | | | | | |
Sherif Abdou, M.D. | | | 62 | | | Chief Executive Officer, Director and Co-Founder | |
Amir Bacchus, M.D. | | | 59 | | | Chief Medical Officer, Director and Co-Founder | |
Atul Kavthekar | | | 55 | | | Chief Financial Officer | |
Non-Employee Directors | | | | | | | |
Mark Thierer | | | 63 | | | Chairman of the Board | |
Greg Wasson | | | 64 | | | Director | |
Lawrence B. Leisure | | | 72 | | | Director | |
Mary Tolan | | | 62 | | | Director | |
Greg Kazarian | | | 60 | | | Director | |
Thomas E. Price, M.D. | | | 69 | | | Director | |
Jeffrey G. Park | | | 51 | | | Director | |
Name and Principal Position | | | Year | | | Salary ($) | | | Bonus ($)(1) | | | Stock Awards ($)(2) | | | Option Awards ($)(2) | | | Non-Equity Incentive Plan Compensation ($)(3) | | | All Other Compensation ($)(4) | | | Total ($) | | ||||||||||||||||||||||||
Sherif Abdou Chief Executive Officer | | | | | 2022 | | | | | | 800,000 | | | | | | 6,300,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 7,100,000 | | |
| | | 2021 | | | | | | 750,000 | | | | | | 750,000 | | | | | | 81,081 | | | | | | — | | | | | | — | | | | | | 2,824 | | | | | | 1,583,905 | | | ||
Amir Bacchus Chief Medical Officer | | | | | 2022 | | | | | | 600,000 | | | | | | 3,700,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 4,300,000 | | |
| | | 2021 | | | | | | 500,000 | | | | | | 500,000 | | | | | | 56,474 | | | | | | — | | | | | | — | | | | | | 1,927 | | | | | | 1,058,401 | | | ||
Atul Kavthekar Chief Financial Officer | | | | | 2022 | | | | | | 17,308 | | | | | | — | | | | | | — | | | | | | 1,326,347 | | | | | | — | | | | | | 20,462 | | | | | | 1,364,117 | | |
| | | Option Awards | | |||||||||||||||||||||
Name | | | Number of Securities Underlying Unexercised Options Exercisable (#) | | | Number of Securities Underlying Unexercised Options Unexercisable (#) | | | Option Exercise Price ($) | | | Option Expiration Date | | ||||||||||||
Sherif Abdou | | | | | | | | | | | | | | | | | | | | | | | | | |
Amir Bacchus | | | | | | | | | | | | | | | | | | | | | | | | | |
Atul Kavthekar | | | | | — | | | | | | 600,000 | | | | | $ | 3.70 | | | | | | 12/12/2032 | | |
Name | | | Fees Earned or Paid in Cash ($) | | | Option Awards ($)(1) | | | Total ($) | | |||||||||
Mark Thierer | | | | | 160,000 | | | | | | 1,097,521 | | | | | | 1,257,521 | | |
Gregory N. Kazarian | | | | | 65,000 | | | | | | 249,762 | | | | | | 314,762 | | |
Lawrence B. Leisure | | | | | 77,500 | | | | | | 249,762 | | | | | | 327,262 | | |
Jeffrey G. Park | | | | | 90,000 | | | | | | 249,762 | | | | | | 339,762 | | |
Thomas E. Price | | | | | 90,000 | | | | | | 249,762 | | | | | | 339,762 | | |
Mary A. Tolan | | | | | 90,000 | | | | | | 249,762 | | | | | | 339,762 | | |
Greg Wasson | | | | | 90,000 | | | | | | 249,762 | | | | | | 339,762 | | |
Name | | | Number of Class A Shares Underlying Stock Options | | |||
Mark Thierer | | | | | 371,069 | | |
Gregory N. Kazarian | | | | | 85,535 | | |
Lawrence B. Leisure | | | | | 85,535 | | |
Jeffrey G. Park | | | | | 85,535 | | |
Thomas E. Price | | | | | 85,535 | | |
Mary A. Tolan | | | | | 85,535 | | |
Greg Wasson | | | | | 85,535 | | |
| | | Class A Common Stock | | | % of Class | | | Class V Common Stock(1) | | | % of Class | | | Total Voting Power(2) | | |||||||||||||||
Directors and Named Executive Officers: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Mark Thierer(3) | | | | | 578,214 | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | |
Sherif Abdou(4) | | | | | — | | | | | | — | | | | | | 28,185,982 | | | | | | 14.0% | | | | | | 9.0% | | |
Amir Bacchus(5) | | | | | 2,198,860 | | | | | | 2.0% | | | | | | 18,790,658 | | | | | | 9.3% | | | | | | 6.7% | | |
Greg Wasson(6) | | | | | 902,415 | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | |
| | | Class A Common Stock | | | % of Class | | | Class V Common Stock(1) | | | % of Class | | | Total Voting Power(2) | | |||||||||||||||
Lawrence Leisure(6) | | | | | 42,767 | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | |
Mary Tolan(6) | | | | | 42,767 | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | |
Greg Kazarian(7) | | | | | 42,767 | | | | | | * | | | | | | 1,177,659 | | | | | | * | | | | | | * | | |
Thomas Price(8) | | | | | 42,767 | | | | | | * | | | | | | 1,177,659 | | | | | | * | | | | | | * | | |
Jeffrey Park(6) | | | | | 42,767 | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | |
Atul Kavthekar | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
All Current Directors and Executive Officers (10 individuals)(9) | | | | | 3,893,324 | | | | | | 3.5% | | | | | | 49,331,958 | | | | | | 24.4% | | | | | | 17.0% | | |
Five Percent Holders: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Chicago Pacific Founders(10) | | | | | 68,674,092 | | | | | | 58.2% | | | | | | 91,269,317 | | | | | | 45.2% | | | | | | 49.9% | | |
Hudson Vegas Investment SPV, LLC(11) | | | | | — | | | | | | — | | | | | | 43,974,331 | | | | | | 21.8% | | | | | | 14.1% | | |
Entities affiliated with Leavitt Equity Partners(12) | | | | | 17,218,245 | | | | | | 14.6% | | | | | | 7,505,383 | | | | | | 3.7% | | | | | | 7.7% | | |
FMR LLC(13) | | | | | 7,213,957 | | | | | | 6.5% | | | | | | — | | | | | | — | | | | | | 2.3% | | |
Plan category: | | | Number of Securities to be Issued Upon Exercise of Outstanding Options, Warrants, and Rights | | | Weighted- Average Exercise Price of Outstanding Options, Warrants, and Rights | | | Number of Securities Available for Future Issuance Under Equity Compensation Plans (excludes securities reflected in first column) | | |||||||||
Equity compensation plans approved by security holders(1) | | | | | 5,001,779 | | | | | $ | 5.39 | | | | | | 12,050,488(2) | | |
Equity compensation plans not approved by security holders | | | | | — | | | | | | | | | | | | — | | |
Total | | | | | 5,001,779 | | | | | | | | | | | | 12,050,488 | | |
| | | Shares Beneficially Owned Prior to Offering | | | Number of Shares Being Offered | | | Shares Beneficially Owned After the Offering | | |||||||||||||||||||||
Name of Selling Stockholder | | | Number(1) | | | Percentage(1) | | | Number | | | Percentage | | ||||||||||||||||||
Amir Bacchus(2) | | | | | 20,989,518 | | | | | | 6.7% | | | | | | 18,790,658 | | | | | | 2,198,860 | | | | | | * | | |
AssetBlue Ventures, LLC(3) | | | | | 426,014 | | | | | | * | | | | | | 426,014 | | | | | | | | | | | | — | | |
Auveek Pat Basu(4) | | | | | 343,482 | | | | | | * | | | | | | 343,482 | | | | | | | | | | | | — | | |
Brian Gamache | | | | | 25,000 | | | | | | * | | | | | | 25,000 | | | | | | | | | | | | — | | |
Columbia Acorn Fund(5) | | | | | 2,500,000 | | | | | | * | | | | | | 2,500,000 | | | | | | | | | | | | — | | |
CRG Partners IV L.P.(6) | | | | | 399,014 | | | | | | * | | | | | | 399,014 | | | | | | | | | | | | — | | |
CRG Partners IV – Cayman Levered L.P.(6) | | | | | 400,388 | | | | | | * | | | | | | 400,388 | | | | | | | | | | | | — | | |
CRG Partners IV – Parallel Fund “C” (Cayman) L.P.(6) | | | | | 794,790 | | | | | | * | | | | | | 794,790 | | | | | | | | | | | | — | | |
David Kahan(7) | | | | | 207,907 | | | | | | * | | | | | | 207,907 | | | | | | | | | | | | — | | |
David Yarger(8) | | | | | 207,977 | | | | | | * | | | | | | 207,907 | | | | | | 70 | | | | | | * | | |
Donald Trexler(9) | | | | | 146,679 | | | | | | * | | | | | | 146,679 | | | | | | | | | | | | — | | |
Entities affiliated with Chicago Pacific Founders(10) | | | | | 211,838,642 | | | | | | 57.0% | | | | | | 100,001,834 | | | | | | 111,836,808 | | | | | | 30.1% | | |
Entities affiliated with Fidelity(11) | | | | | 6,661,701 | | | | | | 2.1% | | | | | | 6,661,701 | | | | | | | | | | | | — | | |
Entities affiliated with Janus Henderson Investors US LLC(12) | | | | | 5,681,723 | | | | | | 1.8% | | | | | | 5,681,723 | | | | | | | | | | | | — | | |
Eric Atkins(13) | | | | | 450,517 | | | | | | * | | | | | | 450,517 | | | | | | | | | | | | — | | |
FA Co-Investment LLC(14) | | | | | 1,049,954 | | | | | | * | | | | | | 1,049,954 | | | | | | | | | | | | — | | |
Foresight Sponsor Group, LLC(15) | | | | | 2,109,017 | | | | | | * | | | | | | 2,109,017 | | | | | | | | | | | | — | | |
G&K Investment Holdings LLC(16) | | | | | 859,648 | | | | | | * | | | | | | 859,648 | | | | | | | | | | | | — | | |
Gary Garrett(17) | | | | | 588,828 | | | | | | * | | | | | | 588,828 | | | | | | | | | | | | — | | |
Greg Kazarian(18) | | | | | 1,202,659 | | | | | | * | | | | | | 1,177,659 | | | | | | 25,000 | | | | | | * | | |
Hartley White(19) | | | | | 207,907 | | | | | | * | | | | | | 207,907 | | | | | | | | | | | | — | | |
Hudson Vegas Investment SPV, LLC(20) | | | | | 43,974,331 | | | | | | 14.1% | | | | | | 43,974,331 | | | | | | | | | | | | — | | |
Janine Stoop(21) | | | | | 20,790 | | | | | | * | | | | | | 20,790 | | | | | | | | | | | | — | | |
Jessica Puathasnanon(22) | | | | | 83,162 | | | | | | * | | | | | | 83,162 | | | | | | | | | | | | — | | |
John Svoboda | | | | | 25,000 | | | | | | * | | | | | | 25,000 | | | | | | | | | | | | — | | |
Leavitt Equity Partners II, L.P.(23) | | | | | 9,070,678 | | | | | | 2.9% | | | | | | 7,505,383 | | | | | | 1,565,295 | | | | | | * | | |
Lorie Glisson(24) | | | | | 2,355,319 | | | | | | * | | | | | | 2,355,319 | | | | | | | | | | | | — | | |
Maria Nutile(25) | | | | | 20,790 | | | | | | * | | | | | | 20,790 | | | | | | | | | | | | — | | |
Mark El-Tawil(26) | | | | | 103,953 | | | | | | * | | | | | | 103,953 | | | | | | | | | | | | — | | |
Michelle Ross(27) | | | | | 207,907 | | | | | | * | | | | | | 207,907 | | | | | | | | | | | | — | | |
Patti Berry(28) | | | | | 235,531 | | | | | | * | | | | | | 235,531 | | | | | | | | | | | | — | | |
Rebecca Lindy(29) | | | | | 209,543 | | | | | | * | | | | | | 209,543 | | | | | | | | | | | | — | | |
Robert Zimmerman | | | | | 25,000 | | | | | | * | | | | | | 25,000 | | | | | | | | | | | | — | | |
Salvatore Lento(30) | | | | | 41,581 | | | | | | * | | | | | | 41,581 | | | | | | | | | | | | — | | |
Sarah Bussmann(31) | | | | | 232,906 | | | | | | * | | | | | | 207,906 | | | | | | 25,000 | | | | | | * | | |
Sherif Abdou(32) | | | | | 28,294,207 | | | | | | 9.0% | | | | | | 28,185,982 | | | | | | 108,225 | | | | | | * | | |
Stuart Levine(33) | | | | | 523,858 | | | | | | * | | | | | | 523,858 | | | | | | | | | | | | — | | |
Thomas Conjurski(34) | | | | | 207,907 | | | | | | * | | | | | | 207,907 | | | | | | | | | | | | — | | |
Thomas Price(35) | | | | | 1,202,659 | | | | | | * | | | | | | 1,177,659 | | | | | | 25,000 | | | | | | * | | |
Todd Lefkowitz(36) | | | | | 2,546,141 | | | | | | * | | | | | | 2,546,141 | | | | | | | | | | | | — | | |
Unmesh Srivastava(37) | | | | | 588,828 | | | | | | * | | | | | | 588,828 | | | | | | | | | | | | — | | |
| | | Beneficial Ownership Before the Offering | | | Warrants to be Sold in the Offering | | | Beneficial Ownership After the Offering | | |||||||||||||||||||||
Name of Selling Holder | | | Number of Warrants | | | %(1) | | | Number of Warrants | | | %(1) | | | Number of Warrants | | | % | | ||||||||||||
Foresight Sponsor Group LLC(2) | | | | | 227,500 | | | | | | 2.1% | | | | | | 227,500 | | | | | | 2.1% | | | | | | | | |
FA Co-Investment LLC(3) | | | | | 39,829 | | | | | | * | | | | | | 39,829 | | | | | | * | | | | | | | | |
| | | Fair Market Value of Class A Common Stock | | |||||||||||||||||||||||||||||||||||||||||||||||||||
Redemption Date (period to expiration of warrants) | | | ≥$10.00 | | | $11.00 | | | $12.00 | | | $13.00 | | | $14.00 | | | $15.00 | | | $16.00 | | | $17.00 | | | ≥$18.00 | | |||||||||||||||||||||||||||
57 months | | | | | 0.257 | | | | | | 0.277 | | | | | | 0.294 | | | | | | 0.310 | | | | | | 0.324 | | | | | | 0.337 | | | | | | 0.348 | | | | | | 0.358 | | | | | | 0.361 | | |
54 months | | | | | 0.252 | | | | | | 0.272 | | | | | | 0.291 | | | | | | 0.307 | | | | | | 0.322 | | | | | | 0.335 | | | | | | 0.347 | | | | | | 0.357 | | | | | | 0.361 | | |
51 months | | | | | 0.246 | | | | | | 0.268 | | | | | | 0.287 | | | | | | 0.304 | | | | | | 0.320 | | | | | | 0.333 | | | | | | 0.346 | | | | | | 0.357 | | | | | | 0.361 | | |
48 months | | | | | 0.241 | | | | | | 0.263 | | | | | | 0.283 | | | | | | 0.301 | | | | | | 0.317 | | | | | | 0.332 | | | | | | 0.344 | | | | | | 0.356 | | | | | | 0.361 | | |
45 months | | | | | 0.235 | | | | | | 0.258 | | | | | | 0.279 | | | | | | 0.298 | | | | | | 0.315 | | | | | | 0.330 | | | | | | 0.343 | | | | | | 0.356 | | | | | | 0.361 | | |
42 months | | | | | 0.228 | | | | | | 0.252 | | | | | | 0.274 | | | | | | 0.294 | | | | | | 0.312 | | | | | | 0.328 | | | | | | 0.342 | | | | | | 0.355 | | | | | | 0.361 | | |
39 months | | | | | 0.221 | | | | | | 0.246 | | | | | | 0.269 | | | | | | 0.290 | | | | | | 0.309 | | | | | | 0.325 | | | | | | 0.340 | | | | | | 0.354 | | | | | | 0.361 | | |
36 months | | | | | 0.213 | | | | | | 0.239 | | | | | | 0.263 | | | | | | 0.285 | | | | | | 0.305 | | | | | | 0.323 | | | | | | 0.339 | | | | | | 0.353 | | | | | | 0.361 | | |
33 months | | | | | 0.205 | | | | | | 0.232 | | | | | | 0.257 | | | | | | 0.280 | | | | | | 0.301 | | | | | | 0.320 | | | | | | 0.337 | | | | | | 0.352 | | | | | | 0.361 | | |
30 months | | | | | 0.196 | | | | | | 0.224 | | | | | | 0.250 | | | | | | 0.274 | | | | | | 0.297 | | | | | | 0.316 | | | | | | 0.335 | | | | | | 0.351 | | | | | | 0.361 | | |
27 months | | | | | 0.185 | | | | | | 0.214 | | | | | | 0.242 | | | | | | 0.268 | | | | | | 0.291 | | | | | | 0.313 | | | | | | 0.332 | | | | | | 0.350 | | | | | | 0.361 | | |
24 months | | | | | 0.173 | | | | | | 0.204 | | | | | | 0.233 | | | | | | 0.260 | | | | | | 0.285 | | | | | | 0.308 | | | | | | 0.329 | | | | | | 0.348 | | | | | | 0.361 | | |
21 months | | | | | 0.161 | | | | | | 0.193 | | | | | | 0.223 | | | | | | 0.252 | | | | | | 0.279 | | | | | | 0.304 | | | | | | 0.326 | | | | | | 0.347 | | | | | | 0.361 | | |
18 months | | | | | 0.146 | | | | | | 0.179 | | | | | | 0.211 | | | | | | 0.242 | | | | | | 0.271 | | | | | | 0.298 | | | | | | 0.322 | | | | | | 0.345 | | | | | | 0.361 | | |
15 months | | | | | 0.130 | | | | | | 0.164 | | | | | | 0.197 | | | | | | 0.230 | | | | | | 0.262 | | | | | | 0.291 | | | | | | 0.317 | | | | | | 0.342 | | | | | | 0.361 | | |
12 months | | | | | 0.111 | | | | | | 0.146 | | | | | | 0.181 | | | | | | 0.216 | | | | | | 0.250 | | | | | | 0.282 | | | | | | 0.312 | | | | | | 0.339 | | | | | | 0.361 | | |
9 months | | | | | 0.090 | | | | | | 0.125 | | | | | | 0.162 | | | | | | 0.199 | | | | | | 0.237 | | | | | | 0.272 | | | | | | 0.305 | | | | | | 0.336 | | | | | | 0.361 | | |
6 months | | | | | 0.065 | | | | | | 0.099 | | | | | | 0.137 | | | | | | 0.178 | | | | | | 0.219 | | | | | | 0.259 | | | | | | 0.296 | | | | | | 0.331 | | | | | | 0.361 | | |
3 months | | | | | 0.034 | | | | | | 0.065 | | | | | | 0.104 | | | | | | 0.150 | | | | | | 0.197 | | | | | | 0.243 | | | | | | 0.286 | | | | | | 0.326 | | | | | | 0.361 | | |
0 months | | | | | — | | | | | | — | | | | | | 0.042 | | | | | | 0.115 | | | | | | 0.179 | | | | | | 0.233 | | | | | | 0.281 | | | | | | 0.323 | | | | | | 0.361 | | |
| | | Page | | |||
P3 Health Partners Inc. | | | | | | | |
| | | | F-2 | | | |
| | | | F-4 | | | |
| | | | F-5 | | | |
| | | | F-6 | | | |
| | | | F-7 | | | |
| | | | F-16 | | | |
| | | | F-17 | | | |
| | | | F-19 | | | |
| | | | F-20 | | | |
| | | | F-21 | | | |
| | | | F-23 | | |
| | | Page | | |||
Foresight Acquisition Corp. | | | | | | | |
| | | | F-59 | | | |
| | | | F-60 | | | |
| | | | F-61 | | | |
| | | | F-62 | | | |
| | | | F-63 | | | |
| | | | F-64 | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS: | | | | | | | | | | | | | |
Cash | | | | $ | 7,183 | | | | | $ | 17,537 | | |
Restricted cash | | | | | 1,190 | | | | | | 920 | | |
Health plan receivable, net of allowance for credit losses of $150 and $0, respectively | | | | | 93,215 | | | | | | 72,092 | | |
Clinic fees and insurance receivable, net of contractual allowances of $5,683 and $5,755, respectively | | | | | 318 | | | | | | 822 | | |
Other receivables | | | | | 4,640 | | | | | | 6,678 | | |
Prepaid expenses and other current assets | | | | | 2,824 | | | | | | 2,643 | | |
TOTAL CURRENT ASSETS | | | | | 109,370 | | | | | | 100,692 | | |
Property and equipment, net | | | | | 8,947 | | | | | | 8,839 | | |
Intangible assets, net | | | | | 730,161 | | | | | | 751,050 | | |
Other long-term assets | | | | | 18,944 | | | | | | 15,990 | | |
TOTAL ASSETS(1) | | | | $ | 867,422 | | | | | $ | 876,571 | | |
LIABILITIES, MEZZANINE EQUITY and STOCKHOLDERS’ EQUITY | | | | | | | | | | | | | |
CURRENT LIABILITIES: | | | | | | | | | | | | | |
Accounts payable | | | | $ | 15,798 | | | | | $ | 11,542 | | |
Accrued expenses and other current liabilities | | | | | 21,330 | | | | | | 16,647 | | |
Accrued payroll | | | | | 7,401 | | | | | | 8,224 | | |
Health plans settlements payable | | | | | 12,384 | | | | | | 13,608 | | |
Claims payable | | | | | 164,897 | | | | | | 151,207 | | |
Premium deficiency reserve | | | | | 31,515 | | | | | | 26,375 | | |
Accrued interest | | | | | 16,336 | | | | | | 14,061 | | |
TOTAL CURRENT LIABILITIES | | | | | 269,661 | | | | | | 241,664 | | |
Operating lease liability | | | | | 12,822 | | | | | | 11,516 | | |
Warrant liabilities | | | | | 868 | | | | | | 1,517 | | |
Contingent consideration | | | | | 4,907 | | | | | | 4,794 | | |
Long-term debt, net | | | | | 108,126 | | | | | | 94,421 | | |
TOTAL LIABILITIES(1) | | | | | 396,384 | | | | | | 353,912 | | |
COMMITMENTS AND CONTINGENCIES (Note 12) | | | | | | | | | | | | | |
MEZZANINE EQUITY: | | | | | | | | | | | | | |
Redeemable non-controlling interest | | | | | 473,723 | | | | | | 516,805 | | |
STOCKHOLDERS’ (DEFICIT) EQUITY: | | | | | | | | | | | | | |
Class A common stock, $.0001 par value; 800,000 shares authorized; 41,579 shares issued and outstanding | | | | | 4 | | | | | | 4 | | |
Class V common stock, $.0001 par value; 205,000 shares authorized; 201,867 shares and 201,592 shares issued and outstanding, respectively | | | | | 20 | | | | | | 20 | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||
Additional paid in capital | | | | | 316,061 | | | | | | 315,375 | | |
Accumulated deficit | | | | | (318,770) | | | | | | (309,545) | | |
TOTAL STOCKHOLDERS’ (DEFICIT) EQUITY | | | | | (2,685) | | | | | | 5,854 | | |
TOTAL LIABILITIES, MEZZANINE EQUITY & STOCKHOLDERS’ (DEFICIT) EQUITY | | | | $ | 867,422 | | | | | $ | 876,571 | | |
|
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
OPERATING REVENUE: | | | | | | | | | | | | | |
Capitated revenue | | | | $ | 298,704 | | | | | $ | 269,685 | | |
Other patient service revenue | | | | | 3,373 | | | | | | 3,859 | | |
TOTAL OPERATING REVENUE | | | | | 302,077 | | | | | | 273,544 | | |
OPERATING EXPENSE: | | | | | | | | | | | | | |
Medical expense | | | | | 285,570 | | | | | | 265,821 | | |
Premium deficiency reserve | | | | | 5,140 | | | | | | (1,325) | | |
Corporate, general and administrative expense | | | | | 37,643 | | | | | | 38,599 | | |
Sales and marketing expense | | | | | 1,001 | | | | | | 865 | | |
Depreciation and amortization | | | | | 21,540 | | | | | | 21,752 | | |
TOTAL OPERATING EXPENSE | | | | | 350,894 | | | | | | 325,712 | | |
OPERATING LOSS | | | | | (48,817) | | | | | | (52,168) | | |
OTHER INCOME (EXPENSE): | | | | | | | | | | | | | |
Interest expense, net | | | | | (4,086) | | | | | | (2,755) | | |
Mark-to-market of stock warrants | | | | | 649 | | | | | | (5,861) | | |
Other | | | | | 96 | | | | | | (6) | | |
TOTAL OTHER EXPENSE | | | | | (3,341) | | | | | | (8,622) | | |
LOSS BEFORE INCOME TAXES | | | | | (52,158) | | | | | | (60,790) | | |
PROVISION FOR INCOME TAXES | | | | | (290) | | | | | | — | | |
NET LOSS | | | | | (52,448) | | | | | | (60,790) | | |
LESS: NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTERESTS | | | | | (43,249) | | | | | | (50,213) | | |
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | | | | $ | (9,199) | | | | | $ | (10,577) | | |
NET LOSS PER SHARE (Note 9): | | | | | | | | | | | | | |
Basic | | | | $ | (0.22) | | | | | $ | (0.25) | | |
Diluted | | | | $ | (0.22) | | | | | $ | (0.25) | | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (Note 9): | | | | | | | | | | | | | |
Basic | | | | | 41,579 | | | | | | 41,579 | | |
Diluted | | | | | 41,579 | | | | | | 41,579 | | |
| | | Redeemable Non-Controlling Interests | | | | Class A Common Stock | | | Class V Common Stock | | | Additional Paid in Capital | | | Accumulated Deficit | | | Total Stockholders’ Equity | | ||||||||||||||||||||||||||||||
| | | Shares | | | Amount | | | Shares | | | Amount | | |||||||||||||||||||||||||||||||||||||
STOCKHOLDERS’ EQUITY, December 31, 2021 | | | | $ | 1,790,617 | | | | | | | 41,579 | | | | | $ | 4 | | | | | | 196,554 | | | | | $ | 20 | | | | | $ | 312,946 | | | | | $ | (39,418) | | | | | $ | 273,552 | | |
Vesting of Class V common stock awards | | | | | — | | | | | | | — | | | | | | — | | | | | | 549 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Equity-based compensation | | | | | 11,711 | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Net loss | | | | | (50,213) | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (10,577) | | | | | | (10,577) | | |
STOCKHOLDERS’ EQUITY, March 31, 2022 | | | | $ | 1,752,115 | | | | | | | 41,579 | | | | | $ | 4 | | | | | | 197,103 | | | | | $ | 20 | | | | | $ | 312,946 | | | | | $ | (49,995) | | | | | $ | 262,975 | | |
| | | Redeemable Non-Controlling Interests | | | | Class A Common Stock | | | Class V Common Stock | | | Additional Paid in Capital | | | Accumulated Deficit | | | Total Stockholders’ Equity | | ||||||||||||||||||||||||||||||
| | | Shares | | | Amount | | | Shares | | | Amount | | |||||||||||||||||||||||||||||||||||||
STOCKHOLDERS’ EQUITY, December 31, 2022 | | | | $ | 516,805 | | | | | | | 41,579 | | | | | $ | 4 | | | | | | 201,592 | | | | | $ | 20 | | | | | $ | 315,375 | | | | | $ | (309,545) | | | | | $ | 5,854 | | |
Cumulative adjustment due to adoption of new credit loss standard | | | | | (124) | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (26) | | | | | | (26) | | |
Vesting of Class V common stock awards | | | | | — | | | | | | | — | | | | | | — | | | | | | 275 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Equity-based compensation | | | | | 291 | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 686 | | | | | | — | | | | | | 686 | | |
Net loss | | | | | (43,249) | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (9,199) | | | | | | (9,199) | | |
STOCKHOLDERS’ EQUITY, March 31, 2023 | | | | $ | 473,723 | | | | | | | 41,579 | | | | | $ | 4 | | | | | | 201,867 | | | | | $ | 20 | | | | | $ | 316,061 | | | | | $ | (318,770) | | | | | $ | (2,685) | | |
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES: | | | | | | | | | | | | | |
Net loss | | | | $ | (52,448) | | | | | $ | (60,790) | | |
Adjustments to reconcile net loss to net cash used in operating activities: | | | | | | | | | | | | | |
Depreciation and amortization | | | | | 21,540 | | | | | | 21,752 | | |
Equity-based compensation | | | | | 977 | | | | | | 11,711 | | |
Amortization of original issue discount and debt issuance costs | | | | | 279 | | | | | | — | | |
Accretion of contingent consideration | | | | | 113 | | | | | | 91 | | |
Mark-to-market adjustment of stock warrants | | | | | (649) | | | | | | 5,861 | | |
Premium deficiency reserve | | | | | 5,140 | | | | | | (1,325) | | |
Changes in assets and liabilities: | | | | | | | | | | | | | |
Health plan receivable | | | | | (21,273) | | | | | | (44,337) | | |
Clinic fees, insurance, and other receivable | | | | | 2,542 | | | | | | 805 | | |
Prepaid expenses and other current assets | | | | | (454) | | | | | | 216 | | |
Other long-term assets | | | | | (1,364) | | | | | | — | | |
Accounts payable, accrued expenses, and other current liabilities | | | | | 8,316 | | | | | | 4,018 | | |
Accrued payroll | | | | | (823) | | | | | | 1,382 | | |
Health plan settlements payable | | | | | (1,224) | | | | | | (3,909) | | |
Claims payable | | | | | 13,690 | | | | | | 35,450 | | |
Accrued interest | | | | | 2,275 | | | | | | 1,241 | | |
Operating lease liability | | | | | (359) | | | | | | 58 | | |
Net cash used in operating activities | | | | | (23,722) | | | | | | (27,776) | | |
CASH FLOWS FROM INVESTING ACTIVITIES: | | | | | | | | | | | | | |
Purchases of property and equipment | | | | | (464) | | | | | | (877) | | |
Notes receivable | | | | | — | | | | | | (272) | | |
Net cash used in investing activities | | | | | (464) | | | | | | (1,149) | | |
CASH FLOWS FROM FINANCING ACTIVITIES: | | | | | | | | | | | | | |
Proceeds from long-term debt, net of original issuance discount | | | | | 14,102 | | | | | | — | | |
Repayment of long-term debt | | | | | — | | | | | | (1,207) | | |
Net cash provided by (used in) financing activities | | | | | 14,102 | | | | | | (1,207) | | |
Net change in cash and restricted cash | | | | | (10,084) | | | | | | (30,132) | | |
Cash and restricted cash, beginning of period | | | | | 18,457 | | | | | | 140,834 | | |
Cash and restricted cash, end of period | | | | $ | 8,373 | | | | | $ | 110,702 | | |
Revenue Type | | | Three Months Ended March 31, 2023 | | | % of Total | | | Three Months Ended March 31, 2022 | | | % of Total | | ||||||||||||
| | | (dollars in thousands) | | |||||||||||||||||||||
Capitated revenue | | | | $ | 298,704 | | | | | | 98.9% | | | | | $ | 269,685 | | | | | | 98.6% | | |
Other patient service revenue: | | | | | | | | | | | | | | | | | | | | | | | | | |
Clinic fees and insurance | | | | | 1,480 | | | | | | 0.5% | | | | | | 1,882 | | | | | | 0.7% | | |
Care coordination / management fees | | | | | 1,850 | | | | | | 0.6% | | | | | | 1,921 | | | | | | 0.7% | | |
Incentive fees | | | | | 43 | | | | | | 0.0% | | | | | | 56 | | | | | | 0.0% | | |
Total other patient service revenue | | | | | 3,373 | | | | | | 1.1% | | | | | | 3,859 | | | | | | 1.4% | | |
Total revenue | | | | $ | 302,077 | | | | | | 100.0% | | | | | $ | 273,544 | | | | | | 100.0% | | |
| | | Level 1 | | | Level 2 | | | Level 3 | | | Total | | ||||||||||||
| | | (in thousands) | | |||||||||||||||||||||
Warrant liability as of March 31, 2023 | | | | $ | 844 | | | | | $ | — | | | | | $ | 24 | | | | | $ | 868 | | |
Warrant liability as of December 31, 2022 | | | | $ | 1,477 | | | | | $ | — | | | | | $ | 40 | | | | | $ | 1,517 | | |
| | | March 31, 2023 | | | December 31, 2022 | |
Volatility | | | 73.0% | | | 55.0% | |
Risk-free interest rate | | | 3.8% | | | 4.1% | |
Exercise price | | | $11.50 | | | $11.50 | |
Expected term | | | 3.7 years | | | 3.9 years | |
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Beginning balance | | | | $ | 40 | | | | | $ | 502 | | |
Mark-to-market adjustment | | | | | (16) | | | | | | (19) | | |
Ending balance | | | | $ | 24 | | | | | $ | 483 | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||
| | | (in thousands) | | |||||||||
Leasehold improvements | | | | $ | 1,832 | | | | | $ | 1,810 | | |
Furniture and fixtures | | | | | 1,238 | | | | | | 1,262 | | |
Computer equipment and software | | | | | 3,358 | | | | | | 3,206 | | |
Medical equipment | | | | | 1,095 | | | | | | 1,067 | | |
Software (development in process) | | | | | 3,654 | | | | | | 3,460 | | |
Vehicles | | | | | 654 | | | | | | 618 | | |
Other | | | | | 365 | | | | | | 37 | | |
| | | | | 12,196 | | | | | | 11,460 | | |
Less: accumulated depreciation | | | | | (3,249) | | | | | | (2,621) | | |
Property and equipment, net | | | | $ | 8,947 | | | | | $ | 8,839 | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||||||||||||||||||||||||||
| | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Carrying Amount | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Carrying Amount | | ||||||||||||||||||
| | | (in thousands) | | |||||||||||||||||||||||||||||||||
Indefinite lived intangible assets: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical licenses | | | | $ | 700 | | | | | $ | — | | | | | $ | 700 | | | | | $ | 700 | | | | | $ | — | | | | | $ | 700 | | |
Definite lived intangible assets: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Customer relationships | | | | | 684,000 | | | | | | (91,200) | | | | | | 592,800 | | | | | | 684,000 | | | | | | (74,100) | | | | | | 609,900 | | |
Trademarks | | | | | 148,635 | | | | | | (20,255) | | | | | | 128,380 | | | | | | 148,635 | | | | | | (16,704) | | | | | | 131,931 | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||||||||||||||||||||||||||
| | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Carrying Amount | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Carrying Amount | | ||||||||||||||||||
| | | (in thousands) | | |||||||||||||||||||||||||||||||||
Payor contracts | | | | | 4,700 | | | | | | (588) | | | | | | 4,112 | | | | | | 4,700 | | | | | | (470) | | | | | | 4,230 | | |
Provider network | | | | | 4,800 | | | | | | (631) | | | | | | 4,169 | | | | | | 4,800 | | | | | | (511) | | | | | | 4,289 | | |
Total | | | | $ | 842,835 | | | | | $ | (112,674) | | | | | $ | 730,161 | | | | | $ | 842,835 | | | | | $ | (91,785) | | | | | $ | 751,050 | | |
|
| | | March 31, 2023 | | | December 31, 2022 | | ||||||
| | | (in thousands) | | |||||||||
Repurchase promissory note, interest paid at 11.0%, due June 2026 | | | | $ | 15,000 | | | | | $ | 15,000 | | |
Term loan facility, interest paid at 12.0%, due December 2025 | | | | | 65,000 | | | | | | 65,000 | | |
Unsecured promissory note, interest paid at 14.0%, due May 2026 | | | | | 29,102 | | | | | | 15,000 | | |
Long-term debt, gross | | | | | 109,102 | | | | | | 95,000 | | |
Less: unamortized debt issuance costs and original issue discount | | | | | (976) | | | | | | (579) | | |
| | | | | 108,126 | | | | | | 94,421 | | |
Less: current portion of long-term debt | | | | | — | | | | | | — | | |
Long-term debt, net | | | | $ | 108,126 | | | | | $ | 94,421 | | |
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands, except per share data) | | |||||||||
Net loss attributable to Class A common stockholders – basic and diluted | | | | $ | (9,199) | | | | | $ | (10,577) | | |
Weighted average Class A common shares outstanding – basic and diluted | | | | | 41,579 | | | | | | 41,579 | | |
Net loss per share attributable to Class A common stockholders – basic and diluted | | | | $ | (0.22) | | | | | $ | (0.25) | | |
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Stock warrants(1) | | | | | 11,248 | | | | | | 10,819 | | |
Stock options(1) | | | | | 5,487 | | | | | | 2,134 | | |
Shares of Class V common stock(2) | | | | | 201,972 | | | | | | 202,025 | | |
Total | | | | | 218,707 | | | | | | 214,978 | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||||||||||||||
| | | Units (in thousands) | | | Ownership % | | | Units (in thousands) | | | Ownership % | | ||||||||||||
P3 Health Partners Inc.’s ownership of Common Units | | | | | 41,579 | | | | | | 17.1% | | | | | | 41,579 | | | | | | 17.1% | | |
Non-controlling interest holders’ ownership of Common Units | | | | | 201,867 | | | | | | 82.9% | | | | | | 201,592 | | | | | | 82.9% | | |
Total Common Units | | | | | 243,446 | | | | | | 100.0% | | | | | | 243,171 | | | | | | 100.0% | | |
| | | March 31, 2023 | | | December 31, 2022 | | ||||||
| | | (in thousands) | | |||||||||
ASSETS | | | | | | | | | | | | | |
Cash | | | | $ | — | | | | | $ | 1,759 | | |
Clinic fees and insurance receivables, net | | | | | 639 | | | | | | 323 | | |
Prepaid expenses and other current assets | | | | | 1,229 | | | | | | 121 | | |
Other receivable | | | | | 13 | | | | | | 855 | | |
Property and equipment, net | | | | | 43 | | | | | | 44 | | |
Other long-term assets | | | | | 114 | | | | | | — | | |
Due from consolidated entities of P3 | | | | | 10,123 | | | | | | 3,012 | | |
TOTAL ASSETS | | | | | 12,161 | | | | | | 6,114 | | |
LIABILITIES AND MEMBERS’ DEFICIT | | | | | | | | | | | | | |
Accounts payable | | | | | 5,725 | | | | | | 7,800 | | |
Accrued expenses and other current liabilities | | | | | 546 | | | | | | 262 | | |
Accrued payroll | | | | | 2,381 | | | | | | 1,885 | | |
Claims payable | | | | | 7,087 | | | | | | — | | |
Other long-term liabilities | | | | | 1,023 | | | | | | — | | |
Due to consolidated entities of P3 | | | | | 41,540 | | | | | | 36,025 | | |
TOTAL LIABILITIES | | | | | 58,302 | | | | | | 45,972 | | |
MEMBERS’ DEFICIT | | | | | (46,141) | | | | | | (39,858) | | |
TOTAL LIABILITIES AND MEMBERS’ DEFICIT | | | | $ | 12,161 | | | | | $ | 6,114 | | |
| | | Three Months Ended March 31, | | |||||||||
| | | 2023 | | | 2022 | | ||||||
| | | (in thousands) | | |||||||||
Revenue | | | | $ | 10,839 | | | | | $ | 12,914 | | |
Expense | | | | | 13,675 | | | | | | 14,920 | | |
Net loss | | | | $ | (2,836) | | | | | $ | (2,006) | | |
| | | December 31, | | |||||||||
| | | 2022 | | | 2021 | | ||||||
ASSETS | | | | | | | | | | | | | |
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 | | |
LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS’ EQUITY | | | | | | | | | | | | | |
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 | | |
| | | December 31, | | |||||||||
| | | 2022 | | | 2021 | | ||||||
COMMITMENTS AND CONTINGENCIES (NOTE 17 AND NOTE 21) | | | | | | | | | | | | | |
MEZZANINE EQUITY | | | | | | | | | | | | | |
Redeemable non-controlling interest | | | | | 516,805 | | | | | | 1,790,617 | | |
STOCKHOLDERS’ EQUITY: | | | | | | | | | | | | | |
Class A common stock, $0.0001 par value; 800,000,000 shares authorized; 41,578,890 shares issued and outstanding as of December 31, 2022 and 2021 | | | | | 4 | | | | | | 4 | | |
Class V common stock, $0.0001 par value; 205,000,000 shares authorized; 201,592,012 and 196,553,523 shares issued and outstanding as of December 31, 2022 and 2021, respectively | | | | | 20 | | | | | | 20 | | |
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 | | |
|
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
OPERATING REVENUE: | | | | | | | | | | | | | | | | | | | | |
Capitated revenue | | | | $ | 1,034,800 | | | | | $ | 57,224 | | | | | | $ | 567,735 | | |
Other patient service revenue | | | | | 14,671 | | | | | | 1,538 | | | | | | | 10,867 | | |
TOTAL OPERATING REVENUE | | | | | 1,049,471 | | | | | | 58,762 | | | | | | | 578,602 | | |
OPERATING EXPENSE: | | | | | | | | | | | | | | | | | | | | |
Medical expense | | | | | 1,057,224 | | | | | | 66,877 | | | | | | | 592,465 | | |
Premium deficiency reserve | | | | | (11,461) | | | | | | 26,277 | | | | | | | 11,559 | | |
Corporate, general and administrative expense | | | | | 157,284 | | | | | | 16,983 | | | | | | | 100,243 | | |
Sales and marketing expense | | | | | 5,096 | | | | | | 364 | | | | | | | 1,818 | | |
Depreciation and amortization | | | | | 87,289 | | | | | | 7,149 | | | | | | | 1,575 | | |
Goodwill impairment | | | | | 1,314,952 | | | | | | — | | | | | | | — | | |
TOTAL OPERATING EXPENSE | | | | | 2,610,384 | | | | | | 117,650 | | | | | | | 707,660 | | |
OPERATING LOSS | | | | | (1,560,913) | | | | | | (58,888) | | | | | | | (129,058) | | |
OTHER INCOME (EXPENSE): | | | | | | | | | | | | | | | | | | | | |
Interest expense, net | | | | | (11,404) | | | | | | (851) | | | | | | | (9,824) | | |
Mark-to-market of stock warrants | | | | | 9,865 | | | | | | 2,272 | | | | | | | (7,665) | | |
Other | | | | | 2,757 | | | | | | (471) | | | | | | | 147 | | |
TOTAL OTHER INCOME (EXPENSE) | | | | | 1,218 | | | | | | 950 | | | | | | | (17,342) | | |
LOSS BEFORE INCOME TAXES | | | | | (1,559,695) | | | | | | (57,938) | | | | | | | (146,400) | | |
PROVISION FOR INCOME TAXES | | | | | (1,862) | | | | | | — | | | | | | | — | | |
NET LOSS | | | | | (1,561,557) | | | | | | (57,938) | | | | | | | (146,400) | | |
LESS: NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTERESTS | | | | | (1,291,430) | | | | | | (47,857) | | | | | | | — | | |
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS | | | | $ | (270,127) | | | | | $ | (10,081) | | | | | | $ | (146,400) | | |
NET LOSS PER SHARE (BASIC) | | | | $ | (6.50) | | | | | $ | (0.24) | | | | | | | N/A(1) | | |
NET LOSS PER SHARE (DILUTED) | | | | $ | (6.50) | | | | | $ | (0.24) | | | | | | | N/A(1) | | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (BASIC) | | | | | 41,579 | | | | | | 41,579 | | | | | | | N/A(1) | | |
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (DILUTED) | | | | | 41,579 | | | | | | 41,579 | | | | | | | N/A(1) | | |
| | | Predecessor | | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| | | Class A Units Subject to Possible Redemption | | | Class D Units Subject to Possible Redemption | | | | Class B-1 | | | Class C | | | Redemption of Profit Interests | | | Accumulated Deficit | | | Total Members’ Deficit | | |||||||||||||||||||||||||||||||||||||||||||||
| | | Units | | | Amount | | | Units | | | Amount | | | | Units | | | Amount | | | Units | | | Amount | | ||||||||||||||||||||||||||||||||||||||||||
MEMBERS’ DEFICIT, as of December 31, 2020 | | | | | 43,000,000 | | | | | $ | 43,656 | | | | | | 16,130,034 | | | | | $ | 47,042 | | | | | | | 6,000,000 | | | | | $ | 380 | | | | | | 1,302,083 | | | | | $ | 67 | | | | | $ | (180) | | | | | $ | (130,485) | | | | | $ | (130,218) | | |
Class B-1 and Class C Unit Based Compensation | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | | 2,000,000 | | | | | | 380 | | | | | | 660,417 | | | | | | 902 | | | | | | — | | | | | | — | | | | | | 1,282 | | |
Class B-2 Units Accelerated on Merger Date | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | | 4,054,054 | | | | | | 81 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 81 | | |
Class B-3 Units Accelerated on Merger Date | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | | 5,647,438 | | | | | | 56 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 56 | | |
Class C-1 Units Accelerated on Merger Date | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | | — | | | | | | — | | | | | | 1,035,833 | | | | | | 2,243 | | | | | | — | | | | | | — | | | | | | 2,243 | | |
Class C-2 Units Accelerated on Merger Date | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | | — | | | | | | — | | | | | | 1,685,000 | | | | | | 39 | | | | | | — | | | | | | — | | | | | | 39 | | |
Net Loss | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (146,400) | | | | | | (146,400) | | |
MEMBERS’ DEFICIT, as of December 2, 2021 | | | | | 43,000,000 | | | | | $ | 43,656 | | | | | | 16,130,034 | | | | | $ | 47,042 | | | | | | | 17,701,492 | | | | | $ | 897 | | | | | | 4,683,333 | | | | | $ | 3,251 | | | | | $ | (180) | | | | | $ | (276,885) | | | | | $ | (272,917) | | |
| | | Successor | | ||||||||||||||||||||||||||||||||||||||||||||||
| | | Redeemable Non-controlling Interest | | | | Class A Common Stock | | | Class V Common Stock | | | Additional Paid in Capital(1) | | | Accumulated Deficit | | | Total Stockholders’ Equity | | ||||||||||||||||||||||||||||||
| | | Shares | | | Amount | | | Shares | | | Amount | | |||||||||||||||||||||||||||||||||||||
STOCKHOLDERS’ EQUITY, December 3, 2021 | | | | $ | 1,833,838 | | | | | | | 41,578,890 | | | | | $ | 4 | | | | | | 196,553,523 | | | | | $ | 20 | | | | | $ | 312,946 | | | | | $ | (29,337) | | | | | $ | 283,633 | | |
Equity-based compensation | | | | | 4,635 | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Net loss | | | | | (47,856) | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (10,081) | | | | | | (10,081) | | |
STOCKHOLDERS’ EQUITY, December 31, 2021 | | | | | 1,790,617 | | | | | | | 41,578,890 | | | | | | 4 | | | | | | 196,553,523 | | | | | | 20 | | | | | | 312,946 | | | | | | (39,418) | | | | | | 273,552 | | |
Vesting of Class V common stock awards | | | | | — | | | | | | | — | | | | | | — | | | | | | 5,038,489 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Equity-based compensation | | | | | 17,618 | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 1,786 | | | | | | — | | | | | | 1,786 | | |
Class A common stock warrants issued | | | | | — | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 643 | | | | | | — | | | | | | 643 | | |
Net loss | | | | | (1,291,430) | | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (270,127) | | | | | | (270,127) | | |
STOCKHOLDERS’ EQUITY, December 31, 2022 | | | | $ | 516,805 | | | | | | | 41,578,890 | | | | | $ | 4 | | | | | | 201,592,012 | | | | | $ | 20 | | | | | $ | 315,375 | | | | | $ | (309,545) | | | | | $ | 5,854 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: | | | | | | | | | | | | | | | | | | | | |
Net loss | | | | $ | (1,561,557) | | | | | $ | (57,938) | | | | | | $ | (146,400) | | |
Adjustments to reconcile net loss to net cash used in operating activities: | | | | | | | | | | | | | | | | | | | | |
Depreciation and amortization | | | | | 87,289 | | | | | | 7,149 | | | | | | | 1,575 | | |
Equity-based compensation | | | | | 19,404 | | | | | | 4,635 | | | | | | | 3,701 | | |
Goodwill impairment | | | | | 1,314,952 | | | | | | — | | | | | | | — | | |
Amortization of original issue discount and debt issuance costs | | | | | — | | | | | | — | | | | | | | 1,798 | | |
Accretion of contingent consideration | | | | | 400 | | | | | | — | | | | | | | — | | |
Mark-to-market of stock warrants | | | | | (9,865) | | | | | | (2,272) | | | | | | | 7,665 | | |
Premium deficiency reserve | | | | | (11,461) | | | | | | 26,277 | | | | | | | 11,559 | | |
Changes in operating assets and liabilities: | | | | | | | | | | | | | | | | | | | | |
Health plan receivable | | | | | (21,841) | | | | | | 3,236 | | | | | | | (2,770) | | |
Clinic fees, insurance, and other receivables | | | | | (5,338) | | | | | | 1,467 | | | | | | | (1,485) | | |
Prepaid expenses and other current assets | | | | | 4,266 | | | | | | (4,704) | | | | | | | 4,254 | | |
Other long-term assets | | | | | 100 | | | | | | — | | | | | | | — | | |
Accounts payable, accrued expenses, and other current liabilities | | | | | 6,082 | | | | | | 7,732 | | | | | | | 34,224 | | |
Accrued payroll | | | | | 1,920 | | | | | | 3,159 | | | | | | | (1,134) | | |
Health plan settlements payable | | | | | (8,941) | | | | | | (2,592) | | | | | | | 11,265 | | |
Claims payable | | | | | 49,249 | | | | | | (971) | | | | | | | 19,097 | | |
Accrued interest | | | | | 5,290 | | | | | | (498) | | | | | | | 5,216 | | |
Operating lease liability | | | | | 4,032 | | | | | | (22) | | | | | | | 306 | | |
Net cash used in operating activities | | | | | (126,019) | | | | | | (15,342) | | | | | | | (51,129) | | |
CASH FLOWS FROM INVESTING ACTIVITIES: | | | | | | | | | | | | | | | | | | | | |
Purchases of property and equipment | | | | | (2,233) | | | | | | (120) | | | | | | | (3,290) | | |
Acquisitions, net of cash acquired | | | | | (5,500) | | | | | | (47,879) | | | | | | | (4,989) | | |
Notes receivable | | | | | — | | | | | | 143 | | | | | | | 70 | | |
Net cash used in investing activities | | | | | (7,733) | | | | | | (47,856) | | | | | | | (8,209) | | |
CASH FLOWS FROM FINANCING ACTIVITIES: | | | | | | | | | | | | | | | | | | | | |
Proceeds from PIPE, net of issuance costs | | | | | — | | | | | | 195,308 | | | | | | | — | | |
Proceeds from long-term debt, net of original issue discount | | | | | 15,000 | | | | | | — | | | | | | | 25,000 | | |
Proceeds from short-term debt | | | | | — | | | | | | 3,377 | | | | | | | 351 | | |
Payment of long-term debt | | | | | (46) | | | | | | (8) | | | | | | | (186) | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Payment of debt issuance costs | | | | | — | | | | | | — | | | | | | | (375) | | |
Payment of short-term debt | | | | | (3,579) | | | | | | — | | | | | | | — | | |
Net cash provided by financing activities | | | | | 11,375 | | | | | | 198,677 | | | | | | | 24,790 | | |
Net change in cash and restricted cash | | | | | (122,377) | | | | | | 135,479 | | | | | | | (34,548) | | |
Cash and restricted cash at beginning of period | | | | | 140,834 | | | | | | 5,355 | | | | | | | 39,903 | | |
Cash and restricted cash at end of period | | | | $ | 18,457 | | | | | $ | 140,834 | | | | | | $ | 5,355 | | |
Supplemental disclosure of cash flow information: | | | | | | | | | | | | | | | | | | | | |
Cash paid for interest | | | | $ | 5,714 | | | | | $ | 1,346 | | | | | | $ | 2,796 | | |
Supplemental disclosures of non-cash investing and financing information: | | | | | | | | | | | | | | | | | | | | |
Operating lease liabilities arising from obtaining new right-of-use assets | | | | $ | 6,839 | | | | | $ | 314 | | | | | | $ | 4,073 | | |
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 | | | | $ | 17,537 | | | | | $ | 140,478 | | | | | | $ | 5,301 | | |
Restricted cash | | | | | 920 | | | | | | 356 | | | | | | | 54 | | |
Total cash and restricted cash | | | | $ | 18,457 | | | | | $ | 140,834 | | | | | | $ | 5,355 | | |
| | | | | | | | | | | |
| | | Successor | | | | Predecessor | | ||||||||||||||||||||||||||||||
Revenue Type | | | Year Ended December 31, 2022 | | | % of Total | | | December 3, 2021 through December 31, 2021 | | | % of Total | | | | January 1, 2021 through December 2, 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% | | |
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 | |
| 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 | | |
| 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 | | |
| 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 | | |
| | | Successor Period | | | | Predecessor 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 | | | | | | | — | | |
| | | Successor Period | | | | Predecessor Period | | ||||||
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 | | |
| | | | | | | | |
| | | 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) | | |
| | | 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 | | | | | $ | — | | | | | $ | — | | |
| | | 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 | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 (Private Placement Warrants) | | | December 3, 2021 through December 31, 2021 (Private Placement Warrants) | | | | January 1, 2021 through December 2, 2021 (Class D Warrants) | | |||||||||
Beginning balance | | | | $ | 502 | | | | | $ | 793 | | | | | | $ | 6,316 | | |
Mark-to-market adjustment of stock warrants | | | | | (462) | | | | | | (291) | | | | | | | 7,665 | | |
Ending balance | | | | $ | 40 | | | | | $ | 502 | | | | | | $ | 13,981 | | |
| | | 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 | | |
| 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) | | |
| | | | | $ | — | | |
| | | December 31, | | |||||||||||||||||||||||||||||||||
| | | 2022 | | | 2021 | | ||||||||||||||||||||||||||||||
| | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Carrying Amount | | | Gross Carrying Amount | | | Gross Carrying Amount | | | Net Carrying 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 | | |
| | | 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 | | |
| | | 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 | | |
| 2023 | | | | $ | — | | |
| 2024 | | | | | — | | |
| 2025 | | | | | 65,000 | | |
| 2026 | | | | | 30,000 | | |
| | | | | | 95,000 | | |
| Less: unamortized debt issuance costs and original issue discount | | | | | (579) | | |
| | | | | $ | 94,421 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Domestic | | | | $ | (1,559,695) | | | | | $ | (57,938) | | | | | | $ | (146,400) | | |
Foreign | | | | | — | | | | | | — | | | | | | | — | | |
Total | | | | $ | (1,559,695) | | | | | $ | (57,938) | | | | | | $ | (146,400) | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 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 | | | | | $ | — | | | | | | $ | — | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 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)% | | | | | | —% | | | | | | | —% | | |
| | | 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 | | | | $ | — | | | | | $ | — | | |
| | | Weighted Average Grant-Date Fair Value | | | Number of Units (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 | | |
| | | Number of Stock Options (in thousands) | | | Weighted Average Exercise Price | | | Weighted Average Remaining Contractual Life (in years) | | | Aggregate Intrinsic Value (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 | | | | | $ | — | | |
| | | Number of Stock Options (in thousands) | | | Weighted Average Exercise Price | | | Weighted Average Remaining Contractual Life (in years) | | | Aggregate Intrinsic Value (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 | | | | | — | | | | | $ | — | | | | | | — | | | | | $ | — | | |
| | | Year Ended December 31, 2022 | | |||
Expected volatility | | | | | 51% | | |
Risk-free interest rate | | | | | 3.2% | | |
Expected term (in years) | | | | | 7.28 | | |
Dividend rate | | | | | 0.0% | | |
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 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) | | |
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 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 | | |
| | | December 31, | | |||||||||
| | | 2022 | | | 2021 | | ||||||
Weighted average remaining lease term (years) | | | | | 6.22 | | | | | | 5.01 | | |
Weighted average discount rate | | | | | 11.7% | | | | | | 11.1% | | |
| 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 | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Operating cash flows paid for operating leases | | | | $ | 3,339 | | | | | $ | 255 | | | | | | $ | 2,256 | | |
| | | 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% | | |
| | | Successor | | | | Predecessor | | ||||||||||||
| | | Year Ended December 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 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 | | | | | $ | — | | |
| | | Year Ended December 31, 2022 | | |||
Interest expense, net | | | | $ | 105 | | |
| | | December 31, 2022 | | |||
Long-term debt, net | | | | $ | 14,421 | | |
Accrued interest | | | | $ | 105 | | |
Accrued expenses | | | | $ | 225 | | |
| | | 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 31, 2022 | | | December 3, 2021 through December 31, 2021 | | | | January 1, 2021 through December 2, 2021 | | |||||||||
Revenue | | | | $ | 55,237 | | | | | $ | 844 | | | | | | $ | 7,580 | | |
Expenses | | | | | 69,638 | | | | | | 1,203 | | | | | | | 12,293 | | |
Net loss | | | | $ | (14,401) | | | | | $ | (359) | | | | | | $ | (4,713) | | |
| Volatility | | | 49% | |
| Risk-free interest rate | | | 3.80% | |
| Exercise price | | | $4.26 | |
| Expected term | | | 5.0 Years | |
| | | December 2, 2021 | | | December 31, 2020 | | ||||||
ASSETS | | | | | | | | | | | | | |
Current Assets | | | | | | | | | | | | | |
Cash and cash equivalents | | | | $ | 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 | | |
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT) | | | | | | | | | | | | | |
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) | | | | | | | | | | | | | |
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 | | | | | | — | | |
Stockholders’ (Deficit) Equity | | | | | | | | | | | | | |
Preferred stock, $0.0001 par value; 1,000,000 shares authorized, none issued and outstanding | | | | | — | | | | | | — | | |
Class A common stock, $0.0001 par value; 200,000,000 shares authorized; 8,738,750 shares issued and outstanding as of December 2, 2021 and December 31, 2020, excluding shares subject to redemption | | | | | 874 | | | | | | — | | |
Class B common shares, $0.0001 par value; 20,000,000 shares authorized; 7,906,250 shares issued and outstanding as of December 2, 2021 and December 31, 2020 | | | | | — | | | | | | 791 | | |
Additional paid-in capital | | | | | — | | | | | | 24,209 | | |
Accumulated deficit | | | | | (34,190,624) | | | | | | (2,286) | | |
Total Stockholders’ (Deficit) Equity | | | | | (34,189,750) | | | | | | 22,714 | | |
Total Liabilities, Redeemable Shares and Stockholders’ Equity | | | | $ | 316,723,259 | | | | | $ | 394,960 | | |
| | | For the Period from January 1, 2021 through December 2, 2021 | | | For the Period from August 20, 2020 (Inception) through December 31, 2020 | | ||||||
General and administrative expenses | | | | $ | 22,747,817 | | | | | $ | 2,286 | | |
Loss from operations | | | | | (22,747,817) | | | | | | (2,286) | | |
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) | | | | | | — | | |
Other income | | | | | 2,057,307 | | | | | | — | | |
Net loss | | | | $ | (24,805,124) | | | | | $ | (2,286) | | |
Basic and diluted weighted average shares outstanding of Class A common stock | | | | | 29,692,013 | | | | | | — | | |
Basic and diluted net loss per share, Class A Common stock | | | | $ | (0.84) | | | | | $ | — | | |
Basic and diluted weighted average shares outstanding of Class B common stock | | | | | — | | | | | | 6,875,000 | | |
Basic and diluted net loss per share, Class B Common stock | | | | $ | — | | | | | $ | — | | |
| | | Class A Common Stock subject to possible redemption | | | Class B Common Stock | | | Additional Paid-in Capital | | | Accumulated Deficit | | | Total Stockholders’ Equity (Deficit) | | |||||||||||||||||||||||||||
| | | Shares | | | Amount | | | Shares | | | Amount | | ||||||||||||||||||||||||||||||
Balance – August 20, 2020 (inception) | | | | | — | | | | | $ | — | | | | | | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | |
Issuance of Class B common stock to Sponsor | | | | | — | | | | | | — | | | | | | 7,906,250 | | | | | | 791 | | | | | | 24,209 | | | | | | — | | | | | | 25,000 | | |
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (2,286) | | | | | | (2,286) | | |
Balance – December 31, 2020 | | | | | — | | | | | | — | | | | | | 7,906,250 | | | | | | 791 | | | | | | 24,209 | | | | | | (2,286) | | | | | | 22,714 | | |
Accretion for Class A common stock to redemption amount | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (8,068,251) | | | | | | (9,383,214) | | | | | | (17,451,465) | | |
Sale of 832,500 Private Placement Units, Net | | | | | 832,500 | | | | | | 83 | | | | | | — | | | | | | — | | | | | | 8,044,042 | | | | | | — | | | | | | 8,044,125 | | |
October 4, 2021 Class B conversion | | | | | 7,906,250 | | | | | | 791 | | | | | | (7,906,250) | | | | | | (791) | | | | | | — | | | | | | — | | | | | | — | | |
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (24,805,124) | | | | | | (24,805,124) | | |
Balance – December 2, 2021 | | | | | 8,738,750 | | | | | $ | 874 | | | | | | — | | | | | $ | — | | | | | $ | — | | | | | $ | (34,190,624) | | | | | $ | (34,189,750) | | |
| | | For the Period from January 1, 2021 through December 2, 2021 | | | For the Period from August 20, 2020 (Inception) through December 31, 2020 | | ||||||
Cash Flows from Operating Activities: | | | | | | | | | | | | | |
Net loss | | | | $ | (24,805,124) | | | | | $ | (2,286) | | |
Adjustments to reconcile net loss to net cash used in operating activities: | | | | | | | | | | | | | |
Interest earned on marketable securities held in Trust Account | | | | | (17,136) | | | | | | — | | �� |
Change in fair value of warrant liabilities | | | | | 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 | | | | | 21,282,014 | | | | | | 2,286 | | |
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 | | | | | (367,028) | | | | | | (120,488) | | |
Net cash provided by financing activities | | | | | 317,757,971 | | | | | | 179,512 | | |
Net (Decrease) Increase in Cash | | | | | (78,577) | | | | | | 179,512 | | |
Cash – Beginning | | | | | 179,512 | | | | | | — | | |
Cash – Ending | | | | $ | 100,935 | | | | | $ | 179,512 | | |
Non-cash investing and financing activities: | | | | | | | | | | | | | |
Offering costs included in accrued offering cost | | | | $ | 15,450 | | | | | $ | 94,960 | | |
Initial classification of Class A common stock subject to possible redemption | | | | $ | 316,250,000 | | | | | $ | — | | |
| | | For the Period from January 1, 2021 through December 2, 2021 | | | For the Period from August 20, 2020 (Inception) through 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) | | |
| | | December 2, 2021 | | | December 31, 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 | | | | $ | — | | | | | $ | — | | |
| | | For the period from January 1, 2021 through December 2, 2021 | | | For the period from August 20, 2020 (inception) through December 31, 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 | | | | $ | — | | | | | $ | — | | |
| | | December 2, 2021 | | | December 31, 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% | | |
| | | Description | | | Level | | | December 2, 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 | | |
| | | 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 | | |
| | | Private Placement | | | Public | | | Warrant 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 | | |