For more information on $PIII visit www.p3hp.org and follow P3 on @p3healthpartners and Facebook.com/p3healthpartners.
Health Management Network of Over 2,800 Affiliated Primary Care Providers Across the USA.
Currently Serving Over 100,000 Patients in 15 Counties Across Five States.
Membership Growth Projected at Roughly a 35% Increase Over Prior Year.
2022 Capitated Revenue of $1.0 Billion, an Increase of 66% Compared to $625.0 Million in the Prior Year.
2022 Revenue Growth and Network Contribution Improvement of 65% vs. 2021.
Adjusted EBITDA (1) Anticipated to be Positive in 2024.
P3 Health Partners Inc. (NASDAQ: PIII) (“P3” or the “Company”) is a leading population health management company committed to transforming healthcare by improving the lives of both patients and providers. Founded and led by physicians, P3 has an expansive network of more than 2,800 affiliated primary care providers across the country.
P3 local teams of health care professionals manage the care of more than 100,000 patients in 15 counties across five states. P3 supports primary care providers with value-based care coordination and administrative services that improve patient outcomes and lower costs. Through partnerships with these local providers, the P3 care team creates an enhanced patient experience by navigating, coordinating, and integrating the patient’s care within the healthcare system.
P3 Announced Fourth Quarter and Full-Year 2022 Results
On March 31,, 2023 P3 announced its financial results for the fourth-quarter and full-year ended December 31, 2022.
“Results for 2022 are a testament to the strength of the P3 team and its commitment to improving clinical outcomes,” said Dr. Sherif Abdou, P3 co-founder and CEO. “We achieved revenue growth and a network contribution improvement of 65% versus 2021. 2023 is an inflection point for P3, as we shift to a higher percentage of persistent lives than new, reduce operating expenses, and provide a clear path to reach Adjusted EBITDA positive results in early 2024.”
Fourth-Quarter 2022 Financial Results
Capitated revenue was $254.0 million, an increase of 40% compared to $181.4 million in the fourth quarter of the prior year
Net loss was $532.3 million compared to a net loss of $118.2 million in the fourth quarter of the prior year, primarily due to a goodwill impairment charge of $463.5 million in the fourth quarter of 2022
Net loss PMPM was $1,766, compared to a net loss of $587.1 in the prior year, due to a goodwill impairment charge of $463.5 million in the fourth quarter of 2022
Adjusted EBITDA loss (1) was $40.1 million compared to an Adjusted EBITDA loss of $35.6 million in the fourth quarter of the prior year
Adjusted EBITDA PMPM (1) loss was $133, an improvement of $44 PMPM compared to the fourth quarter of the prior year
Full-Year 2022 Financial Results
At-risk Medicare Advantage membership at December 31, 2022 of 100,400, an increase of approximately 50% compared to 67,000 in the prior year (2)
Capitated revenue was $1.0 billion, an increase of 66% compared to $625.0 million in the prior year
Operating loss for full-year 2022 was $1.6 billion compared to $187.9 million in the prior year (1)
Full-year 2022 medical margin was $62.1 million, an improvement of 428% compared to the prior year (1)
Full-year network contribution of ($7.8) million improved by 65% compared to the prior year (1)
Net loss was $1.6 billion compared to a net loss of $204.3 million in the prior year, primarily due to a goodwill impairment charge of $1.3 billion in 2022
Net loss PMPM was $1,296.1, an increased loss of $1,041.9 primarily due to a goodwill impairment charge
Adjusted EBITDA loss was $127.9 million compared to an Adjusted EBITDA loss of $95.5 million in the prior year (1)
Adjusted EBITDA loss PMPM was $106, a significant improvement compared to $119 PMPM in the prior year (1)
“P3 has secured financing of approximately $90 million and believes this provides a solid path to profitability,” said Dr. Sherif Abdou, CEO of P3. “The new financing, along with our expected shift to a higher percentage of persistent lives, a focused reduction in operating expenses, and measured and disciplined growth in 2023 make us confident that we will have the resources necessary to reach Adjusted EBITDA profitability in 2024.”
NOTES:
(1) Adjusted EBITDA, Adjusted EBITDA per member, per month (“PMPM”), medical margin and network contribution are non-GAAP financial measures. For reconciliations of these measures to the most directly comparable GAAP measures and more information regarding the Company’s use of non-GAAP financial measures, please see the section below titled “Non-GAAP Financial Measures.”
(2) See “Key Performance Metrics” for additional information on how the Company defines “at-risk Medicare Advantage members.”
Non-GAAP Financial Measures
In addition to the financial results prepared in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”), this release contains certain non-GAAP financial measures as defined by U.S. Securities and Exchange Commission (“SEC”) rules, including Adjusted EBITDA and Adjusted EBITDA PMPM, medical margin and network contribution. EBITDA is defined as GAAP net income (loss) before (i) interest, (ii) income taxes and (iii) depreciation and amortization. Adjusted EBITDA is defined as EBITDA, further Adjusted to exclude the effect of certain expenses, such as (i) mark-to-market warrant gain/loss, (ii) premium deficiency reserves, (ii) equity-based compensation expense and (vi) certain other items that P3 believes are not indicative of P3’s core operating performances. Adjusted EBITDA PMPM is defined as Adjusted EBITDA divided by the number of at-risk Medicare Advantage members each month divided by the number of months in the period. P3 believes these non-GAAP financial measures provide an additional tool for investors to use in evaluating ongoing operating results and trends and in comparing the Company’s financial measures with other similar companies.
Medical margin represents the amount earned from capitation revenue after medical claims expenses are deducted. Medical claims expenses represent costs incurred for medical services provided to P3 members. As P3’s platform grows and matures over time, the Company expects medical margin to increase in absolute dollars; however, medical margin PMPM may vary as the percentage of new members brought on to the Company’s platform fluctuates. New membership added to the platform is typically dilutive to medical margin PMPM. Furthermore, in light of COVID-19, P3 continues to evaluate the ultimate impact of the pandemic on medical margin.
P3 defines network contribution as total operating revenue less the sum of: (i) medical claims expenses and (ii) other medical expenses including physician compensation expense related to surplus sharing and bonuses and other direct medical expenses incurred to improve care for the Company’s members. P3s believes this metric provides insight into the economics of the P3 Care Model, as it includes all medical claims expense associated with the Company’s members’ care as well as partner compensation and additional medical costs P3 incurs as part of the Company’s aligned partnership model. Other medical expenses are largely variable and proportionate to the level of surplus in each respective market, among other cost factors.
P3 does not consider these non-GAAP measures in isolation or as an alternative to financial measures determined in accordance with GAAP. These non-GAAP financial measures are subject to inherent limitations as they reflect the exercise of judgments by management about which expense and income are excluded or included in determining these non-GAAP financial measures. In addition, other companies may calculate non-GAAP financial measures differently or may use other measures to evaluate their performance, all of which could reduce the usefulness of P3’s non-GAAP financial measures as tools for comparison. The tables at the end of this release present a reconciliation of Adjusted EBITDA to net income (loss) and Adjusted EBITDA PMPM to net income (loss) PMPM, and medical margin and network contribution to operating income (loss) which are the most directly comparable financial measures calculated in accordance with GAAP.
Key Performance Metrics
In addition to the Company’s GAAP and non-GAAP financial information, the Company also monitors “at-risk members” to help it evaluate the business, identify trends affecting the business, formulate business plans and make strategic decisions. At-risk membership represents the approximate number of Medicare Advantage members for whom P3 receives a fixed PMPM fee under capitation arrangements as of the end of a particular period.
Investor Relations:
Karen Blomquist
Vice President, Investor Relations
P3 Health Partners
kblomquist@p3hp.org
Cautionary Note Regarding Forward-Looking Statements
This release contains forward-looking statements within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. The Company intends such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended. Words such as “anticipate,” “believe,” “budget,” “contemplate,” “continue,” “could,” “envision,” “estimate,” “expect,” “guidance,” “indicate,” “intend,” “may,” “might,” “plan,” “possibly,” “potential,” “predict,” “probably,” “pro-forma,” “project,” “seek,” “should,” “target,” or “will,” or the negative or other variations thereof, and similar words or phrases or comparable terminology, are intended to identify forward-looking statements. These forward-looking statements address various matters, including the Company’s future expected growth strategy and operating performance; current expectations regarding the Company’s liquidity condition, outlook as to revenue, at-risk Medicare Advantage membership and Adjusted EBITDA loss for the full year 2023; and P3’s expectation to achieve Adjusted EBITDA profitability in 2024, all of which reflect the Company’s expectations based upon currently available information and data. Because such statements are based on expectations as to future financial and operating results and are not statements of fact, actual results may differ materially from those projected or estimated and you are cautioned not to place undue reliance on these forward-looking statements. These forward-looking statements are not guarantees of future performance, conditions or results, and involve a number of known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside the Company’s control, that could cause actual results or outcomes to differ materially from those discussed in the forward-looking statements. Important risks and uncertainties that could cause actual results and financial condition to differ materially from those indicated in forward-looking statements include, among others, changes in market or industry conditions, regulatory environment, competitive conditions, and receptivity to P3’s services; the Company’s ability to fund its growth and expand its operations; changes in laws and regulations applicable to the Company’s business; the Company’s ability to maintain its relationships with health plans and other key payers; the impact of COVID-19, including the impact of new variants of the virus, or another pandemic, epidemic or outbreak of infectious disease on its business and results of operation; increased labor costs; the Company’s ability to recruit and retain qualified team members and independent physicians; and other factors discussed in Part I, Item 1A. “Risk Factors” of the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 filed with the SEC on March 31, 2023, and in the Company’s other filings with the SEC. All information in this release is as of the date of this release and P3 undertakes no duty to update or revise this information unless required by law. You are cautioned not to place undue reliance on any forward-looking statements contained in this release.
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