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Document P3 Health Partners Announces Third-Quarter and Year-to-Date 2023 Results YTD total revenue growth of 16% Continued strong performance across markets, re-affirming 2023 guidance Provides preliminary 2024 Full-Yea

Key Takeaway: P3 Health Partners reported its financial results for the third quarter of 2023, demonstrating a year-to-date total revenue growth of 16% compared to the previous year. The company reaffirmed its guidance for 2023 and provided preliminary guidance for 2024, forecasting an Adjusted EBITDA of $20 million to $40 million. Despite the positive revenue growth, the company experienced an increase in net loss, which heightened by 43% year-over-year, while the gross profit improved significantly. The management will hold a conference call to discuss these results on November 8, 2023.

Market Sentiment Analysis

POSITIVE FACTORS

  • Total revenue increased by 16% year-over-year.
  • Improvement in gross profit from a loss of $6.5 million to a profit of $9.1 million.
  • Significant reduction in net loss PMPM from $218 to $119.

CONCERNS & RISKS

  • Net loss increased by approximately 43% compared to the prior year.
  • Adjusted EBITDA loss still substantial at $22.3 million.

Full Press Release Details

P3 Health Partners Announces Third-Quarter and Year-to-Date 2023 Results
YTD total revenue growth of 16%
Continued strong performance across markets, re-affirming 2023 guidance
Provides preliminary 2024 Full-Year Adjusted EBITDA guidance of +$20 million to +$40 million
Management to Host Conference Call and Webcast November 8, 2023 at 4 30 PM ET
HENDERSON, NV-November 8, 2023-P3 Health Partners Inc. ("P3" or the "Company") (NASDAQ PIII), a patient-centered and physician-led population health management company, today announced its financial results for the third quarter ended September 30, 2023.
"Our results for the third quarter show the continued improvement of the business as providers and patients mature on our platform. All key metrics are tracking as expected and net cash used in operating activities has improved to negative $8 million for the quarter. We are re-affirming our existing full-year 2023 guidance and providing preliminary 2024 full-year Adjusted EBITDA guidance of $20 million to $40 million," said Dr. Sherif Abdou, CEO of P3.
Third-Quarter 2023 Financial Results
Total revenue was $288.4 million, an increase of 16% compared to $248.3 million in the third quarter of the prior year. Net loss was $37.3 million, an increase of approximately 43% compared to a net loss of $65.3 million in the third quarter of the prior year. Net loss PMPM was $119 compared to a net loss PMPM of $218 the third quarter of the prior year
Adjusted EBITDA(1) loss was $22.3 million, compared to an Adjusted EBITDA loss of $40.3 million in the third quarter of the prior year. Adjusted EBITDA PMPM(1) was a loss of $71, compared to an Adjusted EBITDA loss PMPM of $135 in the third quarter of the prior year
Gross profit was $9.1 million, as compared to negative $6.5 million in the prior year. Gross profit PMPM was $29, compared to a loss of $22 PMPM in the prior year
Medical margin(1) was $36.2 million, an increase of 306.1% compared to $8.9 million in the third quarter of the prior year. Medical margin PMPM(1) was $115, an increase of 286.3% compared to a medical margin PMPM of $30 in the prior year
Key Financial and Operating Metrics as Reported ($ millions) Three Months Ended September 30, Change
2023 2022 %YOY
Capitated Revenue $285 $244 17%
Total Revenues $288 $248 16%
Gross Profit $9 ($7) 240%
Medical Margin $36 $9 306%
Net Loss ($37) ($65) 43%
Adjusted EBITDA ($22) ($40) 45%
Year-to-Date 2023 Financial Results
Total revenue was $919.5 million, an increase of 16% compared to $791.3 million in the same period in the prior year. Net loss was $117.3 million, compared to a net loss of $1,029.2 million in the same period of the prior year. The year-to date results of 2022 were negatively impacted by a goodwill impairment charge of $851 million. Net loss PMPM was $126 compared to a net loss PMPM of $1,148 in the same period of the prior year
Adjusted EBITDA(1) loss was $41.2 million, compared to an Adjusted EBITDA loss of $87.9 million in the same period of the prior year. Adjusted EBITDA PMPM(1) loss was $44, compared to an Adjusted EBITDA loss of $98 PMPM in the same period of the prior year
Gross profit was $52.5 million, compared to $3.2 million in the same period of the prior year. Gross profit PMPM was $56, compared to $4 in the same period of the prior year
Medical margin(1) was $126.0 million, an increase of 127.0% compared to $55.5 million in the same period of the prior year. Medical margin PMPM(1) was $135, an increase of 118.1% compared to a medical margin PMPM of $62 in the same period of the prior year
Key Financial and Operating Metrics as Reported ($ millions) Nine Months Ended September 30, Change
2023 2022 %YOY
Capitated Revenue $909 $781 16%
Total Revenues $920 $791 16%
Gross Profit $52 $3 1533%
Medical Margin $126 $56 127%
Net Loss ($117) ($1,029) 89%
Adjusted EBITDA ($41) ($88) 53%
Full-Year 2023 Guidance
Year Ending December 31, 2023
Low High
Medicare Advantage Members 115,000 120,000
Total Revenues (in millions) $1,200 $1,250
Medical margin (2) (in millions) $155 $175
Medical margin (2) PMPM $120 $130
Adjusted EBITDA (2) Loss (in millions) $(50) $(30)
(1) Adjusted EBITDA, Adjusted EBITDA per member, per month ("PMPM"), medical margin and medical margin PMPM 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 titled "Non-GAAP Financial Measures" and the tables at the end of this press release.
(2) The Company is not able to provide a quantitative reconciliation of full-year 2023 or 2024 guidance for Adjusted EBITDA loss to net income, or quantitative reconciliations for full-year 2023 guidance for medical margin and medical margin PMPM to net income (loss), gross profit and gross profit PMPM, the most directly comparable GAAP measures, respectively, and has not provided forward-looking guidance for net income (loss), gross profit (loss) or gross profit (loss) PMPM because of the uncertainty around certain items that may impact net income (loss), gross profit (loss) or gross profit (loss) PMPM that are not within our control or cannot be reasonably predicted without unreasonable effort. For more information regarding the non-GAAP financial measures discussed in this press release, please see "Non-GAAP Financial Measures" below.
Title Webcast P3 Health Third-Quarter Earnings Conference Call
Date Time November 8, 2023, 4 30pm Eastern Time
Conference Call Details Toll-Free 1-833 316 0546 (US) International 1-412 317 0692 Ask to be joined into the P3 Health Partners call
The conference call will also be webcast live in the "Events Presentations" section of the Investor page of the P3 website ( ir.p3hp.org ). The Company's press release will be available on the Investor page of P3's website in advance of the conference call. An archived recording of the webcast will be available on the Investor page of P3's website for a period of 90 days following the conference call. For supplemental financial information, including certain non-GAAP financial measures, and the reconciliations thereof, please visit the Company's Investor Relations site ( ir.p3hp.org ).
About P3 Health Partners (NASDAQ PIII)
Non-GAAP Financial Measures
In addition to the financial results prepared in accordance accounting principles generally accepted in the U.S. ("GAAP"), this press release contains certain non-GAAP financial measures as defined by the SEC rules, including Adjusted EBITDA, Adjusted EBITDA PMPM, medical margin and medical margin PMPM. 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 supplemental adjustments, such as (i) mark-to-market warrant gain loss, (ii) premium deficiency reserves, (iii) equity-based compensation expense and (iv) certain other items that we believe are not indicative of our core operating performances. Adjusted EBITDA PMPM is defined as Adjusted EBITDA divided by the number of Medicare Advantage members each month divided by the number of months in the period. We believe these non GAAP financial measures provide an additional tool for investors to use in evaluating ongoing operating results and trends and in comparing our financial measures with other similar companies. Medical margin represents the amount earned from capitation revenue after medical claims expenses are deducted and medical margin PMPM is defined as medical margin divided by the number of Medicare Advantage members each month divided by the number of months in the period. Medical claims expenses represent costs incurred for medical services provided to our members. As our platform grows and matures over time, we expect medical margin to increase in absolute dollars however, medical margin PMPM may vary as the percentage of new members brought onto our platform fluctuates. New membership added to the platform is typically dilutive to medical margin PMPM. We do 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 our non-GAAP financial measures as tools for comparison. The tables at the end of this press release present a reconciliation of Adjusted EBITDA to net income (loss) and Adjusted EBITDA PMPM to net income (loss) PMPM, and medical margin to gross profit and medical margin PMPM to gross profit PMPM, which are the most directly comparable financial measures calculated in accordance with GAAP.
Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. We intend 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 current cash position and outlook as to revenue, at-risk Medicare Advantage membership, medical margin, medical margin PMPM, Adjusted EBITDA loss for the full year 2023 outlook as to and Adjusted EBITDA for the full-year 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 our actual results and financial condition to differ materially from those indicated in forward-looking statements include, among others, our ability to continue as a going concern our potential need to raise additional capital to fund our existing operations or develop and commercialize new services or expand our operations our ability to achieve or maintain profitability our ability to maintain compliance with our debt covenants in the future, or obtain required waivers from our lenders if future operating performance were to fall below current projections of if there are material changes to management's assumptions, we could be required to recognize non-cash charges to operating earnings for goodwill and or other intangible asset impairment our ability to identify and develop successful new geographies, physician partners, payors and patients changes in market or industry conditions, regulatory environment, competitive conditions, and receptivity to our services our ability to fund our growth and expand our operations changes in laws and regulations applicable to our business our ability to maintain our 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 our business and results of operation increased labor costs our 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, as updated by Part II, Item 1A. "Risk Factors" in the Company's Quarterly Report on Form 10-Q for the period ended September 30, 2023 to be filed with the SEC, and in the Company's other filings with the SEC. All information in this press release is as of the date hereof, and we undertake 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 press release.
Vice President, Investor Relations
Executive Vice President, Communications
P3 HEALTH PARTNERS INC. and SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except per share amounts)
September 30, 2023 December 31, 2022
ASSETS
CURRENT ASSETS
Cash $ 52,562 $ 17,537
Restricted cash 4,878 920
Health plan receivable, net of allowance for credit losses of $150 and $0, respectively 117,200 72,092
Clinic fees, insurance and other receivable 2,225 7,500
Prepaid expenses and other current assets 2,799 2,643
TOTAL CURRENT ASSETS 179,664 100,692
Property and equipment, net 9,360 8,839
Intangible assets, net 687,875 751,050
Other long-term assets 19,993 15,990
TOTAL ASSETS (1) $ 896,892 $ 876,571
LIABILITIES, MEZZANINE EQUITY and STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
Accounts payable $ 11,630 $ 11,542
Accrued expenses and other current liabilities 20,957 16,647
Accrued payroll 5,629 8,224
Health plan settlements payable 35,422 13,608
Claims payable 155,497 151,207
Premium deficiency reserve 17,014 26,375
Accrued interest 21,153 14,061
TOTAL CURRENT LIABILITIES 267,302 241,664
Operating lease liability 13,556 11,516
Warrant liabilities 1,844 1,517
Contingent consideration 4,907 4,794
Long-term debt, net 108,252 94,421
TOTAL LIABILITIES (1) 395,861 353,912
COMMITMENTS AND CONTINGENCIES (Note 12)
MEZZANINE EQUITY
Redeemable non-controlling interest 313,088 516,805
STOCKHOLDERS' EQUITY
Class A common stock, $.0001 par value 800,000 shares authorized 114,249 shares and 41,579 shares issued and outstanding, respectively 11 4
Class V common stock, $.0001 par value 205,000 shares authorized 198,354 shares and 201,592 shares issued and outstanding, respectively 20 20
Additional paid in capital 529,794 315,375
Accumulated deficit (341,882) (309,545)
TOTAL STOCKHOLDERS' EQUITY 187,943 5,854
TOTAL LIABILITIES, MEZZANINE EQUITY STOCKHOLDERS' EQUITY $ 896,892 $ 876,571
____________________
(1)The Company's condensed consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities ("VIEs"). As discussed in Note 13 "Variable Interest Entities," P3 LLC is itself a VIE. P3 LLC represents substantially all the assets and liabilities of the Company. As a result, the language and amounts below refer only to VIEs held at the P3 LLC level. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of the P3 LLC's VIEs totaling $11.1 million and $3.1 million as of September 30, 2023 and December 31, 2022, respectively, and total liabilities of the P3 LLC's consolidated VIEs for which creditors do not have recourse to the general credit of the Company totaled $15.9 million and $9.9 million as of September 30, 2023 and December 31, 2022, respectively. These VIE assets and liabilities do not include $45.9 million and $33.0 million of net amounts due to affiliates as of September 30, 2023 and December 31, 2022, respectively, as these are eliminated in consolidation and not presented within the condensed consolidated balance sheets. See Note 13 "Variable Interest Entities."
P3 HEALTH PARTNERS INC. and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)
Three Months Ended September 30, Nine Months Ended September 30,
2023 2022 2023 2022
OPERATING REVENUE
Capitated revenue $ 285,153 $ 243,988 $ 909,473 $ 780,775
Other patient service revenue 3,198 4,272 10,041 10,483
TOTAL OPERATING REVENUE 288,351 248,260 919,514 791,258
OPERATING EXPENSE
Medical expense 279,220 254,777 867,061 788,046
Premium deficiency reserve (12,489) (7,302) (9,361) (10,116)
Corporate, general and administrative expense 33,065 37,863 97,931 117,560
Sales and marketing expense 654 1,118 2,512 3,391
Depreciation and amortization 21,721 21,815 65,041 65,287
Goodwill impairment - - - 851,456
TOTAL OPERATING EXPENSE 322,171 308,271 1,023,184 1,815,624
OPERATING LOSS (33,820) (60,011) (103,670) (1,024,366)
OTHER INCOME (EXPENSE)
Interest expense, net (4,002) (2,963) (11,939) (8,418)
Mark-to-market of stock warrants 755 (2,568) (327) 3,386
Other 190 213 (455) 173
TOTAL OTHER EXPENSE (3,057) (5,318) (12,721) (4,859)
LOSS BEFORE INCOME TAXES (36,877) (65,329) (116,391) (1,029,225)
PROVISION FOR INCOME TAXES (412) - (928) -
NET LOSS (37,289) (65,329) (117,319) (1,029,225)
LESS NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTEREST (23,993) (54,156) (85,008) (853,125)
NET LOSS ATTRIBUTABLE TO CONTROLLING INTEREST $ (13,296) $ (11,173) $ (32,311) $ (176,100)
NET LOSS PER SHARE (Note 9)
Basic $ (0.12) $ (0.27) $ (0.37) $ (4.24)
Diluted $ (0.12) $ (0.27) $ (0.41) $ (4.27)
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING (Note 9)
Basic 114,198 41,579 88,010 41,579
Diluted 312,679 243,036 288,379 241,263
P3 HEALTH PARTNERS INC. and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Nine Months Ended September 30,
2023 2022
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss $ (117,319) $ (1,029,225)
Adjustments to reconcile net loss to net cash used in operating activities
Depreciation and amortization 65,041 65,287
Equity-based compensation 4,259 17,211
Goodwill impairment - 851,456
Amortization of original issue discount and debt issuance costs 405 -
Accretion of contingent consideration 113 291
Mark-to-market adjustment of stock warrants 327 (3,386)
Premium deficiency reserve (9,361) (10,116)
Changes in assets and liabilities
Health plan receivable (45,258) (31,247)
Clinic fees, insurance, and other receivable 5,275 (1,623)
Prepaid expenses and other current assets (429) 3,462
Other long-term assets (1,214) -
Accounts payable, accrued expenses, and other current liabilities 2,758 4,560
Accrued payroll 2,405 1,054
Health plan settlements payable 21,814 (1,922)
Claims payable 4,290 32,747
Accrued interest 7,092 3,885
Operating lease liability (348) 3,501
Net cash used in operating activities (60,150) (94,065)
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment (2,039) (2,283)
Acquisitions, net of cash acquired - (5,500)
Net cash used in investing activities (2,039) (7,783)
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from long-term debt, net of original issuance discount 14,101 -
Proceeds from private placement offering, net of offering costs paid 87,244 -
Repayment of short-term and long-term debt - (3,625)
Payment of debt issuance costs (173) -
Net cash provided by (used in) financing activities 101,172 (3,625)
Net change in cash and restricted cash 38,983 (105,473)
Cash and restricted cash, beginning of period 18,457 140,834
Cash and restricted cash, end of period $ 57,440 $ 35,361
RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA LOSS
(in thousands, except PMPM)
Three Months Ended September 30, Nine Months Ended September 30,
2023 2022 2023 2022
(in thousands)
Net loss $ (37,289) $ (65,329) $ (117,319) $ (1,029,225)
Interest expense, net 4,002 2,963 11,939 8,418
Depreciation and amortization expense 21,721 21,815 65,041 65,287
Provision for income taxes 412 - 928 -
Mark-to-market of stock warrants (755) 2,568 327 (3,386)
Premium deficiency reserve (12,489) (7,302) (9,361) (10,116)
Equity-based compensation 2,251 1,784 4,259 17,211
Transaction and other related costs (1) - 1,844 70 10,956
Other (2) (185) 1,350 - 851,456
Goodwill impairment - - 2,868 1,499
Adjusted EBITDA loss $ (22,332) $ (40,307) $ (41,248) $ (87,900)
Adjusted EBITDA loss PMPM $ (71) $ (135) $ (44) $ (98)
_____________________
(1)Transaction and other related costs during the nine months ended September 30, 2023 consisted of legal fees incurred related to acquisition-related litigation.
(2)Other during the three and nine months ended September 30, 2023 consisted of (i) interest income offset by (ii) cybersecurity incident loss with respect to the nine months ended September 30, 2023, (iii) restructuring and other charges, including severance and benefits paid to employees pursuant to workforce reduction plans with respect to the nine months ended September 30, 2023, (iv) the disposition of our Pahrump operations, (v) expenses for third-party consultants to assist us with the development, implementation, and documentation of new and enhanced internal controls and processes for compliance with Sarbanes-Oxley Section 404(b) with respect to the nine months ended September 30, 2023, (vi) a legal settlement outside of the ordinary course of business with respect to the nine months ended September 30, 2023, and (vii) valuation allowance on our notes receivable.
(in thousands, except PMPM)
Three Months Ended September 30, Nine Months Ended September 30,
2023 2022 2023 2022
(in thousands)
Capitated revenue $ 285,153 $ 243,988 $ 909,473 $ 780,775
Less medical claims expenses (248,918) (235,065) (783,497) (725,267)
Medical margin $ 36,235 $ 8,923 $ 125,976 $ 55,508
Medical margin PMPM $ 115 $ 30 $ 135 $ 62
RECONCILIATION OF GROSS PROFIT TO MEDICAL MARGIN
Three Months Ended September 30, Nine Months Ended September 30,
2023 2022 2023 2022
(in thousands)
Gross profit (1) $ 9,131 $ (6,517) $ 52,453 $ 3,212
Other patient service revenue (3,198) (4,272) (10,041) (10,483)
Other medical expense 30,302 19,712 83,564 62,779
Medical margin $ 36,235 $ 8,923 $ 125,976 $ 55,508
_____________________
(1)Effective for the quarter ended June 30, 2023, we modified the method by which we reconcile medical margin. Previously, we reconciled medical margin to operating loss as the most directly comparable measure calculated in accordance with GAAP. In the current period and on a go-forward basis we will reconcile to gross profit as we have determined that gross profit is the most directly comparable GAAP measure.

Frequently Asked Questions

What were P3 Health Partners' total revenues for Q3 2023?

Total revenues for Q3 2023 were $288.4 million, a 16% increase year-over-year.

What is the Adjusted EBITDA guidance for 2024?

P3 Health Partners provided a preliminary Adjusted EBITDA guidance of $20 million to $40 million for 2024.

When will P3 Health Partners host its conference call?

The conference call is scheduled for November 8, 2023, at 4:30 PM ET.

How much did P3's medical margin increase in Q3 2023?

The medical margin increased by 306.1%, reaching $36.2 million in Q3 2023.

What was the net loss for P3 Health Partners in YTD 2023?

The net loss for YTD 2023 was $117.3 million, significantly reduced from the previous year.

Last updated: Nov 8, 2023