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P3 Health Partners Announces Second Quarter 2025 Results Core Business Demonstrates Strength with Flat Medical Cost Trends Despite Industry Inflation $120-$170 Million in Additional EBITDA Opportunities Identified for 20

Key Takeaway: P3 Health Partners reported its second quarter 2025 financial results, showcasing a resilient core business with flat medical cost trends despite industry challenges. The company has identified significant EBITDA opportunities ranging from $120 to $170 million for 2026. However, it also faced a 6% decline in total revenue and a 9% decrease in average at-risk membership compared to the prior year, leading to an Adjusted EBITDA loss. The management remains optimistic about the company's financial trajectory, supported by improved funding on a per-member basis.

Market Sentiment Analysis

POSITIVE FACTORS

  • Core business shows strength with flat medical cost trends.
  • Identified $120-$170 million in additional EBITDA opportunities for 2026.
  • Improved funding on a per-member basis, showcasing effective management.

CONCERNS & RISKS

  • Total revenue decreased by 6% compared to the prior year.
  • Average at-risk membership decreased by 9% compared to the previous year.
  • Adjusted EBITDA loss reported for the quarter.

Full Press Release Details

P3 Health Partners Announces Second Quarter 2025 Results
Core Business Demonstrates Strength with Flat Medical Cost Trends Despite Industry Inflation
$120-$170 Million in Additional EBITDA Opportunities Identified for 2026
Adjusted Full Year Guidance Reflects Prior Period Headwinds
Management to Host Conference Call and Webcast August 14, 2025 at 4 30 PM ET
HENDERSON, NV-August 14, 2025-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 second quarter ended June 30, 2025.
"Our core business continues to strengthen as we execute on our $130 million EBITDA improvement plan, said Aric Coffman, CEO of P3. While we faced prior period headwinds, we've successfully managed medical cost trends to remain flat while improving funding across our membership on a per-member basis. With an additional $120 to $170 million in identified EBITDA opportunities and three of our four markets already EBITDA positive or breakeven, P3 is well-positioned to achieve sustained profitability in 2026 and beyond."
Second Quarter 2025 Financial Results
Average at-risk membership was approximately 115,000 members for the second quarter, a decrease of 9% compared to prior year. The decrease reflects previously disclosed network and payer rationalization.
Total revenue was $355.8 million, a decrease of 6% compared to the second quarter of the prior year, driven by the decline in membership. On a per-member basis, funding improved 10% from prior year, when adjusted for prior-period items.
Medical margin(1) was $30.6 million, or $89 PMPM. Excluding prior-period adjustments, medical margin(1) was $39.3 million, or $114 PMPM.
Adjusted EBITDA loss(1) was $17.1 million, or $50 PMPM. Excluding prior-period adjustments, Adjusted EBITDA loss(1) for the quarter was a loss of $8.5 million, or $25 PMPM.
Adjusted full year guidance reflects impact from prior-period adjustments and underperformance of a single payer.
Revised Fiscal 2025 Guidance
Year Ended December 31, 2025
Low High
At-risk Members (2) 109,000 119,000
Total Revenues (in millions) $1,350 $1,500
Medical Margin (1)(3) (in millions) $124 $154
Medical Margin (3) PMPM $90 $111
Adjusted EBITDA (3) (in millions) $(69) $(39)
(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, if applicable, and more information regarding the Company's use of non-GAAP financial measures, please see the section titled "Non-GAAP Financial Measures."
(2)See "Key Performance Metrics" for additional information on how the Company defines "at-risk members."
(3) The Company is not able to provide a quantitative reconciliation of guidance for Adjusted EBITDA, 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), 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.
The foregoing 2025 outlook statement represents management's current estimate as of the date of this release. Actual results may differ materially depending on a number of factors. Investors are urged to read the "Cautionary Note Regarding Forward-Looking Statements" included in this release. Management does not assume any obligation to update these estimates.
Management to Host Conference Call and Webcast on August 14, 2025 at 4 30 PM ET
Title Webcast P3 Health Second Quarter 2025 Earnings Conference Call
Date Time August 14, 2025, 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.
About P3 Health Partners (NASDAQ PIII)
Non-GAAP Financial Measures
In addition to the financial results prepared in accordance with 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 and Adjusted EBITDA PMPM, medical margin, medical margin PMPM, and adjusted operating expense. 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, (iv) certain transaction and other related costs and (v) 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 at-risk Medicare 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 at-risk Medicare 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. Adjusted operating expense is defined as total operating expense excluding depreciation and amortization and costs that management believes are non-core to the underlying operations of the Company, consisting of (i) medical expense, (ii) premium deficiency reserves, (iii) equity-based compensation, and (iv) certain other items that we believe are not indicative or our core operating performance. 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), medical margin to gross profit, and adjusted operating expense to operating expense, which are the most directly comparable financial measures calculated in accordance with GAAP.
Key Performance Metrics
In addition to our GAAP and non-GAAP financial information, the Company also monitors "at-risk members" to help us evaluate our business, identify trends affecting our business, formulate business plans and make strategic decisions. At-risk membership represents the approximate number of Medicare members for whom we receive a fixed percentage of premium under capitation arrangements as of the end of a particular period.
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, and 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 and the Company's ability to execute on its identified strategic improvement opportunities, 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, and 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 payors the impact of fluctuations in risk adjustments our ability to establish and maintain effective internal controls and the impact of material weaknesses we have identified our ability to maintain the listing of our securities on Nasdaq increased labor costs and medical expense our ability to recruit and retain qualified team members and independent physicians and the factors described under Part I, Item 1A. "Risk Factors" and Part II, Item 7. "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K for the year ended December 31, 2024, filed with the SEC on March 28, 2024, and in our subsequent 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.
P3 HEALTH PARTNERS INC. and SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except per share amounts)
June 30, 2025 December 31, 2024
ASSETS
CURRENT ASSETS
Cash $ 38,581 $ 38,816
Restricted cash 746 5,286
Health plan receivable, net of allowance for credit losses of $150 93,463 121,266
Clinic fees, insurance and other receivable 7,572 3,947
Prepaid expenses and other current assets 16,169 14,422
Assets held for sale - 403
TOTAL CURRENT ASSETS 156,531 184,140
Property and equipment, net 4,687 5,734
Intangible assets, net 533,400 574,350
Other long-term assets 36,967 19,196
TOTAL ASSETS (1) $ 731,585 $ 783,420
LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
Accounts payable $ 14,395 $ 8,442
Accrued expenses and other current liabilities 29,716 29,416
Accrued payroll 1,162 2,722
Health plan settlements payable 41,871 55,565
Claims payable 256,037 255,089
Premium deficiency reserve 54,439 67,368
Accrued interest 26,923 12,460
Current portion of long-term debt 80,000 65,000
Short-term debt 455 -
Liabilities held for sale - 353
TOTAL CURRENT LIABILITIES 504,998 496,415
Operating lease liability 10,308 11,339
Warrant liabilities 4,988 10,312
Long-term debt, net 101,956 89,824
Other Long-Term Liabilities 22,157 26,001
TOTAL LIABILITIES (1) 644,407 633,891
COMMITMENTS AND CONTINGENCIES
MEZZANINE EQUITY
Redeemable non-controlling interest 42,719 73,593
STOCKHOLDERS' EQUITY
Class A common stock, $0.0001 par value 800,000 shares authorized 3,268 and 3,257 shares issued and outstanding as of June 30, 2025 and December 31, 2024, respectively - -
Class V common stock, $0.0001 par value 205,000 shares authorized 3,919 shares issued and outstanding as of June 30, 2025 and December 31, 2024 - -
Additional paid in capital 588,494 579,129
Accumulated deficit (544,035) (503,193)
TOTAL STOCKHOLDERS' EQUITY 44,459 75,936
TOTAL LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' EQUITY $ 731,585 $ 783,420
(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 P3 LLC's consolidated VIEs totaling $10.0 million and $9.3 million as of June 30, 2025 and December 31, 2024, respectively, and total liabilities of P3 LLC's consolidated VIEs for which creditors do not have recourse to the general credit of the Company totaled $6.5 million and $14.9 million as of June 30, 2025 and December 31, 2024, respectively. These VIE assets and liabilities do not include $48.3 million and $40.3 million of net amounts due to affiliates as of June 30, 2025 and December 31, 2024, respectively, as these are eliminated in consolidation and not presented within the condensed consolidated balance sheets.
All periods presented have been retroactively adjusted to reflect the 1-for-50 reverse stock split effected on April 11, 2025.
P3 HEALTH PARTNERS INC. and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
Three Months Ended June 30, Six Months Ended June 30,
2025 2024 2025 2024
OPERATING REVENUE
Capitated revenue $ 351,724 $ 374,306 $ 721,241 $ 758,440
Other patient service revenue 4,064 4,851 7,772 9,205
TOTAL OPERATING REVENUE 355,788 379,157 729,013 767,645
OPERATING EXPENSE
Medical expense 351,350 365,171 723,393 747,228
Premium deficiency reserve (5,967) (3,397) (12,929) (2,397)
Corporate, general and administrative expense 23,295 26,610 48,294 54,011
Sales and marketing expense 151 414 332 736
Depreciation and amortization 21,083 21,693 42,135 43,232
TOTAL OPERATING EXPENSE 389,912 410,491 801,225 842,810
OPERATING LOSS (34,124) (31,334) (72,212) (75,165)
OTHER INCOME (EXPENSE)
Interest expense, net (10,145) (5,436) (18,870) (9,692)
Mark-to-market of stock warrants 2,002 8,673 5,324 8,889
Other 583 291 901 628
TOTAL OTHER (EXPENSE) INCOME (7,560) 3,528 (12,645) (175)
LOSS BEFORE INCOME TAXES (41,684) (27,806) (84,857) (75,340)
INCOME TAX PROVISION (1,981) (968) (3,054) (3,040)
NET LOSS (43,665) (28,774) (87,911) (78,380)
LESS NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTEREST (23,303) (16,754) (47,069) (47,660)
NET LOSS ATTRIBUTABLE TO CONTROLLING INTEREST $ (20,362) $ (12,020) $ (40,842) $ (30,720)
NET LOSS PER SHARE
Basic $ (6.23) $ (4.40) $ (12.52) $ (12.02)
Diluted $ (6.23) $ (7.37) $ (12.52) $ (15.19)
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING
Basic 3,267 2,732 3,263 2,556
Diluted 3,267 2,822 3,263 2,601
All periods presented have been retroactively adjusted to reflect the 1-for-50 reverse stock split effected on April 11, 2025.
P3 HEALTH PARTNERS INC. and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Six Months Ended June 30,
2025 2024
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss $ (87,911) $ (78,380)
Adjustments to reconcile net loss to net cash used in operating activities
Depreciation and amortization 42,135 43,232
Equity-based compensation 3,271 3,073
Amortization of original issue discount and debt issuance costs 402 (91)
Mark-to-market adjustment of stock warrants (5,324) (8,889)
Premium deficiency reserve (12,929) (2,397)
Changes in operating assets and liabilities
Health plan receivable 27,803 (34,762)
Clinic fees, insurance, and other receivable (3,625) 775
Prepaid expenses and other current assets (1,747) (4,865)
Other long-term assets (14,464) 60
Accounts payable, accrued expenses, and other current liabilities 6,200 30
Accrued payroll (1,560) 238
Health plan settlements payable (13,694) (12,141)
Claims payable 948 55,752
Accrued interest 10,619 8,257
Operating lease liability (223) (164)
Net cash used in operating activities (50,099) (30,272)
CASH FLOWS FROM INVESTING ACTIVITIES
Proceeds from asset sale 50 -
Net cash provided by investing activities 50 -
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from long-term debt, net of original issue discount 45,000 25,000
Payment of debt issuance costs (181) -
Proceeds from liability-classified warrants and private placement offering, net of offering costs paid - 42,234
Proceeds from at-the-market sales, net of offering costs paid - 33
Deferred offering costs paid - (455)
Payment of tax withholdings upon settlement of restricted stock unit awards - (103)
Repayment of short-term and long-term debt (682) (1,040)
Proceeds from short-term debt 1,137 1,871
Net cash provided by financing activities 45,274 67,540
Net change in cash and restricted cash (4,775) 37,268
Cash and restricted cash, beginning of period 44,102 40,934
Cash and restricted cash, end of period $ 39,327 $ 78,202
RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA LOSS
(in thousands, except PMPM)
Three Months Ended June 30, Six Months Ended June 30,
2025 2024 2025 2024
Net loss $ (43,665) $ (28,774) $ (87,911) $ (78,380)
Interest expense, net 10,145 5,436 18,870 9,692
Depreciation and amortization 21,083 21,693 42,135 43,232
Income tax provision 1,981 968 3,054 3,040
Mark-to-market of stock warrants (2,002) (8,673) (5,324) (8,889)
Premium deficiency reserve (5,967) (3,397) (12,929) (2,397)
Equity-based compensation 1,463 1,624 3,271 3,073
Other (1) (148) 2,276 (466) 2,012
Adjusted EBITDA loss $ (17,110) $ (8,847) $ (39,300) $ (28,617)
Adjusted EBITDA loss PMPM $ (50) $ (23) $ (57) $ (38)
_____________________________________________
(1)Other during the three and six months ended June 30, 2025 consisted of (i) interest income partially offset by (ii) severance expense in connection with reorganization of workforce and (iii) legal settlements and valuation allowance on our notes receivable. Other during the three and six months ended June 30, 2024 consisted of (i) interest income partially offset by (ii) severance and related expense in connection with our chief executive officer transition and (iii) legal settlements and valuation allowance on our notes receivable.
(in thousands, except PMPM)
Three Months Ended June 30, Six Months Ended June 30,
2025 2024 2025 2024
Capitated revenue $ 351,724 $ 374,306 $ 721,241 $ 758,440
Less medical claims expense (321,109) (333,217) (673,426) (680,799)
Medical margin $ 30,615 $ 41,089 $ 47,815 $ 77,641
Medical margin PMPM $ 89 $ 107 $ 69 $ 102
RECONCILIATION OF GROSS PROFIT (LOSS) TO MEDICAL MARGIN
Three Months Ended June 30, Six Months Ended June 30,
2025 2024 2025 2024
Gross profit (loss) $ 4,438 $ 13,986 $ 5,620 $ 20,417
Other patient service revenue (4,064) (4,851) (7,772) (9,205)
Other medical expense 30,241 31,954 49,967 66,429
Medical margin $ 30,615 $ 41,089 $ 47,815 $ 77,641
RECONCILIATION OF TOTAL OPERATING EXPENSE TO ADJUSTED OPERATING EXPENSE
Three Months Ended June 30, Six Months Ended June 30,
2025 2024 2025 2024
Total operating expense $ 389,912 $ 410,491 $ 801,225 $ 842,810
Medical expense (351,350) (365,171) (723,393) (747,228)
Depreciation and amortization (21,083) (21,693) (42,135) (43,232)
Premium deficiency reserve 5,967 3,397 12,929 2,397
Equity-based compensation (1,463) (1,624) (3,271) (3,073)
Other (244) (2,541) (182) (2,593)
Adjusted operating expense $ 21,739 $ 22,859 $ 45,173 $ 49,081

Frequently Asked Questions

What are P3 Health Partners' second quarter results for 2025?

P3 Health Partners reported total revenue of $355.8 million, a 6% decline year-over-year.

What is P3's adjusted EBITDA loss for Q2 2025?

The adjusted EBITDA loss for Q2 2025 was $17.1 million, or $50 PMPM.

What are the identified EBITDA opportunities for 2026?

P3 Health Partners has identified additional EBITDA opportunities ranging from $120 to $170 million.

When is P3's conference call regarding Q2 2025 results?

The conference call will be held on August 14, 2025, at 4:30 PM ET.

What was the average at-risk membership for Q2 2025?

The average at-risk membership was approximately 115,000, down 9% from the previous year.

Last updated: Aug 14, 2025