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Company to Host Conference Call on Friday, Nov. 4, 2022, at 5:30 a.m. PT/8:30 a.m. ET
ALHAMBRA, Calif., Nov. 3, 2022 /PRNewswire/ -- Apollo Medical Holdings, Inc. ("ApolloMed," and together with its subsidiaries and affiliated entities, the "Company") (NASDAQ: AMEH), a leading physician-centric, technology-powered healthcare company focused on enabling providers in the successful delivery of value-based care, today announced its consolidated financial results for the third quarter and nine months ended September 30, 2022.
Financial Highlights for Third Quarter Ended September 30, 2022:
Financial Highlights for Nine Months Ended September 30, 2022:
Recent Operating Highlights:
Guidance:
ApolloMed is raising its full-year 2022 guidance, previously disclosed on May 5, 2022, for total revenue, net income, and EBITDA, and reiterating guidance for Adjusted EBITDA as a result of the aforementioned revision to the Adjusted EBITDA calculation. The Company is raising guidance for revenue, net income, and EBITDA as a result of its continued organic growth and more favorable membership mix. Net income and EBITDA include the impact of an Allied Physicians of California, a Professional Medical Corporation's ("APC") investment in a payer partner, which completed an initial public offering to become a publicly traded company in June 2021. As APC's investment is an excluded asset solely for the benefit of APC and its shareholders, any gains or losses as a result of this investment do not affect the net income attributable to ApolloMed and Adjusted EBITDA attributable to ApolloMed. The November 4, 2022 revised net income and EBITDA guidance ranges assume a stock price of the payer partner of $1.05. These guidance ranges based on the Company's existing business, current view of existing market conditions and assumptions for the year ending December 31, 2022. As it relates to the revised Adjusted EBITDA calculation, the Company had expected to be in the upper range of its guidance range prior to the adjustment. With the implementation of the revised calculation, the Company expects Adjusted EBITDA will fall in the lower end of the existing guidance range.
($ in millions) | 2022 Guidance Range | 2022 Guidance Range | |||||||||||||
(as of May 5, 2022) | (as of November 3, 2022) | ||||||||||||||
Low | High | Low | High | ||||||||||||
Total revenue | $ | 1,055.0 | $ | 1,085.0 | $ | 1,095.0 | $ | 1,115.0 | |||||||
Net income | $ | 38.0 | $ | 57.0 | $ | 50.5 | $ | 67.0 | |||||||
EBITDA | $ | 81.0 | $ | 111.0 | $ | 107.5 | $ | 133.5 | |||||||
Adjusted EBITDA | $ | 136.0 | $ | 166.0 | $ | 136.0 | $ | 166.0 |
See "Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA" and "Use of Non-GAAP Financial Measures" below for additional information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See "Forward-Looking Statements" below for additional information.
Management Commentary:
Brandon Sim, Co-Chief Executive Officer of ApolloMed, stated, "We are very pleased with our performance in the third quarter of 2022, achieving strong profitability and 40% growth on the top line primarily as a result of increased capitation revenues from organic membership growth in our core IPAs, more favorable membership mix, and participation in a value-based care model for the Medicare fee-for-service population. During the period, we also recognized a $48.8 million shared savings settlement for our participation in an ACO model for performance year 2021 ('PY 2021'). Given our ACO's incredible history of outperforming the benchmark, we opted to participate in a higher risk corridor for PY 2021, which would allow us to keep a much higher percentage of the shared savings. As a result, we booked an additional $27.0 million in shared savings and incentives revenues for third quarter 2022. Because of our strong top line performance, we reported solid bottom line results of $26.0 million, or EPS-diluted of $0.56, for the third quarter."
Mr. Sim continued, "We announced two significant developments a few weeks ago and are thrilled to share that we closed on the acquisitions of AAMG and VOMG in October. The AAMG and FYB series of transactions will not only continue to increase ApolloMed's presence in the San Francisco Bay Area, onboarding an incredible team of doctors committed to delivering quality care to their patients while adding over 15,000 managed lives, but it will also enable ApolloMed to assume financial responsibility for a patient's entire care continuum as FYB is a Restricted Knox-Keene licensed health plan. In other words, it enables ApolloMed to recognize a much larger percentage of the premium dollar as revenue for members under risk-bearing arrangements. Along with our continued expansion in Northern California, the acquisition of nine primary care clinics operating as Valley Oaks Medical Group marks ApolloMed's entry into the states of Nevada and Texas. We are looking forward to delivering equitable, high-quality healthcare to underserved populations in these new key geographic markets through our unique care model."
Mr. Sim concluded, "Due to the strong results generated in the first three quarters of the year, we are pleased to be raising our annual guidance ranges for revenue, net income and EBITDA, and expect to end 2022 on a strong note. The VOMG and AAMG-FYB transactions open up several opportunities for ApolloMed over the course of the next several months and years, and we look forward to working closely with the teams at these different organizations. These developments set the stage for an exciting 2023 and beyond, and we are proud to continue empowering independent physicians to successfully participate in value-based care arrangements, allowing them to put their focus on serving patients who need their care."
GAAP Financial Review for the Third Quarter Ended September 30, 2022:
GAAP Financial Review for the Nine Months Ended September 30, 2022:
Non-GAAP Measures for the Third Quarter Ended September 30, 2022:
Non-GAAP Financial Review for the Nine Months Ended September 30, 2022:
Balance Sheet Highlights:
For more details on ApolloMed's financial results for the quarter ended September 30, 2022, please refer to ApolloMed's Quarterly Report on Form 10-Q to be filed with the U.S. Securities Exchange Commission ("SEC"), which is accessible at www.sec.gov.
Conference Call and Webcast Information:
ApolloMed will host a conference call at 5:30 a.m. PT/8:30 a.m. ET tomorrow (Friday, November 4, 2022), during which management will discuss the results of the third quarter and nine months ended September 30, 2022. To participate in the conference call, please use the following dial-in numbers about 5 minutes prior to the scheduled conference call time:
U.S. & Canada (Toll-Free): | +1 (877) 858-9810 |
International (Toll): | +1 (201) 689-8517 |
The conference call can also be accessed via webcast at: https://event.choruscall.com/mediaframe/webcast.html?webcastid=yO0KycVd.
An accompanying slide presentation will be available in PDF format on the "IR Calendar" page of the Company's website ( https://www.apollomed.net/investors/news-events/ir-calendar ) after issuance of the earnings release and will be furnished as an exhibit to ApolloMed's current report on Form 8-K to be filed with the SEC, accessible at www.sec.gov.
Those who are unable to attend the live conference call may access the recording at the above webcast link, which will be made available shortly after the conclusion of the call.
Note About Consolidated Entities
The Company consolidates entities in which it has a controlling financial interest. The Company consolidates subsidiaries in which it holds, directly or indirectly, more than 50% of the voting rights, and VIEs in which the Company is the primary beneficiary. Noncontrolling interests represent third party equity ownership interests in the Company's consolidated entities (including certain VIEs). The amount of net income attributable to noncontrolling interests is disclosed in the Company's consolidated statements of income.
Note About Stockholders' Equity, Certain Treasury Stock and Earnings Per Share
As of the date of this press release, 140,954 holdback shares have not been issued to certain former shareholders of the Company's subsidiary, Network Medical Management, Inc. ("NMM"), who were NMM shareholders at the time of closing of the merger, as they have yet to submit properly completed letters of transmittal to ApolloMed in order to receive their pro rata portion of ApolloMed's common stock and warrants as contemplated under that certain Agreement and Plan of Merger, dated December 21, 2016, among ApolloMed, NMM, Apollo Acquisition Corp. ("Merger Subsidiary") and Kenneth Sim, M.D., as amended, pursuant to which Merger Subsidiary merged with and into NMM, with NMM as the surviving corporation. Pending such receipt, such former NMM shareholders have the right to receive, without interest, their pro rata share of dividends or distributions with a record date after the effectiveness of the merger. The Company's consolidated financial statements have treated such shares of common stock as outstanding, given the receipt of the letter of transmittal is considered perfunctory and ApolloMed is legally obligated to issue these shares in connection with the merger.
Shares of ApolloMed's common stock owned by Allied Physicians of California, a Professional Medical Corporation d.b.a. Allied Pacific of California ("APC"), a VIE of the Company, are legally issued and outstanding but excluded from shares of common stock outstanding in the Company's consolidated financial statements, as such shares are treated as treasury shares for accounting purposes. Such shares, therefore, are not included in the number of shares of common stock outstanding used to calculate the Company's earnings per share.
About Apollo Medical Holdings, Inc.
ApolloMed is a leading physician-centric, technology-powered, risk-bearing healthcare company. Leveraging its proprietary end-to-end technology solutions, ApolloMed operates an integrated healthcare delivery platform that enables providers to successfully participate in value-based care arrangements, thus empowering them to deliver outcomes-based medical care to patients in a cost-effective manner.
Headquartered in Alhambra, California, ApolloMed's subsidiaries and affiliates include management services organizations (MSOs), affiliated independent practice associations (IPAs), and entities participating in the Centers for Medicare & Medicaid Services Innovation Center (CMMI) innovation models. For more information, please visit www.apollomed.net.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, such as statements about the Company's guidance for the year ending December 31, 2022, continued growth, acquisition strategy, ability to deliver sustainable long-term value, ability to respond to the changing environment, operational focus, strategic growth plans and merger integration efforts, as well as the impact of the COVID-19 pandemic on the Company's business, operations and financial results. Forward-looking statements reflect current views with respect to future events and financial performance and therefore cannot be guaranteed. Such statements are based on the current expectations and certain assumptions of the Company's management, and some or all of such expectations and assumptions may not materialize or may vary significantly from actual results. Actual results may also vary materially from forward-looking statements due to risks, uncertainties and other factors, known and unknown, including the risk factors described from time to time in the Company's reports to the SEC, including, without limitation the risk factors discussed in the Company's Annual Report on Form 10-K for the year ended December 31, 2021, and any subsequent quarterly reports on Form 10-Q.
FOR MORE INFORMATION, PLEASE CONTACT:
Investor Relations
(626) 943-6491
investors@apollomed.net
Carolyne Sohn, The Equity Group
(408) 538-4577
csohn@equityny.com
APOLLO MEDICAL HOLDINGS, INC. | ||||
CONSOLIDATED BALANCE SHEETS | ||||
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA) | ||||
(UNAUDITED) | ||||
September 30, | December 31, | |||
Assets | ||||
Current assets | ||||
Cash and cash equivalents | $ 184,016 | $ 233,097 | ||
Investments in marketable securities | 33,281 | 53,417 | ||
Receivables, net | 69,386 | 10,608 | ||
Receivables, net – related parties | 91,208 | 69,376 | ||
Income taxes receivable | 12,224 | — | ||
Other receivables | 41,799 | 9,647 | ||
Prepaid expenses and other current assets | 11,702 | 18,637 | ||
Loan receivable – related party | — | 4,000 | ||
Total current assets | 443,616 | 398,782 | ||
Non-current assets | ||||
Land, property, and equipment, net | 104,149 | 53,186 | ||
Intangible assets, net | 73,231 | 82,807 | ||
Goodwill | 257,482 | 253,039 | ||
Loans receivable | 518 | 569 | ||
Loan receivable - related party | 2,125 | — | ||
Investments in other entities – equity method | 38,954 | 41,715 | ||
Investments in privately held entities | 896 | 896 | ||
Operating lease right-of-use assets | 16,338 | 15,441 | ||
Other assets | 6,097 | 5,928 | ||
Total non-current assets | 499,790 | 453,581 | ||
Total assets(1) | $ 943,406 | $ 852,363 | ||
Liabilities, mezzanine equity and stockholders' equity | ||||
Current liabilities | ||||
Accounts payable and accrued expenses | $ 47,366 | $ 43,951 | ||
Fiduciary accounts payable | 6,506 | 10,534 | ||
Medical liabilities | 94,884 | 55,783 | ||
Income taxes payable | — | 652 | ||
Dividend payable | 556 | 556 | ||
Finance lease liabilities | 509 | 486 | ||
Operating lease liabilities | 3,208 | 2,629 |
September 30, | December 31, | |||
Current portion of long-term debt | 3,162 | 780 | ||
Total current liabilities | 156,191 | 115,371 | ||
Non-current liabilities | ||||
Deferred tax liability | 4,701 | 9,127 | ||
Finance lease liabilities, net of current portion | 931 | 973 | ||
Operating lease liabilities, net of current portion | 16,143 | 13,198 | ||
Long-term debt, net of current portion and deferred financing costs | 199,150 | 182,917 | ||
Other long-term liabilities | 12,964 | 14,777 | ||
Total non-current liabilities | 233,889 | 220,992 | ||
Total liabilities(1) | 390,080 | 336,363 | ||
Mezzanine equity | ||||
Non-controlling interest in Allied Physicians of California, a Professional Medical | 39,820 | 55,510 | ||
Stockholders' equity | ||||
Series A Preferred stock, par value $0.001; 5,000,000 shares authorized (inclusive of | — | — | ||
Series B Preferred stock, par value $0.001; 5,000,000 shares authorized (inclusive of | — | — | ||
Common stock, $0.001 par value per share; 100,000,000 shares authorized, | 45 | 45 | ||
Additional paid-in capital | 315,115 | 310,876 | ||
Retained earnings | 195,278 | 143,629 | ||
510,438 | 454,550 | |||
Non-controlling interest | 3,068 | 5,940 | ||
Total stockholders' equity | 513,506 | 460,490 | ||
Total liabilities, mezzanine equity and stockholders' equity | $ 943,406 | $ 852,363 |
(1) The Company's consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities ("VIEs"). The consolidated balance sheets include total assets that can be used only to settle obligations of the Company's consolidated VIEs totaling $590.7 million and $567.0 million as of September 30, 2022 and December 31, 2021, respectively, and total liabilities of the Company's consolidated VIEs for which creditors do not have recourse to the general credit of the primary beneficiary of $129.2 million and $91.7 million as of September 30, 2022 and December 31, 2021, respectively. The VIE balances do not include $435.9 million of investment in affiliates and $37.8 million of amounts due from affiliates as of September 30, 2022 and $802.8 million of investment in affiliates and $6.6 million of amounts due from affiliates as of December 31, 2021 as these are eliminated upon consolidation and not presented within the consolidated balance sheets. |
APOLLO MEDICAL HOLDINGS, INC. | ||||||||
CONSOLIDATED STATEMENTS OF OPERATIONS | ||||||||
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) | ||||||||
(UNAUDITED) | ||||||||
Three Months Ended September 30, | Nine Months Ended | |||||||
2022 | 2021 | 2022 | 2021 | |||||
Revenue | ||||||||
Capitation, net | $ 227,571 | $ 149,059 | $ 677,253 | $ 438,350 | ||||
Risk pool settlements and incentives | 64,849 | 59,923 | 101,717 | 94,146 | ||||
Management fee income | 10,030 | 9,652 | 30,487 | 26,345 | ||||
Fee-for-service, net | 12,859 | 7,260 | 35,694 | 14,968 | ||||
Other income | 1,692 | 1,223 | 4,804 | 5,006 | ||||
Total revenue | 317,001 | 227,117 | 849,955 | 578,815 | ||||
Operating expenses | ||||||||
Cost of services, excluding depreciation and amortization | 240,768 | 147,473 | 691,566 | 424,303 | ||||
General and administrative expenses | 21,388 | 21,813 | 53,224 | 45,476 | ||||
Depreciation and amortization | 4,754 | 4,671 | 13,480 | 13,105 | ||||
Total expenses | 266,910 | 173,957 | 758,270 | 482,884 | ||||
Income from operations | 50,091 | 53,160 | 91,685 | 95,931 | ||||
Other (expense) income | ||||||||
Income (loss) from equity method investments | 1,452 | 132 | 4,397 | (3,680) | ||||
Gain on sale of equity method investment | — | 2,193 | — | 2,193 | ||||
Interest expense | (2,422) | (967) | (5,348) | (4,343) | ||||
Interest income | 223 | 420 | 690 | 1,331 | ||||
Unrealized (loss) gain on investments | (6,763) | (60,943) | (17,591) | 22,826 | ||||
Other (expense) income | (1,318) | 500 | 2,328 | (14,080) | ||||
Total other (expense) income, net | (8,828) | (58,665) | (15,524) | 4,247 | ||||
Income (loss) before provision for income taxes | 41,263 | (5,505) | 76,161 | 100,178 | ||||
Provision for (benefit from) income taxes | 13,867 | (120) | 26,101 | 31,575 | ||||
Net income (loss) | 27,396 | (5,385) | 50,060 | 68,603 | ||||
Net income (loss) attributable to non-controlling interest | 1,410 | (39,664) | (1,589) | 8,515 | ||||
Net income attributable to Apollo Medical Holdings, Inc. | $ 25,986 | $ 34,279 | $ 51,649 | $ 60,088 | ||||
Earnings per share – basic | $ 0.58 | $ 0.77 | $ 1.15 | $ 1.38 | ||||
Earnings per share – diluted | $ 0.56 | $ 0.74 | $ 1.12 | $ 1.33 |
Reconciliation of Net Income to EBITDA and Adjusted EBITDA | |||||||||
Three Months Ended September 30, | Nine Months Ended | ||||||||
(in thousands) | 2022 | 2021 | 2022 | 2021 | |||||
Net income | $ 27,396 | $ (5,385) | $ 50,060 | $ 68,603 | |||||
Interest expense | 2,422 | 967 | 5,348 | 4,343 | |||||
Interest income | (223) | (420) | (690) | (1,331) | |||||
Provision for income taxes | 13,867 | (120) | 26,101 | 31,575 | |||||
Depreciation and amortization | 4,754 | 4,671 | 13,480 | 13,105 | |||||
EBITDA | 48,216 | (287) | 94,299 | 116,295 | |||||
(Income) loss from equity method investments | (165) | (45) | (493) | (240) | |||||
Gain on sale of equity method investment | — | (2,193) | — | (2,193) | |||||
Other, net | 1,382 | (1) | — | 1,382 | (1) | (931) | (2) | ||
Stock-based compensation | 3,502 | 1,420 | 10,477 | 4,322 | |||||
APC excluded assets costs | 4,201 | 63,981 | 10,709 | 920 | |||||
Adjusted EBITDA | $ 57,136 | (3) | $ 62,876 | $ 116,374 | (3) | $ 118,173 |
(1) Other, net for the three and nine months ended September 30, 2022 relates to transaction costs incurred, net of the write-off related to APCMG contingent consideration to reflect the fair value as of September 30, 2022. |
(2) Other, net for the nine months ended September 30, 2021 relates to stimulus checks received in 2021. |
(3) Adjusted EBITDA under the historical method for the three and nine months ended September 30, 2022 is $68.5 million and $137.8 million, respectively. |
Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA | ||||||||||||||||
2022 Guidance Range | 2022 Guidance Range | |||||||||||||||
(as of May 5, 2022) | (as of November 4, 2022) | |||||||||||||||
(in thousands) | ||||||||||||||||
Low | High | Low | High | |||||||||||||
Net income | $ | 38,000 | $ | 57,000 | $ | 50,500 | $ | 67,000 | ||||||||
Interest expense | 4,000 | 4,000 | 8,000 | 8,000 | ||||||||||||
Provision for income taxes | 20,000 | 31,000 | 30,000 | 39,500 | ||||||||||||
Depreciation and amortization | 19,000 | 19,000 | 19,000 | 19,000 | ||||||||||||
EBITDA | 81,000 | 111,000 | 107,500 | 133,500 | ||||||||||||
Loss (income) from equity method investments | - | - | 1,000 | 1,000 | ||||||||||||
Other, net | - | - | 1,500 | 1,500 | ||||||||||||
Provider bonus payments | 16,000 | 16,000 | ||||||||||||||
Stock-based compensation | 13,000 | 13,000 | 14,000 | 16,000 | ||||||||||||
APC excluded assets costs | 9,000 | 9,000 | 12,000 | 14,000 | ||||||||||||
Net loss adjustment for recently acquired IPAs | 17,000 | 17,000 | - | - | ||||||||||||
Adjusted EBITDA | $ | 136,000 | $ | 166,000 | $ | 136,000 | $ | 166,000 |
Use of Non-GAAP Financial Measures
This press release contains the non-GAAP financial measures EBITDA and Adjusted EBITDA, of which the most directly comparable financial measure presented in accordance with U.S. generally accepted accounting principles ("GAAP") is net income. These measures are not in accordance with, or alternatives to GAAP, and may be different from other non-GAAP financial measures used by other companies. The Company uses Adjusted EBITDA as a supplemental performance measure of our operations, for financial and operational decision-making, and as a supplemental means of evaluating period-to-period comparisons on a consistent basis. Adjusted EBITDA is calculated as earnings before interest, taxes, depreciation, and amortization, excluding income or loss from equity method investments, non-recurring transactions, stock-based compensation, and APC excluded assets costs. Beginning in the third quarter ended September 30, 2022, the Company has revised the calculation for Adjusted EBITDA to exclude provider bonus payments and losses from recently acquired IPAs, which it believes to be more reflective of its business.
The Company believes the presentation of these non-GAAP financial measures provides investors with relevant and useful information, as it allows investors to evaluate the operating performance of the business activities without having to account for differences recognized because of non-core or non-recurring financial information. When GAAP financial measures are viewed in conjunction with non-GAAP financial measures, investors are provided with a more meaningful understanding of the Company's ongoing operating performance. In addition, these non-GAAP financial measures are among those indicators the Company uses as a basis for evaluating operational performance, allocating resources, and planning and forecasting future periods. Non-GAAP financial measures are not intended to be considered in isolation, or as a substitute for, GAAP financial measures. To the extent this release contains historical or future non-GAAP financial measures, the Company has provided corresponding GAAP financial measures for comparative purposes. The reconciliation between certain GAAP and non-GAAP measures is provided above.
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SOURCE Apollo Medical Holdings, Inc.