Apollo Medical Holdings, Inc. Reports First Quarter 2022 Results
Company to Host Conference Call Today at 2 p.m. PT/5 p.m. ET
ALHAMBRA, Calif., May 5, 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 first quarter ended March 31, 2022.
Financial Highlights for First Quarter Ended March 31, 2022:
•Q1 total revenue of $263.3 million, up 50% from $176.1 million for the prior-year quarter
•Q1 net income of $12.1 million, compared to $14.5 million for the prior-year quarter (additional detail provided in the Q1 GAAP financial review below)
•Q1 net income attributable to ApolloMed of $14.3 million, up 8% from $13.2 million for the prior-year quarter
•Q1 earnings per share - diluted (“EPS - diluted”) of $0.31, up 3% from $0.30 per share for the prior-year quarter
•Q1 adjusted EBITDA of $38.2 million, up 25% from $30.5 million for the prior-year quarter
•Cash and cash equivalents of $237.9 million as of March 31, 2022
Recent Operating Highlights:
•In April 2022, the Company completed the previously announced acquisition of 100% of the fully diluted capitalization of Jade Health Care Medical Group (“Jade Health”), a primary and specialty care physician group focused on providing high-quality care to local San Francisco Bay area communities. Jade Health is committed to delivering high-quality, affordable healthcare to Medicaid, Medicare, and commercial members through its over 350 primary and specialty care providers. The transaction will add approximately 13,000 members, primarily located in the City and County of San Francisco and San Mateo County, to ApolloMed's membership.
•The Company appointed Chan Basho as Chief Strategy Officer. Mr. Basho will also assume the position of Interim Chief Financial Officer effective May 5, 2022, as Eric Chin is stepping down as Chief Financial Officer for personal reasons. Mr. Chin will continue to work with the Company as an executive advisor to ensure a smooth transition.
Guidance:
ApolloMed is raising its guidance for total revenue and the lower end of its guidance ranges for net income, EBITDA, and adjusted EBITDA, previously disclosed on March 14, 2022, as a result of strong organic membership growth and favorable membership mix. Net income and EBITDA include the impact of 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 May 5, 2022, revised net income and EBITDA guidance ranges assume a stock price of the payer partner of $1.93. These assumptions are based on the Company's existing business, current view of existing market conditions and assumptions for the year ending December 31, 2022.
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| ($ in millions) | | 2022 Guidance Range | | 2022 Guidance Range |
| | (as of March 14, 2022) | | (as of May 5, 2022) |
| | Low | | High | | Low | | High |
| Total revenue | | $ | 1,030.0 | | | $ | 1,080.0 | | | $ | 1,055.0 | | | $ | 1,085.0 | |
| Net income | | $ | 33.0 | | | $ | 57.0 | | | $ | 38.0 | | | $ | 57.0 | |
| EBITDA | | $ | 72.0 | | | $ | 111.0 | | | $ | 81.0 | | | $ | 111.0 | |
| Adjusted EBITDA | | $ | 130.0 | | | $ | 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, added, “We are pleased to announce another impressive quarter of results, having achieved 50% growth on the top line for the first quarter of 2022 as a result of strong organic membership growth and favorable membership mix, while continuing to increase profitability. More importantly, we remain committed to our mission of empowering healthcare providers, especially independent physicians, to care for and serve their communities more effectively, as well as participate in the movement towards value-based care. We are seeing strong tailwinds for the business, as independent physicians across the country express interest in our unique model; in this quarter alone, we added two new physician groups in Northern California. To assist with our significant growth trajectory, I am pleased to have recently welcomed Chan Basho as Chief Strategy Officer as well as Interim Chief Financial Officer. We are excited to have Chan on board and expect to benefit from his extensive experience in driving new business growth for leading healthcare companies.”
GAAP Financial Review for the First Quarter Ended March 31, 2022:
•Total revenue of $263.3 million for the quarter ended March 31, 2022, an increase of 50%, compared to $176.1 million for the quarter ended March 31, 2021.
•Capitation revenue, net, of $222.1 million for the quarter ended March 31, 2022, an increase of 53%, compared to $144.7 million for the quarter ended March 31, 2021. Capitation revenue represented 84% of total revenue for the quarter ended March 31, 2022.
•Net income was $12.1 million for the quarter ended March 31, 2022, compared to net income of $14.5 million for the quarter ended March 31, 2021. The decrease in net income was primarily a result of higher non-controlling interest losses of $9.0 million due to unrealized losses for shares held for the benefit of APC excluded assets.
•Net income attributable to ApolloMed of $14.3 million for the quarter ended March 31, 2022, an increase of 8%, compared to $13.2 million for the quarter ended March 31, 2021.
•EPS - diluted of $0.31 per share for the quarter ended March 31, 2022, compared to $0.30 per share for the quarter ended March 31, 2021.
Non-GAAP Measures for the First Quarter Ended March 31, 2022:
•EBITDA of $23.7 million for the quarter ended March 31, 2022, compared to $26.6 million for the quarter ended March 31, 2021.
•Adjusted EBITDA increased to $38.2 million for the quarter ended March 31, 2022, an increase of 25%, compared to $30.5 million for the quarter ended March 31, 2021.
Balance Sheet Highlights:
•As of March 31, 2022, ApolloMed’s cash and cash equivalents and investments in marketable securities were $280.8 million, working capital was $284.0 million, and total stockholders’ equity increased to $479.5 million; compared to cash and cash equivalents and investments in marketable securities of $286.5 million, working capital of $283.4 million and total stockholders’ equity of $460.5 million, respectively, as of December 31, 2021.
For more details on ApolloMed’s financial results for the quarter ended March 31, 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 2 p.m. PT/5 p.m. ET today (Thursday, May 5, 2022), during which management will discuss the results of the first quarter ended March 31, 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) 407-9753
International (Toll): +1 (201) 493-6739
The conference call can also be accessed via webcast at: https://services.choruscall.com/mediaframe/webcast.html?webcastid=sp5fahlI.
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 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 high quality 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
(415) 568-2255
csohn@equityny.com
| | | | | | | | | | | | | | |
APOLLO MEDICAL HOLDINGS, INC. |
| CONSOLIDATED BALANCE SHEETS |
| (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA) |
| (UNAUDITED) |
| | | | |
| | March 31,
2022 | | December 31,
2021 |
| | | | |
| Assets | | | | |
| | | | |
| Current assets | | | | |
| Cash and cash equivalents | | $ | 237,942 | | | $ | 233,097 | |
| Investments in marketable securities | | 42,893 | | | 53,417 | |
| Receivables, net | | 64,244 | | | 10,608 | |
| Receivables, net – related parties | | 76,410 | | | 69,376 | |
| Other receivables | | 13,260 | | | 9,647 | |
| Prepaid expenses and other current assets | | 14,631 | | | 18,637 | |
| Loan receivable – related party | | 4,000 | | | 4,000 | |
| | | | |
| Total current assets | | 453,380 | | | 398,782 | |
| | | | |
| Non-current assets | | | | |
| Land, property, and equipment, net | | 70,366 | | | 53,186 | |
| Intangible assets, net | | 80,148 | | | 82,807 | |
| Goodwill | | 252,379 | | | 253,039 | |
| Loans receivable | | 549 | | | 569 | |
| | | | |
| Investments in other entities – equity method | | 44,383 | | | 41,715 | |
| Investments in privately held entities | | 896 | | | 896 | |
| | | | |
| Operating lease right-of-use assets | | 14,770 | | | 15,441 | |
| Other assets | | 4,424 | | | 5,928 | |
| | | | |
| Total non-current assets | | 467,915 | | | 453,581 | |
| | | | |
Total assets(1) | | $ | 921,295 | | | $ | 852,363 | |
| | | | |
Liabilities, mezzanine equity and stockholders’ equity | | | | |
| | | | |
Current liabilities | | | | |
| | | | |
| Accounts payable and accrued expenses | | $ | 48,252 | | | $ | 43,951 | |
| Fiduciary accounts payable | | 6,305 | | | 10,534 | |
| Medical liabilities | | 104,722 | | | 55,783 | |
| Income taxes payable | | 4,894 | | | 652 | |
| Dividend payable | | 556 | | | 556 | |
| Finance lease liabilities | | 543 | | | 486 | |
| Operating lease liabilities | | 2,625 | | | 2,629 | |
| | | | | | | | | | | | | | |
| | March 31,
2022 | | December 31,
2021 |
| | | | |
| Current portion of long-term debt | | 1,503 | | | 780 | |
| Total current liabilities | | 169,400 | | | 115,371 | |
| | | | |
| Non-current liabilities | | | | |
| Deferred tax liability | | 9,686 | | | 9,127 | |
| Finance lease liabilities, net of current portion | | 1,172 | | | 973 | |
| Operating lease liabilities, net of current portion | | 12,558 | | | 13,198 | |
| Long-term debt, net of current portion and deferred financing costs | | 183,101 | | | 182,917 | |
| Other long-term liabilities | | 13,706 | | | 14,777 | |
| | | | |
| Total non-current liabilities | | 220,223 | | | 220,992 | |
| | | | |
Total liabilities(1) | | 389,623 | | | 336,363 | |
| | | | |
| Mezzanine equity | | | | |
| Non-controlling interest in Allied Physicians of California, a Professional Medical Corporation | | 52,151 | | | 55,510 | |
| | | | |
Stockholders’ equity | | | | |
| Series A Preferred stock, par value $0.001; 5,000,000 shares authorized (inclusive of Series B Preferred stock); 1,111,111 issued and zero outstanding | | — | | | — | |
| Series B Preferred stock, par value $0.001; 5,000,000 shares authorized (inclusive of Series A Preferred stock); 555,555 issued and zero outstanding | | — | | | — | |
Common stock, $0.001 par value per share; 100,000,000 shares authorized, 44,845,059 and 44,630,873 shares issued and outstanding, excluding 10,925,702 and 10,925,702 treasury shares, at March 31, 2022, and December 31, 2021, respectively | | 45 | | | 45 | |
| Additional paid-in capital | | 316,047 | | | 310,876 | |
| Retained earnings | | 157,893 | | | 143,629 | |
| | 473,985 | | | 454,550 | |
| | | | |
| Non-controlling interest | | 5,536 | | | 5,940 | |
| | | | |
Total stockholders’ equity | | 479,521 | | | 460,490 | |
| | | | |
Total liabilities, mezzanine equity and stockholders’ equity | | $ | 921,295 | | | $ | 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 $585.9 million and $567.0 million as of March 31, 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 $111.0 million and $91.7 million as of March 31, 2022 and December 31, 2021, respectively. The VIE balances do not include $529.6 million of investment in affiliates and $25.2 million of amounts due from affiliates as of March 31, 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
March 31, |
| | 2022 | | 2021 |
| Revenue | | | | |
| Capitation, net | | $ | 222,060 | | | $ | 144,740 | |
| Risk pool settlements and incentives | | 18,075 | | | 18,010 | |
| Management fee income | | 10,473 | | | 8,550 | |
| Fee-for-service, net | | 11,095 | | | 3,086 | |
| Other income | | 1,555 | | | 1,672 | |
| | | | |
| Total revenue | | 263,258 | | | 176,058 | |
| | | | |
| Operating expenses | | | | |
| Cost of services, excluding depreciation and amortization | | 220,730 | | | 140,616 | |
| General and administrative expenses | | 11,943 | | | 9,464 | |
| Depreciation and amortization | | 4,374 | | | 4,197 | |
| | | | |
| Total expenses | | 237,047 | | | 154,277 | |
| | | | |
| Income from operations | | 26,211 | | | 21,781 | |
| | | | |
| Other expense | | | | |
| Income (loss) from equity method investments | | 1,433 | | | (677) | |
| | | | |
| Interest expense | | (1,073) | | | (1,523) | |
| Interest income | | 46 | | | 349 | |
| Unrealized loss on investments | | (8,962) | | | — | |
| Other income | | 613 | | | 1,304 | |
| | | | |
| Total other expense, net | | (7,943) | | | (547) | |
| | | | |
| Income before provision for income taxes | | 18,268 | | | 21,234 | |
| | | | |
| Provision for income taxes | | 6,195 | | | 6,776 | |
| | | | |
| Net income | | 12,073 | | | 14,458 | |
| | | | |
| Net (loss) income attributable to non-controlling interest | | (2,191) | | | 1,307 | |
| | | | |
| Net income attributable to Apollo Medical Holdings, Inc. | | $ | 14,264 | | | $ | 13,151 | |
| | | | |
| Earnings per share – basic | | $ | 0.32 | | | $ | 0.31 | |
| | | | |
| Earnings per share – diluted | | $ | 0.31 | | | $ | 0.30 | |
| | | | | | | | | | | | | | |
| Reconciliation of Net Income to EBITDA and Adjusted EBITDA |
| | | | |
| | Three Months Ended
March 31, |
| (in thousands) | | 2022 | | 2021 |
| | | | |
| Net income | | $ | 12,073 | | | $ | 14,458 | |
| Interest expense | | 1,073 | | | 1,523 | |
| Interest income | | (46) | | | (349) | |
| Provision for income taxes | | 6,195 | | | 6,776 | |
| Depreciation and amortization | | 4,374 | | | 4,197 | |
| EBITDA | | 23,669 | | | 26,605 | |
| | | | |
| (Income) loss from equity method investments | | (1,433) | | | 677 | |
| Other income | | (613) | | (1) | (1,304) | |
| Unrealized loss on investments | | 8,962 | | | — | |
| | | | |
| | | | |
| Stock-based compensation | | 3,055 | | | 1,346 | |
| APC excluded assets costs | | 750 | | | — | |
| Net loss adjustment for recently acquired IPAs | | 3,789 | | | 3,194 | |
| Adjusted EBITDA | | $ | 38,179 | | | $ | 30,518 | |
(1) Other income excludes the impact of fair value of certain equity securities held by the Company.
| | | | | | | | | | | | | | | | | |
| Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA | | | | |
| | | | | |
| | | 2022 Guidance Range |
| | | (as of May 5, 2022) |
| (in thousands) | | | | | |
| | | Low | | High |
| Net income | | | $ | 38,000 | | | $ | 57,000 | |
| Interest expense | | | 4,000 | | | 4,000 | |
| Provision for income taxes | | | 20,000 | | | 31,000 | |
| Depreciation and amortization | | | 19,000 | | | 19,000 | |
| EBITDA | | | 81,000 | | | 111,000 | |
| | | | | |
| Provider bonus payments | | | 16,000 | | | 16,000 | |
| Stock-based compensation | | | 13,000 | | | 13,000 | |
| APC excluded assets costs | | | 9,000 | | | 9,000 | |
| Net loss adjustment for recently acquired IPAs | | | 17,000 | | | 17,000 | |
| Adjusted EBITDA | | | $ | 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, unrealized gain or loss, provider bonuses, APC
excluded assets costs, stock-based compensation, and other income or expenses recognized that are not related to the Company’s normal operations. Adjusted EBITDA also excludes the effect on EBITDA of certain IPAs we recently acquired.
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.
Forward-Looking Statements
This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act and Section 21E of the Exchange Act. Forward-looking statements include any statements about the Company's business, financial condition, operating results, plans, objectives, expectations and intentions, expansion plans, integration of acquired companies and any projections of earnings, revenue, EBITDA, Adjusted EBITDA or other financial items, such as the Company's projected capitation and future liquidity, and may be identified by the use of forward-looking terms such as “anticipate,” “could,” “can,” “may,” “might,” “potential,” “predict,” “should,” “estimate,” “expect,” “project,” “believe,” “plan,” “envision,” “intend,” “continue,” “target,” “seek,” “will,” “would,” and the negative of such terms, other variations on such terms or other similar or comparable words, phrases or terminology. 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 U.S. Securities and Exchange Commission (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 subsequent Quarterly Reports on Form 10-Q.
Because the factors referred to above could cause actual results or outcomes to differ materially from those expressed or implied in any forward-looking statements, you should not place undue reliance on any such forward-looking statements. Any forward-looking statements speak only as of the date of this presentation and, unless legally required, the Company does not undertake any obligation to update any forward-looking statement, as a result of new information, future events or otherwise.
Company Overview
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 high-quality care to patients in a cost-effective manner.
Q1 and Recent Highlights
| | | | | | | | | | | | | | | | | | | | |
| | | | |
| Strong Q1 2022 financial results | | Strengthening
leadership team | | Strategic transactions |
| | | | | | |
| Revenue | $263.3M | 50% from $176.1M | | Appointed Chan Basho as Chief Strategy Officer and Interim Chief Financial Officer | | Closed the following transaction in April 2022:
• 100% of Jade Health Medical Group, an SF Bay Area-based primary and specialty care physician group
|
| | | | | |
| Net income attr. to AMEH | $14.3M | 8% from $13.2M | | Added resources to boost operations and business development efforts | |
| | | | | |
| EPS - diluted | $0.31 | 3% from $0.30 | | | |
| | | | | |
| Adj. EBITDA* | $38.2M | 25% from $30.5M | | | | |
| | | | |
| | | | | | |
| *See “Reconciliation of Net Income to EBITDA and Adjusted EBITDA” and “Use of Non-GAAP Financial Measures” slides for more information. |
Historical Financial Profile
Summary of Selected Financial Results
| | | | | | | | | | | | | | | | | |
| | | Three months ended March 31, |
| $ in 000s except per share data | | | 2022 | | 2021 |
| Revenue | | | | | |
| Capitation, net | | $ | 222,060 | | $ | 144,740 | |
| Risk pool settlements and incentives | | | 18,075 | | | 18,010 | |
| Management fee income | | | 10,473 | | | 8,550 | |
| Fee-for-service, net | | | 11,095 | | | 3,086 | |
| Other income | | | 1,555 | | | 1,672 | |
| Total revenue | | | 263,258 | | | 176,058 | |
| Total expenses | | | 237,047 | | | 154,277 | |
| Income from operations | | | 26,211 | | 21,781 |
| Net income | | | 12,073 | | | 14,458 | |
| Net (loss) income attributable to noncontrolling interest | | | (2,191) | | | 1,307 | |
| Net income attributable to ApolloMed | | $ | 14,264 | $ | 13,151 |
| Earnings per share - diluted | | $ | 0.31 | $ | 0.30 |
Revenue Breakdown
Business Mix by Payer Type
Q1 2022
(% OF TOTAL REVENUE)
Balance Sheet Highlights
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| $ in millions | | 3/31/2022 | | 12/31/2021 | | $ Change | | % Change |
| Cash and cash equivalents and investments in marketable securities | | $280.8 | | $286.5 | | $(5.7) | | | (2)% |
| Working capital | | $284.0 | | $283.4 | | $0.6 | | | —% |
| Total stockholders’ equity | | $479.5 | | $460.5 | | $19.0 | | | 4% |
Current Capitalization
| | | | | | | | | | | |
| (figures in millions, except per share price) |
| Recent Share Price (as of 4/28/2022) | | $ | 38.21 |
| Common Shares Outstanding | | | 56.0 |
| Market Capitalization | | $ | 2,139.8 |
| Plus: Total Bank Debt | | | 188.6 |
Less: Cash and Cash Equivalents (1) | | | (138.5) |
| Implied Enterprise Value | | $ | 2,189.9 |
| | | |
| Notes: Letters of Credit Availability on Revolving Credit Facility | | $ | 25.0 |
Note: Data is as of 3/31/2022 unless otherwise stated.
(1) Excludes restricted cash of $99.4M
Updated 2022 Guidance
| | | | | | | | | | | | | | | | | |
| $ in millions | | 2022 Guidance Range
(as of March 14, 2022) | | 2022 Guidance Range
(as of May 5, 2022) | |
| Total Revenue | | $1030 - $1080 | | $1,055 - $1,085 | |
Net Income(1) | | $33 - $57 | | $38 - $57 | |
EBITDA(1,2) | | $72 - $111 | | $82 - $111 | |
Adjusted EBITDA(2) | | $130 - $166 | | $136 - $166 | |
| | | | | |
(1) Net income and EBITDA forecast is a result of APC’s investment in a payer partner that completed an initial public offering and became publicly traded on June 24, 2021. The revised net income and EBITDA guidance ranges assume the payer partner’s stock price of $1.93.
(2) See “Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA” and “Use of Non-GAAP Financial Measures” slides for more information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See “Forward-Looking Statements” on slide 2.
Reconciliation of Net Income to EBITDA and Adjusted EBITDA
| | | | | | | | | | | | | | |
| | Three months ended March 31, |
| ($ in millions) | | 2022 | | 2021 |
| Net income | | $ | 12.1 | | | $ | 14.5 | |
| Interest expense | | 1.1 | | | 1.5 | |
| Interest income | | — | | | (0.3) | |
| Provision for income taxes | | 6.2 | | | 6.8 | |
| Depreciation and amortization | | 4.4 | | | 4.2 | |
EBITDA(1) | | $ | 23.7 | | | $ | 26.6 | |
| | | | |
| (Income) loss from equity method investments | | $ | (1.4) | | | $ | 0.7 | |
| Other income | | (0.6) | | | (1.3) | |
| Unrealized loss on investments | | 9.0 | | | — | |
| | | | |
| | | | |
| Stock-based compensation | | 3.1 | | | 1.3 | |
| APC excluded assets costs | | 0.8 | | | — | |
| Net loss adjustment for recently acquired IPAs | | 3.8 | | | 3.2 | |
Adjusted EBITDA(1) | | $ | 38.2 | | | $ | 30.5 | |
(1) See “Use of Non-GAAP Financial Measures” slide for more information.
Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA
| | | | | | | | | | | | | | |
| | Year Ending December 31, 2022 |
| |
| ($ in millions) | | Low | | High |
| Net income | | $ | 38.0 | | | $ | 57.0 | |
| Interest expense | | 4.0 | | | 4.0 | |
| Provision for income taxes | | 20.0 | | | 31.0 | |
| Depreciation and amortization | | 19.0 | | | 19.0 | |
| EBITDA | | $ | 81.0 | | | $ | 111.0 | |
| | | | |
| Stock-based compensation | | $ | 13.0 | | | $ | 13.0 | |
| APC excluded assets costs | | 9.0 | | | 9.0 | |
| Provider bonus payments | | 16.0 | | | 16.0 | |
| Net loss adjustment for recently acquired IPAs | | 17.0 | | | 17.0 | |
| Adjusted EBITDA | | $ | 136.0 | | | $ | 166.0 | |
Use of Non-GAAP Financial Measures
This presentation 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 from equity method investments, provider bonuses, impairment of intangibles, provision for doubtful accounts and other income earned that are not related to the Company's normal operations. Adjusted EBITDA also excludes the effect on EBITDA of certain IPAs we recently acquired.
ApolloMed 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.
Key Acronyms
•ACO: Accountable Care Organization
•AIPBP: All-Inclusive Population-Based Payments
•CMMI: Center for Medicare and Medicaid Innovation
•CMS: Centers for Medicare & Medicaid Services
•DME: Durable Medical Equipment
•Health Plan/Payors: Health Insurance Companies
•HMO: Health Maintenance Organization
•IPA: Independent Practice Association
•NCI: Non-Controlling Interest
•NMM: Network Medical Management, Inc.
•MSA: Master Service Agreement
•MSO: Management Services Organization
•NGACO: Next Generation Accountable Care Organization
•PCP: Primary Care Physician
•PMPM: Per Member Per Month
•SNF: Skilled Nursing Facility
•VIE: Variable Interest Entity
Apollo Medical Holdings, Inc. Announces Appointment of Chief Strategy Officer and CFO Transition
ALHAMBRA, CA, May 5, 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 the appointment of Chan Basho to the newly created role of Chief Strategy Officer. Mr. Basho will also assume the position of Interim Chief Financial Officer as Eric Chin has stepped down as Chief Financial Officer for personal reasons. Mr. Chin will continue to work with the Company as an executive advisor to ensure a smooth transition.
As Chief Strategy Officer, Mr. Basho will work closely with the Company’s Co-CEOs to lead the development and execution of ApolloMed’s strategy and operations, as well as the improvement of operating discipline to ensure the Company’s ability to scale successfully.
Brandon Sim, Co-Chief Executive Officer of ApolloMed, stated, “We are pleased to welcome Chan as Chief Strategy Officer and Interim CFO at ApolloMed. We believe Chan’s insights and ability to drive results in his previous positions at Alignment Healthcare, HealthCare Partners and DaVita will prove increasingly valuable as our Company moves forward with its plans for future growth. Chan possesses a deep understanding of and commitment to our mission of providing quality healthcare in a cost-effective manner to our local communities, and our team is excited to be working closely with him in this important new role. I would like to thank Eric on behalf of ApolloMed’s entire leadership team for his professionalism, expertise, and many contributions over the past few years. He was instrumental in developing our internal financial controls and spearheading our capital allocation, corporate finance and communications strategies. We wish him all the best and greatly appreciate his support during this period of transition.”
Mr. Basho commented, “I am thrilled to be joining ApolloMed during this critical and exciting time in the Company’s history. I look forward to working closely with Brandon and management to advance the Company’s strategy and mission to empower providers around the country to successfully deliver value-based care and improved outcomes for our members. I am honored to have this opportunity to help ApolloMed continue to build upon its impressive 25-year legacy.”
Mr. Basho possesses 15 years of experience in strategy, finance and operations at reputable healthcare companies, most recently having served as Vice President of Strategy and Corporate Development at Alignment Healthcare since 2018. From 2017 to 2018, Mr. Basho served as Chief Financial Officer at Alsana, a private equity-backed behavioral health company. From 2014 to 2017, Mr. Basho served in different positions at HealthCare Partners, a DaVita Medical Group company, including as Vice President of Strategy and Corporate Development leading strategy and development for the California market. From 2007 to 2014, Mr. Basho served in different capacities related to strategy and finance at DaVita Kidney Care, including as Director of Corporate Finance. Mr. Basho received a bachelor’s degree in Bioengineering from the University of California, Berkeley, and an MBA from the Wharton School at the University of Pennsylvania.
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 high quality 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 a Next Generation Accountable Care Organization (NGACO). 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 continued growth, operational focus and strategic growth plans. 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, filed with the SEC 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
(415) 568-2255
csohn@equityny.com