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    P3 Health Partners Announces Third Quarter 2025 Results

    11/13/25 5:30:00 PM ET
    $PIII
    Medical/Nursing Services
    Health Care
    Get the next $PIII alert in real time by email

    P3 Reports Continued Operational Progress and Expansion of Care Enablement Model in a Transitional Year

    $120 to $170 Million EBITDA Expansion Opportunity Strengthens Path to Meaningful Profitability

    Management to Host Conference Call and Webcast November 14, 2025 at 8:00 AM ET

    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, 2025.

    "Our core business continues to demonstrate positive momentum in the third quarter, driven by the expansion of our Care Enablement Model," said Aric Coffman, CEO of P3. "Medical cost trends, normalized for prior-year adjustments, remain stable, operating discipline is strengthening, and we're seeing continued traction in the markets where our model is most aligned. With the progress underway, we're confident in our ability to execute on the $120 to $170 million in EBITDA expansion opportunities identified, positioning us for sustainable profitability in 2026 and beyond."

    Third Quarter 2025 Financial Results

    • Average at-risk membership was approximately 116,000 members for the third quarter, a decrease of 10% compared to prior year. The decrease reflects previously disclosed intentional network and payer rationalization.
    • Total revenue was $345.3 million, a decrease of 5% compared to the third quarter of the prior year, driven by the intentional reduction in membership and the recognition of unfavorable mid-year settlement adjustments. On a per-member basis, funding improved 6% from the prior year when adjusted for prior-period items.
    • Medical margin(1) for the quarter was $4.4 million, or $13 PMPM. The results reflect the impact of unfavorable mid-year settlement adjustments recognized in capitated revenue; excluding these effects, underlying medical cost trend, normalized for prior-year items, remained stable.
    • Adjusted EBITDA loss(1) for the quarter was $45.9 million, or $132 PMPM. Year-to-date Normalized Adjusted EBITDA(1) was a loss of $70.1 million, or $67 PMPM.

    Revised Fiscal 2025 Guidance

     

    Year Ended December 31, 2025

     

    Low

     

    High

    At-risk Members(2)

    112,000

     

    117,000

    Total Revenues (in millions)

    $1,400

     

    $1,450

    Medical Margin(1)(3) (in millions)

    $67

     

    $82

    Medical Margin(3) PMPM

    $48

     

    $59

    Adjusted EBITDA(3) (in millions)

    $(110)

     

    $(95)

    (1)

    Adjusted EBITDA, Adjusted EBITDA per member, per month ("PMPM"), Normalized Adjusted EBITDA, Normalized Adjusted EBITDA 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 November 14, 2025 at 8:00 AM ET

    Title & Webcast

    P3 Health Third Quarter 2025 Earnings Conference Call

    Date & Time

    November 14, 2025, 8:00am 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):

    P3 Health Partners Inc. is a leading population health management company committed to transforming healthcare by improving the lives of both patients and providers. Founded and led by physicians, P3 has an expansive network of more than 2,700 affiliated primary care providers across the country. Our local teams of health care professionals manage the care of thousands of patients in 24 counties across four states. P3 supports primary care providers with value-based care coordination and administrative services that improve patient outcomes and lower costs. Through partnerships with these local providers, the P3 care team creates an enhanced patient experience by navigating, coordinating, and integrating the patient's care within the healthcare system. For more information, visit www.p3hp.org and follow us on LinkedIn and Facebook.com/p3healthpartners.

    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, Normalized Adjusted EBITDA and Normalized 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. Normalized Adjusted EBITDA is defined as Adjusted EBITDA, further adjusted to exclude revenue adjustments related to prior year developments, claims expenses related to prior year dates of service, and other network expenses attributable to prior years. Normalized Adjusted EBITDA PMPM is defined as Normalized 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 and Normalized 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; our ability to maintain compliance with California regulations related to financial solvency and operational performance; 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, 2025, 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)

    (unaudited)

     

     

    September 30, 2025

     

    December 31, 2024

    ASSETS

     

     

     

    CURRENT ASSETS:

     

     

     

    Cash

    $

    37,714

     

     

    $

    38,816

     

    Restricted cash

     

    748

     

     

     

    5,286

     

    Health plan receivable, net of allowance for credit losses of $150

     

    82,024

     

     

     

    121,266

     

    Clinic fees, insurance and other receivable

     

    3,738

     

     

     

    3,947

     

    Prepaid expenses and other current assets

     

    11,407

     

     

     

    14,422

     

    Assets held for sale

     

    —

     

     

     

    403

     

    TOTAL CURRENT ASSETS

     

    135,631

     

     

     

    184,140

     

    Property and equipment, net

     

    3,902

     

     

     

    5,734

     

    Intangible assets, net

     

    512,912

     

     

     

    574,350

     

    Other long-term assets

     

    31,119

     

     

     

    19,196

     

    TOTAL ASSETS (1)

    $

    683,564

     

     

    $

    783,420

     

    LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' (DEFICIT) EQUITY

     

     

     

    CURRENT LIABILITIES:

     

     

     

    Accounts payable

    $

    9,929

     

     

    $

    8,442

     

    Accrued expenses and other current liabilities

     

    35,832

     

     

     

    29,416

     

    Accrued payroll

     

    1,349

     

     

     

    2,722

     

    Health plan settlements payable

     

    53,480

     

     

     

    55,565

     

    Claims payable

     

    253,664

     

     

     

    255,089

     

    Premium deficiency reserve

     

    30,703

     

     

     

    67,368

     

    Accrued interest

     

    271

     

     

     

    2,305

     

    Current portion of long-term debt

     

    38,612

     

     

     

    75,155

     

    Short-term debt

     

    114

     

     

     

    —

     

    Liabilities held for sale

     

    —

     

     

     

    353

     

    TOTAL CURRENT LIABILITIES

     

    423,954

     

     

     

    496,415

     

    Operating lease liability

     

    12,053

     

     

     

    11,339

     

    Warrant liabilities

     

    7,528

     

     

     

    10,312

     

    Long-term debt, net

     

    214,183

     

     

     

    108,907

     

    Other long-term liabilities

     

    6,918

     

     

     

    6,918

     

    TOTAL LIABILITIES (1)

     

    664,636

     

     

     

    633,891

     

    COMMITMENTS AND CONTINGENCIES

     

     

     

    MEZZANINE EQUITY:

     

     

     

    Redeemable non-controlling interest

     

    37,614

     

     

     

    73,593

     

    STOCKHOLDERS' (DEFICIT) EQUITY:

     

     

     

    Class A common stock, $0.0001 par value; 800,000 shares authorized; 3,268 and 3,257 shares issued and outstanding as of September 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 September 30, 2025 and December 31, 2024

     

    —

     

     

     

    —

     

    Additional paid in capital

     

    556,936

     

     

     

    579,129

     

    Accumulated deficit

     

    (575,622

    )

     

     

    (503,193

    )

    TOTAL STOCKHOLDERS' (DEFICIT) EQUITY

     

    (18,686

    )

     

     

    75,936

     

    TOTAL LIABILITIES, MEZZANINE EQUITY, AND STOCKHOLDERS' (DEFICIT) EQUITY

    $

    683,564

     

     

    $

    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 $12.0 million and $9.3 million as of September 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 $6.9 million and $14.9 million as of September 30, 2025 and December 31, 2024, respectively. These VIE assets and liabilities do not include $49.7 million and $40.3 million of net amounts due to affiliates as of September 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)

    (unaudited)

     

     

     

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

    2025

     

    2024

     

    2025

     

    2024

    OPERATING REVENUE:

     

     

     

     

     

     

     

    Capitated revenue

    $

    341,555

     

     

    $

    357,706

     

     

    $

    1,062,796

     

     

    $

    1,116,146

     

    Other patient service revenue

     

    3,698

     

     

     

    4,418

     

     

     

    11,470

     

     

     

    13,623

     

    TOTAL OPERATING REVENUE

     

    345,253

     

     

     

    362,124

     

     

     

    1,074,266

     

     

     

    1,129,769

     

    OPERATING EXPENSE:

     

     

     

     

     

     

     

    Medical expense

     

    369,789

     

     

     

    401,920

     

     

     

    1,093,182

     

     

     

    1,149,148

     

    Premium deficiency reserve

     

    (23,736

    )

     

     

    18,168

     

     

     

    (36,665

    )

     

     

    15,771

     

    Corporate, general and administrative expense

     

    22,139

     

     

     

    27,219

     

     

     

    70,433

     

     

     

    81,230

     

    Sales and marketing expense

     

    251

     

     

     

    134

     

     

     

    583

     

     

     

    870

     

    Depreciation and amortization

     

    21,033

     

     

     

    21,673

     

     

     

    63,168

     

     

     

    64,905

     

    TOTAL OPERATING EXPENSE

     

    389,476

     

     

     

    469,114

     

     

     

    1,190,701

     

     

     

    1,311,924

     

    OPERATING LOSS

     

    (44,223

    )

     

     

    (106,990

    )

     

     

    (116,435

    )

     

     

    (182,155

    )

    OTHER INCOME (EXPENSE):

     

     

     

     

     

     

     

    Interest expense, net

     

    (20,527

    )

     

     

    (5,647

    )

     

     

    (39,397

    )

     

     

    (15,339

    )

    Mark-to-market of stock warrants

     

    (2,540

    )

     

     

    5,737

     

     

     

    2,784

     

     

     

    14,626

     

    Other

     

    (2,160

    )

     

     

    445

     

     

     

    (1,259

    )

     

     

    1,073

     

    TOTAL OTHER (EXPENSE) INCOME

     

    (25,227

    )

     

     

    535

     

     

     

    (37,872

    )

     

     

    360

     

    LOSS BEFORE INCOME TAXES

     

    (69,450

    )

     

     

    (106,455

    )

     

     

    (154,307

    )

     

     

    (181,795

    )

    INCOME TAX BENEFIT (PROVISION)

     

    (11

    )

     

     

    3,605

     

     

     

    (3,065

    )

     

     

    565

     

    NET LOSS

     

    (69,461

    )

     

     

    (102,850

    )

     

     

    (157,372

    )

     

     

    (181,230

    )

    LESS: NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTEREST

     

    (37,874

    )

     

     

    (56,338

    )

     

     

    (84,943

    )

     

     

    (103,998

    )

    NET LOSS ATTRIBUTABLE TO CONTROLLING INTEREST

    $

    (31,587

    )

     

    $

    (46,512

    )

     

    $

    (72,429

    )

     

    $

    (77,232

    )

     

     

     

     

     

     

     

     

    NET LOSS PER SHARE:

     

     

     

     

     

     

     

    Basic

    $

    (9.67

    )

     

    $

    (14.36

    )

     

    $

    (22.18

    )

     

    $

    (12.02

    )

    Diluted

    $

    (9.67

    )

     

    $

    (15.70

    )

     

    $

    (22.18

    )

     

    $

    (32.17

    )

     

     

     

     

     

     

     

     

    WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:

     

     

     

     

     

     

     

    Basic

     

    3,268

     

     

     

    3,238

     

     

     

    3,265

     

     

     

    2,786

     

    Diluted

     

    3,268

     

     

     

    3,294

     

     

     

    3,265

     

     

     

    2,835

     

     

    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

    (in thousands)

    (unaudited)

     

    Nine Months Ended September 30,

     

    2025

     

    2024

    CASH FLOWS FROM OPERATING ACTIVITIES:

     

     

     

    Net loss

    $

    (157,372

    )

     

    $

    (181,230

    )

    Adjustments to reconcile net loss to net cash used in operating activities:

     

     

     

    Depreciation and amortization

     

    63,168

     

     

     

    64,905

     

    Premium deficiency reserve

     

    (36,665

    )

     

     

    15,771

     

    Paid in-kind interest expense

     

    19,813

     

     

     

    12,281

     

    Amortization of original issue discount and debt issuance costs

     

    11,383

     

     

     

    13

     

    Equity-based compensation

     

    4,482

     

     

     

    5,031

     

    Mark-to-market adjustment of stock warrants

     

    (2,784

    )

     

     

    (14,626

    )

    Loss on asset sale and disposal

     

    340

     

     

     

    —

     

    Gain on write off of contingent consideration

     

    —

     

     

     

    (4,907

    )

    Changes in operating assets and liabilities:

     

     

     

    Health plan receivable

     

    39,242

     

     

     

    (4,828

    )

    Clinic fees, insurance, and other receivable

     

    209

     

     

     

    445

     

    Prepaid expenses and other current assets

     

    3,015

     

     

     

    (7,402

    )

    Other long-term assets

     

    (12,274

    )

     

     

    (2

    )

    Accounts payable, accrued expenses, and other current liabilities

     

    7,786

     

     

     

    1,780

     

    Accrued payroll

     

    (1,373

    )

     

     

    903

     

    Health plan settlements payable

     

    (2,085

    )

     

     

    6,177

     

    Claims payable

     

    (1,425

    )

     

     

    52,727

     

    Accrued interest

     

    (2,034

    )

     

     

    —

     

    Operating lease liability

     

    1,063

     

     

     

    72

     

    Net cash used in operating activities

     

    (65,511

    )

     

     

    (52,890

    )

    CASH FLOWS FROM INVESTING ACTIVITIES:

     

     

     

    Purchases of property and equipment

     

    (119

    )

     

     

    —

     

    Purchase price received in advance of asset sale

     

    —

     

     

     

    15,000

     

    Proceeds from asset sale

     

    50

     

     

     

    —

     

    Net cash (used in) provided by investing activities

     

    (69

    )

     

     

    15,000

     

    CASH FLOWS FROM FINANCING ACTIVITIES:

     

     

     

    Proceeds from long-term debt, net of original issue discount

     

    60,000

     

     

     

    25,000

     

    Proceeds from short-term debt

     

    1,137

     

     

     

    1,871

     

    Repayment of short-term and long-term debt

     

    (1,023

    )

     

     

    (1,663

    )

    Payment of debt issuance costs

     

    (174

    )

     

     

    (100

    )

    Proceeds from liability-classified warrants and private placement offering, net of offering costs paid

     

    —

     

     

     

    40,547

     

    Deferred offering costs paid

     

    —

     

     

     

    (507

    )

    Payment of tax withholdings upon settlement of restricted stock unit awards

     

    —

     

     

     

    (127

    )

    Proceeds from at-the-market sales, net of offering costs paid

     

     

     

    33

     

    Net cash provided by financing activities

     

    59,940

     

     

     

    65,054

     

    Net change in cash and restricted cash

     

    (5,640

    )

     

     

    27,164

     

    Cash and restricted cash, beginning of period

     

    44,102

     

     

     

    40,934

     

    Cash and restricted cash, end of period

    $

    38,462

     

     

    $

    68,098

     

    RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA LOSS

    (in thousands, except PMPM)

    (unaudited)

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

    2025

     

    2024

     

    2025

     

    2024

    Net loss

    $

    (69,461

    )

     

    $

    (102,850

    )

     

    $

    (157,372

    )

     

    $

    (181,230

    )

    Interest expense, net

     

    20,527

     

     

     

    5,647

     

     

     

    39,397

     

     

     

    15,339

     

    Depreciation and amortization

     

    21,033

     

     

     

    21,673

     

     

     

    63,168

     

     

     

    64,905

     

    Income tax provision (benefit)

     

    11

     

     

     

    (3,605

    )

     

     

    3,065

     

     

     

    (565

    )

    Mark-to-market of stock warrants

     

    2,540

     

     

     

    (5,737

    )

     

     

    (2,784

    )

     

     

    (14,626

    )

    Premium deficiency reserve

     

    (23,736

    )

     

     

    18,168

     

     

     

    (36,665

    )

     

     

    15,771

     

    Equity-based compensation

     

    1,211

     

     

     

    1,958

     

     

     

    4,482

     

     

     

    5,031

     

    Other(1)

     

    1,964

     

     

     

    (6,254

    )

     

     

    1,498

     

     

     

    (4,242

    )

    Adjusted EBITDA loss

    $

    (45,911

    )

     

    $

    (71,000

    )

     

    $

    (85,211

    )

     

    $

    (99,617

    )

    Normalization adjustments(2)

     

    (2,520

    )

     

     

    (4,797

    )

     

     

    15,107

     

     

     

    (21,621

    )

    Normalized adjusted EBITDA loss

    $

    (48,431

    )

     

    $

    (75,797

    )

     

    $

    (70,104

    )

     

    $

    (121,238

    )

     

     

     

     

     

     

     

     

    Adjusted EBITDA loss PMPM

    $

    (132

    )

     

    $

    (185

    )

     

    $

    (82

    )

     

    $

    (87

    )

    Normalized adjusted EBITDA PMPM

    $

    (139

    )

     

    $

    (198

    )

     

    $

    (67

    )

     

    $

    (107

    )

    ____________________

    (1)

    Other during the three and nine months ended September 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 nine months ended September 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.

    (2)

    Amounts represent net impact of revenue adjustments related to prior year developments, claims expenses related to prior year dates of service, and other network expenses attributable to prior years.

    MEDICAL MARGIN

    (in thousands, except PMPM)

    (unaudited)

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

    2025

     

    2024

     

    2025

     

    2024

    Capitated revenue

    $

    341,555

     

     

    $

    357,706

     

     

    $

    1,062,796

     

     

    $

    1,116,146

     

    Less: medical claims expense

     

    (337,143

    )

     

     

    (357,166

    )

     

     

    (1,010,569

    )

     

     

    (1,037,965

    )

    Medical margin

    $

    4,412

     

     

    $

    540

     

     

    $

    52,227

     

     

    $

    78,181

     

    Medical margin PMPM

    $

    13

     

     

    $

    1

     

     

    $

    50

     

     

    $

    69

     

    RECONCILIATION OF GROSS PROFIT (LOSS) TO MEDICAL MARGIN

    (in thousands)

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

    2025

     

    2024

     

    2025

     

    2024

    Gross profit (loss)

    $

    (24,536

    )

     

    $

    (39,796

    )

     

    $

    (18,916

    )

     

    $

    (19,379

    )

    Other patient service revenue

     

    (3,698

    )

     

     

    (4,418

    )

     

     

    (11,470

    )

     

     

    (13,623

    )

    Other medical expense

     

    32,646

     

     

     

    44,754

     

     

     

    82,613

     

     

     

    111,183

     

    Medical margin

    $

    4,412

     

     

    $

    540

     

     

    $

    52,227

     

     

    $

    78,181

     

    RECONCILIATION OF TOTAL OPERATING EXPENSE TO ADJUSTED OPERATING EXPENSE

    (in thousands)

    (unaudited)

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

    2025

     

    2024

     

    2025

     

    2024

    Total operating expense

    $

    389,476

     

     

    $

    469,114

     

     

    $

    1,190,701

     

     

    $

    1,311,924

     

    Medical expense

     

    (369,789

    )

     

     

    (401,920

    )

     

     

    (1,093,182

    )

     

     

    (1,149,148

    )

    Depreciation and amortization

     

    (21,033

    )

     

     

    (21,673

    )

     

     

    (63,168

    )

     

     

    (64,905

    )

    Premium deficiency reserve

     

    23,736

     

     

     

    (18,168

    )

     

     

    36,665

     

     

     

    (15,771

    )

    Equity-based compensation

     

    (1,211

    )

     

     

    (1,958

    )

     

     

    (4,482

    )

     

     

    (5,031

    )

    Other

     

    40

     

     

     

    6,157

     

     

     

    (142

    )

     

     

    3,564

     

    Adjusted operating expense

    $

    21,219

     

     

    $

    31,552

     

     

    $

    66,392

     

     

    $

    80,633

     

     

    View source version on businesswire.com: https://www.businesswire.com/news/home/20251113955783/en/

    David Deuchler

    Investor Relations

    Gilmartin Group

    [email protected]

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