Apollo Medical Holdings, Inc. Reports First Quarter Ended March 31, 2020 Results
ALHAMBRA, Calif., May 27, 2020 /PRNewswire/ -- Apollo Medical Holdings, Inc. ("ApolloMed," and together with its subsidiaries and affiliated entities, the "Company") (NASDAQ: AMEH), an integrated population health management company, announced today its consolidated financial results for the first quarter ended March 31, 2020.
“Our solid first quarter results demonstrated continued revenue growth, further customer wins, and expansion of our membership to 1.1 million members. We began 2020 at the forefront of fighting the COVID-19 pandemic. By maintaining our essential business operations, ApolloMed has enabled our affiliated providers to continue mission-critical treatment of patients to help fight the spread of COVID-19 in our communities. The heroic work being done by so many of our affiliated physicians and partners to help test for, treat, and prevent COVID-19, as well as the generous donations of medical supplies and personal protective equipment, is profound and inspiring,” stated Kenneth Sim, M.D., Executive Chairman and Co-Chief Executive Officer of ApolloMed.
Dr. Sim continued, “COVID-19 has provided us with an opportunity to serve the needs of our members during a truly challenging time. The stability of our capitation model provides adequate cash flow and liquidity to continue the high-quality care provided to all of our members. Our stable first quarter results provide confidence in our ability to maintain our previously stated outlook for 2020 in the face of the global COVID-19 pandemic.”
Financial Highlights for the First Quarter Ended March 31, 2020:
• | Total revenue of $165.1 million for the quarter ended March 31, 2020, an increase of 72% as compared to $95.8 million for the quarter ended March 31, 2019, primarily due to our acquisitions of Alpha Care Medical Group on May 31, 2019 and Accountable Health Care IPA on August 30, 2019, which companies contributed revenue of approximately, $32.5 million and $12.7 million, respectively, for the quarter ended March 31, 2020. |
• | Capitation revenue, net, of $140.4 million for the quarter ended March 31, 2020, an increase of 96% compared to $71.5 million for the quarter ended March 31, 2019. Capitation revenue represented 85% of our total revenue for the quarter ended March 31, 2020. |
• | Risk pool settlements and incentives revenue of $11.2 million for the quarter ended March 31, 2020, an increase of 11%, as compared to $10.1 million for the quarter ended March 31, 2019. |
• | Net income of $3.0 million for the quarter ended March 31, 2020, compared to a net loss of $2.5 million for the quarter ended March 31, 2019. |
• | Net income attributable to Apollo Medical Holdings, Inc. of $4.1 million for the quarter ended March 31, 2020, compared to net income attributable to Apollo Medical Holdings, Inc. of $0.1 million for the quarter ended March 31, 2019. The increase from the prior year was primarily due to preferred dividends ApolloMed received from its affiliate, Allied Physicians of California IPA ("APC"), as a result of the series of transactions we completed with APC in September 2019. |
• | Effective January 1, 2020, we began providing select management services to Community Family Care Medical Group IPA, Inc., serving approximately 145,000 members in Southern California, which accounted for approximately $1.7 million in management fee income for the quarter ended March 31, 2020. |
Other Information:
• | The Company further announced today that Chief Technology Officer, Brandon Sim, and Chief Financial Officer, Eric Chin, have been appointed as the Company's Interim Co-Chief Operating Officers, effective May 26, 2020. Messrs. Sim and Chin will be replacing Hing Ang, who had served as the Company's Chief Operating Officer for over two years. In addition to their new positions, Messrs. Sim and Chin will remain as the Company's Chief Technology Officer and Chief Financial Officer, respectively. |
Guidance:
Our stable, subscription-based revenue model allows us to maintain our previously disclosed 2020 guidance for total revenue and adjusted EBITDA. We are updating our 2020 guidance for net income and EBITDA to incorporate the impact of the sale of an equity investment held by the Company as an excluded asset and remained solely for the benefit of APC and its shareholders. As such, any proceeds or gain on sale will not affect the net income and adjusted EBITDA attributable to ApolloMed.
Our guidance for the year ending December 31, 2020, is as follows:
• | Maintaining total revenue of between $665.0 million and $675.0 million, |
• | Adjusting net income from a range of $20.0 million and $30.0 million (disclosed on March 12, 2020) to a range of $100.0 million and $110.0 million, |
• | Adjusting EBITDA from a range of $55.0 million and $67.0 million (disclosed on March 12, 2020) to a range of $155.0 million and $167.0 million, and |
• | Maintaining adjusted EBITDA of between $75.0 million and $90.0 million. |
Refer to the "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. Refer to our discussion of "Forward-Looking Statements" within this press release for additional information.
For more details on ApolloMed's results for the quarter ended March 31, 2020, 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.
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 variable interest entities ("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, 302,732 holdback shares have not been issued to certain former shareholders of 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. Our 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 integrated population health management company, which, together with its subsidiaries, including a Next Generation Accountable Care Organization ("NGACO"), and its affiliated independent practice associations ("IPAs") and management services organizations ("MSOs"), is working to provide coordinated, outcomes-based, high-quality medical care for patients, particularly senior patients and patients with multiple chronic conditions, in a cost-effective manner. ApolloMed focuses on addressing the healthcare needs of its patients by leveraging its integrated health management and healthcare delivery platform that includes NMM (MSO), Apollo Medical Management, Inc. (MSO), ApolloMed Hospitalists, a Medical Corporation, (hospitalists), APA ACO, Inc. (NGACO), Allied Physicians of California IPA (IPA), Alpha Care Medical Group, Inc. (IPA), Accountable Health Care IPA (IPA) and Apollo Care Connect, Inc. (Digital Population Health Management Platform). 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, 2020, 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, 2019, filed with the SEC and any subsequent quarterly reports on Form 10-Q.
FOR MORE INFORMATION, PLEASE CONTACT:
APOLLO MEDICAL HOLDINGS, INC. | ||||||||
CONSOLIDATED BALANCE SHEETS | ||||||||
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA) | ||||||||
March 31, | December 31, | |||||||
2020 | 2019 | |||||||
Assets | ||||||||
Current assets | ||||||||
Cash and cash equivalents | $ | 80,892 | $ | 103,189 | ||||
Restricted cash | 75 | 75 | ||||||
Investment in marketable securities | 117,075 | 116,539 | ||||||
Receivables, net | 18,012 | 11,004 | ||||||
Receivables, net – related parties | 50,911 | 48,136 | ||||||
Other receivables | 16,362 | 16,885 | ||||||
Prepaid expenses and other current assets | 11,811 | 10,315 | ||||||
Loans receivable | 6,425 | 6,425 | ||||||
Loans receivable – related parties | 16,500 | 16,500 | ||||||
Total current assets | 318,063 | 329,068 | ||||||
Noncurrent assets | ||||||||
Land, property and equipment, net | 11,876 | 12,130 | ||||||
Intangible assets, net | 98,840 | 103,012 | ||||||
Goodwill | 238,539 | 238,505 | ||||||
Investments in other entities – equity method | 30,781 | 28,427 | ||||||
Investments in privately held entities | 896 | 896 | ||||||
Restricted cash | 746 | 746 | ||||||
Operating lease right-of-use assets | 18,199 | 14,248 | ||||||
Other assets | 6,475 | 1,681 | ||||||
Total noncurrent assets | 406,352 | 399,645 | ||||||
Total assets | $ | 724,415 | $ | 728,713 | ||||
Liabilities, Mezzanine Equity and Shareholders' Equity | ||||||||
Current liabilities | ||||||||
Accounts payable and accrued expenses | $ | 20,106 | $ | 27,279 | ||||
Fiduciary accounts payable | 1,709 | 2,027 | ||||||
Medical liabilities | 63,698 | 58,725 | ||||||
Income taxes payable | 8,034 | 4,529 | ||||||
Dividend payable | 337 | 271 | ||||||
Finance lease liabilities | 102 | 102 | ||||||
Operating lease liabilities | 3,119 | 2,990 | ||||||
Current portion of long-term debt | 9,500 | 9,500 | ||||||
Total current liabilities | 106,605 | 105,423 | ||||||
Noncurrent liabilities | ||||||||
Deferred tax liability | 16,332 | 18,269 | ||||||
Finance lease liabilities, net of current portion | 390 | 416 | ||||||
Operating lease liabilities, net of current portion | 15,583 | 11,373 | ||||||
Long-term debt, net of current portion and deferred financing costs | 230,105 | 232,172 | ||||||
Total noncurrent liabilities | 262,410 | 262,230 | ||||||
Total liabilities | 369,015 | 367,653 | ||||||
Mezzanine equity | ||||||||
Noncontrolling interest in Allied Physicians of California, a Professional Medical Corporation | 157,439 | 168,725 | ||||||
Shareholders' 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, 36,042,761 and 35,908,057 shares outstanding, excluding 17,475,707 and 17,458,810 treasury shares, at March 31, 2020, and December 31, 2019, respectively | 36 | 36 | ||||||
Additional paid-in capital | 161,087 | 159,608 | ||||||
Retained earnings | 35,957 | 31,905 | ||||||
197,080 | 191,549 | |||||||
Noncontrolling interest | 881 | 786 | ||||||
Total shareholders' equity | 197,961 | 192,335 | ||||||
Total liabilities, mezzanine equity and shareholders' equity | $ | 724,415 | $ | 728,713 | ||||
APOLLO MEDICAL HOLDINGS, INC. | ||||||||
CONSOLIDATED STATEMENTS OF INCOME | ||||||||
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA) | ||||||||
Three Months Ended March 31, | ||||||||
2020 | 2019 | |||||||
Revenue | ||||||||
Capitation, net | $ | 140,421 | $ | 71,517 | ||||
Risk pool settlements and incentives | 11,236 | 10,094 | ||||||
Management fee income | 8,815 | 8,997 | ||||||
Fee-for-service, net | 3,427 | 4,081 | ||||||
Other income | 1,206 | 1,069 | ||||||
Total revenue | 165,105 | 95,758 | ||||||
Operating expenses | ||||||||
Cost of services | 144,204 | 83,432 | ||||||
General and administrative expenses | 11,834 | 10,264 | ||||||
Depreciation and amortization | 4,702 | 4,418 | ||||||
Provision for doubtful accounts | — | 951 | ||||||
Total expenses | 160,740 | 99,065 | ||||||
Income (loss) from operations | 4,365 | (3,307 | ) | |||||
Other income (expense) | ||||||||
Income (loss) from equity method investments | 2,054 | (850 | ) | |||||
Interest expense | (2,868 | ) | (211 | ) | ||||
Interest income | 929 | 323 | ||||||
Other income | 102 | 187 | ||||||
Total other income (expense), net | 217 | (551 | ) | |||||
Income (loss) before provision for (benefit from) income taxes | 4,582 | (3,858 | ) | |||||
Provision for (benefit from) income taxes | 1,595 | (1,408 | ) | |||||
Net income (loss) | 2,987 | (2,450 | ) | |||||
Net loss attributable to noncontrolling interest | (1,065 | ) | (2,590 | ) | ||||
Net income attributable to Apollo Medical Holdings, Inc. | $ | 4,052 | $ | 140 | ||||
Earnings per share – basic | $ | 0.11 | $ | — | ||||
Earnings per share – diluted | $ | 0.11 | $ | — | ||||
Weighted average shares of common stock outstanding – basic | 36,010,268 | 34,496,622 | ||||||
Weighted average shares of common stock outstanding – diluted | 37,439,099 | 38,074,174 | ||||||
APOLLO MEDICAL HOLDINGS, INC. | ||||||||
SUPPLEMENTAL INFORMATION | ||||||||
Capitated Membership (in thousands) | ||||||||
March 31, 2020 | December 31, 2019 | December 31, 2018 | ||||||
MSO | 514 | 421 | 665 | |||||
IPA | 543 | 530 | 265 | |||||
ACO | 30 | 29 | 30 | |||||
Total lives under management | 1,087 | 980 | 960 | |||||
Reconciliation of Net Income to EBITDA and Adjusted EBITDA (in thousands) | ||||||||
Three Months Ended March 31, | ||||||||
2020 | 2019 | |||||||
Net income (loss) | $ | 2,987 | $ | (2,450 | ) | |||
Depreciation and amortization | 4,702 | 4,418 | ||||||
Provision for (benefit from) income taxes | 1,595 | (1,408 | ) | |||||
Interest expense | 2,868 | 211 | ||||||
Interest income | (929 | ) | (323 | ) | ||||
EBITDA | 11,223 | 448 | ||||||
(Income) loss from equity method investments | (2,054 | ) | 850 | |||||
Other income | (102 | ) | (187 | ) | ||||
Provider bonus payments | — | 10,000 | ||||||
Provision for doubtful accounts | — | 951 | ||||||
EBITDA adjustment for recently acquired IPAs | 4,760 | — | ||||||
Adjusted EBITDA | $ | 13,827 | $ | 12,062 | ||||
Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA (in thousands) | ||||||||
Year Ending | ||||||||
December 31, 2020 | ||||||||
Low | High | |||||||
Net income | $ | 100,000 | $ | 110,000 | ||||
Depreciation and amortization | 18,000 | 20,000 | ||||||
Provision for income taxes | 30,000 | 31,000 | ||||||
Interest expense | 8,000 | 9,000 | ||||||
Interest income | (1,000 | ) | (3,000 | ) | ||||
EBITDA | 155,000 | 167,000 | ||||||
Income from equity method investments (1) | (95,000 | ) | (94,000 | ) | ||||
EBITDA adjustment for recently acquired IPAs | 15,000 | 17,000 | ||||||
Adjusted EBITDA | $75,000 | $90,000 | ||||||
(1) Income from equity method investments is mainly attributed to the sale of Universal Care Acquisition Partners, LLC's ("UCAP") 48.9% investment in Universal Care, Inc. ("UCI") to Bright Health Company of California, which closed on April 30, 2020 pursuant to the stock purchase agreement as disclosed on the current report on form 8-K filed on May 6, 2020. UCAP is a 100% owned subsidiary of APC and its 48.9% investment in UCI is an excluded asset and as such remained solely for the benefit of APC and its shareholders. As such, any proceeds or gain on sale will not affect the net income and adjusted EBITDA attributable to ApolloMed.
Use of Non-GAAP Financial Measures
This press release contains the non-GAAP financial measures earnings before interest, taxes, depreciation and amortization ("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 (loss). 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) loss from equity method investments 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.
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 and 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. Reconciliation between certain GAAP and non-GAAP measures is provided above.