Variable Interest Entities

6 Months Ended

Jun. 30, 2024

Variable Interest Entities

Variable Interest Entities

Note 13: Variable Interest Entities

P3 LLC has Management Services Agreements (“MSAs”) and deficit funding agreements with the Network VIEs. The MSAs provide that the P3 LLC will furnish administrative personnel, office supplies and equipment, general business services, contract negotiation, and billing and collection services to the Network VIEs. Fees for these services are the excess of the Network VIEs’ revenue over expenses. Per the deficit funding agreements, P3 LLC is obligated to advance funds, as needed, to support the Network VIE’s working capital needs to the extent operating expenses exceed gross revenue. These advances accrue interest at a rate of prime plus 2%. Net advances made to the Network VIEs and accrued interest on those advances are presented within due to consolidated entities of P3 in the table below. Additionally, P3 LLC entered into stock transfer restriction agreements with the practice shareholders of the Network VIEs, which, by way of a call option, unequivocally permit P3 LLC to appoint successor physicians if a practice shareholder vacates their ownership position. Accordingly, P3 LLC identifies itself as the primary beneficiary of the Network VIEs. Practice shareholders, who are employees of P3 LLC, retain equity ownership in the Network VIEs, which represents nominal non-controlling interests; however, the non-controlling interests do not participate in the profit or loss of the Network VIEs.

P3 LLC, directly or indirectly via its wholly owned subsidiaries, may not use or access any net assets of the Network VIEs to settle its obligations or the obligations of its wholly owned subsidiaries. Additionally, the creditors of the Network VIEs do not have recourse to the net assets of P3 LLC.

Since P3 LLC represents substantially all the assets and liabilities of the Company, the following tables provide a summary of the assets, liabilities, and operating performance of only VIEs held at the P3 LLC level.

	June 30, 2024		December 31, 2023
	(in thousands)
ASSETS
Cash	$	7,865	$	6,491
Clinic fees, insurance and other receivable	1,557		138
Health plan receivable	576		571
Prepaid expenses and other current assets	931		1,261
Property and equipment, net	46		23
Other long-term assets	129		153
TOTAL ASSETS	$	11,104	$	8,637
LIABILITIES AND MEMBERS’ DEFICIT
Accounts payable	$	4,393	$	5,073
Accrued expenses and other current liabilities	955		515
Accrued payroll	3,433		3,141
Claims payable	4,600		3,973
Other long-term liabilities	934		946
Due to consolidated entities of P3	47,018		44,200
TOTAL LIABILITIES	61,333		57,848
MEMBERS’ DEFICIT	(50,229)		(49,211)
TOTAL LIABILITIES AND MEMBERS’ DEFICIT	$	11,104	$	8,637

	Three Months Ended June 30,				Six Months Ended June 30,
	2024		2023		2024		2023
	(in thousands)
Revenue	$	9,354	$	9,511	$	19,118	$	20,350
Expense	9,803		11,847		19,700		25,522
Net loss	$	(449)	$	(2,336)	$	(582)	$	(5,172)