(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
(Address of principal executive offices) | (Zip Code) |
Title of each class | Trading Symbol(s) | Name of each exchange on which registered | ||||||||||||
Large accelerated filer | o | Accelerated filer | o | |||||||||||||||||
x | Smaller reporting company | |||||||||||||||||||
Emerging growth company |
Page | ||||||||
Condensed Consolidated Statements of Changes in Stockholders' Equity for the Three Months Ended March 31, 2023 and 2022 (Unaudited) | ||||||||
Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2023 and 2022 (Unaudited) | ||||||||
($000s) | March 31, 2023 | December 31, 2022 | |||||||||
(Unaudited) | |||||||||||
Assets | |||||||||||
Current assets | |||||||||||
Cash and cash equivalents | $ | $ | |||||||||
Taxes receivable | |||||||||||
Prepaid expenses and other current assets | |||||||||||
Total current assets | |||||||||||
Property and equipment, net | |||||||||||
Other long-term assets | |||||||||||
Right of use operating lease assets | |||||||||||
Intangible assets, net | |||||||||||
Goodwill | |||||||||||
Total assets | $ | $ | |||||||||
Liabilities and Stockholders' Equity | |||||||||||
Current liabilities | |||||||||||
Accounts payable | $ | $ | |||||||||
Accrued payroll and benefits | |||||||||||
Current portion of long-term debt | |||||||||||
Deferred revenue and patient deposits | |||||||||||
Accrued and other current liabilities | |||||||||||
Current operating lease liabilities | |||||||||||
Total current liabilities | |||||||||||
Long-term debt, net | |||||||||||
Deferred tax liability, net | |||||||||||
Long-term operating lease liabilities | |||||||||||
Other long-term liabilities | |||||||||||
Total liabilities | |||||||||||
Commitments and contingent liabilities (Note 9) | |||||||||||
Stockholders' equity | |||||||||||
Common stock, $ | |||||||||||
Additional paid-in capital | |||||||||||
Accumulated other comprehensive loss | ( | ( | |||||||||
Accumulated deficit | ( | ( | |||||||||
Total stockholders' equity | |||||||||||
Total liabilities and stockholders' equity | $ | $ |
Three Months Ended March 31, | |||||||||||
(in $000s, except for shares and per share figures) | 2023 | 2022 | |||||||||
Revenue | $ | $ | |||||||||
Operating expenses: | |||||||||||
Cost of service (exclusive of depreciation and amortization) | |||||||||||
Selling, general and administrative | |||||||||||
Depreciation and amortization | |||||||||||
Gain on disposal of long-lived assets | ( | ||||||||||
Total operating expenses | |||||||||||
Income/(loss) from operations | ( | ||||||||||
Interest expense, net | |||||||||||
Pre-tax net income/(loss) | ( | ||||||||||
Income tax expense/(benefit) | ( | ||||||||||
Net loss | $ | ( | $ | ( | |||||||
Loss per share of common stock | |||||||||||
Basic | $ | ( | $ | ( | |||||||
Diluted | $ | ( | $ | ( | |||||||
Weighted average shares outstanding | |||||||||||
Basic | |||||||||||
Diluted |
Three Months Ended March 31, | |||||||||||
($000s) | 2023 | 2022 | |||||||||
Net loss | $ | ( | $ | ( | |||||||
Other comprehensive loss: | |||||||||||
Change in foreign currency translation adjustment | |||||||||||
Total other comprehensive income | |||||||||||
Comprehensive income/(loss) | $ | $ | ( |
Common Stock | Additional Paid-in Capital | Accumulated Other Comprehensive Income | ||||||||||||||||||||||||||||||||||||
($000s) | Shares | Amount | Accumulated Deficit | Total | ||||||||||||||||||||||||||||||||||
Balance at December 31, 2021 | $ | $ | $ | $ | ( | $ | ||||||||||||||||||||||||||||||||
Distributions | — | — | ( | — | ( | |||||||||||||||||||||||||||||||||
Equity-based compensation | — | — | — | |||||||||||||||||||||||||||||||||||
Net loss | — | — | — | — | ( | ( | ||||||||||||||||||||||||||||||||
Balance at March 31, 2022 | $ | $ | $ | $ | ( | $ | ||||||||||||||||||||||||||||||||
Balance at December 31, 2022 | $ | $ | $ | ( | $ | ( | $ | |||||||||||||||||||||||||||||||
Issuance of common stock through unit vesting | — | — | — | — | ||||||||||||||||||||||||||||||||||
Dividends | — | — | — | — | ||||||||||||||||||||||||||||||||||
Equity-based compensation | — | — | — | — | ||||||||||||||||||||||||||||||||||
Net loss | — | — | — | — | ( | ( | ||||||||||||||||||||||||||||||||
Other comprehensive income | — | — | — | — | ||||||||||||||||||||||||||||||||||
Balance at March 31, 2023 | $ | $ | $ | ( | $ | ( | $ | |||||||||||||||||||||||||||||||
Three Months Ended March 31, | |||||||||||
($000s) | 2023 | 2022 | |||||||||
Cash flows from operating activities | |||||||||||
Net loss | $ | ( | $ | ( | |||||||
Adjustments to reconcile net loss to net cash provided by operating activities: | |||||||||||
Depreciation and amortization | |||||||||||
Equity-based compensation | |||||||||||
Non-cash interest expense; amortization of debt costs | |||||||||||
Changes in assets and liabilities | |||||||||||
Taxes receivable | |||||||||||
Prepaid expense and other current assets | |||||||||||
Other assets | ( | ( | |||||||||
Accounts payable | |||||||||||
Deferred revenue and patient deposits | ( | ||||||||||
Accrued and other liabilities | |||||||||||
Net cash provided by operating activities | |||||||||||
Cash flows from investing activities | |||||||||||
Purchases of property and equipment, net | ( | ( | |||||||||
Net cash used in investing activities | ( | ( | |||||||||
Cash flows from financing activities | |||||||||||
Payment on term loan | ( | ( | |||||||||
Distribution to member | ( | ||||||||||
Dividends paid to shareholders | ( | ||||||||||
Net cash used in financing activities | ( | ( | |||||||||
Net increase in cash and cash equivalents | |||||||||||
Cash and cash equivalents | |||||||||||
Beginning of period | |||||||||||
End of period | $ | $ | |||||||||
Supplemental disclosure of cash flow information: | |||||||||||
Cash paid for interest | $ | $ | |||||||||
Supplemental disclosure of non-cash investing information: | |||||||||||
Property and equipment included in accounts payable and accrued expenses | $ | $ | |||||||||
March 31, 2023 | December 31, 2022 | Useful Life | |||||||||||||||
Technology and know-how | $ | $ | |||||||||||||||
Trademarks and tradenames | |||||||||||||||||
Accumulated amortization of technology and know-how | ( | ( | |||||||||||||||
Accumulated amortization of tradenames and trademarks | ( | ( | |||||||||||||||
Total intangible assets | $ | $ |
March 31, 2023 | December 31, 2022 | ||||||||||
Medical equipment | $ | $ | |||||||||
Office and computer equipment | |||||||||||
Furniture and fixtures | |||||||||||
Leasehold improvements | |||||||||||
Construction in progress | |||||||||||
Less: Accumulated depreciation | ( | ( | |||||||||
Property and equipment, net | $ | $ |
March 31, 2023 | December 31, 2022 | ||||||||||
Term loan | $ | $ | |||||||||
Unamortized debt discounts and issuance costs | ( | ( | |||||||||
Total debt, net | |||||||||||
Less: Current portion | ( | ( | |||||||||
Long-term debt, net | $ | $ |
2023 (excluding the three months ended March 31, 2023) | $ | ||||
2024 | |||||
2025 | |||||
2026 | |||||
2027 | |||||
Total maturities | $ |
March 31, 2023 | March 31, 2022 | ||||||||||
Cash paid for amounts included in the measurement of lease liabilities: | |||||||||||
Operating cash outflows from operating leases | $ | $ | |||||||||
Right-of-use assets obtained in exchange for lease obligations: | |||||||||||
Operating leases | $ | $ |
2023 (excluding the three months ended March 31, 2023) | $ | ||||
2024 | |||||
2025 | |||||
2026 | |||||
2027 | |||||
Thereafter | |||||
Total lease payments | |||||
Less: imputed interest | ( | ||||
Total lease obligations | $ |
Three Months Ended March 31, | ||||||||
2023 | 2022 | |||||||
Numerator: | ||||||||
Net loss | $ | ( | $ | ( | ||||
Denominator: | ||||||||
Weighted average shares of common stock outstanding - basic | ||||||||
Add: Effect of dilutive securities | ||||||||
Weighted average shares of common stock outstanding - diluted | ||||||||
Loss per share of common stock outstanding - basic and diluted | $ | ( | $ | ( |
Three Months Ended March 31, | ||||||||
2023 | 2022 | |||||||
Restricted stock units | ||||||||
Performance and market-based stock units |
Three Months Ended March 31, | |||||||||||
2023 | 2022 | ||||||||||
Cases | 3,640 | 3,156 | |||||||||
Case growth | 15.3 | % | N/A | ||||||||
Revenue per case | $ | 12,586 | $ | 12,530 | |||||||
Revenue per case growth | 0.4 | % | N/A | ||||||||
Number of facilities | 23 | 19 | |||||||||
Number of total procedure rooms | 49 | 36 |
Three Months Ended March 31, | |||||||||||
2023 | 2022 | ||||||||||
Cases | 3,155 | 3,127 | |||||||||
Case growth | 0.9 | % | N/A | ||||||||
Revenue per case | $ | 12,676 | $ | 12,510 | |||||||
Revenue per case growth | 1.3 | % | N/A | ||||||||
Number of facilities | 18 | 18 | |||||||||
Number of total procedure rooms | 38 | 35 |
Three Months Ended March 31, | |||||||||||
($ in thousands) | 2023 | 2022 | |||||||||
Net loss | $ | (14) | $ | (693) | |||||||
Plus | |||||||||||
Equity-based compensation | 4,388 | 7,316 | |||||||||
IPO related costs | — | 731 | |||||||||
Pre-opening de novo and relocation costs | 1,265 | 847 | |||||||||
Restructuring and related severance costs | 1,154 | 179 | |||||||||
Depreciation and amortization | 2,336 | 1,886 | |||||||||
Gain on disposal of long-lived assets | (184) | — | |||||||||
Interest expense, net | 1,735 | 1,492 | |||||||||
Income tax expense/(benefit) | 41 | (1,970) | |||||||||
Adjusted EBITDA | $ | 10,721 | $ | 9,788 | |||||||
Adjusted EBITDA Margin | 23.4 | % | 24.8 | % |
Three Months Ended March 31, | |||||||||||
2023 | 2022 | ||||||||||
Net loss | $ | (14) | $ | (693) | |||||||
Plus | |||||||||||
Equity-based compensation | 4,181 | 7,045 | |||||||||
IPO related costs | — | 541 | |||||||||
Pre-opening de novo and relocation costs | 936 | 627 | |||||||||
Restructuring and related severance costs | 854 | 132 | |||||||||
Gain on disposal of long-lived assets | (136) | — | |||||||||
Adjusted net income | $ | 5,821 | $ | 7,652 | |||||||
Adjusted net income per share of common stock (1) | |||||||||||
Basic | $ | 0.10 | $ | 0.14 | |||||||
Diluted | $ | 0.10 | $ | 0.14 | |||||||
Weighted average shares outstanding | |||||||||||
Basic | 56,443,370 | 55,640,154 | |||||||||
Diluted | 57,309,392 | 56,244,711 |
Three Months Ended March 31, | ||||||||||||||||||||||||||||||||
2023 | 2022 | |||||||||||||||||||||||||||||||
($ in thousands) | Amount | % of Revenue | Amount | % of Revenue | ||||||||||||||||||||||||||||
Revenue | $ | 45,813 | 100.0 | % | $ | 39,544 | 100.0 | % | ||||||||||||||||||||||||
Operating expenses: | ||||||||||||||||||||||||||||||||
Cost of service (exclusive of depreciation and amortization shown below) | 18,017 | 39.3 | % | 14,662 | 37.1 | % | ||||||||||||||||||||||||||
Selling, general and administrative | 23,882 | 52.1 | % | 24,167 | 61.1 | % | ||||||||||||||||||||||||||
Depreciation and amortization | 2,336 | 5.1 | % | 1,886 | 4.8 | % | ||||||||||||||||||||||||||
Gain on disposal of long-lived assets | (184) | (0.4) | % | — | — | % | ||||||||||||||||||||||||||
Total operating expenses | 44,051 | 96.2 | % | 40,715 | 103.0 | % | ||||||||||||||||||||||||||
Income/(loss) from operations | 1,762 | 3.8 | % | (1,171) | (3.0) | % | ||||||||||||||||||||||||||
Interest expense, net | 1,735 | 3.8 | % | 1,492 | 3.8 | % | ||||||||||||||||||||||||||
Pre-tax net income/(loss) | 27 | 0.1 | % | (2,663) | (6.7) | % | ||||||||||||||||||||||||||
Income tax expense/(benefit) | 41 | 0.1 | % | (1,970) | (5.0) | % | ||||||||||||||||||||||||||
Net loss | $ | (14) | — | % | $ | (693) | (1.8) | % |
Three Months Ended March 31, | |||||||||||
($ in thousands) | 2023 | 2022 | |||||||||
Cash Flows Provided By (Used For): | |||||||||||
Operating activities | $ | 6,219 | $ | 7,080 | |||||||
Investing activities | (3,815) | (4,274) | |||||||||
Financing activities | (737) | (924) | |||||||||
Net increase in cash and cash equivalents | 1,667 | 1,882 |
Exhibit Number | Description of Exhibit | ||||
10.1 | |||||
31.1* | |||||
31.2* | |||||
32.1*† | |||||
32.2*† | |||||
101.INS | Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document | ||||
101.SCH* | Inline XBRL Taxonomy Extension Schema Document | ||||
101.CAL* | Inline XBRL Taxonomy Extension Calculation Linkbase Document | ||||
101.DEF* | Inline XBRL Taxonomy Extension Definition Linkbase Document | ||||
101.LAB* | Inline XBRL Taxonomy Extension Label Linkbase Document | ||||
101.PRE* | Inline XBRL Taxonomy Extension Presentation Linkbase Document | ||||
104* | Cover Page Interactive Data File (embedded within the Inline XBRL document) |
AIRSCULPT TECHNOLOGIES, INC. | |||||||||||
By: | /s/ Dennis Dean | ||||||||||
Dennis Dean | |||||||||||
Chief Financial Officer | |||||||||||
(Principal Accounting and Financial Officer) |
AirSculpt Technologies, Inc. | ||||||||
Date: May 12, 2023 | By: | /s/ Todd Magazine | ||||||
Todd Magazine | ||||||||
Chief Executive Officer |
AirSculpt Technologies, Inc. | ||||||||
Date: May 12, 2023 | By: | /s/ Dennis Dean | ||||||
Dennis Dean | ||||||||
Chief Financial Officer |
Date: May 12, 2023 | By: | /s/ Todd Magazine | ||||||
Todd Magazine | ||||||||
Chief Executive Officer |
By: | /s/ Dennis Dean | ||||||||||
Dennis Dean | |||||||||||
Chief Financial Officer | |||||||||||
Date: May 12, 2023 |
Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares |
Mar. 31, 2023 |
Dec. 31, 2022 |
---|---|---|
Statement of Financial Position [Abstract] | ||
Common stock, par value (in dollars per share) | $ 0.001 | $ 0.001 |
Common stock, authorized (in shares) | 450,000,000 | 450,000,000 |
Common stock, issued (in shares) | 56,711,260 | 56,181,689 |
Common stock, outstanding (in shares) | 56,711,260 | 56,181,689 |
Condensed Consolidated Statements of Operations (Unaudited) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
|
Income Statement [Abstract] | ||
Revenue | $ 45,813 | $ 39,544 |
Operating expenses: | ||
Cost of service (exclusive of depreciation and amortization) | 18,017 | 14,662 |
Selling, general and administrative | 23,882 | 24,167 |
Depreciation and amortization | 2,336 | 1,886 |
Gain on disposal of long-lived assets | (184) | 0 |
Total operating expenses | 44,051 | 40,715 |
Income/(loss) from operations | 1,762 | (1,171) |
Interest expense, net | 1,735 | 1,492 |
Pre-tax net income/(loss) | 27 | (2,663) |
Income tax expense/(benefit) | 41 | (1,970) |
Net loss | $ (14) | $ (693) |
Loss per share of common stock | ||
Basic (in dollars per share) | $ (0.00) | $ (0.01) |
Diluted (in dollars per share) | $ (0.00) | $ (0.01) |
Weighted average shares outstanding | ||
Basic (in shares) | 56,443,370 | 55,640,154 |
Diluted (in shares) | 56,443,370 | 55,640,154 |
Condensed Consolidated Statements of Other Comprehensive Income/(Loss) (Unaudited) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
|
Statement of Comprehensive Income [Abstract] | ||
Net loss | $ (14) | $ (693) |
Other comprehensive loss: | ||
Change in foreign currency translation adjustment | 22 | 0 |
Total other comprehensive income | 22 | 0 |
Comprehensive income/(loss) | $ 8 | $ (693) |
ORGANIZATION AND SUMMARY OF KEY ACCOUNTING POLICIES |
3 Months Ended |
---|---|
Mar. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
ORGANIZATION AND SUMMARY OF KEY ACCOUNTING POLICIES | NOTE 1 – ORGANIZATION AND SUMMARY OF KEY ACCOUNTING POLICIES AirSculpt Technologies, Inc. (“AirSculpt” or the "Company"), was formed as a Delaware corporation on June 30, 2021. On October 28, 2021, AirSculpt completed an initial public offering (“IPO”) of 8,050,000 shares of common stock at an initial public offering price of $11.00 per share. Immediately following the IPO, AirSculpt’s total outstanding shares were 55,640,154. Pursuant to a reorganization (the “Reorganization”) among entities under common control immediately prior to the IPO, AirSculpt became a holding company with its principal asset being 100% of the ownership interests in EBS Intermediate Parent LLC. The Company’s revenues are concentrated in the specialty, minimally invasive liposuction market. The operations of the Company prior to the IPO represent the predecessor to AirSculpt. The Company and its consolidated subsidiaries are referred to collectively in this Quarterly Report on Form 10-Q (“10-Q Report”) as “we,” “our,” and “us.” Solely for convenience, some of the copyrights, trade names and trademarks referred to in this 10-Q Report are listed without their ©, ® and ™ symbols, but we will assert, to the fullest extent under applicable law, our rights to our copyrights, trade names and trademarks. The Company, through its wholly-owned subsidiaries, is a provider of practice management services to professional associations (“PAs”) located throughout the United States. The Company owns and operates non-clinical assets and provides its management services to the PAs through management services agreements (“MSAs”). Management services provide for the administration of the non-clinical aspects of the medical operations and include, but are not limited to, financial, administrative, technical, marketing, and personnel services. Pursuant to the MSA, the PA is responsible for all clinical aspects of the medical operations of the practice. Principles of Consolidation These consolidated financial statements present the financial position and results of operations of the Company, its wholly-owned subsidiaries, and the PAs, which are under the control of the Company and are considered variable interest entities in which the Company is the primary beneficiary. All intercompany accounts and transactions have been eliminated in consolidation. Variable Interest Entities The Company has a variable interest in the managed PAs where it has a long-term and unilateral controlling financial interest over such PAs’ assets and operations. The Company has the ability to direct the activities that most significantly affect the PAs’ economic performance via the MSAs and related agreements. The Company is a practice management service organization and does not engage in the practice of medicine. These services are provided by licensed professionals at each of the PAs. Certain key features of the MSAs and related agreements enable the Company to assign the member interests of certain of the PAs to another member designated by the Company (i.e., “nominee shareholder”) for a nominal value in certain circumstances at the Company’s sole discretion. The MSA does not allow the Company to be involved in, or provide guidance on, the clinical operations of the PAs. The Company consolidates the PAs into the financial statements. All of the Company’s revenue is earned from services provided by the PAs. The only assets and liabilities held by the PAs included in the accompanying consolidated balance sheets are clinical related. The clinical assets and liabilities are not material to the Company as a whole. Basis of Presentation The condensed consolidated balance sheet as of March 31, 2023, and the condensed consolidated statements of operations, stockholders' equity, and cash flows for the three months ended March 31, 2023 and 2022 are unaudited. The unaudited condensed consolidated financial statements have been prepared on the same basis as the annual consolidated financial statements and reflect, in the opinion of management, all adjustments of a normal and recurring nature that are necessary for the fair statement of the Company’s financial position as of March 31, 2023 and the results of operations and cash flows for the three months ended March 31, 2023 and 2022. Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted. The financial data and the other financial information disclosed in these notes to the condensed consolidated financial statements related to the three months ended March 31, 2023 and 2022 are also unaudited. The consolidated results of operations for the three months ended March 31, 2023 are not necessarily indicative of results to be expected for the year ending December 31, 2023 or for any other future annual or interim period. The condensed consolidated balance sheet as of December 31, 2022 is derived from the Company’s annual audited consolidated financial statements for the year ended December 31, 2022, which should be read in conjunction with these condensed consolidated financial statements and which are included in the Company’s Annual Report dated March 10, 2023 filed with the Securities and Exchange Commission (“SEC”) pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries, as well as interests in PAs controlled by the Company through rights granted to the Company by contract to manage and control the affiliate’s business (as described in “Variable Interest Entities” above). All significant intercompany balances and transactions are eliminated in consolidation. Revenue Recognition Revenue consists primarily of revenue earned for the provision of the Company’s patented AirSculpt® procedures. A performance obligation is a promise in a contract to transfer a distinct good or service to the customer and is the unit of account for revenue recognition. A contract’s transaction price is allocated to each distinct performance obligation and recognized as revenue when, or as, the performance obligation is satisfied. The Company’s performance obligations are delivery of specialty, minimally invasive liposuction services. The Company assists patients, as needed, by providing third-party financing options to pay for procedures. The Company has arrangements with various financing companies to facilitate this option. There is a financing transaction fee based on a set percentage of the amount financed and the Company recognizes revenue based on the expected transaction price which is reduced for financing fees. Revenue for services is recognized when the service is performed. Payment is typically rendered in advance of the service. Customer contracts generally do not include more than one performance obligation. The Company’s policy is to require payment for services in advance. Payments received for services that have yet to be performed as of March 31, 2023 and December 31, 2022 are included in deferred revenue and patient deposits. Deferred Financing Costs, Net Loan costs and discounts are capitalized in the period in which they are incurred and amortized on the straight-line basis over the term of the respective financing agreement which approximates the effective interest method. These costs are included as a reduction of long-term debt on the condensed consolidated balance sheets. Total amortization of deferred financing costs was approximately $0.3 million and $0.2 million for the three months ended March 31, 2023 and 2022, respectively. Amortization of loan costs and discounts is included as a component of interest expense. Long-Lived Assets The Company accounts for impairment of long-lived assets in accordance with the provisions of the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 350, Intangibles – Goodwill and Other and Topic 360, Impairment or Disposal of Long-Lived Assets. These standards require that long-lived assets and certain identifiable intangibles be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets to be held and used is measured by a comparison of the carrying amount of an asset to future estimated cash flows expected to arise as a direct result of the use and eventual disposition of the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value, less costs to sell. No impairment charges were recognized for the three months ended March 31, 2023 and 2022. Fair Value ASC Topic 820, Fair Value Measurements and Disclosures, defines fair value, establishes a framework for measuring fair value in accordance with accounting principles generally accepted in the United States, and expands disclosure requirements about fair value measurements. ASC Topic 820 defines three categories for the classification and measurement of assets and liabilities carried at fair value: Level 1: Quoted market prices in active markets for identical assets or liabilities. Level 2: Observable market-based inputs or observable inputs that are corroborated by market data. Level 3: Unobservable inputs reflecting the reporting entity’s own assumptions. The fair value of financial instruments is generally estimated through the use of public market prices, quotes from financial institutions and other available information. Judgment is required in interpreting data to develop estimates of market value and, accordingly, amounts are not necessarily indicative of the amounts that could be realized in a current market exchange. Short-term financial instruments, including cash, prepaid expenses and other current assets, accounts payable, and other liabilities, consist primarily of instruments without extended maturities, for which the fair value, based on management’s estimates, approximates their carrying values. Borrowings bear interest at what is estimated to be current market rates of interest, accordingly, carrying value approximates fair value. Earnings Per Share Basic earnings per share of common stock is computed by dividing net loss for the three months ended March 31, 2023 and 2022 by the weighted-average number of shares of common stock outstanding during the same period. Diluted earnings per share of common stock is computed by dividing net loss for the three months ended March 31, 2023 and 2022 by the weighted-average number of shares of common stock adjusted to give effect to potentially dilutive securities. Diluted loss per share for the three months ended March 31, 2023 and 2022 is the same as basic loss per share as the inclusion of potentially dilutive shares would be antidilutive. Advertising Costs Advertising costs are expensed in the period when the costs are incurred and are included as a component of selling, general and administrative costs. Advertising expenses were approximately $6.1 million and $4.8 million for the three months ended March 31, 2023 and 2022, respectively. Income Taxes The Company applies the provisions of ASC 740-10, Accounting for Uncertain Tax Positions (“ASC 740-10”). Under these provisions, companies must determine and assess all material positions existing as of the reporting date, including all significant uncertain positions, for all tax years that are open to assessment or challenge under tax statutes. Additionally, those positions that have only timing consequences are analyzed and separated based on ASC 740-10’s recognition and measurement model. ASC 740-10 provides guidance related to uncertain tax positions for pass-through entities and tax-exempt not-for profit entities. ASC 740-10 also modifies disclosure requirements related to uncertain tax positions for nonpublic entities and provides that all entities are subject to ASC 740-10 even if the only tax position in question is the entity’s status as a pass-through. As required by the uncertain tax position guidance, the Company recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount recognized in the condensed consolidated financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority. The Company applied the uncertain tax position guidance to all tax positions for which the statute of limitations remained open and determined that there are no uncertain tax positions as of March 31, 2023 or December 31, 2022. The Company is not subject to U.S. federal tax examination prior to 2021, when it was formed. The Company has an effective tax rate of approximately 151.9% and 73.98% for the three months ended March 31, 2023 and 2022, respectively, inclusive of all applicable U.S. federal and state income taxes.
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GOODWILL AND INTANGIBLES, NET |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Mar. 31, 2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Goodwill and Intangible Assets Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
GOODWILL AND INTANGIBLES, NET | NOTE 2 – GOODWILL AND INTANGIBLES, NET The annual review of goodwill impairment will be performed in October 2023. There were no triggering events during the three months ended March 31, 2023 and 2022. The Company had goodwill of $81.7 million at March 31, 2023 and December 31, 2022. Intangible assets consisted of the following at March 31, 2023 and December 31, 2022 (in 000’s):
Aggregate amortization expense on intangible assets was approximately $1.2 million for both of the three months ended March 31, 2023 and 2022.
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PROPERTY AND EQUIPMENT, NET |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Mar. 31, 2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Property, Plant and Equipment [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
PROPERTY AND EQUIPMENT, NET | NOTE 3 – PROPERTY AND EQUIPMENT, NET As of March 31, 2023 and December 31, 2022 property and equipment consists of the following: (in 000’s):
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DEBT |
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Mar. 31, 2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DEBT | NOTE 4 – DEBT On November 7, 2022, the Company entered into a credit agreement with a syndicate of lenders (the "Credit Agreement") maturing November 7, 2027. Pursuant to the Credit Agreement, there is (i) an $85.0 million aggregate principal amount of term loans and (ii) a revolving loan facility in an aggregate principal amount of up to $5.0 million. The proceeds were used, in part, to pay off the Company’s $83.6 million outstanding principal balance under its previous credit facility. Under the Credit Agreement, all outstanding loans bear interest based on either a base rate or SOFR plus an applicable per annum margin. The applicable per annum margin is 2.0% or 3.0% for base rate or SOFR, respectively, if the Company's total leverage ratio is equal to or greater than 2.0x. If the Company's total leverage ratio is equal to or greater than 1.0x and less than 2.0x, the applicable per annum margin is 1.5% or 2.5% for base rate or SOFR, respectively. If the Company's total leverage ratio is below 1.0x, the applicable per annum margin is 1.0% or 2.0% for base rate or SOFR, respectively. As of March 31, 2023, the interest rate was 7.23%. Total borrowings as of March 31, 2023 and December 31, 2022 were as follows (in 000’s):
As of March 31, 2023 and 2022, the Company had $5.0 million available on the revolving credit facility. The scheduled future maturities of long-term debt as of March 31, 2023 is as follows (in 000’s):
All borrowings under the Credit Agreement are cross collateralized by substantially all assets of the Company and are subject to certain restrictive covenants including quarterly total leverage ratio and fixed charge ratio requirements. The Company is in compliance with all covenants and has no letter of credit outstanding as of March 31, 2023 and 2022.
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LEASES |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Mar. 31, 2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Leases [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
LEASES | NOTE 5 – LEASES The Company’s operating leases are primarily for real estate, including medical office suites and corporate offices. For the three months ended March 31, 2023 and 2022, the Company incurred rent expense of $1.5 million and $1.0 million, respectively, for its medical office suites. The Company’s rent expense related to its medical office suites is classified in cost of services within the Company’s condensed consolidated statements of operations. The Company incurred rent expense of $91,000 and $45,000 for the three months ended March 31, 2023 and 2022, respectively, related to the corporate offices which is classified in selling, general and administrative expenses. The Company currently does not have any finance leases. Real estate lease agreements typically have initial terms of to ten years and may include one or more options to renew. The useful life of assets and leasehold improvements are limited by the expected lease term, unless there is a transfer of title or purchase option reasonably certain of exercise. The Company’s lease agreements do not contain any material residual value guarantees, restrictions or covenants. The following table presents supplemental cash flow information for the three months ended March 31, 2023 and 2022 (in 000’s):
Future minimum rental payments under all non-cancellable operating lease agreements for the succeeding five years are as follows, excluding common area maintenance charges that may be required by the agreements, as of March 31, 2023 (in 000’s):
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STOCKHOLDERS' EQUITY AND EQUITY-BASED COMPENSATION |
3 Months Ended |
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Mar. 31, 2023 | |
Share-Based Payment Arrangement [Abstract] | |
STOCKHOLDERS' EQUITY AND EQUITY-BASED COMPENSATION | NOTE 6 – STOCKHOLDERS' EQUITY AND EQUITY-BASED COMPENSATION During the three months ended March 31, 2023, the Company granted 608,955 restricted stock units ("RSUs") to executive officers and employees under the 2021 Equity Incentive Plan. These RSUs are not considered outstanding until vested. These RSUs have a time-based vesting condition. These units will vest 1/3 per year over three years. Vesting and payment of these RSUs are generally subject to continuing service of the employee or non-employee director over the ratable vesting periods beginning one year from the date of grant to three years after the date of grant. The fair values of these RSUs were determined based on the closing price of the Company’s common stock on the trading date immediately prior to the grant date. These RSUs are not considered outstanding until vested. During the three months ended March 31, 2023, the Company also granted 585,588 performance based stock units ("PSUs") which have market-based vesting conditions. The vesting is based on achievement of a total shareholder return relative to a specified peer group (“rTSR”). Based on the rTSR, the awards can settle in shares in a range from 0% to 200%. In addition to the achievement of the performance conditions, these PSUs are generally subject to the continuing service of the employee over the ratable vesting period from the earned date continuing through the settlement of the shares. For these PSUs, the shares settle in the first quarter of the year following the year in which the vesting criteria is met. The fair values of PSUs with a market-based vesting condition were estimated using a Monte Carlo simulation model. The Company recorded equity-based compensation expense of $4.4 million and $7.3 million for the three months ended March 31, 2023 and 2022, respectively, in selling, general and administrative expenses on the condensed consolidated statements of operations. Forfeitures are recognized as incurred. The Company paid dividends of approximately $0.2 million for the three months ended March 31, 2023. The Company paid distributions to the Parent of approximately $0.3 million for the three months ended March 31, 2022.
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EARNINGS PER SHARE |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Mar. 31, 2023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
EARNINGS PER SHARE | NOTE 7 – EARNINGS PER SHARE Basic earnings per share of common stock is computed by dividing net loss for the three months ended March 31, 2023 and 2022 by the weighted-average number of shares of common stock outstanding during the same period. Diluted earnings per share of common stock is computed by dividing net loss for the three months ended March 31, 2023 and 2022 by the weighted-average number of shares of common stock adjusted to give effect to potentially dilutive securities. Diluted loss per share for the three months ended March 31, 2023 and 2022, respectively, is the same as basic loss per share as the inclusion of potentially dilutive shares would be antidilutive. A reconciliation of the numerator and denominator used in the calculation of basic and diluted net loss per share of common stock is as follows (in 000’s except for shares and per share figures):
The following number of potentially dilutive shares were excluded from the calculation of diluted loss per share because the effect of including such potentially dilutive shares would have been antidilutive.
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INCOME TAXES |
3 Months Ended |
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Mar. 31, 2023 | |
Income Tax Disclosure [Abstract] | |
INCOME TAXES | NOTE 8 – INCOME TAXES The Company's income tax expense/(benefit) for the three months ended March 31, 2023 and 2022 was $41.0 thousand and $(2.0) million, and the effective tax rates was 151.9% and 74.0%. The main driver of the difference between the effective and statutory rate is non-deductible executive compensation under Section 162(m) of the Internal Revenue Code. There are no uncertain tax positions as of March 31, 2023 or December 31, 2022.
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COMMITMENTS AND CONTINGENCIES |
3 Months Ended |
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Mar. 31, 2023 | |
Commitments and Contingencies Disclosure [Abstract] | |
COMMITMENTS AND CONTINGENCIES | NOTE 9 – COMMITMENTS AND CONTINGENCIES Professional Liability In the ordinary course of business, the Company becomes involved in pending and threatened legal actions and proceedings, most of which involve claims of medical malpractice related to medical services provided by the PAs employed and affiliated physicians. The Company may also become subject to other lawsuits which could involve large claims and significant costs. The Company believes, based upon a review of pending actions and proceedings, that the outcome of such legal actions and proceedings will not have a material adverse effect on its business, financial condition, results of operations, and cash flows. The outcome of such actions and proceedings, however, cannot be predicted with certainty and an unfavorable resolution of one or more of them could have a material adverse effect on the Company’s business, financial condition, results of operations, and cash flows. Although the Company currently maintains liability insurance coverage intended to cover professional liability and certain other claims, the Company cannot assure that its insurance coverage will be adequate to cover liabilities arising out of claims asserted against it in the future where the outcomes of such claims are unfavorable. Liabilities in excess of the Company’s insurance coverage, including coverage for professional liability and certain other claims, could have a material adverse effect on the Company’s business, financial condition, results of operations, and cash flows.
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SEGMENT INFORMATION |
3 Months Ended |
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Mar. 31, 2023 | |
Segment Reporting [Abstract] | |
SEGMENT INFORMATION | NOTE 10 – SEGMENT INFORMATION The Company has one reportable segment: direct medical procedure services. This segment is made up of facilities and medical staff that provide the Company’s patented AirSculpt® procedures to patients. Segment information is presented in the same manner that the Company’s chief operating decision maker (“CODM”) reviews the operating results in assessing performance and allocating resources. The Company’s CODM is the Company’s chief executive officer. The CODM reviews financial information presented on a consolidated basis for purposes of making operating decisions, assessing financial performance and allocating resources. The Company’s CODM reviews revenue, gross profit and Adjusted EBITDA. Gross profit is defined as revenues less cost of service incurred and Adjusted EBITDA as net income/loss excluding depreciation and amortization, net interest expense, income tax expense/(benefit), pre-opening de novo and relocation costs, restructuring and related severance costs, IPO related costs, (gain)/loss on disposal of long-lived assets, and equity-based compensation.
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ORGANIZATION AND SUMMARY OF KEY ACCOUNTING POLICIES (Policies) |
3 Months Ended |
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Mar. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Principles of Consolidation | Principles of Consolidation These consolidated financial statements present the financial position and results of operations of the Company, its wholly-owned subsidiaries, and the PAs, which are under the control of the Company and are considered variable interest entities in which the Company is the primary beneficiary. All intercompany accounts and transactions have been eliminated in consolidation.
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Variable Interest Entities | Variable Interest Entities The Company has a variable interest in the managed PAs where it has a long-term and unilateral controlling financial interest over such PAs’ assets and operations. The Company has the ability to direct the activities that most significantly affect the PAs’ economic performance via the MSAs and related agreements. The Company is a practice management service organization and does not engage in the practice of medicine. These services are provided by licensed professionals at each of the PAs. Certain key features of the MSAs and related agreements enable the Company to assign the member interests of certain of the PAs to another member designated by the Company (i.e., “nominee shareholder”) for a nominal value in certain circumstances at the Company’s sole discretion. The MSA does not allow the Company to be involved in, or provide guidance on, the clinical operations of the PAs. The Company consolidates the PAs into the financial statements. All of the Company’s revenue is earned from services provided by the PAs. The only assets and liabilities held by the PAs included in the accompanying consolidated balance sheets are clinical related. The clinical assets and liabilities are not material to the Company as a whole.
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Basis of Presentation | Basis of Presentation The condensed consolidated balance sheet as of March 31, 2023, and the condensed consolidated statements of operations, stockholders' equity, and cash flows for the three months ended March 31, 2023 and 2022 are unaudited. The unaudited condensed consolidated financial statements have been prepared on the same basis as the annual consolidated financial statements and reflect, in the opinion of management, all adjustments of a normal and recurring nature that are necessary for the fair statement of the Company’s financial position as of March 31, 2023 and the results of operations and cash flows for the three months ended March 31, 2023 and 2022. Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted. The financial data and the other financial information disclosed in these notes to the condensed consolidated financial statements related to the three months ended March 31, 2023 and 2022 are also unaudited. The consolidated results of operations for the three months ended March 31, 2023 are not necessarily indicative of results to be expected for the year ending December 31, 2023 or for any other future annual or interim period. The condensed consolidated balance sheet as of December 31, 2022 is derived from the Company’s annual audited consolidated financial statements for the year ended December 31, 2022, which should be read in conjunction with these condensed consolidated financial statements and which are included in the Company’s Annual Report dated March 10, 2023 filed with the Securities and Exchange Commission (“SEC”) pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries, as well as interests in PAs controlled by the Company through rights granted to the Company by contract to manage and control the affiliate’s business (as described in “Variable Interest Entities” above). All significant intercompany balances and transactions are eliminated in consolidation.
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Revenue Recognition | Revenue Recognition Revenue consists primarily of revenue earned for the provision of the Company’s patented AirSculpt® procedures. A performance obligation is a promise in a contract to transfer a distinct good or service to the customer and is the unit of account for revenue recognition. A contract’s transaction price is allocated to each distinct performance obligation and recognized as revenue when, or as, the performance obligation is satisfied. The Company’s performance obligations are delivery of specialty, minimally invasive liposuction services. The Company assists patients, as needed, by providing third-party financing options to pay for procedures. The Company has arrangements with various financing companies to facilitate this option. There is a financing transaction fee based on a set percentage of the amount financed and the Company recognizes revenue based on the expected transaction price which is reduced for financing fees. Revenue for services is recognized when the service is performed. Payment is typically rendered in advance of the service. Customer contracts generally do not include more than one performance obligation. The Company’s policy is to require payment for services in advance. Payments received for services that have yet to be performed as of March 31, 2023 and December 31, 2022 are included in deferred revenue and patient deposits.
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Deferred Financing Costs, Net | Deferred Financing Costs, NetLoan costs and discounts are capitalized in the period in which they are incurred and amortized on the straight-line basis over the term of the respective financing agreement which approximates the effective interest method. These costs are included as a reduction of long-term debt on the condensed consolidated balance sheets. |
Long-Lived Assets | Long-Lived AssetsThe Company accounts for impairment of long-lived assets in accordance with the provisions of the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 350, Intangibles – Goodwill and Other and Topic 360, Impairment or Disposal of Long-Lived Assets. These standards require that long-lived assets and certain identifiable intangibles be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets to be held and used is measured by a comparison of the carrying amount of an asset to future estimated cash flows expected to arise as a direct result of the use and eventual disposition of the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value, less costs to sell. |
Fair Value | Fair Value ASC Topic 820, Fair Value Measurements and Disclosures, defines fair value, establishes a framework for measuring fair value in accordance with accounting principles generally accepted in the United States, and expands disclosure requirements about fair value measurements. ASC Topic 820 defines three categories for the classification and measurement of assets and liabilities carried at fair value: Level 1: Quoted market prices in active markets for identical assets or liabilities. Level 2: Observable market-based inputs or observable inputs that are corroborated by market data. Level 3: Unobservable inputs reflecting the reporting entity’s own assumptions. The fair value of financial instruments is generally estimated through the use of public market prices, quotes from financial institutions and other available information. Judgment is required in interpreting data to develop estimates of market value and, accordingly, amounts are not necessarily indicative of the amounts that could be realized in a current market exchange. Short-term financial instruments, including cash, prepaid expenses and other current assets, accounts payable, and other liabilities, consist primarily of instruments without extended maturities, for which the fair value, based on management’s estimates, approximates their carrying values. Borrowings bear interest at what is estimated to be current market rates of interest, accordingly, carrying value approximates fair value.
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Earnings Per Share | Earnings Per ShareBasic earnings per share of common stock is computed by dividing net loss for the three months ended March 31, 2023 and 2022 by the weighted-average number of shares of common stock outstanding during the same period. Diluted earnings per share of common stock is computed by dividing net loss for the three months ended March 31, 2023 and 2022 by the weighted-average number of shares of common stock adjusted to give effect to potentially dilutive securities. |
Advertising Costs | Advertising CostsAdvertising costs are expensed in the period when the costs are incurred and are included as a component of selling, general and administrative costs. |
Income Taxes | Income Taxes The Company applies the provisions of ASC 740-10, Accounting for Uncertain Tax Positions (“ASC 740-10”). Under these provisions, companies must determine and assess all material positions existing as of the reporting date, including all significant uncertain positions, for all tax years that are open to assessment or challenge under tax statutes. Additionally, those positions that have only timing consequences are analyzed and separated based on ASC 740-10’s recognition and measurement model. ASC 740-10 provides guidance related to uncertain tax positions for pass-through entities and tax-exempt not-for profit entities. ASC 740-10 also modifies disclosure requirements related to uncertain tax positions for nonpublic entities and provides that all entities are subject to ASC 740-10 even if the only tax position in question is the entity’s status as a pass-through. As required by the uncertain tax position guidance, the Company recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount recognized in the condensed consolidated financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority. The Company applied the uncertain tax position guidance to all tax positions for which the statute of limitations remained open
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Goodwill and Intangible Assets Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Finite-Lived Intangible Assets | Intangible assets consisted of the following at March 31, 2023 and December 31, 2022 (in 000’s):
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PROPERTY AND EQUIPMENT, NET (Tables) |
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Property and Equipment, Net | As of March 31, 2023 and December 31, 2022 property and equipment consists of the following: (in 000’s):
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DEBT (Tables) |
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Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Long-term Debt, Net | Total borrowings as of March 31, 2023 and December 31, 2022 were as follows (in 000’s):
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Future Maturities of Long-term Debt, Net | The scheduled future maturities of long-term debt as of March 31, 2023 is as follows (in 000’s):
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LEASES (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Leases [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Weighted-Average Lease Terms, Discount Rates and Supplemental Cash Flow Information | The following table presents supplemental cash flow information for the three months ended March 31, 2023 and 2022 (in 000’s):
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Future Minimum Rental Payments under all Non-Cancellable Operating Leases | Future minimum rental payments under all non-cancellable operating lease agreements for the succeeding five years are as follows, excluding common area maintenance charges that may be required by the agreements, as of March 31, 2023 (in 000’s):
|
EARNINGS PER SHARE (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reconciliation of Numerator and Denominator Used in Calculation of Basic and Diluted Net Loss per Share | A reconciliation of the numerator and denominator used in the calculation of basic and diluted net loss per share of common stock is as follows (in 000’s except for shares and per share figures):
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||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Antidilutive Securities Excluded from Computation of Earnings Per Share | The following number of potentially dilutive shares were excluded from the calculation of diluted loss per share because the effect of including such potentially dilutive shares would have been antidilutive.
|
ORGANIZATION AND SUMMARY OF KEY ACCOUNTING POLICIES (Details) |
3 Months Ended | ||||
---|---|---|---|---|---|
Oct. 28, 2021
$ / shares
shares
|
Mar. 31, 2023
USD ($)
shares
|
Mar. 31, 2022
USD ($)
|
Dec. 31, 2022
USD ($)
shares
|
Oct. 27, 2021 |
|
Subsidiary, Sale of Stock [Line Items] | |||||
Number of shares outstanding (in shares) | shares | 55,640,154 | 56,711,260 | 56,181,689 | ||
Business reorganization, ownership interest | 1 | ||||
Amortization of deferred financing | $ 259,000 | $ 208,000 | |||
Impairment charges | 0 | 0 | |||
Advertising expenses | 6,100,000 | $ 4,800,000 | |||
Uncertain tax positions | $ 0 | $ 0 | |||
Effective tax rate | 151.90% | 73.98% | |||
Initial Public Offering | |||||
Subsidiary, Sale of Stock [Line Items] | |||||
Number of shares sold in initial stock offering (in shares) | shares | 8,050,000 | ||||
Initial stock offering price (in dollars per share) | $ / shares | $ 11.00 |
GOODWILL AND INTANGIBLES, NET - Narrative (Details) - USD ($) $ in Thousands |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
Dec. 31, 2022 |
|
Goodwill and Intangible Assets Disclosure [Abstract] | |||
Goodwill | $ 81,734 | $ 81,734 | |
Amortization of intangible assets | $ 1,200 | $ 1,200 |
GOODWILL AND INTANGIBLES, NET - Finite-Lived Intangible Assets (Details) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Dec. 31, 2022 |
|
Finite-Lived Intangible Assets [Line Items] | ||
Finite-lived intangible assets, gross | $ 71,300 | $ 71,300 |
Total | 49,911 | 51,099 |
Technology and know-how | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite-lived intangible assets, gross | 53,600 | 53,600 |
Accumulated amortization | $ (16,079) | (15,186) |
Useful Life | 15 years | |
Trademarks and tradenames | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite-lived intangible assets, gross | $ 17,700 | 17,700 |
Accumulated amortization | $ (5,310) | $ (5,015) |
Useful Life | 15 years |
PROPERTY AND EQUIPMENT, NET - Schedule of Property and Equipment, Net (Details) - USD ($) $ in Thousands |
Mar. 31, 2023 |
Dec. 31, 2022 |
---|---|---|
Property, Plant and Equipment [Line Items] | ||
Less: Accumulated depreciation | $ (7,342) | $ (6,176) |
Property and equipment, net | 27,284 | 24,206 |
Medical equipment | ||
Property, Plant and Equipment [Line Items] | ||
Property and equipment, gross | 9,474 | 8,906 |
Office and computer equipment | ||
Property, Plant and Equipment [Line Items] | ||
Property and equipment, gross | 740 | 551 |
Furniture and fixtures | ||
Property, Plant and Equipment [Line Items] | ||
Property and equipment, gross | 3,604 | 3,457 |
Leasehold improvements | ||
Property, Plant and Equipment [Line Items] | ||
Property and equipment, gross | 18,658 | 14,614 |
Construction in progress | ||
Property, Plant and Equipment [Line Items] | ||
Property and equipment, gross | $ 2,150 | $ 2,854 |
PROPERTY AND EQUIPMENT, NET - Narrative (Details) - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
|
Property, Plant and Equipment [Abstract] | ||
Depreciation expense | $ 1.2 | $ 0.7 |
DEBT - Long-term Debt, Net (Details) - USD ($) $ in Thousands |
Mar. 31, 2023 |
Dec. 31, 2022 |
---|---|---|
Debt Instrument [Line Items] | ||
Term loan | $ 84,469 | |
Unamortized debt discounts and issuance costs | (1,196) | $ (1,455) |
Total debt, net | 83,273 | 83,545 |
Less: Current portion | (2,125) | (2,125) |
Long-term debt, net | 81,148 | 81,420 |
Secured Debt | ||
Debt Instrument [Line Items] | ||
Term loan | $ 84,469 | $ 85,000 |
DEBT - Future Maturities of Long-term Debt, Net (Details) $ in Thousands |
Mar. 31, 2023
USD ($)
|
---|---|
Debt Disclosure [Abstract] | |
2023 (excluding the three months ended March 31, 2023) | $ 1,594 |
2024 | 2,125 |
2025 | 4,250 |
2026 | 6,375 |
2027 | 70,125 |
Total maturities | $ 84,469 |
LEASES - Narrative (Details) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2023
USD ($)
renewal_option
|
Mar. 31, 2022
USD ($)
|
|
Lessee, Lease, Description [Line Items] | ||
Number of lease renewal options (or more) | renewal_option | 1 | |
Minimum | ||
Lessee, Lease, Description [Line Items] | ||
Lease term | 5 years | |
Maximum | ||
Lessee, Lease, Description [Line Items] | ||
Lease term | 10 years | |
Office Building | ||
Lessee, Lease, Description [Line Items] | ||
Rent expense | $ 1,500 | $ 1,000 |
Corporate Offices | ||
Lessee, Lease, Description [Line Items] | ||
Rent expense | $ 91 | $ 45 |
LEASES - Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
|
Cash paid for amounts included in the measurement of lease liabilities: | ||
Operating cash outflows from operating leases | $ 1,253 | $ 978 |
Right-of-use assets obtained in exchange for lease obligations: | ||
Operating leases | $ 7,870 | $ 2,073 |
LEASES - Future Minimum Rental Payments under all Non-Cancellable Operating Leases (Details) $ in Thousands |
Mar. 31, 2023
USD ($)
|
---|---|
Leases [Abstract] | |
2023 (excluding the three months ended March 31, 2023) | $ 4,310 |
2024 | 6,393 |
2025 | 6,542 |
2026 | 6,173 |
2027 | 5,069 |
Thereafter | 11,081 |
Total lease payments | 39,568 |
Less: imputed interest | (9,366) |
Total lease obligations | $ 30,202 |
EARNINGS PER SHARE - Reconciliation of Numerator and Denominator Used in Calculation of Basic and Diluted Net Loss per Share (Details) - USD ($) $ / shares in Units, $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
|
Numerator: | ||
Net loss, basic | $ (14) | $ (693) |
Net loss, diluted | $ (14) | $ (693) |
Denominator: | ||
Weighted average shares of common stock outstanding - basic (in shares) | 56,443,370 | 55,640,154 |
Add: Effect of dilutive securities (in shares) | 0 | 0 |
Weighted average shares of common stock outstanding - diluted (in shares) | 56,443,370 | 55,640,154 |
Loss per share of common stock outstanding - basic (in dollars per share) | $ (0.00) | $ (0.01) |
Loss per share of common stock outstanding - diluted (in dollars per share) | $ (0.00) | $ (0.01) |
EARNINGS PER SHARE - Antidilutive Securities Excluded from Computation of Earnings Per Share (Details) - shares |
3 Months Ended | |
---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
|
Restricted stock units | ||
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ||
Antidilutive securities (in shares) | 1,947,898 | 2,472,640 |
Performance and market-based stock units | ||
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ||
Antidilutive securities (in shares) | 2,420,096 | 2,417,001 |
INCOME TAXES - Narrative (Details) - USD ($) |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2023 |
Mar. 31, 2022 |
Dec. 31, 2022 |
|
Income Tax Disclosure [Abstract] | |||
Income tax expense/(benefit) | $ 41,000 | $ (1,970,000) | |
Effective tax rate | 151.90% | 73.98% | |
Uncertain tax positions | $ 0 | $ 0 |
SEGMENT INFORMATION (Details) |
3 Months Ended |
---|---|
Mar. 31, 2023
reportable_segment
| |
Segment Reporting [Abstract] | |
Number of reportable segments | 1 |
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