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    CareMax Reports Second Quarter 2024 Results

    CareMax, Inc. (NASDAQ: CMAX; CMAXW) (“CareMax” or the “Company”), a leading technology-enabled value-based care delivery system, today announced financial results for the second quarter ended June 30, 2024.

    “Although our medical expense ratio continued to run higher than target levels, we were able to manage toward another quarter of sequential improvement in MER in the second quarter, and we continued to make progress against our clinical initiatives,” said Carlos de Solo, Chief Executive Officer.

    Mr. de Solo continued, “Additionally, in July, we entered an agreement to access additional capital from our lenders and further extend the limited waiver of certain financial covenants in our credit facility. This funding will assist in bridging our liquidity as we continue to evaluate strategic alternatives for our business.”

    Second Quarter 2024 Results

    • Total membership of 236,500, down 13% year-over-year.
    • Medicare Advantage membership of 104,000, up 1% year-over-year.
    • Total revenue was $198.6 million, down 12% year-over-year.
    • Net loss was $170.6 million, which included a $2.4 million non-cash gain on remeasurement of derivative liabilities and $133.0 million of non-cash impairment of long-lived assets, compared to net loss of $32.4 million for the second quarter of 2023, which included a non-cash loss on remeasurement of contingent earnout liabilities of $16.2 million.
    • Adjusted EBITDA was ($11.2) million, compared to adjusted EBITDA of $7.0 million for the second quarter of 2023.1
    • Platform Contribution was $3.7 million, compared to $28.6 million for the second quarter of 2023.1
    • Medical Expense Ratio was 86.2%, compared to 84.6% for the second quarter of 2023.
    • De novo pre-opening costs and post-opening losses for the second quarter of 2024 were $4.6 million.2

    1 Adjusted EBITDA and Platform Contribution are non-GAAP financial metrics. A reconciliation of non-GAAP metrics to the most directly comparable GAAP financial measures is included in the appendix to this earnings release.

    2 De novo pre-opening costs represent (1) incremental payroll costs from employees specifically associated with the operational, contractual, physical, or regulatory infrastructure for de novo centers, prior to their opening; (2) legal costs directly associated with the de novo centers, incurred prior to their opening, which includes services such as execution of leases, health plan contracts and other agreements; (3) other expenses related to diligence, design, permitting, and other “soft costs” at new sites; and (4) rent and facility expenses prior to center opening. De novo post-opening losses include center-level operating losses recognized at a de novo center until the center breaks even, which consist of revenue, external provider costs and cost of care allocated to the de novo center.

    About CareMax

    Founded in 2011, CareMax is a value-based care delivery system that utilizes a proprietary technology-enabled platform and multi-specialty, whole person health model to deliver comprehensive, preventative and coordinated care for its members. With approximately 200,000 Medicare Value-Based Care Members across 10 states, and fully integrated, Five-Star Quality rated health and wellness centers, CareMax is redefining healthcare across the country by reducing costs, improving overall outcomes and promoting health equity for seniors. Learn more at www.caremax.com.

    Forward-Looking Statements

    This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future strategy, future transactions and future financial performance. 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 reflect the Company’s expectations, plans or forecasts of future events and views as of the date of this press release. 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 the Company's actual results and financial condition to differ materially from those indicated in forward-looking statements include, among others, the Company’s net losses, level of indebtedness and significant cash used in operating activities have raised substantial doubt regarding its ability to continue as a going concern; the Company's future capital requirements and sources and uses of cash, including funds to satisfy its liquidity needs and the Company’s ability to comply with the covenants under the agreements governing its indebtedness; the Company’s ability to successfully execute its strategy, which may include divesting certain assets or businesses; the Company’s ability to successfully implement cost-saving measures or achieve expected benefits under its plans to optimize performance of the MSO network and its centers; the possibility of the Company filing for a restructuring under Chapter 11 of the US Bankruptcy Code if the Company is unable to successfully implement its plans; the possibility that the Company’s rights under certain existing agreements could be impaired as a result of bankruptcy proceedings brought by Steward Health Care System; the impact of restrictions on the Company’s current and future operations contained in certain of its agreements; risks relating to lease termination, lease expense escalators, lease extensions, special charges and the Company’s inability to comply with provisions of its lease agreements; the Company’s ability to integrate acquired businesses and realize expected benefits of any such transactions; the Company’s ability to attract new patients; changes in market or industry conditions, regulatory environment, competitive conditions, and receptivity to the Company's services; changes in laws and regulations applicable to the Company's business, in particular with respect to Medicare Advantage and Medicaid; the Company's ability to maintain its relationships with health plans and other key payers; any delay, modification or cancellation of government contracts; the impact of COVID-19 or any variant thereof or any other pandemic or epidemic on the Company's business and results of operation; insolvency, credit problems or other financial difficulties that could confront the Company’s counterparties in strategic acquisitions, investments and other collaborations could expose the Company to significant financial risk and significantly impact the Company’s ability to expand its overall profitability; the Company’s ability to address the material weakness in its internal control over financial reporting; the Company's ability to recruit and retain qualified team members and independent physicians; risks related to future acquisitions; the Company’s ability to develop and maintain proper and effective internal control over financial reporting and the impact of any prior period developments. For a detailed discussion of the risk factors that could affect the Company's actual results, please refer to the risk factors identified in the Company's reports filed with the SEC. All information provided in this press release is as of the date hereof, and the Company undertakes no duty to update or revise this information unless required by law, and forward-looking statements should not be relied upon as representing the Company’s assessments as of any date subsequent to the date of this press release.

    Use of Non-GAAP Financial Information

    Certain financial information and data contained in this press release is unaudited and does not conform to Regulation S-X. Accordingly, such information and data may not be included in, may be adjusted in, or may be presented differently in, any periodic filing, information or proxy statement, or prospectus or registration statement to be filed by the Company with the SEC. Some of the financial information and data contained in this press release, such as Adjusted EBITDA and Platform Contribution and margin thereof have not been prepared in accordance with United States generally accepted accounting principles (“GAAP”). These non-GAAP measures of financial results are not GAAP measures of our financial results or liquidity and should not be considered as an alternative to net income (loss) as a measure of financial results, cash flows from operating activities as a measure of liquidity, or any other performance measure derived in accordance with GAAP. The Company believes these non-GAAP measures of financial results provide useful information to management and investors regarding certain financial and business trends relating to the Company’s financial condition and results of operations. The Company’s management uses these non-GAAP measures for trend analyses and for budgeting and planning purposes.

    The Company believes that the use of these non-GAAP financial measures provides an additional tool for investors to use in evaluating projected operating results and trends in and in comparing the Company’s financial measures with other similar companies, many of which present similar non-GAAP financial measures to investors. Management does not consider these non-GAAP measures in isolation or as an alternative to financial measures determined in accordance with GAAP. The principal limitation of these non-GAAP financial measures is that they exclude significant expenses and income that are required by GAAP to be recorded in the Company’s financial statements. In addition, they are subject to inherent limitations as they reflect the exercise of judgments by management about which expenses and income are excluded or included in determining these non-GAAP financial measures. For this reason, these non-GAAP measures may not be comparable to other companies’ similarly labeled non-GAAP financial measures. In order to compensate for these limitations, management presents non-GAAP financial measures in connection with GAAP results.

    A reconciliation for Adjusted EBITDA and Platform Contribution to the most directly comparable GAAP financial measures is included below.

    CAREMAX, INC.

    CONDENSED CONSOLIDATED BALANCE SHEETS

    (in thousands, except share and per share data)

    (Unaudited)

     

     

     

    June 30,
    2024

     

     

    December 31,
    2023

     

    ASSETS

     

     

     

     

     

     

     

     

     

     

     

     

     

    Current Assets

     

     

     

     

     

     

    Cash and cash equivalents

     

    $

    16,430

     

     

    $

    65,528

     

    Accounts receivable, net

     

     

    97,488

     

     

     

    114,754

     

    Other current assets

     

     

    9,547

     

     

     

    3,066

     

    Total Current Assets

     

     

    123,466

     

     

     

    183,348

     

     

     

     

     

     

     

     

    Property and equipment, net

     

     

    21,419

     

     

     

    47,918

     

    Operating lease right-of-use assets

     

     

    48,424

     

     

     

    109,215

     

    Goodwill, net

     

     

    156,841

     

     

     

    156,841

     

    Intangible assets, net

     

     

    42,163

     

     

     

    101,243

     

    Other assets

     

     

    61,730

     

     

     

    24,737

     

    Total Assets

     

    $

    454,043

     

     

    $

    623,301

     

     

     

     

     

     

     

     

    LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY

     

     

     

     

     

     

     

     

     

     

     

     

     

    Current Liabilities

     

     

     

     

     

     

    Accounts payable

     

    $

    8,453

     

     

    $

    6,275

     

    Accrued expenses

     

     

    13,257

     

     

     

    16,224

     

    Risk settlement liabilities

     

     

    59,204

     

     

     

    42,602

     

    Related party liabilities

     

     

    1,772

     

     

     

    190

     

    Current portion of third-party debt, net

     

     

    403,321

     

     

     

    364,380

     

    Current portion of operating lease liabilities

     

     

    43,646

     

     

     

    8,975

     

    Other current liabilities

     

     

    17

     

     

     

    165

     

    Total Current Liabilities

     

     

    529,671

     

     

     

    438,812

     

    Derivative liabilities

     

     

    48

     

     

     

    22

     

    Long-term debt, net

     

     

    1,785

     

     

     

    21,443

     

    Long-term operating lease liabilities

     

     

    64,455

     

     

     

    97,136

     

    Other liabilities

     

     

    5,844

     

     

     

    4,443

     

    Total Liabilities

     

     

    601,803

     

     

     

    561,856

     

    COMMITMENTS AND CONTINGENCIES

     

     

     

     

     

     

    STOCKHOLDERS’ (DEFICIT) EQUITY

     

     

     

     

     

     

    Preferred stock (1,000,000 shares authorized; one share issued and outstanding as of June 30, 2024 and December 31, 2023)

     

     

     

     

     

     

    Class A common stock ($0.0001 par value; 8,333,333 shares authorized; 3,814,871 and 3,744,732 shares issued and outstanding as of June 30, 2024 and December 31, 2023, respectively)

     

     

    11

     

     

     

    11

     

    Additional paid-in-capital

     

     

    787,132

     

     

     

    782,371

     

    Accumulated deficit

     

     

    (934,902

    )

     

     

    (720,938

    )

    Total Stockholders’ (Deficit) Equity

     

     

    (147,759

    )

     

     

    61,444

     

     

     

     

     

     

     

     

    Total Liabilities and Stockholders’ (Deficit) Equity

     

    $

    454,043

     

     

    $

    623,301

     

     

     

     

     

     

     

     

    CAREMAX, INC.

    CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

    (in thousands, except share and per share data)

    (Unaudited)

     

     

    Three Months Ended June 30,

     

     

    Six Months Ended June 30,

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    Revenue

     

     

     

     

     

     

     

     

     

     

     

    Medicare risk-based revenue

    $

    154,857

     

     

    $

    155,486

     

     

    $

    323,359

     

     

    $

    277,079

     

    Medicaid risk-based revenue

     

    22,865

     

     

     

    30,054

     

     

     

    60,518

     

     

     

    55,680

     

    Government value-based care revenue

     

    14,690

     

     

     

    22,206

     

     

     

    33,505

     

     

     

    32,216

     

    Other revenue

     

    6,215

     

     

     

    16,694

     

     

     

    13,491

     

     

     

    32,449

     

    Total revenue

     

    198,627

     

     

     

    224,440

     

     

     

    430,872

     

     

     

    397,424

     

     

     

     

     

     

     

     

     

     

     

     

     

    Operating expenses

     

     

     

     

     

     

     

     

     

     

     

    External provider costs

     

    153,115

     

     

     

    156,995

     

     

     

    334,056

     

     

     

    267,668

     

    Cost of care

     

    42,593

     

     

     

    40,192

     

     

     

    85,726

     

     

     

    78,819

     

    Sales and marketing

     

    1,378

     

     

     

    3,327

     

     

     

    4,441

     

     

     

    7,092

     

    Corporate, general and administrative

     

    14,780

     

     

     

    20,849

     

     

     

    34,888

     

     

     

    44,813

     

    Depreciation and amortization

     

    6,512

     

     

     

    6,828

     

     

     

    13,218

     

     

     

    13,404

     

    Impairment of long-lived assets

     

    132,990

     

     

     

     

     

     

    132,990

     

     

     

     

    Goodwill impairment

     

     

     

     

     

     

     

     

     

     

    98,000

     

    Total operating expenses

     

    351,368

     

     

     

    228,191

     

     

     

    605,318

     

     

     

    509,797

     

    Operating loss

     

    (152,741

    )

     

     

    (3,750

    )

     

     

    (174,446

    )

     

     

    (112,373

    )

    Nonoperating (expenses) income

     

     

     

     

     

     

     

     

     

     

     

    Interest expense

     

    (20,376

    )

     

     

    (13,197

    )

     

     

    (40,131

    )

     

     

    (23,908

    )

    Change in fair value of derivative liabilities

     

    2,355

     

     

     

    434

     

     

     

    (26

    )

     

     

    1,540

     

    (Loss) gain on remeasurement of contingent earnout liabilities

     

     

     

     

    (16,220

    )

     

     

     

     

     

    19,916

     

    Other income, net

     

    382

     

     

     

    534

     

     

     

    992

     

     

     

    721

     

    Total nonoperating expenses

     

    (17,639

    )

     

     

    (28,449

    )

     

     

    (39,165

    )

     

     

    (1,730

    )

    Loss before income tax

     

    (170,381

    )

     

     

    (32,199

    )

     

     

    (213,612

    )

     

     

    (114,103

    )

    Income tax expense

     

    (177

    )

     

     

    (177

    )

     

     

    (354

    )

     

     

    (355

    )

    Net loss

    $

    (170,558

    )

     

    $

    (32,376

    )

     

    $

    (213,966

    )

     

    $

    (114,458

    )

     

     

     

     

     

     

     

     

     

     

     

     

    Weighted-average basic shares outstanding1

     

    3,807,551

     

     

     

    3,722,377

     

     

     

    3,793,076

     

     

     

    3,717,040

     

    Weighted-average diluted shares outstanding1

     

    3,807,551

     

     

     

    3,722,377

     

     

     

    3,793,076

     

     

     

    3,717,040

     

    Net loss per share

     

     

     

     

     

     

     

     

     

     

     

    Basic

    $

    (44.79

    )

     

    $

    (8.70

    )

     

    $

    (56.41

    )

     

    $

    (30.79

    )

    Diluted

    $

    (44.79

    )

     

    $

    (8.70

    )

     

    $

    (56.41

    )

     

    $

    (30.79

    )

     

     

     

     

     

     

     

     

     

     

     

     

    1 Share amounts have been restated to reflect the 1-for-30 reverse stock split that the Company completed on January 31, 2024.

    CAREMAX, INC.

    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

    (in thousands)

    (Unaudited)

     

     

     

    Six Months Ended June 30,

     

     

     

    2024

     

     

    2023

     

    CASH FLOWS FROM OPERATING ACTIVITIES

     

     

     

     

     

     

    Net loss

     

    $

    (213,966

    )

     

    $

    (114,458

    )

    Adjustments to reconcile net loss to cash and cash equivalents:

     

     

     

     

     

     

    Depreciation and amortization expense

     

     

    13,218

     

     

     

    13,404

     

    Amortization of debt issuance costs and discounts

     

     

    1,821

     

     

     

    4,086

     

    Impairment of long-lived assets

     

     

    132,990

     

     

     

     

    Stock-based compensation expense

     

     

    4,761

     

     

     

    4,762

     

    Deferred income taxes

     

     

    354

     

     

     

    355

     

    Change in fair value of derivative liabilities

     

     

    26

     

     

     

    (1,540

    )

    Gain on remeasurement of contingent earnout liabilities

     

     

     

     

     

    (19,916

    )

    Payment-in-kind interest expense

     

     

    21,955

     

     

     

    5,500

     

    Non-cash finance lease expense

     

     

    293

     

     

     

     

    Provision for credit losses

     

     

    (307

    )

     

     

    57

     

    Goodwill impairment

     

     

     

     

     

    98,000

     

    Amortization of right-of-use assets

     

     

    5,325

     

     

     

    5,842

     

    Other non-cash, net

     

     

    33

     

     

     

    1,213

     

    Changes in operating assets and liabilities:

     

     

     

     

     

     

    Accounts receivable

     

     

    17,573

     

     

     

    (1,255

    )

    Other current assets

     

     

    (6,481

    )

     

     

    452

     

    Risk settlement liabilities

     

     

    16,602

     

     

     

    1,968

     

    Other assets

     

     

    (41,749

    )

     

     

    (41,807

    )

    Operating lease liabilities

     

     

    (1,577

    )

     

     

    (4,959

    )

    Accounts payable

     

     

    1,502

     

     

     

    (128

    )

    Accrued expenses

     

     

    (2,967

    )

     

     

    (4,219

    )

    Related party liabilities

     

     

    1,582

     

     

     

    (1,134

    )

    Other liabilities

     

     

    898

     

     

     

    10,515

     

    Net cash used in operating activities

     

     

    (48,114

    )

     

     

    (43,263

    )

     

     

     

     

     

     

     

    CASH FLOWS FROM INVESTING ACTIVITIES

     

     

     

     

     

     

    Purchases of property and equipment

     

     

    (794

    )

     

     

    (5,234

    )

    Net cash used in investing activities

     

     

    (794

    )

     

     

    (5,234

    )

     

     

     

     

     

     

     

    CASH FLOWS FROM FINANCING ACTIVITIES

     

     

     

     

     

     

    Proceeds from borrowings, net

     

     

     

     

     

    62,000

     

    Principal payments of debt

     

     

    (189

    )

     

     

    (125

    )

    Payments of debt issuance costs

     

     

     

     

     

    (398

    )

    Net cash (used in) provided by financing activities

     

     

    (189

    )

     

     

    61,477

     

     

     

     

     

     

     

     

    NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS

     

     

    (49,097

    )

     

     

    12,980

     

    Cash and cash equivalents - beginning of period

     

     

    65,528

     

     

     

    41,626

     

    CASH AND CASH EQUIVALENTS - END OF PERIOD

     

    $

    16,430

     

     

    $

    54,605

     

    The following table represents Non-GAAP Financial Summary:

     

    Non-GAAP Financial Summary

     

    (Unaudited)

    Three Months Ended

     

    (in thousands)

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Medicare risk-based revenue

    $

    143,664

     

    $

    122,267

     

    $

    113,041

     

    $

    121,593

     

    $

    155,486

     

    $

    134,105

     

    $

    108,650

     

    $

    168,502

     

    $

    154,857

     

    Medicaid risk-based revenue

     

    19,896

     

     

    19,852

     

     

    36,620

     

     

    25,626

     

     

    30,054

     

     

    23,950

     

     

    26,263

     

     

    37,653

     

     

    22,865

     

    Government value-based care revenue

     

     

     

     

     

    6,389

     

     

    10,010

     

     

    22,206

     

     

    28,067

     

     

    7,425

     

     

    18,815

     

     

    14,690

     

    Other revenue

     

    8,719

     

     

    15,551

     

     

    8,213

     

     

    15,754

     

     

    16,694

     

     

    15,721

     

     

    9,497

     

     

    7,276

     

     

    6,215

     

    Total revenue

     

    172,279

     

     

    157,670

     

     

    164,263

     

     

    172,983

     

     

    224,440

     

     

    201,843

     

     

    151,835

     

     

    232,246

     

     

    198,627

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    External provider costs

     

    120,348

     

     

    106,900

     

     

    104,078

     

     

    110,673

     

     

    156,995

     

     

    139,139

     

     

    165,522

     

     

    180,941

     

     

    153,115

     

    Cost of care

     

    30,293

     

     

    30,150

     

     

    34,581

     

     

    37,627

     

     

    38,865

     

     

    41,599

     

     

    41,915

     

     

    42,229

     

     

    41,808

     

    Platform contribution

     

    21,638

     

     

    20,620

     

     

    25,604

     

     

    24,683

     

     

    28,580

     

     

    21,106

     

     

    (55,602

    )

     

    9,075

     

     

    3,704

     

    Platform contribution margin (%)

     

    12.6

    %

     

    13.1

    %

     

    15.6

    %

     

    14.3

    %

     

    12.7

    %

     

    10.5

    %

     

    (36.6

    %)

     

    3.9

    %

     

    1.9

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Sales and marketing

     

    2,299

     

     

    2,355

     

     

    3,806

     

     

    3,765

     

     

    3,381

     

     

    3,501

     

     

    3,627

     

     

    3,064

     

     

    1,378

     

    Corporate, general and administrative

     

    12,165

     

     

    13,877

     

     

    17,263

     

     

    21,329

     

     

    18,158

     

     

    15,527

     

     

    12,531

     

     

    16,495

     

     

    13,480

     

    Adjusted operating expenses

     

    14,464

     

     

    16,232

     

     

    21,069

     

     

    25,094

     

     

    21,539

     

     

    19,028

     

     

    16,158

     

     

    19,559

     

     

    14,858

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Adjusted EBITDA

    $

    7,175

     

    $

    4,388

     

    $

    4,535

     

    $

    (411

    )

    $

    7,042

     

    $

    2,077

     

    $

    (71,759

    )

    $

    (10,482

    )

    $

    (11,152

    )

    The following table provides a reconciliation of GAAP net (loss) income to Adjusted EBITDA:

     

    Reconciliation to Adjusted EBITDA

     

     

    (Unaudited)

    Three Months Ended

     

    (in thousands)

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Net (loss) income

    $

    (9,381

    )

    $

    (22,053

    )

    $

    10,434

     

    $

    (82,082

    )

    $

    (32,376

    )

    $

    (103,123

    )

    $

    (465,766

    )

    $

    (43,408

    )

    $

    (170,558

    )

    Interest expense

     

    3,896

     

     

    6,088

     

     

    8,743

     

     

    10,711

     

     

    13,197

     

     

    14,000

     

     

    16,526

     

     

    19,756

     

     

    20,376

     

    Depreciation and amortization

     

    4,903

     

     

    4,573

     

     

    7,180

     

     

    6,576

     

     

    6,828

     

     

    6,833

     

     

    7,550

     

     

    6,705

     

     

    6,512

     

    Impairment of long-lived assets

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    132,990

     

    Remeasurement of derivative and contingent earnout liabilities

     

    (7,391

    )

     

    7,331

     

     

    (84,171

    )

     

    (37,242

    )

     

    15,786

     

     

    (1,450

    )

     

    (961

    )

     

    2,381

     

     

    (2,355

    )

    Goodwill impairment

     

     

     

     

     

    70,000

     

     

    98,000

     

     

     

     

    80,000

     

     

    369,200

     

     

     

     

     

    Stock-based compensation

     

    2,788

     

     

    3,611

     

     

    2,786

     

     

    2,298

     

     

    2,464

     

     

    3,243

     

     

    2,595

     

     

    2,365

     

     

    2,396

     

    Loss on extinguishment of debt

     

    6,172

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Business Combination integration costs(1)

     

    1,887

     

     

    2,586

     

     

    163

     

     

    716

     

     

    686

     

     

    483

     

     

    833

     

     

    381

     

     

    399

     

    Acquisition and disposition related costs(2)

     

    4,074

     

     

    2,118

     

     

    10,632

     

     

    622

     

     

    815

     

     

    652

     

     

    1,069

     

     

    1,052

     

     

    (669

    )

    Other(3)

     

    56

     

     

    (47

    )

     

    (1,158

    )

     

    (187

    )

     

    (535

    )

     

    1,263

     

     

    (1,409

    )

     

    109

     

     

    (421

    )

    Income tax expense (benefit)

     

    171

     

     

    181

     

     

    (20,074

    )

     

    177

     

     

    177

     

     

    177

     

     

    (1,395

    )

     

    177

     

     

    177

     

    Adjusted EBITDA

    $

    7,175

     

    $

    4,388

     

    $

    4,535

     

    $

    (411

    )

    $

    7,042

     

    $

    2,077

     

    $

    (71,759

    )

    $

    (10,482

    )

    $

    (11,152

    )

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Memo:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    De novo pre-opening costs

    $

    506

     

    $

    2,426

     

    $

    3,205

     

    $

    1,975

     

    $

    1,560

     

    $

    1,880

     

    $

    1,323

     

    $

    1,366

     

    $

    1,775

     

    De novo post-opening losses

    993

     

     

    1,533

     

     

    2,274

     

     

    3,885

     

     

    4,228

     

     

    3,906

     

     

    4,558

     

     

    3,451

     

     

    2,789

     

    (1)

    Represents initial costs to set up public company processes, incremental vendor expenses identified as temporary or duplicative and expected to be rationalized in the short term, and legal and professional expenses outside of the ordinary course of business, which are being incurred as part of the Company’s efforts as it integrates the two privately held companies that were combined in the Business Combination. Significant components of Business Combination integration costs were as follows:

    (Unaudited)

    Three Months Ended

     

    (in thousands)

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Consulting and legal fees (a)

    $

    887

     

    $

    725

     

    $

    257

     

    $

    282

     

    $

    237

     

    $

    69

     

    $

    451

     

    $

    371

     

    $

    389

     

    Severance costs

     

    252

     

     

    1,080

     

     

    167

     

     

    11

     

     

    13

     

     

     

     

     

     

     

     

     

    Other (b)

     

    748

     

     

    782

     

     

    (261

    )

     

    423

     

     

    436

     

     

    414

     

     

    382

     

     

    10

     

     

    10

     

     

    $

    1,887

     

    $

    2,586

     

    $

    163

     

    $

    716

     

    $

    686

     

    $

    483

     

    $

    833

     

    $

    381

     

    $

    399

     

    (a) Represents consulting and legal costs directly associated with efforts related to integration of the two privately held companies that were combined in the Business Combination.

    (b) Represents primarily vendor expenses identified as temporary or duplicative and/or expenses outside the ordinary course of business and not necessary to run the Company's business.

     

    (2)

    Represents legal and incremental compensation payroll costs directly associated with efforts to achieve synergies related to closed transactions and legal and advisory costs related to exploration of potential dispositions. Significant components of the acquisition and disposition related costs were as follows:

    (Unaudited)

    Three Months Ended

     

    (in thousands)

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Advisor and other professional fees (a)

    $

    2,359

     

    $

    1,219

     

    $

    9,877

     

    $

    (258

    )

    $

    (34

    )

    $

    94

     

    $

    352

     

    $

    524

     

    $

    (967

    )

    Compensation costs (b)

     

    1,715

     

     

    899

     

     

    755

     

     

    880

     

     

    849

     

     

    558

     

     

    717

     

     

    528

     

     

    444

     

     

    $

    4,074

     

    $

    2,118

     

    $

    10,632

     

    $

    622

     

    $

    815

     

    $

    652

     

    $

    1,069

     

    $

    1,052

     

    $

    (524

    )

    (a) Includes payments to our third-party transaction advisory firm associated with transaction contracts, including the Steward transaction that closed in November 2022. Also, costs include legal and accounting fees directly associated with contemplated or closed transactions or potential dispositions.

    (b) Includes incremental payroll compensation expense for employees directly associated with services to achieve synergies related to closed transactions.

     

    (3)

    Components of other were as follows:

    (Unaudited)

    Three Months Ended

     

    (in thousands)

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Other income

    $

     

    $

     

    $

    (1,000

    )

    $

     

    $

     

    $

     

    $

    (874

    )

    $

     

    $

     

    Tax-related costs

     

    69

     

     

    (178

    )

     

    46

     

     

     

     

     

     

     

     

     

     

     

     

     

    Interest income

     

     

     

    (12

    )

     

    (201

    )

     

    (253

    )

     

    (602

    )

     

    (433

    )

     

    (560

    )

     

    (668

    )

     

    (277

    )

    Severance costs

     

     

     

     

     

     

     

     

     

     

     

    1,639

     

     

     

     

    694

     

     

     

    Other

     

    (14

    )

     

    144

     

     

    (3

    )

     

    66

     

     

    67

     

     

    58

     

     

    25

     

     

    83

     

     

    (144

    )

     

    $

    56

     

    $

    (47

    )

    $

    (1,158

    )

    $

    (187

    )

    $

    (535

    )

    $

    1,263

     

    $

    (1,409

    )

    $

    109

     

    $

    (421

    )

    The following metrics are as of the end of the indicated date, except for Platform Contribution, which is for the three month period ended as of the indicated date:

     

    (Unaudited)

    Three Months Ended

     

    Non-GAAP Operating Metrics

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Centers

     

    48

     

     

    51

     

     

    62

     

     

    62

     

     

    62

     

     

    62

     

     

    56

     

     

    55

     

     

    50

     

    Markets

     

    6

     

     

    7

     

     

    7

     

     

    7

     

     

    7

     

     

    7

     

     

    7

     

     

    6

     

     

    6

     

    Patients (MCREM)*

     

    54,000

     

     

    57,400

     

     

    221,500

     

     

    225,100

     

     

    226,500

     

     

    228,700

     

     

    229,300

     

     

    218,000

     

     

    210,900

     

    Patients in value-based care arrangements (MCREM)

     

    81.0

    %

     

    78.2

    %

     

    97.6

    %

     

    99.0

    %

     

    99.4

    %

     

    98.8

    %

     

    98.8

    %

     

    99.1

    %

     

    99.4

    %

    Platform Contribution ($, millions)

    $

    21.6

     

    $

    20.6

     

    $

    25.6

     

    $

    24.7

     

    $

    28.6

     

    $

    21.1

     

    $

    (55.6

    )

    $

    9.1

     

    $

    3.7

     

    * MCREM defined as Medicare Equivalent Members, which assumes the level of support received by a Medicare patient is equivalent to that received by three Medicaid or Commercial patients.

     

     

     

     

     

    The following table provides a reconciliation of gross profit, the most closely comparable GAAP financial measure, to Platform Contribution:

     

    Reconciliation to Platform Contribution

     

     

    (Unaudited)

    Three Months Ended

     

    (in millions)

    Jun 30,
    2022

     

    Sep 30,
    2022

     

    Dec 31,
    2022

     

    Mar 31,
    2023

     

    Jun 30,
    2023

     

    Sep 30,
    2023

     

    Dec 31,
    2023

     

    Mar 31,
    2024

     

    Jun 30,
    2024

     

    Gross profit (a)

    $

    15.4

     

    $

    14.8

     

    $

    17.2

     

    $

    17.1

     

    $

    20.4

     

    $

    12.0

     

    $

    (63.5

    )

    $

    1.5

     

    $

    (3.6

    )

    Depreciation and amortization

     

    4.9

     

     

    4.6

     

     

    7.2

     

     

    6.6

     

     

    6.8

     

     

    6.8

     

     

    7.6

     

     

    6.7

     

     

    6.5

     

    Stock-based compensation

     

    1.3

     

     

    1.2

     

     

    1.2

     

     

    1.0

     

     

    1.3

     

     

    1.2

     

     

    0.1

     

     

    0.7

     

     

    0.7

     

    Other adjustments (b)

     

    0.1

     

     

    0.1

     

     

     

     

     

     

     

     

    1.0

     

     

    0.2

     

     

    0.2

     

     

    0.1

     

    Platform Contribution

    $

    21.6

     

    $

    20.6

     

    $

    25.6

     

    $

    24.7

     

    $

    28.6

     

    $

    21.1

     

    $

    (55.6

    )

    $

    9.1

     

    $

    3.7

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    (a) Gross profit reflects the reclassification of stock-based compensation expense previously included in corporate, general and administrative expenses, which decreased gross profit by $1.3 million during the three months ended June 30, 2022, $1.2 million during the three months ended September 30, 2022, and $1.2 million during the three months ended December 31, 2022.

     

    (b) Other adjustments include incremental costs related to post-Business Combination integration initiatives and other one-time center-level costs. During the three months ended September 30, 2023, December 31, 2023, and March 31, 2024, other adjustments include $1.0 million, $0.2 million and $0.2 million, respectively, of severance costs related to center staff.

     

    The following table calculates the medical expense ratio:

     

    (Unaudited)

    Three Months Ended June 30,

     

     

    Six Months Ended June 30,

     

    (in thousands, except ratio)

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    External provider costs

    $

    153,115

     

     

    $

    156,995

     

     

    $

    334,056

     

     

    $

    267,668

     

    Medicare and Medicaid risk-based revenue

     

    177,722

     

     

     

    185,540

     

     

     

    383,877

     

     

     

    332,759

     

    Medical Expense Ratio

     

    86.2

    %

     

     

    84.6

    %

     

     

    87.0

    %

     

     

    80.4

    %

     


    The CareMax Stock at the time of publication of the news with a raise of +1,79 % to 4,54USD on Nasdaq stock exchange (09. August 2024, 22:30 Uhr).


    Business Wire (engl.)
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    CareMax Reports Second Quarter 2024 Results CareMax, Inc. (NASDAQ: CMAX; CMAXW) (“CareMax” or the “Company”), a leading technology-enabled value-based care delivery system, today announced financial results for the second quarter ended June 30, 2024. “Although our medical expense ratio …