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S-1 Filing
CareMax (CMAXQ) S-1IPO registration
Filed: 30 Jun 21, 4:45pm
| Delaware (State or other jurisdiction of incorporation or organization) | | | 8000 (Primary Standard Industrial Classification Code Number) | | | 85-0992224 (I.R.S. Employer Identification Number) | |
| Copies to: | | |||
| Kevin Wirges Chief Financial Officer CareMax, Inc. 1000 NW 57 Court, Suite 400 Miami, FL 33126 (786) 360-4768 | | | Joshua M. Samek, Esq. Penny J. Minna, Esq. DLA Piper LLP (US) 200 South Biscayne Boulevard, Suite 2500 Miami, Florida (305) 423-8500 | |
| Large accelerated filer ☐ | | | Accelerated filer ☐ | |
| Non-accelerated filer ☒ | | | Smaller reporting company ☒ | |
| | | | Emerging growth company ☒ | |
| | ||||||||||||||||||||||||||||
Title of Each Class of Security Being Registered | | | | Amount Being Registered(1) | | | | Proposed Maximum Offering Price per Security | | | | Proposed Maximum Aggregate Offering Price(1) | | | | Amount of Registration Fee | | ||||||||||||
Class A common stock, par value $0.0001 per share | | | | | | 78,449,124(2) | | | | | | $ | 12.52(3) | | | | | | $ | 982,183,032.48 | | | | | | $ | 107,156.17 | | |
Warrants, each whole warrant exercisable for one share of Class A common stock, each at an exercise price of $11.50 per share | | | | | | 2,916,667(4) | | | | | | | —(5) | | | | | | | —(5) | | | | | | | —(5) | | |
Total | | | | | | 81,365,791 | | | | | | | | | | | | | $ | 982,183,032.48 | | | | | | $ | 107,156.17 | | |
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(in thousands) | | | Pro Forma CareMax Medical Group, LLC(2)(3) | | | DFHT(1) | | | Interamerican Medical Center Group, LLC | | | Pro Forma Adjustments | | | Note 4 | | | Pro Forma Combined | | |||||||||||||||
Assets | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Current assets: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents | | | | $ | 7,014 | | | | | $ | 390 | | | | | $ | 14,000 | | | | | $ | 211,313 | | | | (a) | | | | $ | 232,717 | | |
| | | | | | | | | | | | | | | | | | | | | | | (4,443) | | | | (d) | | | | | (4,443) | | |
| | | | | | | | | | | | | | | | | | | | | | | 206,870 | | | | | | | | | 228,274 | | |
Accounts receivable, net | | | | | 9,089 | | | | | | — | | | | | | 17,928 | | | | | | — | | | | | | | | | 27,017 | | |
Inventory | | | | | 15 | | | | | | — | | | | | | — | | | | | | — | | | | | | | | | 15 | | |
Prepaid Expenses | | | | | 169 | | | | | | 210 | | | | | | 1,019 | | | | | | — | | | | | | | | | 1,398 | | |
Due from Related Parties | | | | | 627 | | | | | | — | | | | | | — | | | | | | — | | | | | | | | | 627 | | |
Total current assets | | | | | 16,915 | | | | | | 600 | | | | | | 32,947 | | | | | | 206,870 | | | | | | | | | 257,332 | | |
Property and Equipment, net | | | | | 6,253 | | | | | | — | | | | | | 6,509 | | | | | | — | | | | | | | | | 12,762 | | |
Goodwill | | | | | 10,068 | | | | | | — | | | | | | 85,476 | | | | | | 187,437 | | | | (j) | | | | | 282,981 | | |
Investments held in Trust Account | | | | | — | | | | | | 143,856 | | | | | | — | | | | | | (143,856) | | | | (b) | | | | | — | | |
Intangible Asset, net | | | | | 8,323 | | | | | | — | | | | | | 17,626 | | | | | | 15,526 | | | | (j) | | | | | 41,475 | | |
Other Assets | | | | | 414 | | | | | | — | | | | | | 2,261 | | | | | | — | | | | | | | | | 2,675 | | |
Total assets | | | | $ | 41,974 | | | | | $ | 144,456 | | | | | $ | 144,819 | | | | | $ | 265,977 | | | | | | | | $ | 597,226 | | |
Liabilities and Stockholders’/Members’ Equity | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Accounts payable and accrued expenses | | | | $ | 5,274 | | | | | $ | 4,812 | | | | | $ | 7,547 | | | | | $ | — | | | | | | | | $ | 17,633 | | |
Risk Settlements Due to Providers | | | | | 282 | | | | | | — | | | | | | — | | | | | | — | | | | | | | | | 282 | | |
Current portion of long-term debt, net | | | | | 992 | | | | | | — | | | | | | 323 | | | | | | — | | | | | | | | | 1,315 | | |
Other current liabilities | | | | | 51 | | | | | | 49 | | | | | | — | | | | | | — | | | | | | | | | 100 | | |
Total current liabilities | | | | | 6,599 | | | | | | 4,861 | | | | | | 7,869 | | | | | | — | | | | | | | | | 19,330 | | |
Derivative warrant liabilities | | | | | — | | | | | | 13,870 | | | | | | — | | | | | | — | | | | | | | | | 13,870 | | |
Long-term debt, less current portion | | | | | 26,694 | | | | | | — | | | | | | 77,212 | | | | | | (103,402) | | | | (c) | | | | | 122,504 | | |
| | | | | | | | | | | | | | | | | | | | | | | 125,000 | | | | (c) | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | (3,000) | | | | (c) | | | | | | | |
Other long-term liabilities | | | | | 708 | | | | | | 4,443 | | | | | | 1,151 | | | | | | — | | | | | | | | | 1,859 | | |
| | | | | | | | | | | | | | | | | | | | | | | (4,443) | | | | (d) | | | | | | | |
Total liabilities | | | | | 34,001 | | | | | | 23,174 | | | | | | 86,233 | | | | | | 14,155 | | | | | | | | | 157,563 | | |
Stockholders’ equity / Commitments and contingencies | | | | | 7,973 | | | | | | 121,282 | | | | | | 58,586 | | | | | | 251,823 | | | | (e) | | | | | 439,663 | | |
Total Liabilities and Stockholders’ Equity | | | | $ | 41,974 | | | | | $ | 144,456 | | | | | $ | 144,819 | | | | | $ | 265,977 | | | | | | | | $ | 597,226 | | |
(in thousands, except share data) | | | Pro Forma CareMax Medical Group, LLC(2)(3) | | | DFHT(1) | | | Interamerican Medical Center Group, LLC | | | Pro Forma Adjustments | | | Note 4 | | | Pro Forma Combined | | |||||||||||||||
Revenue: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 27,819 | | | | | $ | — | | | | | $ | 56,475 | | | | | $ | — | | | | | | | | $ | 84,294 | | |
Other Managed Care Services | | | | | 99 | | | | | | — | | | | | | 3,063 | | | | | | — | | | | | | | | | 3,161 | | |
Other Revenue | | | | | 917 | | | | | | — | | | | | | 47 | | | | | | — | | | | | | | | | 964 | | |
Net revenue | | | | | 28,835 | | | | | | — | | | | | | 59,585 | | | | | | — | | | | | | | | | 88,420 | | |
Costs and expenses: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 18,439 | | | | | | — | | | | | | 49,645 | | | | | | — | | | | | | | | | 68,084 | | |
Selling, General and Administrative expenses | | | | | 9,378 | | | | | | 1,612 | | | | | | 9,593 | | | | | | 1,679 | | | | (j) | | | | | 22,262 | | |
Total costs and expenses | | | | | 27,816 | | | | | | 1,612 | | | | | | 59,238 | | | | | | 1,679 | | | | | | | | | 90,346 | | |
Operating (loss) income | | | | | 1,019 | | | | | | (1,612) | | | | | | 347 | | | | | | (1,679) | | | | | | | | | (1,926) | | |
Interest (Income) Expense | | | | | 504 | | | | | | (20) | | | | | | 1,950 | | | | | | (1,282) | | | | (f) | | | | | 1,302 | | |
| | | | | | | | | | | | | | | | | | | | | | | 150 | | | | (c) | | | | | | | |
Other (Income) Expense, net | | | | | — | | | | | | — | | | | | | (4) | | | | | | — | | | | | | | | | (4) | | |
Change in fair value of warrant liabilities | | | | | — | | | | | | (10,894) | | | | | | — | | | | | | — | | | | | | | | | (10,894) | | |
Income (loss) before income taxes | | | | | 515 | | | | | | 9,302 | | | | | | (1,599) | | | | | | (547) | | | | | | | | | 7,670 | | |
Income Tax expense | | | | | — | | | | | | — | | | | | | — | | | | | | 1,881 | | | | (g) | | | | | 1,881 | | |
Net Income (loss) | | | | $ | 515 | | | | | $ | 9,302 | | | | | $ | (1,599) | | | | | $ | (2,428) | | | | | | | | $ | 5,789 | | |
Pro forma weighted average common shares outstanding – basic | | | | | | | | | | | | | | | | | | | | | | | | | | | (h) | | | | | 80,176,840 | | |
Pro forma weighted average common shares outstanding – diluted | | | | | | | | | | | | | | | | | | | | | | | | | | | (h) | | | | | 81,248,155 | | |
Pro forma net income per common share – basic | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | 0.07 | | |
Pro forma net income per common share – diluted | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | 0.07 | | |
(in thousands, except share data) | | | Pro Forma CareMax Medical Group, LLC(2)(3) | | | DFHT(1) | | | Interamerican Medical Center Group, LLC | | | Pro Forma Adjustments | | | Note 4 | | | Pro Forma Combined | | |||||||||||||||
Revenue: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 110,155 | | | | | $ | — | | | | | $ | 216,041 | | | | | $ | — | | | | | | | | $ | 326,197 | | |
Other Managed Care Services | | | | | 370 | | | | | | — | | | | | | 10,856 | | | | | | — | | | | | | | | | 11,225 | | |
Other Revenue | | | | | 4,457 | | | | | | — | | | | | | 204 | | | | | | — | | | | | | | | | 4,661 | | |
Net revenue | | | | | 114,982 | | | | | | — | | | | | | 227,101 | | | | | | — | | | | | | | | | 342,084 | | |
Costs and expenses: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 70,973 | | | | | | — | | | | | | 186,315 | | | | | | — | | | | | | | | | 257,288 | | |
Selling, General and Administrative expenses | | | | | 32,942 | | | | | | 4,012 | | | | | | 31,136 | | | | | | 8,368 | | | | (j) | | | | | 107,457 | | |
| | | | | | | | | | | | | | | | | | | | | | | 31,000 | | | | (e) | | | | | | | |
Total costs and expenses | | | | | 103,915 | | | | | | 4,012 | | | | | | 217,451 | | | | | | 39,368 | | | | | | | | | 364,745 | | |
Operating (loss) income | | | | | 11,067 | | | | | | (4,012) | | | | | | 9,650 | | | | | | (39,368) | | | | | | | | | (22,662) | | |
Interest (Income) Expense | | | | | 1,728 | | | | | | (86) | | | | | | 9,536 | | | | | | (6,577) | | | | (f) | | | | | 5,202 | | |
| | | | | | | | | | | | | | | | | | | | | | | 600 | | | | (c) | | | | | | | |
Other (Income) Expense, net | | | | | 5 | | | | | | | | | | | | (1,000) | | | | | | — | | | | | | | | | (995) | | |
Change in fair value of derivative warrant liability | | | | | | | | | | | 17,585 | | | | | | | | | | | | | | | | | | | | | 17,585 | | |
Income (loss) before income taxes | | | | | 9,334 | | | | | | (21,511) | | | | | | 1,114 | | | | | | (33,391) | | | | | | | | | (44,454) | | |
Income Tax benefit | | | | | — | | | | | | — | | | | | | — | | | | | | (10,900) | | | | (g) | | | | | (10,900) | | |
Net income (loss) | | | | $ | 9,363 | | | | | $ | (21,511) | | | | | $ | 1,114 | | | | | $ | (22,491) | | | | | | | | $ | (33,524) | | |
Pro forma weighted average common shares outstanding – basic and diluted | | | | | | | | | | | | | | | | | | | | | | | | | | | (h) | | | | | 80,176,840 | | |
Pro forma net income (loss) per common share – basic and diluted | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | (0.42) | | |
(in thousands) | | | DFHT | | |||
Current assets | | | | $ | 600 | | |
Cash held in trust | | | | | 143,856 | | |
Property and Equipment, net | | | | | — | | |
Other Assets | | | | | — | | |
Current liabilities | | | | | (4,861) | | |
Derivative warrant liabilities | | | | | (13,870) | | |
Other long-term liabilities(1) | | | | | (4,443) | | |
Net assets | | | | $ | 121,282 | | |
Sources | | | | | | | |
DFHT Cash from Trust | | | | $ | 143,856 | | |
Deerfield PIPE(1) | | | | | 410,000 | | |
New Debt | | | | | 125,000 | | |
Total Sources | | | | $ | 678,856 | | |
Uses | | | | | | | |
Cash to balance sheet | | | | $ | 206,870 | | |
Cash to CMG Sellers and IMC Parent | | | | | 318,141 | | |
Debt repayment | | | | | 103,402 | | |
SPAC redemptions | | | | | — | | |
Deal expenses(2) | | | | | 50,443 | | |
Total Uses | | | | $ | 678,856 | | |
(in thousands) | | | As per Historical Unaudited Financial Statements | | | Reclassifications | | | As Reclassified | | | | | | | | | | | |||||||||
Liabilities | | | | | | | | | | | | | | | | | | | | | | | ||||||
Current liabilities: | | | | | | | | | | | | | | | | | | | | | | | ||||||
Accounts payable | | | | $ | 457 | | | | | $ | (457) | | | | | $ | — | | | | | | ||||||
Accrued expenses | | | | | 4,355 | | | | | | (4,355) | | | | | | — | | | | | | ||||||
Accounts payable and accrued expenses | | | | | — | | | | | | 4,812 | | | | | | 4,812 | | | | | | ||||||
Franchise tax payable | | | | | 49 | | | | | | (49) | | | | | | — | | | | | | ||||||
Other current liabilities | | | | | — | | | | | | 49 | | | | | | 49 | | | | | |
(in thousands) | | | As per Historical Unaudited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
General and administrative expenses | | | | $ | 1,547 | | | | | $ | 65 | | | | | $ | 1,612 | | |
General and administrative expenses – related party | | | | | 53 | | | | | | (53) | | | | | | — | | |
Franchise tax expense | | | | | 13 | | | | | | (13) | | | | | | — | | |
(in thousands) | | | As per Historical Audited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
General and administrative expenses | | | | $ | 3,777 | | | | | $ | — | | | | | $ | 4,012 | | |
General and administrative expenses – related party | | | | | 105 | | | | | | (105) | | | | | | — | | |
Franchise tax expense | | | | | 130 | | | | | | (130) | | | | | | — | | |
(in thousands) | | | As per Historical Unaudited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
Liabilities | | | | | | | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | | | | | | | |
Accounts payable | | | | $ | 2,172 | | | | | $ | (2,172) | | | | | $ | — | | |
Accrued expenses | | | | | 2,438 | | | | | | (2,438) | | | | | | — | | |
Accrued interest payable | | | | | 161 | | | | | | (161) | | | | | | — | | |
Accounts payable- Care Holdings Group, LLC | | | | | 504 | | | | | | (504) | | | | | | | | |
Accounts payable and accrued expenses | | | | | — | | | | | | 5,274 | | | | | | 5,274 | | |
| | | As per Historical Unaudited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
Selling, General and administrative expenses | | | | $ | 7,673 | | | | | $ | (7,673) | | | | | $ | — | | |
General and administrative expenses (Care Holdings) | | | | | 1,704 | | | | | | (1,704) | | | | | | — | | |
Selling, general & administrative expenses | | | | | | | | | | | | | | | | | 9,378 | | |
(in thousands) | | | As per Historical Audited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
Capitated revenue | | | | $ | 127,159 | | | | | $ | (17,004) | | | | | $ | 110,155 | | |
Administrative fee | | | | | 17,004 | | | | | | (17,004) | | | | | | — | | |
Selling, General and administrative expenses | | | | | 27,107 | | | | | | (27,107) | | | | | | — | | |
General and administrative expenses (Care Holdings) | | | | | 4,172 | | | | | | (4,172) | | | | | | — | | |
General and administrative expenses (Clinica Las Americas) | | | | | 1,663 | | | | | | (1,663) | | | | | | — | | |
Selling, general & administrative expenses | | | | | | | | | | | | | | | | | 32,942 | | |
(in thousands) | | | As per Historical unaudited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
Assets | | | | | | | | | | | | | | | | | | | |
Current assets: | | | | | | | | | | | | | | | | | | | |
Accounts receivable, net | | | | $ | — | | | | | $ | 17,928 | | | | | $ | 17,928 | | |
Capitated plan receivables, net | | | | | 12,418 | | | | | | (12,418) | | | | | | — | | |
Other receivables, net | | | | | 5,510 | | | | | | (5,510) | | | | | | — | | |
Liabilities | | | | | | | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | | | | | | | |
Accounts payable | | | | | 2,198 | | | | | | (2,198) | | | | | | — | | |
Accrued expenses | | | | | 3,881 | | | | | | (3,881) | | | | | | — | | |
Amounts due to health plans, net | | | | | 1,467 | | | | | | (1,467) | | | | | | — | | |
Accounts payable and accrued expenses | | | | | | | | | | | | | | | | $ | 7,547 | | |
(in thousands) | | | As per Historical Unaudited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
General and administrative expenses | | | | $ | 4,258 | | | | | $ | (4,258) | | | | | $ | 9,593 | | |
Non-medical Salaries, wages, and beenfits | | | | | 4,269 | | | | | | (4,269) | | | | | | — | | |
Amortization of intangibles | | | | | 407 | | | | | | (407) | | | | | | — | | |
Depreciation Expense | | | | | 659 | | | | | | (659) | | | | | | — | | |
(in thousands) | | | As per Historical Audited Financial Statements | | | Reclassifications | | | As Reclassified | | |||||||||
General and administrative expenses | | | | $ | 12,741 | | | | | $ | (12,741) | | | | | $ | 31,136 | | |
Non-medical Salaries, wages, and beenfits | | | | | 13,962 | | | | | | (13,962) | | | | | | — | | |
Amortization of intangibles | | | | | 1,627 | | | | | | (1,627) | | | | | | — | | |
Depreciation Expense | | | | | 2,806 | | | | | | (2,806) | | | | | | — | | |
(in thousands) | | | CareMax Medical Group, LLC(1) | | | Care Holdings Group, LLC(2) | | | Pro Forma Combined | | |||||||||
Assets | | | | | | | | | | | | | | | | | | | |
Current assets: | | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents | | | | $ | 6,435 | | | | | $ | 579 | | | | | $ | 7,014 | | |
Accounts receivable, net | | | | | 8,756 | | | | | | 333 | | | | | | 9,089 | | |
Inventory | | | | | 15 | | | | | | — | | | | | | 15 | | |
Prepaid Expenses, net | | | | | 167 | | | | | | 2 | | | | | | 169 | | |
Due from Related Parties | | | | | 627 | | | | | | — | | | | | | 627 | | |
Total current assets | | | | | 16,001 | | | | | | 915 | | | | | | 16,915 | | |
Property and Equipment, net | | | | | 6,191 | | | | | | 62 | | | | | | 6,253 | | |
Goodwill | | | | | 10,068 | | | | | | — | | | | | | 10,068 | | |
Investments held in Trust Account | | | | | — | | | | | | — | | | | | | — | | |
Intangible Assets, net | | | | | 8,323 | | | | | | — | | | | | | 8,323 | | |
Other Assets | | | | | 388 | | | | | | 26 | | | | | | 414 | | |
Total assets | | | | $ | 40,971 | | | | | $ | 1,003 | | | | | $ | 41,974 | | |
(in thousands) | | | CareMax Medical Group, LLC(1) | | | Care Holdings Group, LLC(2) | | | Pro Forma Combined | | |||||||||
Liabilities and Members’ Equity | | | | | | | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | | | | | | | |
Accounts payable | | | | $ | 2,172 | | | | | $ | 504 | | | | | $ | 2,675 | | |
Accrued expenses | | | | | 2,438 | | | | | | — | | | | | | 2,438 | | |
Accrued Interest Payable | | | | | 161 | | | | | | — | | | | | | 161 | | |
Risk Settlements Due to Providers | | | | | 282 | | | | | | — | | | | | | 282 | | |
Current portion of long-term debt, net | | | | | 992 | | | | | | — | | | | | | 992 | | |
Other current liabilities | | | | | — | | | | | | 51 | | | | | | 51 | | |
Total current liabilities | | | | | 6,044 | | | | | | 555 | | | | | | 6,599 | | |
Long-term debt, less current portion | | | | | 26,190 | | | | | | 504 | | | | | | 26,694 | | |
Other Liabilities | | | | | 708 | | | | | | — | | | | | | 708 | | |
Total liabilities | | | | | 32,943 | | | | | | 1,059 | | | | | | 33,293 | | |
Units (no par value, 300 authorized, issued and outstanding as of March 31, 2021) | | | | | 223 | | | | | | — | | | | | | 223 | | |
Members’ equity | | | | | 7,805 | | | | | | (55) | | | | | | 7,750 | | |
Members’ equity-controlling interest | | | | | 8,028 | | | | | | (55) | | | | | | 7,973 | | |
Total Members’ equity | | | | | 8,028 | | | | | | (55) | | | | | | 7,973 | | |
Total Liabilities and Members’ Equity | | | | $ | 40,971 | | | | | $ | 1,003 | | | | | $ | 41,974 | | |
|
(in thousands, except unit data) | | | CareMax Medical Group, LLC(1) | | | Care Holdings LLC (2) | | | Pro Forma Combined | | |||||||||
Revenue: | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 27,819 | | | | | $ | — | | | | | $ | 27,819 | | |
Other Managed Care Services | | | | | 99 | | | | | | — | | | | | | 99 | | |
Other Revenue | | | | | — | | | | | | 917 | | | | | | 917 | | |
Net revenue | | | | | 27,918 | | | | | | 917 | | | | | | 28,835 | | |
Costs and expenses: | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 18,439 | | | | | | — | | | | | | 18,439 | | |
General and administrative expenses | | | | | 7,673 | | | | | | 1,704 | | | | | | 9,378 | | |
Total costs and expenses | | | | | 26,112 | | | | | | 1,704 | | | | | | 27,816 | | |
Operating (loss) income | | | | | 1,806 | | | | | | (787) | | | | | | 1,018 | | |
Interest expense | | | | | 504 | | | | | | — | | | | | | 504 | | |
Income before income taxes | | | | | 1,302 | | | | | | (787) | | | | | | 515 | | |
Income tax expense | | | | | — | | | | | | — | | | | | | — | | |
Net Income | | | | $ | 1,302 | | | | | $ | (787) | | | | | $ | 515 | | |
Weighted-average Common Units Outstanding | | | | | 200 | | | | | | 100 | | | | | | 300 | | |
Net Income per Unit – Basic & Diluted | | | | | | | | | | | | | | | | $ | 1,093 | | |
(in thousands, except unit data) | | | CareMax Medical Group, LLC(1) | | | Clinica Little Havana II | | | Care Holdings LLC(2) | | | Pro Forma Combined | | ||||||||||||
Revenue: | | | | | | | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 103,051 | | | | | $ | 7,104 | | | | | $ | — | | | | | $ | 110,155 | | |
Other Managed Care Services | | | | | 370 | | | | | | — | | | | | | 370 | | | | | | | | |
Other Revenue | | | | | — | | | | | | — | | | | | | 4,457 | | | | | | 4,457 | | |
Net revenue | | | | | 103,421 | | | | | | 7,104 | | | | | | 4,457 | | | | | | 114,982 | | |
Costs and expenses: | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 67,015 | | | | | | 3,958 | | | | | | — | | | | | | 70,973 | | |
General and administrative expenses | | | | | 27,107 | | | | | | 1,663 | | | | | | 4,172 | | | | | | 32,942 | | |
Total costs and expenses | | | | | 94,122 | | | | | | 5,621 | | | | | | 4,172 | | | | | | 103,915 | | |
Operating (loss) income | | | | | 9,300 | | | | | | 1,483 | | | | | | 285 | | | | | | 11,067 | | |
Interest (income) expense | | | | | 1,728 | | | | | | — | | | | | | — | | | | | | 1,728 | | |
Other (income) expense, net | | | | | — | | | | | | — | | | | | | 5 | | | | | | 5 | | |
Income before income taxes | | | | | 7,572 | | | | | | 1,483 | | | | | | 279 | | | | | | 9,334 | | |
Income tax expense | | | | | — | | | | | | — | | | | | | — | | | | | | | | |
Net income | | | | | 7,572 | | | | | | 1,483 | | | | | | 279 | | | | | | 9,334 | | |
Net Income attributable to noncontrolling interest | | | | | (29) | | | | | | — | | | | | | — | | | | | | (29) | | |
Net Income Attributable to Controlling Interests | | | | $ | 7,601 | | | | | $ | 1,483 | | | | | $ | 279 | | | | | $ | 9,363 | | |
Pro Forma Weighted-average Common Units Outstanding | | | | | 200 | | | | | | | | | | | | 100 | | | | | | 300 | | |
Pro Forma Net Income per Unit – Basic & Diluted | | | | | | | | | | | | | | | | | | | | | | $ | 31,211 | | |
(in thousands) | | | Long-term Debt | | |||
Repayment of historical CareMax debt | | | | $ | (26,190) | | |
New long-term debt entered into by CareMax | | | | $ | 125,000 | | |
Debt issuance costs | | | | $ | (3,000) | | |
New long-term debt, net | | | | $ | 122,000 | | |
(in thousands) | | | Historical Equity CareMax | | | Historical Equity and Contingent Shares DFHT | | | Historical Equity IMC | | | Pro Forma Adjustments | | | Pro Forma Combined | | |||||||||||||||
| | | | $ | 7,973 | | | | | $ | 5,000 | | | | | $ | 58,586 | | | | | | | | | | | $ | 439,663 | | |
Reclassification from contingent shares to Class A shares | | | | | | | | | | | | | | | | | | | | | | | 116,281 | | | | | | | | |
Elimination of IMC historical equity to effect acquisition method | | | | | | | | | | | | | | | | | | | | | | | (58,586) | | | | | | | | |
Fair value of shares issued in connection with acquisition of IMC | | | | | | | | | | | | | | | | | | | | | | | 155,347 | | | | | | | | |
Deemed dividend in connection with reverse merger transaction with CMG(1) | | | | | | | | | | | | | | | | | | | | | | | (234,087) | | | | | | | | |
PIPE investment | | | | | | | | | | | | | | | | | | | | | | | 410,000 | | | | | | | | |
Equity-classified contingent consideration | | | | | | | | | | | | | | | | | | | | | | | 22,148 | | | | | | | | |
Payment of transaction fees(2) | | | | | | | | | | | | | | | | | | | | | | | (43,000) | | | | | | | | |
Cash paid to redeeming shareholders | | | | | | | | | | | | | | | | | | | | | | | — | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | $ | 251,822 | | | | | | | | |
(in thousands) | | | Pro Forma Three Months Ended March 31, 2021 | | | Pro Forma Year Ended December 31, 2020 | | ||||||
Interest expense from term debt | | | | $ | 1,172 | | | | | $ | 4,688 | | |
Reversal of historical interest expense | | | | | (2,454) | | | | | $ | (11,264) | | |
Pro forma adjustment | | | | $ | (1,282) | | | | | $ | (6,577) | | |
(thousands) | | | IMC unaudited Condensed Historical Balance Sheet as of March 31, 2021 | | | Pro Forma Adjustments | | | Pro Forma Combined | | |||||||||
Assets | | | | | | | | | | | | | | | | | | | |
Cash | | | | $ | 14,000 | | | | | $ | — | | | | | $ | 14,000 | | |
Accounts receivable | | | | | 17,928 | | | | | | — | | | | | | 17,928 | | |
Other current assets | | | | | 1,019 | | | | | | — | | | | | | 1,019 | | |
Total Current Assets | | | | | 32,947 | | | | | | — | | | | | | 32,947 | | |
Property, plant & equipment | | | | | 6,509 | | | | | | — | | | | | | 6,509 | | |
Intangible Assets, net | | | | | 17,626 | | | | | | 15,526 | | | | | | 33,152 | | |
Goodwill | | | | | 85,476 | | | | | | 187,437 | | | | | | 272,913 | | |
Other assets | | | | | 2,261 | | | | | | — | | | | | | 2,261 | | |
Total Assets | | | | $ | 144,819 | | | | | $ | 202,963 | | | | | $ | 347,782 | | |
Liabilities | | | | | | | | | | | | | | | | | | | |
Accounts payable and accrued expenses | | | | | 7,547 | | | | | | — | | | | | | 7,547 | | |
Short-term debt | | | | | 323 | | | | | | — | | | | | | 323 | | |
Other current liabilities | | | | | — | | | | | | — | | | | | | — | | |
Total Current Liabilities | | | | | 7,869 | | | | | | — | | | | | | 7,869 | | |
Long-term debt | | | | | 77,212 | | | | | | (77,212) | | | | | | — | | |
Other long term liabilities | | | | | 1,151 | | | | | | — | | | | | | 1,151 | | |
Total Liabilities | | | | | 86,233 | | | | | | (77,212) | | | | | | 9,021 | | |
Members’ Equity | | | | | | | | | | | | | | | | | | | |
Member contributions | | | | | 160,740 | | | | | | 178,021 | | | | | | 338,761 | | |
Accumulated deficit | | | | | (102,154) | | | | | | 102,154 | | | | | | — | | |
Total Members’ Equity | | | | | 58,586 | | | | | | 280,175 | | | | | | 338,761 | | |
Total Liabilities and Members’ Equity | | | | $ | 144,819 | | | | | $ | 202,963 | | | | | $ | 347,782 | | |
(in thousands) | | | Pro Forma Three Months Ended March 31, 2021 | | | Pro Forma Year Ended December 31, 2020 | | ||||||
Amortization expense – trade names/trademarks | | | | $ | — | | | | | $ | 342 | | |
Amortization expense – risk contracts | | | | | 2,086 | | | | | | 9,650 | | |
Reversal of historical amortization expense | | | | | (407) | | | | | | (1,627) | | |
Pro forma adjustment | | | | $ | 1,679 | | | | | $ | 8,368 | | |
| | | Purchase price allocation | | |||
Cash | | | | $ | 14,000 | | |
Accounts receivable | | | | | 17,928 | | |
Other current assets | | | | | 1,019 | | |
Property, plant & equipment | | | | | 6,509 | | |
Identifiable Intangible Assets: | | | | | | | |
Tradenames/trademarks | | | | | 345 | | |
Risk contracts | | | | | 32,807 | | |
Other assets | | | | | 2,261 | | |
Accounts payable and accrued expenses | | | | | (7,547) | | |
Current portion of long term debt | | | | | (323) | | |
Other long term liabilities | | | | | (1,151) | | |
Net Assets Acquired | | | | | 65,848 | | |
Excess of Consideration over Net Assets Acquired | | | | | 272,913 | | |
Total Consideration | | | | $ | 338,761 | | |
(in thousands, except per share information) | | | DFHT | | | CareMax | | | IMC | | | Pro Forma | | ||||||||||||
Three Months Ended March 31, 2021 | | | | | | | | | | | | | | | | | | | | | | | | | |
Stockholders’/members’ equity (deficit) and commitments and contingencies | | | | $ | 121,282 | | | | | $ | 7,973 | | | | | $ | 58,586 | | | | | $ | 439,663 | | |
Net income (loss) | | | | $ | 9,302 | | | | | $ | 515 | | | | | $ | (1,599) | | | | | $ | 5,789 | | |
Weighted average shares outstanding – basic | | | | | 14,375,000 | | | | | | — | | | | | | — | | | | | | 80,176,840 | | |
Weighted average shares outstanding – diluted | | | | | 15,446,315 | | | | | | | | | | | | | | | | | | 81,248,155 | | |
Stockholders’/members’ equity per share – basic | | | | $ | 8.44 | | | | | $ | — | | | | | $ | — | | | | | $ | 5.48 | | |
Stockholders’/members’ equity per share – diluted | | | | $ | 7.85 | | | | | $ | — | | | | | $ | — | | | | | $ | 5.41 | | |
Basic net income per share | | | | $ | 0.65 | | | | | $ | — | | | | | $ | — | | | | | $ | 0.07 | | |
Diluted net income per share | | | | $ | 0.60 | | | | | | | | | | | | | | | | | $ | 0.07 | | |
Cash dividends per share – basic | | | | $ | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | |
Cash dividends per share – diluted | | | | $ | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | |
Year Ended December 31, 2020 | | | | | | | | | | | | | | | | | | | | | | | | | |
Net income (loss) attributable to controlling interest | | | | $ | (21,511) | | | | | $ | 9,363 | | | | | $ | 1,114 | | | | | $ | (33,524) | | |
Weighted average shares outstanding – basic and diluted | | | | | 14,375,000 | | | | | | — | | | | | | — | | | | | | 80,176,840 | | |
Basic and diluted net income (loss) per share | | | | $ | (1.50) | | | | | $ | — | | | | | $ | — | | | | | $ | (0.42) | | |
Cash dividends per share – basic and diluted | | | | $ | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | |
| Primary Care Physician | | | Leads the clinical care team and implements CareMax’s comprehensive, high touch approach to health care | |
| Physician’s Assistant or Registered Nurse Practioner | | | Edu cate and manage clinical needs between visits and provide group education on chronic disease management | |
| Medical Assistant | | | Manage clinical workflows and act as guides for patient visits | |
| Phlebotomist | | | Front Desk | | | Access Representative | |
| Pharmacy Technician | | | Referral Coordinator | | | Community Sales Representative | |
| Administrator | | | Transportation Dispatches | | | Wellness Staff & Massage Therapist | |
| | | Patients | | | Increase | | | % | | |||||||||
2017 | | | | | 3,027 | | | | | | | | | | | | | | |
2018 | | | | | 3,602 | | | | | | 575 | | | | | | 19% | | |
2019 | | | | | 4,821 | | | | | | 1,219 | | | | | | 34% | | |
2020 | | | | | 6,241 | | | | | | 1,420 | | | | | | 29% | | |
2021 | | | | | 6,380 | | | | | | 139 | | | | | | 2% | | |
| | | 2018 | | | 2019 | | | 2020 | | | 2021 | | ||||||||||||
Centers | | | | | 11 | | | | | | 11 | | | | | | 12 | | | | | | 12 | | |
Markets | | | | | 1 | | | | | | 1 | | | | | | 1 | | | | | | 1 | | |
Patients | | | | | 3,600 | | | | | | 4,800 | | | | | | 6,200 | | | | | | 6,380 | | |
At-risk | | | | | 99.3% | | | | | | 99.5% | | | | | | 99.7% | | | | | | 99.7% | | |
Fee for service | | | | | 0.7% | | | | | | 0.5% | | | | | | 0.3% | | | | | | 0.3% | | |
| | | 2018 | | | 2019 | | | 2020 | | | 2021(2) | | ||||||||||||
Centers | | | | | 11 | | | | | | 11 | | | | | | 12 | | | | | | 12 | | |
Markets | | | | | 1 | | | | | | 1 | | | | | | 1 | | | | | | 1 | | |
Patients(1) | | | | | 3,600 | | | | | | 4,800 | | | | | | 6,200 | | | | | | 6,400 | | |
At-risk | | | | | 99.3% | | | | | | 99.5% | | | | | | 99.7% | | | | | | 99.7% | | |
Fee for service | | | | | 0.7% | | | | | | 0.5% | | | | | | 0.3% | | | | | | 0.3% | | |
Patient contribution | | | | $ | 7,698 | | | | | $ | 8,018 | | | | | $ | 8,602 | | | | | $ | 4,896(3) | | |
Platform contribution | | | | $ | 994 | | | | | $ | 1,333 | | | | | $ | 1,729 | | | | | $ | 949 | | |
| | | Three Months Ended | | | Three Months Ended | | | | | | | | | | | | | | ||||||
| | | March 31, | | | | | | | | | | | | | | |||||||||
($millions) | | | 2021 | | | 2020 | | | $ change | | | % change | | ||||||||||||
Operating Expense | | | | | | | | | | | | | | | | | | | | | | | 50% | | |
Medical expenses | | | | $ | 17.4 | | | | | $ | 15.1 | | | | | $ | 2.3 | | | | | | 15% | | |
Other medical expenses | | | | | 0.8 | | | | | | 0.7 | | | | | | 0.1 | | | | | | 14% | | |
Direct medical salaries, wages & benefits | | | | | 0.2 | | | | | | 0.3 | | | | | | (0.1) | | | | | | -33% | | |
Salaries, wages & benefits | | | | | 3.9 | | | | | | 2.6 | | | | | | 1.3 | | | | | | 48% | | |
Selling, general & administrative | | | | | 3.3 | | | | | | 2.5 | | | | | | 0.8 | | | | | | 32% | | |
Depreciation and amortization | | | | | 0.5 | | | | | | 0.4 | | | | | | 0.1 | | | | | | 25% | | |
Total Operating Expense | | | | $ | 26.1 | | | | | $ | 21.6 | | | | | $ | 4.5 | | | | | | 20% | | |
| | | Payments due by period | | |||||||||||||||||||||||||||
($ millions) | | | Total | | | Less than 1 year | | | 1 – 3 years | | | 3 – 5 years | | | More than 5 years | | |||||||||||||||
Notes Payable, principal(1) | | | | $ | 27.5 | | | | | $ | 0.8 | | | | | $ | 4.2 | | | | | $ | 22.5 | | | | | $ | — | | |
Notes Payable, interest(1) | | | | | 0.2 | | | | | | 0.2 | | | | | | — | | | | | | — | | | | | | — | | |
Operating lease obligations | | | | | 31.5 | | | | | | 2.8 | | | | | | 6.5 | | | | | | 5.9 | | | | | | 16.3 | | |
Total | | | | $ | 59.2 | | | | | $ | 3.8 | | | | | $ | 10.7 | | | | | $ | 28.4 | | | | | $ | 16.3 | | |
Patient Count as of | | | Dec-18 | | | Dec-19 | | | Mar-20 | | | Dec-20 | | | Mar-21 | | |||||||||||||||
Medicare | | | | | 11,000 | | | | | | 10,500 | | | | | | 10,500 | | | | | | 10,000 | | | | | | 10,500 | | |
Medicaid | | | | | 15,500 | | | | | | 11,500 | | | | | | 12,500 | | | | | | 20,500 | | | | | | 22,500 | | |
Commercial | | | | | 7,000 | | | | | | 5,000 | | | | | | 15,500 | | | | | | 15,000 | | | | | | 15,000 | | |
Total Count | | | | | 33,500 | | | | | | 27,000 | | | | | | 38,500 | | | | | | 45,500 | | | | | | 48,000 | | |
MCREM Count as of | | | Dec-18 | | | Dec-19 | | | Mar-20 | | | Dec-20 | | | Mar-21 | | |||||||||||||||
Medicare | | | | | 11,000 | | | | | | 10,500 | | | | | | 10,500 | | | | | | 10,000 | | | | | | 10,500 | | |
Medicaid | | | | | 5,200 | | | | | | 3,800 | | | | | | 4,200 | | | | | | 6,800 | | | | | | 7,500 | | |
Commercial | | | | | 2,300 | | | | | | 1,700 | | | | | | 5,200 | | | | | | 5,000 | | | | | | 5,000 | | |
Total MCREM | | | | | 18,500 | | | | | | 16,000 | | | | | | 19,900 | | | | | | 21,800 | | | | | | 23,000 | | |
Three-Months Ended (in thousands) | | | Mar-21 | | | Mar-20 | | | Y/Y Change | | |||||||||
Net Income (Loss) | | | | $ | (1,599) | | | | | $ | (2,961) | | | | | $ | 1,362 | | |
Definitional Items | | | | | |||||||||||||||
Interest Expense | | | | | 1,950 | | | | | | 2,486 | | | | | | (536) | | |
Depreciation & Amortization | | | | | 1,066 | | | | | | 1,273 | | | | | | (207) | | |
Other Expenses | | | | | 212 | | | | | | (2) | | | | | | 214 | | |
Total Definitional Items | | | | | 3,227 | | | | | | 3,757 | | | | | | (530) | | |
EBITDA | | | | $ | 1,629 | | | | | $ | 796 | | | | | $ | 833 | | |
Non-Recurring Expenses | | | | $ | 1,372 | | | | | $ | 1,242 | | | | | $ | 129 | | |
Acquisition Costs | | | | | 483 | | | | | | 11 | | | | | | 472 | | |
Discontinued Operations | | | | | (1) | | | | | | (6) | | | | | | 5 | | |
Total Management Adjustments | | | | $ | 1,854 | | | | | $ | 1,247 | | | | | $ | 607 | | |
Adjusted EBITDA | | | | $ | 3,483 | | | | | $ | 2,043 | | | | | $ | 1,439 | | |
| | | Three Months Ended March 31, | | | | | | | | | | | | | | |||||||||
| | | 2021 | | | 2020 | | | $ change | | | % change | | ||||||||||||
| | | (in millions) | | | | | | | | | | | | | | |||||||||
Operating expenses: | | | | | | | | | | | | | | | | | | | | | | | | | |
External medical services under global capitation | | | | $ | 42.6 | | | | | $ | 37.6 | | | | | $ | 5.0 | | | | | | 13.3% | | |
Other medical expenses | | | | | 2.0 | | | | | | 2.0 | | | | | | — | | | | | | 0.0% | | |
Direct medical salaries, wages & benefits | | | | | 5.1 | | | | | | 5.4 | | | | | | (0.3) | | | | | | (5.6)% | | |
Salaries, wages & benefits | | | | | 4.3 | | | | | | 3.1 | | | | | | 1.2 | | | | | | 38.7% | | |
General & administrative | | | | | 4.2 | | | | | | 3.7 | | | | | | 0.5 | | | | | | 13.5% | | |
Depreciation & Amortization | | | | | 1.1 | | | | | | 1.3 | | | | | | (0.2) | | | | | | (15.4)% | | |
Total operating expenses | | | | $ | 59.3 | | | | | $ | 53.1 | | | | | $ | 6.2 | | | | | | 11.7% | | |
Name | | | Age | | | Position(s) | |
Richard Barasch | | | 67 | | | Executive Chair, Class III Director | |
Carlos A. de Solo | | | 42 | | | Class III Director; Chief Executive Officer | |
Hon. Dr. David J. Shulkin | | | 61 | | | Class II Director | |
Randy Simpson | | | 52 | | | Class I Director | |
Dr. Jennifer Carter | | | 57 | | | Class I Director | |
Jose R. Rodriguez | | | 62 | | | Class II Director | |
William C. Lamoreaux | | | 58 | | | Executive Vice President | |
Kevin Wirges | | | 41 | | | Chief Financial Officer | |
Alberto de Solo | | | 44 | | | Chief Operating Officer | |
Name and Principal Position | | | Year | | | Salary ($) | | | Bonus ($) | | | Stock Awards ($) | | | Option Awards ($) | | | Non-Equity Incentive Plan Compensation ($) | | | Nonqualified Deferred Compensation Earnings ($) | | | All Other Compensation ($) | | | Total ($) | | |||||||||||||||||||||||||||
Carlos de Solo President and Chief Executive Officer of CMG | | | | | 2020 | | | | | $ | 111,946 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | $ | 2,688,000 | | | | | $ | 2,799,946 | | |
| | | 2019 | | | | | $ | 48,050 | | | | | | — | | | | | | — | | | | | | —(3) | | | | | | — | | | | | | — | | | | | $ | 3,014,290 | | | | | $ | 3,062,340 | | | ||
Alberto de Solo Chief Financial Officer of CMG | | | | | 2020 | | | | | $ | 111,946 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | $ | 1,430,000 | | | | | $ | 1,541,946 | | |
| | | 2019 | | | | | $ | 48,050 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | $ | 1,504,310 | | | | | $ | 1,552,360 | | | ||
Joseph N. De Vera Chief Compliance Officer and General Counsel of CMG | | | | | 2020 | | | | | $ | 111,946 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | $ | 875,000 | | | | | $ | 986,946 | | |
| | | 2019 | | | | | $ | 48,050 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | $ | 835,000 | | | | | $ | 883,450 | | |
| | | CareMax Distribution | | | CareMax Holdings | | | Managed Healthcare Partners Management Payment | | | Total ($) | | ||||||||||||||||||
| | | Management Payment | | | Distribution | | ||||||||||||||||||||||||
Carlos de Solo | | | | $ | 2,183,000 | | | | | $ | 220,000 | | | | | $ | 45,000 | | | | | $ | 240,000 | | | | | $ | 2,688,000 | | |
Alberto de Solo | | | | $ | 925,000 | | | | | $ | 220,000 | | | | | $ | 45,000 | | | | | $ | 240,000 | | | | | $ | 1,430,000 | | |
Joseph DeVera | | | | $ | 370,000 | | | | | $ | 220,000 | | | | | $ | 45,000 | | | | | $ | 240,000 | | | | | $ | 875,000 | | |
Name of Beneficial Owners(1) | | | Number of Shares of Class A Common Stock Beneficially Owned | | | Percentage of Outstanding Class A Common Stock | | ||||||
Directors and Executive Officers: | | | | | | | | | | | | | |
Richard Barasch | | | | | 50,000 | | | | | | * | | |
Carlos A. de Solo(2) | | | | | 5,456,108 | | | | | | 6.72% | | |
Alberto de Solo(3) | | | | | 2,459,958 | | | | | | 3.03% | | |
William C. Lamoreaux(4) | | | | | — | | | | | | —% | | |
Kevin Wirges(5) | | | | | — | | | | | | —% | | |
Hon. Dr. David J. Shulkin | | | | | 25,000 | | | | | | *% | | |
Randy Simpson(6) | | | | | 421,063 | | | | | | *% | | |
Dr. Jennifer Carter | | | | | — | | | | | | —% | | |
Jose R. Rodriguez | | | | | — | | | | | | —% | | |
All directors and executive officers as a group (14 individuals) | | | | | 8,396,129 | | | | | | 10.35% | | |
Five Percent Holders: | | | | | | | | | | | | | |
Entities affiliated with Deerfield Management Company, L.P., including Deerfield Partners, L.P. and DFHTA Sponsor LLC(7) | | | | | 20,367,417 | | | | | | 24.04% | | |
DFHTA Sponsor LLC(8) | | | | | 6,685,417 | | | | | | 7.95% | | |
IMC Holdings, L.P.(9) | | | | | 10,467,023 | | | | | | 12.90% | | |
O.M. Investment Group, Inc.(2)(10) | | | | | 5,456,108 | | | | | | 6.72% | | |
| | | Shares Common Stock Beneficially Owned Prior to Offering | | | Private Placement Warrants Beneficially Owned Prior to Offering | | | Shares of Class A Common Stock Offered | | | Private Placement Warrants Offered | | | Common Stock Beneficially Owned After the Offered Shares of Common Stock are Sold | | | Private Placement Warrants Beneficially Owned After the Offered Private Placement Warrants are Sold | | ||||||||||||||||||||||||||||||
Name of Selling Securityholder | | | Number | | | Percent | | | Number | | | Percent | | ||||||||||||||||||||||||||||||||||||
Alua Master Fund LP(1) | | | | | 2,727,524 | | | | | | — | | | | | | 2,000,000 | | | | | | — | | | | | | 727,524 | | | | | | — | | | | | | — | | | | | | — | | |
Alyeska Master Fund, L.P. (2) | | | | | 2,500,000 | | | | | | — | | | | | | 2,500,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Sellcore, Inc.(3) | | | | | 500,000 | | | | | | — | | | | | | 500,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Antipodean Domestic Partners, LP(4) | | | | | 600,000 | | | | | | — | | | | | | 600,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Avidity Capital Fund II LP (5) | | | | | 64,000 | | | | | | — | | | | | | 64,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Avidity Master Fund LP(5) | | | | | 636,000 | | | | | | — | | | | | | 636,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
BlackRock, Inc.(6) | | | | | 3,000,000 | | | | | | — | | | | | | 3,000,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Guardian Small Cap Core VIP Fund(7) | | | | | 213,620 | | | | | | — | | | | | | 213,620 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
ClearBridge Small Cap CIF (7) | | | | | 33,940 | | | | | | — | | | | | | 33,940 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
ClearBridge Small Cap Fund (7) | | | | | 752,440 | | | | | | — | | | | | | 752,440 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Davidson Kempner International, Ltd.(8) | | | | | 260,820 | | | | | | — | | | | | | 260,820 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
| | | Shares Common Stock Beneficially Owned Prior to Offering | | | Private Placement Warrants Beneficially Owned Prior to Offering | | | Shares of Class A Common Stock Offered | | | Private Placement Warrants Offered | | | Common Stock Beneficially Owned After the Offered Shares of Common Stock are Sold | | | Private Placement Warrants Beneficially Owned After the Offered Private Placement Warrants are Sold | | ||||||||||||||||||||||||||||||
Name of Selling Securityholder | | | Number | | | Percent | | | Number | | | Percent | | ||||||||||||||||||||||||||||||||||||
Davidson Kempner Institutional Partners, L.P. (8) | | | | | 214,200 | | | | | | — | | | | | | 214,200 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
M.H. Davidson & Co.(8) | | | | | 17,340 | | | | | | — | | | | | | 17,340 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Davidson Kempner Partners (8) | | | | | 107,640 | | | | | | — | | | | | | 107,640 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Affiliates of Eminence Capital, LP(9) | | | | | 4,742,597 | | | | | | — | | | | | | 4,000,000 | | | | | | — | | | | | | 742,597 | | | | | | — | | | | | | — | | | | | | — | | |
Fidelity Advisor Series I: Fidelity Advisor Growth Opportunities Fund(10) | | | | | 2,700,000 | | | | | | — | | | | | | 2,700,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Variable Insurance Products Fund III: Growth Opportunities Portfolio (10) | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Fidelity Advisor Series I: Fidelity Advisor Series Growth Opportunities Fund(10) | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Fidelity U.S. Growth Opportunities Investment Trust by its manager Fidelity Investments Canada ULC(10) | | | | | 100,000 | | | | | | — | | | | | | 100,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Fidelity Select Portfolios: Health Care Services Portfolio(10) | | | | | 1,000,000 | | | | | | — | | | | | | 1,000,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
CVI Investments Inc.(11) | | | | | 300,000 | | | | | | — | | | | | | 300,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Tech Opportunities LLC (12) | | | | | 200,000 | | | | | | — | | | | | | 200,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Jane Street Global Trading, LLC(13) | | | | | 300,000 | | | | | | — | | | | | | 300,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Kepos Alpha Master Fund L.P.(14) | | | | | 200,000 | | | | | | — | | | | | | 200,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Loews Corporation(15) | | | | | 1,000,000 | | | | | | — | | | | | | 1,000,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Capital Master Fund, Ltd(16) | | | | | 25,000 | | | | | | — | | | | | | 25,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Constellation Master Fund, Ltd.(16) | | | | | 188,500 | | | | | | — | | | | | | 188,500 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Constellation Fund II, Ltd.(16) | | | | | 54,200 | | | | | | — | | | | | | 54,200 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Lake Credit Fund LLC(16) | | | | | 35,600 | | | | | | — | | | | | | 35,600 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Longhorn Fund LP(16) | | | | | 27,100 | | | | | | — | | | | | | 27,100 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Purpose Alternative Credit Fund – TLLC(16) | | | | | 11,400 | | | | | | — | | | | | | 11,400 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Purpose Alternative Credit Fund Ltd(16) | | | | | 22,300 | | | | | | — | | | | | | 22,300 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Structured Credit Fund, LP(16) | | | | | 70,300 | | | | | | — | | | | | | 70,300 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Magnetar Xing He Master Fund, Ltd(16) | | | | | 65,600 | | | | | | — | | | | | | 65,600 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Maven Investment Partners US Limited – New York Branch(17) | | | | | 250,000 | | | | | | — | | | | | | 250,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Maverick Fund II, Ltd.(18) | | | | | 679,445 | | | | | | — | | | | | | 679,445 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Maverick Fund USA, Ltd (18) | | | | | 1,820,555 | | | | | | — | | | | | | 1,820,555 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Integrated Core Strategies (US) LLC(19) | | | | | 1,258,900 | | | | | | — | | | | | | 1,250,000 | | | | | | — | | | | | | 8,900 | | | | | | — | | | | | | — | | | | | | — | | |
MMFLT, LLC(20) | | | | | 500,000 | | | | | | — | | | | | | 500,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Parian Global Master Fund LP(21) | | | | | 153,720 | | | | | | — | | | | | | 153,720 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Parian Global US Fund II LP(21) | | | | | 46,280 | | | | | | — | | | | | | 46,280 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Perceptive Life Sciences Master Fund, Ltd(22) | | | | | 3,000,000 | | | | | | — | | | | | | 3,000,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
| | | Shares Common Stock Beneficially Owned Prior to Offering | | | Private Placement Warrants Beneficially Owned Prior to Offering | | | Shares of Class A Common Stock Offered | | | Private Placement Warrants Offered | | | Common Stock Beneficially Owned After the Offered Shares of Common Stock are Sold | | | Private Placement Warrants Beneficially Owned After the Offered Private Placement Warrants are Sold | | | ||||||||||||||||||||||||||||||||
Name of Selling Securityholder | | | Number | | | Percent | | | Number | | | Percent | | | ||||||||||||||||||||||||||||||||||||||
Entities affiliated with Pura Vida Investments, LLC(23) | | | | | 500,000 | | | | | | — | | | | | | 500,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Nineteen 77 Global Merger Arbitrage Master Limited (24) | | | | | 184,600 | | | | | | — | | | | | | 184,600 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Nineteen 77 Global Merger Arbitrage Opportunity Fund(24) | | | | | 30,800 | | | | | | — | | | | | | 30,800 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Nineteen 77 Global Multi-Strategy Alpha Master Limited(24) | | | | | 184,600 | | | | | | — | | | | | | 184,600 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Hawkes Bay Master Investors (Cayman) L.P.(25) | | | | | 553,400 | | | | | | — | | | | | | 553,400 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
North River Investors (Bermuda) L.P.(25) | | | | | 204,700 | | | | | | — | | | | | | 204,700 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
North River Partners, L.P. (25) | | | | | 184,400 | | | | | | — | | | | | | 184,400 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Schroder Investment Management (Luxembourg) S.A.(25) | | | | | 41,600 | | | | | | — | | | | | | 41,600 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
K2 Wellington Liquid Healthcare Master Fund Ltd.(25) | | | | | 15,900 | | | | | | — | | | | | | 15,900 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
O.M. Investment Group, Inc. (26) | | | | | 5,456,108 | | | | | | | | | | | | 7,377,743 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
C.G.D. Investment Group, Inc.(27) | | | | | 2,459,958 | | | | | | | | | | | | 3,328,900 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Joseph N. DeVera, Inc.(28) | | | | | 1,145,186 | | | | | | | | | | | | 1,549,705 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
NKP Caremax, LLC(29) | | | | | 594,506 | | | | | | | | | | | | 804,506 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Mouquin Trotter, Inc.(30) | | | | | 1,156,311 | | | | | | | | | | | | 1,251,215 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
IMC Holdings, L.P.(31) | | | | | 10,467,023 | | | | | | | | | | | | 13,367,023 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Steven Hochberg(32) | | | | | 50,000 | | | | | | | | | | | | 50,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Deerfield Partners, L.P.(33) | | | | | 20,367,417 | | | | | | | | | | | | 10,272,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
DFHTA Sponsor LLC(34) | | | | | 6,685,417 | | | | | | 2,916,667 | | | | | | 6,685,417 | | | | | | 2,916,667 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Randy Simpson(35) | | | | | 421,063 | | | | | | | | | | | | 139,754 | | | | | | — | | | | | | 281,309 | | | | | | — | | | | | | — | | | | | | — | | | | ||
Richard Barasch(36) | | | | | 50,000 | | | | | | | | | | | | 50,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Christopher Wolfe(37) | | | | | 50,000 | | | | | | | | | | | | 50,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Dr. Peter J. Fitzgerald(38) | | | | | 25,000 | | | | | | | | | | | | 25,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Dr. Linda Grais(39) | | | | | 25,000 | | | | | | | | | | | | 25,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Hon. Dr. David J. Shulkin(40) | | | | | 25,000 | | | | | | | | | | | | 25,000 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | ||
Moshin Jaffer, MD(41) | | | | | 384,615 | | | | | | | | | | | | 384,615 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | |
Redemption Date (period to expiration of warrants) | | | Fair Market Value of Class A Common Stock | | |||||||||||||||||||||||||||||||||||||||||||||||||||
| ≤10.00 | | | 11.00 | | | 12.00 | | | 13.00 | | | 14.00 | | | 15.00 | | | 16.00 | | | 17.00 | | | ≥18.00 | | |||||||||||||||||||||||||||||
60 months | | | | | 0.261 | | | | | | 0.281 | | | | | | 0.297 | | | | | | 0.311 | | | | | | 0.324 | | | | | | 0.337 | | | | | | 0.348 | | | | | | 0.358 | | | | | | 0.361 | | |
57 months | | | | | 0.257 | | | | | | 0.277 | | | | | | 0.294 | | | | | | 0.310 | | | | | | 0.324 | | | | | | 0.337 | | | | | | 0.348 | | | | | | 0.358 | | | | | | 0.361 | | |
54 months | | | | | 0.252 | | | | | | 0.272 | | | | | | 0.291 | | | | | | 0.307 | | | | | | 0.322 | | | | | | 0.335 | | | | | | 0.347 | | | | | | 0.357 | | | | | | 0.361 | | |
51 months | | | | | 0.246 | | | | | | 0.268 | | | | | | 0.287 | | | | | | 0.304 | | | | | | 0.320 | | | | | | 0.333 | | | | | | 0.346 | | | | | | 0.357 | | | | | | 0.361 | | |
48 months | | | | | 0.241 | | | | | | 0.263 | | | | | | 0.283 | | | | | | 0.301 | | | | | | 0.317 | | | | | | 0.332 | | | | | | 0.344 | | | | | | 0.356 | | | | | | 0.361 | | |
45 months | | | | | 0.235 | | | | | | 0.258 | | | | | | 0.279 | | | | | | 0.298 | | | | | | 0.315 | | | | | | 0.330 | | | | | | 0.343 | | | | | | 0.356 | | | | | | 0.361 | | |
42 months | | | | | 0.228 | | | | | | 0.252 | | | | | | 0.274 | | | | | | 0.294 | | | | | | 0.312 | | | | | | 0.328 | | | | | | 0.342 | | | | | | 0.355 | | | | | | 0.361 | | |
39 months | | | | | 0.221 | | | | | | 0.246 | | | | | | 0.269 | | | | | | 0.290 | | | | | | 0.309 | | | | | | 0.325 | | | | | | 0.340 | | | | | | 0.354 | | | | | | 0.361 | | |
36 months | | | | | 0.213 | | | | | | 0.239 | | | | | | 0.263 | | | | | | 0.285 | | | | | | 0.305 | | | | | | 0.323 | | | | | | 0.339 | | | | | | 0.353 | | | | | | 0.361 | | |
33 months | | | | | 0.205 | | | | | | 0.232 | | | | | | 0.257 | | | | | | 0.280 | | | | | | 0.301 | | | | | | 0.320 | | | | | | 0.337 | | | | | | 0.352 | | | | | | 0.361 | | |
30 months | | | | | 0.196 | | | | | | 0.224 | | | | | | 0.250 | | | | | | 0.274 | | | | | | 0.297 | | | | | | 0.316 | | | | | | 0.335 | | | | | | 0.351 | | | | | | 0.361 | | |
27 months | | | | | 0.185 | | | | | | 0.214 | | | | | | 0.242 | | | | | | 0.268 | | | | | | 0.291 | | | | | | 0.313 | | | | | | 0.332 | | | | | | 0.350 | | | | | | 0.361 | | |
24 months | | | | | 0.173 | | | | | | 0.204 | | | | | | 0.233 | | | | | | 0.260 | | | | | | 0.285 | | | | | | 0.308 | | | | | | 0.329 | | | | | | 0.348 | | | | | | 0.361 | | |
21 months | | | | | 0.161 | | | | | | 0.193 | | | | | | 0.223 | | | | | | 0.252 | | | | | | 0.279 | | | | | | 0.304 | | | | | | 0.326 | | | | | | 0.347 | | | | | | 0.361 | | |
18 months | | | | | 0.146 | | | | | | 0.179 | | | | | | 0.211 | | | | | | 0.242 | | | | | | 0.271 | | | | | | 0.298 | | | | | | 0.322 | | | | | | 0.345 | | | | | | 0.361 | | |
15 months | | | | | 0.130 | | | | | | 0.164 | | | | | | 0.197 | | | | | | 0.230 | | | | | | 0.262 | | | | | | 0.291 | | | | | | 0.317 | | | | | | 0.342 | | | | | | 0.361 | | |
12 months | | | | | 0.111 | | | | | | 0.146 | | | | | | 0.181 | | | | | | 0.216 | | | | | | 0.250 | | | | | | 0.282 | | | | | | 0.312 | | | | | | 0.339 | | | | | | 0.361 | | |
9 months | | | | | 0.090 | | | | | | 0.125 | | | | | | 0.162 | | | | | | 0.199 | | | | | | 0.237 | | | | | | 0.272 | | | | | | 0.305 | | | | | | 0.336 | | | | | | 0.361 | | |
6 months | | | | | 0.065 | | | | | | 0.099 | | | | | | 0.137 | | | | | | 0.178 | | | | | | 0.219 | | | | | | 0.259 | | | | | | 0.296 | | | | | | 0.331 | | | | | | 0.361 | | |
3 months | | | | | 0.034 | | | | | | 0.065 | | | | | | 0.104 | | | | | | 0.150 | | | | | | 0.197 | | | | | | 0.243 | | | | | | 0.286 | | | | | | 0.326 | | | | | | 0.361 | | |
0 months | | | | | — | | | | | | — | | | | | | 0.042 | | | | | | 0.115 | | | | | | 0.179 | | | | | | 0.233 | | | | | | 0.281 | | | | | | 0.323 | | | | | | 0.361 | | |
| | | | | F-4 | | | |
| | | | | F-5 | | | |
| | | | | F-6 | | | |
| | | | | F-7 | | | |
| | | | | F-8 – F-22 | | | |
| | | | | F-23 | | | |
| | | | | F-24 | | | |
| | | | | F-25 | | | |
| | | | | F-26 | | | |
| | | | | F-27 | | | |
| | | | | F-28 | | | |
| | | | | F-47 | | | |
| | | | | F-48 | | | |
| | | | | F-49 | | | |
| | | | | F-50 | | | |
| | | | | F-51 | | | |
| | | | | F-52 – F-68 | | |
| | | | | F-69 | | | |
| | | | | F-70 | | | |
| | | | | F-71 | | | |
| | | | | F-72 | | | |
| | | | | F-73 – F-90 | | | |
| | | | | F-91 | | | |
| | | | | F-92 | | | |
| | | | | F-93 | | | |
| | | | | F-94 | | | |
| | | | | F-95 | | | |
| | | | | F-97 | | | |
| | | | | F-117 | | | |
| | | | | F-118 | | | |
| | | | | F-119 | | | |
| | | | | F-120 | | | |
| | | | | F-121 | | | |
| | | | | F-122 – F-142 | | |
| | | | | F-143 | | | |
| | | | | F-144 | | | |
| | | | | F-145 | | | |
| | | | | F-146 | | | |
| | | | | F-147 | | | |
| | | | | F-164 | | | |
| | | | | F-166 | | | |
| | | | | F-167 | | | |
| | | | | F-168 | | | |
| | | | | F-169 | | | |
| | | | | F-170 | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS | | | | | | | | | | | | | |
Cash and Cash Equivalents | | | | $ | 6,434,884 | | | | | $ | 4,934,426 | | |
Accounts Receivable | | | | | 8,756,469 | | | | | | 9,395,022 | | |
Inventory | | | | | 15,476 | | | | | | 15,475 | | |
Prepaid Expenses | | | | | 166,932 | | | | | | 182,465 | | |
Risk Settlements Due from Providers | | | | | — | | | | | | 79,964 | | |
Due from Related Parties | | | | | 627,044 | | | | | | 273,505 | | |
Total Current Assets | | | | | 16,000,803 | | | | | | 14,880,857 | | |
Property and Equipment, net | | | | | 6,190,959 | | | | | | 4,796,382 | | |
Goodwill | | | | | 10,067,730 | | | | | | 10,067,730 | | |
Intangible Assets, net | | | | | 8,323,460 | | | | | | 8,575,235 | | |
Other Assets | | | | | 388,074 | | | | | | 182,944 | | |
Total Assets | | | | $ | 40,971,027 | | | | | $ | 38,503,148 | | |
LIABILITIES AND MEMBERS’ EQUITY | | | | | | | | | | | | | |
CURRENT LIABILITIES | | | | | | | | | | | | | |
Current Maturities of Long-Term Debt, net | | | | $ | 992,174 | | | | | $ | 1,004,703 | | |
Accounts Payable | | | | | 2,171,627 | | | | | | 1,044,256 | | |
Due to Related Parties | | | | | — | | | | | | 38,888 | | |
Risk Settlements Due to Providers | | | | | 281,916 | | | | | | 642,946 | | |
Accrued Interest Payable | | | | | 160,726 | | | | | | 148,902 | | |
Accrued Expenses | | | | | 2,437,943 | | | | | | 2,572,188 | | |
Total Current Liabilities | | | | | 6,044,386 | | | | | | 5,451,883 | | |
Long-Term Debt, less current maturities, net | | | | | 26,190,433 | | | | | | 26,324,606 | | |
Other Liabilities | | | | | 707,853 | | | | | | — | | |
Total Liabilities | | | | | 32,942,672 | | | | | | 31,776,489 | | |
MEMBERS’ EQUITY | | | | | | | | | | | | | |
Units (no par value, 200 authorized, issued and outstanding at March 31, 2021 and December 31, 2020) | | | | | 223,100 | | | | | | 223,100 | | |
Members’ Equity | | | | | 7,805,255 | | | | | | 6,503,559 | | |
Total Members’ Equity | | | | | 8,028,355 | | | | | | 6,726,659 | | |
Total Liabilities and Members’ Equity | | | | $ | 40,971,027 | | | | | $ | 38,503,148 | | |
| | | For the Three Months ended March 31, | | |||||||||
| | | 2021 | | | 2020 | | ||||||
Revenue | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 27,818,980 | | | | | $ | 25,041,525 | | |
Other Patient Service Revenue | | | | | 98,691 | | | | | | 138,439 | | |
Total Revenue | | | | | 27,917,672 | | | | | | 25,179,964 | | |
Expenses | | | | | | | | | | | | | |
Medical Expenses | | | | | 18,438,612 | | | | | | 16,157,366 | | |
Selling, General and Administrative Expenses | | | | | 7,673,377 | | | | | | 5,524,251 | | |
Total Operating Expenses | | | | | 26,111,989 | | | | | | 21,681,617 | | |
Interest expense | | | | | 503,987 | | | | | | 327,470 | | |
Net Income | | | | | 1,301,696 | | | | | | 3,170,877 | | |
Net Income (Loss) Attributable to Noncontrolling Interests | | | | | — | | | | | | (89,932) | | |
Net Income Attributable to Controlling Interests | | | | $ | 1,301,696 | | | | | $ | 3,260,810 | | |
Weighted-average Units Outstanding | | | | | 200 | | | | | | 200 | | |
Net Income per Unit – Basic and Diluted | | | | $ | 6,508 | | | | | $ | 16,304 | | |
| | | Units | | | Members’ Units | | | Members’ Equity | | | Total Controlling Interest | | | Noncontrolling Interest | | | Total Members’ Equity | | ||||||||||||||||||
BALANCE – DECEMBER 31, 2019 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 4,937,161 | | | | | $ | 5,160,261 | | | | | $ | (214,196) | | | | | $ | 4,946,065 | | |
Net income (loss) | | | | | | | | | | | | | | | | | 3,260,810 | | | | | | 3,260,810 | | | | | | (89,932) | | | | | | 3,170,877 | | |
Purchase of non-controlling interest | | | | | | | | | | | | | | | | | (400,100) | | | | | | (400,100) | | | | | | — | | | | | | (400,100) | | |
Change in ownership due to change in non-controlling interest | | | | | | | | | | | | | | | | | (43,461) | | | | | | (43,461) | | | | | | 43,461 | | | | | | — | | |
BALANCE – MARCH 31, 2020 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 7,754,409 | | | | | $ | 7,977,509 | | | | | $ | (260,667) | | | | | $ | 7,716,842 | | |
BALANCE – DECEMBER 31, 2020 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 6,503,559 | | | | | $ | 6,726,659 | | | | | $ | — | | | | | $ | 6,726,659 | | |
Net income | | | | | | | | | | | | | | | | | 1,301,696 | | | | | | 1,301,696 | | | | | | — | | | | | | 1,301,696 | | |
BALANCE – MARCH 31, 2021 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 7,805,255 | | | | | $ | 8,028,355 | | | | | $ | — | | | | | $ | 8,028,355 | | |
| | | 2021 | | | 2020 | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | | | | | | |
Net Income | | | | $ | 1,301,696 | | | | | $ | 3,170,877 | | |
Adjustments to Reconcile Net Income to Net Cash Provided by Operating Activities: | | | | | | | | | | | | | |
Depreciation Expense | | | | | 262,285 | | | | | | 216,395 | | |
Amortization Expense | | | | | 251,775 | | | | | | 140,523 | | |
Amortization of Debt Issuance Costs | | | | | 34,569 | | | | | | — | | |
(Increase) Decrease in Assets: | | | | | | | | | | | | | |
Accounts Receivable | | | | | 638,553 | | | | | | (1,878,375) | | |
Inventory | | | | | (1) | | | | | | — | | |
Prepaid Expenses | | | | | 15,533 | | | | | | 27,002 | | |
Risk Settlements Due from Providers | | | | | 79,964 | | | | | | 128,419 | | |
Due from Related Parties | | | | | (353,539) | | | | | | (32,015) | | |
Other Assets | | | | | (205,130) | | | | | | 5,965 | | |
Increase (Decrease) in Liabilities: | | | | | | | | | | | | | |
Accounts Payable | | | | | 1,160,704 | | | | | | (337,404) | | |
Due to Related Parties | | | | | (38,888) | | | | | | (20,457) | | |
Risk Settlements Due to Providers | | | | | (361,030) | | | | | | 294,230 | | |
Accrued Expenses | | | | | (134,245) | | | | | | (348,934) | | |
Other Liabilities | | | | | 707,853 | | | | | | — | | |
Accrued Interest | | | | | 11,824 | | | | | | — | | |
Net Cash Provided by Operating Activities | | | | | 3,371,923 | | | | | | 1,366,226 | | |
CASH FLOWS FROM INVESTING ACTIVITIES | | | | | | | | | | | | | |
Purchase of Property and Equipment | | | | | (1,656,862) | | | | | | (1,387,742) | | |
Purchase of Noncontrolling Interest Ownership | | | | | (33,333) | | | | | | (216,766) | | |
Net Cash Used in Investing Activities | | | | | (1,690,195) | | | | | | (1,604,508) | | |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | | | | | | |
Borrowings under Loan & Security Agreement | | | | | — | | | | | | 2,500,000 | | |
Principal Payments on Long-Term Debt | | | | | (181,270) | | | | | | (30,413) | | |
Net Cash (Used in) Provided by Financing Activities | | | | | (181,270) | | | | | | 2,469,587 | | |
NET INCREASE IN CASH AND CASH EQUIVALENTS | | | | | 1,500,458 | | | | | | 2,231,305 | | |
Cash and Cash Equivalents – Beginning of Year | | | | | 4,934,426 | | | | | | 4,437,704 | | |
CASH AND CASH EQUIVALENTS – END OF PERIOD | | | | $ | 6,434,884 | | | | | $ | 6,669,009 | | |
SUPPLEMENTAL DISCLOSURES OF NONCASH INVESTING AND FINANCING ACTIVITIES | | | | | | | | | | | | | |
Cash Paid for Interest | | | | $ | 503,987 | | | | | $ | 327,526 | | |
Purchase of Non-Controlling Interest through Accounts Payable | | | | $ | — | | | | | $ | 183,334 | | |
| | | Three months ended March 31, 2021 | | | Three months ended March 31, 2020 | | ||||||
HealthSun | | | | | 83% | | | | | | 95% | | |
Simply Healthcare | | | | | 7% | | | | | | 5% | | |
Humana | | | | | 6% | | | | | | 0% | | |
CarePlus | | | | | 3% | | | | | | 0% | | |
Medica | | | | | 1% | | | | | | 0% | | |
| | | | | 100% | | | | | | 100% | | |
| | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | | Weighted Average Amortization Period (years) | | ||||||||||||
March 31, 2021 | | | | | | | | | | | | | | | | | | | | | | | | | |
Risk Contracts | | | | $ | 8,174,299 | | | | | $ | (867,318) | | | | | $ | 7,306,981 | | | | | | 11 | | |
Non-compete agreements | | | | | 1,319,883 | | | | | | (303,404) | | | | | | 1,016,479 | | | | | | 5 | | |
Total | | | | $ | 9,494,182 | | | | | $ | (1,170,722) | | | | | $ | 8,323,460 | | | | | | | | |
| | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | | Weighted Average Amortization Period (years) | | ||||||||||||
December 31, 2020 | | | | | | | | | | | | | | | | | | | | | | | | | |
Risk Contracts | | | | $ | 8,174,299 | | | | | $ | (681,538) | | | | | $ | 7,492,761 | | | | | | 11 | | |
Non-compete agreements | | | | | 1,319,883 | | | | | | (237,409) | ��� | | | | | 1,082,474 | | | | | | 5 | | |
Total | | | | $ | 9,494,182 | | | | | $ | (918,947) | | | | | $ | 8,575,235 | | | | | | | | |
| Remainder of 2021 | | | | $ | 755,321 | | |
| 2022 | | | | | 1,007,095 | | |
| 2023 | | | | | 998,291 | | |
| 2024 | | | | | 944,368 | | |
| 2025 | | | | | 841,215 | | |
| 2026 | | | | | 743,118 | | |
| | | | | $ | 5,289,408 | | |
| Leasehold Improvements | | | 15 to 39 Years | |
| Furniture and Equipment | | | 5 to 7 Years | |
| Vehicles | | | 5 Years | |
| Software | | | 3 Years | |
| | | Three months ended March 31, 2020 | | |||||||||
| | | As Reported | | | Revised | | ||||||
Capitated Revenue | | | | $ | 29,124,807 | | | | | $ | 25,041,525 | | |
Selling, General and Administrative Expenses | | | | $ | 9,607,533 | | | | | $ | 5,524,251 | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
Leasehold Improvements | | | | $ | 2,725,713 | | | | | $ | 2,725,713 | | |
Vehicles | | | | | 2,823,472 | | | | | | 2,823,472 | | |
Furniture and Equipment | | | | | 2,049,685 | | | | | | 1,983,215 | | |
Construction in Progress | | | | | 1,950,586 | | | | | | 360,194 | | |
Total | | | | | 9,549,456 | | | | | | 7,892,594 | | |
Less: Accumulated Depreciation | | | | | (3,358,497) | | | | | | (3,096,212) | | |
Total Property and Equipment, Net | | | | $ | 6,190,959 | | | | | $ | 4,796,382 | | |
| | | 2021 | | | 2020 | | ||||||
Various vehicle notes payable with Mercedes-Benz Financial Services with monthly principal and interest payments ranging from $607 to $996 and maturing August 2024 through November 2025. Interest rates ranging from 3.99% to 5.75%. Secured by the related vehicles. | | | | $ | 237,200 | | | | | $ | 257,023 | | |
Medical equipment note payable with Wells Fargo Equipment Finance with monthly principal and interest payments of $2,961 at an interest rate of 5.71%, matured in March 2021. Secured by the related equipment. | | | | | — | | | | | | 6,286 | | |
Medical equipment note payable with Conestoga Equipment Finance Corp. with monthly principal and interest payments of $818 at an interest rate of 7.88%, matured in February 2021. Secured by the related equipment. | | | | | — | | | | | | 2,037 | | |
Asset purchase agreement holdback payable in equal principal installments over three years from closing, zero interest, final payment August 2022. Unsecured. | | | | | 670,087 | | | | | | 670,087 | | |
Asset purchase agreement holdback. Balloon payment due July 2023. 5% interest per annum. Unsecured. (see Note 5) | | | | | 422,404 | | | | | | 422,404 | | |
Term loan payable due to White Oak Healthcare Finance with variable interest and principal amortization, maturing with a balloon payment in August 2024. Interest includes a base rate of the greater of 2.25% or LIBOR plus an applicable margin between 5% and 6% depending on consolidated leverage ratio. (see below) Security interest granted on all assets of the borrowing entities | | | | | 24,031,102 | | | | | | 24,184,227 | | |
| | | 2021 | | | 2020 | | ||||||
Payroll Protection Plan loan from Chase Bank. Maturity date April 2022 with annual interest rate of 0.98% Unsecured. | | | | | 2,164,145 | | | | | | 2,164,145 | | |
Less: Unamortized Debt Issuance Costs | | | | | (342,331) | | | | | | (376,900) | | |
Total Long-Term Debt | | | | | 27,182,607 | | | | | | 27,329,309 | | |
Less: Current Maturities | | | | | (992,174) | | | | | | (1,004,703) | | |
Long-Term Debt, Less Current Maturities | | | | $ | 26,190,433 | | | | | $ | 26,324,606 | | |
| | | Amount | | |||
Remainder of 2021 | | | | $ | 829,211 | | |
2022 | | | | | 3,143,563 | | |
2023 | | | | | 1,056,997 | | |
2024 | | | | | 22,488,676 | | |
2025 | | | | | 6,492 | | |
Total | | | | $ | 27,524,939 | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
Total Assets | | | | $ | 93,591 | | | | | $ | 93,720 | | |
Total Liabilities | | | | $ | 243,833 | | | | | $ | 243,926 | | |
| | | Amount | | |||
Remainder of 2021 | | | | | 2,838,066 | | |
2022 | | | | | 3,239,967 | | |
2023 | | | | | 3,229,408 | | |
2024 | | | | | 2,979,123 | | |
2025 | | | | | 2,886,998 | | |
thereafter | | | | | 16,293,102 | | |
Total | | | | $ | 31,466,664 | | |
Legal Entity | | | Optional Renewal Term | |
CareMax Medical Group Tamarac | | | One ten year period | |
Managed Health Care Partners | | | Two five year periods | |
CareMax Medical Group North Miami | | | Two five year periods | |
CareMax Medical Group Hialeah | | | One five year period | |
CareMax Medical Group Miami | | | One five year period | |
CareMax Little Havana 1 | | | Five one year periods | |
CareMax East Hiahleah | | | Two five year periods | |
| | | Three months ended March 31, 2020 | | |||||||||
| | | As Reported | | | Revised | | ||||||
Capitated Revenue | | | | $ | 29,124,807 | | | | | $ | 25,041,525 | | |
Selling, General and Administrative Expenses | | | | $ | 9,607,533 | | | | | $ | 5,524,251 | | |
| | | 2020 | | | 2019 | | ||||||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS | | | | | | | | | | | | | |
Cash and Cash Equivalents | | | | $ | 4,934,426 | | | | | $ | 4,437,704 | | |
Accounts Receivable | | | | | 9,395,022 | | | | | | 5,187,182 | | |
Inventory | | | | | 15,475 | | | | | | 10,619 | | |
Prepaid Expenses | | | | | 182,465 | | | | | | 188,493 | | |
Risk Settlements Due from Providers | | | | | 79,964 | | | | | | 128,419 | | |
Due from Related Parties | | | | | 273,505 | | | | | | 109,539 | | |
Total Current Assets | | | | | 14,880,857 | | | | | | 10,061,956 | | |
Property and Equipment, net | | | | | 4,796,382 | | | | | | 3,454,219 | | |
Goodwill | | | | | 10,067,730 | | | | | | 5,577,030 | | |
Intangible Assets, net | | | | | 8,575,235 | | | | | | 5,043,021 | | |
Other Assets | | | | | 182,944 | | | | | | 194,748 | | |
Total Assets | | | | $ | 38,503,148 | | | | | $ | 24,330,974 | | |
LIABILITIES AND MEMBERS’ EQUITY CURRENT LIABILITIES | | | | | | | | | | | | | |
Current Maturities of Long-Term Debt, net | | | | $ | 1,004,703 | | | | | $ | 705,054 | | |
Accounts Payable | | | | | 1,044,256 | | | | | | 1,515,323 | | |
Due to Related Parties | | | | | 38,888 | | | | | | 20,457 | | |
Risk Settlements Due to Providers | | | | | 642,946 | | | | | | 443,653 | | |
Accrued Interest Payable | | | | | 148,902 | | | | | | 123,632 | | |
Accrued Expenses | | | | | 2,572,188 | | | | | | 529,082 | | |
Total Current Liabilities | | | | | 5,451,883 | | | | | | 3,337,201 | | |
Long-Term Debt, less current maturities, net | | | | | 26,324,606 | | | | | | 16,047,708 | | |
Total Liabilities | | | | | 31,776,489 | | | | | | 19,384,909 | | |
MEMBERS’ EQUITY | | | | | | | | | | | | | |
Units (no par value, 200 authorized, issued and outstanding at December 31, 2020 and 2019) | | | | | 223,100 | | | | | | 223,100 | | |
Members’ Equity | | | | | 6,503,559 | | | | | | 4,937,161 | | |
Total Members’ Equity – controlling interest | | | | | 6,726,659 | | | | | | 5,160,261 | | |
Noncontrolling Interest | | | | | — | | | | | | (214,196) | | |
Total Members’ Equity | | | | | 6,726,659 | | | | | | 4,946,065 | | |
Total Liabilities and Members’ Equity | | | | $ | 38,503,148 | | | | | $ | 24,330,974 | | |
| | | 2020 | | | 2019 | | ||||||
Revenue | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 120,055,312 | | | | | $ | 90,109,682 | | |
Other Patient Service Revenue | | | | | 369,939 | | | | | | 491,859 | | |
Total Revenue | | | | | 120,425,251 | | | | | | 90,601,541 | | |
Expenses | | | | | | | | | | | | | |
Medical Expenses | | | | | 67,014,557 | | | | | | 51,622,064 | | |
Administrative Fee | | | | | 17,003,977 | | | | | | 13,237,389 | | |
Selling, General and Administrative Expenses | | | | | 27,107,059 | | | | | | 19,176,227 | | |
Total Operating Expenses | | | | | 111,125,593 | | | | | | 84,035,680 | | |
Interest expense | | | | | 1,728,024 | | | | | | 720,398 | | |
Net Income | | | | | 7,571,634 | | | | | | 5,845,463 | | |
Net Income (Loss) Attributable to Noncontrolling Interests | | | | | (29,269) | | | | | | (173,194) | | |
Net Income Attributable to Controlling Interests | | | | $ | 7,600,903 | | | | | $ | 6,018,657 | | |
Weighted-average Units Outstanding | | | | | 200 | | | | | | 200 | | |
Net Income per Unit- Basic and Diluted | | | | $ | 38,005 | | | | | $ | 30,093 | | |
| | | Units | | | Members’ Units | | | Members’ Equity | | | Total Controlling Interest | | | Noncontrolling Interest | | | Total Members’ Equity | | ||||||||||||||||||
BALANCE – DECEMBER 31, 2018 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 3,806,069 | | | | | $ | 4,029,169 | | | | | $ | (151,348) | | | | | $ | 3,877,821 | | |
Net Income (Loss) | | | | | | | | | | | — | | | | | | 6,018,657 | | | | | | 6,018,657 | | | | | | (173,194) | | | | | | 5,845,463 | | |
Purchase of Noncontrolling Interest Ownership | | | | | | | | | | | — | | | | | | (473,219) | | | | | | (473,219) | | | | | | — | | | | | | (473,219) | | |
Change in Noncontrolling Interest Due to Ownership Change | | | | | | | | | | | — | | | | | | (110,346) | | | | | | (110,346) | | | | | | 110,346 | | | | | | — | | |
Distributions | | | | | | | | | | | — | | | | | | (4,304,000) | | | | | | (4,304,000) | | | | | | — | | | | | | (4,304,000) | | |
BALANCE – DECEMBER 31, 2019 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 4,937,161 | | | | | $ | 5,160,261 | | | | | $ | (214,196) | | | | | $ | 4,946,065 | | |
Net Income (Loss) | | | | | | | | | | | — | | | | | | 7,600,903 | | | | | | 7,600,903 | | | | | | (29,269) | | | | | | 7,571,634 | | |
Purchase of Noncontrolling Interest Ownership | | | | | | | | | | | — | | | | | | (2,100,100) | | | | | | (2,100,100) | | | | | | — | | | | | | (2,100,100) | | |
Change in Noncontrolling Interest Due to Ownership Change | | | | | | | | | | | — | | | | | | (243,465) | | | | | | (243,465) | | | | | | 243,465 | | | | | | — | | |
Distributions | | | | | | | | | | | — | | | | | | (3,690,940) | | | | | | (3,690,940) | | | | | | — | | | | | | (3,690,940) | | |
BALANCE – DECEMBER 31, 2020 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 6,503,559 | | | | | $ | 6,726,659 | | | | | $ | — | | | | | $ | 6,726,659 | | |
| | | 2020 | | | 2019 | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | | | | | | |
Net Income | | | | $ | 7,571,634 | | | | | $ | 5,845,463 | | |
Adjustments to Reconcile Net Income to Net Cash Provided by Operating Activities: | | | | | | | | | | | | | |
Depreciation Expense | | | | | 858,421 | | | | | | 732,552 | | |
Amortization Expense | | | | | 642,786 | | | | | | 243,345 | | |
Amortization of Debt Issuance Costs | | | | | 176,528 | | | | | | 69,139 | | |
Loss on Disposal of Fixed Asset | | | | | — | | | | | | 13,268 | | |
Loss on Extinguishment of Debt | | | | | 451,496 | | | | | | — | | |
(Increase) Decrease in Assets: | | | | | | | | | | | | | |
Accounts Receivable | | | | | (4,207,840) | | | | | | (463,143) | | |
Inventory | | | | | (4,856) | | | | | | (186) | | |
Prepaid Expenses | | | | | 6,028 | | | | | | (3,991) | | |
Risk Settlements Due from Providers | | | | | 48,455 | | | | | | (68,978) | | |
Due from Related Parties | | | | | (163,966) | | | | | | (40,013) | | |
Other Assets | | | | | 11,804 | | | | | | (33,361) | | |
Increase (Decrease) in Liabilities: | | | | | | | | | | | | | |
Accounts Payable | | | | | (685,921) | | | | | | 209,757 | | |
Due to Related Parties | | | | | 18,425 | | | | | | 20,457 | | |
Risk Settlements Due to Providers | | | | | 199,293 | | | | | | 229,273 | | |
Long-term Debt | | | | | — | | | | | | — | | |
Accrued Expenses | | | | | 394,197 | | | | | | 261,592 | | |
Net Cash Provided by Operating Activities | | | | | 5,316,484 | | | | | | 7,015,174 | | |
CASH FLOWS FROM INVESTING ACTIVITIES | | | | | | | | | | | | | |
Purchase of Property and Equipment | | | | | (2,150,584) | | | | | | (730,330) | | |
Acquisition of Business | | | | | (2,565,700) | | | | | | (10,023,106) | | |
Purchase of Noncontrolling Interest Ownership | | | | | (1,896,767) | | | | | | (473,219) | | |
Net Cash Used in Investing Activities | | | | | (6,613,051) | | | | | | (11,226,655) | | |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | | | | | | |
Borrowings under Loan & Security Agreement | | | | | 4,074,895 | | | | | | 11,957,330 | | |
Loan from Paycheck Protection Program | | | | | 2,164,145 | | | | | | — | | |
Proceeds from Line of Credit | | | | | — | | | | | | 2,700,000 | | |
Principal Payments on Line of Credit | | | | | — | | | | | | (1,350,000) | | |
Principal Payments on Long-Term Debt | | | | | (425,445) | | | | | | (511,137) | | |
Debt Issuance Costs | | | | | — | | | | | | (125,000) | | |
Repayments on Purchase Agreement Holdback | | | | | (329,366) | | | | | | — | | |
Member Distributions | | | | | (3,690,940) | | | | | | (4,304,000) | | |
Net Cash Provided by Financing Activities | | | | | 1,793,289 | | | | | | 8,367,193 | | |
NET INCREASE IN CASH AND CASH EQUIVALENTS | | | | | 496,722 | | | | | | 4,155,712 | | |
Cash and Cash Equivalents – Beginning of Year | | | | | 4,437,704 | | | | | | 281,992 | | |
CASH AND CASH EQUIVALENTS – END OF YEAR | | | | $ | 4,934,426 | | | | | $ | 4,437,704 | | |
SUPPLEMENTAL DISCLOSURES OF NONCASH INVESTING AND FINANCING ACTIVITIES | | | | | | | | | | | | | |
Cash Paid for Interest | | | | $ | 1,251,258 | | | | | $ | 527,627 | | |
Purchase of Property and Equipment through Long-Term Debt | | | | $ | 50,000 | | | | | $ | 402,601 | | |
Debt Issuance and Interest Costs Paid through Long-Term Debt | | | | $ | 399,158 | | | | | $ | 566,395 | | |
Payment on Line of Credit through New Debt Proceeds | | | | $ | — | | | | | $ | 2,000,000 | | |
Extinguishment of Long-Term Debt through New Debt Proceeds | | | | $ | 2,500,000 | | | | | $ | 1,476,335 | | |
Acquisition of Business Financed through Long-Term Debt | | | | $ | 6,050,816 | | | | | $ | 1,000,000 | | |
Purchase of Non-Controlling Interest through Accounts Payable | | | | $ | 203,333 | | | | | $ | — | | |
| | | Year ended December 31, 2020 | | | Year ended December 31, 2019 | | ||||||
HealthSun | | | | | 90% | | | | | | 99% | | |
Simply Healthcare | | | | | 6% | | | | | | 1% | | |
Humana | | | | | 2% | | | | | | — | | |
Preferred Care | | | | | 1% | | | | | | — | | |
CarePlus | | | | | 1% | | | | | | — | | |
| | | | | 100% | | | | | | 100% | | |
| | | Hiahleah | | | Coral Way | | | Tamarac | | | Havana 1 | | | Havana 2 | | | Total Company | | ||||||||||||||||||
Balances as of December 31, 2018 | | | | $ | 186,150 | | | | | $ | 322,998 | | | �� | | $ | — | | | | | $ | — | | | | | $ | — | | | | | | 509,148 | | |
Goodwill Acquired | | | | | — | | | | | | — | | | | | | 5,067,882 | | | | | | | | | | | | | | | | | | 5,067,882 | | |
Impairment Losses | | | | | — | | | | | | — | | | | | | — | | | | | | | | | | | | | | | | | | — | | |
Balances as of December 31, 2019 | | | | | 186,150 | | | | | | 322,998 | | | | | | 5,067,882 | | | | | | — | | | | | | — | | | | | | 5,577,030 | | |
Goodwill Acquired | | | | | | | | | | | — | | | | | | — | | | | | | 1,570,700 | | | | | | 2,920,000 | | | | | | 4,490,700 | | |
Impairment Losses | | | | | — | | | | | | — | | | | | | — | | | | | | | | | | | | | | | | | | — | | |
Balances as of December 31, 2020 | | | | $ | 186,150 | | | | | $ | 322,998 | | | | | $ | 5,067,882 | | | | | $ | 1,570,700 | | | | | $ | 2,920,000 | | | | | $ | 10,067,730 | | |
Year ending December 31 | | | Amount | | |||
2021 | | | | | 1,007,095 | | |
2022 | | | | | 1,007,095 | | |
2023 | | | | | 998,291 | | |
2024 | | | | | 944,368 | | |
2025 | | | | | 841,215 | | |
thereafter | | | | | 3,777,171 | | |
| | | | $ | 8,575,235 | | |
| | | Risk Contracts | | | Non-competition Agreements | | | Total Intangible Assets | | |||||||||
Balances as of December 31, 2018 | | | | $ | 395,287 | | | | | $ | 61,078 | | | | | $ | 456,365 | | |
Intangible Assets Acquired | | | | | 4,180,000 | | | | | | 650,000 | | | | | | 4,830,000 | | |
Less Amortization Expense | | | | | (180,617) | | | | | | (62,727) | | | | | | (243,344) | | |
Balances as of December 31, 2019 | | | | | 4,394,670 | | | | | | 648,351 | | | | | | 5,043,021 | | |
Intangible Assets Acquired | | | | | 3,575,000 | | | | | | 600,000 | | | | | | 4,175,000 | | |
Less Amortization Expense | | | | | (476,905) | | | | | | (165,881) | | | | | | (642,786) | | |
Balances as of December 31, 2020 | | | | $ | 7,492,765 | | | | | $ | 1,082,470 | | | | | $ | 8,575,235 | | |
| Leasehold Improvements | | | 15 to 39 Years | |
| Furniture and Equipment | | | 5 to 7 Years | |
| Vehicles . | | | 5 Years | |
| Software . | | | 3 Years | |
| | | 2020 | | | 2019 | | ||||||
Current Assets | | | | $ | — | | | | | $ | 700,909 | | |
Property and Equipment | | | | | 50,000 | | | | | | 401,208 | | |
Security Deposit | | | | | — | | | | | | 23,106 | | |
Identifiable Intangible Assets: | | | | | | | | | | | | | |
Non-compete agreements | | | | | 600,000 | | | | | | 650,000 | | |
Risk Contracts | | | | | 3,575,000 | | | | | | 4,180,000 | | |
Net Assets Acquired | | | | | 4,225,000 | | | | | | 5,955,223 | | |
Excess of Consideration over Net Assets Acquired | | | | | 4,490,700 | | | | | | 5,067,882 | | |
Total Consideration | | | | $ | 8,715,700 | | | | | $ | 11,023,105 | | |
| | | 2020 | | | 2019 | | ||||||
Leasehold Improvements | | | | $ | 2,725,713 | | | | | $ | 971,558 | | |
Vehicles | | | | | 2,823,472 | | | | | | 2,823,473 | | |
Furniture and Equipment | | | | | 1,983,215 | | | | | | 1,330,185 | | |
Construction in Progress | | | | | 360,194 | | | | | | 566,794 | | |
Total | | | | | 7,892,594 | | | | | | 5,692,010 | | |
Less: Accumulated Depreciation | | | | | (3,096,212) | | | | | | (2,237,791) | | |
Total Property and Equipment, Net | | | | $ | 4,796,382 | | | | | $ | 3,454,219 | | |
| | | 2020 | | | 2019 | | ||||||
Various vehicle notes payable with Mercedes-Benz Financial Services with monthly principal and interest payments ranging from $607 to $996 and maturing August 2024 through November 2025. Interest rates ranging from 3.99% to 5.75%. Secured by the related vehicles | | | | $ | 257,023 | | | | | $ | 310,479 | | |
Medical equipment note payable with Wells Fargo Equipment Finance with monthly principal and interest payments of $2,961 at an interest rate of 5.71%, maturing in March 2021. Secured by the related equipment | | | | | 6,286 | | | | | | 43,021 | | |
Medical equipment note payable with Wells Fargo Equipment Finance with monthly principal and interest payments of $1,082 at an interest rate of 5.82%, matured in July 2020. Secured by the related equipment | | | | | — | | | | | | 5,661 | | |
Medical equipment note payable with Conestoga Equipment Finance Corp. with monthly principal and interest payments of $818 at an interest rate of 7.88%, maturing in February 2021. Secured by the related equipment | | | | | 2,037 | | | | | | 11,316 | | |
Medical equipment note payable with Conestoga Equipment Finance Corp. with monthly principal and interest payments of $844 at an interest rate of 7.74%, matured in July 2020. Secured by the related equipment | | | | | — | | | | | | 4,541 | | |
Asset purchase agreement holdback payable in equal principal installments over three years from closing, zero interest, final payment August 2022. Unsecured. (See Note 5) | | | | | 670,087 | | | | | | 1,000,000 | | |
Asset purchase agreement holdback. Balloon payment due July 2023. 5% interest per annum. Unsecured. (see Note 5) | | | | | 422,404 | | | | | | — | | |
Term loan payable due to White Oak Healthcare Finance with variable interest and principal amortization, maturing with a balloon payment in August 2024. Interest includes a base rate of the greater of 2.25% or LIBOR plus an applicable margin between 5% and 6% depending on consolidated leverage ratio. (see below) Security interest granted on all assets of the borrowing entities | | | | | 24,184,227 | | | | | | 16,000,000 | | |
Payroll Protection Plan loan from Chase Bank. Maturity date April 2022 with annual interest rate of 0.98% Unsecured | | | | | 2,164,145 | | | | | | — | | |
Less: Unamortized Debt Issuance Costs | | | | | (376,900) | | | | | | (622,256) | | |
Total Long-Term Debt | | | | | 27,329,309 | | | | | | 16,752,762 | | |
Less: Current Maturities | | | | | (1,004,703) | | | | | | (705,054) | | |
Long-Term Debt, Less Current Maturities | | | | | 26,324,606 | | | | | | 16,047,708 | | |
Year ending December 31, | | | Amount | | |||
2021 | | | | $ | 1,004,703 | | |
2022 | | | | | 3,147,262 | | |
2023 | | | | | 1,056,997 | | |
2024 | | | | | 22,490,755 | | |
2025 | | | | | 6,492 | | |
Total | | | | $ | 27,706,209 | | |
| | | 2020 | | | 2019 | | ||||||
Net Loss | | | | $ | (96,927) | | | | | $ | (20,630) | | |
Total Assets | | | | $ | 93,720 | | | | | $ | — | | |
Total Liabilities | | | | $ | 243,926 | | | | | $ | 53,278 | | |
Year ending December 31, | | | Amount | | |||
2021 | | | | | 3,320,162 | | |
2022 | | | | | 2,721,673 | | |
2023 | | | | | 2,695,461 | | |
2024 | | | | | 2,429,073 | | |
2025 | | | | | 2,320,395 | | |
Thereafter | | | | | 14,904,083 | | |
Total | | | | $ | 28,390,847 | | |
Legal Entity | | | Optional Renewal Term | | |||
CareMax Medical Group Tamarac | | | | | Onetenyearperiod | | |
Managed Health Care Partners | | | | | Twofiveyearperiods | | |
CareMax Medical Group North Miami | | | | | Twofiveyearperiods | | |
CareMax Medical Group Hialeah | | | | | Onefiveyearperiod | | |
CareMax Medical Group Miami | | | | | Onefiveyearperiod | | |
CareMax Little Havana 1 | | | | | Fiveoneyearperiods | | |
CareMax East Hiahleah | | | | | Twofiveyearperiods | | |
| | | CareMax As Reported for the Year Ended December 31, 2020 | | | Havana II acquisition adjustments(1) | | | CareMax Pro Forma | | |||||||||
REVENUE | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 120,055,312 | | | | | $ | 7,104,112 | | | | | $ | 127,159,424 | | |
Other Revenue | | | | | 369,939 | | | | | | — | | | | | | 369,939 | | |
Total Revenue | | | | | 120,425,251 | | | | | | 7,104,112 | | | | | | 127,529,363 | | |
EXPENSES | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 67,014,557 | | | | | | 3,958,090 | | | | | | 70,972,647 | | |
Administrative Fee | | | | | 17,003,977 | | | | | | — | | | | | | 17,003,977 | | |
Selling, General & Administrative Expenses | | | | | 27,107,059 | | | | | | 1,663,158 | | | | | | 28,770,217 | | |
Total Operating Expenses | | | | | 111,125,593 | | | | | | 5,621,248 | | | | | | 116,746,841 | | |
Interest expense | | | | | 1,728,024 | | | | | | — | | | | | | 1,728,024 | | |
Net Income (Loss) | | | | $ | 7,571,634 | | | | | $ | 1,482,864 | | | | | $ | 9,054,498 | | |
Net Income (Loss) Atttributable to Noncontrolling Interest | | | | | (29,269) | | | | | | | | | | | | (29,269) | | |
Net Income Atttributable to Controlling Interest | | | | $ | 7,600,903 | | | | | | | | | | | $ | 9,083,767 | | |
Net Income per unit, basic and diluted | | | | $ | 38,005 | | | | | | | | | | | $ | 45,419 | | |
| | | CareMax As Reported for the Year Ended December 31, 2019 | | | Tamarac acquisition adjustments(2) | | | Havana II acquisition adjustments(2) | | | CareMax Pro Forma | | ||||||||||||
REVENUE | | | | | | | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 90,109,682 | | | | | $ | 7,866,743 | | | | | $ | 7,897,179 | | | | | $ | 105,873,604 | | |
Other Revenue | | | | | 491,859 | | | | | | | | | | | | | | | | | | 491,859 | | |
Total Revenue | | | | | 90,601,541 | | | | | | 7,866,743 | | | | | | 7,897,179 | | | | | | 106,365,463 | | |
EXPENSES | | | | | | | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 51,622,064 | | | | | | 5,236,698 | | | | | | 5,096,579 | | | | | | 61,955,341 | | |
Administrative Fee | | | | | 13,237,389 | | | | | | | | | | | | | | | | | | 13,237,389 | | |
Selling, General and Administrative Expenses | | | | | 19,176,227 | | | | | | 1,258,679 | | | | | | 1,729,189 | | | | | | 22,164,095 | | |
Total Operating Expenses | | | | | 84,035,680 | | | | | | 6,495,377 | | | | | | 6,825,767 | | | | | | 97,356,824 | | |
Interest Expense | | | | | 720,398 | | | | | | — | | | | | | — | | | | | | 720,398 | | |
Net Income | | | | $ | 5,845,463 | | | | | | 1,371,366 | | | | | | 1,071,412 | | | | | $ | 8,288,241 | | |
Net Income (Loss) Atttributable to Noncontrolling Interest | | | | | (173,194) | | | | | | | | | | | | | | | | | | (173,194) | | |
Net Income Atttributable to Controlling | | | | | | | | | | | | | | | | | | | | | | | | | |
Interest | | | | $ | 6,018,657 | | | | | | | | | | | | | | | | | $ | 8,461,435 | | |
Net Income per unit, basic and diluted | | | | $ | 30,093 | | | | | | | | | | | | | | | | | $ | 42,307 | | |
| | | 2019 | | | 2018 | | ||||||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS | | | | | | | | | | | | | |
Cash and Cash Equivalents | | | | $ | 4,437,704 | | | | | $ | 281,992 | | |
Accounts Receivable | | | | | 5,187,182 | | | | | | 4,023,130 | | |
Inventory | | | | | 10,619 | | | | | | 10,433 | | |
Prepaid Expenses | | | | | 188,493 | | | | | | 184,502 | | |
Risk Settlements Due from Providers | | | | | 128,419 | | | | | | 59,441 | | |
Due from Related Parties | | | | | 109,539 | | | | | | 69,526 | | |
Total Current Assets | | | | | 10,061,956 | | | | | | 4,629,024 | | |
Property and Equipment, net | | | | | 3,454,219 | | | | | | 2,665,900 | | |
Goodwill | | | | | 5,577,030 | | | | | | 509,148 | | |
Intangible Assets, net | | | | | 5,043,021 | | | | | | 456,365 | | |
Other Assets | | | | | 194,748 | | | | | | 138,281 | | |
Total Assets | | | | $ | 24,330,974 | | | | | $ | 8,398,718 | | |
LIABILITIES AND MEMBERS’ EQUITY CURRENT LIABILITIES | | | | | | | | | | | | | |
Current Maturities of Long-Term Debt, net | | | | $ | 705,054 | | | | | $ | 485,890 | | |
Line of Credit | | | | | — | | | | | | 650,000 | | |
Accounts Payable | | | | | 1,515,323 | | | | | | 1,305,566 | | |
Due to Related Parties | | | | | 20,457 | | | | | | — | | |
Risk Settlements Due to Providers | | | | | 443,653 | | | | | | 214,380 | | |
Accrued Interest Payable | | | | | 123,632 | | | | | | — | | |
Accrued Expenses | | | | | 529,082 | | | | | | 391,122 | | |
Total Current Liabilities | | | | | 3,337,201 | | | | | | 3,046,958 | | |
Long-Term Debt, less current maturities, net | | | | | 16,047,708 | | | | | | 1,473,939 | | |
Total Liabilities | | | | | 19,384,909 | | | | | | 4,520,897 | | |
MEMBERS’ EQUITY | | | | | | | | | | | | | |
Units (no par value, 200 authorized, issued and outstanding at December 31, 2019 and 2018) | | | | | 223,100 | | | | | | 223,100 | | |
Members’ Equity | | | | | 4,937,161 | | | | | | 3,806,069 | | |
Total Members’ Equity – controlling interest | | | | | 5,160,261 | | | | | | 4,029,169 | | |
Noncontrolling Interest | | | | | (214,196) | | | | | | (151,348) | | |
Total Members’ Equity | | | | | 4,946,065 | | | | | | 3,877,821 | | |
Total Liabilities and Members’ Equity | | | | $ | 24,330,974 | | | | | $ | 8,398,718 | | |
| | | 2019 | | | 2018 | | ||||||
Revenue | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 90,109,682 | | | | | $ | 71,873,280 | | |
Other Revenue | | | | | 491,859 | | | | | | 508,184 | | |
Total Revenue | | | | | 90,601,541 | | | | | | 72,381,464 | | |
Expenses | | | | | | | | | | | | | |
Medical Expenses | | | | | 51,622,064 | | | | | | 44,158,597 | | |
Administrative Expenses | | | | | 33,134,014 | | | | | | 24,737,228 | | |
Total Expenses | | | | | 84,756,078 | | | | | | 68,895,825 | | |
Net Income | | | | | 5,845,463 | | | | | | 3,485,639 | | |
Net Income (Loss) Attributable to Noncontrolling Interests | | | | | (173,194) | | | | | | 16,471 | | |
Net Income Attributable to Controlling Interests | | | | $ | 6,018,657 | | | | | $ | 3,469,168 | | |
Net Income Attributable to Controlling Interests | | | | $ | 6,018,657 | | | | | $ | 3,469,168 | | |
Weighted-average Units Outstanding | | | | | 200 | | | | | | 200 | | |
Net Income per Unit- Basic and Diluted | | | | $ | 30,093 | | | | | $ | 17,346 | | |
| | | Units | | | Members’ Contribution | | | Members’ Equity | | | Total Members’ Equity Controlling Interest | | | Noncontrolling Deficit | | | Total Members’ Equity | | ||||||||||||||||||
BALANCE – JANUARY 1, 2018 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 336,901 | | | | | $ | 560,001 | | | | | $ | (167,819) | | | | | $ | 392,182 | | |
Net Income | | | | | | | | | | | — | | | | | | 3,469,168 | | | | | | 3,469,168 | | | | | | 16,471 | | | | | | 3,485,639 | | |
BALANCE – DECEMBER 31, 2018 | | | | | 200 | | | | | | 223,100 | | | | | | 3,806,069 | | | | | | 4,029,169 | | | | | | (151,348) | | | | | | 3,877,821 | | |
Net Income (Loss) | | | | | | | | | | | — | | | | | | 6,018,657 | | | | | | 6,018,657 | | | | | | (173,194) | | | | | | 5,845,463 | | |
Purchase of Noncontrolling Interest Ownership . | | | | | | | | | | | — | | | | | | (473,219) | | | | | | (473,219) | | | | | | — | | | | | | (473,219) | | |
Change in Noncontrolling Interest Due to Ownership Change | | | | | | | | | | | — | | | | | | (110,346) | | | | | | (110,346) | | | | | | 110,346 | | | | | | — | | |
Distributions | | | | | | | | | | | — | | | | | | (4,304,000) | | | | | | (4,304,000) | | | | | | — | | | | | | (4,304,000) | | |
BALANCE – DECEMBER 31, 2019 | | | | | 200 | | | | | $ | 223,100 | | | | | $ | 4,937,161 | | | | | $ | 5,160,261 | | | | | $ | (214,196) | | | | | $ | 4,946,065 | | |
| | | 2019 | | | 2018 | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | | | | | | |
Net Income | | | | $ | 5,845,463 | | | | | $ | 3,485,639 | | |
Adjustments to Reconcile Net Income to Net Cash Provided by Operating Activities: | | | | | | | | | | | | | |
Depreciation Expense | | | | | 732,552 | | | | | | 570,036 | | |
Amortization Expense | | | | | 312,484 | | | | | | 32,816 | | |
Loss on Disposal of Fixed Asset | | | | | 13,268 | | | | | | — | | |
(Increase) Decrease in Assets: | | | | | | | | | | | | | |
Accounts Receivable | | | | | (463,143) | | | | | | (4,023,130) | | |
Inventory | | | | | (186) | | | | | | (1,594) | | |
Prepaid Expenses | | | | | (3,991) | | | | | | (63,356) | | |
Risk Settlements Due from Providers | | | | | (68,978) | | | | | | (36,895) | | |
Due from Related Parties | | | | | (40,013) | | | | | | 71,721 | | |
Other Assets | | | | | (33,361) | | | | | | 1,455 | | |
Increase (Decrease) in Liabilities: | | | | | | | | | | | | | |
Accounts Payable | | | | | 209,757 | | | | | | 1,167,437 | | |
Due to Related Parties | | | | | 20,457 | | | | | | — | | |
Risk Settlements Due to Providers | | | | | 229,273 | | | | | | 214,380 | | |
Due to Health Plans | | | | | — | | | | | | (934,796) | | |
Accrued Expenses | | | | | 261,592 | | | | | | 101,040 | | |
Net Cash Provided by Operating Activities | | | | | 7,015,174 | | | | | | 584,753 | | |
CASH FLOWS FROM INVESTING ACTIVITIES | | | | | | | | | | | | | |
Purchase of Property and Equipment | | | | | (730,330) | | | | | | (384,642) | | |
Acquisition of Businesses | | | | | (10,023,106) | | | | | | (550,000) | | |
Purchase of Noncontrolling Interest Ownership | | | | | (473,219) | | | | | | — | | |
Net Cash Used in Investing Activities | | | | | (11,226,655) | | | | | | (934,642) | | |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | | | | | | |
Proceeds from Line of Credit | | | | | 2,700,000 | | | | | | 1,950,000 | | |
Principal Payments on Line of Credit | | | | | (1,350,000) | | | | | | (1,300,000) | | |
Proceeds from Issuance of Long-Term Debt | | | | | 11,957,330 | | | | | | — | | |
Principal Payments on Long-Term Debt | | | | | (511,137) | | | | | | (307,781) | | |
Debt Issuance Costs | | | | | (125,000) | | | | | | | | |
Member Distributions | | | | | (4,304,000) | | | | | | — | | |
Net Cash Provided by Financing Activities | | | | | 8,367,193 | | | | | | 342,219 | | |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | | | | | 4,155,712 | | | | | | (7,670) | | |
Cash and Cash Equivalents – Beginning of Year | | | | | 281,992 | | | | | | 289,662 | | |
CASH AND CASH EQUIVALENTS – END OF YEAR | | | | $ | 4,437,704 | | | | | $ | 281,992 | | |
SUPPLEMENTAL DISCLOSURES OF NONCASH INVESTING AND FINANCING ACTIVITIES | | | | | | | | | | | | | |
Cash Paid for Interest | | | | $ | 527,627 | | | | | $ | 96,070 | | |
Purchase of Property and Equipment through Long-Term Debt | | | | $ | 402,601 | | | | | $ | 603,917 | | |
Debt Issuance Costs Paid through Long-Term Debt | | | | $ | 566,395 | | | | | $ | — | | |
Payment on Line of Credit through New Debt Proceeds | | | | $ | 2,000,000 | | | | | $ | — | | |
Extinguishment of Long-Term Debt through New Debt Proceeds | | | | $ | 1,476,335 | | | | | $ | — | | |
Acquisition of Business Financed through Long-Term Debt | | | | $ | 1,000,000 | | | | | $ | 200,000 | | |
| | | Year ended December 31, 2019 | | | Year ended December 31, 2018 | | ||||||
HealthSun | | | | | 99% | | | | | | 100% | | |
Simply Healthcare | | | | | 1% | | | | | | 0% | | |
| | | | | 100% | | | | | | 100% | | |
| | | Hiahleah | | | Coral Way | | | Tamarac | | | Total Company | | ||||||||||||
Balances as of January 1, 2018 | | | | $ | 186,150 | | | | | $ | — | | | | | $ | — | | | | | $ | 186,150 | | |
Aggregate Goodwill Acquired . . . . . . . . . . . . . . . . . | | | | | — | | | | | | 322,998 | | | | | | — | | | | | | 322,998 | | |
Impairment Losses | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Balances as of December 31, 2018 | | | | | 186,150 | | | | | | 322,998 | | | | | | — | | | | | | 509,148 | | |
Goodwill Acquired . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | — | | | | | | — | | | | | | 5,067,882 | | | | | | 5,067,882 | | |
Impairment Losses | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
Balances as of December 31, 2019 | | | | $ | 186,150 | | | | | $ | 322,998 | | | | | $ | 5,067,882 | | | | | $ | 5,577,030 | | |
Year ending December 31, | | | Amount | | |||
2020 | | | | $ | 562,095 | | |
2021 | | | | | 562,095 | | |
2022 | | | | | 562,095 | | |
2023 | | | | | 553,290 | | |
2024 | | | | | 499,368 | | |
Thereafter | | | | | 2,304,078 | | |
Total | | | | $ | 5,043,021 | | |
| | | Risk Contracts | | | Non-competition Agreements | | | Total Intangible Assets | | |||||||||
Balances as of January 1, 2018 | | | | $ | 153,300 | | | | | $ | 25,550 | | | | | $ | 178,850 | | |
Intangible Assets Acquired | | | | | 265,999 | | | | | | 44,332 | | | | | | 310,331 | | |
Less Accumulated Amortization | | | | | (24,012) | | | | | | (8,804) | | | | | | (32,816) | | |
Balances as of December 31, 2018 | | | | | 395,287 | | | | | | 61,078 | | | | | | 456,365 | | |
Intangible Assets Acquired | | | | | 4,180,000 | | | | | | 650,000 | | | | | | 4,830,000 | | |
Less Accumulated Amortization | | | | | (180,617) | | | | | | (62,727) | | | | | | (243,344) | | |
Balances as of December 31, 2019 | | | | $ | 4,394,670 | | | | | $ | 648,351 | | | | | $ | 5,043,021 | | |
| Leasehold Improvements | | | 15 to 39 Years | |
| Furniture and Equipment | | | 5 to 7 Years | |
| Vehicles | | | 5 Years | |
| Software | | | 3 Years | |
| | | 2019 | | | 2018 | | ||||||
Current Assets | | | | $ | 700,909 | | | | | $ | — | | |
Property and Equipment | | | | | 401,208 | | | | | | 116,670 | | |
Security Deposit | | | | | 23,106 | | | | | | — | | |
Identifiable Intangible Assets: | | | | | | | | | | | | | |
Non-compete agreements | | | | | 650,000 | | | | | | 44,333 | | |
Risk Contracts | | | | | 4,180,000 | | | | | | 265,999 | | |
Net Assets Acquired | | | | | 5,955,223 | | | | | | 427,002 | | |
Excess of Consideration over Net Assets Acquired | | | | | 5,067,882 | | | | | | 322,998 | | |
Total Consideration | | | | $ | 11,023,105 | | | | | $ | 750,000 | | |
| | | December 31, 2019 | | | December 31, 2018 | | ||||||
Leasehold Improvements | | | | $ | 971,558 | | | | | $ | 964,444 | | |
Vehicles | | | | | 2,823,473 | | | | | | 2,301,550 | | |
Furniture and Equipment | | | | | 1,330,185 | | | | | | 920,493 | | |
Construction in Progress | | | | | 566,794 | | | | | | 17,370 | | |
Total | | | | | 5,692,010 | | | | | | 4,203,857 | | |
Less: Accumulated Depreciation | | | | | (2,237,791) | | | | | | (1,537,957) | | |
Total Property and Equipment, Net | | | | $ | 3,454,219 | | | | | $ | 2,665,900 | | |
| | | 2019 | | | 2018 | | ||||||
Various vehicle notes payable with Mercedes-Benz Financial Services with monthly principal and interest payments ranging from $607 to $996 and maturing August 2024 through November 2025. Interest rates ranging from 3.99% to 5.75%. Secured by the related vehicles | | | | $ | 310,479 | | | | | $ | 1,625,130 | | |
Vehicle note payable with Toyota Finance with monthly principal and interest payments of $561 at an interest rate of 3.59%, maturing in November 2020. Secured by the related vehicle. Paid off early during 2019 | | | | | — | | | | | | 9,995 | | |
Medical equipment note payable with Wells Fargo Equipment Finance with monthly principal and interest payments of $2,961 at an interest rate of 5.71%, maturing in March 2021. Secured by the related equipment | | | | | 43,021 | | | | | | 75,105 | | |
Medical equipment note payable with Wells Fargo Equipment Finance with monthly principal and interest payments of $1,082 at an interest rate of 5.82%, maturing in March 2021. Secured by the related equipment | | | | | 5,661 | | | | | | 17,942 | | |
Medical equipment note payable with Conestoga Equipment Finance Corp. with monthly principal and interest payments of $818 at an interest rate of 7.88%, maturing in February 2021. Secured by the related equipment | | | | | 11,316 | | | | | | 18,668 | | |
Medical equipment note payable with Conestoga Equipment Finance Corp. with monthly principal and interest payments of $844 at an interest rate of 7.74%, maturing in July 2020. Secured by the related equipment | | | | | 4,541 | | | | | | 12,989 | | |
Two unsecured zero interest notes payable due to Belingroup, Inc. of $100,000 each, maturing in February 2019 and August 2019, respectively | | | | | — | | | | | | 200,000 | | |
Asset purchase agreement holdback payable in equal principal installments over three years from closing, zero interest, final payment August 2022. (See Note 5) | | | | | 1,000,000 | | | | | | — | | |
Term loan payable due to White Oak Healthcare Finance with variable interest and principal amortization, maturing with a balloon payment in August 2024. Interest includes a base rate of the greater of 2.25% or LIBOR plus an applicable margin between 5% and 6% depending on consolidated leverage ratio. (see below) | | | | | 16,000,000 | | | | | | — | | |
Less: Unamortized Debt Issuance Costs | | | | | (622,256) | | | | | | — | | |
Total Long-Term Debt | | | | | 16,752,762 | | | | | | 1,959,829 | | |
Less: Current Maturities | | | | | (705,054) | | | | | | (485,890) | | |
Long-Term Debt, Less Current Maturities | | | | $ | 16,047,708 | | | | | $ | 1,473,939 | | |
Year ending December 31, | | | Amount | | |||
2020 | | | | $ | 705,054 | | |
2021 | | | | | 792,720 | | |
2022 | | | | | 775,237 | | |
2023 | | | | | 435,180 | | |
2024 | | | | | 14,660,335 | | |
Thereafter | | | | | 6,492 | | |
Total | | | | $ | 17,375,018 | | |
| | | 2019 | | | 2018 | | ||||||
Net Loss | | | | $ | (20,630) | | | | | $ | (13,847) | | |
Total Assets | | | | $ | — | | | | | $ | 2,996 | | |
Total Liabilities | | | | $ | 53,278 | | | | | $ | 35,645 | | |
Year ending December 31 | | | Amount | | |||
2020 | | | | $ | 2,118,077 | | |
2021 | | | | | 2,262,714 | | |
2022 | | | | | 1,855,549 | | |
Year ending December 31 | | | Amount | | |||
2023 | | | | | 1,789,475 | | |
2024 | | | | | 1,667,199 | | |
Thereafter | | | | | 6,348,344 | | |
Total | | | | $ | 16,041,358 | | |
| Legal Entity | | | Optional Renewal Term | |
| CareMax Medical Group Tamarac | | | One ten year period | |
| Managed Health Care Partners | | | Two five year periods | |
| CareMax Medical Group North Miami | | | Two five year periods | |
| CareMax Medical Group Hialeah | | | One five year period | |
| CareMax Medical Group Miami | | | One five year period | |
Year ending December 31 | | | Amount | | |||
2020 | | | | $ | 38,535 | | |
2021 | | | | | 10,901 | | |
Total | | | | $ | 49,436 | | |
| | | CareMax As Reported for the Year Ended December 31, 2019 | | | Tamarac acquisition adjustments | | | CareMax Pro Forma | | |||||||||
REVENUE | | | | | | | | | | | | | | | | | | | |
Capitated Revenue | | | | $ | 90,109,682 | | | | | $ | 7,866,743 | | | | | $ | 97,976,425 | | |
Other Revenue | | | | | 491,859 | | | | | | — | | | | | | 491,859 | | |
Total Revenue | | | | | 90,601,541 | | | | | | 7,866,743 | | | | | | 98,468,284 | | |
EXPENSES | | | | | | | | | | | | | | | | | | | |
Medical Expenses | | | | | 51,622,064 | | | | | | 5,236,698 | | | | | | 56,858,762 | | |
Administrative Expenses | | | | | 33,134,014 | | | | | | 1,258,679 | | | | | | 34,392,693 | | |
Total Expenses | | | | | 84,756,078 | | | | | | 6,495,377 | | | | | | 91,251,455 | | |
Net Income | | | | $ | 5,845,463 | | | | | $ | 1,371,366 | | | | | $ | 7,216,829 | | |
Net Income (Loss) Atttributable to Noncontrolling Interest | | | | | (173,194) | | | | | | | | | | | | (173,194) | | |
Net income attributable to controlling interest | | | | $ | 6,018,657 | | | | | $ | 1,371,366 | | | | | $ | 7,390,023 | | |
Net income per unit, basic and diluted | | | | $ | 30,093 | | | | | | — | | | | | $ | 36,950 | | |
| | | CareMax As Reported for the Year Ended December 31, 2018 | | | Tamarac acquisition adjustments | | | CareMax Pro Forma | | |||||||||
REVENUE | | | | | | | | | | | | | | | | | | | |
Capitated Revenue . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | $ | 71,873,280 | | | | | $ | 15,807,000 | | | | | $ | 87,680,280 | | |
Other Revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 508,184 | | | | | | 97,000 | | | | | | 605,184 | | |
Total Revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 72,381,464 | | | | | | 15,904,000 | | | | | | 88,285,464 | | |
EXPENSES | | | | | | | | | | | | | | | | | | | |
Medical Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 44,158,597 | | | | | | 13,020,000 | | | | | | 57,178,597 | | |
Administrative Expenses . . . . . . . . . . . . . . . . . . . . . . | | | | | 24,737,228 | | | | | | 3,122,000 | | | | | | 27,859,228 | | |
Total Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 68,895,825 | | | | | | 16,142,000 | | | | | | 85,037,825 | | |
Net Income (Loss) . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | $ | 3,485,639 | | | | | $ | (238,000) | | | | | $ | 3,247,639 | | |
Net Income (Loss) Atttributable to Noncontrolling Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 16,471 | | | | | | | | | | | | 16,471 | | |
Net Income Atttributable to Controlling Interest . . . . . | | | | $ | 3,469,168 | | | | | | | | | | | $ | 3,231,168 | | |
Net Income per unit, basic and diluted . . . . . . . . . . . . | | | | $ | 17,346 | | | | | | | | | | | $ | 16,156 | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
| | | (unaudited) | | | | | | | | |||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS | | | | | | | | | | | | | |
Cash | | | | $ | 14,000 | | | | | $ | 15,762 | | |
Capitation receivables, net | | | | | 12,418 | | | | | | 12,741 | | |
Other receivables | | | | | 5,510 | | | | | | 5,213 | | |
Prepaid expenses | | | | | 1,019 | | | | | | 1,377 | | |
TOTAL CURRENT ASSETS | | | | | 32,947 | | | | | | 35,093 | | |
RESERVE FUNDS HELD BY HEALTH PLANS | | | | | 1,850 | | | | | | 1,654 | | |
PROPERTY AND EQUIPMENT, NET | | | | | 6,509 | | | | | | 6,908 | | |
GOODWILL | | | | | 85,476 | | | | | | 85,476 | | |
INTANGIBLES, NET | | | | | 17,626 | | | | | | 18,033 | | |
SECURITY DEPOSITS | | | | | 411 | | | | | | 411 | | |
TOTAL ASSETS | | | | $ | 144,819 | | | | | $ | 147,575 | | |
LIABILITIES AND MEMBER’S EQUITY | | | | | | | | | | | | | |
CURRENT LIABILITIES | | | | | | | | | | | | | |
Accounts payable | | | | $ | 2,198 | | | | | $ | 1,864 | | |
Accrued expenses | | | | | 3,881 | | | | | | 4,534 | | |
Current portion of due to sellers | | | | | 65 | | | | | | 465 | | |
Current portion of capital leases | | | | | 243 | | | | | | 393 | | |
Current portion of note payable | | | | | 15 | | | | | | 15 | | |
Amounts due to health plans, net | | | | | 1,468 | | | | | | 1,801 | | |
TOTAL CURRENT LIABILITIES | | | | | 7,870 | | | | | | 9,072 | | |
LONG-TERM DEBT, NET OF DEFERRED FINANCING COSTS | | | | | 77,212 | | | | | | 77,163 | | |
DEFERRED PAYROLL TAXES | | | | | 1,101 | | | | | | 1,101 | | |
CAPITAL LEASES, NET OF CURRENT PORTION | | | | | 50 | | | | | | 54 | | |
TOTAL LIABILITIES | | | | | 86,233 | | | | | | 87,390 | | |
COMMITMENTS AND CONTINGENCIES | | | | | | | | | | | | | |
MEMBER’S EQUITY | | | | | | | | | | | | | |
MEMBERSHIP UNITS (100 authorized, issued and outstanding as of March 31, 2021 and December 31, 2020) | | | | | — | | | | | | — | | |
CONTRIBUTED CAPITAL | | | | | 160,740 | | | | | | 160,740 | | |
RETAINED DEFICIT | | | | | (102,154) | | | | | | (100,555) | | |
TOTAL MEMBER’S EQUITY | | | | | 58,586 | | | | | | 60,185 | | |
TOTAL LIABILITIES AND MEMBER’S EQUITY | | | | $ | 144,819 | | | | | $ | 147,575 | | |
| | | Three Months Ended | | |||||||||
| | | March 31, 2021 | | | March 31, 2020 | | ||||||
| | | (unaudited) | | | (unaudited) | | ||||||
REVENUES, NET | | | | | | | | | | | | | |
Revenue under global capitation | | | | $ | 56,475 | | | | | $ | 49,106 | | |
Other managed care revenue | | | | | 3,063 | | | | | | 3,346 | | |
Other revenues | | | | | 47 | | | | | | 46 | | |
TOTAL REVENUES, NET | | | | | 59,585 | | | | | | 52,498 | | |
MEDICAL SERVICE EXPENSES | | | | | | | | | | | | | |
External medical services under global capitation | | | | | 42,631 | | | | | | 37,624 | | |
Other medical expenses | | | | | 1,952 | | | | | | 1,953 | | |
Direct medical salaries, wages and benefits | | | | | 5,063 | | | | | | 5,390 | | |
TOTAL MEDICAL SERVICE EXPENSES | | | | | 49,646 | | | | | | 44,967 | | |
GROSS PROFIT | | | | | 9,939 | | | | | | 7,531 | | |
OPERATING EXPENSES | | | | | | | | | | | | | |
Salaries, wages, and benefits | | | | | 4,268 | | | | | | 3,025 | | |
General and administrative | | | | | 4,258 | | | | | | 3,710 | | |
Amortization of intangibles | | | | | 407 | | | | | | 407 | | |
Depreciation and amortization | | | | | 659 | | | | | | 866 | | |
TOTAL OPERATING EXPENSES | | | | | 9,592 | | | | | | 8,008 | | |
INCOME (LOSS) FROM OPERATIONS | | | | | 347 | | | | | | (477) | | |
OTHER INCOME (EXPENSE), NET | | | | | | | | | | | | | |
Interest expense | | | | | (1,950) | | | | | | (2,486) | | |
Other income | | | | | 4 | | | | | | 2 | | |
TOTAL OTHER EXPENSE, NET | | | | | (1,946) | | | | | | (2,484) | | |
NET LOSS | | | | $ | (1,599) | | | | | $ | (2,961) | | |
EARNINGS (LOSS) PER UNIT | | | | | | | | | | | | | |
Basic and Diluted | | | | $ | (15,985) | | | | | $ | (29,609) | | |
WEIGHTED AVERAGE NUMBER OF UNITS | | | | | | | | | | | | | |
Basic and Diluted | | | | | 100 | | | | | | 100 | | |
| | | Membership Units | | | Membership Units (Amount) | | | Capital Contributions | | | Retained Deficit | | | Total Member’s Equity | | |||||||||||||||
BALANCE – JANUARY 1, 2020 | | | | | 100 | | | | | $ | — | | | | | $ | 139,328 | | | | | $ | (101,669) | | | | | $ | 37,659 | | |
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | (2,961) | | | | | | (2,961) | | |
BALANCE – MARCH 31, 2020 | | | | | 100 | | | | | $ | — | | | | | $ | 139,328 | | | | | $ | (104,630) | | | | | $ | 34,698 | | |
BALANCE – JANUARY 1, 2021 | | | | | 100 | | | | | $ | — | | | | | $ | 160,740 | | | | | $ | (100,555) | | | | | $ | 60,185 | | |
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | (1,599) | | | | | | (1,599) | | |
BALANCE – MARCH 31, 2021 | | | | | 100 | | | | | $ | — | | | | | $ | 160,740 | | | | | $ | (102,154) | | | | | $ | 58,586 | | |
| | | Three Months Ended | | |||||||||
| | | March 31, 2021 | | | March 31, 2020 | | ||||||
| | | (unaudited) | | | (unaudited) | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | | | | | | |
Net loss | | | | $ | (1,599) | | | | | $ | (2,961) | | |
Reconciliation of net loss to net cash used in operating activities: | | | | | | | | | �� | | | | |
Depreciation and amortization | | | | | 659 | | | | | | 866 | | |
Amortization of intangibles | | | | | 407 | | | | | | 407 | | |
In-kind interest added to long-term debt | | | | | — | | | | | | 2,220 | | |
Amortization of deferred financing fees | | | | | 53 | | | | | | 245 | | |
Changes in operating assets and liabilities: | | | | | | | | | | | | | |
Capitation receivables | | | | | 323 | | | | | | (326) | | |
Other receivables | | | | | (297) | | | | | | (1,363) | | |
Prepaid expenses | | | | | 358 | | | | | | 264 | | |
Reserve funds held by health plans | | | | | (196) | | | | | | 84 | | |
Accounts payable | | | | | 332 | | | | | | 300 | | |
Accrued expenses | | | | | (30) | | | | | | 628 | | |
Amounts due to health plans | | | | | (333) | | | | | | (478) | | |
NET CASH USED IN OPERATING ACTIVITIES | | | | | (323) | | | | | | (114) | | |
CASH FLOWS FROM INVESTING ACTIVITIES | | | | | | | | | | | | | |
Purchases of property and equipment | | | | | (260) | | | | | | (506) | | |
Acquisition exit fees | | | | | (623) | | | | | | — | | |
Payments to Sellers | | | | | (400) | | | | | | — | | |
NET CASH USED IN INVESTING ACTIVITIES | | | | | (1,283) | | | | | | (506) | | |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | | | | | | |
Repayments on capital leases | | | | | (153) | | | | | | (140) | | |
Repayments on notes payable | | | | | (3) | | | | | | (3) | | |
NET CASH USED IN FINANCING ACTIVITIES | | | | | (156) | | | | | | (143) | | |
NET DECREASE IN CASH | | | | | (1,762) | | | | | | (763) | | |
CASH – BEGINNING OF PERIOD | | | | | 15,762 | | | | | | 9,242 | | |
CASH – END OF PERIOD | | | | $ | 14,000 | | | | | $ | 8,479 | | |
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION: | | | | | | | | | | | | | |
Interest paid | | | | $ | 1,897 | | | | | $ | 21 | | |
| | | 2021 | | | 2020 | | ||||||
Performance obligations satisfied over time | | | | $ | 59,538 | | | | | $ | 52,452 | | |
Performance obligations satisfied at a point in time | | | | | 47 | | | | | | 46 | | |
Total revenues, net | | | | $ | 59,585 | | | | | $ | 52,498 | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
Goodwill – opening balance | | | | $ | 85,476 | | | | | $ | 85,476 | | |
Additions to goodwill | | | | | — | | | | | | — | | |
| | | | $ | 85,476 | | | | | $ | 85,476 | | |
| | | Estimated Life (Years) | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | ||||||||||||
Trademarks | | | | | 15 | | | | | $ | 24,405 | | | | | $ | (6,779) | | | | | $ | 17,626 | | |
| | | | | | | | | | $ | 24,405 | | | | | $ | (6,779) | | | | | $ | 17,626 | | |
| | | Estimated Life (Years) | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | ||||||||||||
Trademarks | | | | | 15 | | | | | $ | 24,405 | | | | | $ | (6,372) | | | | | $ | 18,033 | | |
| | | | | | | | | | $ | 24,405 | | | | | $ | (6,372) | | | | | $ | 18,033 | | |
| Remaining nine months of 2021 | | | | $ | 1,220 | | |
| 2022 | | | | | 1,627 | | |
| 2023 | | | | | 1,627 | | |
| 2024 | | | | | 1,627 | | |
| 2025 | | | | | 1,627 | | |
| Thereafter | | | | | 9,898 | | |
| Total | | | | $ | 17,626 | | |
| | | Useful Life | | | March 31, 2021 | | | December 31, 2020 | | |||||||||
Furniture, fixtures and office equipment | | | | | 5 years | | | | | $ | 3,022 | | | | | $ | 2,966 | | |
Leasehold improvements | | | Lesser of lease term or 15 years | | | | | 4,675 | | | | | | 4,593 | | | |||
Medical equipment | | | | | 15 years | | | | | | 515 | | | | | | 497 | | |
Vehicles | | | | | 5 years | | | | | | 2,409 | | | | | | 2,409 | | |
Software | | | | | 3 years | | | | | | 5,560 | | | | | | 5,456 | | |
| | | | | | | | | | | 16,181 | | | | | | 15,921 | | |
Less: Accumulated Depreciation | | | | | | | | | | | (9,672) | | | | | | (9,013) | | |
| | | | | | | | | | $ | 6,509 | | | | | $ | 6,908 | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
Plan | | | Capitated Plan Receivable | | | Capitated Plan Receivable | | ||||||
A | | | | | 6% | | | | | | 6% | | |
B | | | | | 23% | | | | | | 23% | | |
C | | | | | 13% | | | | | | 13% | | |
D | | | | | 10% | | | | | | 10% | | |
E | | | | | 0% | | | | | | 0% | | |
F | | | | | 36% | | | | | | 36% | | |
All other | | | | | 12% | | | | | | 12% | | |
| | | | | 100% | | | | | | 100% | | |
| | | March 31, | | |||||||||
| | | 2021 | | | 2020 | | ||||||
Plan | | | Revenue | | | Revenue | | ||||||
A | | | | | 28% | | | | | | 6% | | |
B | | | | | 16% | | | | | | 23% | | |
C | | | | | 10% | | | | | | 13% | | |
D | | | | | 12% | | | | | | 10% | | |
E | | | | | 1% | | | | | | 0% | | |
F | | | | | 26% | | | | | | 36% | | |
All other | | | | | 7% | | | | | | 12% | | |
| | | | | 100% | | | | | | 100% | | |
| | | March 31, 2021 | �� | | December 31, 2020 | | ||||||
Note payable | | | | $ | 23 | | | | | $ | 26 | | |
Less current portion | | | | | (15) | | | | | | (15) | | |
Note payable, net of current portion | | | | $ | 8 | | | | | $ | 11 | | |
| | | Minimum Rental Payment | | |||
Remaining nine months of 2021 | | | | $ | 1,938 | | |
2022 | | | | | 1,857 | | |
2023 | | | | | 829 | | |
2024 | | | | | 502 | | |
2025 | | | | | 241 | | |
Thereafter | | | | | 72 | | |
| | | | $ | 5,439 | | |
| Remaining nine months of 2021 | | | | $ | 247 | | |
| 2022 | | | | | 19 | | |
| 2023 | | | | | 19 | | |
| 2024 | | | | | 19 | | |
| 2025 | | | | | 7 | | |
| Total minimum lease payments | | | | | 311 | | |
| Less the amount representing interest | | | | | (18) | | |
| Present value of minimum lease payments | | | | | 293 | | |
| Less current maturities | | | | | (243) | | |
| Capital leases, net of current portion | | | | $ | 50 | | |
| | | Class A Units | | | Class B-1 Units | | | Class B-2 Units | | | Class B-3 Units | | | Class C-1 PIUs | | | Class C-2 PIUs | | ||||||||||||||||||
Holding period | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | |
Risk-free rate | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | |
Volatility | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | |
Dividend yield | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
Beginning balance | | | | | 78,076 | | | | | | 28,321 | | |
Granted | | | | | — | | | | | | 76,808 | | |
Forfeited | | | | | — | | | | | | (27,054) | | |
Ending balance | | | | | 78,076 | | | | | | 78,075 | | |
Vested balance | | | | | 35,588 | | | | | | 33,834 | | |
| | | March 31, 2021 | | | March 31, 2020 | | ||||||
Federal taxes at statutory rate | | | | $ | (335,695) | | | | | $ | 233,952 | | |
State income tax, net of federal tax benefit | | | | | (47,668) | | | | | | 49,051 | | |
Permanent differences | | | | | 51,461 | | | | | | 58,533 | | |
Change in valuation allowance | | | | | 331,902 | | | | | | (341,536) | | |
Total income taxes | | | | $ | — | | | | | $ | — | | |
| | | 2020 | | | 2019 | | ||||||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS | | | | | | | | | | | | | |
Cash | | | | $ | 15,761,560 | | | | | $ | 9,241,941 | | |
Capitation receivables, net | | | | | 12,741,232 | | | | | | 10,036,164 | | |
Other receivables | | | | | 5,212,504 | | | | | | 3,469,202 | | |
Prepaid expenses | | | | | 1,377,467 | | | | | | 1,145,825 | | |
TOTAL CURRENT ASSETS | | | | | 35,092,763 | | | | | | 23,893,132 | | |
RESERVE FUNDS HELD BY HEALTH PLANS | | | | | 1,653,516 | | | | | | 1,188,827 | | |
PROPERTY AND EQUIPMENT, NET | | | | | 6,908,179 | | | | | | 8,419,849 | | |
GOODWILL | | | | | 85,476,229 | | | | | | 85,476,229 | | |
INTANGIBLES, NET | | | | | 18,032,584 | | | | | | 19,659,584 | | |
SECURITY DEPOSITS | | | | | 411,458 | | | | | | 466,630 | | |
TOTAL ASSETS | | | | $ | 147,574,729 | | | | | $ | 139,104,251 | | |
LIABILITIES AND MEMBER’S EQUITY | | | | | | | | | | | | | |
CURRENT LIABILITIES | | | | | | | | | | | | | |
Accounts payable | | | | $ | 1,865,289 | | | | | $ | 3,909,544 | | |
Accrued expenses | | | | | 4,534,243 | | | | | | 3,432,243 | | |
Current portion of due to sellers | | | | | 465,000 | | | | | | 100,000 | | |
Current portion of capital leases | | | | | 392,637 | | | | | | 575,443 | | |
Current portion of note payable | | | | | 14,524 | | | | | | 12,816 | | |
Amounts due to health plans, net | | | | | 1,800,898 | | | | | | 3,444,674 | | |
TOTAL CURRENT LIABILITIES | | | | | 9,072,591 | | | | | | 11,474,720 | | |
LONG-TERM DEBT, NET OF DEFERRED FINANCING COSTS | | | | | 77,163,419 | | | | | | 89,125,717 | | |
DEFERRED PAYROLL TAXES | | | | | 1,100,570 | | | | | | — | | |
CAPITAL LEASES, NET OF CURRENT PORTION | | | | | 53,780 | | | | | | 380,145 | | |
DUE TO SELLERS, NET OF CURRENT PORTION | | | | | — | | | | | | 465,000 | | |
TOTAL LIABILITIES | | | | | 87,390,360 | | | | | | 101,445,582 | | |
COMMITMENTS AND CONTINGENCIES | | | | | | | | | | | | | |
MEMBER’S EQUITY | | | | | | | | | | | | | |
MEMBERSHIP UNITS (100 authorized, issued and outstanding as of December 31, 2020 and 2019) | | | | | — | | | | | | — | | |
CONTRIBUTED CAPITAL | | | | | 160,739,626 | | | | | | 139,327,982 | | |
RETAINED DEFICIT | | | | | (100,555,257) | | | | | | (101,669,313) | | |
TOTAL MEMBER’S EQUITY | | | | | 60,184,369 | | | | | | 37,658,669 | | |
TOTAL LIABILITIES AND MEMBER’S EQUITY | | | | $ | 147,574,729 | | | | | $ | 139,104,251 | | |
| | | 2020 | | | 2019 | | ||||||
REVENUES, NET | | | | | | | | | | | | | |
Revenue under global capitation | | | | $ | 216,041,494 | | | | | $ | 184,333,971 | | |
Other managed care revenue | | | | | 10,855,536 | | | | | | 9,764,520 | | |
Other revenues | | | | | 204,268 | | | | | | 946,648 | | |
TOTAL REVENUES, NET | | | | | 227,101,298 | | | | | | 195,045,139 | | |
MEDICAL SERVICE EXPENSES | | | | | | | | | | | | | |
External medical services under global capitation | | | | | 158,136,016 | | | | | | 135,527,074 | | |
Other medical expenses | | | | | 7,093,825 | | | | | | 8,379,941 | | |
Direct medical salaries, wages and benefits | | | | | 21,085,633 | | | | | | 23,156,419 | | |
TOTAL MEDICAL SERVICE EXPENSES | | | | | 186,315,474 | | | | | | 167,063,434 | | |
GROSS PROFIT | | | | | 40,785,824 | | | | | | 27,981,705 | | |
OPERATING EXPENSES | | | | | | | | | | | | | |
Salaries, wages, and benefits | | | | | 13,961,684 | | | | | | 12,889,934 | | |
General and administrative | | | | | 12,741,363 | | | | | | 17,992,950 | | |
Amortization of intangibles | | | | | 1,627,000 | | | | | | 1,627,000 | | |
Depreciation and amortization | | | | | 2,805,663 | | | | | | 2,816,988 | | |
TOTAL OPERATING EXPENSES | | | | | 31,135,710 | | | | | | 35,326,872 | | |
INCOME (LOSS) FROM OPERATIONS | | | | | 9,650,114 | | | | | | (7,345,167) | | |
OTHER INCOME (EXPENSE), NET | | | | | | | | | | | | | |
Interest expense | | | | | (9,536,058) | | | | | | (9,507,247) | | |
Other income | | | | | 1,000,000 | | | | | | — | | |
TOTAL OTHER EXPENSE, NET | | | | | (8,536,058) | | | | | | (9,507,247) | | |
NET INCOME (LOSS) | | | | $ | 1,114,056 | | | | | $ | (16,852,414) | | |
EARNINGS (LOSS) PER UNIT | | | | | | | | | | | | | |
Basic and Diluted | | | | $ | 11,141 | | | | | $ | (168,524) | | |
WEIGHTED AVERAGE NUMBER OF UNITS | | | | | | | | | | | | | |
Basic and Diluted | | | | | 100 | | | | | | 100 | | |
| | | Membership Units | | | Membership Units (Amount) | | | Capital Contributions | | | Retained Deficit | | | Total Member’s Equity | | |||||||||||||||
BALANCE – JANUARY 1, 2019 | | | | | 100 | | | | | $ | — | | | | | $ | 121,972,000 | | | | | $ | (84,816,899) | | | | | $ | 37,155,101 | | |
Member contributions | | | | | — | | | | | | — | | | | | | 17,355,982 | | | | | | — | | | | | | 17,355,982 | | |
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | (16,852,414) | | | | | | (16,852,414) | | |
BALANCE���– DECEMBER 31, 2019 | | | | | 100 | | | | | | — | | | | | | 139,327,982 | | | | | | (101,669,313) | | | | | | 37,658,669 | | |
Conversion of long-term debt to | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
member’s equity | | | | | — | | | | | | — | | | | | | 21,411,644 | | | | | | — | | | | | | 21,411,644 | | |
Net income | | | | | — | | | | | | — | | | | | | — | | | | | | 1,114,056 | | | | | | 1,114,056 | | |
BALANCE – DECEMBER 31, 2020 | | | | | 100 | | | | | $ | — | | | | | $ | 160,739,626 | | | | | $ | (100,555,257) | | | | | $ | 60,184,369 | | |
| | | 2020 | | | 2019 | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | | | | | | |
Net income (loss) | | | | $ | 1,114,056 | | | | | $ | (16,852,414) | | |
Reconciliation of net income (loss) to net cash provided by (used in) operating activities: | | | | | | | | | | | | | |
Depreciation and amortization | | | | | 2,805,663 | | | | | | 2,816,988 | | |
Amortization of intangibles | | | | | 1,627,000 | | | | | | 1,627,000 | | |
In-kind interest added to long-term debt | | | | | 8,611,706 | | | | | | 8,851,726 | | |
Amortization of deferred financing fees | | | | | 852,164 | | | | | | 532,082 | | |
Loss on the sale of equipment | | | | | — | | | | | | 36,696 | | |
Inventory write-off | | | | | — | | | | | | 25,195 | | |
Changes in operating assets and liabilities: | | | | | | | | | | | | | |
Capitation receivables | | | | | (2,705,068) | | | | | | (2,194,158) | | |
Other receivables | | | | | (1,743,302) | | | | | | (1,059,468) | | |
Inventory | | | | | — | | | | | | 213,463 | | |
Income tax receivable | | | | | — | | | | | | 150,000 | | |
Prepaid expenses | | | | | (231,642) | | | | | | (89,877) | | |
Reserve funds held by health plans | | | | | (464,689) | | | | | | (220,000) | | |
Accounts payable | | | | | (2,044,255) | | | | | | 1,638,472 | | |
Accrued expenses | | | | | 1,102,000 | | | | | | 680,819 | | |
Amounts due to health plans | | | | | (1,643,776) | | | | | | (745,061) | | |
Deferred payroll tax liability | | | | | 1,100,570 | | | | | | — | | |
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES | | | | | 8,380,427 | | | | | | (4,588,537) | | |
CASH FLOWS FROM INVESTING ACTIVITIES Purchases of property and equipment | | | | | (1,219,967) | | | | | | (3,061,828) | | |
Payments to seller | | | | | (100,000) | | | | | | — | | |
Acquisitions, net of cash acquired | | | | | — | | | | | | (1,712,862) | | |
Security deposits | | | | | 55,172 | | | | | | (37,815) | | |
NET CASH USED IN INVESTING ACTIVITIES | | | | | (1,264,795) | | | | | | (4,812,505) | | |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | | | | | | |
Repayments on capital leases | | | | | (583,197) | | | | | | (536,381) | | |
Repayments on notes payable | | | | | (12,816) | | | | | | (3,385) | | |
Member contributions | | | | | — | | | | | | 13,515,000 | | |
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES | | | | | (596,013) | | | | | | 12,975,234 | | |
NET INCREASE IN CASH | | | | | 6,519,619 | | | | | ��� | 3,574,192 | | |
CASH – BEGINNING OF YEAR | | | | | 9,241,941 | | | | | | 5,667,749 | | |
CASH – END OF YEAR | | | | $ | 15,761,560 | | | | | $ | 9,241,941 | | |
| | | 2020 | | | 2019 | | ||||||
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION: | | | | | | | | | | | | | |
Interest paid | | | | $ | 72,188 | | | | | $ | 123,439 | | |
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING TRANSACTIONS: | | | | | | | | | | | | | |
Purchase of property and equipment through issuance of note payable | | | | $ | — | | | | | $ | 42,257 | | |
Deferred financing costs of long-term debt upon modification | | | | $ | — | | | | | $ | 3,840,982 | | |
New capital leases – vehicles | | | | $ | 74,026 | | | | | $ | — | | |
Conversion of long-term debt to member’s equity | | | | $ | 21,411,644 | | | | | $ | — | | |
|
| Cash | | | | $ | 72,138 | | |
| Accounts receivable | | | | | 145,831 | | |
| Prepaids expenses | | | | | 17,602 | | |
| Accrued expenses | | | | | (21,773) | | |
| Amounts due to health plans | | | | | (51,870) | | |
| Goodwill | | | | | 1,638,072 | | |
| Total purchase price | | | | $ | 1,800,000 | | |
| Goodwill | | | | $ | 570,324 | | |
| Total purchase price | | | | $ | 570,324 | | |
| | | 2020 | | | 2019 | | ||||||
Performance obligations satisfied over time | | | | $ | 226,897,030 | | | | | $ | 194,098,491 | | |
Performance obligations satisfied at a point in time | | | | | 204,268 | | | | | | 946,648 | | |
Total revenues, net | | | | $ | 227,101,298 | | | | | $ | 195,045,139 | | |
| | | 2020 | | | 2019 | | ||||||
Goodwill – opening balance | | | | $ | 85,476,229 | | | | | $ | 83,267,833 | | |
Additions to goodwill | | | | | — | | | | | | 2,208,396 | | |
| | | | $ | 85,476,229 | | | | | $ | 85,476,229 | | |
| | | Estimated Life (Years) | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | ||||||||||||
Trademarks | | | | | 15 | | | | | $ | 24,405,000 | | | | | $ | (6,372,416) | | | | | $ | 18,032,584 | | |
| | | | | | | | | | $ | 24,405,000 | | | | | $ | (6,372,416) | | | | | $ | 18,032,584 | | |
| | | Estimated Life (Years) | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | ||||||||||||
Trademarks | | | | | 15 | | | | | $ | 24,405,000 | | | | | $ | (4,745,416) | | | | | $ | 19,659,584 | | |
| | | | | | | | | | $ | 24,405,000 | | | | | $ | (4,745,416) | | | | | $ | 19,659,584 | | |
| Years ending December 31: | | | | | | | |
| 2021 | | | | $ | 1,627,000 | | |
| 2022 | | | | | 1,627,000 | | |
| 2023 | | | | | 1,627,000 | | |
| 2024 | | | | | 1,627,000 | | |
| 2025 | | | | | 1,627,000 | | |
| Thereafter | | | | | 9,897,584 | | |
| | | | | $ | 18,032,584 | | |
| | | Useful Life | | | 2020 | | | 2019 | | ||||||
Furniture, fixtures and office equipment | | | 5 years | | | | $ | 2,966,132 | | | | | $ | 2,780,161 | | |
Leasehold improvements | | | Lesser of lease term or 15 years | | | | | 4,593,392 | | | | | | 4,053,863 | | |
Medical equipment | | | 15 years | | | | | 496,453 | | | | | | 441,995 | | |
Vehicles | | | 5 years | | | | | 2,408,689 | | | | | | 2,330,965 | | |
Software | | | 3 years | | | | | 5,456,258 | | | | | | 5,040,476 | | |
| | | | | | | | 15,920,924 | | | | | | 14,647,460 | | |
Less: accumulated depreciation | | | | | | | | (9,012,745) | | | | | | (6,227,611) | | |
| | | | | | | $ | 6,908,179 | | | | | $ | 8,419,849 | | |
| | | 2020 | | | 2019 | | ||||||||||||||||||
Plan | | | Revenue | | | Capitated Plan Receivable | | | Revenue | | | Capitated Plan Receivable | | ||||||||||||
A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 29% | | | | | | 13% | | | | | | 29% | | | | | | 22% | | |
B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 17% | | | | | | 23% | | | | | | 22% | | | | | | 39% | | |
C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 11% | | | | | | 13% | | | | | | 14% | | | | | | 16% | | |
D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 13% | | | | | | 14% | | | | | | 15% | | | | | | 5% | | |
E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 24% | | | | | | 27% | | | | | | 13% | | | | | | 11% | | |
All other | | | | | 6% | | | | | | 10% | | | | | | 7% | | | | | | 7% | | |
| | | | | 100% | | | | | | 100% | | | | | | 100% | | | | | | 100% | | |
| | | 2020 | | | 2019 | | ||||||
Note payable | | | | $ | 26,056 | | | | | $ | 38,872 | | |
Less current portion | | | | | (14,524) | | | | | | (12,816) | | |
Note payable, net of current portion | | | | $ | 11,532 | | | | | $ | 26,056 | | |
| | | Related Party Amounts | | | Non-Related Party Amounts | | | Total | | |||||||||
Years ending December 31: | | | | | | | | | | | | | | | | | | | |
2021. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | $ | 149,573 | | | | | $ | 2,432,018 | | | | | $ | 2,581,591 | | |
2022. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 12,485 | | | | | | 1,844,638 | | | | | | 1,857,123 | | |
2023. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | — | | | | | | 828,769 | | | | | | 828,769 | | |
2024. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | — | | | | | | 501,653 | | | | | | 501,653 | | |
2025. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | — | | | | | | 240,521 | | | | | | 240,521 | | |
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | — | | | | | | 72,468 | | | | | | 72,468 | | |
| | | | $ | 162,058 | | | | | $ | 5,920,067 | | | | | $ | 6,082,125 | | |
| 2021 | | | | $ | 408,273 | | |
| 2022 | | | | | 18,699 | | |
| 2023 | | | | | 18,699 | | |
| 2024 | | | | | 18,699 | | |
| 2025 | | | | | 6,233 | | |
| Total minimum lease payments | | | | | 470,603 | | |
| Less the amount representing interest | | | | | (24,186) | | |
| Present value of minimum lease payments | | | | | 446,417 | | |
| Less current maturities | | | | | (392,637) | | |
| Capital leases, net of current portion | | | | $ | 53,780 | | |
| | | Class A Units | | | Class B-1 Units | | | Class B-2 Units | | | Class B-3 Units | | | Class C-1 PIUs | | | Class C-2 PIUs | | ||||||||||||||||||
Holding period | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | |
Risk-free rate | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | | | | | 0.36% | | |
Volatility | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | | | | | 39.0% | | |
Dividend yield | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | |
| | | Class A Units | | | Class B-1 Units | | | Class B-2 Units | | | Class B-3 Units | | | Class C-1 PIUs | | | Class C-2 PIUs | | ||||||||||||||||||
Holding period | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | 5 | | | | | | N/A | | | | | | N/A | | |
Risk-free rate | | | | | 1.69% | | | | | | 1.69% | | | | | | 1.69% | | | | | | 1.69% | | | | | | N/A | | | | | | N/A | | |
Volatility | | | | | 33.6% | | | | | | 33.6% | | | | | | 33.6% | | | | | | 33.6% | | | | | | N/A | | | | | | N/A | | |
Dividend yield | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | 0% | | | | | | N/A | | | | | | N/A | | |
| | | Number of PIUs 2020 | | | Number of PIUs 2019 | | ||||||
Beginning balance | | | | | 28,321,446 | | | | | | 33,101,708 | | |
Granted | | | | | 76,807,747 | | | | | | 3,395,855 | | |
Forfeited | | | | | (27,053,658) | | | | | | (8,176,117) | | |
Ending balance | | | | | 78,075,535 | | | | | | 28,321,446 | | |
Vested balance | | | | | 33,834,259 | | | | | | 9,983,819 | | |
| | | 2020 | | | 2019 | | ||||||
Federal taxes at statutory rate | | | | $ | 233,952 | | | | | $ | (3,539,007) | | |
State income tax, net of federal tax benefit | | | | | 136,838 | | | | | | (755,770) | | |
Permanent differences | | | | | 58,533 | | | | | | (11,346) | | |
Other | | | | | 555,246 | | | | | | (353,115) | | |
Change in valuation allowance | | | | | (984,569) | | | | | | 4,659,238 | | |
Total income taxes | | | | $ | — | | | | | $ | — | | |
| | | 2020 | | | 2019 | | ||||||
Deferred tax assets: | | | | | | | | | | | | | |
Equipment and improvements | | | | $ | 215,597 | | | | | $ | 577,659 | | |
Goodwill | | | | | 5,138,739 | | | | | | 6,849,421 | | |
Intangible assets | | | | | 1,513,589 | | | | | | 1,674,148 | | |
Accrued expenses | | | | | 425,094 | | | | | | 230,300 | | |
Deferred rent | | | | | 42,103 | | | | | | 38,782 | | |
Transaction expenses | | | | | 22,599 | | | | | | — | | |
Charitable contribution | | | | | 6,245 | | | | | | 5,138 | | |
Sec 163(j) interest expense limitation | | | | | 4,811,174 | | | | | | 4,713,375 | | |
Accrued payroll | | | | | 579,644 | | | | | | 163,270 | | |
Purchase vs lease | | | | | 96,348 | | | | | | 93,079 | | |
Net operating loss carryforwards | | | | | 10,135,067 | | | | | | 9,746,568 | | |
| | | | | 22,986,199 | | | | | | 24,091,740 | | |
Less valuation allowance | | | | | (22,749,868) | | | | | | (23,004,314) | | |
| | | | | 236,331 | | | | | | 1,087,426 | | |
| | | 2020 | | | 2019 | | ||||||
Deferred tax liabilities: Intangible assets | | | | | — | | | | | | — | | |
Debt discount | | | | | — | | | | | | 892,372 | | |
Prepaid expenses | | | | | 236,331 | | | | | | 195,054 | | |
| | | | | 236,331 | | | | | | 1,087,426 | | |
Net Deferred Tax Assets | | | | $ | — | | | | | $ | — | | |
|
| | | 2019 | | | 2018 | | ||||||
ASSETS | | | | | | | | | | | | | |
CURRENT ASSETS | | | | | | | | | | | | | |
Cash | | | | $ | 9,241,941 | | | | | $ | 5,667,749 | | |
Capitation receivables, net | | | | | 10,036,164 | | | | | | 7,842,006 | | |
Other receivables | | | | | 3,469,202 | | | | | | 2,263,903 | | |
Inventory | | | | | — | | | | | | 238,658 | | |
Income tax receivable | | | | | — | | | | | | 150,000 | | |
Prepaid expenses | | | | | 1,145,825 | | | | | | 1,038,346 | | |
TOTAL CURRENT ASSETS | | | | | 23,893,132 | | | | | | 17,200,662 | | |
RESERVE FUNDS HELD BY HEALTH PLANS | | | | | 1,188,827 | | | | | | 968,827 | | |
PROPERTY AND EQUIPMENT, NET | | | | | 8,419,849 | | | | | | 8,169,448 | | |
GOODWILL | | | | | 85,476,229 | | | | | | 83,267,833 | | |
INTANGIBLES, NET | | | | | 19,659,584 | | | | | | 21,286,584 | | |
SECURITY DEPOSITS | | | | | 466,630 | | | | | | 428,815 | | |
TOTAL ASSETS | | | | $ | 139,104,251 | | | | | $ | 131,322,169 | | |
LIABILITIES AND MEMBER’S EQUITY | | | | | | | | | | | | | |
CURRENT LIABILITIES | | | | | | | | | | | | | |
Accounts payable | | | | $ | 3,909,544 | | | | | $ | 2,271,072 | | |
Accrued expenses | | | | | 3,432,243 | | | | | | 2,729,651 | | |
Current portion of due to sellers | | | | | 100,000 | | | | | | — | | |
Current portion of capital leases | | | | | 575,443 | | | | | | 536,381 | | |
Current portion of note payable | | | | | 12,816 | | | | | | — | | |
Amounts due to health plans, net | | | | | 3,444,674 | | | | | | 4,117,541 | | |
TOTAL CURRENT LIABILITIES | | | | | 11,474,720 | | | | | | 9,654,645 | | |
LONG-TERM DEBT, NET OF DEFERRED FINANCING FEES | | | | | 89,125,717 | | | | | | 83,556,835 | | |
CAPITAL LEASES, NET OF CURRENT PORTION | | | | | 380,145 | | | | | | 955,588 | | |
DUE TO SELLERS, NET OF CURRENT PORTION | | | | | 465,000 | | | | | | — | | |
TOTAL LIABILITIES | | | | | 101,445,582 | | | | | | 94,167,068 | | |
COMMITMENTS AND CONTINGENCIES | | | | | | | | | | | | | |
MEMBER’S EQUITY | | | | | | | | | | | | | |
MEMBERSHIP UNITS (100 authorized, issued and outstanding as of December 31, 2019 and 2018) | | | | | — | | | | | | — | | |
CONTRIBUTED CAPITAL | | | | | 139,327,982 | | | | | | 121,972,000 | | |
RETAINED DEFICIT | | | | | (101,669,313) | | | | | | (84,816,899) | | |
TOTAL MEMBER’S EQUITY | | | | | 37,658,669 | | | | | | 37,155,101 | | |
TOTAL LIABILITIES AND MEMBER’S EQUITY | | | | $ | 139,104,251 | | | | | $ | 131,322,169 | | |
| | | 2019 | | | 2018 | | ||||||
REVENUES, NET | | | | | | | | | | | | | |
Revenue under global capitation | | | | $ | 184,333,971 | | | | | $ | 190,012,843 | | |
Other managed care revenue | | | | | 9,764,520 | | | | | | 9,435,357 | | |
Other revenues | | | | | 946,648 | | | | | | 1,437,810 | | |
TOTAL REVENUES, NET | | | | | 195,045,139 | | | | | | 200,886,010 | | |
MEDICAL SERVICE EXPENSES | | | | | | | | | | | | | |
External medical services under global capitation | | | | | 135,527,074 | | | | | | 146,355,834 | | |
Other medical expenses | | | | | 8,379,941 | | | | | | 7,842,808 | | |
Direct medical salaries, wages and benefits | | | | | 23,156,419 | | | | | | 22,062,284 | | |
TOTAL MEDICAL SERVICE EXPENSES | | | | | 167,063,434 | | | | | | 176,260,926 | | |
GROSS PROFIT | | | | | 27,981,705 | | | | | | 24,625,084 | | |
OPERATING EXPENSES | | | | | | | | | | | | | |
Salaries, wages, and benefits | | | | | 12,889,934 | | | | | | 14,753,205 | | |
General and administrative | | | | | 17,992,950 | | | | | | 15,774,688 | | |
Amortization of intangibles | | | | | 1,627,000 | | | | | | 1,632,000 | | |
Depreciation and amortization | | | | | 2,816,988 | | | | | | 2,082,362 | | |
Impairment of goodwill and intangible assets | | | | | — | | | | | | 65,559,076 | | |
TOTAL OPERATING EXPENSES | | | | | 35,326,872 | | | | | | 99,801,331 | | |
LOSS FROM OPERATIONS | | | | | (7,345,167) | | | | | | (75,176,247) | | |
INTEREST EXPENSE | | | | | 9,507,247 | | | | | | 9,410,679 | | |
NET LOSS | | | | $ | (16,852,414) | | | | | $ | (84,586,926) | | |
EARNINGS (LOSS) PER UNIT | | | | | | | | | | | | | |
Basic and Diluted | | | | $ | (168,524) | | | | | $ | (845,869) | | |
WEIGHTED AVERAGE NUMBER OF UNITS | | | | | | | | | | | | | |
Basic and Diluted | | | | | 100 | | | | | | 100 | | |
| | | Membership Units | | | Membership Units (Amount) | | | Capital Contributions | | | Retained Deficit | | | Total Member’s Equity | | | | | | |||||||||||||||||||||||
BALANCE – JANUARY 1, 2018 | | | | | 100 | | | | | $ | — | | | | | $ | 114,972,000 | | | | | $ | (229,973) | | | | | $ | 114,742,027 | | | | | | | | | | | | | | |
Member contributions | | | | | — | | | | | | — | | | | | | 7,000,000 | | | | | | — | | | | | | 7,000,000 | | | | | | | ||||||||
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | (84,586,926) | | | | | | (84,586,926) | | | | | | | ||||||||
BALANCE – DECEMBER 31, 2018 | | | | | 100 | | | | | | — | | | | | | 121,972,000 | | | | | | (84,816,899) | | | | | | 37,155,101 | | | | | | | ||||||||
Member contributions | | | | | — | | | | | | — | | | | | | 17,355,982 | | | | | | — | | | | | | 17,355,982 | | | | | | | ||||||||
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | (16,852,414) | | | | | | (16,852,414) | | | | | | | ||||||||
BALANCE – DECEMBER 31, 2019 | | | | | 100 | | | | | $ | — | | | | | $ | 139,327,982 | | | | | $ | (101,669,313) | | | | | $ | 37,658,669 | | | | | | |
| | | 2019 | | | 2018 | | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | | | | | | |
Net loss | | | | $ | (16,852,414) | | | | | $ | (84,586,926) | | |
Reconciliation of net loss to net cash used in operating activities: | | | | | | | | | | | | | |
Depreciation and amortization | | | | | 2,816,988 | | | | | | 2,082,362 | | |
Impairment of goodwill and intangible assets | | | | | — | | | | | | 65,559,076 | | |
Amortization of intangibles | | | | | 1,627,000 | | | | | | 1,632,000 | | |
In-kind interest added to long-term debt | | | | | 8,851,726 | | | | | | 3,210,502 | | |
Amortization of deferred financing fees | | | | | 532,082 | | | | | | 212,000 | | |
Loss on the sale of equipment | | | | | 36,696 | | | | | | 211,202 | | |
Inventory write-off | | | | | 25,195 | | | | | | — | | |
Changes in operating assets and liabilities: | | | | | | | | | | | | | |
Capitation plan receivables | | | | | (2,194,158) | | | | | | 2,747,170 | | |
Other receivables | | | | | (1,059,468) | | | | | | (1,548,049) | | |
Inventory | | | | | 213,463 | | | | | | 68,840 | | |
Income tax receivable | | | | | 150,000 | | | | | | 936,450 | | |
Prepaid expenses | | | | | (89,877) | | | | | | (367,991) | | |
Reserve funds held by health plans | | | | | (220,000) | | | | | | 422,752 | | |
Accounts payable | | | | | 1,638,472 | | | | | | (201,369) | | |
Accrued expenses | | | | | 680,819 | | | | | | 812,380 | | |
Amounts due to health plans | | | | | (745,061) | | | | | | 1,491,639 | | |
NET CASH USED IN OPERATING ACTIVITIES | | | | | (4,588,537) | | | | | | (7,317,962) | | |
CASH FLOWS FROM INVESTING ACTIVITIES | | | | | | | | | | | | | |
Purchases of property and equipment | | | | | (3,061,828) | | | | | | (3,480,177) | | |
Proceeds from the sale of equipment | | | | | — | | | | | | 681,037 | | |
Acquisitions, net of cash acquired | | | | | (1,712,862) | | | | | | — | | |
Security deposits | | | | | (37,815) | | | | | | 57,636 | | |
NET CASH USED IN INVESTING ACTIVITIES | | | | | (4,812,505) | | | | | | (2,741,504) | | |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | | | | | | |
Repayments on capital leases | | | | | (536,381) | | | | | | (192,104) | | |
Repayments on notes payable | | | | | (3,385) | | | | | | — | | |
Member contributions | | | | | 13,515,000 | | | | | | 7,000,000 | | |
NET CASH PROVIDED BY FINANCING ACTIVITIES | | | | | 12,975,234 | | | | | | 6,807,896 | | |
NET INCREASE (DECREASE) IN CASH | | | | | 3,574,192 | | | | | | (3,251,570) | | |
CASH – BEGINNING OF YEAR | | | | | 5,667,749 | | | | | | 8,919,319 | | |
CASH – END OF YEAR | | | | $ | 9,241,941 | | | | | $ | 5,667,749 | | |
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION: Interest paid | | | | $ | 123,439 | | | | | $ | 5,988,238 | | |
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING TRANSACTIONS: | | | | | | | | | | | | | |
Purchase of property and equipment through issuance of capital leases | | | | $ | — | | | | | $ | 1,684,074 | | |
Purchase of property equipment through issuance of note payable | | | | $ | 42,257 | | | | | $ | — | | |
Deferred financing costs of long-term debt upon modification | | | | $ | 3,840,982 | | | | | $ | — | | |
| Cash | | | | $ | 72,138 | | |
| Accounts receivable | | | | | 145,831 | | |
| Prepaids expenses | | | | | 17,602 | | |
| Accrued expenses | | | | | (21,773) | | |
| Amounts due to health plans | | | | | (51,870) | | |
| Goodwill | | | | | 1,638,072 | | |
| Total purchase price | | | | $ | 1,800,000 | | |
| Goodwill | | | | $ | 570,324 | | |
| Total purchase price | | | | $ | 570,324 | | |
| | | 2019 | | | 2018 | | ||||||
Performance obligations satisfied over time | | | | $ | 191,932,447 | | | | | $ | 198,827,700 | | |
Performance obligations satisfied at a point in time | | | | | 3,112,692 | | | | | | 2,058,310 | | |
Total revenues, net | | | | $ | 195,045,139 | | | | | $ | 200,886,010 | | |
| | | 2019 | | | 2018 | | ||||||
Goodwill – opening balance | | | | $ | 83,267,833 | | | | | $ | 148,691,076 | | |
Additions to goodwill | | | | | 2,208,396 | | | | | | — | | |
Impairment | | | | | — | | | | | | (65,423,243) | | |
| | | | $ | 85,476,229 | | | | | $ | 83,267,833 | | |
| | | Estimated Life (Years) | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | ||||||||||||
Trademarks | | | | | 15 | | | | | $ | 24,405,000 | | | | | $ | (4,745,416) | | | | | $ | 19,659,584 | | |
| | | | | | | | | | $ | 24,405,000 | | | | | $ | (4,745,416) | | | | | $ | 19,659,584 | | |
| | | Estimated Life (Years) | | | Gross Carrying Amount | | | Accumulated Amortization | | | Net Book Value | | ||||||||||||
Trademarks | | | | | 15 | | | | | $ | 24,405,000 | | | | | $ | (3,118,416) | | | | | $ | 21,286,584 | | |
| | | | | | | | | | $ | 24,405,000 | | | | | $ | (3,118,416) | | | | | $ | 21,286,584 | | |
| Years ending December 31: | | | | | | | |
| 2020 | | | | $ | 1,627,000 | | |
| 2021 | | | | | 1,627,000 | | |
| 2022 | | | | | 1,627,000 | | |
| 2023 | | | | | 1,627,000 | | |
| 2024 | | | | | 1,627,000 | | |
| Thereafter | | | | | 11,524,584 | | |
| | | | | $ | 19,659,584 | | |
| | | Useful Life | | | 2019 | | | 2018 | | ||||||
Furniture, fixtures and office equipment | | | 5 years | | | | $ | 2,780,161 | | | | | $ | 2,453,329 | | |
Leasehold improvements | | | Lesser of lease term or 15 years | | | | | 4,053,863 | | | | | | 3,002,326 | | |
Medical equipment | | | 15 years | | | | | 441,995 | | | | | | 369,997 | | |
Vehicles | | | 5 years | | | | | 2,330,965 | | | | | | 2,466,521 | | |
Software | | | 3 years | | | | | 5,040,476 | | | | | | 2,933,550 | | |
| | | | | | | | 14,647,460 | | | | | | 11,225,723 | | |
Less: accumulated depreciation | | | | | | | | (6,227,611) | | | | | | (3,056,275) | | |
| | | | | | | $ | 8,419,849 | | | | | $ | 8,169,448 | | |
| | | 2019 | | | 2018 | | | | | | | | ||||||||||||||||||
Plan | | | Capitated Plan Receivable | | | Revenue | | | Capitated Plan Receivable | | | Revenue | | | | ||||||||||||||||
A | | | | | 22% | | | | | | 29% | | | | | | 26% | | | | | | 25% | | | | | ||||
B | | | | | 39% | | | | | | 22% | | | | | | 23% | | | | | | 25% | | | | | ||||
C | | | | | 16% | | | | | | 14% | | | | | | 23% | | | | | | 11% | | | | | ||||
D | | | | | 5% | | | | | | 15% | | | | | | 22% | | | | | | 10% | | | | | ||||
E | | | | | 0% | | | | | | 1% | | | | | | 0% | | | | | | 11% | | | | | ||||
F | | | | | 11% | | | | | | 13% | | | | | | 3% | | | | | | 9% | | | | | ||||
All other | | | | | 7% | | | | | | 6% | | | | | | 3% | | | | | | 9% | | | | | ||||
| | | | | 100% | | | | | | 100% | | | | | | 100% | | | | | | 100% | | | | |
| | | 2019 | | |||
Note payable | | | | $ | 38,872 | | |
Less current portion | | | | | (12,816) | | |
Note payable, net of current portion | | | | $ | 26,056 | | |
| | | Related Party Amounts | | | Non Related Party Amounts | | | Total | | |||||||||
Years ending December 31: | | | | | | | | | | | | | | | | | | | |
2020 | | | | $ | 1,369,151 | | | | | $ | 1,718,629 | | | | | $ | 3,087,780 | | |
2021 | | | | | 1,398,353 | | | | | | 1,148,818 | | | | | | 2,547,171 | | |
2022 | | | | | 1,083,458 | | | | | | 773,664 | | | | | | 1,857,122 | | |
2023 | | | | | 304,279 | | | | | | 524,490 | | | | | | 828,769 | | |
2024 | | | | | 162,526 | | | | | | 339,127 | | | | | | 501,653 | | |
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 235,873 | | | | | | 77,116 | | | | | | 312,989 | | |
| | | | $ | 4,553,640 | | | | | $ | 4,581,844 | | | | | $ | 9,135,484 | | |
| Years ending December 31: | | | | | | | |
| 2020 | | | | $ | 624,454 | | |
| 2021 | | | | | 389,574 | | |
| Total minimum lease payments | | | | | 1,014,028 | | |
| Less the amount representing interest (7.05%) | | | | | (58,440) | | |
| Present value of minimum lease payments | | | | | 955,588 | | |
| Less current maturities | | | | | (575,443) | | |
| Capital leases, net of current portion | | | | $ | 380,145 | | |
| 2020 | | | | $ | 624,454 | | |
| 2021 | | | | | 389,574 | | |
| | | | | $ | 1,014,028 | | |
| | | Class A Units | | | Class B-1 Units | | | Class B-2 Units | | | Class B-3 Units | |
Holding period | | | 5 | | | 5 | | | 5 | | | 5 | |
Risk-free rate | | | 1.69% | | | 1.69% | | | 1.69% | | | 1.69% | |
Volatility | | | 33.6% | | | 33.6% | | | 33.6% | | | 33.6% | |
Dividend yield | | | 0% | | | 0% | | | 0% | | | 0% | |
| | | Class A Units | | | Class B-1 Units | | | Class B-2 Units | | | Class B-3 Units | |
Holding period | | | 5 | | | 5 | | | 5 | | | 5 | |
Risk-free rate | | | 2.51% | | | 2.51% | | | 2.51% | | | 2.51% | |
Volatility | | | 34.1% | | | 34.1% | | | 34.1% | | | 34.1% | |
Dividend yield | | | 0% | | | 0% | | | 0% | | | 0% | |
| | | Number of PIU’s 2019 | | | Number of PIU’s 2018 | | ||||||
Beginning balance | | | | | 33,101,708 | | | | | | — | | |
Granted | | | | | 3,395,855 | | | | | | 33,101,708 | | |
Forfeited | | | | | (8,176,117) | | | | | | — | | |
Ending balance | | | | | 28,321,446 | | | | | | 33,101,708 | | |
Vested balance | | | | | 9,983,819 | | | | | | 9,489,182 | | |
| | | 2019 | | | 2018 | | ||||||
Federal taxes at statutory rate | | | | $ | (3,539,007) | | | | | $ | (17,763,254) | | |
State income tax, net of federal tax benefit | | | | | (755,770) | | | | | | (3,069,042) | | |
Permanent differences | | | | | (11,346) | | | | | | 2,930,141 | | |
Other | | | | | (353,115) | | | | | | 315,753 | | |
Change in valuation allowance | | | | | 4,659,238 | | | | | | 17,586,402 | | |
Total income taxes | | | | $ | — | | | | | $ | — | | |
| | | 2019 | | | 2018 | | ||||||
Deferred tax assets: | | | | | | | | | | | | | |
Equipment and improvements | | | | $ | 577,659 | | | | | $ | 360,003 | | |
Goodwill | | | | | 6,926,239 | | | | | | 9,703,604 | | |
Accrued expenses | | | | | 230,300 | | | | | | 84,221 | | |
Deferred rent | | | | | 38,782 | | | | | | 30,050 | | |
Charitable contribution | | | | | 5,138 | | | | | | 3,072 | | |
Sec 163(j) interest expense limitation | | | | | 4,713,375 | | | | | | 2,385,118 | | |
Accrued payroll | | | | | 163,270 | | | | | | 243,490 | | |
Purchase vs lease | | | | | 93,079 | | | | | | — | | |
Net operating loss carryforwards | | | | | 9,692,874 | | | | | | 5,895,729 | | |
| | | | | 22,440,716 | | | | | | 18,705,287 | | |
Less valuation allowance | | | | | (22,245,662) | | | | | | (17,591,200) | | |
| | | | | 195,054 | | | | | | 1,114,087 | | |
Deferred tax liabilities: | | | | | | | | | | | | | |
Intangible assets. | | | | | — | | | | | | 935,318 | | |
Prepaid expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 195,054 | | | | | | 178,769 | | |
| | | | | 195,054 | | | | | | 1,114,087 | | |
| | | | $ | — | | | | | $ | — | | |
| | | March 31, 2021 | | | December 31, 2020 | | ||||||
| | | (unaudited) | | | | | | | | |||
Assets: | | | | | | | | | | | | | |
Current assets: | | | | | | | | | | | | | |
Cash | | | | $ | 390,022 | | | | | $ | 908,711 | | |
Prepaid expenses | | | | | 209,626 | | | | | | 198,172 | | |
Total current assets | | | | | 599,648 | | | | | | 1,106,883 | | |
Investments held in Trust Account | | | | | 143,856,248 | | | | | | 143,836,562 | | |
Total assets | | | | $ | 144,455,896 | | | | | $ | 144,943,445 | | |
Liabilities and Stockholders’ Equity: | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | |
Accounts payable | | | | $ | 456,646 | | | | | $ | 458,155 | | |
Accrued expenses | | | | | 4,355,000 | | | | | | 3,168,000 | | |
Franchise tax payable | | | | | 49,365 | | | | | | 129,913 | | |
Total current liabilities | | | | | 4,861,011 | | | | | | 3,756,068 | | |
Deferred underwriting commissions | | | | | 4,443,250 | | | | | | 4,443,250 | | |
Derivative warrant liabilities | | | | | 13,870,006 | | | | | | 24,764,148 | | |
Total liabilities | | | | | 23,174,267 | | | | | | 32,963,466 | | |
Commitments and Contingencies (Note 5) | | | | | | | | | | | | | |
Class A common stock, $0.0001 par value; 11,628,162 and 10,697,997 shares subject to possible redemption at $10.00 per share as of March 31, 2021 and December 31, 2020, respectively | | | | | 116,281,625 | | | | | | 106,979,970 | | |
Stockholders’ Equity: | | | | | | | | | | | | | |
Preferred stock, $0.0001 par value; 1,000,000 shares authorized; none issued and outstanding | | | | | — | | | | | | — | | |
Class A common stock, $0.0001 par value; 100,000,000 shares authorized; 2,746,838 and 3,677,003 shares issued and outstanding (excluding 11,628,162 and 10,697,997 shares subject to possible redemption) as of March 31, 2021 and December 31, 2020, respectively | | | | | 276 | | | | | | 368 | | |
Class B common stock, $0.0001 par value; 10,000,000 shares authorized; 3,593,750 shares issued and outstanding as of March 31, 2021 and December 31, 2020 | | | | | 359 | | | | | | 359 | | |
Additional paid-in capital | | | | | 17,208,460 | | | | | | 26,510,023 | | |
Accumulated deficit | | | | | (12,209,091) | | | | | | (21,510,741) | | |
Total stockholders’ equity | | | | | 5,000,004 | | | | | | 5,000,009 | | |
Total Liabilities and Stockholders’ Equity | | | | $ | 144,455,896 | | | | | $ | 144,943,445 | | |
| General and administrative expenses | | | | $ | 1,547,072 | | |
| General and administrative expenses – related party | | | | | 52,500 | | |
| Franchise tax expense | | | | | 12,606 | | |
| Loss from operations | | | | | (1,612,178) | | |
| Other income (expense) | | | | | | | |
| Interest income from investments held in Trust Account | | | | | 19,686 | | |
| Change in fair value of derivative warrant liabilities | | | | | 10,894,142 | | |
| Net income | | | | $ | 9,301,650 | | |
| Weighted average shares outstanding of Class A common stock | | | | | 14,375,000 | | |
| Basic and diluted net income per share, Class A common stock | | | | $ | — | | |
| Basic weighted average shares outstanding of Class B common stock | | | | | 3,593,750 | | |
| Basic net income per share, Class B common stock | | | | $ | 2.59 | | |
| Diluted weighted average shares outstanding of Class B common stock and nonredeemable warrants | | | | | 4,665,065 | | |
| Diluted net loss per share, Class B common stock and nonredeemable warrants | | | | $ | (0.34) | | |
| | | Common Stock | | | Additional Paid-In Capital | | | Accumulated Deficit | | | Total Stockholders’ Equity | | | | | | | | | | | ||||||||||||||||||||||||||||||
| | | Class A | | | Class B | | | | | ||||||||||||||||||||||||||||||||||||||||||
| | | Shares | | | Amount | | | Shares | | | Amount | | | | | ||||||||||||||||||||||||||||||||||||
Balance – December 31, 2020 | | | | | 3,677,003 | | | | | $ | 368 | | | | | | 3,593,750 | | | | | $ | 359 | | | | | $ | 26,510,023 | | | | | $ | (21,510,741) | | | | | $ | 5,000,009 | | | | | | ||||||
Common stock subject to possible redemption | | | | | (930,165) | | | | | | (93) | | | | | | — | | | | | | — | | | | | | (9,301,557) | | | | | | — | | | | | | (9,301,655) | | | | | | ||||||
Net income | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 9,301,650 | | | | | | 9,301,650 | | | | | | ||||||
Balance – March 31, 2021 | | | | | 2,746,838 | | | | | $ | 275 | | | | | | 3,593,750 | | | | | $ | 359 | | | | | $ | 17,208,466 | | | | | $ | (12,209,091) | | | | | $ | 5,000,004 | | | | | |
| Cash Flows from Operating Activities: | | | | | | | |
| Net income | | | | $ | 9,301,650 | | |
| Adjustments to reconcile net income to net cash used in operating activities: | | | | | | | |
| Interest earned on investments held in Trust Account | | | | | (19,686) | | |
| Change in fair value of warrant liabilities | | | | | (10,894,142) | | |
| Changes in operating assets and liabilities: | | | | | | | |
| Prepaid expenses | | | | | (11,454) | | |
| Accounts payable | | | | | (1,509) | | |
| Accrued expenses | | | | | 1,187,000 | | |
| Franchise tax payable | | | | | (80,548) | | |
| Net cash used in operating activities | | | | | (518,689) | | |
| Net decrease in cash | | | | | (518,689) | | |
| Cash – beginning of the period | | | | | 908,711 | | |
| Cash – end of the period | | | | $ | 390,022 | | |
| Supplemental disclosure of noncash activities: | | | | | | | |
| Change in initial value of Class A common stock subject to possible redemption | | | | $ | (9,301,655) | | |
Description | | | Quoted Prices in Active Markets (Level 1) | | | Significant Other Observable Inputs (Level 2) | | | Significant Other Unobservable Inputs (Level 3) | | |||||||||
Investments held in Trust Account | | | | $ | 143,836,562 | | | | | $ | — | | | | | $ | — | | |
Derivative warrant liabilities –Public Warrants | | | | $ | 6,641,250 | | | | | $ | — | | | | | $ | — | | |
Derivative warrant liabilities –Private Warrants | | | | $ | — | | | | | $ | — | | | | | $ | 7,228,756 | | |
Description | | | Quoted Prices in Active Markets (Level 1) | | | Significant Other Observable Inputs (Level 2) | | | Significant Other Unobservable Inputs (Level 3) | | |||||||||
Investments held in Trust Account | | | | $ | 248,988,147 | | | | | $ | — | | | | | $ | — | | |
Derivative warrant liabilities –Public Warrants | | | | $ | 11,787,500 | | | | | $ | — | | | | | $ | — | | |
Derivative warrant liabilities –Private Warrants | | | | $ | — | | | | | $ | — | | | | | $ | 12,976,648 | | |
| | | As of December 31, 2020 | | | As of March 31, 2021 | | ||||||
Exercise price | | | | $ | 11.50 | | | | | $ | 11.50 | | |
Unit price | | | | $ | 10.00 | | | | | $ | 13.10 | | |
Volatility | | | | | 25.0% | | | | | | 25.0% | | |
Probability of completing a Business Combination | | | | | 78.0% | | | | | | 77.2% | | |
Expected life of the options to convert | | | | | 5.42 | | | | | | 5.17 | | |
Risk-free rate | | | | | 0.42% | | | | | | 0.96% | | |
Dividend yield | | | | | 0.0% | | | | | | 0.0% | | |
| Derivative warrant liabilities at December 31, 2020 | | | | $ | 12,976,648 | | |
| Change in fair value of derivative warrant liabilities | | | | | (5,747,982) | | |
| Derivative warrant liabilities at March 31, 2021 | | | | $ | 7,228,756 | | |
| Assets: | | | | | | | |
| Current assets: | | | | | | | |
| Cash | | | | $ | 908,711 | | |
| Prepaid expenses | | | | | 198,172 | | |
| Total current assets | | | | | 1,106,883 | | |
| Investments held in Trust Account | | | | | 143,836,562 | | |
| Total assets | | | | $ | 144,943,445 | | |
| Liabilities and Stockholders’ Equity: | | | | | | | |
| Current liabilities: | | | | | | | |
| Accounts payable | | | | $ | 458,155 | | |
| Accrued expenses | | | | | 3,168,000 | | |
| Franchise tax payable | | | | | 129,913 | | |
| Total current liabilities | | | | | 3,756,068 | | |
| Deferred underwriting commissions | | | | | 4,443,250 | | |
| Derivative warrant liabilities | | | | | 24,764,148 | | |
| Total liabilities | | | | | 32,963,466 | | |
| Commitments and Contingencies (Note 6) | | | | | | | |
| Class A common stock, $0.0001 par value; 10,697,997 shares subject to possible redemption at $10.00 per share | | | | | 106,979,970 | | |
| Stockholders’ Equity: | | | | | | | |
| Preferred stock, $0.0001 par value; 1,000,000 shares authorized; none issued and outstanding | | | | | — | | |
| Class A common stock, $0.0001 par value; 100,000,000 shares authorized; 3,677,003 shares issued and outstanding (excluding 10,697,997 shares subject to possible redemption) | | | | | 368 | | |
| Class B common stock, $0.0001 par value; 10,000,000 shares authorized; 3,593,750 shares issued and outstanding | | | | | 359 | | |
| Additional paid-in capital | | | | | 26,510,023 | | |
| Accumulated deficit | | | | | (21,510,741) | | |
| Total stockholders’ equity | | | | | 5,000,009 | | |
| Total Liabilities and Stockholders’ Equity | | | | $ | 144,943,445 | | |
| General and administrative expenses | | | | $ | 3,776,741 | | |
| General and administrative expenses – related party | | | | | 105,000 | | |
| Franchise tax expense | | | | | 129,913 | | |
| Loss from operations | | | | | (4,011,654) | | |
| Other income (expense) | | | | | | | |
| Interest income from investments held in Trust Account | | | | | 86,562 | | |
| Change in fair value of warrant liabilities | | | | | (17,585,649) | | |
| Net loss | | | | $ | (21,510,741) | | |
| Weighted average shares outstanding of Class A common stock | | | | | 14,375,000 | | |
| Basic and diluted net income per share | | | | $ | — | | |
| Weighted average shares outstanding of Class B common stock | | | | | 3,468,192 | | |
| Basic and diluted net loss per share | | | | $ | (6.20) | | |
| | | Common Stock | | | Additional Paid-In Capital | | | Accumulated Deficit | | | Total Stockholders’ Equity | | ||||||||||||||||||||||||||||||
| | | Class A | | | Class B | | ||||||||||||||||||||||||||||||||||||
| | | Shares | | | Amount | | | Shares | | | Amount | | ||||||||||||||||||||||||||||||
Balance – May 8, 2020 (inception) | | | | | — | | | | | $ | — | | | | | | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | | | | $ | — | | |
Issuance of Class B common stock to Sponsor | | | | | — | | | | | | — | | | | | | 3,593,750 | | | | | | 359 | | | | | | 24,641 | | | | | | — | | | | | | 25,000 | | |
Sale of Class A common stock in initial public offering, net of warrant liabilities | | | | | 14,375,000 | | | | | | 1,438 | | | | | | — | | | | | | — | | | | | | 140,273,212 | | | | | | — | | | | | | 140,274,650 | | |
Offering costs | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (7,480,781) | | | | | | — | | | | | | (7,480,781) | | |
Excess of cash received over fair value of private placement warrants | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 671,851 | | | | | | — | | | | | | 671,851 | | |
Common stock subject to possible redemption | | | | | (10,697,997) | | | | | | (1,070) | | | | | | — | | | | | | — | | | | | | (106,978,900) | | | | | | — | | | | | | (106,979,970) | | |
Net loss | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (21,510,741) | | | | | | (21,510,741) | | |
Balance – December 31, 2020 (restated) | | | | | 3,677,003 | | | | | $ | 368 | | | | | | 3,593,750 | | | | | $ | 359 | | | | | $ | 26,510,023 | | | | | $ | (21,510,741) | | | | | $ | 5,000,009 | | |
| Cash Flows from Operating Activities: | | | | | | | |
| Net loss | | | | $ | (21,510,741) | | |
| Adjustments to reconcile net loss to net cash used in operating activities: | | | | | | | |
| Interest earned on investments held in Trust Account | | | | | (86,562) | | |
| Change in fair value of derivative warrant liabilities | | | | | 17,585,649 | | |
| Changes in operating assets and liabilities: | | | | | | | |
| Prepaid expenses | | | | | (197,818) | | |
| Accounts payable | | | | | 455,911 | | |
| Accrued expenses | | | | | 3,168,000 | | |
| Franchise tax payable | | | | | 129,913 | | |
| Net cash used in operating activities | | | | | (455,648) | | |
| Cash Flows from Investing Activities | | | | | | | |
| Principal deposited in Trust Account | | | | | (143,750,000) | | |
| Net cash used in investing activities | | | | | (143,750,000) | | |
| Cash Flows from Financing Activities: | | | | | | | |
| Proceeds from issuance of Class B common stock to Sponsor | | | | | 25,000 | | |
| Proceeds from note payable to related party | | | | | 200,000 | | |
| Repayment of note payable to related party | | | | | (200,000) | | |
| Proceeds received from initial public offering, gross | | | | | 143,750,000 | | |
| Proceeds received from private placement | | | | | 4,375,000 | | |
| Offering costs paid | | | | | (3,035,641) | | |
| Net cash provided by financing activities | | | | | 145,114,359 | | |
| Net increase in cash | | | | | 908,711 | | |
| Cash – beginning of the period | | | | | — | | |
| Cash – end of the period | | | | $ | 908,711 | | |
| Supplemental disclosure of noncash activities: | | | | | | | |
| Offering costs included in accounts payable | | | | $ | 1,890 | | |
| Prepaid expenses included in accounts payable | | | | $ | 354 | | |
| Deferred underwriting commissions in connection with the initial public offering | | | | $ | 4,443,250 | | |
| Initial classification of Class A common stock subject to possible redemption | | | | $ | 128,444,190 | | |
| Change in initial value of Class A common stock subject to possible redemption | | | | $ | (21,464,220) | | |
| Initial fair value of warrant liabilities | | | | $ | 7,178,499 | | |
| | | As of December 31, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Balance Sheet | | | | | | | | | | | | | | | | | | | |
Total assets | | | | $ | 144,943,445 | | | | | $ | — | | | | | $ | 144,943,445 | | |
Liabilities and stockholders’ equity | | | | | | | | | | | | | | | | | | | |
Total current liabilities | | | | $ | 3,756,068 | | | | | $ | — | | | | | $ | 3,756,068 | | |
Deferred underwriting commissions | | | | | 4,443,250 | | | | | | — | | | | | | 4,443,250 | | |
Derivative warrant liabilities | | | | | — | | | | | | 24,764,148 | | | | | | 24,764,148 | | |
Total liabilities | | | | | 8,199,318 | | | | | | 24,764,148 | | | | | | 32,963,466 | | |
Class A ordinary shares, $0.0001 par value; shares subject to possible redemption | | | | | 131,744,120 | | | | | | (24,764,150) | | | | | | 106,979,970 | | |
Stockholders’ equity | | | | | | | | | | | | | | | | | | | |
Preferred stock- $0.0001 par value | | | | | — | | | | | | — | | | | | | — | | |
Class A ordinary stock – $0.0001 par value | | | | | 120 | | | | | | 248 | | | | | | 368 | | |
Class B ordinary stock – $0.0001 par value | | | | | 359 | | | | | | — | | | | | | 359 | | |
Additional paid-in-capital | | | | | 8,924,620 | | | | | | 17,585,403 | | | | | | 26,510,023 | | |
Accumulated deficit | | | | | (3,925,092) | | | | | | (17,585,649) | | | | | | (21,510,741) | | |
Total stockholders’ equity | | | | | 5,000,007 | | | | | | 2 | | | | | | 5,000,009 | | |
Total liabilities and stockholders’ equity | | | | $ | 144,943,445 | | | | | $ | — | | | | | $ | 144,943,445 | | |
| | | For the Period from May 8, 2020 (inception) through December 31, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Statement of Operations | | | | | | | | | | | | | | | | | | | |
Loss from operations | | | | $ | (4,011,654) | | | | | $ | — | | | | | $ | (4,011,654) | | |
Other (expense) income: | | | | | | | | | | | | | | | | | | | |
Fair value adjustment on derivative warrant liabilities | | | | | — | | | | | | (17,585,649) | | | | | | (17,585,649) | | |
Interest earned on investments held in Trust Account | | | | | 86,562 | | | | | | — | | | | | | 86,562 | | |
Total other (expense) income | | | | | 86,562 | | | | | | (17,585,649) | | | | | | (17,499,087) | | |
Net loss | | | | $ | (3,925,092) | | | | | $ | (17,585,649) | | | | | $ | (21,510,741) | | |
Basic and Diluted weighted-average Class A ordinary shares outstanding | | | | | 14,375,000 | | | | | | — | | | | | | 14,375,000 | | |
Basic and Diluted net loss per Class A share | | | | $ | — | | | | | | — | | | | | $ | — | | |
Basic and Diluted weighted-average Class B ordinary shares outstanding | | | | | 3,468,192 | | | | | | — | | | | | | 3,468,192 | | |
Basic and Diluted net loss per Class B share | | | | $ | (1.13) | | | | | | — | | | | | $ | (6.20) | | |
| | | For the Period from May 8, 2020 (inception) through December 31, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Statement of Cash Flows | | | | | | | | | | | | | | | | | | | |
Net loss | | | | $ | (3,925,092) | | | | | $ | (17,585,649) | | | | | $ | (21,510,741) | | |
Adjustment to reconcile net loss to net cash used in operating activities | | | | | (86,562) | | | | | | 17,585,649 | | | | | | 17,499,087 | | |
Net cash used in operating activities | | | | | (455,648) | | | | | | — | | | | | | (455,648) | | |
Net cash used in investing activities | | | | | (143,750,000) | | | | | | — | | | | | | (143,750,000) | | |
Net cash provided by financing activities | | | | | 137,935,860 | | | | | | — | | | | | | 137,935,860 | | |
| | | As of September 30, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Unaudited Condensed Balance Sheet | | | | | | | | | | | | | | | | | | | |
Total assets | | | | $ | 145,032,529 | | | | | $ | — | | | | | $ | 145,032,529 | | |
Liabilities and stockholders’ equity | | | | | | | | | | | | | | | | | | | |
Total current liabilities | | | | $ | 146,941 | | | | | $ | — | | | | | $ | 146,941 | | |
Deferred underwriting commissions | | | | | 4,443,250 | | | | | | — | | | | | | 4,443,250 | | |
Derivative warrant liabilities | | | | | — | | | | | | 8,360,013 | | | | | | 8,360,013 | | |
Total liabilities | | | | | 4,590,191 | | | | | | 8,360,013 | | | | | | 12,950,204 | | |
Class A ordinary shares, $0.0001 par value; shares subject to possible redemption | | | | | 135,442,330 | | | | | | (8,360,010) | | | | | | 127,082,320 | | |
Stockholders’ equity | | | | | | | | | | | | | | | | | | | |
Preferred stock- $0.0001 par value | | | | | — | | | | | | — | | | | | | — | | |
Class A ordinary stock – $0.0001 par value | | | | | 83 | | | | | | 84 | | | | | | 167 | | |
Class B ordinary stock – $0.0001 par value | | | | | 359 | | | | | | — | | | | | | 359 | | |
Additional paid-in-capital | | | | | 5,226,447 | | | | | | 1,181,427 | | | | | | 6,407,874 | | |
Accumulated deficit | | | | | (226,881) | | | | | | (1,181,514) | | | | | | (1,408,395) | | |
Total stockholders’ equity | | | | | 5,000,008 | | | | | | (3) | | | | | | 5,000,005 | | |
Total liabilities and stockholders’ equity | | | | $ | 145,032,529 | | | | | $ | — | | | | | $ | 145,032,529 | | |
| | | For the Three Months Ended September 30, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Unaudited Condensed Statement of Operations | | | | | | | | | | | | | | | | | | | |
Loss from operations | | | | $ | (239,727) | | | | | $ | — | | | | | $ | (239,727) | | |
Other (expense) income: | | | | | | | | | | | | | | | | | | | |
Fair value adjustment on derivative warrant liabilities | | | | | — | | | | | | (1,181,514) | | | | | | (1,181,514) | | |
Interest earned on investments held in Trust Account | | | | | 43,410 | | | | | | — | | | | | | 43,410 | | |
Total other (expense) income | | | | | 43,410 | | | | | | (1,181,514) | | | | | | (1,138,104) | | |
Net loss | | | | $ | (196,317) | | | | | $ | (1,181,514) | | | | | $ | (1,377,831) | | |
Basic and Diluted weighted-average Class A ordinary shares outstanding | | | | | 14,375,000 | | | | | | | | | | | | 14,375,000 | | |
Basic and Diluted net loss per Class A share | | | | $ | 0.00 | | | | | | | | | | | $ | 0.00 | | |
Basic and Diluted weighted-average Class B ordinary shares outstanding | | | | | 3,593,750 | | | | | | | | | | | | 3,593,750 | | |
Basic and Diluted net loss per Class B share | | | | $ | (0.05) | | | | | | | | | | | $ | (0.38) | | |
| | | For the period from May 8 (inception) through September 30, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Unaudited Condensed Statement of Operations | | | | | | | | | | | | | | | | | | | |
Loss from operations | | | | $ | (270,291) | | | | | $ | — | | | | | $ | (270,291) | | |
Other (expense) income: | | | | | | | | | | | | | | | | | | | |
Fair value adjustment on derivative warrant liabilities | | | | | — | | | | | | (1,181,514) | | | | | | (1,181,514) | | |
Interest earned on investments held in Trust Account | | | | | 43,410 | | | | | | — | | | | | | 43,410 | | |
Total other (expense) income | | | | | 43,410 | | | | | | (1,181,514) | | | | | | (1,138,104) | | |
Net loss | | | | $ | (226,881) | | | | | $ | (1,181,514) | | | | | $ | (1,408,395) | | |
Basic and Diluted weighted-average Class A ordinary shares outstanding | | | | | 14,375,000 | | | | | | | | | | | | 14,375,000 | | |
Basic and Diluted net loss per Class A share | | | | $ | 0.00 | | | | | | | | | | | $ | 0.00 | | |
Basic and Diluted weighted-average Class B ordinary shares outstanding | | | | | 3,593,750 | | | | | | | | | | | | 3,593,750 | | |
Basic and Diluted net loss per Class B share | | | | $ | (0.06) | | | | | | | | | | | $ | (0.39) | | |
| | | For the period from May 8 (inception) through September 30, 2020 | | |||||||||||||||
| As Previously Reported | | | Restatement Adjustment | | | As Restated | | |||||||||||
Unaudited Condensed Statement of Cash Flows | | | | | | | | | | | | | | | | | | | |
Net loss | | | | $ | (226,881) | | | | | $ | (1,181,514) | | | | | $ | (1,408,395) | | |
Adjustment to reconcile net loss to net cash used in operating activities | | | | | (43,410) | | | | | | 1,181,514 | | | | | | 1,138,104 | | |
Net cash used in operating activities | | | | | (376,769) | | | | | | — | | | | | | (376,769) | | |
Net cash used in investing activities | | | | | (143,750,000) | | | | | | — | | | | | | (143,750,000) | | |
Net cash provided by financing activities | | | | | 145,114,359 | | | | | | — | | | | | | 145,114,359 | | |
Description | | | Quoted Prices in Active Markets (Level 1) | | | Significant Other Observable Inputs (Level 2) | | | Significant Other Unobservable Inputs (Level 3) | | |||||||||
Assets: | | | | | | | | | | | | | | | | | | | |
Investments held in Trust Account U.S. Treasury Bills maturing January 21, 2021 | | | | $ | 143,836,562 | | | | | $ | — | | | | | $ | — | | |
Liabilities: | | | | | | | | | | | | | | | | | | | |
Derivative warrant liabilities – Public | | | | $ | 11,787,500 | | | | | $ | — | | | | | $ | — | | |
Derivative warrant liabilities – Private | | | | $ | — | | | | | $ | — | | | | | $ | 12,976,648 | | |
| | | As of July 21, 2020 | | | As of December 31, 2020 | | ||||||
Volatility | | | | | 25.0% | | | | | | 25% | | |
Probability of completing a Business Combination | | | | | 70.0% | | | | | | 78% | | |
Expected life of the options to convert | | | | | 5.86 | | | | | | 5.42 | | |
Risk-free rate | | | | | 0.35% | | | | | | 0.42% | | |
Dividend yield | | | | | 0.0% | | | | | | 0.0% | | |
| Warrant liabilities at May 8, 2020 (inception) | | | | $ | — | | |
| Issuance of Public and Private Warrants | | | | | 7,178,499 | | |
| Change in fair value of warrant liabilities | | | | | 17,585,649 | | |
| Warrant liabilities at December 31, 2020 | | | | $ | 24,764,148 | | |
| | | December 31, 2020 | | |||
Current | | | | | | | |
Federal | | | | $ | — | | |
State | | | | | — | | |
Deferred | | | | | | | |
Federal | | | | | (824,269) | | |
State | | | | | — | | |
Valuation allowance | | | | | 824,269 | | |
Income tax provision | | | | $ | — | | |
| | | December 31, 2020 | | |||
Deferred tax assets: | | | | | | | |
Start-up/Organization costs | | | | $ | 815,166 | | |
Net operating loss carryforwards | | | | | 9,104 | | |
Total deferred tax assets | | | | | 824,269 | | |
Valuation allowance | | | | | (824,269) | | |
Deferred tax asset, net of allowance | | | | $ | — | | |
| Statutory Federal income tax rate | | | | | 21.0% | | |
| Change in fair value of derivative warrant liabilities | | | | | (17.2)% | | |
| Change in Valuation Allowance | | | | | (3.8)% | | |
| Effective Tax Rate | | | | | 0.0% | | |
| SEC registration fee | | | | $ | 107,156.17 | | |
| Accounting fees and expenses | | | | | * | | |
| Legal fees and expenses | | | | | * | | |
| Printing and engraving expenses | | | | | * | | |
| Miscellaneous | | | | | * | | |
| Total | | | | | * | | |
| Name | | | Position | | | Date | |
| /s/ Carlos A. de Solo Carlos A. de Solo | | | President, Chief Executive Officer and Director (Principal Executive Officer) | | | June 30, 2021 | |
| /s/ Kevin Wirges Kevin Wirges | | | Executive Vice President, Treasurer and Chief Financial Officer (Principal Financial and Accounting Officer) | | | June 30, 2021 | |
| /s/ Richard Barasch Richard Barasch | | | Executive Chair of the Board of Directors | | | June 30, 2021 | |
| /s/ Dr. Jennifer Carter Dr. Jennifer Carter | | | Director | | | June 30, 2021 | |
| /s/ Jose R. Rodriguez Jose R. Rodriguez | | | Director | | | June 30, 2021 | |
| /s/ Hon. Dr. David J. Shulkin Hon. Dr. David J. Shulkin | | | Director | | | June 30, 2021 | |
| /s/ Randy Simpson Randy Simpson | | | Director | | | June 30, 2021 | |