Apollo Medical Holdings, Inc. Reports Third Quarter 2020 Results, Raises Full-Year 2020 Guidance

ALHAMBRA, Calif., Nov. 4, 2020 /PRNewswire/ -- Apollo Medical Holdings, Inc. ("ApolloMed," and together with its subsidiaries and affiliated entities, the "Company") AMEH, a leading physician-centric, technology-enabled healthcare management company, announced today its consolidated financial results for the third quarter and nine months ended September 30, 2020.

Financial Highlights for the Third Quarter and Nine Months Ended September 30, 2020:

  • Q3 total revenue of $180.1 million, up 15% from $156.1 million for the prior-year quarter
  • Q3 net income of $25.4 million, up 137% from $10.7 million for the prior-year quarter
  • Q3 net income attributable to ApolloMed increased to $16.7 million, from $3.7 million for the prior-year quarter
  • Total revenue of $510.4 million for the nine months ended September 30, 2020, up 34% from $381.9 million for the prior-year period
  • Net income increased to $109.4 million for the nine months ended September 30, 2020, from $19.0 million for the prior-year period
  • Net income attributable to ApolloMed increased to $27.8 million for the nine months ended September 30, 2020, from $7.4 million for the prior-year period
  • Cash and cash equivalents of $166.1 million at September 30, 2020

Guidance:

ApolloMed is raising its previously disclosed full-year 2020 net income, EBITDA, and adjusted EBITDA guidance as a result of a net shared savings settlement of $13.3 million (net of provider bonus) earned in the third quarter of 2020 as a reward from participating in an attribution-based risk sharing model. Net income and EBITDA include the impact of the gain of approximately $99.6 million related to the sale of Universal Care Acquisition Partners, LLC's ("UCAP") 48.9% investment in Universal Care, Inc. ("UCI") to Bright Health Company of California, Inc. ("Bright"), which closed on April 30, 2020. As UCI was an excluded asset and remained solely for the benefit of ApolloMed's affiliate, Allied Physicians of California, a Professional Medical Corporation, ("APC") and its shareholders, the gain on sale does not affect the net income attributable to ApolloMed and adjusted EBITDA attributable to ApolloMed.

The Company's guidance for the year ending December 31, 2020, is as follows:

  • Maintaining total revenue between $665.0 million and $675.0 million,
  • Raising net income from a range of $100.0 million to $110.0 million (disclosed on May 27, 2020) to a range of $110.0 million to $120.0 million,
  • Raising EBITDA from a range of $155.0 million to $167.0 million (disclosed on May 27, 2020) to a range of $182.0 million to $194.0 million, and
  • Raising adjusted EBITDA from a range of $75.0 million to $90.0 million (disclosed on March 12, 2020) to a range of $97.0 million to $112.0 million.

See "Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA (in thousands)" and "Use of Non-GAAP Financial Measures" below for additional information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See "Forward-Looking Statements" below for additional information.

Management Commentary:

Kenneth Sim, M.D., Executive Chairman and Co-Chief Executive Officer of ApolloMed, stated, "With the global pandemic continuing to cast a shadow over 2020, everyone at ApolloMed, from our physicians and nurses on the front lines to the data scientists and senior leadership behind the scenes, has continued to make it our first priority to address all health concerns our member population may have under these challenging circumstances. Over the past couple of years, we have strived to increase our clinical expertise and delivery of a premier healthcare experience for our patients by investing in a proprietary technology platform, which has driven the operational efficiencies we are seeing today and expect to continue to see in the future as we intend to remain an innovative leader in the healthcare sector. We saw steady growth on the top line during the third quarter of 2020, which translated into even greater growth on the bottom line. As a result of these achievements, we are pleased to raise our net income guidance midpoint for the full-year 2020 by 10%."

Dr. Sim continued, "Our front-line workers see first-hand the devastating impact that COVID-19 has had on the individuals and families within our communities. Here at ApolloMed, we continue devoting resources to our members, providers and employees as everyone does their part in battling this disease, particularly as we are now in the heart of flu season. We remain committed to providing the quality care that our ever-expanding member population has come to expect from us and to supporting our physicians and hospital partners with best-in-class services as we work on executing our long-term growth strategy. We anticipate ending 2020 on a strong note as a result of the additional revenue contributions from the acquisitions we made last year as well as organic capitation revenue growth and look forward to capitalizing on the potential opportunities before us as we head into 2021."

GAAP Financial Highlights for the Third Quarter Ended September 30, 2020:

  • Total revenue of $180.1 million for the quarter ended September 30, 2020, an increase of 15%, compared to $156.1 million for the quarter ended September 30, 2019, primarily due to (i) a shared savings settlement of $19.8 million earned from our participation in an attribution-based risk sharing model, (ii) the acquisition of Accountable Health Care IPA, a Professional Medical Corporation on August 31, 2019 which contributed an additional $6.5 million in capitation revenue, and (iii) organic revenue growth at APC.
  • Capitation revenue, net, of $135.0 million for the quarter ended September 30, 2020, an increase of 3%, compared to $130.8 million for the quarter ended September 30, 2019. Capitation revenue represented 75% of total revenue for the quarter ended September 30, 2020.
  • Risk pool settlements and incentives revenue of $30.9 million for the quarter ended September 30, 2020, an increase of 172%, compared to $11.4 million for the quarter ended September 30, 2019.
  • Net income of $25.4 million for the quarter ended September 30, 2020, an increase of 137%, compared to $10.7 million for the quarter ended September 30, 2019.
  • Net income attributable to ApolloMed increased to $16.7 million for the quarter ended September 30, 2020, from $3.7 million for the quarter ended September 30, 2019. The increase from the prior year was primarily due to preferred dividends ApolloMed received from APC.
  • Earnings per share - diluted ("EPS - diluted") increased to $0.45 per share for the quarter ended September 30, 2020, from $0.10 per share for the quarter ended September 30, 2019.

GAAP Financial Highlights for the Nine Months Ended September 30, 2020:

  • Total revenue of $510.4 million for the nine months ended September 30, 2020, an increase of 34%, compared to $381.9 million for the nine months ended September 30, 2019.
  • Net income increased to $109.4 million for the nine months ended September 30, 2020, from $19.0 million for the nine months ended September 30, 2019.
  • Net income attributable to ApolloMed increased to $27.8 million for the nine months ended September 30, 2020, from $7.4 million for the nine months ended September 30, 2019. The increase from the prior year was primarily due to preferred dividends ApolloMed received from APC.
  • EPS - diluted increased to $0.75 per share for the nine months ended September 30, 2020, from $0.20 per share for the nine months ended September 30, 2019.

Non-GAAP Measures for the Third Quarter Ended September 30, 2020:

  • EBITDA increased to $42.6 million for the quarter ended September 30, 2020, from $19.7 million for the quarter ended September 30, 2019.
  • Adjusted EBITDA increased to $53.4 million for the quarter ended September 30, 2020, from $22.8 million for the quarter ended September 30, 2019. The increase from the prior year was primarily due to the increase in pre-tax net income and an increase in provider bonus payments as a result of the shared savings received in the current quarter.

Non-GAAP Measures for the Nine Months Ended September 30, 2020:

  • EBITDA increased to $173.1 million for the nine months ended September 30, 2020, from $39.3 million for the nine months ended September 30, 2019.
  • Adjusted EBITDA increased to $90.8 million for the nine months ended September 30, 2020, from $53.6 million for the nine months ended September 30, 2019. The increase from the prior year was primarily due to the increase in pre-tax net income and the impact of the IPAs acquired in 2019 to increase our strategic footprint, which generated a $13.7 million loss for the nine months ended September 30, 2020 compared to a $5.6 million loss in the prior year. The Company continues to implement processes to fully integrate the IPAs acquired in 2019 into the ApolloMed organization and expects significant progress in 2021.

Balance Sheet Highlights:

  • As of September 30, 2020, ApolloMed's cash and cash equivalents and investments in marketable securities increased to $284.4 million, working capital increased to $235.2 million, and total stockholders' equity increased to $229.4 million; from cash and cash equivalents and investments in marketable securities of $219.7 million, working capital of $223.7 million and total stockholders' equity of $192.3 million, respectively, as of December 31, 2019.

See "Reconciliation of Net Income to EBITDA and Adjusted EBITDA (in thousands)" and "Use of Non-GAAP Financial Measures" below for additional information. There can be no assurance that actual amounts will not be materially higher or lower than these expectations. See "Forward-Looking Statements" below for additional information.

For more details on ApolloMed's financial results for the quarter ended September 30, 2020, please refer to ApolloMed's Quarterly Report on Form 10-Q to be filed with the U.S. Securities Exchange Commission ("SEC"), which is accessible at www.sec.gov.

Note About Consolidated Entities

The Company consolidates entities in which it has a controlling financial interest. The Company consolidates subsidiaries in which it holds, directly or indirectly, more than 50% of the voting rights, and variable interest entities ("VIEs") in which the Company is the primary beneficiary. Noncontrolling interests represent third party equity ownership interests in the Company's consolidated entities (including certain VIEs). The amount of net income attributable to noncontrolling interests is disclosed in the Company's consolidated statements of income.

Note About Stockholders' Equity, Certain Treasury Stock and Earnings Per Share

As of the date of this press release, 276,038 holdback shares have not been issued to certain former shareholders of the Company's subsidiary, Network Medical Management, Inc. ("NMM"), who were NMM shareholders at the time of closing of the merger, as they have yet to submit properly completed letters of transmittal to ApolloMed in order to receive their pro rata portion of ApolloMed's common stock and warrants as contemplated under that certain Agreement and Plan of Merger, dated December 21, 2016, among ApolloMed, NMM, Apollo Acquisition Corp. ("Merger Subsidiary") and Kenneth Sim, M.D., as amended, pursuant to which Merger Subsidiary merged with and into NMM, with NMM as the surviving corporation. Pending such receipt, such former NMM shareholders have the right to receive, without interest, their pro rata share of dividends or distributions with a record date after the effectiveness of the merger. The Company's consolidated financial statements have treated such shares of common stock as outstanding, given the receipt of the letter of transmittal is considered perfunctory and ApolloMed is legally obligated to issue these shares in connection with the merger.

Shares of ApolloMed's common stock owned by APC, a VIE of the Company, are legally issued and outstanding but excluded from shares of common stock outstanding in the Company's consolidated financial statements, as such shares are treated as treasury shares for accounting purposes. Such shares, therefore, are not included in the number of shares of common stock outstanding used to calculate the Company's earnings per share.

About Apollo Medical Holdings, Inc.

ApolloMed is a leading physician-centric, technology-enabled healthcare management company. Leveraging its proprietary population health management and healthcare delivery platform, ApolloMed operates an integrated, value-based healthcare model, which aims to empower the providers in its network to deliver the highest quality of care to its patients in a cost-effective manner.

Headquartered in Alhambra, California, ApolloMed's subsidiaries include management services organizations ("MSOs"), affiliated independent practice associations ("IPAs") and a Next Generation Accountable Care Organization ("NGACO"). NMM and Apollo Medical Management, Inc. are the administrative and managerial services companies for the affiliated physician owned professional corporations that contract with independent physicians to deliver medical services in-office and virtually under the Allied Pacific of California IPA, Alpha Care Medical Group, Inc. and Accountable Health Care IPA brands. These affiliates are supported by ApolloMed Hospitalists, a Medical Corporation. Our NGACO operates under the APA ACO, Inc. brand and participates in the Centers for Medicare & Medicaid Services program that allows provider groups to assume higher levels of financial risk and potentially achieve a higher reward from participation in the program's attribution-based risk sharing model. For more information, please visit www.apollomed.net.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, such as statements about the Company's guidance for the year ending December 31, 2020, continued growth, acquisition strategy, ability to deliver sustainable long-term value, ability to respond to the changing environment, operational focus, strategic growth plans and merger integration efforts, as well as the impact of the 2019 Novel Coronavirus (COVID-19) pandemic on the Company's business, operations and financial results. Forward-looking statements reflect current views with respect to future events and financial performance and therefore cannot be guaranteed. Such statements are based on the current expectations and certain assumptions of the Company's management, and some or all of such expectations and assumptions may not materialize or may vary significantly from actual results. Actual results may also vary materially from forward-looking statements due to risks, uncertainties and other factors, known and unknown, including the risk factors described from time to time in the Company's reports to the SEC, including, without limitation the risk factors discussed in the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC and any subsequent quarterly reports on Form 10-Q.

FOR MORE INFORMATION, PLEASE CONTACT:

Investor Relations

(626) 943-6491

investors@apollomed.net

APOLLO MEDICAL HOLDINGS, INC.

 CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

(UNAUDITED)















September 30,



December 31,





2020



2019











Assets



















Current assets









Cash and cash equivalents



$

166,082





$

103,189



Restricted cash







75



Investment in marketable securities



118,309





116,539



Receivables, net



18,257





11,004



Receivables, net – related parties



41,518





48,136



Other receivables



3,988





16,885



Prepaid expenses and other current assets



12,119





10,315



Loans receivable



6,425





6,425



Loans receivable – related parties







16,500













Total current assets



366,698





329,068













Noncurrent assets









Restricted cash



746





746



Land, property and equipment, net



10,929





12,130



Intangible assets, net



90,781





103,012



Goodwill



239,053





238,505



Investments in other entities – equity method



27,220





28,427



Investments in privately held entities



37,075





896



Operating lease right-of-use assets



19,298





14,248



Other assets



22,473





1,681













Total noncurrent assets



447,575





399,645













Total assets(1)



$

814,273





$

728,713













Liabilities, mezzanine equity and stockholders' equity



















Current liabilities



















Accounts payable and accrued expenses



$

40,474





$

27,279



Fiduciary accounts payable



3,986





2,027



Medical liabilities



57,455





58,725



Income taxes payable



16,169





4,529



Dividend payable



485





271



Finance lease liabilities



102





102



Operating lease liabilities



3,290





2,990











September 30,

2020



December 31,

2019











Current portion of long-term debt



9,500





9,500



Total current liabilities



131,461





105,423













Noncurrent liabilities









Deferred tax liability



11,659





18,269



Finance lease liabilities, net of current portion



337





416



Operating lease liabilities, net of current portion



16,616





11,373



Long-term debt, net of current portion and deferred financing costs



226,051





232,172













Total noncurrent liabilities



254,663





262,230













Total liabilities(1)



386,124





367,653













Mezzanine equity









Noncontrolling interest in Allied Physicians of California, a Professional Medical Corporation



198,731





168,725













Stockholders' equity









Series A Preferred stock, par value $0.001; 5,000,000 shares authorized (inclusive of Series B Preferred stock); 1,111,111 issued and zero outstanding









Series B Preferred stock, par value $0.001; 5,000,000 shares authorized (inclusive of Series A Preferred stock); 555,555 issued and zero outstanding









Common stock, $0.001 par value per share; 100,000,000 shares authorized, 36,775,817 and 35,908,057 shares outstanding, excluding 17,475,707 and 17,458,810 treasury shares, at June 30, 2020, and December 31, 2019, respectively



37





36



Additional paid-in capital



168,653





159,608



Retained earnings



59,714





31,905







228,404





191,549













Noncontrolling interest



1,014





786













Total stockholders' equity



229,418





192,335













Total liabilities, mezzanine equity and stockholders' equity



$

814,273





$

728,713























(1) The Company's consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities ("VIEs"). The consolidated balance sheets include total assets that can be used only to settle obligations of the Company's consolidated VIEs totaling $877.6 million and $849.3 million as of September 30, 2020 and December 31, 2019, respectively, and total liabilities of the Company's consolidated VIEs for which creditors do not have recourse to the general credit of the primary beneficiary of $113.0 million and $114.5 million as of September 30, 2020 and December 31, 2019, respectively.

 

APOLLO MEDICAL HOLDINGS, INC.

CONSOLIDATED STATEMENTS OF INCOME

(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

(UNAUDITED)



















Three Months Ended

September 30,



Nine Months Ended

September 30,





2020



2019



2020



2019

Revenue

















Capitation, net



$

135,032





$

130,807





$

416,402





$

305,548



Risk pool settlements and incentives



30,916





11,355





54,155





32,640



Management fee income



8,707





8,518





26,212





27,867



Fee-for-service, net



3,737





4,100





9,434





12,059



Other income



1,731





1,280





4,194





3,753





















Total revenue



180,123





156,060





510,397





381,867





















Operating expenses

















Cost of services



121,823





131,130





402,106





315,925



General and administrative expenses



16,270





7,950





39,660





30,031



Depreciation and amortization



4,674





4,920





14,004





13,793



Provision for doubtful accounts















(1,363)



Impairment of intangibles







1,994









1,994





















Total expenses



142,767





145,994





455,770





360,380





















Income from operations



37,356





10,066





54,627





21,487





















Other income (expense)

















Income from equity method investments



403





$

2,054





3,291





1,162



Gain on sale of equity method investment











99,647







Interest expense



(2,466)





(828)





(8,007)





(1,350)



Interest income



752





509





2,544





1,305



Other income



130





2,620





1,514





2,832





















Total other (expense) income, net



(1,181)





4,355





98,989





3,949





















Income before provision for income taxes



36,175





14,421





153,616





25,436





















Provision for income taxes



10,751





3,682





44,204





6,483





















Net income



25,424





10,739





109,412





18,953





















Net income attributable to noncontrolling interest



8,711





7,035





81,603





11,564





















Net income attributable to Apollo Medical Holdings, Inc.



$

16,713





$

3,704





$

27,809





$

7,389





















Earnings per share – basic



$

0.46





$

0.11





$

0.77





$

0.21





















Earnings per share – diluted



$

0.45





$

0.10





$

0.75





$

0.20



 

APOLLO MEDICAL HOLDINGS, INC.

SUPPLEMENTAL INFORMATION













Capitated Membership (in thousands)













September 30,

2020



December 31,

2019



December 31,

2018













     MSO

538





421





665



     IPA

555





530





265



     ACO

29





29





30















Total lives under management

1,122





980





960



 

Reconciliation of Net Income to EBITDA and Adjusted EBITDA (in thousands)



















Three Months Ended

September 30,



Nine Months Ended

September 30,





2020



2019



2020



2019



















Net income



$

25,424





$

10,739





$

109,412





$

18,953



     Depreciation and amortization



4,674





4,920





14,004





13,793



     Provision for income taxes



10,751





3,682





44,204





6,483



     Interest expense



2,466





828





8,007





1,350



     Interest income



(752)





(509)





(2,544)





(1,305)



EBITDA



$

42,563





$

19,660





$

173,083





$

39,274





















     Income from equity method investments



$

(403)





$

(2,054)





$

(3,291)





$

(1,162)



     Gain on sale of equity method investment











(99,647)







     Other income



(130)





(2,620)





(1,514)





(2,832)



     Provider bonus payments



6,500





2,100





8,500





12,100



     Impairment of intangibles







1,994









1,994



     Provision for doubtful accounts















(1,363)



     Net loss adjustment for recently acquired IPAs



4,841





3,673





13,674





5,565



Adjusted EBITDA



$

53,371





$

22,753





$

90,805





$

53,576



 

Guidance Reconciliation of Net Income to EBITDA and Adjusted EBITDA (in thousands)





Year Ending





December 31, 2020











Low



High

 Net income (1)



$

110,000





$

120,000



     Depreciation and amortization



19,000





20,000



     Provision for income taxes



46,000





47,000



     Interest expense



10,000





11,000



     Interest income



(3,000)





(4,000)



EBITDA (1)



182,000





194,000













     Income from equity method investments (2)



(100,000)





(99,000)



     Net loss adjustment for recently acquired IPAs



15,000





17,000



Adjusted EBITDA



$97,000





$112,000





(1) Net income and earnings before income tax, depreciation and amortization ("EBITDA") include the gain on sale of UCAP's 48.9% investment in UCI to Bright, which closed on April 30, 2020. UCAP is a 100% owned subsidiary of APC and its 48.9% investment in UCI is an excluded asset that remains solely for the benefit of APC and its shareholders. As such, the gain on sale does not affect the net income and adjusted EBITDA attributable to ApolloMed.



(2) Income from equity method investments is mainly attributed to the sale of UCAP's 48.9% investment in UCI to Bright, which closed on April 30, 2020. UCAP is a 100% owned subsidiary of APC and its 48.9% investment in UCI is an excluded asset that remains solely for the benefit of APC and its shareholders. As such, the gain on sale does not affect the net income and adjusted EBITDA attributable to ApolloMed.

Use of Non-GAAP Financial Measures

This press release contains the non-GAAP financial measures EBITDA and adjusted EBITDA, of which the most directly comparable financial measure presented in accordance with U.S. generally accepted accounting principles ("GAAP") is net income. These measures are not in accordance with, or alternatives to GAAP, and may be different from other non-GAAP financial measures used by other companies. The Company uses adjusted EBITDA as a supplemental performance measure of our operations, for financial and operational decision-making, and as a supplemental means of evaluating period-to-period comparisons on a consistent basis. Adjusted EBITDA is calculated as earnings before interest, taxes, depreciation and amortization, excluding income from equity method investments, provider bonuses, impairment of intangibles, provision for doubtful accounts and other income earned that are not related to the Company's normal operations. Adjusted EBITDA also excludes the effect on EBITDA of certain IPAs we recently acquired.

The Company believes the presentation of these non-GAAP financial measures provides investors with relevant and useful information, as it allows investors to evaluate the operating performance of the business activities without having to account for differences recognized because of non-core or non-recurring financial information. When GAAP financial measures are viewed in conjunction with non-GAAP financial measures, investors are provided with a more meaningful understanding of the Company's ongoing operating performance. In addition, these non-GAAP financial measures are among those indicators the Company uses as a basis for evaluating operational performance, allocating resources, and planning and forecasting future periods. Non-GAAP financial measures are not intended to be considered in isolation, or as a substitute for, GAAP financial measures. To the extent this release contains historical or future non-GAAP financial measures, the Company has provided corresponding GAAP financial measures for comparative purposes. The reconciliation between certain GAAP and non-GAAP measures is provided above.

Cision View original content:http://www.prnewswire.com/news-releases/apollo-medical-holdings-inc-reports-third-quarter-2020-results-raises-full-year-2020-guidance-301166622.html

SOURCE Apollo Medical Holdings, Inc.

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