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P3 Health Partners(PIII) - 2024 Q3 - Quarterly Report

Financial Performance - Total operating revenue for Q3 2024 was 362.1million,a25.6362.1 million, a 25.6% increase from 288.4 million in Q3 2023[32] - Capitated revenue reached 357.7millioninQ32024,up25.4357.7 million in Q3 2024, up 25.4% from 285.2 million in the same quarter last year[32] - Operating loss for Q3 2024 was 107.0million,comparedtoalossof107.0 million, compared to a loss of 33.8 million in Q3 2023, reflecting a significant increase in operating expenses[32] - Total operating expenses for Q3 2024 were 469.1million,a45.6469.1 million, a 45.6% increase from 322.2 million in Q3 2023[32] - Net loss attributable to controlling interest for Q3 2024 was 46.5million,comparedtoalossof46.5 million, compared to a loss of 13.3 million in Q3 2023[32] - For the nine months ended September 30, 2024, the company reported a net loss of 181.2million,comparedtoanetlossof181.2 million, compared to a net loss of 117.3 million for the same period in 2023, reflecting an increase in losses of approximately 54.5%[43] - The company reported a comprehensive loss that was consistent with its net loss, indicating no significant changes in equity from transactions other than those with stockholders[50] - The company reported net losses of 102.9millionand102.9 million and 181.2 million for the three and nine months ended September 30, 2024, respectively[170] Cash and Liquidity - Cash and cash equivalents increased to 62.9millionasofSeptember30,2024,upfrom62.9 million as of September 30, 2024, up from 36.3 million at the end of 2023[29] - The company had 63.0millioninunrestrictedcashandcashequivalentsasofSeptember30,2024,comparedto63.0 million in unrestricted cash and cash equivalents as of September 30, 2024, compared to 36.3 million at the end of 2023, showing improved liquidity[44] - As of September 30, 2024, the company had cash and restricted cash of 68.1million,includinga68.1 million, including a 15 million refundable good faith deposit for the sale of its Florida operations[169] - Cash at the end of the period was 68.1million,anincreasefrom68.1 million, an increase from 57.4 million at the end of the same period in 2023[199] Assets and Liabilities - Total current assets rose to 215.1millionasofSeptember30,2024,comparedto215.1 million as of September 30, 2024, compared to 166.0 million at the end of 2023[29] - Total liabilities increased to 569.4millionasofSeptember30,2024,upfrom569.4 million as of September 30, 2024, up from 427.3 million at the end of 2023[30] - The company reported a premium deficiency reserve of 29.4millionasofSeptember30,2024,comparedto29.4 million as of September 30, 2024, compared to 13.7 million at the end of 2023[30] - Long-term debt as of September 30, 2024, was 134.5million,anincreasefrom134.5 million, an increase from 109.1 million as of December 31, 2023[72] Revenue Composition - Capitated revenue accounted for 98.8% of total revenue in Q3 2024, slightly down from 98.9% in Q3 2023, indicating stable revenue composition[54] - Capitated revenue for the nine months ended September 30, 2024, was 1,116.1million,anincreaseof1,116.1 million, an increase of 206.7 million, or 23%, compared to 909.5millionforthesameperiodin2023[163]TotalrevenuefortheninemonthsendedSeptember30,2024,was909.5 million for the same period in 2023[163] - Total revenue for the nine months ended September 30, 2024, was 1,129.8 million, a 23% increase from 919.5millionintheprioryear[163]MembershipandGrowthAtriskmembershipincreasedto128,900membersasofSeptember30,2024,comparedto105,600membersinthesameperiodof2023,reflectingagrowthof22919.5 million in the prior year[163] Membership and Growth - At-risk membership increased to 128,900 members as of September 30, 2024, compared to 105,600 members in the same period of 2023, reflecting a growth of 22%[136] - The number of affiliate primary care physicians rose to 3,100 as of September 30, 2024, up from 2,700 in the same period of 2023, marking an increase of 14.8%[137] - The company experiences the largest portion of at-risk member growth during the first quarter due to new contracts with payors starting on January 1[118] Medical Expenses - Medical expenses for the three months ended September 30, 2024, were 401.9 million, up 122.7million,or44122.7 million, or 44%, from 279.2 million in the same period last year[159] - Medical expenses rose by 282.1million,or33282.1 million, or 33%, to 1,149.1 million for the nine months ended September 30, 2024, compared to 867.1millionforthesameperiodin2023[164]MedicalclaimsexpensesforQ32024totaled867.1 million for the same period in 2023[164] - Medical claims expenses for Q3 2024 totaled 357,166 thousand, compared to $248,918 thousand in Q3 2023, an increase of 43.5%[130] Internal Controls and Compliance - Material weaknesses in internal control over financial reporting were identified, impacting the reliability of financial statements[208] - The company has identified material weaknesses in internal control over financial reporting, including inadequate policies and insufficient qualified resources[207] - The company is actively engaged in a comprehensive remediation plan, having completed the design phase and enhanced existing controls[209] - There were no changes in internal control over financial reporting during the quarter ended September 30, 2024, that materially affected the internal control[212] Legal and Regulatory Matters - A Confidential Settlement and Mutual Release Agreement was executed on August 22, 2024, resolving legal disputes related to business combinations[217] - The company maintains general and professional liability insurance to mitigate risks associated with legal proceedings[214] - The company believes that the disposition of ongoing legal matters will not have a material adverse effect on its consolidated financial position[214]