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Oscar(OSCR) - 2023 Q1 - Quarterly Report
OscarOscar(US:OSCR)2023-05-09 22:09

FORWARD-LOOKING STATEMENTS This section outlines the nature of forward-looking statements and the key risks that could cause actual results to differ - Forward-looking statements are identified by terms such as 'may,' 'will,' 'should,' 'expects,' 'plans,' 'anticipates,' 'could,' 'intends,' 'targets,' 'projects,' 'contemplates,' 'believes,' 'estimates,' 'forecasts,' 'predicts,' 'potential' or 'continue' or their negatives10 - Key risks include the company's ability to execute strategy, retain and expand its member base, manage medical costs, achieve profitability, comply with regulations (including ACA), manage competition, ensure data privacy, maintain provider relations, and address internal control weaknesses11 BASIS OF PRESENTATION This section defines key terminology and clarifies the use of rounding adjustments in the financial figures presented - References to 'we,' 'us,' 'our,' 'our business,' the 'Company,' and 'Oscar' refer to Oscar Health, Inc and its consolidated subsidiaries15 - The report notes that certain monetary amounts, percentages, and other figures have been subject to rounding adjustments, which may cause slight variations from direct calculations using consolidated financial statements17 PART I - FINANCIAL INFORMATION This part contains the unaudited financial statements, management's discussion and analysis, and market risk disclosures Item 1. Financial Statements (unaudited) This section presents the unaudited condensed consolidated financial statements for the three months ended March 31, 2023 Consolidated Balance Sheets This statement details the company's assets, liabilities, and stockholders' equity as of March 31, 2023 | Metric | March 31, 2023 (in thousands) | December 31, 2022 (in thousands) | | :--- | :--- | :--- | | Total Assets | $4,483,030 | $4,526,601 | | Total Liabilities | $3,551,268 | $3,634,201 | | Total Stockholders' Equity | $931,762 | $892,400 | | Cash and cash equivalents | $2,109,571 | $1,558,595 | | Short-term investments | $1,324,544 | $1,397,287 | | Benefits payable | $954,076 | $937,727 | | Risk adjustment transfer payable | $1,810,155 | $1,517,493 | Consolidated Statements of Operations This statement summarizes the company's revenues, expenses, and net loss for the first quarter of 2023 | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Total revenue | $1,469,685 | $972,765 | | Total operating expenses | $1,495,050 | $1,041,294 | | Loss from operations | $(25,365) | $(68,529) | | Net loss | $(39,628) | $(77,320) | | Net loss per share (basic and diluted) | $(0.18) | $(0.36) | - Total revenue increased by 51% year-over-year, from $972.8 million in Q1 2022 to $1,469.7 million in Q1 202322 - Net loss decreased by 49% year-over-year, from $(77.3) million in Q1 2022 to $(39.6) million in Q1 202322 Consolidated Statements of Comprehensive Income This statement reports the company's net loss and other comprehensive income changes for the first quarter of 2023 | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Net loss | $(39,628) | $(77,320) | | Net unrealized gains (losses) on securities available for sale | $5,236 | $(8,535) | | Comprehensive loss | $(34,392) | $(85,855) | - Comprehensive loss significantly improved to $(34.4) million in Q1 2023 from $(85.9) million in Q1 202224 Consolidated Statements of Stockholders' Equity This statement details the changes in the company's equity accounts during the first quarter of 2023 | Metric | March 31, 2023 (in thousands) | December 31, 2022 (in thousands) | | :--- | :--- | :--- | | Total Stockholders' Equity | $931,762 | $892,400 | | Additional Paid-In Capital | $3,582,761 | $3,509,007 | | Accumulated Deficit | $(2,645,759) | $(2,605,987) | | Accumulated Other Comprehensive Income (Loss) | $(4,479) | $(9,715) | - Stock-based compensation expense for Q1 2023 was $73.2 million, a notable increase from $27.7 million in Q1 20222729 Consolidated Statements of Cash Flows This statement presents the cash inflows and outflows from operating, investing, and financing activities | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Net cash provided by operating activities | $414,715 | $562,849 | | Net cash provided by investing activities | $135,509 | $102,811 | | Net cash provided by financing activities | $506 | $298,775 | | Net increase in cash, cash equivalents and restricted cash equivalents | $550,730 | $964,435 | - Net cash provided by operating activities decreased by $148.1 million year-over-year, primarily due to a lower increase in benefits payable191 - Net cash provided by financing activities decreased by $298.3 million year-over-year, mainly due to net proceeds from the issuance of convertible senior notes in February 2022193 Notes to Consolidated Financial Statements These notes provide detailed explanations of the accounting policies and specific items in the financial statements Note 1 - Organization This note describes the company's business model and the significant estimates used in its financial statements - Oscar Health, Inc is a health insurance company built around a full stack technology platform, offering health plans (Individual, Small Group, Medicare Advantage) and leveraging its platform via +Oscar for other payors and providers36 - Significant estimates in financial statements include healthcare costs incurred but not yet reported ('IBNR') and risk adjustment40 Note 2 - Revenue Recognition This note details the components of the company's revenue and its recognition policies | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Direct policy premiums | $1,663,474 | $1,656,421 | | Assumed premiums | $55,935 | $24,790 | | Risk adjustment | $(293,147) | $(366,147) | | Premiums before ceded reinsurance | $1,426,262 | $1,315,064 | | Reinsurance premiums ceded | $2,364 | $(359,663) | | Total premiums earned | $1,428,626 | $955,401 | - Administrative services revenue is earned from the +Oscar offering, leveraging the technology platform for other payors and providers45 - The company terminated its administrative services agreement with Health First Shared Services, Inc effective December 31, 2022, impacting administrative services revenue47 Note 3 - Reinsurance This note explains the company's use of reinsurance to manage risk and capital requirements - The company utilizes quota share reinsurance (48% of premiums ceded in Q1 2023) and excess of loss (XOL) reinsurance to manage risk and capital requirements485253 | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Reinsurance premiums ceded, gross | $10,078 | $(367,111) | | Experience refunds | $(7,714) | $7,448 | | Reinsurance premiums ceded | $2,364 | $(359,663) | | Reinsurance premiums assumed | $55,935 | $24,790 | | Total claims incurred, net | $1,091,592 | $734,566 | Note 4 - Business Arrangements This note describes the company's consolidation of variable interest entities that provide telemedical services - The company consolidates the financial results of variable interest entities (VIEs), primarily medical professional corporations that deliver telemedical healthcare services58 | Metric | March 31, 2023 (in thousands) | December 31, 2022 (in thousands) | | :--- | :--- | :--- | | VIE Assets | $135,100 | $129,629 | | VIE Liabilities | $75,897 | $78,126 | Note 5 - Restricted Cash and Restricted Deposits This note details the cash and investments held to meet state regulatory requirements for insurance licensure - The company maintains cash, cash equivalents, and investments on deposit or pledged to various state agencies for insurance licensure, classified as restricted deposits60 | Metric | March 31, 2023 (in thousands) | December 31, 2022 (in thousands) | | :--- | :--- | :--- | | Restricted cash and cash equivalents | $21,656 | $21,902 | | Restricted investments | $5,631 | $5,581 | | Total Restricted Deposits | $27,287 | $27,483 | Note 6 - Investments This note provides a breakdown of the company's investment portfolio and related income | Investment Type | March 31, 2023 Fair Value (in thousands) | December 31, 2022 Fair Value (in thousands) | | :--- | :--- | :--- | | U.S. treasury and agency securities | $1,049,898 | $1,155,282 | | Corporate notes | $337,613 | $374,449 | | Certificate of deposit | $53,194 | $38,082 | | Commercial paper | $32,101 | $32,730 | | Municipalities | $16,977 | $19,663 | | Total Investments | $1,489,783 | $1,620,206 | | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Interest income | $28,775 | $697 | | Investment discount amortization net of premium accretion | $7,324 | $(1,919) | | Net realized gain (loss) | $(43) | $(581) | | Total Net Investment Income | $36,056 | $(1,803) | - The company determined that an allowance for credit losses on available-for-sale debt securities is not necessary, as declines in fair value are attributed to market fluctuations rather than credit-related events68 Note 7 - Fair Value Measurements This note explains the methodology used to measure the fair value of financial assets and liabilities - Fair value measurements are categorized into a three-level hierarchy: Level 1 (quoted prices in active markets), Level 2 (observable inputs other than quoted prices), and Level 3 (unobservable but significant inputs)7375 | Asset Type | March 31, 2023 Total Fair Value (in thousands) | December 31, 2022 Total Fair Value (in thousands) | | :--- | :--- | :--- | | Cash equivalents | $207,885 | $118,454 | | U.S. treasury and agency securities | $1,049,898 | $1,155,282 | | Corporate notes | $337,613 | $374,449 | | Certificates of deposit | $53,194 | $38,082 | | Commercial paper | $32,101 | $32,730 | | Municipalities | $16,977 | $19,663 | | Restricted investments (U.S. treasury securities) | $5,631 | $5,581 | | Total Assets at Fair Value | $1,703,299 | $1,744,241 | Note 8 - Benefits Payable This note details the liability for unpaid medical claims and the actuarial methods used for its estimation - Reserves for medical claims expenses are estimated using actuarial assumptions and recorded as a benefits payable liability77 - Favorable development recognized in Q1 2023 primarily resulted from medical claims experience developing more favorably than originally expected79 | Metric | March 31, 2023 (in thousands) | March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Benefits payable, beginning of period, net | $672,495 | $363,503 | | Total claims incurred and CAE, net | $1,117,407 | $776,584 | | Total claims and CAE paid, net | $988,982 | $604,893 | | Benefits and CAE payable, end of period, net | $800,920 | $535,194 | Note 9 - Long-Term Debt This note provides information on the company's convertible senior notes and revolving credit facility - The company issued $305.0 million in 7.25% convertible senior notes due 2031 in February 2022, convertible into Class A common stock at an initial conversion price of approximately $8.32 per share8082 - As of March 31, 2023, the net carrying amount of the 2031 Notes was $298.2 million, with an estimated fair value of $307.5 million86 - The company has a $200 million senior secured revolving credit facility, maturing in February 2024, with no outstanding borrowings as of March 31, 20238892 Note 10 - Earnings (Loss) per Share This note presents the calculation of the company's basic and diluted net loss per share | Metric | Three Months Ended March 31, 2023 | Three Months Ended March 31, 2022 | | :--- | :--- | :--- | | Net loss attributable to Oscar Health, Inc (in thousands) | $(39,772) | $(75,152) | | Weighted average common shares outstanding, basic and diluted | 216,912,866 | 210,547,696 | | Net loss per share, basic and diluted | $(0.18) | $(0.36) | - Potentially dilutive securities, including stock options, restricted stock units, performance-based restricted stock units, and shares underlying convertible notes, were excluded from diluted EPS computation due to their anti-dilutive effect in periods of net loss94 Note 11 - Related Party Transactions This note discloses transactions with related parties, including an investment by a co-founder's affiliated fund - The company issued 2031 Notes to funds affiliated with Thrive Capital, whose Managing Director, Joshua Kushner, is a co-founder, Vice Chairman, and Board member of Oscar95 Note 12 - Commitments and Contingencies This note discusses ongoing legal proceedings, regulatory reviews, and other potential liabilities - The company is subject to ongoing regulatory reviews and investigations by state insurance and healthcare authorities, focusing on areas like claims payment, capital requirements, and privacy96 - A securities class action lawsuit (Carpenter v Oscar Health, Inc, et al) was filed in May 2022, alleging failure to disclose inadequate controls related to risk adjustment data validation98 - Estimates of costs from legal and regulatory matters are inherently difficult to predict, and ultimate settlements could be material99 Note 13 - Cancellation of Founders Awards This note explains the cancellation of co-founders' equity awards and the resulting financial impact - Co-Founders Mario Schlosser and Joshua Kushner canceled their Founders Awards (PSUs) on March 28, 2023, to reduce the dilutive effects of equity awards granted to the new CEO and annual employee equity awards101 - This cancellation resulted in approximately $46.3 million of accelerated stock-based compensation expense recognized during the quarter ended March 31, 2023102 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations This section provides management's perspective on the company's financial condition and results of operations for Q1 2023 Overview This overview describes Oscar's business as a technology-driven health insurance company and its platform monetization strategy - Oscar is a health insurance company built around a full stack technology platform, offering innovative health plans in the Individual, Small Group, and Medicare Advantage markets104 - The company seeks additional opportunities to monetize its +Oscar platform, which powers health plans and products for other payors and providers104 Recent Developments, Trends and Other Factors Impacting Performance This section discusses key recent events, including leadership changes, reinsurance strategies, and regulatory updates - Mark T Bertolini was appointed Chief Executive Officer effective April 3, 2023, with co-founder Mario Schlosser transitioning to President of Technology105 - Quota share reinsurance covered approximately 48% of premiums in Q1 2023, aiding in risk management and capital efficiency109 - Membership decreased 5% year-over-year to 1,017,332 as of March 31, 2023, due to proactive management of membership levels during the 2023 Open Enrollment Period, partially offset by growth in Cigna+Oscar members128 - The end of the COVID-19 Public Health Emergency (PHE) on May 11, 2023, and the start of Medicaid redeterminations on April 1, 2023, are expected to impact membership and underwriting margin119120 - Regulatory updates, including the extension of APTCs through 2025 and limits on non-standard plan options, are anticipated to drive significant growth in the ACA marketplace but also introduce uncertainty120121 Financial Results Summary and Key Operating and Non-GAAP Financial Metrics This section presents a summary of financial results and key performance indicators for the first quarter of 2023 | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | | :--- | :--- | :--- | | Premiums before ceded reinsurance | $1,426,262 | $1,315,064 | | Premiums earned | $1,428,626 | $955,401 | | Total revenue | $1,469,685 | $972,765 | | Net loss | $(39,628) | $(77,320) | | Metric | March 31, 2023 | March 31, 2022 | | :--- | :--- | :--- | | Total Membership | 1,017,332 | 1,073,595 | | Direct and Assumed Policy Premiums (in thousands) | $1,719,409 | $1,681,211 | | Medical Loss Ratio | 76.3% | 77.4% | | InsuranceCo Administrative Expense Ratio | 18.6% | 19.8% | | InsuranceCo Combined Ratio | 94.9% | 97.2% | | Adjusted Administrative Expense Ratio | 21.7% | 23.8% | | Adjusted EBITDA (in thousands) | $51,068 | $(37,040) | - Medical Loss Ratio (MLR) improved to 76.3% in Q1 2023 from 77.4% in Q1 2022, driven by disciplined pricing strategy and total cost of care initiatives135 - Adjusted EBITDA significantly improved to $51.1 million in Q1 2023 from $(37.0) million in Q1 2022, which includes a non-recurring charge of $46.3 million related to accelerated stock-based compensation expense129149 Components of our Results of Operations This section breaks down the key revenue and expense items that constitute the company's financial results - Premiums before ceded reinsurance are primarily derived from members and CMS (APTC program), net of risk adjustment payable, and are influenced by risk sharing adjustments, member acquisition/retention, and policy rates150 - Claims incurred, net, encompass paid and unpaid medical expenses, pharmacy benefits, capitation payments, and risk sharing arrangements, with estimates based on actuarial methodologies154 - Other insurance costs include distribution costs, broker commissions, wages, marketing, rent, software/hardware, unallocated claims adjustment expenses, and administrative costs supporting the health insurance business155 Results of Operations (Three Months Ended March 31, 2023 compared to Three Months Ended March 31, 2022) This section provides a detailed comparison and analysis of the company's operating results for Q1 2023 versus Q1 2022 | Metric | 2023 (in thousands) | 2022 (in thousands) | $ Change (in thousands) | % Change | | :--- | :--- | :--- | :--- | :--- | | Premiums before ceded reinsurance | $1,426,262 | $1,315,064 | $111,198 | 8% | | Reinsurance premiums ceded | $2,364 | $(359,663) | $362,027 | (101)% | | Premiums earned | $1,428,626 | $955,401 | $473,225 | 50% | | Administrative services revenue | $3,885 | $18,493 | $(14,608) | (79)% | | Investment income (loss) and other revenue | $37,174 | $(1,129) | $38,303 | NM | | Total revenue | $1,469,685 | $972,765 | $496,920 | 51% | | Claims incurred, net | $1,091,592 | $734,566 | $357,026 | 49% | | Other insurance costs | $227,431 | $165,402 | $62,029 | 38% | | General and administrative expenses | $102,150 | $74,664 | $27,486 | 37% | | Federal and state assessments | $73,891 | $69,867 | $4,024 | 6% | | Net loss | $(39,628) | $(77,320) | $37,692 | (49)% | - Premiums before ceded reinsurance increased 8% due to a lower risk transfer per member and higher per member premiums from rate actions on the Individual book and new C+O members163 - Administrative services revenue decreased 79% primarily due to the termination of the arrangement with Health First Shared Services, Inc165 - Investment income and other revenue increased significantly to $37.2 million from $(1.1) million, driven by higher investment yields and interest rates166 - Claims incurred, net, increased 49% primarily due to revisions to the 2023 quota share reinsurance program, which shifted from reinsurance accounting to deposit accounting167 - Other insurance costs and General and administrative expenses increased by 38% and 37% respectively, largely attributable to the acceleration of non-cash stock compensation expense from the cancellation of Founders Awards168169 Liquidity and Capital Resources This section analyzes the company's sources of liquidity, capital structure, and cash flow activities - The company manages liquidity at two levels: health insurance subsidiaries and Holdco, with combined statutory capital and surplus of health insurance subsidiaries at $765.1 million as of March 31, 2023, exceeding minimum requirements173175 - Quota share reinsurance arrangements are estimated to reduce required capital by approximately $461.1 million as of March 31, 2023175 - Holdco's total cash and cash equivalents and investments were $260.4 million as of March 31, 2023, which is believed to be sufficient to fund operating requirements for at least the next twelve months176 - Net cash provided by operating activities decreased by $148.1 million year-over-year to $414.7 million, primarily due to a lower increase in benefits payable191 - Net cash provided by financing activities decreased by $298.3 million year-over-year to $0.5 million, mainly due to net proceeds received from the issuance of convertible senior notes in February 2022193 Item 3. Quantitative and Qualitative Disclosures about Market Risk This section addresses the company's exposure to market risk, primarily from potential changes in interest rates - The company's primary market risk exposure is to changes in prime rate-based interest rates, which impact investment income and interest expense194195 - A hypothetical immediate 1% increase in interest rates at March 31, 2023, would result in an approximate $7.6 million decrease in the fair value of the company's investments195 - The company does not hold financial instruments for trading purposes194 Item 4. Controls and Procedures This section discusses the evaluation of the company's disclosure controls and procedures and internal control weaknesses - The Chief Executive Officer and Chief Financial Officer concluded that disclosure controls and procedures were not effective as of March 31, 2023, due to a material weakness in internal control over financial reporting197 - The material weakness relates to the design and maintenance of effective controls over certain information technology (IT) general controls for financial systems, specifically program change management, user access, and program development testing and approval201 - Despite the material weakness, management believes the consolidated financial statements in the report fairly present the financial position, results of operations, and cash flows198 - Remediation plans include implementing enhanced policies and procedures, automating components of change management and logical access, and strengthening testing and approval controls for program development203204 PART II - OTHER INFORMATION This part covers legal proceedings, risk factors, and other required disclosures Item 1. Legal Proceedings This section refers to Note 12 for details on legal proceedings and their potential adverse effects - Information regarding legal proceedings is incorporated by reference from Note 12 - Commitments and Contingencies to the Consolidated Financial Statements208 - The outcome of legal proceedings is uncertain and could have a material adverse effect on the company's business, results of operations, financial condition, or cash flows209 Item 1A. Risk Factors This section presents a comprehensive list of risks that could materially affect the company's business and financial results Most Material Risks to Us This subsection highlights the most significant risks facing the company, including strategy execution and profitability - Failure to effectively execute strategy and manage growth, including member acquisition/retention, new product introduction, and +Oscar monetization, could harm the business212 - The company proactively managed membership growth in Florida during the 2023 Open Enrollment Period to prudently manage capital, temporarily stopping new member acceptance after reaching a threshold214215 - Inability to accurately estimate incurred medical expenses or effectively manage medical and administrative costs could negatively impact financial position, results of operations, and cash flows224 - The company has a history of losses and may not achieve or maintain profitability in the future, despite efforts to price for margin expansion and manage costs232233 - Any repeal, changes, or judicial challenges to the ACA and its regulations could materially and adversely affect the business, as approximately 99% of revenue is derived from ACA-regulated health plans236 Risks Related to the Regulatory Framework that Governs Us This subsection details risks associated with the complex and evolving regulatory landscape of the healthcare industry - The company operates in a highly regulated industry, requiring compliance with numerous state and federal laws and regulations, including maintaining regulatory approvals and meeting performance standards240241 - Failure to comply with applicable privacy, security, and data laws (e.g, HIPAA, CCPA, CPRA) or consumer protection laws could lead to increased costs, significant liability, and reputational harm253256257 - The company is subject to extensive fraud, waste, and abuse laws (e.g, federal Anti-Kickback Statute, Stark Law, False Claims Act), with potential violations leading to treble damages, fines, penalties, and exclusion from government programs263 - Government audits, such as CMS Risk Adjustment Data Validation (RADV) audits, could result in significant payment adjustments, fines, or sanctions267 Risks Related to our Business This subsection outlines operational risks, including provider relations, geographic concentration, and cybersecurity threats - Profitability depends on contracting with hospitals, physicians, and other healthcare providers at competitive prices and maintaining good relations; loss of key providers or inability to renew contracts could adversely affect the business271 - Geographic concentration in states like Florida, Texas, Georgia, and California exposes the company to heightened risks from regional regulatory changes, increased competition, and natural disasters289 - Reliance on third-party vendors and service providers (e.g, AWS, GCP, PBMs) for administrative functions and product administration creates vulnerability to service disruptions, data security incidents, and non-compliance291293 - Cyber-attacks or privacy/data security breaches could disrupt information systems, lead to significant liability, adverse regulatory consequences, reputational harm, and loss of business304306 - The company's success depends on the continued service of its CEO, Co-Founders, senior management, and highly-specialized technology and insurance experts; loss of these key personnel could significantly delay strategic objectives299301 - The company has a limited operating history, making it difficult to evaluate current business performance, implement its business model, and predict future prospects, especially for new market entrants and +Oscar arrangements283 Risks Related to our Indebtedness This subsection describes risks associated with the company's debt obligations, including covenants and refinancing - Restrictions imposed by the Revolving Credit Facility and other debt covenants may limit the company's ability to incur additional debt, make investments, or pay dividends347351 - Failure to comply with financial covenants (direct policy premiums, liquidity, combined ratio) under the Revolving Credit Facility could result in a default and acceleration of borrowings350 - The transition from LIBOR to alternative benchmarks may increase interest expense and incur significant legal risks354355 - The company may be unable to raise the necessary funds to repurchase its outstanding 2031 Notes for cash following a fundamental change or on optional repurchase dates, or to pay any cash amounts due upon conversion356357 Risks Related to Ownership of Our Class A Common Stock This subsection details risks for stockholders, including the dual-class structure and dividend policy - The dual-class structure of common stock concentrates voting control with Thrive Capital and the Co-Founders (82.5% of voting power as of March 31, 2023), limiting the influence of other investors360 - The dual-class structure may result in a lower or more volatile market price for Class A common stock and could make the company ineligible for inclusion in certain stock indices364 - The company is a 'controlled company' under NYSE rules and relies on exemptions from certain corporate governance requirements, such as the composition of its nominating and corporate governance committee365366 - The company does not intend to pay dividends on its Class A common stock for the foreseeable future, as it plans to retain all available funds and future earnings to fund business development and growth367 Item 2. Unregistered Sales of Equity Securities and Use of Proceeds This section states that there were no unregistered sales of equity securities to report for the period - No unregistered sales of equity securities or use of proceeds were reported389 Item 3. Defaults Upon Senior Securities This section states that there were no defaults upon senior securities to report for the period - No defaults upon senior securities were reported390 Item 4. Mine Safety Disclosures This section states that the item regarding mine safety disclosures is not applicable - Mine safety disclosures are not applicable to the company391 Item 5. Other Information This section states that there is no other information to report under this item - No other information was reported under this item392 Item 6. Exhibits This section lists all exhibits filed with the Form 10-Q, including organizational and employment documents - Exhibits include Amended and Restated Certificate of Incorporation and Bylaws, employment agreements for Mark T Bertolini and Mario Schlosser, and Founders Award Cancellation Agreements394 - Certifications from the Chief Executive Officer and Chief Financial Officer (pursuant to Rule 13a-14(a)/15d-14(a) and 18 U.S.C Section 1350) are also included394 SIGNATURES This section provides the official signatures of the company's certifying officers - The report was signed on May 9, 2023, by Mark T Bertolini (Chief Executive Officer), Siddhartha Sankaran (Chief Financial Officer), and Victoria Baltrus (Chief Accounting Officer)399