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P3 Health Partners(PIII) - 2025 Q2 - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company reported a membership of 115,000 members, which is a 9% year-over-year decline, primarily due to intentional rationalization of payer and provider partnerships [20][22] - Total revenue for Q2 was $356 million, down 6% year-over-year, driven by the decline in membership [20] - Adjusted EBITDA for the quarter was a loss of $17 million, but when adjusted for prior period items, the loss improves to $8 million, reflecting a $5 million improvement from normalized Q1 results [7][22] - The year-to-date adjusted EBITDA loss was $39 million, which improves to $22 million when excluding prior period adjustments [8][24] Business Line Data and Key Metrics Changes - The company is nearing full execution on a $130 million EBITDA improvement plan, with three of four markets breakeven or better through the first half of the year [5][6] - Medical margin for Q2, excluding prior period adjustments, was $39 million or $114 per member per month (PMPM) [20] - Significant improvements in hospice and palliative care programs resulted in approximately a $10 million reduction in medical expenses [21] Market Data and Key Metrics Changes - Funding has improved by 10% across membership on a normalized per member basis, reflecting gains in operational execution [6] - The company has renegotiated contracts with payers, resulting in $20 million in contractual improvements expected [6][11] Company Strategy and Development Direction - The company is focused on smart growth, expanding its business model with prudence and thorough underwriting, with a growth pipeline exceeding 35,000 members [12] - The Care Enablement model launched last year is delivering accelerated results in clinical quality metrics, with significant improvements in care gap closures [9][10] - The company anticipates driving additional EBITDA improvements in the range of $120 million to $170 million in 2026, with the majority of the impact occurring in that year [13][31] Management's Comments on Operating Environment and Future Outlook - Management views 2025 as a transitional year, marking a shift from structural reset to real momentum, with ongoing efforts in medical cost management expected to drive margin recovery [19][24] - The company is confident in its ability to achieve significant profitability in 2026 and beyond, supported by improved operational performance and favorable market conditions [15][31] Other Important Information - The company ended the quarter with $39 million of liquidity, maintaining discipline in cash management to support operational priorities [25] - The company has retooled its utilization management and care management teams to capture opportunities for improving financial performance [11] Q&A Session Summary Question: Causes of prior period adjustments - Management indicated that the prior period adjustments were primarily due to claims migration issues with a payer and late data from a larger national payer [35][36] Question: Confidence in plan partners' MA bids for 2026 - Management expressed confidence based on discussions with plans regarding their intent and direction for bids, although final bid information is not yet available [40][41] Question: Impact of renegotiation efforts on Part B exposure - Management stated that they are about 75% complete with renegotiations, which will have both 2025 and 2026 impacts [62] Question: Breakdown of EBITDA opportunities for next year - Management outlined that the EBITDA opportunities are categorized into base rate changes, benefit design adjustments, operational improvements, and contractual enhancements, with specific percentages allocated to each [66][68]