Delaware
|
001-39439
|
85-1408039
|
(State or other jurisdiction of incorporation)
|
(Commission File Number)
|
(IRS Employer Identification No.)
|
790 Remington Boulevard
Bolingbrook, Illinois
|
60440
|
(Address of principal executive offices)
|
(Zip Code)
|
☐ |
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
|
☐ |
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
|
☐ |
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
|
☐ |
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) Securities registered pursuant to Section 12(b) of the Act:
|
Title of Each Class
|
Trading
Symbol
|
Name of Each Exchange
on Which Registered
|
||
Class A Common Stock, $0.0001 par value
|
ATIP
|
New York Stock Exchange
|
||
Redeemable Warrants, each whole warrant exercisable for one share of Class A Common Stock at an exercise price of $11.50 per share
|
ATIP WS
|
New York Stock Exchange
|
Item 2.02 |
Results of Operation and Financial Condition.
|
Item 5.02 |
Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
|
Item 9.01 |
Financial Statements and Exhibits
|
Dated: November 7, 2022
|
ATI Physical Therapy, Inc.
|
|
By:
|
/s/ Joseph Jordan
|
|
Name:
|
Joseph Jordan
|
|
Title:
|
Chief Financial Officer
|
To the Company:
|
ATI Physical Therapy, Inc.
|
|
790 Remington Boulevard
|
||
Bolingbrook, Illinois 60440
|
||
Attn : CEO
|
With a copy to:
|
Weil, Gotshal & Manges, LP
|
|
100 Federal Street, 34th floor
|
||
Boston, MA 02110
|
||
Attention: Marilyn French Shaw
|
To Employee:
|
To the Employee’s current home address on file with the Company.
|
ATI Physical Therapy, Inc.
|
||
By: | ||
Name: Sharon Vitti
|
||
Title: CEO
|
ATI Holdings, LLC
|
||
By: |
|
|
Name: Sharon Vitti
|
||
Title: CEO
|
Athletic & Therapeutic Institute of Naperville, LLC
|
||
By: | ||
Name: Sharon Vitti
|
||
Title: CEO
|
EMPLOYEE
|
|
|
|
Erik L. Kantz
|
|
7734 Farmingdale Drive
|
|
Darien, IL 60561
|
|
United States of America
|
|
|
Signature
|
|
|
|
Erik L. Kantz
|
AGREED AND ACCEPTED:
|
|
ATI Physical Therapy, Inc.
|
|
By:
|
|
|
Title: | ||
Date: |
• |
Net operating revenue was $156.8 million compared to $163.3 million in the second quarter of 2022 and $159.0 million in the third quarter of 2021, a decrease of 4% quarter over quarter and 1% year over year.
|
◾ |
Net patient revenue was $142.3 million compared to $148.5 million in the second quarter of 2022 and $141.9 million in the third quarter of 2021, a decrease of 4% quarter over quarter and essentially flat year
over year. See below for discussion of drivers to net patient revenue i.e., patient visits and Rate per Visit.
|
◾ |
Other revenue was $14.5 million compared to $14.8 million in the second quarter of 2022 and $17.2 million in the third quarter of 2021, a decrease of 2% quarter over quarter and 16% year over year. The year over
year decrease was primarily due to sale of the Home Health service line on October 1, 2021.
|
• |
Visits per Day (“VPD”) were 21,493 compared to 22,403 in the second quarter of 2022 and 20,674 in the third quarter of 2021, a decrease of 4% quarter over quarter primarily due to seasonality and scheduled
vacations and an increase of 4% year over year mostly due to higher clinical FTE.
|
• |
Rate per Visit was $103.46 compared to $103.57 in the second quarter of 2022 and $105.56 in the third quarter of 2021, essentially flat quarter over quarter and a decrease of 2% year over year. The year over
year decrease was primarily due to the 2022 Medicare Physician Fee Schedule, which introduced a 0.75% decrease in overall rates and an additional 15% decrease in rates paid for services performed by physical therapy assistants, and
unfavorable mix shifts in payors and states. This decrease was partially offset by favorable mix shift in services.
|
• |
Salaries and related costs were $90.3 million compared to $89.6 million in the second quarter of 2022 and $86.8 million in the third quarter of 2021, an increase of 1% quarter over quarter due to wage inflation
and an increase of 4% year over year due to higher number of clinical FTE and wage inflation.
|
• |
Rent, clinic supplies, contract labor and other was $51.4 million compared to $50.4 million in the second quarter of 2022 and $45.8 million in the third quarter of 2021, an increase of 2% quarter over quarter due
to higher expenditures on a per clinic basis and an increase of 12% year over year due to more clinics and higher expenditures on a per clinic basis.
|
• |
Provision for doubtful accounts was $2.8 million compared to $3.5 million in the third quarter of 2021. PT provision as a percent of net patient revenue was 2% in both quarters.
|
• |
Income tax benefit was $7.2 million compared to $13.0 million in the second quarter of 2022 and $35.3 million in the third quarter of 2021.
|
• |
Net loss was $116.7 million compared to $135.7 million in the second quarter of 2022 and $326.8 million in the third quarter of 2021.
|
• |
Adjusted EBITDA1 was $(0.4) million compared to $5.4 million in the second quarter of 2022 and $8.5 million in the third quarter of
2021. Quarter over quarter and year over year, the decreases were primarily driven by lower revenue and higher clinic operating costs partially offset by lower provision for doubtful accounts and selling, general, and administrative
expenses as detailed above.
|
• |
Net increase (decrease) in cash was approximately $(0.0) million year-to-date 2022 compared to $(76.0) million in the first nine months of 2021.
|
• |
Cash and cash equivalents totaled $48.6 million, and the revolving credit facility was undrawn with available capacity of $48.2 million, net of usage by letters of credit, equaling $96.8 million in available
liquidity.
|
• |
Opened 11 new clinics in existing states, including Alabama, Pennsylvania, and Texas; and 8 clinics were closed. This brings the total number of clinics to 929. The Company continues to capitalize on growth
opportunities in individual markets, while optimizing its footprint and financial return in other local markets.
|
• |
Net Promotor Score (“NPS”) of 76 and Google Star Rating of 4.8, reflecting continued high customer satisfaction and brand loyalty.
|
(i) |
changes in domestic business, market, financial, political and legal conditions, including shifts and trends in payor mix;
|
(ii) |
the ability to execute on our sales and marketing strategies;
|
(iii) |
the ability to maintain the listing of the Company's securities on NYSE;
|
(iv) |
risks related to the execution of ATI's business strategy, including but not limited to ramping of visits, growing clinical headcount, and opening new clinics, and the timing of expected business milestones;
|
(v) |
the effects of competition on ATI's future business and the ability of ATI to grow and manage growth profitably, maintain relationships with patients, payors and referral sources and retain its management and key
employees;
|
(vi) |
the ability of the Company to attract and retain physical therapists consistent with its business plan;
|
(vii) |
the ability of the Company to develop new and retain and expand relationships with referral sources;
|
(viii) |
the outcome of any legal proceedings or regulatory investigations that have or may be instituted against the Company or any of its directors or officers and the availability of insurance coverage for such
matters;
|
(ix) |
the ability of the company to comply with its covenants in its credit facility and preferred stock financing arrangements or to redeem preferred stock;
|
(x) |
the ability of the company to generate sufficient cash flow to run its business, comply with its covenants in its credit facility, and continue to operate as a going concern;
|
(xi) |
the ability of the Company to issue equity or equity-linked securities or obtain debt financing in the future;
|
(xii) |
risks related to political and macroeconomic uncertainty, including recession, inflation, higher interest rates and the ongoing conflict between Russia and Ukraine;
|
(xiii) |
the impact of the global COVID-19 pandemic (and existing or emerging variants) on any of the foregoing risks;
|
(xiv) |
risks related to the impact on our workforce of mandatory COVID-19 vaccination of employees;
|
(xv) |
risks related to further impairments of goodwill and other intangible assets, which represent a significant portion of the Company’s total assets, especially in view of the Company’s recent market valuation;
|
(xvi) |
risks associated with the Company’s inability to remediate material weaknesses in internal controls over financial reporting related to income taxes and to maintain effective internal controls over financial
reporting; and
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
September
30, 2022
|
September
30, 2021
|
September
30, 2022
|
September
30, 2021
|
|||||||||||||
Net patient revenue
|
$
|
142,313
|
$
|
141,855
|
$
|
429,744
|
$
|
420,805
|
||||||||
Other revenue
|
14,479
|
17,158
|
44,163
|
51,303
|
||||||||||||
Net operating revenue
|
156,792
|
159,013
|
473,907
|
472,108
|
||||||||||||
Cost of services:
|
||||||||||||||||
Salaries and related costs
|
90,309
|
86,838
|
267,330
|
248,409
|
||||||||||||
Rent, clinic supplies, contract labor and other
|
51,417
|
45,765
|
153,437
|
133,140
|
||||||||||||
Provision for doubtful accounts
|
2,797
|
3,514
|
11,408
|
14,270
|
||||||||||||
Total cost of services
|
144,523
|
136,117
|
432,175
|
395,819
|
||||||||||||
Selling, general and administrative expenses
|
25,263
|
30,795
|
87,095
|
81,912
|
||||||||||||
Goodwill and intangible asset impairment charges
|
106,663
|
508,972
|
390,224
|
962,303
|
||||||||||||
Operating loss
|
(119,657
|
)
|
(516,871
|
)
|
(435,587
|
)
|
(967,926
|
)
|
||||||||
Change in fair value of warrant liability
|
(790
|
)
|
(15,885
|
)
|
(3,651
|
)
|
(20,424
|
)
|
||||||||
Change in fair value of contingent common shares liability
|
(6,930
|
)
|
(146,317
|
)
|
(32,760
|
)
|
(167,265
|
)
|
||||||||
Loss on settlement of redeemable preferred stock
|
—
|
—
|
—
|
14,037
|
||||||||||||
Interest expense, net
|
11,780
|
7,386
|
31,815
|
39,105
|
||||||||||||
Interest expense on redeemable preferred stock
|
—
|
—
|
—
|
10,087
|
||||||||||||
Other expense, net
|
195
|
52
|
3,181
|
5,831
|
||||||||||||
Loss before taxes
|
(123,912
|
)
|
(362,107
|
)
|
(434,172
|
)
|
(849,297
|
)
|
||||||||
Income tax benefit
|
(7,218
|
)
|
(35,333
|
)
|
(43,532
|
)
|
(65,579
|
)
|
||||||||
Net loss
|
$
|
(116,694
|
)
|
$
|
(326,774
|
)
|
$
|
(390,640
|
)
|
$
|
(783,718
|
)
|
September 30, 2022
|
December 31, 2021
|
|||||||
Assets:
|
||||||||
Current assets:
|
||||||||
Cash and cash equivalents
|
$
|
48,569
|
$
|
48,616
|
||||
Accounts receivable (net of allowance for doubtful accounts of $50,910 and $53,533 at June 30, 2022 and December 31, 2021, respectively)
|
82,323
|
82,455
|
||||||
Prepaid expenses
|
12,470
|
9,303
|
||||||
Other current assets
|
13,765
|
3,204
|
||||||
Total current assets
|
157,127
|
143,578
|
||||||
Property and equipment, net
|
129,761
|
139,730
|
||||||
Operating lease right-of-use assets
|
238,476
|
256,646
|
||||||
Goodwill, net
|
338,011
|
608,811
|
||||||
Trade name and other intangible assets, net
|
291,767
|
411,696
|
||||||
Other non-current assets
|
2,068
|
2,233
|
||||||
Total assets
|
$
|
1,157,210
|
$
|
1,562,694
|
||||
Liabilities, Mezzanine Equity and Stockholders' Equity:
|
||||||||
Current liabilities:
|
||||||||
Accounts payable
|
$
|
11,099
|
$
|
15,146
|
||||
Accrued expenses and other liabilities
|
52,511
|
64,584
|
||||||
Current portion of operating lease liabilities
|
52,366
|
49,433
|
||||||
Current portion of long-term debt
|
—
|
8,167
|
||||||
Total current liabilities
|
115,976
|
137,330
|
||||||
Long-term debt, net
|
479,906
|
543,799
|
||||||
Warrant liability
|
690
|
4,341
|
||||||
Contingent common shares liability
|
12,600
|
45,360
|
||||||
Deferred income tax liabilities
|
23,927
|
67,459
|
||||||
Operating lease liabilities
|
229,460
|
250,597
|
||||||
Other non-current liabilities
|
1,944
|
2,301
|
||||||
Total liabilities
|
864,503
|
1,051,187
|
||||||
Commitments and contingencies
|
||||||||
Mezzanine equity:
|
||||||||
Series A Senior Preferred Stock, $0.0001 par value; 1.0 million shares authorized; $1,074.32 stated value per share and 0.2 million shares issued and outstanding at June
30, 2022; none issued and outstanding at December 31, 2021
|
140,340
|
—
|
||||||
Stockholders' equity:
|
||||||||
Class A common stock, $0.0001 par value; 470.0 million shares authorized; 207.3 million shares issued, 198.1 million shares outstanding at September 30, 2022; 207.4 million shares
issued, 197.4 million shares outstanding at December 31, 2021
|
20
|
20
|
||||||
Treasury stock, at cost, 0.06 million shares and 0.03 million shares at September
30, 2022 and December 31, 2021, respectively
|
(136
|
)
|
(95
|
)
|
||||
Additional paid-in capital
|
1,377,152
|
1,351,597
|
||||||
Accumulated other comprehensive income
|
7,143
|
28
|
||||||
Accumulated deficit
|
(1,236,746
|
)
|
(847,132
|
)
|
||||
Total ATI Physical Therapy, Inc. equity
|
147,433
|
504,418
|
||||||
Non-controlling interests
|
4,934
|
7,089
|
||||||
Total stockholders' equity
|
152,367
|
511,507
|
||||||
Total liabilities, mezzanine equity and stockholders' equity
|
$
|
1,157,210
|
$
|
1,562,694
|
Nine Months Ended
|
||||||||
September 30, 2022
|
September 30, 2021
|
|||||||
Operating activities:
|
||||||||
Net loss
|
$
|
(390,640
|
)
|
$
|
(783,718
|
)
|
||
Adjustments to reconcile net loss to net cash used in operating activities:
|
||||||||
Goodwill and intangible asset impairment charges
|
390,224
|
962,303
|
||||||
Depreciation and amortization
|
30,477
|
27,990
|
||||||
Provision for doubtful accounts
|
11,408
|
14,270
|
||||||
Deferred income tax provision
|
(43,532
|
)
|
(65,579
|
)
|
||||
Amortization of right-of-use assets
|
36,155
|
33,868
|
||||||
Non-cash share-based compensation
|
5,830
|
4,864
|
||||||
Amortization of debt issuance costs and original issue discount
|
1,934
|
2,644
|
||||||
Non-cash interest expense
|
889
|
—
|
||||||
Non-cash interest expense on redeemable preferred stock
|
—
|
10,087
|
||||||
Loss on extinguishment of debt
|
2,809
|
5,534
|
||||||
Loss on settlement of redeemable preferred stock
|
—
|
14,037
|
||||||
(Gain) loss on disposal and impairment of assets
|
(42
|
)
|
219
|
|||||
Change in fair value of warrant liability
|
(3,651
|
)
|
(20,424
|
)
|
||||
Change in fair value of contingent common shares liability
|
(32,760
|
)
|
(167,265
|
)
|
||||
Changes in:
|
||||||||
Accounts receivable, net
|
(11,276
|
)
|
(8,564
|
)
|
||||
Prepaid expenses and other current assets
|
(5,507
|
)
|
(6,580
|
)
|
||||
Other non-current assets
|
52
|
(269
|
)
|
|||||
Accounts payable
|
(2,100
|
)
|
151
|
|||||
Accrued expenses and other liabilities
|
(702
|
)
|
(11,820
|
)
|
||||
Operating lease liabilities
|
(36,431
|
)
|
(39,084
|
)
|
||||
Other non-current liabilities
|
52
|
824
|
||||||
Medicare Accelerated and Advance Payment Program Funds
|
(12,269
|
)
|
(8,540
|
)
|
||||
Transaction-related amount due to former owners
|
—
|
(3,611
|
)
|
|||||
Net cash used in operating activities
|
(59,080
|
)
|
(38,663
|
)
|
||||
Investing activities:
|
||||||||
Purchases of property and equipment
|
(22,091
|
)
|
(27,701
|
)
|
||||
Purchases of intangible assets
|
—
|
(1,375
|
)
|
|||||
Proceeds from sale of property and equipment
|
152
|
125
|
||||||
Proceeds from sale of clinics
|
77
|
248
|
||||||
Net cash used in investing activities
|
(21,862
|
)
|
(28,703
|
)
|
Financing activities:
|
||||||||
Proceeds from long-term debt
|
500,000
|
—
|
||||||
Deferred financing costs
|
(12,952
|
)
|
—
|
|||||
Original issue discount
|
(10,000
|
)
|
—
|
|||||
Principal payments on long-term debt
|
(555,048
|
)
|
(454,160
|
)
|
||||
Proceeds from issuance of Series A Senior Preferred Stock
|
144,667
|
—
|
||||||
Proceeds from issuance of 2022 Warrants
|
20,333
|
—
|
||||||
Cash inflow from Business Combination
|
—
|
229,338
|
||||||
Payments to Series A Preferred stockholders
|
—
|
(59,000
|
)
|
|||||
Proceeds from shares issued through PIPE investment
|
—
|
300,000
|
||||||
Equity issuance costs and original issue discount
|
(4,935
|
)
|
(19,233
|
)
|
||||
Taxes paid on behalf of employees for shares withheld
|
(41
|
)
|
—
|
|||||
Distribution to non-controlling interest holders
|
(1,129
|
)
|
(5,615
|
)
|
||||
Net cash provided by (used in) financing activities
|
80,895
|
(8,670
|
)
|
|||||
Changes in cash and cash equivalents:
|
||||||||
Net decrease in cash and cash equivalents
|
(47
|
)
|
(76,036
|
)
|
||||
Cash and cash equivalents at beginning of period
|
48,616
|
142,128
|
||||||
Cash and cash equivalents at end of period
|
$
|
48,569
|
$
|
66,092
|
||||
Supplemental noncash disclosures:
|
||||||||
Derivative changes in fair value
|
$
|
(7,115
|
)
|
$
|
(1,378
|
)
|
||
Purchases of property and equipment in accounts payable
|
$
|
2,230
|
$
|
1,733
|
||||
Warrant liability recognized upon the closing of the Business Combination
|
$
|
—
|
$
|
(26,936
|
)
|
|||
Contingent common shares liability recognized upon the closing of the Business Combination
|
$
|
—
|
$
|
(220,500
|
)
|
|||
Shares issued to Wilco Holdco Series A Preferred stockholders
|
$
|
—
|
$
|
128,453
|
||||
Other supplemental disclosures:
|
||||||||
Cash paid for interest
|
$
|
29,453
|
$
|
35,334
|
||||
Cash received from hedging activities
|
$
|
1,080
|
$
|
—
|
||||
Cash paid for taxes
|
$
|
82
|
$
|
156
|
Financial Metrics ($ in 000’s)
|
|||||||||||||||||||||
Net Patient
Revenue
|
Other
Revenue
|
Net Operating
Revenue
|
Adjusted
EBITDA(1) |
Adj EBITDA
margin(1) |
|||||||||||||||||
Q1 2019
|
$
|
170,940
|
$
|
16,277
|
$
|
187,217
|
$
|
25,989
|
13.9
|
%
|
|||||||||||
Q2 2019
|
$
|
182,757
|
$
|
16,015
|
$
|
198,772
|
$
|
33,342
|
16.8
|
%
|
|||||||||||
Q3 2019
|
$
|
179,561
|
$
|
16,624
|
$
|
196,185
|
$
|
29,455
|
15.0
|
%
|
|||||||||||
Q4 2019
|
$
|
184,338
|
$
|
18,946
|
$
|
203,284
|
$
|
39,606
|
19.5
|
%
|
|||||||||||
Q1 2020
|
$
|
164,939
|
$
|
17,799
|
$
|
182,738
|
$
|
26,487
|
14.5
|
%
|
|||||||||||
Q2 2020
|
$
|
95,003
|
$
|
12,751
|
$
|
107,754
|
$
|
1,189
|
1.1
|
%
|
|||||||||||
Q3 2020
|
$
|
132,803
|
$
|
15,852
|
$
|
148,655
|
$
|
17,321
|
11.7
|
%
|
|||||||||||
Q4 2020
|
$
|
136,840
|
$
|
16,266
|
$
|
153,106
|
$
|
18,622
|
12.2
|
%
|
|||||||||||
Q1 2021
|
$
|
132,271
|
$
|
16,791
|
$
|
149,062
|
$
|
5,590
|
3.8
|
%
|
|||||||||||
Q2 2021
|
$
|
146,679
|
$
|
17,354
|
$
|
164,033
|
$
|
23,999
|
14.6
|
%
|
|||||||||||
Q3 2021
|
$
|
141,855
|
$
|
17,158
|
$
|
159,013
|
$
|
8,539
|
5.4
|
%
|
|||||||||||
Q4 2021
|
$
|
140,275
|
$
|
15,488
|
$
|
155,763
|
$
|
1,643
|
1.1
|
%
|
|||||||||||
Q1 2022
|
$
|
138,925
|
$
|
14,897
|
$
|
153,822
|
$
|
(4,695
|
)
|
(3.1
|
)%
|
||||||||||
Q2 2022
|
$
|
148,506
|
$
|
14,787
|
$
|
163,293
|
$
|
5,436
|
3.3
|
%
|
|||||||||||
Q3 2022
|
$
|
142,313
|
$
|
14,479
|
$
|
156,792
|
$
|
(392
|
)
|
(0.3
|
)%
|
(1) |
Excludes CARES Act Provider Relief Funds of $44.3 million in the second quarter of 2020, $23.1 million in the third quarter of 2020, and $24.1 million in the fourth quarter of 2020.
|
Operational Metrics: PT Clinics
|
|||||||||||||||||||||||||
Ending
Clinic Count
|
Visits
per Day(1)
|
Clinical
FTE(2)
|
VPD
per cFTE(3)
|
Annualized
Clinician
Adds %(4)
|
Annualized
Clinician
Turnover %(5)
|
||||||||||||||||||||
Q1 2019
|
825
|
24,142
|
2,833
|
8.5
|
20
|
%
|
19
|
%
|
|||||||||||||||||
Q2 2019
|
836
|
25,527
|
2,862
|
8.9
|
26
|
%
|
21
|
%
|
|||||||||||||||||
Q3 2019
|
847
|
25,229
|
2,901
|
8.7
|
37
|
%
|
26
|
%
|
|||||||||||||||||
Q4 2019
|
872
|
25,693
|
2,936
|
8.8
|
17
|
%
|
26
|
%
|
|||||||||||||||||
Q1 2020
|
868
|
22,855
|
2,841
|
8.0
|
17
|
%
|
22
|
%
|
|||||||||||||||||
Q2 2020
|
866
|
12,643
|
1,487
|
8.5
|
0
|
%
|
20
|
%
|
|||||||||||||||||
Q3 2020
|
873
|
18,159
|
2,004
|
9.1
|
9
|
%
|
82
|
%
|
|||||||||||||||||
Q4 2020
|
875
|
19,441
|
2,214
|
8.8
|
43
|
%
|
34
|
%
|
|||||||||||||||||
Q1 2021
|
882
|
19,520
|
2,284
|
8.5
|
44
|
%
|
32
|
%
|
|||||||||||||||||
Q2 2021
|
889
|
21,569
|
2,325
|
9.3
|
44
|
%
|
44
|
%
|
|||||||||||||||||
Q3 2021
|
900
|
20,674
|
2,359
|
8.8
|
63
|
%
|
41
|
%
|
|||||||||||||||||
Q4 2021
|
910
|
20,649
|
2,490
|
8.3
|
44
|
%
|
37
|
%
|
|||||||||||||||||
Q1 2022
|
922
|
21,062
|
2,466
|
8.5
|
39
|
%
|
28
|
%
|
|||||||||||||||||
Q2 2022
|
926
|
22,403
|
2,465
|
9.1
|
38
|
%
|
37
|
%
|
|||||||||||||||||
Q3 2022
|
929
|
21,493
|
2,465
|
8.7
|
45
|
%
|
36
|
%
|
(1) |
Equals patient visits divided by operating days.
|
(2) |
Represents clinical staff hours divided by 8 hours divided by number of paid days.
|
(3) |
Equals patient visits divided by operating days divided by clinical full-time equivalent employees.
|
(4) |
Represents clinician headcount new hire adds divided by average clinician headcount, multiplied by 4 to annualize.
|
(5) |
Represents clinician headcount separations divided by average clinician headcount, multiplied by 4 to annualize.
|
Unit Economics: PT Clinics ($ actual)
|
|||||||||||||||||||||||||
PT Revenue
per Clinic(1)
|
VPD
per Clinic(2)
|
PT Rate
per Visit(3)
|
PT Salaries
per Visit(4)
|
PT Rent
and Other
per Clinic(5)
|
PT Provision
as % PT
Revenue(6)
|
||||||||||||||||||||
Q1 2019
|
$
|
208,803
|
29.5
|
$
|
112.39
|
$
|
57.21
|
$
|
48,682
|
4.3
|
%
|
||||||||||||||
Q2 2019
|
$
|
219,748
|
30.7
|
$
|
111.87
|
$
|
55.21
|
$
|
48,130
|
3.2
|
%
|
||||||||||||||
Q3 2019
|
$
|
213,255
|
30.0
|
$
|
111.21
|
$
|
56.47
|
$
|
48,995
|
2.8
|
%
|
||||||||||||||
Q4 2019
|
$
|
213,767
|
29.8
|
$
|
112.10
|
$
|
54.65
|
$
|
47,843
|
2.1
|
%
|
||||||||||||||
Q1 2020
|
$
|
189,658
|
26.3
|
$
|
112.76
|
$
|
55.11
|
$
|
50,258
|
3.6
|
%
|
||||||||||||||
Q2 2020
|
$
|
109,872
|
14.6
|
$
|
117.41
|
$
|
53.39
|
$
|
43,621
|
4.1
|
%
|
||||||||||||||
Q3 2020
|
$
|
152,472
|
20.8
|
$
|
112.51
|
$
|
53.83
|
$
|
44,140
|
2.2
|
%
|
||||||||||||||
Q4 2020
|
$
|
155,913
|
22.2
|
$
|
109.98
|
$
|
52.16
|
$
|
47,168
|
2.4
|
%
|
||||||||||||||
Q1 2021
|
$
|
150,536
|
22.2
|
$
|
107.56
|
$
|
54.14
|
$
|
47,722
|
5.4
|
%
|
||||||||||||||
Q2 2021
|
$
|
165,241
|
24.3
|
$
|
106.26
|
$
|
48.22
|
$
|
47,857
|
2.4
|
%
|
||||||||||||||
Q3 2021
|
$
|
158,556
|
23.1
|
$
|
105.56
|
$
|
53.70
|
$
|
49,499
|
2.5
|
%
|
||||||||||||||
Q4 2021
|
$
|
154,772
|
22.8
|
$
|
104.51
|
$
|
55.73
|
$
|
50,976
|
1.5
|
%
|
||||||||||||||
Q1 2022
|
$
|
151,225
|
22.9
|
$
|
103.06
|
$
|
55.47
|
$
|
54,472
|
3.7
|
%
|
||||||||||||||
Q2 2022
|
$
|
160,431
|
24.2
|
$
|
103.57
|
$
|
53.64
|
$
|
53,017
|
2.4
|
%
|
||||||||||||||
Q3 2022
|
$
|
153,410
|
23.2
|
$
|
103.46
|
$
|
56.20
|
$
|
53,945
|
2.0
|
%
|
(1) |
Equals Net Patient Revenue divided by average clinics over the quarter.
|
(2) |
Equals patient visits divided by operating days divided by average clinics over the quarter
|
(3) |
Equals Net Patient Revenue divided by patient visits.
|
(4) |
Equals estimated patient-related portion of Salaries and Related Costs divided by patient visits.
|
(5) |
Equals estimated patient-related portion of Rent, Clinic Supplies, Contract Labor and Other divided by average clinics over the quarter.
|
(6) |
Equals estimated patient-related portion of Provision for Doubtful Accounts divided by Net Patient Revenue.
|
(1) |
NPS measures customer experience from ATI patient survey responses. The score is calculated as the percentage of promoters less the percentage of detractors.
|
(2) |
A Google Star rating is a five-star rating scale that ranks businesses based on customer reviews. Customers are given the opportunity to leave a business review after interacting with a business, which involves
choosing from one star (poor) to five stars (excellent).
|
Three Months Ended
|
||||||||||||
September 30,
2022
|
June 30,
2022
|
March 31,
2022
|
||||||||||
Net loss
|
$
|
(116,694
|
)
|
$
|
(135,723
|
)
|
$
|
(138,223
|
)
|
|||
Plus (minus):
|
||||||||||||
Net loss attributable to non-controlling interests
|
376
|
177
|
473
|
|||||||||
Interest expense, net
|
11,780
|
11,379
|
8,656
|
|||||||||
Income tax benefit
|
(7,218
|
)
|
(13,033
|
)
|
(23,281
|
)
|
||||||
Depreciation and amortization expense
|
9,907
|
10,055
|
9,900
|
|||||||||
EBITDA
|
$
|
(101,849
|
)
|
$
|
(127,145
|
)
|
$
|
(142,475
|
)
|
|||
Goodwill and intangible asset impairment charges(1)
|
106,663
|
127,820
|
155,741
|
|||||||||
Goodwill and intangible asset impairment charges attributable to non-controlling interests(1)
|
(457
|
)
|
(654
|
)
|
(940
|
)
|
||||||
Changes in fair value of warrant liability and contingent common shares liability(2)
|
(7,720
|
)
|
(2,680
|
)
|
(26,011
|
)
|
||||||
Loss on debt extinguishment(3)
|
—
|
—
|
2,809
|
|||||||||
Loss on legal settlement(4)
|
—
|
3,000
|
—
|
|||||||||
Share-based compensation
|
1,920
|
2,004
|
1,964
|
|||||||||
Non-ordinary legal and regulatory matters(5)
|
772
|
2,202
|
2,497
|
|||||||||
Pre-opening de novo costs(6)
|
224
|
286
|
381
|
|||||||||
Transaction and integration costs(7)
|
55
|
603
|
1,538
|
|||||||||
Gain on sale of Home Health service line, net
|
—
|
—
|
(199
|
)
|
||||||||
Adjusted EBITDA
|
$
|
(392
|
)
|
$
|
5,436
|
$
|
(4,695
|
)
|
(1) |
Represents non-cash charges related to the write-down of goodwill and trade name indefinite-lived intangible assets.
|
(2) |
Represents non-cash amounts related to the change in the estimated fair value of IPO Warrants, Earnout Shares and Vesting Shares.
|
(3) |
Represents charges related to the derecognition of the unamortized deferred financing costs and original issuance discount associated with the full repayment of the 2016 first lien term loan.
|
(4) |
Represents estimated charge for probable net settlement liability related to billing dispute.
|
(5) |
Represents non-ordinary course legal costs related to the previously disclosed ATIP shareholder class action complaints, derivative complaint and SEC inquiry.
|
(6) |
Represents expenses associated with renovation, equipment and marketing costs relating to the start-up and launch of new locations incurred prior to opening.
|
(7) |
Represents costs related to the Business Combination with FVAC II and non-capitalizable debt transaction costs.
|
Three Months Ended
|
||||||||||||||||
December 31,
|
September 30,
|
June 30,
|
March 31,
|
|||||||||||||
2021
|
2021
|
2021
|
2021
|
|||||||||||||
Net income (loss)
|
$
|
1,690
|
$
|
(326,774
|
)
|
$
|
(439,126
|
)
|
$
|
(17,818
|
)
|
|||||
Plus (minus):
|
||||||||||||||||
Net (income) loss attributable to non-controlling interests
|
(869
|
)
|
2,109
|
3,769
|
(1,309
|
)
|
||||||||||
Interest expense, net
|
7,215
|
7,386
|
15,632
|
16,087
|
||||||||||||
Interest expense on redeemable preferred stock
|
—
|
—
|
4,779
|
5,308
|
||||||||||||
Income tax benefit
|
(5,381
|
)
|
(35,333
|
)
|
(19,731
|
)
|
(10,515
|
)
|
||||||||
Depreciation and amortization expense
|
10,005
|
9,222
|
9,149
|
9,619
|
||||||||||||
EBITDA
|
12,660
|
(343,390
|
)
|
(425,528
|
)
|
1,372
|
||||||||||
Goodwill and intangible asset impairment charges(1)
|
—
|
508,972
|
453,331
|
—
|
||||||||||||
Goodwill and intangible asset impairment charges attributable to non-controlling interest(1)
|
—
|
(2,928
|
)
|
(5,021
|
)
|
—
|
||||||||||
Changes in fair value of warrant liability and contingent common shares liability(2)
|
(10,046
|
)
|
(162,202
|
)
|
(25,487
|
)
|
—
|
|||||||||
Gain on sale of Home Health service line, net
|
(5,846
|
)
|
—
|
—
|
—
|
|||||||||||
Reorganization and severance costs(3)
|
—
|
3,551
|
—
|
362
|
||||||||||||
Transaction and integration costs(4)
|
955
|
2,335
|
3,580
|
2,918
|
||||||||||||
Share-based compensation
|
905
|
1,248
|
3,112
|
504
|
||||||||||||
Pre-opening de novo costs(5)
|
543
|
511
|
441
|
434
|
||||||||||||
Non-ordinary legal and regulatory matters(6)
|
2,472
|
442
|
—
|
—
|
||||||||||||
Loss on debt extinguishment(7)
|
—
|
—
|
5,534
|
—
|
||||||||||||
Loss on settlement of redeemable preferred stock(8)
|
—
|
—
|
14,037
|
—
|
||||||||||||
Adjusted EBITDA
|
$
|
1,643
|
$
|
8,539
|
$
|
23,999
|
$
|
5,590
|
(1) |
Represents non-cash charges related to the write-down of goodwill and trade name indefinite-lived intangible assets.
|
(2) |
Represents non-cash amounts related to the change in the estimated fair value of Warrants, Earnout Shares and Vesting Shares.
|
(3) |
Represents severance, consulting and other costs related to discrete initiatives focused on reorganization and delayering of the Company’s labor model, management structure and support functions.
|
(4) |
Represents costs related to the Company’s business combination with FVAC II, non-capitalizable debt transaction costs, clinic acquisitions and acquisition-related integration and consulting and planning costs
related to preparation to operate as a public company.
|
(5) |
Represents expenses associated with renovation, equipment and marketing costs relating to the start-up and launch of new locations incurred prior to opening.
|
(6) |
Represents non-ordinary course legal costs related to the previously disclosed ATIP shareholder class action complaints, derivative complaint and SEC inquiry.
|
(7) |
Represents charges related to the derecognition of the proportionate amount of remaining unamortized deferred financing costs and original issuance discount associated with the partial repayment of the first lien
term loan and derecognition of the unamortized original issuance discount associated with the full repayment of the subordinated second lien term loan.
|
(8) |
Represents loss on settlement of redeemable preferred stock based on the value of cash and equity provided to preferred stockholders in relation to the outstanding redeemable preferred stock liability at the time
of the closing of the business combination with FVAC II.
|
Three Months Ended
|
||||||||||||||||
December 31,
|
September 30,
|
June 30,
|
March 31,
|
|||||||||||||
2020
|
2020
|
2020
|
2020
|
|||||||||||||
Net income (loss)
|
$
|
2,190
|
$
|
1,022
|
$
|
4,596
|
$
|
(8,106
|
)
|
|||||||
Plus (minus):
|
||||||||||||||||
Net income attributable to non-controlling interests
|
(987
|
)
|
(901
|
)
|
(1,855
|
)
|
(1,330
|
)
|
||||||||
Interest expense, net
|
16,404
|
17,346
|
17,683
|
17,858
|
||||||||||||
Interest expense on redeemable preferred stock
|
5,154
|
4,896
|
4,604
|
4,377
|
||||||||||||
Income tax (benefit) expense
|
(2,033
|
)
|
2,322
|
3,568
|
(1,792
|
)
|
||||||||||
Depreciation and amortization expense
|
10,072
|
9,880
|
9,763
|
9,985
|
||||||||||||
EBITDA
|
30,800
|
34,565
|
38,359
|
20,992
|
||||||||||||
Reorganization and severance costs(1)
|
679
|
4,436
|
1,255
|
1,142
|
||||||||||||
Transaction and integration costs(2)
|
3,747
|
75
|
100
|
868
|
||||||||||||
Share-based compensation
|
503
|
473
|
466
|
494
|
||||||||||||
Pre-opening de novo costs(3)
|
335
|
368
|
268
|
594
|
||||||||||||
Business optimization costs(4)
|
2,450
|
519
|
5,011
|
2,397
|
||||||||||||
Charges related to lease terminations(5)
|
4,253
|
—
|
—
|
—
|
||||||||||||
Adjusted EBITDA
|
$
|
42,767
|
$
|
40,436
|
$
|
45,459
|
$
|
26,487
|
(1) |
Represents severance, consulting and other costs related to discrete initiatives focused on reorganization and delayering of the Company’s labor model, management structure and support functions.
|
(2) |
Represents costs related to the Company’s business combination with FVAC II, clinic acquisitions and acquisition-related integration and consulting and planning costs related to preparation to operate as a public
company.
|
(3) |
Represents expenses associated with renovation, equipment and marketing costs relating to the start-up and launch of new locations incurred prior to opening.
|
(4) |
Represents non-recurring costs to optimize our platform and ATI transformative initiatives. Costs primarily relate to duplicate costs driven by IT and Revenue Cycle Management conversions, labor related costs
during the transition of key positions and other incremental costs of driving optimization initiatives.
|
(5) |
Represents charges related to lease terminations prior to the end of term for corporate facilities no longer in use.
|
Three Months Ended
|
||||||||||||||||
December 31,
|
September 30,
|
June 30,
|
March 31,
|
|||||||||||||
2019
|
2019
|
2019
|
2019
|
|||||||||||||
Net income (loss)
|
$
|
31,914
|
$
|
(6,046
|
)
|
$
|
(4,816
|
)
|
$
|
(11,303
|
)
|
|||||
Plus (minus):
|
||||||||||||||||
Net income attributable to non-controlling interests
|
(1,234
|
)
|
(878
|
)
|
(933
|
)
|
(1,355
|
)
|
||||||||
Interest expense, net
|
18,022
|
19,263
|
19,927
|
19,760
|
||||||||||||
Interest expense on redeemable preferred stock
|
4,206
|
4,000
|
3,763
|
3,542
|
||||||||||||
Income tax benefit
|
(36,095
|
)
|
(2,055
|
)
|
(1,825
|
)
|
(4,044
|
)
|
||||||||
Depreciation and amortization expense
|
9,884
|
9,567
|
9,635
|
10,018
|
||||||||||||
EBITDA
|
26,697
|
23,851
|
25,751
|
16,618
|
||||||||||||
Reorganization and severance costs(1)
|
3,401
|
120
|
775
|
4,035
|
||||||||||||
Transaction and integration costs(2)
|
3,998
|
198
|
310
|
29
|
||||||||||||
Share-based compensation
|
(57
|
)
|
559
|
795
|
525
|
|||||||||||
Pre-opening de novo costs(3)
|
438
|
757
|
487
|
593
|
||||||||||||
Business optimization costs(4)
|
5,129
|
3,970
|
5,224
|
4,189
|
||||||||||||
Adjusted EBITDA
|
$
|
39,606
|
$
|
29,455
|
$
|
33,342
|
$
|
25,989
|
(1) |
Represents severance, consulting and other costs related to discrete initiatives focused on reorganization and delayering of the Company’s labor model, management structure and support functions.
|
(2) |
Represents costs related to the Company’s business combination with FVAC II, clinic acquisitions and acquisition-related integration and consulting and planning costs related to preparation to operate as a public
company.
|
(3) |
Represents expenses associated with renovation, equipment and marketing costs relating to the start-up and launch of new locations incurred prior to opening.
|
(4) |
Represents non-recurring costs to optimize our platform and ATI transformative initiatives. Costs primarily relate to duplicate costs driven by IT and Revenue Cycle Management conversions, labor related costs
during the transition of key positions and other incremental costs of driving optimization initiatives.
|