Neuehealth Reports Third Quarter 2024 Results

  • Delivered strongest financial performance to date in Q3 ‘24, resulting from continued positive momentum in NeueCare and NeueSolutions business segments
  • Drove positive Adjusted EBITDA for the third consecutive quarter in 2024; reaffirming Adjusted EBITDA guidance for the full year
  • Well-positioned to build on success and capitalize on strategic growth opportunities in 2025 and beyond

DORAL, Fla.--()--NeueHealth, Inc. (“NeueHealth” or the “Company”) (NYSE: NEUE), the value-driven healthcare company, today reported financial results for its third quarter ended September 30, 2024.

We are pleased to report another quarter of strong financial performance as we continue to build on the positive momentum we have generated so far this year,” said Mike Mikan, President and CEO of NeueHealth. “We have delivered Adjusted EBITDA profitability for three consecutive quarters, and we believe we are well-positioned to finish 2024 on a strong note. Looking ahead, we see significant opportunities to build on our success in 2025 and beyond as we continue to align the interests of consumers, providers, and payors to create a better healthcare experience for all.”

 

Key Metrics

 

As of September 30,

 

2024

 

2023

Consumer and Patient Metrics

 

 

 

Value-Based Consumers served

390,000

 

355,000

Enablement Services Lives

119,000

 

31,000

($ in thousands)

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

2024

 

2023

 

2024

 

2023

Financial Metrics

 

 

 

 

 

 

 

Revenue

$

232,933

 

$

269,399

 

 

$

704,019

 

 

$

867,931

 

Net Income (Loss)

$

(40,365

)

 

$

(547,148

)

 

$

(102,240

)

 

$

(805,236

)

Net Income (Loss) from Continuing Operations

$

(26,007

)

 

$

(479,305

)

 

$

(59,578

)

 

$

(564,915

)

Adjusted EBITDA (non-GAAP)

$

9,396

 

 

$

3,431

 

 

$

17,015

 

 

$

5,911

 

See the table at the end of this release for additional information and a reconciliation of the non-GAAP measures used above.

Financial Outlook

For 2024, we are reaffirming the following guidance:

  • NeueHealth’s Revenue is expected to be approximately $950 million
  • On a segment basis, NeueCare Revenue is expected to be approximately $320 million, while NeueSolutions Revenue is expected to be approximately $640 million
  • Adjusted Operating Cost Ratio is expected to be between 15% and 16%, excluding corporate costs. Including corporate costs, this is expected to be between 19% and 20%†
  • Adjusted EBITDA is expected to be between $15 million and $25 million in 2024†

Reconciliations of projected Adjusted EBITDA and projected Adjusted Operating Cost Ratio to the most directly comparable GAAP financial measures are not provided because the Company is unable to provide such reconciliations without unreasonable effort. The inability to provide a reconciliation is due to the uncertainty and inherent difficulty predicting the occurrence, the financial impact and the periods in which the non-GAAP adjustments may be recognized. With respect to Adjusted EBITDA, these GAAP measures may include the impact of such items as loss from discontinued operations, interest expense, income tax expense, depreciation and amortization, transaction costs, share-based and other long-term incentive compensation expense, gain on troubled debt restructuring, changes in the fair value of derivatives, restructuring and contract termination costs, held-for-sale operations, financial solvency of contractual counterparties, and impairment of goodwill or long-lived assets, and the tax effect of all such items. Historically, the Company has often excluded these items from non-GAAP financial measures. With respect to Adjusted Operating Cost Ratio, these GAAP measures may include the impact of such items as share-based compensation and held-for-sale operations. The Company currently expects to continue to exclude these items in future disclosures of non-GAAP financial measures and may also exclude other items that may arise (collectively, “non-GAAP adjustments”). The decisions and events that typically lead to the recognition of non-GAAP adjustments, such as a decision to exit part of the business, are inherently unpredictable as to if or when they may occur. For the same reasons, the Company is unable to address the probable significance of the unavailable information, which could be material to future results.

Earnings Conference Call

As previously announced, NeueHealth will discuss the Company’s results, strategy, and outlook on a conference call with investors at 8:00 a.m. Eastern Time today. NeueHealth will host a live webcast of this conference call which can be accessed from the Investor Relations page of the company’s website (investors.neuehealth.com). Following the call, a webcast replay will be available on the same site. This earnings release and the Form 8-K filed November 7, 2024 can be accessed on the Investor Relations page of the Company’s website. We routinely post important information on our website, including corporate and investor presentations and financial information. We intend to use our website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Such disclosures will be included in the Investor Relations section of our website. Accordingly, investors should monitor this portion of our website, in addition to following our press releases, U.S. Securities and Exchange Commission (“SEC”) filings and public conference calls and webcasts.

About NeueHealth

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, NeueHealth helps to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers high-quality clinical care to over 500,000 health consumers through owned clinics and unique partnerships with over 3,000 affiliated providers. We also enable independent providers and medical groups to thrive in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. We believe our value-driven, consumer-centric care model can transform the healthcare experience and maximize value across the healthcare system. For more information, visit: www.neuehealth.com.

Forward-Looking Statements

Statements made in this release that are not statements of historical fact, including statements about our beliefs and expectations, are forward-looking statements and should be evaluated as such. Forward-looking statements include information concerning possible or assumed future results of operations, including descriptions of our business plan and strategies. These statements often include words such as “anticipate,” “expect,” “plan,” “believe,” “intend,” “project,” “forecast,” “estimates,” “projections,” “outlook,” “ensure,” and other similar expressions. These forward-looking statements include any statements regarding our plans, expectations and financial guidance. Such forward-looking statements are subject to various risks, uncertainties and assumptions. Accordingly, there are or will be important factors that could cause actual outcomes or results to differ materially from those indicated in these statements. Factors that might materially affect such forward-looking statements include: our ability to continue as a going concern; our ability to comply with the terms of our credit facilities or any credit facility into which we enter in the future; our ability to receive the remaining proceeds from the sale of our Medicare Advantage business in California in a timely manner; our ability to obtain any short or long term debt or equity financing needed to operate our business; our ability to quickly and efficiently complete the wind down of our remaining IFP and MA businesses, including by satisfying liabilities of those businesses when due and payable; potential disruptions to our business due to corporate restructuring and any resulting headcount reduction; our ability to accurately estimate and effectively manage the costs relating to changes in our business offerings and models; a delay or inability to withdraw regulated capital from our subsidiaries; a lack of acceptance or slow adoption of our business model; our ability to retain existing consumers; our and our Care Partner’s abilities to obtain and accurately assess, code, and report risk adjustment factor scores; our ability to contract with care providers and arrange for the provision of quality care; our ability to accurately estimate our medical expenses and effectively manage our costs; our ability to obtain claims information timely and accurately; the impact of any pandemic or epidemic on our business and results of operations; the risks associated with our reliance on third-party providers to operate our business; the impact of modifications or changes to the U.S. health insurance markets; our ability to manage any growth of our business; our ability to operate, update or implement our technology platform and other information technology systems; our ability to retain key executives; our ability to successfully pursue acquisitions, integrate acquired businesses and divest businesses as needed; the occurrence of severe weather events, catastrophic health events, natural or man-made disasters, and social and political conditions or civil unrest; our ability to prevent and contain data security incidents and the impact of data security incidents on our members, patients, employees and financial results; our ability to comply with requirements to maintain effective internal controls; our ability to adapt to mitigate risks associated with our ACO Reach businesses, including any unanticipated market or regulatory developments; and the other factors set forth under the heading “Risk Factors” in the Company’s reports on Form 10-K, Form 10-Q, and Form 8-K (including all amendments to those reports) and our other filings with the SEC. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason after the date of this release to conform these statements to actual results or changes in our expectations.

 

NeueHealth, Inc. and Subsidiaries

Consolidated Balance Sheets

(in thousands, except share and per share data)

(Unaudited)

 

 

September 30,
2024

 

December 31,
2023

Assets

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

109,839

 

 

$

87,299

 

Short-term investments

 

8,842

 

 

 

6,265

 

Accounts receivable, net of allowance of $26 and $14,023, respectively

 

43,078

 

 

 

39,084

 

ACO REACH performance year receivable

 

261,215

 

 

 

115,878

 

Current assets of discontinued operations

 

127,638

 

 

 

822,570

 

Current assets of held-for-sale operations

 

6,108

 

 

 

 

Prepaids and other current assets

 

32,712

 

 

 

17,831

 

Total current assets

 

589,432

 

 

 

1,088,927

 

Other assets:

 

 

 

Property, equipment and capitalized software, net

 

11,677

 

 

 

14,499

 

Intangible assets, net

 

73,552

 

 

 

93,238

 

Other non-current assets

 

22,122

 

 

 

28,816

 

Total other assets

 

107,351

 

 

 

136,553

 

Total assets

$

696,783

 

 

$

1,225,480

 

Liabilities, Redeemable Noncontrolling Interest, Redeemable Preferred Stock and Shareholders’ Equity (Deficit)

 

 

 

Current liabilities:

 

 

 

Medical costs payable

$

123,665

 

 

$

157,903

 

Accounts payable

 

5,898

 

 

 

11,841

 

Short-term borrowings

 

 

 

 

303,947

 

ACO REACH performance year obligation

 

161,855

 

 

 

 

Current liabilities of discontinued operations

 

339,576

 

 

 

699,758

 

Current liabilities of held-for-sale operations

 

4,976

 

 

 

 

Risk share payable to deconsolidated entity

 

123,981

 

 

 

123,981

 

Warrant liability

 

22,252

 

 

 

13,971

 

Other current liabilities

 

90,235

 

 

 

79,856

 

Total current liabilities

 

872,438

 

 

 

1,391,257

 

Long-term borrowings

 

120,252

 

 

 

66,400

 

Other liabilities

 

16,616

 

 

 

22,441

 

Total liabilities

 

1,009,306

 

 

 

1,480,098

 

Commitments and contingencies

 

 

 

Redeemable noncontrolling interests

 

117,876

 

 

 

88,908

 

Redeemable Series A preferred stock, 0.0001 par value; 750,000 shares authorized in 2024 and 2023; 750,000 shares issued and outstanding in 2024 and 2023

 

747,481

 

 

 

747,481

 

Redeemable Series B preferred stock,0.0001 par value; 175,000 shares authorized in 2024 and 2023; 175,000 shares issued and outstanding in 2024 and 2023

 

172,936

 

 

 

172,936

 

Shareholders’ equity (deficit):

 

 

 

Common stock, 0.0001 par value; 3,000,000,000 shares authorized in 2024 and 2023; 8,284,485 and 8,053,576 shares issued and outstanding in 2024 and 2023, respectively

 

1

 

 

 

1

 

Additional paid-in capital

 

3,100,990

 

 

 

3,056,027

 

Accumulated deficit

 

(4,439,807

)

 

 

(4,307,849

)

Accumulated other comprehensive loss

 

 

 

 

(122

)

Treasury Stock, at cost, 31,526 shares at September 30, 2024, and December 31, 2023, respectively

 

(12,000

)

 

 

(12,000

)

Total shareholders’ equity (deficit)

 

(1,350,816

)

 

 

(1,263,943

)

Total liabilities, redeemable noncontrolling interests, redeemable preferred stock and shareholders’ equity (deficit)

$

696,783

 

 

$

1,225,480

 

 

NeueHealth, Inc. and Subsidiaries

Consolidated Statements of Income (Loss)

(in thousands, except share and per share data)

(Unaudited)

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

2024

 

2023

 

2024

 

2023

Revenue:

 

 

 

 

 

 

 

Capitated revenue

$

71,334

 

 

$

60,371

 

 

$

196,805

 

 

$

159,683

 

ACO REACH revenue

 

149,477

 

 

 

200,044

 

 

 

471,090

 

 

 

676,845

 

Service revenue

 

11,666

 

 

 

8,978

 

 

 

35,357

 

 

 

31,387

 

Investment income

 

456

 

 

 

6

 

 

 

767

 

 

 

16

 

Total revenue

 

232,933

 

 

 

269,399

 

 

 

704,019

 

 

 

867,931

 

Operating expenses:

 

 

 

 

 

 

 

Medical costs

 

182,693

 

 

 

226,438

 

 

 

557,248

 

 

 

731,718

 

Operating costs

 

64,075

 

 

 

72,532

 

 

 

201,114

 

 

 

221,697

 

Bad debt expense

 

3

 

 

 

22,421

 

 

 

14

 

 

 

23,054

 

Restructuring charges

 

 

 

 

5,281

 

 

 

181

 

 

 

6,867

 

Goodwill impairment

 

 

 

 

401,385

 

 

 

 

 

 

401,385

 

Intangible assets impairment

 

 

 

 

 

 

 

11,411

 

 

 

 

Depreciation and amortization

 

3,504

 

 

 

4,117

 

 

 

12,044

 

 

 

14,271

 

Total operating expenses

 

250,275

 

 

 

732,174

 

 

 

782,012

 

 

 

1,398,992

 

Operating loss

 

(17,342

)

 

 

(462,775

)

 

 

(77,993

)

 

 

(531,061

)

Interest expense

 

5,413

 

 

 

10,041

 

 

 

12,453

 

 

 

26,998

 

Warrant expense (income)

 

459

 

 

 

9,874

 

 

 

(3,826

)

 

 

9,874

 

Gain on troubled debt restructuring

 

 

 

 

 

 

 

(30,311

)

 

 

 

Loss from continuing operations before income taxes

 

(23,214

)

 

 

(482,690

)

 

 

(56,309

)

 

 

(567,933

)

Income tax expense (benefit)

 

2,793

 

 

 

(3,385

)

 

 

3,269

 

 

 

(3,018

)

Net loss from continuing operations

 

(26,007

)

 

 

(479,305

)

 

 

(59,578

)

 

 

(564,915

)

Loss from discontinued operations, net of tax (including loss on disposal of $991)

 

(14,358

)

 

 

(67,843

)

 

 

(42,662

)

 

 

(240,321

)

Net Loss

 

(40,365

)

 

 

(547,148

)

 

 

(102,240

)

 

 

(805,236

)

Net income from continuing operations attributable to noncontrolling interests

 

(17,049

)

 

 

(86,747

)

 

 

(29,718

)

 

 

(116,502

)

Series A preferred stock dividend accrued

 

(10,667

)

 

 

(10,178

)

 

 

(31,383

)

 

 

(29,834

)

Series B preferred stock dividend accrued

 

(2,394

)

 

 

(2,284

)

 

 

(7,042

)

 

 

(6,695

)

Net loss attributable to NeueHealth, Inc. common shareholders

$

(70,475

)

 

$

(646,357

)

 

$

(170,383

)

 

$

(958,267

)

 

 

 

 

 

 

 

 

Basic and diluted loss per share attributable to NeueHealth, Inc. common shareholders

 

 

 

 

 

 

 

Continuing operations

$

(6.78

)

 

$

(72.52

)

 

$

(15.57

)

 

$

(90.36

)

Discontinued operations

 

(1.73

)

 

 

(8.51

)

 

 

(5.20

)

 

 

(30.25

)

Basic and diluted loss per share

 

(8.51

)

 

 

(81.03

)

 

 

(20.77

)

 

 

(120.61

)

 

 

 

 

 

 

 

 

Basic and diluted weighted-average common shares outstanding

 

8,282

 

 

 

7,977

 

 

 

8,205

 

 

 

7,945

 

 

NeueHealth, Inc. and Subsidiaries

Consolidated Statements of Cash Flows

(in thousands)

(Unaudited)

 

Nine Months Ended September 30,

2024

 

2023

Cash flows from operating activities:

 

 

 

Net loss

$

(102,240

)

 

$

(805,236

)

Adjustments to reconcile net loss to net cash provided by operating activities:

 

 

 

Depreciation and amortization

 

12,044

 

 

 

20,149

 

Impairment of intangible assets

 

11,411

 

 

 

 

Goodwill impairment

 

 

 

 

401,385

 

Share-based compensation

 

56,250

 

 

 

65,611

 

Payment-in-kind “PIK” interest

 

12,709

 

 

 

 

Deferred income taxes

 

 

 

 

(3,063

)

Gain on troubled debt restructuring

 

(30,311

)

 

 

 

Net accretion of investments

 

(204

)

 

 

(17,946

)

Loss on disposal of property, equipment, and capitalized software

 

595

 

 

 

 

Other, net

 

(317

)

 

 

3,812

 

Changes in assets and liabilities, net of acquired assets and liabilities:

 

 

 

Accounts receivable

 

(10,391

)

 

 

(27,438

)

ACO REACH performance year receivable

 

(145,337

)

 

 

(251,297

)

Other assets

 

(4,556

)

 

 

132,645

 

Medical cost payable

 

(49,338

)

 

 

(610,027

)

Risk adjustment payable

 

(16,228

)

 

 

(1,541,536

)

Accounts payable and other liabilities

 

(4,185

)

 

 

(124,295

)

Unearned revenue

 

(18

)

 

 

127,135

 

Warrant liability

 

9,438

 

 

 

9,874

 

ACO Reach performance year obligation

 

161,855

 

 

 

224,908

 

Net cash used in operating activities

 

(98,823

)

 

 

(2,395,319

)

Cash flows from investing activities:

 

 

 

Purchases of investments

 

(12,765

)

 

 

(830,176

)

Proceeds from sales, paydowns, and maturities of investments

 

6,416

 

 

 

1,978,925

 

Purchases of property and equipment

 

(1,542

)

 

 

(2,626

)

Proceeds from sale of business, net

 

197,121

 

 

 

(682

)

Net cash provided by investing activities

 

189,230

 

 

 

1,145,441

 

Cash flows from financing activities:

 

 

 

Proceeds from issuance of common stock

 

 

 

 

2

 

Proceeds from long-term borrowings

 

42,133

 

 

 

 

Proceeds from short-term borrowings

 

 

 

 

50,000

 

Repayments of short-term borrowings

 

(273,636

)

 

 

Distributions to noncontrolling interest holders

 

(7,771

)

 

 

(8,997

)

Net cash (used in) provided by financing activities

 

(239,274

)

 

 

41,005

 

Net decrease in cash and cash equivalents

 

(148,867

)

 

 

(1,208,873

)

Cash and cash equivalents of total operations – beginning of year

 

375,280

 

 

 

1,932,290

 

Cash and cash equivalents of total operations – end of period

$

226,413

 

 

$

723,417

 

 

NeueHealth, Inc. and Subsidiaries

Segment Information

(in thousands)

(Unaudited)

 

NeueCare

 

 

 

 

 

 

 

($ in thousands)

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

Statement of income (loss) and operating data:

2024

 

2023

 

2024

 

2023

 

 

 

 

 

 

 

 

Revenue:

 

 

 

 

 

 

 

Capitated revenue

$

71,334

 

$

60,371

 

 

$

196,805

 

$

159,683

 

Service revenue

 

9,100

 

 

8,245

 

 

 

28,433

 

 

29,711

 

Investment income

 

465

 

 

 

 

 

486

 

 

 

Total unaffiliated revenue

 

80,899

 

 

68,616

 

 

 

225,724

 

 

189,394

 

Affiliated revenue

 

2,968

 

 

(1,482

)

 

 

8,751

 

 

6,487

 

Total segment revenue

 

83,867

 

 

67,134

 

 

 

234,475

 

 

195,881

 

Operating expenses

 

 

 

 

 

 

 

Medical costs

 

31,820

 

 

20,883

 

 

 

92,835

 

 

64,325

 

Operating costs

 

32,871

 

 

32,467

 

 

 

100,136

 

 

93,795

 

Intangible asset impairment

 

 

 

 

 

 

11,411

 

 

 

Goodwill impairment

 

 

 

401,385

 

 

 

 

 

401,385

 

Depreciation and amortization

 

2,746

 

 

3,160

 

 

 

9,753

 

 

9,470

 

Total operating expenses

 

67,437

 

 

457,895

 

 

 

214,135

 

 

568,975

 

Operating income (loss)

$

16,430

 

$

(390,761

)

 

$

20,340

 

$

(373,094

)

NeueSolutions

 

 

 

 

 

 

 

($ in thousands)

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

Statement of income (loss) and operating data:

2024

 

2023

 

2024

 

2023

 

 

 

 

 

 

 

 

Revenue:

 

 

 

 

 

 

 

ACO REACH revenue

$

149,477

 

 

$

200,044

 

 

$

471,090

 

 

$

676,845

 

Service revenue

 

2,566

 

 

 

733

 

 

 

6,924

 

 

 

1,676

 

Total segment revenue

 

152,043

 

 

 

200,777

 

 

 

478,014

 

 

 

678,521

 

Operating expenses

 

 

 

 

 

 

 

Medical costs

 

153,840

 

 

 

204,017

 

 

 

473,163

 

 

 

673,891

 

Operating costs

 

4,030

 

 

 

3,702

 

 

 

13,202

 

 

 

10,083

 

Bad debt expense

 

5

 

 

 

22,413

 

 

 

16

 

 

 

22,415

 

Total operating expenses

 

157,875

 

 

 

230,132

 

 

 

486,381

 

 

 

706,389

 

Operating loss

$

(5,832

)

 

$

(29,355

)

 

$

(8,367

)

 

$

(27,868

)

Non-GAAP Financial Measures

We use the non-GAAP financial measures Adjusted EBITDA, Adjusted Operating Cost Ratio. We define Adjusted EBITDA as Net Loss excluding loss from discontinued operations, interest expense, income taxes, depreciation and amortization, transaction costs, share-based and other long-term compensation expense, gains on troubled debt restructuring, changes in the fair value of derivatives, restructuring and contract termination costs, held-for-sale operations, losses related to the bankruptcy of contractual counterparties, impairment of goodwill and long-lived assets, and the tax effect of all such items. We define Adjusted Operating Cost Ratio as Operating Cost Ratio excluding share-based compensation and other expense and held-for-sale operations. These non-GAAP measures have been presented in this quarterly Earnings Release or in the earnings conference call as supplemental measures of financial performance that are not required by or presented in accordance with GAAP because we believe they assist management and investors in comparing our operating performance across reporting periods on a consistent basis by excluding and including items that we do not believe are indicative of our core operating performance. Management believes these measures are useful to investors in highlighting trends in our operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding capital structure, the tax jurisdictions in which we operate and capital investments. Management uses Adjusted EBITDA and Adjusted Operating Cost Ratio to supplement GAAP measures of performance in the evaluation of the effectiveness of our business strategies, to make budgeting decisions, to establish discretionary annual incentive compensation and to compare our performance against that of other peer companies using similar measures. Management supplements GAAP results with non-GAAP financial measures to provide a more complete understanding of the factors and trends affecting the business than GAAP results alone.

Adjusted EBITDA is not a recognized term under GAAP and should not be considered as an alternative to Net income (loss) as a measure of financial performance or any other performance measure derived in accordance with GAAP. Additionally, Adjusted EBITDA is not intended to be a measure of free cash flow available for management’s discretionary use as it does not consider certain cash requirements such as interest payments, tax payments and debt service requirements. The presentation of Adjusted EBITDA has limitations as an analytical tool and should not be considered in isolation or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentation of these measures may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company.

Adjusted Operating Cost Ratio is not a recognized term under GAAP and should not be considered as an alternative to Operating Cost Ratio as a measure of financial performance or any other performance measure derived in accordance with GAAP. The presentation of Adjusted Operating Cost Ratio has limitations as an analytical tool and should not be considered in isolation or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentation of these measures may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company.

The following table provides a reconciliation of net loss to Adjusted EBITDA for the periods presented:

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

($ in thousands)

2024

 

2023

 

2024

 

2023

Net loss

$

(40,365

)

 

$

(547,148

)

 

$

(102,240

)

 

$

(805,236

)

Loss from Discontinued Operations

 

14,358

 

 

 

67,843

 

 

 

42,662

 

 

 

240,321

 

EBITDA adjustments from continuing operations

 

 

 

 

 

 

 

Interest expense

 

5,413

 

 

 

10,041

 

 

 

12,453

 

 

 

26,998

 

Income tax (benefit) expense

 

2,793

 

 

 

(3,385

)

 

 

3,269

 

 

 

(3,018

)

Depreciation and amortization (h)

 

3,504

 

 

 

3,621

 

 

 

11,055

 

 

 

12,783

 

Transaction costs (a)

 

1,213

 

 

 

8,941

 

 

 

3,178

 

 

 

18,889

 

Share-based and other long-term incentive compensation expense (b)

 

16,387

 

 

 

16,515

 

 

 

56,250

 

 

 

65,611

 

Gain on troubled debt restructuring (c)

 

 

 

 

 

 

 

(30,311

)

 

 

 

Change in fair value of warrant liability (d)

 

459

 

 

 

9,874

 

 

 

(3,826

)

 

 

9,874

 

Restructuring and contract termination costs (e)

 

 

 

 

5,281

 

 

 

181

 

 

 

6,867

 

Held-for-sale operations (f)

 

2,444

 

 

 

2,722

 

 

 

20,738

 

 

 

3,696

 

ACO REACH care partner bankruptcy (g)

 

3,190

 

 

 

27,741

 

 

 

3,475

 

 

 

27,741

 

Impairment of goodwill and long-lived assets (h)

 

 

 

 

401,385

 

 

 

131

 

 

 

401,385

 

EBITDA adjustments from continuing operations

$

35,403

 

 

$

482,736

 

 

$

76,593

 

 

$

570,826

 

Adjusted EBITDA

$

9,396

 

 

$

3,431

 

 

$

17,015

 

 

$

5,911

(a) 

Transaction costs include accounting, tax, valuation, consulting, legal and investment banking fees directly relating to financing initiatives and acquisitions or dispositions. These costs can vary from period to period and impact comparability, and we do not believe such transaction costs reflect the ongoing performance of our business.

(b)

Represents non-cash compensation expense related to stock option and restricted stock unit award grants, which can vary from period to period based on a number of factors, including the timing, quantity and grant date fair value of the awards. Also includes estimated compensation expense that the Company has the option to pay in cash or shares of $3.0 million and $5.4 million for the three and nine months ended September 30, 2024, respectively, which is a 2024-only deviation from the long-term incentive award plan.

(c)

Beginning in the first quarter of 2024, Adjusted EBITDA excludes the impact of gains on troubled debt restructuring. The comparable periods in 2023 have been recast to exclude these impacts.

(d)

Represents the non-cash change in the fair value of the warrant liability established for warrants included in our financing arrangements, which are remeasured at fair value each reporting period.

(e)

Restructuring and contract termination costs represent severance costs as part of a workforce reduction, amounts paid for early termination of leases, and impairment of certain long-lived assets primarily relating to our decision to exit the Commercial business for the 2023 plan year.

(f)

Beginning in the second quarter of 2024, Adjusted EBITDA excludes the impact of our operations classified as held-for-sale. For the three and nine months ended September 30, 2024, no intangible asset impairment expense and $11.4 million of intangible asset impairment expense was incurred, respectively, as a result of classifying operations as held-for-sale.

(g)

Represents the costs expected to be incurred as a result of one of our ACO REACH care partners filing for bankruptcy; includes the full allowance established for the outstanding receivable and ongoing costs incurred to manage and provide service to members attributed to the care partner that would have otherwise been reimbursed prior to the care partner’s bankruptcy.

(h)

Adjustment has been updated to remove the impact of our held-for-sale operations that are adjusted for in their entirety as described in (f).

The following table provides a reconciliation of Adjusted Operating Cost Ratio for the periods presented:

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

2024

 

2023

 

2024

 

2023

Operating Cost Ratio

27.5%

 

26.9%

 

28.6%

 

25.5%

Impact of share-based and other long-term incentive compensation expense (a)

(7.0)%

 

(6.1)%

 

(8.0)%

 

(7.6)%

Impact of held-for-sale operations (b)

(2.3)%

 

(2.2)%

 

(2.8)%

 

(2.0)%

Adjusted Operating Cost Ratio

18.2%

 

18.6%

 

17.8%

 

15.9%

(a)

Represents non-cash compensation expense related to stock option and restricted stock unit award grants, which can vary from period to period based on a number of factors, including the timing, quantity and grant date fair value of the awards. Also includes estimated compensation expense that the company has the option to pay in cash or shares of $3.0 million and $5.4 million and for the three and nine months ended September 30, 2024, respectively, which is a 2024-only deviation from the long-term incentive award plan.

(b)

Represents the impact of revenue and operating costs related to our operations classified as held-for-sale during the quarter ended September 30, 2024. The comparable periods in 2023 have been recast to exclude these impacts.

 

Contacts

Investor Contact:
IR@neuehealth.com

Media Contact:
media@neuehealth.com

Contacts

Investor Contact:
IR@neuehealth.com

Media Contact:
media@neuehealth.com