– Q1 2024 Revenues of $234.5 million, Net Loss of $539.7 million
(including a $519.1 million impairment of goodwill and
indefinite-lived intangible assets), and Adjusted EBITDA of $146.8
million
– Identified potential medical cost savings of approximately
$5.7 billion in Q1 2024, up 3% from Q1 2023 and down 3% from Q4
2023
– Repurchased or repaid $24.4 million of face value of debt,
including $21.1 million of 6.0% Senior Convertible PIK Notes
MultiPlan Corporation (“MultiPlan” or the “Company”) (NYSE:
MPLN), a leading value-added provider of data analytics and
technology-enabled end-to-end cost management, payment and revenue
integrity solutions to the U.S. healthcare industry, today reported
financial results for the first quarter ended March 31, 2024.
“As you heard me say a just few months ago, I joined as CEO
because I saw an incredible opportunity to help us follow through
on our transformation to a world class public company that is fit
to deliver sustainable growth and to fulfill our important mission
to bend the cost curve in healthcare,” said Travis Dalton, CEO.
“After engaging with countless employees and clients over the
last two months, I have even greater admiration for our exceptional
talent, appreciation of our strong customer relationships and our
hard-earned reputation for providing world class service, and
confidence that we will leverage our unique data and technology
assets to innovate products for our existing clients and new market
segments.”
“At the same time,” continued Mr. Dalton, “we have work to do to
enhance our foundation so that we can execute our strategy with
discipline and speed. Among the many steps we are taking, we
recently added our Chief Operating Officer, Jerry Hogge, who is
focused on enhancing our operating and product development
capabilities and intensifying our sales engagement, all of which
will help us go to market more efficiently and maximize our
potential.”
“Our first quarter was affected by a cybersecurity incident at a
major medical claims clearinghouse, which disrupted claims flows
across the healthcare industry and ultimately downstream to our
platform,” said Mr. Dalton. “Despite this disruption, our first
quarter results were just below the low end of our guidance ranges
for revenues and Adjusted EBITDA. Excluding an estimated $5 to 6
million revenue impact from this disruption, our results would have
landed within our guidance ranges.”
“We did not allow the disruption to distract us, and I am proud
of the progress the team made during the quarter,” said Mr. Dalton.
“We remained focused on delivering on our growth initiatives and
product roadmap. And moreover, we remained steadfast in the pursuit
of our mission to drive down the costs of healthcare for consumers
and our clients, while fulfilling our purpose to make healthcare
transparent, fair, and affordable for all.”
Business and Financial Highlights
- Revenues of $234.5 million for Q1 2024, a decrease of 0.9%,
compared to revenues of $236.6 million for Q1 2023.
- Net loss of $539.7 million for Q1 2024, compared to net income
of $0.2 million for Q1 2023. The net loss was principally due to an
impairment charge of $519.1 million for goodwill and
indefinite-lived intangibles.
- Adjusted EBITDA of $146.8 million for Q1 2024, compared to
Adjusted EBITDA of $156.3 million for Q1 2023.
- Net cash provided by operating activities of $49.7 million for
Q1 2024, compared to net cash provided by operating activities of
$64.2 million for Q1 2023.
- Free Cash Flow of $19.2 million for Q1 2024, compared to Free
Cash Flow of $41.1 million for Q1 2023.
- In Q1 2024, the Company used $18.2 million of cash to
repurchase or repay $24.4 million face value of its debt, including
$21.1 million of its 6.0% Senior Convertible PIK Notes, and also
used $10.4 million of cash to repurchase shares of its common stock
in the open market. The Company ended Q1 2024 with $58.7 million of
unrestricted cash and cash equivalents on the balance sheet.
- The Company processed approximately $41.5 billion in claim
charges during Q1 2024, identifying potential medical cost savings
of approximately $5.7 billion.
- Based on the results of an impairment test as of March 31,
2024, the estimated fair values of our goodwill and
indefinite-lived assets were less than their carrying values and as
a result impairment charges of $516.4 million for our goodwill and
$2.7 million for our indefinite-lived intangibles were
recorded.
2024 Financial Guidance1
The Company is maintaining its Full Year 2024 guidance, as
detailed in the table below.
Financial Metric
FY 2024 Guidance
Revenues
$1,000 million to $1,030 million
Adjusted EBITDA1
$630 million to $650 million
Interest expense
$320 million to $330 million
Cash flow from operations
$170 million to $200 million
Capital expenditures
$120 million to $130 million
Depreciation
$80 million to $90 million
Amortization of intangible assets
$345 million to $350 million
Effective tax rate
25% to 28%
The Company anticipates Q2 2024 revenues between $235 million
and $250 million and Adjusted EBITDA1 between $145 million to $160
million.
1 We have not reconciled the forward-looking Adjusted EBITDA
guidance included above to the most directly comparable GAAP
measure because this cannot be done without unreasonable effort due
to the variability and low visibility with respect to certain
costs, the most significant of which are incentive compensation
(including stock-based compensation), transaction-related expenses,
and certain fair value measurements, which are potential
adjustments to future earnings. We expect the variability of these
items to have a potentially unpredictable, and a potentially
significant, impact on our future GAAP financial results.
Conference Call Information
The Company will host a conference call today, Wednesday, May 8,
2024 at 8:00 a.m. U.S. Eastern Time (ET) to discuss its financial
results. Investors and analysts are encouraged to pre-register for
the conference call by using the link below. Participants who
pre-register will receive access details via email.
Pre-registration may be completed at any time up to and following
the call start time.
To pre-register, go to:
https://www.netroadshow.com/events/login?show=0ebae0ec&confId=63320
A live webcast of the conference call can be accessed through
the Investor Relations section of the Company’s website at
investors.multiplan.com/events-and-presentations. Participants
should join the webcast ten minutes prior to the start of the
conference call. This earnings press release and a supplemental
slide deck will also be available on this section of the Company’s
website.
For those unable to listen to the live conference call, a replay
will be available approximately two hours after the call through
the archived webcast on the Investor Relations section of the
Company’s website. For those requiring operator assistance, please
dial (833) 470-1428 or (404) 975-4839. The access code is
298805.
About MultiPlan
MultiPlan is committed to bending the cost curve in healthcare
by delivering transparency, fairness, and affordability to the US
healthcare system. Our focus is on identifying medical savings,
helping to lower out-of-pocket costs, and reducing or eliminating
balance billing for healthcare consumers. Leveraging sophisticated
technology, data analytics, and a team rich with industry
experience, MultiPlan interprets customers’ needs and customizes
innovative solutions that combine its payment and revenue
integrity, network-based, data and decision science, and
analytics-based services. MultiPlan delivers value to more than 700
healthcare payors, over 100,000 employers, 60 million consumers,
and 1.4 million contracted providers. For more information, visit
multiplan.com.
Forward Looking Statements
This press release includes statements that express our
management’s opinions, expectations, beliefs, plans, objectives,
assumptions, or projections regarding future events or future
results and therefore are, or may be deemed to be, “forward-looking
statements”. These forward-looking statements can generally be
identified by the use of forward-looking terminology, including the
terms “believes,” “estimates,” “anticipates,” “expects,” “seeks,”
“projects,” “forecasts,” “intends,” “plans,” “may,” “will,” or
“should” or, in each case, their negative or other variations or
comparable terminology. These forward-looking statements include
all matters that are not historical facts. They appear in a number
of places throughout this press release, including the discussion
of 2024 outlook and guidance, plans to expand or enhance the
Company’s products and service lines, capital allocation
strategies, and the long-term prospects of the Company. Such
forward-looking statements are based on available current market
information and management’s expectations, beliefs and forecasts
concerning future events impacting the business. Although we
believe that these forward-looking statements are based on
reasonable assumptions at the time they are made, you should be
aware that these forward-looking statements involve a number of
risks, uncertainties (some of which are beyond our control) or
other assumptions that may cause actual results or performance to
be materially different from those expressed or implied by these
forward-looking statements. These factors include: loss of our
customers, particularly our largest customers; interruptions or
security breaches of our information technology systems and other
cybersecurity attacks; the impact of reduced claims volumes
resulting from a nationwide outage by a vendor used by our
customers; the ability to achieve the goals of our strategic plans
and recognize the anticipated strategic, operational, growth and
efficiency benefits when expected; our ability to enter new lines
of business and broaden the scope of our services; the loss of key
members of management team or inability to maintain sufficient
qualified personnel; our ability to continue to attract, motivate
and retain a large number of skilled employees, and adapt to the
effects of inflationary pressure on wages; trends in the U.S.
healthcare system, including recent trends of unknown duration of
reduced healthcare utilization and increased patient financial
responsibility for services; effects of competition; effects of
pricing pressure; our ability to identify, complete and
successfully integrate acquisitions; the inability of our customers
to pay for our services; changes in our industry and industry
standards and technology; our ability to protect proprietary
information, processes and applications; our ability to maintain
the licenses or right of use for the software we use; our inability
to expand our network infrastructure; our ability to obtain
additional financing; our ability to pay interest and principal on
our notes and other indebtedness; lowering or withdrawal of our
credit ratings; adverse outcomes related to litigation or
governmental proceedings; inability to preserve or increase our
market share or the size of our PPO networks; decreases in
discounts from providers; pressure to limit access to preferred
provider networks; the loss of our existing relationships with
providers; changes in our regulatory environment, including
healthcare law and regulations; the expansion of privacy and
security laws; heightened enforcement activity by government
agencies; the possibility that we may be adversely affected by
other political economic, business and/or competitive factors;
changes in accounting principles or the incurrence of impairment
charges our ability to remediate any material weaknesses or
maintain effective internal controls over financial reporting;
other factors disclosed in our Securities and Exchange Commission
(“SEC”) filings from time to time, including, without limitation,
those factors described in our Annual Report on Form 10-K for the
fiscal year ended December 31, 2023; and other factors beyond our
control. Should one or more of these risks or uncertainties
materialize, or should any of the assumptions prove incorrect,
actual results may vary in material respects from those projected
in these forward-looking statements.
There can be no assurance that future developments affecting our
business will be those that we have anticipated. Forward-looking
statements speak only as of the date made.
We do not undertake any obligation to update or revise any
forward-looking statements, whether as a result of new information,
future events or otherwise, except as may be required under
applicable securities laws.
Non-GAAP Financial Measures
In addition to the financial measures prepared in accordance
with generally accepted accounting principles in the United States
(“GAAP”), this press release contains certain non-GAAP financial
measures, including EBITDA, Adjusted EBITDA, Free Cash Flow,
Unlevered Free Cash Flow and Adjusted Cash Conversion Ratio. A
non-GAAP financial measure is generally defined as a numerical
measure of a company’s financial or operating performance that
excludes or includes amounts so as to be different than the most
directly comparable measure calculated and presented in accordance
with GAAP.
EBITDA, Adjusted EBITDA, Free Cash Flow, Unlevered Free Cash
Flow and Adjusted Cash Conversion Ratio are supplemental measures
of MultiPlan’s performance that are not required by or presented in
accordance with GAAP. These measures are not measurements of our
financial or operating performance under GAAP, have limitations as
analytical tools and should not be considered in isolation or as an
alternative to net income, cash flows or any other measures of
performance prepared in accordance with GAAP.
EBITDA represents net income before interest expense, interest
income, income tax provision, depreciation, amortization of
intangible assets, and non-income taxes. Adjusted EBITDA is EBITDA
as further adjusted by certain items as described in the table
below.
In addition, in evaluating EBITDA and Adjusted EBITDA you should
be aware that, in the future, we may incur expenses similar to the
adjustments in the presentation of EBITDA and Adjusted EBITDA. The
presentation of EBITDA and Adjusted EBITDA should not be construed
as an inference that our future results will be unaffected by
unusual or non-recurring items. The calculations of EBITDA and
Adjusted EBITDA may not be comparable to similarly titled measures
reported by other companies. Based on our industry and debt
financing experience, we believe that EBITDA and Adjusted EBITDA
are customarily used by investors, analysts and other interested
parties to provide useful information regarding a company’s ability
to service and/or incur indebtedness.
We also believe that Adjusted EBITDA is useful to investors and
analysts in assessing our operating performance during the periods
these charges were incurred on a consistent basis with the periods
during which these charges were not incurred. Both EBITDA and
Adjusted EBITDA have limitations as analytical tools, and you
should not consider either in isolation, or as a substitute for
analysis of our results as reported under GAAP. Some of the
limitations are:
- EBITDA and Adjusted EBITDA do not reflect changes in, or cash
requirements for, our working capital needs;
- EBITDA and Adjusted EBITDA do not reflect interest expense, or
the cash requirements necessary to service interest or principal
payments on our debt;
- EBITDA and Adjusted EBITDA do not reflect our tax expense or
the cash requirements to pay our taxes; and
- Although depreciation and amortization are non-cash charges,
the tangible assets being depreciated will often have to be
replaced in the future, and EBITDA and Adjusted EBITDA do not
reflect any cash requirements for such replacements.
MultiPlan’s presentation of Adjusted EBITDA should not be
construed as an inference that our future results and financial
position will be unaffected by unusual items.
Free Cash Flow is defined as net cash provided by operating
activities less capital expenditures, all as disclosed in the
Statements of Cash Flows. Unlevered Free Cash Flow is defined as
net cash provided by operating activities less capital
expenditures, plus cash interest paid, all as disclosed in the
Statements of Cash Flows. Free Cash Flow and Unlevered Free Cash
Flow are measures of our operational performance used by management
to evaluate our business after purchases of property and equipment
and, in the case of Unlevered Free Cash Flow, prior to the impact
of our capital structure. Free Cash Flow and Unlevered Free Cash
Flow should be considered in addition to, rather than as a
substitute for, consolidated net income as a measure of our
performance and net cash provided by operating activities as a
measure of our liquidity. Additionally, MultiPlan’s definitions of
Free Cash Flow and Unlevered Free Cash Flow are limited, in that
they do not represent residual cash flows available for
discretionary expenditures, due to the fact that the measures do
not deduct the payments required for debt service, in the case of
Unlevered Free Cash Flow, and other contractual obligations or
payments made for business acquisitions.
Adjusted Cash Conversion Ratio is defined as Unlevered Free Cash
Flow divided by Adjusted EBITDA. MultiPlan believes that the
presentation of the Adjusted Cash Conversion Ratio provides useful
information to investors because it is a financial performance
measure that shows how much of its Adjusted EBITDA MultiPlan
converts into Unlevered Free Cash Flow.
MULTIPLAN CORPORATION
Unaudited Condensed
Consolidated Balance Sheets (in thousands, except share and per
share data)
March 31, 2024
December 31,
2023
Assets
Current assets:
Cash and cash equivalents
$
58,695
$
71,547
Restricted cash
10,483
9,947
Trade accounts receivable, net
82,443
76,558
Prepaid expenses
24,377
23,432
Prepaid taxes
—
1,364
Other current assets, net
13,512
10,745
Total current assets
189,510
193,593
Property and equipment, net
277,921
267,429
Operating lease right-of-use assets
18,416
19,680
Goodwill
3,312,652
3,829,002
Other intangibles, net
2,544,536
2,633,207
Other assets, net
23,660
21,776
Total assets
$
6,366,695
$
6,964,687
Liabilities and Shareholders’
Equity
Current liabilities:
Accounts payable
$
18,038
$
19,590
Accrued interest
75,358
56,827
Accrued taxes
31,627
—
Operating lease obligation, short-term
4,718
4,792
Current portion of long-term debt
13,250
13,250
Accrued compensation
22,683
44,720
Accrued legal contingencies
13,123
12,123
Other accrued expenses
15,315
15,437
Total current liabilities
194,112
166,739
Long-term debt
4,511,297
4,532,733
Operating lease obligation, long-term
15,902
17,124
Private Placement Warrants and Unvested
Founder Shares
347
477
Deferred income taxes
467,543
521,707
Other liabilities
7,112
16,783
Total liabilities
5,196,313
5,255,563
Shareholders’ equity:
Shareholder interests
Preferred stock, $0.0001 par value —
10,000,000 shares authorized; no shares issued
—
—
Common stock, $0.0001 par value —
1,500,000,000 shares authorized; 673,899,672 and 667,808,296
issued; 644,185,300 and 648,319,379 shares outstanding
67
67
Additional paid-in capital
2,351,280
2,348,505
Accumulated other comprehensive loss
(3,236
)
(11,778
)
Retained deficit
(1,038,996
)
(499,307
)
Treasury stock — 29,714,372 and 19,488,917
shares
(138,733
)
(128,363
)
Total shareholders’ equity
1,170,382
1,709,124
Total liabilities and shareholders’
equity
$
6,366,695
$
6,964,687
MULTIPLAN CORPORATION
Unaudited Condensed
Consolidated Statements of (Loss) Income and Comprehensive (Loss)
Income (in thousands, except share and per share data)
Three Months Ended March
31,
2024
2023
Revenues
$
234,508
$
236,594
Costs of services (exclusive of
depreciation and amortization of intangible assets shown below)
60,077
54,850
General and administrative expenses
34,857
31,467
Depreciation
20,989
18,206
Amortization of intangible assets
85,971
85,127
Loss on impairment of goodwill and
intangible assets
519,050
—
Total expenses
720,944
189,650
Operating (loss) income
(486,436
)
46,944
Interest expense
82,198
83,428
Interest income
(926
)
(3,239
)
Gain on extinguishment of debt
(5,913
)
(36,778
)
(Gain) loss on change in fair value of
Private Placement Warrants and Unvested Founder Shares
(130
)
1,631
Net (loss) income before taxes
(561,665
)
1,902
(Benefit) provision for income taxes
(21,976
)
1,693
Net (loss) income
$
(539,689
)
$
209
Weighted average shares outstanding –
Basic
646,334,247
638,721,991
Weighted average shares outstanding –
Diluted
646,334,247
640,901,289
Net (loss) income per share – Basic
$
(0.83
)
$
0.00
Net (loss) income per share – Diluted
$
(0.83
)
$
0.00
Net (loss) income
(539,689
)
209
Other comprehensive income:
Change in unrealized losses on interest
rate swaps, net of tax
8,542
—
Comprehensive (loss) income
$
(531,147
)
$
209
MULTIPLAN CORPORATION
Unaudited Condensed
Consolidated Statements of Cash Flows
(in thousands)
Three Months Ended March
31,
2024
2023
Operating activities:
Net (loss) income
$
(539,689
)
$
209
Adjustments to reconcile net income to net
cash provided by operating activities:
Depreciation
20,989
18,206
Amortization of intangible assets
85,971
85,127
Amortization of the right-of-use asset
1,264
1,403
Loss on impairment of goodwill and
intangible assets
519,050
—
Stock-based compensation
5,694
3,695
Deferred income taxes
(56,874
)
3,438
Amortization of debt issuance costs and
discounts
2,885
2,603
Gain on extinguishment of debt
(5,913
)
(36,778
)
Loss on disposal of property and
equipment
106
172
(Gain) loss on change in fair value of
Private Placement Warrants and Unvested Founder Shares
(130
)
1,631
Changes in assets and liabilities:
Accounts receivable, net
(5,885
)
11,875
Prepaid expenses and other assets
(4,223
)
(144
)
Prepaid taxes
1,364
(4,566
)
Operating lease obligation
(1,296
)
(1,737
)
Accounts payable, accrued taxes, accrued
expenses, legal contingencies and other
26,403
(20,919
)
Net cash provided by operating
activities
49,716
64,215
Investing activities:
Purchases of property and equipment
(30,544
)
(23,101
)
Net cash used in investing activities
(30,544
)
(23,101
)
Financing activities:
Repurchase of 5.750% Notes
—
(99,954
)
Repayments of Term Loan B
(3,313
)
(3,313
)
Repurchase of Senior Convertible PIK
Notes
(14,886
)
—
Taxes paid on settlement of vested share
awards
(3,352
)
(452
)
Purchase of treasury stock
(10,370
)
(5,718
)
Proceeds from issuance of common stock
under Employee Stock Purchase Plan
433
—
Net cash used in financing activities
(31,488
)
(109,437
)
Net decrease in cash, cash equivalents and
restricted cash
(12,316
)
(68,323
)
Cash, cash equivalents and restricted cash
at beginning of period
81,494
340,559
Cash, cash equivalents and restricted cash
at end of period
$
69,178
$
272,236
Cash and cash equivalents
$
58,695
$
265,728
Restricted cash
10,483
6,508
Cash, cash equivalents and restricted cash
at end of period
$
69,178
$
272,236
Noncash investing and financing
activities:
Purchases of property and equipment not
yet paid
$
9,692
$
6,105
Supplemental disclosure of cash flow
information:
Cash paid during the period for:
Interest
$
(60,742
)
$
(61,717
)
Income taxes, net of refunds
$
(2,260
)
$
(3,133
)
MULTIPLAN CORPORATION
Calculation of EBITDA
and Adjusted EBITDA (in thousands)
Three Months Ended March
31,
2024
2023
Net (loss) income
$
(539,689
)
$
209
Adjustments:
Interest expense
82,198
83,428
Interest income
(926
)
(3,239
)
(Benefit) provision for income taxes
(21,976
)
1,693
Depreciation
20,989
18,206
Amortization of intangible assets
85,971
85,127
Non-income taxes
528
341
EBITDA
$
(372,905
)
$
185,765
Adjustments:
Other expenses (income), net(1)
641
(115
)
Integration expenses
353
1,043
Change in fair value of Private Placement
Warrants and unvested founder shares
(130
)
1,631
Transaction-related expenses
—
1,018
Gain on extinguishment of debt
(5,913
)
(36,778
)
Loss on impairment of goodwill and
intangible assets
519,050
—
Stock-based compensation
5,694
3,695
Adjusted EBITDA
$
146,790
$
156,259
(1) "Other expenses (income), net"
represent miscellaneous non-recurring income, miscellaneous
non-recurring expense, gain or loss on disposal of assets,
impairment of other assets, gain or loss on disposal of leases, tax
penalties, and non-integration related severance costs.
Calculation of Unlevered Free
Cash Flow and Adjusted Cash Conversion Ratio
(in thousands)
Three Months Ended March
31,
2024
2023
Net cash provided by operating
activities
$
49,716
$
64,215
Purchases of property and equipment
(30,544
)
(23,101
)
Free Cash Flow
19,172
41,114
Interest paid
60,742
61,717
Unlevered Free Cash Flow
$
79,914
$
102,831
Adjusted EBITDA
$
146,790
$
156,259
Adjusted Cash Conversion Ratio
54
%
66
%
Net cash used in investing activities
$
(30,544
)
(23,101
)
Net cash used in financing activities
$
(31,488
)
(109,437
)
View source
version on businesswire.com: https://www.businesswire.com/news/home/20240508772264/en/
Investor Relations Luke Montgomery, CFA SVP, Finance
& Investor Relations MultiPlan 866-909-7427
investor@multiplan.com Shawna Gasik AVP, Investor Relations
MultiPlan 866-909-7427 investor@multiplan.com
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