EX-99.1 2 lfst-ex99_1.htm EX-99.1 EX-99.1

 

Exhibit 99.1

 

Investor Relations Contact

Monica Prokocki

VP of Finance & Investor Relations

602-767-2100

investor.relations@lifestance.com

 

LifeStance Reports Second Quarter 2024 Results

 

SCOTTSDALE, Ariz. – August 8, 2024 – LifeStance Health Group, Inc. (Nasdaq: LFST), one of the nation’s largest providers of outpatient mental healthcare, today announced financial results for the second quarter ended June 30, 2024.

(All results compared to prior-year comparative period, unless otherwise noted)

Q2 2024 Highlights and FY 2024 Outlook

Revenue of $312.3 million increased 20% compared to revenue of $259.6 million
Clinician base increased 14% to 6,984 clinicians, a sequential net increase of 118 in the second quarter
Second quarter visit volumes increased 15% to 2.0 million
Net loss of $23.3 million, primarily driven by stock-based compensation, compared to net loss of $45.5 million
Adjusted EBITDA of positive $28.6 million compared to Adjusted EBITDA of positive $14.1 million
For full year 2024, raising revenue expectations to $1.2 billion to $1.242 billion; raising Center Margin expectations to $363 million to $383 million; raising Adjusted EBITDA expectations to $90 million to $100 million; and reiterating expectations for positive Free Cash Flow

“We continue to execute on our plan. In the first half of 2024, we achieved revenue growth of 20%, delivered operating leverage, and generated positive free cash flow,” said Ken Burdick, Chairman and CEO of LifeStance. “We are raising full year 2024 expectations and remain confident in our ability to deliver on our financial commitments while continuing to improve operational performance.”

Financial Highlights

 

 

 

 

 

 

 

 

 

 

 

Q2 2024

 

 

Q2 2023

 

 

Y/Y

 

(in millions)

 

 

 

 

 

 

 

 

 

Total revenue

 

$

312.3

 

 

$

259.6

 

 

 

20

%

Loss from operations

 

 

(15.9

)

 

 

(48.4

)

 

 

(67

%)

Center Margin

 

 

97.8

 

 

 

73.0

 

 

 

34

%

Net loss

 

 

(23.3

)

 

 

(45.5

)

 

 

(49

%)

Adjusted EBITDA

 

 

28.6

 

 

 

14.1

 

 

 

103

%

As % of Total revenue:

 

 

 

 

 

 

 

 

 

Loss from operations

 

 

(5.1

%)

 

 

(18.6

%)

 

 

 

Center Margin

 

 

31.3

%

 

 

28.1

%

 

 

 

Net loss

 

 

(7.5

%)

 

 

(17.5

%)

 

 

 

Adjusted EBITDA

 

 

9.2

%

 

 

5.4

%

 

 

 

 

(All results compared to prior-year period, unless otherwise noted)

Revenue grew 20% to $312.3 million. Strong revenue growth in the second quarter was driven primarily by higher visit volumes from net clinician growth and improvements in total revenue per visit.
loss from operations was $15.9 million, primarily driven by stock-based compensation. Net loss was $23.3 million.
Center Margin grew 34% to $97.8 million, or 31.3% of total revenue.
Adjusted EBITDA increased 103% to $28.6 million, or 9.2% of total revenue. Adjusted EBITDA as a percentage of revenue increased in the second quarter as a result of higher total revenue per visit, lower center costs as a percentage of revenue, and improved operating leverage from revenue growing faster than general and administrative expenses.

Balance Sheet, Cash Flow and Capital Allocation

For the six months ended June 30, 2024, LifeStance provided $22.2 million cash flow from operations, including $44.1 million during the second quarter of 2024. The Company ended the second quarter with cash of $87.0 million and net long-term debt of $279.5 million.

 


 

2024 Guidance

LifeStance is providing the following outlook for 2024:

The Company is raising full year revenue to $1.2 billion to $1.242 billion; raising Center Margin to $363 million to $383 million; and raising Adjusted EBITDA to $90 million to $100 million. Additionally, the Company continues to expect to generate positive Free Cash Flow for the full year.
For the third quarter of 2024, the Company expects total revenue of $290 million to $310 million, Center Margin of $83 million to $95 million, and Adjusted EBITDA of $15 million to $21 million.

 

Conference Call, Webcast Information, and Presentations

LifeStance will hold a conference call today, August 8, 2024 at 8:30 a.m. Eastern Time to discuss the second quarter 2024 results. Investors who wish to participate in the call should dial 1-800-715-9871, domestically, or 1-646-307-1963, internationally, approximately 10 minutes before the call begins and provide conference ID number 1488997 or ask to be joined into the LifeStance call. A real-time audio webcast can be accessed via the Events and Presentations section of the LifeStance Investor Relations website (https://investor.lifestance.com), where related materials will be posted prior to the conference call.

About LifeStance Health Group, Inc.

Founded in 2017, LifeStance (Nasdaq: LFST) is reimagining mental health. We are one of the nation’s largest providers of virtual and in-person outpatient mental health care for children, adolescents and adults experiencing a variety of mental health conditions. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. LifeStance and its supported practices employ nearly 7,000 psychiatrists, advanced practice nurses, psychologists and therapists and operates across 33 states and more than 550 centers. To learn more, please visit www.LifeStance.com.

We routinely post information that may be important to investors on the “Investor Relations” section of our website at investor.lifestance.com. We encourage investors and potential investors to consult our website regularly for important information about us.

Forward-Looking Statements

Statements in this press release and on the related teleconference that express a belief, expectation or intention, as well as those that are not historical fact, are forward-looking statements. These statements include, but are not limited to, statements with respect to: full year and third quarter guidance and management's related assumptions; the Company’s financial position; business plans and objectives; operating results; working capital and liquidity; and other statements contained in this press release that are not historical facts. When used in this press release and on the related teleconference, words such as “may,” “will,” “should,” “could,” “intend,” “potential,” “continue,” “anticipate,” “believe,” “estimate,” “expect,” “plan,” “target,” “predict,” “project,” “seek” and similar expressions as they relate to us are intended to identify forward-looking statements. They involve a number of risks and uncertainties that may cause actual events and results to differ materially from such forward-looking statements. These risks and uncertainties include, but are not limited to: we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies; if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy; our ability to recruit new clinicians and retain existing clinicians; if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be harmed; we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition; we are dependent on our relationships with supported practices, which we do not own, to provide health care services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges; we operate in a competitive industry, and if we are not able to compete effectively, our business, results of operations and financial condition would be harmed; the impact of health care reform legislation and other changes in the healthcare industry and in health care spending on us is currently unknown, but may harm our business; if our or our vendors’ security measures fail or are breached and unauthorized access to our employees’, patients’ or partners’ data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners; our business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems; actual or anticipated changes or fluctuations in our results of operations; our existing indebtedness could adversely affect our business and growth prospects; and other risks and uncertainties set forth under “Risk Factors” included in the reports we have filed or will file with the Securities and

 


 

Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2023 and subsequent filings made with the Securities and Exchange Commission. LifeStance does not undertake to update any forward-looking statements made in this press release to reflect any change in management's expectations or any change in the assumptions or circumstances on which such statements are based, except as otherwise required by law.

Non-GAAP Financial Information

This press release contains certain non-GAAP financial measures, including Center Margin, Adjusted EBITDA, and Adjusted EBITDA margin. Tables showing the reconciliation of these non-GAAP financial measures to the comparable GAAP measures are included at the end of this release. Management believes these non-GAAP financial measures are useful in evaluating the Company’s operating performance, and may be helpful to securities analysts, institutional investors and other interested parties in understanding the Company’s operating performance and prospects. This press release also refers to Free Cash Flow, which is calculated as net cash provided by (used in) operating activities less purchases of property and equipment. Management believes Free Cash Flow is a useful indicator of liquidity that provides information to management and investors about the amount of cash generated from our operations that, after investments in property and equipment, can be used for future growth. These non-GAAP financial measures, as calculated, may not be comparable to companies in other industries or within the same industry with similarly titled measures of performance. Therefore, the Company’s non-GAAP financial measures should be considered in addition to, not as a substitute for, or in isolation from, measures prepared in accordance with GAAP, such as net loss or loss from operations.

Center Margin and Adjusted EBITDA anticipated for the third quarter of 2024 and full year 2024 are calculated in a manner consistent with the historical presentation of these measures at the end of this release. Reconciliation for the forward-looking third quarter of 2024 and full year 2024 Center Margin, Adjusted EBITDA guidance and Free Cash Flow is not being provided, as LifeStance does not currently have sufficient data to accurately estimate the variables and individual adjustments for such reconciliation. As such, LifeStance management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results.

Management acknowledges that there are many items that impact a company’s reported results and the adjustments reflected in these non-GAAP measures are not intended to present all items that may have impacted these results.

# # # #

 

Consolidated Financial Information and Reconciliations

 


 

CONSOLIDATED BALANCE SHEETS

(unaudited)

(In thousands, except for par value)

 

 

 

 

June 30, 2024

 

 

December 31, 2023

 

CURRENT ASSETS

 

 

 

 

 

 

Cash and cash equivalents

 

$

86,969

 

 

$

78,824

 

Patient accounts receivable, net

 

 

167,220

 

 

 

125,405

 

Prepaid expenses and other current assets

 

 

23,559

 

 

 

21,502

 

Total current assets

 

 

277,748

 

 

 

225,731

 

NONCURRENT ASSETS

 

 

 

 

 

 

Property and equipment, net

 

 

175,941

 

 

 

188,222

 

Right-of-use assets

 

 

160,214

 

 

 

170,703

 

Intangible assets, net

 

 

200,058

 

 

 

221,072

 

Goodwill

 

 

1,293,346

 

 

 

1,293,346

 

Other noncurrent assets

 

 

12,044

 

 

 

10,895

 

Total noncurrent assets

 

 

1,841,603

 

 

 

1,884,238

 

Total assets

 

$

2,119,351

 

 

$

2,109,969

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

CURRENT LIABILITIES

 

 

 

 

 

 

Accounts payable

 

$

9,973

 

 

$

7,051

 

Accrued payroll expenses

 

 

122,578

 

 

 

102,478

 

Other accrued expenses

 

 

38,488

 

 

 

35,012

 

Contingent consideration

 

 

3,809

 

 

 

8,169

 

Operating lease liabilities, current

 

 

49,187

 

 

 

46,475

 

Other current liabilities

 

 

3,624

 

 

 

3,688

 

Total current liabilities

 

 

227,659

 

 

 

202,873

 

NONCURRENT LIABILITIES

 

 

 

 

 

 

Long-term debt, net

 

 

279,459

 

 

 

280,285

 

Operating lease liabilities, noncurrent

 

 

165,751

 

 

 

181,357

 

Deferred tax liability, net

 

 

15,884

 

 

 

15,572

 

Other noncurrent liabilities

 

 

571

 

 

 

952

 

Total noncurrent liabilities

 

 

461,665

 

 

 

478,166

 

Total liabilities

 

$

689,324

 

 

$

681,039

 

COMMITMENTS AND CONTINGENCIES

 

 

 

 

 

 

STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

Preferred stock – par value $0.01 per share; 25,000 shares authorized as of
   June 30, 2024 and December 31, 2023; 0 shares issued and outstanding as
   of June 30, 2024 and December 31, 2023

 

 

 

 

 

 

Common stock – par value $0.01 per share; 800,000 shares authorized as of
   June 30, 2024 and December 31, 2023; 383,314 and 378,725 shares
   issued and outstanding as of June 30, 2024 and December 31, 2023,
   respectively

 

 

3,833

 

 

 

3,789

 

Additional paid-in capital

 

 

2,228,771

 

 

 

2,183,684

 

Accumulated other comprehensive income

 

 

2,643

 

 

 

2,303

 

Accumulated deficit

 

 

(805,220

)

 

 

(760,846

)

Total stockholders' equity

 

 

1,430,027

 

 

 

1,428,930

 

Total liabilities and stockholders’ equity

 

$

2,119,351

 

 

$

2,109,969

 

 

 


 

consolidated statements of operations and comprehensive loss

(unaudited)

(In thousands, except for Net Loss per Share)

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

TOTAL REVENUE

 

$

312,331

 

 

$

259,578

 

 

$

612,768

 

 

$

512,167

 

OPERATING EXPENSES

 

 

 

 

 

 

 

 

 

 

 

 

Center costs, excluding depreciation and amortization
  shown separately below

 

 

214,525

 

 

 

186,607

 

 

 

420,236

 

 

 

369,594

 

General and administrative expenses

 

 

95,153

 

 

 

101,854

 

 

 

184,087

 

 

 

186,480

 

Depreciation and amortization

 

 

18,600

 

 

 

19,530

 

 

 

41,164

 

 

 

38,599

 

Total operating expenses

 

$

328,278

 

 

$

307,991

 

 

$

645,487

 

 

$

594,673

 

LOSS FROM OPERATIONS

 

$

(15,947

)

 

$

(48,413

)

 

$

(32,719

)

 

$

(82,506

)

OTHER EXPENSE

 

 

 

 

 

 

 

 

 

 

 

 

(Loss) gain on remeasurement of
   contingent consideration

 

 

(55

)

 

 

1,539

 

 

 

1,960

 

 

 

2,576

 

Transaction costs

 

 

(792

)

 

 

(3

)

 

 

(792

)

 

 

(89

)

Interest expense, net

 

 

(5,823

)

 

 

(5,119

)

 

 

(11,726

)

 

 

(10,211

)

Other expense

 

 

(4

)

 

 

(24

)

 

 

(78

)

 

 

(69

)

Total other expense

 

$

(6,674

)

 

$

(3,607

)

 

$

(10,636

)

 

$

(7,793

)

LOSS BEFORE INCOME TAXES

 

 

(22,621

)

 

 

(52,020

)

 

 

(43,355

)

 

 

(90,299

)

INCOME TAX (PROVISION) BENEFIT

 

 

(656

)

 

 

6,542

 

 

 

(1,019

)

 

 

10,579

 

NET LOSS

 

$

(23,277

)

 

$

(45,478

)

 

$

(44,374

)

 

$

(79,720

)

NET LOSS PER SHARE, BASIC AND DILUTED

 

 

(0.06

)

 

 

(0.13

)

 

 

(0.12

)

 

 

(0.22

)

Weighted-average shares used to compute basic and
  diluted net loss per share

 

 

379,427

 

 

 

363,161

 

 

 

377,880

 

 

 

362,039

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET LOSS

 

$

(23,277

)

 

$

(45,478

)

 

$

(44,374

)

 

$

(79,720

)

OTHER COMPREHENSIVE (LOSS) INCOME

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (losses) gains on cash flow hedge, net
  of tax

 

 

(243

)

 

 

2,147

 

 

 

340

 

 

 

877

 

COMPREHENSIVE LOSS

 

$

(23,520

)

 

$

(43,331

)

 

$

(44,034

)

 

$

(78,843

)

 

 


 

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(In thousands)

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

CASH FLOWS FROM OPERATING ACTIVITIES

 

 

 

 

 

 

Net loss

 

$

(44,374

)

 

$

(79,720

)

Adjustments to reconcile net loss to net cash provided by (used in) operating
   activities:

 

 

 

 

 

 

Depreciation and amortization

 

 

41,164

 

 

 

38,599

 

Non-cash operating lease costs

 

 

19,476

 

 

 

20,263

 

Stock-based compensation

 

 

45,131

 

 

 

56,944

 

Amortization of discount and debt issue costs

 

 

844

 

 

 

1,076

 

Gain on remeasurement of contingent consideration

 

 

(1,960

)

 

 

(2,576

)

Other, net

 

 

191

 

 

 

2,708

 

Change in operating assets and liabilities, net of businesses acquired:

 

 

 

 

 

 

Patient accounts receivable, net

 

 

(41,815

)

 

 

(20,558

)

Prepaid expenses and other current assets

 

 

(2,762

)

 

 

(15,176

)

Accounts payable

 

 

3,208

 

 

 

(5,395

)

Accrued payroll expenses

 

 

20,100

 

 

 

5,158

 

Operating lease liabilities

 

 

(22,082

)

 

 

(16,929

)

Other accrued expenses

 

 

5,101

 

 

 

7,282

 

Net cash provided by (used in) operating activities

 

$

22,222

 

 

$

(8,324

)

CASH FLOWS FROM INVESTING ACTIVITIES

 

 

 

 

 

 

Purchases of property and equipment

 

 

(10,214

)

 

 

(19,310

)

Acquisitions of businesses, net of cash acquired

 

 

 

 

 

(19,820

)

Net cash used in investing activities

 

$

(10,214

)

 

$

(39,130

)

CASH FLOWS FROM FINANCING ACTIVITIES

 

 

 

 

 

 

Proceeds from long-term debt

 

 

 

 

 

25,000

 

Payments of debt issue costs

 

 

 

 

 

(188

)

Payments of long-term debt

 

 

(1,463

)

 

 

(1,173

)

Payments of contingent consideration

 

 

(2,400

)

 

 

(5,201

)

Net cash (used in) provided by financing activities

 

$

(3,863

)

 

$

18,438

 

NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS

 

 

8,145

 

 

 

(29,016

)

Cash and Cash Equivalents - Beginning of period

 

 

78,824

 

 

 

108,621

 

CASH AND CASH EQUIVALENTS – END OF PERIOD

 

$

86,969

 

 

$

79,605

 

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION

 

 

 

 

 

 

Cash paid for interest, net

 

$

12,626

 

 

$

9,830

 

Cash paid for taxes, net of refunds

 

$

(154

)

 

$

313

 

SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND
   FINANCING ACTIVITIES

 

 

 

 

 

 

Contingent consideration incurred in acquisitions of businesses

 

$

 

 

$

1,985

 

Acquisition of property and equipment included in liabilities

 

$

1,726

 

 

$

6,238

 

 

 


 

RECONCILIATION OF loss FROM OPERATIONS TO CENTER MARGIN

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

$

(15,947

)

 

$

(48,413

)

 

$

(32,719

)

 

$

(82,506

)

Adjusted for:

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

18,600

 

 

 

19,530

 

 

 

41,164

 

 

 

38,599

 

General and administrative expenses (1)

 

 

95,153

 

 

 

101,854

 

 

 

184,087

 

 

 

186,480

 

Center Margin

 

$

97,806

 

 

$

72,971

 

 

$

192,532

 

 

$

142,573

 

(1)
Represents salaries, wages and employee benefits for our executive leadership, finance, human resources, marketing, billing and credentialing support and technology infrastructure and stock-based compensation for all employees.

 

RECONCILIATION OF NET loss TO ADJUSTED EBITDA

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(23,277

)

 

$

(45,478

)

 

$

(44,374

)

 

$

(79,720

)

Adjusted for:

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

5,823

 

 

 

5,119

 

 

 

11,726

 

 

 

10,211

 

Depreciation and amortization

 

 

18,600

 

 

 

19,530

 

 

 

41,164

 

 

 

38,599

 

Income tax provision (benefit)

 

 

656

 

 

 

(6,542

)

 

 

1,019

 

 

 

(10,579

)

Loss (gain) on remeasurement of contingent
  consideration

 

 

55

 

 

 

(1,539

)

 

 

(1,960

)

 

 

(2,576

)

Stock-based compensation expense

 

 

24,550

 

 

 

33,078

 

 

 

45,131

 

 

 

56,944

 

Loss on disposal of assets

 

 

4

 

 

 

24

 

 

 

78

 

 

 

69

 

Transaction costs (1)

 

 

792

 

 

 

3

 

 

 

792

 

 

 

89

 

Executive transition costs

 

 

560

 

 

 

362

 

 

 

591

 

 

 

522

 

Litigation costs (2)

 

 

292

 

 

 

3,446

 

 

 

829

 

 

 

3,849

 

Strategic initiatives (3)

 

 

407

 

 

 

2,045

 

 

 

1,158

 

 

 

2,452

 

Real estate optimization and restructuring
  charges
(4)

 

 

(103

)

 

 

3,720

 

 

 

(250

)

 

 

3,720

 

Amortization of cloud-based software
  implementation costs
(5)

 

 

169

 

 

 

 

 

 

180

 

 

 

 

Other expenses (6)

 

 

77

 

 

 

297

 

 

 

172

 

 

 

589

 

Adjusted EBITDA

 

$

28,605

 

 

$

14,065

 

 

$

56,256

 

 

$

24,169

 

(1)
Primarily includes capital markets advisory, consulting, accounting and legal expenses related to our acquisitions and to the secondary offering completed in the second quarter of 2024.
(2)
Litigation costs include only those costs which are considered non-recurring and outside of the ordinary course of business based on the following considerations, which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) the complexity of the case (e.g., complex class action litigation), (iii) the nature of the remedy(ies) sought, including the size of any monetary damages sought, (iv) the counterparty involved, and (v) our overall litigation strategy. During the three and six months ended June 30, 2024 and 2023, litigation costs included cash expenses related to three distinct litigation matters, including (x) a securities class action litigation, (y) a privacy class action litigation and (z) a compensation model class action litigation.
(3)
Strategic initiatives consist of expenses directly related to a multi-phase system upgrade in connection with our recent and significant expansion. During each of the three and six months ended June 30, 2024 and 2023, we continued a process of evaluating and adopting critical enterprise-wide systems for (i) human resources management, (ii) clinician credentialing and onboarding process, and for the three and six months ended June 30, 2023, (iii) a scalable electronic health resources system. Strategic initiatives represents costs, such as third-party consulting costs and one-time costs, that are not part of our ongoing operations related to these enterprise-wide systems. We considered the frequency and scale of this multi-part enterprise upgrade when determining that the expenses were not normal, recurring operating expenses.
(4)
Real estate optimization and restructuring charges consist of cash expenses and non-cash charges related to our real estate optimization initiative, which include certain asset impairment and disposal costs, certain gains and losses related to early lease terminations, and exit and disposal costs related to our real estate optimization initiative to consolidate our physical footprint during the three and six months ended June 30, 2023. As the decision to close these centers was part of a significant strategic project driven by a historic shift in behavior, the magnitude of center closures has been and is expected to be greater than what would be expected as part of ordinary business operations and do not constitute normal recurring operating activities. During the three and six months ended June 30, 2024, real estate optimization and restructuring charges consisted of certain gains and losses related to early lease terminations of previously abandoned real estate leases in 2023.
(5)
Represents amortization of capitalized implementation costs related to cloud-based software arrangements that are included within general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive loss.
(6)
Primarily includes costs incurred to consummate or integrate acquired centers, certain of which are wholly-owned and certain of which are supported practices, in addition to the compensation paid to former owners of acquired centers and related expenses that are not reflective of the ongoing operating expenses of our centers. Acquired center integration and other are components of general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive loss. Former owner fees is a component of center costs, excluding depreciation and amortization included in our unaudited consolidated statements of operations and comprehensive loss.