0000000000-21-002158.txt : 20210608 0000000000-21-002158.hdr.sgml : 20210608 20210222163006 ACCESSION NUMBER: 0000000000-21-002158 CONFORMED SUBMISSION TYPE: UPLOAD PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20210222 FILED FOR: COMPANY DATA: COMPANY CONFORMED NAME: Cano Health, Inc. CENTRAL INDEX KEY: 0001800682 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: UPLOAD BUSINESS ADDRESS: STREET 1: 9725 NW 117TH AVENUE, SUITE 200 CITY: MIAMI STATE: FL ZIP: 33178 BUSINESS PHONE: 2034227700 MAIL ADDRESS: STREET 1: 9725 NW 117TH AVENUE, SUITE 200 CITY: MIAMI STATE: FL ZIP: 33178 FORMER COMPANY: FORMER CONFORMED NAME: Jaws Acquisition Corp. 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Registration Statement on Form S-4 Filed January 25, 2021 File No. 333-252414 Dear Mr. Racich: We have reviewed your registration statement and have the following comments. In some of our comments, we may ask you to provide us with information so we may better understand your disclosure. Please respond to this letter by amending your registration statement and providing the requested information. If you do not believe our comments apply to your facts and circumstances or do not believe an amendment is appropriate, please tell us why in your response. After reviewing any amendment to your registration statement and the information you provide in response to these comments, we may have additional comments. Registration Statement on Form S-4 Cover Page 1. Please revise the cover page to: disclose the expected ownership percentages in the combined company of Jaws' public shareholders, the Sponsor, the Seller and the PIPE Investors if the business combination is approved and consummated; quantify the business combination consideration; and to highlight to dual class structure of the combined company. Summary of the Proxy Statement/Prospectus, page 12 2. Please advise whether you will be a controlled company under NYSE rules after the business combination. If so, please include appropriate disclosure in the Summary, Michael Racich FirstName LastNameMichael Racich Jaws Acquisition Corp. Comapany22, February NameJaws 2021 Acquisition Corp. February Page 2 22, 2021 Page 2 FirstName LastName provide risk factor disclosure of this status, and disclose the corporate governance exemptions available to a controlled company. 3. Please disclose the composition of the board of directors after consummation of the business combination in relation to members associated with each of the pre-acquisition entities. 4. Please disclose the combined voting power of the executive officers, directors, and persons holding more than five percent of your Class A and/or Class B common stock following the business combination. Overview of PCIH, page 13 5. Please revise your disclosure in the Summary to balance your discussion of PCIH's track record and growth potential with disclosure regarding its history of operating losses and the competitive landscape in the industry. In this regard, we note your statements that the company is "uniquely positioned" to address stated healthcare challenges and to serve beneficiaries in underserved communities, but you have not explained why this is the case. In addition, you note the company's NPS score of 70 compared to the average primary care provider score of -1, but have not provided the average score of direct competitors in the value based case/capitated contracts sector. 6. We note your disclosure that you employ 168 providers, including physicians, and have affiliate relationships with 472 physicians as of September 30, 2020. In light of your disclosure in the Regulation section of the document, including regulations prohibiting the corporate practice of medicine and fee-splitting, please revise your disclosure in the Summary and in the Information about Cano Health section of the document to clearly explain the relationship the company has with both employed and affiliated physicians, including a discussion of agreements in place governing those relationships. 7. We note your statements that you plan to build 15 to 20 de novo medical centers annually and have a pipeline of more than 100 acquisition targets. In light of PCIH's history of net losses, please explain how the company plans to fund its aggressive expansion strategy. 8. We note your mention of "quality-driven bonuses" and "financial incentives aligned with clinical outcomes" on pages 17-18 of the Summary and elsewhere. Please provide further detail regarding the setting and calculation of these bonuses and incentives and how they correlate to clinical outcomes of patients. Strong history of financial performance, page 14 9. We note your use of non-GAAP financial metrics. Please revise this section and your similar disclosure on page 301 to comply with Item 10(e)(1)(i)(A) of Regulation S-K rather than providing a cross-reference to MD&A. Michael Racich FirstName LastNameMichael Racich Jaws Acquisition Corp. Comapany22, February NameJaws 2021 Acquisition Corp. February Page 3 22, 2021 Page 3 FirstName LastName 10+ Year History of Growth Becoming a National Platform, page 17 10. We note your graphic in this section indicating that Cano Health plans to expand to New Mexico, Arizona and Oregon, among other states. Please revise your disclosure to discuss Cano Health's plans to expand into the states indicated on the graphic. Alternatively, please remove or modify this graphic to reflect the states where Cano Health is currently active. Direct Contracting Opportunity, page 25 11. Please revise to provide the basis for your statement that direct contracting may triple the value-based Medicare market to $800 billion and include the time period over which the value-based Medicare market is expected to triple. Related Agreements, page 31 12. We note your disclosure on page 31 that each holder of PCIH Common Units shall be entitled at any time to exchange all or any portion of its PCIH Common Units for a number of Class A common stock determined to a disclosed formula. However, in the letter to Jaws shareholders you state that such exchange may also be made for cash. Please clarify. In addition, please state how such cash payments would be made, and address the potential for dilution in the event Units are exchanged for Class A common stock. Organizational Structure, page 33 13. In relation to the diagram depicting the organizational structure immediately following the completion of the Domestication and the Business Combination, please clearly state that you will be a holding company and that, upon consummation of the business combination, your principal asset will be the PCIH Common Units. Tax Receivable Agreement, page 182 14. Please revise here and throughout to: (i) clarify who the "certain parties" referred to in this section are and (ii) disclose the term of the agreement. Jaws Board s Reasons for the Approval of the Business Combination, page 189 15. Please provide more details in this section regarding the financial and valuation analyses reviewed by the Jaws Board before the Board reached its decision to approve the Business Combination. In your revisions, please discuss whether the Jaws' board evaluated comparable public companies or recent M&A transactions as a part of its financial analysis. In addition, please discuss how Jaws determined that PCIH had a pre-transaction enterprise valuation of $5.0 billion and the factors that led the parties to agree to a reduced pre-transaction enterprise value of $4.0 billion. Michael Racich FirstName LastNameMichael Racich Jaws Acquisition Corp. Comapany22, February NameJaws 2021 Acquisition Corp. February Page 4 22, 2021 Page 4 FirstName LastName Certain Company Projected Financial Information , page 192 16. Please tell us how you considered Item 10(b)(3) of Regulation S-K as it relates to the disclosure of the significant assumptions underlying your projected financial information. Liquidity and Capital Resources, page 273 17. Please revise your liquidity disclosures to address the fact that you are a holding company with no operations of your own and that you depend on your subsidiaries for cash. Please also disclose any restrictions or other factors that could inhibit your subsidiaries ability to pay dividends or make other distributions to the parent company. Please refer to Item 303(a)(1) of Regulation S-K. 18. Please revise your liquidity disclosures to address the Tax Receivable Agreement, disclosing your estimates of annual payments and how you intend to fund the required payments under the agreement. In this regard, we note your statements that you expect the future payments under the agreement may be substantial. This information should also be disclosed in the Summary and in the Risk Factor starting at the bottom of page 119. Description of Indebtedness, page 312 19. Please revise this section to state the aggregate amount of indebtedness that is currently outstanding. Management's Discussion and Analysis of Financial Condition and Results of Operations of Cano Health Non-GAAP Financial Metrics, page 343 20. As it relates to your adjustments for de novo losses and corporate development payroll costs, please tell us how you considered Question 100.01 of the Non-GAAP Financial Measures Compliance & Disclosure Interpretations. Interim Financial Statements of Primary Care (ITC) Intermediate Holdings, LLC and Subsidiaries 13. Related Party Transactions Humana Relationships, page F-66 21. Please disclose the significant terms of the Humana Affiliate Provider ("HAP") agreements. In addition, explain to us how you determined the appropriate accounting for the administrative payments you are receiving from Humana and for the use of Humana owned or leased facilities. 22. As a related matter, please tell us how you considered the requirement to state related party amounts on the face of the financial statements, as set forth in Rule 4-08(k) of Regulation S-X. Michael Racich FirstName LastNameMichael Racich Jaws Acquisition Corp. Comapany22, February NameJaws 2021 Acquisition Corp. February Page 5 22, 2021 Page 5 FirstName LastName Audited Financial Statements of Primary Care (ITC) Intermediate Holdings, LLC and Subsidiaries 2. Summary of Significant Accounting Policies Revenue Recognition, page F-79 23. You disclose that capitation fees are paid on an interim basis based on submitted enrolled member data for the previous year and are adjusted in subsequent periods after the final data is compiled by the CMS and communicated to you. You also disclose that your transaction price is variable and depends upon the terms of the arrangement provided by or negotiated with the health plan. Please clarify your accounting policy with respect to variable consideration, including whether you include any adjustment for projected member acuity and quality metrics in your calculation of the transaction price. Please also clarify whether and how this interacts with the Medicare Risk Adjustments included within your Accounts Receivable. Accounts Receivable, net of Unpaid Service Provider Costs, page F-81 24. Please revise to provide a break-out of your gross accounts receivable balance and the amount of unpaid service costs offset against such receivables to support the net amount shown on the face of your balance sheet. Please also disclose the composition of your accounts receivable and the associated payment terms of your revenue contracts. In this regard, we note your disclosure that your capitation fees are generally paid in advance; however, you appear to have a significant accounts receivable balance. 10. Due to / from Seller, page F-94 25. Please explain why it is appropriate to classify bonuses as transaction costs and other. Exhibits 26. Please file an opinion as to the material tax consequences of the domestication and the merger. Refer to Item 601(b)(8) of Regulation S-K and Section III.A.2 of Staff Legal Bulletin No. 19. 27. Please file the employment agreements with Drs. Hernandez and Aguilar and Mr. Armstrong as exhibits to the registration statement. See Item 601(b)(10) of Regulation S- K. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Refer to Rules 460 and 461 regarding requests for acceleration. Please allow adequate time for us to review any amendment prior to the requested effective date of the registration statement. Michael Racich Jaws Acquisition Corp. February 22, 2021 Page 6 You may contact Michael Fay at 202-551-3812 or Angela Connell at 202-551-3426 if you have questions regarding comments on the financial statements and related matters. Please contact Alan Campbell at 202-551-4224 or Laura Crotty at 202-551-7614 with any other questions. Sincerely, FirstName LastNameMichael Racich Division of Corporation Finance Comapany NameJaws Acquisition Corp. Office of Life Sciences February 22, 2021 Page 6 cc: Peter Seligson FirstName LastName