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Revision (Tables)
12 Months Ended
Dec. 31, 2021
Accounting Changes and Error Corrections [Abstract]  
Schedule of Revisions
The following table sets forth the effects of the revision on the affected line items within the Company’s previously reported Consolidated Balance Sheet as of December 30, 2020 (dollars in thousands):
 
    
December 31, 2020
 
    
As
Previously
Reported
    
Adjustments
    
As Revised
 
Assets
                          
Current assets:
                          
Cash, cash equivalents and restricted cash
   $ 33,807      $ —        $ 33,807  
Accounts receivable, net of unpaid service provider costs
1
     76,709        (9,356      67,353  
Inventory
     922        —          922  
Prepaid expenses and other current assets
     8,937        —          8,937  
    
 
 
    
 
 
    
 
 
 
Total current assets
     120,375        (9,356      111,019  
Property and equipment, net
     38,126        —          38,126  
Goodwill
     234,328        —          234,328  
Payor relationships, net
     189,570        —          189,570  
Other intangibles, net
     36,785        —          36,785  
Other assets
     4,362        —          4,362  
    
 
 
    
 
 
    
 
 
 
Total assets
   $  623,546      $  (9,356    $  614,190  
Liabilities and stockholders’ equity / members’ capital
                          
Current liabilities:
                          
Current portion of notes payable
   $ 4,800      $ —        $ 4,800  
Current portion of equipment loans
     314        —          314  
Current portion of finance lease liabilities
     876        —          876  
Current portion of contingent consideration
     —          —          —    
Accounts payable and accrued expenses
2
     33,180        (1,810      31,370  
Deferred revenue
     988        —          988  
 
1
Reflects a reduction to accounts receivable and capitated revenue as a result of the reduced MRA estimate.
2
Reflects reductions to accounts payable and accrued expenses and direct patient costs as a result of the decrease in estimated provider payments corresponding to the reduced MRA estimate.
 
Current portions due to sellers
3
     27,129        (575      26,554  
Current portion of operating lease liabilities
     —          —          —    
Other current liabilities
4
     1,333        945        2,278  
    
 
 
    
 
 
    
 
 
 
Total current liabilities
     68,620        (1,440      67,180  
Notes payable, net of current portion and debt issuance costs
     456,745        —          456,745  
Equipment loans, net of current portion
     873        —          873  
Long term portion of finance lease liabilities
     1,580        —          1,580  
Deferred revenue, net of current portion
     4,277        —          4,277  
Due to sellers, net of current portion
     13,976        —          13,976  
Contingent consideration
     5,172        —          5,172  
Other liabilities
     11,651        —          14,762  
    
 
 
    
 
 
    
 
 
 
Total liabilities
     566,005        (1,440      564,565  
Stockholders’ Equity / Members’ Capital
                          
Members’ capital
     157,591        —          157,591  
Accumulated deficit
     (99,916      (7,916      (107,832
Notes receivable, related parties
     (134      —          (134
    
 
 
    
 
 
    
 
 
 
Total member’s capital
     57,541        (7,916      49,625  
    
 
 
    
 
 
    
 
 
 
Total liabilities and members’ Capital
   $  623,546      $  (9,356    $ 614,190  
    
 
 
    
 
 
    
 
 
 
 
3
Corrects the accrual for compensation-related costs due to sellers of acquired businesses recorded in transaction costs and other.
4
Reflects a reclassification from accounts receivable, net of unpaid service provider costs for plans that are in a net deficit position to other current liabilities.
 
The following table sets forth the effects of the revision on the affected line items within the Company’s previously reported Consolidated Statements of Operations for the year ended December 30, 2020 and December 31, 2019 (dollars in thousands):
    
December 31, 2020
   
December 31, 2019
 
    
As
Previously
Reported
   
Adjustments
   
As Revised
   
As
Previously
Reported
   
Adjustments
   
As Revised
 
Revenue:
                                                
Capitated revenue
1
   $  794,164     $ 2,209     $  796,373     $ 343,903     $  (3,002   $  340,901  
Fee-for-service
and other revenue
     35,203       —         35,203       20,483               20,483  
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Total revenue
     829,367       2,209       831,576       364,386       (3,002     361,384  
Operating expenses:
                                                
Third-party medical costs
     564,987       —         564,987       241,089       1,483       242,572  
Direct patient expense
2
     102,284       (926     101,358       43,020       (920     42,100  
Selling, general and administrative expenses
     103,962       —         103,962       59,148               59,148  
Depreciation and amortization expense
     18,499       —         18,499       6,822               6,822  
Transaction costs and other
3
     43,520       (575     42,945       17,583               17,583  
Change in fair value of contingent consideration
     65       —         65       2,845               2,845  
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Total operating expenses
     833,317       (1,501     831,816       370,507       563       371,070  
Income (loss) from operations
     (3,950     3,710       (240     (6,121     (3,565     (9,686
Other income and expense:
                                                
Interest expense
     (34,002     —         (34,002     (10,163     —         (10,163
Interest income
     320       —         320       319       —         319  
Loss on extinguishment of debt
     (23,277     —         (23,277     —         —         —    
Change in fair value of embedded derivative
     (12,764     —         (12,764     —         —         —    
Change in fair value of warrant liabilities
     —         —         —         —         —         —    
Other income (expense)
     (450     —         (450     (250     —         (250
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Total other income (expense)
     (70,173     —         (70,173     (10,094     —         (10,094
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Net loss before income tax benefit (expense)
     (74,123     3,710       (70,413     (16,215     (3,565     (19,780
Income tax expense (benefit)
     651       —         651       —         —         —    
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Net income (loss)
   $  (74,774   $ 3,710     $  (71,064   $  (16,215   $ (3,565   $ (19,780
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
1
Reflects a decrease to capitated revenue and accounts receivable as a result of the reduced MRA.
2
Reflects reductions to direct patient expense and accounts payable and accrued expenses as a result of the decrease in estimated provider payments corresponding to the reduced MRA estimate.
3
Corrects compensation-related costs due to sellers of acquired businesses with a corresponding increase in additional paid in capital.
The following table sets forth the effects of the revision on the affected line items within the Company’s previously reported Consolidated Statements of Cash Flows for the years ended December 30, 2020 and December 31, 2019 (dollars in thousands):
 
    
2020
   
2019
 
    
As
Previously
Reported
   
Adjustments
   
As Revised
   
As
Previously
Reported
   
Adjustments
   
As Revised
 
CASH FLOWS FROM OPERATING ACTIVITIES
                                                
Net loss
1
   $ (74,774   $ 3,710     $ (71,064   $ (16,215   $  (3,565   $  (19,780
Equity-based compensation
     528       —         528       182       —         182  
Accounts receivable, net
2
     (27,500     (2,809     (30,309     (21,779     4,139       (17,640
Prepaid expenses and other current assets
     (5,152     —         (5,152     (2,086     —         (2,086
Accounts payable and accrued expenses
3
     28,250       (925     27,325       11,250       (920     10,330  
Other liabilities
4
     2,486       24       2,510       2,279       346       2,625  
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Net cash used in operating activities
     (9,235     —         (9,235     (15,465     —         (15,465
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
CASH FLOWS FROM INVESTING ACTIVITIES
                                                
Net cash used in investing activities
     (268,366     —         (268,366     (90,784             (90,784
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
CASH FLOWS FROM FINANCING ACTIVITIES
                                                
Net cash provided by financing activities
     282,216       —         282,216       132,038       —         132,038  
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Net increase (decrease) in cash, cash equivalents and restricted cash
     4,615               4,615       25,789               25,789  
Cash, cash equivalents and restricted cash at beginning of year
     29,192               29,192       3,403               3,403  
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Cash, cash equivalents and restricted cash at end of period
   $ 33,807             $ 33,807     $ 29,192             $ 29,192  
    
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
1
Reflects the cumulative impact on net loss of the adjustments detailed within the statement of operations.
 
2
Reflects changes to accounts receivable as a result of the reduced MRA estimate.
 
3
Reflects changes to accounts payable and accrued expenses as a result of the change in estimated provider payments corresponding to the reduced MRA estimate.
 
4
Reflects a reclassification from accounts receivable, net of unpaid service provider costs for plans that are in a net deficit position and corrects accrual for compensation-related costs due to sellers of acquired businesses.