UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

☒	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2022

☐	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission file number: 001-40033

P3 Health Partners Inc.

(Exact name of registrant as specified in its charter)


Delaware	85-2992794
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)
2370 Corporate Circle Suite 300 Henderson, Nevada	89074
(Address of principal executive offices)	(Zip code)

(702) 910–3950

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Name of each exchange

Title of each class

Trading Symbol(s)

on which registered

Class A Common Stock, Par Value $0.0001 per share Warrants, each whole warrant exercisable for one share of Class A Common Stock at an exercise price of $11.50

PIII

PIIIW

The Nasdaq Stock Market LLC

Securities registered pursuant to Section 12(g) of the Act: None

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.


Large accelerated filer ☐	Accelerated filer ☐	Non-accelerated filer ☒	Smaller reporting company ☒	Emerging growth company ☒

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

The number of outstanding shares of the Registrant’s Class A Common Stock, par value $0.0001 as of November 8, 2022 was 41,578,890. The number of outstanding shares of the Registrant’s Class V Common Stock, par value $0.0001 as of November 8, 2022 was 202,024,923.

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TABLE OF CONTENTS


		Page
	Cautionary Statement Regarding Forward-Looking Statements	3

PART I – FINANCIAL INFORMATION

Item 1.	Financial Statements	5
	Condensed Consolidated Balance Sheets (Unaudited)	5
	Condensed Consolidated Statements of Operations (Unaudited)	6
	Condensed Consolidated Statements of Stockholders’/Members’ Equity (Deficit) and Mezzanine Equity (Unaudited)	7
	Condensed Consolidated Statements of Cash Flows (Unaudited)	8
	Notes to Condensed Consolidated Financial Statements (Unaudited)	9
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	44
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	58
Item 4.	Controls and Procedures	59

PART II – OTHER INFORMATION

Item 1.	Legal Proceedings	60
Item 1A.	Risk Factors	62
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	62
Item 3.	Defaults Upon Senior Securities	62
Item 4.	Mine Safety Disclosures	62
Item 5.	Other Information	62
Item 6.	Exhibits	63

SIGNATURES		65

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CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

In addition to historical information, this Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2022 (this “Form 10-Q”) may contain “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which are subject to the “safe harbor” created by those sections. All statements other than statements of historical facts contained in this Form 10-Q, including statements regarding our future results of operations and financial position, business strategy, prospective product and services, regulatory approvals of our products and services, future revenue, timing and likelihood of success, plans and objectives of management for future operations, future results of anticipated products and services and prospects, plans and objectives of management, are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements.

In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “contemplate,” “believe,” “estimate,” “predict,” “potential,” “would” or “continue” or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words. The forward-looking statements in this Form 10-Q are only predictions and are based largely on our current expectations and projections about future events and financial trends that we believe may affect our business, financial condition and results of operations. These forward-looking statements speak only as of the date of this Form 10-Q and are subject to a number of known and unknown risks, uncertainties and assumptions, including those described under the sections in this Form 10-Q entitled “Risk Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in this Form 10-Q. These forward-looking statements are subject to numerous risks, including, without limitation, the following:

●

our ability to preserve an adequate level of liquidity for a period extending twelve months, which has raised substantial doubt about our ability to continue as a going concern, and as a result of which, we may need to look to add additional capital or may delay or scale back growth as needed to generate liquidity and positive cash flow as soon as possible;

●

our ability to recognize the anticipated benefits of the Business Combinations (as defined below), which may be affected by, among other things, competition and our ability to grow and manage growth profitably following the Business Combinations;

●

changes in applicable laws or regulations;

●

the possibility that we may be adversely affected by other economic, business, and/or competitive factors, including economic instability and inflationary conditions;

●

the possibility that we may never achieve or maintain profitability;

●

the difficulty in evaluating our future prospects, as well as risks and challenges, due to the new and rapidly evolving business and market and our limited operating history;

●

the possibility that we may need to raise additional capital to fund our existing operations, develop and commercialize new services or expand our operations;

●

possible difficulty managing growth and expanding operations;

●

the continuing impact of the COVID-19 pandemic on operations, which may materially and adversely affect our business and financial results;

●

our ability to retain qualified personnel;

●

our ability to successfully execute on growth strategies, including identifying and developing successful new geographies, physician partners, payors and patients, and accurately estimating the size, revenue or medical expense amounts of target geographies;

●

delays and uncertainties in the timing and process of reimbursements by third-party payors and individuals, including any changes or reductions in Medicare reimbursement rates or rules;

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●

the termination or non-renewal of the Medicare Advantage contracts held by the health plans with which we contract, or the termination or non-renewal of our contracts with those plans;

●

reductions in the quality ratings of the health plans we serve;

●

the effectiveness and efficiency of our marketing efforts, and our ability to develop brand awareness cost-effectively;

●

spending changes in the healthcare industry;

●

we, our affiliated professional entities and other physician partners may become subject to medical liability claims;

●

a failure in our information technology systems;

●

security breaches, loss of data or other disruptions could compromise sensitive information related to our business or prevent us from accessing critical information, expose us to liability and our reputation may be harmed and we could lose revenue, clients and members;

●

any future litigation against us could be costly and time-consuming to defend;

●

failure to adhere to all of the complex government laws and regulations that apply to our business could result in fines or penalties, being required to make changes to our operations or experiencing adverse publicity;

●

failure to establish and maintain effective internal control over financial reporting and remediate identified material weaknesses;

●

failure to comply with the continued listing standards of Nasdaq;

●

the possibility that our arrangements with affiliated professional entities and other physician partners is found to constitute improper rendering of medical services or fee splitting under applicable state laws;

●

the possibility that we face inspections, reviews, audits and investigations under federal and state government programs and contracts;

●

the impact on us of recent healthcare legislation and other changes in the healthcare industry and in healthcare spending is currently unknown;

●

the transition from volume to value-based reimbursement models may have a material adverse effect on our operations;

●

the risks and uncertainties identified in Part I, Item 2. “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in this Form 10-Q; and

●

the risks and uncertainties described under Part II, Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2021 (the “2021 Form 10-K”).

Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified and some of which are beyond our control, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Moreover, we operate in an evolving environment. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise.

You should read this Form 10-Q completely and with the understanding that our actual future results may be materially different from what we expect. We qualify all of our forward-looking statements by these cautionary statements.

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PART I FINANCIAL INFORMATION

Item 1.Financial Statements

P3 HEALTH PARTNERS INC and SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)


	As of September 30, 2022		As of December 31, 2021
ASSETS
CURRENT ASSETS:
Cash	$	34,357,237	$	140,477,586
Restricted Cash		1,003,307		356,286
Health Plan Receivables, Net		81,497,703		50,251,004
Clinic Fees and Insurance Receivables, Net		1,049,253		1,090,104
Other Receivables		2,736,184		726,903
Prepaid Expenses and Other Current Assets		3,523,867		6,959,067
TOTAL CURRENT ASSETS		124,167,551		199,860,950
LONG-TERM ASSETS:
Property and Equipment		11,509,656		8,230,250
Less: Accumulated Depreciation		(1,994,380)		(182,321)
Property and Equipment, Net		9,515,276		8,047,929
Goodwill		463,496,191		1,309,750,216
Intangible Assets, Net		772,411,083		835,838,605
Notes Receivable, Net		3,563,462		3,590,715
Right of Use Asset		9,977,886		7,020,045
TOTAL LONG-TERM ASSETS		1,258,963,898		2,164,247,510
TOTAL ASSETS ⁽¹⁾	$	1,383,131,449	$	2,364,108,460
LIABILITIES, MEZZANINE EQUITY and STOCKHOLDERS' EQUITY
CURRENT LIABILITIES:
Accounts Payable and Accrued Expenses	$	24,072,391	$	17,730,683
Accrued Payroll		7,358,102		6,304,362
Health Plans Settlements Payable		20,626,836		22,548,694
Claims Payable		134,705,426		101,958,324
Premium Deficiency Reserve		27,719,928		37,835,642
Accrued Interest		12,655,918		8,771,065
Current Portion of Long-Term Debt		—		46,101
Short-Term Debt		—		3,578,561
TOTAL CURRENT LIABILITIES		227,138,601		198,773,432
LONG-TERM LIABILITIES:
Right of Use Liability		11,156,949		6,296,883
Warrant Liabilities		7,996,432		11,382,826
Contingent Consideration		4,684,503		3,486,593
Long-Term Debt		80,000,000		80,000,000
TOTAL LONG-TERM LIABILITIES		103,837,884		101,166,302
TOTAL LIABILITIES ⁽¹⁾		330,976,485		299,939,734
COMMITMENTS AND CONTINGENCIES (NOTE 23)
MEZZANINE EQUITY
Redeemable Non-Controlling Interest		974,078,949		1,790,617,285
STOCKHOLDERS’ EQUITY:
Class A Common Stock, $.0001 par value; 800,000,000 shares authorized; 41,578,890 shares issued and outstanding as of September 30, 2022 and December 31, 2021, respectively		4,158		4,158
Class V Common Stock, $.0001 par value; 205,000,000 shares authorized; 201,530,796 shares and 196,553,523 shares issued and outstanding as of September 30, 2022 and December 31, 2021, respectively		20,153		19,655
Additional Paid in Capital		293,570,464		312,945,752
Accumulated Deficit		(215,518,760)		(39,418,124)
TOTAL STOCKHOLDERS’ EQUITY		78,076,015		273,551,441
TOTAL LIABILITIES, MEZZANINE EQUITY & STOCKHOLDERS’ EQUITY	$	1,383,131,449	$	2,364,108,460

(1)

The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities (“VIEs”). As discussed in Note 25 “Variable Interest Entities,” P3 LLC is itself a VIE. P3 LLC represents substantially all the assets and liabilities of the Company. As a result, the language and amounts below refer only to VIEs held at the P3 LLC level. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of the P3 LLC’s VIEs totaling $6.8 million and $8.1 million as of September 30, 2022 and December 31, 2021, respectively, and total liabilities of the P3 LLC’s consolidated VIEs for which creditors do not have recourse to the general credit of the Company totaled $9.9 million and $6.1 million as of September 30, 2022 and December 31, 2021, respectively. These VIE assets and liabilities do not include $6.0 million of investment in affiliates as of September 30, 2022 and December 31, 2021, and $27.0 million and $24.1 million of amounts due to affiliates as of September 30, 2022 and December 31, 2021, respectively, as these are eliminated in consolidation and not presented within the condensed consolidated balance sheets. See Note 25 “Variable Interest Entities.”

See accompanying notes to condensed consolidated financial statements.

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P3 HEALTH PARTNERS INC and SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)


	Successor		Predecessor		Successor		Predecessor
	Three Months Ended		Three Months Ended		Nine Months Ended		Nine Months Ended
	September 30, 2022		September 30, 2021		September 30, 2022		September 30, 2021
			(As Restated)				(As Restated)
OPERATING REVENUE:
Capitated Revenue	$	243,988,004	$	153,072,995	$	780,775,285	$	443,598,050
Other Patient Service Revenue		4,272,069		3,112,960		10,483,093		8,472,288
TOTAL OPERATING REVENUE		248,260,073		156,185,955		791,258,378		452,070,338
OPERATING EXPENSES:
Medical Expenses		254,776,548		161,328,123		788,045,718		458,333,145
Premium Deficiency Reserve		(7,301,630)		1,600,000		(10,115,714)		4,600,000
Corporate, General and Administrative Expenses		37,862,737		20,433,538		117,560,549		53,883,267
Sales and Marketing Expenses		1,119,552		491,418		3,392,178		1,118,160
Goodwill Impairment		—		—		851,455,754		—
Depreciation and Amortization		21,814,803		456,418		65,286,715		1,218,797
TOTAL OPERATING EXPENSES		308,272,010		184,309,497		1,815,625,200		519,153,369
OPERATING LOSS		(60,011,937)		(28,123,542)		(1,024,366,822)		(67,083,031)
OTHER INCOME (EXPENSES):
Interest Expense, net		(2,749,681)		(2,529,133)		(8,244,806)		(7,023,187)
Mark-to-Market of Stock Warrants		(2,567,423)		(1,401,686)		3,386,394		(12,063,265)
TOTAL OTHER INCOME (EXPENSE)		(5,317,104)		(3,930,819)		(4,858,412)		(19,086,452)
LOSS BEFORE INCOME TAXES		(65,329,041)		(32,054,361)		(1,029,225,234)		(86,169,483)

PROVISION FOR INCOME TAXES		—		—		—		—
NET LOSS		(65,329,041)		(32,054,361)		(1,029,225,234)		(86,169,483)
LESS NET LOSS ATTRIBUTABLE TO REDEEMABLE NON-CONTROLLING INTERESTS		(54,155,858)		—		(853,124,598)		—
NET LOSS ATTRIBUTABLE TO CONTROLLING INTERESTS	$	(11,173,183)	$	(32,054,361)	$	(176,100,636)	$	(86,169,483)
NET LOSS PER SHARE (BASIC)	$	(0.27)		N/A¹	$	(4.24)		N/A¹
NET LOSS PER SHARE (DILUTED)	$	(0.27)		N/A¹	$	(4.27)		N/A¹

See accompanying notes to condensed consolidated financial statements.

¹The Company analyzed the calculation of net loss per member unit for predecessor periods prior to the Business Combinations and determined that it resulted in values that would not be meaningful to the users of these consolidated financial statements. Therefore, net loss per member unit information has not been presented for predecessor periods prior to the Business Combinations on December 3, 2021.

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P3 HEALTH PARTNERS INC and SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’/MEMBERS’ EQUITY (DEFICIT) AND MEZZANINE EQUITY

(UNAUDITED)


	Class A			Class D			Class B-1			Class C			Redemption of
	Units	Amount		Units	Amount		Units	Amounts		Units	Amount		Profit Interest		Accumulated Deficit		Total Member's Deficit
MEMBERS' DEFICIT, DECEMBER 31, 2020 As Restated	43,000,000	$	43,656,270	16,130,034	$	47,041,554	6,000,000	$	380,000	1,302,083	$	67,474	$	(180,000)	$	(130,485,179)	$	(130,217,705)
Class C Unit Based Compensation	—		—	—		—	—		—	333,750		460,515		—		—		460,515
Net Loss	—		—	—		—	—		—	—		—		—		(24,650,712)		(24,650,712)
MEMBERS’ DEFICIT, MARCH 31, 2021 As Restated	43,000,000	$	43,656,270	16,130,034	$	47,041,554	6,000,000	$	380,000	1,635,833	$	527,989	$	(180,000)	$	(155,135,891)	$	(154,407,902)
Class B-1 and Class C Unit Based Compensation	—		—	—		—	2,000,000		380,000	140,000		183,792		—		—		563,792
Net Loss	—		—	—		—	—		—	—		—		—		(29,464,410)		(29,464,410)
MEMBERS’ DEFICIT, June 30, 2021 As Restated	43,000,000	$	43,656,270	16,130,034		47,041,554	8,000,000	$	760,000	1,775,833	$	711,781	$	(180,000)	$	(184,600,301)	$	(183,308,520)
Class B-1 and Class C Unit Based Compensation	—		—	—		—	—		—	150,000		355,088		—		—		355,088
Net Loss	—		—	—		—	—		—	—		—		—		(32,054,361)		(32,054,361)
MEMBERS’ DEFICIT, September 30, 2021 As Restated	43,000,000	$	43,656,270	16,130,034		47,041,554	8,000,000	$	760,000	1,925,833	$	1,066,869	$	(180,000)	$	(216,654,662)	$	(215,007,793)


	Successor
	Redeemable
	Noncontrolling		Class A Common Stock			Class V Common Stock			Additional		Accumulated		Total
	Interests		Shares	Amount		Shares	Amount		Paid in Capital		Deficit		Stockholders' Equity
STOCKHOLDERS' EQUITY (DEFICIT), December 31, 2021	$	1,790,617,285	41,578,890	$	4,158	196,553,523	$	19,655	$	312,945,752	$	(39,418,124)	$	273,551,441
Vesting of stock compensation awards		—	—		—	549,822		55		—		—		55
Stock compensation		11,711,427	—		—	—		—		—		—		—
Net Loss		(50,212,750)	—		—	—		—		—		(10,577,504)		(10,577,504)
STOCKHOLDERS' EQUITY (DEFICIT), March 31, 2022	$	1,752,115,962	41,578,890	$	4,158	197,103,345	$	19,710	$	312,945,752	$	(49,995,628)	$	262,973,992
Vesting of stock compensation awards		—	—		—	4,319,964		432		—		—		432
Stock compensation		3,715,553	—		—	—		—		—		—		—
Net Loss		(748,755,990)	—		—	—		—		—		(154,349,949)		(154,349,949)
STOCKHOLDERS' EQUITY (DEFICIT), June 30, 2022	$	1,007,075,525	41,578,890	$	4,158	201,423,309	$	20,142	$	312,945,752	$	(204,345,577)	$	108,624,475
Vesting of stock compensation awards		—	—		—	107,487		11		—		—		11
Stock compensation		1,783,994	—		—	—		—		—		—		—
Adjustments to Redeemable Non-Controlling Interest		19,375,288	—		—	—		—		(19,375,288)		—		(19,375,288)
Net Loss		(54,155,858)	—		—	—		—		—		(11,173,183)		(11,173,183)
STOCKHOLDERS' EQUITY (DEFICIT), September 30, 2022	$	974,078,949	41,578,890	$	4,158	201,530,796	$	20,153	$	293,570,464	$	(215,518,760)	$	78,076,015

See accompanying notes to condensed consolidated financial statements.

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P3 HEALTH PARTNERS INC and SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)


	Successor		Predecessor
	Nine Months Ended		Nine Months Ended
	September 30, 2022		September 30, 2021
			(As Restated)
Cash Flows from Operating Activities
Net Loss	$	(1,029,225,234)	$	(86,169,483)
Adjustments to Reconcile Net Loss to Net Cash Used in Operating Activities:
Depreciation and Amortization		65,286,715		1,218,796
Stock-Based Compensation		17,210,974		1,379,400
Goodwill Impairment		851,455,754		—
Amortization of Debt Origination Fees		—		525,783
Amortization of Discount from Issuance of Debt		—		931,958
Mark-to-Market Adjustment of Stock Warrants		(3,386,394)		12,063,265
Premium Deficiency Reserve		(10,115,714)		4,600,000
Non-cash Interest Expense		290,910		—
Changes in Assets and Liabilities:
Accounts Receivable		(1,623,188)		54,602
Health Plan Receivables / Premiums		(31,246,699)		(884,523)
Other Current Assets		3,462,453		2,667,427
Net Change in ROU Assets and Liabilities		3,500,981		379,235
Accounts Payable		4,560,474		3,606,729
Accrued Payroll		1,053,740		(1,842,877)
Accrued Interest		3,884,853		3,952,044
Health Plan Payables / Premiums		(1,921,858)		(483,657)
Claims Payable		32,747,102		18,173,851
Net Cash used in Operating Activities		(94,065,131)		(39,827,450)
Cash Flows from Investing activities
Purchase of Property, Plant and Equipment		(2,283,404)		(2,990,130)
Acquisitions		(5,500,131)		(5,014,500)
Increase in Notes Receivable, Net		—		120,463
Net Cash used in Investing Activities		(7,783,535)		(7,884,167)
Cash Flows from Financing activities
Issuance of Long-Term Debt		—		12,750,000
Repayment of Short-Term and Long-Term Debt		(3,624,662)		(67,216)
Loan Origination and Closing Fees		—		(191,250)
Net Cash (used in) provided by Financing Activities		(3,624,662)		12,491,534
Net Change in Cash and Restricted Cash		(105,473,328)		(35,220,083)
Cash and Restricted Cash, Beginning of Period		140,833,872		39,902,947
Cash and Restricted Cash, End of Period	$	35,360,544	$	4,682,864

See accompanying notes to condensed consolidated financial statements.

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P3 HEALTH PARTNERS INC and SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(UNAUDITED)

Note 1: Organization and Basis of Presentation

Description of Business and Business Combination

P3 Health Partners Inc. (the “Company” or “P3”) is a patient-centered and physician-led population health management company and the successor to P3 Health Group Holdings, LLC

P3 Health Group Holdings, LLC and Subsidiaries was founded on April 12, 2017 and began commercial operations on April 20, 2017 to provide population health management services on an at-risk basis to insurance plans offering medical coverage to Medicare beneficiaries under Medicare Advantage programs. Medicare Advantage programs are insurance products created solely for Medicare beneficiaries. Insurance plans contract directly with the Centers for Medicare and Medicaid Services (“CMS”) to offer Medicare beneficiaries benefits that replace traditional Medicare Fee for Service (“FFS”) coverage.

On December 3, 2021, (the “Closing Date”), the Company consummated the transactions pursuant to which, among other things, P3 Health Group Holdings, LLC merged with and into FAC Merger Sub LLC, a Delaware limited liability company and wholly owned subsidiary of Foresight Acquisition Corp. (“Foresight” or “Merger Sub”) (the “P3 Merger”), with Merger Sub as the surviving company, which was renamed P3 Health Group, LLC (“P3 LLC”), and FAC-A Merger Sub Corp., a Delaware corporation and a wholly owned subsidiary of Foresight, FAC-B Merger Sub Corp., a Delaware corporation and a wholly owned subsidiary of Foresight (together with FAC-A Merger Sub Corp., the “Merger Corps”) merged with and into CPF P3 Blocker-A, LLC, a Delaware limited liability company, CPF P3 Blocker-B, LLC a Delaware limited liability company (together with CPF P3 Blocker-A, LLC, the “Blockers”), with the Blockers as the surviving entities and wholly-owned subsidiaries of Foresight (collectively, the “Business Combinations”). Upon completion of the Business Combinations (the “Closing”), the Company and P3 LLC were organized in an “Up-C” structure in which all of the P3 LLC operating subsidiaries are held directly or indirectly by P3 LLC, and the Company directly owned approximately 17.1% of P3 LLC and became the sole manager of P3 LLC. Following Closing, substantially all of the Company’s assets and operations are held and conducted by P3 LLC and its subsidiaries, and the Company’s only assets are equity interest in P3 LLC (“P3 LLC Units”). In connection with the closing of the transactions, the Company changed its name from Foresight Acquisition Corp. to P3 Health Partners Inc.

The Company’s contracts with health plans are based on an at-risk shared savings model. Under this model, the Company is financially responsible for the cost of all contractually covered services provided to members assigned to the Company by health plans in exchange for a fixed monthly “capitation” payment, which is generally a percentage of the payment health plans receive from CMS. Under this arrangement, Medicare beneficiaries generally receive all their healthcare coverage through the Company’s network of employed and affiliated physicians and specialists (except for emergency situations).

The services provided to health plans’ members vary by contract. These may include utilization management, care management, disease education, and maintenance of a quality improvement and quality management program for members assigned to the Company. The Company is also responsible for the credentialing of Company providers, processing and payment of claims and the establishment of a provider network for certain health plans. At September 30, 2022 and December 31, 2021, the Company had agreements with twenty and seventeen health plans, respectively.

The Company has Management Services Agreements (“MSAs”) and deficit funding agreements with Kahan, Wakefield, Abdou, PLLC and Bacchus, Wakefield, Kahan, PC, P3 Health Partners Professional Services P.C., P3 Medical Group, P.C. and P3 Health Partners California, P.C. (collectively, the “Network”). As more fully described in Note 25 “Variable Interest Entities,” the entities in the Network are variable interest entities and the Company is the primary beneficiary of the Network. The MSAs provide that the Company or its subsidiaries will furnish administrative personnel, office supplies and equipment, general business services, contract negotiation and billing and collection services to the Network. Fees for these services are the excess of the Network’s revenue over expenses. Per the deficit funding agreements, the Company or its subsidiaries are obligated to lend amounts to the Network to the extent expenses exceed revenues. The loan will bear interest at prime plus 2%.

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In addition to the Company’s contracts with health plans, through its relationship with Kahan, Wakefield, Abdou, PLLC and Bacchus, Wakefield, Kahan, PC, the Company provides primary healthcare services through its employed physician clinic locations. These primary care clinics are reimbursed for services provided under FFS contracts with various payers and through capitated – per member, per month (“PMPM”) arrangements.

Basis of Presentation

These unaudited interim condensed consolidated financial statements have been prepared in accordance with Generally Accepted Accounting Principles in the United States of America (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of the U.S. Securities and Exchange Commission (“SEC”) Regulation S-X. The condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2021 (“2021 Form 10-K”). Certain information and footnote disclosures, normally included in financial statements prepared in accordance with U.S. GAAP, have been condensed or omitted pursuant to SEC rules and regulations dealing with interim financial statements. In the opinion of management, the condensed consolidated financial statements reflect all adjustments of a normal recurring nature necessary for a fair presentation of periods presented. Operating results for the three and nine months ended September 30, 2022 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2022. For further information, refer to the consolidated financial statements and notes thereto included in our 2021 Form 10-K. There have been no significant changes to our accounting policies and estimates during the nine months ended September 30, 2022 from those previously disclosed in the 2021 Form 10-K.

As a result of the Business Combinations, for accounting purposes, Foresight is the acquirer and P3 Health Group Holdings, LLC is the accounting acquiree and predecessor. The financial statement presentation includes the financial statements of P3 Health Group Holdings, LLC as “Predecessor” for the periods prior to the Closing Date (the “Predecessor Period(s)”) and of the Company as “Successor” for the periods after the Closing Date (the “Successor Period(s)”), including the consolidation of P3 Health Group Holdings, LLC.

As a result of the application of the acquisition method of accounting as of the Closing Date of the Business Combinations, the accompanying unaudited condensed consolidated financial statements include a black line division that indicates that the Predecessor and Successor reporting entities shown are presented on a different basis and are, therefore, not comparable.

The Company qualifies as an Emerging Growth Company (“EGC”) and as such, has elected the extended transition period for complying with certain new or revised accounting pronouncements. During the extended transition period, the Company is not subject to certain new or revised accounting standards applicable to public companies. The accounting pronouncements pending adoption as described in Note 6 “Recent Accounting Pronouncements Not Yet Adopted” reflect effective dates for the Company as an EGC with the extended transition period.

Restatement of Prior Year Amounts

As discussed in the Company's 2021 consolidated financial statements included in the 2021 Form 10-K, the Company restated the previously issued unaudited condensed consolidated financial statements for each interim period within the fiscal years ended December 31, 2021 and December 31, 2020.

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Note 2: Restatement of Previously Issued Financial Statements

The Company has restated the condensed consolidated financial statements for the three and nine months ended September 30, 2021.

Network

Since 2017, P3 Health Group Holdings and P3 Health Partners, LLC (collectively with P3 Health Partners, Inc., “P3”) have entered into a collective of arrangements with the Network whereby P3 consolidates the Network under the Variable Interest Entity model in accordance with ASC Topic 810, Consolidation (“ASC 810”). Historically, all of the net losses incurred by the Network were allocated to loss attributable to non-controlling interests. Based on an analysis of the deficit funding agreement between P3 and the Network, P3 is obligated to fund losses incurred by the Network. Because P3 is contractually obligated to fund the losses, losses incurred by the Network should not be allocated to non-controlling interests.

Based on management’s evaluation, it was concluded that the Company’s accounting for non-controlling interests related to the Network is not attributed in the manner contemplated by ASC 810. As a result, the Company has reclassified the loss attributable to non-controlling interest related to the Network to loss attributable to controlling interests on the Consolidated Balance Sheets, Consolidated Statements of Operations, and the Consolidated Statements of Changes in Stockholders’/Members’ Equity for the periods described above.

The Company's accounting for the loss in controlling interests instead of non-controlling interests has no impact on the Company's current or previously reported cash position, revenue, operating expenses or total operating, investing or financing cash flows.

Preferred Returns

P3's capital structure consists of Class A Units, which represent commitments from the Company’s private equity sponsors, and Class D Units, which represents an additional investment from a private equity sponsor. Both the Class A and Class D Units have voting rights and, accrue a preferred return in the amount of 8.0% per annum.

Historically, all of the accrued returns were recognized as interest expense on P3’s Statements of Operations and as equity on P3’s Balance Sheets. Based on the analysis of the Class A and Class D Units, the preferred returns should not be accrued until they are legally declared. As a result, the Company’s historical recording of preferred returns in equity and interest expense has been removed as no recognition is necessary until legally declared.

Class A Units

Historically, the Class A Preferred Units issued by P3 were accounted for as permanent equity. Since the Class A Preferred Units are redeemable upon the occurrence of a Sale of the Company via the liquidation and distribution preferences that returns invested capital and the preferred return, management evaluated whether the occurrence of such an event is outside of the Company’s control. As the Class A preferred unit holders hold a majority vote, the redemption of Class A Preferred Units upon a Sale of the Company, irrespective of probability, is outside of the Company’s control.

Based on management’s evaluation, the Class A Preferred Units should be reclassified from permanent to mezzanine equity. Additionally, the Company entered into the Second Amended and Restated Limited Liability Company Agreement in 2019, which provided the holders of Class A units an 8% per annum preferred return. The Company determined that the amendment should be accounted for as a modification. Therefore, the Company recorded the incremental increase in fair value as an adjustment to the carrying value of Class A units with an offset to additional paid in capital equivalent and accumulated deficit.

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Capitated Revenues

Medicare pays capitation using a “risk adjustment model”, which compensates providers based on the health status (acuity) of each individual patient (via a Risk Adjustment Factor, “RAF”). The Company’s policy is to recognize the variable RAF component of capitation revenues, to the extent that it is probable a significant reversal will not occur. At the December 31, 2020 balance sheet date the Company determined its estimates of the RAF components of certain capitation revenues were constrained and therefore not estimable, as it was not probable a significant reversal would not occur. The Company subsequently collected the RAF components of capitation payments prior to the issuance of the 2020 financial statements, effectively relieving the constraints which previously existed at the December 31, 2020 balance sheet date. As a result, capitation revenues for 2020 were restated based on the results of management’s analysis of the RAF component of cash receipts collected prior to the issuance 2020 financial statements which were previously determined to not be estimable. The revenue now recognized in 2020 was previously recognized in June of 2021. The total amount of the RAF adjustment was $6,532,954.

There were two other errors related to capitated revenue, other patient service revenue, and medical expenses which were corrected in the restatement. Firstly, the Company has reclassified capitated revenue streams attributable to the Network. These capitated revenues were previously classified as “other patient service revenue” and have been reclassified into “capitated revenue”. Secondly, the Company has eliminated intercompany revenue and expense related to transactions between Bacchus and P3-NV that should have been eliminated in consolidation. Prior to the restatement noted above regarding capitated revenue, this adjustment was a decrease to other patient service revenue and a decrease to medical expenses.

Disclosure Correction

The disclosure of the condensed financial statements of the Company’s consolidated VIE have been corrected for accrued interest and interest expense relating to the advances made to the VIE for the three and nine month periods ended September 30, 2021 (see Note 25). There is no impact to the condensed consolidated financial statements of the Company for this correction to the disclosures.

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The following tables summarize the restatement adjustments on each financial statement line item affected by the restatement as of the dates, and for the periods, indicated:


	As Previously		Network		Preferred Returns		Class A Units		Revenue
	Reported		Adjustments		Adjustments		Adjustments		Adjustment		As Restated
Condensed Consolidated Statement of Operations for the Nine Months Ended September 30, 2021 (Unaudited)
Capitated Revenue	$	447,137,121	$	—	$	—	$	—	$	(3,539,071)	$	443,598,050
Other Patient Service Revenue		12,366,111		—		—		—		(3,893,823)		8,472,288
Total Operating Revenue		459,503,232		—		—		—		(7,432,894)		452,070,338
Medical Expenses		459,233,085		—		—		—		(899,940)		458,333,145
Total Operating Expenses		520,053,309		—		—		—		(899,940)		519,153,369
Operating Loss		(60,550,077)		—		—		—		(6,532,954)		(67,083,031)
Interest Expense, net		(13,130,628)		—		6,107,441		—		—		(7,023,187)
Total Other Expenses		(