Quarterly report [Sections 13 or 15(d)]

Variable Interest Entities

v3.26.1
Variable Interest Entities
3 Months Ended
Mar. 31, 2026
Variable Interest Entities  
Variable Interest Entities
Note 11: Variable Interest Entities
P3 LLC has Management Services Agreements (“MSAs”) and deficit funding agreements with the Network VIEs. The MSAs provide that P3 LLC will furnish administrative personnel, office supplies and equipment, general business services, contract negotiation, and billing and collection services to the Network VIEs. Fees for these services are the excess of the Network VIEs’ revenue over expenses. Per the deficit funding agreements, P3 LLC is obligated to advance funds, as needed, to support the Network VIEs’ working capital needs to the extent operating expenses exceed gross revenue. These advances accrue interest at a rate of prime plus 2%. Net advances made to the Network VIEs and accrued interest on those advances are presented within due to consolidated entities of P3 in the table below. Additionally, P3 LLC entered into stock transfer restriction agreements with the practice shareholders of the Network VIEs, which, by way of a call option, unequivocally permit P3 LLC to appoint successor physicians if a practice shareholder vacates their ownership position. Accordingly, P3 LLC identifies itself as the primary beneficiary of the Network VIEs. Practice shareholders, who are employees of P3 LLC, retain equity ownership in the Network VIEs, which represents nominal non-controlling interests; however, the non-controlling interests do not participate in the profit or loss of the Network VIEs.
P3 LLC, directly or indirectly via its wholly owned subsidiaries, may not use or access any net assets of the Network VIEs to settle its obligations or the obligations of its wholly owned subsidiaries. Additionally, the creditors of the Network VIEs do not have recourse to the net assets of P3 LLC.
Since P3 LLC represents substantially all the assets and liabilities of the Company, the following tables provide a summary of the assets, liabilities, and operating performance of only the Network VIEs held at the P3 LLC level.
March 31, 2026 December 31, 2025
(in thousands)
ASSETS
Cash $ 6,578  $ 4,776 
Clinic fees, insurance and other receivables
130  785 
Prepaid expenses and other current assets 424  487 
Property and equipment, net 32  32 
Intangible assets, net
633  660 
Other long-term assets 1,424  1,433 
TOTAL ASSETS $ 9,221  $ 8,173 
LIABILITIES AND MEMBERS’ DEFICIT
Accounts payable $ 448  $ 394 
Accrued expenses and other current liabilities 568  241 
Accrued payroll 756  887 
Claims payable 4,378  4,199 
Other long-term liabilities 916  922 
Due to consolidated entities of P3 46,492  46,774 
TOTAL LIABILITIES 53,558  53,417
MEMBERS’ DEFICIT (44,337) (45,244)
TOTAL LIABILITIES AND MEMBERS’ DEFICIT $ 9,221  $ 8,173 
Three Months Ended March 31,
2026 2025
(in thousands)
Revenue $ 6,557  $ 8,159 
Expense 5,445  8,154 
Net income
$ 1,112  $
P3 LLC, through its subsidiary P3 ACO, is also the primary beneficiary of the MSO and, as of January 1, 2026, of CPC ACO. The MSO was created to engage in the management, administration, and coordination of activities on behalf of accountable care organizations intended to improve the performance and quality of the parties’ respective ACO programs. To this end, the MSO entered into an MSA with the ACOs that will govern the MSO’s oversight of clinical integration, provider management, data analytics, financial management, strategic planning, shared services, compliance operations, and related administrative and operational support for the benefit of the ACOs.

Each ACO shall pay a management fee to the MSO for its services under the MSA. The MSO will also be entitled to receive from each ACO a portion of each ACO’s net shared savings as determined under the MSA. P3 LLC is obligated to fund any working capital needs to the extent operating expenses exceed gross revenue and to assume any obligations related to CPC ACO’s contracts with CMS and the Center for Medicare and Medicaid Innovation (“CMMI”). The MSA may be terminated after three years without cause.
CPC ACO’s ownership interest in the MSO represents a non-controlling interest which participates only in the profit of the MSO and distributions of any net assets upon liquidation, because of the Company’s obligation to fund losses and assume specific obligations. The non-controlling interest was measured at its fair value upon the formation date.
The following tables provide a summary of the assets, liabilities, and operating performance of the MSO and CPC ACO:
March 31, 2026
(in thousands)
ASSETS
Cash $ 708 
Clinic fees, insurance and other receivables
1,558 
Health plan receivable 8,890 
Prepaid expenses and other current assets 253 
Intangible assets, net
1,054 
Goodwill
4,990 
TOTAL ASSETS $ 17,453 
LIABILITIES AND MEMBERS’ EQUITY
Accrued expenses and other current liabilities $ 9,875 
Claims payable 4,100 
Due to consolidated entities of P3 677 
TOTAL LIABILITIES 14,652 
Non-controlling interest
1,360 
Retained earnings
1,441 
MEMBERS’ EQUITY
2,801 
TOTAL LIABILITIES AND MEMBERS’ EQUITY
$ 17,453 
Three Months Ended March 31,
2026
(in thousands)
Revenue $ 107,263 
Expense 105,462 
Net income $ 1,801