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Exhibit 99.1
Oak Street Health Reports Second Quarter 2021 Financial Results
August 9, 2021 at 4:05 Eastern Time
CHICAGO, IL – Oak Street Health, Inc. (NYSE: OSH, or the “Company”), a network of value-based primary care centers for adults on Medicare, today reported financial results for its quarter ended June 30, 2021.
“We were pleased with another quarter of strong growth in light of continued uncertainty navigating the COVID-19 pandemic. We remain committed to our patients and communities, as we have throughout the pandemic, and are particularly proud of the more than 180,000 vaccine doses we have administered this year to predominantly older adults in underserved communities,” said Mike Pykosz, Chief Executive Officer of Oak Street Health. “In the second quarter, we generated at-risk patient growth of 54% and total revenue growth of 65% and continued our national expansion, opening 9 new centers in four new markets. On August 5th, we opened our 100th center compared to just 54 when the pandemic began in March 2020. We did encounter medical cost headwinds during the quarter related to COVID-19 hospitalizations, a significant increase in non-acute utilization, and historically high medical costs for new patients, resulting in an Adjusted EBITDA loss of $53.5 million compared to the low end of our prior guidance of $40.0 million. However, based on the strong performance across the majority of the drivers of business performance, our belief that the increase in medical costs will be temporary, and the expectation that we will receive an increase in per patient revenue in 2022 based on the increasing disease burden of our patient population, we are confident in the economics of our business in 2022 and beyond. Because of this confidence, we are increasing our new center guidance from 38-42 to 46-48 new centers for full year 2021.”
Tim Cook, Chief Financial Officer of Oak Street Health added, “We recognized revenue and incurred medical claims expense of approximately $14.5 million and $19.0 million, respectively, in the second quarter related to prior periods. In light of our strong growth, we are increasing our revenue guidance for the full year from $1.37 billion to $1.40 billion, representing an increase of 5% at the midpoint compared to our prior full year guidance, but we are increasing our Adjusted EBITDA loss for the year to a range of $240 million to $220 million given the medical cost trends we experienced in the first half of the year and the assumed continuation of those costs for the remainder of the year as well as the increase in number of new centers in the second half of 2021.”
Second Quarter 2021 Financial Highlights
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Total revenue was $353.1 million, up 65% year over year. |
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Capitated revenue totaled $346.7 million, up 67% year over year. |
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The Company cared for approximately 88,500 risk-based patients, representing 73% of its total patients. |
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Net loss was $(100.3) 1million, compared to $(26.8) million in the second quarter of 2020. |
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Adjusted EBITDA2 was $(53.5) million, compared to $(17.5) million in the second quarter of 2020. |
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As of June 30, 2021, the Company operated 95 centers, compared to 54 centers as of June 30, 2020. |
Outlook for Second Quarter and Fiscal Year 2021
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Includes stock based and unit-based compensation of $40.9 million and $4.2 million as of the second quarter of 2021 and 2020, respectively. The majority of the increase is due to the modification of vesting terms related to the equity converted as part of the IPO and not incremental grants of equity. |
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Adjusted EBITDA is a non-GAAP financial measure that is presented as supplemental disclosure and is reconciled to net loss as the most directly comparable GAAP measure as set forth in the accompanying “Adjusted EBITDA Reconciliation” section. We define Adjusted EBITDA as net loss, excluding other income (expense), taxes, depreciation and amortization, stock-based and unit-based compensation and transaction/ offering related costs. |
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The principal contributors to the year-over-year change in the operating cash flows were as follows: An increase of $4.6 million in cash outflows related to operating assets and liabilities primarily resulting from: Changes in accounts receivable due to the timing of collections and the growth in the number of at-risk patients; Changes in liability for unpaid claims due to the growth in the number of at-risk patients; and Changes in accrued compensation and benefits due to the payment of employee bonuses.
Actual results could differ materially from those discussed in or implied by forward-looking statements as a result of various factors, including those discussed above in "Forward-Looking Statements," and Part II, Item 1A, "Risk Factors" in this Quarterly Report on Form 10-Q as well as those discussed under the "Risk Factors" section in our Annual Report on Form 10-K for the year ended December 31, 2020.
Due to the significant fixed costs associated with operating and managing our centers and the increases we experience in Patient Contribution on a per-patient basis the longer a patient is part of the Oak Street Platform, we generate significantly better center-level contribution margins (defined as (i) patient revenue, excluding Medicare Part D revenue minus (ii) the sum of (a) medical claims expense, excluding Medicare Part D related expenses, and (b) cost of care, excluding depreciation and amortization) as the patient base within our centers increases and matures and our costs decrease as a percent of revenue.
We expect the vast majority of these costs are just delayed and will be incurred at future points in time and it is possible that the deferral of healthcare services could cause additional health problems in our existing patients, which could increase our costs in the future.
In addition, we expect our corporate, general and administrative expenses to increase in absolute dollars for the foreseeable future to support our growth and because of additional costs of being a public company.
Beginning in late March 2020...Read more
Our approach also disrupts the...Read more
As the year progresses, our...Read more
The decrease was primarily due...Read more
Cash provided by financing activities...Read more
Because patient contribution, platform contribution...Read more
Medical costs also depend upon...Read more
To supplement our consolidated financial...Read more
This increase was driven primarily...Read more
This increase was driven primarily...Read more
We grow our patient base...Read more
Based on the aggregate worldwide...Read more
A net change of $34.2...Read more
For the six-months ended June...Read more
Our cash and cash equivalents...Read more
Interest expense was $1.0 million...Read more
Interest expense was $1.2 million...Read more
Non-GAAP financial measures used by...Read more
Due to the uncertainty of...Read more
Cash provided by financing activities...Read more
Investments in Growth: We expect...Read more
For the six-months ended June...Read more
As a result of being...Read more
As a result of being...Read more
For the three-months ended June...Read more
For the six-months ended June...Read more
We include adjusted EBITDA in...Read more
Although we expect risk scores...Read more
Center-Level Contribution Margin: We endeavor...Read more
Adding New Patients in Existing...Read more
We believe that the proceeds...Read more
Our definitions of patient contribution,...Read more
See "Non-GAAP Reconciliations" below for...Read more
____________ * Percentage not meaningful...Read more
Capitated revenue was $637.9 million...Read more
We believe this metric best...Read more
We view patient contribution as...Read more
As we are financially responsible...Read more
37 Total patients includes both...Read more
We typically experience the largest...Read more
In June 2021, the Company...Read more
As a center matures, we...Read more
Expand our Center Base within...Read more
We grew our patient base...Read more
We created a new care...Read more
Since our inception and through...Read more
Financial Statements, Disclosures and Schedules
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Oak Street Health, Inc. provided additional information to their SEC Filing as exhibits
Ticker: OSH
CIK: 1564406
Form Type: 10-Q Quarterly Report
Accession Number: 0001564590-21-042733
Submitted to the SEC: Mon Aug 09 2021 5:17:55 PM EST
Accepted by the SEC: Mon Aug 09 2021
Period: Wednesday, June 30, 2021
Industry: Health Services